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CAG2021-027 - Original - Integra-Tree LLC - Removal of Maple Tree in North Meridian Park - 01/29/2021
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* Business License Verification: Yes In-Process Exempt (KCC 5.01.045) 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. 200821 FOR CITY OF KENT OFFICIAL USE ONLY (Optional) * Memo to Mayor must be attached 01/29/2021 Other2368917 4 Parks, Recreation & Community ServicesJan Applegate 4 03/01/2021 4 02/03/2021 02/03/2021 N/A Other 10006600.64190.5496 ContractIntegra-Tree LLC 4 4 2422.20 4 N/A GL BL 02/01/2021 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 98390-1917; Contact: Wesley Hillenius, Phone: (360) 890-1993 (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 (1) large leaf maple tree located to the west of the residence at 23109 125 th Avenue S.E. Kent, WA 98032. Tree will be cut and left onsite. Crew will not stack or move any brush associated with work offsite per Estimate E-0084, dated 12/14/2020 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 March 1, 2021 . III. COMPENSATION. The City shall pay the Contractor a total amount not to exceed TWO THOUSAND FOUR HUNDRED TWENTY TWO DOLLARS AND TWENTY CENTS ($2422.20), 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 c redit 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. PUBLIC WORKS AGREEMENT - 2 ($20K or Less and No Performance Bond) 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 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. PUBLIC WORKS AGREEMENT - 3 ($20K or Less and No Performance Bond) 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 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 Prevailin g 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 agre e, 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 i n 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 shoul d 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 wai ved 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 t he 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. 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, lo sses or PUBLIC WORKS AGREEMENT - 6 ($20K or Less and No Performance Bond) 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 refus al 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 relinquishm ent 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 Agreemen t, each party shall pay all its legal costs and attorney's fees incurred in defending or bringing such claim or lawsuit, including all appeals, in addition to any other recovery or award provided by law; provided, however, nothing in this paragraph shall be construed to limit the City's right to indemnification under Section XI II of this Agreement. PUBLIC WORKS AGREEMENT - 7 ($20K or Less and No Performance Bond) 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, unl ess 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 t his 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. 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 PUBLIC WORKS AGREEMENT - 8 ($20K or Less and No Performance Bond) 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 Superintendent DATE: NOTICES TO BE SENT TO: CONTRACTOR: Wesley Hillenius Integra-Tree LLC 1308 Sumner Avenue Sumner, WA 98390-1917 (360) 890-1993 (telephone) (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 (cell) or (253) 856-5136 (telephone) (253) 856-6120 (facsimile) ATTEST: Kent City Clerk Garin Lee (Jan 29, 2021 14:09 PST) Jan 29, 2021 Wesley Hillenius (Jan 29, 2021 17:31 PST) Owner/Operator 01/29/2021 Wesley Hillenius 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 (Jan 29, 2021 17:31 PST) Owner/Operator Integra-Tree 01/29/2021 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 (12/14/2020), 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 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 (Jan 29, 2021 17:31 PST) Kent, Washington Owner/Operator Wesley Hillenius 01/29/2021 Estimate Date 12/14/2020 Estimate # E-0084 Billing Name / Address City of Kent 220 4th Ave S Kent, WA 98032 Service Address 23109 125th Ave SE Kent, WA 98031 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) large leaf Maple. Tree will be cut and left onsite. Crew will not stack or move any brush associated with work offsite. 