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HomeMy WebLinkAboutCAG2019-328 - Original - Evergreen Asphalt & Concrete, Inc. - Fire Station 74 Asphalt Removal & Replacement - 05/29/2019 KENT Records Management Document wwsa .a*or, 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- 72 . Vendor Name: Evergreen Asphalt and Concrete Construction, Inc. 213355 Vendor Number (7DE): Contract Number (City Clerk): Category: Contract Agreement Sub-Category (if applicable): None Project Name: Remove & Replace asphalt at Fire Station 74 Contract Execution Date: 05/30/19 Termination Date: 08/29/19 Contract Manager: Nancy Clary Department: Parks Contract Amount: $48 1 032.60 Budgeted: 0 Grant? Part of NEW Budget: Local: F state: Federal: Related to a New Position: 1:1 Notice required prior to public disclosure? No Basis for Selection of Contractor? Quotes Approval Authority: 11 Director 0 Mayor City Council Other Details: As per Interlocal Agreement with the Puget Sound Regional Fire Authority, the City will invoice PSRFA for 62% of the total invoiced amount plus a 1% Administrative Fee for a total of$30,078.01. PUBLIC WORKS AGREEMENT between City of Kent and Evergreen Asphalt and Concrete Construction, Inc. THIS AGREEMENT is made by and between the []h/ of Kent, a Washington municipal corporation (hereinafter the "City"), and Evergreen Asphalt & Concrete Construction, Inc. organized under the laws of the State of Washington, located and doing business at P.O. Box 867, Ravensda|e/ WA 98051, Shane Gilbertson, 425584'788O, evergreen.shone@corocast.net (hereinafter the "Contn]ctor'). AGREEMENT The parties agree aofollows: I. DESCRIPTION OF WORK. Contractor shall perform the following services for the City in accordance with the following described plans and/or specifications: Provide all labor and material to remove and replace 7,516 SF of heavy duty asphalt and 2,461 SF of light duty asphalt at Fire Station 74 (Police and Fire Training Center), 24611 116t�' Ave. SE, Kent WA 98030 in accordance with Proposal 7539, dated 04/29/19 which is incorporated and attached as Exhibit A. 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 atthe time such services are performed. 11. 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, the Contractor shall complete the work described in Section l within 60 days. 111. COMPENSATION. The City shall pay the Contractor a total amount not to exceed $48/032.60, including any applicable Washington State Sales Tax, for the work and services contemplated in this Agreement. The City shall pay the Contractor eighty-five percent (85%) 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. I o Pavment and Performance Bond. Because this contract, including applicable sales tax, is less than $150/000' and pursuant to Chapter 39.08 RC\N, the Contractor, in lieu of providing the City payment and performance bond, has elected to have the City retain the final ten percent (1096) 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 the State Department 0fRevenue, the State Department of Labor & Industries, and the State Employment Security Department, and until settlement of any liens filed under Chapter 6O.28 RCVV, whichever is later. PUBLIC WORKS AGREEMENT - 1 (Over$2OK and Nh Performance Bond) B. RdgjDAW. The City shall also hold back a retainage in the amount of five percent (596} of any and all payments made to contractor for a period of sixty (60) days after the date of final acceptance, or until receipt of all necessary releases from the State Department ofRevenue, the State Department of Labor & Industries, and the State Employment Security Deparinnent, and until settlement of any liens filed under Chapter 60.20 RCVV^ whichever is later. The amount retained shall be placed in a fund by the City pursuant to RCVV 60.28.011(4)/a\, unless otherwise instructed by the Contractor within fourteen /14\ calendar days uf Contractor's signature on the Agreement. C. The City reserves its right to withhold payment from Contractor for any defective or unauthorized wVrk. 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 C(ty'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 cnax|nnurn 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. [}. . THE CONTRACTOR'S ACCEPTANCE OF FINAL PAYMENT (EXCLUDING WITHHELD RETAINAGE) SHALL CONSTITUTE A WAIVER DF 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.O8RCVV, 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 on 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 service other than that furnished by the City, or the Contractor is engaged in on independently established trade, occVpation, 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 m Unified Business Identifier (UBI) number from the State of Washington. F. The Contractor has a valid contractor registration pursuant to Ch. 18.27 RCVV or an electrical contractor license pursuant to Ch. 19.28 RCVV. PUBLIC WORKS AGREEMENT - 2 (Over$28K and No Performance Bond) 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 ||nnit@t1OM, any one or more of the following events: A. The Contractor's refusal or failure to supply a sufficient number of properly skilled workers or proper materials for completion of the Contract work. B. The Contractor's failure to complete the work within the time specified in this Agreement. C. The Contractor's fn)|un3 to make fU|| and prompt payment to subcontractors or for material Orlabor. D. The Contractor's persistent disregard of federal, State or local laws, rules or regulations, E. The Contractor's filing for bankruptcy orbecoming 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 VVages," with the State of Washington Department of Labor & InduStri8s 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 |sattached. 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 deanoS appropriate. The Contractor shall proceed with the change order work upon receiving either written change order from the City or an oral order from the City before actually receiving the written change order. If the Contractor te||s to require a change order within the time specified in this paragraph, the Contractor waives its right to make any Cl8|n0 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 /\ 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 c|e|rns for contract time and for direct, indirect and consequential costs, including costs of delays related to any work, either covered or affected by the changm. PUBLI[ VVORKSAGREEMENT - 3 (Over$20K and 0o Performance Bond) � 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 da|rn as provided in this section. The Contractor shall give written notice to the City of all da|rns 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 know 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 otherwise, shall be conclusively deemed to have been waived by the Contractor unless a timely written c>mirD is made in strict accordance with the applicable provisions of this Agreement. At a rnin|rnunn, a Contractor's written da|rn shall include the information set forth in subsections A, items 1through Sbe|ow. 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 C|a|On; ]. 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. The Contractor shall keep complete records of extra costs and time incurred as a result of the asserted events giving rise to the c\o|rn. 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. . 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. . 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. . By failing to follow the procedures of this section, the Contractor completely waives any dairnS 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 DR 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 PUBLIC WORKS AGREEMENT - 4 (Over$2DK and No Performance Bond) ` prQnlody 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 pads shall be used—rebuilt orused 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 a reasonable time as determined by the City, the City may complete the corrections and the Contractor shall pay all Costs incurred by the City in order to accomplish the correction. XI. DISCRIMINATION. In the hiring of employees for the performance of work under this Agreement orany sub-contract, the Contractor, its sub-contractors, or any person acting on behalf ofthe 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 RCVY 4.24.115, then, in the event ofliability for damages arising out of bodily injury to persons nr damages tD property caused by or resulting from the concurrent negligence of the Contractor and the City, its officers, o0`|d8|S, 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 INQQSTRIAL JqaV&AbLa, TITLE 51 RCVV/ 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 tribuna|) to have been a wrongful refusal VD 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 C|ty'a legal coats and fees incurred because there was a wrongful refusal on the Contractor's port. 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 PUBLIC WORKS AGREEMENT - S (Over$2DK and Nb Performance Bond) 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. Egg I . 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. B. 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 B waiver or relinquishment ofthose covenants, agreements oroptions, and the same shall be and remain in full force and effect. C. 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 c|a|nl 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 toan alternative dispute resolution procese. In any claim or lawsuit for damages arising from the parties' performance of this Agreement, each party shall pay all its legal Costa 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; however, nothing in this paragraph shall be construed to |irn|L the City's right to indemnification under Section Xll 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, uo|egS 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 orsuch other address as may be hereafter specified in writing. E. A5,i5jwmanl. Any assignment ofthis 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. Mg-�fb�dj�D. NV 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 Agregment. The written pnov|s{0Og 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. . The Contractor agrees to comply with all federal, state, and municipal |mvvs, 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. . 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, ennmi}s, 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 PUBLIC VVORKSAGREEMENT - 6 (Over$20K and A/o Performance Bond) possessed by the City of Kent. As such, the Contractor agrees to cooperate fully with the City in satisfying the City's duties and obligations under the Public Records Act, J. City Business, Ligen.�ig Rgquired. Prior to commencing the tasks described in Section 1, Contractor agrees to provide proof of a current city of Kent business license pursuant to Chapter 5.01 of the Kent City Code. K. Counteroarts and Sl_ng �ur s by Fax or iL 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. CONTRACTOR: CITY OF KENT: By: y: (signature) (signature) Print Name:-.,. „�,;; Print Name: -ana ga,lp h lts;— Its Mavor (title) DATE:- DATE:—CE:) NOTICES TO BE SENT TO: NOTICES TO BE SENT TO: CONTRACTOR: CITY OF KENT: Shane Gilbertson Nancy Clary Evergreen Asphalt and Concrete Construction, Inc. City of Kent P.O. Box 867 220 Fourth Avenue South Ravensdale, WA 98051 Kent, WA 98032 42S 584-7890 (telephone) (253) 856-5084 (telephone) 253 639-3779 (facsimile) (253) 856-6080 (facsimile) ................-------................ App ED AS TO FORM: 3P VED AS Ke La Department AT S ,WA ke-ELg Clerk PUBLIC WORKS AGREEMENT - 7 (Over$20K 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, By: For: Title: Date: EEO COMPLIANCE DOCUMENTS - I 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 PQLI,Q)L 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. 1, 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 (04/29/2019), 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. Evergreen Asphalt and Concrete Construction, Inc. By: Signature of Authorized Official* Printed Name: Title: t -oOIJ 0 Date: City and State: *If a corporation, proposal must be executed in the corporate name by the president or vice- president (or any other corporate officer accompanied by evidence of authority to sign), If a co- partnership, proposal must be executed by a partner, EEO COMPLIANCE DOCUMENTS - 4 EXHIBIT A Evergreen Asphalt& PROPOSAL Concrete, Inc. , P.O. Box 867 Date Proposal# Ravensdale, WA 98051 4/29/2019 7539 Ph: 425 584-7890 Fax: 253 639-3779 PROPOSAL SUBMITTED TO: City of Kent 220 Fourth Avenue Kent,WA 98032 Attn Nate Harper TERMS SUBMITTE... JOB ADDRESS Due on receipt SG Qty Description Rate Total Police and Fire Training Center 7,516 SQ FT Asphalt Remove and Replace Heavy Duty Asphalt in 7 Locations(training center side) 4.50 33,822.00T 2,461 SQ FT Asphalt Remove and Replace Light Duty Asphalt in 9 Locations 4.00 9,844.00T Prevailing wage Included Sales Tax (10.0%) $4,366.60 The above prices,specifications and conditions are satisfactory and are herby accepted. You are authorized to do the work as specified. 