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HomeMy WebLinkAbout001319 Original Contract City ©f.Port Angeles CITY CLERKS COPY City of Port Angeles Record #001319 r Public Works&Utilities Dept. Engineering 321 E.51h Street LIMITED PUBLIC WORKS PROCESS Port Angeles,WA 98362) Tel:360-417-4541 Fax:360-417-4709 Request for Quotation Contract Contract Title: 24-Inch Transmission Main Pit Excavation Project Number: CON-2017-50 THIS CONTRACT is entered into the date last below written between the CITY OF PORT ANGELES, WASHINGTON ("City-) AND 2 QRADE LLC, WASHINGTON ("Contractor"). 1. WORK BY CONTRACTOR The Contractor shall perform the work as described in Attachment"A"(Attachment"A" may include Contractor's Proposal, Scope of Work, Statement of Work, Plans, Specifications, and any other related Contract Documents) which is attached hereto and by this, reference is incorporated herein. 2.TERM OF CONTRACT All work under this Contract is to be completed as indicated (check one): All work under this Contract is to be completed by this date: All work under this Contract is to be completed 10 days from the Notice to Proceed. No work is to be performed prior to written Notice to Proceed by the City. The performance period under this Contract commences 10 calendar days after notice to proceed and ends (20 days thereafter or aft gr contract award). 3. PAYMENT A. The City shall pay the Contractor for the work performed under this contract (check one): 0 Force Account-Time and material, not to exceed: $ 0 Force Account- Time and actual expenses incurred, not to exceed: F-1 Force Account- Unit prices set forth in the Contractor's bid or quote, not to exceed: $ E Firm Fixed Price set forth in Contractor bid or quote in the amount of: $14,092.00 The Contractor shall do all work and furnish all tools, materials, and equipment, in accordance with and as described in the Attachment "A". The Contractor shall provide and bear the expense of all equipment, work and labor of any sort whatsoever that may be required for the transfer of materials and for constructing and completing the work provided for in this contract and every part thereof; except as are mentioned in the specifications to be furnished by the City of Port Angeles. B. The Contractor shall maintain time and expense records, which may be requested by the City.The contractor shall submit invoices to the City for payment for work performed. All invoices must reference the City's contract number. invoices shall be in a format acceptable to the City. C. The City shall pay all invoices from the Contractor by mailing a City warrant within 30 days of receipt of a properly completed invoice. D. All records and accounts pertaining to this Contract are to be kept available for inspections by representatives of the City for a period of three (3) years after final payment. Copies shall be made available to the City upon request. Project CON-2017-50 Page I [FORM REVISED 7/2017] E. If during the course of the Contract, the work rendered does not meet the requirements set forth in the Contract, the Contractor shall correct or modify the required work to comply with the requirements of this Contract. The City shall have the right to withhold payment for such work until it meets the requirements of the Contract Documents. 4. RESPONSIBILITY OF CONTRACTOR A. Safety. Contractor shall take all necessary precautions for the safety of employees on the work site and shall comply with all applicable provisions of federal, state and local regulations, ordinances and codes. Contractor shall erect and properly maintain, at all times, as required by the conditions and progress of the work, all necessary safeguards for the protection of workers and the public and shall post danger signs warning against known or unusual hazards. B. Correction of Defects. Contractor shall be responsible for correcting all defects in workmanship and/or materials discovered within one year after acceptance of this work. When corrections of defects are made, Contractor shall be responsible for correcting all defects in workmanship and/or materials in the corrected work for one year after acceptance of the corrections by the City. The Contractor shall start work to remedy such defects within seven (7) days of mailing notice of discovery thereof by City and shall complete such work within a reasonable time. In emergencies where damage may result from delay or where loss of service may result, such corrections may be made by the City, in which case the cost shall be borne by the Contractor. In the event the Contractor does not accomplish corrections at the time specified, the work will be otherwise accomplished and the cost of same shall be paid by the Contractor. C. Warranty. Contractor shall be liable for any costs, losses, expenses or damages including consequential damages suffered by the City resulting