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PK18-206 - Original - All Around Fence Company - Repair and Maintenance of Fences at Various Parks - 05/17/2018
"TRecords Management Document CONTRACT COVER SHEET This is to be completed by the Contract Manager prior to submission to the City Clerk's Office. All portions are to be completed. If you have questions, please contact the City Clerk's Office at 253-856-5725. ❑ Blue/Motion Sheet Attached Pink Sheet Attached Vendor Name: All Around Fence Company Vendor Number (JDE): 33539 Contract Number (City Clerk): py_t6 -- imo Category: 'Contract Agreement Sub-Category (if applicable): Choose an item, Project Name: Repair and Maintenance of Fences - Various Parks Contract Execution Date: 5/17/2018 Termination Date: 08/15/2018 Contract Manager: Quientin Poil Department: Parks Contract Amount: 5,317.40 Approval Authority: D Director E] Mayor L] City Council X Superintendent, Parks Other Details: Repiair,an,dma,in'tenance of existing fences and/or gates,at various parks located in the City of Kent. Parks included are Kiwanis Tot Lot #1, Kiwanis Tot Lot #4, Kiwanis Tott-Lot #2, Kent Memorial Park, Nursery at 24400 Russell Road, and Burlington Green. PUBLIC WORKS AGREEMENT between City of Kent and All Around Fence Company THIS AGREEMENT is made by and between the City of Kent, a Washington municipal corporation (hereinafter the "City"), and All Around Fence Company organized under the laws of the State of Washington, located and doing business at 14323 161h Street East, Sumner, WA 98390-9633. Mailing address: P.O. Box 1029, Ravensdale, WA 98051-8101. Contact: Ron Dagley, Phone: 253-863-4895, Fax: 253-863-0704 (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: Repair and maintenance of existing fences and/or gates at various parks located in the City of Kent as described in the attached and incorporated Exhibit A, except the page titled "Terms, Covenants, and Conditions," which is specifically excluded and not made a part of this contract. 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 90 days from the date of this contract. III. COMPENSATION. The City shall pay the Contractor a total amount not to exceed FIVE THOUSAND THREE HUNDRED SEVENTEEN DOLLARS AND FORTY CENTS ($5,317.40), 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. Ida Pa mntand,_p, rformc"ance Bond. Because this contract, including applicable sales tax, is $150,000 or less, and pursuant to Chapter 39.08 RCW, the Contractor, in lieu of providing the City a payment and performance bond, has elected to have the City retain the final 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 from PUBLIC WORKS AGREEMENT - 1 ($20K or Less and No Performance Bond) the State Department of Revenue, the State Department of Labor & Industries, and the State Employment Security Department, and until settlement of any liens filed j under Chapter 60.28 RCW, whichever is later. B, Defective or Unauthorized Work. The City reserves its right to withhold payment from Contractor for any defective or unauthorized work. Defective or unauthorized work includes, without limitation: work and materials that do not conform to the requirements of this Agreement; and extra work and materials furnished without the City's written approval. If Contractor is unable, for any reason, to satisfactorily complete any portion of the work, the City may complete the work by contract or otherwise, and Contractor shall be liable to the City for any additional costs incurred by the City. "Additional costs" shall mean all reasonable costs, including legal costs and attorney fees, incurred by the City beyond the maximum Contract price specified above. The City further reserves its right to deduct the cost to complete the Contract work, including any Additional Costs, from any and all amounts due or to become due the Contractor. C. Final Payment: Waiver of Claims. THE CONTRACTOR'S ACCEPTANCE OF FINAL PAYMENT (EXCLUDING WITHHELD RETAINAGE) SHALL CONSTITUTE A WAIVER OF CONTRACTOR'S CLAIMS, EXCEPT THOSE PREVIOUSLY AND PROPERLY MADE AND IDENTIFIED BY CONTRACTOR AS UNSETTLED AT THE TIME FINAL PAYMENT IS MADE AND ACCEPTED, IV. INDEPENDENT CONTRACTOR. The parties intend that an Independent Contractor- Employer Relationship will be created by this Agreement. By their execution of this Agreement, and in accordance with Ch. 51.08 RCW, the parties make the following representations: A. The Contractor has the ability to control and direct the performance and details of its work, the City being interested only in the results obtained under this Agreement. B. The Contractor maintains and pays for its own place of business from which Contractor's services under this Agreement will be performed. C. The Contractor has an established and independent business that is eligible for a business deduction for federal income tax purposes that existed before the City retained Contractor's services and is a service other than that furnished by the City, or the Contractor is engaged in an independently established trade, occupation, profession, or business of the same nature as that involved under this Agreement. D. The Contractor is responsible for filing as they become due all necessary tax documents with appropriate federal and state agencies, including the Internal Revenue Service and the state Department of Revenue. E. The Contractor has registered its business and established an account with the state Department of Revenue and other state agencies as may be required by Contractor's business, and has obtained a Unified Business Identifier (UBI) number from the State of Washington. F. The Contractor has a valid contractor registration pursuant to Ch. 18.27 RCW or an electrical contractor license pursuant to Ch. 19.28 RCW. G. The Contractor maintains a set of books dedicated to the expenses and earnings of its business. V. TERMINATION. The City may terminate this Agreement for good cause. "Good cause" shall include, without limitation, any one or more of the following events: PUBLIC WORKS AGREEMENT - 2 ($20K or Less and No Performance Bond) 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. i C. The Contractor's failure to make full and prompt payment to subcontractors or for j 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 ($20K or Less and No Performance Bond) 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, Cgntractor's Duty to Complete Prgtested 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 fn Prnfecf ['nncfifiifac 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 ($20K or Less and No Performance Bond) a reasonable time as determined by the City, the City may complete the corrections and the Contractor shall pay all costs incurred by the City in order to accomplish the correction. XI. DISCRIMINATION. In the hiring of employees for the performance of work under this Agreement or any sub-contract, the Contractor, its sub-contractors, or any person acting on behalf of the Contractor or sub-contractor shall not, by reason of race, religion, color, sex, age, sexual orientation, national origin, or the presence of any sensory, mental, or physical disability, discriminate against any person who is qualified and available to perform the work to which the employment relates. Contractor shall execute the attached City of Kent Equal Employment Opportunity Policy Declaration, Comply with City Administrative Policy 1.2, and upon completion of the contract work, file the attached Compliance Statement. XII. INDEMNIFICATION. Contractor shall defend, indemnify and hold the City, its officers, officials, employees, agents and volunteers harmless from any and all claims, injuries, damages, losses or suits, including all legal costs and attorney fees, arising out of or in connection with the Contractor's performance of this Agreement, except for that portion of the injuries and damages caused by the City's negligence. The City's inspection or acceptance of any of Contractor's work when completed shall not be grounds to avoid any of these covenants of indemnification. Should a court of competent jurisdiction determine that this Agreement is subject to RCW 4.24.115, then, in the event of liability for damages arising out of bodily injury to persons or damages to property caused by or resulting from the concurrent negligence of the Contractor and the City, its officers, officials, employees, agents and volunteers, the Contractor's duty to defend, indemnify, and hold the City harmless, and Contractor's liability accruing from that obligation shall be only to the extent of the Contractor's negligence. IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THE INDEMNIFICATION PROVIDED HEREIN CONSTITUTES THE CONTRACTOR'S WAIVER OF IMMUNITY UNDER INDUSTRIAL INSURANCE, TITLE 51 RCW, SOLELY FOR THE PURPOSES OF THIS INDEMNIFICATION. THE PARTIES FURTHER ACKNOWLEDGE THAT THEY HAVE MUTUALLY NEGOTIATED THIS WAIVER. In the event Contractor refuses tender of defense in any suit or any claim, if that tender was made pursuant to this indemnification clause, and if that refusal is subsequently determined by a court having jurisdiction (or other agreed tribunal) to have been a wrongful refusal on the Contractor's part, then Contractor shall pay all the City's costs for defense, including all reasonable expert witness fees and reasonable attorneys' fees, plus the City's legal costs and fees incurred because there was a wrongful refusal on the Contractor's part. The provisions of this section shall survive the expiration or termination of this Agreement. XIII. INSURANCE. The Contractor shall procure and maintain for the duration of the Agreement, insurance of the types and in the amounts described in Exhibit B attached and incorporated by this reference. XIV. WORK PERFORMED AT CONTRACTOR'S RISK. Contractor shall take all necessary precautions and shall be responsible for the safety of its employees, agents, and subcontractors in the performance of the contract work and shall utilize all protection necessary for that purpose. All work shall be done at Contractor's own risk, and Contractor shall be responsible for any loss of or damage to materials, tools, or other articles used or held for use in connection with the work. XV. MISCELLANEOUS PROVISIONS. A. Recyclable Materials. Pursuant to Chapter 3.80 of the Kent City Code, the City requires its contractors and consultants to use recycled and recyclable products whenever practicable. A price preference may be available for any designated recycled product. PUBLIC WORKS AGREEMENT - 5 ($20K or Less and No Performance Bond) 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 ,af Utes 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; rov.lglgj, however, nothing in this paragraph shall be construed to limit the City's right to indemnification under Section XII of this Agreement. D. Written_Natir . All communications regarding this Agreement shall be sent to the parties at the addresses listed on the signature page of the Agreement, unless notified to the contrary. Any written notice hereunder shall become effective three (3) business days after the date of mailing by registered or certified mail, and shall be deemed sufficiently given if sent to the addressee at the address stated in this Agreement or such other address as may be hereafter specified in writing. E. Assignment. Any assignment of this Agreement by either party without the written consent of the non-assigning party shall be void. If the non-assigning party gives its consent to any assignment, the terms of this Agreement shall continue in full force and effect and no further assignment shall be made without additional written consent. F. Modification. No waiver, alteration, or modification of any of the provisions of this Agreement shall be binding unless in writing and signed by a duly authorized representative of the City and Contractor. G. Entire Agreement. The written provisions and terms of this Agreement, together with any Exhibits attached hereto, shall supersede all prior verbal statements of any officer or other representative of the City, and such statements shall not be effective or be construed as entering into or forming a part of or altering in any manner this Agreement. All of the above documents are hereby made a part of this Agreement. However, should any language in any of the Exhibits to this Agreement conflict with any language contained in this Agreement, the terms of this Agreement shall prevail. H. Comoliance 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 Recor s Ad. 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. CiWB siness 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 ($20K or Less and No Performance Bond) K. Counterparts and Sig_nOtures by Fax or Email. This Agreement may be executed in any number of counterparts, each of which shall constitute an original, and all of which will together constitute this one Agreement. Further, upon executing this Agreement, either party may deliver the signature page to the other by fax or email and that signature shall have the same force and effect as if the Agreement bearing the original signature was received in person. 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. ............ ..... - -- CONTRAC R: �' CITY KENT: ,I .., BY ___. -- By ... ` _......... 'ak ore) tr (signature) Print ame fsg f q_ S Print" ame Garin Lee, Its X,,e. �C p 1 Its: Superintendent, Parks Operations (title) ,r" DATE: I .�... DATE: —... NOTICES TO BE SENT TO: NOTICES TO BE SENT TO: CONTRACTOR: CITY OF KENT: Ron Dagley Quientin Poll, All Around Fence Company West Operation Supervisor/City Arborist P.O. Box 1029 City of Kent Ravensdale, WA 98051-8101 220 Fourth Avenue South Kent, WA 98032 (253) 863-4895 (telephone) (253) 863-0704 (facsimile) (253) 856-5127 or (telephone) (253) 740-7085 (cell) (253) (facsimile) _...... 253 856-6120 , .......�.._._...�...._.- __ .. ..._._ ......... ATTEST: _.....................— ._.,_.,............. Kent City Clerk ee, ,a�eai PUBLIC WORKS AGREEMENT - 7 ($20K or Less and No Performance Bond) 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. 1 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 b- w, I aqree to fulfill the five requirements referenced above. BY For: � � __... ��, ........ Title: Date. ........__..........._.................... EEO COMPLIANCE DOCUMENTS - 1 CITY OF KENT ADMINISTRATIVE POLICY NUMBER: 1.2 EFFECTIVE DATE: January 1, 1998 SUBJECT: MINORITY AND WOMEN SUPERSEDES: April 1, 1996 CONTRACTORS APPROVED BY Jim White, Mayor POLICY: Equal employment opportunity requirements for the City of Kent will conform to federal and state laws. All contractors, subcontractors, consultants and suppliers of the City must guarantee equal employment opportunity within their organization and, if holding Agreements with the City amounting to $10,000 or more within any given year, must take the following affirmative steps: 1. Provide a written statement to all new employees and subcontractors indicating commitment as an equal opportunity employer. 2. Actively consider for promotion and advancement available minorities and women. Any contractor, subcontractor, consultant or supplier who willfully disregards the City's nondiscrimination and equal opportunity requirements shall be considered in breach of contract and subject to suspension or termination for all or part of the Agreement. Contract Compliance Officers will be appointed by the Directors of Planning, Parks, and Public Works Departments to assume the following duties for their respective departments. 