2,200.00T Sales Tax 220.00 $2,420.00 EXHIBIT A 1t29t2021 about:blank State of Washington Department of Labor & lndustries Prevailing Wage Section - Tetephone 360-902-5335 PO Box 44540, Otympia, WA 98504-4540 Washington State Prevailing Wage The PREVAILING WAGES tisted here include both the hourty wage rate and the hourty rate of fringe benefits. On pubtic works projects, worker's wage and benefit rates must add to not less than this total. A brief description of overtime catcutation requirements are provided on the Benefit Code Key. Journey Level Prevailing Wage Rates for the Effective Date: 112912021 King King King King King King King King King King King King King King King Laborers 'Laborers Laborers Laborers Laborers Laborers Lqborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborefs Laborers Laborers 8Y 8Y 8Y 8Y 8Y 8Y 8Y 8Y 8Y 8Y 8Y 8Y 8Y *Risk Class View View View View View View View View View View Yrs View View View County King Laborers Job Classification Air, Gas Or Etectric Vibrating Screed Airtrac Drit[ Operator Baltast Regutar Machine Batch Weighman Brick Pavers Brush Cutter Brush Hog Feeder Burner Caisson Worker Carpenter Tender Cement Dumper-paving Cement Finisher Tender Change House Or Dry Shack Chipping Gun (30 Lbs. And Over) Chipping Gun (Under 30 Lbs.) Choker Setter Chuck Tender Ctary Power Spreader Clean-up Laborer Concrete Dumper/Chute Operator Concrete Form Stripper Concrete Ptacement Crew Concrete Saw Operator / Core Dritter Crusher Feeder Curing Laborer Demotition: Wrecking & Moving (lnct. Charred Materiat) W"ge Holiday Overtime Note ss2.39 7A 4V 8Y Trade 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4Y 4V 4V 4V 4V 4V 4V 4V King King King King King King King King King King 5s4.01 7A ss2.39 7A s44.40 7A ss2.39 7A s52.39 7A ss2.39 7A s52.39 7A 554.01 7A ss2.39 7A 553.35 7A 5s2.39 7A 552.39 7A ss3.3s 7A s52.39 7A ss2.39 7A ss2.39 7A 5s3.35 7A s52.39 7A 553.3s 7A 552.39 7A ss3.35 7A 5s3.3s 7A 544.40 7A 552.39 7A s52.39 7A 8Y View 8Y View 8Y View 8Y View 8Y View 8Y View 8Y View 8Y View 8Y View 8Y View 8Y View 8Y View about:blank 1t4 1t29t2021 King King King Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers 552.39 7A 5s4.01 7A 553.3s 7A ss2.39 7A ss2.39 7A s52.39 7A ss2.39 7A 553.35 7A ss2.39 7A 544.40 7A 552.39 7A 5s2.39 7A 552.39 7A 5s4.01 7A s52.39 7A 552.39 7A s53.35 7A s52.39 7A ss4.01 7A ss3.35 7A 552.39 7A ss4.01 7A 5s3.3s 7A s53.35 7A 5s2.39 7A ss3.35 7A 5s2.39 7A s53.3s 7A 5s3.35 7A 8Y View 8Y View 8Y View 8Y View 8Y View 8Y View 8Y View King King about:blank Ditch Digger Diver Dritt Operator (Hydrautic, Diamond) Dry Stack Watts Dump Person Epoxy Technician Erosion ControlWorker Fatter & Bucker Chain Saw Fine Graders Firewatch Form Setter Gabian Basket Buitders GeneraI Laborer Grade Checker & Transit Person Grinders Grout Machine Tender Groutmen (Pressure) lnctuding Post Tension Beams GuardraiI Erector Hazardous Waste Worker (Level A) Hazardous Waste Worker (Level B) Hazardous Waste Worker (Level c) High Scaler Jackhammer Laserbeam Operator Maintenance Person Manhole Buitder-Mudman Material Yard Person Motorman- Dinky Locomotive Nozzteman (Concrete Pump, Green Cutter When Using Combination Of High Pressure Air & Water On Concrete & Rock, Sandblast, Gunite, Shotcrete, Water