HomeMy WebLinkAbout000860 Original Contract City of Port Angeles
vORT Record#000860
,m n IT AUTHORIZED T T
AGREEMENT
THIS AGREEMENT, made this day of n i AV` _, 2015, between the
City of Port Angeles, Clallam County, Washington, hereinafted referred to as the "City",
and Bill Mair Heating and Air, Incorporated, 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, 2015 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. Eligibility 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. Building Eligibility Requirements. 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. Energy Conservation Measure Eligbility 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 Owner's 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 Contractors 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. Warranly. 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
requirements 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
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.
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
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.
City Authorized Contractor Agreement Page 3
1 q. 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.
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
City Authorized Contractor Agreement Page 4
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.
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
City Authorized Contractor Agreement Page 5
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 bome 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
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
City Authorized Contractor Agreement Page 6
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 5"'Avenue
Port Angeles, WA 98362-0217
If to the Contractor:
Anna Mair
80 Valley Farm Court
Sequim, WA. 98382
(360) 683-4245
City Authorized Contractor Agreement Page 7
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
Dan McKeen, City Manager William J. Mair, Vice President
1 1 ,3
Date Date
APP,ROVED AS TO FORM: \,
William E. Bloor, City Attorney
N:1P W KSItOFMCONSICONTRACTORAOREEMENT2013 DOC
wW City Authorized Contractor Agreement Page 8
BILLM-11 OP ID: MW
DATE(MMIDD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE 01/0912015
THIS CERTIFICATE 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,
IMPORTANT: If the certificate holder is in ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may require an endorsement, Astaternent on this Certificate(foes not confer rights to the
certificate holder In lieu of such endorsement(s).
PRODUCER CONTACT
NAME; Insurance Services Group
ISG-Sequin) P 11 HO I N I E FAX
Insurance Services Group (A/C,No,E,j) 360-683-3355 (Arc,No): 360-683-909181
PO Box 2077 E-MAIL
ADDRESS!melanierna-itisuranceservicesgroLip.coiii
Sequin,WA 98382 111 1 1 1 1
Shannaloo Phillips 11 AFFORDING COVERAGE i
I NAIG P
INSURER A:0hiO Security Insurance Go. '24082
INSURED Bill Mair Heating and Air Inc
INSURER H:
80 Valley Farm Ct INSURER C
Saquim,WA 98382
INSURER D:
INSURER E
INSURER F
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CLRI 11 Y 1 IIAI 11-11: POI ICIFS OF INSLJRANCF LISTED BELOW HAVE BEEN ISSUED 10 11 IF INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, ILRVI OR CONOPION Of:ANY CONTRACT OR OTHER DOCUMENT WITH 14LSPLCI 10 WHICH IHIS
CERTIFICATE MAY BL ISSUE-1) OR MAY PrRTAIN, THE INSURANCE AFFORDED BY -1-14E POLICILS DI-SGkIK,0 LILRI-"IN IS SORJFCT TO ALI THE TERMS,
LXGLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY IIAVL Elff--N REDUCED BY PAID CLAIM
S
INSR j ADDIJSLIBR POLICY FFIF 1 POLICY LXP
LTR TYPE OF INSURANCE INSD WVD t POLICY NUMBER LIMITS
A X COMMERCIAL GENERAL LIABILITY EACA I OCCtJRRFNCF, 1,000,00o
X I BLS56395722 11118/20 (),6 DAMA'E TO 1,000,000
Ct AIM X OC
S LAADL CUR 14 1 j/18/2
1
VRFM�0-'3(Fa
MEL)EXII(Any ion-IF 15,000
PFkWNA1 P.AEVINJURY
1,000,000
GENT AGGHLGA I F LIMIT APPI Lrr PER GENERAL AC3GREGATE 2,000,000
PRO.
I1(qI(,Y Jrcr Loc i PRODUG 1 2,000,000
oIHER
corA46EbsKi, -TRY111 i 1,000,000
AUTOMOBILE LIABILITY
A 1 ANY A(110 BAS56395722 ( 11/18/2014 I 11/18/2015 BODILY INJURY
'ALL OWNED X sc IFF)IJI ED
A TOS AUIi05 BODILY INJURY(P"a-,dont)1 $
I
NON-OWNED PROPFRI Y DAMAGE 1
Hl:O:D AUTOS AD 10 %
UMBRELLA LIAB
OCCUR FAGI I OCCURR17NOE S
CI,AIMS MADE
AGGREGATE
$
7 0111-
WORKERS COMPENSATION I Pf
S
AND EMPLOYERS'LIABILITY YIN IAIUIE ER
ANY PROPRIETORWiMil I Ivi: F.1 FAG II
FXCI-0D[D !!NiA } 1
(Maiidaloty In NH)
E L D16LASI--LA IJAPLOYI-(,-, r
If wid'i
�DE5CJUP110N 01:OPFRATIONS tuilow L L I,ot ICY I will
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional RarnaihB 301106116,may boaltaohod If morn rpaoa Is raquirod)
Please refer to policy farm CG8810(04113) which is attached,with respects
to the additional insured (primary)status Vor the general liability
coverage.