50%Payment is due within 30 days. 1.5%PER Total $48,032.60 MONTH SERVICE CHARGE ON ALL PAST DUE ACCOUNTS. IN THE EVENT LEGAL ACTION IS TAKEN TO COLLECT ANY AMOUNTS DUE,YOU AGREE TO PAY ALL LEGAL FEES&EXPENSES. THIS QUOTATION IS ONLY VALID FOR Signature THIRTY(30)DAYS. E-mail: Web Site: evergreen.dirk a comcast.net Evergreenasphalt.com 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. Commercial General Liability insurance shall be written on ISO occurrence form CG 00 01 or its equivalent, with minimum limits of $3,000,000 per occurrence and in the aggregate for each 1 year policy period. This coverage may be any combination of primary, umbrella or excess liability coverage affording total liability limits of not less than $3,000,000 per occurrence and in the aggregate. Products and Completed Operations coverage shall be provided for a period of 3 years following Substantial Completion of the work. The Commercial General Liability insurance shall be endorsed to provide the Aggregate per Project Endorsement ISO form CG 25 03 11 85. The City shall be named as an Additional Insured under the Contactor's Commercial General Liability insurance policy with respect to the work performed for the City. All endorsements adding Additional Insureds shall be issued on form CG 20 10 11 85 or a form deemed equivalent, providing the Additional Insureds with all policies and endorsements set forth in this section. 2. 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. 3. Workers' Compensation coverage as required by the Industrial Insurance laws of the State of Washington. B. Minimum Amounts of Insurance Contractor shall maintain the following insurance limits: 1. Commercial General Liability insurance shall be written with minimum limits of $3,000,000 per occurrence and in the aggregate for each 1 year policy period. This coverage may be any EXHIBIT B (Continued) combination of primary, umbrella or excess liability coverage affording total liability limits of not less than $3,000,000 per occurrence and in the aggregate. Products and Completed Operations coverage shall be provided for a period of 3 years following Substantial Completion of the work. 2. Automobile Liability insurance with a minimum combined single limit for bodily injury and property damage of $1,000,000 per accident. C. Other Insurance Provisions The insurance policies are to contain, or be endorsed to contain, the following provisions for Automobile Liability and Commercial General Liability: 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. 3. The City of Kent shall be named as an additional insured on all policies (except Professional Liability) as respects work performed by or on behalf of the contractor and a copy of the endorsement naming the City as additional insured shall be attached to the Certificate of Insurance. The City reserves the right to receive a certified copy of all required insurance policies. The Contractor's Commercial General Liability insurance shall also contain a clause stating that coverage shall apply separately to each insured against whom claim is made or suit is brought, except with respects to the limits of the insurer's liability. D. 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. EXHIBIT B (Continued) E. Waiver of Subrogation The Contractor and the City waive all rights against each other any of their Subcontractors, Sub-subcontractors, agents and employees, each of the other, for damages caused by fire or other perils to the extend covered by Builders Risk insurance or other property insurance obtained pursuant to the Insurance Requirements Section of this Contract or other property insurance applicable to the work. The policies shall provide such waivers by endorsement or otherwise. F. Acceptability of Insurers Insurance is to be placed with insurers with a current A.M. Best rating of not less than ANII. G. Verification of Coverage Contractor shall furnish the City with original certificates and a copy of the amendatory endorsements, including but not necessarily limited to the additional insured endorsement, evidencing the Automobile Liability and Commercial General Liability insurance of the Contractor before commencement of the work. H. 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. EVERASP-02 LBUSCIO ,acoiz,o° CERTIFICATE OF LIABILITY INSURANCE DATE 518/2 D/YYYY) /8/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Laura Buscio NAME: Hub International Northwest LLC PHONE FAx P.O.BOX 3018 (A/c No,Ext)•(206)838-1015 J (A/C,No) E-MAIL Iaura.buscio@hubinternational.com Bothell,WA 98041 ADDRESS;_ _ -- —_ INSURER(S)AFFORDING COVERAGE NAIC# INSURER A Depositors Insurance Company _-- -,42587 INSURED ' INSURER B:Nationwide Mutual Insurance-Company 23787 Evergreen Asphalt&Concrete,Inc. IrsuRERc_AMCO_Insurance Company, _-_ 19100 P 0 BOX 1567 INSURER o Kent,WA 98035 -- --- ---- - --- -INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES._LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _T -_N D.WVD ..-.-_.----- - _... --- '--- - - -_. __.. INSR TYPE OF INSURANCE N D 'WVD' POLICY NUMBER POLICY EFF POLICY EXP LIMITS MM/DD/YYY (MM/DDfYYYYI A X COMMERCIAL GENERAL LIABILITY , EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR X GLD03037050259 4/30/2019 4/30/2020 DAMAGE$( RENTED 100 Q00 X _PR_EMISES.(Ea-occurrence) _ MED EXPJAny one person)_ ! $ 5,000 _PERSONAL&ADVINJURY $ _- 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE__ JE - - -_— - I$--_- 2-,0_-00,000 XPOLICY X PROT PRODUCTSCOMP/OPAGG $ 2,000,000- - __- OTHER. WA STOP GAP $ 1,000,000 B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea_a_ccident)-- --- $ - - X ANY AUTO X X BA30-4-7050259 4/30/2019 4/30/2020 _BODILY INJURY JPer person) OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per,accident)._$ HIRED NON-pWNED 'PROPERTY DAMAGE AUTOS ONLY _ AUTOS ONLY (Per accident) C X UMBRELLA LIAB X OCCUR _EACH OCCURRENCE 2,000,000 EXCESS ._ .MADE', CAA3037050259 4/30/2019 4/30/2020 2,000,000 _ LIAB CLAIMS- _AGGREGATE _ $ DED X '.. RETENTION$ 10,000' $ PER KERS A ORPROPRIECOMPENSATION ERIEXECUTIVE YIN, N/A GLD03037050259 4/30/2019 4/30/2020 E L' STATUTE­ X ER 0 AND EMPLOYERS'LIABILITY ANY OFFICER/MEMBER EXCLUDED? EACH ACCIDENT _- $ 1'00'000 (Mandatory in NH) '. ,.E.L.-DISEASE-EA EMPLOYEE,$ -__ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:Fire Station 74 project The City of Kent,its officials,employees and volunteers are additional insured for general liability,but only if required by written contract or written agreement per the attached. Insurance is primary and non-contributory per the attached.Waiver of subrogation applies per the attached. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Kent THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN tY ACCORDANCE WITH THE POLICY PROVISIONS. 220 4th Ave South Kent,WA 98032 AUTHORIZED REPRESENTATIVE r jf ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: GL003037050259 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s)Or Organization(s) As per written contract Location and Description Of Completed Operations ALL LOCATIONS AT WHICH COMPLETED OPERATIONS HAVE BEEN PERFORMED FOR THE ADDITIONAL PERSON(S) OR ORGANIZATION(S) Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to required by the contract or agreement to provide include as an additional insured the person(s) or for such additional insured. organization(s) shown in the Schedule, but only B. With respect to the insurance afforded to these with respect to liability for "bodily injury" or additional insureds, the following is added to "property damage"caused, in whole or in part, by Section III— Limits Of Insurance: ..your work" at the location designated and If coverage provided to the additional insured is described in the Schedule of this endorsement required by a contract or agreement, the most we performed for that additional insured and will pay on behalf of the additional insured is the included in the "products-completed operations amount of insurance: hazard". However: 1. Required by the contract or agreement;or 1. The insurance afforded to such additional 2. Available under the applicable Limits of insured only applies to the extent permitted Insurance shown in the Declarations; by law; and whichever is less. 2. If coverage provided to the additional insured This endorsement shall not increase the applicable is required by a contract or agreement, the Limits of Insurance shown in the Declarations. insurance afforded to such additional insured will not be broader than that which you are All terms and conditions apply unless modified by this endorsement. CO 20 37 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 ACP GLD03037050259 L7C8 18108 INSURED COPY 47 0020160 Po4y•G�DOa0a7050t5B COMMERCIAL GENERAL LIABILITY CG 73 2312 16 CG 73 23 12 16 This in ShC.is primary to any expand.d d. All reasonable expenses incurred by the property damage Cov.aq.provided by a Insured at our request to...let us In the 'operate endoroemant ached W NI5 investigation or defense of the claim or THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. policy,and It vall Supplant any deductible In '.Oil"* Oit',Including actual lose of earnings up 10 'aid endorsement $500 a day because o(Ilne off Irom work. CONTRACTORS ENHANCEMENT PLUS ENDORSEMENT E D.m•g.T.P,.mlse.Ranted To You G. Newly Formed And Acquired Otganta•llona 1, Under Section 1-Coverage•,C...rage A Under SECTION II-WHO IS AN INSURED INCLUDING MEDICAL PAYMENTS Bodily Injury And Property Damage Paragraph 3.a,ls aplacedwiN. Liability, the last paragraph of 2• a. Coverage under this provision le afforded Exclusion•Is replaced with: only until the 180P day offer You acquire or This ondose rmeritlnotlifes inaunncoprovided unearths following: If Damage To Premla.s Ranted To You le form the organization or the and of No policy not otherwise esciud.d, E..I.,I.na c period,whichever is..riler; COMMERCIAL GENERAL LIABILITY COVERAGE PART Through M.do baonnot apply to damage by Ara, H. Ad M ditional Insured-Automatic Status When lightning, exp , .mete, . sprinkler Rowned In Agreement Or Contract With leakage to premises whit.rented to you or You A. Lost Kay Coverage D. Expanded Property Damage Coverage lemporanly occupied by you with permission Section II-Who Is M Insured la amended to 1. Untler 9.ction 1-Cov.ral, Covent.A 1. For the purpose,of this endorsement only: of the owner. Include: Bodily Injury And Property Damage Beaton I - Coverages, Coverage A 2. Under Section III-Limits Of Insurance. J. Any person(s).orpenlzellon(s)dascribed Liability,Coverage is extendstl to include Bodily Injury And Properly Darnall. Paragraph 6 IS replaced with: In Paragraph a.-d,below with whom you the following: List, , 2. Exclusions, Exclusion J, 6. Subject to 5.above,Me Damage To have greed in writing In a contract or 6 a Wsuni mailer or grand key, Damage To Property is amended a.fobowe: Premisea Ranted To You Limit Is the wramuronben agreement addel such personna excluding almironic key Card. Is lost, a. Paragraph.(3),(S),and(6)are eal.led moat we w,1 Day under Coverage A for organization be added as an additional damaged or stolen while In your Care, in their entirely. damages because of'PMPWY damage' Insured on your policy during the policy Welady or ,Contpl we wW pay Ne cost of b. Paragraph(4)le tloleted In Ns entirely n while rented to period shown In the Declarations. replacing Via keys,inobding the meets,lock antl replaced with: you,or In the caseof damage by Ars, 2, My other person or organization you are end all Says used In In,1eme bdc,the coal (4)personal property In me cere, lightning,expigsion,smoke or sprinkle. roqulred to add a an additonal Insured o/adustng locks to accept the new keys,or Welody,a Control of the insured: leakage, while ranted to you mr under Me ConUan or agreement described the coal to replace the lock.,which—,Is is)(.sleeps or sale al promises 1Domporarlly occupied by you with In Paragraph 1.above, I... increased of the owner.The limit Is The person or organization added as an 2. I.ImS of Insunnee-F.Iha purpose of this you own,rent or occupy;or seed to$1,000.000. Insured by this endorsement le an Insured Coverage the..at we will Day Is S 10,OOD (b)while being transported by any J.Under Section IV-Commercial General only for UablYty,due to: Par -acwnence'. aircraft, 'auto' or watercraft Liability Conditions,4.Other Insurance,b, a, Lauon of Leased Equipment-With S.Voluntary Pro ray Dam•• owned or operated by or ranted Ex..s•Insuranc.(1)(a)(II)IS replaced ...pact to than liability for'bodily injury', ry Pe g W or loaned to any insured. with: 1. Sector, -Cova..gas,Covar.g.A"Illy c. The coverage provided b this 'proporty damage', a'D. 