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CAG2020-314 - Original - Integra-Tree LLC - West Fenwick Park Tree Removal - 10/05/2020
ApprovalOriginator:Department: Date Sent:Date Required: Authorized to Sign: Director or Designee Mayor Date of Council Approval: Grant? Yes No Type:Review/Signatures/RoutingDate Received by City Attorney:Comments: Date Routed to the Mayor’s Office: Date Routed to the City Clerk’s Office:Agreement InformationVendor Name:Category: Vendor Number:Sub-Category: Project Name: Project Details: Agreement Amount: Start Date: Basis for Selection of Contractor: Termination Date: Local Business? Yes No* *If meets requirements per KCC 3.70.100, please complete “Vendor Purchase-Local Exceptions” form on Cityspace. Notice required prior to disclosure? Yes No Contract Number: Agreement Routing Form For Approvals, Signatures and Records Management This form combines & replaces the Request for Mayor’s Signature and Contract Cover Sheet forms. (Print on pink or cherry colored paper) Visit Documents.KentWA.gov to obtain copies of all agreementsadccW22373_1_20 Budget Account Number: Budget? Yes No Dir Asst: Sup/Mgr: Dir/Dep: rev. 200804 N/A FOR CITY OF KENT OFFICIAL USE ONLY 10/05/2020 4 Other2368917 Parks, Recreation & Community ServicesJan Applegate 4 4 10/06/2020 10/06/2020 n/a Other 10006600.64190.5540 ContractIntegra-Tree LLC 4 10/31/2020 4 3080.00 N/A GL BL 10/05/2020 PUBLIC WORKS AGREEMENT - 1 ($20K or Less and No Performance Bond) PUBLIC WORKS AGREEMENT between City of Kent and Integra-Tree LLC THIS AGREEMENT is made by and between the City of Kent, a Washington municipal corporation (hereinafter the "City"), and Integra-Tree LLC organized under the laws of the State of Washington, located and doing business at 1308 Sumner Avenue, Sumner WA 98390; Contact: Wesley Hillenius, Phone: (253) 508-7542 (hereinafter the "Contractor"). AGREEMENT The parties agree as follows: I.DESCRIPTION OF WORK. The Contractor shall perform the following services for the City in accordance with the following described plans and/or specifications: Removal of one (1) 90 foot cottonwood tree located directly behind the home at 4030 South 261st Street, Kent WA 98032, leaving all debris in greenbelt per attached Estimate #E -0031, dated 10/2/2020 attached as Exhibit A. The Contractor further represents that the services furnished under this Agreement will be performed in accordance with generally accepted professional practices within the Puget Sound region in effect at the time such services are performed. II.TIME OF COMPLETION. The parties agree that work will begin on the tasks described in Section I above immediately upon execution of this Agreement. Upon the effective date of this Agreement, the Contractor shall complete the work described in Section I by October 31, 2020. . III. COMPENSATION. The City shall pay the Contractor a total amount not to exceed THREE THOUSAND EIGHTY AND NO CENTS ($3,080.00), 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. Card Payment Program. The Contractor may elect to participate in automated credit card payments provided for by the City and its financial institution. This Program is provided as an alternative to payment by check and is available for the convenience of the Contractor. If the Contractor voluntarily participates in this Program, the Contractor will be solely responsible for any fees imposed by financial institutions or credit card companies. The Contractor shall not charge those fees back to the City. A.No Payment and Performance Bond. Because this contract, including applicable sales tax, is $150,000 or less, and pursuant to Chapter 39.08 RCW, the Contractor, in lieu PUBLIC WORKS AGREEMENT - 2 ($20K or Less and No Performance Bond) of providing the City a payment and performance bond, has elected to have the City retain the final ten percent (10%) of the Contract amount for a period of thirty (30) days after the date of final acceptance, or until receipt of all necessary releases from the State Department of Revenue, the State Department of Labor & Industries, and the State Employment Security Department, and until settlement of any liens filed under Chapter 60.28 RCW, whichever is later. B.Retainage. The City shall also hold back a retainage in the amount of five percent (5%) of any and all payments made to the 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 of Revenue, the State Department of Labor & Industries, and the State Employment Security Department, and until settlement of any liens filed under Chapter 60.28 RCW, whichever is later. The amount retained shall be placed in a fund by the City pursuant to RCW 60.28.011(4)(a), unless otherwise instructed by the Contractor within fourteen (14) calendar days of the Contractor’s signature on the Agreement. C. Defective or Unauthorized Work. The City reserves its right to withhold payment from the Contractor for any defective or unauthorized work. Defective or unauthorized work includes, without limitation: work and materials that do not conform to the requirements of this Agreement; and extra work and materials furnished without the City’s written approval. If the 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 the Contractor shall be liable to the City for any additional costs incurred by the City. “Additional costs” shall mean all reasonable costs, including legal costs and attorney fees, incurred by the City beyond the maximum Contract price specified above. The City further reserves its right to deduct the cost to complete the Contract work, including any Additional Costs, from any and all amounts due or to become due the Contractor. D. Final Payment: Waiver of Claims. THE CONTRACTOR’S ACCEPTANCE OF FINAL PAYMENT (EXCLUDING WITHHELD RETAINAGE) SHALL CONSTITUTE A WAIVER OF CONTRACTOR’S CLAIMS, EXCEPT THOSE PREVIOUSLY AND PROPERLY MADE AND IDENTIFIED BY CONTRACTOR AS UNSETTLED AT THE TIME FINAL PAYMENT IS MADE AND ACCEPTED. IV. INDEPENDENT CONTRACTOR. The parties intend that an Independent Contractor- Employer Relationship will be created by this Agreement. By their execution of this Agreement, and in accordance with Ch. 51.08 RCW, the parties make the following representations: A.The Contractor has the ability to control and direct the performance and details of its work, the City being interested only in the results obtained under this Agreement. B.The Contractor maintains and pays for its own place of business from which the Contractor’s services under this Agreement will be performed. C.The Contractor has an established and independent business that is eligible for a business deduction for federal income tax purposes that existed before the City retained the Contractor’s services and is a service other than that furnished by the City, or the Contractor is engaged in an independently established trade, occupation, profession, or business of the same nature as that involved under this Agreement. D.The Contractor is responsible for filing as they become due all necessary tax documents with appropriate federal and state agencies, including the Internal Revenue Service and the state Department of Revenue. E.The Contractor has registered its business and established an account with the state Department of Revenue and other state agencies as may be required by the PUBLIC WORKS AGREEMENT - 3 ($20K or Less and No Performance Bond) Contractor’s business, and has obtained a Unified Business Identifier (UBI) number from the State of Washington. F.The Contractor has a valid contractor registration pursuant to Ch. 18.27 RCW or an electrical contractor license pursuant to Ch. 19.28 RCW. G.The Contractor maintains a set of books dedicated to the expenses and earnings of its business. V.TERMINATION. The City may terminate this Agreement for good cause. “Good cause” shall include, without limitation, any one or more of the following events: A.The Contractor’s refusal or failure to supply a sufficient number of properly skilled workers or proper materials for completion of the Contract work. B.The Contractor’s failure to complete the work within the time specified in this Agreement. C.The Contractor’s failure to make full and prompt payment to subcontractors or for material or labor. D.The Contractor’s persistent disregard of federal, state or local laws, rules or regulations. E.The Contractor’s filing for bankruptcy or becoming adjudged bank rupt. 