HomeMy WebLinkAboutCAG2021-485 - Original - Summit Structures of Washington, LLC - Hogan Park Utility Shed Construction - 11/15/2021ApprovalOriginator: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
Dir Asst:
Jan Apple
4
11/08/2021
Original2461898
Parks, Recreation & Community ServicesJan Applegate
12/31/2021
4
as soon as possible
as soon as possible
n/a
4
Other
10006600.66200
Contract
$14,464.83
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
Summit Structures of Washington, LLC
THIS AGREEMENT is made by and between the City of Kent, a Washington municipal corporation
(hereinafter the "City"), and Summit Structures of Washington, LLC organized under the laws of the State
of Washington, located and doing business at 1595 N. National Avenue, Suite F, Chehalis, WA 98532;
Contact: Al Shrock, Phone: (406) 402-8452 (cell) (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:
Contractor will build on site a 12x16 foot utility shed at Hogan Park at Russell Road, located
at 24400 Russell Road, Kent WA 98032 per Purchase Invoice # 64-09273 dated 10/27/2021
attached and incorporated as Exhibit A, with the exception of any terms and conditions included
in the Purchase Invoice, which are specifically excluded from and not incorporated into this
Agreement.
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 working 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 FOURTEEN
THOUSAND FOUR HUNDRED SIXTY FOUR DOLLARS AND EIGHTY THREE CENTS ($14,464.83), 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 Department, and until settlement of any liens filed
under Chapter 60.28 RCW, whichever is later.
B.Retainage. The City shall also hold back a retainage in the amount of five percent
(5%) of any and all payments made to the Contractor for a period of sixty (60) days
after the date of final acceptance, or until receipt of all necessary releases from the
State Department of Revenue, the State Department of Labor & Industries, and the
State Employment Security Department, and until settlement of any liens filed under
Chapter 60.28 RCW, whichever is later. The amount retained shall be placed in a fund
by the City pursuant to RCW 60.28.011(4)(a), unless otherwise instructed by the
Contractor within fourteen (14) calendar days of the Contractor’s signature on the
Agreement.
C.Defective or Unauthorized Work . The City reserves its right to withhold payment from
the Contractor for any defective or unauthorized work. Defective or unauthorized work
includes, without limitation: work and materials that do not conform to the
requirements of this Agreement; and extra work and materials furnished without the
City’s written approval. If the Contractor is unable, for any reason, to satisfactorily
complete any portion of the work, the City may complete the work by contract or
otherwise, and the Contractor shall be liable to the City for any additional costs
incurred by the City. “Additional costs” shall mean all reasonable costs, including legal
costs and attorney fees, incurred by the City beyond the maximum Contract price
specified above. The City further reserves its right to deduct the cost to complete the
Contract work, including any Additional Costs, from any and all amounts due or to
become due the Contractor.
D.Final Payment: Waiver of Claims. THE CONTRACTOR’S ACCEPTANCE OF FINAL
PAYMENT (EXCLUDING WITHHELD RETAINAGE) SHALL CONSTITUTE A WAIVER OF
CONTRACTOR’S CLAIMS, EXCEPT THOSE PREVIOUSLY AND PROPERLY MADE AND
IDENTIFIED BY CONTRACTOR AS UNSETTLED AT THE TIME FINAL PAYMENT IS MADE
AND ACCEPTED.
IV. INDEPENDENT CONTRACTOR. The parties intend that an Independent Contractor-
Employer Relationship will be created by this Agreement. By their execution of this Agreement, and in
accordance with Ch. 51.08 RCW, the parties make the following representations:
A.The Contractor has the ability to control and direct the performance and details of its
work, the City being interested only in the results obtained under this Agreement.
B.The Contractor maintains and pays for its own place of business from which the
Contractor’s services under this Agreement will be performed.
C.The Contractor has an established and independent business that is eligible for a
business deduction for federal income tax purposes that existed before the City
retained the Contractor’s services and is a service other than that furnished by the
City, or the Contractor is engaged in an independently established trade, occupation,
profession, or business of the same nature as that involved under this Agreement.
D.The Contractor is responsible for filing as they become due all necessary tax
documents with appropriate federal and state agencies, including the Internal Revenue
Service and the state Department of Revenue.
PUBLIC WORKS AGREEMENT - 3
($20K or Less and No Performance Bond)
E.The Contractor has registered its business and established an account with the state
Department of Revenue and other state agencies as may be required by the
Contractor’s business, and has obtained a Unified Business Identifier (UBI) number
from the State of Washington.
F.The Contractor has a valid contractor registration pursuant to Ch. 18.27 RCW or an
electrical contractor license pursuant to Ch. 19.28 RCW.
G.The Contractor maintains a set of books dedicated to the expenses and earnings of its
business.
V.TERMINATION. The City may terminate this Agreement for good cause. “Good cause” shall
include, without limitation, any one or more of the following events:
A.The Contractor’s refusal or failure to supply a sufficient number of properly skilled
workers or proper materials for completion of the Contract work.
B.The Contractor’s failure to complete the work within the time specified in this
Agreement.
C.The Contractor’s failure to make full and prompt payment to subcontractors or for
material or labor.
D.The Contractor’s persistent disregard of federal, state or local laws, rules or
regulations.