CERTIFICATE HOLDER CANCELLATION
CITYOPA
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 13E CANCELLED BEFORE
THE EXPIRATION DAVE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS,
City of Port Angeles
PO Box 1150
Part Angeles,WA 98362 AUTHORIZED REPRESENTATIVE
@ 1988-2014 ACORD CORPORATION, All rights reserved,
ACORD 26(2014101) The ACORD name and logo are registered marks of ACORD
COMMI-RCIA1, GFNFRAL IJABILITY
CC,88 10 04 13
11115 C'NOORSEMENT CHANGES THr- POLICY. PLEASE READ 11 GAI-0-1-01,1 Y.
G,OMMERGIAL GENERAL LIABILITY EXTENSION
lllr im6m;w1will lllijdjllc'G providi'd midill 11)", ltllhjvvillq,
C,0fvIMH_',CIAl GILNI-I\A(, HAI III I IY COVI IWNl
INDEX
SUBJE T PAGE
NON-OWNFI) AIRCRAFT 2
NON-OWNED WAT15kCRAn, 2
IlkollFRIYDAMACIL LIAHWHY -F LEVATORS 2
FXTFNI)FD DAMAGE TO PROPERTY RIENTFDTO YOU (I'011alit's Propel-tY DOMM10) 2
MFDIGAL PAYMI'MTS FX I LN-,ION 3
EX FNBION OF SUPPLEMENI'ARY PAYMENTS -COVFRAGIES A AND H 3
ADDII'IONAL INSUREDS .LAY CONTRACT, A6,RFLIVIFINIT OR PIENIVIll 3
PRIMARY AND NON-CONMI1101-ORY- ADDHIONAL INSURED 1EXTIENSION 5
ADDITIONAL EXTENDED PRO ECTION OF YOUR "LIMITS OF IWAJHANGI,�',
WHO 13 AN IN'SURI-O -INcIDENTAI, MEDICAL- ERRORWMAEPRACTICE AND WI-10 IS, AN
INSURED -FF1 LOW EMPLOYLF FX I'FNSION ,MANA(!FMFNT EMPLOYELS 6
NEWLY rORMFD OR ADDITIONALLY ACQUIRED FNTITIE'S 7
FAIHIRF To DiscrosF HAZARDS AND PRIOR OCCURRENCES I
KNOWI-FI)OF OF 0('('URRFNCF, OFFFNSF, CLAIM OR SUIT 7
1 IIIERALIZAl ION GLAUSF; 7
130DII-Y INJURY kF_D[-'.FINFD 7
I-XTFINIDED PROPERTY DAMAGE
WAIVER OF I-PANSFER OF RIGHTS 0FRK-COVFRY AGAINS 1 O1 ll[;RSTO US
WHFH PF-OUIPED IN A CONTRACT OR AGREEMENT WITH YOU
CG 88 10 Oil '13 111(kidw;(opyliqlltod 1II,)t,Ii;II of III(',with its Pablo 1 of it
with ruspo'd to covol'loo .Ihord+ad by this. omforannaont, Ihr provr'iions of illo policy oppfy unin„ modifli:d I;y
tho ondolsolliolit.
A, NON-OWNED AIRCRAFT
Under i'mm-Popa 4 Lxclusions of Section 1 - Govoraf o A - Bodily Injury And Pro petty Dail igo Lissbllity,
xclusion IT, Alrci aft, Auto Of-Watercraft dotal nol apply to ian inici,rit piovidod:
1. It r.: not ownud by Ally in";I111 i;
2, 11 I4 hirod, i 11mlorod nr loran(ui with n trollio f plaid crow;
3. 1Ito pilot In Ixmnn;and holds; ;I!:1111mifly ofloctive. r<zlGficatr;, ha;ueal by ihr°r rimy ron+tih_rtr�d .1111lholity of
thu United >Gahw of Amol ;i or C:.ua,uka, dwdo nntiny hot oI' Toro if conorlwwl;ai or;rirline pilot; and
A. It Is prat bom(l used to (:;illy por.sons ur propulty lol' o chill(r',
I lowovel', tho iw;uruwxo ;dfr ldt'!d by this provi':ioll dons not npply if Ihow is imli nblo to Ihf:' inrmlod olhol
vialid mid rolloctiblo inmnnr,o, whothor plimrrry, taxCow, (othor tholl nmul'timm writtcm to apply spocifiu;llly
ni oxc."Y; of fill:; policy), continffolit or on ,uay othor b;I tJs, that wfxlld also �Ipply to the lu.,, crivon'd undol
pl"ov151U11.
li. NOWOWNFT) WATF.RCRAFT
t Irnlc'r piloltlriph 2, Hxclustort . of :~caution I-Govorade A-Dodily Injury And Faropoity Dzanoiatlo LiabiHly,
';(jbpnn{p;Iph (2) of c'dutdon fl, Aircraft, Anto Or Watercraft is If1IfI r;csil Fry tho f(illowinfl:
Thi f3 ki's.ion doo,a not nppty lo:
(2) A wntomrnit you do not owil thflt ir;
i
(a) Lu ;than `,> told ionft; .on+l j
(b) Not boing w; d (o c;nay of property for I Lhtucto- II
G'. PROPERTY DAMAGE. LIABILITY -LI..F_VATORS
1. Uodor P;u;x)r;lpb 2. FXclll lollr; of Soctioli f - Govot ago A - Hodily lojuiy And Propoity Danaaw? Liabil-
ity, '�fib{r,ucacir,ipbs (3), (4) imil (6) of uxclus>ton J. Damage To Proporty rlii liol ilppiy if smell "propolly
1 I I { ar" do not ifIchdo
ilnui It fr' nr u1t�-, hCrnl the two Ut t II v ltol i or tho rlli ao I of fill ro>vli�m +�uv?tiun
vollido lift` Vchicl Ih(t� of ifts of hol.,ls li od Ill lutolunbllf nivif ' of r me o u.l it
2. 11111 followino Is lordod io f'nc:tion IV - colmliel-clal Caporal i.filbllity Conditions, Cooliitlon 4. Othol
hrallanr.o, 11m.lfliilph b. Fxl oss Iwillualwo:
Mo. fratir milro nffordod by till:; pfovision of tlli' ondorsf!naoni ri iaxl;c '; ovol ;any propolty iw;ohIncii,
whf;thor plilo;ily, t t r -;, conhndi nt or off imy othor
D. FX`I`FN0FD DANIAL3F= TO i'ftt)t'MIY RFNTED TO YOU (funrant'i Propoity Damago)
If
17;numyo Io I'rcnust,c; koffted To You t not othelvvr;u ox(AlIdwi hoin tlli:; Covul'itp! PaIL
f. Unclui PMMJIaph 2, Fxchisaion s of Sectlon i-Govoraflo A-F3oclily Injury and Property Damago Liability:
a, Iho fourth frond tho Ia:it Imm( ilph of om1w;ion J. Dam"11(je To i'roparty i<> loplocnil by till' follow-
inr1:
I'nrlt)ryah:; (1), (3) ;iod (4) (if this ofdusiull do flol =apply to "propolty rinnlnilr" (othor Ih<m d;iuulttn
by fio , liclhhiinrl, oxplrrsion, Eallokl% of Io;Ikm_jo huff nn nutoinnlir, (it() pnAC"ctioll sy:Aoloo) 10-
(1) f-`ti nik(n" rontod to you for ;I period of 1 of fumm. cowsm;mivo d oye;; of
(it) Contents thot you loot of i cisu 'is p ift of <t prnnli'.fw; wilt;sl of Ic i sr,; ailpiwflio at for ;I pcfiod of
moral than 7 ihysa,
I'sal;�r)raphs (1), (3) iind (4) of this oxf.hrv;ion do not i'lp.ily to "propi'rty diornn(io" to contents of
prellwui.s roniod to you for n period of 7 of fovmi c`on ocutivo dtly .
