HomeMy WebLinkAboutCAG2021-483 - Original - Integra-Tree LLC - West Fenwick Park & Adjacent Grenbelt Tree Removal - 11/10/2021ApprovalOriginator:Department:
Date Sent:Date Required:
Authorized to Sign:
Director or Designee
Date of Council Approval:
Grant? Yes No
Type:Review/Signatures/RoutingComments:
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.
Visit Documents.KentWA.gov to obtain copies of all agreementsadccW22373_1_20
Budget Account Number:
Budget? Yes No
Sup/Mgr:
rev. 20210513
FOR CITY OF KENT OFFICIAL USE ONLY
* Memo to Mayor must be attached
Jan Apple
4
11/10/2021
Original2368917
Parks, Recreation & Community ServicesJan Applegate
12/31/2021
4
as soon as possible
as soon as possible
n/a
4
Other
10006600.64190.5540
Contract
$5,284.80
N/A
4
4
4
GL
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 one (1) large, dead fir tree located in West Fenwick Park, located at 3808 Reith
Road, Kent, WA 98032 and the removal of two (2) alders in the greenbelt bordering West
Fenwick Park, located at 26013 42nd Avenue South, Kent, WA 98032 per Estimates 0186 and
0187, dated 10/09/2021 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 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 by December 31, 2021. 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 FIVE
THOUSAND TWO HUNDRED EIGHTY FOUR DOLLARS AND EIGHTY CENTS ($5,284.80), including any
applicable Washington State Sales Tax, for the work and services contemplated in this Agreement. The City
shall pay the Contractor eighty-five percent (85%) of the Contract amount upon completion and acceptance
of the work by the City, or at such earlier time as the City may determine is appropriate. The City will pay
the remaining Contract amount upon fulfillment of the conditions listed below and throughout this
Agreement.
Card Payment Program. The Contractor may elect to participate in automated credit card payments
provided for by the City and its financial institution. This Program is provided as an alternative to payment
by check and is available for the convenience of the Contractor. If the Contractor voluntarily participates in
this Program, the Contractor will be solely responsible for any fees imposed by financial institutions or credit
card companies. The Contractor shall not charge those fees back to the City.
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 D epartment, 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. Howeve r, if the parties are unable to agree, the City will
determine the equitable adjustment as it deems appropriate. The Contractor shall proceed with the change
order work upon receiving either a written change order from the City or an oral order from the City before
actually receiving the written change order. If the Contractor fails to require a change order within the time
specified in this paragraph, the Contractor waives its right to make any claim or submit subsequent change
order requests for that portion of the contract work. If the Contractor disagrees with the equitable
adjustment, the Contractor must complete the change order work; however, the Contractor may elect to
protest the adjustment as provided in subsections A through E of Section IX, Claims, below.
PUBLIC WORKS AGREEMENT - 4
($20K or Less and No Performance Bond)
The Contractor accepts all requirements of a change order by: (1) endorsing it, (2) writing a separate
acceptance, or (3) not protesting in the way this section provides. A change order that is accepted by the
Contractor as provided in this section shall constitute full payment and final settlement of all claims for
contract time and for direct, indirect and consequential costs, including costs of delays related to any work,
either covered or affected by the change.
VIII. FORCE MAJEURE. Neither party shall be liable to the other for breach due to delay or failure
in performance resulting from acts of God, acts of war or of the public enemy, riots, pandemic, fire, flood,
or other natural disaster or acts of government (“force majeure event”). Performance that is prevented or
delayed due to a force majeure event shall not result in liability to the delayed party. Both parties represent
to the other that at the time of signing this Agreement, they are able to perform as required and their
performance will not be prevented, hindered, or delayed by the current COVID -19 pandemic, any existing
state or national declarations of emergency, or any current social distancing restrictions or personal
protective equipment requirements that may be required under federal, state, or local law in response to
the current pandemic.
If any future performance is prevented or delayed by a force majeure event, the party whose
performance is prevented or delayed shall promptly notify the other party of the existe nce 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 c hange 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.
PUBLIC WORKS AGREEMENT - 6
($20K or Less and No Performance Bond)
XIII. INDEMNIFICATION. The Contractor shall defend, indemnify and hold the City, its officers,
officials, employees, agents and volunteers harmless from any and all claims, injuries, damages, lo sses or
suits, including all legal costs and attorney fees, arising out of or in connection with the Contractor's
performance of this Agreement, except for that portion of the injuries and damages caused by the City's
negligence.
The City's inspection or acceptance of any of the Contractor's work when completed shall not be
grounds to avoid any of these covenants of indemnification.
Should a court of competent jurisdiction determine that this Agreement is subject to RCW 4.24.115,
then, in the event of liability for damages arising out of bodily injury to persons or damages to property
caused by or resulting from the concurrent negligence of the Contractor and the City, its officers, officials,
employees, agents and volunteers, the Contractor's duty to defend, indemnify, and hold the City harmless,
and the Contractor’s liability accruing from that obligation shall be only to the extent of the Contractor's
negligence.
IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THE INDEMNIFICATION
PROVIDED HEREIN CONSTITUTES THE CONTRACTOR'S WAIVER OF IMMUNITY UNDER INDUSTRIAL
INSURANCE, TITLE 51 RCW, SOLELY FOR THE PURPOSES OF THIS INDEMNIFICATION. THE PARTIES
FURTHER ACKNOWLEDGE THAT THEY HAVE MUTUALLY NEGOTIATED THIS WAIVER.
