HomeMy WebLinkAboutCAG2022-170 - Original - Combined Cutting Contractors, Inc. dba P&D Tree Service - Tree Removals at The Old Fishing Hole - 05/03/2022ApprovalOriginator: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
Jan Applegate Parks, Recreation & Community Services
04/25/2022 as soon as posible
n/a
10006600.64190.5425
4
4
N/A
Contract
1139397 Original
as soon as possible
Other
05/31/2022
4
4
4
$14,643.30
GL
PUBLIC WORKS AGREEMENT - 1
($20K or Less and No Performance Bond)
PUBLIC WORKS AGREEMENT
between City of Kent and
Combined Cutting Contractors, Inc.
dba P & D Tree Service
THIS AGREEMENT is made by and between the City of Kent, a Washington municipal corporation
(hereinafter the "City"), and Combined Cutting Contractors, Inc. dba P & D Tree Service organized under
the laws of the State of Washington, located and doing business at 20311 SE 240th Street, Maple Valley,
WA 98038. Contact: Chris Power Jr, Phone: (425) 432 -7636 (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 remove two (2) cottonwood trees on the ground, two (2) standing cottonwood
trees and one (1) maple tree hit by the cottonwood tree at the Old Fishing Hole located at
24945 Frager Road South, Kent, WA 98032. Contractor will grind the rootballs and stumps and
remove all debris as described in their Proposal dated 03/09/2022 attached and marked 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 15 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 May 31, 2022. 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 SIX HUNDRED FORTY THREE DOLLARS AND THIRTY CENTS ($14,643.30), 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
PUBLIC WORKS AGREEMENT - 2
($20K or Less and No Performance Bond)
this Program, the Contractor will be solely responsible for any fees imposed by financial institutions or credit
card companies. The Contractor shall not charge those fees back to the City.
A. No Payment and Performance Bond. Because this contract, including applicable sales
tax, is $150,000 or less, and pursuant to Chapter 39.08 RCW, the Contractor, in lieu
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 li ens 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 serv ice 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.
PUBLIC WORKS AGREEMENT - 3
($20K or Less and No Performance Bond)
D. The Contractor is responsible for filing as they become due all necessary tax
documents with appropriate federal and state agencies, including the Internal Revenue
Service and the state Department of Revenue.
E. The Contractor has registered its business and established an account with the state
Department of Revenue and other state agencies as may be required by the
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. 18.2 7 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 bankrupt.
F. The Contractor’s breach of any portion of this Agreement.
If the City terminates this Agreement for good cause, the Contractor shall not receive any further
money due under this Agreement until the Contract work is completed. After termination, the City may
take possession of all records and data within the Contractor’s possession pertaining to this project which
may be used by the City without restriction.
VI. PREVAILING WAGES. The Contractor shall file a “Statement of Intent to Pay Prevailing
Wages,” with the State of Washington Department of Labor & Industries prior to commencing the Contract
work. The Contractor shall pay prevailing wages in effect on the date the bid is accepted or executed by
the Contractor, and comply with Chapter 39.12 of the Revised Code of Washington, as well as any other
applicable prevailing wage rate provisions. The latest prevailing wage rate revision issued by th e
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 ag reement with
the Contractor on all equitable adjustments. However, if the parties are unable to agree, the City will
determine the equitable adjustment as it deems appropriate. The Contractor shall proceed with the change
order work upon receiving either a written change order from the City or an oral order from the City before
actually receiving the written change order. If the Contractor fails to require a change order within the time
specified in this paragraph, the Contractor waives its right to make any claim or submit subsequent change
PUBLIC WORKS AGREEMENT - 4
($20K or Less and No Performance Bond)
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.
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 c hange 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 i ncurred 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. Excep t as expressly contemplated by this section, all other costs will be
borne by the Contractor.
IX. CLAIMS. If the Contractor disagrees with anything required by a change order, another
written order, or an oral order from the City, including any direction , instruction, interpretation, or
determination by the City, the Contractor may file a claim as provided in this section. The Contractor shall
give written notice to the City of all claims within fourteen (14) calendar days of the occurrence of the events
giving rise to the claims, or within fourteen (14) calendar days of the date the Contractor knew or should
have known of the facts or events giving rise to the claim, whichever occurs first . Any claim for damages,
additional payment for any reason, or extension of time, whether under this Agreement or otherwise, shall
be conclusively deemed to have been waived by the Contractor unless a timely written claim is made in
strict accordance with the applicable provisions of this Agreement.
At a minimum, a Contractor's written claim shall include the information set forth in subsections A,
items 1 through 5 below.
FAILURE TO PROVIDE A COMPLETE, WRITTEN NOTIFICATION OF CLAIM WITHIN
THE TIME ALLOWED SHALL BE AN ABSOLUTE WAIVER OF ANY CLAIMS ARISING IN
ANY WAY FROM THE FACTS OR EVENTS SURROUNDING THAT CLAIM OR CAUSED BY
THAT DELAY.
PUBLIC WORKS AGREEMENT - 5
($20K or Less and No Performance Bond)
A. Notice of Claim. Provide a signed written notice of claim that provides the following
information:
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 t he
Contractor's records needed for evaluating the protest.
The City will evaluate all claims, provided the procedures in this section are followed. If the
City determines that a claim is valid, the City will adjust payment for work or time by an
equitable adjustment. No adjustment will be made for an invalid protest.
C. Contractor's Duty to Complete Protested Work. In spite of any claim, the Contractor shall
proceed promptly to provide the goods, materials and services required by the City under this
Agreement.
