HomeMy WebLinkAbout000735 Original Contract City of Port Angeles
Record #000735
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W�ASHING �TO�N , U . S . A .
DATE: October 1, 2013
MEMO TO: Dan McKeen, City Manager
FROM: Bob Kajfasz, Commercial Energy Analyst
PUBLIC WORDS
&UTILITIES RE: JPE, LLC City Authorized Contractor Agreement
DEPARTMENT
Craig Fulton
Director[4801] Attached for your review and signature is a City Authorized Contractor agreement
Linda Gunderson between JPE, LLC and the City of Port Angeles. The agreement has been
Administrative Assistant reviewed and approved as to form by the City Attorney's office.
[4800]
Sondya Wray
Administrative Assistant Please return the signed agreement to me for further distribution.
[4700]
Maher Abed I am available at extension 4718 if you should have questions.
Deputy Director[4802)
Mike Puntenney Thanks
Deputy Director
and Bob
City Engineer[4803]
Phil Lusk
Deputy Director[4703]
Terry Dahlquest
Electrical Engineering Mgr.
[4702)
Kathryn J,Neal
Engineering Mgr
[4821)
Gregg King
Power Resources Mgr.
[4710]
Ernie Klimek
Water,Wastewater
Collection Superintendent
[4855]
Dennis McBride
Equipment Services
Superintendent
[4835]
Jim Klarr
Light Operations Manager
[4731)
Jeff D.Young
Treat.Plant Superintendent
[4845)
Tom McCabe
Solid Waste
Superintendent[4872)
Eric Wheatley
Street Maintenance
Supervisor[4825]
CITYAUTHORIZED CONTRACTOR
AGREEMENT
THIS AGREEMENT, made this 4th day of March, 2014, between the City of Port
Angeles, Clallarn County, Washington, hereinafter referred to as the "City", and JPE,LLC,
hereinafter referred to as "Contractor".
WITNESSETH:
1. Scope of Work. Contractor agrees to furnish all labor, materials, bonding,
insurance, supervision and equipment required to install qualifying energy
conservation measures through the City of Port Angeles' Conservation Program. It
is understood that no verbal agreements between the property owner, hereinafter
referred to as the "Owner", Contractor, and the City will supersede this Agreement.
2. Term. The term of this Agreement shall be from the above date through
December 31, 2014 and shall be automatically renewed annually for one-year
terms. Either party may terminate this Agreement without cause at any time upon
ten (10) days written notice to the other party.
3. Marketing. The City and Contractor share the responsibility to market the
Conservation Program. The City may market the Conservation Program,
including information about City Authorized Contractors, through utility billing
inserts, radio and print advertising, television, and other appropriate media. In
response to a request for a bid that is due to the City's marketing efforts, the
Contractor shall promote the benefits of energy efficiency and participation in the
City's Conservation Program to the Owner. The Contractor may use its own
client lists and sales leads to solicit participation in the Conservation Program.
The Contractor may market the Conservation Program and its status as a City
Authorized Contractor. All Contractor marketing and advertising that has any
reference to the City's Conservation Program or a Contractor's status as a City
Authorized Contractor shall be submitted to the Power Resources Manager for
advance written approval.
4. Eliqibilitv Determination. No work will be authorized without the Owner's
completion of the City's application form and the Contractor's completion of the
City's bid form. The Contractor is responsible to determine compliance with the
building eligibility requirements. The Contractor is also responsible to identify and
inform the City and Owner of all City required actions that do not qualify for
payment under the Conservation Program. The Contractor shall only propose
materials and equipment that are pre-approved by the City and meet the energy
City Authorized Contractor Agreement Page 1
conservation measure eligibility requirements. The Contractor's bid shall be
accurate within ±5% of the actual materials requirements. The City will not
approve the eligibility of energy conservation measures in the Contractor's bid
until City inspection acceptance.
5. BBOOLld�iigibilt�Ruirements. In order to qualify for rebates for building
insulation, replacement windows and heat pumps, a building must be provided
electric service by the City and must have electric heating equipment as defined in
the City's Material and Installation Specifications. In order to qualify for lighting
measures, buildings must be provided electric service by the City.
6. JE;;n er Conservation Measure_Eli gibility Requirements. The Contractor shall be
responsible for determining energy conservation measures eligible to be installed
in accordance with the City's Material and Installation Specifications.