A mipmAti limit of to 11W, covi.U)(1jo Ins der,crii'fid in 5oution III - Limits of
havurancca.
"10 13I d ity multi d IwIl Inca
CC,138 10 04 13 hx;ludw, copytitthtud uullull:II(if fn.,m,mm efvl,y:;t iffi<o,(or,,with ifs ImImiu."Joli. Patio 2 of 8
b, Thu liv,t ptnrolapil of ubar?Uori 2. Fxciu;iolls rs; ropincod by tint follu",+mlgr
I xclusion=; C. throruclh n, (to not oppiy it) danutoo by Illo, Iiol illill I, explor;ion, �aru�ka +�r Ic"tlkuy(
front nutollvlti(. fire proloctioll r;ysturll to Iln(llrrsir.0 whilo conii i to you -If, tomporarily occupod by
you Willi pellilk'Jull of tho owner, A limit of insmnucrs npplwo; to 1)0111'ufr Fo I'lemi:;w;
IN(mkod I Yo t t5 da,cribod in suction Ill -LitrtftF, Of lnsuranco.
1. Pou,l(Impli 6. undor Soctioll Ill -Litlli l of ilviuranco ir,, lephc.oll by the foilowinf):
G. Subjoct to I'aragraph a. abovo, tl)o Uiuutqu, To f iei lim"'. kollted 10 Yalu Unfit i, tho me,st Wo will
pay und(li Covoasjo A for daimiges bii:au,7e of "propnity dam min" lo;
1. Any cmu pienli•e:
(1) Willi() wilted to yo(t; of
(2) Whil(s wiltod to you (if tfimplwilily occupied by you Willi of the oWrn:f for
thi llia by luu, liohtfliml, (explosion, moko of loiikiig(; front nutonmUc pmtocli(m :;y:r
tonla; or
1). CmW llU; th;,l yrxt (grill or loasu a-i part of ;l prolll;w; willal or hSOt.0 ilgloonwilt.
As n fl;ird4 covoir iqe provided by this provi,;irm 1). EXTENDED DAMAGE To PROPER 1 Y RLN i L1) 10
YOU (Trimant's Property tarur ag ) -Pitr;irfrrtph 9.a, of Dofhlitiun.; I," roplacorl with rho fnllowing:
9.a, A urmti'cicA for n lonf n of prima 4u<,, 1lowflvor, tint portion elf Il)n conhtici for a Iu,t C of prcnu°cos
Ihai induninifion imy ptrrson of urff;nli aiiun for d;tnrutl by Piro, li(Pubililly, oxpio:;ion, (;mold(, or
Icak.r1lo frtxu a(ftolmitic fifo ptotoction systr?rn8 it? pfonlif;os whil(l ((lilted to you or Winpur; rily
t lC;t.(Ipl(;d by Yom Will) tilt; J-mrwi-Joel of tho owlim, of f(?r dallmol'. to Corlimit6 of sUrill (?Ir Ull i(35
(NA aro ifidurlod In yi)ur pronlrsos rontol of leis l i)(Ifulmirmt i!; riot nt "ilwmlod c(lillim;l".
F=. MFDIGAL PAYMENTS EXTENSION
i
II Govoraou (" Mrldical P+lymrlutew fs no( 011orwilso ox(auded, tho Nludlc,A Payn-for tr, provided by this policy
aril t 10"ilflod ;v: follow";
ilndet Polmifaph 1. Intiurinlf Allroomont elf Suction I - Covorago) C -Medical Payments, '3ub{ittr,rgfitph
(h) of Powlililph a, r, loplat ed by tho following: j
(b) 1-ho rixpt tl aril inc il-nd rind ropofi(:d within throe yool.,, of tho (Lite of th(-� mid
i
F. 1 Xit N` ION OF '10PPLt'MENT"ARY PAYMENTS .GOVLRAGES A Awl) 13
I
1, Ullflnr Supploillotltilly Payments -(".crver,gos A mid 13, Porilffrilph 1J). is; mploci(I by tho followinff:
h. Up to $3,000 for cw;l of tmil honda roguilod br.l(,:;wsi, of accirionls of U;lffic lim violntionr; ~tri,;in�l
oui of this llso of ;ury vollicle to which tt1f� Bodily Injury I initilily i:ov(+ulrfe appliw;, W( flo nni hmti
to funlit;h tl nso, bonds.
1. I',lrlrfrapil 'I'd. i+ roplacod by the ioilowillq:
H, All by tho iliz,mod at (lilt r(3Clur7 l to r;;i;sl us m 11w invw,tio;llion ur
doffilum of Ihu (;laird or "suit", inciurfing actu ll for,:x of cmnlllgt; up to 500 ;t r3ay r.lf liner.,
ulf (loll) ";Volk.