D. Failure to Protest Constitutes Waiver. By not protesting as this section provides, the
Contractor also waives any additional entitlement and accepts from the City any written or
oral order (including directions, instructions, interpretations, and determination).
E. Failure to Follow Procedures Constitutes Waiver. By failing to follow the procedures of this
section, the Contractor completely waives any claims for protested work and accepts from the
City any written or oral order (including directions, instructions, interpretations, and
determination).
X. LIMITATION OF ACTIONS. CONTRACTOR MUST, IN ANY EVENT, FILE ANY LAWSUIT
ARISING FROM OR CONNECTED WITH THIS AGREEMENT WITHIN 120 CALENDAR DAYS FROM THE DATE
THE CONTRACT WORK IS COMPLETE OR CONTRACTOR’S ABILITY TO FILE THAT CLAIM OR SUIT SHALL BE
FOREVER BARRED. THIS SECTION FURTHER LIMITS ANY APPLICABLE STATUTORY LIMITATIONS PERIOD.
XI. WARRANTY. The Contractor warrants that it will faithfully and satisfactorily perform all work
provided under this Agreement in accordance with the provisions of this Agreement. The Contractor shall
promptly correct all defects in workmanship and materials: (1) when the Contractor knows or should have
known of the defect, or (2) upon the Contractor’s receipt of notification from the City of the existence or
discovery of the defect. In the event any parts are repaired or replaced, only original replacement parts
shall be used—rebuilt or used parts will not be acceptable. When defects are corrected, the warranty for
that portion of the work shall extend for an additional year beyond the original warranty period applicable
to the overall work. The Contractor shall begin to correct any defects within seven (7) calendar days of its
receipt of notice from the City of the defect. If the Contractor does not accomplish the corrections within a
reasonable time as determined by the City, the City may complete the corrections and the Contractor shall
pay all costs incurred by the City in order to accomplish the correction.
XII. DISCRIMINATION. In the hiring of employees for the performance of work under this
Agreement or any sub-contract, the Contractor, its sub-contractors, or any person acting on behalf of the
Contractor or sub-contractor shall not, by reason of race, religion, color, sex, age, sexual orientation,
national origin, or the presence of any sensory, mental, or physical disability, discriminate against any
person who is qualified and available to perform the work to which the employment relates.
PUBLIC WORKS AGREEMENT - 6
($20K or Less and No Performance Bond)
The Contractor shall execute the attached City of Kent Equal Employment Opportunity Policy
Declaration, Comply with City Administrative Policy 1.2, and upon completion of the contract work, file the
attached Compliance Statement.
XIII. INDEMNIFICATION. The Contractor shall defend, indemnify and hold the City, its officers,
officials, employees, agents and volunteers harmless from any and all claims, injuries, damages, losses or
suits, including all legal costs and attorney fees, arising out of or in connection with the Contractor's
performance of this Agreement, except for that portion of the injuries and damages caused by the City's
negligence.
The City's inspection or acceptance of any of the Contractor's work when completed shall not be
grounds to avoid any of these covenants of indemnification.
Should a court of competent jurisdiction determine that this Agreement is subject to RCW 4.24.115,
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 IMMUNI TY 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
PUBLIC WORKS AGREEMENT - 7
($20K or Less and No Performance Bond)
and jurisdiction of the King County Superior Court, King County, Washington, unless the parties agree in
writing to an alternative dispute resolution process. In any claim or lawsuit for damages arising from the
parties' performance of this Agreemen t, each party shall pay all its legal costs and attorney's fees incurred
in defending or bringing such claim or lawsuit, including all appeals, in addition to any other recovery or
award provided by law; provided, however, nothing in this paragraph shall be construed to limit the City's
right to indemnification under Section XI II of this Agreement.
D.Written Notice. All communications regarding this Agreement shall be sent to the parties at
the addresses listed on the signature page of t he Agreement, unless notified to the contrary. Any written
notice hereunder shall become effective three (3) business days after the date of mailing by registered or
certified mail, and shall be deemed sufficiently given if sent to the addressee at the ad dress 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 Agreemen t 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:________________________
Its: ______________________________
NOTICES TO BE SENT TO:
CONTRACTOR:
Chris Powell Jr.
Combined Cutting Contractors, Inc.
dba P & D Tree Service
20311 SE 240th Street
Maple Valley, WA 98038
(425) 432-7636 or
(877) 766-4882 (telephone)
(425) 413-7991 (facsimile)
NOTICES TO BE SENT TO:
CITY OF KENT:
Quientin Poil, Parks West Operations Supervisor
City of Kent
220 Fourth Avenue South
Kent, WA 98032
(253)856-5127 (telephone)
(253)856-6120 (facsimile)
ATTEST:
Kent City Clerk
Chris Powell (May 2, 2022 09:18 PDT)
Chris Powell
Chris Powell
Vice President
05/02/2022
Brian Levenhagen (May 3, 2022 09:06 PDT)
Brian Levenhagen
Deputy Director
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: ________________________________________
Chris Powell (May 2, 2022 09:18 PDT)
Chris Powell
Combined Cutting Contractors Inc DBA P n D Logging & Tree Service
Vice President
05/02/2022
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 (March 9, 2022), 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.
Combined Cutting Contractors, Inc.
dba P & D Tree Service
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.