1. Ensuring that contractors, subcontractors, consultants, and suppliers subject to these regulations are familiar with the regulations and the City's equal employment opportunity policy. 2. Monitoring to assure adherence to federal, state and local laws, policies and guidelines. EEO COMPLIANCE DOCUMENTS - 2 CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE STATEMENT This form shall be filled out AFTER COMPLETION of this project by the Contractor awarded the Agreement. I, the undersigned, a duly represented agent of _ Company, hereby acknowledge and declare that the before-mentioned company was the prime contractor for the Agreement known as that was entered into on the __....._. (date), between the firm I represent and the City of Kent. I declare that I complied fully with all of the requirements and obligations as outlined in the City of Kent Administrative Policy 1.2 and the Declaration City of Kent Equal Employment Opportunity Policy that was part of the before-mentioned Agreement. By _ .............---- __.... ...._. For: Title: Date: EEO COMPLIANCE DOCUMENTS - 3 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 HL' BY - - _._._,._,,......._ _ ........ Signature of Authorized Official* rt y Printed Name: byl ... a JCL .__ ..... Title � J'14 �` Date: ._ '...L �. _ ... City and SPPtate: &Y *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 Al_I Atotirid Fence it Estimate Date. 04/19/2018 Time: EXHIBIT A r✓pl"x. ,,, Licen -d + E.u�itled + lisurzd S.r , Estimator: Ron c y^�w�,W`"'7 "�•�' m Pi) anx 1029 • Ravensd ale, VJA 9E(I51-8109 ._ ... .,__ _ en Pr<t253, e13e-4a9e I Pax (253) e63-r?o4 Referred by: E3nad. sliarouncifance(-7msn corn ---"'"'— -------- - rENCEC,.) ,�� wo�,'w.�ll�roalnt3fensewa.cuna PROPOSAL / CONTRACT License No.ALLARAF839KS Customer: City Of Kent -MAILED Contact Name _ Quientln Poll Phone #1: 253-856-5127 Phone #2: Email: q oil(rvkentwa.orf Email #2: Site Address: !4 Z I t�!: .. AV e S fi City: �1 2.!1� Zip: Billing Address: City: Zip: Directions: Chain Vinyl . Am> _. _ neii__ tv-(. Wood Link 0/1 Other Footage ...,,��T .. .... � .... _. f /�.I • Height .•. .:. r avt ' >CL� [.. ._ Terminal ' Line Gate . . . _21' 19' Material Specs Top Rail 1571 ,... ....._. - _._.. . . . Middle Rail Bottom Rail 1 'ily ._.. - ... Tension Wire �Y -... .. -. ...... L Standard Estate ONE • terials _ Full Panel NOTES _ I Office Use Only L Picture Frame n Kirkland ------. _.. I lattice To{5.__. _. ... ._ . _ M/DIU........ .. ""..---- o Custom " — GATES: 1.WE DO NOT PAINT OR STAIN. Shop Tnna �MDu Walk Gate 2.THIS CONTRACT 15 SUBJECT TO THE TERMS AND CONDITIONS PRINTED ON THE M/0 REVERSE SIDE AND ARE MADE APART HEREOF BY THIS REFERENCE. Single Drive 3.WE PROPOSE hereby to fwrn uetenal an � 6or-complete in accordance with the price: Double Drive above specifications Hillside Tax, Authorized by (lf Applicable) ._e .....5 _..__.... .. _ ..... proposal v v ._� P v( days. T. .al _ _ RolGate NOTE This ro osal may be withdrawn drawn b us Ifacce Clearing y company audit before installation.an ditions are soti,lacta wand are hereb acce ted�.-These _...es s g P P ry y p ese prices subjectr, to ear Out Haul Awa P y Customer Signature: Date: TERMS: Payment due upon receipt of invoice.We accept checks, money orders and,for a fee,credit cards. NOT RESPONSIBLE FOR SPRINKLER LINES • Customer is responsible to mark utility locations. R ? `, AN-Around Fetace Co. Estimate Date 04/19/2018 Time: ,,w`; /"m` Licensed q Bonded . Insured Estimator: Ron PO Box 1029 • Ravensdale, ',AAA 98051-3lot ... . ..__.... ._..._.... ........ Ph_ (253) 863-4895 1 Fe:c (253) 863-07(A1, Referred by: _ e Email allaroundfeneeogmsn com - FENCE CO. nf,allarotlt dtsncev a.co n PROPOSAL / CONTRACT License No.ALLARAF839KS Customer: City Of Kent Contact Name: Quientin Poll Phone #1: 253 856-5127 Phone #2: Email: gEmll(ti)kentWa org Email #2: Site Address y k1..� 3.._ °¢JkY( W, �r.'t ,. City: Zip° Billing Address: City: Zip: Directions: __..... CAa11J _ Chain Vinyl _. ........ Wood .. 4+k O/I ,Other Footage rY- Gr;A Height " . _. ... . ... POSTS: Terminal -.. ;. . . ._ '..... _. Line Gate . . j _ .. . . . ... .. . . Material Specs 7..K 16 It. .. . Top Rail .,.,.. .. _... _ .. ., . Middle Rail _ _... Bottom Rail _ G' ... .._ ... .. _ Tension Wire Standard Estate ONE YEAR GUARANTEE on Workmanship Materials Full Panel NOTES _ 'Office Use Only u Picture Frame �..._ `i 'r ..GL M/D Kirkland �T I .. - Lattice Top - - °— --°° — M/D/U p u Custom 1 -. - Bd GATES: 1.WE DO NOT PAINT OR STAIN. Shop Time Mou Walk Gate 2,THIS CONTRACT IS SUBJECT TO THE TERMS AND CONDITIONS PRINTED ON THE M/D - REVERSE SIDE AND ARE MADE A RT HEREOF BY THIS REF=RENCE,. - - —'-- - Single Drive 3.WE PROPOSE hereby to fu sh aterial n or-com ete in accordance with the_ Y a p IPrice Double Drive above specifications. Tax: Hillside I Authorized by: (If Applicable) Roll Gate NOTE:This proposal maybe withdrawn by us if not ar; pptasd within thirty(30)days. Total] -_ -__ .. _.......-- ._...... _... I...- ..-_ .__.- .-.-=.. ❑ Clearing The prices, specifications and conditions are satisfactory and are hereby accepted. These prices subject to vear Out Haul-AW y company audit before installation, At Fle,4� Customer Signature, Date. ........_...- ....... . .m.._...... .,,....--- ----� ...-_..__..._..._........ .�.,,...._....__.. ..... . . .. ...��..._.... ... ... .._. TERMS: Payment due upon receipt of invoice.We accept checks, money orders and,for a fee, credit cards. NOT RESPONSIBLE FOR SPRINKLER LINES•Customer is responsible to mark utility locations. yj ytt , All-ArOLAUIJ Fence CO. Estimate Date 04/19/2018 Time s Licensed . Bonded • Insured ......' "-^.'-. '... w•w Estimator: Ron t ; Iffffi „ � '� PO Box 102J Ravensdale. WA 9805 L8d 01 -_ .. __ ... Ids Pn, 1293L es -4aes I Fax (253) e63-0704 Referred by: P•+, °�° Email allarou ndfence/e7rnsn cum - ...,,. ....,-...... ._ _......... FENCE CO. �' .w-aliarcund fen cewt4.conn PROPOSAL / CONTRACT License No.ALLARAFS39KS Customer: City Of Kent Contact Name: Quientin Poll Phone #1: 253-856-5127 .--.--- —_........ .. ..._._ Phone #2: Email: Email #2: Site Address: KW, 2 - z " AUE31City: _If Zip: Billing Address° City: Zip: Directions: rtyr A,r r C i1� Chain Vinyl .. .. n•.`" yg `,ry Jf�'�r �rW .gam, -0q"y'�r ^',. Footage _. .... .. _Wood ._. Link O/I .Other Cfi^�'4�J"''- ,( Y'•N+ 1. ... 1,,,,�;,Jl li' 1 Height ...... AID -ri�4 4CV-6. tircvkj4,4 rl-. ...POSTS, _. Terminal.... . .. . .. _.. Line __ _.. ... ... _.. -. ... Gate... . Material Specs Top Rail Middle Rail $$ Bottom Rail . .. & Tension Wire : & Standard Estate ONE YEAR GUARANTEE on Workirnan%hip Miteriols n Full Panel NOTES: Office Use Only L i Picture Frame ._.. ....-. _ ..__._...._... __-- M/D I Kirkland Lattice Top ..... ... .._, M/D/IJ ❑ Custom � - _....._..... GATES: WE DO NOT PAINT OR STAIN. Shcpiime.. �MDU g Walk Gate 2.THIS CONTRACT IS SUBIECTTO THE TERMS AND CONDITIONS PRINTED ON THE WE) I DoSinggie Drive 3.WE Drive above PROPOSEi at ons dy to I sh material d labor-complete in accordance with the Price t 0 REVERSE SIDE AND ARE MAD LA PART HEREOF BY THIS REFERENCE Hillside _ Authorized by: � _ Qf Applica6lel Roll Gate NOTE:This proposal may be withdrawn by 9,ifrictaV,,lwithin thirty(30)days 'Total: _ _..,.. .._._._ �_.... Clearing The pnces, speaficatlons and conditions are satisfactory and are hereby accepted, p d. These prices subject to L Tear-Out n Haul-Away company audit before installation. " Customer Signature. Date; ------- 777. -_-- -- ._...... ...... - ... TERMS: Payment due upon receipt of invoice. We accept checks, money orders and,for a fee,credit cards. NOT RESPONSIBLE FOR SPRINKLER LINES •Customer Is responsible to mark utility locations. 1 f$f All-Around Fence Co. Estimate Date: 04/19/2018 Time —... Licensed a Bonded » Insured Estimator: Ron RO Box 1029 • Ravensdaie. WA 9805 1-8 101 rn,PI Ph: (253) 883-489F l Fax (253) 8830704 Referred by: Email allaroundfence@msn.cam Cz ld E 0fl ,:" wvvvi.a11ar9vndfencewa.com PROPOSAL CONTRACT License No.ALLARAF839KS Customer: City Of Kent Contact Name: Quientin Poll Phone 41: 253-856-5127 Phone 42: Enr ilc qp011 kentWa o Email 42: Site Address m .� _. `� .. 4'S1'�tC.�m k � City: .. \ y Zip. Billing Address: City: Zip: Directions: /v -__..._. Chain Vinyl Wood Link O/I ''. Other Footage 2- 'Heigh[ d L✓'I"'�✓ ° ,."."'y„.. R POSTS: Terminal Line r��$ Gate ., .... ..,. . . .-. _.. . . Material Specs.. Top Rain Middle Rail Bottom Rail Tension Wire -.... .._.. Standard Estate ONE YEAR GUARANTEE on Workmanship & Materials Full Panel NOTES:, _ Office Use Only _ Y ❑ Picture Frame w1 IJ� Ta g( m 9rr � U Y TtiAt M/D _ ._ . ❑ Kirkland Lattice Top . _......_... .._._....__ _... M/p/U n Custom GATES: 1.WE DO NOT PAINT OR STAIN. shop Time MDU Walk Gate 2.THIS CONTRACT IS SUBJECT TO THE TERMS AND CONDITIONS PRINTED ON THE YD REVERSE SIDE AND ARE MADE A PART HEREOF BY THIS REFERENCE,Slagle Drive aboveAuthorized fic y p al and complete In accordance with the Price ax e (If�p13 3. WE PROPOSE hereb to fury s mated by: Double Drive aboves specifications. )_' Hillside able ROII Gate NOTE:This proposal may be withdrawn by us if not accepted within thirty(30J days. Total: Clearing The prices, specifications and conditions are satisfactory and are hereby accepted. These prices subject to y Tear-.Out 1-laul-Away company audit before installation, pl r� �GnUxa� _ Customer Signature: Date: TERMS: Payment due upon receipt of invoice. We accept checks, money orders and,for a fee credit cards. NOT RESPONSIBLE FOR SPRINKLER LINES• Customer IS responsible to mark utility locations. ti8fi o A!J-Aretuttd Fence Co. Estimate Date: 04/19/2018 Time: sµ - Licensed s Bonded ✓isured Estimator: Ron itu"r � � rvwr"u.g PO Bnx 1029 : Raa„nsdala bro7\9n051-Btut __ -,.,. .._...._.-. -... � 'fA l Ph (2s31asa-asye i Fax 1253) ahs-o%oa Referred by: FENCE CO, Email.Maroundronce0a msn com "' — - - �.vsv+ra_ail.ar,ourrciFenc:owa_corn PROPOSAL / CONTRACT License No.ALLARAFS39KS Customer: City Cf Kent Contact Name: Quientin Poll Phone#1: 253 856-5127 _-- Phone #2: _ _... Email 'roll kr5ntwa or Email 42: Site Address: 2�01C0 .. _ City: �a-NZ�. . ..... . Ztp: Billing Address Ur { City: Directions: &A) V Chain Vinyl Wood Link 0/1 Other Footage -- d.•tM_ ��vvrr^55 .. ,r �.. . Height . f ._.�` .S✓ 'C„s s ._ - POSTS: Terminal Line. ....._ Gate... . . ........ . . . t.,. .. .. ... .., . .... .. ... Material Specs _ . .._ Z1«O� G,l7 C�!•- "r . _ _ _ _. _ _ Top Rail Middle Rail Bottom Rail ..� �t7 Tension Wire..... ..... _ .._ _... ❑ Standard- ONE YEAR Estate GUARANTEE on Workmans ; Materials u Full Panel NOTES Office Use Only ❑ Picture Frame -. _.. _.._� —._.- �M/D Kirkland ❑ Lattice Top I - -- M/D/U LICustom .. - .,,._ ._ .... _. ..._.'.. GATES: 1 WE DO NOT PA INT OR STAIN - shop Time 1 MDU Walk Gate y CONDITIONS PRINTED ON THE Min 2.THIS CONTRACT IS SUBJECT TO THE TERMS AND -- REVERSE SIDE AND ARE MADE ART HEREpf y THIS REFERENCE. - �.. - mx, .. Single Drive � ' Double above PROPOSE po rfOi SEihereb to Iu 'ul material and I'a. -corn ete In accordance with the Price: gble Drive i — Hillside Tax: _.... ..Authorized by: llf Applicable) Roll Gate NOTE:This proposal maybe withdrawn by us if not art ,xted within thirty)30)days. Total: __-.._.. ----....__ ..,.._ ,.....,, .,...... __._ _._ ......_,.,____ _._.._.. _...._...... ..— ❑ Clearing The prices, specifications and conditions are Sala dctory and are hereby accepted These prices subject to Tear-Out g `idaul-Away company audit before installation. (Customer Signature Date: TERMS: Payment due upon receipt of invoice.We accept checks, money orders and,for a fee, credit cards. Npi Resroulsraste cO,rt SGftINNLtft LiraES• Customer is responsible to mark utility locations. t y, All-Around Fence Co. Estimate Date 04/19/2018 Time ..w ,...._ ._ Licensed - Bonded • Insured rs. ,+ ladi Estimator: Ron PO Box 1029 • Ravensdale. WA 98 0 51-81 01 _.. ... ,..,. .. ._ �tl eRn j Ph_ (253)863-48e5 1 Fax; (253) 863-0704 Referred by: ..�_�r~,, Email: allarouncifence@msn.com FENCE CO. L/ uwNwr.allarouncifencewa.corr, License No.ALLARAF839KS Customer: City Of Kent -....... .. .. ..._.. ^..._... ... - ... ......_. __.�_._......... Contact Name. Quientin Poll Phone #1: 253-856-5127 Phone #2: _.... Email: t ll(fclkentwa.org Email #2: Site Address: 5Lv,,V'r t>Cl - t�e�. ?�� ��'._L... City: �.���.. . .. ..... Zip: Billing Address: City: Zi Directions: Chain Vinyl Wood Link 0/1 Other Footage .�✓' ` �. , Vt to Height. . . . ... . .... ... . 4 POSTS. _.._ .. Terminal _... .. -. ..... .. Line _ ,. -. ..... ,, . . .. Gate _.. ...... , Material Spec; ,^y .../!r el"A. - - ..... ........ .. .. Top Rail Middle Rail .."' .. .. Bottom Rail -. :.. .._... .. Tension Wire ❑ Standard Estate T ONE YEAR U Full Panel NOTES: Office Use Only n Picture Frame ___ .,. __._... _-- M/D :F Kirkland —__..._.__ ..�." Lattice Top _ c Custom GATES: 1.WE DO NOT PAINT OR STAIN Shop Time iNi Walk Gate 2,THIS CONTRACT IS SUBJECT TO THE TERMS AND CONDITIONS PRINTED ON THE M/0 Single DriveREVERSE SIDE AND ARE MADE A P RT HEREQ1 BY THIS REFERENCE. ---- ,g 3. WE PROPOSE hereby to furn n a aterial an qr-complete In accordance with the Price I 4J Double Drive above specifications. Tax: il Hillside Authorized by: (If Applicable) Roll Gate NOTE This proposal may be withdrawn by us if not act I within thirty(30)days, TOtai Clearing The prices, specifications and conditions are satisfactory and are hereby accepted. These prices subject to Tear-Out lau1-Ay')way company audit before installation. htsiC{` - Customer Signature; ........._. ----�.._......Date: TERMS: Payment due upon receipt of invoice. We accept checks,money orders and for a fee,credit cards. NOT RESPONSIBLE FOR SPRINKLER LINES • Customer is responsible to mark utility locations. I NOTICE TO CUSTOMER This contractor is registered with the state of Washington, registration no. ALLARAF839KS and has posted with the state a bond or deposit of$12,000 for the purpose of satisfying claims against the contractor for breach of contract including negligent or improper work in the conduct of the contractor's business. The expiration date of this contractor's registration is May 10, 2019. THIS BOND OR DEPOSIT MIGHT NOT BE SUFFICIENT TO COVER A CLAIM THAT MIGHT ARISE FROM THE WORK DONE UNDER YOUR CONTRACT. This bond or deposit is not for your exclusive use because it covers all work performed by this contractor. The bond or deposit is intended to pay valid claims up to $12,000 that you and other customers, suppliers, subcontractors, or taxing authorities may have. FOR GREATER PROTECTION YOU MAY WITHHOLD A PERCENTAGE OF YOUR CONTRACT. You may withhold a contractually defined percentage of your constriction contract as retainage for a stated period of time to provide protection to you and help insure that your project will be completed as required by your contract. YOUR PROPERTY MAY BE LIENED. If any supplier of materials used in your construction project or an employee or subcontractor of your contractor or subcontractors is not paid, your property may be liened to force payment and you could pay twice for the same work. FOR ADDITIONAL PROTECTION, YOU MAY REQUEST THE CONTRACTOR TO PROVIDE YOU WITH ORIGINAL "LIEN RELEASE" DOCUMENTS FROM EACH SUPPLIER OR SUBCONTRACTOR ON YOUR PROJECT. The contractor is required to provide you with further information about lien release documents if you request it. General information is also available from the state Department of Labor and Industries. I have received a copy of this disclosure statement ....