In the event the Contractor refuses tender of defense in any suit or any claim, if that tender was
made pursuant to this indemnification clause, and if that refusal is subsequently determined by a court
having jurisdiction (or other agreed tribunal) to have been a wrongful refusal on the Contractor’s part, then
the Contractor shall pay all the City’s costs for defense, including all reasonable expert witness fees and
reasonable attorneys’ fees, plus the City’s legal costs and fees incurred because there was a wrongful 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 relinquishment of those
covenants, agreements or options, and the same shall be and remain in full force and effect.
C. Resolution of Disputes and Governing Law. This Agreement shall be governed by and
construed in accordance with the laws of the State of Washington. If the parties are unable to settle any
dispute, difference or claim arising from the parties’ performance of this Agreement, the exclusive means
of resolving that dispute, difference or claim, shall only be by filing suit exclusively under the venue, rules
and jurisdiction of the King County Superior Court, King County, Washington, unless the parties agree in
writing to an alternative dispute resolution process. In any claim or lawsuit for damages arising from the
parties' performance of this Agreement, each party shall pay all its legal c osts and attorney's fees incurred
in defending or bringing such claim or lawsuit, including all appeals, in addition to any other recovery or
PUBLIC WORKS AGREEMENT - 7
($20K or Less and No Performance Bond)
award provided by law; provided, however, nothing in this paragraph shall be construed to limit the City's
right to indemnification under Section XIII of this Agreement.
D.Written Notice. All communications regarding this Agreement shall be sent to the parties at
the addresses listed on the signature page of the Agreement, unless notified to the contrary. Any writ ten
notice hereunder shall become effective three (3) business days after the date of mailing by registered or
certified mail, and shall be deemed sufficiently given if sent to the addressee at the address stated in this
Agreement or such other address as may be hereafter specified in writing.
E.Assignment. Any assignment of this Agreement by either party without the written consent
of the non-assigning party shall be void. If the non -assigning party gives its consent to any assignment,
the terms of this Agreement shall continue in full force and effect and no further assignment shall be made
without additional written consent.
F.Modification. No waiver, alteration, or modification of any of the provisions of this 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 Agre ement
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:
Print Name:
Its
DATE:
CITY OF KENT:
By:
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
(350) 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)(206) 437-9003 (cell) or
(253) 856-5136 (telephone)
(253)856-6120 (facsimile)
ATTEST:
Kent City Clerk
Garin Lee (Nov 10, 2021 13:46 PST)
11/10/2021
Wesley Hillenius (Nov 10, 2021 15:56 PST)
Owner/Operator
11/10/2021
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 (Nov 10, 2021 15:56 PST)
Owner/Operator
Integra-Tree
11/10/2021
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 (10/09/2021), the bidder is not a “willful” violator, as defined in RCW 49.48.082,
of any provision of chapters 49.46, 49.48, or 49.52 RCW, as determined by a final and binding
citation and notice of assessment issued by the Department of Labor and Industries or through a
civil judgment entered by a court of limited or general jurisdiction.
I certify under penalty of perjury under the laws of the State of Washington that the foregoing is
true and correct.
Integra-Tree LLC
By: __________________________________________
Signature of Authorized Official*
Printed Name: _________________________________
Title: ________________________________________
Date: ________________________________________
City and State: _________________________________
*If a corporation, proposal must be executed in the corporate name by the president or vice-
president (or any other corporate officer accompanied by evidence of authority to sign). If a co-
partnership, proposal must be executed by a partner.
Wesley Hillenius (Nov 10, 2021 15:56 PST)
Sumner, WA
Owner/Operator
Wesley Hillenius
11/10/2021
Integra-TreeLLC
Mailing Address
22606 l l4th Ave SE
Kent, WA 98031
Name / Address
City of Kent
220 4th Ave S
Kent, WA 98032
Date Estimate #
10t912021 0187
Service Address
26013 42nd Ave S
Kent, WA 98031
Estimate
Description Total
Removal of (2) Alders. All debris will be left in geenbelt.
Sales Tax
Thank you for considering Integra-Tree for your tree needs.
1,600.007
161.60
Total $ I,761.60
EXHIBIT A
Integra-Tree LLC
Mailing Address
22606 I l4th Ave SE
Kent, WA 98031
Name / Address
City of Kent
220 4th Ave S
Kent, WA 98032
Date Estimate #
t019/2021 01 86
Service Address
West Fennewick Park
3808 S Reith Road
Kent, WA 98032
Estimate
Description Total
Removal of (1) large, dead Fir tree. All debris will be left in greenbelt,
Sales Tax
Thank you for considering Integra-Tree for your tree needs'
3,200.007
323.20
Total $3,523.20
11/10/21, 8:53 AM about:blank
State of Washington
Department of Labor & Industries
Prevailing Wage Section - Telephone 360-902-5335
PO Box 44540, Olympia, WA 98504-4540
Washington State Prevailing Wage
The PREVAILING WAGES listed here include both the hourly wage rate and the hourly rate of fringe
benefits. On public works projects, worker's wage and benefit rates must add to not less than this
total. A brief description of overtime calculation requirements are provided on the Benefit Code
Key.
