HomeMy WebLinkAboutCAG2021-382 - Original - Chet's Roofing & Construction, Inc. - Re-roof Corrections Annex Building - 08/27/2021Agreement Routing Form
FOR CITY OF KENT OFFICIAL USE ONLY
For Approvals, Signatures and Records Management
Thls form combines & replaces the Request for Mayo/s Signature and Contract Cover
Sheetforms. (Print on pinkor cherrycolored paper)
Sup/Mgr: W
Dir Asst pL
Dtr/Dep: a*_KENT (Optional)
WASHtNGToN
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oLo.o.
Originator:
Diana Lazouski
Department:
Parks, Recreation & Community Services
Date Sent:
8t23t2021
Date Required:
ASAP
Authorized to Sign:
f,Zvuyotor Designee
Date of Council Approval:
N/A
Budqet Account Number:
54026905.641 10.5825 803W
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Grant? ves[ ruoZ
Type: \l/[
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Vendor Name:
CHET'S ROOFING & CONSTRUCTION, INC
Category:
Contract
Vendor Number:
54397
Sub-Category:
Original
project 1r1urn"' Re-roof Correction Annex Building
Project Details: Remove and replace the roof at the City of Kent Corrections Annex
Building, 8323 S 259th St, Kent, WA 98030, in accordance with the
proposal which is attached and incorporated as Exhibit A.
Agreement Amount $46,242.00
Start Date:
Basis for Selection of Contractor: 916* Memo to Mayor must be attached
Termination Date:
Local Businessiffies flNo* ,trn.3,r," quirements per KCC 3.70,.00, pleose complete'1/endor Purchase-LocalExceptions" fom on atyspace.
Business License verificatoni7l v"rflln-Pro."rrf]r*.tot (Kcc 5.01.045)
Notice required prior to disclosure?
f]v"'flr'ro
Contract Number:
UIoL)PoortrcorEa3
=Eo
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E.
Comments:
Date Received: City Attorney: Sl24l2l Date Routed: Mayor's Office City Clerk's Office
adccw22373-1Jo Visit Documents.KentWA.gov to obtain copies of all agreements
rev. 202 1 05 1 3
OK to sign, 8/25/2021, TW. Mayor, there is a place that also requires your initials--
electronic page 14.
CAG2021-382
8/27/21
KENT
WasHtiloron
PUBLIC WORKS AGREEMENT
between City of Kent and
CHET'S ROOFTNG & CONSTRUCTTON, rNC
THIS AGREEMENT is made by and between the City of Kent, a Washington
municipal corporation (hereinafter the "City"), and Chet's Roofing & Construction, Inc organized under
the laws of the State of Washington, located and doing business at 26301 79th Ave S, Kent, WA
98032, Chester T. Chmielinski, (253) 887-OI94 (hereinafter the "Contractor").
AGREEMENT
The pafties 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:
Chet's Roofing & Construction, Inc shall provide all labor and material to remove and replace
the roof at the City of Kent Corrections Annex Building located at 8323 S 259th St, Kent, WA
98030, in accordance with the proposal which is attached and incorporated 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 within 10 calendar days after the City issues its Notice to Proceed. Upon the effective date
of this Agreement, all physical work shall thereafter be completed within 90 working days. The term of this
Agreement shall continue until all work has been completed, final acceptance has occurred, and all
Contractor obligations have been fulfilled.
III. COMPENSATION. The City shall pay the Contractor a total amount not to exceed
$46,242.OO, 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 (B5o/o) 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 Pavment 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.
PUBLIC WORKS AGREEMENT - 1
(Over $20K and No Performance Bond)
No Payment and Performance Bond. Because this contract, including applicable sales
tax, is less than $150,000, 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 (1Oo/o) 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,
Retainage. The City shall also hold back a retainage in the amount of five percent
(5olo) 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.
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.
Final Pavment: 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'
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 - 2
(Over $20K and No Performance Bond)
A
B
c
D
D
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.
The Contractor has a valid contractor registration pursuant to Ch. L8.27 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.
The Contractor's failure to complete the work within the time specified in this
Agreement.
The Contractor's failure to make full and prompt payment to subcontractors or for
material or labor,
The Contractor's persistent disregard of federal, state or local laws, rules or
regulations.
The Contractor's filing for bankruptcy or becoming adjudged bankrupt'
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
PUBLIC WORKS AGREEMENT - 3
(Over $20K and No Performance Bond)
E
F
B
c
D
E
F
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.
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 disastei 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
aris-ing from a diiection by the City under this clause will be dealt with as a change order, except to the
exteni 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
givewritten noticetotheCityof all claimswithin fourteen (14) calendardaysof theoccurrenceof theevents
6iving 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,
itemslthrough5below.
FAILURE TO PROVTDE 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.
PUBLIC WORKS AGREEMENT - 4
(Over $20K and No Performance Bond)
A Notice of Claim, Provide a signed written notice of claim that provides the following
information:
The date of the Contractor's claim;
The nature and circumstances that caused the claim;
The provisions in this Agreement that support the claim;
The estimated dollar cost, if any, of the claimed work and how that estimate
was determined; and
An analysis of the progress schedule showing the schedule change or disruption
if the Contractor is asserting a schedule change or disruption.