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. The Contractor shall file a “Statement of Intent to Pay Prevailing Wages,” with the State of Washington Department of Labor & Industries prior to commencing the Contract work. The Contractor shall pay prevailing wages in effect on the date the bid is accepted or executed by the Contractor, and comply with Chapter 39.12 of the Revised Code of Washington, as well as any other applicable prevailing wage rate provisions. The latest prevailing wage rate revision issued by the Department of Labor and Industries is attached. VII. CHANGES. The City may issue a written change order for any change in the Contract work during the performance of this Agreement. If the Contractor determines, for any reason, that a change order is necessary, the Contractor must submit a written change order request to the person listed in the notice provision section of this Agreement, Section XVI(D), within fourteen (14) calendar days of the date the Contractor knew or should have known of the facts and events giving rise to the requested change. If the City determines that the change increases or decreases the Contractor's costs or time for performance, the City will make an equitable adjustment. The City will attempt, in good faith, to reach agreement with the Contractor on all equitable adjustments. However, if the parties are unable to agree, the City will determine the equitable adjustment as it deems appropriate. The Contractor shall proceed with the change order work upon receiving either a written change order from the City or an oral order from the City before actually receiving the written change order. If the Contractor fails to require a change order within the time specified in this paragraph, the Contractor waives its right to make any claim or submit subsequent change order requests for that portion of the contract work. If the Contractor disagrees with the equitable adjustment, the Contractor must complete the change order work; however, the Contractor may elect to protest the adjustment as provided in subsections A through E of Section IX, Claims, below. PUBLIC WORKS AGREEMENT - 4 ($20K or Less and No Performance Bond) 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 the Contractor as provided in this section shall constitute full payment and final settlement of all claims for contract time and for direct, indirect and consequential costs, including costs of delays related to any work, either covered or affected by the change. VIII. FORCE MAJEURE. Neither party shall be liable to the other for breach due to delay or failure in performance resulting from acts of God, acts of war or of the public enemy, riots, pandemic, fire, flood, or other natural disaster or acts of government (“force majeure event”). Performance that is prevented or delayed due to a force majeure event shall not result in liability to the delayed party. Both parties represent to the other that at the time of signing this Agreement, they are able to perform as required and their performance will not be prevented, hindered, or delayed by the current COVID-19 pandemic, any existing state or national declarations of emergency, or any current social distancing restrictions or personal protective equipment requirements that may be required under federal, state, or local law in response to the current pandemic. If any future performance is prevented or delayed by a force majeure event, the party whose performance is prevented or delayed shall promptly notify the other party of the existence and nature of the force majeure event causing the prevention or delay in performance. Any excuse from liability shall be effective only to the extent and duration of the force majeure event causing the prevention or delay in performance and, provided, that the party prevented or delayed has not caused such event to occur and continues to use diligent, good faith efforts to avoid the effects of such event and to perform the obligation. Notwithstanding other provisions of this section, the Contractor shall not be entitled to, and the City shall not be liable for, the payment of any part of the contract price during a force majeure event, or any costs, losses, expenses, damages, or delay costs incurred by the Contractor due to a force majeure event. Performance that is more costly due to a force majeure event is not included within the scope of this Force Majeure provision. If a force majeure event occurs, the City may direct the Contractor to restart any work or performance that may have ceased, to change the work, or to take other action to secure the work or the project site during the force majeure event. The cost to restart, change, or secure the work or project site arising from a direction by the City under this clause will be dealt with as a change order, except to the extent that the loss or damage has been caused or exacerbated by the failure of the Contractor to fulfill its obligations under this Agreement. Except as expressly contemplated by this section, all other costs will be borne by the Contractor. IX. CLAIMS. If the Contractor disagrees with anything required by a change order, another written order, or an oral order from the City, including any direction, instruction, interpretation, or determination by the City, the Contractor may file a claim as provided in this section. The Contractor shall give written notice to the City of all claims within fourteen (14) calendar days of the occurrence of the events giving rise to the claims, or within fourteen (14) calendar days of the date the Contractor knew or should have known of the facts or events giving rise to the claim, whichever occurs first . Any claim for damages, additional payment for any reason, or extension of time, whether under this Agreement or otherwise, shall be conclusively deemed to have been waived by the Contractor unless a timely written claim is made in strict accordance with the applicable provisions of this Agreement. At a minimum, a Contractor's written claim shall include the information set forth in subsections A, items 1 through 5 below. FAILURE TO PROVIDE A COMPLETE, WRITTEN NOTIFICATION OF CLAIM WITHIN THE TIME ALLOWED SHALL BE AN ABSOLUTE WAIVER OF ANY CLAIMS ARISING IN ANY WAY FROM THE FACTS OR EVENTS SURROUNDING THAT CLAIM OR CAUSED BY THAT DELAY. A.Notice of Claim. Provide a signed written notice of claim that provides the following information: PUBLIC WORKS AGREEMENT - 5 ($20K or Less and No Performance Bond) 1.The date of the Contractor's claim; 2.The nature and circumstances that caused the claim; 3.The provisions in this Agreement that support the claim; 4.The estimated dollar cost, if any, of the claimed work and how that estimate was determined; and 5.An analysis of the progress schedule showing the schedule change or disruption