E.The Contractor’s filing for bankruptcy or becoming adjudged bank rupt.
F.The Contractor’s breach of any portion of this Agreement.
If the City terminates this Agreement for good cause, the Contractor shall not receive any further
money due under this Agreement until the Contract work is completed. After termination, the City may
take possession of all records and data within the Contractor’s possession pertaining to this project which
may be used by the City without restriction.
VI.PREVAILING WAGES. The Contractor shall file a “Statement of Intent to Pay Prevailin g
Wages,” with the State of Washington Department of Labor & Industries prior to commencing the Contract
work. The Contractor shall pay prevailing wages in effect on the date the bid is accepted or executed by
the Contractor, and comply with Chapter 39.12 of the Revised Code of Washington, as well as any other
applicable prevailing wage rate provisions. The latest prevailing wage rate revision issued by the
Department of Labor and Industries is attached.
VII.CHANGES. The City may issue a written change order for any change in the Contract work
during the performance of this Agreement. If the Contractor determines, for any reason, that a change
order is necessary, the Contractor must submit a written change order request to the person listed in the
notice provision section of this Agreement, Section XVI(D), within fourteen (14) calendar days of the date
the Contractor knew or should have known of the facts and events giving rise to the requested change. If
the City determines that the change increases or decreases the Contractor's costs or time for performance,
the City will make an equitable adjustment. The City will attempt, in good faith, to reach agreement with
the Contractor on all equitable adjustments. However, if the parties are unable to agre e, the City will
determine the equitable adjustment as it deems appropriate. The Contractor shall proceed with the change
order work upon receiving either a written change order from the City or an oral order from the City before
actually receiving the written change order. If the Contractor fails to require a change order within the time
specified in this paragraph, the Contractor waives its right to make any claim or submit subsequent change
order requests for that portion of the contract work. If the Contractor disagrees with the equitable
adjustment, the Contractor must complete the change order work; however, the Contractor may elect to
protest the adjustment as provided in subsections A through E of Section IX, Claims, below.
PUBLIC WORKS AGREEMENT - 4
($20K or Less and No Performance Bond)
The Contractor accepts all requirements of a change order by: (1) endorsing it, (2) writing a separate
acceptance, or (3) not protesting in the way this section provides. A change order that is accepted by the
Contractor as provided in this section shall constitute full payment and final settlement of all claims for
contract time and for direct, indirect and consequential costs, including costs of delays related to any work,
either covered or affected by the change.
VIII.FORCE MAJEURE. Neither party shall be liable to the other for breach due to delay or failure
in performance resulting from acts of God, acts of war or of the public enemy, riots, pandemic, fire, flood,
or other natural disaster or acts of government (“force majeure event”). Performance that is prevented or
delayed due to a force majeure event shall not result in liability to the delayed party. Both parties represent
to the other that at the time of signing this Agreement, they are able to perform as required and their
performance will not be prevented, hindered, or delayed by the current COVID-19 pandemic, any existing
state or national declarations of emergency, or any current social distancing restrictions or personal
protective equipment requirements that may be required under federal, state, or local law in response to
the current pandemic.
If any future performance is prevented or delayed by a force majeure event, the party whose
performance is prevented or delayed shall promptly notify the other party of the existence and nature of
the force majeure event causing the prevention or delay in performance. Any excuse from liability shall be
effective only to the extent and duration of the force majeure event causing the prevention or delay in
performance and, provided, that the party prevented or delayed has not caused such event to occur and
continues to use diligent, good faith efforts to avoid the effects of such event and to perform the obligation.
Notwithstanding other provisions of this section, the Contractor shall not be entitled to, and the City
shall not be liable for, the payment of any part of the contract price during a force majeure event, or any
costs, losses, expenses, damages, or delay costs incurred by the Contractor due to a force majeure event.
Performance that is more costly due to a force majeure event is not included within the scope of this Force
Majeure provision.
If a force majeure event occurs, the City may direct the Contractor to restart any work or
performance that may have ceased, to change the work, or to take other action to secure the work or the
project site during the force majeure event. The cost to restart, change, or secure the work or project site
arising from a direction by the City under this clause will be dealt with as a change order, except to the
extent that the loss or damage has been caused or exacerbated by the failure of the Contractor to fulfill its
obligations under this Agreement. Except as expressly contemplated by this section, all other costs will be
borne by the Contractor.
IX.CLAIMS. If the Contractor disagrees with anything required by a change order, another
written order, or an oral order from the City, including any direction, instruction, interpretation, or
determination by the City, the Contractor may file a claim as provided i n this section. The Contractor shall
give written notice to the City of all claims within fourteen (14) calendar days of the occurrence of the events
giving rise to the claims, or within fourteen (14) calendar days of the date the Contractor knew or shoul d
have known of the facts or events giving rise to the claim, whichever occurs first . Any claim for damages,
additional payment for any reason, or extension of time, whether under this Agreement or otherwise, shall
be conclusively deemed to have been wai ved by the Contractor unless a timely written claim is made in
strict accordance with the applicable provisions of this Agreement.
At a minimum, a Contractor's written claim shall include the information set forth in subsections A,
items 1 through 5 below.