7. Authorization of Work. Once the City receives a fully completed Owner's
application and Contractor's bid, the City will schedule a meeting with the Owner.
The City reserves the right to reject any bid to perform work under this Agreement
at the sole discretion of the City.
Contractor shall not commence work on an Owner's building until an authorized
City representative has released the Notice To Proceed following the Owner's
execution of the City's application form, and the City's Participation Agreement
form, and the Owners acceptance of the Contractor's bid. All changes that result
in an increase in the bid price or increased scope of work after Notice to Proceed
must be approved in writing by the City and Owner. Reductions in the scope of
work and cost may be made and the Participation Agreement may be revised
upon City installation acceptance without requiring Owner acceptance.
The City may issue no new work to the Contractor until all jobs which have been in
progress for more than one hundred and twenty (120) days have passed all
required inspections. The Contractor's failure to complete all work and obtain City
inspection acceptance within one-hundred and twenty (120) days from the date of
the City Notice to Proceed will enable the City and/or Owner to cancel the
Participation Agreement without incurring Contractor cancellation cost. The City
may cancel the Participation Agreement for just cause and shall not be responsible
for any Owner or Contractor damages.
8. Warranty. Contractor warrants that the work and materials furnished under this
Agreement shall comply with accepted industry standards and the material and
installation requirements established by the City, provided that the City's
requirements shall have priority over industry standards. These requirements are
hereby included in this Agreement by this reference. The City may revise its
City Authorized Contractor Agreement Page 2
requirernents at any time for a health or safety concern. All other City
requirements may be revised semi-annually.
If any defect in the Contractor's workmanship or materials is discovered within two
(2) years after the completion of any work, the Contractor shall expeditiously
remedy, repair, correct, replace or cause to be remedied, repaired, or replaced at
the Contractor's expense such defect in materials or workmanship. Sealed
insulated glass units and heat pumps shall be warranted against failure for a
minimum period of five (5) years. Electronic ballasts shall be warranted against
defects in materials and installation for a minimum period of three (3) years. The
Contractor shall provide a written warranty for the sealed insulated glass units,
heat pump, and electronic ballasts to the Owner. The foregoing warranties shall
survive any inspection the City may elect to make.
9. Acceptance and Payment. Upon completion of the work, the Contractor will notify
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the City that the job is complete, and upon inspection approval by the City,
Contractor may then invoice the City and Owner for the amounts stated in the
Notice to Proceed. The Contractor will be paid within thirty (30) days subsequent
to City acceptance of the work and after an acceptable invoice has been received
by the City. The Contractor shall promptly pay all subcontractors and materials
providers employed by the Contractor in connection with installations under this
Agreement.
The Contractor shall make arrangements with the Owner for payment of the
Owner Amount stated in the Participation Agreement. Such an arrangement shall
not require the Owner to pay more than thirty percent (30%) of the Owner Amount
stated in the Participation Agreement prior to commencing work. Such an
arrangement shall not require the Owner to pay more than fifty percent (50%) of
the Owner Amount stated in the Participation Agreement prior to City inspection
acceptance.
All material and workmanship shall be subject to inspection, examination and
testing by duly authorized agents of the City at any and all times during or after
installation of materials. The City shall have the right to reject defective material
and workmanship and/or require its correction without cost or expense to the City
or the Owner. In the event the Contractor fails or refuses to correct any defect, as
set forth herein, the City may, at its option, deduct an equitable amount from any
payment owing or to be owed to the Contractor or take such other steps as it
deems appropriate.
The City reserves the right to levy inspection charges, in the amount of $30 per
hour with a minimum one-hour charge, for reinspection due to work or materials
failing previous inspection. Charges will be billed to the Contractor on a monthly
basis. The City reserves the right to collect reinspection penalty charges, which
City Authorized Contractor Agreement Page 3
are outstanding and past due from subsequent Contractor payments for completed
work.
If the Contractor fails to pass all work on the third inspection, in consultation with
the Owner the City may correct the work and deduct the cost from the amount due
the Contractor. The Contractor must resolve reasonable Owner written complaints
within thirty (30) business days of receipt.
10. Indemnification/hold harmless. The Contractor shall defend, indemnify and hold
harmless the City, its officers, officials, employees, and volunteers harmless from
any and all claims, injuries, damages, losses or suits, including attorney fees,
arising or issuing out of or in connection with this Agreement, except as may be
caused by the sole negligence or willful conduct on the part of the City.