Btaster, Vacuum Btaster) Pavement Breaker Pitot Car Pipe Layer Lead Pipe Layer/Taitor Pipe Pot Tender Pipe Retiner Pipe Wrapper Pot Tender Powderman 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 8Y View8Yry 8Y View 8Y View 8Y View 8Y View8Yry EY View 8Y View 8Y View 8Y View 8Y View 8Y View 8Y View King King King King King King King King King King King King King King King King King King King King King King King King King King King King King Laborers King , Laborers King King s53.3s 7A 544.40 7A ss4.01 7A 553.3s 7A 553.3s 7A 5s3.3s 7A 553.35 7A 5s2.39 7A ss4.01 7A 8Y View 8Y View 8Y View 8Y View 8Y View 8Y View 8Y View 8Y View 8Y View 8Y View 8Y View 8Y View 8Y View 8Y View 8Y View 8Y View 8Y View 4V 4V 4V 4V 4V 4V 4V 4V 4V King about:blank 2t4 1t29t2021 about:blank Powderman's Hetper Power Jacks Raitroad Spike Putler - Power Raker - Asphatt Re-timberman Remote Equipment Operator Rigger/SignaI Person Rip Rap Person Rivet Buster Rodder Scaffotd Erector Scale Person Sloper (Over 20") Stoper Sprayer Spreader (Concrete) Stake Hopper Stock Piter Swinging Stage/ Boatswain Chair Tamper & Simitar Etectric, Air & Gas Operated Toots Tamper (Muttipte & Setf- propetted) Timber Person - Sewer (Lagger, Shorer & Cribber) Tootroom Person (at Jobsite) 'licpper Track Laborer Track Liner (Power) Traffic Control Laborer Traffic Control Supervisor Truck Spotter Tugger Operator TunneI Work-Compressed Air Worker 0-30 psi Tunnel Work-Compressed Air Worker 30.01-44.00 psi Tunnet Work-Compressed Air Worker 44.01-54.00 psi Tunnel Work-Compressed Air Worker 54.01-60.00 psi Tunnel Work-Compressed Air Worker 60.01-64.00 psi Tunnel Work-Compressed Air Worker 64.01-68.00 psi TunneI Work-Compressed Air Worker 68.01-70.00 psi Tunnel Work-Compressed Air Worker 70.01-72.00 psi King King King King King King King King King King King King King King King King King King Laborers Laborers Laborers , Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborgrs Laborers ss2.39 7A s53.3s 7A ss3.3s 7A 5s4.01 7A 554.01 7A s53.3s 7A ss3.3s 7A ss2.39 7A 5s3.35 7A s53.3s 7A ss2.39 7A ss2.39 7A ss3.3s 7A 5s2.39 7A 5s3.35 7A 5s2.39 7A 5s2.39 7A 544.40 7A ss3.35 7A 5s3.35 7A s53.35 7A s52.39 7A ss2.39 7A 552.39 7A ss3.3s 7A 547.48 7A 5s0.31 7A 5s2.3e 7A 553.35 7A 5129.67 7A 5134.70 7A s138.38 7A s144.08 7A 5146.20 7A $151.30 7A s1s3.20 7A 8Y View 8Y View 8Y View 8Y View 8Y View 8Y View 8Y View 8Y View 8Y View 8Y View 8Y View 8Y View 8Y View 8Y View 8Y View 8Y View 8Y View 8Y View 4V 4V 4V 4V 4V 4V N. 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V 4V King Laborers King Laborers King ,Laborers 8Y View View View 8Y 8Y King King King King King King King King King 8Y View 8Y View 8Y View 8Y View 9C View 9C View 8Y View 8Y View 98 View King Laborers King Laborers King Laborers King Laborers King Laborers King Laborers King Laborers 98 View View View View View View 9B 9B 9B 9B 9B 9B about:blank s155.20 7A View 3t4 112912021 ;King ,King :King lKing ,KinS iKing ;Xlng : King Laborers Laborers Laborers 'Laborers , La,bgrers jLaborers , Laborers : ;Laborers King Laborers about:blank Tunnel Work-Compressed Air Worker 72.01-74.00 psi lfunnel Work-Guage and Lock Tender TunneI Work-Miner Vibrator Vinyt Seamer Watchman Wetder Wet[ Point Laborer Window Washer/Cteaner 51s7.20 7A 4V 98 ss4.11' 7A 4y 8Y 5s4.11 A ss3.3s a 552.39: A 540.36, A 553.35 A 5s3.3s 7A S40.36' 7A 8Y 8Y EY 8Y 8Y gY 8Y N- 4V 4V N- N. 4V 4V View View View -_Vje,{ View View V''gry . View l View , about:blank 414 112912021 about:blank State of Washington Department of Labor & lndustries Prevaiting Wage Section - Tetephone 360-902-5335 PO Box 44540, Otympia, WA 98504-4540 Washington State Prevailing Wage The PREVAILING WAGES listed here inctude both the hourly wage rate and the hourly rate of fringe benefits. On pubtic works projects, worker's