from defects in the Contractors work including, but not limited to, cost of materials and labor expended by the City in making emergency repairs and cost of engineering, inspection and supervision by the City, The Contractor shall hold the City harmless from any and all claims which may be made against the City as a result of any defective work and the Contractor shall defend any such claims at its own expense. Where materials or procedures are not specified in the Contract Document, the City will rely on the professional judgment of the Contractor to make appropriate selections. D. Nondiscrimination/Affirmative Action. Contractor agrees not to discriminate against any employee or applicant for employment or any other persons in the performance of this Contract because of race, creed, color, national origin, marital status, sex, age, sexual orientation, genetic information, or handicap, or other circumstances as may be defined by federal, state or local law or ordinance, except for a bona fide occupational qualification. Contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided by Contractor setting forth the provisions of the nondiscrimination clause. E. Employment. Any and all employees of the Contractor, while engaged in the performance of any work or services required by the Contractor under this Contract, shall be considered employees of the Contractor only and not of the City. Any and all claims that may arise under the Workers Compensation Act on behalf of said employees, while so engaged, and all claims made by a third party as consequence of any negligent act or omission on the part of the Contractor's employees, while so engaged on any of the work or services provided or rendered herein, shall not be the obligation of the City. S. COMPLIANCE WITH LAWS The Contractor shall comply with all federal, state and local laws and regulations applicable to the work done under this Contract. Any violation of the provisions of this paragraph shall be considered a violation of a material provision of this Contract and shall be grounds for cancellation, termination or suspension of the Contract by the City, in whole or in part, and may result in ineligibility for further work for the City, 6.TERMINATION OF CONTRACT A. This Contract shall terminate upon satisfactory completion of the work described in Attachment "A" and final payment by the City. B. The City may terminate the Contract and take possession of the premises and all materials thereon and finish the work by whatever methods it may deem expedient, by giving 10 days written notice to the Project CON-2017-50 Page 2 [FORM REVISED 7/20171 Contractor, upon the occurrence of any one or more of the events hereafter specified. 1. The Contractor makes a general assignment for the benefit of its creditors. 2. A receiver is appointed as a result of the insolvency of the Contractor, 3. The Contractor persistently or repeatedly refuses or fails to complete the work required herein. 4. Contractor fails to make prompt payment to subcontractors for material or labor. 5. Contractor persistently disregards federal, state or local regulations and ordinances. 6. Contractor persistently disregards instructions of the Contract Administrator, or otherwise substantially violates the terms of this Contract. 7. The City determines that sufficient operating funds are not available to fund completion of the work contracted for. C. In the event this Contract is terminated by the City, Contractor shall not be entitled to receive any further amounts due under this Contract until the work specified in Attachment "A" is satisfactorily completed, as scheduled, up to the date of termination. At such time, if the unpaid balance of the amount to be paid under this Contract exceeds the expense incurred by the City in finishing the work, and all damages sustained by the City or which may be sustained by reason of such refusal, neglect, failure or discontinuance of employment, such excess shall be paid by the City to the Contractor. If the City's expense and damages exceed the unpaid balance, Contractor and his surety shall be jointly and severally liable therefore to the City and shall pay such difference to the City. Such expense and damages shall include all legal costs incurred by the City to protect the rights and interests of the City under the Contract, provided such legal costs shall be reasonable. 