Chris Powell (May 2, 2022 09:18 PDT)
Chris Powell
Chris Powell
Vice President
05/02/2022
Maple Valley, Washington
4/25/22, 11:58 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: 4/25/2022
*Risk
County
Trade
Job Classification
Wage
Holiday Overtime Note
Class
King
Laborers
Air, Gas Or Electric Vibrating
$54.62
15J
4V
8Y
View
Screed
King
Laborers
Airtrac Drill Operator
$56.31
15J
4V
8Y
View
King
Laborers
Ballast Regular Machine
$54.62
15J
4V
8Y
View
King
Laborers
Batch Weighman
$46.29
15J
4V
8Y
View
King
Laborers
Brick Pavers
$54.62
15J
4V
8Y
View
King
Laborers
Brush Cutter
$54.62
15J
4V
8Y
View
King
Laborers
Brush Hog Feeder
$54.62
15J
4V
8Y
View
King
Laborers
Burner
$54.62
15J
4V
8Y
View
King
Laborers
Caisson Worker
$56.31
15J
4V
8Y
View
King
Laborers
Carpenter Tender
$54.62
15J
4V
8Y
View
King
Laborers
Cement Dumper -paving
$55.62
15J
4V
8Y
View
King
Laborers
Cement Finisher Tender
$54.62
15J
4V
8Y
View
King
Laborers
Change House Or Dry Shack
$54.62
15J
4V
8Y
View
King
Laborers
Chipping Gun (30 Lbs. And
$55.62
15J
4V
8Y
View
Over)
King
Laborers
Chipping Gun (Under 30 Lbs.)
$54.62
15J
4V
8Y
View
King
Laborers
Choker Setter
$54.62
15J
4V
8Y
View
King
Laborers
Chuck Tender
$54.62
15J
4V
8Y
View
King
Laborers
Clary Power Spreader
$55.62
15J
4V
8Y
View
King
Laborers
Clean-up Laborer
$54.62
15J
4V
8Y
View
King
Laborers
Concrete Dumper/Chute
$55.62
15J
4V
8Y
View
Operator
King
Laborers
Concrete Form Stripper
$54.62
15J
4V
8Y
View
King
Laborers
Concrete Placement Crew
$55.62
15J
4V
8Y
View
King
Laborers
Concrete Saw Operator/Core
$55.62
15J
4V
8Y
View
Driller
King
Laborers
Crusher Feeder
$46.29
15J
4V
8Y
View
King
Laborers
Curing Laborer
$54.62
15J
4V
8Y
View
King
Laborers
Demolition: Wrecking Et Moving
$54.62
15J
4V
8Y
View
(Incl. Charred Material)
about:blank 1 /4
4/25/22, 11:58 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
15J
4V
8Y
View
$56.31
15J
4V
8Y
View
$55.62
15J
4V
8Y
View
$54.62
15J
4V
8Y
View
$54.62
15J
4V
8Y
View
$54.62
15J
4V
8Y
View
$54.62
15J
4V
8Y
View
$55.62
15J
4V
8Y
View
$54.62
15J
4V
8Y
View
$46.29
15J
4V
8Y
View
$54.62
15J
4V
8Y
View
$54.62
15J
4V
8Y
View
$54.62
15J
4V
8Y
View
$57.31
15J
4V
8Y
View
$54.62
15J
4V
8Y
View
$54.62
15J
4V
8Y
View
$55.62
15J
4V
8Y
View
$54.62
15J
4V
8Y
View
$56.31
15J
4V
8Y
View
$55.62
15J
4V
8Y
View
$54.62
15J
4V
8Y
View
$56.31
15J
4V
8Y
View
$55.62
15J
4V
8Y
View
$55.62
15J
4V
8Y
View
$54.62
15J
4V
8Y
View
$55.62
15J
4V
8Y
View
$54.62
15J
4V
8Y
View
$55.62
15J
4V
8Y
View
$57.31
15J
4V
8Y
View
$55.62
15J
4V
8Y
View
$46.29
15J
4V
8Y
View
$57.31
15J
4V
8Y
View
$55.62
15J
4V
8Y
View
$55.62
15J
4V
8Y
View
$55.62
15J
4V
8Y
View
$55.62
15J
4V
8Y
View
$54.62
15J
4V
8Y
View
$56.31
15J
4V
8Y
View
about:blank 2/4
4/25/22, 11:58 AM
about:blank
King
Laborers
Powderman's Helper
$54.62
15J
4V
8Y
View
King
Laborers
Power Jacks
$55.62
15J
4V
8Y
View
King
Laborers
Railroad Spike Puller - Power
$55.62
15J
4V
8Y
View
King
Laborers
Raker - Asphalt
$57.31
15J
4V
8Y
View
King
Laborers
Re-timberman
$56.31
15J
4V
8Y
View
King
Laborers
Remote Equipment Operator
$55.62
15J
4V
8Y
View
King
Laborers
Rigger/Signal Person
$55.62
15J
4V
8Y
View
King
Laborers
Rip Rap Person
$54.62
15J
4V
8Y
View
King
Laborers
Rivet Buster
$55.62
15J
4V
8Y
View
King
Laborers
Rodder
$55.62
15J
4V
8Y
View
King
Laborers
Scaffold Erector
$54.62
15J
4V
8Y
View
King
Laborers
Scale Person
$54.62
15J
4V
8Y
View
King
Laborers
Sloper (Over 20")
$55.62
15J
4V
8Y
View
King
Laborers
Sloper Sprayer
$54.62
15J
4V
8Y
View
King
Laborers
Spreader (Concrete)
$55.62
15J
4V
8Y
View
King
Laborers
Stake Hopper
$54.62
15J
4V
8Y
View
King
Laborers
Stock Piler
$54.62
15J
4V
8Y
View
King
Laborers
Swinging Stage/Boatswain
$46.29
15J
4V
8Y
View
Chair
King
Laborers
Tamper Et Similar Electric, Air
$55.62
15J
4V
8Y
View
Et Gas Operated Tools
King
Laborers
Tamper (Multiple Et Self-
$55.62
15J
4V
8Y
View
propelled)
King
Laborers
Timber Person - Sewer (Lagger,
$55.62
15J
4V
8Y
View
Shorer Et Cribber)
King
Laborers
Toolroom Person (at Jobsite)
$54.62
15J
4V
8Y
View
King
Laborers
Topper