Journey Level Prevailing Wage Rates for the Effective Date: 11/10/2021
*Risk
County
Trade
Job Classification
Wage
Holiday
Overtime Note
Class
King
Laborers
Air, Gas Or Electric Vibrating
$54.62
7A
4V
8Y
View
Screed
King
Laborers
Airtrac Drill Operator
$56.31
7A
4V
8Y
View
King
Laborers
Ballast Regular Machine
$54.62
7A
4V
8Y
View
King
Laborers
Batch Weighman
$46.29
7A
4V
8Y
View
King
Laborers
Brick Pavers
$54.62
7A
4V
8Y
View
King
Laborers
Brush Cutter
$54.62
7A
4V
8Y
View
King
Laborers
Brush Hog Feeder
$54.62
7A
4V
8Y
View
King
Laborers
Burner
$54.62
7A
4V
8Y
View
King
Laborers
Caisson Worker
$56.31
7A
4V
8Y
View
King
Laborers
Carpenter Tender
$54.62
7A
4V
8Y
View
King
Laborers
Cement Dumper -paving
$55.62
7A
4V
8Y
View
King
Laborers
Cement Finisher Tender
$54.62
7A
4V
8Y
View
King
Laborers
Change House Or Dry Shack
$54.62
7A
4V
8Y
View
King
Laborers
Chipping Gun (30 Lbs. And
$55.62
7A
4V
8Y
View
Over)
King
Laborers
Chipping Gun (Under 30 Lbs.)
$54.62
7A
4V
8Y
View
King
Laborers
Choker Setter
$54.62
7A
4V
8Y
View
King
Laborers
Chuck Tender
$54.62
7A
4V
8Y
View
King
Laborers
Clary Power Spreader
$55.62
7A
4V
8Y
View
King
Laborers
Clean-up Laborer
$54.62
7A
4V
8Y
View
King
Laborers
Concrete Dumper/Chute
$55.62
7A
4V
8Y
View
Operator
King
Laborers
Concrete Form Stripper
$54.62
7A
4V
8Y
View
King
Laborers
Concrete Placement Crew
$55.62
7A
4V
8Y
View
King
Laborers
Concrete Saw Operator/Core
$55.62
7A
4V
8Y
View
Driller
King
Laborers
Crusher Feeder
$46.29
7A
4V
8Y
View
King
Laborers
Curing Laborer
$54.62
7A
4V
8Y
View
King
Laborers
Demolition: Wrecking Et Moving
$54.62
7A
4V
8Y
View
(Incl. Charred Material)
about:blank 1 /4
11 /10/21, 8:53 AM
King Laborers
King Laborers
King Laborers
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
King
Laborers
King
Laborers
King
Laborers
King
Laborers
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
about:blank
Ditch Digger
Diver
Drill Operator (Hydraulic,
Diamond)
Dry Stack Walls
Dump Person
Epoxy Technician
Erosion Control Worker
Faller Et Bucker Chain Saw
Fine Graders
Fi rewatch
Form Setter
Gabian Basket Builders
General Laborer
Grade Checker Et Transit Person
Grinders
Grout Machine Tender
Groutmen (Pressure) Including
Post Tension Beams
Guardrail Erector
Hazardous Waste Worker (Level
A)
Hazardous Waste Worker (Level
B)
Hazardous Waste Worker (Level
C)
High Scaler
Jackhammer
Laserbeam Operator
Maintenance Person
Manhole Builder-Mudman
Material Yard Person
Motorman -Dinky Locomotive
nozzleman (concrete pump,
green cutter when using
combination of high pressure
air Et water on concrete Et
rock, sandblast, gunite,
shotcrete, water blaster,
vacuum blaster)
Pavement Breaker
Pilot Car
Pipe Layer (Lead)
Pipe Layer/Tailor
Pipe Pot Tender
Pipe Reliner
Pipe Wrapper
Pot Tender
Powderman
$54.62
7A
4V
8Y
View
$56.31
7A
4V
8Y
View
$55.62
7A
4V
8Y
View
$54.62
7A
4V
8Y
View
$54.62
7A
4V
8Y
View
$54.62
7A
4V
8Y
View
$54.62
7A
4V
8Y
View
$55.62
7A
4V
8Y
View
$54.62
7A
4V
8Y
View
$46.29
7A
4V
8Y
View
$54.62
7A
4V
8Y
View
$54.62
7A
4V
8Y
View
$54.62
7A
4V
8Y
View
$46.42
7A
4V
8Y
View
$54.62
7A
4V
8Y
View
$54.62
7A
4V
8Y
View
$55.62
7A
4V
8Y
View
$54.62
7A
4V
8Y
View
$56.31
7A
4V
8Y
View
$55.62
7A
4V
8Y
View
$54.62
7A
4V
8Y
View
$56.31
7A
4V
8Y
View
$55.62
7A
4V
8Y
View
$55.62
7A
4V
8Y
View
$54.62
7A
4V
8Y
View
$55.62
7A
4V
8Y
View
$54.62
7A
4V
8Y
View
$55.62
7A
4V
8Y
View
$46.42
7A
4V
8Y
View
$55.62
7A
4V
8Y
View
$46.29
7A
4V
8Y
View
$46.42
7A
4V
8Y
View
$55.62
7A
4V
8Y
View
$55.62
7A
4V
8Y
View
$55.62
7A
4V
8Y
View
$55.62
7A
4V
8Y
View
$54.62
7A
4V
8Y
View
$56.31
7A
4V
8Y
View
about:blank 2/4
11/10/21, 8:53 AM
about:blank
King
Laborers
Powderman's Helper
$54.62
7A
4V
8Y
View
King
Laborers
Power Jacks
$55.62
7A
4V
8Y
View
King
Laborers
Railroad Spike Puller - Power
$55.62
7A
4V
8Y
View
King
Laborers
Raker - Asphalt
$46.42
7A
4V
8Y
View
King
Laborers
Re-timberman
$56.31
7A
4V
8Y
View
King
Laborers
Remote Equipment Operator
