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PK18-222 - Original - All Around Fence Company - Contract - 05/30/2018
NT Records 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): _ t� .._._._.._` �!f�......... .. Category: Contract Agreement Sub-Category (if applicable): fia7no a , �_�fI ,tq!,rn, e ... .... Project Name: Repair and Maintenance of Fence - Hogan Park at Russell Road Contract Execution Date: 5/30/2018 Termination Date: 08/28/2018 Contract Manager: Ben Levenhagen Department: Parks Contract Amount: $ 7,286.40 Approval Authority: ❑ Director ❑ Mayor ❑ City Council X Superintendent, Parks Other Details: .SU'D�ly. labor and materials to-'re,moye„and replace 10 (ten) posts and 100 feet of fence, reinstall or and to complete mow strip at Horgan Park at Russell Road, located at 24400 JRusseMl Road, Itenf"W 98032 per attached Estimated 2018- 3365 dated May 3, 2018 marked as Exhibit A attached: MAY 3 0 7018 cIrn= I 0T 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 16`h 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: Supply labor and materials to remove and replace 10 (ten) posts and 100 feet of fence, reinstall fabric and to complete mow strip at Hogan Park at Russell Road, located at 24400 Russell Road, Kent, WA 98032 per attached Estimate #2018-3365, dated May 3, 2018 marked as Exhibit A attached. 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 SEVEN THOUSAND TWO HUNDRED EIGHTY SIX DOLLARS AND FORTY CENTS ($7,286.40), 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. No Payment and Perforrance 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 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: W'a,iver_af 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. C. The Contractor's failure to make full and prompt payment to subcontractors or for material or labor. D. The Contractor's persistent disregard of federal, state or local laws, rules or regulations. E. The Contractor's filing for bankruptcy or becoming adjudged bankrupt. F. The Contractor's breach of any portion of this Agreement. If the City terminates this Agreement for good cause, the Contractor shall not receive any further money due under this Agreement until the Contract work is completed. After termination, the City may take possession of all records and data within the Contractor's possession pertaining to this project which may be used by the City without restriction. VI. PREVAILING WAGES. Contractor shall file a "Statement of Intent to Pay Prevailing Wages," with the State of Washington Department of Labor & Industries prior to commencing the Contract work. Contractor shall pay prevailing wages in effect on the date the bid is accepted or executed by Contractor, and comply with Chapter 39.12 of the Revised Code of Washington, as well as any other applicable prevailing wage rate provisions. The latest prevailing wage rate revision issued by the Department of Labor and Industries is attached. VII. CHANGES. The City may issue a written change order for any change in the Contract work during the performance of this Agreement. If the Contractor determines, for any reason, that a change order is necessary, Contractor must submit a written change order request to the person listed in the notice provision section of this Agreement, section XV(D), within fourteen (14) calendar days of the date Contractor knew or should have known of the facts and events giving rise to the requested change. If the City determines that the change increases or decreases the Contractor's costs or time for performance, the City will make an equitable adjustment. The City will attempt, in good faith, to reach agreement with the Contractor on all equitable adjustments. However, if the parties are unable to agree, the City will determine the equitable adjustment as it deems appropriate. The Contractor shall proceed with the change order work upon receiving either a written change order from the City or an oral order from the City before actually receiving the written change order. If the Contractor fails to require a change order within the time specified in this paragraph, the Contractor waives its right to make any claim or submit subsequent change order requests for that portion of the contract work. If the Contractor disagrees with the equitable adjustment, the Contractor must complete the change order work; however, the Contractor may elect to protest the adjustment as provided in subsections A through E of Section VIII, Claims, below. The Contractor accepts all requirements of a change order by: (1) endorsing it, (2) writing a separate acceptance, or (3) not protesting in the way this section provides. A change order that is accepted by Contractor as provided in this section shall constitute full payment and final settlement of all claims for contract time and for direct, indirect and consequential costs, including costs of delays related to any work, either covered or affected by the change. VIII. CLAIMS. If the Contractor disagrees with anything required by a change order, another written order, or an oral order from the City, including any direction, instruction, interpretation, or determination by the City, the Contractor may file a claim as provided in this section. The Contractor shall give written notice to the City of all claims within fourteen (14) calendar days of the occurrence of the events giving rise to the claims, or within fourteen (14) calendar days of the date the Contractor knew or should have known of the facts or events giving rise to the claim, whichever occurs first . Any claim for damages, additional payment for any reason, or extension of time, whether under this Agreement or PUBLIC WORKS AGREEMENT - 3 ($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, Con ractor's Duty to Complete Protested Work. In spite of any claim, the Contractor shall proceed promptly to provide the goods, materials and services required by the City under this Agreement. D, Failure to Protest Constitutes W?i v�r. 