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PD17-555 - Original - North Star Construction & Environmental, LLC - Baffle Support - 11/20/2017
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: t4o r J1 G(�t LtYu�k (✓11V ► Ot�MO� -Q I-l-� Vendor Number: 544 105 JD Edwards Number Contract Number: PP 11 -55-�; This is assigned by CityyCVIlerk's ff Oice Project Name: -I —C IS✓ I Description: ❑ Interlocal Agreement ❑ Change Order ❑ Amendment ❑ Contract j`Other; A, Contract Effective Date: Termination Date: 11 30 11-7 Contract Renewal Notice (Days): hJ IA- Number of days required notice for termination or renewal or amendment Contract Manager: ayl--s418tpepartment: �f�( 5a Contract Amount: Approval Authority: Department Director ❑ Mayor ❑ City Council Detail: (i.e. address, location, parcel number, tax id, etc DI ------------- As of: 08/27/14 Jhr 1111011 KIET PUBLIC WORKS AGREEMENT between City of Kent and North Star Construction and Environmental, LLC THIS AGREEMENT is made by and between the City of Kent, a Washington municipal corporation (hereinafter the "City"), and North Star Construction and Environmental, LLC, organized under the laws of the State of Washington, located and doing business al 420 142"d StSE, Everett, Washington 98208, (425) 787-6271, Contact person: Kurt Schonewald (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: See Exhibit "A" (Dated November 2, 2017) for work to be performed I 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 by November 30, 2017 at 2359 hours, 111, COMPENSATION. The City shall pay the Contractor a total amount not to exceed nineteen thousand seven hundred and eighty three dollars and fifty cents (519783.50), including any applicable Washington State Sales Tax, for the work and services contemplated in this Agreement. The City shall pay the Contractor ninety percent (90%) of the Contract amount upon completion and acceptance of the work by the City, or at such earlier time as the City may determine is appropriate. The City will pay the remaining Contract amount upon fulfillment of the conditions listed below and throughout this Agreement A. No Pay,djgnt and. performance Bond. Because this contract, including applicable sales tax, is $150,000 or less, and pursuant to Chapter 39.08 RCVv, the Contractor, in lieu of providing the City a payment and performance bond, has elected to have the City retain the final ten percent (10%) of the Contract amount for a period of thirty (30) days after the date of final acceptance, or until receipt of all necessary releases frorn the State Department of Revenue, the State Department of Labor & Industries, and PUBLIC WC;RK5 ACRFEMENT- 1 (g20,v 6r, Less arrd No Perfo( mcmce Bond) i j the State Employment Security Department, and until setller'i of any liens filed under Chapter 60 28 RCVV, whichever Is later. Defective or Unauthorized Work. The City reserves Its right to withhold payment from Contractor far any defertive 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 of 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. �.. Final Paymgnrt: Waiver of Claims. THE CONTRACTOR'S ACCEPTANCE OF FINAL PAYMENT (EXCLUDING WITHHELD RETAINAGE) SHAI L CONSTITUTE A WAIVER OF CONTRACTOR'S CLAIMS, EXCEPT THOSE PREVIOUSLY AND PROPERLY MADE AND IDENI IFIED BY CONTRACTOR AS UNSETTLED AT THE TIME FINAL PAYMENT IS MADE 4ND 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 performancC and details of Its work, the City being Interested only in the results obtaired 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 buslness 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 uncler this Agreernert. 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 slate 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 -,o Ch. 1$,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. "Goad cause" shall include, without limitation, any one or more of the following events. A. The Contractor's refusal or failure to supply a sufficient number of properly sKilled workers or proper materials for completion of the Contract work. PUBLIC WORKS AGREEMENT - 2 ($20K w Less and No Pu f0ta)a(?ce Cloud) F, The Contractor's failure to complete the work wlth'm the Lime specified in Lhis Agre.Pment. The Contractor's failure to make full prof prompt payment to subcontractors or for material or labor. U. The Contractor's persistent disregard of federal, state or local laws, rules or revelations, E. The Contractor's filing for bankruptcy or becoming adjudged bankrupt. 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 Lhe 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 data 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 appllcaNe prevailing wage are 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 itternpt, in good faith, to reach agreenrent 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 receif ing 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 ddjustrnent, 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. fhe. 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 QntracL tirre and for direct, indirect and consequential costs, including costs of delays related to any work, either covered or affected by the change. VIYI. CLAIMS. If the Contractor disagrees with anything required by a change order, another written order, or an oral order frorn the City, including any direction, instruction, interpretation, or determination by Lhe City, the Contractor rr�ay file a claim as provided in this section. The Contractor shall give written notice to the City of all clairris within fourteen (14) calendar days of the occurrence of the events giving rise to the claims, or within fourteen (14) calendar days of the data the Contractor knew or should rave known of the facts or, events giving rise to the claim, whichever occurs first Any clairn for damages, additional p wrnent for any reason, or extension of tlrne, whether under this Agreement or otherwise, shall be conclwsively deemed to have been waived by the Contractor unless a timely written claim is made in strict accordance with the applicable provisions of this Agreement. PUBLIC `'JUR'/s AGi1EEMEhT - 3 (:,20K or 1e-, af)a No Performance Bond) nilninii n, (t;r ir 7nr's tnirllr,n r.lairri h:uli in r,I 1 i('_ the irIToII)IatIoII -,e I. foria I stIfner_t 1 ran, 4, nevi hr mT) 5 hrUloty. ,rAlk.URE TO PROVIDE A COMPLETE, WRITTEN NOTIFICATION OF CLAIM WITHIN -I' TIME ALLOWED SHALL. BE AN ABSOLUTE WAIVER OF ANY CLAIMS ARISING IN ,r, .A' WAY FROM THE FACTS OR EVENTS SURROUNDING THAT CLAIM OR CAUSED Lt,' rr'I-,.2,T DELAY, Notice of Maim. Provide a signed written notice of clalrn that provides the following r,forrnaticn 1.,. The date of the Contractor's clalrn; L, 1 he nature and circumstances that caused the claim; 3. The provisions in thls Agreement that support the claim; 4. The estimated dollar cost, if any, of the