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PD17-244 - Original - Evergreen Asphalt & Concrete, Inc. - PD Impound Yard Concrete Work - 05/30/2017
te-% cr Ma. KENT / . WA9 W I Nt ATOM /�',,,/r Document 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: Evergreen Asphalt & Concrete Vendor Number: 21335" JD Edwards Dumber Contract Number: - 2 ' This is assigned by City Clerk's Office Project Name Concrete Work - PD Impound 'Yard @ 407 Washington Ave North Description: El Interlocal Agreement ❑ Change Order ❑ Amendment X❑ Contract El Other: Contract Effective Date: 05/19/17' Termination mate: 08/17/17 Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Eric Hemmen Department: Police Contract Amount: 7 975.09 Approval Authority: (CIRCLE ONE) Department Director Mayor City Council Detail: (i.e. address, location, parcel number, tax id, etc.): A5 of: 08/27/14 • KENT W A9HInOtON PUBLIC WORKS AGREEMENT between City of Kent and Evergreen Asphalt and Concrete, Inc THIS AGREEMENT is made by and between the City of Kent, a Washington municipal corporation (hereinafter the "City"), and Evergreen Asphalt and Concrete, Inc organized under the laws of the State of Washington, located and doing business at 18744 SE 282 St, Kent Washington 98042. (PO Box 1567, Kent, WA 98035-1567 (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: Work will be completed at the Kent Police Departments Impound yard located at 407 Washington Ave. North. New concrete will be installed within the bays of the building. Remove Gravel from Pit area. Saw cut to remove metal edge on both sides of the pit. Add #4 dowels every 24" on center on both sides of existing concrete. Tie 3 #4 bars horizontally in new pour. Install approximately 357 Square Feet of new concrete 6" thick, 3000 PSI with broom finish, in accordance with Proposal #6470 which is attached and incorporated as Exhibit A. Contractor further represents that the services furnished under this Agreement will be performed in accordance with generally accepted professional practices within the Puget Sound region in effect at the time such services are performed. II. TIME OF COMPLETION. The parties agree that work will begin on the tasks described in Section I above immediately upon execution of this Agreement. Upon the effective date of this Agreement, Contractor shall complete the work described in Section I within the next 90 days. III. COMPENSATION. The City shall pay the Contractor a total amount not to exceed $7975.00, including any applicable Washington State Sales Tax, for the work and services contemplated in this Agreement. The City shall pay the Contractor the following amounts according to the following schedule: To be paid by Purchase Order at completion of project. Vendor to Invoice upon Notice of Acceptance by City, payment to be processed upon receipt of Prevailing Wages Affidavit number, Terms: Net 30 days PUBLIC WORKS AGREEMENT - 1 ($20,000 or Less - OPTIONAL PROCESS) A. No Payment and Performance Bond; No Retainaoe. Because this contract is $20,000 or less, the City has elected to waive both the performance/payment bond requirement of Chapter 39.08 RCW and the retainage requirement of Chapter 60.28 RCW. B. Defective or Unauthorized Work. The City reserves its right to withhold payment from Contractor for any defective or unauthorized work. Defective or unauthorized work includes, without limitation: work and materials that do not conform to the requirements of this Agreement; and extra work and materials furnished without the City's written approval. If Contractor is unable, for any reason, to satisfactorily complete any portion of the work, the City may complete the work by contract or otherwise, and Contractor shall be liable to the City for any additional costs incurred by the City. "Additional costs" shall mean all reasonable costs, including legal costs and attorney fees, incurred by the City beyond the maximum Contract price specified above. The City further reserves its right to deduct the cost to complete the Contract work, including any Additional Costs, from any and all amounts due or to become due the Contractor. C. Final Payment: Waiver of Claims. THE CONTRACTOR'S ACCEPTANCE OF FINAL PAYMENT SHALL CONSTITUTE A WAIVER OF CONTRACTOR'S CLAIMS, EXCEPT THOSE PREVIOUSLY AND PROPERLY MADE AND IDENTIFIED BY CONTRACTOR AS UNSETTLED AT THE TIME FINAL PAYMENT IS MADE AND ACCEPTED. 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: PUBLIC WORKS AGREEMENT - 2 ($20,000 or Less - OPTIONAL PROCESS) A. The Contractor's refusal or failure to supply a sufficient number of properly skilled workers or proper materials for completion of the Contract work. B. The Contractor's failure to complete the work within the time specified in this Agreement. C. The Contractor's failure to make full and prompt payment to subcontractors or for material or labor. D. The Contractor's persistent disregard of federal, state or local laws, rules or regulations. E. The Contractor's filing for bankruptcy or becoming adjudged bankrupt. F. The Contractor's breach of any portion of this Agreement. If the City terminates this Agreement for good cause, the Contractor shall not receive any further money due under this Agreement until the Contract work is completed. After termination, the City may take possession of all records and data within the Contractor's possession pertaining to this project which may be used by the City without restriction. VI. PREVAILING WAGES. Contractor shall file a "Statement of Intent to Pay Prevailing Wages," with the State of Washington Department of Labor & Industries prior to commencing the Contract work. Contractor shall pay prevailing wages in effect on the date the bid is accepted or executed by Contractor, and comply with Chapter 39.12 of the Revised Code of Washington, as well as any other applicable prevailing wage rate provisions. The latest prevailing wage rate revision issued by the Department of Labor and Industries is attached. VII. CHANGES. The City may issue a written change order for any change in the Contract work during the performance of this Agreement. If the Contractor determines, for any reason, that a change order is necessary, Contractor must submit a written change order request to the person listed in the notice provision section of this Agreement, section XV(D), within fourteen (14) calendar days of the date Contractor knew or should have known of the facts and events giving rise to the requested change. If the City determines that the change increases or decreases the Contractor's costs or time for performance, the City will make an equitable adjustment. The City will attempt, in good faith, to reach agreement with the Contractor on all equitable adjustments. However, if the parties are unable to agree, the City 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 PUBLIC WORKS AGREEMENT - 3 ($20,000 or Less - OPTIONAL PROCESS) otherwise, shall be conclusively deemed to have been waived by the Contractor unless a timely written claim is made in strict accordance with the applicable provisions of this Agreement. At a minimum, a Contractor's written claim shall include the information set forth in subsections A, items 1 through 5 below. FAILURE TO PROVIDE A COMPLETE, WRITTEN NOTIFICATION OF CLAIM WITHIN THE TIME ALLOWED SHALL BE AN ABSOLUTE WAIVER OF ANY CLAIMS ARISING IN ANY WAY FROM THE FACTS OR EVENTS SURROUNDING THAT CLAIM OR CAUSED BY THAT DELAY. A. Notice of Claim. Provide a signed written notice of claim that provides the following information: 1. The date of the Contractor's claim; 2. The nature and circumstances that caused the claim; 3. The provisions in this Agreement that support the claim; 4. The estimated dollar cost, if any, of the claimed work and how that estimate was determined; and 5. An analysis of the progress schedule showing the schedule change or disruption if the Contractor is asserting a schedule change or disruption. B. Records. The Contractor shall keep complete records of extra costs and time incurred as a result of the asserted events giving rise to the claim. The City shall have access to any of the Contractor's records needed for evaluating the protest. The City will evaluate all claims, provided the procedures in this section are followed. If the City determines that a claim is valid, the City will adjust payment for work or time by an equitable adjustment. No adjustment will be made for an invalid protest. C. Contractor's Duty to Complete Protested Work. In spite of any claim, the Contractor shall proceed promptly to provide the goods, materials and services required by the City under this Agreement. D. Failure to Protest Constitutes Waiver. By not protesting as this section provides, the Contractor also waives any additional entitlement and accepts from the City any written or oral order (including directions, instructions, interpretations, and determination). E. Failure to Follow Procedures Constitutes Waiver. By failing to follow the procedures of this section, the Contractor completely waives any claims for protested work and accepts from the City any written or oral order (including directions, instructions, interpretations, and determination). IX. LIMITATION OF ACTIONS. CONTRACTOR MUST, IN ANY EVENT, FILE ANY LAWSUIT ARISING FROM OR CONNECTED WITH THIS AGREEMENT WITHIN 120 CALENDAR DAYS FROM THE DATE THE CONTRACT WORK IS COMPLETE OR CONTRACTOR'S ABILITY TO FILE THAT CLAIM OR SUIT SHALL BE FOREVER BARRED. THIS SECTION FURTHER LIMITS ANY APPLICABLE STATUTORY LIMITATIONS PERIOD. X. WARRANTY. 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 PUBLIC WORKS AGREEMENT - 4 ($20,000 or Less - OPTIONAL PROCESS) a reasonable time as determined by the City, the City may complete the corrections and the Contractor shall pay all costs incurred by the City in order to accomplish the correction. XI. DISCRIMINATION. In the hiring of employees for the performance of work under this Agreement or any sub-contract, the Contractor, its sub-contractors, or any person acting on behalf of the Contractor or sub-contractor shall not, by reason of race, religion, color, sex, age, sexual orientation, national origin, or the presence of any sensory, mental, or physical disability, discriminate against any person who is qualified and available to perform the work to which the employment relates. Contractor shall execute the attached City of Kent Equal Employment Opportunity Policy Declaration, Comply with City Administrative Policy 1.2, and upon completion of the contract work, file the attached Compliance Statement. XII. INDEMNIFICATION. Contractor shall defend, indemnify and hold the City, its officers, officials, employees, agents and volunteers harmless from any and all claims, injuries, damages, losses or suits, including all legal costs and attorney fees, arising out of or in connection with the Contractor's performance of this Agreement, except for that portion of the injuries and damages caused by the City's negligence. 