HomeMy WebLinkAbout4.542 Original Contract
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ORIGINAL
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PROJECT MANUAL
Erickson Skate Park Improvements
Project 06-23R
SCOPE OF WORK
At Erickson Park Skate Park, located on the west side of Race Street between East 2nd
and 4th Streets, install the following:
1. Approximately 300 linear feet of concrete sidewalk as shown on the attached
drawing. The sidewalk will be 5 feet wide and contoured to match approximately
the location shown on the attached drawing.
2. Approximately 150 linear feet of chain link fencing along the alley, matching the
existing fencing, and extending from the east end of the existing fencing to the
sidewalk along Race Street.
3. Approximately 2,100 square feet of 6-inch thick reinforced concrete plaza as
shown on the attached drawing.
4. 1-1/4 inch steel bottom bars, painted black to match existing, to the existing
fencing around the concrete skate park itself, using tamper-proof fasteners and a
minimum 4 gage wire to attached the bottom of the fence fabric to the bottom
bar.
5. Topsoil, grass seed and cover with loose hay the area immediately surrounding
the skate park, as shown on the drawing. The topsoil shall be placed to a
minimum of 3 inches depth after tilling the existing soil and compacting the
placed topsoil.
All work shall meet the City's Urban Services Standards and Guidelines, a copy of
which is available on the second floor of City Hall, and the 2006 Washington State
Department of Transportation's Standard Plans and Standard Specifications for Road,
Bridge, and Municipal Construction.
ADDITIONAL REQUIREMENTS
1. The bid shall be submitted on the attached Bid Form (pages 3-4) and mailed or
delivered to the Director of Public Works & Utilities, City of Port Angeles, 321
East Fifth Street, P. O. Box 1150, Port Angeles, Washington 98362. Questions
may be directed to Stephen Sperr, at 360-417-4821 or ssperr@cityofpa.us.
2. The most recently issued Washington State Prevailing Wage Rates for Clallam
County, a copy of which is attached to this Project Manual, shall apply to this
Contract.
3. If the bid is awarded, the attached Contract will then be signed, requiring the
Contractor to meet the requirements in the Contract as well as the entire Project
Manual. No bidder will be permitted to withdraw its bid between the closing time
for receipt of bids and the execution of a Contract, unless the award is delayed
PW-407_10 [rev. 1/31/07]
Small Works Roster Project Manual
Page 1 of 11
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for a period exceeding sixty (60) calendar days.
4. Bids shall be submitted no later than 1 :30pm, Tuesday, January 30,2007.
5. Because this Contract is for an amount less than $35,000, a bid bond,
performance and payment bond, and retainage will not be required for this work.
However, the City shall have the right of recovery against the Contractor for any
payments made on the Contractor's behalf.
6. The performance period for this work is 30 working days. Contractor is to
mobilize and start work within 10 working days of Notice To Proceed.
PW-407_10 [rev. 1/31/07]
Small Works Roster Project Manual
Page 2 of 11
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BID FORM
Erickson Skate Park Improvements
Project 0643R
The. bidder hereby bids the following amounts for all work (Including labor,
equIpment, time and materials) required to install the items as described In
the Scope of Work.
I
Item Extended
Estimated Unit Price Am:unt
No. DescrlDtlon of Item Quantltv Units S
1 Concrete SIdewalk 300 linear · 28."7S f; Btp"lfi. 00
feet
2 Chain Link Fencing 150 linear '16.Ci:> 't"Z,. 1 ~ . 0:::>
feet
3 Reinforce Concrete 2,100 square -~. ClO '1'2, y~.QO
Plaza feet
4 Charn LInk Fence 1 lump \ 3c:Q:). a:::. · !tc::oo. !DO
bottom bars sum
5 Topsoil, aeed and 1 lump "s~ 00 '5'Q:X) .co
loose hay sum
Subtotal $ ?> \ \ ~ 2..5.0 Q
Sales Tax (8.4%) $ "'Z~e>\ .10
Total Bid $ i ~.AILDOCI. -,0
The bidder hereby acknowledges that It has received Addenda No(s). J
(Enter UN/A" if none were issued) to this Project Manual.
The name of the bidder submitting this bid and its business phone number and address.
to which address all communications concemed with this bid and with the contract shall
be sent, are listed below.
