HomeMy WebLinkAboutPK17-536 - Original - Bill's Roofing - Roof Replacement #11966 - 10/19/2017 _ �"� ► ` + 'C rd S M 9 e m a ,, v
N�NINGTON / Document W/.]
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: .OQJ�0
Vendor Number: 5 2 (o
JD Edwards Number
Contract Number: F r I- S-i�
This is assigned by City Clerk's Office
Project Name: 1?—u 4 12 pI C4 C� 1 G( (ra
Description: ❑ Interlocal Agreement ❑ Change Order ❑ Amendment PIContract
❑ Other:
Contract Effective Date: ) A of Termination Date: 12 I
Contract Renewal Notice (Days): � 4-
Number of days required notice for termination or renewal or amendment
Dolyr-el
Contract Manager: - townmcyL Department: Pa*-V-S - t t,n .a4 SeymLes,
Contract Amount: V31
Approval Authority: [RDepartment Director ❑ Mayor ❑ City Council
Detail: (i.e. address, location, parcel number, tax id, etc.):
1523`� SE 'L12 PL—
�fi VW A- L I cg. 042
As of: 08/27/14
+ ✓EKE�OT
PUBLIC WORKS AGREEMENT
between City of Kent and
Bill's Roofing
(Daryl Dahlquist
15238 SE' 272nd PLKent 'W'a 98042)
THIS AGREEMENT is made by and between the City of Kent, a Washington municipal corporation
(hereinafter the "City"), and Bills's Roofing organized under the laws of the State of Washington, king
County, located and doing business at 11316 216`h Street East Graham Wa. 98338 (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:
Provide all labor, material, permits and equipment necessary for removal and replacement of
existing Asphalt shingle roofing material. Per described in proposal Clean and remove debris
from job site. Haul off and dispose of all debris in an acceptable facility.
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 14 days uopon recieveing
the notice to proceed.
III. COMPENSATION. The City shall pay the Contractor a total amount not to exceed
$8886.25, 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:
Check from City of Kent accounts payable in the amount of $8886.25
PUBLIC WORKS AGREEMENT - 1
($20,000 or Less - OPTIONAL PROCESS)
A. No Payment and Performance Bonc1:..No._Retgin.@qg. 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 Payrnent. 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 liability hereunder shall be only to the extent
of the Contractor's negligence.
IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THE INDEMNIFICATION
PROVIDED HEREIN CONSTITUTES THE CONTRACTOR'S WAIVER OF IMMUNITY UNDER INDUSTRIAL
INSURANCE, TITLE 51 RCW, SOLELY FOR THE PURPOSES OF THIS INDEMNIFICATION. THE PARTIES
FURTHER ACKNOWLEDGE THAT THEY HAVE MUTUALLY NEGOTIATED THIS WAIVER.
In the event Contractor refuses tender of defense in any suit or any claim, if that tender was made
pursuant to this indemnification clause, and if that refusal is subsequently determined by a court having
jurisdiction (or other agreed tribunal) to have been a wrongful refusal on the Contractor's part, then
Contractor shall pay all the City's costs for defense, including all reasonable expert witness fees and
reasonable attorneys' fees, plus the City's legal costs and fees incurred because there was a wrongful
refusal on the Contractor's part.
The provisions of this section shall survive the expiration or termination of this Agreement.
XIII. INSURANCE. The Contractor shall procure and maintain for the duration of the
Agreement, insurance of the types and in the amounts described in Exhibit B attached and incorporated by
this reference.
XIV. WORK PERFORMED AT CONTRACTOR'S RISK. Contractor shall take all necessary
precautions and shall be responsible for the safety of its employees, agents, and subcontractors in the
performance of the contract work and shall utilize all protection necessary for that purpose. All work shall
be done at Contractor's own risk, and Contractor shall be responsible for any loss of or damage to
materials, tools, or other articles used or held for use in connection with the work.
XV. MISCELLANEOUS PROVISIONS.
A. Recyclable Materials. Pursuant to Chapter 3.80 of the Kent City Code, the City requires its
contractors and consultants to use recycled and recyclable products whenever practicable. A price
preference may be available for any designated recycled product.
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.ment. 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. Gauntgroart6 and SDgnatures late x or Emall. 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.
CONTRACTOR: CITY OF KENT:By
_
J (signature) (,sign,Cur )
Print Name:CC Print Name: Merina Hanson
Its. ej t f' Its: Human Services Manager
DATE:_ r� l( e1 DATE': I "f
_ - . ... . -..--------
NOTICES TO BE SENT TO: NOTICES TO BE SENT TO:
CONTRACTOR: CITY OF KENT:
Bills Roofing Darrel Hammack
Carrie Lawson Dhammack@kentwa.gov
11316 216th Street East. City of Kent
Graham WA, 98338 220 Fourth Avenue South
Kent, WA 98032
(253) 253-856-5079 (telephone)
253-846-0833 (telephone) (253) 253-856-6070 (facsimile)
253-846-1151 (facsimile)
[In Ihls Maid,you may enter the electrook fit aban where the mntraa has been saveol
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 signin elow, I agree to fulfill the five requirements referenced above.