claimed work and how that estimate was deterrnlned; and 5. An, analysis of the progress schedule showing the schedule change or dis-upllon If the Contractor is asserting a schedule change or dlsription, kecords,. I he Contractor shall keep complete records of extra (_oats and time incurred as a insult of the as_erted events giving rise to the clalrn. The City shall have acres to any of the Contractors records needed for evaluating the protest The Clty Will eVohJd(P all claims, provided the procedures In this section are,follovved, If the City det:errrines that a claim Is valid, the City will adjust payment for work or Lime by an equitable adjusnnent No adjustment will be n-rade for an invalid protest. CprAraceor`s Dntr,_to_Con rypNgLg,_P?rute.,tec_Vb`grk. In spite of any claim, the Contractor shall proceed proinfitly to provide the goods, materials and services required by the City under Uhl-) Agreement. L Falifzie tg Pr�ptoyL yQnsti_tutes lNalvyer, By not protesting as this section provides, the Contractor also vvalves any additional entiderneur and accepts from the City any written or oral order rincluding directions, instructions, interpretations, and determination). rallufe M follow Waiver. By failing to follow the procedures of this section, the Contractor completely vvulves any claims for protested work and accepts froin the City any v nUen or oral order (including directions, 'mstructlons, interpretation;, and determination). IXo 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 N/ORK IS COMPLETE OR CONTRACTOR'S ABILITY TO FILE THAT CLAIM OR SUI- 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 .4grcenrient In accordance with the provisions of this Agreement The Contractor shall promptly correct all defecl,; In workmanship and materials. (1) when Contractor knows or should have known of the defect, or (2) upon Contractor's receipt of notification front 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 wor 1, 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 sever (1) calendar days of its receipt of -,oboe from the City of the defect. If the Contractor does not accomplish the corrections wlthln 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, NrV,I_TLbr/ni.o , /•OPt HrI%jl - 4 (4;znA w I end No Tr rh,rmwo? f3undT It I I WSCRIAWANW, In Mu hkmg nP employees for he peiroynance of work under Wis Awecilip'n o' any null -cunt, ,rt, the Cunl,roctor, its our or- any teposi Want onbehairg the Contra= or—wh contractor ;hall not, by rpaocin of race, religion, color, red, age, sexual adentation, rinuo"d—owHri or dR, pmsQrwo it any cannery, mental, or physical dwab&Q, dischrinhoW agawY any penon Mw o quArked and 'Cr,,ndahletc, perfrorrc he vvoikt;n ioloah IIAPearldoymont. relates. .owraccor shih cxwuLn Into allzchod illy A Kent Equal Employment Opprolnunity PW&y Cap[ kradwo, Comply win 74,; AdwomrstralIve PNwy W, and upon crunialeUchi vr the contract: Wool Me the WmHhainw Stolorniont. ,imrI, Y7N,DEMN61FTCATION. Contractor shall defend, urden-InKy and hold be Coy, 15 utucer,,n oftwok, Qwphyrtw, agaves and volunwas ba"cidpos from any and all dams, injuries, damages, Iossces or runs, Madwar all Quit coon and attorney fee% ansino out of or in connection MW the (Intraw"s porroirr� iriro of Ifus Ameornent, except for twat portion of 1-hu in, imps and daiviattn:. caused by thy; City's ricglig(.Inr I, 1 1 (' City' on J;u.eptanoe of any CA Contractor's Wool When WnWebed JM not be yround, to avuul any ul Now, connants of Inder-rurincabon Th ,11(; u rourt, of (omfoAxint: )unidwhon detenrinvie ghat U'vI, Ayrea=irrent is sulded to ROW 1 14A 1F Mp, in We psonit of HahAty fur darnages ansirg out of bodily injury-to ppryons or dam apes to P1 OP011 LOCSQU by or nvuhnng por Pthe concuHpnr negligence of the Contractor and the Coy, IS UNNers, offmaik anWhWow, agman dnd vadunbcoin, the Corfltactor'4 (firty to defend, ii isarinuAto, and [)(.)to the City howur—, and Conha,-ino':: halbilhty accruing Morn that ubhpatJon Shall be only to t1w, extent of in(-.', negligence. if PA FUR111-10 5WTHCAl ! Y ANI) IXPJ-If-.So-o,Y UNFALR51-OCID THAT THE INf)FlvlNIHA-,A i ION PROVII10 Q PHN 2CASIDUIFS, THIS 0-MJI-RACTOR'S holOn/Ek OF IMMUNITY nhdaFR INDUSTRIAL INSUPANKY, I [ ILL 51 Ri7o" 01 Fly FOR THE PURPOSES OF THIS MDFbINIFI(-ATJ()N. IliF IIARJJF� -UP19rR ACKNOWLEDIElp"T THEY [MW n tI�r, swan( C"oul WdAnt(ALISH tender of defense in any quit or any danin, A that tender was made pursuod 0 1 W in New if'tjur clause, and I that reNqM Ps sulasequi dy determined by a court having jiriu "rjc_!r.n for othor agreed :hNnQ to have been a wrongfuk"enjoal on the Cor-oradbor's pan, Awn Cortravinic hjwdkpay all t1p 7Q"b cocts for QQN, urchchng all icasonalbin expyi: Whom fem and rew,upwne aborrwys few, lWHS the ( iy's legal cosh and pop-,, incurred because there was a wrongful rc,fnrsol an Onc Conti acIor'! pai 1. ivii-onvaiwans CA INS ubon rWaH survive the exphabon car terninmeoluarcof thisAgrepmenL NAIL INSUR,5rnCF- The Contractor shall procure and WHAIM for the auration of the, Agwi,mvInf, wAunvinco of the Lyons and In the annoururs clawilaed in Exl-W 3 atinadied and inuorporared At, thin Nurvinom XTW WORK PERFORMED AT CONTRACTORT RISK. Contractor shall take a I necessary precaution; and shall be responsible for the safety of Is employees, agents, and subcontractors in the perfomnyms or floe roro,acf work and shall WoInIe all protection necessary for that purpose, All work shall be done at Cnnytractor'f Lawn -6, and Contractor shall loc responsible for any has of or damage to ricatunak, Login, or other amities used or held for use in connection winn this work. x V. 141SCELLANEOLJS PROVISIONS. A Rwoxogjjlo 11-nrepos Pursuant to Chapter 3 80 of the KLiv- City Code, the City i1equinea it,, con[:r'✓otor" nnd ronSullar)t , to use recy('IEYI arid recycAWe products wheireC/ci pia(IrcaNe. A W wo prehnowe nay oe awalAbw Fro any designated recycled pioducl- B oon jearvpr & Wadh The Wow of the Irly to most upon strict. perhorrrance of any oU the, covenants -wir anjre(!ru-in�I contained in Mos Agroomerol-, or to exerTirw ariv oprion ocrAerred by this o /fit (j I f1; a_ia ,s, 1,liall not ho CuIPAHnad to he a waive or lodmqw1unima W llhm,� rowr„ , naf Ifi , inf,,inta a, oota .,ins, and Lho nanim"hah no and remanniH Adl Your, and Ptfect. ji.h.,00 _T Pi,piiie,,, .uncj (.,ovei roloni [anv TImr, Ameem"M QMM powernQ by any on 'I If , i 1 01 a 14 1 1 A '"Any am I)I tht, 5taio (:nt VVa,4 I I ngto I I h thi, lial-Hr", ano knoilhil, to 'n-,Iflr ala, rfi,qHH7 aw 'r in D or :iron."m off Hum thin pni peal'unfidni at Rds da_� E�x(lranuve rnii,siis of I : Ill !, 'I an"jI, ! nEs--iHn or ddmn shall oily be by hlmq qnit (fMWSWeN LMdM tho vmv, ruPs ,.rid rim, I [ If) d tra . r If,! CianIll/ a>uta'nor Cairo, Kiwi (,.:(Huntay, Mial-winufton, Iiiflkaa�, tJIQ halti aqn_," In ijrifliiij to f) iini fiaf.la,r dh nul- If hroi_( ;k In any damn ow Ibafowuik WE damage, amnag Hour the luu I. Hill I ( e of n= E":)nePIrH(:oIH, each party QYH pay ad to Irq fmq; ond attominy's Aven wwred In a-,, I f ')'IInIqH) i i),I) <Him Of av"ounI., ancluding aH ammwn pro addidon [o any Older ieLovery of ayarck"n\ k—J n,r Ina„ if "AN, ';ole,,Pvm, nuning in rNs paraq;UNA -,hull be construou Lo IIII Hla, City IHPK f,, li Ia nflil � MIIH) HH�J ,l _Haiiholr all of fill!, AgleE'Icollh, F) Men notn" o1i minnandraborm REgarding tons Arjumnant WME; sent to the wrihm, an, ZAI,- irsdin <, I, I od cr I(al Ji e adclee of the Agwomenon undoes nobned b; the' cuMory. Any wriLLen nobc e HE, on r car 4nK , iron T Wayne Me (0) her inert days aM thr', datp of I I railinjol 1.)y rofti;;tmd or Ce'ln"n I I I ]I nri aI hi, ol...mod givian p smy to 0 e ddcrommin al. the addinnotaded a Qi,5 All , oinniii H !