11. Contractor License. The Contractor shall procure and maintain a State
Contractor's license and performance bond for the duration of this Agreement.
The Contractor shall provide copies of the above documents upon acceptance of
this Agreement.
12. Certifications and Permits. The Contractor shall give all required notices and
comply with all applicable laws, ordinances, rules and regulations and shall
procure and pay for all necessary municipal or other governmental permits,
licenses, certifications, and inspections. The Contractor shall request an in-
progress inspection from the Power Resources Division for construction work that
may become concealed (e.g., closed-blows and advanced air-sealing).
Copies of all required permits and certifications, including but not limited to a City
building permit, City electrical permit, and insulation certification, shall be attached
to the invoice for each completed job. The Contractor shall be required to request
an inspection from the City's Building Official, Electrical Inspector, and Power
Resources Division for all work performed under this Agreement.
13. Subcontractors Contractor shall not subcontract any of the work to be
performed hereunder without advance written consent of the City. Subcontractors
may not be approved if, as determined by the City, they would have an adverse
effect upon the job. The City shall be the sole judge of such effect. The
Contractor shall submit to the Power Resources Manager all requests to
subcontract work, including the name of the proposed subcontractor, for review
and approval in writing by the City. Contractor shall be fully responsible to the City
and Owner for acts or omissions of any subcontractor performing any portion of
the work under this Agreement, or any person directly or indirectly employed by
any subcontractor, and nothing contained herein shall create any contractual
relationship between subcontractors and the City.
City Authorized Contractor Agreement Page 4
14. Kickbacks. Kickbacks, rebates, price reductions or inducements for participation
or non-participation or other non-service benefits from the Contractor to an Owner
are prohibited.
15. Cleanup. Contractor shall at all times keep Owner's premises and work areas
Free from accumulation of waste materials or rubbish, and prior to completion of
work remove any rubbish from the premises, such as but not limited to tools,
scaffolding, equipment and materials. Upon completion of work, Contractor shall
leave the premises in a condition satisfactory to the City and the Owner. In the
event the Contractor fails, after reasonable notice to comply with any of the
foregoing in a prompt and workmanlike manner, the City may, after such notice,
perform the cleanup work and removal at the expense of the Contractor.
16. Independent Contractor. Contractor is an independent contractor, and this is not
an agreement of partnership, agency, or employment of contractor or any of the
Contractor's employees by the City. It is understood and agreed that the
equipment used and personnel employed by Contractor in performing this
Agreement shall at all times be under the sole and exclusive control of the
Contractor. The Contractor shall not create any obligation or assume any
responsibility on the part of the City nor attempt to bind the City in any way
whatsoever; nor shall Contractor represent in any manner that it is an agent of the
City or associated or affiliated with the City in any capacity other than as an
independent contractor.
17. Assignment. Contractor shall not assign or transfer any right, title or interest under
the terms of this Agreement without the prior written approval of the City.
18. Survival. The provisions covering warranty, insurance, and
indemnification/hold harmless shall survive termination, cancellation or expiration
of this Agreement.
19. Violations. If the City has reason to believe that the Contractor is in violation of
this Agreement, the Power Resources Manager may notify the Contractor in
writing of the violation setting forth the nature of such violation. Within thirty (30)
days of receipt of such notice, or such longer period specified by the Power
Resources Manager, Contractor shall respond in writing that the violation has
been cured or provide a cure plan that satisfies the Power Resources Manager
or provide explanations in refutation or excuse with documentation to support
that the alleged violation did not occur. If the violation has not been cured within
the time allowed, in the Deputy Director of Power Systems' reasonable
judgment, the Contractor may be removed from the City Authorized Contractor
list.
City Authorized Contractor Agreement Page 5
If the nature of the violation is such that it cannot be fully cured within thirty (30)
days due to circumstances not under Contractor's control, the period of time in
which the Contractor must cure the violation may be temporarily extended by the
Power Resources Manager in writing for such additional time reasonably
necessary to complete the cure, provided that (i) Contractor shall have promptly
commenced the cure, and (ii) Contractor is diligently pursuing its efforts to cure
in the Power Resources Manager's reasonable judgment. If the violation has not
been cured within the extended time allowed, in the Deputy Director of Power
System's reasonable judgment, the Contractor may be removed from the City
Authorized Contractor list.