By: ..... L.., �, m
For;
Title `..... � r W ,.
Date: �... _ w....... ......,.... .._._..............
EEO COMPLIANCE DOCUMENTS - 1
CITY OF KENT
ADMINISTRATIVE POLICY
NUMBER: 1.2 EFFECTIVE DATE: January 1, 1998
i
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 /'/!( ✓I PPSC
Company, hereby acknowledge and decla a than th�re/e� bee�fore mentioned company was the prime
contractor for the A reement known as r / �'Ld)X�y `5� that was entered into on
the , (d e), 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:
'r
For: / d ? f 77
�..y (..
Title:
Date:._._..1 ,�—
EEO COMPLIANCE DOCUMENTS - 3
�• KENT
BID TABULATION FORM
KENT HOME REPAIR
CITY OF KENT, WASHINGTON
PROJECT NAME: Daryl Dahl uist DATE DUE 1 10 2017 TIME DUE:4:00 p.m.
Bidder: Total Lump Sum Bid:
NW Roof Service �(
253-85 -
253-850-35803580 fax
Faxed
Emailed
Bills Roofing
253-846-0833
253-846-1151 fax
Faxed rroo
Emailed
Chets Roofing
253-887-0194waa��
253-854-4516 Fax
Faxed
Emailed
Zachary Maintenance Service (Yusuf)
253-495-3557
253-517-7421 ( 1,5 T7
Faxed 0
Emailed
ESTIMATE: $10,000.00
11/1/2017
about:blank
State of Washington
Department of Labor & Industries
Prevailing Wage Section - Telephone 360-902-5335
PO Box 44540, Olympia, WA 98504-4540
Payment Receipt
J
Transaction 111112017
Date
Transaction Id 106016421
Project Name Daryl Dahlquist
Form Filed Intent LE
Form Id 872516
Payment Type E-Check ************8448
Amount Billed $40.00
about blank
11/3/2017 abouttlank
State of Washington
Department of Labor & Industries
Prevailing Wage Section - Telephone 360-902-5335
PO Box 44540, Olympia, WA 98504-4540
Statement of Intent to Pay Prevailing Wage
Project Detail - Pro
iect Dashboard
Document Received Date: Intent ID: Affidavit ID: Status: Approved On
11/1/2017 872516 11/1/2017
Company Details
Company Name: BILL'S ROOFING INC
Address: 11316 216TH ST E
GRAHAM, WA, 98338
Contractor Registration No. BILLSRI930K3
WA UBI Number 602691571
Phone Number 253-846-0833
Industrial Insurance Account ID 98002101
Email Address billsroofing@comcast.net
Filed By Lawson, Carrie
Prime Contractor
Company Name BILL'S ROOFING INC
Contractor Registration No. BILLSRI9301<3
WA UBI Number 602691571
Phone Number 253-846-0833
Project Information
Awarding Agency KENT, CITY OF
220 - 4TH AVE S KENT, WA - 98032-5895
Awarding Agency Contact Darrel Hammack
Awarding Agency Contact Phone Number 253-846-5079
Contract Number 1966
aboutblank 1/3
11/3/2017 about:blank
Project Name Daryl Dahlquist
Contract Amount $8,886.25
Bid due date 10/10/2017
Award Date 10/19/2017
Project Site Address or Directions 15238 SE 272nd Pt Kent, WA 98042
Payment Details
Check Number:
Transaction Id: 106016421
Intent Details
Expected project start date: (MM-DD-YYYY) 11/22/2017
In what county (or counties) will the work be King
performed?
In what city (or nearest city) will the work be Kent
performed?
What is the estimated contract amount? OR is this a $8,886.25
time and materials estimate?
Will this project utilize American Recovery and No
Reinvestment Act (ARRA) funds?
Specifically, will this project utilize any No
weatherization or energy efficiency upgrade funds
(ARRA or otherwise)?
Does your company intend to hire ANY No
subcontractors?
Does your company intend to hire subcontractors to No
perform ALL work?
Will your company have employees perform work on Yes
this project?
Do you intend to use any apprentices? (Apprentices No
are considered employees.)
How many owner/operators performing work on the 0
project own 30% or more of the company?