-___�_. ..._.._. (Signature of customer) Date tFENCE All Around Fence Company mner, 16"WA St. E. Sumner, WA 98390 CO. 253-863-4895 —Office — 1-800-750-8836—Toll Free 253-863-0704 - Fax Customer Information Form Please send the completed form to allaroundfence msn„com or fax it to 253-863-0704 --------- __.. Full Legal Name:. D BA: Contractor's Registration Number: Resale Number: Company Address: A/P Address: A/P Contact: Email: Telephone Number: Fax Number: Purchase Order Required: Yes No Additional Insured Required: Yes No If required, please return requirements Payment Type: Check Credit Card Please return a copy of the resale certificate if applicable —_ .... ._ —.. ....... For AAFCO Personnel Only Requested by: Date: TERMS, COVENANTS, AND CONDITIONS Between All Around Fence Company (AAFCo) and Purchaser Terms: A down payment may be requested to be paid before work begins If account is not paid in full within 15 days after the date on the invoice, the Purchaser agrees to pay a delinquency charge of 1,5% and compounded for each month on the unpaid balance. An additional surcharge of 25%of the account balance plus attorney or collection agency fees will be assessed, if applicable. In addition, we reserve the right to file a lien on your property. Extras: In consideration of the price herein quoted, the Purchaser agrees that the fence lines will be clear of all obstructions and that the lines will be properly marked by Purchaser with white paint. The location of well and pool pipes, electric lines, or any private utility will be clearly marked by the Purchaser in white paint and any damage incurred due to incorrect marking will be the sole responsibility of the Purchaser to repair. If repaired by AAFCo, an hourly charge plus materials will be assessed to Purchaser, AAFCo does not remove concrete footings unless requested at the time of initial estimate. AAFCo does not contemplate encountering rocks, boulders, or other conditions that mandate the use of jackhammers or other coring equipment, If these conditions are encountered, and It is necessary to drill for the setting of the posts or to furnish extra-large or deep foundations for the posts, or to perform any extra labor, an extra charge will be made to cover the additional expenses involved. Purchaser agrees to supply power at the job site. If power Is unavailable at the job site, the Purchaser agrees to pay for generator use. It is the responsibility of the Purchaser to move, reuse, or dispose of any excess dirt; AAFCo does not remove any dirt off-site for any reason, including excess dirt as a result of digging for post holes Additional charges may apply based on actual work performed. Locating, clearing; and marking of fence and/or property lines is the sole responsibility of the Purchaser. Purchaser further agrees that AAFCo shall not be held responsible for claims of encroachment, damage to underground pipes, wires or hidden obstructions, and herewith waives any claims relating thereto. Changes: THE CREW HAS NO AUTHORITY TO AUTHORIZE CHANGES. No changes in measurements, location of lines, or conditions will be allowed except at prices mutually agreed upon at the time these changes are made. Changes must be communicated through the estimator or office representative. Delays: If it is necessary to make more than one trip to complete the project on account of changes or delays on the part of the Purchaser, an extra charge may be made to cover the additional expense involved. In the event of any undue delay caused by any party other than AAFCo,then AAFCo shall have the right to pass along any increases in cost as a result, General: Purchaser or their representative must be present at the start of the job as well as the anticipated day of completion. This contract embodies the understanding between AAFCo and Purchaser, There are no verbal agreements or representations in connection therewith. Purchaser must obtain all licenses, planning permission approvals, and permits where such items are required including HOA approval, if applicable. This estimate is only an estimate. The price may be based on the actual work performed_ Lawn damage due to weather conditions will be the Purchaser's responsibility. AAFCo IS NOT RESPONSIBLE FOR ANY DAMAGE TO SPRINKLER LINES. ANY REPAIR TO DAMAGED/BROKEN SPRINKLER LINES AR THE RESPONSIBILITY OF THE PURCHASER TO REPAIR. All materials remain the property of AAFCo until fully paid and can be removed for non-payment. A v yl' ar .� r + � a' Y N "a a" A� e ✓ w rt u � , M m R V � � Y�rf �✓1f ph.�1'4 n nld:� I v of'6 `b rvr 4' s y ' 4 r i M� r A � e � "�✓ ? � F , 4 ". .9 �i ,1 of / ✓ i 5 � .y w.� L .An♦ 1 @ f �eAr" St k"}rvh' aM"yF y'� a/, �V `+4. 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Y tl} u�a 4; r �g!., r f ' �... � I r qq !! .d" r t' AN VO In \ 1 l y \ f m M' m M „ AW jj � r 7 ✓ 1 r M n" r p � H y yr % a anN i r r." f AY � 4 � N n � 1 4 �s W� ��Y, ,✓y "�`. Y�� vip AI MAN 66 Awow af` »� .4 i f �, "A, r ;�d5. , " `fir" m" � f......... EXHIBIT B INSURANCE REQUIREMENTS FOR CONSTRUCTION PROJECTS 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. Automobile Liability insurance covering all owned, non-owned, hued and leased vehicles, Coverage shall be written on Insurance Services Office (ISO) form CA 00 01 or a substitute form providing equivalent liability coverage. If necessary, the policy shall be endorsed to provide,contractual liability coverage. Commercial General Liability insurance shall be written on ISO occurrence form CG 00 01 and shall cover liability arising from premises, operations, independent contractors, products-completed operations, personal injury and advertising injury, and liability assumed under an insured contract. The Commercial General Liability insurance shall be endorsed to provide the Aggregate Per Project Endorsement ISO form CG 25 03 11 85. There shall be no endorsement or modification of the Commercial General Liability insurance for liability arising ,from explosion, collapse or underground,property damage. The City she be named as an insured under the Contractor's Commercial General Liability insurance policy with respect to the work performed for the City using ISO additional insured endorsement CG 20 10 11 85 or a substitute endorsement providing equivalent coverage. 2. Workers' Compensation coverage as required by the Industrial Insurance laws of the State of Washington. B. Minimum Amounts of Insurance Contractor shall maintain the following insurance limits: 1. Automobile Liability insurance with a minimum combined single limit for bodily injury and property damage of $1,000,000 per accident. 2. Commercial General Liabili 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. EXHIBIT B (Continued) C. Other Insurance Provisions The insurance policies are to contain, or be endorsed to contain, the following provisions for Automobile Liability, Commercial General Liability and Builders Pisk insurance: 1. The Contractor's insurance coverage shall be primary insurance as respect the City. Any insurance, self-insurance, or insurance pool coverage maintained by the City shall be excess of the Contractor's insurance and shall not contribute with it. 2. The Contractor's insurance shall be endorsed to state that coverage shall not be cancelled by either party,except after thirty (30) days prior written notice by certified mail, return receipt requested, has been given to the City. D. Contractor's Insurance For Other Losses The Contractor shall assume full responsibility for all loss or damage from any cause whatsoever to any tools, Contractor's employee owned tools, machinery, equipment, or motor vehicles owners or rented by the Contractor, or the Contractor's agents, suppliers or contractors as well as to any temporary structures, scaffolding and protective fences. E. Acceptability of Insurers Insurance is to be placed with insurers with a current A.M. Best rating of not less than A:VH. F. 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 Automobile Liability and Commercial General Liability insurance of the Contractor before commencement of the work. Before any exposure to loss may occur, the Contractor shall file with the City a copy of the Builders Disk insurance policy that includes all applicable conditions, exclusions, definitions,terms and endorsements related to this project. G. Subcontractors Contractor shall include all subcontractors as insureds under its policies or shall fur-nish 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. 5I2/2018 about:blank State of Washington Department of Labor & Industries Prevailing Wage Section - Telephone 360-902-5335 PO Box 44540, Olympia, WA 98504-4540 Washington State Prevailing Wage The PREVAILING WAGES listed here include both the hourly wage rate and the hourly rate of fringe benefits. On public works projects, worker's wage and benefit rates must add to not less than this total. A brief description of overtime calculation requirements are provided on the Benefit Code Key. Journey Level Prevailing Wage Rates for the Effective Date: 5/2/2018 County Trade Job Ip sifii ation Wage Holiday Overtime Note King Fence a=rectors Fence Erector $15.18 1 aboutblank 111 CERTIFICATE OF LIABILITY INSURANCE DATE IMMMD)YYYY) 12/1/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must 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 endorsoment(s). PRODUCER NAME CONTACT Maciol0k, ACSR Bell Anderson Agency, Inc, PHONE (425)291 5200 FAX (425)291 5100 ECM Mu.SOL LAIC,NaJ, ADDRESS bell ' 600 SW 39th St, Suite 200 E caring anderson.com INSUURER{Sf A PPORDING COVERAGE NAICa Renton WA 98057 YNSURERA-Continental„G?as tern In Co. 10804 INSURED INSURER B: All Around Fence Company INSURER C. PO BOX 1029 INSURER O: --- a ---- INSURERS ..,... ....... __ _.. Ravensdale WA 98051 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1712126259 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED 'BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TI-IE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR-" ... YAC7D6 SURp --. POLICYEFFPOLICY ITn TYPE OF NSURANCE .INcn wvn POLICY NUMBER IMMfO EXP D1YENE LIMITS M YYYY !. X COMMERCIAL GENERAL LIABILITY ! r"AM I OCCURRENCE '5 1,000,000 A ! CUAM -MADE ! X I ODOUR OAIr7A1-.r TO Or,NTED v .. f 6RF0FEE3 BI`_el e)uwmYa l .$ 300,000 --... --.-. X Y CPA602961222 12/1/2017 ! 12/1/201R MEDEXPIAPy Cne Re!rMP) $ 10,000 __ _.... PERSONAL S ADV INJURY $ 1,000,000 . G INI A,I,NIGATI IIVIII APLII F,I1IR. GENE RA( AGGRE CA F[ �$ 2,000,000 , _ `I)I IIY X_ q'9. rci I.oC PRODUCTS-SCMP)CPAGG`5 2,000,000 I ()I Ill R. ! _ $ AUTOMOBILE LIABILITY 00TPEJ,IINU E I6M41 6 1,000,000 UH8 Heunlemfl_. X ANY ALITO FORT Y INJURY EY,F person) 5 A r ALL OWNED sCHE(1ULE0 _f AUTOS _-; ALITGS X Y CPA602961222 !. 12/1/2017 ! 12/1/2015 BODILY INJURY 1Perew de)1)=5 Ulvev uu), ' NONCWNED E .,RRdIIR2TYOAMAr E $ .. AuroG Aver eH.:;.ryq„11_ X UMBRELLA LIAB OCCUR '.. j EACH OCCURRENCE $ 2,000,000 A EXCESS LIAB _CLAIMA MADE '!. 'AGGREGATE -$ 2,000,000 ! U,Y X RE TENTION2 tq.OQq ' ...CPA602961222 12/1/201"] 12/1/2018 g j WORKERS COMPENSATION PEA AND c�rn- ANDEMPLOYERS'LIABILITY YIN !.. ,I AFF1 III: FR -- -- ANY PRCPRIETOWPAR FINE RIEXEOU FIVE 11 IACI I ACGIFII NT $ 1,000,000 OFFICEA '(MandatTIM 1.N H)FXCLUDErtT+ NIA CPA602961222 12/1/201J 12/1/2016 - -0 ry I [I'FA'I- IHll.ni�l f)`rt Fj$ 1.000.000 ISCRIP U acrbe under -..WA Stop Ga DS CRIPTION OF OPERATIONS below P P E L DISEASE POI ICY I IMIT $ 1.000.000 i t 1 I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remaras Schedule,may be aHacbed if more apace is required) The certificate holder is additional insured per the attached endorsement #CLCGO529 0916, #CLCG2071 0916 and #CLCA0149 0215. Waiver of subrogation per the attached endorsement #CLCG0492 0916 and #CLCA0149 0215. Primary 6 non-contributory coverage per the attached endorsement #CLCGO529 0916 and #CLCG2071 0916. CERTIFICATE HOLDER CANCELLATION jedavis@kentwa.gov SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Kent THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Parks Maintenance ACCORDANCE WITH THE POLICY PROVISIONS. Parks, Recreation S Community Services ,,,, 220 Fourth Avenue South AUTHORIZED REPRESENTATIVE Kent, WA 98032 TaSoll Webb/CEM ��-���' "...'pn ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INSn25 nnlem) COMMERCIAL GENERAL LIABILITY CL CG 04 92 09 16 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. GENERAL LIABILITY ULTRA PLUS ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SUMMARY OF COVERAGE EXTENSIONS ._._�....__........ _ ------_. Provision Name Of Coverage Extension Included or Limit of Insurance — ......... ......— __......._..—...m ....... __ _ _ _..... _ . .... A. Miscellaneou s Additional Insureds-- Included _m ............_ Expected.._.._O ... __. ._ B. r Intended Injury Or Damage Included K..._.._ d_._ -- _ ... �_......._.... C. Knowledge Of Occurrence Included D. Legal Liability—Damage To Premises Rented To You (Fire Lightning, $300 000 Explosion, Smoke, Or Leakage From Automatic Fire Protective Systems) E Medical Payments $10,000 _. __ t m..... __ -- F. Mobile Equipment Redefined Included -- _......, ......q. _.._._ O _ _. .n _ - ----- ___ G. Newly Formed Or Acquired Organization, Partnership Or Limited Liability Included Company And Extended Period Of Coverage H. Who Is An Insured —Amendment Included I. Non Owned Watercraft (Increased to maximum length of less than 51 Included feet) ............ ....._._............ _.. J, Supplementary Payments Increased Limits 1. Bail Bonds $ 3,000 2. Loss Of Earnings $ 1,000 - K, Unintentional Omission Or Unintentional Error In Disclosure Included ------- __._........._ ......__.....w.. _. .. yAgai L. Waiver Of Transfer Of Rights Of Recovery Against Others Included M, Liberalization Clause Included __._._.___._ .............. N.n... Incidental Medical Malpractice Included ----..._.------------ m. ..� The above is a summary only. Please consult the specific provisions that follow for co....mplete information on the extensions provided. The provisions of the Commercial General Liability additional insured on your policy, provided Coverage Part apply except as otherwise provided in that this endorsement. This endorsement applies only if such Coverage Part is included in this a. The written contract or written agreement I is A. MISCELLANEOUS ADDITIONAL INSUREDS (1) Currently in effect or becoming 1. Section II —Who Is An Insured is amended effective during the term of this to include as an insured any person or policy. and organization (referred to as an additional insured below) described in Paragraphs (2) Fully executed by you and the A.1.c.(1) through A.1.c.