Bidder's firm name (j? J s-(. Y 1\1'<' (.5'
Complete address
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(Street eddIUa)
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(State)
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(Zip)
PW-407_10 [rev. 5112/06J
Small Wo~ Roster Project Manual
Page 3 of 11
Telephone No. J~c>-l.lS)- / lJ;J 0
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Signed by
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Printed Name: R OJ <-r J l..J ~ t!- '- t4
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PW-407_10 [rev. 5/12/06]
Small Works Roster Project Manual
Page 4 of 11
01/23/2007 TUE 11:21 FAX
141001
CITY OF PORT ANGELES
ERICKSON SKATE PARK IMPROVEMENTS. PROJECT NO. 06-23
ADDENDUM NO. 1
TO THE PROJECT MANUAL FOR
ERICKSON SKATE PARK IMPROVEMENTS,
PROJECT NO. 06..23
NOTICE TO PROSPECTIVE BIDDERS
(January 23, 2007)
The following change is hereby made a part of the Project Manual for the construction
of Erickson Skate Park Improvements as fully and completely as if the same were fully
set forth therein:
A. In paragraph 4 of the Additional Requirements (page 2 of the Project Manual),
replace the word "Friday" with 'Tuesday'. The date and time remain unchanged.
B. In Section 7. part b of the Contract (page 8 of the Project Manual). replace subpart
ii., Commercial General Liability, with the following:
ii. Commercial General Liabilitv insurance shall be written with limits no less
than $1,000,000 each occurrence, $1,000,000 general aggregate and a
$1,000,000 products-completed operations aggregate limit.
~q~~
Director of Public Works & Utilities
There is no change to the Bid Due Date and time.
This addendum must be acknowledged in the space provided on the Bid Form (page 2
of 11) in the Project Manual when it is submitted to the City with your bid. Failure to do
$0 may result in the bid being rejected as being non-responsive.
END OF ADDENDUM
Addendum No.1
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PUBLIC WORKS
CONTRACT
This Contract is made and entered into in duplicate this (p-JJl...chY of ,1:~ ~11~
2007, by and between the City of Port Angeles, a non-charter code city of the State of
Washington, hereinafter referred to as "the City", and RJ Services, Inc., a Washington
Corporation, hereinafter referred to as "the Contractor".
WITNESSETH:
Whereas, the City desires to have certain public work performed as hereinafter set forth,
requiring specialized skills and other supportive capabilities; and
Whereas, the Contractor represents that it is qualified and possesses sufficient skills and
the necessary capabilities to perform the services set forth in this Contract.
NOW, THEREFORE, in consideration of the terms, conditions, and agreements
contained herein, the parties hereto agree as follows:
1. Scope of Work.
The Contractor shall do all work and furnish all tools, materials, and equipment in order
to accomplish the following project:
Erickson Skate Park Improvements
Project 06-23R
in accordance with and as described in this Contract and the Project Manual, which include the
attached plans and scope of work, and shall perform any alterations in or additions to the work
provided under this Contract and every part thereof. 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,
except as may otherwise be provided in the Project Manual.
2. Time for Performance and Liquidated Damages.
a. Time is of the essence in the performance of this Contract and in adhering to the
time frames specified herein. The Contractor shall commence work within 10
working days of Notice to Proceed, and said work shall be physically completed
within 30 working days after commencing work, unless a different time frame is
expressly provided in writing by the City.
b. If said work is not completed within the time for physical completion, the
Contractor may be required at the City's sole discretion to pay to the City
PW-407_10 [rev. 1/31/07]
Small Works Roster Project Manual
Page 5 of 11
liquidated damages of $100 for each and every day said work remams
uncompleted after the expiration of the specified time.
3. Compensation and Method ofPavrnent.
a. The City shall pay the Contractor for work performed under this Contract as
detailed in the bid, at the completion of work and submission of a detailed
mVOIce.
b. PaYments for any alterations in or additions to the work provided under this
Contract shall be on a negotiated time and materials basis.
4. Independent Contractor Relationship.
The relationship created by this Contract is that of independent contracting entities. No
agent, employee, servant, or representative of the Contractor shall be deemed to be an employee,
agent, servant, or representative of the City, and the employees of the Contractor are not entitled
to any of the benefits the City provides for its employees. The Contractor shall be solely and
entirely responsible for its acts and the acts of its agents, employees, servants, subcontractors, or
representatives during the performance of this Contract. The Contractor shall assume full
responsibility for paYment of all wages and salaries and all federal, state, and local taxes or
contributions imposed or required, including, but not limited to, unemploYment insurance,
workers compensation insurance, social security, and income tax withholding.
5. Prevailing Wage Requirements.
The Contractor shall comply with applicable prevailing wage requirements of the
Washington State Department of Labor & Industries, as set forth in Chapter 39.12 RCW and
Chapter 296-127 WAC. The Contractor shall document compliance with said requirements and
shall file with the City appropriate affidavits, certificates, and/or statements of compliance with
the State prevailing wage requirements. The Washington State Prevailing Wage Rates For
Public Works Contracts, Clallam County, incorporated in this Contract have been established by
the Department of Labor & Industries and are included as an Attachment to this Contract. The
Contractor shall also ensure that any subcontractors or agents of the Contractor shall comply
with the prevailing wage and documentation requirements as set forth herein.