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 Fallow Procedures C. nstitu 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 j 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. RaCVClablg 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 of DiSnutes and Governing Law. This Agreement shall be governed by and construed in accordance with the laws of the State of Washington. If the parties are unable to settle any dispute, difference or claim arising from the parties' performance of this Agreement, the exclusive means of resolving that dispute, difference or claim, shall only be by filing suit exclusively under the venue, rules and jurisdiction of the King County Superior Court, King County, Washington, unless the parties agree in writing to an alternative dispute resolution process. In any claim or lawsuit for damages arising from the parties' performance of this Agreement, each party shall pay all its legal costs and attorney's fees incurred in defending or bringing such claim or lawsuit, including all appeals, in addition to any other recovery or award provided by law; provided, however, nothing in this paragraph shall be construed to limit the City's right to indemnification under Section XII of this Agreement. D. Written Notice. All communications regarding this Agreement shall be sent to the parties at the addresses listed on the signature page of the Agreement, unless notified to the contrary. Any written notice hereunder shall become effective three (3) business days after the date of mailing by registered or certified mail, and shall be deemed sufficiently given if sent to the addressee at the address stated in this Agreement or such other address as may be hereafter specified in writing. E. Assignmtnk. 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 Agreeme . The written provisions and terms of this Agreement, together with any Exhibits attached hereto, shall supersede all prior verbal statements of any officer or other representative of the City, and such statements shall not be effective or be construed as entering into or forming a part of or altering in any manner this Agreement. All of the above documents are hereby made a part of this Agreement. However, should any language in any of the Exhibits to this Agreement conflict with any language contained in this Agreement, the terms of this Agreement shall prevail. H. Compliance with laws. The Contractor agrees to comply with all federal, state, and municipal laws, rules, and regulations that are now effective or in the future become applicable to Contractor's business, equipment, and personnel engaged in operations covered by this Agreement or accruing out of the performance of those operations. I. Public Records Act. The Contractor acknowledges that the City is a public agency subject to the Public Records Act codified in Chapter 42.56 of the Revised Code of Washington and documents, notes, emails, and other records prepared or gathered by the Contractor in its performance of this Agreement may be subject to public review and disclosure, even if those records are not produced to or possessed by the City of Kent. As such, the Contractor agrees to cooperate fully with the City in satisfying the City's duties and obligations under the Public Records Act. ]. City Busi_n ss_�i_unse R qu_. r 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. CD-Un erparl5_ and $Ig jg-LQ by Fax' or E, .n. 1. 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. __ .,.,....—_. .-w_---.-. �......_.....,. -- CONTRACTOR: CITY OF ENT: 5 (signature) n _� Pet (signature) Print Name: 1CtJ _ Print Name: Garin Lee, Its °wI?dwct 1 Its: Superintendent, Parks Operations DATE _ S Z�' Y ) ,yy _... .. .. NOTICES TO BE SENT TO: NOTICES TO BE SENT TO: CONTRACTOR: CITY OF KENT: Ron Dagley Ben Levenhagen, Support Svcs Field Supervisor All Around Fence Company City of Kent P.O. Box 1029 220 Fourth Avenue South Ravensdale, WA 98051-8101 Kent, WA 98032 (253) 863-4895 (telephone) (253) 856-5133 or (telephone) (253) 863-0704 (facsimile) (253) 508-9548 (cell) (253) 856-6120 (facsimile) ATTEST: Kent City Clerk 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. 1 have read the attached City of Kent administrative policy number 1.2. 2. During the time of this Agreement I will not discriminate in employment on the basis of sex, race, color, national origin, age, or the presence of all sensory, mental or physical disability. 3, During the time of this Agreement the prime contractor will provide a written statement to all new employees and subcontractors indicating commitment as an equal opportunity employer. 4. During the time of the Agreement I, the prime contractor, will actively consider hiring and promotion of women and minorities. 