if the Contractor is asserting a schedule change or disruption. B.Records. The Contractor shall keep complete records of extra costs and time incurred as a result of the asserted events giving rise to the claim. The City shall have access to any of the Contractor's records needed for evaluating the protest. The City will evaluate all claims, provided the procedures in this section are followed. If the City determines that a claim is valid, the City will adjust payment for work or time by an equitable adjustment. No adjustment will be made for an invalid protest. C.Contractor's Duty to Complete Protested Work. In spite of any claim, the Contractor shall proceed promptly to provide the goods, materials and services required by the City under this Agreement. D.Failure to Protest Constitutes Waiver. By not protesting as this section provides, the Contractor also waives any additional entitlement and accepts from the City any written or oral order (including directions, instructions, interpretations, and determination). E.Failure to Follow Procedures Constitutes Waiver. By failing to follow the procedures of this section, the Contractor completely waives any claims for protested work and accepts from the City any written or oral order (including directions, instructions, interpretations, and determination). X.LIMITATION OF ACTIONS. CONTRACTOR MUST, IN ANY EVENT, FILE ANY LAWSUIT ARISING FROM OR CONNECTED WITH THIS AGREEMENT WITHIN 120 CALENDAR DAYS FROM THE DATE THE CONTRACT WORK IS COMPLETE OR CONTRACTOR’S ABILITY TO FILE THAT CLAIM OR SUIT SHALL BE FOREVER BARRED. THIS SECTION FURTHER LIMITS ANY APPLICABLE STATUTORY LIMITATIONS PERIOD. XI. WARRANTY. The Contractor warrants that it will faithfully and satisfactorily perform all work provided under this Agreement in accordance with the provisions of this Agreement. The Contractor shall promptly correct all defects in workmanship and materials: (1) when the Contractor knows or should have known of the defect, or (2) upon the Contractor’s receipt of notification from the City of the existence or discovery of the defect. In the event any parts are repaired or replaced, only original replacement parts shall be used—rebuilt or used parts will not be acceptable. When defects are corrected, the warranty for that portion of the work shall extend for an additional year beyond the original warranty period applicable to the overall work. The Contractor shall begin to correct any defects within seven (7) calendar days of its receipt of notice from the City of the defect. If the Contractor does not accomplish the corrections within 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. XII.DISCRIMINATION. In the hiring of employees for the performance of work under this Agreement or any sub-contract, the Contractor, its sub-contractors, or any person acting on behalf of the Contractor or sub-contractor shall not, by reason of race, religion, color, sex, age, sexual orientation, national origin, or the presence of any sensory, mental, or physical disability, discriminate against any person who is qualified and available to perform the work to which the employment relates. The 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. PUBLIC WORKS AGREEMENT - 6 ($20K or Less and No Performance Bond) XIII. INDEMNIFICATION. The 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 the Contractor's work when completed shall not be grounds to avoid any of these covenants of indemnification. Should a court of competent jurisdiction determine that this Agreement is subject to RCW 4.24.115, then, in the event of liability for damages arising out of bodily injury to persons or damages to property caused by or resulting from the concurrent negligence of the Contractor and the City, its officers, officials, employees, agents and volunteers, the Contractor's duty to defend, indemnify, and hold the City harmless, and the Contractor’s liability accruing from that obligation shall be only to the extent of the Contractor's negligence. IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THE INDEMNIFICATION PROVIDED HEREIN CONSTITUTES THE CONTRACTOR'S WAIVER OF IMMUNITY UNDER INDUSTRIAL INSURANCE, TITLE 51 RCW, SOLELY FOR THE PURPOSES OF THIS INDEMNIFICATION. THE PARTIES FURTHER ACKNOWLEDGE THAT THEY HAVE MUTUALLY NEGOTIATED THIS WAIVER. In the event the Contractor refuses tender of defense in any suit or any claim, if that tender was made pursuant to this indemnification clause, and if that refusal is subsequently determined by a court having jurisdiction (or other agreed tribunal) to have been a wrongful refusal on the Contractor’s part, then the Contractor shall pay all the City’s costs for defense, including all reasonable expert witness fees and reasonable attorneys’ fees, plus the City’s legal costs and fees incurred because there was a wrongful refusal on the Contractor’s part. The provisions of this section shall survive the expiration or termination of this Agreement. XIV. 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. XV. WORK PERFORMED AT CONTRACTOR'S RISK. The Contractor shall take all necessary precautions and shall be responsible for the safety of its employees, agents, and subcontractors in the performance of the contract work and shall utilize all protection necessary for that purpose. All work shall be done at the Contractor's own risk, and the 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. XVI. MISCELLANEOUS PROVISIONS. A.Recyclable Materials. Pursuant to Chapter 3.80 of the Kent City Code, the City requires its contractors and consultants to use recycled and recyclable products whenever practicable. A price preference may be available for any designated recycled product. B.Non-Waiver of Breach. The failure of the City to insist upon strict performance of any of the covenants and agreements contained in this Agreement, or to exercise any option conferred by this Agreement in one or more instances shall not be construed to be a waiver or relinquishment of those covenants, agreements or options, and the same shall be and remain in full force and effect. C.Resolution of Disputes and Governing Law. This Agreement shall be governed by and construed in accordance with the laws of the State of Washington. If the parties are unable to settle any dispute, difference or claim arising from the parties’ performance of this Agreement, the exclusive means of resolving that dispute, difference or claim, shall only be by filing suit exclusively under the venue, rules and jurisdiction of the King County Superior Court, King County, Washington, unless the parties agree in writing to an alternative dispute resolution process. In any claim or lawsuit for damages arising from the parties' performance of this Agreement, each party shall pay all its legal costs and attorney's fees incurred PUBLIC WORKS AGREEMENT - 7 ($20K or Less and No Performance Bond) in defending or bringing such claim or lawsuit, including all appeals, in addition to any other recovery or award provided by law; provided, however, nothing in this paragraph shall be construed to limit the City's right to indemnification under Section XIII of this Agreement. D.Written Notice. All communications regarding this Agreement shall be sent to the parties at the addresses listed on the signature page of the Agreement, unless notified to the contrary. Any written notice hereunder shall become effective three (3) business days after the date of mailing by registered or certified mail, and shall be deemed sufficiently given if sent to the addressee at the address stated in this Agreement or such other