$54.62
15J
4V
8Y
View
King
Laborers
Track Laborer
$54.62
15J
4V
8Y
View
King
Laborers
Track Liner (Power)
$55.62
15J
4V
8Y
View
King
Laborers
Traffic Control Laborer
$49.50
15J
4V
9C
View
King
Laborers
Traffic Control Supervisor
$52.45
15J
4V
9C
View
King
Laborers
Truck Spotter
$54.62
15J
4V
8Y
View
King
Laborers
Tugger Operator
$55.62
15J
4V
8Y
View
King
Laborers
Tunnel Work -Compressed Air
$142.82
15J
4V
9B
View
Worker 0-30 psi
King
Laborers
Tunnel Work -Compressed Air
$147.85
15J
4V
9B
View
Worker 30.01-44.00 psi
King
Laborers
Tunnel Work -Compressed Air
$151.53
15J
4V
9B
View
Worker 44.01-54.00 psi
King
Laborers
Tunnel Work -Compressed Air
$157.23
15J
4V
9B
View
Worker 54.01-60.00 psi
King
Laborers
Tunnel Work -Compressed Air
$159.35
15J
4V
9B
View
Worker 60.01-64.00 psi
King
Laborers
Tunnel Work -Compressed Air
$164.45
15J
4V
9B
View
Worker 64.01-68.00 psi
King
Laborers
Tunnel Work -Compressed Air
$166.35
15J
4V
9B
View
Worker 68.01-70.00 psi
King
Laborers
Tunnel Work -Compressed Air
$168.35
15J
4V
9B
View
Worker 70.01-72.00 psi
about:blank
3/4
4/25/22, 11:58 AM
about:blank
King
Laborers
Tunnel Work -Compressed Air
$170.35
15J
4V
9B
View
Worker 72.01-74.00 psi
King
Laborers
Tunnel Work-Guage and Lock
$57.41
15J
4V
8Y
View
Tender
King
Laborers
Tunnel Work -Miner
$57.41
7A
4V
8Y
View
King
Laborers
Tunnel Work -Miner
$57.41
15J
4V
8Y
View
King
Laborers
Vibrator
$55.62
15J
4V
8Y
View
King
Laborers
Vinyl Seamer
$54.62
15J
4V
8Y
View
King
Laborers
Watchman
$42.08
15J
4V
8Y
View
King
Laborers
Welder
$55.62
15J
4V
8Y
View
King
Laborers
Well Point Laborer
$55.62
15J
4V
8Y
View
King
Laborers
Window Washer/Cleaner
$42.08
15J
4V
8Y
View
about:blank 4/4
Gonblned Gutting Gontractors, Inc.MEMBER ot BBB PROPOSATBetter
Business
Bureau
D.B.A. P&D Tree Service
(4251432-7636. 1-877-766-4882 . Fax (425) 413-7991
Lic.# CCPNDLOLTsGTQQ ' UBI 601-439-180
Ask about our low impact
crane removal program!
www.panddtreeservice.com Visa / Mastercard
panddlogging@comcast.net Fully Insured and Bonded
Customer Name:
HOMEADDRESS:'2,p1q L{ g.
WORK PHONE:t aWzCITY I ZIP:
FAX:lz.1 [3'VCELL:E-MAIL:
fr^$.cL{t
We hereby submit specifications and estimate for:
1).
2).
3).
4).
s).
6).
1).
8).
c<>'l4<rr^,.'o oJJ
r^aple h'T bl
"l"d noolh"lls Fs bpt /{J
C)^ qlatn I + !s F,-.JL: co!-lzns I
c otlor,roo\
d f-Tax
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5-Oo Pl4i4
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10).
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Deflnitions: Permits are the responsibility of the customer, and shall hold P&D Tlee Service harrnless. Removal means taking of
something down, never does it refer to hauling or stump grinding. Stump grinding and wood removal are separate charges.
Firewood means rounds; to be left where cut-up. Any moving would be additional charges. If logs are taken, firewood means
anything too small to go on the truck and too big for the chipper
Signature Date
Please see terms and conditions on back REV 01/21
EXHIBIT A
EXHIBIT B
TNSURANCE REQUTREMENTS FOR
SERVICE CONTRACTS
Insurance
The Contractor shall procure and maintain for the duration of the Agreement,
insurance against claims for injuries to persons or damage to pro.perty which
may arise from or in connectioh with the performance of the work hereunder
by the Contractor, their agents, representatives, employees or
subcontractors,
A. Minimum Scope of Insurance
Contractor shall obtain insurance of the types described below:
1, Commercial General Liability insurance shall be written on
ISO occurrence form CG 00 01 and shall cover liability
arising from premises, operations, independent contractors,
products-completed operations, personal injury and
advertising injury, and liability assumed under an insured
contract, tfre City shall be named as an insured under the
Contractor's Commercial General Liability insurance policy
with respect to the work performed for the City using ISO
additional insured endorsement CG 20 10 11 85 or a
substitute endorsement providing equivalent coverage.