'hot and IN ury And Property Damage Llabigly g Dr y (II)That is Flre,r leak g,Ex Incur n Smoke advertising injury,waned in whole n.if coveregeaexlendedo inciud.00.1bwinq: endonemant doe• not apply W r Sprinkler leakage Insurance for part by your maintenance,leased tyoubOperation.or 'property damage': promises ranted b you or lamporenty we of equipment leased to you by auto N your request,we Will pay 1.'properly (1)Arising out of the disappearance or occupied by you with permission of the person(s) or orpnization(s). TInla damage-lo pre Pori oM...—O by You Ides of use of Personnel property;or owner. Insurance does not apply to any andwhileb your possession,rlaingout of your (2)Mdluded in In.-P.ducla<omplel.d F. Supplementary Pay onto 'occurrence'which lakes piece after the buainessoperatbnsand occurringdunng the operations hazard'. equipment loose expires. puYCYpanod Under Section I-COveragea,Supplementary the'• atslua as additional 2. Limit of Insur.nc.-For No purpose of In 2. Limit of Insurance-The most we wig pay Payments-Cov..g..A and B Paragraphs However, coverage the most we will pay is S7.500 pee f.toss timing out of any one'oeeunenee' t,b and 1.d.are replaced with: incuretl untler Ws PoYCY and when is$5.000. b. Up to$2,500 for Cost of bat bond.required Nair lease,contaW or egreemenl with C. Nn-0w ma Watsr.sft 3. Daductibia"Our obligation to pay for a because of accidents or tral6c law violations you for such Ieaud equipment expires. Untler S..bn I-Coverages,Coverage A Coveretl loss applies only to the amount of adaing oral In the use of any ve rally to which b, Marwith respect or Lu•ity r Premlaes e Boder Injury And Property Damage Coverage, A bat In...a..of$250. the Bodily Injury Liability Coverage applies. with respect la nten n e,or out of the We will Day the deductible amount b effect We do not he to furnish the,.bonds. ownership maintenance,or use of that 2.Exc,,,t p,,Exclusion g.Aircraft.AuW Or salbemanl o/any Won or and,upon part of me premises you awn,ran(, Watarcre8 Peregraph l2)(q 19 replaced with: notNicetion of this action having been taken, lease,or occupy. (a)Lese than 51 feet long;an you shall promptly reimburse us for the deducible as he.been paid by... CG 73 23 12 16 Includes Copyrighted material of insurance Services Office,Inc., Page 103 Page 2of5 MoludeaCopyrights,material s Inwnnu Serwcss Office Ina, CG 73 23 12 16 with its permission. E Ile with lu Demhiean, ¢1 OOra1u .1 OLpo—Seas' RBC It- W.U.0 COPY ¢1 s01.]U xCP OSD000]10soiSe sic h7111 iUREg COPY CG 73 23 12 16 CG 73231218 7nia insurance does not a to: (1)Your=o!oMISSions;a (b)That pond al'your work'out b. You have agreed N wRbng la a Contract apply of which the Injury or damage or egreemenl that thin Insurance would (1)My'occ—rics'which Wk..place (3)The one. omissions of those areas has been put to as be primary and would not ...k otter you wire b be a tenant in acting on your OaheM; in the Intended use by any person.r contnbuuon hom any other insurance Net promises. peH.—Ce 1 your ongoing organization other then another available W the additional Insured. (2)SUuclunl alienations, new can- operations performed for that Contractor or subcontractor 1, Empbyea Bodily Injury To Mother Employee Ciceroni— additional Insured,whether the w.k ..do..or d.M.Ih n Lions la npnaa b or on yow engaged In D.Aonninp Under Seaton II-Who I.M Insured The performed y you CO.al—.for a principal as a performed by or on behalf or the following 1s added to Paragraph 2.a.(1): person or orgenlzalion. behalf, pan.the rams prajea. pply However, 1, sto.. as additional The Insurance does not apply to: Howaver,a parson or organization', pnapropM injury' (a),(b)and(c)yh not the Insured censer Otis policy ends when you (1)"Bodily Injury'."property damapa', eWlua as atl,ilinal tha.ad under to bodily lajuy to a co-employee' the as to bo a lOnenl of such pramisas. or'persons and advertising injury mils policy and. hen your coupe of iM co-employee's'employment by c. Slala or I ant Suhdivklan - arising oral of the rendering of of the operations tar that addibonal insured you,or W'bodlly Injury to a dda'volunteer leisure to render any Ingle or the era cempletetl. —kin'while performing duties related W the P.rmlts R.laling to Promises-with architectural,engineering,or survey Win respect to the Insurance afforded to Conduct olyour business, respecl W the following hazards for services,Inaudlrhg: Such additional Insureds..-d.described J. Broad Form Named mace,., which the,late.political Subdivision above,the following Is added W Section III Under Section III-Who I. M Insured The has I.auad a parmil or euNDnzation in (a)The preparing, approving, or Cm—' with premises you own,rent, failing to prepare or approve -Llmita Of Insurance: following Stich tg Paragraph 2,: or control end b which this insurence mape,shop drawings,opinions, N coverage provided to the additional •. My business entity Incorporated or rep... aU,Y. field orders, In.,ad Is required by a oontaa o organized under the law.of the United Stale applies. than den,or drawingsand agreement,In,moil we will pay on behalf of of America(including Stale thereo Its 1 The exlslence,maintenance,repair, g�a N.additional Insured is the amount of ( u any n () al .peal, Iron.;or lenilnes or w cs Mns or Ca ode construcdgn,Oro signs:or removal of () pervisory, inspection, in urence: Innudin province thereof In which the etiverteinq dyn, awnings• b Su aeso. l 9a Y ) enopias, collar entrances. Coal ural or engineering ecliviese. 1 Required by the contact or agresmanl; Nomad Insured shown In the Declared— to" stof hole., driveways, mannolas, This..Iualon applies even N or more,than the policy period,an interest v of marquees, hoist away openings, the Claims against any insured 2. Available under the applicable Limits of more Nan Ally percent N other valid sitlewalk vauffe,street banners,or allege negligence Or other Insurance shown In the Declinations: business insurance is available to any decorations and Similar exposure.; wrongdoing In Ne supsrviaion, wnicnaver 1.lea.. business entity Covered by this solely by or hint,employment,training or This endorsement shall not increase the reason of ownership by the Named Insured (2)Tne Construction, are Won, or monitoring of 'then by Net applicable Limits of Insurance shown In the shown In the Declarations In excess of fifty Insured, If the Doclerabona, percent,this Insurance k excess over the ovei a/ebvelots;Or 'occurrence other insurance,whether primary.excess, 3 The ownership l which..Used the'bodily Injury However,the Insurance NOrded to such contingent,or on any other basis. () p main en,nce or use or'property damage',or the additional Insureds a.-"'d above: t Limit Per Location of any eW"td.covered by this offense which Caused the K. Aggregate 1. Only applies to via extant permitted by 'personal and advertising law;and Under Section III-Limits Of Insurance the This Insurance does not apply to: Injuy,Involved Ire nnderhng 2, Will not Ida broader than that which you following I.added to Paragraph 2: (1)'Bodily Injury.'property damage' of, or lallun to and.,, any are required by the Contract or The General Aggregate Limit under Secllon III r-personal or advenising Injury profasalanal, erohileclurel• agreement to provide for such eddlboh l Limits Of insurance applies separately to each .rising out of operations performed engineering, or surveying aurae, of your locations owned by or rented to you fi,the slate or mnd.lin ity;or service•. 3. Primary and Noncontributory - Other lemp.nily occupied by you with the permission (2)'Bodily injury or'property damage' (2)'Bodily Injury-Or damage' Insurance Conditions of the owner,For the purposes of this provision, included within the 'products- occurring'Ran The following I. added to the Other location men.premises involving the same Or ompleted operation.hazard'. (a)All work, including material,, Insurance Condition and supersedes any Conn-Ung Iota,orproml.es whoa.Connector, However, ouch stale or Political pans,Or equipment furnished In provisions W the Cons try: Is Interrupted only by a public street,roadway, subdivision's status as additional conneWon win such work,on waterway.railroad nghl-Obway. Ina a that than sorvlco, Primary and Noncontributory Insurance Insured untler Nle policy ends when Uhe projo (o insurance L. ABBrogate Limit P.!Project Permitends. P.,f,enence,at repaint to be seek This ognUlbuUonalrorm n other tlnelrlrence Under Section III-Limits O/Insurance The d. Cho—,L.see.s,or Demonic!I- adnmrmsd by Or on Ill l(v the Y additional InOr On 11 al the available co Wan additional insured under your following ctionparagraph-added W Paragraph nc 2: With reaped to leWGly lor'bodily injury-, bcaan of the ere, policy proMad that: The General Aggregate Limit under Section III -property damage',or'personal and opeations has been completed; a. The additional Insured Is a Named LIMUS Of Inaurnca applies aeparelety to each adverdsing InjuY caused In whole or In or Insured under such other Insurance;and of your coneWciion profane away from pan,by: promises owned by or toned to you. Page 4of5 includes Copyrighted material of Insurance Sa,vi—DIAce,Inc., CO 73 23 12 16 .,In as permission. CG 73 23 12 16 modes copyrighted melerielol he no.Services OMn.Inc., Page 3 of wh lea Perml¢¢In. CP OSDgaOB]ONaae NeE t11U 1-0 COPY 41 aill 6 ace Wooa.nuew alas ma erauaao covY a Bola.. CO 7323 12 16 M.Medical Payments Inception date of the policy shall not Under Section III — Limits Of Insurance, prejudice me coverage afforded by this Paragraph 7.is replaced with: policy provided such felkne to disclose all 7. Subject to S.above,the higher of hazels or prior'ocarroncaa'or orteneasle not intentional. This provision does not s. $10,000;or affect our light to collect additional premium b. The amount shown In the Declaretlone or exercise our light of cancellallon or nory for Medical Expense Limit is the..at renewal. we will pay under Coverage C for all P. W.hmr Of Subrogation medical expenses because of'y person, bodlly Under Section N — Commercial General Inju sustained by one peon, Liability Condltlors,8.Tronafar Of Rights Of This coveragedoee net ape ff Cavenge C Recovery Against Others To Us the following —Medlin Payments is excluded either by paragraph is added: the provisions of any coverage for ma ff required by a written contract executed prior to enriched to the policy or by endoement. lose,we waive any right of subrogation we may N. Knowledge Of An Occurrence rs have against the contracting parson o Under Section N — Commercial General orgenlzallon because of payments we make for Liability Conditions.the following is added io Injury or damage aching out of your ong.leg 2. Duties In The Event Of Occumnce, operations or'your work"done under a contract Offense,Claim Or 8u11 with that person or organization and Included In e. Knowledge of an occurrence,offense,claim the'producte-completed operations hazard'. or auit by an agent or employee of any 0. Liberalization Insured shag rot In Itself conillNe Under Seaton N — Commercial General knowledge of find Insured unless you,a Liability Conditions,the following paragraph is partner,ff you are a pannerahip;or a elided: executive officer or Insurance manager1 10.Llberallutlon you ere a corporation receives such notice M we revise This coverage form to provide more of an oecvrronce,ofensa,claim or will from the agent oremployee. coverage without addllicnel premium charge, I. The requirements In Paragraph b.wR not Your policy W11 aulomaticaly provide the be coneldered breeched unless there Is ddhionel coverage as of the day the revision Is ct knowledge of oun elite as ouffl ed In effective In your stale. Paragraph e.above. R. Broadened Modify Injury Definition(Mental O.Unlntenlionel Fallure To Disclose Hazard Anguish) Under Section N — Commercial General Under Section V—Definitions Degnhion 3. Lisblli Conditions, Condition 8. 'Badly Injury"Is replaced with: RepreLlitlons the folbwbg paragraph Is 3. 'BodRy In)uy means physical injury, added: sickness,cr disease to a person and If d. Your falluro to disclose al hazerda or prlor Teeing out of the�regoing.mental anguish, 'occurrences'or offenses existing ae of the col Injury, shock, ruminator, including death l y time resulting Iharahom. All farms and conditions of this policy apply unless modified by this endorsement. CG 73 23 1216 Includes copyd,"d maNrlei of Inwnnee SaMose Off ,Inc.. Page 5 of 5 wlh is pmmhabn. aCP OLpamzrosaase NBE �Itn N6UPEo ten xt eetaier Policy NBA30-4 7050259 I COMMERCIALAUTO I COMMERCIAL AUTO AC 70 05 0316 AC 70 05 03 16 A. EFFECT OF THIS ENDORSEMENT If specifically required by the written contract or THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. Coverage provided under 111,policy is modified agreement referenced In the paragraph above, j 1 any coverage provided by shall endorsement to by the provisions of W,ondorenmenl.If Iere n additional insured shall be, printery and BUSINESS AUTO PROTECTION-GOLD IS any conflict between the provisions of this any othr valid end collectible Insurance evalp ,ntlorsemont antl the provisions)of any slate- able Spatial ndditionel Insured shad he non- specific ontlorsemenl modl0es Insurance provided under the lollowin: specific endorsement also attached to this poll- on nice ory,with his insurance.If the written Provi g y,the, the prow-r(s)of the taw--peci0c BUSINESS AUTO COVERAGE FORM emc.a.