5. Before acceptance of this Agreement, an adherence statement will be signed by me, the Prime Contractor, that the Prime Contractor complied with the requirements as set forth above. By signing below, I agree to fulfill the five requirements referenced above. For:._....._.._.-- l_�....f7 �U old _..6f,Vic � -.�.... Title: ...._......,....; 5 .__............... _....._ Date .. .,.Z.�?_�_�_.._... 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. All Around Fence Company By: VIM Signature of Authorized Official* Printed Name: fllAz Title: �� r 1 --t"T Date: ..... ...Z City and State: ____ws(-<-�^^�L✓ CNp *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 EXHIBIT A Ap✓ , All Around Fence Company Estimate I„ PO Box 1029 - _._.......�Eseimateufgce co % Ravensdale WA 98051 Date 5/3/2018 2018-3365 Name / Address F24t0i()"Russell Se Address ._ .._...... - City of Kent �, Rd 220 4th Ave South Kent Wa 98032 Kent WA 98032 Rep__., KDD Description Total Option #1 _......._ Supply labor and materials to take down 100' (about 10 post) of fence. Reinstall fabric . Owner to do mow strip $4608.00 Option # 2 All Around Fence to complete mow strip $2016.00 Signature Date .,... Subtotal $0.00 Phone # Fax # Sales Tax (10.0%) $0.00 253-863-4895 253-863-0704 Total' $0.00 E-mail Web Site allaroundfence@allaroundfencewa.com www.allaroundfencewa.com 5/2/2018 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 ,J9b-Ch jtfieatlon Wagp, Holiday Overtime Note King Fence Erectors Fence Erector $15.18 1 aboutblank 1/1 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, hired and leased vehicles. Coverage shall be written on Insurance Services Office (ISO) form CA 00 01 or a substitute form providing equivalent liability coverage. If necessary, the policy shall be endorsed to provide contractual liability coverage. Commercial General Liability insurance shall be written on ISO occurrence form CG 00 01 and shall cover liability arising from prernises, 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 shall be named as an insured under the Contractor's Commercial General Liability insurance policy with respect to the work performed for the City using ISO additional insured endorsement CG 20 10 11 85 or a substitute endorsement providing equivalent coverage. 2, Workers' Comneensation 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 imum combined single limit for bodily injury and property damage of $1,000,000 per accident. 2, Cormercial General Liability 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 Risk 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 owned 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:V1 F. Verification of Coverage Contractor shall furnish the City with original certificates and a copy of the amendatory endorsements, including but not nceessarily 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 Risk 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 furnish separate certificates and endorsements for each subcontractor. All coverages for subcontractors shall be subject to all of the same insurance requirements as stated herein for the Contractor. .mac a CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD,VYYY) 1a.__ 12/119017 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 pollcy(I") 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 endorsemant(s). PRODUCER Carl Maciolek, ACSR N!!MR. .,., ., Bell Anderson Agency, Inc, PAIONE (425)291-5200 FAX (425)291 5100 G.Nk,EMC .. .. :INS,Np1 .... 600 SW 39th St, Suite 200 'NAIL canm@be 11-anderson.com AppREs$, _. ._. .. INSURERS)AFFORDING COVCRAOE NAICM Renton WA 98057 4N'suR@RA Continental Western Tne. co. , 10804 INSURED .. _... ,, __.. ._..._ WNSURE.R a. ........._. All Around Fence Company INSURERO PO Box 1029 ... ,._.... INSURER D INSURER E. .._. .. ..... ,,,, _......... .. Ravensdale WA 98051 INSURERF COVERAGES CERTIFICATE NUMBER:CL171212 62 5 9 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NO TVVITHSTANDING 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 CONDI DOES OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR" _,,,.... .,,,, "AIML SEEN ,,,, __. r ` TYPE OF INSURANCE POLICY EeF ' POLICY UP PpLICY NUMBER MWWlY1IYN1 LIMITS X COMMERCIAL GENERAL LIABILITY EAitI4JCGORPENCE. f 1,000,000 A CLAIMS MADE #, I OCGIIR I EMEXP yopre POu'x5rll '9 300,000 0,000 X Y CPA602961222 12/1/201"! 12/1/201E MED ... ,® ..... t VERSONA4&ADS INJURY 6 11000,000 ., ., :bI-11 ILL n<LlllcarrllnnnAPaurD PER GeNERALAccREGArE s 2,o00aD,oaa 10[ICY...X Putn. ...... . , JFOT E11C ,I 00001L-COMIIUTABC,` S 2,00D,000 AUTOMOBILE LIABILITY _ IN 4N ¢ 1u I iE 1,000,000 ANY A I I R 1 (he ,., p... ... . BODILY LY INJURY(Per w,mfl s ( ALL OWNED .I S'CUI DUIf 11 - AUTOS AVTU' X y GPA602961222 12/1/2017 12/1/2018 DODILY INJURY(P ramtlan) 5 HIREOAUFUS AU I OS� NONOWNEU CRC4PE'RTM CinMAyiF .