2. Automobile Liability insurance covering all owned, non-
owned, hired and leased vehicles. Coverage shall be written
on Insurance Services Office (ISO) form CA 00 01 or a
substitute form providing equivalent liability coverage. If
necessary, the policy shall be endorsed to provide
contractual liabilitY coverage.
3. Workers'Compensation coverage as required by the
Industrial Insurance laws of the State of Washington.
B. Minimum Amounts of Insurance
Contractor shall maintain the following insurance limits:
1. Commercial General Liability insurance shall be written with
limits no less than $1,000,000 each occurrence, $1,000,000
general aggregate and a $1,000,000 products-completed
operations aggregate limit.
2. Automobile Liability insurance with a minimum combined
single limit for bodily injury and property damage of
$1,000,000 per accident.
EXHIBIT B (Continued)
C. Other Insurance Provisions
The insurance policies are to contain, or be endorsed to contain, the following
provisions for Automobile Liability and Commercial General Liability
insurance:
1. The Contractor's insurance coverage shall be primary insurance as respect
the City. Any Insurance, self-insurance, or insurance pool coverage
maintained by the City shall be excess of the Contractor's insurance and
shall not contribute with it.
2. The Contractor's insurance shall be endorsed to state that coverage shall
not be cancelled by either PartY, except after thirty (30) days.prior
written notice by certified mail, return receipt requested, has been given
to the City.
3. The City of Kent shall be named as an additional insured on all policies
(except Professional Liability) as respects work performed.by 9r on behalf
df 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
policies. The Contractor's Commercial General Liabil.ity insurance shall
blso contain a clause stating that coverage shall apply separately to each
insured against whom claim is made or suit is brought, except with
respects to the limits of the insurer's liability.
D. Acceptability of Insurers
Insurance is to be placed with insurers with a current A.M. Best rating of not
less than A:VII.
E. Verification of Coverage
Contractor shall furnish the City with original certificates and a copy of the
amendatory endorsements, including but not necessarily limited to the
additional 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.
CERTIFICATE OF LIABILITY INSURANCE
CERTIFIGATE NUMBER:NUMBER:
DATE (MM/DD/YYYY)
4/22/2022
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR AL
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
THHOLDER,tsRIGHTSNOTHEUPONERTIFICATEcINFORMAOFONLTIONANYCONFERSDISSUEDtsAASTTERMACERTIFICATETHISBYAFFORDEDETHPOLTClESTHETERCOVERAGE
AUTHORIZEDTHEISSUINGBETWEENrNsuRER(S),
ons or endorsed.holder an
may requlre an endorsement. A statement ontheofcertainNWAIVEsuthetoandtermsconditionspoliciesSUBROGATIOrsD,pollcyttfbject
must
to the certificate holder in lieu of suchthis certificate does not confer
NAIC #AFFORDING COVERAGE
24856rNsLrRERA: ADMIRAL INSURANCE CO
Agent: Rob Balderas
12918 Mukilteo Speedway Ste C-23 PMB 603
Lynnwood,wA 98087-5125
35378tNsuRER B: EVANSTON INS CO
45055rNsuRER c : ASCOT SPECIAITY INSURANCE CO
INSURER D :
INSURER E:
Fi
Cornbined Cutting Contractors, Inc. and P'n'D Tree Service
203 il SE 240TH ST
wA 98038-86r8MAPLE VALLEY
INSUEED
TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS
IONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
iltounc9OF
EXCLUS
ABOVE FOR THE POLICY PERIODIN|jURANUts LI:; I bIJ btsL(JVV HAVE t'trEl\ISSUED TO THETHIS IS TO CERTIFY THAT THE POLICIbS
INDICATED. NOTWITHSTANDING ANY REOUIREMENT,
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE
IMM'DD/YYYYI LIMIT9FVttut cra(MM/DD/YYYY}INSD \ rvD POLICY NUMBERLTRTYPE OF INSURANCE
I,000,000$EACH OCCURRENCE
$300,000UAIVAUE IVAEI\IEU
PREMISES (Ea occurone)
MED EXP (Any one person)s,000$
PERSONAL & ADV INJURY I,000,000$
$2,000,000GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG 2,000,000$
$
il/09/2021 tt/09/2022YcA000040031-02
COMMERCIAL GENERAL LIABILTTY
cLArMs-MAoE l-rlo""r*
GEN'L AGGREGATE LIMIT APPLIES PER:
PoLrcY [X| !ffii l-lto.
OTHER;
A
1,000,000$
BODTLY INJURY (Per person)$
BODILY INJURY (Per accident)$
$
$
luoqD02t 1t/09/2022YESAL2I r 0000563-01
ANY AUTO
OWNED
AUTOS ONLY
HIRED
AUTOS ONLY ONL
LIABILITY
SCHEDULED
AUTOSC
EACH OCCURRENCE $4,000,000I
$4,000,000AGGREGATE
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS.MADE
$
t1/09/2021 tt/0912022YEZXS3064085
DED RETENTION $
B
TEN
STATUTE x ER WA STOP GAP
I,000,000$E.L. EACH ACCIOENT
r,000,000$E.L. DISEASE - EA EMPLOYEE
1,000,000$
n/09t2022
E.L. DISEASE - POLICY LIMIT
cA00004003 1 -02 nt09/2021N/AA
EMPLOYERS'LIABILITY
N
NH}
under
oF oPERATIONS below
Y/N
describe
in
Re: Project located at the Old Fishing Holc 24945 Frager Road South' Kent, WA 98032
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Addltlonal Remarks Schedule, may be attsched if more space is required)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANGELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS,City of Kent
AUTHORIZED REPRESEI.ITATIVE
To\qd M,W^U
220 Fourth Avcnue South
, Kcnt, WA 98032
@ 1988-2015 ACORD CORPORATION. All rights reserved'
cG 20 10 12 19
Policy Number: CA000040031 -02
Dale'. 11lOQl2O21
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON
OR ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s)
Or Organization(s)
Location(s) Of Covered Operations
Any person or organization that is an owner, lessor or
manager ofreal properfy or personal property on
which you are performing ongoing operations, or a
contractor on whose behalf you are performing ongo-
ing operations, but only ifcoverage as an additional
insured is required by a written contract or written
agreement that is an "insured contract", and provided
the "bodily injury" or'property damage" first occurs,
or the "personal and advertising injury" offense is first
commiff€-d, subsequent to. the,-execution ofthe contract
or agreement.