(I) (dion Mini a -ta imely he heic,.,HIf,r hyi.,carde'd an writing. :qmin ant Polrf' JYHamnwnl. of tian Agreindmunt by el hm party wMA Jm MAn curinsit (iI Ac, 11''1, 1 1 Mina pfdy " aill b", Vold, If UH? Pady gir/o!, 1.s- COloeont to fsnv a'a'KnincElit, cinj n'i I[ � f ,I An,al:meet 1) U sort if I I n HE fall I'll nir canal ede(I, a ref I)() fol ythel 3s'-AgI llha.l It alhdil bP I tkarl, n,ldhimirall <aqceiHt_ I'ladidr-stliali. Na) fv,)imer, akeraVon, or modificadon no any of' the brovr;infrv, of 11-ir-, Aiflo,C)u 1 11, hall HE) hinalunq mat ny; In foilldmi and Yupol by a dWy millmmed epranontakwo of Una City and ( on P I xAm I A01,61'"OE'l 1. Ho, VE1,11'r2o hII)VISIMS and Unnon or ON 34y71a rinenh, tonjecher a011i any ErIhilot aw clad he PY4 Ian nnMwrsedo all ctior veax,al malmmenIn of any Mil -er or War Of rho _Q , nild 'd, -h HE "I"S Vall iat be Minor, or inxiskuk a, -win-,Hning into or loi ninnis <1 part of or awn W in, Knv na<flan er 1P. Agremnenii, All of the ahlavc., Cloculinoines c'na-, h,crObs, in,,irle a pact of this, Aqlccirit IP Kom vm, KmW any onquaqv in any of the Ldursks to this Agreement, card-Ok"All any ial`lgil 0 In thin, porf oinnyin I I Eof anh Agreement Oral! prevail I anlool inn,o oall I fwa., IHH Contra(lor agreeb to aunyYy a,in OH Walsh Yale, oral mallinil )I i "'n indr-, unit fraoindUons ALI am HOW ROYCM, or In 11,f, Artiste becon1w 3plHin"-11bip", to Co mina hu , Nmens, Pi.aTirawnt_ one lynonnek"Irgagrel In opmhrm (n)ven,:Ed liv toH, fer..-twer(cont ro, ,c ( ilwion (,(,I Of the Parfironinai 0 f1F tile, r 1pel'dt!or!',, I Pj1aH_, panrf]Ha A fhH,., Cuntscloo acknowledges that the Cry 6 d pulln agmicy nisinded to thin Noon Rl rui'a A(J ri)(IiIiind in Winona 4156 of the RevnSasid Curse of VV,adilwdon and drocronorta, I'loir, " ocio'lida, 2ind radk'f :sielpaleos or falhe"Ol by Uliv Folcractor an Ifs jlerlformoin(:a, of this Air( )IT )a, n ,, be W m I to pub& rernew and d6irksme, oven it 1-honi, ocorch, airc,r not chodriced to or POanrna, (1 1),,, 1 ip Qy fal WEI An m1r, the Contractin agree, to coopePAP bully MM the My in rani ivying HE,' UH and (Ablia"'infrin, I i der flin Polflic Pe,,oinfn, Al-t, tv 1.3riaona — I nory'l,") Poearnred, Ili!-)r to curninern-ing the (aako,, deaC,ridfyed In I�echa,l Coill, Inti), 'IHlI,?i-,, o fn�')a h, IHoof of a cuilend: catty of Kvit Innulas; hcerm harir,.uarft to ClicipI 5. 01 so 1( Cluntorfs') U, unit, ,irjiiatm( I..Ey Fax or F'di thin AgruNinent, fuay fle nX(naurdl in any nun, ar a , mimailhHat,, ,inh of rnhl,-h ;Irali col sflunite an oritprail, and all of whid) will Loqvidner ConkNole PON 11 of(HaK 1.(rO I MH 'N or /,,,, on ) IV[; PrV Iw, ajo(( ah)ais) 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: I CITY ZENJT By 4 � yy// lsrgnatu�e) CSignature) Prim, rime: f WfV 5+:,t4-PiJaWAt-C> Print Name: Ken Thomas its 0Sa.aY59 0UrA -(- Its: Chief of Police DATE: J p/ T DATE:. I\1 . ......... NOTICES TO BE SENT TO: NOTICES TO BE SENT TO: CONTRACTOR: CITY OF KENT: Kurt Schonewald Christopher Sprague North Star Construction and Environmental, LLC City of Kent 420 142i1 St SE Everett, Wa. 98208 220 Fourth Avenue South (425) 787-6271 (telephone) Kent, WA 98032 (253) 856-5857 (telephone) (253) 856-6833 (facsimile) _ I m mrc iea.v� .,v xwe we riarone ir.er. , nmr:na mmi n«ims ir;e =maa I PUBLIC WORKS AGREEMENT - 7 ($20K or Less and No Performance Band) I i DECLARATION CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY POLICY The City of Kent is committed to conform to Federal and State laws regarding equal opportunity. As such all contractors, subcontractors and suppliers who perform work with relation to this Agreement shall comply with the regulations of the City's equal employment opportunity policies. The following questions specifically identify the requirements the City deems necessary for any contractor, subcontractor or supplier on this specific Agreement to adhere to. An affirmative response is required on all of the following questions for this Agreement to be valid and binding. If any contractor, subcontractor or supplier willfully misrepresents themselves with regard to the directives outlines, it will be considered a breach of contract and it will be at the City's sole determination regarding suspension or termination for all or part of the Agreement; The questions are as follows 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. For. NoILn+ STAR LoNST Ny Title! �iQESI D W-F Date: EEO COMPLIANCE DOCUMENTS - I CITY OF KENT ADMINISTRATIVE POLICY EFFECTIVE DATE, January 1, 1998 AND WOMEN SLPER5EDES� April 1, 1996 CONTRACTORS APPROVED BY Jlrn White, Mayor Eiva employment opportunity requirennents for the City of Kent will confor n to federal and state imys. All contractors, subcontractors, consultants and suppliers of the City must guarantee equal employment opportunity within 'their organizatlon and, if holding Agreements with the City amounting to $10,000 or more within any given year, must take the following affirmative steps _. Provide a written statement: to all new employees and subcontractors inclit:ating arrrunitrment as an equal opportunity employer. 2 rclrivosy consider for promotion and advancement available minorities and women Any M;i IFactor, Subcontractor, consultant or supplier who willfully disregards the City's nondnTirnlnation and equal opportunity requirements shall Lie considered In breach of contract and sun,ect to suspension or termination for all or part of the Agreement. ContracC Cornpllance Officers will be appointed by the Directors of Planning, Parks, and Public Wori< Departments to assume the following duties for their respective departments. 