FAILURE TO PROVIDE A COMPLETE, WRITTEN NOTIFICATION OF CLAIM WITHIN
THE TIME ALLOWED SHALL BE AN ABSOLUTE WAIVER OF ANY CLAIMS ARISING IN
ANY WAY FROM THE FACTS OR EVENTS SURROUNDING THAT CLAIM OR CAUSED BY
THAT DELAY.
A.Notice of Claim. Provide a signed written notice of claim that provides the following
information:
PUBLIC WORKS AGREEMENT - 5
($20K or Less and No Performance Bond)
1.The date of the Contractor's claim;
2.The nature and circumstances that caused the claim;
3.The provisions in this Agreement that support the claim;
4.The estimated dollar cost, if any, of the claimed work and how that estimate
was determined; and
5.An analysis of the progress schedule showing the schedule change or disruption
if the Contractor is asserting a schedule change or disruption.
B.Records. The Contractor shall keep complete records of extra costs and time incurred as a
result of the asserted events giving rise to the claim. The City shall have access to any of the
Contractor's records needed for evaluating the protest.
The City will evaluate all claims, provided the procedures in this section are followed. If the
City determines that a claim is valid, the City will adjust payment for work or time by an
equitable adjustment. No adjustment will be made for an invalid protest.
C.Contractor's Duty to Complete Protested Work. In spite of any claim, the Contractor shall
proceed promptly to provide the goods, materials and services required by the City under this
Agreement.
D.Failure to Protest Constitutes Waiver. By not protesting as this section provides, the
Contractor also waives any additional entitlement and accepts from the City any written or
oral order (including directions, instructions, interpretations, and determination).
E.Failure to Follow Procedures Constitutes Waiver. By failing to follow the procedures of this
section, the Contractor completely waives any claims for protested work and accepts from the
City any written or oral order (including directions, instructions, interpretations, and
determination).
X.LIMITATION OF ACTIONS. CONTRACTOR MUST, IN ANY EVENT, FILE ANY LAWSUIT
ARISING FROM OR CONNECTED WITH THIS AGREEMENT WITHIN 120 CALENDAR DAYS FROM THE DATE
THE CONTRACT WORK IS COMPLETE OR CONTRACTOR’S ABILITY TO FILE THAT CLAIM OR SUIT SHALL BE
FOREVER BARRED. THIS SECTION FURTHER LIMITS ANY APPLICABLE STATUTORY LIMITATIONS PERIOD.
XI.WARRANTY. The Contractor warrants that it will faithfully and satisfactorily perform all work
provided under this Agreement in accordance with the provisions of this Agreement. The Contractor shall
promptly correct all defects in workmanship and materials: (1) when the Contractor knows or should have
known of the defect, or (2) upon the Contractor’s receipt of notification from the City of the existence or
discovery of the defect. In the event any parts are repaired or replaced, only original replacement parts
shall be used—rebuilt or used parts will not be acceptable. When defects are corrected, the warranty for
that portion of the work shall extend for an additional year beyond the original warranty period applicable
to the overall work. The Contractor shall begin to correct any defects within seven (7) calendar days of its
receipt of notice from the City of the defect. If the Contractor does not accomplish the corrections within a
reasonable time as determined by the City, the City may complete the corrections and t he Contractor shall
pay all costs incurred by the City in order to accomplish the correction.
XII.DISCRIMINATION. In the hiring of employees for the performance of work under this
Agreement or any sub-contract, the Contractor, its sub-contractors, or any person acting on behalf of the
Contractor or sub-contractor shall not, by reason of race, religion, color, sex, age, sexual orientation,
national origin, or the presence of any sensory, mental, or physical disability, discriminate against any
person who is qualified and available to perform the work to which the employment relates.
The Contractor shall execute the attached City of Kent Equal Employment Opportunity Policy
Declaration, Comply with City Administrative Policy 1.2, and upon completion of the contract work, file the
attached Compliance Statement.
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 relinquishm ent of those
covenants, agreements or options, and the same shall be and remain in full force and effect.
C.Resolution of Disputes and Governing Law. This Agreement shall be governed by and
construed in accordance with the laws of the State of Washington. If the parties are unable to settle any
dispute, difference or claim arising from the parties’ performance of this Agreement, the exclusive means
of resolving that dispute, difference or claim, shall only be by filing suit exclusively under the venue, rules
and jurisdiction of the King County Superior Court, King County, Washington, unless the parties agree in
writing to an alternative dispute resolution process. In any claim or lawsuit for damages arising from the
parties' performance of this Agreemen t, each party shall pay all its legal costs and attorney's fees incurred
in defending or bringing such claim or lawsuit, including all appeals, in addition to any other recovery or
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 XI II 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, unl ess notified to the contrary. Any written
notice hereunder shall become effective three (3) business days after the date of mailing by registered or
certified mail, and shall be deemed sufficiently given if sent to the addressee at the address stated in t his
Agreement or such other address as may be hereafter specified in writing.
E.Assignment. Any assignment of this Agreement by either party without the written consent
of the non-assigning party shall be void. If the non -assigning party gives its consent to any assignment,
the terms of this Agreement shall continue in full force and effect and no further assignment shall be made
without additional written consent.
F.Modification. No waiver, alteration, or modification of any of the provisions of thi s Agreement
shall be binding unless in writing and signed by a duly authorized representative of the City and the
Contractor.
