HomeMy WebLinkAboutPW17-146 - Amendment - #1 - COWI North America, Inc. - Milwaukee II Flood Facility Study - 12/15/2017 �i�� l a�a rr
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CONTRACT COVER SHEET
This is to be completed by the Contract Manager prior to submission
to City Clerks Office. All portions are to be completed.
If you have questions, please contact City Clerk's Office.
Vendor Name: COWI North America, Inc.
Vendor Number:
ID Edwards Number
Contract Number: W 0 �4� �01) )''X
This is assigned by City Clerk's Office
Project Name: Milwaukee II Flood Facility Study
Description: ❑ Interlocal Agreement ❑ Change Order ® Amendment ❑ Contract
❑ Other:
Contract Effective Date: 12/15/17 Termination Date: 12/31/18
Contract Renewal Notice (Days):
Number of days required notice for termination or renewal or amendment
Contract Manager: Richard Schleicer Department: Enqineerinq
Contract Amount: $0.00
Approval Authority; (CIRCLE ONE) 6ep:ar:tm:ent Director Mayor City Council
Detail: (i.e. address, location, parcel number, tax id, etc.):
Extend the time of completion to December 31, 2018.
As of: 08/27/14
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KT9T
AMENDMENT NO. 1
I
NAME OF CONSULTANT OR VENDOR: COWX North America. Inc.
CONTRACT NAME & PROJECT NUMBER: Milwaukee II Flood Facility Study
ORIGINAL AGREEMENT DATE: March 24. 2017
1
This Amendment is made between the City and the above-referenced Consultant or
Vendor and amends the original Agreement and all prior Amendments. All other provisions of
the original Agreement or prior Amendments not inconsistent with this Amendment shall remain
in full force and effect. For valuable consideration and by mutual consent of the parties, I
Consultant or Vendor's work is modified as follows:
1. Section I of the Agreement, entitled "Description of Work," is hereby modified to
add additional work or revise existing work as follows:
In addition to work required under the original Agreement and any
prior Amendments, the Consultant or Vendor shall:
The scope of work remains the same, however an amendment
is necessary to extend the time of completion to December 31,
2018 due to the uncertainty surrounding outside agencies
review durations.
2. The contract amount and time for performance provisions of Section II "Time of
Completion," and Section III, "Compensation," are modified as follows:
_..........__m.._ —
Original Contract Sum, $178,975.00
including applicable WSST
Net Change by Previous Amendments $0
including applicable WSST
Current Contract Amount $178,975.00
including all previous amendments
............_ _._....... _.
Current Amendment Sum
._ $0
Applicable WSST Tax on this $0
Amendment
Revised Contract Sum $178,975.00
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AMENDMENT- 1 OF 2
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| (insert date)
Revised Time for Completion un—d-e r
|
prior Amendments
(insert date)
Ac1d'l Days Required cw his 65 calendar days
Amendment
(insert date)
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The Consultant or Vendor accepts all requirements of this Amendment by signing below,
by its signature waives any protest or claim it may have regarding this Amendment, and
acknowledges and accepts that this Amendment constitutes full payment and final settiement of
all claims of any kind or nature arising from or connected with any work either covered or
affected by this Amendment, including, without limitation, claims related to contract time,
contract acceleration, onoito or home office overhead, or lost profits. This Amendment, unless
otherwise provided, does not relieve the Consultant or Vendor from strict compliance with the
guarantee and warranty provisions n[ the original Agreement,
All acts consistent with the authority of the Agreement, previous A|noodrnentu (if any),
and this /\nnendnneni/ prior to the effective date of this Amendment, are hereby ratified and
affirmed, and the terms of the Agreement, previous Amendments (if any), and this Amendment
shall be deemed tu have applied.
The parties whose names appear below swear under penalty of perjury that they are �
authorizodtn enter into this Amendment, which |o binding O0the parties of this contract.
IN WITNESS, the parties below have executed this Amendment, which will
become effective on the last date written below.
CONSULTANTIVENDOR: CITY OF KENT:
Print Name:
4:�) Print Name:, Timothv 1. LaPorte, P.E.
its 'J its PubHc Works Director
APPROVED AS TO FORM:
(applicable fF Mayor's signature required)
Kent Law Department
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AMENDMENT ' 20F2 \
CERTIFICATE OF LIABILITY INSURANCE °A EaaMO°"""
31300017
THIS CERTIFICATE 18 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CP.RTIPICATE HOLDER. THIS
TIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
P.01 THIS CERTIFICATE OP 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 pollcy(les) must be endorsed. If SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder In lieu of such endorsements.