—i shall apply instead of the Provi- contract does not require Ws d's cov coverage to be ,ions of this endorsement that era In conflict. primary and the additional In is lass c III to i but only to(he extent of the coMicl,and only to be noncontributory,then this Insurance w01 be the extent necessary to bring such provisions encase over any other velltl and collectible Insur- SUMMARV OF COVERAGES Into conformance with""slate regdremanl(s) ca available to the additional Insured. examur e!in the provislon(s)of the stew-apecl6c A E l of This Endonemenl endorsement. E. SUPPLEMENTARY PAYMENTS - SAIL j . lwc B. Newly Acquired or Formed Entities j E. NEWLY ACQUIRED OR FORMED ENTITIES BONGS j C. Emplo ees as Insureds-Nonowned Autos The Named Insured shown in the DeClsallona is COVERED any I.LIABILITY COVERAGE Is Y amended a include any organization you newly - D.Additional Insured by Contract,Permit or Agreement acquire or for ,other than a parin—hip,Joint revised 981allowa: E. S.ppiamanlary Peymenln-Bail Bond- I vanwre,or limited liability company,and over (2)Upw$2.500 for cost of bail bonds(including F. Supplementary PaymeAm_Lass of Earnings which you maintain ownership W majority(mare bonds for related Uaffic sow vidatbns) G.Paneonel Effects and Property f Others Extension i than 50%)Interest;If(hare is he other simper In- required because of an'accldent'we cover. pe yo surance Svallable le that organization.Coverage We do not have to furnish thee.bond.. H. Pr.Judgmanl Interest Coverage I under this pmvision is afforded unit the 18e F. We PAYMENTS-LOSS OF I. Fellow Employee-Officer,Managenand Supervlson day after you acquire or term the organization or EARNINGS I, J. Hired Auto Physical Damage the and of the pdicy period,whichever Is lawn. Supplementary Payments of the SECTION II- C. EMPLOYEES AS INSUREDS-NONOWNED K. Temporary Substitute Autos COVERED AUTOS LIABILITY COVERAGE IS L. Expanded Towing Coverage revised as follows: The following Is added to paragraph Al.Who IS (4)All reasonable expenses Incurred by the'in- M.Auto Loa N. Original n If or or Laos. e Coverage Manufacturer Parts-Leesetl Private PnssengerTypex ! An Insured of SECTION it-COVERED AUTOS sured"at our request,including actual loss LIABILITY COVERAGE: of earnings up to$500 a day because of O.Deductible Amendment. A. Any'employee-of yours is an'insured" time off Irom work, P. Rental Reimbursement Coverage while using a covered",uto'you don't own, G. PERSONAL EFFECTS AND PROPERTY OF O.Expanded Traneporiallon ExVstaA hire or borrow In your business or your par- OTHERS EXTENSION R. Extra Expense-Stolen Autos sonal she AS. 1. The.Care,Custody a Control E,cluslon of S. Physical Damage Limit of lnsumnce D. PERMIOOR AGNAL REEMENT INSURED BY CONTRACT, SECTION II - COVERED AUTOS LIABILITY COVERAGE,does not apply to T. New Vehicle Replacement Coal The following Is added to A.I.Who Is An In- "property damage-to property,other than U. Physical Damage Coverage Extension cured of SECTION II-COVERED AUTOS your propeny,up to an amount riot oxcead- V. Transfer of Rights of Recovery Against Others To Us LIABILITY COVERAGE: Ing$260 In any one'accidenl'. Coverage W.Section IV-Business Auto Conditions-Notice of and Knowledge of Occurrence Any parson or organization that you are re N excess over any other valid and collectible X. Hired Car Colonel.TaAmory qulfed to name as an additional Insured In a Insurance,. wrlden contract or agreement that is executed 2. The following paragraph is added IS A.A.Y. Emergency Lock Out or signed by you prior to a"bodily Injury'of Coverage Extensions of SECTION III-- Z. Cancellation Condition - 'property damage-occurrence is an'insured* PHYSICAL DAMAGE COVERAGE: for Covered Auto Liability coverage.How- c. We will pay up to$500 for your property s", ever, with respect to covered'auto such met is lost or damaged a,a result of a person or organization I.a Inspired only to covered'loss',wllhwi applying a do- the extent that person or organlzaton qualifies duclible. Coverage Is excess over any as n'Insured"under A7.Who is an Insured of other valid and collectible insurance. SECTION 11-COVERED AUTOS LIABILITY COVERAGE: AC 70 05 03 16 Includes copyrighted material of Insurance Services Office,Inc. Page l of Page 2 of Includes copyrighted material of Insurance Services Office.ISO AC TO 05 03 16 with Its Permiasion with its permission COMMERCIAL AUTO COMMERCIAL AUTO AC 70050316 AC 70 05 03 16 H. PREJUDGMENT INTEREST COVERAGE substitute ter a covered out.-you own that The following paragraph is added to SECTION II Is out of Servira because of Its: 5) Carry-over balances from previous No deductible applies to glass If the glass Is to- -COVERED AUTOS LIABILITY COVERAGE, e. Breakdown; leases. paired.In a man....ecaptable to us,rather then 2. Coverage Extensions, a. Supplementary b. Repair 2. This coverage only appilss to e'loss'which replacetl. PAymenle: Is also coveretl antler this policy for Com- P. RENTAL REIMBURSEMENT COVERAGE 7 Prejudgment Inlereal eWartled c. Servidrlg; prehenshm,Sp,dhed Causes of Loss,or () against the 1. Thor cov...go Applies only w a covered"au- 'Insured'on that pan of the Judgment we H. 'Los.';A, Gdg$Ion coverage. to'for which Physical Damage Coverage is pay.11 we make an offer to pay the eppli- A. Destruction 3. Covarege does nor apply to any unpaid provided on this policy. I cable limit of insurance,tea will not Pay Th.coverage that applies Is the same as count due on a loan for which the covered 2. We will pay for rental reimbursement ex- any prejudgment Interest based on that the coverage provided for the vehicle being te I.not the We collateral. penses Incurred by you for the rental of an Period of time.1m,the offer. replaced. N. ORIGINAL EQUIPMENT MANUFACTURER 'auto'betauso of'IosS'toecovered'auto". I. FELLOW EMPLOYEE OFFICERS, PARTS-LEASED PRIVATE PASSENGER Payment applies in addition to the otherwise MANAGERS,AND SUPERVISORS L. EXPANDED TOWING COVERAGE TYPES applicable amount of each coverage you The Fellow Employee Exdualon in SECTION If 1. We will pay up to: Under Paragraph C. Limit of Insurance of have on a covered No deductibles -COVERED AUTOS LIABILITY COVERAGE Is a. $100 far a levered'auto'you own of SECTION III - PHYSICAL DAMAGE apply to this coverage. So as fovowa; y COVERAGE,Section 4 is added as follows: 3. We wR pay ody for those expenses incurred y injury" y p y the private passenger type,or p equipment duct me btl be 24 hours A. -Sedil wan fellow"era to ee-of 4. We will use haw on Inal e I t vehicle ^9 Po ICY par beginning rip We'wsured'Arieing out ul and in the course b. $500 for a covered'auto'you own that manufacturer pans for any private passen- after die'tau'and ending,legardlesa of the Is not of the private passengentype, t d-Out.-where required b Policy's expiration,with the lessor of the of tie fellow"employee's"employment or gar type covamy following bar of while Performing duties related to the con- ter lowing end labor costs incurred each the lease agreement which has a term of at g number days: _ duct of your business.This excluslon does time the covehad'aum'IS disabled.Huwev- least six month,. If a new original equip- a. The number of tlays reasonably not apply to An'insured"who occupies a s,the labor must be performed at the place menl vehicle manufacturer part is not In pro- required to repair or replace the covered poeillon ea an officer,manager,or supervl- of dlsablement. I duction or distribution we may use a like, 'auto'.If"loss"Is caused by theft,this .or. 2. This coverage applies Illy for an'auto" kind and quality replacement part. number of days La added to the number J. HIRED AUTO PHYSICAL DAMAGE covered on this policy fur Comprehensive of O. DEDUCTIBLE AMENDMENTS of days It takes to locale the coveretl If covered'auto'designation symbols 1 or 8 ep- Specified Causes of Loss Coverage and The foliming are added to the Deductible provl- 'auto"end return II to you. ply to Liability Coverage and It et Ieasl one"au- Collision Covarepes. I aloe of SECTION III-PHYSICAL DAMAGE b. Tho numbs!of days shown In Ilse to'you own Is covered by this policy for Com- L Payment applies In addition to the otherwise i COVERAGE: Schedule. prali—Iva,Spaciliod Cause.nl Lea,,or Call applicable:Gaunt of each coverage you If another policy or coverage farm that is Apt an 4. Our Payment is limited to the lesser of the sloe coverages,then In. Physical Damage have on acovemel'auto'. automobile policy or coverage form Issue)by following amounts: erages provided are extended to"autos"you M.AUTO LOAN OR LEASE COVERAGE cola company applies to the same"aceldenr,Ilia e. Necessary end ..fuel .kpon... lease,hire,rent or borrow without a driver;ono 1. In the event of.total"loss"to a covered following applies: Incurred. provisions in(he Business Auto Coverage Form "auto',we will pay any unpaid amount due 1. If the deductible under this coverage la the b. $75 far any one day or for a maximum applicable to Hired Auto Phyckal Damage apply on me loan er lease,Including up to a max- smaller(or smellnsl)deductible,It will be of 30 tlays. up to a limit of$100.000.The doducllble will be Imam of$500 for eariy termination fees or Waived: 5. This eov does not a equal to the largest douctible applicable to any penalties,for your covered"auto"less: emge apply while there caned'auto"for that'coverage.Any Compel- 2. If the deductible under this coverage Is not ere spare or re.erve'autos"available to you hansly.deductible does not apply to fire or a. The amount paid under SECTION III- the smeller(ar smavesQ deduttlde,ll will be for your operations. Ilghlning. PHYSICAL DAMAGE COVERAGE of reduced by the amount of(tie smaller(or 6. If lose"results from the total theft of a cov- K. TEMPORARY SUBSTITUTE AUTOS - this policy;and ...teat)deductible. Arad"auto-of the private passenger type, PHYSICAL DAMAGE COVERAGE A. Any If a Carnpreameive or Specified Causes of Lose, we will pay under this coverage Only that The following is added to paragraph C.Certain 1) Ovemue le.selloon payments at the Coverage'loss'from one"accident"Involves amount of your rental reimbursement ex- Travers, Mobile Equipment And Temporary Ilme of the lose'; two or more covered"Solos',only the highest Penses which Is not already provldad for On. S bodies Autos of SECTION I-COVERED 2) Finenclal penallias vnVoaed under A deductible applicable to those coveregas will be der SECTION III-'PHYSICAL DAMAGE AUTOS: lease fm exceasiva owe,abnormal applied to the 'accidenl;If the cause of file loss COVERAGE Coverage Ext.nsl n. If Physical Damage Coverage b provided by wear and Iper or high mileage; IS Covered for mesa Vehicle,This provislun only Q.EXPANDED TRANSPORTATION EXPENSE This Covers Few,the followi t f 3) y post S no y a .i CauApplses es If you carry Comprehensive"or Spevehicles, Pma! Coverage rig types o Seara to 1 l.funded b Causes of Loss Coverage for ive orOss vehicles, O.pl1 A.4.s.of SECTION 111-PHYSICAL vehicles are also covered'autos"for Phys: IAeSor and does net extend coverage to any coVored DAMAGE COVERAGE is replaced by the follow- .1 Damage Coverage: 4) Casts of extended wamanliee,Credit 'autos' for which you do not rarry such Ing' Any'aule'you do not own while used with Life in-stance,Health,Accident,or toveraga. We will pay up to$50 per day to a maximum of Ilte p6rmle.km of Its owne,es a temporary Disability insurance purchased with - $1500 tar temporary transportation expanse I.. the lease;and c.rred by you because of the total half of a AC 70 05 03 16 Includes copyrighted material of Insurance Services OMce,Ira;., Page 3 of Page 4of7 Includes copyrighted mmodd of l...mnc,Service.Office,Inc AC TO 05 03 16 with Its permisslpn with Its permission. COMMERCIAL AUTO COMMERCIAL AUTO AC 70050316 AC 70 05 03 16 Bred'out"'of file privet.pe,Bengor type. men(manufacturer or ether sources In- Wn will only l. pay for Ihoso covered'solos"for Cluding non-ortpinnl equipment menu• ously thee and which you purC.ansetl less a.Your obligation In the Oullns In the Event which you Corry Comprehensive or Specified fsrlunmv and than 365 days before the dale of the'loss". ,en ellailve Canotll',callnnlaim,Suit rrequkem LOU enlln Causes of Lose Coverage.We will pay for tom• b. It a repslf or replacement results In bet• applles only when the'accident*or poetry transportation expenses Incurred during ter than Le kind or quality,we will not U. PHYSICAL DAMAGE COVERAGE "loci is known to: the paned beginning 24 hours after the theft and for the amount of the net Improve- EXTENSIONS ending,regardloas of the policy's expiration, meal. p Untler SECTION