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 duty to defend, indemnify, and hold the City harmless, and Contractor's liability accruing from that obligation shall be only to the extent of the Contractor's negligence. IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THE INDEMNIFICATION PROVIDED HEREIN CONSTITUTES THE CONTRACTOR'S WAIVER OF IMMUNITY UNDER INDUSTRIAL INSURANCE, TITLE 51 RCW, SOLELY FOR THE PURPOSES OF THIS INDEMNIFICATION. THE PARTIES FURTHER ACKNOWLEDGE THAT THEY HAVE MUTUALLY NEGOTIATED THIS WAIVER. In the event Contractor refuses tender of defense in any suit or any claim, if that tender was made pursuant to this indemnification clause, and if that refusal is subsequently determined by a court having jurisdiction (or other agreed tribunal) to have been a wrongful refusal on the Contractor's part, then Contractor shall pay all the City's costs for defense, including all reasonable expert witness fees and reasonable attorneys' fees, plus the City's legal costs and fees incurred because there was a wrongful refusal on the Contractor's part. The provisions of this section shall survive the expiration or termination of this Agreement. XIII. INSURANCE. The Contractor shall procure and maintain for the duration of the Agreement, insurance of the types and in the amounts described in Exhibit B attached and incorporated by this reference. XIV. WORK PERFORMED AT CONTRACTOR'S RISK. Contractor shall take all necessary precautions and shall be responsible for the safety of its employees, agents, and subcontractors in the performance of the contract work and shall utilize all protection necessary for that purpose. All work shall be done at Contractor's own risk, and Contractor shall be responsible for any loss of or damage to materials, tools, or other articles used or held for use in connection with the work. XV. MISCELLANEOUS PROVISIONS. A. Recyclable Materials. Pursuant to Chapter 3.80 of the Kent City Code, the City requires its contractors and consultants to use recycled and recyclable products whenever practicable. A price preference may be available for any designated recycled product. PUBLIC WORKS AGREEMENT- 5 ($20,000 or Less - OPTIONAL PROCESS) B. Non-Waiver of Breach. The failure of the City to insist upon strict performance of any of the covenants and agreements contained in this Agreement, or to exercise any option conferred by this Agreement in one or more instances shall not be construed to be a waiver or relinquishment of those covenants, agreements or options, and the same shall be and remain in full force and effect. C. Resolution of Disputes and Governing Law. This Agreement shall be governed by and construed in accordance with the laws of the State of Washington. If the parties are unable to settle any dispute, difference or claim arising from the parties' performance of this Agreement, the exclusive means of resolving that dispute, difference or claim, shall only be by filing suit exclusively under the venue, rules and jurisdiction of the King County Superior Court, King County, Washington, unless the parties agree in writing to an alternative dispute resolution process. In any claim or lawsuit for damages arising from the parties' performance of this Agreement, each party shall pay all its legal costs and attorney's fees incurred in defending or bringing such claim or lawsuit, including all appeals, in addition to any other recovery or award 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. PUBLIC WORKS AGREEMENT - 6 ($20,000 or Less - OPTIONAL PROCESS) K. Cgq rparts p!2d Signpig[gs byF r E il. 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. IN WITNESS, the parties below execute this Agreement, which shall become effective on the last date entered below. All acts consistent with the authority of this Agreement and prior to its effective date are ratified and affirmed, and the terms of the Agreement shall be deemed to have applied. CONTRACTOR: CITY 0 KE By: (signatu Print Name: ti Print Name: Chief Ken Thomas Its: Chief of Police its (title) DATE: DATE: NOTICES TO BE SENT TO: NOTICES TO BE SENT TO: CONTRACTOR: CITY OF KENT: Assistant Chief Eric Hemmen Evergreen Asphalt and Concrete Inc City of Kent P0, Box 1567 220 Fourth Avenue South Kent, WA 98035-1567 Kent, WA 98032 253-639-3779 (telephone) (253) 253-856-5837 (telephone) (facsimile) (253) (facsimile) PUBLIC WORKS AGREEMENT - 7 ($20,000 or Less - OPTIONAL PROCESS) DECLARATION CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY POLICY The City of Kent is committed to conform to Federal and State laws regarding equal opportunity. As such all contractors, subcontractors and suppliers who perform work with relation to this Agreement shall comply with the regulations of the City's equal employment opportunity policies. The following questions specifically identify the requirements the City deems necessary for any contractor, subcontractor or supplier on this specific Agreement to adhere to. An affirmative response is required on all of the following questions for this Agreement to be valid and binding. If any contractor, subcontractor or supplier willfully misrepresents themselves with regard to the directives outlines, it will be considered a breach of contract and it will be at the City's sole determination regarding suspension or termination for all or part of the Agreement; The questions are as follows: 1. I have read the attached City of Kent administrative policy number 1.2. 2. During the time of this Agreement I will not discriminate in employment on the basis of sex, race, color, national origin, age, or the presence of all sensory, mental or physical disability. 3. During the time of this Agreement the prime contractor will provide a written statement to all new employees and subcontractors indicating commitment as an equal opportunity employer. 4. During the time of the Agreement I, the prime contractor, will actively consider hiring and promotion of women and minorities. 5. Before acceptance of this Agreement, an adherence statement will be signed by me, the Prime Contractor, that the Prime Contractor complied with the requirements as set forth above. By signing below, I agree to fulfill the five requirements referenced above. By: For: G /* �— Title: a s►• 0r= Date: �{ - iZ•- 7 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 CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE STATEMENT This form shall be filled out AFTER COMPLETION of this project by the Contractor awarded the Agreement. I, the undersigned, a duly represented agent of Company, hereby acknowledge and declare that the before-mentioned company was the prime contractor for the Agreement known as that was entered into on the (date), between the firm I represent and the City of Kent. I declare that I complied fully with all of the requirements and obligations as outlined in the City of Kent Administrative Policy 1.2 and the Declaration City of Kent Equal Employment Opportunity Policy that was part of the before-mentioned Agreement. By: For: Title: Date: EEO COMPLIANCE DOCUMENTS - 3 rage 1 01 /-v 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: 4/7/2017 Count Trade Job Classifica Wage Holiday Overtime Note' tion King Asbestos Abatement Journey Level $45.25 5D 1 H Workers King Boilermakers Journey Level $64.54 5N 1C King Brick Mason Journey Level $54.32 5A 1M King Brick Mason Pointer-Caulker-Cleaner $54.32 5A 1M King Building Service Employees Janitor $22.84 5S 2F King Building Service Employees Traveling $23.29 55 2F Waxer/Shampooer King Building Service Employees Window Cleaner (Non- $24.54 5S 2F Scaffold) King Building Service Employees Window Cleaner $27.33 5S 2F (Scaffold) King Cabinet Makers {In Shop) Journey Level $22.74 1 King Carpenters Acoustical Worker $55.511 5D 4C King Carpenters Bridge, Dock And Wharf $55.51 5D 4C Carpenters King Carpenters Carpenter $55.51 5D 4C King Carpenters Carpenters on $55.64 5D 4C Stationary Tools King Carpenters Creosoted Material $55.61 5D 4C King Carpenters Floor Finisher $55.51 5D 4C King Carpenters Floor Layer $55.51 5D 4C King Carpenters Scaffold Erector $55.51 5D 4C King Cement Masons Journey Level $55.56 7A 1M King Divers Et Tenders Diver $108.77 5D 4C 8A King Divers Et Tenders Diver On Standby $66.051 5D 4C King Divers Et Tenders Diver Tender $59.88 5D 4C https://fortress.wa.gov/lni/wagelookup/prvWagelookup.aspx 5/8/2017 Page 2 of 20 King Divers It Tenders Surface Rcv it Rov $59.88 5D 4C Operator King Divers it Tenders Surface Rcv Et Rov $55.76 5A 4C Operator Tender King Dredge Workers Assistant Engineer $56.44 5D 3F King Dredge Workers Assistant Mate $56.00 5D 3F (Deckhand) King Dredge Workers Boatmen $56.44 5D 3F King Dredge Workers Engineer Welder $57.51 5D 3F King Dredge Workers Leverman, Hydraulic $58.67 5D 3F King Dredge Workers Mates $56.44 5D 3F King Dredge Workers Oiler $56.00 5D 3F King Drywall Applicator Journey Level $55.51 5D 1H King Drywall Tapers Journey Level $55.66 5P 1 E King Electrical Fixture Journey Level $27.99 5L 1E Maintenance Workers King Electricians - Inside Cable Splicer $73.20 7C 4E King Electricians - Inside Cable Splicer (tunnel) $78.59 7C 4E King Electricians - Inside Certified Welder $70.75 7C 4E King Electricians - Inside Certified Welder $75.89 7C 4E (tunnel) King Electricians - Inside Construction Stock $38.69 7C 4E Person King Electricians - Inside Journey Level $68.30 7C 4E King Electricians - Inside Journey Level (tunnel) $73.20 7C 4E King Electricians - Motor Shop Craftsman $15.37 1 King Electricians - Motor Shop Journey Level $14.69 1 King Electricians - Powerline Cable Splicer $71.85 5A 4D Construction King Electricians - Powerline Certified Line Welder $65.71 5A 4D Construction King Electricians - Powerline Groundperson $44.12 5A 4D Construction King Electricians - Powerline Heavy Line Equipment $65.71 5A 4D Construction Operator King Electricians - Powerline Journey Level $65.71 5A 4D Construction Lineperson King Electricians - Powerline Line Equipment $55.34 5A 4D Construction Operator King Electricians - Powerline Pole Sprayer $65.71 5A 4D Construction King Electricians - Powerline Powderperson $49.16 5A 4D Construction King Electronic Technicians Journey Level $31.00 1 King Elevator Constructors Mechanic $85.45 7D 4A King Elevator Constructors Mechanic In Charge $92.35 7D 4A King Fabricated Precast All Classifications - In- $17.20 5B 1R Concrete Products Factory Work Only King Fence Erectors Fence Erector $15.181 11 King Flaggers Journey Level $38.361 7A 31 https://fortress.wa.gov/lni/wagelookup/prvWagelookup.aspx 5/8/2017 rage .i oz Lv King Glaziers Journey Level $59.31 7L 1Y King Heat Et Frost Insulators And Journeyman $65.68 5J 4H Asbestos Workers King Heating Equipment Journey Level $75.46 7F 1E Mechanics King Hod Carriers & Mason Journey Level $46.66 7A 31 Tenders "King Industrial Power Vacuum Journey Level $11.00 1 Cleaner King Inland Boatmen Boat Operator $59.86 5B 1K 'King Inland Boatmen Cook $56.18 5B 1K King Inland Boatmen Deckhand $56.18 5B 1K King Inland Boatmen Deckhand Engineer $57.26 5B 1 K King Inland Boatmen Launch Operator $58.59 5B 1K King Inland Boatmen Mate $58.59 5B 1K King Inspection/Cleaning/Sealing Cleaner Operator, $31.49 1 Of Sewer Et Water Systems Foamer Operator By Remote Control King Inspection/Cleaning/Sealing Grout Truck Operator $11.48 1 Of Sewer Et Water Systems By Remote Control King Inspection/Cleaning/Sealing Head Operator $24.91 1 Of Sewer Et Water Systems By Remote Control .King Inspection/Cleaning/Sealing Technician $19.33 1 Of Sewer &Water Systems By Remote Control King Inspection/Cleaning/Sealing Tv Truck Operator $20.45 1 Of Sewer Et Water Systems By Remote Control King Insulation Applicators Journey Level $55.51 5D 4C King Ironworkers Journeyman $65.48 7N 10 King Laborers Air, Gas Or Electric $45.25 7A 31 Vibrating Screed King Laborers Airtrac Drill Operator $46.66 7A 31 King Laborers Ballast Regular Machine $45.25 7A 