PRODUCER CONTACT WILLISA&E CERTIFICATE TEAM
Willis of Illinois,Inc. PHONE
KM wAX
233 South Wacker Drive 312-2687700
Suite 2000 "' Cemlicates(+ wIIIBs dom _
Chicago IL 60606 INSURERISIAFFBRDINGCBVERAGE xI
'SURER A:Travelers Indemnl CDm an 25658
INSURED INSURERR:NavIgators n Insurance Comoanv 42307
COW North America, Inc. ._..._....___._..___........... ._....._,
1191 2nd Ave,Suite 1110 INSURERc:Lexin. ton Insurance 19437
Seattle WA 98101 INSURERp:.
INSURERE: —...._.__..
INSURER F:
COVERAGES •357569162
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,
TYPE OF INSURANCEAm POUCYINURMEA or
o L'ITS
A 8 COMMERCIAL GENERAL LIABILITY Y Y 580-71`350701 4il12C17 ''.411QO18 UGH.1C11RRENCE 51,000.000
IT.. 00
CIAIMS MADE �% OCCUR ... 31 coo 000
_.. NIEOE%P ane N4o+ $10,000
_ PERSONAL SAOV INJURY 51,00,000
OEN'L AOGREOAIE LIMIT APPLIES PER BENEmSLAGpfi6m •2000.000
I El%,T ❑LCC PRODUCTS AGO E2000000
OTHER: $
41UTOMOBR.E LIABILITY Y Y BA.7F35527A 411MO17 411Q0111 ' .• 31000,000
X ANYAUTO BO°ILYINJURY(Perpenon) $
ALL OWNED ,CHEDULEO
AUTOS AUTOS BGDLY INJURY(Px e¢tleenl) 3
HIRED AUTOS HNOIANED 3
AUTOS x'•WBen
B UMBRELULNLB X ,,,U, Y Y CH17EXR64111BIV 4/112017 411nOIS EACHOCCURRENCE $5,000,000
X EXCESS LEA° Ly,yyggAyE AGGREGATE $5,060,000
MFD RETENTIONS 3
AND EMPLOYERS'
COMPENSATION
AND EMPLOYERS'LIABILRY V 1 N
ANY PROPRIETORIPANTNER/ CUTTIVE ❑N1A E.L.EACH ACCIDENT 3
OFFICERIMWEER EXCLUDED?
jm.rd.ory le INN) E.L.DISEASE-EA EMPLOYEE 3
It y3 tl•wlP.a uMx ._.......�._.....,......
D4-05 R'P n 1GPFR_<,Tr1N.S Mlmu F I,nISFA.SF.PIM-IP.VIIMIT t
C ProNeSonel Liability 27015C14 flt2017 4/112015 "'Oil,o00 per daPra
$3,000,000 e0BTe9ata
DESCRIPTIONOFOPE MN31 LOGAEON31VEHICUS IAGORD 1D1,Atltlltlon•IRem•Mr SNrtlPN,rtxyM etlacNtl ttman•p•aan4ulntl)
Additional'Insurer!is Included In Genera)Liability&Automobile Liability coveragecovera coversggge as required by wdtlen CcntraDt.Excess Liability follows form
EI
THE CITY OF ver the (al CENT ITS ELECTED ANDPIOR�APPOInF9TIo
EyQ OFnCIrs PAL5,,ITS OFFICERS,EMPLOYEES,AGENTS,VOLUNTEERS,AND
REPRESENTATIVE§ARE ADDITIONALLY INSURED, UNDER THE GENERAL LIABILITY AND AUTO LIABILITY COVERAGES.INSOFAR
AS THE WORK,OBLIGATIONS AND ACTIVITIES PERFORMED BY THE OWNER/DEVELOPER AND AUTHORIZED BY THE CITY OF
KENT PERMIT ARE CONCERNED.GENERAL LIABILITY AND AUTO LIABILITY POLICIES ARE PRIMARY&NON-CONTRIBUTORY.