$ E X Y UMBRELLA LIAB 'OCCUR EACH OCCURRENCE E 2�000,000 EXCESS LIAB , - - A I ,,,�„ I I— CLAIMS MAIOF` I AGt;Rf t'n II _ 9 2e 000400D .....;E OEM �RL COMPENSATION 10 Opp� CPA602961222 � 12/1J 201J 12/1/201R R AND KERS EMPLOYERS'LIA.TgN ° 4a FB J14 I AND EMPLOYERS'LIABILITY MANY VMUVHIRTOR/EXCI NE W`XCCUIIVI A IOV FICPke'M4 MaER Ex^,WDEU'+ NXA, fl LAD nAt GI DI NI E 1 000,000 I(Man4a4Nq m NRI CPA602961222 12/1/2017 � 12/1/2U15 E III�I L13E IA rMP4OTL E {1yyalp d95CphN urxler iI� Sto Ga .. .,, ., 1,000,00© :iJESwRIpvrIGN O'F f7Pfr�P2AT1C}NS hw4owr P P 1 EL O7 ECAEf.,POLICY,IPAn ,E 1 Od0 oOD.. I I jI DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES (ACORD 101,AtlLlEonal RNmarcs Schedulq may pa altachac if more space Is required( The certificate holder is additional insured per the attached endorsement #CLCGO529 0916, MCLCG2071 0916 and $CLCA0149 0215. Waiver of subrogation per the attached endorsement #CLCG0492 0916 and kCLCA0149 0215. Primary 6 non-contributory coverage per the attached endorsement SCLCGO529 0916 and MCLCG2071 0916, CERTIFICATE HOLDER CANCELLATION jadavis@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 6 Community Services 220 Fourth Avenue South AUTHORVEO REPRESENTATIVE Kent, WA 98032 Sason Web/CE.M ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD IN302S nnaern 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 —. ._ __.... W.. .. _ —._ .... .., Provision Name Of Coverage Extension Included or Limit of Insurance A. Miscellaneous Additional Insureds Included _.. — .... — ..�_,_..... _._ . ..... _ . . _ ._. .. _.._._ - B. Expected Or Intended Injury Or Damage Included 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 __ .w —_ F. Mobile Equipment Redefined ncluded .. . _ - .- -- .......... G. Newly Formed Or Acquired Organization, Partnership Or Limited Liability Included ny And Compa 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 -- -._ m................. ._ ..,.._ _ _.. L. Waiver Of Transfer Of Rights Of Recovery Against Others Included __...-- ..... _o _ _ .._Ide M. Liberalization Clause Included —... a.... - --al®--', ... ._...._._ al_ _.. N. ncidental Medical Malpractice ncluded The above is a summary only. Please consult the specific provisions that follow for complete 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 policy, a. The written contract or written agreement 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 (2) Fully executed by you and the insured below) described in Paragraphs additional insured prior the "bodily AA.c.(1) through A.1.c.(8) below when you 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 b. 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 person(s) 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 and arising out of the ownership, respect 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. elevatcrs, 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 (ii) 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 demonstration, testing, orthes) with substitution of parts under I controlling interest in the Named instructions from the manu- nsured but only with respect to their 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 or normally undertakes to structural alterations, new con- make in the usual course of perfostrucrmed ion or demolition operations business, in connection with perfoed by or for such person(s) the distribution or sale of the or organization(s) 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- (a) Any persons) or organization bution or sale by you, have been labeled or relabeled or (referred to as vendor), but only with respect to "bodily injury" or used as a container, part or "property damage" arising out of ingredient of any other thing 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 The most we will a on behalf of the acting on its behalf Haw-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 b g y 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 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 protective systems, any injury or from automatic fire while rented to you or temporarily damage arising out of thee "occurrence"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 deleted and replaced b the following Insurance. p y 9 2. The paragraph immediately after Sub- a. A contract for a lease of premises. portion of the contract for paragraph j.(6) of Paragraph 2. Exclusions a lease of p However, that premises that indemnifies any of Section I — Coverage bi Bodily Injury person or organization for damage by And Property Damage Liability is deleted fire, lightning, explosion, "smoke" or and replaced by the following: leakage from automatic fire g 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 al You 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 f Coverage C — Medical Payments is not Insurance is deleted and replaced by the otherwise excluded from this policy or coverage following: part, the Medical Expense Limit is charged, 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 A for damages because of "propert Subparagraph f.(1) of Definition 12. "Mobile y damage" to premises while rented to equipment" of Section V— Definitions is deleted 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, (b) Road maintenance, but not construction (v) Coverage only applies for those limited or resurfacing; or liability companies who have established 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 I — 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 And Advertising Injury Liability does Section I — Supplementary Payments — not apply to "personal and advertising Coverages A And B is changed as follows. injury" arising out of an offense 1. The limit shown in Paragraph 1.b. for the committed before you acquired or formed cast 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 UNINTEW 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 adopt a mandatory attachment form chan General Liability Conditions ge which broadens coverage under this edition of However, the unintentional omission of, or the Commercial General Liability CG00g1 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 the 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 8. Transfer Of Rights Of Recovery Against Others To Us f. An Insured does not apply a physician,Paragraph 2.a.