G. AI)I)ITI(7NAL INSI)Rf t�)5 BY CON
1, AGRUMPNfF OR PERMIT
1. l"riaglaph 2. undo(' Soctiorl 11 - Who Iq An Insured i; nlnondod to include w1 ;If) in=;ur(xi ;illy i(v<;on rir
ro;udzs.ltit,n whom you h;tvo oll ood to add ils all iulditional iu!ml-cd in a writtrm (.onlfoct, Wfittim
m1foaulrml or pefrnit. Such per"on rir ort)anizrltion yr nn 'ldditimml itmururl but ofily with rwr pocl in
li;lbility for "bodily illpiy", ".propolty dlnnnyt," or "per:xttlitl ,ante Iriv(lIIi!;inrJ injilry" r:nusc;d in vholo
or in hart ley:
A, Ymm acb; or only silo lv;, or 11w ot_t; ur of tho;;n ,cling oil your b!ti;d(, in th'! polionll_inflo
of your on fioinll oporltiorl for IPio odditionai immled il);rl i,rt; thf" r,ubjo�d of teen writfon ctnlir;(ct nr
wfiUcn ;rorecnw?ill plovidod tlr;il (ht, "bodily illjrtry" or ""prapnriy dnnlalff:" tx;curls, ur tea "pf�r..
s onill mid ; dvorti:;inlf injury" is col mnittud, to ihrt (;igliillq of :,Itch colltracl or
wriltim alfrcer�lcnl; of
f`--' ;'±1131 iberly fvf(f{u:il hu;untncu
CG 1313 10 04 '13 lilcl((f6i:;c-ctrtyn{thl(uf m;rturiol(it Nitol,Inf.,,will) Itc prunis;5;i;>n. Pinto 3 of 8
b, I'fonli lw; or liwililie:; ftintod by you of u!aod by you; or
c, Ihr� m,iifiti3nEnlrii, oporation or tl:;(! by yoo of Ct{rfipnfc:nt rtiiilitil of to yotl by xw:b p'f::off of
orlloni;ration; or
d. Cipof ilionis poffoirnod by you of on yoffr boh,df fur which tilt) r:ir politic it ;ubdivi:=•uon Im
inr,uod if polinit !mhjcwut to Iho following additional plovf!.io w,
(1) ihis iw_;ul,lnco doe, not .ipply to "hotily injury„ "propt'rly or "pnriuinnl ;roil nd-
vuill;;inrt injrny" f16 ing oat of Ow oprmition; pi,rlonnrid far Iho st,ito or polilic;d r;uhdivision;
(2) lhis hisormicti done, not apply to "bodily Injury" or "profiofty d;ifim(lo" indoijud 4iithilt tilt.!
� "t;K�niplottxl oportiliofie hiwilld".
(3) Immmilco oppliw; to i lorrfi�;os you owil, mint, or control but only will) rojpc cl to 1111" lollowhirl
h;ir ir1s:
(;i) I'ho I,Odollco, nuiink:uonco nrplaii, cow3t action, oroction, or rninovill of iifivrfrtlsing
.ions, awnings, canopies, celitu ontrincos, coal holes, diivo rays, mallholos, nffnqucua,
hoist lit^ )y opcninrlr., !.iflow.11k vmflts, ;trout lianni�rr, of doc.of�iUow.; :111(1 !,mo iu rlxpo
of
(b) Tho cunsin_fctinn, ffnwholl, of will(mil of o vololfi, r?r
(c) I he owmw;llip, makilenilncu. or ut;n of mly olnviiior., (;ovowd by llfi;; ❑i mull,au.
I ion^rover:
1. The ifi-umnrwo zifforclrid to titich utditionsii hu-m lid only npplin!; to tiui ox.lont 1wifiiittool by Inw; mid
2, II covolaqu, plovidod to tho w1ditiomil insnrod is royuirod by if contract of aqffwnlcfft, 1111, ini iif..
onco ollordod to f,rif,ii additiolml iosun.;d will not ho broltdoi than that which you ilrii niiluilk-d by
lilt! conifiu;t of itgioomi;nt to piovUJo tar fufch nddition.al imiolod,
With rospoct to I';ifoiirapil 1.1. rbove, <l or orgonixotion's *itu;; w; rui ;ldditiomil in uu=d
undor Ibis midooi(mlorit oriels whorl:
(1) All work, inch,iding mntriukili,, porit; or miffipfflnut furriiahocl in coniiodion with !such ,vollti, ()If
tho projoct (othor Ihnn r;tnvicft, nlimillowinco or roprtirs) to ho, I olfornind by of on hohnif of lhn
iu)dillowi) ur,ureii{s) ill t'ho lucotion of ills+ covermd oporiftions h;l;; boon collipli U.,rl, or
(2) Thot poftion of "your work" out of which tho iiijuiy or d;imliq i! hooll put to 11:;
ntonds'd tiso liy ;jay pol'.on of oftlarfi/atioit othor thrill another contr:ii:tor or suhconlmctor
0110 iRiod in pelfofrnin(I opolations; tot, a pruivipbi III',o-7 pifrt of Ihi, r;;mw projocl.
f
With iospoct to P;ff.lgr;-Ipll 1.b, ;1bovo, it pi;rsoll's of titsilm; o:: ill) ilddihon;d immi rl
under Ihi�i ofidol iolnont ond6 whoa thou written conlrocl of writt m ;i(poi robot with Vol) tot rmcll
pwmii�wi or Incililit's mid s.
lVlh riir;pod, ; to Pimlilf,iffh 't.c, ohovo, tlu:; insur,nmo don;; not apply lo may "u i;ufronco" which Elkus
pl;ico oflor tho o(Illipffiont rcfntcil or hiwitf slllrcomelit hn,t oxpilod or you bovo folunnid �,uf'h iiciuipfrnnil
to llu?
lhn iif-111101WO poividnil by Ihi:. oildorsnmisnl igiplioi. only it ihti writtoll rufitrfct of writtoll ri0ff'mimill
i; ;ioriml prior to ilm "bodily illjufy" of "plopofty dollimlo".