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.
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.
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).
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 CI.AIM 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,
XIL 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.
PUBLIC WORKS AGREEMENT - 5
(Over $20K and No Performance Bond)
1
2
3
4
5
B
c
D
E
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, 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.tLs,
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, plusthe 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. MISCELLANEOUSPROVISIONS.
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.Pacnlrrtinn nf f)icnr : nrl l?nrrarn i nn I rrer 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
PUBLIC WORKS AGREEMENT - 6
(Over $20K and No Performance Bond)
of resolving that dispute, difference or claim, shall only be by filing suit exclusively under the venue, rules
and jurisdiction of the King County Superior Court, King County, Washington, unless the parties agree in
writing to an alternative dispute resolution process. In any claim or lawsuit for damages arising from the
parties' performance of this Agreement, each party shall pay all its legal costs and attorney's fees incurred
in defending or bringing such claim or lawsuit, including all appeals, in addition to any other recovery or
award provided by law; orovided, 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 pafty without the written consent
of the non-assigning party shall be void. If the non-assigning party gives its consent to any assignment,
the terms of this Agreement shall continue in full force and effect and no further assignment shall be made
without additional written consent,
F. Modification. No waiver, alteration, or modification of any of the provisions of this Agreement
shall be binding unless in writing and signed by a duly authorized representative of the City and the
Contractor.
G. Entire Aoreement. 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.
L 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
Contractoragreesto provide proof of a current city of Kent business license pursuantto 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 padies 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 - 7
(Over $20K and No Performance Bond)
CONTRACTOR:
By
cr:hAha.hrtffiIht
. christina Griffiths (A"ug zzltozLtttztpot)
Print Name Christina Griffiths
,n" Project Manager
DATE Aug 23,202L
CITY OF KENT:
By
Print Name Dana Raloh
Its Mavor
DATE
NOTICES TO BE SENT TO:
CONTRAGTOR:
Chester T. Chmielinski
CHET'S ROOFING &
CONSTRUCTION, INC
26301 79th Ave S
Kent, WA 98032
(253) BB7-0194 (telephone)
(253) 854-4516 (facsimile)
NOTICES TO BE SENT TO:
CITY OF KENT:
Diana Lazouski
City of Kent
220 Fourth Avenue South
Kent, WA 98032
(253) 856-5083 (telephone)
(253) 856-6080 (facsimile)
APPROVED AS TO FORM:
Kent Law Department
ATTEST:
Kent Citv Clerk
to its effective date are ratified and affirmed, and the terms of the Agreement shall be deemed
to have applied.
Un this ffeld, you may enter the electronic fllepath where the contract has been savedl
PUBLIC WORKS AGREEMENT - B
(Over $20K and No Performance Bond)
08/27/2021
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.
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.
During the time of the Agreement I, the prime contractor, will actively consider hiring and
promotion of women and minorities.
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
Cbthth* arot#-illr*
christina Griffiths (A-ug lll'lOzt tt,ztpot)
3
4
5
By
Christina GriffithsFor:
Titte: Project Manager
Date: 4u923,2021
PUBLIC WORKS AGREEMENT - 9
(Over $20K and No Performance Bond)
CITY OF KENT
ADMINISTRATIVE POLICY
NUMBER: L.2 EFFECTIVE DATE: January 1, 1998
SUBJECT:MINORIW AND WOMEN
CONTRACTORS
SUPERSEDES: April 1, 1996
APPROVED BY Jim White, Mayor
POLICY:
Equal employment opportunity requirements for the City of Kent will conform to federal and state
laws. AII 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.
PUBLIC WORKS AGREEMENT. 10
(Over $20K and No Performance Bond)
CITY OF KENT
EQUAL EMPLOYMENT OPPORTUNTTY COMPLTANCE 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
th a (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 KentAdministrative Policy L.2 and the Declaration City of Kent Equal EmploymentOpportunity
Policy that was part of the before-mentioned Agreement.
By
For:
Title
Date:
PUBLIC WORKS AGREEMENT - 11
(Over $20K and No Performance Bond)
BIDDER RESPONSIBILITY CRITERIA
Certification of Compliance with Wage Payment Statutes
This certification is required by state law (RCW 39.04.350(2)) to be submitted to the City
before the contract can be awarded.
The bidder hereby certifies that, within the three-year period immediately preceding the bid
solicitation date (Insert Date), the bidder is not a "willful" violator, as defined in RCW 49.48.082,
of any provision of chapters 49.46,49.48, or 49.52 RCW, as determined by a final and binding
citation and notice of assessment issued by the Department of Labor and Industries or through a
civil judgment entered by a court of limited or generaljurisdiction.
I certify under penalty of perjury under the laws of the State of Washington that the foregoing is
true and correct.
Insert Bidder's Business Name
By
fuiotir* arcl-rth-h*
Christina Griffiths (Af,g zlltolt ttzrpot)
Signature of Authorized Official*
Printed Name Christina Griffiths
Ti'e: Project Manager
Date: Aug23,2027
City and State:
xlf 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.