In the event a Contractor's name is removed from the City Authorized Contractor
list, the Contractor may request to be reinstated on the list by curing violation(s)
of this Agreement or by providing a cure plan that satisfies the Power Resources
Manager.
The Power Resources Manager may authorize the Contractor, if voluntarily or
involuntarily removed from the City Authorized Contractor list, to complete work
under the Conservation Program. Such authorization will permit the Contractor
to serve Owners but not to further gain the marketing and other benefits of being
listed as a City Authorized Contractor.
20. Amendments. When written changes to referenced documents are issued
by an authorized City representative, they shall be automatically incorporated in
this Agreement. Other changes requested by the City or Contractor may require
amendment of this Agreement.
21. Asbestos Notice to Contractor. Notice is hereby given that there is a strong
possibility that buildings located within the City of Port Angeles may contain
asbestos. Contractor is solely responsible to take proper precautions to protect its
employees, the Owners and their tenants from the release of asbestos fibers into
the environment. If any area of a structure has had any asbestos removed by
other than an EPA-approved procedure documented in writing by an EPA-certified
contractor, then the City shall be notified. Any building that is known or suspected
to have had asbestos removed shall be considered as contaminated until
decontamination has been performed and certified and written documentation has
been accepted by the City. Decontamination and all other types of asbestos
abatement are costs borne by the Owner. The Contractor is responsible to
determine and document on the City's bid form whether or not the scope of work
will affect or disturb asbestos.
22, Insurance. The Contractor shall procure and maintain for the duration of the
Agreement insurance against claims for injuries to persons or damage to
property which may arise from or in connection with the performance of the work
City Authorized Contractor Agreement Page 6
hereunder by the Contractor, its agents, representatives, employees or
subcontractors.
The Contractor shall provide a Certificate of Insurance evidencing:
1. Automobile Liability insurance with limits no less than $1,000,000 combined
single limit per accident for bodily injury and property damage; and
2. Commercial General Liability insurance written on an occurrence basis with
limits no less than $1,000,000 combined single limit per occurrence and
$2,000,000 aggregate for personal injury, bodily injury and property damage.
Any payment of deductible or self insured retention shall be the sole
responsibility of the Contractor.
The City shall be named as an additional insured on the Commercial General
Liability insurance policy, as respects work performed by or on behalf of the
Contractor, and a copy of the endorsement naming the City as additional insured
shall be attached to the Certificate of Insurance. The City reserves the right to
review a certified copy of all required insurance policies in the Contractor's office.
The Contractor's insurance shall 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.
The Contractor's insurance shall be primary insurance as respects the City, and
the City shall be given thirty (30) days prior written notice of any cancellation,
suspension or material change in coverage.
23. Notices. All notices required to be given to the Contractor or City under this
Agreement shall be in writing and shall be deemed served when delivered by
hand during normal business hours or by regular mail.
A. Notices shall be given to the following:
If to the City:
Gregg King
PO Box 1150
321 East Stn Avenue
Port Angeles, WA 98362-0217
City Authorized Contractor Agreement Page 7
If to the Contractor:
Jerry Peterson
73 E Loma Vista Rd.
Sequim, WA 98382
(360) 683-4968
IN WITNESS WHEREOF, the Contractor has obtained all certificates and licenses in
compliance with this Agreement, and the parties have entered into this City Authorized
Contractor Agreement as of the day and year written below.
CITY OF PORT ANGELES CONTRACTOR
,,,. r-7-9 —
Dan McKeen, OWiifiager Je�rr eterso—n—,Uw—ner JPE, LLC
Date Date
7P D AS TO FORW.,/"7
William E. Bloor, City Attorney'
N:VPWKSIIGHT\CONSNCONTRACTORAGREEMENT2014,DOC
City Authorized Contractor Agreement Page 8
Department of Labor and Industries
PO Box 44460 J F ,
Olympia, WA 98504-4460 % 't EC
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UEL 603 2634345
' i ems ns r6,0/1ded by Law as:
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JPE ate. 1741/201
3 E L,(74A VISTA TI 1/11/2015
aEQUIM WA 98382
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Depatimen(of lia& and IndusIdes ELE C
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0�mpim\wA 985044*+0 ][�� T]�]� �������[�� ���� ��,�S��ING��O��
��L�.�.g������n��e��wl �� (This term must be typed)
ELECTRICAL CONTRACTOR 4.