III-PHYSICAL DAMAGE It)Vou,If you are an Individual; when In.ousted"auto la returned to..a or we 5. If we offer to pay the sotuaf cash value of COVERAGE,A.Coverage,Coverage Ex(en- (2)A partner,If you era a Partnership; pay for Ils'7oss". the damaged or alolen props, wo will alone,b.Lose of Use Expense,Is .placed by (3)A member,If you are a Ihafted liability R. EXTRA EXPENSE-STOLEN AUTOS value Auto advertising wmial.pain( we the following: company;or The following paragraph Is added to Coverage zsfion,and similar business related ad.,16- b. Les.al Uae Enpanws (4)An executive officer or Insurance j Extensions of SECTION III - PHYSICAL Ing modl0tations,In addition to the actual For Hirad Auto Physical Damage,we will manager.If you are a corporation. DAMAGE COVERAGE: cash value of the property.Auto advertising pay expenses far which an"Insured'be- 0.Your obligation In the.Dulles In the Event C. Wp will pay for up(o$5,000 far the expanse wraps, paint customha(Ion, and almllar comas legally responsible to pay for loss of of Acddanl,Clem,Su It or Lees Condition I of returning a stolen covered'auto to Y. be totaled advertising modifications use of a vehicle rented or hired without a relative to providing us Win documents We will pay arty Or those covered"autai will be valued at the coal to replace them driver,under a written rental contract or conceroing a cmlm or'stilt*will not be i for which you carry Comprehensive or Speo- wllh an adjustment made for depreciation agreement.We will pay for lass of use az- c sicced broached unless the n uurs after such claim or"suit"Is known brooch filed Causes of Les,Coverage and physical condition. pees if caused by: O S. PHYSICAL DAMAGE LIMIT OF INSURANCE T. NEW VEHICLE REPLACEMENT COST (1)Other than collision If the Declarations to i Under SECTION III-PHYSICAL DAMAGE The following Is added to the Limit of Insurance Indicate that Comprehensive Coverage (1) You,It you are an Individual; COVERAGE,Paragraph C.,Limit of Insurance provision of SECTION III - PHYSICAL Is Provided for any covemd'eu(o'; (2) A partner,N you are a partnership; Is replaced by the following: DAMAGE COVERAGE: (2)Specified Caused of Loss only if the (3) A member, If you are a Ilmiled C.Limit Of Insurance 5. The provision,of paragraphs 1.and 3.do Decl,retlon, Indicate that SpaClOatl liability company;or not apply to a Covered of the private Causes of Loss Coverage Is provided q An executive oM<er or Insurance 1. The moat we will pay for'loss'In any one passenger typo or a vehicle with gross for en d•auto;or () atUdont'Is ihelesaerof: vehicle weight ratio of 20,000 pounds or yc manager,fiyou aroecorporation. g A P (3)that ton only If the Declarations provided ore. The actual p cash value of the damaged less which Is a"new vehicle.' that Collision Coverage Is provided for or stolen property a9 0l the time of the In the event of a total let,' your new ve- any Covered•auto.' %. HIRED CAR-COVERAGE TERRITORY 'lost,or aloe to which this coverage applies,we will 1 Item IS of the Policy Period,Coverage Territory b. The cosl of repairing or reelecting the However,the an tun will pay for any G.O.T1Condllloessreplacedby lhefollowing: pA g rP A pay,(your'piton: expenses for loss of use IS$50 par day,toa deranged or stolen properly. o. The v.rlfieble"new vehicle'purchase meximureof$1,500.The hadrantepmvldad (6)Anywherenlhewoddifa covemd4auto'Is 2. $1500 Is the most we will pay for'loss'In price you paid far your d...goal Wml- I by this provision Ia as on..ever any other leaned,hired,rented Or borrowed without A any one',ccloant'to all eiedleanic equip. cle,not Including any Insurance or war- collectible Insurance. drivorfora period of 30 days or loss;and ment that reproduces,receives or transmits rentles pumhaaad; V. TRANSFER OF RIGHTS OF RECOVERY Y. EMERGENCY LOCKOUT audlo,visual or data signals which,at the b. If it Is available,the purchase price,ea AGAINST OTHERS TO US We will reimburse you up to$100 for reasonable time of•loss",le: negotiated by us,of.'new vehicle'ill i a. Pefmanenlly Installed In or upon the the same make,model,and aqulpmenl The following Id added to the Tmneer 0f on: expanse ntr Zn%o for the severed'auto' of a lockemlth .rod"auto'In a housing,opening or or the most similar model available,not Of Recoverywaive,lrwt Others To Us Condition: t1 a sale enlislo nee your covered'oulo'subject to I other location that Is not normally used Inchidin furnishings, pals, or We waive any right al recovery we may Prov by file"auto'manufacturer for Ule in 1 9 any pea pa have agali any person or organization to 1. Your door key elaCuenlC key or key entry by the"of soma equipment equipment not Installed by the manodac. the extent roquhaJ of you by a wdllan con- and has been last,stolen or locked In you; 9u P lu er or manufaolurers'dealersltlp; b. Removable from n parmonenlly inslellatl t. The market value of our damaged ve• IrnU nzeculnJ Her to any'accident"be• Covered"auto*and you are unable(o enter Remo It as described in Paragraph y g I cause of payments we make for damages such"aura',or punhicle, not including any rurmehing,, under this coverage 2.a.above or Is on Integral pert of that pert,,or equipment not Installed by Ire g 2. Your keylnas entry device battery also and equipment;or manufacturer or menufacturef.dealer. W.NOTICE OF AND KNOWLEDGE OF you are unable to enter suCh'eulo"a9 n re• C. An integral part of such equipment, ship. OCCURRENCE suit 3. An adlu,tmenl for depreciation and physical We will not pay for initiation or set up casts SECTION IV-BUSINESS AUTO 3. Your key, last or key or key entry pad condition will be made In determining actual sodeadwith loans or leas.. CONDITION$,Paragraph A is amended a, has been lost stolen e a you reed cash value in the event of a total'lose'. A. used In this entlor .met. a "new follows: /cn1ry9ao4eao lock to prevent on unruthprized 4. The met of repairing or replocing may: val means an'auto'of which you are 6. NOTICE OF AND KNOWLEDGE OF ,. Be based on an estimate which Includes the Original owner that has not been Pour. OCCURRENCE parts furnished by the original equip• page fi of 7 Includes wpyriphled material of Insurance Services Omca,Inc AC 70 0$W 18 AC 70 05 031G Includes CopyriyMed materiel of Insuranco Sarvleas Office,Inc., Page 5 of 7 with ib perminsion. with Its Pormisslon _ COMMERCIAL AUTO AC 70 05 0316 4. Original Capin.of rncolpte for service.of a If we cancel for any mason other than non• lockemlth nine)be provided before relm- payment of premium,we WIN mall Of dellver buraemonl Is payable, to Iho First Named Insured wratnn notice of Z. CANCELLATION CONDITION .a.h.1",at least 00 days before(he of. /,dive data of Concefli non.This provision Paragraph AZ of the COMMON POLICY does not apply In those stales that mgdko CONDITION - CANCELLATION applies ore than SO day.Prior notice of cencella- except ssfonews: far. I i AC 70 05 03 16 Includes copyrighted material of h-donca Services Office,Inc., Page 7 of 7 with Iha permission ACP 9A]Oi 108a„e Im. lelar taauREO COPY ACm.duma. agar ar .-Cal Page I of 3 State of Washington Department of Labor & Industries Prevailing Wage Section - Telephone 360-902-5335 PO Box 44540, Olympia, WA 98504-4540 Statement of Intent to Pay Prevailing Wage Project Detail - Prolie2ScLt Dashboard Document Received Intent ID: Affidavit ID: Status: Approved On Date: 5/20/2019 978976 5/20/2019 Company Details Company Name: EVERGREEN ASPHALT Et CNCRT INC Address: P 0 BOX 1567 KENT, WA, 98035 Contractor Registration No. EVERGAC974K2 WA UBI Number 602244570 Phone Number 253-639-3779 Industrial Insurance Account ID 14227600 Email Address evergreen.shane@comcast.net Filed By Shane Gilbertson Prime Contractor Company Name EVERGREEN ASPHALT Et CNCRT INC Contractor Registration No. EVERGAC974K2 WA UBI Number 602244570 Phone Number 253-639-3779 Project Information Awarding Agency KENT, CITY OF 220 - 4TH AVE S KENT, WA - 98032- 5895 Awarding Agency Contact Nanct Cleary Awarding Agency Contact Phone Number 253-856-5000 https://fortress.wa.gov/lni/wagelookup/IntentDetails.aspx 5/21/2019 Page 2 of 3 Contract Number 7539 Project Name Police and Fire Training Project Description Contract Amount $48,032.60 Bid due date 4/29/2019 Award Date 5/20/2019 Project Site Address or Directions Payment Details Check Number: Transaction Id: 106899121 Intent Details Expected project start date: (MM-DD-YYYY) 6/3/2019 In what county (or counties) will the work be King performed? In what city (or nearest city) will the work be Kent performed? What is the estimated contract amount? OR is $48,032.60 this a time and materials estimate? Does your company intend to hire ANY No subcontractors? Will your company have employees perform Yes work on this project? Do you intend to use any apprentices? No (Apprentices are considered employees.) How many owner/operators performing work on 2 the project own 30% or more of the company? First Name Last Name Trade Shane Gilbertson Laborers Dirk Volcke Laborers .Journey Level Wages County Trade Occupation Wage Fringe # Workers King Laborers Raker - Asphalt $50.42 $0.00 8 https://fortress.wa.gov/lni/wagelookup/IntentDetails.aspx 5/21/2019 Page 3 of 3 Public Notes rz� Show/Hide Existina, Notes No note exists https://fortress.wa.gov/lni/wagelookup/IntentDetails.aspx 5/21/2019 City of Kent Business License EVERGREEN ASPHALT&CONCRETE INC PO BOX 1 S67 KENT,WA 98035 { Reuse itwr ai peijuraii(1ri 1 BUSINESS'S LICENSE an RAW 82,14 must cal coded and use tux must be coded LICENSE MUST BE PAID ANNUALLY BY No, 1715 for all;qualified JANUARYIst TO AVOID PENALTY sales withi❑the city of Issuance of License Does Not Imply Licensee's Kent. Compliance with State and Local Laws THIS LICENSE MUST BE POSTED IN A CONSPICUOUS ��19 PLACE.NOT TRANSFERABLE OR ASSIGNABLE' NAME AND ADDRESS OF BUSINESS BLOC-2140738 CAL�¢-- EVERGREEN ASPHALT&CONCRETE INC MAYOR IS744 SE 292ND ST The City of Kent Tax Registration I y KENT,WA 98042 Endorsement At'_204Tkl AVE SO KLNT,WASHING 1 ON 98032 f Page 1 of 18 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: 04/29/2019 Count Trade Job Classification ±1a e Holiday Overtime Note King Asbestos Abatement Workers Journey Level $46.57 5D 1 H King Boitermakers Journey Level $66.54 5N 1C King Brick Mason Journey Level $57.32 5A 1M King Brick Mason Pointer-Caulker-Cleaner $57.32 5A 1M King Building Service Employees Janitor $24.63 5S 2F King Building Service Employees Traveling Waxer/Shampooer $25.08 5S 2F King Building" Service Employees Window Cleaner (Non- $28.13 5S 2F Scaffold) King Building Service Employees Window Cleaner (Scaffold) $29.03 5S 2F King Cabinet Makers {In Shop} Journey Level $22.74 1 King Carpenters Acoustical Worker $60.04 5D 4C King Carpenters Bridge, Dock And Wharf $60.04 5D 4C Carpenters King Carpenters Carpenter $60.04 5D 4C King Carpenters Carpenters on Stationary Tools $60.17 5D 4C King Carpenters Creosoted Material $60.14 5D 4C King Carpenters Floor Finisher $60.04 5D 4C King Carpenters Floor Layer $60.04 5D 4C King Carpenters Scaffold Erector $60.04 5D 4C King Cement Masons Journey Level $60.07 7A 4U King Divers Et Tenders Bell/Vehicle or Submersible $113.60 5D 4C Operator (Not Under Pressure) King Divers Et Tenders Dive Supervisor/Master $76.33 5D 4C King Divers Et Tenders Diver $113.60 5D 4C 8V King Divers Et Tenders Diver On Standby $71.33 5D 4C King Divers Et Tenders Diver Tender $64.71 5D 4C King Divers Et Tenders Manifold Operator $64.71 5D 4C King Divers Et Tenders Manifold Operator Mixed Gas $69.711 5D 4C King Divers Et Tenders Remote Operated Vehicle $64.71 5D 4C Operator/Technician King Divers £t Tenders $60.29 5A 4C https://fortress.wa.gov/lni/wagelookup/prvWagelookup.aspx 5/6/2019 Page 2 of 18 Remote Operated Vehicle Tender King Dredge Workers Assistant Engineer $56.44 5D 3F King Dredge Workers Assistant Mate (Deckhand) $56.00 5D 3F King Dredge Workers Boatmen $56.44 5D 3F King Dredge Workers Engineer Welder $57.51 5D 3F King Dredge Workers Leverman, Hydraulic $58.67, 5D 3F King Dredge Workers Mates $56.44 5D 3F King Dredge )Yarkers Oiler $56.00 5D 3F King Drywall Applicator Journey Level $58.48 5D 1 H King P_rywglt Tapers Journey Level $59.32 5P 1 E King Electrical Fixture Maintenance Journey Level $30.59 5L 1 E Workers King Electricians - Inside Cable Splicer $81.32 7C 4E King Electricians - Inside Cable Splicer (tunnel) $87.37 7C 4E King Electricians - Inside Certified Welder $78.55 7C 4E King Electricians - Inside Certified Welder (tunnel) $84.34 7C 4E King Electricians - Inside Construction Stock Person $41.49 7C 4E King Electricians - Inside Journey Level $75.80� 7C 4E King Electricians - Inside Journey Level (tunnel) $81.32 7C 4E King Electricians -_Motor Shop Journey Level $45.08 5A 1 B King Electricians - Powertine Cable Splicer $79.60 5A 4D Construction King Electricians - Powertine Certified Line Welder $72.98 5A 4D Construction I King Electricians - Powertine Groundperson $47.94 5A 4D Construction King Electricians - Powertine Heavy