31 King Laborers Batch Weighman $38.36 7A 31 King Laborers Brick Pavers $45.25 7A 31 King Laborers Brush Cutter $45.25 7A 31 King Laborers Brush Hog Feeder $45.25 7A 31 King Laborers Burner $45.25 7A 31 King Laborers Caisson Worker $46.66 7A 31 King Laborers Carpenter Tender $45.25 7A 31 King Laborers Caulker $45.25 7A 31 King Laborers Cement Dumper-paving $46.09 7A 31 -King Laborers Cement Finisher Tender $45.25 7A 31 King Laborers Change House Or Dry $45.25 7A 31 Shack King Laborers Chipping Gun (under 30 $45.25 7A 31 Lbs.) https://fortress.wa.gov/lni/wagelookup/prvWagelookup.aspx 5/8/2017 Page 4 of 20 King Laborers Chipping Gun(30 Lbs. $46.09 7A 31 And Over) King Laborers Choker Setter $45.25 7A 31 King Laborers Chuck Tender $45.25 7A 31 King Laborers Clary Power Spreader $46.09 7A 31 King Laborers Clean-up Laborer $45.25 7A 31 King Laborers Concrete Dumper/chute $46.09 7A 31 Operator King Laborers Concrete Form Stripper $45.25 7A 31 King Laborers Concrete Placement $46.09 7A 31 Crew King Laborers Concrete Saw $46.09 7A 31 Operator/core Driller King Laborers Crusher Feeder $38.36 7A 31 King Laborers Curing Laborer $45.25 7A 31 King Laborers Demolition: Wrecking Ft $45.25 7A 31 Moving (incl. Charred Material) King Laborers Ditch Digger $45.25 7A 31 King Laborers Diver $46.66 7A 31 King Laborers Drill Operator $46.09 7A 31 (hydraulic,diamond) King Laborers Dry Stack Walls $45.25 7A 31 King Laborers Dump Person $45.25 7A 31 King Laborers Epoxy Technician $45.25 7A 31 King Laborers Erosion Control Worker $45.25 7A 31 King Laborers Faller& Bucker Chain $46.09 7A 31 Saw King Laborers Fine Graders $45.25 7A 31 King Laborers Firewatch $38.36 7A 31 King Laborers Form Setter $45.25 7A 31 King Laborers Gabian Basket Builders $45.25 7A 31 King Laborers General Laborer $45.25 7A 31 King Laborers Grade Checker 1t $46.66 7A 31 Transit Person King Laborers Grinders $45.25 7A 31 King Laborers Grout Machine Tender $45.25 7A 31 King Laborers Groutmen (pressure) $46.09 7A 31 including Post Tension Beams King Laborers Guardrail Erector $45.25 7A 31 King Laborers Hazardous Waste $46.66 7A 31 Worker (level A) King Laborers Hazardous Waste $46.09 7A 31 Worker (level B) King Laborers Hazardous Waste $45.25 7A 31 Worker (level C) King Laborers High Scaler $46.66 7A 31 King ILaborers Jackhammer $46.09 7A 31 King Laborers Laserbeam Operator $46.09 7A 31 https://fortress.wa.gov/lni/wagelookup/prvWagelookup.aspx 5/8/2017 rage z) o1 Lu King ILaborers Maintenance Person $45.25 7A 31 King Laborers Manhole Builder- $46.09 7A 31 mudman King Laborers Material Yard Person $45.25 7A 31 King Laborers Motorman-dinky $46.09 7A 31 Locomotive King Laborers Nozzleman (concrete $46.09 7A 31 Pump, Green Cutter When Using Combination Of High Pressure Air It Water On Concrete I* Rock, Sandblast, Gunite, Shotcrete, Water Bla King Laborers Pavement Breaker $46.09 7A 31 King Laborers Pilot Car $38.36 7A 31 King Laborers Pipe Layer Lead $46.66 7A 31 King Laborers Pipe Layer/tailor $46.09 7A 31 King Laborers Pipe Pot Tender $46.09 7A 31 King Laborers Pipe Reliner $46.09 7A 31 King Laborers Pipe Wrapper $46.09 7A 31 King Laborers Pot Tender $45.25 7A 31 King Laborers Powderman $46.66 7A 31 King Laborers Powderman's Helper $45.25 7A 31 King Laborers Power Jacks $46.09 7A 31 King Laborers Railroad Spike Puller- $46.09 7A 31 Power King Laborers Raker- Asphalt $46.66 7A 31 King Laborers Re-timberman $46.66 7A 31 King Laborers Remote Equipment $46.09 7A 31 Operator King Laborers Rigger/signal Person $46.09 7A 31 King Laborers Rip Rap Person $45.25 7A 31 King Laborers Rivet Buster $46.09 7A 31 King Laborers Rodder $46.09 7A 31 King Laborers Scaffold Erector $45.25 7A 31 King Laborers Scale Person $45.25 7A 31 King Laborers Sloper (over 20") $46.09 7A 31 King Laborers Sloper Sprayer $45.25 7A 31 King Laborers Spreader (concrete) $46.09 7A 31 King Laborers Stake Hopper $45.25 7A 31 King Laborers Stock Piler $45.25 7A 31 King Laborers Tamper It Similar $46.09 7A 31 Electric, Air Et Gas Operated Tools King Laborers Tamper (multiple Et $46.09 7A 31 Self-propelled) King Laborers Timber Person - Sewer $46.09 7A 31 (lagger, Shorer Et Cribber) https:Hfortress.wa.gov/lni/wagelookup/prvWagelookup.aspx 5/8/2017 Page 6 of 20 King Laborers Toolroom Person (at $45.25 7A 31 Jobsite) King Laborers Topper $45.25 7A 31 King Laborers Track Laborer $45.25 7A 31 King Laborers Track Liner (power) $46.09 7A 31 King Laborers Traffic Control Laborer $41.02 7A 31 811 King Laborers Traffic Control $41.02 7A 31 811 Supervisor King Laborers Truck Spotter $45.25 7A 31 King Laborers Tugger Operator $46.09 7A 31 King Laborers Tunnel Work- $83.12 7A 31 99 Compressed Air Worker 0-30 psi King Laborers Tunnel Work- $88.15 7A 31 8q Compressed Air Worker 30.01-44.00 psi King Laborers Tunnel Work- $91.83 7A 31 88 Compressed Air Worker 44.01-54.00 psi King Laborers Tunnel Work- $97.53 7A 31 84 Compressed Air Worker 54.01-60.00 psi King Laborers Tunnel Work- $99.65 7A 31 8� Compressed Air Worker 60.01-64.00 psi King Laborers Tunnel Work- $104.75 7A 31 99 Compressed Air Worker 64.01-68.00 psi King Laborers Tunnel Work- $106.65 7A 31 84 Compressed Air Worker 68.01-70.00 psi King Laborers Tunnel Work- $108.65 7A 31 S Compressed Air Worker 70.01-72.00 psi King Laborers Tunnel Work- $110.65 7A 31 88 Compressed Air Worker 72.01-74.00 psi King Laborers Tunnel Work-Guage and $46.76 7A 31 8 Lock Tender King Laborers Tunnel Work-Miner $46.76 7A 31 88 King Laborers Vibrator $46.09 7A 31 King Laborers Vinyl Seamer $45.25 7A 31 King Laborers Watchman $34.86 7A 31 King Laborers Welder $46.09 7A 31 King Laborers Well Point Laborer $46.09 7A 31 King Laborers Window Washer/cleaner $34.86 7A 31 King Laborers - Underground General Laborer Ft $45.25 7A 31 Sewer Et Water Topman King Laborers - Underground Pipe Layer $46.09 7A 31 Sewer & Water King Landscape Construction Irrigation Or Lawn $13.56 1 Sprinkler Installers https://fortress.wa.gov/lni/wagelookup/prvWagelookup.aspx 5/8/2017 rage i of Lv King Landscape Construction Landscape Equipment $28.17 1 Operators Or Truck Drivers King Landscape Construction Landscaping or Planting $17.87 1 Laborers King Lathers Journey Level $55.51 5D 1 H :King Marble Setters Journey Level $54.32 5A 1M King Metal Fabrication (In Shop) Fitter $15.86 1 King Metal Fabrication (In Shop) Laborer $11.00 1 King Metal Fabrication ({n Shop) Machine Operator $13.04 1 King Metal Fabrication (In Shop) Painter $11.10 1 King Metal Fabrication (In Shop) Welder $15.48 1 King Millwright Journey Level $57.01 5D 4C King Modular Buildings Cabinet Assembly $11.56 1 King Modular Buildings Electrician $11.56 1 King Modular Buildings Equipment Maintenance $11.56 1 King Modular Buildings Plumber $11.56 1 King Modular Buildings Production Worker $11.00 1 King Modular Buildings Tool Maintenance $11.56 1 King Modular Buildings Utility Person $11.56 1 King Modular Buildings Welder $11.56 1 King Painters Journey Level $40.60 6Z 2B King Pile Driver Journey Level $55.76 5D 4C King Plasterers Journey Level $53.20 7� 1R King Playground Et Park Journey Level $11.00 1 Equipment Installers King Plumbers Et Pipefitters Journey Level $76.69 6Z 1G King Power Equipment Operators Asphalt Plant Operators $58.69 7A 3C 8P King Power Equipment Operators Assistant Engineer $55.21 7A 3C 8P King Power Equipment Operators Barrier Machine (zipper) $58.17 7A 3C 8P King Power Equipment Operators Batch Plant Operator, $58.17 7A 3C 8P Concrete King Power Equipment Operators Bobcat $55.21 7A 3C 8P King Power Equipment Operators Brokk - Remote $55.21 7A 3C 8P Demolition Equipment King Power Equipment Operators Brooms $55.21 7A 3C 8P King Power Equipment Operators Bump Cutter $58.17 7A 3C 8P .King Power Equipment Operators Cableways $58.69 7A 3C 8P King Power Equipment Operators Chipper $58.17 7A 3C 8P -King Power Equipment Operators Compressor $55.21 7A 3C 8P King Power Equipment Operators Concrete Pump: Truck $58.69 7A 3C 8P Mount With Boom Attachment Over 42 M King Power Equipment Operators Concrete Finish Machine $55.21 7A 3C 8P -laser Screed King Power Equipment Operators Concrete Pump - $57.72 7A 3C 8P Mounted Or Trailer High Pressure Line Pump, Pump High Pressure. https://fortress.wa.gov/lni/wagelookup/prvWagelookup.aspx 5/8/2017 Page 8 of 20 King Power Equipment Operators Concrete Pump: Truck $58.17 7A 3C 81? Mount With Boom Attachment Up To 42m King Power Equipment Operators Conveyors $57.72 7A 3C 8P King Power Equipment Operators Cranes Friction: 200 $60.47 7A 3C 8P tons and over King Power Equipment Operators Cranes: 20 Tons $58.17 7A 3C 8P Through 44 Tons With Attachments King Power Equipment Operators Cranes: 100 Tons $59.28 7A 3C 8P Through 199 Tons, Or 150'Of Boom (Including Jib With Attachments) King Power Equipment Operators Cranes: 200 tons- 299 $59.88 7A 3C 8P tons, or 250' of boom including jib with attachments King Power Equipment Operators Cranes: 300 tons and $60.47 7A 3C 8P over or 300' of boom including jib with attachments King Power Equipment Operators Cranes: 45 Tons $58.69 7A 3C 8P Through 99 Tons, Under 150'Of Boom (including Jib With Attachments) King Power Equipment Operators Cranes: A-frame - 10 $55.21 7A 3C 8P Tons And Under King Power Equipment Operators Cranes: Friction cranes $59.88 7A 3C 8P through 199 tons King Power Equipment Operators Cranes: Through 19 $57.72 7A 3C 8P Tons With Attachments A-frame Over 10 Tons King Power Equipment Operators Crusher $58.17 7A 3C 8P King Power Equipment Operators Deck Engineer/deck $58.17 7A 3C 813 Winches (power) King Power Equipment Operators Derricks, On Building $58.69 7A 3C 8P Work King Power Equipment Operators Dozers D-9 Et Under $57.72 7A 3C 8P King Power Equipment Operators Drill Oilers: Auger Type, $57.72 7A 3C 8P Truck Or Crane Mount King Power Equipment Operators Drilling Machine $59.28 7A 3C 8P King Power Equipment Operators Elevator And Man-lift: $55.21 7A 3C 8P Permanent And Shaft Type King Power Equipment Operators Finishing Machine, $58.17 7A 3C 8P Bidwell And Gamaco Et Similar Equipment King Power Equipment Operators Forklift: 3000 Lbs And $57.72 7A 3C 8P Over With Attachments King Power Equipment Operators Forklifts: Under 3000 $55.21 7A 3C 8P Lbs. With Attachments King Power Equipment Operators Grade Engineer: Using $58.17 7A 3C 8P Blue Prints, Cut Sheets, Etc https://fortress.wa.gov/lni/wagelookup/prvWagelookup.aspx 5/8/2017 rage !) or /-u King jPower Equipment Operators Gradechecker/stakeman $55.21 7A 3C 8P King Power Equipment Operators Guardrail Punch $58.17 7A 3C 8P King Power Equipment Operators Hard Tail End Dump $58.69 7A 3C 8P Articulating Off- Road Equipment 45 Yards. Ft Over King Power Equipment Operators_ Hard Tail End Dump $58.17 7A 3C 8P Articulating Off-road Equipment Under 45 Yards King Power Equipment Operators Horizontal/directional $57.72 7A 3C 8P Drill Locator King Power Equipment Operators Horizontal/directional $58.17 7A 3C 8P Drill Operator King Power Equipment Operators Hydralifts/boom Trucks $57.72 7A 3C 8P Over 10 Tons King Power Equipment Operators Hydralifts/boom Trucks, $55.21 7A 3C 8P 10 Tons And Under King Power Equipment Operators Loader, Overhead 8 $59.28 7A 3C 8P Yards. Er Over King Power Equipment Operators Loader, Overhead, 6 $58.69 7A 3C 8P Yards. But Not Including 8 Yards King Power Equipment Operators Loaders, Overhead $58.17 7A 3C 8P Under 6 Yards King Power Equipment Operators Loaders, Plant Feed $58.17 7A 3C 8P King Power Equipment Operators Loaders: Elevating Type $57.72 7A 3C 8P Belt