-furn name as shown on UBI-\,.lastcr Business License
0 Corp 01'.1c 0'ri,p Other Corporate Registered Trade Nanies under the above UBI 4 at Secretary of State
E]Partnership
Other Sole Proprietor or Partnership registered"Doing Business As"(l)BA)Names
Sole Proprietorship
Mailing Address of Firm
..-.��tate --7?�j—P--F�-----TPhjone:Number
qPOUT.M WA 1 8382 (360)731-8994
�Wbm Awnt hiformation
Name of Bo (ing Company
Address
59 Maiden Lane
state 4
NewYork
Phone Number Contact Name
216.3286216 Barry Moses
The bonding Delaware J�Umdzed�
tmuso� � oos �company state o1 Washington under the provision nf chapter lg�FE�,CW`xn surety,are held and firmly bound zoubond
io the moouo of$4,000.00,to be paid to the state ofWashington, The conditions the principal,bondirig company,and the state of
Washington agree tnby taking out this bond are uxfollows:
(1)As a precondition to receiving an clectric,,il/telecommuiiicatioiis contractor's license under chapter 19.28 W-M et seq.,the license
holder must keel)this bond in full force and effect,Ifany cancellation,revocation,or withdrawal by the surety/bonding company
occurs,the department*iUouqpeodthe,Dcenueuu6iwu66moumaocwbood6o/$4,000D0iuIrnvi&odk`tbmstute, o[TVnnkingtoo.
(2)Ibu license holder will pay for all labor,including employee benefits,and material furnished o«used upon the wmk�taxes and
contributions,to the state of Washington,and all,darnages thatmay be sustained by any person,firra,corporation,o,other entity due
1ou failure of the principal b`make the installation ormaintenance io accordance with this chapter co any applicable ordinance,
building code,or regulation of a city or town adopted pursuant,to RCW 19,28.010(3),
(3)Should the bond become owing due to failure to comply with.section(2)above,the principal's electrical/telecommunications
conlractors license is susperided until such time as a new bond is furnished by the license holder.
(4)'The bond and is intended to cover any subsequent periods for which
the Electrical Section irlay issue a license to the principal under the provisions of chapter 19.28.PICW,or any amendments thereof,
This bond is to be construed as a continuing obligation until canceled by the surety.
F500-019'000 electrical telecommunications ouo«aumr`abond 01-2007
(5) Upon request,the department will furnish any person,finer,partnership,corporation,or other entity a certified copy of the bond
upon payment of a fee set by the department by rule.
(6)Any person,firm or corporation sustaining any damage or injury by reason of the license holder's breach of the conditions
mentioned in section(2)above may bring an action against the surety and the contractor.The action shall be brought:(a)in the
superior court,of any county in which the principal on the bond or assignor of the account resides or transacts business;or(b) in the
county in which the work-was performed which allegedly caused the breach of the conditions mentioned in(2)above.The action
shall he maintained and prosecuted as other civil actions.
(7)Claims or actions against the surety on the bond shall be paid in full in the following order of priority:(1)labor,including
employee benefits-,(2)materials and equipment used upon such work-,(3)taxes and contributions due to the state;(4)damages
sustained by any person,firm,or corporation due to the finhire of the principal to make the installation in accordance with the
provisions of chapter 19.28.R-CW,or any ordinance,building code,or regulation applicable thereto.
(8)The total liability of the surety on any bond shall not exceed the sum of$4,000.00 and the surety on the bond shall not be liable
for monetary penalties.Any action shall be brought within one year from the completion of the work.in Much the performance of
which the breach is alleged to have occurred.'The surety shall mail a conformed copy of die judgruent against die bond to the
department within seven days of the judgment
(9)The surety must give 45 days written notice to the license holder and to the Department of Labor and Industries Electrical Section
prior to cancellation of the bond.
REFERENC'ES: chapter 19.28 RCW.
Dated 09 of January
—20 14
Effective date of bond: 1/912014
Note:Ile departiiient will of accept an origheal bond (locunient,iio copies or faxes.