All locations at which the Named Insured is pcrform-
ing ongoing operations.
Informatiort required to complete this Schedule, if not shown above, will be shown in the Declarations.
cG 20 10 12 19 @ lnsurance Services Office, lnc., 2018 Pagetot? tr
A. Section ll - Who ls An lnsured is amended to include as an additional insured the person{s) or
oiganization(s) shown in the Schedule, but only with respectto liability for "bodily injury", "property
dainage" or'ipersonal and advertising injury" caused, in whole or in part, by:
our acts or omissio ns: or1.Y
, - ---- - !, The aets erenligsi
in the performance of your ongoing operations for the additional insured(s) at the location(s) designated
above.
However;
1. The insurance afforded to such additional insured only applies to the extent permitted by law; and
2. lf coverage provided to the additional insured is required by a contract or agreement, th.q insurance
afforded"to such additional insured will not be broader than that which you are required by the contract
or agreement to provide for such additional insured.
B. With respect to the insurance afforded to these additional insureds, the following additional exclusions
apply;
This insurance does not apply to "bodily injury" or "property damage" occurring after:
l. All work, including materials, parts or equipment furnished in connection with such work, on the projqg!
(other than servici, maintenance or repairi) to be performed.by or on behalf of the additional insured(s)
at the location of the covered operations has been completed; or
2. That portion of "your work" out of which the injury or damage arises has been put to. its intended use by
any person or organization other than another tontractor or subcontractor engaged in performing
operations for a principalas a part of the same project'
C. With respect to the insurance afforded to these additional insureds, the following is added to Section lll -
Limits Of lnsurance:
lf coverage provided to the additional insured is required by a contract or agreement, the most we will pay
on behalf of the additional insured is the amount of insurance:
1. Required by the contract or agreement; or
2. Available under the applicable limits of insurance;
whichever is less.
This endorsement shall not increase the applicable limits of insurance.
cG 20 10 12 19 @ lnsurance Services Office, lnc., 2018 Page2ot2 tr
cG20371219
Policy Number: CAO00040031 -02
Effective D ate: I 1 lQ9 I 2O21
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFUTLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - COMPLETED OPERATIONS
This endorsement modifies insurance provided under the following
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETE D OP E RATIONS LIABI LITY COVERAG E PART
SCHEDULE
A. Section ll - Who ls An lnsured is amended to include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property
dai'nage" caused, in whole or in part, by "your work" at the location designated and described in the
Schedlle of this endorsement performid for that additional insured and included in the "products-
completed operations hazard ".
Name Of Additional Insured Person(s)
Or Organization(s)
Location And Description Of
Completed Operations
Any person or organization that is an owner, lessee or
manager of real property or personal property for
whom you work or have worked, or a contractor on
whose behalf you work or have worked, but only if
coverage as an additional insured extending to "bodily
injury" or "property damage" included in the
"products-completed operations hazard" is required
by a written contract or written agreement that is an
"insured contract" and provided that the "bodily
injury" or "property damage" first occurs subsequent
to the execution of the contract or agreement.
All locations except locations where "your work" is or
was related to a job or project involving single-family
dwellings, multi-family dwellings (other than rental
apartments in an apartment building: (a) originally
constructed and at all times used for such purpose, or
(b) converted from a commercialbuilding),
condominiums, townhomes, townhouses, time-share
units, fractional-ownership units, cooperatives and/or
any other structure or space used or intended to be
used as a residence.
Information required to complete this Schedule, if not shown above, will be shown in the Declarations
n9wevgr:
cG20?7 L2t9 O lnsurance Services Office, lnc., 2018 Pagelof2 tr
1. The insurance afforded to such additional insured only applies to the extent permitted by law; and
2. lf coverage provided to the additional insured is required by a contract or agreement, the insurance
afforded to iuch additional insured will not be broader than that which you are required by the contract
Limits Of Insurance:
lf coverage provided to the additional insured is required by a contract or agreement, the most we will pay
on behalf of the additional insured is the amount of insurance:
1. Required by the contract or agreement; or
2. Available under the applicable limits of insurance;
whichever is less.
This endorsement shall not increase the applicable limits of insurance.
cG 20 37 t2 Lg @ lnsurance Services Office, lnc., 2018 PaEe2 of 2
PRIMARY AND NONCONTRIBUTORY -
OTHER INSURANCE CONDITION
(lnsurance Services Office Endorsement CG 20 01 0413)
Primary And Noncontributory lnsurance
This insurance is primary to and will not seek contribution from any other insurance available to an additional
insured under your policy provided that:
(1) The additional insured is a Named Insured under such other insurance; and
(2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek con'
tribution from any other insurance available to flre additional insured.