King Power Equipment Operators Locomotives, All $58.17 7A 3C 8P King Power Equipment Operators Material Transfer Device $58.17 7A 3C 8P King Power Equipment Operators Mechanics, All (leadmen $59.28 7A 3C 8P - $0.50 Per Hour Over Mechanic) King Power Equipment Operators Motor Patrol Graders $58.69 7A 3C 8P King Power Equipment Operators_ Mucking Machine, Mole, $58.69 7A 3C 8P Tunnel Drill, Boring, Road Header And/or Shield King Power Equipment Operators Oil Distributors, Blower $55.21 7A 3C 8P Distribution Et Mulch Seeding Operator King Power Equipment Operators Outside Hoists $57.72 7A 3C 8P (elevators And Manlifts), Air Tuggers,strato King Power Equipment Operators Overhead, Bridge Type $58.17 7A 3C 8P Crane: 20 Tons Through 44 Tons King Power Equipment Operators Overhead, Bridge Type: $59.28 7A 3C 8P 100 Tons And Over King Power Equipment Operators Overhead, Bridge Type: $58.69 7A 3C 8P 45 Tons Through 99 Tons https:Hfortress.wa.gov/lni/wagelookup/prvWagelookup.aspx 5/8/2017 Page 10 of 20 King jPower Equipment Operators Pavement Breaker $55.21 7A 3C 8P King Power Equipment Operators Pile Driver (other Than $58.17 7A 3C 8P Crane Mount) King Power Equipment Operators Plant Oiler- Asphalt, $57.72 7A 3C 8P Crusher King Power Equipment Operators Posthole Digger, $55.21 7A 3C 8P Mechanical King Power Equipment Operators Power Plant $55.21 7A 3C 8P King Power Equipment Operators Pumps - Water $55.21 7A 3C 8P King Power Equipment Operators Quad 9, Hd 41, D10 And $58.69 7A 3C 8P Over King Power Equipment Operators Quick Tower- No Cab, $55.21 7A 3C 8P Under 100 Feet In Height Based To Boom King Power Equipment Operators_ Remote Control $58.69 7A 3C 8P Operator On Rubber Tired Earth Moving Equipment King Power Equipment Operators Rigger And Bellman $55.21 7A 3C 8P King Power Equipment Operators Rigger/Signal Person, $57.72 7A 3C 8P Bellman (Certified) King Power Equipment Operators Rollagon $58.69 7A 3C 8P King Power Equipment Operators Roller, Other Than Plant $55.21 7A 3C 8P Mix King Power Equipment Operators Roller, Plant Mix Or $57.72 7A 3C 8P Multi-lift Materials King Power Equipment Operators Roto-mill, Roto-grinder $58.17 7A 3C 8P King Power Equipment Operators Saws - Concrete $57.72 7A 3C 8P King Power Equipment Operators Scraper, Self Propelled $58.17 7A 3C 8P Under 45 Yards King Power Equipment Operators_ Scrapers - Concrete Et $57.72 7A 3C 8P Carry All King Power Equipment Operators Scrapers, Self- $58.69 7A 3C 8P propelled: 45 Yards And Over King Power Equipment Operators Service Engineers - $57.72 7A 3C 8P Equipment King Power Equipment Operators Shotcrete/gunite $55.21 7A 3C 8P Equipment King Power Equipment Operators Shovel , Excavator, $57.72 7A 3C 8P Backhoe, Tractors Under 15 Metric Tons. King Power Equipment Operators Shovel, Excavator, $58.69 7A 3C 8P Backhoe: Over 30 Metric Tons To 50 Metric Tons King Power Equipment Operators Shovel, Excavator, $58.17 7A 3C 8P Backhoes, Tractors: 15 To 30 Metric Tons King Power Equipment Operators Shovel, Excavator, $59.28 7A 3C 8P Backhoes: Over 50 Metric Tons To 90 Metric Tons King Power Equipment Operators $59.88 7A 3C 8P https://fortress.wa.gov/lni/wagelookup/prvWagelool<up.aspx 5/8/2017 rage i 1 ul /-v Shovel, Excavator, Backhoes: Over 90 Metric Tons King Power Equipment Operators Slipform Pavers $58.69 7A 3C 8P King Power Equipment Operators Spreader, Topsider Et $58.69 7A 3C 8P Screedman King Power Equipment Operators Subgrader Trimmer $58.17 7A 3C 8P King Power Equipment Operators Tower Bucket Elevators $57.72 7A 3C 8P King Power Equipment Operators Tower Crane Up To 175' $59.28 7A 3C 8P In Height Base To Boom King Power Equipment Operators Tower Crane: over 175' $59.88 7A 3C 8P through 250' in height, base to boom King Power Equipment Operators Tower Cranes: over 250' $60.47 7A 3C 8P in height from base to boom .King Power Equipment Operators Transporters, All Track $58.69 7A 3C 8P Or Truck Type King Power Equipment Operators Trenching Machines $57.72 7A 3C 8P King Power Equipment Operators Truck Crane $58.17 7A 3C 8P Oiler/driver - 100 Tons And Over King Power Equipment Operators Truck Crane $57.72 7A 3C 8P Oiler/driver Under 100 Tons King Power Equipment Operators Truck Mount Portable $58.17 7A 3C 8P Conveyor King Power Equipment Operators Welder $58.69 7A 3C 8P King Power Equipment Operators Wheel Tractors, Farman $55.21 7A 3C 8P Type King Power Equipment Operators Yo Yo Pay Dozer $58.17 7A 3C 8P King Power Equipment Asphalt Plant Operators $58.69 7A 3C 8P Operators- Underground Sewer Iz Water King Power Equipment Assistant Engineer $55.21 7A 3C 8P Operators- Underground Sewer Et Water King Power Equipment Barrier Machine (zipper) $58.17 7A 3C 813 Operators- Underground Sewer Et Water King Power Equipment Batch Plant Operator, $58.17 7A 3C 8P Operators- Underground Concrete Sewer & Water King Power Equipment Bobcat $55.21 7A 3C 8P Operators- Underground Sewer Et Water King Power Equipment Brokk- Remote $55.21 7A 3C 8P Operators- Underground Demolition Equipment Sewer & Water King Power Equipment Brooms $55.21 7A 3C 8P Operators- Underground Sewer Et Water King Bump Cutter $58.17 7A 3C 8P https://fortress.wa.gov/lni/wagelookup/prvWagelookup.aspx 5/8/2017 Page 12 of 20 Power Equipment Operators- Underground Sewer &Water King Power Equipment Cableways $58.69 7A 3C 8P Operators- Underground Sewer Ft Water King Power Equipment Chipper $58.17 7A 3C 8P Operators Underground Sewer Ft Water King Power Equipment Compressor $55.21 7A 3C 8P Operators- Underground Sewer Et Water King Power Equipment Concrete Pump: Truck $58.69 7A 3C 8P Operators- Underground Mount With Boom Sewer Et Water Attachment Over 42 M King Power Equipment Concrete Finish Machine $55.21 7A 3C 8P Operators- Underground -laser Screed Sewer Et Water King Power Equipment Concrete Pump - $57.72 7A 3C 8P Operators- Underground Mounted Or Trailer High Sewer Et Water Pressure Line Pump, Pump High Pressure. King Power Equipment Concrete Pump: Truck $58.17 7A 3C 8P Operators- Underground Mount With Boom Sewer Ft Water Attachment Up To 42m King Power Equipment Conveyors $57.72 7A 3C 8P Operators- Underground Sewer Et Water King Power Equipment Cranes Friction: 200 $60.47 7A 3C 8P Operators- Underground tons and over Sewer Et Water King Power Equipment Cranes: 20 Tons $58.17 7A 3C 8P Operators- Underground Through 44 Tons With Sewer Et Water Attachments King Power Equipment Cranes: 100 Tons $59.28 7A 3C 8P Operators- Underground Through 199 Tons, Or Sewer Et Water 150'Of Boom (Including Jib With Attachments) King Power Equipment Cranes: 200 tons- 299 $59.88 7A 3C 8P Operators- Underground tons, or 250' of boom Sewer & Water including jib with attachments King Power Equipment Cranes: 300 tons and $60.47 7A 3C 8P Operators- Underground over or 300' of boom Sewer &Water including jib with attachments King Power Equipment Cranes: 45 Tons $58.69 7A 3C 8P Operators- Underground Through 99 Tons, Under Sewer &Water 150'Of Boom (including Jib With Attachments) King Power Equipment Cranes: A-frame - 10 $55.21 7A 3C 8P Operators- Underground Tons And Under Sewer &Water King Cranes: Friction cranes $59.88 7A 3C 8P through 199 tons https:Hfortress.wa.gov/lni/wagelookup/prvWagelookup.aspx 5/8/2017 rdgc 1 j U1 /-v Power Equipment Operators- Underground Sewer Ft Water King Power Equipment Cranes: Through 19 $57.72 7A 3C 8P Operators- Underground Tons With Attachments Sewer Ft Water A-frame Over 10 Tons King Power Equipment Crusher $58.17 7A 3C 8P Operators- Underground Sewer Et Water King Power Equipment Deck Engineer/deck $58.17 7A 3C 8P Operators- Underground Winches (power) Sewer Ft Water King Power Equipment Derricks, On Building $58.69 7A 3C 8P Operators- Underground Work Sewer Et Water King Power Equipment Dozers D-9 Et Under $57.72 7A 3C 8P Operators- Underground Sewer Et Water King Power Equipment Drill Oilers: Auger Type, $57.72 7A 3C 8P Operators- Underground Truck Or Crane Mount Sewer Et Water King Power Equipment Drilling Machine $59.28 7A 3C 8P Operators- Underground Sewer Et Water King Power Equipment Elevator And Man-lift: $55.21 7A 3C 8P Operators- Underground Permanent And Shaft Sewer Et Water Type King Power Equipment Finishing Machine, $58.17 7A 3C 8P Operators- Underground Bidwell And Gamaco Et Sewer Et Water Similar Equipment King Power Equipment Forklift: 3000 Lbs And $57.72 7A 3C 8P Operators- Underground Over With Attachments Sewer Ft Water King Power Equipment Forklifts: Under 3000 $55.21 7A 3C 8P Operators- Underground Lbs. With Attachments Sewer Et Water King Power Equipment Grade Engineer: Using $58.17 7A 3C 8P Operators- Underground Blue Prints, Cut Sheets, Sewer Et Water Etc King Power Equipment Gradechecker/stakeman $55.21 7A 3C 8P Operators Underground Sewer Ft Water King Power Equipment Guardrail Punch $58.17 7A 3C 8P Operators- Underground Sewer Et Water King Power Equipment Hard Tail End Dump $58.69 7A 3C 8P Operators- Underground Articulating Off- Road Sewer Et Water Equipment 45 Yards. Et Over King Power Equipment Hard Tail End Dump $58.17 7A 3C 8P Operators- Underground Articulating Off-road Sewer Et Water Equipment Under 45 Yards King Horizontal/directional $57.72 7A 3C 8P Drill Locator https://fortress.wa.gov/lni/wagelookup/prvWagelookup.aspx 5/8/2017 Page 14 of 20 Power Equipment Operators- Underground Sewer Et Water King Power Equipment Horizontal/directional $58.17 7A 3C 8P Operators- Underground Drill Operator Sewer Et Water King Power Equipment Hydralifts/boom Trucks $57.72 7A 3C 8P Operators- Underground Over 10 Tons Sewer E:Water King Power Equipment Hydralifts/boom Trucks, $55.21 7A 3C 8P Operators- Underground 10 Tons And Under Sewer Et Water King Power Equipment Loader, Overhead 8 $59.28 7A 3C 8P Operators- Underground Yards. Et Over Sewer Et Water King Power Equipment Loader, Overhead, 6 $58.69 7A 3C 8P Operators- Underground Yards. But Not Including Sewer Et Water 8 Yards King Power Equipment Loaders, Overhead $58.17 7A 3C 8P Operators- Underground Under 6 Yards Sewer Et Water King Power Equipment Loaders, Plant Feed $58.17 7A 3C 8P Operators- Underground Sewer Et Water King Power Equipment Loaders: Elevating Type $57.72 7A 3C 8P Operators- Underground Belt Sewer Et Water King Power Equipment Locomotives, All $58.17 7A 3C 8P Operators- Underground Sewer E:Water King Power Equipment Material Transfer Device $58.17 7A 3C 8P Operators- Underground Sewer Et Water King Power Equipment Mechanics, All (leadmen $59.28 7A 3C 8P Operators- Underground - $0.50 Per Hour Over Sewer Et Water Mechanic) King Power Equipment Motor Patrol Graders $58.69 7A 3C 8P Operators- Underground Sewer E:Water King Power Equipment Mucking Machine, Mole, $58.69 7A 3C 8P Operators- Underground Tunnel Drill, Boring, Sewer Et Water Road Header And/or Shield King Power Equipment Oil Distributors, Blower $55.21 7A 3C 8P Operators- Underground Distribution 8:Mulch Sewer Et Water Seeding Operator King Power Equipment Outside Hoists $57.72 7A 3C 8P Operators- Underground (elevators And Sewer Et Water Manlifts), Air Tuggers,strato King Power Equipment Overhead, Bridge Type $58.17 7A 3C 8P Operators- Underground Crane: 20 Tons Through Sewer E:Water 44 Tons King Overhead, Bridge Type: $59.28 7A 3C 8P 100 Tons And Over https://fortress.wa.gov/lni/wagelookup/prvWagelookup.aspx 5/8/2017 rage 13 el /-v Power Equipment Operators- Underground Sewer Et Water King Power Equipment Overhead, Bridge Type: $58.69 7A 3C 8P Operators- Underground 45 Tons Through 99 Sewer Et Water Tons