Bonding Company
Wesco Insurance Company
bah o
S
OS Attorney-in-Fact for Bonding Company(signature required)
A6A, t4*64-4#-VN-
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1962
Agents Name
Lisa Erickson
09000 lot
6616 Sierra College Blvd,
i ty ZIP+4
Rocklin CA 95677
6'500-019-0(Y) electrical telecounnunic.ations contractor'.,,,bond 01-2007
DA -(Z 7.11 11�11 1)
CERTIFICATE OF LIABILITY INSURANCE
3/20/2014
THIS cERTiricATc IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, R
-"IMPORTANT: If the tortifleate holder Is tin ADDITIONAL INSURED,the policy(las)must be endorsed. If SUBROGATION IS WAIVED,subject to
the terms And conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder In lieu of such endorsements
PRODUCER
INSURANCE SERVICES GROUP —-------------------------------- FAX
P.O.BOX 2077
SE00110,WA 96382
............. ....................... REM; �JEi Li 372.06
INSURED IN URFA B:
JPE,LLC .................
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73 E LOMA VISTA RD
SE(TuIM,WA 98382
'INSURER P:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBEW
IS TO CLFJIFY THAT 1H L P 0 L ICILS OF INSURANCE LISTLU,BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTwITHSTANOING ANY RLQ0IRt`.MLN1, TERM OR CONDI)ION OF ANY CONTRACT`OR OTHER DOCUMENTW11H RESPECT 10 WHICH x118
GERTIFICATL MAY IAI-'� ISSueO OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUU.1LOTIO ALL 111L 'I'Lm%
J.'.X(,LUS)IONS AM)CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
.......... ......... ......
ifiSk 'IYPE OF INSURANCE LIMITS
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A X COMMERCIAL GENERAL LIABULITY EACHOCCURRENCE 1,000,000
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OCCUR C11 17187 8/31/2013 8/31/2014 300,000
-ME, -1— .......510910,
....................... ..........
Y IIERSONAL&AOV INJURY $ 1,000,000
GENFAA1,AG0,REGA7F s 21000,000
12RO PIR(I XWTS,COMWOP AG 0 _s 2,000
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8/31/2013 8131/2014 $1,000,000 Aggregate Limit
$1,000,000 Each t'�.rnployoa
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DESCRIPTION iRATIONS I LOCkI IONS/VEHICLkS(ACORD lot,Additional Rornarko 84114001#,inoy 140 013"IhodurWra OPACOIS required)
Certificate Holder is an Additional Insured (Primary/Non-Contributory)as respects to the general liability coverage. Please
refer to policy form CBGL0071 (05112)which is attached with respects the additional insured (primary)status.
CERTIFICATE HOLDER CANCELLATION
City of Port Angeles SHOULD ANY or THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE, THEREOF, NOTICE WILL BE DELIVERED IN
ACCOROANO11 WITH THE POLICY PROVISIONS,
PO Box 1,150
Port Arigoles,WA 98362 A07HMIZFD REVRESFN IAIIVL
1988-2014 ACORD CORPORATION. All rights rtiaarvod,
ACORD 25(2014/01) The ACORD narno Bud logo aro rogistarod marks of ACORD
THIS ENDORSEMENT CHANGES THE POLICY,PLEASE READ IT CAREFULLY,
BLANKET ADDITIONAL INSURED
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
X Section 11 — Who Is An Insured Is reports, surveys, field orders,
amended to include as an additional In- change orders or drawings and
sured any person or organization for specifications;or
whom you are performing operations b. Supervisory, Inspection, archl-
when you and such person or organiza- tectural or engineering activities,
tion have agreed in a written contract or
agreement that such person or organi- 2, "Bodily injury" or "property damage"
zation Is to be added as an additional occurring after:
insured on your policy. Such person or a. All work, including materials,
organization is an additional insured on- parts or equipment furnished In
ly with respect to"bodily Injury or"prop-
erty damage" caused by your negli-
gence in the performance Of Your ongo- the project (other than service,
ing operations performed for that addi- maintenance or repairs) to be
tional Insured, performed by or on behalf of the
additional ►n$Ljred(s)at the loca-
A person's or organization's status as tion of the covered operations
an additional insured tinder this an- has been completed;or
dorsement ends when your operations b� 'That portion of"your work"out of
for that additional insured are com- which the injury or damage aris-
pleted, es has been put to its intended
To the extent required tinder sold written use by any person or organize-
contract or agreement, this policy will tion other than another contrac-
apply as primary insurance to additional for or subcontractor engaged in
insureds and other insurance which may performing operations for a prin-
be available to such additional insureds cipal as a part of the same
will be non-contributory.We waive our project.
right of recovery against such additional 1 "Bodily injury", "property darnage"or
insureds. occurring or cornmencing before
B. With respect to the insurance afforded to execution of the written contract or
these additional insureds, the following agreement that requires such per-
additional exclusions apply: son or organization be added as an
This insurance does not apply to: additional Insured on Your policy.