PUBLIC WORKS AGREEMENT - T2
(Over $20K and No Performance Bond)
EXHIBIT A
Bonded and Insured Cont. Reg. #CHETSRC924BB
FIlIG
I 79rh Ave. South, Kent WA 98032
1-877-611-1514 * (206) 789-9730 * (253) 887-0194 * Fax: (253) 854-4516
Proposal & Sales Agreement
L
2.
aJ.
4.
5.
6.
7.
8.
Protect plants, grass lawn, siding, and windows from damage prior to work
Tear off existing roofing down to decking and dispose at a proper facility.
Check for any delaminated or faulty sheathing and replace with new Y2" CDX at additional $150 per
sheet.
Install I layer of Malarkey Ice and water shield over entire roof area (self-Adhered)
Install I layer of Malarkey Secure start synthetic underlayment over entire roof area to be nailed
Install starter metal on gutter edges to protect bottom edges of plywood.
Install W-valley in all valleys.
Install new (Malarkey Vista with scotch guard) Composition shingles over felt paper to the
manufacturer' s specifi cations.
9. Install 11" labanco vented ridge on horizontal peaks.
10. Replace kitchen and bathroom vents.
I L Install new flashing over standing pipes with lead flashings.
12. Install 60 Mil TPO in flat section roof install customer fascia metal in TPO area.
13. Install 2-3" TPO scuppers in flat area.
14. Reflash roofing around all vent boxes.
15. Install new manufacturer ridge cap shingles.
16. Clean gutters and downspouts.
17. On a daily basis all debris generated by Chet's Roofing will be cleaned up and organized daily.
18. Clean roof surface and grounds remove equipment and debris.
Labor Wananty: 10 Years Labor Material Warranty: Manufacturer's material warranty 30 Years
Bid Amount: $42,000.00
Conditions ofSale:
is expected on day of completion of contract. An account is considered past due five days after the invoice date. An annual rate of
L8o/o
each
fees,
work
due accounts o n the l.t of the month after the account has become past due, then will be applied monthly bases on the 1't day of
month All expenses incurred by Contractor for collection of monies owed, i.e. attorney fees, collections interest and late
will be of the Buyer Contractor must be given notice of
other contractors. If anyone other
any problems arising with workman the situation prior to any
being undertaken or leted by than CR&CInc., performs work on roof surface, the
workmanship warranty will and void. No commitments are given by any promises or by any agent of Contractor other
than written and provided herein. By this proposal, you also give CR&CInc., the right to and all issues or concerns in correspondence
with the work performed by CR&CInc.
backside and received to Customer form, I understand I have 72-hour timeI have received a copy of this proposal and
period to cancel this signed contract' I also if I decide this contract affg4:hglE time period, I will be
responsible for cost of the material that is special ble,
Respectfully submitted by Chet's Rooling & Construction:
Chet Chmielinski 206-84 l -6339 I)ate: 8'11-21Print Full Name:c.
Note: ln addition to signing
Roofing willalso need to contract
of Kent for this project. -NH
- I -of l Customer'sinitials:
Proposal Submitted To:Work to Be Performed At:
Nate Harper
City of Kent Parks and Recreation
253-856-5082
Annex Bldg
8323 S 259th St
Kent WA 98030
Comn All Hin Roof: llaver4ll2 Pitch Easv Access
Approval Signature:
CL
cc
Chet's
Dana Ralph
DR
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
su bcontractors.
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 Liabilitv insurance shall be written with
limits no less than $2,000,000 each occurrence, $2,000,000
general aggregate and a $2,000,000 products-completed
operations aggregate limit.
2, Automobile Liabilitv 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 9r 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
blso 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:VIL
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.
DATE (MM/DD/YYYY)
0811312021
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE C ERTIFICATE 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 COf{STITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
musthaveADDlTloNALlNsUREDprovisionsorbeendor8ed.
lf SUBROGATION lS 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
Bell Anderson Agency, lnc.
600 SW 39th St., Suite 200
Renton wA 98057
Kathy Howland
(4251291-5200 (425) 291-5100
kathyh @belFanderson.c,om
INSURERISI AFFORDING COVERAGE NAIC #
tNsuRERA: Colony lnsurance Company 39993
INSURED
Chefs Roofing & Construction, lnc.
26301 79thAve. S.
Kent wA 98032
INSURER B Oregon Mutual lnsurance Co 14907
INSURER C :
INSURER D :
INSURER E:
INSTIRER F :
COVERAGES
CERTIFICATE OF LIABILITY INSURANCE
CERTIFTCATE NUMBER: ct2161746789 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
tTR TYPE OF INSURANCE rNch POLICY NUMBER
PULICY EFF
IMMIDD/YYYY}
POLICY EXP LIMITS
A
COIT,I MERCIAL GENERAL LIABILITY
CLA|MS-MADE lX o".r*
GEN'LAGGREGATE
5F8; l-.l'-o"POLICY
OTHER:
G1O080189 07to1t202'l 07t01t2022
EACH OCCURRENCE $ 2,000,000
DAMASE IOKENIEU
PRFMISFS lF 6curmnc6l $ 100,000
MED EXP lAnv one oomn)$ 5,000
PERSONAL &ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
PRODUCTS - COMP/OPAGG $ 2,000,000
$
B
AUTOMOBILE LIABILITY
ANYAUTO
OWNED
AUTOS ONLY
HIRED
AUTOS ONLY
SCHEDULED
AUTOS
NON.OWNED
AUTOS ONLY
sMo921364 07t01t2021 07t01t2022
$ 1,000,000
BODILY INJURY (Per p3Fon)$
BODILY INJURY (Psr a6idont)$
$
$
UIVIBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS.MADE
EACH OCCURRENCE s
AGGREGATE $
DED RETENTION $!