(8) below when you additional insured prior to the "bodily and such person or organization have agreed injury", "property damage" or "per- in writing in a contract or agreement that sonal and advertising injury such person or organization be added as an CL CG 04 92 09 16 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 7 with its permission Id. The insurance afforded by this provision performed by or on behalf of does not apply to any person or such additional insured. organization included as an additional (4) Lessor Of Leased Equipment insured by a separate endorsement issued by us and made a part of this Any person(s) or organization(s) policy or coverage part. from whom you lease equipment but c. Only the following persons or organi- only with respect to liability for"bodily zations are additional insureds under this injury", "property damage" or "per- provision, with coverage for such sonal and advertising injury" caused, additional insureds limited as provided in whole or in part, by your herein: maintenance, operation or use of equipment leased to you by such (1) Managers Or Lessors Of Premises persons) or organization(s), A manager or lessor of premises but A person's or organization's status only with respect to liability arising as an additional insured under this out of the ownership, maintenance or endorsement ends when their written use of that part of the premises contract or written agreement with leased to you and subject to the you for such leased equipment ends. following additional exclusions This insurance does not apply to any This insurance does not apply to. "occurrence" which takes place after (a) Any "occurrence" which takes the equipment lease expires. place after you cease to be a (5) State, Municipality, Governmental tenant in that premises, Agency Or Subdivision Or Other (b) Structural alterations, new con- Political Subdivision — Permits Or struction or demolition operations Authorizations Relating To performed by or on behalf of Premises such additional insured. Any state, municipality, govern- (2) Mortgagee, Assignee Or Receiver mental agency or subdivision or other political subdivision subject to A mortgagee, assignee, or receiver the following additional provisions: but only with respect to their liability (a) This insurance applies only with as mortgagee, assignee, or receiver This insurance and arising out of the ownership, ct to. maintenance, or use of a covered (i) The following hazards for premises by you. which the state, municipality, This insurance does not apply to governmental agency or structural alterations, new con- subdivision or other political struction or demolition operations subdivision has issued a performed by or on behalf of such permit or authorization in additional insured connection with premises you own, rent or control and (3) Owners Or Other Interests From to which this insurance Whom Land Has Been Leased applies: An owner or other interest from (1.1) The existence, whom land has been leased to you maintenance, repair, but only with respect to liability construction, erection arising out of the ownership, mainte- or removal of adver- nance or use of that part of the land tising signs, awnings, leased to you and subject to the canopies, cellar following additional exclusions entrances, coal holes, This insurance does not apply to driveways, manholes,marquees, hoist away (a) Any "occurrence" which takes openings, sidewalk place after you cease to lease vaults, street banners that land or decorations and (b) Structural alterations, new con- similar exposures, or struction or demolition operations CL CG 04 92 09 16 Includes copyrighted material of Insurance Services Office, Inc., Page 2 of 7 with its permission (1.2) The construction, erec- The insurance afforded the tion or removal of vendor does not apply to: elevators, or (i) "Bodily injury" or "property (1.3) The ownership, main- damage" for which the tenance or use of any vendor is obligated to pay elevators covered by damages by reason of the this insurance. assumption of liability in a (ii) Operations performed by you written contract or written or on your behalf for which agreement, This exclusion the state, municipality, does not apply to liability for governmental agency or damages that the vendor subdivision or other political would have in the absence of subdivision has issued a the written contract or written permit or authorization. agreement, (b) This insurance does not apply to Any express warranty unau- "bodily Injury", "property dam- thorized by you, age" or"personal and advertising (iii)Any physical or chemical injury" arising out of operations change in the product made performed for the state, munici- intentionally by the pality, governmental agency or vendor, subdivision or other political subdivision, (iv) Repackaging, except when unpacked solely for the (6) Controlling Interest purpose of inspection, Any persons) or organization(s) with demonstration, testing, or the a controlling interest in the Named substitution of parts under Insured but only with respect to their instructions from the manu- facturer, and then ability arising out of repackaged in the original (a) Their financial control of you; or container, (b) Premises they own, maintain or (v) Any failure to make such control while you lease or occupy inspections, adjustments, these premises, tests or servicing as the This insurance does not apply to vendor has agreed to make structural alterations, new con- or normally undertakes to strucmake in the usual course of performed ion or demolition operations business, in connection with perfoed by or for such person(s)or organization(s). the distribution or sale of the products; (7) Co-Owner Of Insured Premises (vi) Demonstration, installation, A co-owner of a premises co-owned servicing or repair opera- by you and covered under this tions, except such operations insurance but only with respect to the performed at the vendor's co-owner's liability as co-owner of premises in connection with such premises the sale of the product, (8) Vendors (vii) Products which, after distri- bution(a) Any persons) or organization(s) or sale by you, have been labeled nt relabeled or (referred to as vendor), but only used as a container, part or with respect to "bodily injury" or ingredient of any other thing "property damage" arising out of or substance by or for the "your products" which are vendor, or distributed or sold in the regular course of the vendor's business. CL CG 04 92 09 16 Includes copyrighted material of Insurance Services Office, Inc , Page 3 of 7 with its permission (viii)"Bodily injury" or "property 3. With respect to the insurance afforded to the damage" arising out of the additional insureds within this Provision A. sole negligence of the Miscellaneous Additional Insureds, the vendor for its own acts or following is added to Section III — Limits Of omissions or those of its Insurance. employees or anyone else acting on its behalf. How- The most we will pay on behalf of the ever, this exclusion does not additional insured is the amount of insurance: apply to. a. Required by the written contract or (1.1) The exceptions written agreement, or contained in Sub- b. Available under the applicable Limits Of paragraphs (iv) or (vi), Insurance shown in the Declarations, or whichever is less. (1.2) Such inspections, ad- justments, tests or This endorsement shall not increase the servicing as the applicable Limits Of Insurance shown in the vendor has agreed to Declarations, make or normally B. EXPECTED OR INTENDED INJURY OR undertakes to make in DAMAGE the usual course of business, in con- Exclusion 2.a. Expected Or Intended Injury of nection with the Section I — Coverage A — Bodily Injury And distribution or sale of Property Damage Liability is deleted and the products replaced by the following. (b) This insurance does not apply to a. Expected Or Intended Injury Or Damage any insured person or organi- 'Bodily injury" or"property damage"expected zation, from whom you have or intended from the standpoint of the acquired products, or any insured. This exclusion does not apply to ingredient, part or container, "bodily injury" or"property damage" resulting entering into, accompanying or from the use of reasonable force to protect containing such products, persons or property. 2. With respect to coverage provided by this C. KNOWLEDGE OF OCCURRENCE Provision A. Miscellaneous Additional Insureds, the following additional provisions Paragraph 2.a. Duties In The Event Of apply Occurrence, Offense, Claim Or Suit of Section IV — Commercial General Liability Conditions a. Any insurance provided to an additional is deleted and replaced by the following insured designated under Paragraphs AA.c.(1) through A.1.c.(8) above does a. You must see to it that we are notified as not apply soon as practicable of an "occurrence" or an offense which may result in a claim only (1) To "bodily injury" or "property when the "occurrence" or offense is known damage" included within the to. "products-completed operations hazard"; or (1) You, if you are an individual, (2) To "bodily injury", "property damage" (2) A partner, if you are a partnership, or "personal and advertising injury" (3) A manager, if you are a limited liability arising out of the sole negligence of company, or such additional insured. (4) An "executive officer' or the "employee" b. The insurance afforded to such additional designated by you to give such notice, if insured only applies to the extent you are an organization other than a permitted by law partnership or a limited liability company. c. The insurance afforded to such additional To the extent possible, notice should include. insured will not be broader than that which you are required to provide by the (i) How, when and where the "occurrence" written contract or written agreement, or offense took place, CL CG 04 92 09 16 Includes copyrighted material of Insurance Services Office, Inc„ Page 4 of 7 with its permission (ii) The names and addresses of any injured you, or in the case of damage by fire, persons and witnesses, and lightning, explosion, "smoke", or leakage (iii) The nature and location of any injury or from automatic fire protective systems, damage arising out of the "occurrence" while rented to you or temporarily or offense occupied by you with permission of the owner D. LEGAL LIABILITY — DAMAGE TO PREMISES This limit will apply to all damage RENTED TO YOU (Fire, Lightning, Explosion, proximately caused by the same event, Smoke, Or Leakage From Automatic Fire whether such damage results from fire, Protective Systems) lightning, explosion, "smoke", leakage If damage to premises rented to you is not from automatic fire protective systems, or otherwise excluded from this policy or coverage other covered causes of loss or any part, then the following provisions apply: combination thereof. 1. Under Section I — Coverage A — Bodily 4. Subparagraph b.(1)(a)(ii) of Paragraph 4. Injury And Property Damage Liability, the Other Insurance of Section IV — last paragraph (after the exclusions) is Commercial General Liability Conditions deleted and replaced by the following is deleted and replaced by the following: Exclusions c. through n. do not apply to dam- (ii) That is fire, lightning, explosion, "smoke" age by fire, lightning, explosion, "smoke", or or leakage from automatic fire protective leakage from automatic fire protective systems insurance for premises rented to systems to premises while rented to you or you or temporarily occupied by you with temporarily occupied by you with the permission of the owner, permission of the owner. A separate limit of 5. Subparagraph a. of Definition 9. "Insured insurance applies this coverage as contract" of Section V — Definitions is described in Section III — Limits Of Insurance. deleted and replaced by the following. 2. The paragraph immediately after Sub- a. A contract for a lease of premises paragraph j.(6) of Paragraph 2. Exclusions However, that portion of the contract for of Section I — Coverage A — Bodily Injury a lease of premises that indemnifies any And Property Damage Liability is deleted person or organization for damage by and replaced by the following: fire, lightning, explosion, "smoke" or leakage from automatic fire protective Paragraphs (1), (3) and (4) of this exclusion systems to premises while rented to you do not apply to "property damage" (other or temporarily occupied by you with than damage by fire, lightning, explosion, permission of the owner is not an ,smoke", or leakage from automatic fire "insured contract'. protective systems) to premises, including the contents of such premises, rented to you 6. As used in this Provision D. Legal Liability — for a period of seven or fewer consecutive Damage Premises Rented You:al days A separate limit of insurance applies to "Smoke" does not include smoke from Damage To Premises Rented To You as agricultural smudging, industrial operations described in Section III — Limits Of or"hostile fire". Insurance. E. MEDICAL PAYMENTS 3. Paragraph 6. of Section III — Limits Of If Coverage C — Medical Payments is not Insurance is deleted and replaced by the otherwise excluded from this olicy or coverage following: part, the Medical Expense Limit is changed, 6. Subject to Paragraph 5. above, the subject to the terms of Section III — Limits Of greater of Insurance, to the greater of a. $300,000, or a. $10,000, or b. The Damage To Premises Rented b. The Medical Expense Limit shown in the To You Limit shown in the Declarations. Declarations, F. MOBILE EQUIPMENT REDEFINED is the most we will pay under Coverage Subparagraph f.