Line Equipment $72.98 5A 4D Construction Operator King Electricians - Powertine Journey Level Lineperson $72.98 5A 4D Construction King Electricians - Powertine Line Equipment Operator $62.06 5A 4D Construction King Electricians - Powertine Meter Installer $47.94 5A 4D 8W Construction King Electricians - Power[ine Pole Sprayer $72.98 5A 4D Construction King Electricians - Powerline Powderperson $54.55 5A 4D Construction King Electronic Technicians Journey Level $50.57 7E 1 E King Elevator Constructors Mechanic $94.22 7D 4A -King Elevator Constructors Mechanic In Charge $101.73 7D 4A King Fabricated Precast Concrete All Classifications - In-Factory $18.25 5B 1 R Products Work Only King Fence Erectors Fence Erector $41.45 7A 31 -King Fence Erectors Fence Laborer $41.45 7A 31 King Elaggers Journey Level $41.45 7A 31 King Glaziers Journey Level $64.561 7L ly https://fortress.wa.gov/lni/wagelookup/prvWagelookup.aspx 5/6/2019 Page 3 of 18 King Heat Et Frost Insulators And Journeyman $73.58 5J 4H IAsbestos Workers I King Heating Equipment Mechanics Journey Level $82.51 7F 1 E King Hod Carriers Et Mason Tenders Journey Level $50.42 7A 31 ----------=- King Industrial Power Vacuum Journey Level $12.00 1 Cleaner King Inland Boatmen Boat Operator $61.41 5B 1 K King Inland Boatmen Cook $56.48 5B 1 K King Inland Boatmen Deckhand $57.48 5B 1K King Inland Boatmen Deckhand Engineer $58.81 5B 1K King Inland Boatmen Launch Operator $58.89 5B 1K King Inland Boatmen Mate $57.31 5B 1K King InspectionlCleaninglSealing Cleaner Operator, Foamer $31.49 1 Of Sewer Et Water Systems B Operator Remote Control King Inspection/Cteaninp,/Seating Grout Truck Operator $12.00 1 Of Sewer Et Water Systems By Remote Control King Inspection/Cleaning/Sealing Head Operator $24.91 1. Of Sewer Et Water Systems B Remote Control King Inspection/Cleaning,/Sealing Technician $19.33 1 Of Sewer Ft Water Systems Remote Control King Inspection/Cleaning/Seating Tv Truck Operator $20.45 1 Of Sewer Et Water Systems By Remote Control King Insulation Applicators Journey Level $60.04 5D 4-C King Ironworkers Journeyman $70.68 7N 10 King Laborers Air, Gas Or Electric Vibrating $48.90 7A 31 Screed King Laborers Airtrac Drill Operator $50.421 7A 31 King Laborers Ballast Regular Machine $48.90 7A 31 King Laborers Batch Weighman $41.45 7A 31 King Laborers Brick Pavers $48.90 7A 31 King Laborers Brush Cutter $48.90 7A 31 King Laborers Brush Hog Feeder $48.90 7A 31 King Laborers Burner $48.90 7A 31 King Laborers Caisson Worker $50.42 7A 31 King Laborers Carpenter Tender $48.90 7A 31 King Laborers Caulker $48.90 7A 31 King Laborers Cement Dumper-paving $49.81 7A 31 King Laborers Cement Finisher Tender $48.90 7A 31 King Laborers Change House Or Dry Shack $48.90 7A 31 King Laborers Chipping Gun (under 30 Lbs.) $48.90 7A 31 King Laborers Chipping Gun(30 Lbs. And $49.81 7A 31 Over) King Laborers Choker Setter $48.901 7A 31 https:Hfortress.wa.gov/lni/wagelookup/prvWagelookup.aspx 5/6/2019 Page 4 of 18 King j=LIj)(')rerS IChuck Tender 1 $48.901 ZA 1 11 I King Laborers Clary Power Spreader $49.81 7A 31 King Laborers Clean-up Laborer $48.90 7A 31 King Laborers Concrete Dumper/chute $49.81 7A 31 Operator King Laborers Concrete Form Stripper $48.90 7A 31 King Laborers Concrete Placement Crew $49.811 7A 31 King Laborers Concrete Saw Operator/core $49.81 7A 31 Driller King Laborers Crusher Feeder $41.45 7A 31 King Laborers Curing Laborer $48.90 7A 31 King Laborers Demolition: Wrecking Et $48.90 7A 31 Moving (incl. Charred Material) King Laborers Ditch Digger $48.901 7A 31 King Laborers Diver $50.421 7A 31 King Laborers Drill Operator $49.81 7A 31 (hydraulic,diamond) King Laborers Dry Stack Watts $48.90 7A 31 King Laborers Dump Person $48.90 7A 31 King Laborers Epoxy Technician $48.90 7A 31 King Laborers Erosion Control Worker $48.90 7A 31 King Laborers Fatter Et Bucker Chain Saw $49.81 7A 31 King Laborers Fine Graders $48.90 7A 31 King Laborers Firewatch $41.45 7A 31 King Laborers Form Setter $48.90 7A 31 King Laborers Gabian Basket Builders $48.90 7A 31 King Laborers General Laborer $48.90 7A 31 King Laborers Grade Checker Et Transit $50.42 7A 31 Person King Laborers Grinders $48.90 7A 31 King Laborers Grout Machine Tender $48.90 7A 31 King Laborers Groutmen (pressure)including $49.81 7A 31 Post Tension Beams King Laborers Guardrail Erector $48.90 7A 31 King Laborers Hazardous Waste Worker $50.42 7A 31 (level A) King Laborers Hazardous Waste Worker $49.81 7A 31 ([eve[ B) King Laborers Hazardous Waste Worker $48.90 7A 31 ((eve[ C) King Laborers High Scaler $50.42 7A 31 King Laborers Jackhammer $49.81 7A 31 King Laborers Laserbeam Operator $49.81 7A 31 King Laborers Maintenance Person $48.90 7A 31 King Laborers Manhole Builder-mudman $49.811 7A 31 ,King Laborers Material Yard Person $48.901 7A 31 https://fortress.wa.gov/lni/wagelookup/prvWagelookup.aspx 5/6/2019 Page 5 of 18 King ILaborers Motorman-dinky Locomotive 1 $49.81 7A 31 King Laborers Nozzleman (concrete Pump, $49.81 7A 31 Green Cutter When Using Combination Of High Pressure Air Et Water On Concrete Et Rock, Sandblast, Gunite, Shotcrete, Water Bla King Laborers Pavement Breaker $49.81 7A 31 King Laborers Pilot Car $41.45 7A 31 King Laborers Pipe Layer Lead $50.42 7A 31 King Laborers Pipe Layer/tailor $49.81 7A 31 King Laborers Pipe Pot Tender $49.811 7A 31 King Laborers Pipe Reliner $49.811 7A 31 King Laborers Pipe Wrapper $49.81 7A 31 King Laborers Pot Tender $48.90 7A 31 King Laborers Powderman $50.42 7A 31 King Laborers Powderman's Helper $48.90 7A 31 King Laborers Power Jacks $49.81 7A 31 King Laborers Railroad Spike Puller - Power $49.81 7A 31 King Laborers Raker - Asphalt $50.42 7A 31 King Laborers Re-timberman $50.42 7A 31 King Laborers Remote Equipment Operator $49.81 7A 31 King Laborers Rigger/signal Person $49.81 7A 31 King Laborers Rip Rap Person $48.90 7A 31 King Laborers Rivet Buster $49.81 7A 31 King Laborers Rodder $49.81 7A 31 King Laborers Scaffold Erector $48.90 7A 31 King Laborers Scale Person $48.90 7A 31 King Laborers Sloper (over 20") $49.81 7A 31 King Laborers Sloper Sprayer $48.90 7A 31 King Laborers Spreader (concrete) $49.81 7A 31 King Laborers Stake Hopper $48.90 7A 31 King Laborers Stock Piler $48.90 7A 31 King Laborers Tamper Et Similar Electric, Air $49.81 7A 31 Et Gas Operated Tools King Laborers Tamper (multiple Et Self- $49.81 7A 31 propelled) King Laborers Timber Person - Sewer $49.81 7A 31 (lagger, Shorer Et Cribber) King Laborers Tootroom Person (at Jobsite) $48.90 7A 31 King Laborers Topper $48.90 7A 31 King Laborers Track Laborer $48.90 7A 31 King Laborers Track Liner (power) $49.81 7A 31 King Laborers Traffic Control Laborer $44.33 7A 31 8R King Laborers Traffic Control Supervisor $44.33 7A 31 8R King Laborers Truck Spotter $48.90 7A 31 King Laborers Tugger Operator $49.81 7A 31 https://fortress.wa.gov/lni/wagelookup/prvWagelookup.aspx 5/6/2019 Page 6 of 18 King Laborers Tunnel Work-Compressed Air $107.60 7A 31 Worker 0-30 psi King Laborers Tunnel Work-Compressed Air $112.63 7A 31 Worker 30.01-44.00 psi King Laborers Tunnel Work-Compressed Air $116.31 7A 31 Worker 44.01-54.00 psi King Laborers Tunnel Work-Compressed Air $122.01 7A 31 8 Worker 54.01-60.00 psi King Laborers Tunnel Work-Compressed Air $124.13 7A 31 Worker 60.01-64.00 psi King Laborers Tunnel Work-Compressed Air $129.23 7A 31 8 Worker 64.01-68.00 psi King Laborers Tunnel Work-Compressed Air $131.13 7A 31 Worker 68.01-70.00 psi King Laborers Tunnel Work-Compressed Air $133.13 7A 31 Worker 70.01-72.00 psi King Laborers Tunnel Work-Compressed Air $135.13 7A 31 8Q Worker 72.01-74.00 psi King Laborers Tunnel Work-Guage and Lock $50.52 7A 31 8g Tender King Laborers Tunnel Work-Miner $50.52 7A 31 King Laborers Vibrator $49.81 7A 31 King Laborers Vinyl Seamer $48.90 7A 31 King Laborers Watchman $37.67 7A 31 King Laborers Welder $49.81 7A 31 King Laborers Well Point Laborer $49.811 7A 31 King Laborers Window Washer/cleaner $37.67 7A 31 King Laborers - Underground Sewer General Laborer Et Topman $48.90 7A 31 Et. Water King Laborers - Underground Sewer Pipe Layer $49.81 7A 31 Et Water King Landscape Construction Landscape Laborer $37.671 7A 31 King Landscape Construction Landscape Operator $63.76 7A 3K 8X King Landscape Maintenance Groundskeeper $17.87 1 King Lathers Journey Level $58.48 5D 1 H King Marble Setters Journey Level $57.32 5A 1M King Meta( Fabricatian {In Shop} Fitter $15.86 1 King Metal Fabrication (in Shop) Laborer $12.00 1 King Metal Fabrication (In Shop} Machine Operator $13.04 1 King Metal Fabrication (In Shop) Painter $12.00 1 King Metal Fabrication (in Shop) Welder $15.48 1 King Millwright Journey Level $61.54 5D 4C King Modular Bui(dings Cabinet Assembly $12.00 1 King Modular Buildings Electrician $12.00 1 King Modular Buildings Equipment Maintenance $12.00 1 King Modular Buildings Plumber $12.00 1 King Modular BLri(d7nLs Production Worker $12.00 1 King Modular Buildings Tool Maintenance $12.00 1 https://fortress.wa.gov/lni/wagelookup/prvWagelookup.aspx 5/6/2019 Page 7 of 18 King Modular Buildings Utility Person $12.00 1 King Modular Buildinr;s Welder $12.00 1 King Painters Journey Level $42.50 6Z 2B King Pile Driver Crew Tender/Technician $64.71 5D 4C King Pile Driver Hyperbaric Worker - $74.87 5D 4C Compressed Air Worker 0-30.00 PSI King Pile Driver Hyperbaric Worker - $79.87 5D 4C Compressed Air Worker 30.01 44.00 PSI King Pile Driver Hyperbaric Worker - $83.87 5D 4C Compressed Air Worker 44.01 - 54.00 PSI King Pile Driver Hyperbaric Worker - $88.87 5D 4C Compressed Air Worker 54.01 - 60.00 PSI King Pile Driver Hyperbaric Worker - $91.37 5D 4C Compressed Air Worker 60.01 - 64.00 PSI King Pile Driver Hyperbaric Worker - $96.37 5D 4C Compressed Air Worker 64.01 - 68.00 PSI King Pile Driver Hyperbaric Worker - $98.37 5D 4C Compressed Air Worker 68.01 - 70.00 PSI King Pile Driver Hyperbaric Worker - $100.37 5D 4C Compressed Air Worker 70.01 - 72.00 PSI King Pile Driver Hyperbaric Worker - $102.37 5D 4C Compressed Air Worker 72.01 - 74.00 PSI King Pile Driver Journey Level $60.29 5D 4C King Pile Driver Manifold Operator (LST) $69.71 5D 4C King Plasterers Journey Level $56.54 ZQ 1 R King Playground Et Park Equipment Journey Level $12.00 1 Installers King Plumbers Et Pipefitters Journey Level $85.69 6Z 1 G King Power Equipment Operators Asphalt Plant Operators $64.83 7A 3K 8X King Power Equipment Operators Assistant Engineer $60.98 7A 3K 8X King Power Equipment Operators Barrier Machine (zipper) $64.26 7A 3K 8X King Power Equipment Operators Batch Plant Operator: $64.26 7A 3K 8X concrete King Power Equipment Operators Bobcat $60.98 7A 3K 8X King Power Equipment Operators Brokk - Remote Demolition $60.98 7A 3K 8X Equipment King Power Equipment Operators Brooms $60.98 7A 3K 8X King Power Equipment Operators Bump Cutter $64.261 7A 3K 8X King Power Equipment Operators Cableways $64.83 7A 3K 8X King Power Equipment Operators Chipper $64.26 7A 3K 8X King Power Equipment Operators Compressor $60.98 7A 3K 8X https://fortress.wa.gov/lni/wagelookup/prvWagelookup.aspx 5/6/2019 Page 8 of 18 King Power Equipment Operators Concrete Finish Machine - $60.98 7A 3K 8x 1 Laser Screed I King Power Equipment Operators Concrete Pump - Mounted Or $63.76 7A 3K 8X Trailer High Pressure Line Pump, Pump High Pressure King Power Equipment ODerators. Concrete Pump: Truck Mount $64.83 7A 3K 8x With Boom Attachment Over 42 M King Power Equipment Operators Concrete Pump: Truck Mount $64.26 7A 3K .8x With Boom Attachment Up To 42m King Power Equipment Operators Conveyors $63.76 7A 3K 8X King Power Equipment Operators Cranes friction: 200 tons and $66.80 7A 3K 8x over King Power Equipment Operators Cranes: 100 tons through 199 $65.48 7A 3K 8x tons, or 150' of boom (including jib with attachments) King Power Equipment Operators Cranes: 20 Tons Through 44 $64.26 7A 3K 8X Tons With Attachments King Power Equipment Operators Cranes: 200 tons- 299 tons, or $66.15 7A 3K 8x 250' of boom including jib with attachments King Power Equipment Operators Cranes: 300 tons and over or $66.80 7A 3K 8x 300' of boom including jib with attachments King Power Equipment Operators Cranes: 45 Tons Through 99 $64.83 7A 3K 8x Tons, Under 150' Of Boom (including Jib With .Attachments) King Power Equipment Operators Cranes: A-frame - 10 Tons And $60.98 7A 3K 8x Under King Power Equipment Operators Cranes: Friction cranes $66.15 7A 3K 8x through 199 tons King Power Equipment Operators Cranes: through 19 tons with $63.76 7A 3K 8x attachments, A-frame over 10 tons King Power Equipment Operators Crusher $64.26 7A 3K .8x King Power Equipment Operators Deck Engineer/Deck Winches $64.26 7A 3K 8x (power) King Power Equipment Operators Derricks, On Building Work $64.83 7A 3K 8x King Power Equipment Operators Dozers D-9 Et Under $63.76 7A 3K 8X King Power Equipment Operators Drill Oilers: Auger Type, Truck $63.76 7A 3K 8X Or Crane Mount King Power Equipment Operators Drilling Machine $65.48 7A 3K .8X King Power Equipment Operators Elevator