wage and benefit rates must add to not less than this total. A brief description of overtime catculation requirements are provided on the Benefit Code Key. Apprentice Level Prevailing Wage Rates for King County and Laborers Trade for the Effective Date: 112912021 Step_ Step I Step 2 Step 3 Step 4 Step 1 Step 2 Step 3 Step 4 Step 5 Step 6 Step 1 Step 2 Step 3 Step 4 Step 1 Step 2 Step 3 Step 4 Occupalfun Window Washer, Cleaner registered prior to 6/112012 Window Washer, Cteaner registered prior to 611 /2012 Window Washe4 Cteaner registered prior to 6/ 1 /2012 Window Washer, Cteaner registered prior to 6/112012 Window Washer, Cteaner registered on or after 61112012 Window Washer, Cteaner registered on or after 611/2012 Window Washer, Cteaner registered on or after 6/1 /2012 Window Washer, Cteaner registered on or after 611 12012 Window Washer, Cteaner registered on or after 611 /2012 Window Washer, Cteaner registered on or after 611 12012 Laborer registered prior to 6/112012 Laborer registered prior to 6/ 1 lzA12 Laborer registered prior to 6/1/2012 Laborer registered prior to 6/ 112012 Laborer registered on or after 6/1/2012 Laborer registered on or after 6/ 1/2012 Laborer registered on or after 6/ 1/2012 Laborer registered on or after 6/1/2012 1001 2000 2001 3000 3001 4000 1000 1001 2000 2001 3000 3001 4000 4001 s000 Holiday Overtime 7A 4V 7A 4V 7A 4V 7A 4V 7A 4V 7A 4V 7A 4V 7A 4V 7A 4V 7A 4V 7A 4V 7A 4V 7A 4V 7A 4V 7A 4V 7A 4V 7A 4V 7A 4V 5001 1 1001 2001 3001 1 6000 1000 2000 3000 4000 1 000 Besin Hours End Hours 1000 Apprentice Ylage 536.47 540.36 s40.36 540.36 536.47 s40.36 s40.36 540.36 s40.36 540.36 536.47 S40.45 544.43 548.41 536.47 540.45 544.43 Note 8Y 8Y 8Y 8Y 8Y 8Y 8Y 8Y 8Y 8Y 8Y 8Y 8Y 8Y 8Y 8Y 8Y 8Y 1001 2000 2001 3000 about:blank 3001 4000 s46.42 1t2 112912021 Step 5 Step 6 about:blank Laborer registered on or after 6/ 1/2012 Laborer registered on or after 6/ 1/2012 4001 5000 5001 6000 548.41 7A 4V s50.40 4V 8Y 8Y7A about:blank 212 EXHIBIT B INSURANCE REQUIREMENTS FOR SERVICE CONTRACTS Insurance The Contractor shall procure and maintain for the duration of the Agreement, insurance against claims for injuries to persons or damage to property which may arise from or in connection with the performance of the work hereunder by the Contractor, their agents, representatives, employees or subcontractors. A.Minimum Scope of Insurance Contractor shall obtain insurance of the types described below: 1.Commercial General Liability insurance shall be written on ISO occurrence form CG 00 01 and shall cover liability arising from premises, operations, independent contractors, products-completed operations, personal injury and advertising injury, and liability assumed under an insured contract. The City shall be named as an insured under the Contractor’s Commercial General Liability insurance policy with respect to the work performed for the City using ISO additional insured endorsement CG 20 10 11 85 or a substitute endorsement providing equivalent coverage. 2.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 limits no less than $1,000,000 each occurrence, $1,000,000 general aggregate and a $1,000,000 products-completed operations aggregate limit. 2.Automobile Liability insurance with a minimum combined single limit for bodily injury and property damage of $1,000,000 per accident. EXHIBIT B (Continued) 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 insurance: 1.The Contractor’s insurance coverage shall be primary insurance as respect the City. Any Insurance, self-insurance, or insurance pool coverage maintained by the City shall be excess of the Contractor’s insurance and shall not contribute with it. 2.The Contractor’s insurance shall be endorsed to state that coverage shall not be cancelled by either party, except after thirty (30) days prior written notice by certified mail, return receipt requested, has been given to the City. 3.The City of Kent shall be named as an additional insured on all policies (except Professional Liability) as respects work performed by or on behalf of the contractor and a copy of the endorsement naming the City as additional insured shall be attached to the Certificate of Insurance. The City reserves the right to receive a certified copy of all required insurance policies. The Contractor’s Commercial General Liability insurance shall also contain a clause stating that coverage shall apply separately to each insured against whom claim is made or suit is brought, except with respects to the limits of the insurer’s liability. D.Acceptability of Insurers Insurance is to be placed with insurers with a current A.M. Best rating of not less than A:VII. E.Verification of Coverage Contractor shall furnish the City with original certificates and a copy of the amendatory endorsements, including but not necessarily limited to the additional insured endorsement, evidencing the insurance requirements of the Contractor before commencement of the work. F.Subcontractors Contractor shall include all subcontractors as insureds under its policies or shall furnish separate certificates and endorsements for each subcontractor. All coverages for subcontractors shall be subject to all of the same insurance requirements as stated herein for the Contractor. .=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 AC" __ _ --- - - CERTIFICATE OF PROPERTY INSURANCE ! DATE /' -_ 2_ THIS CERTIFICATE Is ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOTAFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDEDBYTHEPOLICIESBELOW.THISCERTIFICATEOFINSURANCEDOESNOTCONSTITUTEACONTRACTBETWEENTHEISSUINGINSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. _...--------------` PRODUCER CONTACT NAME: Emily Lobdeil Trina Knoche(791332E) _ 104 Tremont St Ste 200 PHONE FAX (A/C, NO, ExT): 360-895-3001 (A/C, NO): 360-895 4014 E-MAIL Port Orchard WA 98366-3765 ADDRESS: emily.tknochel@farmersagency.com :PRODUCER . CUSTOMER ID:. INSURER(S) AFFORDING COVERAGE NAIC# i .INSURED INSURERA: Truck Insurance Exchange 21709 ! WESLEY HILLENlUS I INSURERS: Farmers Insurance Exchange._ _ 21652_ DBAINTEGRATREE wsuRERa Mid Century Insurance Company_. ; 21687 1308 SUMNER AVE INSURER D: SUMNER WA 98390 INSURERE: INSURER F. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: LOCATION OF PREMISES/DESCRIPTION OF PROPERTY (Attach ACORD 101, Additional Remarks schedule, if morespace is required) 2020 BANDIT 75XP CHIPPER 4FMUSI513LR511812 THIS IS TO CERTIFY THATTHE 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 CONTRACTOR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALLTHETERMS, EXCLUStONSAND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR I TYPEOFINSURANCE POLICYNUMBER POLICY EFFECTIVE DATE POLiCYEXPIRATION COVEREDPROPERTY I LIMITS LTR { (MM/DD/YYYY) DATE(MM/DD/YYYY) I „_ j I PROPERTY BUILDING , $, 1#s [CAUSESOFLOSS DEDUCTIBLES X PERSONAL PROPERTY $2 r�0 i BASIC BUILDING - BUSINESSINCOME $ BROAD 500 ( EXTRA EXPENSE $ tt S ..- CONTENTS I B X SPECIAL _ i5OO {606805496 08/26/2020 08/26/2021 f RENTALVAWE i $ EARTHQUAKE I BLANKET BUILDING ( $ . WIND ":, BLANKET PERS PROP $ FLOOD I BLANKET BLDG & PP $ T LL - X I BANDIT 75XP $26,000 1 j INLAND MARINE TYPE OF POLICY _ $ �CAUSESOFLOSS I �- $ NAMED PERILS i. POLICYNUMBER $ 'CRIME I TYPE OF POLICY $ ! BORER MACHINERY - $ EQUIPMENT BREAKDOWNWN t 1 $ I 1 $ I $ ESPECIAL CONDITIONS/OTHER COVERAGES (ACORD 101, Additional Remarks Schedule, may be attached if morespace is required) Certificate Holder is listed as Loss Payee i CERTIFICATE HOLDER CANCELLATION ALLEGIANTPARTNERSS INC ISAOA SHOULOANYOFTHEABOVEDESG GtESVIBIECAANCELLPOEFOR HEEXPIRATION