$55.62
7A
4V
8Y
View
King
Laborers
Rigger/Signal Person
$55.62
7A
4V
8Y
View
King
Laborers
Rip Rap Person
$54.62
7A
4V
8Y
View
King
Laborers
Rivet Buster
$55.62
7A
4V
8Y
View
King
Laborers
Rodder
$55.62
7A
4V
8Y
View
King
Laborers
Scaffold Erector
$54.62
7A
4V
8Y
View
King
Laborers
Scale Person
$54.62
7A
4V
8Y
View
King
Laborers
Sloper (Over 20")
$55.62
7A
4V
8Y
View
King
Laborers
Sloper Sprayer
$54.62
7A
4V
8Y
View
King
Laborers
Spreader (Concrete)
$55.62
7A
4V
8Y
View
King
Laborers
Stake Hopper
$54.62
7A
4V
8Y
View
King
Laborers
Stock Piler
$54.62
7A
4V
8Y
View
King
Laborers
Swinging Stage/Boatswain
$46.29
7A
4V
8Y
View
Chair
King
Laborers
Tamper Et Similar Electric, Air
$55.62
7A
4V
8Y
View
Et Gas Operated Tools
King
Laborers
Tamper (Multiple Et Self-
$55.62
7A
4V
8Y
View
propelled)
King
Laborers
Timber Person - Sewer (Lagger,
$55.62
7A
4V
8Y
View
Shorer Et Cribber)
King
Laborers
Toolroom Person (at Jobsite)
$54.62
7A
4V
8Y
View
King
Laborers
Topper
$54.62
7A
4V
8Y
View
King
Laborers
Track Laborer
$54.62
7A
4V
8Y
View
King
Laborers
Track Liner (Power)
$55.62
7A
4V
8Y
View
King
Laborers
Traffic Control Laborer
$49.50
7A
4V
9C
View
King
Laborers
Traffic Control Supervisor
$52.45
7A
4V
9C
View
King
Laborers
Truck Spotter
$54.62
7A
4V
8Y
View
King
Laborers
Tugger Operator
$55.62
7A
4V
8Y
View
King
Laborers
Tunnel Work -Compressed Air
$142.82
7A
4V
9B
View
Worker 0-30 psi
King
Laborers
Tunnel Work -Compressed Air
$147.85
7A
4V
9B
View
Worker 30.01-44.00 psi
King
Laborers
Tunnel Work -Compressed Air
$151.53
7A
4V
9B
View
Worker 44.01-54.00 psi
King
Laborers
Tunnel Work -Compressed Air
$157.23
7A
4V
9B
View
Worker 54.01-60.00 psi
King
Laborers
Tunnel Work -Compressed Air
$159.35
7A
4V
9B
View
Worker 60.01-64.00 psi
King
Laborers
Tunnel Work -Compressed Air
$164.45
7A
4V
9B
View
Worker 64.01-68.00 psi
King
Laborers
Tunnel Work -Compressed Air
$166.35
7A
4V
9B
View
Worker 68.01-70.00 psi
King
Laborers
Tunnel Work -Compressed Air
$168.35
7A
4V
9B
View
Worker 70.01-72.00 psi
about:blank
3/4
11 /10/21, 8:53 AM
King
Laborers
King
Laborers
King
Laborers
King
Laborers
King
Laborers
King
Laborers
King
Laborers
King
Laborers
King
Laborers
about:blank
Tunnel Work -Compressed Air
$170.35
7A
4V
9B
View
Worker 72.01-74.00 psi
Tunnel Work-Guage and Lock
$57.41
7A
4V
8Y
View
Tender
Tunnel Work -Miner
$57.41
7A
4V
8Y
View
Vibrator
$55.62
7A
4V
8Y
View
Vinyl Seamer
$54.62
7A
4V
8Y
View
Watchman
$42.08
7A
4V
8Y
View
Welder
$55.62
7A
4V
8Y
View
Well Point Laborer
$55.62
7A
4V
8Y
View
Window Washer/Cleaner
$42.08
7A
4V
8Y
View
about:blank 4/4
The Contractor shall procure and maintain for the duration of the Agreement,
insurance against claims for injuries to persons or dama-ge to pro.perty'which
miy arise fiom or in connectioi with th'e performance of the work hereunder
Uy the Contractor, their agents, representatives, employees or
subcontractors.
Insurance
A. Minimum ScoPe of Insurance
Contractor shall obtain insurance of the types described below:
EXHIBIT B
INSURANCE REQUIREMENTS FOR
SERVICE CONTRACTS
commercial General Liability insurance shall be written on
ISO occLlrre{1ce form CG 00 01 and shall cover liability
arising from premises, operations, independent contractors,
prodults-completed operations, personal inj.ury and
bdvertising injury, and liability assumed under an insured
contract. i6ei CitV 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
additionbl insured endorsement CG 20 10 11 85 or a
substitute endorsement providing equivalent coverage.
Automobile Liability insurance covering all owned,. non-
owned,Tiretand lbased vehicles. Coverage lla,lt be written
on Insurance Services Office (ISO) form CA 00 01 or a
substitute form providing equivalent liability coverage. If
necessary, the policy sh-ll be endorsed to provide
contractual liability coverage'
Workers'Compensation coverage as required by the
Industrial Insurance laws of the State of Washington.