And Man-lift: $60.98 7A 3K 8X Permanent And Shaft Type King Power Equipment Operators Finishing Machine, Bidwell $64.26 7A 3K 8x And Gamaco Et Similar Equipment King Power Equipment Operators Forklift: 3000 Lbs And Over $63.76 7A 3K 8x With Attachments https://fortress.wa.gov/lni/wagelookup/prvWagelookup.aspx 5/6/2019 Page 9 of 18 King Power E ui ment 0 erator; Forklifts: Under 3000 Lbs. $60.98 7A 3K 8X With Attachments King Power Equipment Operators Grade Engineer: Using Blue $64.26 7A 3K 8X Prints, Cut Sheets, Etc King Power Equipment Operators Gradechecker/Stakeman $60.98 7A 3K 8X King Power Equipment Operators Guardrail Punch $64.26 7A 3K 8X King Power Equipment Operators Hard Tail End Dump $64.83 7A 3K 8X Articulating Off- Road Equipment 45 Yards. Et Over King Power Equipment Operators Hard Tail End Dump $64.26 7A 3K 8X Articulating Off-road Equipment Under 45 Yards King Power Equipment Operators Horizontal/Directional Drill $63.76 7A 3K 8X Locator King Power Equipment Operators Horizontal/Directional Drill $64.26 7A 3K 8X Operator King Power Equipment Operators Hydralifts/Boom Trucks Over $63.76 7A 3K 8X 10 Tons King Power Equipment Operators Hydralifts/Boom Trucks, 10 $60.98 7A 3K 8X Tons And Under King Power Equipment Operators Loader, Overhead 8 Yards. Et $65.48 7A 3K 8X Over King Power Equipment Operators Loader, Overhead, 6 Yards. $64.83 7A 3K 8X But Not Including 8 Yards King Power Equipement Operators Loaders, Overhead Under 6 $64.26 7A 3K 8X Yards King Power Equipment Operators Loaders, Plant Feed $64.26 7A 3K 8X King Power Equipment Operators Loaders: Elevating Type Belt $63.76 7A 3K 8X King Power Equipment Operators Locomotives, All $64.26 7A 3K 8X King Power Equipment Operators Material Transfer Device $64.26 7A 3K 8X King Power Equipment Operators Mechanics, All (leadmen - $65.48 7A 3K 8X $0.50 Per Hour Over Mechanic) King Power Equipment Operators Motor Patrol Graders $64.83 7A 3K 8X King Power Equipment Operators Mucking Machine, Mole, $64.83 7A 3K 8X Tunnel Drill, Boring, Road Header And/or Shield King Power Equipment Operators Oil Distributors, Blower $60.98 7A 3K 8X Distribution 8t Mulch Seeding Operator King Power Equipment Operators Outside Hoists (Elevators And $63.76 7A 3K 8X Manlifts), Air Tuggers, Strato King Power Equipment Operators Overhead, Bridge Type Crane: $64.26 7A 3K 8X 20 Tons Through 44 Tons King Power Equipment Operators Overhead, Bridge Type: 100 $65.48 7A 3K 8X Tons And Over King Power Equipment Operators Overhead, Bridge Type: 45 $64.83 7A 3K 8X Tons Through 99 Tons King Power Equipment Operators Pavement Breaker $60.98 7A 3K 8X King Power Equipment Operators Pile Driver (other Than Crane $64.26 7A 3K 8X Mount) https://fortress.wa.gov/lni/wagelookup/prvWagelookup.aspx 5/6/2019 Page 10 of 18 King Power Equipment Operators Plant Oiler - Asphalt, Crusher $63.761 7A 3K I LX King P-(,,.)wer Equipment Operators Posthole Digger, Mechanical $60.98 7A 3K 8X King Power Equipment Operators Power Plant $60.98 7A 3K .8X King Power 1Equipment Operators Pumps - Water $60.98 7A 3K 8X King Power Equipment� 0 Operators Quad 9, Hd 41, D1 0 And Over $64.83 7A 3K 8X King Power Equipment Operators Quick Tower - No Cab, Under $60.98 7A 3K 8X 100 Feet In Height Based To Boom King Power Equipment Operators Remote Control Operator On $64.83 7A 3K 8X Rubber Tired Earth Moving Equipment King Power Equipment Operators Rigger and Be[Iman $60.98 7A 3K 8X King Power Equipment ppfrators Rigger/Signal Person, BeRman $63.76 7A 3K 8X (Certified) King aqyyer Equipment Operators Rollagon $64.83 7A 3K 8X King Power Equipment Operators Roller, Other Than Plant Mix $60.98 7A 3K 8X King Power Equipment Operators Roller, Plant Mix Or Multi-lift $63.76 7A 3K 8X Materials King Power Equipment Operators Roto-mitt, Roto-grinder $64.26 7A 3K 8X King Power Equipment Operators Saws - Concrete $63.76 7A 3K 8X King Power Equipment Operators Scraper, Self Propelled Under $64.26 7A 3K 8X 45 Yards King Power Equipment Operators Scrapers - Concrete if Carry $63.76 7A 3K 8X All King Power Equipment Operators Scrapers, Self-propelled: 45 $64.83 7A 3K 8X Yards And Over King Power Equipment Operators Service Engineers - Equipment $63.76 7A 3K 8X King Power Equipment Operators Shotcrete/G unite Equipment $60.98 7A 3K 8X King Power Equipment Operators Shovel , Excavator, Backhoe, $63.76 7A 3K 8X Tractors Under 15 Metric Tons King Power Equipment Operators Shovel, Excavator, Backhoe: $64.83 7A 3K 8X Over 30 Metric Tons To 50 Metric Tons King Power Equipment Operators Shovel, Excavator, Backhoes, $64.26 7A 3K 8X Tractors: 15 To 30 Metric Tons King Power Eq!jipment Operators Shovel, Excavator, Backhoes: $65.48 7A 3K 8X Over 50 Metric Tons To 90 Metric Tons King Power Equipment Operators Shovel, Excavator, Backhoes: $66.15 7A 3K 8X Over 90 Metric Tons King Power Equipment Operators Slipform Pavers $64.83 7A 3K 8X King Power Equipment Operators Spreader, Topsider Et $64.83 7A 3K 8X Screedman King Power Equipment Operators Subgrader Trimmer $64.26 7A 3K 8X King Power Equipment Operators Tower Bucket Elevators $63.76 7A 3K 8X King Power Equipment Tower Crane Up To 175' In $65.48 7A 3K 8X Height Base To Boom King Power Equipment Offer )rs Tower Crane: over 175' $66.15 7A 3K 8X through 250' in height, base to boom https:Hfortress.wa.gov/lni/wagelookup/prvWagelookup.aspx 5/6/2019 Page 11 of 18 King Power Equipment Operators Tower Cranes: over 250' in $66.80 7A 3K 8X height from base to boom King Power Equipment Operators Transporters, All Track Or $64.83 7A 3K 8X Truck Type King Power Equipment Operators Trenching Machines $63.76 7A 3K 8X King Power Equipment Operators Truck Crane Oiler/driver - 100 $64.26 7A 3K 8X Tons And Over King Power Equipment Operators Truck Crane Oiler/Driver $63.76 7A 3K 8X Under 100 Tons King Power Equipment Operators Truck Mount Portable $64.26 7A 3K 8X Conveyor King Power Equipment Operators Welder $64.83 7A 3K 8X King Power Equipment Operators Wheel Tractors, Farman Type $60.98 7A 3K 8X King Power Equipment Operators Yo Yo Pay Dozer $64.26 7A 3K 8X King Power Equipment Operators- Asphalt Plant Operators $64.83 7A 3K 8X Underground Sewer & Water King Power Equipment Operators- Assistant Engineer $60.98 7A 3K 8X Underground Sewer Et Water King Power Equipment Operators- Barrier Machine (zipper) $64.26 7A 3K 8X Underground Sewer Et Water King Power Equipment Operators- Batch Plant Operator, $64.26 7A 3K 8X Underground Sewer Et Water Concrete King Power Equipment Operators- Bobcat $60.98 7A 3K 8X Underground Sewer Et Water King Power Equipment Operators Brokk - Remote Demolition $60.98 7A 3K 8X Under round Sewer Et Water Equipment King Power Equipment Operators- Brooms $60.98 7A 3K 8X Underground Sewer & Water King Power Equipment Operators- Bump Cutter $64.26 7A 3K 8X Underground Sewer & Water King Power Equipment Operators- Cableways $64.83 7A 3K 8X Underground Sewer & Water King Power Equipment Operators- Chipper $64.26 7A 3K 8X Underground Sewer & Water King Power Equipment Operators- Compressor $60.98 7A 3K 8X Underground Sewer & Water King Power Equipment Operators- Concrete Finish Machine - $60.98 7A 3K 8X Underground Sewer & Water Laser Screed King Power Equipment Operators- Concrete Pump - Mounted Or $63.76 7A 3K 8X Underground Sewer & Water Trailer High Pressure Line Pump, Pump High Pressure King Power Equipment Operators- Concrete Pump: Truck Mount $64.83 7A 3K 8X Underground Sewer a Water With Boom Attachment Over 42 M King Power Equipment Operators Concrete Pump: Truck Mount $64.26 7A 3K 8X Underground Sewer & Water With Boom Attachment Up To 42m King Power Equipment Operators- Conveyors $63.76 7A 3K 8X Under round Sewer & Water King Power Equipment Operators- Cranes friction: 200 tons and $66.80 7A 3K 8X Underground Sewer & Water over https://fortress.wa.gov/lni/wagelookup/prvWagelookup.aspx 5/6/2019 Page 12 of 18 King Power Equipment Operators- Cranes: 100 tons through 199 $65.48 7A 3K 8X Underground Sewer Et Water tons, or 150' of boom (including jib with attachments) King Power Equipment Operators- Cranes: 20 Tons Through 44 $64.26 7A 3K 8X Underground Sewer Et Water Tons With Attachments King Power Equipment Operators- Cranes: 200 tons- 299 tons, or $66.15 7A 3K 8X Underground Sewer & Water 250' of boom including jib with attachments King Power Equipment Operators- Cranes: 300 tons and over or $66.80 7A 3K 8X Underground Sewer Et Water 300' of boom including jib with attachments King Power Equipment Operators- Cranes: 45 Tons Through 99 $64.83 7A 3K 8X Underground Sewer & Water Tons, Under 150' Of Boom (including Jib With Attachments) King Power Equipment Operators- Cranes: A-frame - 10 Tons And $60.98 7A 3K 8X Underground Sewer Et Water Under King Power Equipment Operators- Cranes: Friction cranes $66.15 7A 3K 8X Underground Sewer & Water through 199 tons King Power Equipment Operators- Cranes: through 19 tons with $63.76 7A 3K 8X Underground Sewer Et Water attachments, A-frame over 10 tons King Power Equipment Operators- Crusher $64.26 7A 3K 8X Underground Sewer Fr Water King Power Equipment Operators- Deck Engineer/Deck Winches $64.26 7A 3K 8X Underground Sewer Et Water (power) King Power Equipment Operators- Derricks, On Building Work $64.83 7A 3K 8X Underground Sewer & Water King Power Equipment Operators- Dozers D-9 Et Under $63.76 7A 3K 8X Underground Sewer & Water King Power Equipment Operators- Drill Oilers: Auger Type, Truck $63.76 7A 3K 8X Underground Sewer Et Water Or Crane Mount King Power Equipment Operators- Drilling Machine $65.48 7A 3K 8X Underground Sewer Et Water King Power Equipment Operators- Elevator And Man-lift: $60.98 7A 3K 8X Underground Sewer Et Water Permanent And Shaft Type King Power Equipment Operators- Finishing Machine, Bidwell $64.26 7A 3K 8X Underground Sewer & Water And Gamaco 8 Similar Equipment King Power Equipment Operators- Forklift: 3000 Lbs And Over $63.76 7A 3K 8X Underground Sewer & Water With Attachments King Power Equipment Operators- Forklifts: Under 3000 Lbs. $60.98 7A 3K 8X Underground Sewer Et Water With Attachments King Power Equipment Operators- Grade Engineer: Using Blue $64.26 7A 3K 8X Underground Sewer Et Water Prints, Cut Sheets, Etc King Power Equipment Operators- Gradechecker/Stakeman $60.98 7A 3K 8X Underground Sewer & Water King Power Equipment Operators Guardrail Punch $64.26 7A 3K 8X Underground Sewer & Water King Power Equipment Operators- $64.83 7A 3K 8X Underground Sewer Et Water https://fortress.wa.gov/lni/wagelookup/prvWagelookup.aspx 5/6/2019 Page 13 of 18 Hard Tait End Dump Articulating Off- Road Equipment 45 Yards. Et Over King Power Equipment Operators- Hard Tait End Dump $64.26 7A 3K 8x Underground Sewer Et Water Articulating Off-road Equipment Under 45 Yards King Pawer Equipment Operators Horizontal/Directional Drill $63.76 7A 3K 8X Underground Sewer Et Water Locator King Power Equipment Operators- Horizontal/Directional Drill $64.26 7A 3K 8x UndergLiqoqunngd_S�ewer Et Water Operator King Power Equipment Operators- Hydratifts/Boorn Trucks Over $63.76 7A 3K 8x Undergr ound Sewer Et Water 10 Tons King Power Equipment Operators- Hydratifts/Boorn Trucks, 10 $60.98 7A 3K 8X Underground Sewer Et Water Tons And Under King Power E ui ment 0 erators Loader, Overhead 8 Yards. Et $65.48 7A 3K 8X Underground Sewer Et Water Over King Power Equipment Operators- Loader, Overhead, 6 Yards. $64.83 7A 3K 8X Underground Sewer Et Water But Not Including 8 Yards King Power Equipment Operators- Loaders, Overhead Under 6 $64.26 7A 3K 8x Underground Sewer a Water Yards King Power Equipment Operators- Loaders, Plant Feed $64.26 7A 3K 8X Underground Sewer Et Water g King Power Equipment Operators- Loaders: Elevating Type Belt $63.76 7A 3K 8x Underground Sewer Et Water King Power Equji)ment Operators- Locomotives, All $64.26 7A 3K 8X Under-ground Sewer Et Water King Power Equipment Operators- Material Transfer Device $64.26 7A 3K 8X Underground Sewer Et Water King Power Equipment Operators- Mechanics, All (leadmen - $65.48 7A 3K 8x Undergr ound Sewer Et Water $0.50 Per Hour Over Mechanic) King Power Equipment Operators- Motor Patrol Graders $64.83 7A 3K 8x Underground Sewer Et Water King Power Eguipment Operators- Mucking Machine, Mote, $64.83� 7A 3K IX Underground Sewer & Water Tunnel Drill, Boring, Road Header And/or Shield King Power Equipment Operators- Oil Distributors, Blower $60.98 7A 3K 8X Underground Sewer Et Water Distribution Et Mulch Seeding Operator King Power Equipment Operators- Outside Hoists (Elevators And $63.76 7A 3K 8X Underground Sewer Et Water Mantifts), Air Tuggers, Strato King Power Equipment Operators- Overhead, Bridge Type Crane: $64.26 7A 3K .8x Underground Sewer Et Water 20 Tons Through 44 Tons King Power Equipment Operators Overhead, Bridge Type: 100 $65.48 7A 3K 8x Underground Sewer & Water Tons And Over King Power Equipment Operators- Overhead, Bridge Type: 45 $64.83 7A 3K 8x Underground Sewer EL Water Tons Through 99 Tons King Power Equipment Operators- Pavement