(1)(d) of Section II — Who Is 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 hazard" when you have agreed in a written 2. This provision is excess over any other valid contract or written agreement that any right of and collectible insurance whether such 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 4.b. of Section IV — written contract or written agreement and is Commercial General 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 following 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 ansing 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 organization(s) 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 persons) 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 additional insured only with respect to e. This insurance ends at the earliest of the liability for "bodily injury", ''property following times: 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 jab site has been on behalf ofthe Named Insured, completed if the wntten contract calls for work at more than one job site in the performance of the Named Insureds any Named that part of work for the additional insured(s) specified (3) When Whend(s work done a job site has in the written contract provided the Insurethe been put to its intended use by any contract agreement requires you to person or organization other than the provide the addtticnal 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 F u of via the 10/01 edition of CG2010 (aka CG g or purposes oses paragraph A. of this 20 10 10 01) or via the 11/85 edition of endorsement the terms "you" and "your' CG2010 (aka CG 20 10 11 85), then in refer to the Named Insured shown in the 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 prmary and (1) Preparing, approving, or failing to noncontributory, this insurance will be prepare or approve, maps, shop primary to and will not seek contnbution 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 Insurances 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, rf 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 - ansing 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 company or any organization excluded ei- above must have been executed prior described the they by this Coverage Pat or by endorsement, P 11 and over which you maintain ownership or ma- accident" that caused the "bodily injury" or jority interest of more than 50 percent will qualify "property damage" and be in effect at the as a Named Insured. However: time of such "accident", 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 tional "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- If required by the written contract or 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 own 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" 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 named as an This coverage is excess over any other collecti- insured" by separate en- ble insurance or warrant providing such airbag dorsement to this policy. y p g 9 coverage. C. EMPLOYEES AS INSUREDS I. AUTO LOAN/LEASE GAP COVERAGE The following is added to Paragraph A.I. Who Is The fallowing is added to Section III - Physical An Insured Section II - Covered Autos Liability Damage Coverage, Paragraph C. Limits of Insur- ance. Any "employee" of yours is an "insured'' while using a covered "auto" you don't own, hire or bor- to", we will pay any unpaid amount due - 4. In the event of a total "loss" to a covered "au row in your business or your personal affairs, the lease or loan fora 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 GLASS REPAIR- NO DEDUCTIBLE any other collectable insurance J. G. COVERAGE EXTENSION - TRANSPORTA- The following is added to Paragraph D. Deducti- TION EXPENSES ble of Section III - Physical Damage Coverage: Paragraph AA.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 C.1.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 A.4. 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 1. The most we will pay in any one "loss" is the property of a family member, that Is in the cov- lesser of. ered "auto" at the time of"lass"and caused by an "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 awned "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 8 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 Lbs. GVW) is provided both Comprehensive and b. Other than indicated in Paragraphs a. di- Collision Coverage, we will pay up to $250 for rectly above, coverage provided under towing and labor costs incurred each time such this provision will be excess over any auto" is disabled However, the labor must be other collectible insurance or coverage, 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 .added to Paragraph A.4. 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 A.4.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 each coverage you designated in the Declarations as an have on the covered "auto", 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 auto" has been repaired or replaced, or (a) Any "auto" owned by that indi- 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 5. 