Wo havo no duty to t-ol end an odditiunal inet ro'! l i.ntdol, this; ondorsi Illent until wo it.cnivo wiiUfiu
nofif,+�
of .i "emit" by tho odditlolial inuiurod o:; raciuirod In 111miyloph b. of C`,orfditiori 2, OlItle"; Ill the
Event Of Occurronco, Offolviu, Claim 01' Suit undt;f ;3oction IV - Gommurcl it t.(morol L.hibllity Coiidl-
tion��.
'<' )i)I;ilibn�ly k�uhfrd Insur,nu.f,
GG 88 '10 04 113 of (olial of In ml,lnf ff.` r i!u;Offfr.'!,Inr.,,viith 11;i}Ire '1 of 13
C. Will] ru;;poci (1) tilt,! iwallillico providud by thij undorseift(rnt, the following ille added Io I'mogwph 2:
FuIriMmis i n hw Soction I -C ovorarle A-Bodily Injury And Proporty Ilamogrl LiablUty:
phis insulial(.o down n«t i1ppiy to.
«t, "Rodily injriry" oI "i`noperly dntnng(," mi!;inq from Ihu solo nerlligonco of Ilru nddi(ionni ins;un;d.
b, "ilodity injury" or "Inoliorty (hillag0" that ocrorr; prior to Yoo room limwiu() opornlitxtt; rat tile,
htctlti(ttt "'divio >u(,It "hmlily injury" (ti "prt;i-wily dtinrngrt" nc;cura.
c. "Htidily injury" "proporty dm-linqu" ui "p(*rs(.rnal ;111(1 ;)dvorfi:;h1!j injury" ;.uieJily out of that (owlef-
ncl of, of Ilt(t fnluro to romfor, tiny prof ef;iomll orc,hitnctur;11, O lrliiu:'mflrl fir !,urvuying
iucludincl:
('1) l ho prttli;�rhi}t, ilpplovirrq, or haillnol to proparn or approvo, nl.tpt;, X11(')-) drawings, ophtions,
fupoilra, suivoys, fieti(I Urdor=, chmillff. (orders or dt lwingf; ill-)d r'Iwciftctrtiolu,; of
O mporvisory, inf.gwclion, ;trc.lfiluctur,ri or ongineoriny activitios.
fill,,; exch1f ion tipphcr.i uvcln if Iho do-rot's rgjain'a any ills ul'od alhogu rloglirtrotr o of l.1thor w(tmiyloing In
tho t'uporvis;i(>n, hhinll, olliploymoill, Uoinifig or mmnitorilig of olho ; by tlutt illmaud, If titu "ocf(tlr-
iunco, whital gill,;d tho "bodily injury" or "piopofty dnlimqu,, tit tho ofrow;u which c.;nf<aud thn
"p1w.,orrd .tad advolli:Jllfi injury", inv(_cive(I till-) wiliforirni of, or ihu tailtatt to n.udor, mly ftrol(,s-i(fnnl
ill cIflIndur;kl, uiiipti:uring or furvoyinoj f;rvi(xcs.
d. "Bodily injury" of "prnpmly thilwgir" u(;(;UUint_) ollol.
(1) All wo il:, iutiludin(t motorml: , pnI or eguipntont feurtishad in c uflooTion with '11ch work, ()n
tho pfujocl ((tlhnr ih;rn r,orvrco, mnintonnnco or rupoirs;) to hu pulfortoud by or on hollnlf of Illf.,
additions( iu;urod(s) at Ihc., lo(iitiorl of tho rove)rud operations Il u boon c onrpir!ic?d; of
i
(2) illsrt podion of "your worlt" out of whicli i1w injury nr dnmrutn ;flit !; hers hood till( to itf,
intimilod w;o by any porlon of (>t(t;fni;siiatt Cithilr Ihnr) nnothm- c:onll;wtor I'll (;fih(olllrarior
ellgagoes in p..rfonning oporrdiorlf; fur ;1 plincilml on if phut off tho s;;snr(l plojo(tt.
V. Any poo;on of nrdtutii;flic5ri :;poc.afic'tllly dg ignnted ns nn midlitowil uf!-mrod f(rr ofifJonu) operation;
by if s(p m`nto ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS ontk) 5mnm t i;;
;u(!d by u, ;rod nrtdo ;(pmt of thin policy.
3, With lwil d to Ilw in(;tu;rnc:(; oliordod to tl Hsu ;l(Idi(ionnl illimlocfr;, tit(; fc�llowiut) Is +.((food to ,(mtion III
.L.imit!; Of insurance:
If covolauo provit-lo i to lho PtddiGon+il im'(11od is tugthretd by a r;onirrlcl or ;utroornent, the ((lost kve will
pay of) boll;tlf of lilt) tidditiomil ill!"motl i�.; tho mitount of in;=ur,ltiro
a. Mi(Itilled by Iho contmcl or ngiftmiunit; of
h. Avail=ihlo uuilor ill(-) npplicilhfu Limits of Insur 111"o :,haws in tho Elmd'rrsltioll"',
wilwhowor it; low.'.