King Power Equipment Pavement Breaker $55.21 7A 3C 8P Operators- Underground Sewer Et Water King Power Equipment Pile Driver (other Than $58.17 7A 3C 8P Operators- Underground Crane Mount) Sewer Et Water King Power Equipment Plant Oiler- Asphalt, $57.72 7A 3C 8P Operators- Underground Crusher Sewer Et Water King Power Equipment Posthole Digger, $55.21 7A 3C 8P Operators- Underground Mechanical Sewer Et Water 'King Power Equipment Power Plant $55.21 7A 3C 8P Operators- Underground Sewer Et Water King Power Equipment Pumps - Water $55.21 7A 3C 8P Operators- Underground Sewer Et Water King Power Eguuipment Quad 9, Hd 41, D10 And $58.69 7A 3C 8P Operators- Underground Over Sewer Et Water King Power Equipment Quick Tower - No Cab, $55.21 7A 3C 813 Operators- Underground Under 100 Feet In Sewer Et Water Height Based To Boom King Power Equipment Remote Control $58.69 7A 3C 8P Operators- Underground Operator On Rubber Sewer Et Water Tired Earth Moving Equipment King Power Equipment Rigger And Bellman $55.21 7A 3C 8P Operators- Underground Sewer Et Water King Power Equipment Rigger/Signal Person, $57.72 7A 3C 8P Operators- Underground Bellman (Certified) Sewer Et Water King Power Equipment Rollagon $58.69 7A 3C 8P Operators- Underground Sewer Et Water King Power Equipment Roller, Other Than Plant $55.21 7A 3C 8P Operators- Underground Mix Sewer Et Water King Power Equipment Roller, Plant Mix Or $57.72 7A 3C 8P Operators- Underground Multi-lift Materials Sewer Et Water King Power Equipment Roto-mill, Roto-grinder $58.17 7A 3C 8P Operators- Underground Sewer Et Water King Power Equipment Saws - Concrete $57.72 7A 3C 8P Operators- Underground Sewer Et Water https://fortress.wa.gov/lni/wagelookup/prvWagelookup.aspx 5/8/2017 Page 16 of 20 King Power Equipment Scraper, Self Propelled $58.17 7A 3C 8P Operators- Underground Under 45 Yards Sewer & Water King Power Equipment Scrapers - Concrete Et $57.72 7A 3C 8P Operators- Underground Carry All Sewer Et Water King Power Equipment Scrapers, Self- $58.69 7A 3C 8P Operators- Underground propelled: 45 Yards And Sewer Et Water Over King Power Equipment Service Engineers - $57.72 7A 3C 8P Operators- Underground Equipment Sewer Et Water King Power Equipment Shotcrete/gunite $55.21 7A 3C 8P Operators Underground Equipment Sewer Et Water King Power Equipment Shovel , Excavator, $57.72 7A 3C 8P Operators- Underground Backhoe, Tractors Sewer & Water Under 15 Metric Tons. King Power Equipment Shovel, Excavator, $58.69 7A 3C 8P Operators- Underground Backhoe: Over 30 Metric Sewer Et Water Tons To 50 Metric Tons King Power Equipment Shovel, Excavator, $58.17 7A 3C 8P Operators- Underground Backhoes, Tractors: 15 Sewer Et Water To 30 Metric Tons King Power Equipment Shovel, Excavator, $59.28 7A 3C 8P Operators- Underground Backhoes: Over 50 Sewer Et Water Metric Tons To 90 Metric Tons King Power Equipment Shovel, Excavator, $59.88 7A 3C 8P Operators- Underground Backhoes: Over 90 Sewer Et Water Metric Tons King Power Equipment Slipform Pavers $58.69 7A 3C 8P Operators- Underground Sewer Est Water King Power Equipment Spreader, Topsider Et $58.69 7A 3C 8P Operators- Underground Screedman Sewer Et Water King Power Equipment Subgrader Trimmer $58.17 7A 3C SP Operators- Underground Sewer Et Water King Power Equipment Tower Bucket Elevators $57.72 7A 3C 8P Operators- Underground Sewer Et Water King Power Equipment Tower Crane Up To 175' $59.28 7A 3C 8P Operators- Underground In Height Base To Boom Sewer Et Water King Power Equipment Tower Crane: over 175' $59.88 7A 3C 8P Operators Underground through 250' in height, Sewer Et Water base to boom King Power Equipment Tower Cranes: over 250' $60.47 7A 3C 8P Operators- Underground in height from base to Sewer Et Water boom King Power Equipment Transporters, All Track $58.69 7A 3C 8P Operators- Underground Or Truck Type Sewer Et Water https://fortress.wa.gov/lni/wagelookup/prvWagelookup.aspx 5/8/2017 ragC 1 Ul GV King Power Equipment Trenching Machines $57.72 7A 3C 8P Operators- Underground Sewer & Water King Power Equipment Truck Crane $58.17 7A 3C 8P Operators- Underground Oiler/driver - 100 Tons Sewer it Water And Over King Power Equipment Truck Crane $57.72 7A 3C 8P Operators- Underground Oiler/driver Under 100 Sewer&Water Tons King Power Equipment Truck Mount Portable $58.17 7A 3C 8P Operators- Underground Conveyor Sewer Ft Water King Power Equipment Welder $58.69 7A 3C 8P Operators- Underground Sewer & Water King Power Equipment Wheel Tractors, Farmall $55.21 7A 3C 8P Operators- Underground Type Sewer & Water King Power Equipment Yo Yo Pay Dozer $58.17 7A 3C 8P Operators- Underground Sewer &Water King Power Line Clearance Tree Journey Level In Charge $47.08 5A 4A Trimmers King Power Line Clearance Tree Spray Person $44.64 5A 4A Trimmers ;King Power Line Clearance Tree Tree Equipment $47.08 5A 4A Trimmers Operator King Power Line Clearance Tree Tree Trimmer $42.01 5A 4A Trimmers King Power Line Clearance Tree Tree Trimmer $31.65 5A 4A Trimmers Groundperson King Refrigeration & Air Journey Level $75.36 6Z 1G Conditioning Mechanics King Residential Brick Mason Journey Level $54.32 5A 1M King Residential Carpenters Journey Level $28.20 1 King Residential Cement Masons Journey Level $22.64 1 King Residential Drywall Journey Level $41.69 5D 4C Applicators King Residential Drywall Tapers Journey Level $55.66 5P 1 E King Residential Electricians Journey Level $30.44 1 'King Residential Glaziers Journey Level $39.40 7L 1 H King Residential Insulation Journey Level $26.28 1 Applicators King Residential Laborers Journey Level $23.03 1 King Residential Marble Setters Journey Level $24.09 1 King Residential Painters Journey Level $24.46 1 King Residential Plumbers It Journey Level $34.69 1 Pipefitters King Residential Refrigeration & Journey Level $75.36 6Z 1G Air Conditioning,Mechanics King Residential Sheet Metal Journey Level (Field or $45.99 7F 111 Workers Shop) https://fortress.wa.gov/lni/wagelookup/prvWagelookup.aspx 5/8/2017 Page 18 of 20 King Residential Soft Floor Journey Level $45.86 5A 3D Lavers King Residential Sprinkler Fitters Journey Level $44.98 5C 211 (Fire Protection) King Residential Stone Masons Journey Level $54.32 5A 1M King Residential Terrazzo Journey Level $50.26 5A 1M Workers King Residential Terrazzo/Tile Journey Level $21.46 1 Finishers King Residential Tile Setters Journey Level $25.17 1 King Roofers Journey Level $47.51 5A 3H King Roofers Using Irritable $50.51 5A 3H Bituminous Materials King Sheet Metal Workers Journey Level (Field or $75.46 7F 1 E Shop) King Shipbuilding a Ship Repair Boilermaker $41.72 7M 1H King Shipbuilding a Ship Repair Carpenter $41.06 7T 2B King Shipbuilding Et Ship Repair Electrician $41.09 7T 4B King Shipbuilding Et Ship Repair Heat Et Frost Insulator $65.68 5J 4H King Shipbuilding Et Ship Repair Laborer $41.08 7T 4B King Shipbuilding a Ship Repair Machinist $41.32 7T 4B King Shipbuilding a Ship Repair Operator $41.03 7T 4B King Shipbuilding,_Ft Ship Repair Painter $41.05 7T 4B King Shipbuilding Et Ship Repair Pipefitter $41.05 7T 4B King Shipbuilding a Ship Repair Rigger $41.12 7T 4B King Shipbuilding a Ship Repair Sheet Metal $41.04 7T 4B King Shipbuilding a Ship Repair Shipfitter $41.12 7T 4B King Shipbuilding a Ship Repair Trucker $41.26 7T 4B King Shipbuilding Et Ship Repair Warehouse $41.02 7T 4B King Shipbuilding a Ship Repair Welder/Burner $41.12 7T 4B King Sign Makers a Installers Sign Installer $22.92 1 (Electrical) King Sign Makers Et Installers Sign Maker $21.36 1 (Electrical) King Sign Makers a Installers Sign Installer $27.28 1 (Non-Electrical) King Sign Makers a Installers Sign Maker $33.25 1 (Non-Electrical) King Soft Floor Lavers Journey Level $45.86 5A 3D King Solar Controls For Windows Journey Level $12.44 1 King Sprinkler Fitters {Fire Journey Level $72.89 5C 1X Protection) King Stage Rigging Mechanics Journey Level $13.23 1 (Non Structural) King Stone Masons Journey Level $54.32 5A 1M King Street And Parking Lot Journey Level $19.09 1 Sweeper Workers King Surveyors Assistant Construction $57.72 7A 3C 8P Site Surveyor King ISurvejors Chainman 1 $57.171 7A 3C 8P https://fortress.wa.gov/lni/wagelookup/prvWagelookup.aspx 5/8/2017 I Gl.6'G 17 u 1 L.V King Surveyors Construction Site $58.69 7A 3C 8P Surveyor King Telecommunication Journey Level $22.76 1 Technicians King Telephone Line Cable Splicer $38.84 5A 2B Construction - Outside King Telephone Line Hole Digger/Ground $21.45 5A 2B Construction - Outside Person King Telephone Line Installer (Repairer) $37.21 5A 2B Construction - Outside King Telephone Line Special Aparatus $38.84 5A 2B Construction - Outside Installer I King Telephone Line Special Apparatus $38.03 5A 2B Construction - Outside Installer II King Telephone Line Telephone Equipment $38.84 5A 2B Construction - Outside Operator (Heavy) King Telephone Line Telephone Equipment $36.09 5A 2B Construction - Outside Operator (Light) :King Telephone Line Telephone Lineperson $36.09 5A 2B Construction - Outside King Telephone Line Television $20.33 5A 2B Construction - Outside Groundperson King Telephone Line Television $27.21 5A 2B Construction - Outside Lineperson/Installer King Telephone Line Television System $32.55 5A 2B Construction - Outside Technician .King Telephone Line Television Technician $29.18 5A 2B Construction - outside `King Telephone Line Tree Trimmer $36.09 5A 2B Construction - Outside King Terrazzo Workers Journey Level $50.26 5A 1M King Tile Setters Journey Level $21.65 1 King Tile, Marble &Terrazzo Finisher $41.09 5A 113 Finishers King Traffic Control Stripers Journey Level $44.85 7A 1K King Truck Drivers Asphalt Mix Over 16 $52.70 5D 3A 8L Yards (W. WA-Joint Council 28) King Truck Drivers Asphalt Mix To 16 Yards $51.86 5D 3A 8L (W. WA-Joint Council 28) King Truck Drivers Dump Truck Et Trailer $52.70 5D 3A 8L King Truck Drivers Dump Truck (W. WA- $51.86 5D 3A 8L Joint Council 28) King Truck Drivers Other Trucks (W. WA- $52.70 5D 3A 8L Joint Council 28) King Truck Drivers Transit Mixer $43.23 1 King Well Drillers Et Irrigation Irrigation Pump Installer $17.71 1 Pump Installers King Well Drillers & Irrigation Oiler $12.97 1 Pump Installers King Well Driller $18.00 1 https:Hfortress.wa.gov/lni/wagelookup/prvWagelookup.aspx 5/8/2017 l� �On��/\ � ��� ��vu� ��y � � _-___--__'�_--_-_ ........._v__._-_-_x_.......... ------�-- --' EXHIBIT Evergreen Asphalt& Concrete, Inc. PROPOSAL P.O. Box 1567 Date Proposal# Kent, WA 98035-1567 Ph/Fax: 253-639-3779 + 4/7/2017 6470 PROPOSAL SUBMITTED TO: City of Kent 220 Fourth Avenue Kent,WA 98032 Attn Adam Ferguson TERMS SUBMITTE... JOB ADDRESS Due on receipt SG City Description Rate Total Impound Lot Concrete Work 407 Washington Ave North Kent Approximately 357 Sy Ft new concrete 6"thick. Existing area to be Saw cut to remove metal edge 7,250.00 7,250.00T on both sides of existing"pit"area. #4 dowels to be placed 24"on center on both sides of existing concrete. 'i is 3#4 bars horizontally in new pour. New concrete to be 3000 psi with Broom finish Remove and dispose of existing gravel Included Prevailing Wage ACCEPTANCE OF PROPOSAL Sales TaX (1 O.O%) S725.00 The above prices,specifications and conditions arc satisfactory and are herby accepted. You are authorized to do the work as specified. 