Journey Level Wages
County Trade Occupation Wage Fringe #
Workers
King Roofers Journey Level $49.27 6
Public Notes
about.blank 213
1113/2017 about:blank
u Show/Hide Ex ALA Notes
No note exists
about:blank 3/3
State of Washington
Department of Labor & Industries
Prevailing Wage Section - Telephone 360-902-5335
PO Box 44540, Olympia, WA 98504-4540
Affidavit of Wages Paid
Project Detail - Project Dashboard
Document 12/5/2017 Intent 872516 Affidavit 757362 Affidavit Approved on
Received Date Id Id Status 12/5/2017
Your Company Information
Name BILL'S ROOFING INC
Address 11316 216TH ST E
G RAHAM,WA,98338
WA UBI no. 602691571
Contractor Registration no. BILLSR1930K3
Industrial Insurance Account Id 98002101
Email Address billsroofingCcomcast.net
Filed By Lawson,Carrie
Project Information
Awarding agency: KENT, CITY OF
220 - 4TH AVE S KENT, WA - 98032-
5895
Awarding agency contact: Darrel Hammack
Awarding agency contact phone number: 253-846-5079
Project Details
Project name Daryl Dahlquist
County where work was performed King
City where work was performed Kent
Job site address/directions: 15238 SE 272nd Pt Kent, WA 98042
Prime contractor name BILL'S ROOFING INC
Prime contractor registration no. BILLSR1930K3
Contract no. 1966
Prime contractor Phone Number 253-846-0833
Prime contractor Intent form Id# for this project 872516
Dollar amount of your contract: $ 8,886.25
Bid due date 10/10/2017
Contract award date 10/19/2017
Intent filed date 11/1/2017
Job start date:MM-DD-YYYY 11/22/2017
Date work completed:MM-DD-YYYY 12/4/2017
Project Completion
Did your subcontractors perform all work on this No
project?
Did your company hire any subcontractors? No
Did your company have employees perform work Yes
on this project?
Did this project utilize American Recovery and No
Reinvestment Act (ARRA) funds?
Specifically, did this project utilize any No
weatherization or energy efficiency upgrade
funds (ARRA or otherwise)?
Company Owner Information
How many owner/operators performed work on 0
the project that own 30% or more of the
company?
No company owner added.
Affidavit Subcontractor(s)
No subcontractor is selected for this affidavit.
Journeylevel Wages
County Trade Occupation Wages Fringes # #
Workers Hours
King Roofers Journey Level 49.27 6 46.00
Apprentice Wages
Public Notes
o Show/Hide Existing Notes
No note exists
HOUSING AND HUMAN SERVICES
Merina Hanson
Housing and Human Services Manager
220 4th Avenue South
0' Kent, WA 98032
KEPT CITY OF KENT Fax: 253-856-6070
`""o"'""°` HOME REPAIR PROGRAM
Award'' Of Contract PHONE: 253-856-5070
b1PdNWNWII�WWWdOtlON101MOfNN DIIDWdWO%NINRNNAY
Client: Daryl Dahlquist Date: 10/19/2017
Case #: 1966 Phone # 253-631-2906
Address: 15238 SE 272nd PL Kent, WA 98042
Contractor: Bills Roofing 11316 216th St. E. Graham,WA 98338
This letter confirms that your company has submitted the "lowest and best' bid for the
above referenced project.
The following permits are required for this work:
❑✓ Building ❑Mechanical ❑Electrical
❑ Plumbing ❑ None ❑Other:
Please obtain the necessary permit(s) and submit one copy of each permit to the Kent
Housing & Human Services - Home Repair Supervisor within ten (10) working days from
the date of this Award of Contract.
If no permits are required for this project, a Notice to Proceed will be issued to you within
five (5) working days from the date of this Award of Contract.
If permit(s) are required, a notice to Proceed will be issued to you within five (5) working
days from the date the copy of each/all required permit(s) are received by the Kent
Housing & Human Services - Home Repair Supervisor.
NOTE: YOU ARE NOT AUTHORIZED TO BEGIN WORK UNTIL A SIGNED COPY OF
THE PUBLIC WORKS CONTRACT IS RETURNED TO KENT HOUSING & HUMAN
SERVICES- HOME REPAIR SUPERVISOR AND A NOTICE TO PROCEED IS ISSUED
FOR THIS PROJECT.
This Award of Contract is not valid unless signed by an authorized representative of the
City of Kent.
Merina Hanson l' lU'fq'17
o Authorized Agent ma ,Services Man g Date
m
Y Darrel Hammack "6 —
. .,..............
3 Authorized Agent Home Repair SoKpervisor Date
3
e' MAYUR SUZETTE GooKE mrvmmmwwwuwwwuuuuuu mwwwwwwwwwwwwwwuwiwwiwwwwwwwiwimuuuummimimmummuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuummuuuuuuuuuuuuumummmmmionwwwarwuuu omumwmmmmmwwwuwuowuwwwMomw
City of Kent Parks, Recreation &Community Services
Julie Parascondola, CPRP, Director
Oro HOUSING AND HUMAN SERVICES
Marina Hanson
wi "� ' Housing and Human Services Manager
% 220 4th Avenue South
C Kent, WA 98032
K E N T Fax: 253-856-6070
w i.II.xITo
CITY OF KENT PHONE: 253-856-5070
HOME REPAIR PROGRAM ww �mm
NOTICE TO PROCEED
DATE: 11/3/2017
Homeowner: Daryl Dahquist Phone # 253-631-2906
Address: 15238 SE 272nd PL Kent, WA 98042
Contractor: Bills Roofing
11316 216th St E,
C�rahanl...wn .QR $_........_,........_.