The: (lcldor:;(,niont ashnll not ilww'tl a the opphu;ihict I imits of In,ursnc;(? shown in tho fft;clmolio (I;,
N, PMMAidY AND NONTONT131BUTORY ADDITICJNAI INNURN) IkXTEN`MN
1hi„ Ilrovision 'Ipplios to ;illy poi;on ur ur�lnnit;ition who yuolihw-) its nn ild(filiolwl inr lud undo( any form
or undoc;oroom larder 11w; polir:y.
i;ondilioll 4, Other Insurm"ro of SECTION IV -COMMERCIAL GENERAL LIAMIL..ITY CONDiTIONS is nn"d
ed ;ft;follows;;
;1, lluo folhlwiltc) if, €t 1ded to L';1rilquiph n. Primary (nsttrtlnce:
If sin e(ddiliM ivfmire d'u polity lm.; im Othor In u1mic(s pravi-)Jolt lmllancl itts poliey c,r�r, ss,, ;md you
11"wo rtgroo(i in a writton cimtroc't or wfittol) ;tdrn(-)nu)r1t to ploviih; tits uhiiti(_tnal ntsunsd fxwef;,u-lO oil if
plimmy rind noncon(rihutory hotsv;, Ildf; policy Shall ho primary oncl wo will imt wwA rcintrilnrtion how
Illo sdditionttl ill,ml (cl'ss policy rug duntnge s we c±)v(.r.
'`) ?(Jt:llibr':cty hqubc7l hi;winx;((
cib Gil 10 04 13 hu-fu(ii ;c(ilryritlhtcrl mtfharNd of htuu a"m:`. cull<::Offi"O'Inc,with it r,Irc(rniYmm. Pogo 5 of 8
h, I Ill!! lollowintl i!; ;.athl(>,rl to Pologlolrh b. Exe o ska inaUronco:
Wiwi) it wntloll contract or wtillein agroorlinnt, othrar than a Oroam os, loiaso, Incililit,!s omfal contract or
;lgl,11111(:uat, an toed inonf rontal or luaatm, contras or ayrcornont, or ponnil isr;uod by a�;taate of I_mliticaal
subdfvi�;km hctweoll yoll ;llld all additional irrsniorf rf0o" not rc+quite Inswillice to hip Isrinialy w
primary and noll-(-,on1i'ilintory, thh' IWAlrruu.e is ( Xc ,y ovor rally othr:r intmionco fur wilwil tho adds
tional insunod is d+,tifrinotod as a Nanlud Inr,urod,
Itrgardlw!; of Ihrr written ogw(li inni hol4vonn you and all addilion;al ia1;rrrod, iht:> ins to anr:a� is, ox o,,s
ovr:r ;any othol iwmlaffco whothut prifmily, oxa:;o.a, contiligont or on orgy oth r basis. for which 11
additional uae "wl has hoop mhkd as an addllional imurt l on iMor pralicua;;.
I. ADDH ZONAL INSUREDS - EXTENDED PROTECTION OF YOUR "LIMI>S OF INSURANCE"
This provir;foaa ayapliw; to any per:;oll or oty;rnix Ilion Who qu+,lificr!i ar>arr additional in;;ureil olodor imy form
of ,Inch♦(srntsnt under this I:aolia,y.
1. 1 h following is iuldod to Condition I[Ndl sa In Tho Ewid Of Occu ni-rie , ClRmum, ClNhn or SW
An additional iw,,a d nnifl r this ondorscrnont will ns:orrn as practicable:
.a. r_;ivt, wiitlon notie,rs of sea "+x;t;urrent:u" of an nffaiaisu that aiasry rrasolt in it c,l,iim or ";nit" oradrar
thi: iorsoro co to us;;
la. IMUK wo rlt;f miso Mott inrli.innily of any chiol or "!-alit" to all hwsunw'i k°ho n oko Iltm!
iwmioll(<c ;availaahlu (o ill(" additional ins'lliod, an(i
e.. Awne to owko available ♦arty othor insoiaarn:ra whwh this addifionol insorod laa!; foa as Im,r ways
govt=r 1,111d rr Illi?, a,ovornw, fart.
d. We hnvo no (fifty to dolend or indernnify oaf nr ditional inssarod und!?r this em+lnn;(snxsnt until
we wcefvo written notico of ra°salt' by thca additional in;prod.
2, Tho limits (if insmana;ra npi-dicnhIo to tho WIT11c ell hv;omd on thole♦ sPocilitxl in it wfiltora contract
or writtoo ;_i(Irc(i niont or that lirnits of insurance as; shtod in Ihr; l ocla•aratunrs of thi�a iaoli(, alfld
(Johnod In Section III - Lhnft,; of Insurance of thk ph* wWMnwr wo Irrsm fhos;o knits art;
inclilsivr, of and not In ;-addition It) this lirnits of utsoranc( <availablo onde Ihn; policy.
..I. WHO IS AN iNSURED -INCIDENTAL ME-DI;At ERRORS I MAI PRAC;TI( t
WHO IS AN INSURED -I ULOW EMPLOYE L-` EX f EN WN -MANAGEMENT NT EMPLOYE
PMT1 lratah Za,(1) of SOMAIDn Ii .Who Is Ali Iwitirud is rol)liwed with lh,t folla�wing
(1) "I_iodily injury" or pa rsona:al aorl advortf;,ing injury":
(a) to you, to your poaoms or monilusrs Of pm Fare o J"Inn slo or j&I vonU.ua), to your rnembr m (if
you ;are ;r hilitod liability cons 'any), to a whilo in tho coursan of hir, or for onapfoy
rraent or p(>rtorwinf,f datiry roletod to tho conAwl of your hu;in(sas, or' to your othol "vralrnala er
wol,kor;
aoivoitit;ito) injury" misinrl rill of Ilwir willful colillout, which u; dotirlr;d rl;till, pulpy!>(Jnl of t1ri111u1 Intimt to
ilc'o "bodily injury" +n "p+'lr,anal anti irdvrlliisiutl injury" UI c;luscld in *holn of in purl by lllt.il intuwcn-
hlm by liquor or controlicd t;uhaancas;:
I h1; covollloo providud by pl ovi;fill J. I; olxcl rs over any othor v<lfid and coll III,:toblo av'lilnblsl to
yonlr "olnpklyoo,
K. NEWLY FORMED ORADDILIONALI_Y ACQUIPFD ENTITIE=S
I',iritgraph 3. of Soction 11 -Who Is An Insured ie, ieptn.:cx.l by Win foilowinct:
3. Any orlioni rltion you rm .11y acquilo of form rind ovor Which you nriint'tin owncti: llip nr in;ijoirity
mtmost, will qu;llify if!; it Nan od Iritairod if thou; it; no other <;i1oilm ilvall.tllco ov lifilhlo to that
a. I:;ovorngc ifildim this; provi!;ion it affoldud imly until this rcxpiratlofl of t1w policy p`riod in
vdhiull tho smtity was ;w(Il od or furulod by you;
1). (_:ovuit<tu A dubs slot apply to "hodily injoiy" of "proporty dmli'lyo" illot occurn,d hololo you
dG(.IuiI0d aI tl;lnlllnd thh oto.nliz ilian; and
C. Covor;yc F3 does not oppiy to "purtinud mill adveltit;ln(l injury" aris;iml fall of all offollts
comrrlitiod buff-fro you ouquiriad or fafilled ill(' olo.mlizahoil.