1. i-nsunng that contractors, subcontractors, consultants, and suppliers subject to these rer ulations .ire familiar with the regulalnons and the City's equal employment opportunity Ix;licy, 2� P9onitoring to assure adherence to Federal, state and local laws, policies and guidelines. EEO CO,IPI1ANr E DQCUMENTS - 2 BIDDER RESPONSIBILITY CRITERIA Certification of Compliance with Wage Payment Statutes This certification is required by state law (RCW 39.04.350(2)) to be submitted to the City before the contract can be awarded. The bidder hereby certifies that, within the three-year period immediately preceding the bid solicitation date (Insert Date), the bidder is not a "willful" violator, as defined in RCW 49.48.082, of any provision of chapters 49.46, 49,48, or 49.52 RCW, as determined by a final and binding citation and notice of assessment issued by the Department of Labor and Industries or through a civil judgment entered by a court of limited or general jurisdiction. I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct, Insert Bidder's Business Name By _ -� ;.. - Signature of Authorized Q �idal* Printed Name: 1<'V a"- Title C ®®ts 7y Date ,. ✓_ � ML�._. ..__._,.,_ City and State: *If a corporation, proposal must be executed in the corporate name by the president or vice- president (or any other corporate officer accompanied by evidence of authority to sign). If a co- partnership, proposal must be executed by a partner. BIDDER RESPONSIBILITY CRITERIA - 1 i NORTH STD CONSTRUCT ION &ENVIRONMENTAL, LLC November 2, 2017 City of Kent Police Department 220 Fourth Ave. South Kent, WA 98032 Attention: Christopher Sprague RE: Remove and replace baffle support steel angle and install additional support Thank you for the opportunity to provide pricing for the above referenced project. The scope of work proposed includes removal and replacement of the first four rows of steel angle support, add additional vertical support and replace damaged acoustic insulation at the front of the range. Our proposal is based upon our understanding of the work and is subject to the qualifications, exclusions, terms and conditions listed below. Our bid for the work described above is $17,985. Qualifications/Exclusions: • Washington State Sales Tax is excluded. • Performance and Payment Bonds are excluded. • Power, water and sanitary sewer to be provided at no cost to North Star. • Proposal is based upon straight time work, day shift, Mondays through Fridays. No overtime or premium pay is included in our proposal. • We have included one mobilization only. • Proposal assumes all lead contaminated materials to be disposed of by the Owner. Let me know if you have any questions or concerns. We look forward to working with you in the future. Sincerely, ..1�r26��cez Kurt Schonewald Estimator/Project Manager 420 142na St. SE Everett, WA 98208 Phone (2o6) 999-1287 i i EXHIBIT INSURANCE REQUIREMENTS FOR GOODS AND SERVICES 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. Cora meI'gia,l. General Liability insurance shall be written on ISO occurrence farm 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 additional insured under the Contractor's Commercial General Liability insurance policy with respect to the work performed for the City using ISO additional insured endorsement CG 20 10 11 85 or a substitute endorsement providing equivalent coverage. B. Minimum Amounts of Insurance Contractor shall maintain the following insurance limits: 1. Cgmrrm rciai Ggncrpl LJpbi ity insurance shall be written with limits no less than $1,000,000 each occurrence, $2,000,000 general aggregate and a $2,000,000 products-completed operations aggregate limit. C. Other Insurance Provisions The insurance policies are to contain, or be endorsed to contain, the following provisions for Commercial General Liability insurance: 1. The Contractor's insurance coverage shall be primary insurance as respects 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 EXHIBIT B (Continued) 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. Client#:147810 NORTSTAR20 ACORD,,, CERTIFICATE OF LIABILITY INSURANCE DATE DI 1 0(3112 112 017 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 lawn ADDITIONAL INSURED,the policylies)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 endorsement(s). PRODUCER MANE. Ashlee Wright Propel Insurance PHONE E253.761.3267 TAX UdC,Na N, 1:166 5171326 Tacoma Commercial Insurance L'MAIL ADDRESS .w9 p F ashleeri 81t ro lollnsurance.com 1201 Pacific Ave, Suite 1000 Tacoma,WA 98402 ,,,, .., „Insurance Company COVERAGE NAICM ._... .._.. _... ,,.,,... I INsuRERA Colony Insurance Company ., 39993 INSURED IIIPER s;The 11 Ohio Casualty Insurance Com 24074 North Star Construction&Environmental I INSURER c Ohio Security Insurance Company 24082 420 142nd Street SE INSURER D Everett,WA 98208 INSURER E ING_I_I.FR F' COVERAGES CERTIFICATE NUMBEi REVISION NUMBER: II LY IS 10 CLf III 1FIAT 1HL I':)[CH Ill INFIIIZAM11Cf I II I PL ItWJ HAW H4-:I N I SHL Ia 10 1111 [IJ81IF:LA) NAI„11:1)ANIWL H)H IHI JOIL CY PLI INDICATED NIT I WI IH3TANCIIL0 AN, ITT FILL IIvi1NI, if NM OR CONCIII ION OF ANY CON I LAG I OR LI III I DOCIIfENI WITH HI .PI (IT I „'!HIGH TIII9 (EIR111ICATE MAY IJI L,SUEI) OK MAY PFRINN. THE INSURANCE All OMM-1) BY 1111 FUIIU0::3 DI`CRIHED NJ l[ IN IS ILEA(,I 1O Al I TII U I2MS. )vU USIONIF ANTI C.ONDITIOINi AT 6'DCH I0[liIF9 L.ILLIN IiI10WN MAY WITIF EE6N LI LIUCEI) ITY 'AID 'I'MIRL, 14g IADDL SUOR (( POLICY eLFF POLICY FXP E LIMITS !,,.rib TYPE OF INSURANCE INSR Wye1 POLICY NUMBER dINMIDDIYYYY1 IMAi WYbYYS A X COMAFw Al GENERAL LIASIIUY X X PACEP107410 9/1711/11 09/1712019„ )n II a ko-1 $1,000,000 - r �tTA1N uMYs„ X71L,(.INa $50.000 X BI/PD Ded:5,000 I $5,000 � X !. +,I n s2,000,000� � ii C AUTOMOBILE LIABILITY X X BAS58222035 1111712017 11911712618` en ; ^ 'T n l $1.000,000 1a X I71I ,I T I�1 X I}C I�,.lN . .. A UMSRELLAUAS X X EXC307491 09117120117 09/17/2018 _. 55„000,000 X EXCESS LIAB X 6bl141TA4 c5„000,000 _ Pro � V Pr rr'„1tl 11514;_. ...._ .. INOINFIRS f OMPV NSA rDUN WA Stop Gap 1 1 AND EMPI DYERS II ARLIn YIN -- A I1ma,dlwu bl„NI1rHPAw1Nr F'+DxFUHTIVI U0 - PACEP307490 9/1712017�0911711019" ,T:,IL, $1,000,000 11 I I11 lx*hYFA #In(ItIII[IP ( NIA! Y l 1 `I s1,0o0.000 IIy fLLNl 1r u, ,L1III urovol �Fl:nlR Nu orlox. . ,1 r 1, s1.000.000 A Pollution Liab PACEP307490 OW1712017 09/17/2019 $1,000,000 OCC&AGG $5,000 deductible B I Leased Equip BM058222035 911712017 09/17/2018 $101.