G.Entire Agreement. The written provisions and terms of this Agreement, together with any
Exhibits attached hereto, shall supersede all prior verbal statements of any officer or other representative
of the City, and such statements shall not be effective or be construed as entering into or forming a part of
or altering in any manner this Agreement. All of the above documents are hereby made a part of this
Agreement. However, should any language in any of the Exhibits to this Agreement conflict with any
language contained in this Agreement, the terms of this Agreement shall prevail.
H.Compliance with Laws. The Contractor agrees to comply with all federal, state, and municipal
laws, rules, and regulations that are now effective or in the future become applicable to the Contractor's
business, equipment, and personnel engaged in operations covered by this Agreement or accruing out of
the performance of those operations.
I.Public Records Act. The Contractor acknowledges that the City is a public agency subject to
the Public Records Act codified in Chapter 42.56 of the Revised Code of Washington and documents, notes,
emails, and other records prepared or gathered by the Contractor in its performance of this Agreement may
be subject to public review and disclosure, even if those records are not produced to or possessed by the
City of Kent. As such, the Contractor agrees to cooperate fully with the City in satisfying the City’s duties
and obligations under the Public Records Act.
J.City Business License Required. Prior to commencing the tasks described in Section I, the
Contractor agrees to provide proof of a current city of Kent business license pursuant to Chapter 5.01 of the
Kent City Code.
K.Counterparts and Signatures by Fax or Email. This Agreement may be executed in any
number of counterparts, each of which shall constitute an original, and all of which will together constitute
this one Agreement. Further, upon executing this Agreement, either party may deliver the signature page
to the other by fax or email and that signature shall have the same force and effect as if the 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:
Brian Levenhagen,
Deputy Parks Director
By:
Print Name:
Its:
NOTICES TO BE SENT TO:
CONTRACTOR:
Al Schrock, Sales Consultant
Summit Structures of Washington, LLC
1595 N. National Avenue, Suite F
Chehalis, WA 98532
(406) 612-4201 (cell) or
(360) 791-2937 (telephone)
n/a (facsimile)
NOTICES TO BE SENT TO:
CITY OF KENT:
Todd Dow, MWIV Downtown Lead, Arborist
City of Kent
220 Fourth Avenue South
Kent, WA 98032
(253)856-5135 (desk)
(206)430-2057 (cell) (telephone)
(253)856-6120 (facsimile)
ATTEST:
Kent City Clerk
Logan Smith (Nov 11, 2021 10:43 PST)
Logan Smith
Regional Financial Controller
11/11/2021
Logan Smith
Brian Levenhagen (Nov 15, 2021 09:27 PST)
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: ________________________________________
Logan Smith (Nov 11, 2021 10:43 PST)
Logan Smith
Regional Financial Controller
Summit Structures of Washington, LLC
11/11/2021
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 (10/27/2021), 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.
Summit Structures of Washington, 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.
Logan Smith (Nov 11, 2021 10:43 PST)
Logan Smith
Madras, OR
Regional Financial Controller
Logan Smith
11/11/2021
11/8/21, 9:01 AM about:blank
about:blank 1/4
State of Washington
Department of Labor & Industries
Prevailing Wage Section - Telephone 360-902-5335
PO Box 44540, Olympia, WA 98504-4540
Washington State Prevailing Wage
The PREVAILING WAGES listed here include both the hourly wage rate and the hourly rate of fringe
benefits. On public works projects, worker's wage and benefit rates must add to not less than this
total. A brief description of overtime calculation requirements are provided on the Benefit Code
Key.
Journey Level Prevailing Wage Rates for the Effective Date: 11/8/2021
County Trade Job Classification Wage Holiday Overtime Note *Risk
Class
King Laborers Air, Gas Or Electric Vibrating
Screed
$54.62 7A 4V 8Y View
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
Over)
$55.62 7A 4V 8Y View
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
Operator