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 Any "auto" owned by that individual or by any eyed "auto" of the "private passengee r t type"pe", "familymember", we will pay under this coverage only that amount of your rental reimbursement ex- 3. Changes In Physical Damage Coverage penses which is not already provided for un- der the Physical Damage Coverage Exten- y P passenger type " you don't sion of the Business Auto Coverage Form or own, hire or borrow is a covered "auto" while any endorsements thereto in the care, custody or control of any individ- 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 8.2. 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. I 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 wi I pay in any one 'occurrence' for "property damage" to borrowed equipment is $15,001 This limit of insurance is the most we will pay regardless of the 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 or 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 when sustain damages because of that'Occurrence". b. 1"tie terms of this insurance, including those with respect to our right and duty to defend the ihoured against any *suuits^ seeking those damages; and your duties in the event of an roccurrence""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 as damages caused by "occurrences" under COVERAGE A (SECTION I), and for all medical expenses caused by accidents under COVERAGE C(SECTION 1), which can be attributed only to ongoing operations at a single construction project away from premises owned by or rented to the insured, a. A Single Construction Project General Aggregate Limit applies to each construction project away from premises owned by or rented to the insured, and that limit is equal to the amount of the General Aggregate Limit shown in the Declarations. I The Single Construcffon Project Gerieral Aggregate Limit is the most we will pay for the sure of all damages under COVERAGE A, except damages because of"bodily injury" or"property damage" included in the "products-corn brad operations hazard", and for medical expenses under COVERAGE C regardless of the number of (1) Insureds, (2) Claims made cr°suits" brought, or (3) Persons or organizations making claims or bringing "suits". c. Any payments made under COVERAGE A for damages or under COVERAGE C for medical expenses shall reduce the Single Construction Project General Aggregate Limit for that construction project away from promises 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 malenal of Insurance Services Page 1 of 4 Office, Inc with its permission cl. 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 �reg t0 Ag Bruit shown in the Declarations, such limits well g a Construction Project GeneraIl Aggregate Limit. be subject to the applicable Single 2. For all sums which the insured becomes legally obligated 10 Pay as damages caused by "occurrences" under COVERAGE A (SECTION 1), and for Mi mocitcai expenses caused by accidents under COVERAGE C (SECTION 1), which marmot he attributed only to ongoing operations at a single designated construction project away from premises owned by or rented to theinsured: a- Any payments made under COVERAGE A for damages or under COVERAGE C for medical expenses shall reduce the amount available undar the General Aggregate Limit or the Prod ucts-Ccrnpleled Operations Aggregate Lirrid, 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 darnage" included in the "products-compoted operations hazard" will reduce the Prod uots-Com dialed Operations Aggregate Limit, and not reduce the General Aggregate Linnit 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 pad es deviate from plans, puepinrils, designs, specifications or timetables, tile project will still be deemed to be the same construction project, 5. The Provisions of Lirnits Of Insurance (SECTION 111) not otherwise modifed 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 an Which any insured or any contractors or subcontractors worlung directly or indirectly on any insured's behalf are performing operations it the operations are to test for, monitor, clean Up, rernove, contain, treat, detoxify or neutralize, or in any way respond to, or assess 1ho effects of, 'pollui or (b) At or from a storage tank or other container, ducts or piping which is below or partially below the surface of the 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, Wie ad or threatened discharge, dispersal, seepage, migrafion, release or escape of pollutants' arises at or frorn any premises, site Or location which any insured or any contractors or subcontractors workingdirectlyor indirectly on any insured's behalf are performing operations the"pollutants"are brOLight an or to line premises, site 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 "hostifis fire". (2) Any loss, cost or expense arising out of any: (a) Request, demand, order or statutory or regulatory requirement issued or mado 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 CIL CG 00 20 01 12 Includes copyrighted material of Insurance Services Page 2 of 4 Office, Inc with its permission e (b) Calrin Or suit by or on behalf of a governmental authority for damages because Of testing for, monitoring, cleaning Lip, removing containing, treating, datoxifying, or neutralizing or In any way responding to or assessing the effects of, "pollutants" However, this paragraph does not apply to liabdity for those sums the insured becomes legally obligated to pay as damages bacakAe of"property damage" that the insured would have In the absence of such request, demand, order or statutory or regulatory requirement, or such claim a "suit" by or an behalf of a governmental authority. 