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y/N
ANY PROPRIETOFYPARTNER/EXECUTIVE
OFFICEFUMEMBER EXCLUDED?
(Mandatory in NH)
lfyes, describo under
DEscRlPTloN OF OPERATIONS belry
N N/A G1O080189 (WA Stop Gap)07t01t2021 07to'12022
PER
STATI ITF x OTH.
FFI
E L EACH ACCIDENT $ 1,000,000
E L DISEASE - EA EMPLOYEE $ 1,000,000
F I DISEASE - POLICY LIMIT s 1,000,000
DESCRIPTION OF OPERATTONS / LOCATIONS t VEHICLES (ACORO 1 01, Additional Remarks Sqhedule, may be atlached if mor space is required)
Cityof Kentisadditional insuredpertheattachedendorsements#CG201012'19&M2855A0819. Waiverofsubrogationincludedpertheaftached
endorsement #C G2404 1219 & M2855A 0819. Coverage is primary & non-contributory per the attached endorsement #CFS|CGL1002 0920 & M2855A
081 9. Completed Operations per the attached endorsement #CG2037 1219.
TE HOLDER
@ 1988-2015 ACORD CORPORATION. All rights reserved.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS,
Cu* -Z--ln=
AUTHORIZED REPRESENTATIVE
wA 98032Kent
City of Kent
400 West Gowe
ACORD 25 (2016/03)The ACORD name and logo are registered marks of ACORD
COVERAGE SUMMARY
This is a summary of the coverages provided by this
endofsemenl.
1. Bail Bonds.,,,
2. Broadened Pollution.
3. Business Property of others......,...,.................. 1
4, Employees as lnsureds, Other Than R€teil
Delivery
5. Glass Repair Deductible Waiver.,.......
6. Hired Auto Loss 0f Use.,.....,.......
7, Hired Auto Physical Damage..,.,.,,
8. Loan Lease Gap,....,.,......
9. Personal Effects,,...,..........
1 0. Rental Ralmburssmenl
11. Towing.,..,..,
12. Additional lnsured by Contracl or Agreement..
13, Waiver of Subrogalion by Conlract
or Agreement,....,..,.,..........,.
1. Eail Bonds
Section ll - Uabilily Coverage, A, Coverage, 2.
Coverage Exlensions, a. Supplementary Paym€nls,
Paragraph {21 is replaced with lhe following:
(2) Up to $2,500 for cost of bail bonds (including
bonds for related traflic law violations)
tequired because of an "accidenl" we cover.
We do not have to tumish these bonds.
2. Broadened Pollutig
The following is added io Seclion ll - Liability
Coverage, B. Exclusions,'t 1. Pollution:
Paragraphs a. and b. above do not apply to
"accidenls" that occur away from premises
owned by or renled to an "insured" with respecl
to "pollutanls" canied in or upon a ooveredoauto" up to the lirst $1,000 of damage for any
one "acgidgnt".
3. Business Propeny of Others
The following is added to Section ll - Liability
Coverage, B. Exclusions, 6. Care, Custody or
Control:
This exclusion does nol apply to "property
damage" to property of others up to an amounl
not exceeding $1,000 in any one "accident".
M2855A (&r9)
Coverage is excoss over any other valid and
colledible insurance.
4. Emolovees as lnsureds. Other Than Retail
Dellvery
Tho following is added to Section ll - Liability
Coverage, A. Coverage, l. Who ls An lnsured:
An "employee" of yours is an "insured" while
using e covered "auto" you do not own, hire or
borrow in your business or your personsl aflairs.
However, this paragraph does not apply to
"auton used for retqil delivery.
5. Glass Renair Deductihle I'Yaiver
The following is added t0 Section lll - Physical
Damage Coverage, A, Coverage, 3. a, Glass
breakage:
No deduclible applies if glass damage is
repaired ralher lhan replaced.
6. Hlred Auto Loss of Use
Section lll - Physical Damage Coverage, A.
Coverage, 4. Coverage Extensions, b. Loss Of Use
Expenses. the last sentence is replaced with:
However, lhe most we will pay for any expenses' for loss of use is $75 per day, to a maximum of
$1,000.
7, Hired Auto Physical Damaqg
The following is added to Section lll - Physical
Damage Coverage, A. Coverage,4. Coverage
Extensions:
Hired Auto Physical Damage
lf a Covered Auto Designation Symbol 1 0r E
applies lo Liability coverage, and if at least one
covered "auton you own is covered for
comprehensive or Spedfied Causes of Loss
and Collision coverage, then the physical
damage coverage provided extends lo those
"eutos" you lease, hire, rent or bonow. This
does not include any "auto" you lease, hire, rent
or bonow from any of your "ernployees",
partners (if you are a pertnership), members (if
you are a limited liabilily company) or members
of their households. The deduclible will be equal
lo lhe highest deduclible applicable to covered
"autosn you own.