address as may be hereafter specified in writing. E.Assignment. Any assignment of this Agreement by either party without the written consent of the non-assigning party shall be void. If the non-assigning party gives its consent to any assignment, the terms of this Agreement shall continue in full force and effect and no further assignment shall be made without additional written consent. F. Modification. No waiver, alteration, or modification of any of the provisions of thi s Agreement shall be binding unless in writing and signed by a duly authorized representative of the City and the Contractor. G.Entire Agreement. The written provisions and terms of this Agreement, together with any Exhibits attached hereto, shall supersede all prior verbal statements of any officer or other representative of the City, and such statements shall not be effective or be construed as entering into or forming a part of or altering in any manner this Agreement. All of the above documents are hereby made a part of this Agreement. However, should any language in any of the Exhibits to this Agreement conflict with any language contained in this Agreement, the terms of this Agreement shall prevail. H. Compliance with Laws. The Contractor agrees to comply with all federal, state, and municipal laws, rules, and regulations that are now effective or in the future become applicable to the Contractor's business, equipment, and personnel engaged in operations covered by this Agreement or accruing out of the performance of those operations. I.Public Records Act. The Contractor acknowledges that the City is a public agency subject to the Public Records Act codified in Chapter 42.56 of the Revised Code of Washington and documents, notes, emails, and other records prepared or gathered by the Contractor in its performance of this Agreement may be subject to public review and disclosure, even if those records are not produced to or possessed by the City of Kent. As such, the Contractor agrees to cooperate fully with the City in satisfying the City’s duties and obligations under the Public Records Act. J. City Business License Required. Prior to commencing the tasks described in Section I, the Contractor agrees to provide proof of a current city of Kent business license pursuant to Chapter 5.01 of the Kent City Code. / / / / / / / / / / K. Counterparts and Signatures by Fax or Email. This Agreement may be executed in any number of counterparts, each of which shall constitute an original, and all of which will together constitute this one Agreement. Further, upon executing this Agreement, either party may deliver the signature page to the other by fax or email and that signature shall have the same force and effect as if the Agreement bearing the original signature was received in person. PUBLIC WORKS AGREEMENT - 8 ($20K or Less and No Performance Bond) 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: By: (signature) Print Name: Its (title) DATE: CITY OF KENT: By: (signature) Print Name: Garin Lee Its: Parks Operations Superintendent DATE: NOTICES TO BE SENT TO: CONTRACTOR: Wesley Hillenius Integra-Tree LLC 1308 Sumner Avenue Sumner, WA 98390 (360) 890-1993 or (253) 508-7542 (telephone) n/a (facsimile) NOTICES TO BE SENT TO: CITY OF KENT: Mike Brundage, Parks Urban Forestry City of Kent 220 Fourth Avenue South Kent, WA 98032 (253) 856-5136 or (206) 437-9003 - cell (telephone) (253)856-6120 (facsimile) ATTEST: Kent City Clerk Wesley Hillenius (Oct 5, 2020 10:41 PDT) Wesley Hillenius Owner/Operator 10/05/2020 Wesley Hillenius Garin Lee (Oct 5, 2020 15:01 PDT) 10/05/2020 Kim Komoto (Oct 5, 2020 18:17 PDT) Kim Komoto EEO COMPLIANCE DOCUMENTS - 1 DECLARATION CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY POLICY The City of Kent is committed to conform to Federal and State laws regarding equal opportunity. As such all contractors, subcontractors and suppliers who perform work with relation to this Agreement shall comply with the regulations of the City’s equal employment opportunity policies. The following questions specifically identify the requirements the City deems necessary for any contractor, subcontractor or supplier on this specific Agreement to adhere to. An affirmative response is required on all of the following questions for this Agreement to be valid and binding. If any contractor, subcontractor or supplier willfully misrepresents themselves with regard to the directives outlines, it will be considered a breach of contract and it will be at the City’s sole determination regarding suspension or termination for all or part of the Agreement; The questions are as follows: 1.I have read the attached City of Kent administrative policy number 1.2. 2.During the time of this Agreement I will not discriminate in employment on the basis of sex, race, color, national origin, age, or the presence of all sensory, mental or physical disability. 3.During the time of this Agreement the prime contractor will provide a written statement to all new employees and subcontractors indicating commitment as an equal opportunity employer. 4.During the time of the Agreement I, the prime contractor, will actively consider hiring and promotion of women and minorities. 5.Before acceptance of this Agreement, an adherence statement will be signed by me, the Prime Contractor, that the Prime Contractor complied with the requirements as set forth above. By signing below, I agree to fulfill the five requirements referenced above. By: ___________________________________________ For: __________________________________________ Title: _________________________________________ Date: _________________________________________ Wesley Hillenius (Oct 5, 2020 10:41 PDT) Wesley Hillenius Owner/Operator Integra-Tree LLC 10/05/2020 EEO COMPLIANCE DOCUMENTS - 2 CITY OF KENT ADMINISTRATIVE POLICY NUMBER: 1.2 EFFECTIVE DATE: January 1, 1998 SUBJECT: MINORITY AND WOMEN SUPERSEDES: April 1, 1996 CONTRACTORS APPROVED BY Jim White, Mayor POLICY: Equal employment opportunity requirements for the City of Kent will conform to federal and state laws. All contractors, subcontractors, consultants and suppliers of the City must guarantee equal employment opportunity within their organization and, if holding Agreements with the City amounting to $10,000 or more within any given year, must take the following affirmative steps: 1.Provide a written statement to all new employees and subcontractors indicating commitment as an equal opportunity employer. 2.Actively consider for promotion and advancement available minorities and women. Any contractor, subcontractor, consultant or supplier who willfully disregards the City’s nondiscrimination and equal opportunity requirements shall be considered in breach of contract and subject to suspension or termination for all or part of the Agreement. Contract Compliance Officers will be appointed by the Directors of Planning, Parks, and Public Works Departments to assume the following duties for their respective departments. 1.Ensuring that contractors, subcontractors, consultants, and suppliers subject to these regulations are familiar with the regulations and the City’s equal employment opportunity policy. 