EXCESS LIABILITY COVERAGE IS FOLLOW FORM EXCESS,
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of KBN THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Alin';Nancy YDshllake ACCORDANCE WITH THE POLICY PROVISIONS.
220 41h.Avenue South
Kent WA 98032
AUTHORR£D REPRESENTATIVE
®1988-2014 ACORO CORPORATION. All rights reserved.
ACORD 26(2014101) The ACORD name and logo are registered marks of ACORD
ACC)MbF CERTIFICATE OF LIABILITY INSURANCE
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7HIS CERTYFYCATE 15 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS WO fl10HTS UPON THE CERTIFICATE.HOLDER.THIS
CERT9FiOg7E DOES NOT AFFIRMATIYlELX OR NEOATdVELY AMEWD, EXTENb OR ALTER THE. CpVERAGE AFFORDED BY THE POLICIES I
B''��'�(V, 'THIS CERTIFICATE OF INSURANCE DOES NpT CpNSTTTUTE A CONTRACT BETWEEN' TIRE ISSUING IiNSURER(S), AUTHORIZED
R, cSEWTATkVE OR PflODUCER.,ANb THE'.CERTOFICATE.HOLbER. ,
1FI7ANT: H the ceNlNaeia'haldsr le en ADDRIpNAk.INSURED,Iha palNcy(iasJ mast Nava ADOITIDNAt INSURE6 Praafalana or 6e endowssd,.
I. �9ROGA710N IS WAIVED,suDJect to the terms end condltlons D1 tha pollcyy certain PolYcloa may regUlm an endorsement. A statement an
this aartHloate does not aonler r9 hts to the oorlNicate hD@der In IIBu a1 such andorsemard.a.
PRoouceR i
Marsh USA,Inc. '
enae of Na Ameticas E
Neoww YoM,NY 10039 „�t �. .._„_. ._.....- —„�.�yy'E,Iggy,
ARRAEV3,___ _._ .-. .-_....._....., . ._._.......,,.
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- ulaagER A P®RAayTnPle ManvPae4urere Assadatlan Ins Co 17282 I
INSURED "'".'
COVVI
NORTH AMERICA,INC
1191 , iresuAFaa Amnrloaq Lanyyhara MutuaG Auonello,Ltd m _... ._... _...
SEATTLE,AVENUE InsllgegC NIA WA
BEATTLE,WA 98101-2952 ,^- _,,... _ ----.. ..,._. _._.. ........-.
,!"VIER D
aL4WREq E.i.,.
lNSaREP P: !
CO'VEFIAGES CERTIFICATE NUMBER: NYca10727224-02 R'.EWf19fON NUMBER:D
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NWIT OTHSTANDING 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.
go..._.... —._...d. ,_.......,..
TYPE OFINSUggMCB
MITS
COMMERCIALpENEMLNpBILnY EACPOCCURAENCE --- y
, )CLAIMS MADE �_ OCCUR TFb
..... ..�_.. ._._.. .h1ED EYP(MyGWIMnsm) 7
.,.., __ ._....,,.—__�._.......__ ., PERaaNAL AADVLN1gY I,
O EN'L AQGREOATE U MIT APPL IES PEP; ®EPIEBN.460O gq TE F^
POLICY O�FCr' LOG _K F.ODIVCTB DCBmmPAOo $ -._.. .. Wp
P MErTLIABILJr-- SCHEDULED BODILYN I Y JUFY(P-1 ..n) 1
AUTOSONLY AUTOS BODILY INJURY(par a
HIRED - NCNUWNED P AP4ISNIA"E _. �........._AUTOS ONLY IAdTOSONLY PRO A
UMBRELLA LIAR OCCUfl
,_° EACH OCCUPAENCE S
EXCESS DAB - ------ ,._..�_.
CLAIMaMADEDIED
'.
---- ALi{iRfUATE
A WORXERSCOMP04SAPON 042
AND EMPLOYERSLIABIIRY YJN �' D4IOIRAI9
OFFICEOPRIETBEREXPLUOEEXECUnNE -_
(M*hdAnfi;XEMREREIEOLU4ED9 N/A EL._FACH ACCIDENT 1000 ODO
If ys dcawlbwNHEm CL,PYSEASE EAEMPLOYE a .. . .., 1000,00o
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DEDUCTIBLE
OESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,AEdiflunal Ramerka Schedule,may Ba Xml0 Smmeepse X mquir
I
II
CERTIFICATE HOLDER CANCELLATION 4
City of Kanl SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Att Nanq Yoshlhke
'?O 41h Avenue Both THE EXPIRATION DATE THEREOF', NOTICE WILL BE DELIVERED IN
ni,WA 98032 ACCORDANCE WITH THE POLICY PROVISIONS.