50%Payment is due within 30 days. 1.5%PER Total $7,975.00 MONTH SERVICE CHARGE ON ALL PAST DUE ACCOUNTS. IN'THE EVENT LEGAL ACTION IS TAKEN TO COLLECT ANY AMOUNTS DUE,YOU AGREE-1.0 PAY ALL LEGAL FEES&EXPENSES. THIS QUOTATION IS ONLY VALID FOI$ignature THIRTY(30)DAYS. E-mail: Web Site: evcrgreen.dirk rt,)comcast.net Evergreenasphalt.com EXHIBIT B INSURANCE REQUIREMENTS FOR SERVICE CONTRACTS Insurance The Contractor shall procure and maintain for the duration of the Agreement, insurance against claims for injuries to persons or damage to property which may arise from or in connection with the performance of the work hereunder by the Contractor, their agents, representatives, employees or 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 it 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 ANII. E. Verification of Coverage Contractor shall furnish the City with original certificates and a copy of the amendatory endorsements, including but not necessarily limited to the additional insured endorsement, evidencing the insurance requirements of the Contractor before commencement of the work. F. Subcontractors Contractor shall include all subcontractors as insureds under its policies or shall furnish separate certificates and endorsements for each subcontractor. All coverages for subcontractors shall be subject to all of the same insurance requirements as stated herein for the Contractor. EVERASP-02 LBUSCIO ACORv' CERTIFICATE OF LIABILITY INSURANCE LDATD 5112121212017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or 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 endorsements). Co ACT Laura Buscio PRODUCER yAA .....—.�....... -------------'-FAX HONE Hub International Northwest LLC (AIC No,ExtE:_(206) 838-1015 _ (Alc,Ne)__,-_�___.._,.__. 200 1st Avenue West,Suite 500 I E-MAIL - - -- _ Seattle,WA 98119 i.9gDRESS;_laura.buscio -hubinternational.com INSURE_ R(S)AFFORDING _ INsuRERa:Depositors Insurance Company INSURED INSURERe:AMCO Insurance Company _ _ 'igloo r- Evergreen Asphalt&Concrete,Inc. INSURERc;— _- _.__-..__•..._-- P 0 BOX 1567 _INSURER D_._------- --------------_- -- --- --_- Kent,WA 98035 — INSURER_ INSURER F: COVERAGES CERTIFICATE.NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ INSR'- ADDL SUBRR POLICY NUMBER I POLICY EFF `POUC�-Y EXT- LIMITS ILTR TYPE OF INSURANCE , A X COMMERCIAL GENERAL LIABILITY I I I EACH OCCURRENCE $- J 1,000,000 CLAIMS-MADE -X—' OCCUR i IGLD0300T050259 10413012017 04130/201H rDAMAGETORENTED r 1QQ,000 �.._.J X ! X l I�BEMISE�(EiLszccucienr�el--i-S---------- -- ~ MED EXP(Any ona person]-. $_^-.._- --- - r I i PE_R50NAL&A�VINJL{RY_.-j_$ _ 1,000,000 _J I I i [ NERALAGGREGATE I$ 2,000,000 t3EN'L AGGREGATE LIMIT APPLIES PER' POLICY X PER i LOC , PRODUCTS-COMPIOPAGG-(,S - -2,000,000 i i I E 1-'- ..._- OTHER: i I I S II COMBINED SINGLE LIMIT i 1'000,000 A I AUTOMOBILE LIABILITY ! j I (Ea�csi9sa0._ I g h ANY AUTO X ! X BAPD3007050259 0413012017 0413012018 BODILY INJURY jPef Person_ OWNED r SCHEDULED I AUTOS ONLY AUUTNOSSr�rNEp i +PROOPERTYU Y(Per accident 'AUTOS ONLY r AUTOS ONLY I (Par accident - -- $ --------------....._. �S B X UMBRELLA LIAR' j X;OCCUR i I EACH pCCURRENCE__ S 2,000,000 i EXCESS LIAB CLAIMS-MADE; CAA3007050259 04/30/2017 0413012018; 2,000,000 AGGREGATE-__ --.._. -- I----r-'- - 10,0001 I i I � i ._... �$ DEC) 1 X `RETENTIONS I A WORKERS COMPENSATION I j PER X OTH- IANDEMPLOYERS'LIABILITY YIN i GLD03007050269 0413012017:0413012018�E_L_EACHACCIDENT _1,000,000 ANY PROPRIETOR/PARTNERIEXECUTIVE i �' I r i MFFICERIMEMg��EXCLUDED? !'N I A I I 1�000,000 andatory In NH) E.L.-DISEASE-EA EMPLOYEEi 5_-- _ Il yes.describe under i I 1,000,000 I DESCRIPTION OF OPERATIONS below E L.DISEASE-POLICY LIMIT S f I I I I j r I i I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more apace Is required) Re:Police Impound Lot The City of Kent,its officials,employees and volunteers are additional insured for general liability,but only if required by written contract or written agreement per the attached endorsement CG7323&AC0101A.Insurance is primary and non-contributory per the attached CG7323.Waiver of subrogation applies per the attached CG7323&AC0101A. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Kent THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN tY ACCORDANCE WITH THE POLICY PROVISIONS. 220 4th Ave South Kent,WA 98032 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Policy#GLD03007050259 COMMERCIAL GENERAL LIABILITY CG 73 23 11 11 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTORS ENHANCEMENT PLUS 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. Aircraft, Auto Or Watercraft (2) (a) is replacing the keys, including the master lock and replaced with: all keys used in the same lock, the cost of adjusting locks to accept the new keys, or the (a) Less than 51 feet long;and 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.(6)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 following: 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 1. The coverage provided by this and occurring during the policy period. endorsement does not apply to Limit of Insurance-The most we will a for pay "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 2. The coverage provided by this follows: endorsement does not apply to The following definition applies to Voluntary "property damage" included in the Property Damage coverage: "products-completed operations hazard". CG 73 23 11 11 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 6 with its permission. CG 73 23 11 11 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 up including actual loss of earnings LIABILITY, the last paragraph of 2. Exclusions up to $500 a day because of time off from work. of is replaced by the following: NEWLY FORMED AND ACQUIRED If Damage to Premises Rented to You is ORGANIZATIONS not otherwise excluded, exclusions c. 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 premises while rented to you or 1. 3.a.is replaced with: temporarily occupied by you with permission a. Coverage under this provision is of the owner. A separate limit of insurance afforded only until the 180`h day after you applies to this coverage as described in acquire or form the organization or the Section III-Limits of Insurance. end of the policy period, whichever is SECTION III — LIMITS OF INSURANCE, earlier; paragraph 6 is replaced with: ADDITIONAL INSURED — WHEN REQUIRED 6. Subject to 5. above, the Damage To IN AN AGREEMENT OR CONTRACT WITH Premises Rented To You Limit is the most YOU PRIMARY AND NON-CONTRIBUTORY we will pay under Coverage A for damages The following is added to SECTION 11—WHO IS because of "property damage" to any one AN INSURED premises,while rented to you,or in the case 4. Any person(s) or organization(s) with whom of damage by fire, lightning, explosion, you have agreed in a valid written contract or smoke or sprinkler leakage, while rented to written agreement that such person or you or temporarily occupied by you with organization be added as an additional permission of the owner. The limit is insured on your policy during the policy increased to$300,000. period shown in the Declarations. Such SECTION IV — COMMERCIAL GENERAL person or organization is an additional LIABILITY CONDITIONS, 4. Other Insurance, insured only with respect to liability for b. Excess Insurance (1) (a) (it) is replaced "bodily injury", "property damage" or with: "personal and advertising injury". (ff) That is Fire, Lightning, Explosion, The person or organization added as an Smoke or Sprinkler leakage Insurance insured by this endorsement is an insured for premises rented to you or temporarily only to the extent you are held liable due to: occupied by you with permission of the a. Lessors of Leased Equipment owner. Maintenance, operation or use of SUPPLEMENTARY PAYMENTS equipment leased to you by such person SECTION I — COVERAGES, SUPPLEMEW or organization. This insurance does not TARY PAYMENTS —COVERAGES A AND B is apply to any "occurrence" which takes amended as follows: place after the equipment lease expires. 1. 1. b. replaced with: However, their status as additional insured under this policy ends when their lease, contract or agreement with you for such leased equipment expires. Page 2 of 6 Includes copyrighted material of Insurance Services Office, Inc., CG 73 23 11 11 with its permission. CG 73 23 11 11 b. Managers or Lessors of Premises The insurance does not apply to: The ownership, maintenance or use of (1) "bodily injury", "property damage", or that part of the premises you own, rent, "personal and advertising injury" arising lease or occupy. out of the rendering of or the failure to This insurance does not apply to: render any professional architectural, (1) Any "occurrence" which takes place engineering or survey services, after you cease to be a tenant in that including: premises. (a).The preparing, approving, or failing (2) Structural alterations, new con- to prepare or approve maps, shopdrawings, opinions, reports, survey, struction or demolition operations field orders, change orders or performed or on behalf of the drawings and specifications:or person or organization. However, their status as additional (b) Supervisory, inspection, architec- insured under this policy ends when you tural or engineering activities. cease to be a tenant of such premises. (2) "Bodily injury" or "property damage" c. State or Political Subdivision - occurring after: Permits (a) All work, including materials, parts or equipment furnished in Operations performed by you or on your connection with such work, on the behalf for which the state or political project (other than service, subdivision has issued a permit. maintenance or repairs) to be This insurance does not apply to: performed by or on behalf of the (1) "Bodily injury" or "property damage" additional insured(s) at the location or personal or advertising injury" of the covered operations has been arising out of operations performed completed;or for the state or municipality;or (b) That portion of "your work" out of which the injury or damage arises (2) "Bodily injury" or "property damage" has been put to its intended use by included within the "products- any person or organization other completed operations hazard". than another contractor or However, such state or political subcontractor engaged in subdivision's status as additional insured performing operations for a principal under this policy ends when the permit as a part of the same project. ends. However, a person or organization's d. Owners, Lessees,or Contractors status as additional insured under this "Bodily injury", "property damage" or policy ends when your operations for "personal and advertising injury" caused, in that additional insured are completed. whole or in part,by: With respect to paragraph 4 of SECTION It (1) Your acts or omissions;or WHO IS AN INSURED, Condition 4. Other Insurance of Section IV — Commercial (2) The acts or omissions of those acting on General Liability Conditions is replaced by the your behalf; following: in the performance of your ongoing 4. Other Insurance operations performed for that additional If other valid and collectible insurance is insured, whether the work is performed by available to the insured for a loss we cover you or on your behalf. under Coverages A or B of this Coverage Part, our obligations are limited as follows: a. Primary Insurance This insurance is primary if you have agreed in a written contract or written agreement: CG 73 23 11 11 Includes copyrighted material of Insurance Services Office, Inc., Page 3 of 6 with its permission. CG73231111 (1) That this insurance be primary. If other insurance