1
2
3
B. Minimum Amounts of Insurance
contractor shall maintain the following insurance limits:
1. Commercial General Liability jnsurance shall be written with
ffi,ooo,ooo each occurrence, $1,ooo,ooo
general aggregate and a $1,000,000 products-completed
oPerations aggregate limit.
2, Automobile Liability insurance with a minimum combined
single limit for bodity injury and property damage of
$1,000,000 Per accident.
2
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 ins_urance pool.coverage
maintaineU Oy ttre City shall be excess of the Contractor's insurance and
shall not contribute with it'
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 c'ertified 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
(excepf Professional Liability) as respects work performed by 9.r on behalf
of tne contractor and a copy of the endorsement naming the City as
additional insured shall be 6ttached to the Certificate of Insurance. The
City reserves the right to receive a certified coPy of all required insurance
folicies. The Contr-actor'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 tb 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 gopy.of the
amendatory endorsements, including but not.necessarily limited to the
additional ihsured 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.
a,6?o"\-/CERTIFICATE OF LIABILITY I NSU RANCE DATE (MM/DDlYYYY)
1tog12021
AMENO, EXTEND OR ALTER THE COVERAGE AFFORDED 8Y THE POLICIES BELOW.
AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLD€R.
IMPoRTANT: lf the certiflcate holder is an ADDITIoNAL INSURED, the policy(ies) must
conditions of the policy, certain policies may require an endorsement' A statement on
have ADDITIONALINSURED provisions or be endcrsed. IfSUBROGATION lS WAIVED, subjectto the terms and
this certificate does not confer rigbts to the certifrcate holder in lleu of such endorsement(3)'
NEGATIVELYORAFFIRMATIVETYDOESNOTTHEUPONHCERTIFICATETHIS CERTIFICATEOLDER.ANOONLY NOCONFERS RIGHTSISSUED AS MATTERA OF NFORMATIONCERTIFICAIETHIS
ENSETWE ISSUINGTHE INSURER(S),NOTCODOES NSTI-UTE CONTRACTTHISOF INSURANCECERTIFICATE
Lobdell
CONTACT
NAME:
(A/c, No): 360-895-401 4
FAX
(A/c, No, Exr): 360-895-3001
PHONE
E-MAIL
ADDRESS:ernily,tknochel @farmersagency'com
NAIC #INSURER(5) AFFDRDING COVERAGE
Trina Knoche
104 Tremont St Sle 200
Port Orchard, WA 98366
PRODUCER
27987
12879
RERA: Northfield lnsurance Company
TNSURER B: Progressive Comrnercial Casualty Company
INSU
INSURER C:
INSURER O:
INSURER E:
lntegraTree LLC
1308 Sumner Ave
Sumner, WA 98390
INSURED
INSURER F:
CERTIFICATE NUMBER;REVISION NUMBER;COVERAGES
THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE TISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY
REQUIREMENI TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICAIE IMAY BE ISSIJED OR IIIAY PERIAIN, THE INSURANCE AFFORDED BY I HE
POLICIES DESCRIBED H EREI N IS SUB]ECT IO ALL THE TERM5,EXCLUSIONS AND CONDITIONS OT SUCH POLICIES, LII\,1IIS SHOWN IVIAY HAV: BEEN REDUCED BY PAID CLAIMS.
CERTIFICATE HOLDER CANCELLATION
UMITSPOLICY EFF
(MM,/DDlYYYY)
poa_lcY Exp
(MM.'DDlYYYY)
SUBR
WVD POLICY NUMBERADDTL
lNso
INSR
LTR
TYPE OF INSURANCE
EACH OCCURRENCE $ 1,000,00(
E t oo,oot
DAMAGETO RENTED
PRENiISES (Ea Occurrence)
5,00(lvlED EXP (Any one person)
$ 1,000,00(
i 2,000,00(
PERSONAL & ADV INJURY
GENERAL AGGREGATE
r 2,000,00(PRODUCTS. COMP/OP AGG
o8t2612021
COMMERCIAL GENERAT tIABItIry
GEN'I. AGGREGATE LIMIT APPLIES PER:
CLAIMS-IV]ADE
pRo.lEcT LOC
[11o"'*
POLICY
OTHER:
i 1,000,00(COMBINED SINGLE IIMII
(Ea accident)
BoDILY INJURY (Per pcrson)
,
BODI LY INJURY (Per accident)
PROPERTY DAMAGE
(Per accident)
$
11t18t2020
08,2612Q22
11/8t2021
/{s431 3BB
129'136030YB
AUTOMOBILE LIABILITY
X
ANYAUTO
SCHEDULED
AUTOS
NON.OWNED
AUTOS ONLY
OWNED AUTOS
ONLY
HIRED AUTOS
ONLY
TACH OCCURRENCE $
$AGGREGATE
OCCURUMBRELIA LIAS
CLAIMS.MADEEXCESS LIAB
RETENTION $DED
OTHER
$
$PER
STATUTE
$E.L EACH ACCIDENT
E,L. DISEASE - EA ENlPLOYEE
E.L DISEASE. POLICY LIMIT $
N/A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/
EXECUTIVE OFFICER,/MEMEER
EXctUDED? (Mandatory ln NH)
lfyes, describe under DESCRIPTION OF
oPERATIoNS below
Y/N
t_
DESCRtpTtON OF OpERAT|ONS,/LOCATTONS/VEHICLES (ACORD 1 Ol, Additional Remarks schedule, may be attached if mote space is required)
Holder is listed as Additional lnsured
AUTHORIZED
220 Fourth Ave S
Kent, WA 98032
DATE THEREOF,
SHOULD ANY OF THEABOVE DESCRBED POLICIES BEFORE THE EXPIRATION
IN POLTCY PROVtSIONS.