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Sf Ws,may I att.si It more space is rI,,.H.d) RE:ALL OPERATIONS PERFORMED BY THE NAMED INSURED. THE CITY OF KENT IS INCLUDED AS ADDITIONAL INSURED AND COVERAGE IS PRIMARY AND NON-CONTRIBUTORY PER THE ATTACHED ENDORSEMENTS.WAIVER OF SUBROGATION APPLIES PER THE ATTACHED ENDORSEMENTS. CERTIFICATE HOLDER CANCELLATION City Of Kant SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 220 4th Avenue South ACCORDANCE WITH THE POLICY PROVISIONS, Kent,WA 98032 AUTHORIZED REPRESENTAHVE ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014101) 1 of 1 The ACORD name and logo are registered marks of ACORD #S29424731M2856091 JMR00 This pqu liaw been le](blankinton(iomalty THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the fallowing: EnviroPACE Insurance Policy SCHEDULE Name Of Additional Insured Person(s) Or Organlzationls) Location lsl Of Covered Operations ......................... Where Required By Written Contract A. Section XX, WHO IS AN INSURED, Coverage Part 1 and Part 2 is amended to include as an additional insured the person(s) or organization(s) shown in the SCHEDULE above, but only with respect to liability for bodily injury, property damage, personal and advertising injury, environmental damage, or cleanup costs caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(sJ designated above, However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement,the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: 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 of on behalf of the additional insured(s)at the location of the covered operations has been completed; or 2. That portion of your work out of which the injury or damage arises has been 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. EPACE101-0914 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 2 with its permission, C. With respect to the insurance afforded to these additional insureds, the following is added to section XXI. LIMITS OF LIABILITY AND DEDUCTIBLE: If coverage provided to the additional insured is required by a contract or agreement. the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Liability shown in the Declarations; whichever is less. This endorsement shall not Increase the applicable Limits of Liability shown in the Declarations. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. EPACE101-0814 Includes copyrighted material of Insurance Services Office,Inc., Page 2 of 2 with its permission. I THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: EnviroPACE Insurance Policy SCHEDULE Name Of Additional Insured Person(s) Location And Description Of Completed Or Oroanizationts) Operations �._._............ Where Required By Written Contract A. Section XX. WHO IS AN INSURED, Coverage Part 1 and Part 2 is amended to include as an additional insured the person(s) or organization(s) shown in the SCHEDULE above, but only with respect to liability for bodily injury, property damage, environmental damage, or cleanup costs caused, in whole or in part, by your work at the location designated and described in the SCHEDULE of this endorsement performed for that additional insured and included in the products-completed operations hazard. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law: and 2. If coverage provided to the additional insured Is required by a contract cr agreement,the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to section XXI. LIMITS OF LIABILITY AND DEDUCTIBLE: If coverage provided to the additional insured is required by a contract or agreement, the mast we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement. or 2. Available under the applicable Limits of Liability shown in the Declarations, whichever is less. This endorsement shall not increase the applicable Limits of Liability shown in the Declarations. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED, EPACE100-0814 Includes copyrighted material of Insurance Services Office, Inc., Page f of 1 with its permission. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON-CONTRIBUTORY - OTNER INSURANCIE CONDITION This endorsement modifies insurance provided under the following: EnviroPACE Insurance Policy SCHEDULE Pereon(s)or 0raanization(s1: Where Required By Written Contract Section XXIII. CONDITIONS, 14. Other Insurance is amended by the addition of the following: This insurance is primary to and will not seek contribution from any other insurance available to the person(s) or organization(s) listed in the SCHEDULE above provided that 1. The person(s) or organization(s) listed in the SCHEDULE is a Named Insured under such other insurance; and 2. You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any olher insurance available to the person($) or organization(s) listed in the SCHEDULE. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED, EPACE107-0714 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1 with its permission, THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF SUBROGATION FOR SPECIFIED PERSON, ENTITY OR ORGANIZATION This endorsement modifies insurance provided under the following; Env1roPAGF insurance Policy SCHEDULE ............... Name Of Person(s), Entity(ies)or Organization(s): Where Required By Written Contract .................... ..................... Section XXIII. CONDITIONS, 17. Subrogation is amended by the addition of the following, In the event of any payments made pursuant to this Policy, we shall be subrogated to any insured's rights of recovery against any person, entity or organization. The insured shall execute and deliver instruments and papers and do whatever is necessary to secure and perfect such rights. No insured shall do anything to prejudice such rights. Any recovery obtained as a result of subrogation, after such expenses incurred In the subrogation proceedings are deducted by us, shall accrue first to the insured to the extent of any payments in excess of the Limit of Liability; then us to the extent of any payments made under this Policy; and then to the insured to the extent of its Deductible. However, solely with respect to Coverage Part 1 or Coverage Part 2. K the insured has waived rights of recovery against the person(s), entity(jes) or organization(s) shown in the SCHEDULE above prior to a loss or claim, we waive any right to recovery we may have under the Policy against such person(s), entity(les)or organization(s). ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. EPACE113-0714 Page 1 of 1 This pago hw bcrn [A hILIA Intentionally COMMERCIAL AUTO CA 88 10 0113 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO COVERAGE ENHANCEMENT ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage afforded by this endorsement, the provisions of the policy apply unless modified by the endorsement. COVERAGEINDEX SUBJECT PROVISION NUMBER ADDITIONAL INSURED BY CONTRACT, AGREEMENT OR PERMIT 3 ACCIDENTAL AIRBAG DEPLOYMENT 12 AMENDED DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS 19 AMENDED FELLOW EMPLOYEE EXCLUSION 5 AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT COVERAGE 13 BROAD FORM INSURED 1 BODILY INJURY REDEFINED 22 EMPLOYEES AS INSUREDS (including employee hired auto) 2 EXTENDED CANCELLATION CONDITION 23 EXTRA EXPENSE—BROADENED COVERAGE 10 GLASS REPAIR—WAIVER OF DEDUCTIBLE 15 HIRED AUTO PHYSICAL DAMAGE (including employee hired auto and loss of use) 6 HIRED AUTO COVERAGE TERRITORY 20 LOAN (LEASE GAP 14 PARKED AUTO COLLISION COVERAGE (WAIVER OF DEDUCTIBLE) 16 PERSONAL EFFECTS COVERAGE 11 PHYSICAL DAMAGE—ADDITIONAL TRANSPORTATION EXPENSE COVERAGE 8 RENTAL REIMBURSEMENT 9 SUPPLEMENTARY PAYMENTS 4 TOWING