is also primary, we (2) When this insurance is excess,we will share with all that other will have no duty under Coverages A insurance as described in c. below; or B to defend the additional insured or against any"suit" if any other insurer (2) The coverage afforded by this has a duty to defend the additional insurance is primary and non- insured against that"suit".If no contributory with the additional other insurer defends,we will insured's own insurance. undertake to do so, but we will be Paragraphs (1) and (2) do not apply entitled to the additional Insured's to other insurance to which the rights against all those other additional insured has been added insurers. as an additional insured or to other (3) When this insurance is excess over insurance described in paragraph b. other insurance, we will pay only our below. share of the amount of the loss,if b. Excess Insurance any,that exceeds the sum of: This insurance is excess over: (a) The total amount that all such other insurance would pay for (1) Any of the other insurance, whether the loss in the absence of this primary, excess, contingent or on insurance;and any other basis: (b) The total of all deductible and (a) That is Fire, Extended self-insured amounts under all Coverage, Builder's Risk, that other insurance. Installation Risk or similar (4) We will share the remaining loss, if coverage for"your work"; any,with any other insurance that is (b) That is fire, lightning, or not described in this Excess explosion insurance for Insurance provision and was not premises rented to you or bought specifically to apply in temporarily occupied by you with excess of the Limits of Insurance permission of the owner; shown in the Declarations of this (c) That is insurance purchased by Coverage Part. you to cover your liability as a c. Method Of Sharing tenant for "property damage" to If all of the other insurance available to premises rented to you or the additional insured permits temporarily occupied by you with contribution by equal shares,we will permission of the owner;or follow this method also. Under this (d) If the loss arises out of the approach each insurer contributes equal maintenance or use of aircraft, amounts until it has paid its applicable "autos" or watercraft to the limit of insurance or none of the loss extent not subject to Exclusion remains,whichever comes first. g. of Section I — Coverage A — If any of the other insurance available to Bodily Injury And Property the additional insured does not permit Damage Liability, contribution by equal shares,we will (e) That is any other insurance contribute by limits. Under this method, available to an additional each insurer's share is based on the insured under this endorsement ratio of its applicable limit of insurance to covering liability arising out of the total applicable limits of insurance of the premises or operations, or all insurers. products completed operations, for which the additional insured has been added as an additional insured by that other insurance. Page 4 of 6 Includes copyrighted material of Insurance Services Office, Inc., CG 7323 11 11 with its permission. CG 73 23 11 11 EMPLOYEE BODILY INJURY TO ANOTHER MEDICAL PAYMENTS EMPLOYEE SECTION III — LIMITS OF INSURANCE, SECTION II — WHO IS AN INSURED The Paragraph 7.is replaced: following Paragraph is added to 2.a.(1) 7. Subject to S.above,the higher of: Paragraphs 2.a.(1)(a), (b) and (c) do not a. $10,000;or apply to "bodily injury'to a co-"employee" in b. The amount shown in the Declarations the course of the co-"employee's" for Medico! Expense Limit is the most employment by you, or to "bodily injury" to a co-"volunteer worker" while performing we will pay under Coverage C for all duties related to the conduct of your medical expenses because of "bodily business, injury"sustained by one person. BROAD FORM NAMED INSURED This coverage does not apply if Coverage C — SECTION 11 — WHO IS AN INSURED The Medical Payments is excluded either by the following Paragraph is added to 2. provisions of any coverage forms attached to the policy or by endorsement. e. Any business entity incorporated or KNOWLEDGE OF AN OCCURRENCE organized under the laws of the United State SECTION IV — COMMERCIAL GENERAL of America (including any State thereof), its LIABILITY CONDITIONS,The following is added territories or possessions or Canada (including any Province thereof) in which the to 2. Duties In The Event Of Occurrence, Named Insured shown in the Declarations Offense, Claim Or Suit condition: owns, during the policy period, an interest of e. Knowledge of an occurrence, offense, claim more than fifty percent. If other valid or suit by an agent or employee of any collectible insurance is available to any insured shall not in itself constitute business entity covered by this solely by knowledge of the insured unless you, a reason of ownership by the Named Insured partner, if you are a partnership; or an shown in the Declarations in excess of fifty executive officer or insurance manager, if percent, this insurance is excess over the you are a corporation receives such notice of other insurance, whether primary, excess, an occurrence, offense, claim or suit from contingent,or on any other basis. the agent or employee. AGGREGATE LIMIT PER LOCATION f. The requirements in Section IV — SECTION III — LIMITS OF INSURANCE The Conditions Paragraph 2.b. will not be following paragraph is added to paragraph 2: considered breached unless there is The General Aggregate Limit under Section knowledge of occurrence as outlined in III Limits of Insurance applies separately to paragraph e.above. each of your locations owned by or rented to UNINTENTIONAL FAILURE TO DISCLOSE you or temporarily occupied by you with the HAZARD permission of the owner. For the purposes of SECTION IV — COMMERCIAL GENERAL this provision, location means premises LIABILITY CONDITIONS, 6. Representations is involving the same or connecting lots, or amended to include: premises whose connection is interrupted d. Your failure to disclose all hazards or prior only by a public street, roadway,waterway or $.occurrences" or offenses existing as of the railroad right-of-way. inception date of the policy shall not AGGREGATE LIMIT PER PROJECT prejudice the coverage afforded by this SECTION III — LIMITS OF INSURANCE The policy provided such failure to disclose all following paragraph is added to paragraph 2: hazards or prior"occurrences"or offenses is The General Aggregate Limit under Section not intentional. This provision does not III Limits of Insurance applies separately to affect our right to collect additional premium each of your construction projects away from or exercise our right of cancellation or non- premises owned by or rented to you. renewal. CG 73 23 11 11 Includes copyrighted material of Insurance Services Office,Inc., Page 5 of 6 with its permission. CG 73 23 11 11 WAIVER OF SUBROGATION BROADENED BODILY INJURY DEFINITION SECTION IV — COMMERCIAL GENERAL (MENTAL ANGUISH) LIABILITY CONDITIONS, B. Transfer of Rights SECTION V — DEFINITIONS is amended as of Recovery Against Others to Us is amended follows: to include: 1. 3."Bodily injury"is deleted and replaced with If required by a written contract executed the following: prior to loss, we waive any right of "Bodily injury" means physical injury, subrogation we may have against the sickness or disease to a person and, if contracting person or organization because arising out of the foregoing, mental anguish, of payments we make for injury or damage mental injury, shock or humiliation, including arising out of your ongoing operations or death at any time resulting therefrom. "your work" done under a contract with that person or organization and included in the "products-completed operations hazards". LIBERALIZATION SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, 10. Liberalization is added as follows: If we revise this coverage form to provide more coverage without additional premium charge, your policy will automatically provide the additional coverage as of the day the revision is effective in your state. All terms and conditions of this policy apply unless modified by this endorsement. Page 6 of 6 Includes copyrighted material of Insurance Services Office, Inc., CG 73 23 11 11 with its permission. Policy#. .'BAPD3007050259 COMMERCIAL AUTO AC 0102WA 03 10 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO EXTENSION ENDORSEMENT- WASHINGTON This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM A. CHANGES FOR TRAILERS AND FARM C. BLANKET ADDITIONAL INSURED EQUIPMENT Any person or organization which you have 1. Under the COVERED AUTOS Section, agreed to name as an additional insured in a the following are added to Paragraph C. written contract, executed prior to an acci- Certain Trailers, Mobile Equipment and dent, other than a contract for the lease or Temporary Substitute Autos: rental of a vehicle Is an "insured"for Liability 4. "Trailers" designed to be towed by a Coverage,but only to the extent that person private passenger type "auto" or a or organization qualifies as an "insured" pickup,panel truck or van if not used under the Who Is An Insured Provision con- for business purposes, other than tained In the LIABILITY COVERAGE farming or ranching. SECTION of the Coverage Form 5. Farm wagons or farm implements D. REPLACED EXCLUSIONS while being towed by a covered "au- The Expected or Intended Injury Exclusion to". in the LIABILITY COVERAGE SECTION Is B. CHANGES FOR ADDITIONAL NEWLY replaced by the following: ACQUIRED VEHICLES Expected or Intended injury 2. Paragraph B.2 of the COVERED AUTOS "Bodily injury" or"property damage"which is SECTION is replaced by the following: expected or intended by the "insured".This 2. If Symbol(s) 7or 67 is entered next to exclusion applies even if the resulting "bodi- a coverage in Item Two of the Decla- ly injury"or'property damage": rations, an "auto"you acquire will be a. is of a different kind, quality or degree a covered "auto" for that coverage than initially expected or Intended;or only if: b. is sustained by a different person,entity, a. We already cover at least one real property, or personal property than "auto" you own for that coverage that initially expected or intended. or it replaces an "auto" you pre- E. ADDITIONAL EXCLUSIONS viously owned that had that cov- The following exclusions are added to the erage;and LIABILITY COVERAGE SECTION: b. You tell within 30 days after Damage to Named Insured's Property you acquire it that you want us to cover it for that coverage. Any claim or"suit" for"property damage"by The most we will pay for Physical Dam- you or on your behalf against any other per- age Coverage for "loss" under this Cov- son or entity that is also a Named Insured erage Extension is $100,000 per "auto", under this policy. subject to the largest deductible applica- Abuse or Molestation ble to any"auto"for that Coverage. AC 01 02WA 03 10 Includes copyrighted material of Insurance Services Office,Inc., with its permission Page 1 of 4 ACP SAPD30.0-7050259 L7JE 16135 INSURED COPY AC0102031000 0001 75 0023682 AC 01 02WA 03 10 "Bodily injury" or"property damage"aris- b. Resulting from food or drink furnished ing out of: with these services. a. The actual or threatened abuse or "Bodily injury" or "property damage" result- molestation by anyone or any person ing from the handling of corpses. while in the care, custody or control F. MOTOR HOME CONTENTS