7. OWNERSHIP OF DOCUMENTS A. On payment to the Contractor by the City of all compensation due under this Contract, all finished or unfinished documents and material prepared by the Contractor with funds paid by the City under this Contract shall become the property of the City and shall be forwarded to the City upon its request. B. Any records, reports, information, data or other documents or materials given to or prepared or assembled by the Contractor under this Contract will be kept confidential and shall not be made available to any individual or organization by the Contractor without prior written approval of the City or by court order. S. CLAIMS Any claim against the City for damages, expenses, costs or extras arising out of the performance of this Contract must be made in writing to the City within thirty days after the discovery of such damage, expense or loss, and in no event later than the time of approval by the City for final payment. Contractor, upon making application for final payment, shall be deemed to have waived its right to claim for any other damages for which application has not been made, unless such claim for final payment includes notice of additional claim and fully describes such claim. 9. GENERAL ADMINISTRATION AND MANAGEMENT The Director of the Public Works and Utilities Department or his/her designee shall have primary responsibility for the City under this Contract and shall oversee and approve all work to be performed, coordinate communications, and review and approve all invoices, under this Contract. 10. INDEMINIFICATION / HOLD HARMLESS A. The Contractor shall defend, indemnify and hold the City, its officers, officials, employees and volunteers harmless from any and all claims, injuries, damages, losses or suits including attorney fees, arising out of or in connection with the performance of this Agreement, except for injuries and damages caused by the sole negligence of the City. B. 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, and volunteers, the Contractor's liability hereunder shall be only to the extent of the Contractors negligence. It is further specifically and expressly understood that the indemnification provided herein constitutes the Contractor's waiver of immunity under Industrial Insurance, Title 51 RCM, solely for the purposes of this indemnification. This Project CON-2017-50 Page 3 [FORM REVISED 7/20171 waiver has been mutually negotiated by the parties. The provisions of this section shall survive the expiration or termination of this Agreement. 11. INSURANCE The Contractor shall maintain insurance as set forth in Attachment B. 12. PREVAILING WAGE This Contract is subject to Chapters 39.12 and 49.28 RCW, amendments thereto and regulations issued thereunder, relating to prevailing wages, benefits and other requirements. Workers shall receive no less than the prevailing rate of wage. Bidders shall examine and be familiar with such requirements. No claim for additional compensation will be allowed which is based upon a lack of knowledge or a misunderstanding of any such requirements by the Bidder or a failure to include in Bidder's price adequate increases in such wages during the performance of this Contract. The Contractor is advised to consult the Washington State Department of Labor and Industries to determine the prevailing wages that must be paid. This public works project is being done in Clallam County. Washington State wage determinations for Clallam County Journeymen and Apprentices can be found at: https:Hfoirtn ess.wamv ni/wa 1ookupJprvWagelookUD.asDx Bnilwa https:l/fortress.wa.00v/lnilwaaelookup/AppirenticeWageLookup.as px Use the applicable wage determinations effective on the hid due date. A copy of the applicable wage rates is available for viewing at the Port Angeles Public Works and Utilities Contracts Office., In addition, this agency will mail a hard copy of the applicable wage rates upon request. For a contract award under $2,500, and in accordance with RCW 39.12.040(2), the contractor or subcontractor is authorized to submit a combined Statement of Intent to Pay Prevailingi Wages&Affidavit of Wages directly to the City of Port Angeles at final invoicing. Submission shall be made on the form developed by the Washington State Department of Labor and Industries and available from the City of Port Angeles Public Works and Utilities Department. In case any dispute arises as to what are the prevailing rates of wages for a specific trade, craft or occupation and such dispute cannot be adjusted by the parties in interest, including labor and management representatives, the matter shall be referred for arbitration to the Director of the Department of Labor and Industries, and his decision shall be final, conclusive, and binding on all parties involved in the dispute, :13. INTERPRETATION AND VENUE This Contract shall be interpreted and construed in accordance with the laws of the State of Washington. The venue of any litigation between the parties regarding this Contract shall be Clallarri County, Washington. 