$55.62 7A 4V 8Y View
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
Driller
$55.62 7A 4V 8Y View
King Laborers Crusher Feeder $46.29 7A 4V 8Y View
King Laborers Curing Laborer $54.62 7A 4V 8Y View
King Laborers Demolition: Wrecking & Moving
(Incl. Charred Material)
$54.62 7A 4V 8Y View
11/8/21, 9:01 AM about:blank
about:blank 2/4
King Laborers Ditch Digger $54.62 7A 4V 8Y View
King Laborers Diver $56.31 7A 4V 8Y View
King Laborers Drill Operator (Hydraulic,
Diamond)
$55.62 7A 4V 8Y View
King Laborers Dry Stack Walls $54.62 7A 4V 8Y View
King Laborers Dump Person $54.62 7A 4V 8Y View
King Laborers Epoxy Technician $54.62 7A 4V 8Y View
King Laborers Erosion Control Worker $54.62 7A 4V 8Y View
King Laborers Faller & Bucker Chain Saw $55.62 7A 4V 8Y View
King Laborers Fine Graders $54.62 7A 4V 8Y View
King Laborers Firewatch $46.29 7A 4V 8Y View
King Laborers Form Setter $54.62 7A 4V 8Y View
King Laborers Gabian Basket Builders $54.62 7A 4V 8Y View
King Laborers General Laborer $54.62 7A 4V 8Y View
King Laborers Grade Checker & Transit Person $46.42 7A 4V 8Y View
King Laborers Grinders $54.62 7A 4V 8Y View
King Laborers Grout Machine Tender $54.62 7A 4V 8Y View
King Laborers Groutmen (Pressure) Including
Post Tension Beams
$55.62 7A 4V 8Y View
King Laborers Guardrail Erector $54.62 7A 4V 8Y View
King Laborers Hazardous Waste Worker (Level
A)
$56.31 7A 4V 8Y View
King Laborers Hazardous Waste Worker (Level
B)
$55.62 7A 4V 8Y View
King Laborers Hazardous Waste Worker (Level
C)
$54.62 7A 4V 8Y View
King Laborers High Scaler $56.31 7A 4V 8Y View
King Laborers Jackhammer $55.62 7A 4V 8Y View
King Laborers Laserbeam Operator $55.62 7A 4V 8Y View
King Laborers Maintenance Person $54.62 7A 4V 8Y View
King Laborers Manhole Builder-Mudman $55.62 7A 4V 8Y View
King Laborers Material Yard Person $54.62 7A 4V 8Y View
King Laborers Motorman-Dinky Locomotive $55.62 7A 4V 8Y View
King Laborers nozzleman (concrete pump,
green cutter when using
combination of high pressure
air & water on concrete &
rock, sandblast, gunite,
shotcrete, water blaster,
vacuum blaster)
$46.42 7A 4V 8Y View
King Laborers Pavement Breaker $55.62 7A 4V 8Y View
King Laborers Pilot Car $46.29 7A 4V 8Y View
King Laborers Pipe Layer (Lead)$46.42 7A 4V 8Y View
King Laborers Pipe Layer/Tailor $55.62 7A 4V 8Y View
King Laborers Pipe Pot Tender $55.62 7A 4V 8Y View
King Laborers Pipe Reliner $55.62 7A 4V 8Y View
King Laborers Pipe Wrapper $55.62 7A 4V 8Y View
King Laborers Pot Tender $54.62 7A 4V 8Y View
King Laborers Powderman $56.31 7A 4V 8Y View
11/8/21, 9:01 AM about:blank
about:blank 3/4
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
Chair
$46.29 7A 4V 8Y View
King Laborers Tamper & Similar Electric, Air
& Gas Operated Tools
$55.62 7A 4V 8Y View
King Laborers Tamper (Multiple & Self-
propelled)
$55.62 7A 4V 8Y View
King Laborers Timber Person - Sewer (Lagger,
Shorer & Cribber)
$55.62 7A 4V 8Y View
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
Worker 0-30 psi
$142.82 7A 4V 9B View
King Laborers Tunnel Work-Compressed Air
Worker 30.01-44.00 psi
$147.85 7A 4V 9B View
King Laborers Tunnel Work-Compressed Air
Worker 44.01-54.00 psi
$151.53 7A 4V 9B View
King Laborers Tunnel Work-Compressed Air
Worker 54.01-60.00 psi
$157.23 7A 4V 9B View
King Laborers Tunnel Work-Compressed Air
Worker 60.01-64.00 psi
$159.35 7A 4V 9B View
King Laborers Tunnel Work-Compressed Air
Worker 64.01-68.00 psi
$164.45 7A 4V 9B View
King Laborers Tunnel Work-Compressed Air
Worker 68.01-70.00 psi
$166.35 7A 4V 9B View
King Laborers Tunnel Work-Compressed Air
Worker 70.01-72.00 psi
$168.35 7A 4V 9B View
11/8/21, 9:01 AM about:blank
about:blank 4/4
King Laborers Tunnel Work-Compressed Air
Worker 72.01-74.00 psi
$170.35 7A 4V 9B View
King Laborers Tunnel Work-Guage and Lock
Tender
$57.41 7A 4V 8Y View
King Laborers Tunnel Work-Miner $57.41 7A 4V 8Y View
King Laborers Vibrator $55.62 7A 4V 8Y View
King Laborers Vinyl Seamer $54.62 7A 4V 8Y View
King Laborers Watchman $42.08 7A 4V 8Y View
King Laborers Welder $55.62 7A 4V 8Y View
King Laborers Well Point Laborer $55.62 7A 4V 8Y View
King Laborers Window Washer/Cleaner $42.08 7A 4V 8Y View
11/8/21, 9:03 AM about:blank
about:blank 1/1
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.