!9(Cn.FRH
roa OREGON MUTUAL INSURANCE COMPANY
COMMERCIAL AUTO CLUSTER ENDORSEMENT
THIS ENDORSEMENT CHANGES THE POUCY. PLEASE READ IT CAREFULLY.
This endorsement modilies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
With respect lo coverage provided by this endorsement, the provisions of the Business Auto Goverage Form apply
unless modilied by this endorsement,
..... 1
.....1
1
1
1
1
2
2
2
2
2
3
lncludes copyrighled materbl ot ln6uranc6 Services Oflice, lnc., with its permission
Page I of 3M28s5A (&r9)
3l24l2O2O 2:41:50 PM
The mosl we will pay under this coverage is
the least of:
1. S50,000; or
2. The aclualvalue al the lime of loss; or
3. The cost of repaidng 0r replacing the
damaged or slolen property with olher
property of like kind or quality.
8. Loan Lease Gao
The following is added lo Sedion lll - Physicsl
Damage Coverage, A. Coverage:
Loan Lease Gap
ln the evenl of a lotal 'los$" to a covered '8do"
lhat is covered for Comprehensive or Specilied
Causes of Loss and Collision ooverage, we will
pay lhe "outstanding balance" on the lease or
loan for lhal covored *auto' up lo $2,500.
g. Personal Eftects
The following is added to Sedion lll - Physical
Damage Coverage, A. Coverage, 4. Coverage
Extensions:
PersonalEffects
For any owned "euto" that is involved in I
covered nloss", we will pay up to $500 for
"personal effecls' thal are lost or damaged as a
resull of the covered "loss", without applying a
deductible.
10. Rental Reimbursement
The following is added to Section lll - Physical
Damage Covcrago, A, Coverage, {. Coverage
Exlensions:
Rental Reimbursement
lf a covered "aulo" owned by you is covered for
Comprehensive or Spedfied Causes of Loss
and Collision coverage, we will pay for renlal
reimbursement expenses incuned by you for lhe
tental of an "aulo" bocause of nloss" to a
covered "auto". Peyment applies in eddition to
the othemise applicable emounl of esch
coverage you have on a @vered "aulo". No
deductibles apply to this coverage.
We will pay only for those expenses incuned
during the policy pedoct beginning 24 hours afler
the "losso and ending, regardless of the policy's
expiration, with the lesser of the following
number ofdays:
1. The number of days reasonably required to
repair or replace the covered "auto". lf "loss'
is caused by lhefr. this number of days is
added to the number of days it lakes io
locate the covered "auto" and relum il to
you, or
2. Upto $75 perday upto 30 calendardays.
This coverage does not apply whilo lhere
are spare or feserue "aulos" available t0 you
for your operations.
lf 'los9' results from the total thefl ol a
covered "aulo" ofthe pdvale passenger
type. we will pay under this covorage only
thel emount of your rental reimbursement
expenses which is nol already provided for
under another Physical Damage Coverage
Exlension.
11. Towino
Seclion lll - Physical Damage Coverage, A.
Goverage, 2. Towing is replaced with the following:
We will pay up to 9100 fortowing and labor
cosls incuned each time a covered "auto" of lhe
private pa$ienger or Light Local Seryice
(0 - 10.000 lbs. GMM type is disabled.
However, the labor must be performed et the
plece of disablemont.
12. Addilional lnsured bv Contract or Aoreement
A. The following is added to Secuon ll - Llabllity
Coverage, A. Coverage, l. Who ls An lnsured:
Vvlen you heve agreed in I wdnsn oontract
or egreement to include a pe6on or
organizalion as an additional "insured", such
person or orgsnizatlon ls iqcluded es an
"insured" subiect to lhe following:
' 1. Such person or organization is an
addilional "insured" only to the extenl
such person or organizalion is liable for
"bodily injury" or "properly damage'
because of the conducl of en "insured"
under Paragraphs a. or b. under Sedion
tl - Liability Coverage, Paragraph A.t.
Who ls An lnsuted, caused bY an
"accidenl" and resulting from the' ownership, mainlenance or use of e
covered "auto"; andlro I l[To2l
2. The wrilten conlract or sgreement
described ebove must have been
executed pdorto lhe "accidenl" lhat
caused the "bodily injury" or "property
damage" and be in effect at the time of
such "accident"; and
3. The insurgnce affoded to anY such
addilional "insured" does not apply to
a[y "accidenl" beyond lhe pedod of time
required by lhe writlen contract or
agteemenl described sbove.
B. The most we vtill pay on behalt 0f such
edditionsl "insured(s)" is lhe lesser of:
1. The Lirnits of lnsurance specified in the
writlen contrad or agreemenl described
above; or
ro62aFnM
lnclud€s copyrlghted malerial of lnsurance SeMces Offcs, lnc., with tls permission
Page 2 of 3M2855A (&1S)
3l24l2O2O 2:41:51 PM
2. The Limits of lnsurance shown in the
Oeclarations.