Breaker $60.98 7A 3K 8x Underground Sewer Et Water I King Power EQUipment ODerators- Pile Driver (other Than Crane $64.26 7A 3K 8x Underground Sewer Et Water Mount) King IPlant Oiler - Asphalt, Crusher $63.76 7A 3K 8X https:Hfortress.wa.gov/lni/wagelookup/prvWagelookup.aspx 5/6/2019 Page 14 of 18 Power Equipment Operators- Underground Sewer Et Water King P — — _2��,el_E_q_gjpm Operators- Posthote Digger, Mechanical $60.98 7A 3K 8X �2� Und jrgr�o�,md Sewer Et Water King Power Equipment Operators Power Plant $60.98 7A 3K 8X Underground Sewer Et Water King Power Equipment Operators Pumps - Water $60.98 7A 3K 8X Underground Sewer Et Water King Power Equipment Operators- Quad 9, Hd 41, D1 0 And Over $64.83 7A 3K 8X Underground Sewer Et Water King Power Equipment Operators- Quick Tower - No Cab, Under $60.98 7A 3K 8X Underground Sewer Et Water 100 Feet In Height Based To Boom King Power Equipment Operators- Remote Control Operator On $64.83 7A 3K 8X Underground Sewer & Water Rubber Tired Earth Moving Equipment King Power Equipment Operators- Rigger and Bellman $60.98 7A 3K 8X Underground Sewer Et Water King Power Equipment Operators- Rigger/Signal Person, Beltman $63.76 7A 3K 8X Underground Sewer Et Water (Certified) King Power Equipment Operators- Rotlagon $64.83 7A 3K 8X Underground Sewer Et Water King Power Equipment Operators- Roller, Other Than Plant Mix $60.98 7A 3K 8X 'Underground Sewer Et Water King Power Equipment Operators- Roller, Plant Mix Or Multi-lift $63.76 7A 3K 8X Underground Sewer a Water Materials King Power Equipment Operators- Roto-mill, Roto-grinder $64.26 7A 3K 8X Underground Sewer Et Water King Power Equipment Operators- Saws - Concrete $63.76 7A 3K 8X Underground Sewer Et Water King Power Equipment Operators- Scraper, Self Propelled Under $64.26 7A 3K 8X Underground Sewer EL Water 45 Yards King Power Equipment Operators- Scrapers - Concrete Et Carry $63.76 7A 3K 8X Underground Sewer 8t Water- All King Power Equipment Operators- Scrapers, Self-propelled: 45 $64.83 7A 3K 8X Underground Sewer Et Water—Yards And Over King Power Equipment Operators- Service Engineers - Equipment $63.76 7A 3K 8X Underground Sewer Et Water King Power Equipment Operators- Shotcrete/G unite Equipment $60.98 7A 3K 8X Underground Sewer Et Water King Power Equipment Operators- Shovel , Excavator, Backhoe, $63.76 7A 3K 8X Underground Sewer Et Water Tractors Under 15 Metric Tons King Power Equipment Operators- Shovel, Excavator, Backhoe: $64.83 7A 3K 8X Underground Sewer Et Water Over 30 Metric Tons To 50 Metric Tons King Power Equipment Operators- Shovel, Excavator, Backhoes, $64.26 7A 3K .8X Underground Sewer Et Water Tractors: 15 To 30 Metric Tons King Power Equipment Operators- Shovel, Excavator, Backhoes: $65.48 7A 3K 8X Underground Sewer Et Water Over 50 Metric Tons To 90 Metric Tons King Power Equipment Operators Shovel, Excavator, Backhoes: $66.15 7A 3K 8X Underground Over 90 Metric Tons https://fortress.wa.gov/lni/wagelookup/prvWagelookup.aspx 5/6/2019 Page 15 of 18 King Power Equipment Operators- Stipform Pavers $64.83 7A 3K 8X Underground Sewer Water I King Power Equipment Operators- Spreader, Topsider Et $64.83 7A 3K 8X Underground Sewer Et Water Screedman King Power Equipment Operators- Subgrader Trimmer $64.26 7A 3K 8X Underground Sewer & Water King Power Equipment Operators- Tower Bucket Elevators $63.76 7A 3K 8X Undergr ound Sewer Et Water King Power Equipment Operators- Tower Crane Up To 175' In $65.48 7A 3K 8x Under g,round Sewer 8t Water Height Base To Boom King Power Equipment Operators- Tower Crane: over 175' $66.15 7A 3K 8x Underground Sewer Et Water through 250' in height, base to boom King Power Equipment Operators- Tower Cranes: over 250' in $66.80 7A 3K 8x Underground Sewer Et Water height from base to boom King Power Equipment Operators- Transporters, All Track Or $64.83 7A 3K 8X Underground Sewer Et Water Truck Type I King Power Equipment Operators- Trenching Machines $63.76 7A 3K 8x Underground Sewer Et Water King Power Equipment Operators- Truck Crane Oiler/driver - 100 $64.26 7A 3K 8x Underground Sewer Et Water Tons And Over King Power Equipment Operators- Truck Crane Oiler/Driver $63.76 7A 3K 8X Underground Sewer Et Water Under 100 Tons King Power Equipment Operators- Truck Mount Portable $64.26 7A 3K 8X Underground Sewer Et Water Conveyor King Power Equipment Operators- Welder $64.83 7A 3K 8X Underground Sewer Et Water King Power Equipment Operators- Wheel Tractors, Farmall Type $60.98 7A 3K 8x Underground Sewer & Water King Power Equipment Operators- Yo Yo Pay Dozer $64.26 7A 3K 8X Underground Sewer Et Water King Power Line Clearance Tree Journey Level In Charge $49.96 5A 4A Trimmers King Power Line Clearance Tree Spray Person $47.37 5A 4A Trimmers I King Power Line Clearance Tree Tree Equipment Operator $49.96 5A 4A Trimmers King Power Line Clearance Tree Tree Trimmer $44.57 5A 4A Trimmers King Power Line Clearance Tree Tree Trimmer Groundperson $33.60 5A 4A Trimmers King Refrigeration Et Air Journey Level $81.01 6Z 1G Conditioning Mechanics King Residential Brick Mason Journey Level $57.32 5A 1M King Residential Carpenters Journey Level $45.05 5D 4C King Residential Cement Masons Journey Level $60.07 7A 4U King Residential Dr watt Journey Level $45.05 5D 4C Applicators King Residential Drywall Tapers lJourney Level $45.19 5P 1E King Residential Electricians lJourney Level $39.81 zo- https://fortress.wa.gov/lni/wagelookup/prvWagelookup.aspx 5/6/2019 Page 16 of 18 King Residential Glaziers :Journey Level $43.00 LL LH King Residential Insulation Journey Level $45.05 5D 4C AMlicators King Residential Laborers Journey Level $36.68 7A 1 H King Residential Marble Setters Journey Level $57.32 5A 1M King Residential Painters Journey Level $42.50 6Z 2B King Residential Plumbers Et Journey Level $51.37 5A JG Pipefitters King Residential Refrigeration Et Air Journey Level $51.37 5A 1G Conditioning Mechanics King Residential Sheet Metal Journey Level (Field or Shop) $50.01 7F 1 R Workers King Residential Soft Ftoor_Layers Journey Level $49.43 5A 3J King Residential Sprinkler Fitters Journey Level $48.18 5C 2R {Fire Protection) - - King Residential Stone Masons Journey Level $57.32 5A 1M King Residential Terrazzo Workers Journey Level $52.61 5A 1M King Residential Terrazzo/Tite Journey Level $43.44 5A 1B Finishers King Residential Tile Setters Journey Level $52.61 5A im King Roofers Journey Level $53.27 5A 3H King Roofers Using Irritable Bituminous $56.27 5A 3H Materials King Sheet Metal Workers Journey Level (Field or Shop) $82.51 7F 1E King ShipbULtding_Et Ship Repair New Construction Boilermaker $36.36 7V 1 King Shipbuilding Et Ship Repair New Construction Carpenter $36.36 7V 1 King Shi pbULtdi n_g_Et_Ship_Repai r New Construction Crane $36.36 7V 1 Operator King ShipbUitdinq Et Ship Repair New Construction Electrician $36.36 7V 1 King Shipbuilding Et Ship Repair New Construction Heat Et $73.58 5J 4H Frost Insulator King Shipbuilding Et Ship Repair New Construction Laborer $36.36 7V 1 King 5hibuilding & Ship Repair New Construction Machinist $36.36 7V 1 King Shipbuilding-Et-Ship Repair New Construction Operating $36.36 7V 1 Engineer King Shipbuilding 8t Shjp_Rfpair New Construction Painter $36.361 LV 1 King Shipbuitdjnq EL Ship Repair New Construction Pipefitter $36.36 7V 1 King ShipbuildinQ Et Ship Repair New Construction Rigger $36.36 7V 1 King Shipbuitding Et Ship Repair New Construction Sheet Metal $36.36 7V 1 King Shipbuilding Et Ship Repair New Construction Shipfitter $36.36. 7V 1 King Shipbuilding Et Ship Repair New Construction $36.36 7V 1 Warehouse/Teamster King Shjpbuitding_A_.Ship Repair New Construction Welder $36.36 7V 1 Burner King Shipbuitding & Ship Repair Ship Repair Boilermaker $44.951 7X 4J King ��buuildjng & Ship Repair Ship Repair Carpenter $44.95 7X 4J King Shipbuilding Et�ShiRe�air Ship Repair Crane Operator $44.06 7Y 4K King Ship�buitdino Et Ship Ship Repair Electrician $44.95 7X 4J 1 Wj!jg��� I - https:Hfortress.wa.gov/lni/wagelookup/prvWagelookup.aspx 5/6/2019 Page 17 of 18 King Shipbuilding Et Ship Repair Ship Repair Heat Et Frost $73.58 5J 4H Insulator King Shipbuilding Et Ship Repair Ship Repair Laborer $44.95 7X 4J King Shipbuilding Et Ship Repair Ship Repair Machinist $44.95 7X 4J King Shipbuilding Et Ship Repair Ship Repair Operating $44.06 7Y 4K Engineer King Shipbuilding Et Ship Repair Ship Repair Painter $44.95 7X 4J King Shipbuilding,Et Ship Repair Ship Repair Pipefitter $44.95 7X 4J King Shipbuildin Et Ship_Repair Ship Repair Rigger $44.95 7X 4J King Shipbuilding Et Ship Repair Ship Repair Sheet Metal $44.95 7X 4J King Shi buildin Et Shi Re air Ship Repair Shipwright $44.95 7X 4J King Shipbuilding Et Ship Repair Ship Repair Warehouse / $44.06 7Y 4K Teamster King Sign Makers Et Installers Journey Level $49.70 0 1 {Electrical) King Sign Makers Et Installers (Non- Journey Level $31.52 0 1 Electrical) King Soft Floor Layers Journey Level $49.43 5A 3J King Solar Controls For Windows Journey Level $12.44 1 King Sprinkler Fitters (Fire Journey Level $78.39 5C 1X Protection King Stag, Rigging Mechanics {Nan Journey Level $13.23 1 Structural King Stone Masons Journey Level $57.32 5A 1M King Street And Parking Lot Journey Level $19.09 1 Sweeper Workers King Surveyors Assistant Construction Site $62.71 7A 3K 8X Surveyor King Surveyors Assistant Construction Site $62.71 7A 3K 8X Surveyor King Surveyors Chainman $58.93 7A 3C 8P King Surveyors Construction Site Surveyor $63.76 7A 3K 8X King Telecommunication Journey Level $50.57 7E 1 E Technicians - - King Telephone Line Construction - Cable Splicer $41.22 5A 2B Outside I - - King Telephone Line Construction - Hole Digger/Ground Person $23.12 5A 2B Outside King Telephone Line Construction - Installer (Repairer) $39.53 5A 2B Outside King Telephone Line Construction - Special Aparatus Installer 1 $41.22 5A 2B Outside King Telephone Line Construction - Special Apparatus Installer II $40.41 5A 2B Outside King Telephone Line Construction - Telephone Equipment $41.22 5A 2B Outside Operator (Heavy) King Telephone Line Construction - Telephone Equipment $38.36 5A 2B Outside Operator (Light) King Telephone Line Construction - Telephone Lineperson $38.36 5A 213 Outside https://fortress.wa.gov/lni/wagelookup/prvWagelookup.aspx 5/6/2019 Page 18 of 18 King Telephone Line Construction - Television Groundperson $21.92 5A 2B Outside King Telephone Line Construction - Television $29.13 5A 2B Outside Lineperson/Installer King Telephone Line Construction - Television System Technician $34.68 5A 2B Outside King Telephone Line Construction - Television Technician $31.18 5A 2B Outside King Telephone Line Construction - Tree Trimmer $38.36 5A 2B Outside King Terrazzo Workers Journey Level $52.611 5A 1M King Tile Setters Journey Level $52.61 5A 1M King Tile Mar�bte & Terrazzo Finisher $43.44 5A 1 B Finishers King Traffic Control Stripers Journey Level $46.23 7A 1 K King Truck Drivers Asphalt Mix Over 16 Yards $58.56 5D 3A 8L King Truck Drivers Asphalt Mix To 16 Yards $57.72 5D 3A 8L King Truck Drivers Dump Truck $57.72 5D 3A 8L King Truck Drivers Dump Truck Et Trailer $58.56 5D 3A 8L King Truck Drivers Other Trucks $58.56 5D 3A 8L King Truck Drivers - Ready Mix Transit Mix $58.56 5D 3A 8L King Well Drillers Et Irriga tion Pump Irrigation Pump Installer $17.71 1 Installers King Well Drillers Oiler $12.97 1 Installers King Well Drillers Et Irrigation Pump Well Driller $18.00 1 Installers https://fortress.wa.gov/lni/wagelookup/prvWagelookup.aspx 5/6/2019 Request for Mayor's Signature KENT WASH�NGTON Complete this form and route to the Office of the City Attorney (Print on cherry-colored paper) �919 Approved by Director J, Originator: Nate Harper Phone (Originator): x5082 Date Sent: 05/23/19 Date Required: 05/30/19 Returned Signed Document to: Nancy Clary M Contract Coversheet Attached Has this Document been Specifically Authorized Evergreen Asphalt and Concrete Construction, Inc. Vendor Name: in the Budget Yes No Date of Council Approval: N/A Account Number: FO0508.64850.9476 Brief Explanation of Document: In keeping with our Facility Maintenance Plan, Station 74 is in need of asphalt repair to prevent further damage to the asphalt surface due to heavy equipment, weather, and other elements. This will add to the longevity and safety of the surface. As part of the Interlocal Agreement between the City of Kent and the Puget Sound Regional Fire Authority dated 12/17/18, the City will process payment to the vendor in the full amount of$48,032.60 and will then invoice the PSRFA for 62% of total charges plus a 1% Administrative Fee for a total of $30,078.01. The City's portion of the payment is funded through the Facilities Capital Projects, Sealcoat Parking Lots account. RECE/VeD MAY 2 8 2019 KENT- I A , . , . Date Received by City Attorney: RECEIVED Comments: od MIA A J0 Date Routed to the Mayor's ffi City of Kent Date Routed to the City Clerk: OffiCe of the Mayw Date Returned to Originator: adccW19756_4_18