AND LABOR 7 TWO OR MORE DEDUCTIBLES 17 UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS 18 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US 20 SECTION II—LIABILITY COVERAGE is amended as follows: 1. BROAD FORM INSURED SECTION II — LIABILITY COVERAGE, paragraph A.I. —WHO IS AN INSURED is amended to include the following as an insured: d. Any legally incorporated entity of which you own more than 50 percent of the voting stock during the policy period. However, "insured" does not include any organization that: (1) Is a partnership or joint venture; or (2) Is an insured under any other automobile policy; or (3) Has exhausted its Limit of Insurance under any other automobile policy. Paragraph d. (2) of this provision does not apply to a policy written to apply specifically in excess of this policy. e. Any organization you newly acquire or form, other than a partnership or joint venture, of which you own more than 50 percent of the voting stock. This automatic coverage is afforded only for 180 days from the date of acquisition or formation. However, coverage under this provision does not apply: (1) If there is similar insurance or a self-insured retention plan available to that organization; ©2013 Liberty Mutual Insurance CA 88 10 01 13 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 1 of 7 (2) If the Limits of Insurance of any other insurance policy have been exhausted; or (3) To ''bodily injury" or "property damage" that occurred before you acquired or formed the organization. 2. EMPLOYEES AS INSUREDS SECTION II — LIABILITY COVERAGE, paragraph A.1. —WHO IS AN INSURED is amended to include the following as an insured: f. Any "employee" of yours while using a covered "auto' you do not own, hire or borrow, but only for acts within the scope of their employment by you. Insurance provided by this endorsement is excess over any other insurance available to any "employee". g. An "employee" of yours while operating an "auto" hired or borrowed under a written contract or agreement in that "employee's" name, with your permission, while performing duties related to the conduct of your business and within the scope of their employment. Insurance provided by this endorsement is excess over any other insurance available to the "employee'. 3. ADDITIONAL INSURED BY CONTRACT,AGREEMENT OR PERMIT SECTION II — LIABILITY COVERAGE, paragraph A.1. —WHO IS AN INSURED is amended to include the following as an insured: In Any person or organization with respect to the operation, maintenance or use of a covered "auto", provided that you and such person or organization have agreed in a written contract, agreement, or permit issued to you by governmental or public authority, to add such person, or organization, or governmental or public authority to this policy as an"insured". However, such person or organization is an"insured": (1) Only with respect to the operation, maintenance or use of a covered "auto''; (2) Only for "bodily injury' or "property damage" caused by an "accident" which takes place after you executed the written contract or agreement, or the permit has been issued to you; and (3) Only for the duration of that contract, agreement or permit 4. SUPPLEMENTARY PAYMENTS SECTION II — LIABILITY COVERAGE, Coverage Extensions, 2.a. Supplementary Payments, paragraphs (2) and (4)are replaced by the following, (2) Up to $3,000 for cost of bail bonds (including bonds for related traffic violations) required because of an "accident"we cover. We do not have to furnish these bonds. (4) All reasonable expenses incurred by the insured at our request, including actual loss of earnings up to $500 a day because of time off from work. 5. AMENDED FELLOW EMPLOYEE EXCLUSION In those jurisdictions where, by law, fellow employees are not entitled to the protection afforded to the employer by the workers compensation exclusivity rule, or similar protection, the following provision is added: SECTION II—LIABILITY, exclusion B.5. FELLOW EMPLOYEE does not apply if the "bodily injury" results from the use of a covered "auto"you own or hire. SECTION III— PHYSICAL DAMAGE COVERAGE is amended as follows: 6. HIRED AUTO PHYSICAL DAMAGE Paragraph A.4. Coverage Extensions of SECTION III — PHYSICAL DAMAGE COVERAGE, is amended by adding the following: If hired "autos" are covered "autos" for Liability Coverage, and if Comprehensive, Specified Causes of Loss or Collision coverage are provided under the Business Auto Coverage Form for any "auto" you own, then the Physical Damage coverages provided are extended to "autos": a. You hire, rent or borrow; or ©2013 Liberty Mutual Insurance CA 88 10 01 13 Includes copyrighted material of Insurance services Office,Ina,with its permission. Page 2 of 7 b. Your "employee" hires or rents under a written contract or agreement in that "employee's" name, but only if the damage occurs while the vehicle is being used in the conduct of your business, subject to the following limit and deductible: A. The most we will pay for"loss" in any one"accident" or"loss" is the smallest of: (1) $50,000; or (2) The actual cash value of the damaged or stolen property as of the time of the"loss'; or (3) The cost of repairing or replacing the damaged or stolen property with other property of like kind and quality, minus a deductible. B, The deductible will be equal to the largest deductible applicable to any owned "auto"for that coverage. C. Subject to the limit, deductible and excess provisions described in this provision, we will provide coverage equal to the broadest coverage applicable to any covered "auto"you own. D. Subject to a maximum of $1,000 per "accident", we will also cover the actual loss of use of the hired "auto" if it results from an "accident", you are legally liable and the lessor incurs an actual financial loss. E. This coverage extension does not apply to: (1) Any"auto" that is hired, rented or borrowed with a driver, or (2) Any"auto"that is hired, rented or borrowed from your"employee". For the purposes of this provision, SECTION V—DEFINITIONS is amended by adding the following: "Total loss" means a "loss"in which the cost of repairs plus the salvage value exceeds the actual cash value. 7. TOWING AND LABOR SECTION III — PHYSICAL DAMAGE COVERAGE, paragraph A.2. Towing, is amended by the addition of the following: We will pay towing and labor costs incurred, up to the limits shown below, each time a covered "auto" classified and rated as a private passenger type, "light truck"or"medium truck" Is disabled: a. For private passenger type vehicles, we will pay up to$50 per disablement. b. For "light trucks", we will pay up to $50 per disablement. "Light trucks" are trucks that have a gross vehicle weight (GVW)of 10,000 pounds or less. C. For"medium trucks" , we will pay up to $150 per disablement. "Medium trucks" are trucks that have a gross vehicle weight(GVW)of 10,001 —20,000 pounds. However, the labor must be performed at the place of disablement. 