c% GREAT AMERICAN INSURANCE GROUP DATE THEREOF, NOTI waLSE IVE H LKYPRDVI510Ns. PO BOX 3547 i AUTHORIZED REPRESENTATIVE BELLEVUE _ .. _-- - WA- 98009ACORD 24 (2016/03) @199S-201 ACCIN. All Rights Reserved 31-1768 11-15 The ACORD name and logo are registered marks ofACORD A�C'0RD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD(YYYY) 08/26/2020 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 Trina Knoche Insurance Agency 104 Tremont St Ste 200 Port Orchard, WA 98366 CONTACT NAME: Emily Lobdell aHON o EXt : 360-895-3001 FAX No): 360-895-4014 AIL ADDRESS: emily.tknochel@farmergagency.com INSURERS AFFORDING COVERAGE NAIC # INSURERA: Northfield Insurance Company 27987 INSURED Wesley Hillenius DBA IntegraTree 1308 Sumner Ave Sumner Wa 98390 INSURER B : INSURER C : INSURER D : INSURER E : INSURERF: COVERAGES CERTIFICATE NUMBER: RGVISInnI M116e121=0. 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. INSR LTR A X TYPE OF INSURANCE COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR ADDL iNsD Y SUBR WVO POLICY NUMBER WS431388 POLICY EFF MM/DD 08/26/2020 POLICY EXP MM/DDNYYY 08/26/2021 LIMITS EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/OPAGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNEWEXECUTIVE OFFICER/MEMBEREXCLUDED? ❑ (Mandatoryfyes,dsc in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A I I PER OTH- STATUTE ER E.L. EACH ACCIDENT I $ E.L DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) State of Washington Department of Labor and Industries PO Box 44450 Olympia, WA 98504 trAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. O 1988-�OT5 �G'6`�2D CaRPnRAT1APl All rinh4c racnninei ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ACOR©r CERTIFICATE OF LIABILITY INSURANCE `� DATE(MMIDD/YYYY) 08/31/2020 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 NAME: Emily Lobdell Trina Knoche Insurance Agency PHCONE N Ext: 360-895-3001 FAX(AIC No): 360-895-4014 (AI104 Tremont St Ste 200 AIL ADDRESS: emily.tknochel@farmersagency.com Port Orchard, WA 98366 INSURERS AFFORDING COVERAGE NAIC # INSURERA: NOrthfiled Insurance Company INSURED INSURER B : 27987 IntegraTree LLC INSURER C : 1308 Sumner Ave INSURER D : Sumner, WA 98390 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMRFR• IZFVICInKI hlllneQGo- 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. INSR LTR I TYPE OF INSURANCE ADDL INSD SUER I WVD I POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑, OCCUR EACH OCCURRENCE $ 1,000,000 DAMAGE TORENTED PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 A Y WS431388 08/26/2020 08/26/2021 GEN'LAGGREGATE LIMIT APPLIES PER: POLICY ❑ PRO- ❑ JECT LOC GENERALAGGREGATE $ 2,000,000 PRODUCTS -COMP/OPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DIED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRI ETOR/PARTN E R/EXECUTIVE OFFICER/MEMBEREXCLUDED? N/A PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYEE $ (Mandatory in NH) If yes, describe under E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space is required) u wry r c State of Washington Department of Labor and Industries PO Box 44450 Olympia, WA 98504 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ©1988-2015 ACORD CORPORATION_ All rirnhtc racarvarl ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Page 1 of 3Joe Del Grosso 5971 Hwy 303 Suite 2 Bremerton WA 98311 Information as of September 22, 2020 Policyholder(s) Wesley Hillenius Policy number 807 046 098 Your Allstate agency is Joe Del Grosso (360) 813-7484 KITSAPINSGROUP@allstate.comTDDDADTFATADDATFDATAATTDAAFDFFADATATDTTDDTFAAATAFADTDFAAAFDTADFTA WESLEY HILLENIUS 1308 SUMNER AVE SUMNER WA 98390-1917 Thank You for Being a Customer with Allstate Blue SM Quality Auto Insurance with a Feature That Rewards You Over Time for Staying with Allstate! Were