2. With respect to "bodily injury" or "property damage" arising out of the actual, alleged or threatened discharge, dispersal, seepage, migration, release cr escape of"pollutants" a. The "Each Occurrence Limit'' shown in the Declarations does not apply, b. Paragraph 7, of Limits Of Insurance (Section 111)does not apply. c. Paragraph 1. of Section III-Limits Of Insurance is replaced by the following The Limits Of Insurance shown in this endorsement, or in the Declarations and the rules below f x the most we will pay regardless of the number of (1) Insureds: (2) Claims made or"suits"brought, or (3) Persons or organizations making claims or bringing "suits" d. The following are added to Section III-Limits Of Insurance: 8. Subject to 2. or 3. above, whichever applies, the most we will pay for the sum of a. Damages under Coverage A; and b. Medical expenses under Coverage C because of "i injury" or "property damage" arising out of the actual, alleged or threatened! discharge, dispersal, seepage, migration, release or escape of 'pollutants" is $100,000 aggregate, 9. Subject to 8. above, the Medical Expense UnA is the most we will pay under Coverage C for all medical expenses because of mboduy injury" sustained by any one person arising out of the actual, alleged or threatened discharge, dispersal, seepage, migration, release or escape of"pollutants". D. VOLUNTARY PROPERTY DAMAGE 1. The following is added to 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 only to 'Property darri to property of others while in your care, custody, or central, and arising out of operations away from your insured promises and Incidental to your business Exclusions j.(3),(4),(5) and (6) do not apply to this coverage This insurance does not apply to 'property cl included within the "explosion hazard', the "collapse hazard" or the "underground property damage hazard' 2. For the purposes of the coverage provided by D. VOLUNTARY PROPERTY DAMAGE, SECTION III- LIMITS OF INSURANCE is replaced by the following. A. Limits of Insurance 1. Unless a higher limit is shown in the Declarations, the most we will pay in any one "occurrence"for"property damage" under this endorsement is$15,000. 2. Unless a higher limit is shown in the Declarations, the most we will pay for all covered occurrences" during any one policy period is $15,000 Aggregate Limit of Insurance, CL CG 00 20 01 12 Includes copyrighted material of Insurance Services Page 3 of 4 Office, Inc with its permission The Limits of Insurance of this endorsement apply separately to each consecutive annual period and to any remaining period of less than 12 months, staining wth the beginning of the policy period shown in the Declarations, unless the policy period is extended after issuance for an additional period of less than 12 months. In that case, the addtional 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 on 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. 1`he 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 reirnbLirse us for such part of the deductible anlouant 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 foiiowing 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 or furnish the labor and malerlais necessary for 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 optuon, become our property. Any payrrenit made by us shall not constitute an admission of Ilabillty 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, S. 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. b. "Explosion hazard" includes "property damage" arising out of blasting or explosion, The explosion hazard" does not incdude "property damage'""arrsing out of the explosion of air or steam vessels, piping under pressure., prime movers, machinery or power transmitting ecquiipment. 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 Declarai. virtue of a written contract or agreement that such person or organization(s) be added as an B. Exclusions 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 (2) The acts or omissions of those acting on following operations behalf of the Named Insured, a. Providing engineering, architectural or 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. IIf coverage provided to the additional insured is required by a contract or agreement, the 2. Subject to Paragraph 3, below, professional insurance afforded to such additional insured services include. will not be broader than that which you are a. Preparing, approving, or failing 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 III Supervisory or inspection activities D. Other Insurance performedas part of any related For purposes of this endorsement, the followingis 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 construction manager, its employees or its This insurance is excess of all other insurance 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 tlimit in the policy applies to required by a contract or agreement, the most we loss 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 0 N u; u� 0 8 a N '. .r a Iy�Yy} e1 C) N \ U � LL N N ti W N O ti n .