AVIHOROEDREPRESENI'ATNE y
of fOAnh USA Inc.
Menashl Mukhadee —IALcLlan.oL.:
- — 01EE&2016 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD fCC1
I
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III
COMMERCIAL GENERAL LIAR I LITY
POLICYNUMBER 680-7F350701
THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY.
a
ADDITIONAL INSURED - OWNERS, LESSEES OR I
CONTRACTORS - SCHEDULED PERSON OR
ORGANIZATION
This endorsement modifies Insurance provided under the following:
" COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Names of Additional Insured Person(s)or Organizatlon(e):
Any person(s) or organization(s)whom the Named
Insured agrees, in a written contract, to name as an
additional insured.
Location of Covered Operations;
f
V
(Information required to complete this Schedule,If not shown above,will be shown In the Declarations.)
I
A. Section II—Who Is An Insured Is amended to In- This Insurance does not apply to"tatldlly Injury"or
clude as an additional insured the persons) or "property damage" occurring, or 'personal Injury"
organizations) shown In the Schedule, but only or "advertising Injury" arising out of an offense
with respect to IilabllIfy for"bodliy injury "property committed,after:
damage", "personaR Injury" or "advedlsing Injury" 1. All work, Including materials, parts or equip-
caused,In whole or in part,by: ment furnished In connection with such work,
1. Your acts or omissions;or on the project (other than service, mainte-
2. The acts or omissions of those acting on your nance or repairs) to be performed by or on
behalt behalf of the additional Insured(s)at the loca-
tion of the covered operations has been com-
In the performance of your ongoing operations for plated;or
the additional insured(s) at the location(s) desig- 2, That portion of our work" out of which the
nated above. P Y
B. With respect to the insurance afforded to these Injury or damage arises has been put to Its In-
additional Insureds,the following additional exdu- other than another contractor or subcontrac-
tor engaged In performing operations for a
principal as a part ofthe some project.
I
CG D3 61 03 05 Copyright 2005 The St. Paul Travelers Companies, Inc.All rights reserved. Page 1 of 1
Includes copyrighted material of Insurance Services Office, Inc with its permission.
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POLICY NUMBER: 580-7F350701 COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
OTHER INSURANCE - ADDITIONAL INSUREDS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PROVISIONS b. The"personal injury"or"advertising injury"for
COMMERCIAL GENERAL LIABILITY CONDITIONS which coverage Is sought arises out of an of-
Tense committed
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(Section IV), Paragraph 4, (Other Insurance), is i
amended as follows: subsequent to the signing and execution of that
1. The following is added to Paragraph a. Primary contract or agreement by you.
Insurance: 2. The first Subparagraph (2) of Paragraph b. Ex- I
However,if you specifically agree In a written con- cess Insurance regarding any other primary In-
tract or written agreement that the insurance pro- surance available to you Is deleted.
vided to an additional insured under this 3. The following is added to Paragraph It. Excess
Coverage Part must apply on a primary basis, or Insurance, as an additional subparagraph under
a primary and non-contributory basis, this insur- Subparagraph(1)�
ante Is primary to other insurance that Is avail-
That Is available to the insured when the insured
able to such additional insured which covers such is added as an additional insured under any other
additional Insured as a named Insured, and we policy,including any umbrella or excess policy.
will not share with that other Insurance, provided
that:
a. The "bodily Injury" or "property damage" for
which coverage is sought occurs;and
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CG DO 37 04 05 Copyright 2005 The St. Paul Travelers Companies, Ina All rights reserved. Page i of 1
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COMMERCIAL AUTO POLICY
ENDORSEMENT - CA TS 04 04 15
POLICY NUMBER BA-7F35627A
++ THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY, ++
NOTICE OF CANCELLATION
I
IT IS AGREED THAT:
i
THIS ENDORSEMENT CHANGES THE POLICY.
PLEASE READ IT CAREFULLY.