8. PHYSICAL DAMAGE -ADDITIONAL TRANSPORTATION EXPENSE COVERAGE Paragraph A.4.a., Coverage Extension of SECTION III — PHYSICAL DAMAGE COVERAGE, is amended to provide a limit of$50 per day and a maximum limit of$1,500 r02013 Lithely Mutual Insurance CA 88 10 01 13 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 3 Of 7 9. RENTAL REIMBURSEMENT SECTION III — PHYSICAL DAMAGE COVERAGE, A. COVERAGE, is amended by adding the following: a. We will pay up to $75 per day for rental reimbursement expenses incurred by you for the rental of an "auto" because of "accident' or 'loss', to an "auto" for which we also pay a "loss" under Comprehensive, Specified Causes of Loss or Collision Coverages. We will pay only for those expenses incurred after the first 24 hours following the "accident'or"loss"to the covered "auto." b. Rental Reimbursement will be based on the rental of a comparable vehicle, which in many cases may be substantially less than $75 per day, and will only be allowed for the period of time it should take to repair or replace the vehicle with reasonable speed and similar quality, up to a maximum of 30 days. C. We will also pay up to $500 for reasonable and necessary expenses incurred by you to remove and replace your tools and equipment from the covered "auto'. d. This coverage does not apply unless you have a business necessity that other "autos" available for your use and operation cannot fill. e. If"loss"results from the total theft of a covered "auto" of the private passenger type, we will pay under this coverage only that amount of your rental reimbursement expenses which is not already provided under Paragraph 4. Coverage Extension. f. No deductible applies to this coverage. For the purposes of this endorsement provision, materials and equipment do not include "personal effects" as defined in provision 11. 10. EXTRA EXPENSE •BROADENED COVERAGE Under SECTION III — PHYSICAL DAMAGE COVERAGE, A. COVERAGE, we will pay for the expense of returning a stolen covered "auto"to you. The maximum amount we will pay is $11000. 11. PERSONAL EFFECTS COVERAGE A. SECTION III — PHYSICAL DAMAGE COVERAGE, A. COVERAGE, is amended by adding the following: If you have purchased Comprehensive Coverage on this policy for an "auto" you own and that"auto" is stolen, we will pay, without application of a deductible, up to $690 for"personal effects'stolen with the"auto." The insurance provided under this provision is excess over any other collectible insurance. B. SECTION V—DEFINITIONS is amended by adding the following For the purposes of this provision, "personal effects" mean tangible property that is worn or carried by an insured." 'Personal effects" does not include tools, equipment,jewelry, money or securities. 12. ACCIDENTAL AIRBAG DEPLOYMENT SECTION III —PHYSICAL DAMAGE COVERAGE, B. EXCLUSIONS is amended by adding the following: If you have purchased Comprehensive or Collision Coverage under this policy, the exclusion for"loss" relating to mechanical breakdown does not apply to the accidental discharge of an airbag. Any insurance we provide shall be excess over any other collectible insurance or reimbursement by manufacturer's warranty. However, we agree to pay any deductible applicable to the other coverage or warranty. 13. AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT COVERAGE SECTION III — PHYSICAL DAMAGE COVERAGE, B. EXCLUSIONS, exception paragraph a. to exclusions 4.c. and 4.d. is deleted and replaced with the following M13 Liberty Mulual Insurance CA 88 10 01 13 Includes copyrighted material of Insurance services office, Inc„with its permission, Page 4 of 7 Exclusion 4.c. and 4.d. do not apply to: a. Electronic equipment that receives or transmits audio, visual or data signals, whether or not designed solely for the reproduction of sound, if the equipment is permanently installed in the covered "auto" at the time of the "loss" and such equipment is designed to be solely operated by use of the power from the "auto's" electrical system, in or upon the covered "auto" and physical damage coverages are provided for the covered"auto"; or If the "loss" occurs solely to audio, visual or data electronic equipment or accessories used with this equipment, then our obligation to pay for, repair, return or replace damaged or stolen property will be reduced by a $100 deductible. 14. LOAN !LEASE GAP COVERAGE A. Paragraph C., LIMIT OF INSURANCE of SECTION III — PHYSICAL DAMAGE COVERAGE is amended by adding the following: The most we will pay for a "total loss" to a covered "auto" owned by or leased to you in any one "accident"is the greater of the: 1, Balance due under the terms of the loan or lease to which the damaged covered "auto" is subject at the time of the "loss" less the amount of: a. Overdue payments and financial penalties associated with those payments as of the date of the"loss", I Financial penalties imposed under a lease due to high mileage, excessive use or abnormal wear and tear, C. Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability Insurance purchased with the loan or lease, d. Transfer or rollover balances from previous loans or leases, e. Final payment due under a"Balloon Loan", f. The dollar amount of any unrepaired damage which occurred prior to the"total loss"of a covered "auto", g. Security deposits not refunded by a lessor, K All refunds payable or paid to you as a result of the early termination of a lease agreement or as a result of the early termination of any warranty or extended service agreement on a covered "auto", I. Any amount representing taxes, I. Loan or lease termination fees; or 2. The actual cash value of the damage or stolen property as of the time of the"loss An adjustment for depreciation and physical condition will be made in determining the actual cash value at the time of the"loss". This adjustment is not applicable in Texas. B. ADDITIONAL CONDITIONS This coverage applies only to the original loan for which the covered "auto" that incurred the loss serves as collateral, or lease written on the covered "auto" that incurred the loss. C. SECTION V— DEFINTIONS is changed by adding the following: As used in this endorsement provision, the following definitions apply: "Total loss" means a "loss" in which the cost of repairs plus the salvage value exceeds the actual cash value. A "balloon loan" is one with periodic payments that are insufficient to repay the balance over the term of the loan, thereby requiring a large final payment. 2013 Liberty Mutual Insurance CA 88 10 01 13 Includes copyrighted material of Insurance services Office,Inc.,with its permission. Page 5 of 7 15. GLASS REPAIR -WAIVER OF DEDUCTIBLE Paragraph D. Deductible of SECTION III — PHYSICAL DAMAGE COVERAGE is amended by the addition of the following: No deductible applies to glass damage if the glass is repaired rather than replaced. 