O1988-2015 ACORD CORPORATION' All Rights ReservedACORD 2s(2016/O3l
tL^ iFAhn --*^ --J t^-^ --^ -^-!^.^-^l *--l-- _t A^AnA
acjSilp*l-/
fHIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONtY AND CONFERS N
AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BYTHE POTICIES BELOW. TH
AUTHORIZED REPRESENTATIVE OR PRODUCER, AND TH€ CERTIFICATE HOLDER
CERTI FICATE OF LIABILITY I NSU RANCE
O RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY
I5 CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN IHE ISSUING INSURER(S),
IMPORTANT; lf the certiflcate holder is an ADDITIONAL
condltions ofthe policy, certain pollcies may require an
PRODUCER
Trina Knoche
104 Tremont St Ste 200
Port Orchard, WA 98366
INSURED
lntegraTree LLC
1 308 Sumner Ave
Sumner, WA 98390
COVERAGES
INSURED, thepolicy(les) musthaveADDlTlONAL INSURED provisions or be endorsed
endorsement. Astatementon this certificate does not confer rights to the certificate
. IfSUBROGATION lS WAlVED, subiect to the terms and
holder in lieu ofsuch endotsement(s).
INSURER E:
INSURER F:
CERTIFICATE NUMBER:REVISION NUMSER:
DATE (MM/DD/YYYY)
11t0912021
ruaue: Emily Lobdell
CONTACT
(a/c, No): 360'895-401 4
FAXPHONE
(A/c, No, ExT): 360-895-3001
E.MAIL
ADDRESS:emily.tknoche 1 @farmersagency.com
NAIC#INSURER(S) AFFORDING COVERAGE
27987INSURERA: Northfield lnsurance Company
12879tNSuRER B: Progressive commercial casua Ity Company
INSURER Ci
INSURER D:
ANYTHEt-oR NOTWITHSIANDINGPERIODINDICATED.POLICYHAVETOISSUEDINTHENAMSUREDABOVEOFPOLICIESLISTEDI NSURANCE BELOW BEENlsTHTOl5FYCERTITHATTHE
INSURANCETHE BYAFFORDED THEBEMAYORISSUEDPERTAIMAYN,loRESPECT THISWHICH CERTIFICATEOFCONDITIONCONTRACTANYOIHERORDOCUMENTWITHRMTEORREQUIREMENT,BY crAtMs_DI\4AYSHOWN BEENHAVE REDUCED PAICONDDOFtTloNsPOLICISUCHLIMIISESALLTOTERTHEEXCLUSIONSM5,ANOESCRIBEDPOLtCIESISH EREIN SUBJECT
LIMITSADDTL
INSD
SUBR
wvD POL'CY NUMBERINSR
LTR
TYPE OF INSURANCE
1EACH OCCURRENCE
1
DAMAGE TO RENTED
PREMISES (Ea Occutrence)
$MED EXP (Any onc petson)
COMMERCIAT GENERAT TIABILITY
XCLAIMS-I\4ADE OCCUR
PERsONAL & ADV INJURY
GENERAL AGGREGATE
$PRODUCTS . COMP/OP AGG
$
POLICY EXP
(MM/DDlYYYY)
08t2612022
POLICY EFF
(MM/DD,/YYYY)
0812612021388
LOC
GEN'L AGGREGATE LIMITAPPLIES PER:
PROjECTPOI_tcY
OTHER:
A
$1COMBINED SINGLE IIMIT
(Ea accident)
$BODILY INIURY (Per person)
BoDll.Y INJURY (Per accident)X
PROPERTY DAMAGE
(Per accident)
11118t20221 36030 1111812021
AUTOMOBITE LIABILITY
ANY AUTO
SCHEDULED
AUTOS
NON-OWNED
AU]OS ONLY
OWNED AUTOS
ONLY
HIRED AU'T'OS
ONLY
EACH OCCURRENCE
AG6REGATE
OCCUR
CLAIIvIS-MADE
UMBRELLA LIAB
EXCESS LIAB
DED RETENTION $
OTHERPER
SIATUTE
E.L. EACH ACCIDENT
E,L. DISEASE - EA EMPLOYEE
E,L. DISEASE - POLICY LIMIT
N/A
WORKERS COMPENSATION
AND EMPLOYERS' TIABILITY
ANY PROPRIETOR/PARTNER/
EXECUT}VE OFFICER/MEMBER
EXCLUDED? (Mandatory in NH)
lf yes, describe under DESCRIPTION OF
oPERATIONS below
Y/N
DESCRtpTION OF OpERATTONSILOCATIONS/VEHICLES (ACORD I Ol, Additional Remarks schedule, may be attached if more sPace i5 tequited)
Holder is listod as Additional lnsured
CERTIFICATE HOLOER CANCETLATION
syd(
ilarr
M
City of Kent
220 Fourth Ave S
Kent, WA 98032
@1988-2015 ACORD CORPORATION. All Rishts Reserved
tL^ A-Anh ---^ --l l--^ --- -^-l-.^-^J ---1.^ ^a ^F^h^
ACORD 25 (?O16/03)
POLICY NUMBER: WS 4 31 3 8 8
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT GI\REFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS . SCHEDULED PEFiSON OR
ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
A. Section ll - Who ts 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"' "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 lawi 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.