1. "Bodily Injury", "property damage" or C. Definitions
arising out of the rendering of,or the "Ongoing operations" means operations
failure to render, any professional not included in the "'products-completed
architectural, engineering or survey- operations hazard,"
ing services, including but riot limited
to;
a. The preparing, approving, or
failing to prepare or approve,
mops, shop drawings, opinions,
CEIG1.00 71 05 12 Includes copyrighted mnterial of Page I of 1
Insurance Services Office,Inc.,with its perrnission.
Ac"RD D/YY)
�1�1 CERTIFICATE OF LIABILITY INSURANCE 14
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ON LY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE
DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF
INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS),AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE
CERTIFICATE HOLDER
IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the poll I cy(i es) must be endorsed. If SUBROGATION IS WAIVED,
subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not
confer rights to the certificate holder in lieu of such endorsements.
c /
ME JERRY PETERSON
PRODUCER
ZONE Fax
W (360)731-8994 W C LID)
Ashley Hiatt Email
One Geico Boulevard Address: JERRYPETERSON@HOTMAIL.COM
Fredericksburg, VA 22412 INSURERS AFFORDING COVERAGE NAJC#
_65871 INSURERA GOVERNMENT EMPLOYEES INSURANCE COMPANY 22063
INSURED INSURER B:
JPE, LLC
73 E LOMA VISTA RD INSURERC:
SEQUIM WA 98382-3619 INSURERD:
INSURER E:
INSURER F:
COVERAGES
TH E POLICIES OF INSURANCE U STIED BELOW HAVE BEEN I SSUED TO TH E IN SURED NAMED ABOVE FORTH E POLICY PERIOD I NDICATED.NOTWITHSTAN DING ANY
REQUI REMEN T,TERM OR CONDITION OF AN Y CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIF ICATE MAY BE ISSUED ORMAY PERTAIN,THE
IN SURANCE AF FORD ED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXC LU SION S AND C ONDI TION S OF SUC H POLICIES.AGGFEGATE LIMITS
SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE ADD IL SUB POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR INSRD WVD DATE(MMIDD/YY) DATE(MM/DDIYY)
GENERAL LIABILITY EACH OCCURRENCE $
COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $
PREMISES(Ea occurence)
CLAIMS MADE❑OCCUR MED.EXPENSE(Any one person) $
PERSONAL&ADV.INJURY $
GENERAL AGGREGATE $
PRODUCTS-CO P/OPAGG. 1$
GEN1 AGGREGATE LIMIT APPLIES PER:
POUCY F—]PROJECT
AUTOMOBILE LIABILITY COMBINED SINGLE UMIT $
(Ea accident)
A ANY AUTO 9100037227 01 3/5/2014 3/5/2015 BODILY INJURY $ 100,000
(Per person)
ALL OWNED SCHEDULED BODILY INJURY $ 300,000
AUTOS AUTOS Per accident)
HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ 50,000
I AUTOS (Per accident)
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DELI I IRETENTION k $
WORKERS'COMPENSATION AND EMPLOYERS' WC STATU- OTH-
LIABILITY Y/ N TORY LIMITS OTER
ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N I A E.L EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? E.L DISEASE-POLICY LIMIT i$
If yes,describe under
SPECIAL PROVISIONS below E.L DISEASE-EACH EMPLOYEE 1$
DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CITY OF PORT ANGELES IS NAMED AS ADDITIONAL INSURED.
CERTIFICATE HOLDER CANCELLATION
CITY OF PORT ANGELES SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
POP.O. BOX 1150 ANGELES, WA 98362 ACCORDANCE WITH THE POLICY PROVISIONS.
RT
AUTHORIZED REPRESENTATIVE
O I
1988-2010 ACORD CORPORATION.Al rights reserved.
ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED the policy(ies) must be endorsed. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate holder in
lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between the
issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25(2010/05)