You are hereby authorized to proceed with the work described in your bid proposal
and Construction Contract dated 10/6/17 for the above referenced project.
Please contact the homeowner within five (5) working days of the date of this Notice
to Proceed to arrange for commencement of the work and notify (by phone at 253-
856-5065 is acceptable) the Kent Housing & Human Services Home Repair Field
Supervisor of your intended start-work date. Copies of any applicable permits
necessary for completion must be received prior to initiation of work. Work must
commence within fifteen (15) working days of the date of this Notice to Proceed and
must be completed within twenty (20) working days (four (4) calendar weeks)
following commencement of work.
Following completion of work, contractor shall obtain satisfactory final inspection on
any/all required permits and then submit a final invoice for the project to the Kent
Housing & Human Services - Home Repair Supervisor. The Notice to Proceed is not
valid unless signed by an authorized representative of the City of Kent.
Merina Hanson
Authorized Agent m n Services M nager Date
3 Darrel Hammack
Y Authorized Agent Home Repair ProgramvSupervisor Date
3
3
3
a MAYOR SUZETTE COOKE wwwwnwwwwuwwwwwwaewuwwwwwuuuuuuuuuuuuuuuuwwuuwwowwwwwwwuuuwwwuww o wmmimmnuwmimimwwmmwumuwmwwwwwiwmmmimuuuu
City of Kent Parks, Recreation &Community Services
Julie Parascondola, CPRP, Director
Request for Roofing Bid
Client Information: Darrel Dahlquist
Kent, WA 98042 '
Phone: 253-631-2906
Bid Due Date: October 10, 2017 by 4:00 am
Bids may be submitted via
Fax: (253) 856-6070
Email. [)i7 arrairl;y_g;k(aakr g_itwt�.,ctcav
I Paitl pr in,person; Kent Housing & Human Services
Attn: Home Repair
220 4'Avenue South
Kent, Washington 98032
Scope of Work:
Provide all labor, Permits, equipment and materials necessary for removal and replacement of
existing asphalt composite roofing material, Hall off and dispose of all debris in a acceptable
facility. Color to be determined by home owner.
Bids are to be submitted at prevailing wage rates.
Time of Completion:
Work to be completed within two weeks after issuance of City's Notice to Proceed.
Small Works Roster:
Successful bidder must have a registered account with NIRSC Small Public Works Roster
with City of Kent listed on account. Please visit wwmv mr10--saute r^_-.9rg or call
(206) 436-3798 to check account information or for questions about MRSC registration.
Insurance:
Successful bidder must provide a Certificate of fnsurance:fpr tl7ism prodect and a
s_e arate endorsement narninc _the Ci of Kent as additional instr_r_ed as described
in Exhibit B of the contract documents (sample attached).
Warranty: Include complete service/product warranty description
Vendor Set Up:
Please fill out the attached Vendor Set-up Form only if this is your first time working
with the City of Kent or if you have had a change in information since last registering.
BASE BID
t+v
1 Materials $
2. Labor
3 Washington State Sales Tax (9.5%)
SUB TOTAL: $ y 2$�
Permit (Not Taxed) $_ ✓ m 11-z�
TOTAL BID:
Submitted by: (Company Name):
Contact Person: _i ��
p
Business Address:
Phone: Fax: /V '-
Signature:
Please direct all inquires to:
Kent Housing & Services Home Repair
Attention: Darrel Hammack, Home Repair Field Supervisor
City of Kent
Housing & Human Services Division
220 4th Ave S.
Kent, Washington 98032 Phone(253) 856-5065 Fax:
(253) 856-6070
WA Contactor Rag.# , , .. d�- ."a •," .,,�.'"� a-..,,, ,, `
r a r !