Confirming Your Policy Change Thank you for the opportunity to help take care of your insurance needs. We want to let you know that we have made the changes you requested to your policy. We also want to remind you that with Allstate Blue SM youre getting quality car insurance along with the following features: —A Loyalty Bonus SM If you maintain your policy with us through the end of each policy period, we will give you a premium discount on all major coverages at your next policy renewal. Its our way of thanking you for being a loyal customer. —Optional Roadside Help If your car breaks down, this coverage will pay for emergency roadside assistance. What Has Changed? We want to let you know that we have made the changes you requested to your policy: The deletion of one or more vehicles. Changes to vehicle usage. The changes took effect on 09/23/2020. Your premium for the current policy period has been decreased by a total of $122.29. The enclosed Amended Policy Declarations provides a detailed list of the coverages, coverage limits and coverage costs for your auto policy. (continued) 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 Policy number: 807 046 098 Policy effective date: August 2, 2020 Your Insurance Coverage Checklist Were happy to have you as an Allstate customer! This checklist outlines whats in this package and provides answers to some basic questions, as well as any next steps you may need to take. A guide to your amended package £Whats in this package? See the guide below for the documents that are included. Next steps: review your Policy Declarations to confirm you have the coverages, coverage limits, premiums and savings that you requested and expected. Read any Endorsements or Important Notices to learn about new policy changes, topics of special interest, as well as required communications. Keep all of these documents with your other important insurance papers. £Am I getting all the discounts I should? Confirm with your Allstate Agent that youre benefiting from all the discounts youre eligible to receive. £What about my bill? Unless youve already paid your premium in full, well send your bill separately. Next steps: please pay the minimum amount by the due date listed on it. You can also pay your bill online at allstate.com or by calling 1-800-ALLSTATE (1-800-255-7828). Para espaæol, Ilamar al 1-800-979-4285. If youre enrolled in the Allstatefi Easy Pay Plan, well send you a statement detailing your payment withdrawal schedule. £What if I have questions? You can either contact your Allstate Agent or call us 24/7 at 1-800-ALLSTATE (1-800-255-7828) para espaæol, Ilamar al 1-800-979-4285 with questions about your coverage, or to update your coverages, limits, or deductibles. Or visit us online at allstate.com. Insurance Made Simple Insurance seem complicated? Our online guides explain coverage terms and features: www.allstate.com/ madesimple Espanol.allstate.com /facildeentender To make it easier to see where you may have gaps in your protection, weve highlighted any coverages you do not have in the Coverage Detail section in the enclosed Policy Declarations. 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 From:Finance Customer Services To:Applegate, Jan Subject:RE: 2021 City of Kent Business License Date:Friday, January 29, 2021 10:38:20 AM Good morning, The license hasn’t been renewed as of yet. Its taking about 4-6 weeks from the date of payment. This license is currently still in the process of being renewed and we received the payment on January 15th, 2021. Thanks, Anna Mitchell|Account Representative Customer Service Division | Finance Department 220 Fourth Avenue South, Kent, WA 98032 Phone 253-856-5203 | Fax 253-856-6200 amitchell@kentwa.gov CITY OF KENT, WASHINGTON KentWA.gov Facebook Twitter YouTube PLEASE