16. PARKED AUTO COLLISION COVERAGE (WAIVER OF DEDUCTIBLE) Paragraph D. Deductible of SECTION III — PHYSICAL DAMAGE COVERAGE is amended by the addition of the following: The deductible does not apply to "loss" caused by collision to such covered "auto' of the private passenger type or light weight truck with a gross vehicle weight of 10,000 lbs. or less as defined by the manufacturer as maximum loaded weight the "auto'is designed to carry while it is: a. In the charge of an "insured"; b. Legally parked; and C. Unoccupied. The "loss" must be reported to the police authorities within 24 hours of known damage, The total amount of the damage to the covered "auto' must exceed the deductible shown in the Declarations. This provision does not apply to any loss" if the covered "auto" is in the charge of any person or organization engaged in the automobile business. 17. TWO OR MORE DEDUCTIBLES Under SECTION III PHYSICAL DAMAGE COVERAGE, if two or more company policies or coverage forms apply to the same accident, the following applies to paragraph D. Deductible: a. If the applicable Business Auto deductible is the smaller(or smallest)deductible it will be waived', or b. If the applicable Business Auto deductible is not the smaller(or smallest) deductible it will be reduced by the amount of the smaller(or smallest)deductible; or C. If the loss involves two or more Business Auto coverage forms or policies the smaller (or smallest) deductible will be waived. For the purpose of this endorsement company means any company that is part of the Liberty Mutual Group. SECTION IV—BUSINESS AUTO CONDITIONS is amended as follows: 18. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS SECTION IV- BUSINESS AUTO CONDITIONS, Paragraph B.2, is amended by adding the following: If you unintentionally fail to disclose any hazards, exposures or material facts existing as of the inception date or renewal date of the Business Auto Coverage Form, the coverage afforded by this policy will not be prejudiced. However, you must report the undisclosed hazard of exposure as soon as practicable after its discovery, and we have the right to collect additional premium for any such hazard or exposure. 19. AMENDED DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUIT, OR LOSS SECTION IV—BUSINESS AUTO CONDITIONS, paragraph A.2.a. is replaced in its entirety by the following: a. In the event of"accident", claim, "suif' or"loss", you must promptly notify us when it is known to: 1. You, if you are an individual; 2. A partner, if you are a partnership; 3. Member, if you are a limited liability company; 4. An executive officer or the "employee" designated by the Named Insured to give such notice, If you are a corporation. ©2013 Liberty Mutual Insurance CA 88 10 01 13 Includes copyrighted material of Insurance services Office, Inc.,with its permission. Page 6 of 7 i To the extent possible, notice to us should include: (1) How, when and where the''accident'or"loss"took place; (2) The "insureds" name and address; and (3) The names and addresses of any injured persons and witnesses. 20. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US SECTION IV — BUSINESS AUTO CONDITIONS, paragraph A.5., Transfer of Rights of Recovery Against Others to Us, is amended by the addition of the following: If the person or organization has waived those rights before an "accident" or "loss", our rights are waived also. 21, HIRED AUTO COVERAGE TERRITORY SECTION IV — BUSINESS AUTO CONDITIONS, paragraph B.7., Policy Period, Coverage Territory, is amended by the addition of the following: f, For "autos" hired 30 days or less, the coverage territory is anywhere in the world, provided that the insured's responsibility to pay for damages is determined in a "suit", on the merits, in the United States, the territories and possessions of the United States of America, Puerto Rico or Canada or in a settlement we agree to. This extension of coverage does not apply to an"auto' hired, leased, rented or borrowed with a driver. SECTION V—DEFINITIONS is amended as follows: 22. BODILY INJURY REDEFINED Under SECTION V—DEFINTIONS, definition C. is replaced by the following: "Bodily injury" means physical injury, sickness or disease sustained by a person, including mental anguish, mental injury, shock, fright or death resulting from any of these at any time. COMMMON POLICY CONDITIONS 23. EXTENDED CANCELLATION CONDITION COMMON POLICY CONDITIONS, paragraph A.—CANCELLATION condition applies except as follows: If we cancel for any reason other than nonpayment of premium, we will mail to the first Named Insured written notice of cancellation at least 60 days before the effective date of cancellation. This provision does not apply in those states which require more than 60 days prior notice of cancellation. 2013 Liberty Mutual Insurance CA 88 10 01 13 Includes copyrighted material of Insurance Services Office,Inc.,with Its permission. Page 7 of 7 This pee-, has bCCII Icfi bl,ml,in Icnlional[yI 121 A'2017 aUnut Uank 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 Document Received Date: Intent Id: Affidavit Id: Status, Approved On 11 /22/2017 876191 12/6/2017 Company Details NORTH STAR CONST & ENVIRON INC UBI#: 603359744 420 142ND ST SE Reg#: NORTHSC86868 EVERETT, WA 98208 E-mail: kurUa)nsconst.com 206-999--1287 Industrial Insurance Account Id: 24596301 Filed By Schonewald, Kurt Prime Contractor Company Name NORTH STAR CONST & ENVIRON INC Contractor Registration No. NORTHSC868B8 WA UBI Number 603359744 Phone Number 206-999--1287 Project Information Awarding Agency KENT, CITY OF 220 - 4TH AVE S KENT, WA - 98032- 5895 Awarding Agency Contact Chris Sprague Awarding Agency Contact Phone Number 253-856-5857 Contract Number N/A aUoui,blink '1 f3 12/14/2017 about'In nk Project Name Gun Range Baffles Bid due date 1 1 121201 7 Award Date 111812017 Project Site Address or Directions 24611 - 1 16th Ave. SE Kent, WA Intent Details Does your company intend to hire subcontractors No to perform all work? Does your company intend to hire any No subcontractors? Will your company have employees perform work Yes on this project? Do you intend to use any apprentices? No (apprentices are considered employees.) 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)? How many owner;operators performing work on 0 the project own 30% or more of the company? What is the estimated contract amount? Or is this $1 9,783.50 a time and materials estimate? Expected project start date: (mm oo Y Y) 11 /27/201 7 In what county (or counties) will the project be King done? In what city (or nearest city) will the project be Kent done? ,Journey Level Wages County Trade Occupation Wage Fringe # Workers King Asbestos Abatement Journey Level $35.54 $11 .09 4 a born.h1w* 2i7 ill U17 Im 'I Ink 3