This prwision shall not increase the Limit 0t
lnsurance shown in the Declarstions in this
policy or coverage part,
C. The following change is made lo Seclion ll -
Liability Coverage. A. Coverage, l. Who is An
lnsured:
Paragraph l.c. is deleted in ils entirety,
D. The following changes are made to Sedion lV -' Business Auto Condilions, B, General
Conditions, Paragraph 5. Oher lnsurance:
1. The following is added to Paragraph 5.a.:
lf required by lhe wrilten contracl or
agreem€nl described above, the insurance
afforded to the additional "insured" under
this provision will be pdmary to, and will not
seek contribution from, the addltional
"insured'C' own insurance.
2, Paragraph 5.c. is deleled in its entirety.
E, Sectaon V - De{initions, "insured contract" is
amended to add the following:
An 'insured conlrecl" does not include thal
pad of eny contracl or agreemenl:
That penains lo lhe ownenhip,
maintenanco or use of an nauto" and
which indemnlfies a person or
organization for other than lhe vicarious
liability of such person or organization
for "bodily injury' or'property damage"
caused by your operation or use of a
covergd "aulo".
Howev€r, a peFon or organization is an
addilional "insured" under lhis provision
only lothe exlent such person or
organization is not narned as an
"insuredo by separale endorsemenl lo
this policy.
13. Waiver of Subrgoation bv Conlract or Aoreement
The following is added to Sedion lV - Business
Aulo Conditions, A, Loss Condilions, Paragraph 5.
Transfer Of Righls Of Recovery Against C)thers To
US:
We waive any dght of recovery we have against
a person or organizalion beceuse of payments
we make for "bodily injury' or "propetly damage'
when you and such petson or organizalion have
agreed in writing in a conlrad 0r agreement t0
waive such righl of recovery, provided:
'l . such written conlracl 0r agreemenl was:
a. Made prior lo thg "acoidentn or "loss"
resulting in the covered "bodily injury" or
"property damage'; and
b. Was in effect al the time of the covered.bodily inJury" or'property damage".
2. The covered "bodily inJuty" or "properly
damage" musl arise out of the operations
specilied in such writlen contracl or
agresment.
3. At our requesl you musl provide us with a
copy of the aforementioned written conlract
or egre€menl.
Addilional Definaliong
The following Paragraphs are added to Section V -
Definitions:
Q. "Personal effecls" means your langible property
that is wom or canied by you, exoept tools,
Jewelry, money or securllies.
R. t'Outstanding balance" tneans the emount you
owe on lhe lease or loan at the lime of lhe 'loss"
less any overdue lease/loan payments, securily
deposits not relumed by the lessor, cosls for
erilended wananlies or insurance purchased
with the loan or lease, or carry-over balances
from previous loans or leases.
rrq}lrfrul
lnclude copyrlghld mat€rial of Insurarcs Servbes Oflica, lnc., wlth it3 permission
Paga 3 ol 3M2856A (erg)
3n4l2O2O2:41:51 PM
THIS ENDORSEMENT CHANGES THE POIICY. PLEASE READ IT CAREFUTLY
ADDITIONAT INSURED - OWNERS, LESSEES OR CONTRACTORS . COMPLETED
OPERATIONS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
SCHEDUI.E
Attoched To ond Forming Port ol Policy
0100119377-0
Ellective Date of Endorsement
O7/0I|2O2O 12:01AM at the Named lnsured
address shown on the Declarations
Nomed lnsured
Chet's Roofing & Construction lnc
Additionol Premium:
SO
Return Premium:
so
Name of Additional lnsured Person(s) or Organization(s)Location and Descrlption of Completed Operations
Blanket, as required by written contract, executed prior to
the start of work on the project
Locations as required and specified by written contract,
executed prior to the start ofwork on the project.
lnformation required to complete this Schedule, if not shown above,will be shown in the Declarations
A. Section ll - Who ls An Insured is amended to
include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only
with respect to liability for "bodily injury" or
"property damage" caused, in whole or in part, by
"your work" at the location designated and
described in the Schedule of this endorsement
performed for that additional insured and
included in the "products-completed operations
hazard".
However:
l. The insurance afforded to such additional
insured only applies to the extent permitted
by law; and
2. lf 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.
B. With respect to the insurance afforded to these
additional insureds, the following is added to
Section lll - Limits Of lnsurance:
lf 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;
whichever is less.
This endorsement shall not increase the
applicable limits of insurance.
ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED
cG2037 L2L9 @ lnsurance Services Office, Inc., 2018 Page 1 of 1
THIS ENDORSEMENT CHANGES THE POIICY. PTEASE READ IT CAREFUttY.
ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON
OR ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
Attoched To ond Forming Port ol Policy
0100119377-0
Elfective Date of Endorsement
07lOll2O2O 12:01AM at the Named lnsured
address shown on the Declarations
Nomed lnsured
Chet's Roofing & Construction lnc
Additional Premium:
5o
Return Premium:
So
SCHEDUTE
Name of Additional lnsured Person(s) or Organization(sf location(sl of Covered Operations
Blanket, as required by written contract, executed prior to
the start of work on the proiect
Locations as required and specified by written contract,
executed prior to the start ofwork on the project.
lnformation required to complete this Schedule, if not shown above,will be shown in the Declarations.