(1) of Definition 12. "Mobile d for damages because of "property equipment" of Section V— Definitions is deleted damage" to premises while rented to and replaced by the following: CL CG 04 92 09 16 Includes copyrighted material of Insurance Services Office, Inc., Page 5 of 7 with its permission (1) Equipment with a gross vehicle weight of partnership or limited liability company 1,000 pounds or more and designed primarily are the same or similar to the operations for: of insureds already covered under this (a) Snow removal, insurance, (v) Coverage only applies for those limited (b) Road maintenance, but not construction liability companies who have established or resurfacing; or a date of formation as recorded within (c) Street cleaning, the filed state articles of organization, G. NEWLY FORMED OR ACQUIRED ORGANIZA- certificates of formation or certificates of TION, PARTNERSHIP OR LIMITED LIABILITY organization, and COMPANY AND EXTENDED PERIOD OF (vi) Coverage only applies for those part- COVERAGE nerships who have established a date of Paragraph 3. of Section II — Who Is An Insured formation as recorded within a written is deleted and replaced by the following: partnership agreement or partnership certificate, 3. Any organization you newly acquire or form, H. WHO IS AN INSURED—AMENDMENT other than a joint venture, and over which you maintain ownership or. The last paragraph of Section II — Who Is An a. Majority interest of more than 50% if you Insured is deleted and replaced by the following: are a corporation, No person or organization is an insured with b. Majority interest of more than 50% as a respect to the conduct of any general partner of a newly acquired or a. Current partnership or limited liability formed partnership, and/or company, unless otherwise provided for c. Majority interest of more than 50% as an under Paragraph 3. of Section II — Who Is owner of a newly acquired or formed An Insured; limited liability company, b. Current joint venture, or will qualify as a Named Insured if there is no c. Past partnership, joint venture or limited other similar insurance available to that liability company, organization. However, for these organiza- tions that is not shown as a Named Insured in the Declarations. (i) Coverage under this provision is afforded I. NON-OWNED WATERCRAFT only until the next anniversary date of this policy's effective date after you Subparagraph (2) of Exclusion 2.g. Aircraft, acquire or form the organization, Auto Or Watercraft of Section 1 — Coverage A partnership or limited liability company, — Bodily Injury And Property Damage Liability or the end of the policy period, whichever is deleted and replaced by the following: is earlier, (2) A watercraft you do not own that is: (ii) Section I — Coverage A — Bodily Injury (a) Less than 51 feet long; and And Property Damage Liability does not apply to "bodily injury" or "property (b) Not being used to carry persons or damage" that occurred before you property for a charge. acquired or formed the organization, J. SUPPLEMENTARY PAYMENTS — INCREASED partnership or limited liability company; LIMITS (iii) Section I — Coverage B — Personal Section I — Supplementary Payments — not apply to "personal and advertising Advertising Injury Liability does Coverages A And B is changed as follows: not injury" arising out of an offense 1. The limit shown in Paragraph 1.b. for the committed before you acquired or formed cost of bail bonds is changed from $250 to the organization, partnership or limited $3,000; and liability company, 2. The limit shown in Paragraph 1.d. for loss of (iv) Coverage applies only when operations earnings because of time off from work is of the newly acquired organization, changed from $250 a day to$1,000 a day. CL CG 04 92 09 16 Includes copyrighted material of Insurance Services Office, Inc., Page 6 of 7 with its permission K. UNINTENTIONAL OMISSION OR UNINTEN- M. LIBERALIZATION CLAUSE TIONAL ERROR IN DISCLOSURE The following is added to Section IV — The following provision is added to Paragraph 6. Commercial General Liability Conditions: Representations of Section IV — Commercial f we adapt a mandatory attachment form change General Liability Conditions: which broadens coverage under this edition of However, the unintentional omission of, or the Commercial General Liability CG0001 for no unintentional error in, any information given or additional charge, and those changes are provided by you shall not prejudice your rights intended to apply to all insureds under this edition under this insurance. of CG0001, that change will automatically apply This provision does not affect our right to collect to your insurance as of the date we implement additional premium or to exercise our right of he change in your state. This liberalization cancellation or non-renewal clause does not apply to changes implemented through introduction of a subsequent edition of L. WAIVER OF TRANSFER OF RIGHTS OF the Commercial General Liability form CG0001. RECOVERY AGAINST OTHERS N. INCIDENTAL MEDICAL MALPRACTICE The following is added to Paragraph 6. Transfer 1. Paragraph 2.a.(1)(d) of Section II — Who Is Of Rights Of Recovery Against Others To Us An Insured does not apply to a physician, of Section IV — Commercial General Liability Conditions: nurse practitioner, physician assistant, nurse, emergency medical technician or paramedic We waive any right of recovery we may have employed by you if you are not in the against any person or organization because of business or occupation of providing medical, payments we make for injury or damage arising paramedical, surgical, dental, x-ray or out of your ongoing operations or"your work" and nursing services included in the "products-completed operations 2. This provision is excess over any other valid hazard" when you have agreed in a written and collectible insurance whether such contract or written agreement that any right of recovery is waived for such person or insurance is primary, excess, contingent or organization This waiver applies only to the on any other basis. Any payments by us will person(s) or organization(s) agreed to in the follow Paragraph of Section IV — written contract or written agreement and is Commercial Generaall Liability Conditions. subject to those provisions. This waiver does not apply unless the written contract or written agreement has been executed prior to the "bodily injury" or"property damage". However, if any person or organization is separately scheduled on a separate waiver of transfer of rights of recovery which is attached to this policy, then this waiver does not apply. CL CG 04 92 09 16 Includes copyrighted material of Insurance Services Office, Inc Page 7 of 7 with its permission COMMERCIAL GENERAL LIABILITY CL CG 05 29 10 17 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. GENERAL LIABILITY ULTRA PLATINUM ENHANCEMENT COVERAGES This endorsement modifies insurance provided under the following, COMMERCIAL GENERAL LIABILITY COVERAGE FORM A. The fallowing coverage is added: paragraph 2.a. above, the words caused in ADDITIONAL INSURED - OWNERS, LESSEES whole or in part by are replaced by the OR CONTRACTORS - AUTOMATIC STATUS words arising out of INCLUDING PRIMARY NON-CONTRIBUTORY c. The insurance afforded to such additional 1. Section II -Who is An Insured is amended to insured only applies to the extent include as an additional insured any person(s) permitted by law, and or organizations) for whom you are required d. If coverage provided to the additional by virtue of a written contract or agreement insured is required by a contract or that such person(s) or organization(s) be agreement, the insurance afforded to such added as an additional insured on your policy. additional insured will not be broader than 2. The insurance provided to the additional that which you are required by the contract insured is limited as follows or agreement to provide for such additional insured. a. Such person or organization is an e. This insurance ends at the earliest of the additional insured only with respect to following times: liability for "bodily injury", "property damage" or "personal and advertising (1) When any Named Insured(s) work injury" caused in whole or in part by called for in the written contract has (1) Acts or omissions of the Named been completed Insured, or (2) When all of any Named Insured(s) (2) The acts or omissions of those acting work done at a job site has been on behalf ofthe Named Insured; completed if the written contract calls for work at more than one job site in the performance of the Named Insureds (3) When that part of any Named work for the additional insured(s) specified Insured's work done at a job site has in the written contract provided the been put to its intended use by any contract or agreement requires you to person or organization other than the provide the additional insured such Named Insured or those acting on the coverage and is: Named Insured(s) behalf. i. Currently in effect or becomes Work that may need service, maintenance, effective during the term of this correction, repair or replacement, but is policy; and otherwise complete, will be treated as ii. Was executed prior to the "bodily completed, injury", "property damage" or f. This insurance does not apply to any "personal and advertising injury". additional insured scheduled on your b. If the written contract specifically requires policy by separate endorsement. you to provide additional insured coverage g, For purposes of paragraph A. of this via the 10/01 edition of 11185 (aka CG endorsement the terms "you" and "your" 20 10 0 lka or via the 11l85 edition of refer to the Named Insured shown in the CG201D (aka CG 20 10 11 85), then in Declarations. CL CG 05 29 10 17 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 3 with its permission. 3. Exclusions a. Required by the contract or agreement, or With respect to the insurance afforded to these b. Available under the applicable Limits of additional insureds, the following additional Insurance shown in the Declarations; exclusions apply to "bodily injury", "property whichever is less. damage" or "personal and advertising injury" arising out of: This endorsement shall not increase the a. The rendering of or failure to render any applicable Limits of Insurance shown in the professional services by you or on your Declarations. behalf, but only with respect to either or 5. Other Insurance both of the following operations: For purposes of this endorsement, the (1) Providing engineering, architectural or following is added to the Section IV - surveying services to others in your Commercial General Liability Conditions, 4. capacity as an engineer, architect or Other surveyor, and Insurance condition and supersedes any (2) Providing, or hiring independent provision to the contrary: professionals to provide, engineering, architectural or surveying services in This insurance is excess of all other connection with construction work you insurance available to an additional perform. insured whether on a primary, excess contingent or any other basis. But, if b. Subject to Paragraph C. below, required by a written contract or written professional services include: agreement to be primary and (1) Preparing, approving, or failing to noncontributory, this insurance will be prepare or approve, maps, shop primary to and will not seek contribution drawings, opinions, reports, surveys, from any insurance on which the additional field orders, change orders, or insured is a Named Insured. drawings and specifications, and No other coverage or limit in the policy (2) Supervisory or inspection activities applies to loss or damage insured by this performed as part of any related coverage. architectural or engineering activities, B. The following coverage is added: c. Professional services do not include CONTRACTUAL LIABILITY -RAILROADS services within construction means, methods, techniques, sequences and 1. With respect to operations performed for a procedures employed by you or performed Railroad within 50 feet of railroad property, the by or for the construction manager, its definition of "insured contract" in Section V - employees or its subcontractors in Definitions is replaced by the following. connection with your ongoing operations. 9. "Insured Contract" means: This exclusion applies even if the claims a. A contract for a lease of premises. against any insured allege negligence or other However, that portion of the contract wrongdoing in the supervision, hiring, for a lease of premises that employment, training or monitoring of others indemnifies any person or by that insured, if the "occurrence" which organization for damage by fire to caused the "bodily injury" or "property premises while rented to you or damage", or the offense which caused the temporarily occupied by you with "personal and advertising injury", involved the permission of the owner is not an rendering of, or the failure to render, any "insured contract", professional architectural, engineering or surveying services. b. A sidetrack agreement; 4. Limits of Insurance c. Any easement or license agreement, With respect to the insurance afforded to these d. An obligation, as required by additional insureds, the following is added to ordinance, to indemnify a municipality, Section III -Limits Of Insurance: except in connection with work for a If coverage provided to the additional insured municipality; is required by a contract or agreement, the e. An elevator maintenance agreement, most we will pay on behalf of the additional f. That part of any other contract or insured is the amount of insurance agreement pertaining to your business Page 2 of 3 Includes copyrighted material of Insurance Services Office, Inc„ CL CG 05 29 10 17 with its permission., (including an indemnification of a C. AGGREGATE LIMITS OF INSURANCE municipality in connection with work performed for a municipality) under The General Aggregate Limit under SECTION III - which you assume the tort liability of LIMITS OF INSURANCE applies separately to another party to pay for"bodily injury" each of your. or property damage" to a third person 1. Projects away from premises owned by or or organization. Tort liability means a rented to you, liability that would be imposed by law in the absence of any contract or 2. "Locations" owned by or rented to you. agreement. "Location" means premises involving the same Paragraph f. does not include that part or connecting lots, or premises whose of any contract or agreement: connection is interrupted only by a street, (1) That indemnifies an architect, roadway, waterway or right-of-way of a engineer or surveyor for injury or railroad. damage arising out of: When paragraph B. Construction Project (a) Preparing, approving or failing General Aggregate Limit on form CL CG 00 20 is to prepare or approve maps, a part of this policy,then this endorsement shop drawings, opinions, CL CG 05 29 paragraph D. Aggregate Limits Of reports, surveys, field orders, Insurance does not apply, change orders or drawings and specifications; or (b) Giving directions or Instructions, or failing to give them, if that is the primary cause of the injury or damage; (2) Under which the insured, if an architect, engineer or surveyor, assumes liability for an injury or damage arising out of the insured's rendering or failure to render professional services, including those listed in Paragraph (1) above and supervisory, inspection, architectural or engineering activities. 2. Other Insurance For purposes of this endorsement, the following is added to the Section IV- Commercial General Liability Conditions, 4. Other Insurance condition and supersedes any provision to the contrary: This insurance is excess of all other insurance that is Railroad Protective Liability or similar coverage for"your work" performed for a Railroad. But, if required by a written contract or written agreement to be primary and noncontributory, this insurance will be primary to and will not seek contribution from any insurance on which the Railroad is a Named Insured. No other coverage or limit in the policy applies to loss or damage insured by this coverage. CL CG 05 29 10 17 Includes copyrighted material of Insurance Services Office, Inc„ Page 3 of 3 with its permission. COMMERCIAL AUTO CL CA 01 49 02 15 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL AUTOMOBILE EXPANSION ENDORSEMENT - PLATINUM This endorsement modifies insurance provided under the following. BUSINESS AUTO COVERAGE FORM With respect to the coverages provided by this endorsement, the provisions of the Business Auto Coverage Form apply unless modified by this endorsement, A. NEWLY ACQUIRED OR FORMED ORGANIZA- "property damage" because of the conduct TIONS of an "insured" under Paragraphs a. or b. The following is added to Paragraph A.1. Who Is under Paragraph A.1. Who Is An Insured of An Insured of Section II - Covered Autos Liability Section II - Covered Autos Liability Cover- Coverage age, caused by an "accident" and resulting from the ownership, maintenance or use of a Any organization you newly acquire or form, oth- covered "auto'; er than a partnership, joint venture or limited lia- bility 2. The written contract or agreement described te company or any organization excluded ei- above must have been executed prior to the her by this Coverage Part or by endorsement, "accident" that caused the "bodily injury" or and over which you maintain ownership or ma- "property damage" and be in effect at the jority interest of more than 50 percent will qualify me of such "accident"; as a Named Insured. However. 