Apprentice Level Prevailing Wage Rates for King County and Laborers Trade for
the Effective Date: 11/8/2021
Step Occupation Begin
Hours
End
Hours
Apprentice
Wage Holiday Overtime Note
Step 1 Window Washer,Cleaner/Western WA 1 1000 $38.10 7A 4V 8Y
Step 2 Window Washer,Cleaner/Western WA 1001 2000 $42.08 7A 4V 8Y
Step 3 Window Washer,Cleaner/Western WA 2001 3000 $42.08 7A 4V 8Y
Step 4 Window Washer,Cleaner/Western WA 3001 4000 $42.08 7A 4V 8Y
Step 5 Window Washer,Cleaner/Western WA 4001 5000 $42.08 7A 4V 8Y
Step 6 Window Washer,Cleaner/Western WA 5001 6000 $42.08 7A 4V 8Y
Step 1 Laborer/Western WA 1 1000 $38.10 7A 4V 8Y
Step 2 Laborer/Western WA 1001 2000 $42.23 7A 4V 8Y
Step 3 Laborer/Western WA 2001 3000 $46.36 7A 4V 8Y
Step 4 Laborer/Western WA 3001 4000 $48.43 7A 4V 8Y
Step 5 Laborer/Western WA 4001 5000 $50.49 7A 4V 8Y
Step 6 Laborer/Western WA 5001 6000 $52.56 7A 4V 8Y
PURCHASE
AsX
TNVO|CE #
Order Type
Date
Agent
64-09273
New Build Sale
LO/27 /2O2t
Al Schrock
Dealer:
Phone Sales
7595 N National Ave
Chehalis, WA 98532
4064028452
Total
$6,295.O0
SUMMIT
lnvoice from:
Summit Structures Washington
7595 N. National Ave. Ste F
Chehalis, WA 98532
360-797-2937
Description
Utlllty Shed 12x16
Serial Number U912Ie-LO2721-O3A3A
Sldlng: Painted - No Paint, Trlm: Painted - No Paint, Roof: Shingles - Black
6" Utility & Classic Overhang (open Sofflt) ($3-95 / square foot)
8/12 Roof Pltch (On Slte Only) ($2 / square foot)
9'walls
Bulld on stte (no paint). (36 Man hours x $77.77 per hour = $2,800). Prevalllng wage is $64.94 for King County
House Wrap ($2 / square foot)
Material Surcharge
Promo discount on 9' walls 50% off
Remove door
Remove window
Standard Garage Package (9x7 Standard Garage Door)
Todd Dow's signature agrees to the Full Terms and Conditions; including:
1. Driver supplied blocks are $4.5O each.
2. Buildings are not recommended to be raised higherthan 36" from the
ground.
3. Site Preparation is the responsibility of the customer.
4. overage Miles are $3'50/mile for 8' wide units; $4'50lmile for 70' & L2'
units, and $5.00/mile for 14'wide units, and $3.50/mile for all onsite
deliveries.
5. Permits and approvals from local authorlties are the responsibility of the
customer.
6. Any remaining amount due, is agreed upon to be paid in full at the time of
delivery, or at the time of completion of an On Site Build.
7. There will be a $100 administrative charge per item for changes in orders
after 5 business days.
8. Cancellations after 3 business days will result in a cancellation fee of
$300, up to 10% of the price of the building.
9. Summit Structures Washington does not paint or stain on-site, nor is paint
or stain provided for on-site builds.
10. All information given is true and accurate.
Total $L4,464.83
Amount Due Today $3,616.21
Remaining Balance $10,848.62
Ship to:
Todd Dow
24400 Russel Rd
Kent , WA 98032
(206) 430-2057
Quantity
L
L
t
1"
1,
r
L
!
L
I
Subtotal
Taxes
Delivery
$758.40
$384.O0
$764.50
$2,800.00
$384.00
$954.00
-$382.00
-$250.00
-$65.00
$1,495.00
$13,137.90
$1,326.93
FREE
STRUCTUNES OF XASHINGTON
Si8n Date
EXHIBIT A
TERMS AND CONDITIONS OF SALE
Controlling Tems and Condltions.
hereunder.
will be considered stolon and the culprit WLL be prosecut€d to the full extent of the law'
three feet of any other structure or property line'
location or for any particular purpose, and purchaser's inabillty to use or place the portable building(s) sold hereunder in any specific locatlon or manner.
consent may wlthhold for any reason or no reason.
AND VENUE OFTHE UNITED STATES FEDERAL AND STATE COURTS.
dellveredlocatlonthattt'epo,t"ut"ou.iiFinordecayoftreatedmaterialsforthelifeofthebuilding(s),againsttermitelnfestationofalltreated
turther llmited as provided by the Limitation of Liabillty section of thes€ terms and condltlons'
(sELLER DtSCLqtMS ALL OTHER WARRANTTES, tNCLUDtNG WTTHOUT LtM|TAT|ON THE tMPLIED WARRANTTES OF MERCHANTABILIry AND FITNESS FOR A PARTICULAR PURPOSE),
valld, legal and enforceable.
Signature Date
fnsurance
The Contractor shall procure and maintain for the duration of the
Agreement, insuranci against claims for lnjuries to pe.rsons or damage to.
p.ipJrtf *hich may arisE from or in conneition with the performance of the
ivoit ntireunder by'the Contractor, their agents, representatives, employees
or subcontractors.
A. Minimum ScoPe of Insurance
Contractor shall obtain insurance of the types described below:
EXHIBIT B
THSURANCE REQUTREMENTS FoR
CONSTRUCTIbN PROJECTS
1. Commercial General Liability insurance shall be written on
m occurrence foim CA 00 01 and shall cover liability
arising from premises, operations, independent contractors,
products-completed operations, personal inlury and
idvertistng injury, and liability assumed under an insured
contract. ?nd 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
additional insured endorsement CG 20 10 11 85 or a
substitute endorsement providing equivalent coverage.
2. Automobile Liability insurance covering all owned,. non-
ownelthireA and teaseO vehicles. Coverage shall,be written
on Insurance Services Office (I5O) form CA 00 01 or a
substitute form providing equivalent liability coverage. If
nec€ssary, the dolicy shalt Oe endorsed to provide
contractual liabilitY coverage.