14. BRANDS OR EQUAL When a special"brand or equal" is named it shall be construed solely for the purpose of indicating the standards of quality, performance, or use desired. Brands of equal quality, performance, and use shall be considered, provided Contractor specifies the brand and model and submits descriptive literature when available. Any bid containing a brand which is not of equal quality, performance,, or use specified must be represented as an alternate and not as an equal, and failure to do so shall be sufficient reason to disregard the bid. 15. INSPECTION AND REJECTION All goods, services, work, or materials purchased herein are subject to inspection and to approval by the City. Any rejection of goods, services, work, or materials resulting because of nonconformity to the terms and specifications of this order, whether held by the City or returned, will be at Contractor's risk and expense. Project CON-2,017-50 Page 4 [FORM REVISED 7/2017) 16. SUBLETTING OR ASSIGNING OF CONTRACTS Neither the City nor the Contractor shall assign, transfer, or encumber any rights, duties or interest accruing from this Contract without the express prior written consent of the other. 17. INDEPENDENT CONTRACTOR The Contractor is and shall be at all times during the term of this Contract an independent contractor and not an employee of the City. 18. EXTENT OF CONTRACT/MODIFICATION This Contract, together with the attachments and/or addenda, represents the entire and integrated Contract between the parties hereto and supersedes all prior negotiations, representations, or agreements, either written or oral. This contract may be amended, modified or added to only by written instrument properly signed by both parties hereto, 19. SUBCONTRACTOR RESPONSIBILITY A. The Contractor shall include the language of this section in each of its first tier subcontracts, and shall require each of its subcontractors to include substantially the same language of this section in each of their subcontracts, adjusting only as necessary the terms used for the contracting parties. The requirements of this section apply to all subcontractors regardless of tier. B. At the time of subcontract execution, the Contractor shall verify that each of its first tier subcontractors meets the following bidder responsibility criteria: - At the time of subcontract bid submittal, have a certificate of registration in compliance with chapter 18.27 RCW; - Have a current state unified business identifier number; - If applicable, have: • Industrial insurance coverage for the subcontractor's employees working in Washington as required in Title 51 RCW; • An employment security department number as required in Tile 50 RCW; and • A state excise tax registration number as required in Tile 82 RCW; • An electrical contractor license, if required by Chapter 19.28 RCW; • An elevator contract license, if required by Chapter 70.87 RCW, - Not be disqualified from bidding on any public works contract under RCW 39.06.010 or 39.12.06,5(3). Project CON-2017-50 Page 5 [FORM REVISED 7/2017] IN WITNESS WHEREOF, the parties have executed this Contract as of the date of the last signature affixed below.. 2 GRADE LLC CITY OF PORT ANGELES By: By: Printed Name: Printed Name: mwa . .. Date: Title: 5 Date: Title: Address: , City: Tax ID ,." Phone Number: 26 71 Project CON-2017-50 Page 6 [FORM REVISED /20171 City of Port Angeles ATTACHMENT "A" Engineering Office WORK BY CONTRACTOR Public Works and Utilities Department The contractor shall do all work and furnish all tools, materials, and equipment in order to accomplish the project described below. Unless otherwise provided for in the Statement of Work, the Contractor will be responsible for obtaining and paying for any and all permits required for this work. General Scope: Excavate four(4) pits over and around the 24-inch water transmissions main including backfill and restoration, Location: Olympic Discovery Trail behind the Water Treatment Plant/Landfill (See attached map) Site Point of Contact: Jeff Bender at 360-417-4809. Work Hours and Schedule: The Contractor will be allowed to work from 7:00 AM to 3:00 PM, Monday through Friday, excluding weekends and all legal holidays. Work outside of these hours may be requested from and is at the discretion of the City Engineer. Permits: None Work Requirements: 1.0 Project Description The CONTRACTOR shall excavate four (4) over/around the 24-inch water transmission main exposing 3 feet of pipe length at each pit. The pits shall provide 2 feet of clearance around the entire circumference of the pipe. The average depth to the top of the pipe is 4 feet. The CONTRACTOR shall provide shoring necessary to accommodate the City's inspection activities. The CONTRACTOR shall backfill all four pits with CDF and restore the surface back to original site conditions per the City's Urban Services Standards and Guidelines, 2.0 Standard Specifications This contract incorporates the Washington State Department of Transportation's 2016 Standard Specifications for Road, Bridge and Municipal Construction referred to herein as the Standard Specifications and the City of Port Angeles Urban Services Standards and Guidelines(current edition). 