1. This insurance does not apply to any newly 3. The insurance afforded to any such addition- acquired or formed organization that is an al "insured" does not apply to any "accident" "insured" under any other automobile policy beyond the period of time required by the or would be an "insured" under such policy written contract or agreement described but for its termination or the exhaustion of its above, Limit of Insurance. 4. The most we will pay on behalf of such addi- 2. Coverage does not apply to "bodily injury" or tonal 'insured(s)" is the lesser of. "property damage" that occurred before you a. The Limits of Insurance specified in the acquired or formed the organization written contract or agreement described 3. Coverage under this provision is afforded on- above, or ly until the 180th day after you acquire or b. The Limits of Insurance shown in the form the organization or the end of the policy Declarations period, whichever is earlier. This provision shall not increase the Limit of B. ADDITIONAL INSURED BY CONTRACT OR Insurance shown in the Declarations in this AGREEMENT policy or coverage part, and The following is added to Paragraph A.1., Who Is 5. The following changes are made to Para- An Insured of Section II - Covered Autos Liability graph 5. Other Insurance of B. General Con- Coverage', ditions under Section IV - Business Auto When you have agreed in a written contract or Conditions agreement to include a person or organization as a. The following is added to Paragraph 5.a.: an additional "insured", such person or organiza- tion is included as an "insured" subject to the fol-lowing agreement described above, the insur- ance afforded to the additional insured 1. Such person or organization is an additional under this provision will be primary to, "insured" only to the extent such person or and will not seek contribution from, the organization is liable for "bodily injury" or additional insured's awn insurance. CL CA 01 49 02 15 Includes copyrighted material of Insurance Services Page 1 of 5 Office, Inc., with its permission b. Paragraph 5.c. is deleted in its entirety. 1. The Limits of Insurance are increased to $75 6. Paragraph A.1.c. under Section II - Covered per day to a maximum of$2,500, Autos Liability Coverage is deleted in its en- 2. We will also pay reasonable and necessary tirety expenses to facilitate the return of the stolen 7. The definition of "insured contract" under "auto"to you Section V- Definitions is amended to add the 3. It is agreed and understood and it is our stat- following: ed intent that expenses incurred by you un- An "insured contract" does not include that der the Transportation Expenses Coverage part of any contract or agreement: Extension will not also be covered or paid under the Rental Reimbursement Coverage That pertains to the ownership, maintenance provided by this endorsement or any rental or use of an "auto" and which indemnifies a reimbursement coverage added by separate person or organization for other than the vi- endorsement to this policy, carious liability of such person or organiza- tion for "bodily injury" or "property damage,. H. EXTENDED COVERAGE -AIRBAGS caused by your operation or use of a covered The following is added to Exclusion B.3.a. of "auto". Section III - Physical Damage Coverage. However, a person or organization is an ad- However, this exclusion does not apply to the un- ditional "insured" under this provision only to intended discharge of an airbag. the extent such person or organization is not This coverage is excess over any other collecti- named at an insured" by separate en- ble insurance or warrant providing such airba dorsement to this policy.. y p g g coverage. C. EMPLOYEES AS INSUREDS I. AUTO LOAN/LEASE GAP COVERAGE The following is added to Paragraph A.1. Who Is The following is added to Section III - Physical An Insured Section II - Covered Autos Liability Coverage: g Paragraph g Dama e Coverage, Para ra h C. Limits of Insur- ance. Any "employee" of yours is an "insured" while to", we will pay any unpaid amount due - 4. In the event of a total "loss" to a covered "au using a covered "auto" you don't own, hire or bor- row in your business or your personal affairs. the lease or loan for a covered "auto", less: D. INCREASED COVERAGE - BAIL BONDS a. The amount under the Physical Damage The Supplementary Payments Coverage Exten- Coverage section of the policy, and sion of Section II - Covered Autos Liability Cov- erage is amended as follows: The Limit of Insurance in paragraph A.2.a.(2) is (1) Overdue lease/loan payments at the increased to $5,000 time of the"loss", E. INCREASED COVERAGE - LOSS OF EARN- (2) Financial penalties imposed under a INGS lease for excessive use, abnormal wear and tear or high mileage; The Supplementary Payments Coverage Exton- (3) Security deposits not returned by the Sion of Section II - Covered Autos Liability Cov- erage is amended as follows: lessor, The Limit of Insurance in paragraph A.2.a.(4) is (4) Costs for extended warranties, Credit increased to $1,000. Life Insurance, Health, Accident or Disability Insurance purchased with F. FELLOW EMPLOYEE COVERAGE the loan or lease; and The Fellow Employee Exclusion contained in (5) Carry-over balances from previous Section II - Covered Autos Liability Coverage loans or leases, does not apply„ This coverage is excess over J. GLASS REPAIR- NO DEDUCTIBLE any other collectable insurance. G. COVERAGE EXTENSION - TRANSPORTA- The following is added to Paragraph D. Deducti- TION EXPENSES ble of Section III - Physical Damage Coverage: Paragraph A.4.a. Transportation Expenses of Any Comprehensive Coverage deductible shown Section III - Physical Damage Coverage is in the Declarations does not apply to "loss" to amended as follows_ glass when you elect to patch or repair rather than replace the glass Page 2 of 5 Includes copyrighted material of Insurance Services CL CA 01 49 02 15 Office, Inc„ with its permission K. INCREASED COVERAGE - ELECTRONIC O. HIRED AUTO PHYSICAL DAMAGE COVER- EQUIPMENT AGE The $1,000 limit indicated in Paragraph CA.b. The following is added to Paragraph A.4. Cover- under Section III - Physical Damage Coverage is age Extensions of Section III - Physical Damage increased to $2,500. Coverage. L. EXTENDED COVERAGE - PERSONAL PROP- If hired "autos" are covered "autos" for Covered ERTY Autos Liability Coverage and if Physical Damage The following is added to Paragraph AA. Cover- Coverage is provided for any "auto" you own, age Extensions of Section III - Physical Damage then the Physical Damage coverages provided Coverage: are extended to "autos" you lease, rent, hire or borrow from someone other than your "employ- Physical Damage Coverage on a covered "auto" ees", partners or members of their households may be extended to "loss" to your personal prop- subject to the following: erty or, if you are an individual, the personal property of a family member, that is in the cov- 1. The most we will pay in any one "loss" is the ered "auto"at the time of"loss"and caused by an lesser of: "accident" and resulting from the ownership, a. The actual cash value of the "auto maintenance or use of a covered "auto". b. The cost to repair or replace the "auto", The insurance provided by this coverage exten- or sion is excess over any other collectible insur- ance. The most we will pay for any one "loss" under this coverage extension is $500. However, 2. Paragraph 1. above is subject to a deducti- our payment for "loss" to personal property will ble, The deductible shall be equal to the only be for the account of the owner of the prop- amount of the highest deductible shown for erty any owned "auto" of the same classification Under this provision, personal property does not for that coverage. In the event there is no include and we will not pay for "loss" of currency, owned "auto" of the same classification, the coins, securities or contraband. highest deductible for any owned "auto" will apply for that coverage. No deductible applies to this coverage extension. No deductible will apply to "loss" caused by M. TOWING fire or lightning. Paragraph A.2. Towing of Section III - Physical 3. Hired Auto Physical Damage Coverage is Damage Coverage, is replaced by the following subject to the following, If a private passenger type "auto" or light truck a. If symbol S is shown in the Covered Auto "auto" (0-10,000 Lbs. GVW) is provided both section of the Declarations page for any Comprehensive and Collision Coverage, we will of the Physical Damage coverages, then pay up to $150 for towing and labor costs in- the Hired Auto Physical Damage cover- curred each time such "auto" is disabled. If a age described in this endorsement does medium, heavy or extra-heavy truck or extra- not apply. heavy Truck-tractor "auto" (greater than 10,000 r than indicated in Paragraphs a. di- Collision GVW) is provided both Comprehensive and b. Other above, coverage provided under Collision Coverage, we will pay up to $250 for rectlythis provision will be excess over any towing and labor costs incurred each time such other collectible insurance or coverage. auto" is disabled. However, the labor must be performed at the place of disablement, 4. In addition to the limit set forth in Paragraph N. FIRE EXTINGUISHER RECHARGE 1. above we will pay,up to $500 per day, to a maximum of$3,500 per"loss"for: The following .4 .added to Paragraph A . Cover- a Any costs or fees associated with the Cover- age Extensions of Section IV - Physical Damage "loss" to a hired "auto" and Coverage: When fire extinguishers are kept in your covered b. Loss of use of the hired "auto", provided "auto" and any are discharged in an attempt to it is the consequence of an "accident" for extinguish a fire, we will pay the lesser of the ac- which you are legally liable, and as a re- tual cost of recharging or replacing such fire ex- sult of which a monetary loss is sus- tinguisher(s) tained by the leasing or rental concern. No deductible applies to this coverage However, Paragraph AA.b. Loss of Use Expens- es under Section III - Physical Damage Coverage CL CA 01 49 02 15 Includes copyrighted material of Insurance Services Page 3 of 5 Office, Inc., with its permission of the Business Auto Coverage Form does not (2) Your partners or members, if you are apply designated in the Declarations as a P. RENTAL REIMBURSEMENT COVERAGE partnership or joint venture, We will pay for rental reimbursement expenses (3) Your members or managers, if you incurred by you for the rental of an "auto" be- are designated in the Declarations as cause of"loss"to a covered "auto". a limited liability company, 1. Payment applies in addition to the otherwise (4) Your executive officers if you are applicable amount "of auto"each coverage you designated in the Declarations as an have on the covered "a organization other than an individual, , partnership, joint venture or limited 2. No deductible applies to this coverage. liability company, and 3. We will pay only for those expenses incurred (5) The spouse of any person named in during the policy period beginning 24 hours Paragraphs 1.a.(1). through 1.a.(4) after the "loss" and ending, regardless of the while a resident of the same house- expiration date of the policy, with the lesser hold; of the following number of days. Except: a. The number of days when the covered (a) Any "auto" owned by that indi- "auto" has been repaired or replaced, or vidual or by any member of b. 45 days, his or her household. 4. Our payment is limited to the lesser of the fol- (b) Any "auto" used by that individu- lowing amounts: al or his or her spouse while a. Necessary and actual expenses incurred, working in a business of selling, or servicing, repairing or parking "autos b. Not more than $75 for any one day, 2. Changes In Auto Medical Payments And S. We will pay up to an additional $300 for the Uninsured And Underinsured Motorists reasonable and necessary expenses you in- Coverages cur to remove your materials and equipment The following is added to Who Is An In- from the covered "auto" and replace such shred In- materials and equipment on the rental "auto". 6. This coverage does not apply while there are Any individual named in 1.a above and his or spare or reserve "autos" available to you for her "family members" are "insured" while your operations "occupying" or while a pedestrian when being struck by any "auto" you don't own except. 7. If "loss" results from the total theft of a cov- ered Any"auto" owned by that individual or by any A "auto" of the "private passenger type",we will pay under this coverage only that "family member". amount of your rental reimbursement ex- 3. Changes In Physical Damage Coverage penses which is not already provided for un- Any private passenger type "auto" you don't der the Physical Damage Coverage Exten- own, hire or borrow is a covered "auto" while sion of the Business Auto Coverage Form or o the care, borrow or control d an mdivid- hile any endorsements thereto ual named in Q.1 a. above or his or her However, this provision does not apply to the spouse while a resident of the same house- extent that rental reimbursement is provided hold except, by separate endorsement to this policy, a. Any "auto" owned by that individual or by Q. DRIVE OTHER CAR COVERAGE any member of his or her household; or 1. The following is added to Section II - Cov- b. Any "auto" used by that individual or his ered Autos Liability Coverage. or her spouse while working in a busi- a. Any "auto" you don't own, hire or borrow ness of selling, servicing, repairing or is a covered "auto" for Liability Coverage parking "autos". while being used by: 4. The most we will pay for the total of all dam- (1) You, if you are designated in the ages under Covered Autos Liability Unin- Declarations as an individual, sured Motorists Coverage and Underinsured Motorists Coverage is the Limit Of Insurance Page 4 of 5 Includes copyrighted material of Insurance Services CL CA 01 49 02 15 Office, Inc with its permission shown in the Declarations as applicable to 3. At our request you must provide us with a copy of owned "autos". the aforementioned written contract or agree- 5. Our obligation to pay for, repair, return or re- ment. place damaged or stolen property under T. UNINTENTIONAL OMISSIONS Physical Damage Coverage, will be reduced by a deductible equal to the amount of the The following is added Paragraph B.2. of Section highest deductible shown for any owned pri- IV- Business Auto Conditions' vate passenger type "auto" applicable to that If you fail to disclose any hazards existing at the coverage If there are no owned private pas- inception date of this policy, such failure will not senger type "autos", the deductible shall be prejudice the coverage provided to you. Howev- $250 for Comprehensive Coverage and $500 er, this provision does not affect our right to col- for Collision Coverage. No deductible will lect additional premium or exercise our right of apply to "loss" caused by fire or lightning. cancellation or nonrenewal, 6. Additional Definition U. LIBERALIZATION As used in this DRIVE OTHER CAR Provi- If we revise this endorsement to provide greater sion coverage without additional premium charge, we "Family member" means a person related to will automatically provide the additional coverage the individual named in 1 a. by blood, mar- to all endorsement