1�
j HILLSR1930K3
Flooded and Insured I
Bill Lamson,Owner
113'1,6 216°a Street East, Crahanl,WA 903:3B pBBBp f
eUixo
Puyalhip/OI ah rot(253)84&0833.'racoula(I'1,53)565.2362
'south King County(25;3)83:4184a a Olympia(360)943-7OB3
' OU tree 1-(888)-840-0033 •Fax(253)846-11,51
j Email:billsI-oafing@corncast.net
n
_ Date: 1.0
mate submitt 6(97
Estied to. �- _ ._
Work to be performed at:
Uarrel Dahlquist -- -----
152
38
Kent,WA 98042
y...------ _,.__....�...__.._m.._._....�._ z53,631-240G
l
Bills Roofing, Inc.will provide the following services
1 Remove existing(1) layers of old roofing material and properly dispose
Inspect and replace any bade plywood Ca?$45.00 per sheet as needed
Install 3xi,gutter Metal on all gutted-edges
Install[hip metal on ail rake edges
Install 30#Saturated Asphalt Felt paper according to manufacturer's specitacatiotns
Install 30 year,/ lifetime Lalnlnated Asphalt Shingles according to manufacturer's specifications
Shingle products to be Mailed wish electro-galvanized roofing nails ;according to manufacturers specifications
Install 26 gauge step ifashings on all wall runs
Install new pipe fleshings on all vent pipes
Install any functional vents (IC.Kitchen,bathroom,etc.)
Install a continuous ridge vent system on all horizontal peeks
Securely flash chimney with 26 gauge metal
Install new ridge shingles
l
jClean roof,groundv,and gutters of excess materials and debris
CertainTeed Landmark Color:
aRa uaV all ( 868t 25
Vurrff'mnit $ 300,00
7 year workmanship warranty
I I
lR'7Pkaupir You u
Voallauauu fed nay JefI`u;:knuauuaquifusjk l
251 32,1,.,asafV'f
i
Bill's Raofiaag was rated 100%ill the recent KOMtl Poll of the top 49 Roofing Contractors in King and Pierce County
Aatd supports an A+rating 1aitif BBB
,Angle's East,and Check Book j
be as
f vibrations duringaconstru tons,i es dust/debris between tongueand groove boards,
fixtures nd hung items not properly fast
ill y g r or exterior due to
etc.Any unauthorized activityon roof or non-payment in full voids all warranties P P Y fastened,
k Credit card payments are accepted with a 2/o finance fee.After(10)days from invoice date,the account becomes past due and Is subject t
B to a 1.5%per month finance charge. Customer agrees to pay all attorneys'fees and casts in the events of any need for collections.
Authorized&pr, tut'e._, .Date:
No. 017-600 Northwest Roof Service, Inc. Page 1-1
801 Central Ave N • Kent,WA 98032
Seattle Bellevue South King County Tacoma WesternWA
206.624.1102 425.454.2079 253.859.0903 253.627.1567 1.800.244.4705
FAA:253.850.3580 Emailtmerler(angnwroof.com www.nwroor com
Merle Reeder ROOFING PROPOSAL&SALES AGREEMENT October 12, 2017
Salesman Contracturs Registration No.NORTHRS088DW Date
Proposal Submitted To Work TO Be Performed At
Name City of Kent Home Repair Name _Darrel Dahiquist
Street 220 Fourth Ave. S. street 15238 S.E.272ni1 PI.
City/State/Zip Kent,WA 98032 City/State/zip Kent,WA 98042
Contact Person Darrel Hammack Contact Person Darrel
Telephone /Cell 253-856-50651253-856.5079 Telephone /Cell 253-631-2906
Fax / e-mail dhammackor,-7kentwa.gov Fax / e-mail
Bids i"tart Tear off ex'islirve and install new laminate s'bfneles
1. Tear off existing roof system down to decking&dispose of at a proper facility
2. Install new Yz"cdx plywood over shiplap sheeting to provide a warrantable surface for new roof
3. Remove any damaged or rotten fascia or rake boards at an additional$9.00 per lineal foot installed.
4. Install 30# Safeguard Synthetic felt as underlayment over new plywood
5. Install new 26guagc,baked on enamel, 1"x 3" cave starter metal at all eaves(brown, black,white).
6. Install new 26guage,baked on enamel, 2"drip metal on all rakes(brown,black, white).
7. Install new metal flapper vents at kitchen and bath fans as necessary (New insulated flex pipe installed in attic extra).
S. Install new"no-caulk" flashings to all plumbing pipes
9. Re-use existing gas pipe vents and flashings
10. Install new flapper vents as necessary for kitchen or bath vents(any piping necessary will be at extra cost)
11. Remove existing ridge vent and install new ridge vent
12. Install new Owens Coming laminate shingles over underlayment at 5 5/8"weather exposure(tell riooLmur let be nailetb nol staraletl)
13. Install pre-manufactured hip&ridge shingles to all hips and ridges as needed. (Color to match product chosen).
14. On a daily basis, all debris generated by N WRS will be cleaned up and/or organized in a prompt, discreet, &professional manner,
Note: Any additional work not outlined above will be at additional charges of$75 per man hour plus materials
Product Options: Investment Cost._(Price Valid.For 30I�s). Workmanship WarrmuX Manufacturers Warranty.
Owens Corning Oakridge $9,499.00 Plus permit&sales tax Five YR Limited YR
Lifetime
Plea cr rhnnce r_nl n_re
At such time as the contract price has been paid in full,this roof will he guaranteed in writing against leaks due to poor workmanship and defective
materials from the date of completion,See options above.