3.0 Drawings: The following listed drawings are part of this contract: DRAWING I — LOCATION MAP Project CON-2017-50 Page 7 [FORM REVISIA)7/20171 L Nt i,I"iu���, �pi �:,• w,,, .,�,,V, ,I�,r i*iii„* 6 rN / ;ri /� �%., ,�,, ;,a�iGi�,,,.; %�/ i iy ii ,�/r�'�//i / % iJi'�� iii /�l iiia i '�'�'� r I �i' i��ll�lo/////i//iii//l��✓ .. 9l� i r y, dpi✓t� �� �� vw Ott m drt r� r rr r,y r � N rJ r ✓ p � � i i City of Port Angeles ATTACHMENT "B Engineering Office INSURANCE Public Works and Utilities Department INSURANCE REQUIREMENTS FOR CONSTRUCTION AND SERVICE CONTRACTS Includes construction and remodefing,janitorial service, tree inaintenance, road maintenance, painting, electrical work, plumbing, movers, and on sitcR inaintenance agrcenlents. 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, their agents,representatives, employees or subcontractors, No Limitation Contractor's maintenance of insurance, its scope of coverage and limits as required herein shall not be construed to limit the liability of the Contractor to the coverage provided by such insurance, or otherwise limit the City's recourse to any remedy available at law or in equity. Minimum Scope of Insurance Contractor shall obtain insurance of the types described below: I. 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, 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, stop gap liability,personal injury and advertising injury, and liability assumed under an insured contract. The Commercial General Liability insurance shall be endorsed to provide the Aggregate Per Project Endorsement ISO form CG 25 03 11 85 or an equivalent endorsement. There shall be no endorsement or modification of the Commercial General Liability Insurance for liability arising from explosion, collapse or underground property damage. The 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 10 01 and Additional Insured-Completed Operations endorsement CG 20 37 10 01 or substitute endorsements providing equivalent coverage. 3. Workers' Compensation coverage as required by the Industrial Insurance laws of the State of Washington, Minimum Amounts of Insurance Contractor shall maintain the following insurance limits: Project CON-2017-50 Page 8 [FORM REVISED 7/20171 1. Automobile Liability insurance with a minimum combined single limit for bodily injury and property damage of$1,000,000 per accident. 2. Commercial General Liability insurance shall be written with limits no less than $1,000,000 each occurrence, $2,000,000 general aggregate and $2,000,000 products-completed operations aggregate limit. Other Insurance Provision The Contractor's Automobile Liability and Commercial General Liability insurance policies are to contain, or be endorsed to contain that they 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. Acceptability of Insurers Insurance is to be placed with insurers with a current A.M. Best rating of not less than A: "SII. 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 insured endorsement, evidencing the insurance requirements of the Contractor before commencement of the work. F. Subcontractors The Contractor shall have sole responsibility for determining tile insurance coverage and Iii-nits required, if any,to be obtained by Subcontractors, which determination shall be made in accordance with reasonable and prudent business practices. G. Notice of Cancellation The Contractor shall provide the City and all Additional Insureds for this work with written notice of any policy cancellation,within two business days of their receipt of such notice. II. Failure to Maintain Insurance Failure on the part of the Contractor to maintain the insurance as required shall constitute a material breach of contract, upon which the City may,after giving five business days notice to the Contractor to correct the breach, immediately terminate the contract or, at its discretion,procure or renew such insurance and pay any and all premiums in connection therewith, with any sums so expended to be repaid to the City on demand, or at the sole discretion of the City,offset against funds due the Contractor from the City. Project CON-2017-50 Page 9 [FOR M REVISED 7/20 n 71 City of Port Angeles ATTACHMENT "C" Engineering Office Awarded Bid Public Works and Utilities Department Project CON-2017-50 Page 10 [FORM REVISED 7/20 tl 7i QUOTATION FORM Project Title: 4-Inch Transmission lain Pit Excavation project Number: CON-2017-50 The bidder hereby bids the following amounts for all work (including labor„ equipment, time and materials) required to perform time work in the Statement of Work and this package.. Sales Tax (8.4%) " Total Bid 2. The bidder hereby acknowledges that it has received Addenda fo(s). 11/0 Enter e"N/K if none were issued) to this, Request for Quotation package. 