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US
(lnsurance Services Office Endorsement CG 24 04 05 091
SCHEDULE
Name Of Person Or Organization:
Any person or organization, but only if the following conditions are met;
(l) You have expressly agreed to the waiver in a written contract; and
(2) The injury or damage fir'st occurs subsequent to the execution of the written contract,
lnformation required to complete this Schedule, if not shown above, will be shown in the Declarations
The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section lV - Con'
ditions:
We waive any right of recovery we may have against the person or organization shown in the Schedule above
because of payments we make for injury or damage arising out of your ongoing operations or "your work" done
under a contract with that person or organization and included in the "products-completed operations hazard".
This waiver applies only to the person or organization shown in the Schedule above.
AD G8 gg Ol t7 lncludes copyrighted material of lnsurance Services Office, lnc., Page 5 of 13 tr
with its permission, 2009,2012 & 2013.
POLICY NUMBER: ESAL2110000563-01 COMMERCIAL AUTO
cA 20 48 10 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
COVERED AUTOS LIABILITY COVERAGE
This endorsement modifies insurance provided under the following
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Forrn apply unless
modified by this endorsement.
This endorsement identifies person(s) or organization(s)who are "insureds" for Covered Autos Liability Coverage
under the Who ls An lnsured provision of the Coverage,Form. This endorsemenl dses not-alter coverage
provided in the Coverage Form.
This endorsement changes the policy effective on the inception date of the policy unless another date is indicated
below.
Named lnsured COMBINED CUTTING CONTRACTORS INC
EndorsementEffectiveDate: 1110912021
SCHEDULE
Name Of Person(s) Or O
Any person(s) or organization(s)
rganization(s):
operations when you and such person or organization havefor whom you are performing
agreed in writing in a contract or agreement lhat such person or organization be added as an additional insured on your
policy. The written contract or agreement must be signed by both parties prior to the "accident" or the "loss
lnformation to ts if not shown above will shown in the Declarations.
Each person or organization shown in the Schedule is
an "insured" for Covered Autos Liability Coverage, but
only to the extent that person or organizalion qualifies
as an "insured" under the Who ls An lnsured
provision contained in Paragraph A.1. of Section ll -
Covered Autos Liability Coverage in the Business
Auto and Motor Carrier Coverage Forms and
Paragraph D.2. of Section ! - Qovgred Autos
ebVe-rages oTihe Auto DeEIers Coverage Form.
Policy Number: ESAL21 10000563-01
COMMERCIAL AUTO
cA 0449 11 16
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the following
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless
modified by the endorsement.
A. The following is added to the Other lnsurance
Condition in the Business Auto Coverage Form
ahd the Othef lhstlrahc6 - Piiinaly And Excess
lnsurance Provisions in the Motor Carrier
Coverage Form and supersedes any provision to
the contrary:
This Coverage Form's Covered Autos Liability
Coverage is primary to and will not seek
contribution from any other insurance available to
an "insured" under your policy provided that:
1.. Such "insured" is a Named lnsured under such
other insurance; and
2. You have agreed in writing in a contract or
agreement that this insurance would be
primary and would not seek contribution from
any other insurance available to such
"insured",
B. The following is added to the Other lnsurance
Condition in the Auto Dealers Coverage Form and
Supersede5 anl pioVi5ioh to the contrary:
This Coverage Form's Covered Autos Liability
Coverage and General Liability Coverages are
primary to and will not seek contribution from any
other insurance available to an "insured" under
your policy provided that:
l. Such "insured" is a Named lnsured under such
other insurance; and
2. You have agreed in writing in a contract or
agreement that this insurance would be
piimary and would not seek contribution from
any other insurance available to such
"insurgd",
cA 04 49 11 16 @ lnsura nce Office. lnc..2016 Paoe 1 of I
Home (/) / Basic Information
Legal Entity Name
UBI License Type Reissuance Application Id License Number Application Status
Combined Cutting Contractors Inc 6014391800010002 BLOC
2463 2150498 (2022) Issued Al
Basic Information (/Basiclnformation/Index?idType=2&encryptedld=917U4g612KZADxcwewf42g3LLpK993LLpK99)
Business Information (/Businesslnformation/Index?idType=2&encryptedld=917U4g612KZADxcwewf42g3LLpK993LLpK99)
Payment (/Payment/Index?idType=2&encryptedld=917U4g612KZADxcwewf42g3LLpK993LLpK99)
Review (/Review?idType=2&encryptedld=917U4g612KZADxcwewf42g3LLpK993LLpK99)
Notes (/AdminNotes?idType=2&encryptedld=917U4g612KZADxcwewf42g3LLpK993LLpK99)
Business Name
Combined Cutting Contractors Inc
Trade Name (DBAs)
P n D Logging & Tree Service
Address Type
♦Add Business/Mailing Address
Address
City State Postal Code Parcel Number
Address Type
Main Business Address
Main Mailing Address
♦Add Business/Mailing Address
Email Address *
panddlogging@comcast.net
Phone Number
425-432-7636
Unified Business Identifier
6014391800010002
Legal Entity Type
Corporation
Non -Profit
No
Naics Code *
113310 - Logging
Address
City
State
Postal Code
20311 SE 240th St
Maple Valley
WA
98038-8618
20311 SE 240th St
Maple Valley
WA
98038-8618
Parcel Number
v
v
Type of Business *
❑ Wholesaling
O
Retailing
❑
Service & Other
O Manufacturing
O
Construction
O
Govt.
❑ Transp./Commun./Util.