A. Section ll - Who ls An lnsured is amended to
include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only
with respect to liability for "bodily injury",
"property damage" or "personal and advertising
injury" caused, 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. lf 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.
B. With respect to the insurance afforded to these
additional insureds, the following additional
exclusions apply:
This insurance does not apply to "bodily injury" or
"property damage" occurring after:
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 12 19 @ lnsurance Services Office, lnc., 2018 Page t of 2
G. With respect to the insurance afforded to these
additional insureds, the following is added to
Section lll- Limits Of lnsurance:
lf 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. Avaihble under the applicable limits of
insurance;
whichever is less.
This endorsement shall not increase the
applicable limits of insurance.
ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED.
cG 20 10 12 19 @ lnsurance Services Office, lnc., 2018 Page 2 of 2
CHETS ROOFING & CONSTRUCTION INC
WA UBI No.
L&lAccount lD
LegalBusiness Name
Doing Business As
Workers' Comp Premium Status:
Estimated Workers Reported
(See Description Below)
Account Representative
Licensed Contractor?
License No.
License Expiration
602 786 907
985,338-02
CHETS ROOFING &
CONSTRUCTION INC
CHETS ROOFING &
CONSTRUCTION
Account is current.
Quarter 1 of Year 2021 "31 to 50
Workers"
Employer Services Help Line, (360)
9024817
Yes
CHETSRC924BB
01t04t2022
Page 1 of2
tT T[OFwtll-ilt{Gl$tt
Department of Labor & lndustries
Certificate of Workers' Com pensation Coverage
June I 7,2021
What does "Estimated Workers
Reported" mean?
Estimated workers reported represents the
number of full time position requiring at least
480 hours of work per calendar quarter. A single
480 hour position may be filled by one person,
or several part time workers.
lndustrial lnsu rance lnformation
Employers report and pay premiums each
quarter based on hours of employee work
already performed, and are liable for premiums
found later to be due. lndustrial insurance
accounts have no policy periods, cancellation
https://secure.lni.wa.gov/verifuiDetails/liabilityCertificate.aspx?UBI:602786907 &LIC:C... 6l17l202l
CI]ETS ROOFING & CONSTRUCTION INC Page2 of 2
dates, limitations of coverage or waiver of
subrogation (See RCW 51.12.050 and
5r.r6.r90).
https://secure.lni.wa.gov/verifilDetails/liabilityCertificate.aspx?UBI:6027 86907&LIC:C... 6l17/2021
COMMERCIAL GENERAL LIABILITY
cG24041219
THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY.
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGATNST OTHERS TO US (WAIVER OF SUBROGATION)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
ELECTRONTC DATA LIABILIry COVERAGE PART
LIQUOR LIABILITY COVERAGE PART
POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES
POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES
PRODUCTS/COMPLETED OPERATIONS LIAB IL ITY COVERAGE PART
RAILROAD PROTECTIVE LIABILITY COVERAGE PART
UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS
SCHEDULE
Name Of Person(s) Or Organization(s):
Any person or organization you have agreed in a wriften contract to waive any right of recovery against provided
the written ccntract is signed prior to the injury or damage
lnformation required to compiete this schedule,if not shown above, will be shown in the Declarations.
The following is added to Paragraph 8. Transfer Of
Rights Of Recovery Against Othere To Us of
Section lV - Conditions:
We waive any right of recovery against the person(s)
or organization(s) shown in the Schedule above
because of payments we make under this Coverage
Part. Such waiver by us applies only to the extent that
the insured has waived its right of recovery against
such person(s) or organization(s) prior to loss, This
endorsement applies only to the person(s) or
organization(s)shown in the Schedule above.
cG 24041219 @ lnsurance Services Office, 1nc.,2018 Page 1 of 1
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
PRIMARY AND NONCONTRIBUTORY -
OTHER INSURANCE CONDITION
This sndorsement modifies insurance provided under the following:
COMi'ERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART
The following is added to the Other lnsurance Condifon and supersedes any provision to the contrary:
Primary And Noncontributory lnsurance
This insurance is primary to and will not seek conhibution from any other insurance available to an additional insured under
this policy provided that:
(1) The additional insured is a named insured under such other insurance; and
(2) You have agreed in wrifing in a contract or agreement prior to the iniury or damage that lhis insurance would be primary
and would not seek conkibution from any other insurance available to the addiUonal insured where the additional
insured is a named insured.
However, the insurance provided under this endorsement will not apply beyond the extent required by such contract or
agreement.
ALL OTHER TERMS AHD CONDITIONS OF THIS FOLICY REMAIN UNCHANGED.
cFs lc-G L- 1 0 02(09 t 2020)Page 1 of 't
KENT
BUSINESS LICENSE
LICENSE MUST BE PAID AN}IUALLY BY
JANUARY 1st TO AVOID PENALTY
Issuance of License Does Not Imply Licensce's
Compliance with Statc and Loeal Laws
Per RCW 82.14 local sales
and use tax must be coded
No. l715 for all qualified
sales within the city of
Kenl.