Conditions of Sale
It is mutually agreed between buyer and contractor that the information listed herein represents an order to purchase the described products and services. Acceptance
of this order by NORTHWEST ROOF SIiRVICE,INC.shall complete this Agreement. No verbal statements or other agreements shall change any part of this
contract 'Title to the described products passes to buyer when products are installed at the address shown on this contract or delivered to the buyer for selfusc. Each
person signing this contract signs as a principal on behalf of tta named parties and himself,personally_ 'I his order is payable when NOR HWES I ROOF SERVICE,
INC.determines that the installation or product shipment has been completed Should the work be in progress more than thirty(30)days,a monthly invoice shall be
mailed on the firs(of the month for work completed to date.The contract price includes a 5%cash/check discount.Buyer agrees to make payment within ten(10)days
of each invoice date. If payment is not timely made,contractor may,at its discretion,cease working on the job until payment is made_ Allen ten(10)days from the
invoice date,the account becomes past due and is subject to 1-1/2"`�per month late charges for business and commercial work and 1%per month for residential work
from the date of the invoice. In the event a past due amount is referred to attorneys for collection,the contractor shall receive attorney's fees,court costs and expert
witness lcea in addition to any amounts due on the past due account_ Both parties consent to jurisdiction and venue of the courts of King County,Washington.
Transportation charges are included in the final sales price unless specifically noted in this Agreement, All payments shall be made to NOR"I I l W FS'I ROOF
SERVICE',INC.,801 Central Ave N,Kent,Washington 98032,or such address as shall be designated by NORTHWEST ROOF SERVICE,INC. In addition the buyer
agrees to read the contractors disclosure and disclaimer on the reverse side of page one of this proposal and agrees to the terms and conditions listed herein
Buyers Approval Date NRS,INC.Supervisor's Approval
10/10/2017 09:28 253--941-99B5 FEDEX OFFICE 5151 PAGE 07
CITY OF KENT
KING COUNTY, WASHINGTON
BIDDER'S PACKET
FOR
KENT HOME REPAIR
Phone: 253-856.5065
Fax: 253-856.6070
BID DUE:
r1 _ 2 17
AT
KENT CITY HAIL
HOUSING &HUMAN SERVICES
220 4TH AVENUE SOUTH KENT,
WASHINGTON 98032
Darrel Hammack
Home Repair Field Supervisor
� T
W-sHIN070N
10/10/2017 09:28 253--941-9985 FEDEX OFFICE 5151 PAGE 08
Request for Roofing Bid
Client Information: Darrel Dahiquist
15328 SE 272nd PL
Kent, WA 98042
Phone: 253-631-2906
Bid Due Date: October 10, 2017 by 4:00 pm
Bids may be submitted via
Fax: (253)856-6070
Email': Dh daD-mp-c—k&-keniw-q,g®v
a-11 or in Person: Kent Housing & Human Services
Attn- Home Repair
220 a Avenue South
Kent,Washington 98032
Scope of Work:
Provide all labor, Permits, equipment and materials necessary for removal and replacement of
existing asphalt composite roofing material. Hall oft and dispose of all debris in a acceptable
facility. Color to be determined by home owner.
Bids are to be submitted at prevailing wage rates.
Time of Completion:
Work to be completed within two weeks after issuance of Citys Notice to Proceed.
Small Works Roster:
Successful bidder must have a registered account with MRSC Small Public Works Roster
with City of Kent listed on account. Please visit www.mrsCrosters.org or call
(206) 436-3798 to check account information or for questions about MRSC registration.
t
Successful bidder must provide a Certificate of Insurance for this project and a
soparate endorsement naming tho Clty of Kent as additional Insured as described
in Exhibit B of the contract documents (sample attached).
Vendor Set Up:
Please fill out the attached Vendor Set-up Form only if this is your first time working
with the City of Kent or if you have had a change in information since last registering.
10110,2017 09: 28 253--941-9985 FEDEX OFFICE 5151 PAGE 04
BASE BID
t• Materials $ � 7,
2. Labor
3. Washington State Sales Tax
f rya 3 °7
SUB TOTAL:
Permit(Not Taxed) i 0b'C®
TOTAL BID: s l C7 � ; 7 5
Submitted by: (Company Name): " rrr
Contact Person:
Business Address: ' f7 p ppe 3
Phone: 22, � `�1 Fax:oZ.54 [
Signature:
Please direct all inquires to:
Kent Housing &Services Home Repair
Attention: Darrel Hammack, Home Repair Field Supervisor
City of Kent
Housing&Human Services Division
220 4th Ave S.