❑
Finance/Insur./RE
❑
Education
❑ Health Industry
❑
Sales/Mktg
❑
Rental Housing
❑ Hotel/Motel/Lodge
❑
Nonprofit
Cl
Professional Services
❑ Publishing/Printing
❑
Adult Family Home
❑
Day Care
❑ Short Term Rentals
❑
Communal Residence
❑
Group Home
❑ Food Service
❑
Mobile Business
❑
Other
Total # of Full -Time employees (including working owners) *
13
Total # of Part-time employees *
Co
Business Description *
Tree Removal, Stump Grinding. Thinning pruning windsailing
l
Estimated Annual Gross Income in Kent: *
$2,001 - $200,000 v
Title Name Address City State Postal Code Email
Contact Chris Powell 20311 SE 240th St Maple Valley WA 98038-8618 panddlogging@comcast.net (mailto:panddlogging@comcast.net)
Does your business generate, collect, transport and dispose of wastewater? *
No
v
Kent Open Date *
1 /1 /2022
Home based business? *
m
Ambulance type business?
No
220 Fourth Ave. S. Kent, WA 98032
Finance Customer Service 253-856-5210
r\
v
v
Save
91 (https://www.facebook.com/CityofKent)
13 (https://twitter.com/cityofkent) 13
(https://www.youtube.com/user/KentTV21)
12(https://vimeo.com/kenttv2l )
Signature:
Email:
Signature:
Email:
Signature:
Email:
Signature:
Email:
japplegate@kentwa.gov
Garin Lee (Apr 25, 2022 14:27 PDT)
glee@kentwa.gov
rlashley@kentwa.gov
Melissa McCormick (May 3, 2022 10:30 PDT)
Melissa McCormick
cityclerk@kentwa.gov
Combined.Cutting.2022
Final Audit Report 2022-05-03
Created:2022-04-25
By:Janice Applegate (japplegate@kentwa.gov)
Status:Signed
Transaction ID:CBJCHBCAABAAwyzamcExFMTvlL0fq7VOTeKffWxbPdSz
"Combined.Cutting.2022" History
Document created by Janice Applegate (japplegate@kentwa.gov)
2022-04-25 - 7:56:57 PM GMT- IP address: 146.129.252.126
Document e-signed by Janice Applegate (japplegate@kentwa.gov)
Signature Date: 2022-04-25 - 8:05:56 PM GMT - Time Source: server- IP address: 146.129.252.126
Document emailed to Garin Lee (glee@kentwa.gov) for signature
2022-04-25 - 8:06:00 PM GMT
Email viewed by Garin Lee (glee@kentwa.gov)
2022-04-25 - 9:26:06 PM GMT- IP address: 146.129.252.126
Document e-signed by Garin Lee (glee@kentwa.gov)
Signature Date: 2022-04-25 - 9:27:11 PM GMT - Time Source: server- IP address: 146.129.252.126
Document emailed to Chris Powell (accounting@panddtreeservice.com) for signature
2022-04-25 - 9:27:13 PM GMT
Email viewed by Chris Powell (accounting@panddtreeservice.com)
2022-04-28 - 7:57:40 PM GMT- IP address: 24.19.59.148
Email viewed by Chris Powell (accounting@panddtreeservice.com)
2022-05-02 - 4:15:41 PM GMT- IP address: 24.19.59.148
Document e-signed by Chris Powell (accounting@panddtreeservice.com)
Signature Date: 2022-05-02 - 4:18:09 PM GMT - Time Source: server- IP address: 24.19.59.148
Document emailed to Ronald Lashley (rlashley@kentwa.gov) for signature
2022-05-02 - 4:18:13 PM GMT
Email viewed by Ronald Lashley (rlashley@kentwa.gov)
2022-05-02 - 6:17:01 PM GMT- IP address: 146.129.252.126
Document e-signed by Ronald Lashley (rlashley@kentwa.gov)
Signature Date: 2022-05-02 - 6:29:09 PM GMT - Time Source: server- IP address: 146.129.252.126
Document emailed to Brian Levenhagen (bjlevenhagen@kentwa.gov) for signature
2022-05-02 - 6:29:12 PM GMT
Email viewed by Brian Levenhagen (bjlevenhagen@kentwa.gov)
2022-05-03 - 4:06:14 PM GMT- IP address: 146.129.252.126
Document e-signed by Brian Levenhagen (bjlevenhagen@kentwa.gov)
Signature Date: 2022-05-03 - 4:06:51 PM GMT - Time Source: server- IP address: 146.129.252.126
Document emailed to Kim Komoto (kkomoto@kentwa.gov) for signature
2022-05-03 - 4:06:54 PM GMT
Email viewed by Kim Komoto (kkomoto@kentwa.gov)
2022-05-03 - 4:08:35 PM GMT- IP address: 146.129.252.126
Document e-signed by Kim Komoto (kkomoto@kentwa.gov)
Signature Date: 2022-05-03 - 4:08:49 PM GMT - Time Source: server- IP address: 146.129.252.126
Document emailed to Melissa McCormick (cityclerk@kentwa.gov) for signature
2022-05-03 - 4:08:52 PM GMT
Email viewed by Melissa McCormick (cityclerk@kentwa.gov)
2022-05-03 - 5:28:56 PM GMT- IP address: 146.129.252.126
Document e-signed by Melissa McCormick (cityclerk@kentwa.gov)
Signature Date: 2022-05-03 - 5:30:30 PM GMT - Time Source: server- IP address: 146.129.252.126
Agreement completed.
2022-05-03 - 5:30:30 PM GMT