3. The name of the bidder submitting this bid and its business, phone number and address, to which address all communications concerned with this bid and with the contract shall be sent, are listed below. Any written notices required by the terms of an awarded contract shall be served or mailed to the following address:. Contractor Information 1. Company game: z z C 2. Address: 3. City, State, Zip Code: 4. phone Number: 5. Contractor Registration Number: 6. IBI Number: T WA State Industrial Insurance Account Number: 8. WA Mate Employment Security Dept Number: 9, State Excise Tax Registration Number: The bidder represents that it is qualified and11 s ses sufficient skills and the necessary capabilities to perform the services set forth in t o t Signed by Printed Mame: Title: r Date Protect: CON-2017-50 Pae 3 FORM Ru vuSED 1/20 77 Certification of Compliance IRS, fll, _.W with Wage Payment Statutes The bidder hereby certifies that, within the three-year period immediately preceding the bud solicitation date, October 16, 2017, the bidder is not a "willful" violator, as defined in RCW 49A8.082, 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 lawns of the State of Washington that the foregoing is true and correct. 2 _.6-�_,a�d/c z ..... Bidder's Business Name r" Signature o thorize 1cial eel Printed Narof Title . • Dafe city State Check One: Sole Proprietorship 0 Partnership El Joint Venture ® Corporation State of Incorporation„ or if not a corporation, State where business entity was formed; If a co-partnership, give firm name under which business is transacted: 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. Project: C, - 017- 0 Page 4 [FORM R Msrara7/20171 ATEP CCWE� 1/5/x01 1 CERTIFICATE OF LIABILITY INSURANCE 01/5/201YY) 17 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 an ADDITIONAL INSURED,the policy(ies) 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 endorsement(s). PRODUCER NAM A MCT ary Patzman PHONE (360)452-2314 ..,, PAx (360)452-1701 Gallia & Associates. Inc. c ... Alc rrob: -52 806 So Vine St EAf-MARLSs:mary@callisinsurance.com INSURER(S)AFFORDING COVERAGE NAIC# Port Angeles WA 98362 INSURERA:Ohio Security Insurance Co ....... 24082 . INSURED INSURER Ohio Casualty Insurance Co 2407 . _ _..._ 2 Grade LLC INSURER C.HartforS1 Property_,&_..GasualtY _ .. PO Box 1570 INSURER 0: _. INSURER E: Port Angeles WA 98362 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1732403312 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ITtSRDDI POLbCY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MW MWDDOYYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE K. $ 1,000,000 DAMAGE , NTED 11000,000 A CLAIMS-MADE X OCCUR PREMISES(Ea o:currerrce $ . X Y BKS56630741 4/8/2017 4/6/2019 MED EXP(Any one person) $ 15,000 _...._.. --_...,, PERSONAL&ADV INJURY $ .. 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER: ... GENERAL AGGREGATEw „^ $ 2,000,000 POLICY X PRO LOC PRODUCTS-COMPJOPAGG $ 2,000,000 $ OTHER: COMBINED SINGLE LIMIT $ 1,000,000 AUTOMOBILE LIABILITY Ea strident _ A ANY AUTO .., BODILY INJURY(Per,person) I$ ALL OWNED ... SCHEDULED IA116630741 4/8/2017 4/8/2018 BODILYINJURY(Peraccident) $ AUTOS AUTOS X NON-OWNED X Y .PROPERT`'f DFi&M�AGE .$.m...,.., _. X HIRED AUTOS X, AUTOS .(,Per ar+c#clanlw.. ,,,..._.._,,, - X UMBRELLA LIAR x OCCUR EACH.00CURRENCE..... $ 2,000,000 _ '..... EXCESS LIAB CLMMAS-MADEAGGREGATE $ 2,000,000 _-..e RETENTION 10,000 ... 4/ /2017 4/9/2019. DED X Y IISO56630741 WORKERS COMPENSATION PER x OTII- AND EMPLOYERS'LIABILITY STATUTE YIN E.L EACH ACCIDENT $ 1,000,000 ANY PROPRIETORiPARTNERFEXECUTO'+IE ...,._,._._ .,-._,..__.. OfFICERBMEMBEREXCLUDED7 .NrA.... ...BKS56630741 4/9/2017 4/8/2019 E..L.DISEASE-EA EMPLOYE '$ 1,000,000 A (Marrdatory in NH) If yes,describe under NA State Strop Gap E..L,DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATVONS belomv G Equipment Loaned or Leased 52XS PT7387 4/9/2017 4/8/2018 I Each Occurrence $100,000 from others Per UNI: $100,000 DESCRIPTION OF OPERATIONS I LOCATIONS d VEHICLES(ACORD 709,Addl7onal Remarks Schedule.,may bre attached it more space Is required) Evidence Only. Certificate holder is an additional insured with respects to the General Liability where required by written contract & provided only by the terms of form CG8810. Includes Waiver of Subrogation and Primary & Non-contributory when required by written contract. Refer to policy(s) for all applicable terms, conditions, endorsements and exclusions. Project: CON-2017-50, 24-inch Transmission Main Pit Excavation CERTIFICATE HOLDER CANCELLATION publicworlcs@cityofpa.us SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Port Angeles THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 321 E 5th Street ACCORDANCE WITH THE POLICY PROVISIONS. Port Angeles, WA 98362 ''.....AUTHORIZED REPRESENTATIVE Andy Cal l i s/ANDY 9)1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(2oi4o )