Kent„Washington 98032 Phone(253)856-5065 Fax:
(253)85&6070
10%10/2017 09: 28 253--941-9985 FEDEX OFFICE 5151 PAGE 01
Hello Daryl - SUBTOTAL 10,637.50
TAX(101%) 1.063.75
This is an estimate for Work to be completed at TOTAL $y y j701.25
the following address:
15328 SE 272 Place
Kent, WA 98031
Please let us know if you have questions or
concerns.
Thank you,
Shelia Proby
Business Manager
Zachary Maintenance Services
Accepted By Accepted Pate
10/10/2017 09: 28 253--941-9985 FEDEX OFFICE 5151 PAGE 06
1002017 /'` ` Gmaii-Fwd:Roof bid for Daryl Dahiquist
Gmapi1 Yusuf Reglste SR<registeyr@gmail.com>
Fwd: Roof bid for Daryl Dahlquist ��
1 message
Hammactr,Darrel<Dl-l0rnmack@kentwa.g0v> — Thu. Sep 28,2017 at 10:19 AM
To:"reglstoyrftmail.coe<reglsteyr@gmM1.com>
Sent from my Phone
Begin forwarded message;
From: "Hammack, Darrel"<)Hammack@kentwa.gov>
To:"'contactus@zacharymsllc.com'^<contactus@zacharymsElc.com>
Subject:Roof bid for Daryl Dahlqulst
Good morning Yusuf,
I attached the wrong address and phone number for the bid to Daryl Dahlquist, Here is the correct information.
Thanks,
barrel Hammack,Home Repair Supervisor
Housing and Human Services I Parks,Recreation and Community Services
220 Fourth Avenue South, Kent,WA 98032
Main Line 253.656-5065 I Direct Line 253-655.5079
C)hamrtencC�AI,y'enN WA.,�,ou
CM OF KENT,WASHINGTON
KentWA.gav Facehook Twitter YouTube
PLEASE CONSIDER'lHE ENyaRONMI NT REFLRF PRJM-FJMC TTiTS E-Ma3,rL
2 attachments _....�...,....M..-..,-_......s.. ....»..,....M.r«,...m,w..........,,...
Darrel Dahlquist Invitation to Bid(updated Nov 8 2016).pdf
1717K
ATT00001-htm
1K
10/10/2017 09: 28 253--941-9985 FEDEX OFFICE 5151 P:;GE 02
Zachary Maintenance Services,LLC St�mat@
2747 SW 331 st Street
Federal Way,WA 98023
(253)517.7421
contactu,g@zacharymsilc.com
www.zacharymallo.com
1u 14t'n Irv✓ k, e t:--. !lf t Y.-�.°,",, �.:
Mr. Darrel Hammaod
City of Kent Washington
220 Fourth Avenue South
y,, Kent, WA 98032
r "f4bAlT�,�f,ii
ES _DAL005 10101/201�7 �..�.
Tf .
.' FhY 1 r 5 .n ..+. F tk '7L FfA7E
q'A�.e A"V
Jdl f� v > �� Y "• , N`A 9 lip I
,N'r
SCOPE OF WORK
DEMO&REPLACE EXISTING ROOF:
`Remove old shingles„felt paper,vents,boot,fleshing,and drip-edge
'Install new under layer batement felt paper,shingles,Vents,boat,flashing,
drip-edg%and caps for pipe, using rOufmg nails,start-up shingles, and step
flashing.
*Install new gutter around edges
'Install new down spouts elbows
Clean area around dwelling
Labor 1 6.500.00 6,500.o0T
General Contractor
Material 1 2,600-00 2,600.00T
All materials listed in scope
Hauling&Dumping 1 150.00 150.00T
Haut debris to dump
Other General and Admin Expense:F&A 1 1,387.50 1,387.50T
Facilities and Administration
10/10/2017 09:28 253--941-9985 FEDEX OFFICE 5151 PAGE 09
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
BLANKET ADDITIONAL INSUREDS -
O"Vwl''NERS, LESSEES OR CONTRACTORS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Policy Number: NA115238701 Endorsement Effective: 3/29/2017 12:01 a.m.
Named Insured Countersigned y,
Zachary Maintance Services,Di Zacttary Maiutauce
Services
�prr W SCHEDULE
�Gn pa frson oor oorgail�c onl at the Hamad insured is obligated by virtue of a written contract or
agreement to provide insurance such as is afforded by this policy.
Location:
(If no entry appears above, information required to complete this endorsement will be shown in the Declarations
as applicable to this endorsement.)
A. Section II—Who Is An Insured is amended to include as an insured the person or organization
shown in the Schedule, but only to the extent that the person or organization shown in the
Schedule is held liable for your acts or omissions arising out of your ongoing operations
performed for that insured.