d. lklculds Lind dl-scliptiol)!, of opolIntinlrz must bu, Iwlintaiiicld by till) iil"t lglmll 'd inscned,
Nu poi";on of olomli/,�ilinn is ml im,lilod vrith losftod to thu colldoct ni illy coloi nt of i'K:wt i Illi -.flip, joint
volute, of, hinilod liohilily comlp,lny tImt It; not shown as v Nomad 11VAlo'd ill Lila 111.I1110tion;z of ,iwllifios
'I's ail iw;llrud rntrlor till!', provision.
1,, FAILURE TO DISCI-0',:;i- iiA/AfflY. AND PRIOR OCCURREN(TIS
tindul Soctfon IV a Commorcirli Gonorcll Liability Conditions, Iho foIloevillll k ;lddl'd to t.imclifirm li, IRON-
hent,ltion�,:
Your lailuri to di;dog,;(, ell Im/ill(k of prior "01JAlo licw;" oxv;tintl n,;of this imloption +Info of Ihn policy
shall not plc ludico the covrNngr3 ,ltfordo'd by lids policy plovidod r;ucil f,lilul`e ti> dL t-.1o,n all lwwm ,; or
pool °l)ccollooro!' is not ifitontionaf.
I
M. KNOWi I'D61"; 01 0Ct;Ul ZL-NCE, OFFENSE, CLAIM ON SUI11
tlnrl;�;r IV -Conunorcial Giollo ll LkIlIllity Conditions, Ill,,, foliowinll i!, i011(!d In (condition 2, Dutia1;
Ill The Event of Occurrcnirri, Offomin, CL-,iu) 01. Suit:
KnWA'101(1 (t of All "IaCCr11Y'r'Il(71' olh.ly;o, chim UI "!Alit" by 8n O(lirllt, .Inrwml of "tlroployoC° of 'lily
iw:of ld :;boil not Ill itself f�onstituto kllowrinlloo of ills, ilimil cl oath s on ilwmlod Ir"Imf undol I lm".1(popfl
1, of Soction 11 =Who F;All hisured OF ',I prlr;oll will) hm; hooll do drllmWd by ihl?nl Io mcoivo ropnL; OI
°or;CllI1011col;", offl;n_,w, cklim s or ':;uih;" shall h,lve lu(:oivni_l !m0l notic.o hold tho acir;fll, '-;omlot Ili
`mllpluyoo"
N. 1.I13F14AIVA1ION CLAUSE
If vri! rovi"-"o (hip; C;rimnuxcird ta"llelol Liability LXt(',n.`ioll Ilrulorsomint it,) plovido rnorr, covrlrn(In without
;oilditioniii preloillill dmi-qor, your policy will ;lutom"Iticllly provido tho uovol;i u .1:;of tho day tho lovir;ion ir,
fdioclmv in your r;t,,iIc.
C). PODILY INJURY Ri..DE FIN 1�,D
Un(fl:r Soction V e Dofiniflonf , I oofmition 3. i:; raplacod by the f0lowim)
3, "Bodily Ilijoly" rno;;:lnsl phy;icai injniy, ;;icvnosr. of 111 I ;r;i ;tvAl'lilwd by n plsr!;on Illir includoc;
inont;ll migo.;h, mimlili iiiimy, ;honk, fiil_Iht of I{1;6111 that lo!oilk (ruin 'mch llhysir;ll injoly, :;icl;
?lot,!; or olicaa;>u.
201111 holly N111Wt+l Ilu:ui�ru:�l
CG 88 '10 04 -13 Include ;:oi_;yr)ghtc?tt niatori;li of in mronan f"olvico".011W(1,Inc,vMII its pi low;Lain, Pago 7 of 8
P. LXILNI.II D PkOPERTYDAMAGE
E xclu::lon a, of COVERAGE A, BODILY INJURY AND PRt)PHUY DAMAGE LIABILITY i; iopliwcd by tho
lollowintj.
it. L'xpectod Or Intr,ndod Injury
"Lludily injruy" or "f)rol,)nrfy rlaflifloc", oxt)r)ctttd or intondod Irony iho !'Llodlroint of (ho in-,urorl.
Ibis c�xciu,;ion dotal not alliriy to "bodily injury" or "propolty daro,rflu." riaullintl hoot III(! ussn oaf
lomwn,rlrlo forco to farotoc.t 1'u rfiowl. nr lrrolii1111y"
«. WAIVER Of- 1'RAW-EIt Of` RIGI1'I'S 01= RECOVERY AGAIN 11' OTHERS TO WS - WLILN RLOUIRLU IN A
CONTRACT OR AGREEMENT WITH YOU
-ate
Under Soctlon IV - Gommerclal Gem ral Liability Conditions, 11111 followirty r.. ,Iddnd to GoIldition H. Trans-
for 0t Right, Of Recoveny Against Othors To Us:
We wilive any right of lucovoly we urtry h,rvc it Imt."on or orqunir.otion ho)caneu of poymrmir; wu
-' nitro far injury Or cislrrWup, �affur) Cu l oI y ow �u3 i u d oi �ro o "y
rut wGariE" flulle, uitrlcrr r
colitulct with that ln)r;,on or ordtnrVrrtioll and irn,fudod in Ilto ,plodwcls; c mrlrlutod olu:mfiomn halilld"
provided:
1. you illyd than lrolmm or orfl:mi,r�rti+m how mpood h) writing in a c ollfilwt of mjwf!nIemt Unt yoll