CG,MMERCIAL GENERAL LIABILITY
cG 20 10 04 13
B. With respect to 'he insurance afforded to these -
additional insureds. the following additional exclusions
apply:
This insurance does not apply to "bodily injury" or
"property damage" occurring after:
{. All work, inclucing materials, parts or equipment
furnished in cannection with such work, on the
project (other tfEn service, maintenance or repairs)
to be performed by or on behalf of the additional
insured(s) at the location of the covered operations
has be€n complsted; or
2. Thal portion of 'your work" out of which the injury
or damage arises has been put to its intended use
by any person :r organization other than another
contractor or stlccontractor engaged in performing
operations for a principal as a part of the same
project.
Location(s) Of Covered OperationsName Of Additional lnsured Person(s)
Or Organization(s)
Va riousof Kent, 22A FourtLi Alre S'
9ao32
The City
Kent, WA
lnformation required to complete this Schedule,if not shown above, will be shown in the Declarations
cG 20 10 04 13 Copyright, lnsurance Services Office, lnc., 2012 Page 1 of2
C. With respect to the insurance afforded to these
addltlonal insureds, the followlng ls added to Sectlon
lll - Llmlts Of lnsurancel
lf coverage Provided to the additl<inal lnsured ls
required by a contract or agreement, the most we wlll
pay on behalf of the additional insured is the amount of
lnsurance:
1. Required by the contract or agreement; or
2. Available under the applicable Limits of lnsurance
shown in the D€clarations;
whichever is less.
This endorsement shall not increase the applicable
Limits of lnsurance shown ln the Declaratlons'
cG 20 {o 04 13 Copyright, lnsurance Services Otfice, lnc., 2O1 2 Page 2 oi 2
.c9tlill!?!9.'.!9r,4,e1 ..
INTEGRATREE LLC
1 308 SUN/NER AVE
SUMNER, WA 98390
ll:.q'"d. . ........
INTEGRATREE LLC
1 308 SUMNER AVE
SUMNER, WA 98390
Policy Effective Date: MaY 18,2021
lnsurance coverage(s)
sooiiV I NtunVlinoprnn pnMAcr
ur,r oini r'rSunio MoionLsT sbol LV ir'rluCv
ri r'roiAl rrriunto Moioiiisi inoprrin oAvAcr
Descri pti on of locati onAlehi cl es/Special ltem s
Scheduled autos onlY
isss roRb r iuitn pun r roLi+icoirAoz i)o
COMPREHENSIVE
COLLISION
Certificate number
'15421NET603
PBOEBETTII/E'
KRAFT LAKE INS
P0 Box 1426 LoC 31 1 s
GRAND RAPIDS, MI 49501
1-800-339-3',I 14
coMt'lEnclAt
Policy number: 02913503-1
Underwritten by:
UNITED FINANCIAL CASUALry COMPANY
June 3, 2021
Page 1 of 1
Certificate of lnsurance
LsJtv:trPl$ urlr PI9tr91
KRAFT LAKE INS
P0 BOx 1426 LOC 31 15
GRAND RAPIDS, [/I 49501
This document certifies that insurance policies identified below have been issued by the designated insurer to the insured
named above for the period(s) indicated. This Certificate is issued for information purposes only. lt confers no rights upon
the certificate holder and does not change, alter, modify, or extend the coverages afforded by the policies listed below.
The coverages afforded by the policies listed below are subject to all the terms, exclusions, limitations, endorsements, and
conditions of these policies.
Policy Expiration Date: Nov 18,2021
timits
qt,oog,goo .covglyp i ry9Li t'Mti
$5OO,OOO COMBINED SINGLE LIMIT
sio,ooo wsioci oe o tsioii ii Hit a nurui
Stated Amount $10,000
$1,000 DED
$1,000 DED
(Abb
Form 5241 (10/02)
Renewal auto policy declarations
Policy number;
Policy effective date @lllstate.2,2021 Page 3 of 4
You're in good hands.
detail for 2O2O Tov.Truck Tundra
807 o98
Coverage limifs Deductible PremiumAutomobile Liability lnsurance
. Bodily lnjury $25,000 each person
$so,0o0 each occurrence
$25,000 each occurrence
Not applicable $880.48
: prqPgll}l Damage Not applicable $51o.92Auto Collision lnsurance Actual cash value $1,000 $1,702,24Auto Comprehensive lnsurance Actual cash value $28e.43RoadsideCoverageNot purchased*
$500
Transportation Ex pense Not purchased"
Underinsured Motorists lnsurance
' Bodily lnjury $25,000 each person
$50,000 each accident
$1O,0OO each accident
$7s.2s
Not applicable
a Damage
Stated in po IicyAutomobile Medical Not purchased"
Personal lnjury Protection Benefits
. MedicalExpenses
' Wage Loss
$10,000 each person
$200 per week maximum
$o $163.77
. Essential Services Ex penses $40 per day
Portable Electronics and Med ta Not purchased*
Sound System Not purchased*
$?,622,09
for 2O2O Toy. Truck Tundra
* This coverage can provide you with varuabre protection. To herp you staycurrent with your insurance needs, contact your Alrstate agent to aiscusscoverage options and other products and services that caritrelp protectyou.
vrN 5TFUY5F16LX897764
Rating information
' This vehicre is driven a maximum of 7,500 mires per year,3-g mires toworklschool, unmarried male age 26
Your policy documents
Your automobile policy consists of. Allstate Auto Policy - ACR6S. WA Amendatory Endorsement _
this Policy Declarations and th
a
ACR312 ,
Iienholder
Toyota Motor Credit Corp
e documents in the following list.