B. With respect to the insurance afforded to these additional insureds,the following exclusion is
added:
2. Exclusions
This insurance does not apply to "bodily injury"or"property damage"occurring after:
(1) All work, including materials, parts or equipment furnished in connection with such
work, on the project(other than service, maintenance or repairs)to be performed by
or on behalf of the additional insured(s)at the site of the covered operations has been
completed, or
(2) That portion of"your work"out of which the injury or damage arises has bean put to
its intended use by any person or organization other than another contractor or
subcontractor engaged in performing operations for a principal as a part of the same
project.
C. The words"you"and "your"refer to the Named Insured shown in the Declarations.
D. "Your work' means work or operations performed byyou or on your behalf; and materials, parts
or equipment furnished in connection with such work or operations.
Pfior,___,,.,Baru Wltardjm
If required by written contract or agreement- Such insurance as is afforded by this policy shall be
primary insurance,and any insurance or self-insurance maintained by the above additional
insured(s)shall be excess of the insurance afforded to the narned insured and shall not contribute
to it.
W aJver of Subrogation
If required by written contract or agreement: We waive any right of recovery we may have against
an entity that is an additional insured per the terms of this endorsement because of payments we
make for injury or damage arising out of "your wont" done under a contract with that person or
organization_
49-GIDB 07 11 May Include Copyrighted Material of Insurance Services Offices, Inc. Page 1 of 1
Used with permission
10/10/2017 09: 28 253--941-9985 FEDEX OFFICE 5151 PAGE 05
CERTIFICATE OF LIABILITY INSURANCE 1101412017
014 DA P2017Q17Y }
10f4
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 AFFORDEO BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE. DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUINO INSURER(S),
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDFR, I provisions or be en ofsad.
IMPORTANT? If the certificate holder is an ADDITIIONAL INSURED,the polVcy(lesy must have ADDITIO NAL INSURED
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement- 'A atetement on
this rsrllfloate does not conforlrV haste the certificate Holder In lieu of suchoenndorsement a.
'.PRODUCER 'NAME:
P W (2$ 187A-24Q0 , 283 8b1.2343
ALIMENT INSURANCE MA
a
33509 Pacific Hwy A ANORB alimantins earthllRk.nat
Federal Way.WA 98003-6809 "Isvila kJTOBOING COVEUAce NAae9
UOIVKPRA: eourlt NalVanal i 4urance Com Ian
INSURER WAORER a
Zachary Maintance Services INsul lc:
" INSURE"O;
2747 SW 331st St
Federal Way,WA 98023 N$uRER,T:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER.:
THUS is TO CERTIFY THAT THE POLICIES OR INSURANCE LISTED BELOW HAVE BB,FN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OW MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES 'DESCRIBED HERUIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDMIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
M
IA1R. OLICYEF' UCYIE (LIMIT$
OFINSORANCE DI wvD POtRC+'NUMBEN U MUM
GENERAL LIABILITY EACH OCCURRENCE. 1 1 Q090Q0.
MADE X OCCUR EMI° Roo M 1 1QQQQQMRS EXP AA one prrsan $ 51
A A NA115238701 3129/2017 412W2018 PERSONALRADVINJURY $ 1000800.
E L I MIT AP P LIES PER: GENERNA.AaGREGATE'. b 2000 QQ0,
PEGDT LOC PROAVC'TE COMPIOP Ar,G 1 1 080 000.
C WNEDSI QI.ELIM44gLLAILItY dPMf
ANY AUTO RC b ILY INJURY IPEr p6 roon) S
OWNED 3CRE„OULEO BCDILYINIURY(Pera.a .J) E
AUTOS ONLY AUTOS '
HIRED NON-OWNED FIRATY DAMAO §
AUTDB ONLY AUTOS ONLY (Par ancylenll
UMBMLULDB OCCUR EACHOCCUPRGNCE S
EXCESS LIAR GUyIMa.MAdYfi AGGRROATE $
og0' '.RETENTIONS $
WORKERS COMPENSATION gT TypE
AND EMPLOYERS'EAeanv '—"""'
ANYIPROPRIETORJ"PAREREMI ORCU YAKY/N E.i.EACH gGCEdENT' $ 1 OQQ QfIO.
A OFFICERIMEMEER EXCLUD601 F7 NIA NA115238701 =912017 3129/2018 "
wardatmy In NNl E.L.DISEASE-EA EMPLOY 1.890,000.
tFVyAn do¢crlbe Pntler E.L.DISEASE-POLICYLIMI'f s 1Q009QD..-
If SlPa OF 6PERATtDNE ha6our
RESCRIPYION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 1",A94RIonel RemmA5 1khad,de,mRy be ekod 0 If mom epaAB is requrad)
The certificate holder is also an Additional Insured it required by contract.Primary Additional Insured,Waiver of Subrogation an
Non-Contributory apply per attached form#49-0108.07,11.
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
220 41h Ave South ACCORDANCE WITH THE POLICY PROVISIONS.
Kent,WA 98032 - _
AUTHO D EFREEENTATWE
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0196B-2016 ACORD CORPORATION. All rights reserved.
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