CONSIDER THE ENVIRONMENT BEFORE PRINTING THIS E-MAIL *Processing fee of 2.65% on credit/debit card transactions * From: Applegate, Jan <JApplegate@kentwa.gov> Sent: Friday, January 29, 2021 7:26 AM To: Finance Customer Services <CustomerService@kentwa.gov> Subject: 2021 City of Kent Business License Can you please send me a copy of the 2021 City of Kent Business License for: Integra-Tree LLC 1308 Sumner Avenue Sumner WA 98390 Thanks, Jan Applegate, Operations Analyst Parks Maintenance | Parks, Recreation & Community Services 220 Fourth Avenue South, Kent, WA 98032Phone 253-856-5122 | Fax 253-856-6120 JApplegate@KentWA.gov CITY OF KENT, WASHINGTON KentWA.gov Facebook Twitter YouTube PLEASE CONSIDER THE ENVIRONMENT BEFORE PRINTING THIS E-MAIL Signature: Email: Signature: Email: Signature: Email: Signature: Email: Janice Applegate (Jan 29, 2021 13:33 PST) Janice Applegate japplegate@kentwa.gov rlashley@kentwa.gov Brian Levenhagen (Feb 1, 2021 09:05 PST) bjlevenhagen@kentwa.gov Melissa McCormick (Feb 1, 2021 14:30 PST) Melissa McCormick cityclerk@kentwa.gov Integra-Tree_LLC.Contract.2021 Final Audit Report 2021-02-01 Created:2021-01-29 By:Janice Applegate (japplegate@kentwa.gov) Status:Signed Transaction ID:CBJCHBCAABAAsMXZ_nvTZ6c7IJn8JnH6CVFE7BthuosN "Integra-Tree_LLC.Contract.2021" History Document created by Janice Applegate (japplegate@kentwa.gov) 2021-01-29 - 9:15:28 PM GMT- IP address: 146.129.252.126 Document e-signed by Janice Applegate (japplegate@kentwa.gov) Signature Date: 2021-01-29 - 9:33:38 PM GMT - Time Source: server- IP address: 146.129.252.126 Document emailed to Garin Lee (glee@kentwa.gov) for signature 2021-01-29 - 9:33:41 PM GMT Email viewed by Garin Lee (glee@kentwa.gov) 2021-01-29 - 9:57:09 PM GMT- IP address: 146.129.252.126 Document e-signed by Garin Lee (glee@kentwa.gov) Signature Date: 2021-01-29 - 10:09:08 PM GMT - Time Source: server- IP address: 146.129.252.126 Document emailed to Wesley Hillenius (integratreellc@gmail.com) for signature 2021-01-29 - 10:09:11 PM GMT Email viewed by Wesley Hillenius (integratreellc@gmail.com) 2021-01-29 - 11:11:49 PM GMT- IP address: 174.246.3.29 Document e-signed by Wesley Hillenius (integratreellc@gmail.com) Signature Date: 2021-01-30 - 1:31:29 AM GMT - Time Source: server- IP address: 141.164.117.59 Document emailed to Ronald Lashley (rlashley@kentwa.gov) for signature 2021-01-30 - 1:31:32 AM GMT Email viewed by Ronald Lashley (rlashley@kentwa.gov) 2021-02-01 - 4:48:01 PM GMT- IP address: 146.129.252.126 Document e-signed by Ronald Lashley (rlashley@kentwa.gov) Signature Date: 2021-02-01 - 4:49:34 PM GMT - Time Source: server- IP address: 146.129.252.126 Document emailed to Brian Levenhagen (bjlevenhagen@kentwa.gov) for signature 2021-02-01 - 4:49:38 PM GMT Email viewed by Brian Levenhagen (bjlevenhagen@kentwa.gov) 2021-02-01 - 5:02:54 PM GMT- IP address: 146.129.252.126 Document e-signed by Brian Levenhagen (bjlevenhagen@kentwa.gov) Signature Date: 2021-02-01 - 5:05:23 PM GMT - Time Source: server- IP address: 146.129.252.126 Document emailed to Kim Komoto (kkomoto@kentwa.gov) for signature 2021-02-01 - 5:05:26 PM GMT Email viewed by Kim Komoto (kkomoto@kentwa.gov) 2021-02-01 - 5:21:33 PM GMT- IP address: 146.129.252.126 Document e-signed by Kim Komoto (kkomoto@kentwa.gov) Signature Date: 2021-02-01 - 5:22:11 PM GMT - Time Source: server- IP address: 146.129.252.126 Document emailed to Melissa McCormick (cityclerk@kentwa.gov) for signature 2021-02-01 - 5:22:14 PM GMT Email viewed by Melissa McCormick (cityclerk@kentwa.gov) 2021-02-01 - 5:51:59 PM GMT- IP address: 146.129.252.126 Document e-signed by Melissa McCormick (cityclerk@kentwa.gov) Signature Date: 2021-02-01 - 10:30:47 PM GMT - Time Source: server- IP address: 146.129.252.126 Agreement completed. 2021-02-01 - 10:30:47 PM GMT