DESIGNATED ENTITY - NOTICE OF
CANCELLATION PROVIDED BY US
THIS ENDORSE-U= MODIFIES INSURANCE PROVIDED
UNDER THE FOLLOWING:
ALL COVERAGE PARTS INCLUDED IN THIS POLICY
SCHEDULE
CANCELLATION: NUMBER OF DAYS NOTICE OF CANCELLATION: 30
PERSON OR ORGANIZATION:
ANY PERSON OR ORGANIZATION TO WHOM YOU HAVE AGREED IN A f
WRITTEN CONTRACT THAT NOTICE OF CANCELLATION OF THIS
POLICY WILL BE GIVEN, BUT ONLY IF:
1, YOU SEND US A WRITTEN REQUEST TO PROVIDE SUCH NOTICE,
INCLUDING THE NAME AND ADDRESS OF SUCH PERSON OR
ORGANIZATION, AFTER THE FIRST NAMED INSURED SHOWN IN THE
DECLARATIONS RECEIVES NOTICE FROM US OF THE CANCELLATION
OF THIS POLICY; AND
2. WE RECEIVE SUCH WRITTEN REQUEST AT LEAST 14 DAYS BEFORE
THE BEGINNING OF THE APPLICABLE NUMBER OF DAYS SHOWN IN
THIS SCHEDULE, {
ADDRESS:
THE ADDRESS FOR THAT PERSON OR ORGANIZATION INCLUDED IN 4
SUCH WRITTEN REQUEST FROM YOU TO US, 4
PROVISIONS:
A. IF WE CANCEL THIS POLICY FOR ANY STATUTORILY PERMITTED
REASON OTHER THAN NONPAYMENT OF PREMIUM WE
WILL MAIL NOTICE OF CANCELLATION TO THE PERSON OR
ORGANIZATION SHOWN IN THE SCHEDULE ABOVE, WE WILL
MAIL SUCH NOTICE TO THE ADDRESS SHOWN IN THE SCHEDULE
ABOVE AT LEAST THE NUMBER OF DAYS SHOWN FOR
CANCELLATION IN THE SCHEDULE ABOVE BEFORE THE
EFFECTIVE DATE OF CANCELLATION,
B. IP WE DECIDE TO NOT RENEW THIS POLICY FOR ANY
STATUTORILY PERMITTED REASON, AND A NUMBER OF DAYS
IS SHOWN FOR NONRENEWAL IN THE SCHEDULE ABOVE, WE
WILL MAIL NOTICE OF THE NONRENEWAL TO TILE PERSON OR
ORGANIZATION SHOWN IN THE SCHEDULE ABOVE. WE WILL
MAIL SUCH NOTICE TO THE ADDRESS SHOWN IN THE SCHEDULE I
ABOVE AT LEAST THE NUMBER OF DAYS SHOWN FOR
NONRENEWAL IN THE SCHEDULE ABOVE BEFORE
THE EXPIRATION DATE.
I
EFFECTIVE DATE 04-01-16 EXPIRATION DATE 04-01-17
PAGE 0001 DATE OF ISSUE 04-30-16
V
-COWI NORTH AMERICA INC Page 1 of 1
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W iN1111!!WON f
Department of Labor& Industries
Certificate of Workers' Compensation Coverage
February 23, 2017
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WA UBI No. 603 460 T73
L&I Account ID 523,936-00
i
Legal Business Name COWI NORTH AMERICA INC i
Doing Business As COWI NORTH AMERICA INC
Workers'Comp Premium Status: Account is current.
Estimated Workers Reported Ouarter4 of Year 2016"7 to 10
(See Description Below) Workers"
Account Representative Employer Services Help Line,(360) '�
902-4817
Licensed Contractor? No
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What does "Estimated Workers Reported" mean?
Estimated workers reported represents the number of full time position requiring at least 480
i
hours of work per calendar quarter.A single 480 hour position may be filled by one person, or
several part time workers.
Industrial Insurance Information
Employers report and pay premiums each quarter based on hours of employee work already
performed, and are liable for premiums found later to be due. Industrial Insurance accounts have l
no policy periods, cancellation dates, limitations of coverage or waiver of subrogatlon(See RCW
s'?.j 2,9...5..4 and -LU l9-p).
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hops://secure.lni.wa.gov/verify/Details/liabilityCertificate.aspx?UBI-603460773&LIC-&... 2/23/2017
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