WASHTNGToN
THIS LICENSE MUST BE POSTED IN A CONSPICUOUS
PLACE. NOT TRANSFERABLE OR ASSIGNABLE 202r
NAME AI\ID ADDRESS OF BUSINESS
BLC-2080085
CHET'S ROOFING & CONST
26301 79 AVE S
KENT, WA 98032
i)&^*p-
MAYOR
Tax Reglslration
Endorsement
The City of Kent
Ar 220 4TH AVE SO
KENT, WASIIINGTON 98032
{
l,yr// //ooraSignature:
Wilt Moore (Aug23,2021 10:33 PDT)
Email: wmoore@kentwa.gov
Signature:A,,r\-Z/-
Brian J levenhagd6 {Aug 24,2021 09:33 PDT)
Email: bjlevenhagen@kentwa.gov
Signature:,e"a% /z/17 7
Emaik rlashley@kentwa.gov
CHETS Roofing and Const-Correction Annex-
Contract
FinalAudit Report 2021-08-24
"CHETS Roofing and Const-Correction Annex-Contract" History
fl Document created by Diana lazouski (Dlazouski@kentwa.gov)
2021-08-23 - 5:17:21 PM GMT- lP address: 146.129.252.126
B Document emailed to Will Moore (wmoore@kentwa.gov) for signature
2021-08-23 - 5:24:44 PM GMT
fl Emaitviewed by Will Moore (wmoore@kentwa.gov)
2021-08-23 - 5:31:42 PM GMT- lP address: 146.129.252.126
4e Document e-signed by Will Moore (wmoore@kentwa.gov)
Signature Date: 2021-08-23 - 5:33:21 PM GMT - Time Source: server- lP address: 146.129.252.126
4 Document emailed to Christina Griffiths (office@chetsroofing.com) for signature
202'l-08-23 - 5:33'.24 PM GMT
I Emait viewed by Christina Griffiths (office@chetsroofing.com)
2021-08-23 - 5:39:30 PM GMT- lP address: 73.118.189.102
ds Document e-signed by Christina Griffiths (office@chetsroofi ng.com)
Signature Dale: 2021-08-23 - 6:21 :15 PM GMT - Time Source: server- lP address: 73.118.189.102
B Document emailed to Ronald Lashley (rlashley@kentwa.gov) for signature
2021-08-23 -6:21:18 PM GMT
fr Emaitviewed by Ronald Lashley (rlashley@kentwa.gov)
2021-08-23 - 8:51l.2'l PM GMT- lP address: 146.129.252.126
4s Document e-signed by Ronald Lashley (rlashley@kentwa.gov)
Signature Datei2021-08-23 - 8:56:18 PM GMT - Time Source: server- lP address: 146.129.252.126
Created:
By:
Status:
Transacton lD:
202't-08-23
Diana lazouski (Dlazouski@kentwa.gov)
Signed
CBJCHBCAABAAP|22MfaGEaIjgCCGmI IpQTDQFpiOEOF
@ nooh sisn
s, Document emailed to Brian J Levenhagen (bjlevenhagen@kentwa.gov) for signature
2021 -08-23 - 8:56:27 PM GMT
fl Emailviewed by Brian J Levenhagen (bjlevenhagen@kentwa.gov)
2021-08-24 - 4:31:O7 PM GMT- lP address: 146.129.252.126
4e Document e-signed by Brian J Levenhagen (bjlevenhagen@kentwa.gov)
Signature Dalet2021-08-24 - 4:33:26 PM GMT - Time Source: server- lP address: 146.129.252.126
Q Agreement completed.
2021-08-24 - 4:33:26 PM GMT
@ naoue sisn
Signature:christina criffiths (Aug 25,10r23 PDT)
Email: office@chetsroofing.com
C H ETS_Roofi ng_and_Const-Correction An nex-
Contract
FinalAudit Report 2021-08-25
"CH ETS_Roofing_and_Const-Correction An nex-Contract" H istor
v
fi Document created by Diana lazouski (Dlazouski@kentwa.gov)
2021-08-25 - 2:22'.37 PM GMT- lP address: 146.129.252.126
B Document emailed to Christina Griffiths (office@chetsroofing.com) for signature
2021-08-25 - 2:24:24 PM GMT
I Emait viewed by Christina Griffiths (office@chetsroofing.com)
2021-08-25 - 4:1'l:38 PM GMT- lP address: 73.'t18j89j02
ts Document e-signed by Christina Griffiths (office@chetsroofi ng.com)
Signature Date: 2021-08-25 - 5:23:.28 PM GMT - Time Source: server- lP address: 73J18J89.102
O Agreement completed.
2021-08-25 - 5:23.'28 PM GMT
Created:
By:
Status:
Transaction lD:
2021-08-25
Diana lazouski (Dlazouski@kentwa.gov)
Signed
CBJCHBCAAB AAP n7 iI JZ263sO6iff sjlxvKpoOsRmdRN-
@ nooue sign