WA Personal lnjury protection -
WA Underinsured Motorists lns
Please keep these iogether
ACR313
urance - ACR314
od
do
lt,t0/ /ffi
807 o98
Renewalauto policy
Policy number:
Policy effective date:February 2,2021
lmportant payment and cove
Here is some additional, helpful infor
>A $10,00 late fee may be assessed
rage information
mation related to your coverage and paying your bill;
if payment is received after the due date.
decla
Page 4 of 4
)lt is time to renew you.r policy. lf no changes are made to your coverage before O2l\2/21,the minimum amount due on orbef ore o2/02/21will b.e one-sixth (1/6)it your $3,622.04.;n;;;t;;"rium plus any outstanding batance from your currentpolicy and any applicable installment fee. This is not a bill, You shouid receive your billing statement approximately two weeksbefore your A2/02/21 renewal date.
Allstate lndemnity Company's S ecretary and President have signed this policy with legal authority at No k, lllinois.
qrr;'^* Po.ta*--a J^'^-X4..-
Julie Parsons
President
Susan L. Lees
Secretary
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1_147
4
KENT
WASHINGTON
INTEGRA-TREE LLC
22606 114TH AVE SE
KENT, WA 98031
City of Kent
Business License
Please tear at perforation
------------------------------------------------
BUSINESS LICENSE
LICENSE MUST BE PAID ANNUALLY BY
• JANUARY 1st TO AVOID PENALTY
KENTIssuance of License Does Not Imply Licensee's
WASHINGTON Compliance with State and Local Laws
THIS LICENSE MUST BE POSTED IN A CONSPICUOUS
PLACE. NOT TRANSFERABLE OR ASSIGNABLE
NAME AND ADDRESS OF BUSINESS
BLOC-2200891
INTEGRA TREE LLC
1308 SUMNER AVE
SUMNER, WA 98390
Tax Registration
Endorsement
Per RCW 82.14 local sales
and use tax must be coded
No. 1715 for all qualified
sales within the city of
Kent.
2021
1 J 0-
MAYOR
The City of Kent
At 220 4TH AVE SO
KENT, WASHINGTON 98032
Signature:
Email:
Signature:
Email:japplegate@kentwa.gov
Melissa McCormick (Nov 15, 2021 07:44 PST)
Melissa McCormick
cityclerk@kentwa.gov
IntegraTree.Nov2021pdf
Final Audit Report 2021-11-15
Created:2021-11-10
By:Janice Applegate (japplegate@kentwa.gov)
Status:Signed
Transaction ID:CBJCHBCAABAATPU4UyGdfzPeVd2niMrEluhn_8J3X91Q
"IntegraTree.Nov2021pdf" History
Document created by Janice Applegate (japplegate@kentwa.gov)
2021-11-10 - 5:08:44 PM GMT- IP address: 146.129.252.126
Document e-signed by Janice Applegate (japplegate@kentwa.gov)
Signature Date: 2021-11-10 - 5:23:19 PM GMT - Time Source: server- IP address: 146.129.252.126
Document emailed to Garin Lee (glee@kentwa.gov) for signature
2021-11-10 - 5:23:21 PM GMT
Email viewed by Garin Lee (glee@kentwa.gov)
2021-11-10 - 9:44:17 PM GMT- IP address: 146.129.252.126
Document e-signed by Garin Lee (glee@kentwa.gov)
Signature Date: 2021-11-10 - 9:46:32 PM GMT - Time Source: server- IP address: 146.129.252.126
Document emailed to Wesley Hillenius (integratreellc@gmail.com) for signature
2021-11-10 - 9:46:34 PM GMT
Email viewed by Wesley Hillenius (integratreellc@gmail.com)
2021-11-10 - 11:53:59 PM GMT- IP address: 174.204.73.249
Document e-signed by Wesley Hillenius (integratreellc@gmail.com)
Signature Date: 2021-11-10 - 11:56:16 PM GMT - Time Source: server- IP address: 174.204.73.249
Document emailed to Kim Komoto (kkomoto@kentwa.gov) for signature
2021-11-10 - 11:56:19 PM GMT
Email viewed by Kim Komoto (kkomoto@kentwa.gov)
2021-11-11 - 1:16:23 AM GMT- IP address: 146.129.252.126
Document e-signed by Kim Komoto (kkomoto@kentwa.gov)
Signature Date: 2021-11-11 - 1:16:40 AM GMT - Time Source: server- IP address: 146.129.252.126
Document emailed to Melissa McCormick (cityclerk@kentwa.gov) for signature
2021-11-11 - 1:16:42 AM GMT
Email viewed by Melissa McCormick (cityclerk@kentwa.gov)
2021-11-11 - 1:20:30 AM GMT- IP address: 146.129.252.126
Document e-signed by Melissa McCormick (cityclerk@kentwa.gov)
Signature Date: 2021-11-15 - 3:44:17 PM GMT - Time Source: server- IP address: 146.129.252.126
Agreement completed.
2021-11-15 - 3:44:17 PM GMT