3. $lofkers' SoFpensation-covefage- as required. by the
GEustiiat lnsurance laws of the State of Washington.
B. Minimum Amounts of fnsurance
Contractor shall maintain the following insurance limits:
1. Cor0.mercia! General Liabllityinsurance shall be written with
ffi000 each occurrence, $1,000,000
general aggregate and a $1,000,000 products-completed
oPerations aggregate limit.
2. Aqtpmobile-ti-Abllitv insurance with a minimum combined
singfelmitToi bodily injury and property damage of
$1,000,000 per accident.
EXHIBIT B (Continued)
C. Other Insurance Provisions
The insurance policies are to contain, or be endorsed to contain' the following
provisions tor Ruto-moUJie [iaOifity and Commercial General Liability
insurance:
1. The cOntractor's insurance coverage shall be orimgry insu.rance as respect-
tnJCr=iV. AnV lnJuiJni", ieif-insuiance,-or inlurance pool.covergg-t ^-
maintained by the City shall Ue excisi tif ini Contractbr's insurance and
shall not contribute with it.
2. The Contractor's insurance shall be endorsed to state that coverage shall
not be cancelled by either party, elcept after thirty-(30) {ays.priol -, .-
wrinen notice byA;iiiel-d friii, '.eiurn receipt requested, has been given
to the CitY.
3. The City of Kent shall be named as an additional insured on all policies
(except professio-nal LiaUility) .t i"tpigti *oit< performed by or on behalf
:::[ffi "JT^lTgilrJii*"*.'9".".t'.F:#ti&iq,Fii*['$'h:]:1"
Citv reserves tfr-Jtight'to receive a certified'copy. of.all required insurance
illi#;:'iFi ii "iii cioi;s com m Jr.ii r Ee ne.u i [i a ui t itv i niu ra nce sha I I
atso contain r iiuur!-iiiting-*r"t coverJgl s.hall apqly-separately.to each
insured againsi'iiom ;ltini is made or iuit is brought, except with
iutp"iit t-o ihe limits of the insurer's liability'
D. AccePtabilitY of Insurers
Insurance is to be placed with insurers with a current A'M' Best rating of not
less than A:VII'
E. Verification of Coverage
Contractor shall furnish the City with original certificates and a copy,of the
amendatory endorse;;;l;-, inciuOing Ou[ not.necessa-rily limited to the- -,
additional insured ;;;;;#eni, evidencing tne insuranie requirements of
ne-Eontiaitoi uerote 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 tut onti".tors shall be subject to all of the same insurance
requirements as stated herein for the Contractor
if CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
1110512021
PRODUCER
PLG INSURANCE LLC
P.O. BOX 40402
EUGENE, OR 97404
THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
INSURERS AFFORDING COVERAGE NAIC #
INSURED
SUMMIT STRUCTURES OF WASHINGTON
1595 NATIONAL AVE , SUITE F
CHEHALIS, WA 98532
INSURER A: OHIO SECURITY 24082
INSURER B:
INSURER C:
INSURER D:
INSURER E
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWI IHS IANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSUMNCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSI
LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE
NATE /MM/NNPV\
POLICY EXPIRATIOT
DATE IMM/DD/YY}LIMITS
A YES
GEI
x i ffir'[:il"".NERAL L,AB, 1,, Y
l-l "*,rr roo. F-l o""r*
I
BL560 1 80779
0811012021 08t1012022 EACH OCCURRENCE s 1,000,00(
UAMAUE IUKENIEU
PREMISES (Ea occurence)s 1,000,00(
MED EXP (Any one person)s 15,00(
PERSONAL & ADV INJURY $ 1,000,00(
GENERAL AGGREGATE $2,OOU,UU(
GEI
,(
,1'L AGGREGATE LI['IT APPLIES PER:I T---l PRO-lPoLlCYl lrpcr I lLoc
PRODUCTS. COMP/OP AGG $ z,uuu,uu(
$
AU'I
iT""'l:::'*'''*
I o, , n**.n o,,..,"
| ""*.or..o or.n.
| *,*ro or.o.
| *on -o**., orro.
COMBINED SINGLE LIMIT
(Ea accident)$
BODILY INJURY
(Per person)$
BODILY INJURY
(Per accidenl)$
PROPERTY DAN,IAGE
(Per accident)$
GAIIAGE LIABILITY
I o*"orro
AUTO ONLY.EA ACCIDENT $
OTHER THAN
AUTO ONLY:
EA ACC
AGG
$
$
EXCESS/UMBRELLA LIABILITY
I occuR | | cLAtMS MADE
_l
o.rr.r,ur-
I RETENTION $
EACH OCCURRENCE $
AGGREGATE $
$
$
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
lf yes, describe under
SPtrClAl PROVISIONS halow
I WC STATU- I I OTH
I ToRY LIMITS I I ER
E.L. EACH ACCIDENT $
E.L. DISEASE. EA EMPLOYEI $
E.L. DISEASE - POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEIVIENT / SPECIAL PROVISIONS
The certificate holder, City of Kent (WA), is an Additional lnsured, per endorsement CG 8810. This endorsement extends Al status to 3rd parties, when written
contract in place. CG 8810 also contains Primary/Non-contributory language, as well as Waiver of Subrogation.