-1 N V 0 u � a N ; C v U J W v a N 3 C O 3 � N Cl] � N � V � O O O Z v � J � � N L C g C v � c c a w A G V Z S c J p O a Y s m lL C O Y S -O CCS m C •• O 7 m c f —�— ClPr 01KEN T ea lucret lcenaing r'0 nwix a46b5 BUSINESS LICENSE NOTICE Seattle, INA 98124-5965 For Licensing Period KE1 T (25 )856-5210 . . t u tr a lerServlce@KentWA gov January I, 2018 - December 31, 2018 late Due January 01, 2018 Amount Due $101.00 Business License No. BLOC-2171028 Check each box as appropriate: j New Owner Kent Relocatiou Out or Business BUSINESS NAME- MAILING ADDRESS (revise below as needed) LOCATION ADDRESS (IF DIFFERENT) u ALL A]2(7Clivl) FENCE CO(VWANA ALL Al FLN(T C ONEfANY PO BOX 1029 14323 16TH ST H RAVFNSI)ALE, WA 98061 SU;VIIvER, WA 98390 1. Business Phone: 253 863 4895 ._.� ............._.... .........__ Email: Ci�21y: l1.7.'.R.1A 3'Cm 2 Business Owners: Il newOwac please.-hed.thi ?lem Gen er boe aheve Ih mailing ad J[�`. .uul del" I"c i lr leper Col lnI'sma¢eu I Name: RONALD & ROCHELLE DAGLEY Hm Address: 29032 SE 226TH ST Ciry: MAPLE VALLEY State: WA Zip Code: 98038 lim Phone: 253-863-4895 3. Business and Occupation Tax Is your business registered and filing City of Kent B&O tax? "y"Eti NO Please enter your Estimated Annual Gross Receipts? S BOA CtOo B&O tax registration is completed online at"Taxfile.KentWA.GOV". More information can be found at"KentWA.GGVidoing-buslness/city-taxesiB�O-tax,,. P4, Eiricrgenc. Contacts for Business located in Kent: �mt 253-863-4895rmit (Item 824) II Penult 2171028 ee ptem 7473J p �pgry �pry Customer(Item 754) IIM�flNAfl�ll� Permil ID: 195589 S. Description of Business: FENCE CONTRACTOR 6. Employees at Kent Location as of IUV2017: Full Time: -- Part Time 7. TRNp: 8. LIBIM: 604 100 765 9. SIC Code: 10 NAICS Code: Il. Floor Space Used: _ � � Sq.Ft 12. Mark if any of the following are on the premises: hI Amusement Oe reer ; Gambling° l= KaruokeCohm t Pull Tabs,Punco Boards,Card Ptooms I hereby certify that the statements and information himished by me nn this application are true and appnpp i,to die best 3fmy knowledge i also ia4krj¢ov ledge chat the stah.ments and informatics famished by me nu this application are public records and are availibIc lqe pfubhc inspection pursuant to State of W ashinlgion RC11I 4?I7 260- Stgoature-... �� Mail in the enclosed envelope with Check ...__— ... �.— --....--- Date riot Name Money Order Payable to: CITY OF KENT _ t ��` W- -- ,fob Title p oe .__ �• Email le7/ .1�,,��'M"-''SS 4G.�� �h .e . . �. t^,m' ...�.__ Please make a ealryr of the canfpfered farm for y^pur records CUSTOMER SERVICE DIVISION Patty Rose[o Manager y� 220 41:h Avenue South KE N T Kent, WA 98032 w„ „„o.oti 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 ca!I 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. o We wish you a successful 2018 and appreciate you choosing Kent as your place of business. 3 Sincerely, Finance Customer Services 3 3 Nk MAYOR SuZE E COOKE City of Kent Finance Department Aaron ReM➢ler, Director rlrrofKEN LrP rt l3ox sing BUSINESS LICENSE NOTICE et ( t .. ,m mrt pulzt 5965 Fort icensmg Period KENT �" _r'er rrvne(dil<erty+a yov ]anuary 1, 201 S - December 3 t, 2018 Date Due January 01,2019 Amount Due $0.00 Business License No BLOC-2171028 Chxk wch iwx as appropriate: ,� New Owner I Kent Relocation Out of Business BLSINESS NAME MAILING ADDRESS (rsvise below as naeden) LOCATION ADDRESS (IF DIFFERENT) I q Al l- AR01IND FI�"K] Ct -4P' IVY U5% t10 R))C 1029 ALL 23 l r, l'vl I FEVf i ('tJ"DTP ANY '43. RAb't °d',D4LFf, bV,a.4g05J 31„40 I. Business Phone: 53 963-4895 Email: allaroundfence@allar(Dundfencewa com 2. Business Owners nw ii.I rr 'It"' " ay.0 I. ;, ,r rx il ' r, Name: RC)NA-_D& gOCHEI I DACLEY Hm Address: 29032 SE 226TH S- City: MAPLE VALi EE�,._.m... .._...�._ .__......`. State: WA 7.ip Code: 98038 Him Phone: 253-863-4895 E3.Bo,:%1invmvs and Occupation Tax is Your business registered and filing City of Kent B&O tax AYES �NO Please enter your Estimated Annual Gross Receipts? 5 B&O tax registration is completed online at-TaxHle.KerNWAG0W, Mora information can be found at"KentWA.GOY/doing-btisinessicllytaxesiB-G-eax"... 4. Emergency Contacts for Business located in Kent•. — _ Ron Dagley 253-Bn3-1895 rt r h Fr e )x „ 1411) Farmn#: 2171028 r t lomrer nn,, 154) permltil) 195589 5. Description of Business: FENCE CONTRACTOR 6. Employees at Kent Location as of 10131/2017: F kill I tme: 00 Part Time 00 7.TRaw is s. uBbt: 604 100 765 9.sic Cody 1799 10 NAICS Code: 238990 I I_ Fluor Space Osed 00 Sq Ft ['S.442 ark if any of the following are on the premises: I 4musemenr Ovvtcev Gambling" _J KaraukeiCabarer Pull Tabs,Puceh 6oarda Card Rooms eby wau4,th :the sraiar, nms and.nfurmzu,,,furmehed by ma an ins application are we and aomplcte to the bes,of my knowledge.f also acknowledge that the mcnts and nfomtatioa rum.shed by me uc thls application arc public recurds andare arailab'c Forpubl'c� nspeouon pursuantro Slale of Wshington RCW 2Wture ~`` -- Date January 25, 2018 Mail in the enclosed envelope with Check/ Print Name Yalanda Gaulle Moneq Order Payable to: CITY OF KENT Job Title Accounting Phone# 2533634895 Email yalanda@allaroundfencewa com ._ .�.. . 1 �. Please make a c.a y of"the W oozplererd/iorni 16r y our records