holders as of the day the revi- riage or adoption who is a resident of the in- sion is effective in your state, dividual's household, including a ward or fos- ter child, R. KNOWLEDGE OF AN ACCIDENT, CLAIM, SUIT OR LOSS The following is added to Paragraph A.2. of Sec- tion IV- Business Auto Conditions: Your obligation to provide prompt notice of an "accident", claim, "suit" or "loss" is satisfied if you or a person designated by you to be responsible for insurance matters is notified of, or in any manner made aware of an "accident", claim, .suit" or "loss" and provides us such notice as soon as practicable S. WAIVER OF SUBROGATION BY CONTRACT OR AGREEMENT The following is added to Paragraph A.5 of Sec- tion IV- Business Auto Conditions. We waive any right of recovery we may have against a person or organization because of payments we make for "bodily injury" or "property damage" when you and such person or organiza- tion have agreed in writing in a contract or agreement to waive such right of recovery, pro- vided- 1. Such written contract or agreement was a. Made prior to the "accident" or "loss" resulting in the covered "bodily injury" or "property damage", and b. Was in effect at the time of the covered "bodily injury" or "property damage", 2. The covered "bodily injury" or "property damage" must arise out of the operations specified in such written contract or agreement. CL CA 01 49 02 15 Includes copyrighted material of Insurance Services Page 5 of 5 Office, Inc., with its permission THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTOR GENERAL LIABILITY PLATINUM ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. PROPERTY DAMAGE TO BORROWED EQUIPMENT 1. Paragraph 2.j. of SECTION I - COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY is amended as follows: Paragraphs (3) and (4) of this exclusion do not apply to tools or equipment loaned to you, provided they are not being used to perform operations at the time of loss. 2. SECTION III—LIMITS OF INSURANCE is deleted and replaced by the following. The most we will pay in any one "occurrence" for "property damage' to borrowed equipment is $15,000. This limit of insurance is the most we will pay regardless of t'ne number of: a. Insureds, I Claims made or"suits" brought, or c. Persons or organizations making claims or bringing "suits 3. Deductible a. Our obligation to pay damages on behalf of the insured applies only to the amount of damages in excess of $250 as applicable to "property damage" as the result of any one "occurrence", regardless of the number of persons or organizations who sustain damages because of that"occurrence". I The terms of this insurance, including those with respect to our right and duty to defend the insured against any "suits" seeking those damages; and your duties in the event of an "occurrence", claim, or"suit" apply irrespective of the application of the deductible amount. c. We may pay any part or all of the deductible amount to effect settlement of any claim or suit and, upon notification of the action taken; you shall promptly reimburse us for such part of the deductible amount as we have paid. B. CONSTRUCTION PROJECT GENERAL AGGREGATE LIMIT 1. For all SUMS which the insured becomes legally obligated to pay a5 damages caused by "occurrences" under COVERAGE A (SECTION 1), and for all medical expenses caused by accidents under COVERAGE C (SECTION t), which can be attributed only to ongoing operations at a sinWe,construction project away from premises owned by or rented to the insured: a. A Single Construction. Project General Aggregate I applies to each construction project away frorn prer19i'Se3 owned by or rented to the insured, and that limit Is equal to the amount of the General Aggregate Limit shown in the Declarations. b. The Single Construction Project General Aggregate Limit is the most we will pay for the sum of all damages under COVERAGE A, except claniages because of`hodily Injury" or "property damage"' included in the "products-completed operations hazard", and for medical expenses under COVERAGE C regardless of the number of (1) Insureds; (2) Claims made or"suits" brought,or (3) Persons or organizations making claims or bringing "suits". c. Any payments made under COVERAGE Afar damages or under COVERAGE C for medical expenses shall reduce the Single Construction Project General Aggregate Limit for that construction project away from premises owned by or rented to the insured. Such payments shall not reduce the General Aggregate Limit shown in the Declarations nor shall they reduce any other Single Construction Project General Aggregate Limit for any other separate construction project away from premises owned by or rented to the insured. CL CG 00 20 01 12 Includes copyrighted material of Insurance Services Page 1 of 4 Office, Inc with its permission d. The limits shown in the Declarations for Each Occurrence, Fire Damage and Medical Expense continue to apply. However,, Instead of being subject to the General Aggregate Limit shown In the Declarations, such limits will be subject to the applicable Single Construction Project General Aggregate Limit. 2. For all sums which the insured becomes legally obligated to pay as damages caused by "occurrences" under COVERAGE A (SECTION I), and for all medical) expenses caused by accidents under COVERAGE C (SECTION 1), which cannot be attntri.i cc' only to ongoing operations at a single designated construction project away from premises owned by or rented to the insured. a. Any payments made under COVERAGE A for damages or under COVERAGE C for medical expenses shall reduce the amount available under the General Aggregate Limit or the Products-Completed Operations Aggregate Limit, whichever is applicable, and b. Such payments shall not reduce any Single Construction Project General Aggregate Limit. 3. When coverage for liability arising out of the "products-completed operations hazard" is provided, any payments for damages because of "bodily 'injury" or "property damage" Included In the "products-c;ompletead operations hazard WH reduce the Prod uacts-Complated Operations Aggregate Limit, and not reduce the General Aggregate Limit or the Single Construction Project General Aggregate Limit. 4. If the applicable construction project away from premises owned by or rented to the insured has been abandoned, delayed, or abandoned and then restarted, or If the authorized contracting parties deviate from plans, blueprints, designs, specifications or timetables, the proect will still be deemed,to be the same construction project.. 5. The provisions of Limits Of Insurance (SECTION III) not otherwise modified by this endorsement shall continue to apply as stipulated. C. LIMITED JOB SITE POLLUTION 1. Exclusion f. under Section I-Coverage A is replaced by the following: 2. Exclusions This insurance does not apply to: f. Pollution (1) ""Bodily injury' or "property damage" arising out of the actual, alleged or threatened discharge, dispersal, seepage, migration, release or escape of"pollutants": (a) At or from any premises, site or location on which any insured or any contractors or subcontractors working directly or 'indirectly on any insured's behalf are performing operations of the operations are to test for, monitor, clean up, remove, contain, treat, del or neutralize, or In any way respond to, or assess the effects of, "pollutants" or (b) At or from a storage tank or other container, ducts or piping which is below or partially below the surface of tare ground or water or which, at any time, has been buried under the surface of the ground or water and then subsequently exposed by erosion, excavation or any other means if the actual, alleged or threatened dscharge, dispersal, seepage, migration, release or escape of"pollutants" arises at or from any premises, site or location which any Insured or any contractors or subcontractors working direcby or indirecttly' on any insured's behalf are performing operations if the"pollutarsHs`"are brought on or to the premises, sii(e or location in connection with such operations by such insured, contractor or subcontractor. Subparagraph (b) does not apply to "bodily injury" or "property damage' arising out of heat, smoke or fumes from a"hostile fire". (2) Any loss, cost or expense arising out of any (a) Request, demand, order or statutory or regulatory requirement issued or made pursuant to any environmental protection or environmental liability statutes or regulations that any insured test for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or in any way respond to, or assess the effects of, "pollutants"or CL CG 00 20 01 12 Includes copyrighted material of Insurance Services Page 2 of 4 Office, Inc with its permission i CWrn or suit by or on behalf of a governmri authority for damages because of | testing for, monitoring, cleaning up, ,wmuvmx, containing, treating, uatvxxymVur neutralizing m |n any way responding tonrassessing the nffectsnt ~pd||utah<sl' However, this becomes legally obligated to pay as darnages because of"'properly damage" that the insured would have in Vie absence of such request, demand, order or statutory or regulatory requirement, or such ciairn or "suit" by or on behalf of a governmental authority 2. VYith respect to 'bodily injury" or "property damage" uhoing out cf the actua| aUegedor threatened discharge, dbporsa| seepage, m|yraimn, n�easeu/escape o["po|/utuo1a�: a. The "Each Occurrence Limit"shown /n the Declarations does not apply. b. Paragraph 7, of Limits Of Insurance (Section |U)does not apply, c Paragraph 1, of Section III—Limits Qf Insurance io replaced by the following: The Limits Of Insurance shown in this endorsement, or in the Declarations arid the rules below hx the most we will pay regardless o[the number of, (1) |nsurodo, (2) Claims made cv"suKs" brought, nr (3) Persons u/organizations making claims or bringing 'ouits" d. The following are added to Section III— Limits CfInsurance; 8. Subject to 2.or 3. above.whichever applies, the most we will pay for the sum of: o. Damages under Coverage A; and h. Medical expenses under Coverage C because of "bodily injury' or "properly damage" arising out of the actual, alleged or threatened discharge, dispersal, seepage, migration, release or escape of "pollutants" is $100,00: aggreBnte. 9. Subject inI above, the Medical ILin/fio file Most we Will pay under Cove/ayeC for all rnediro| expenses because of "bodily inju�,y' sustained by any one person anoin0 out of the actual, alleged or threatened discharge, dispersal, seepage, migration, release o,escape ny''pn|lutantn'', D. VOLUNTARY PROPERTY DAMAGE 1. The following is added Lu Section 1 — COVERAGES: We will pay, at your request for'property damage"to that part of any property a. Which you or any subcontractors working directly or indirectly on your behalf are performing operations, or b. That must be restored, repaired or replaced because "your work" was incorrectly performed on it This insurance applies unlytn `proporlydamu ' iu property ofothers *hi|e in your care, custody, or control, and arising out of operations away from your insured premises and incidental tu your business Exclusions j.l and (6)dn not apply tu this coverage. This insurance does not apply Lo "property d included within the "explosion hazaod^. the"collapse hazard"or the "underground property damage haza/d' 2. For the purposes of the coverage provided by D. VOLUNTARY PROPERTY DAMAGE, SECTION III—LIMITS OF INSURANCE iv replaced by the following � A. Limits ofInsurance 1. Unless a higher limit iu shown in the Declarations, the most vvo will pay in any ore ^ocoo,rnn:e"for"property dom age"unde/this onUoroomen1ix$15,U00. 2. Unless a higher limit is shown |o the Declarations, the most *o will pay for all covered occurrences" during ary one policy pehod is$15,000 Aggregate Limit of Insurance. CLCG00 %0V11% Includes copyriVhtedmateh^|o(Insurance Services Page 3of4 The Limits of Insurance of this endorsement apply separately to each consecutive annual period and to any remaining period of less than 12 months, starting with the beginning of the policy period shown in the Declarations, unless the policy period is extended after issuance for an additional pence of leas than 12 months. In that case, the additional period will be deemed part of the last preceding period for purposes of determining the Limits of Insurance. 3. Deductible a. Our obligation to pay damages an behalf of the insured applies only to the amount of damages in excess of $250 as the result of any one "occurrence", regardless of the number of persons or organizations who sustain damages because of that "occurrence". b. The terms of this insurance„ Including those with respect to our right and duty to defend the insured against any"suits"seeking those damages; and your duties in the event of an "occurrence", claim, or "suit" apply irrespective of the application of the deductible amount. C. We may pay any part or all of the deductible amount to effect settlement of any claim or suit and, upon notification of the action taken; you shall promptly reimburse us for such part of the deductible amount as we have paid. 4. For the purposes of the coverage provided by D. VOLUNTARY PROPERTY DAMAGE, SECTION IV—COMMERCIAL GENERAL LIABILITY CONDITIONS Is amended as follows: a. The following is added to paragraph 2. Duties In The Event Of Occurrence, Offense, Claim or Suit. In the event of loss covered by this endorsement, the insured shall, if requested by us, replace the property orfurnish the labor and materials necessaryfor repairs at actual cost to the insured, excluding prospective profit or overhead charges of any nature. Any property so paid for or replaced shall, at our option, become our property. Any payment made by us shall not constitute an admission of liability by an insured, or by us. b. Paragraph 4. Other Insurance is amended as follows: (1) Paragraph 4.a. Primary Insurance is deleted. (2) Subparagraphs (1) and (2) of paragraph 4.b. Excess Insurance are deleted and replaced with the following: This insurance is excess over any of the other insurance, whether primary, excess, contingent or on any other basis. All other provisions that apply to paragraph 4. Other Insurance contained in the Commercial General Liability Coverage Form are applicable. 