2.Monitoring to assure adherence to federal, state and local laws, policies and guidelines. EEO COMPLIANCE DOCUMENTS - 3 CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE STATEMENT This form shall be filled out AFTER COMPLETION of this project by the Contractor awarded the Agreement. I, the undersigned, a duly represented agent of Company, hereby acknowledge and declare that the before-mentioned company was the prime contractor for the Agreement known as that was entered into on the (date), between the firm I represent and the City of Kent. I declare that I complied fully with all of the requirements and obligations as outlined in the City of Kent Administrative Policy 1.2 and the Declaration City of Kent Equal Employment Opportunity Policy that was part of the before-mentioned Agreement. By: ___________________________________________ For: __________________________________________ Title: _________________________________________ Date: _________________________________________ BIDDER RESPONSIBILITY CRITERIA - 1 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 10/02/2020, 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. Integra-Tree LLC By: ___________________________________________ Signature of Authorized Official* Printed Name: __________________________________ Title: _________________________________________ 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. Wesley Hillenius (Oct 5, 2020 10:41 PDT) Wesley Hillenius Owner/Operator Wesley Hillenius 10/05/2020 Estimate Date 10/2/2020 Estimate # E-0031 Billing Name / Address City of Kent 220 4th Ave S Kent, WA 98032 Service Address 4030 S 261st St Kent, WA 98032 Integra-Tree LLC Mailing Address 22606 114th Ave SE Kent, WA 98031 Thank you for considering Integra-Tree for your tree needs. Phone # 360-890-1993 integratreellc@gmail.com Total Description Total Removal of (1) 90' Cottonwood tree. All debris stays in greenbelt.2,800.00T Sales Tax 280.00 $3,080.00 EXHIBIT A 10/5/2020 about:blank about:blank 1/4 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: 10/5/2020 County Trade Job Classification Wage Holiday Overtime Note *Risk Class King Laborers Air, Gas Or Electric Vibrating Screed $52.39 7A 4V 8Y View King Laborers Airtrac Drill Operator $54.01 7A 4V 8Y View King Laborers Ballast Regular Machine $52.39 7A 4V 8Y View King Laborers Batch Weighman $44.40 7A 4V 8Y View King Laborers Brick Pavers $52.39 7A 4V 8Y View King Laborers Brush Cutter $52.39 7A 4V 8Y View King Laborers Brush Hog Feeder $52.39 7A 4V 8Y View King Laborers Burner $52.39 7A 4V 8Y View King Laborers Caisson Worker $54.01 7A 4V 8Y View King Laborers Carpenter Tender $52.39 7A 4V 8Y View King Laborers Cement Dumper-paving $53.35 7A 4V 8Y View King Laborers Cement Finisher Tender $52.39 7A 4V 8Y View King Laborers Change House Or Dry Shack $52.39 7A 4V 8Y View King Laborers Chipping Gun (30 Lbs. And Over) $53.35 7A 4V 8Y View King Laborers Chipping Gun (Under 30 Lbs.)$52.39 7A 4V 8Y View King Laborers Choker Setter $52.39 7A 4V 8Y View King Laborers Chuck Tender $52.39 7A 4V 8Y View King Laborers Clary Power Spreader $53.35 7A 4V 8Y View King Laborers Clean-up Laborer $52.39 7A 4V 8Y View King Laborers Concrete Dumper/Chute Operator $53.35 7A 4V 8Y View King Laborers Concrete Form Stripper $52.39 7A 4V 8Y View King Laborers Concrete Placement Crew $53.35 7A 4V 8Y View King Laborers Concrete Saw Operator/Core Driller $53.35 7A 4V 8Y View King Laborers Crusher Feeder $44.40 7A 4V 8Y View King Laborers Curing Laborer $52.39 7A 4V 8Y View King Laborers Demolition: Wrecking & Moving (Incl. Charred Material) $52.39 7A 4V 8Y View 10/5/2020 about:blank about:blank 2/4 King Laborers Ditch Digger $52.39 7A 4V 8Y View King Laborers Diver $54.01 7A 4V 8Y View King Laborers Drill Operator (Hydraulic, Diamond) $53.35 7A 4V 8Y View King Laborers Dry Stack Walls $52.39 7A 4V 8Y View King Laborers Dump Person $52.39 7A 4V 8Y View King Laborers Epoxy Technician $52.39 7A 4V 8Y View King Laborers Erosion Control Worker $52.39 7A 4V 8Y View King Laborers Faller & Bucker Chain Saw $53.35 7A 4V 8Y View King Laborers Fine Graders $52.39 7A 4V 8Y View King Laborers Firewatch $44.40 7A 4V 8Y View King Laborers Form Setter $52.39 7A 4V 8Y View King Laborers Gabian Basket Builders $52.39 7A 4V 8Y View King Laborers General Laborer $52.39 7A 4V 8Y View King Laborers Grade Checker & Transit Person $54.01 7A 4V 8Y View King Laborers Grinders $52.39 7A 4V 8Y View King Laborers Grout Machine Tender $52.39 7A 4V 8Y View King Laborers Groutmen (Pressure) Including Post Tension Beams $53.35 7A 4V 8Y View King Laborers Guardrail Erector $52.39 7A 4V 8Y View King Laborers Hazardous Waste Worker (Level A) $54.01 7A 4V 8Y View King Laborers Hazardous Waste Worker (Level B) $53.35 7A 4V 8Y View King Laborers Hazardous Waste Worker (Level C) $52.39 7A 4V 8Y View King Laborers High Scaler $54.01 7A 4V 8Y View King Laborers Jackhammer $53.35 7A 4V 8Y View King Laborers Laserbeam Operator $53.35 7A 4V 8Y View King Laborers Maintenance Person $52.39 7A 4V 8Y View King Laborers Manhole Builder-Mudman $53.35 7A 4V 8Y View King Laborers Material Yard Person $52.39 7A 4V 8Y View King Laborers Motorman-Dinky Locomotive $53.35 7A 4V 8Y View King Laborers Nozzleman (Concrete Pump, Green Cutter When Using Combination Of High Pressure Air & Water On Concrete & Rock, Sandblast, Gunite, Shotcrete, Water Blaster, Vacuum Blaster) $53.35 7A 4V 8Y View King Laborers Pavement Breaker $53.35 7A 4V 8Y View King Laborers Pilot Car $44.40 7A 4V 8Y View King Laborers Pipe Layer Lead $54.01 7A 4V 8Y View King Laborers Pipe Layer/Tailor $53.35 7A 4V 8Y View King Laborers Pipe Pot Tender $53.35 7A 4V 8Y View King Laborers Pipe Reliner $53.35 7A 4V 8Y View King Laborers Pipe Wrapper $53.35 7A 4V 8Y View King Laborers Pot Tender $52.39 7A 4V 8Y View 10/5/2020 about:blank about:blank 3/4 King Laborers Powderman $54.01 7A 4V 8Y View King Laborers Powderman's Helper $52.39 7A 4V 8Y View King Laborers Power Jacks $53.35 7A 4V 8Y View King Laborers Railroad Spike Puller - Power $53.35 7A 4V 8Y View King Laborers Raker - Asphalt $54.01 7A 4V 8Y View King Laborers Re-timberman $54.01 7A 4V 8Y View King Laborers Remote Equipment Operator $53.35 7A 4V 8Y View King Laborers Rigger/Signal Person $53.35 7A 4V 8Y View King Laborers Rip Rap Person $52.39 7A 4V 8Y View King Laborers Rivet Buster $53.35 7A 4V 8Y View King Laborers Rodder $53.35 7A 4V 8Y View King Laborers Scaffold Erector $52.39 7A 4V 8Y View King Laborers Scale Person $52.39 7A 4V 8Y View King Laborers Sloper (Over 20")$53.35 7A 4V 8Y View King Laborers Sloper Sprayer $52.39 7A 4V 8Y View King Laborers Spreader (Concrete)$53.35 7A 4V 8Y View King Laborers Stake Hopper $52.39 7A 4V 8Y View King Laborers Stock Piler $52.39 7A 4V 8Y View King Laborers Swinging Stage/Boatswain Chair $44.40 7A 4V 8Y View King Laborers Tamper & Similar Electric, Air & Gas Operated Tools $53.35 7A 4V 8Y View King Laborers Tamper (Multiple & Self- propelled) $53.35 7A 4V 8Y View King Laborers Timber Person - Sewer (Lagger, Shorer & Cribber) $53.35 7A 4V 8Y View King Laborers Toolroom Person (at Jobsite)$52.39 7A 4V 8Y View King Laborers Topper $52.39 7A 4V 8Y View King Laborers Track Laborer $52.39 7A 4V 8Y View King Laborers Track Liner (Power)$53.35 7A 4V 8Y View King Laborers Traffic Control Laborer $47.48 7A 4V 9C View King Laborers Traffic Control Supervisor $50.31 7A 4V 9C View King Laborers Truck Spotter $52.39 7A 4V 8Y View King Laborers Tugger Operator $53.35 7A 4V 8Y View King Laborers Tunnel Work-Compressed Air Worker 0-30 psi $129.67 7A 4V 9B View King Laborers Tunnel Work-Compressed Air Worker 30.01-44.00 psi $134.70 7A 4V 9B View King Laborers Tunnel Work-Compressed Air Worker 44.01-54.00 psi $138.38 7A 4V 9B View King Laborers Tunnel Work-Compressed Air Worker 54.01-60.00 psi $144.08 7A 4V 9B View King Laborers Tunnel Work-Compressed Air Worker 60.01-64.00 psi $146.20 7A 4V 9B View King Laborers Tunnel Work-Compressed Air Worker 64.01-68.00 psi $151.30 7A 4V 9B View King Laborers Tunnel Work-Compressed