COVERAGE of any"insured",or 1. For a covered "auto" that is a motor home b. The negligent: the following exclusions are added to the 1) Employment; PHYSICAL DAMAGE COVERAGE 2) Investigation; SECTION: 3) Supervision; Motor Home Contents 4) Reporting to the proper authori- This insurance does not apply to: ties, or failure to so report;or a. "Loss" to the covered "auto's" contents, 5) Retention; except equipment usual to trucks or pri- of a person for whom any"insured"is vate passenger"autos'. or ever was legally responsible and b. "Loss" to TV antennas, awnings or ca- whose conduct would be excluded by banas. Paragraph a.above. c. "Loss" to equipment designed to create Abuse means an act which is committed added living facilities. with the intent to cause harm. However, these exclusions do not apply if Explosives Miscellaneous Personal Property Coverage is provided by endorsement to this policy, . "Bodily injury" or "property damage" ACCIDENTAL AIRBAG DISCHARGE caused by the explosion of explosives G. COVERAGE you make,sell or transport. Rolling Stores Under Paragraph B.3.a. of the PHYSICAL DAMAGE COVERAGE SECTION, the following If a covered"auto" is a rolling store, "bo- is added: dily injury"or"property damage"resulting Mechanical breakdown does not Include the ac- from the handling, use or condition of any cidental discharge of an airbag. item the Insured" makes, sells or distri- butes if the Injury or damage occurs after . H. PHYSICAL DAMAGE LIMIT OF INSURANCE the "insured"has given up possession of Under PHYSICAL DAMAGE COVERAGE the Item.' SECTION, Paragraph C, Limit of insurance is Wrong Delivery of Liquid Products replaced by the following: "Bodily injury" or "property damage" re- C. Limit Of Insurance sulting from the delivery of any liquid into 1. The most we will pay for "loss" in any the wrong receptacle or to the wrong ad- one"accident"is the lesser of: dress, or from the delivery of one liquid a. The actual cash value of the dam- for another,if the "bodily injury" or "prop- aged or stolen property as of the . erty damage" occurs after the delivery time of the"loss";or has been completed. Deliveryis considered completed even if b. The cost of repairing or replacing p the damaged or stolen property. further service or maintenance work, or 2, $1,000 is the most we will nay for"loss" correction, repair or replacement is re- quiredbecause of wrong delivery. in any one "accident" to all electronic equipment that reproduces, receives or Professional Services "Bodily injury": a. Resulting from the providing or the failure to provide any medical or oth- er professional services. Page 2 of 4 Includes copyrighted material of Insurance Services Office,Inc., with its permission AC 01 02WA 03'10 ACP BAPD30-0-7050259 ME 15135 INSURED COPY AC0102031000 0001 76 0023683 AC 01 02WA 03 10 transmits audio, visual or data signals 1. GLASS REPAIR—WAIVER OF DEDUCTIBLE which,at the time of"loss",is: Under Paragraph D. Deduclible of the a. Permanently installed In or upon PHYSICAL DAMAGE COVERAGE SECTION, the covered "auto" in a housing, the following is added: opening or other location that is No deductible applies to glass damage if the not normally used by the "auto' glass Is repaired rather than replaced. manufacturer for the installation J. AMENDED DUTIES IN EVENT OF ACCIDENT, of such equipment. CLAIM, SUIT, OR LOSS b. Removable from a permanently The requirement in Loss Condition 2.a. Duties In installed housing unit as de- The Event Of Accident, Claim, Suit Or Loss—of scribed in Paragraph 2.a. above the BUSINESS AUTO CONDITIONS SECTION or is an Integral part of that and the MOTOR CARRIER CONDITIONS equipment;or SECTION that you must notify us of an "acci- c. An integral part of such equip- dent", "claim", "suit", or"loss" applies only when ment. the "accident", "claim", "suit", or "loss" is known 3. An adjustment for depreciation and to : physical condition will be made In de- 1. You,If you are an individual termining actual cash value in the 2. A partner,if you are a partnership; event of total"loss". 3. An executive officer or the employee desig- 4. The cost of repairing or replacing nated by you to give such notice If you are a may: corporation;or a. Be based on an estimate which 4. A member, if you are a limited liability com- includes parts furnished .by the pany. original equipment manufacturer K. UNINTENTIONAL FAILURE TO DISCLOSE or other sources including non- HAZARDS original equipment manufactur- ers and The BUSINESS AUTO CONDITIONS SECTION b. Include a deduction for better- and MOTOR CARRIER CONDITIONS ment for a part or parts that are SECTION-B.2. are amended by the addition of normally subject to repair or re- the following: placement during the useful life If you unintentionally fail to disclose any hazards of the "auto" such as, but not li- existing at the inception date of your policy, we mited to tires and batteries, will not deny coverage under this Coverage Betterment means the difference Form because of such failure. However, this between the actual cash value of provision does not affect our right to collect addi- a part immediately before the tional premium or exercise our right of cancella- "loss" and the cost to replace tion or nonrenewal. that part with a new part. L AUTOS HIRED OR RENTED BY EMPLOYEES . 5. If we offer to pay the actual cash val- If hired or rented "autos"are covered"autos"on ue of the damaged or stolen proper- this policy,the following provisions apply: ty, we will value auto advertising A. Changes In Liability Coverage wraps, paint customization,and simi- The following is added to the Who Is An In- lar business related advertising mod- sured Provision in the LIABILITY ifications, in addition to the actual COVERAGE SECTION: cash value of the property. Auto ad- vertising wraps, paint customization, An "employee" of yours is an "Insured" while and similar business related advertis- operating an "auto" hired or rented under a ing modifications will be valued at the contract or agreement In that "employee's" cost to replace them with an adjust- ment made for depreciation and physical condition. AC 01 02WA 03 10 Includes copyrighted material of Insurance Services Office, Inc.,with its permission Page 3 of 4 ACP BAPD30-0.7050259 ME Islas INSURED COPY AC0102031000 0001 75 0023684 AC 01 02WA 03 10 name, with your permission, while per- M. EMERGENCY LOCKOUT- PRIVATE forming duties related to the conduct of PASSENGER VEHICLES your business. We will reimburse you up to $50 for reasonable B. Changes In General Conditions expense incurred for the services of a locksmith Paragraph 5.b. of the Other Insurance to gain entry into your covered"auto"of the pri- Condition and Paragraph 5.f. of the vate passenger type subject to these provisions: Other Insurance Condition In the Motor 1. Your door'key or key entry pad has been Carrier Coverage Form is replaced by the lost, stolen or locked in your covered "auto" following: and you are unable to enter such"auto",or For Hired Auto Physical Damage Cover- 2. . Your key or key entry pad has been lost or age, the following are deemed to be cov- stolen and you have changed the lock to ered"autos"you own: prevent an unauthorized entry;and 1. Any covered "auto" you lease, hire, 3. Original copies of receipts for services of a rent or borrow;and locksmith must be. provided before reim- 2. . Any covered"auto"hired or rented by bursement is payable. your "employee" under a contract in N. LIBERALIZATION that individual "employee's" name, Paragraph 3.of the Other Insurance Condition in with your permission, while perform- the Business Auto Coverage Form is replaced by ing duties related to the conduct of the following: If we adopt any revision that would your business. broaden the coverage under this policy without However,any"auto" that is leased,hired, additional premium within 60 days prior to or dur- rented or borrowed with a driver is not a ing the policy period,the broadened coverage will covered"auto". immediately apply to this policy. 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.,with its permission AC 01 02WA 03 10 ACP BAPD30.0-7050259 L7JE 15135 INSURED COPY AC0102031000 0001 75 0023685 Intent Details Page 1 of 2 Montt• E"P;'nid Contact Search L&I l 4 A-%Index I I01, "IN 141 Safety&Health Claims&Insurance Workplace Rights Trades&Licensing Washington State Department of "Labor & Industries Printer Friendly Intent Details Project Detail-Project Dashboard Document Received Date:5/19/2017 Intent ID:835097 Affidavit ID: Status:Approved On 5/24/2017 Company Details Company Name: EVERGREEN ASPHALT It CNCRT INC Address: P 0 BOX 1567 KENT,WA,98035 Contractor Registration No. EVERGAC974K2 WA UBI Number 602244570 Phone Number 253-639-3779 Industrial Insurance Account ID 14227600 Email Address evergreen.shane@comcast.net Filed By Gilbertson,Shane Prime Contractor Company Name EVERGREEN ASPHALT rt CNCRT INC Contractor Registration No. EVERGAC9741(2 WA UBI Number 602244570 Phone Number 253.639.3779 Project Information Awarding Agency KENT,CITY OF/PARKS&REC 220-4TH AVE 5 KENT,WA-98032 Awarding Agency Contact Nancy Cleary Awarding Agency Contact Phone Number 253-856-5000 Contract Number Impound Project Name Police Impound Lot Contract Amount $7,975.00 Bid due date 4/7/2017 Award Date 5/8/2017 Project Site Address or Directions Payment Details Check Number: Transaction Id: 105757557 Intent Details Expected project start date:(MM-DD-YYYY) 5/31/2017 In what county(or counties)will the work be performed? King In what city(or nearest city)will the work be performed? Kent S7,975.00 Help us improve https:Hfortress.wa.gov/lni/wagelookup/IntentDetails.aspx 5/24/2017 Intent Details Page 2 of 2 What is the estimated contract amount?OR is this a time and materials estimate? Will this project utilize American Recovery and No Reinvestment Act(ARRA)funds? Specifically,will this project utilize any weatherization No or energy efficiency upgrade funds(ARRA or otherwise)? Does your company intend to hire ANY subcontractors? No Does your company intend to hire subcontractors to No perform ALL work? Will your company have employees perform work on this Yes project? Do you intend to use any apprentices?(Apprentices are No considered employees.) How many owner/operators performing work on the 1 project own 30%or more of the company? journey Level Wages County I Trade Occupation I Wage I Fringe I a Workers King Cement Masons Journey Level S55.56 $0.00 4 Public Notes Shove/Hide Existing Notes IJo note exists Back To Search =Z�Washington Stale Dept.of Laoor 3 induslnes.Use of MIS$Ile is subled to ilte lnv,s of the stale of'Nashington. Help us improve https:Hfortress.wa.gov/lni/wagelookup/IntentDetails.aspx 5/24/2017 City of Kent 40 • Business License \47KENT w.SNINGT�v EVERGREEN ASPHALT&CONCRETE INC PO BOX 1567 KENT,WA 98035 i i i i Please tear at perforation ------------------------------------------------ Per RCW K2.14 focal sales BUSINESS LICENSE and use tdx must be coded LICENSE MUST BE PAID ANNUALLY BY No. 1715 for all qualified • JANUARY 1st TO AVOID PENALTY sales within the city of KENTIssuance of License Does Not Imply Licensee's Kent. W.s a,a Compliance with State and Local Laws THIS LICENSE MUST BE POSTED IN A CONSPICUOUS Year : 201-7 PLACE.NOT'IRANSFERABLE OR ASSIGNABLE. NAME AND ADDRESS OF BUSINESS BLOC-2140738 EVERGREEN ASPHALT&CONCRETE INC MAYOR 18744 SE 282ND ST The City of Kent KENT,WA 98042 A 220 a rn AVE SO KENT,WASHINGTON 99032