5. For the purposes of the coverage provided by D. VOLUNTARY PROPERTY DAMAGE, the following definitions are added to SECTION V— DEFINITIONS: a. "Collapse hazard" includes "structural property damage" and any resulting "property damage" to any other property at any time. Id. "Explosion hazard" ftludes "property damage"" arising out of blasting or explosion. The "explosion hazard" does not include "property damage" arising out of the explosion of air or steam vessels, piping under pressure, prime movers, machinery or power transmitting equipment. c. "Structural property damage" means the collapse of or structural injury to any 'building or structure due to. (1) Grading of land, excavating, borrowing, filling, back-filling, tunneling, pile driving, cofferdam work or caisson work; or (2) Moving, shoring, underpinning, raising or demolition of any building or structure or removal or rebuilding of any structural support of that building or structure. d. "Underground property damage hazard" includes "underground property damage" and any resulting "property damage'to any other property at any time. e. "Underground property damage" means "property damage" to wires, conduits, pipes, mains, sewers, tanks, tunnels, any similar property, and any apparatus used with them beneath the surface of the ground or water, caused by and occurring during the use of mechanical equipment for the purpose of grading land, paving, excavating, drilling, borrowing, filling, back-filling or pile driving. CL CG 00 20 01 12 Includes copyrighted material of Insurance Services Page 4 of 4 Office, Inc with its permission COMMERCIAL GENERAL LIABILITY CL CG 20 71 09 16 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES, CONTRACTORS OR OTHERS - COMPLETED OPERATIONS - AUTOMATIC STATUS, INCLUDING PRIMARY NONCONTRIBUTORY This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. SECTION II -WHO IS AN INSURED is amended For purposes of this endorsement, throughout to include as an additional insured any person(s) the policy, the terms "you" and "your" refer to or organization(s) when you are obligated by the Named Insured shown in the Declarations. virtue of a written contract or agreement that B. Exclusions such person or organization(s) be added as an additional insured to your policy. With respect to the insurance afforded to these Such person(s) or organization(s) is an additional additional insureds, the following additional insured only with respect to liability for "bodily exclusions apply to "bodily injury" and "property injury" or "property damage" or "personal and damage" arising out of. advertising injury" caused, in whole or in part by 1. The rendering of or failure to render any (1) Acts or omissions of the Named Insured, professional services by you or on your behalf, or but only with respect to either or both of the following operations (2) The acts or omissions of those acting on a. Providing engineering, architectural or behalf of the Named Insured; surveying services to others in your and included in the "products-completed capacity as an engineer, architect or operations hazard" surveyor, and This insurance applies only when you are required b. Providing, or hiring independent to add the additional insured by virtue of a written professionals to provide, engineering, contract or agreement, provided the contract or architectural or surveying services in agreement is connection with construction work you 1. Currently in effector becomes effective during perform. the term of this policy, and This exclusion applies even if the claims against 2. Was executed prior to the "bodily injury" or any insured allege negligence or other .,property damage" or "personal and wrongdoing in the supervision, hiring, advertising injury employment, training or monitoring of others by that insured, if the "occurrence" which caused the However: "bodily injury"or"property damage",or the offense a. The insurance afforded to such additional which caused the "personal and advertising insured only applies to the extent permitted by injury", involved the rendering of, or the failure to law, and render, any professional architectural, engineering or surveying services. b. If coverage provided to the additional insured 2. Subject to Paragraph 3. below, professional is required by a contract or agreement, the services include: insurance afforded to such additional insured will not be broader than that which you are a. Preparing, approving, orfailing to prepare required by the contract or agreement to or approve, maps, shop drawings, provide for such additional insured, opinions, reports, surveys, field orders, change orders, or drawings and specifications', and CL CG 20 71 09 16 Includes copyrighted material of Insurance Services Page 1 of 2 Office, Inc , with its permission b. Supervisory or inspection activities D. Other Insurance performed as part of any related For purposes of this endorsement, the fallowing is architectural or engineering activities. added to the Section IV - Commercial General 3. Professional services do not include services Liability Conditions, 4. Other Insurance within construction means, methods, condition and supersedes any provision to the techniques, sequences and procedures contrary employed by you or performed by or for the This insurance is excess of all other insurance construction manager, its employees or its subcontractors in connection with your available to an additional insured whether on a ongoing operations primary, excess, contingent or any other basis, But, if required by a written contract or written C. Limits of Insurance agreement to be primary and noncontributory, this With respect to the insurance afforded to these insurance will be primary to and will not seek additional insureds, the following is added to contribution from any insurance on which the Section III -Limits Of Insurance: additional insured is a Named Insured, If coverage provided to the additional insured is No other coverage or limit in the policy applies to required by a contract or agreement, the most we lass or damage insured by this coverage, 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 Insurance shown in the Declarations, whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 Includes copyrighted material of Insurance Services CL CG 20 71 09 16 Office, Inc., with its permission O R (V o 0 LO CV o 0 r, Y N N N a � V W P N N rl W N 4 rl N ei N V J m N VI ' C N U J N N C O � N N � U O O m O Z N ' C W a c c H � c � m v � c c v w - G " Z - a � m E N c Ln N d r m u C C Q p Y O O 7i o m C e m p N m n � o t itvtrrKFnir B.ishiesliconsin g�I[7�;I'tiE SS LI SCE' N( '1�'N�;I 0 Box(34565 r ittl WA 981 4--Y'5 -5zto For Licensing Period T (2 :3)85, l r u tomer5ewu.e;itKentWA.gov Jammjy I 2018 - Dct;t;[Ttl.9er 31, 2018 late Due January 01, 2018 Amount Due $101.00 Busrur s^ L-icense No. BLO C-2➢71028 Check each box as appropriate: New Owner Kent Reloca8on J Out of Business BUSINESS NAME- MAILING ADDRESS (revise below as needed) LOCATION ADDRESS(IF DIFFERENT) ALL ARCH ND F FNC COMPANY 11L.AROUND HRNCF.( ON01ANY PO BOX I F1)9 14323 F 67H SF F: KAVENSD ALF. bsrA 9W0 1 SIJMNER, WA 98190 1. Business Phone 2,.,.3 863 4895 Email. 5 _ _ _.. ...... 27 BusincBs0"'ners: rItne-OwiIDrplri JW,the N, 0"'I't brx&ho,e dr,maihog sddru, and oco,a1tat,fcr ,Rtw,Goo) Name, RONALD 6, ROCHELLE DAGLEY Hm.Address: 29032 SE 226TH ST City: MAPLE VALLEY State: WA Zip Code_ 98038 Fbot (Phone; 253-863-4895 3.Business and Occupation Tax Is your husiness registered and filing City of Kent B— tax? NO Please enter your Estimated Annual Gross Receipts? $ OOP C+t7c7 B&O tax registration is completed online at"Taxfile.NentWA.GOV". More information can be found at"KentWA.GOVldoins8-bus inessicity-taxasIB-4-tax"' LEnicrgency Contacts for Business located in Kent: �C"F 253-863 4895 °ermit (item 824) Permit u 2171028 Tech Frrn+ (Pdrurrr 74731 , CustrSmxier(torr�54) ��������������������������� ������ Permit ID: 195589 5. Description of Business: FENCE CONTRACTOR 6. Employees at Kent Location as of 10/31/2017: Full Time: ,,.�' part Time - ' 7. TRN#: S. UBik: 604 100 765 9.SIC Code: 10 N TICS Code. 11. Floor Space Used: _ D�_A Sq.Ft E2. Mark if any of"the faP.loewing are on the prennse �� !»utsernanr Dt etrns G ant l;rW; Kamoke-(;atarct *Pull tabu,Punch Boards,Card Itoums t h"re bY Cnti6 QBi"th ttafemrnt.and is t"oatanon lurnahed by a on t61s arpIicat im are tru¢and ea+nplote to the best ul my know ILsIg, f rlxer ackkronledg,that tic stat oalv,iIs and lm1bru"at;on Cunu tied hq rue mii this appi...tton ore public recorila and are a,aiLibii•tm p ubtie in tpecdon pursuant ei 9t,i oI WW'3sh iripbori RCW d2 I 260, Signature_ y'"� Date _ �� ) Mail ,.�{ L°.. �At] -- / - (� Money o the enclosed Payable envelope with Checkrint l i� `�..�. �..t _,.._F'ttune !}��11L.)"_-f':�/{�� i F KENT Order Payable to CITY O LJobtle a (1 , Y,l ��. '' . -. ..:C�' .�1 tq, W .,I i�s%„tA;k{,1. Please retake a copy of the completed ftartrt for your records CUSTOMER SERVICE DIVISION Patty Resets Manager 22U 4th Avenue South KENT Kent, WA 98037 Fax 253-856-6200 PHONE: 253-856-5200 December 1, 2017 Dear Business Owner: As we leave 2017 behind us, we hope you have a happy holiday season and that the year was prosperous for you. Your business and its success are important to Kent and our community's economic vitality, Enclosed is your 2018 re-license notice. To help us complete your notice efficiently, please review the information on the form and make any necessary corrections. This form and the associated fee are due by January 1, 2018. 1. Is your business subject to Washington State B&O tax? All businesses engaging in business activity in Kent are required to register with the City for B&O Tax purposes. Information about the B&O tax can be found at KentWA.gov/CityTaxes or feel free to call 253-856-6266 with questions. 2. Are you a new Business Owner? Licenses are neither transferable nor assignable. A new license is required upon change of ownership. Return the enclosed re-license notice and mark out of business for the previous owner. You can find new business applications at KentWA.gov. Fill out and mail the new license application with the appropriate fees to 220 4th Ave S. Kent, WA 98032, 3. Did you relocate your business in Kent? Please use the re-license notice to update your move from one Kent location to another. 4. Are you no longer in business in the City of Kent? If you are no longer doing business in the City of Kent, just check the "Out of Business Box" on the re-license notice and return it to us. If you have moved out of Kent but are still coming into Kent to do business you would still need a business license but the type of license would change. Go to KentWA.gov and choose the Contractor application. Please sign and mail ONLY your re-license notice with a check payable to the City of Kent using the enclosed envelope. We cannot accept Utility Bill or B&O payments as part of your re-license fee. We wish you a successful 2018 and appreciate you choosing Kent as your place of business. 0 m Sincerely, Finance Customer Services t 0, MAYOR SULtrTE COOKE.«+m, wrww.mwmwwmmumwwiuuwwwmww+µewwwwumew.naaw..� wariuww,wwwewwrrw a,aeMarvw wuwemm�Jaenwwnarmwwm wwwwwwm�wwa City of Kent Finance Department Aaron BeMlller, Director CITY OF KEN-l a „ne55 Si v SS LICENSE NOTICE Sea Box R4fiR5 BUSINESS I Seattle,w.2 oaf 24 5aB For Period ..., rve (2531856-o2r0 KE cestoma se ioe@rcenlNdn a,v January 1, 20 f - Decetn6er 31, 20l8 Date Due January 0 t, 2018 Amount Due SIL00 Business License No BLOC-2171028 Check each boa as appropriate:• _j New Owner j Kent Relocation -j Out of Business BUSINESS NAME-MAILING ADDRESS (revise below as axed„„ed) LOCATION ADDRESS(1F DIFFERENT) ALL ARO[,'ND FF,iVCE COMPANti N„ , ALL AROUND H1tiD FF,�NCB COY[PANY Po aox ioz9 �,q� ,4�.1�tA 11s�s inrRSr s Rr1VGNSUAL1-., W'A y&Jsl . ",,✓" �. fit' " .d„ � -, SL MNF-h WA98390 L Business Phone: 253 863-4895 Email: allaroundfence@eillarounr fencewa.com 2. Business Owners. (11ne10 1151,.hw k th_ tiewin ar _ox abo: � .ar.tpan.ms.a o a carnrr.ar..e Lttarr olormac1.1r Name: RONALD& 30CHELLEDAGLEY ..___._-_.._...�-_._ m..,...____-__.._.__._._.. ._........_.. ..�_.._. -. Hm Address: 29032 SE 226TH o City: MAPLE VALLEY State: WA Zip Code: 98038 him Phone: 253-863-4895 3.Hasinas and Occupation Tax Is your business registered and tiling City of Kent B&O tax? AVE' _j NO Please enter your Estimated Annual Gross Receipts? B&O tax registration is completed online at"TaxBIB.KentWAGOV". More information can be found at KntttW.A..Gt1V'ddoYt+cry-lruaine5.sfclly-taxan!®-O•tax.". 4, Emergency Contacts For Business located in Kent; Ron D agley 253-863 4895 Permit (!tom 824) Je hFee (Item 1473) Permit#: 21T1028 Customar(Rem 754) Permit il) 195589 5. Description of Business: FFNCE CONTRACTOR 6. Employees at Kent Location as of 10131r2017: Full I lmc: 00 . .. Part Time: 00 g 7.TRN,d: s. t Blii: 604 100 765 r•••n,u• l 9,SIC Code 1799 10 AAl(S Cade: 238990 11. Fluor Space Used: 00 SciAt - 12. Mark if any of the following are on the premises: Amuremenr la :(ter i'-f Genihfrng` -� Kareokz'Cabarer "Pntl Tabs,Parch Boards,Card Rooms I herehy certify thar the,statements and Irrormati�o I'u r,,,hcd by we or IBrs application am I—and complete to the hes1 of my knowledge 1 also acknowledge that the statements and ml'omiatiun iurn.shad by me ua this applieatioe are puhlm tecprds and are ava'Jab'�c fcr public inspection pursue(w Stale of Washington RCW 4217.200 Signature Date January 25,,2018 Mail in the enclosed envelope with Check/ Print Name Yalanda Guile Monty Order Payable to: CITY OF KENT Job Title AcCOuntinq Phone h 2538634395J12yL3d R> J'iektsa Akyk,1d � e a I C}NxlkSkl' f " Email yafanda@aParoundtencewa tom Please snake a Copy fyl"thc eatnjaleread forin on r your records Page 1 of 3 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 Project Detail - .Dashboard Document Received Intent ID: Affidavit ID: Status: Approved On Date: 5/11 /2018 904188 5/11 /2018 Company Details Company Name: ALL AROUND FENCE COMPANY Address: PO BOX 1029 RAVENSDALE, WA, 98051 Contractor Registration No. ALLARAF839KS WA UBI Number 604100765 Phone Number 253-863-4895 Industrial. Insurance Account ID 84891301 Email Address altaroundfence@allaroundfencewa.com Filed By Dagley, Ron Prime Contractor Company Name ALL AROUND FENCE COMPANY Contractor Registration No. ALLARAF839KS WA UBI Number 604100765 Phone Number 253-863-4895 Project Information https://fortress.wa.gov/lni/wagelookup/IntentDetails.aspx 5/16/2018 Page 2of3 Awarding Agency KENT, CITY OF 220 - 4TH AVE S KENT, WA - 98032-5895 Awarding Agency Contact Quientin Poil Awarding Agency Contact Phone Number 253-856-5127 Contract Number Project Name Various locations Contract Amount $5,317.40 Bid due date 4/ 19/2018 Award Date 5/4/2018 Project Site Address or Directions Payment Details Check Number: Transaction Id: 106302885 Intent Details Expected project start date: (MM- 5/17/2018 DD-YYYY) In what county (or counties) will the King work be performed? In what city (or nearest city) will Kent the work be performed? What is the estimated contract $5,317.40 amount? OR is this a time and materials estimate? Will this project utilize American No Recovery and Reinvestment Act (ARRA) funds? Specifically, will this project utilize No any weatherization or energy efficiency upgrade funds (ARRA or otherwise)? Does your company intend to hire No ANY subcontractors? https://fortress.wa.gov/Ini/wagelookup/IntentDetails.aspx 5/16/2018 Page 3 of 3 Does your company intend to hire No subcontractors to perform ALL work? Will your company have employees Yes perform work on this project? Do you intend to use any No apprentices? (Apprentices are considered employees.) How many owner/operators 0 performing work on the project own 30% or more of the company? Journey Level Wages County Trade Occupation Wage Fringe Workers King Fence Erectors Fence Erector $15.18 2 Public Notes Show/Hide Existi.np, Notes No note exists https://fortress.wa.gov/lni/wagelookup/IntentDetaiIs.aspx 5/16/2018 5M 1/2018 aboutblank State of Washington Department of Labor & Industries Prevailing Wage Section - Telephone 360-902-5335 PO Box 44540, Olympia, WA 98504-4540 Payment Receipt Your payment has been processed and your form has been submitted. Transaction 5/11 /2018 Date Transaction Id 106302885 Project Name Various locations Form Filed Intent Form Id 904188 Payment Type MC ************9251 Amount Billed $40.00 aboutblank 111