CIry OF KENT
220 4TH AVE S.
KENT, WA 98032
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATETHEREOF,THEISSUINGINSURERwlLLENDEAVoRToTuo't 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMEO TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATIO'Iq? LNAILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPF{lsilt/JNes. /,/
auf H dAJaED RE P REdf NTATTvE,W4^:-*-
6078ofCOMMERCIAL GENERAL LIABILITY
CG 88 10 04 13
THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY.
COMMERCIAL GENERAL LIABILITY EXTENSION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
6178of60180779002436220
6278of
6378of60180779002436220
6478of
6578of60180779002436220
6678of
6778of60180779002436220
General Business License
2021
License Number 9713493
UBI 6042964740010001
www.FileLocal.org
License is issued for this
application
Expires: 12/31/2021
Licensee:
Summit Structures of Washington, LLC
Summit Structures of Washington, LLC
1595 N National Ave
Chehalis, WA 98532-2217
City of Kent
220 4th Avenue S
Kent, WA 98032
253-856-5200
Kentwa.gov
customerservice@kentwa.gov
City of Kent
Issued: 11/4/2021
Signature:
Email:
Signature:
Email:
Signature:
Email:
Signature:
Email:
japplegate@kentwa.gov
Garin Lee (Nov 9, 2021 11:37 PST)
glee@kentwa.gov
rlashley@kentwa.gov
Melissa McCormick (Nov 15, 2021 10:50 PST)
Melissa McCormick
cityclerk@kentwa.gov
Summit.Structures. Nov2021
Final Audit Report 2021-11-15
Created:2021-11-08
By:Janice Applegate (japplegate@kentwa.gov)
Status:Signed
Transaction ID:CBJCHBCAABAAWZNU2LN-zEgBn5KvCBIdswpyAc_P4QFF
"Summit.Structures. Nov2021" History
Document created by Janice Applegate (japplegate@kentwa.gov)
2021-11-08 - 5:35:49 PM GMT- IP address: 146.129.252.126
Document e-signed by Janice Applegate (japplegate@kentwa.gov)
Signature Date: 2021-11-08 - 5:45:53 PM GMT - Time Source: server- IP address: 146.129.252.126
Document emailed to Garin Lee (glee@kentwa.gov) for signature
2021-11-08 - 5:45:55 PM GMT
Email viewed by Garin Lee (glee@kentwa.gov)
2021-11-09 - 7:36:34 PM GMT- IP address: 146.129.252.126
Document e-signed by Garin Lee (glee@kentwa.gov)
Signature Date: 2021-11-09 - 7:37:18 PM GMT - Time Source: server- IP address: 146.129.252.126
Document emailed to Logan Smith (logan@summitstructures.com) for signature
2021-11-09 - 7:37:21 PM GMT
Email viewed by Logan Smith (logan@summitstructures.com)
2021-11-11 - 6:36:48 PM GMT- IP address: 66.249.84.197
Document e-signed by Logan Smith (logan@summitstructures.com)
Signature Date: 2021-11-11 - 6:43:37 PM GMT - Time Source: server- IP address: 67.204.188.239
Document emailed to Ronald Lashley (rlashley@kentwa.gov) for signature
2021-11-11 - 6:43:43 PM GMT
Email viewed by Ronald Lashley (rlashley@kentwa.gov)
2021-11-12 - 8:47:49 PM GMT- IP address: 73.169.162.193
Document e-signed by Ronald Lashley (rlashley@kentwa.gov)
Signature Date: 2021-11-12 - 9:31:11 PM GMT - Time Source: server- IP address: 73.169.162.193
Document emailed to Brian Levenhagen (bjlevenhagen@kentwa.gov) for signature
2021-11-12 - 9:31:14 PM GMT
Email viewed by Brian Levenhagen (bjlevenhagen@kentwa.gov)
2021-11-15 - 5:26:42 PM GMT- IP address: 146.129.252.126
Document e-signed by Brian Levenhagen (bjlevenhagen@kentwa.gov)
Signature Date: 2021-11-15 - 5:27:32 PM GMT - Time Source: server- IP address: 146.129.252.126
Document emailed to Kim Komoto (kkomoto@kentwa.gov) for signature
2021-11-15 - 5:27:35 PM GMT
Email viewed by Kim Komoto (kkomoto@kentwa.gov)
2021-11-15 - 5:29:35 PM GMT- IP address: 146.129.252.126
Document e-signed by Kim Komoto (kkomoto@kentwa.gov)
Signature Date: 2021-11-15 - 5:30:28 PM GMT - Time Source: server- IP address: 146.129.252.126
Document emailed to Melissa McCormick (cityclerk@kentwa.gov) for signature
2021-11-15 - 5:30:30 PM GMT
Email viewed by Melissa McCormick (cityclerk@kentwa.gov)
2021-11-15 - 6:48:15 PM GMT- IP address: 146.129.252.126
Document e-signed by Melissa McCormick (cityclerk@kentwa.gov)
Signature Date: 2021-11-15 - 6:50:44 PM GMT - Time Source: server- IP address: 146.129.252.126
Agreement completed.
2021-11-15 - 6:50:44 PM GMT