Air Worker 68.01-70.00 psi $153.20 7A 4V 9B View King Laborers Tunnel Work-Compressed Air $155.20 7A 4V 9B View 10/5/2020 about:blank about:blank 4/4 Worker 70.01-72.00 psi King Laborers Tunnel Work-Compressed Air Worker 72.01-74.00 psi $157.20 7A 4V 9B View King Laborers Tunnel Work-Guage and Lock Tender $54.11 7A 4V 8Y View King Laborers Tunnel Work-Miner $54.11 7A 4V 8Y View King Laborers Vibrator $53.35 7A 4V 8Y View King Laborers Vinyl Seamer $52.39 7A 4V 8Y View King Laborers Watchman $40.36 7A 4V 8Y View King Laborers Welder $53.35 7A 4V 8Y View King Laborers Well Point Laborer $53.35 7A 4V 8Y View King Laborers Window Washer/Cleaner $40.36 7A 4V 8Y View EXHIBIT BINSURANCE REQUTREMENTS FORSERVICE CONTRACTSThe Contractor shall procure and maintain for the duration of the Agreement,insurance against claims for injuries to persons or damage to prope-rty which'may arise from or in connection with the performance oithe worf neieunderby.the Contractor, their agents, representatives, employees orsubcontractors.A. Minimum Scope of Insurancecontractor shall obtain insurance of the types described below:1. Commercial General Liability insurance shall be written onISO occurrence form CG 00 01 and shall cover liabilityarising from premises, operations, independent contrictors,products-completed operations, personal injury andadvertising injury, and liability assumed under an insuredcontract. The city shall be named as an insured under theContractor's Commercial General Liability insurance policywith respect to the work performed for the City using ISOadditional insured endorsement CG Z0 10 11 85 or Jsu bstitute endorsement provid in g eq uiva lent covera ge.2. Automobile Liability insurance covering all owned, non-owned, hired and leased vehicles. Coverage shall be writtenon Insurance Services Oftice (ISO) form CA 00 01 or asubstitute form providing equivalent liability coverage. Ifnecessary, the policy shall be endorsed to providecontractual liability covera ge.3. Wqrkers'Comoensation coverage as required by theIndustrial Insurance laws of the State of Washington.InsuranceB. Minimum Amounts of InsuranceContractor shall maintain the following insurance limits:1. Commercial General Liability insurance shall be written withlimits no less than $1,000,000 each occurrence, $1,000,000general aggregate and a 91,000,000 products-completedoperations aggregate limit.2. Automobile Liabilitv insurance with a minimum combinedsingle limit for bodily injury and property damage of$1,000,000 per accident. EXHIBIT B (Continued)C. Other fnsurance ProvisionsThe insurance policies are to contain, or be endorsed to contain, the followingprovisions for Automobile Liability and commercial General t_iability1. The Contractor's insurance coverage shall be primary insurance as respectthe.city. {1y Insur_ance, self-insuiance, or inburanci: poor coveragemaintained by the City shall be excess of the Contractbr's insuranLe andshall not contribute with it.rnsurance2. The Contractor's insurance shall be endorsed to state that coverage shallnot be cancelled by either party, except after thirty (30) days priolwritten notice by certified mail, return receipt requested, has lieen givento the City.3. The City_of Kent shall be named as an additional insured on all policies(qxcept Professional Liability) as respects work performed by oi on behalfof the contractor and a copy of the endorsement naming the city asadditional insured shall be attached to the Certificate of Insurance. TheCit.yreservestherighttoreceiveacertiried@urancepolicies. The Contractor's Commercial Generai Liability insurance shallalso contain a clause stating that coverage shall apply separately to eachinsured against whom claim is made or suit is brought, eicept withrespects to the limits of the insurer's liability.D. Acceptability of InsurersInsurance is to be placed with insurers with a current A.M. Best rating of notless than A:VII.E. Verification of CoverageContractor shall furnish the City with original certificates and a copy of theamendatory endorsements, including but not necessarily limited to-theadditional insured endorsement, evidencing the insurani:e requirements ofthe Contractor before commencement of the work.F. SubcontractorsContractor shall include all subcontractors as insureds under its policies orshall furnish separate certificates and endorsements for each subcontractor.All coverages for subcontractors shall be subject to all of the same insurancerequirements as stated herein for the Contractor. .=0 1111-11 " CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 10/02/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AN D CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOTAFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF I NSURANCE 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 NAME: Emily Lobdell Trina Knoche Agency PHONE FAX 104 Tremont St Ste 200 (A/C, NO, EXT): 360-895-3001 (A/C, NO): 360-895-4014 Port Orchard, WA 98366 E-MAIL ADDRESS: emily.tknoche1@farmersagency.com INSURER(S) AFFORDING COVERAGE NAIC# INSURED INSURERA: Northfield Insurance Company 27987 Integratree LLC 1308 Sumner Ave INSURER B: INSURERC: INSURER D: Sumner, WA 98390 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS ISTO CERTIFYTHATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME ABOVE FORTHE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALLTHETERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDTL INSD SUBR WVD POLICYNUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 7 CLAIMS -MADE Fx]OCCUR DAMAGE TO RENTED PREMISES (Ea Occurrence) $ 100,00 MED EXP (Any one person) $ 5,00 PERSONAL &ADV INJURY $ 1,000,00 A Y 'NS431388 08/26/2020 08/26/2021 GENT AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,00 POLICY 44---� PROJECT D LOC �� :$ 21000,000 PRODUCTS-COMP/OPAGG OTHER: :$ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) .$ BODILY INJURY (Per person) $ ANYAUTO OWNEDAUTOS SCHEDULED ONLY AUTOS BODILY INJURY (Per accident):$ HIREDAUTOS NON -OWNED ONLY AUTOSONLY PROPERTY DAMAGE (Per accident) ,$ EACH OCCURRENCE $ $ UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS -MADE AGGREGATE ;$ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY PER STATUTE OTHER $ ANY PROPRIETOR/PARTNER/ Y/N EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N/A E,L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE E.L.DISEASE-POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) CertMcate Holder is listed as Additional Insured Primary and Noncontributory coverage applies CERTIFICATE HOLDER City of en 220 Fourth Ave S Kent, WA 98032 CANCELLATION SHOULD ANY OF_Di#BB7[E DESCRIBEDLICIES BE CANCELLED BEFORE THE EXPIRATION EOo DATE THERpTIC" LPlF0ELIVE IN,XeUJR NCEWITHTHEPOLICYPROVISIONS. ACORD 25 (2016/03) 31-1769 11-15 @1988-2015 ACORD CORPORATION. All Rights Reserved The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY CG 20 01 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition (2) You have agreed in writing in a contract or and supersedes any provision to the contrary: agreement that this insurance would be primary and would not seek contribution from Primary And Noncontributory Insurance any other insurance available to the additional insured. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and CG 20 01 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER: WS 4 313 8 8 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations The City of Kent, 220 Fourth Ave S, Various Kent, WA 98032 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 include B. With respect to the insurance afforded to these as an additional insured the person(s) or additional insureds, the following additional exclusions organization(s) shown in the Schedule, but only with apply: respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, This insurance does not apply to "bodily injury" or "property damage" occurring after: in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 04 13 Copyright, Insurance Services Office, Inc., 2012 Page 1 of 2 C. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 10 04 13 Copyright, Insurance Services Office, Inc., 2012 Page 2 of 2 Page 1 of 3 Page 2 of 3Policy number: 807 046 098 Policy effective date:August 2, 2020 060019046200922A3005591000000A300559060WA00020092223535200044900100400627000How to Contact Us If you have a question or would like additional information about your coverage, please contact your Allstate Agent at (360) 813-7484. The enclosed Checklist outlines several additional convenient contact options. It also outlines whats in this package and walks you through any next steps you may need to take. And for 24-hour-a-day, 7-day-a-week service and information, just call 1-800-ALLSTATE (1-800-255-7828). We Appreciate Your Business Thank you for choosing Allstate. We appreciate the opportunity to help you protect what you have today and help prepare you for the future. Sincerely, Julie Parsons President, Allstate Indemnity Company EA173-1 Page 3 of 3 060019046200922A3005591000000A300559060WA00020092223535200044900200400627000 Page 1 of 4 WA019AMDAmended auto policy declarations Your policy effective date is August 2, 2020 Information as of September 22, 2020 Summary Named Insured(s) Wesley Hillenius Mailing address 1308 Sumner Ave Sumner WA 98390-1917 Policy number 807 046 098 Your policy provided by Allstate Indemnity Company Policy period Beginning August 2, 2020 through February 2, 2021 at 12:01 a.m. standard time Your policy changes are effective September 23, 2020 Your Allstate agency is Joe Del Grosso 5971 Hwy 303 Suite 2 Bremerton WA 98311 (360) 813-7484 KITSAPINSGROUP@allstate.com Some or all of the information on your Policy Declarations is used in the rating of your policy or it could affect your eligibility for certain coverages. Please notify us immediately if you believe that any information on your Policy Declarations is incorrect. We will make corrections once you have notified us, and any resulting rate adjustments, will be made only for the current policy period or for future policy periods. Please also notify us immediately if you believe any coverages are not listed or are inaccurately listed. Total Premium for the Policy Period Please review your insured vehicle and verify its VIN is correct. Vehicle covered Identification Number (VIN) Premium 2020 Toy. Truck Tundra 5TFUY5F16LX897764 $2,922.47 Total*$2,922.47 * Your bill will be mailed separately. Before making a payment, please refer to your latest bill, which includes payment options and installment fee information. If you do not pay in full, you will be charged an installment fee(s). If you do not pay your bill by the due date shown on your billing statement, you may be charged a late fee. Discounts (included in your total premium) Passive Restraint $66.18 Multiple Policy $149.87 Antilock Brakes $267.04 Home Ownership $149.87 Allstate Easy Pay Plan $214.31 Good Payer $172.91 Future Effective Date $149.87 Loyalty Bonus $316.35 Total discounts $1,486.40 Discounts per vehicle 2020 Toy. Truck Tundra $1,486.40 Passive Restraint $66.18 Multiple Policy $149.87 Antilock Brakes $267.04 Home Ownership $149.87 Allstate Easy Pay Plan $214.31 Good Payer $172.91 Future Effective Date $149.87 Loyalty Bonus $316.35 Surcharges (included in your total premium) Chargeable Accident(s) 2020 Toy. Truck Tundra $1,427.40 Minor Violation 2020 Toy. Truck Tundra $763.45 Total surcharges $2,190.85 Listed driver on your policy Wesley Hillenius Amended auto policy declarations Policy number: 807 046 098 Policy effective date: August 2, 2020 WA019AMD060019046200922A3005591000000A300559060WA00020092223535200044900300400627000Page 2 of 4 Excluded drivers from your policy None Amended auto policy declarations Policy number: 807 046 098 Policy effective date: August 2, 2020 WA019AMDPage 3 of 4 Coverage detail for 2020 Toy. Truck Tundra Coverage Limits Deductible Premium Automobile Liability Insurance Bodily Injury $25,000 each person $50,000 each occurrence Not applicable $630.93 Property Damage $25,000 each occurrence Not applicable $399.38 Auto Collision Insurance Actual cash value $1,000 $1,373.05 Auto Comprehensive Insurance Actual cash value $500 $289.43 Rental Reimbursement Not purchased* Roadside Help Not purchased* Underinsured Motorists Insurance $75.25 Bodily Injury $25,000 each person $50,000 each accident Not applicable Property Damage $10,000 each accident Stated in policy Automobile Medical Payments Not purchased* Personal Injury Protection Benefits $0 $154.43 Medical Expenses $10,000 each person Wage Loss $200 per week maximum Essential Services Expenses $40 per day Sound System Not purchased* Tape Not purchased* Total premium for 2020 Toy. Truck Tundra $2,922.47 * This coverage can provide you with valuable protection. To help you stay current with your insurance needs, contact your Allstate agent to discuss coverage options and other products and services that can help protect you. VIN 5TFUY5F16LX897764 Rating information This vehicle is driven a maximum of 7,500 miles per year, 3-9 miles to work/school, unmarried male age 25 Lienholder Toyota Motor Credit Corp Your policy documents Your automobile policy consists of this Policy Declarations and the documents in the following list. Please keep these together. Washington Auto Indemnity Policy AIU146-1 Amendment of Policy Provisions AU14405 Washington Auto Amendatory Endorsement AIU727-3 Loss Payable Endorsement AU5030 Amended auto policy declarations Policy number: 807 046 098 Policy effective date: August 2, 2020 WA019AMD060019046200922A3005591000000A300559060WA00020092223535200044900400400627000Page 4 of 4 Important payment and coverage information Here is some additional, helpful information related to your coverage and paying your bill: uA $10.00 late fee may be assessed if payment is received after the due date. Allstate Indemnity Company’s Secretary and President have signed this policy with legal authority at Northbrook, Illinois. Julie Parsons President Susan L. Lees Secretary f� City of Kent Master Business License Application DATE: 020 KEN T City of Kent Customer Service • 220 Fourth Avenue S. • Kent, WA 98032-5895 was��r 253-856-5210 • customerservice@KentWA.gov BUSINESS INFORMATION All licensesexpireDecember31.Re-issueinvoice mailed end of calendar year. Legal Entity Name: Integra -Tree LLC Trade Name Physical Address: 1308 Sumner Ave City, Sumner Mailing Address:22606 114th Ave SE City: Kent Email: integratreellc@gmail.com Phone: 360-890-1993 WA State UBI#: 604 643 099 state: WA zip:98390 State: WA ZIP:98031 ❑ Individual ❑ Partnership ® LLC ❑ Corporation ❑ Other Type of Business: (check all that apply) ❑ Wholesale Trade ❑ Retail Trade ® Service ❑ Manufacturing ❑ Construction ❑ Govt. ❑ Transp./Commun./Util. ❑ Finance/Insur./RE ❑ Education ❑ Health Industry ❑ Sales/Mktg. ❑ Other Description of Business Activity:Tree Services; removals, trimming, thinning Date when business activity began in Kent:9/30/2020 Owner(s)/Officers Name(s): Wesley Hillenius Address:1308 Sumner Ave Phone: 360-890-1993 City: Sumner State: WA zip:98390 integratreellc@gmail.com Estimated Annual Gross Income in Kent (Check the box that applies to your business) ❑ $0 - $2,000 O $2,001 - $200,000 ❑ $200,001 - $1,000,000 ❑ More than $1,000,000 Contact person: Jessica Malyevac Phone: 2535087542 Email: integratreellc@gmail.com THIS SECTION APPLIES TO BUSINESSES THAT HAVE A PHYSICAL LOCATION WITHIN CITY LIMITS COMMERCIAL BUSINESSES NAICS Code: Square Footage: Do You Share a Location with Another Business? ❑ No ❑ Yes (If yes, please call C/S at 253-856-5201) If so please list other entity: Will your business engage in selling, giving away, distributing, dispensing, exchanging for anything of value, planting, growing, processing, packaging, storing, or any other act relating to marijuana as that term is defined in RCW 69.50.101 ? ❑ Yes ❑ No Do you have more than one location within the City of Kent? ❑ Yes ❑ No If yes, please list location(s): Does your business require a specialty license (i.e. Applicable if your business has Amusement Devices, Cabaret, or Pool & Billiard Tables)? ❑ Yes ❑ No If so please list: Emergency Contact: Phone: Phone: Continued on back... COMMERCIAL BUSINESSES (CON'T) Total number of employees (Use this number to determine license fee) Driver's License # Fee Schedule NUMBER OF EMPLOYEES: OPENING JULY 1 0-24 Employees $248.07 $198.07 25-49 Employees $348.07 $248.07 50-99 Employees $548.07 $348.07 100 or more employees $748.07 $448.07 (Kent Businesses only) Independent Contractor $101.00 $51.00 (Example: Someone leasing a chair at a licensed salon or barber shop) Non -Profit No Charge 501 (c)3 Required Relocation in Kent No Charge (New App. req.) Prior Kent Address: NON-RESIDENT BUSINESS THIS SECTION IS FOR BUSINESSES WHICH DO NOT HAVE AN OFFICE OR PHYSICAL LOCATION IN THE CITY OFKENT. Fee Schedule If your annual gross income in Kent is $2000 or less you are not required to obtain a business license with the City of Kent. This is for non-resident businesses only. Operating before July 1 $101.00 Operating after July 1 $51.00 RENTAL HOUSING BUSINESS SECTION THIS SECTION IS ONLY FOR RENTAL PROPERTIES WHICH CONTAIN TWO OR MORE HOUSING UNITS Fee Schedule 2 to 10 units $101.00 11 to 50 units $301.00 51 and above $601.00 Opening July 1 $51.00 $151.00 $301.00 Total number of rental units x $13 = $ A $13 per unit Rental Housing Inspection Program (RHIP) fee will be added to your business license fee. If you have any questions please visit KentWA.gov/rentalhousinginspection for more information or call 253-856-5454. Please include this fee with your licensing payment of $101, $301, or $601 TAX REGISTRATION By completing this application, you are also registering to file City of Kent business and occupation (B&O) tax returns. If your business activities are exempt from B&O tax, please write the reason(s) here: The City also levies a utility tax, admissions tax, and gambling tax upon certain business activities. For tax forms or additional information, visit us at KentWA.gov or contact the Tax Division at 253-856-6266. I hereby certify that the statements and information furnished by me on this application are true and complete to the best of my knowledge. I also acknowledge that the statements and information furnished by me on this application are public records and are available for public inspection pursuant to State of Washington RCW 42.17.260.1 understand that issuance of this license is conditioned upon compliance at all times with all applicable ordinances, regulations and statutes of the City of Kent and State of Washington.The issuance of this business license does not imply compliance with the Zoning, Uniform Fire and Building Codes. Signature: Print Name: Title: Owner/Opera or Date:9/30/2020 .........................................INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED ........................................ FOR OFFICE USE ONLY: BL # Date Recd Amount Paid 10/2/2020 11:41 AM 1184 9 ========================================= Permits Integra-Tree LLC Receipt # 00079259 DEPT#: 144 New Business Comm. - Half Year $50.00 Permit ID Number:222565 DEPT#: 1473 Permit Tech Fee For Business License $1.00 Permit ID Number:222565 Service Fee $1.35 Jessica A Malyevac ========================================= Total: $52.35 Credit Card $51.00 Service Fee $1.35 City of Kent 220 Fourth Avenue South Kent,WA98032 253-856-5201 customerservice@kentwa.gov Pay Your Utility Bill Online Pay.KentWA.gov Signature: Email: Signature: Email: Signature: Email: Signature: Email: Janice Applegate (Oct 5, 2020 10:44 PDT) Janice Applegate japplegate@kentwa.gov Ronald Lashley (Oct 5, 2020 15:15 PDT) Ronald Lashley rlashley@kentwa.gov Brian Levenhagen (Oct 5, 2020 15:20 PDT) bjlevenhagen@kentwa.gov Melissa McCormick (Oct 7, 2020 11:42 PDT) Melissa McCormick cityclerk@kentwa.gov IntegraTreeLLC_Contract Final Audit Report 2020-10-07 Created:2020-10-05 By:Janice Applegate (japplegate@kentwa.gov) Status:Signed Transaction ID:CBJCHBCAABAA_NGRXpjTl2FZzoJYEDTS6rdoeT1_aFVB "IntegraTreeLLC_Contract" History Document created by Janice Applegate (japplegate@kentwa.gov) 2020-10-05 - 5:14:59 PM GMT- IP address: 146.129.252.126 Document emailed to Wesley Hillenius (integratreellc@gmail.com) for signature 2020-10-05 - 5:32:54 PM GMT Email viewed by Wesley Hillenius (integratreellc@gmail.com) 2020-10-05 - 5:39:34 PM GMT- IP address: 73.254.196.234 Document e-signed by Wesley Hillenius (integratreellc@gmail.com) Signature Date: 2020-10-05 - 5:41:21 PM GMT - Time Source: server- IP address: 73.254.196.234 Document emailed to Janice Applegate (japplegate@kentwa.gov) for signature 2020-10-05 - 5:41:24 PM GMT Email viewed by Janice Applegate (japplegate@kentwa.gov) 2020-10-05 - 5:43:45 PM GMT- IP address: 146.129.252.126 Document e-signed by Janice Applegate (japplegate@kentwa.gov) Signature Date: 2020-10-05 - 5:44:59 PM GMT - Time Source: server- IP address: 146.129.252.126 Document emailed to Garin Lee (glee@kentwa.gov) for signature 2020-10-05 - 5:45:01 PM GMT Email viewed by Garin Lee (glee@kentwa.gov) 2020-10-05 - 10:00:58 PM GMT- IP address: 146.129.252.126 Document e-signed by Garin Lee (glee@kentwa.gov) Signature Date: 2020-10-05 - 10:01:45 PM GMT - Time Source: server- IP address: 146.129.252.126 Document emailed to Ronald Lashley (rlashley@kentwa.gov) for signature 2020-10-05 - 10:01:49 PM GMT Email viewed by Ronald Lashley (rlashley@kentwa.gov) 2020-10-05 - 10:04:45 PM GMT- IP address: 146.129.252.126 Document e-signed by Ronald Lashley (rlashley@kentwa.gov) Signature Date: 2020-10-05 - 10:15:48 PM GMT - Time Source: server- IP address: 146.129.252.126 Document emailed to Brian Levenhagen (bjlevenhagen@kentwa.gov) for signature 2020-10-05 - 10:15:51 PM GMT Email viewed by Brian Levenhagen (bjlevenhagen@kentwa.gov) 2020-10-05 - 10:19:46 PM GMT- IP address: 146.129.252.126 Document e-signed by Brian Levenhagen (bjlevenhagen@kentwa.gov) Signature Date: 2020-10-05 - 10:20:44 PM GMT - Time Source: server- IP address: 146.129.252.126 Document emailed to Kim Komoto (kkomoto@kentwa.gov) for signature 2020-10-05 - 10:20:47 PM GMT Email viewed by Kim Komoto (kkomoto@kentwa.gov) 2020-10-06 - 1:17:31 AM GMT- IP address: 98.232.56.26 Document e-signed by Kim Komoto (kkomoto@kentwa.gov) Signature Date: 2020-10-06 - 1:17:59 AM GMT - Time Source: server- IP address: 98.232.56.26 Document emailed to Melissa McCormick (cityclerk@kentwa.gov) for signature 2020-10-06 - 1:18:01 AM GMT Email viewed by Melissa McCormick (cityclerk@kentwa.gov) 2020-10-06 - 4:16:42 PM GMT- IP address: 146.129.252.126 Document e-signed by Melissa McCormick (cityclerk@kentwa.gov) Signature Date: 2020-10-07 - 6:42:56 PM GMT - Time Source: server- IP address: 146.129.252.126 Agreement completed. 2020-10-07 - 6:42:56 PM GMT