wuivu such riyhtr; ngtninst ihnt porson or orgmli;,ntion; and
2 Hm utjuly or dnnur(lra occur;) sllhr;cyuol l to 11w (?xucntion of tilt) writloo contmcf or wliUt)u nitrun.
i
r
1013 dnnly Muturil lwitlhlnce
CG 88 10 04 13 Inc.ludu!,copyrigillod malooA of In r,ruico E°i r✓r w;Office,11w.,wilir ii;.poop c.,.ion. Ptrigo 0 of 0
De artnieat of Labor and Industries BILL MAIR HEATIN;G &AIR INC,
PO Box 44460
Ol mW� 985,04-446{ x Z c EC B� NMH8641
zoom, 603=443 0 76
� e roidad by Lewas
E ct ca Goh: actor
a name
on TAM—AT On K
Of
4
yr
BT AITt H�A I iNG&A �� � �r date fl129/2fl 14
80 uL r coUxt 010/29/20I,
SEQTIM WA8� 2 a z
t r
s
� y
i
Department of Lobor,nod Iadu.Wles ELECTRICAL/TELECOMMUNICATIONS
Elechical Licensing&Ce`tiCcatlon .
P0 Box 44460 CONTRACTOR'S BOND
ai,,nplriNi'A 99504.4460 .. TO THE S'K'ATE Or WASHTINGTON
�twtiv.I nintw. ovlCrs�dalicdnsitli;/elertt icitl (Thus form must tie typed)
UBI MASTER LICENSE
603443076
ELECTRICAL CONTRACTOR#
BOND U
100260853
Eirnt name as shown on UBI Master Business License
BILL li+IAIR HEATING AND AIR,INC
j Corp1LLC/LLp Other Corporate Registered Trade Mates under the above UBI flat Secretary of State
[�Partnership �
Othau Sole Proprietor or partnership registered"Doing Business As"(DBA)Nantes
Sole Proprietorship
r linc Address of Firm VAI_I_EY FARA9 CT y State Zip-t•4 Rhone 17uatiber
SIm UEM WA 983112 (360)683-4245
l3oii(lijig A ejif Intolatrtnfiort
Name of Bonding Company
AMERICAN CONTRACTORS INDEMNITY COMPANY
)ddres
6018,Figueroa St„Suite 1600
city 'hale z +4
LOS ANOELES CA 90017
Phone Number Contact Name
310.CA9A990
The bonding company organized and existing under die taws of the state of California and authorized to
transact business in the state of Washington under the provision of chapter 19.28 RCW,as surety,are held and fi nily bound to a bond
in the amount.of$4,000.00,to be paid to the state of Washington.The conditions the principal,bonding company,and the state of
Washington agree to by taking out this bond are as follows;
(1)As a precondition to receiving an electricalltelecoanmunications contractor's license under choliter 19,28 XCW et segL,die license
hoiden must keel)this bond in full force and effect,If any cancellation,rdvoeation,or withdrawal by the surety/bonding company,
occurs,the department will suspend tho license until such time as a new bond for$4,000,00 is provided to the state tit'Wasiiirigtom
(2)The license holder will hay for all labor,including employee benefits,and material furnished or used upon the work,taxes and
contributions to the:atatc of Washington,and ell,damages that may be sustained by any person,fine,corporation,or other entity due
to a failure of the principal to snake the installation or maintenance in accordance with this chapter or any applicable ordinance,
building code,or regulation of a city or town adopted pursuant to RCW 19.25,010(3).
(3)Should the bond become owing due to failure to comply with sections(2)and(3)above,the principal's electrical
Itelixon )III nioations ninth-,jotors lirri)ac is Ro%p&,ndod until such time,ati a nP,w hind i!,fturni,;hed by the,11R$n80 1101de.r.
(4)The bond shall become ellective 1012312014 and is intended to cover any subsequent periods for which
the Electrical Section may issue a license to the principal under the provisions of chapter 19.28 RCW,or any amendments thereof.
This bond it,to be construed as a continuing obligation until canceled by the surety,
F500-019-000 electrical teleconuaitmicat.ions contractor's bond 05-20(')0
RECEIVED
CONTRACT /AGREEMENT/ORDINANCE REVIEW JAN 16, 2015
PORT ANGELES
TO: Heidi Greenwood DATE: 1/16/15 LEGAL DEPARTMENT
FROM: Bob Kajfasz
RETURN BY: no later than end of January DATE TO COUNCIL: na
CONTRACT TYPE (e.g. purchase of goods, services, combination goods & services, etc)
Prior Council Action: If so, attach copy of minutes.
City Authorized Contractor Agreement W/Bill Mair Heating and Air, Inc.
BIDDING/ SELECTION PROCESS: Regular Bid; State Bid; Interlocal /Piggyback, etc.
na
EXCEPTIONS TO BIDDING (Small works; Is City to perform any part of the work;
Special Purchase considerations, Contract for Professional Services, etc.)
ACTION REQUESTED OF CITY ATTORNEY:
Attached for review are copies of City Authorized Agreement for Bill Mair Heating and
Air Inc, Contractor's Certificate of Liability Insurance including endorsement and Auto
Insurance, Washington State Contractor License, and Bond information.
EXPENSE CODE& PROJECT NUMBER: CN0001
DATE CITY ATTORNEY REVIEW COMPLETED: 11"16 LODIs-
CITY ATTORNEY COMMENTS ( ) YES ( �NO ( ) N/A
IACIty Attorney\Contract Review Form.doc