6. Indemnification and Hold Harmless.
a. The Contractor shall defend, indemnify, and hold harmless the City, its officers,
officials, employees, and volunteers against and from any and all claims, injuries,
damages, losses, or suits, including attorney fees, arising out of or in connection
with the performance of this Contract, except for injuries and damages caused by
the sole negligence of the City.
PW-407_10 (rev. 1/31/07]
Small Works Roster Project Manual
Page 6 of 11
b. Should a court of competent jurisdiction determine that this Contract 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 Contractor's negligence. It is further specifically and expressly
understood that the indemnification provided herein constitutes the Contractor's
waiver of immunity under Industrial Insurance, Title 51 RCW, solely for the
purposes of this indemnification. This waiver has been mutually negotiated by
the parties. The provisions of this section shall survive the expiration or
termination of this Contract.
7. Insurance.
The Contractor shall procure and maintain for the duration of the Contract, 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. Failure by the Contractor to maintain the
insurance as required shall constitute a material breach of contract upon which the City may,
after giving five working 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, off set against funds due the Contractor from the
City.
a. Minimum Scope of Insurance
The Contractor shall obtain insurance of the types described below:
1. Automobile Liabilitv 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.
11. Commercial General Liabilitv insurance shall be written on ISO
occurrence form CG 0001 and shall cover liability arising from premises,
operations, stop gap liability, independent contractors, products-completed
operations, 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. 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
PW-407_10 [rev. 1/31/07]
Small Works Roster Project Manual
Page 7 of 11
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 1001 or substitute
endorsements providing equivalent coverage.
111. Workers' Compensation coverage as required by the Industrial Insurance
laws of the State of Washington.
IV. Builders Risk insurance covering interests of the City, the Contractor,"
Subcontractors, and Sub-contractors in the work. Builders Risk insurance
shall be on a all-risk policy form and shall insure against the perils of fire
and extended coverage and physical loss or damage including flood and
earthquake, theft, vandalism, malicious mischief, collapse, temporary
buildings and debris removal. This Builders Risk insurance covering the
work will have a deductible of $5,000 for each occurrence, which will be
the responsibility of the Contractor. Higher deductibles for floor and
earthquake perils may be accepted by the City upon written request by the
Contractor and written acceptance by the City. Any increased deductibles
accepted by the City will remain the responsibility of the Contractor. The
Builders Risk insurance shall be maintained until final acceptance of th
work by the City.
b.
Minimum Amounts of Insurance
The Contractor shall maintain the following insurance limits:
1.
Automobile Liability insurance with a minimum combined single limit for
bodily injury and property damage of$1,000,000 per accident.
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Commercial General Liability insurance shall be written with limits no
less than $1,000,000 each occurrence, $1,000,000 general aggregate and a
$1,000,000 products-completed operations aggregate limit.
Builders Risk insurance shall be written in the amount of the completed ~
value of the project with no coinsurance provisions. ..{n 1-7
11.
111.
c. Other Insurance Provisions
The insurance policies are to contain, or be endorsed to contain, the following provisions
for Automobile Liability and Commercial General Liability insurance.
1. The Contractor's insurance coverage shall be primary insurance as respect
to the City. Any insurance, self-insurance, or insurance pool coverage
maintained by the City shall be in excess of the Contractor's insurance and
shall not contribute with it.
PW-407_10 [rev. 1/31/07]
Small Works Roster Project Manual
Page 8 of 11
11. The Contractor's insurance shall not be cancelled or reduced as to
coverage by either party, except after forty-five (45) days prior written
notice by certified mail, return receipt requested, has been given to the
City.
d. Acceptability of Insurers
Insurance is to be placed with insurers with a current A.M. Best rating of not less than
A:VII.
e. Verification of Coverage
The 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 Automobile Liability and Commercial General Liability
insurance of the Contractor before commencement of the work. Before any exposure to
loss may occur, the Contractor shall file with the City a copy of the Builders Risk
insurance policy that includes all applicable conditions, exclusions, definitions, terms and
endorsements related to this project.
f. Contractor's Insurance For Other Losses
The Contractor shall assume full responsibility for all loss or damage from any cause
whatsoever to any tools, Contractor's employee owned tools, machinery, equipment, or
motor vehicles owned or rented by the Contractor, or the Contractor's agents, suppliers or
contractors as well as to any temporary structures, scaffolding and protective fences.
g. Waiver of Subrogation
The Contractor and the City waive all rights against each other, any of their
Subcontractors, Subcontractors, agents and employees, each of the other, for damages
caused by fire or other perils to the extent covered by Builders Risk insurance or other
property insurance obtain pursuant to the Insurance Requirements Section of this
Contract or other property insurance applicable to the work. The policies shall provide
such waivers by endorsement or otherwise.
8. Compliance with Laws.
a. The Contractor shall comply with all applicable federal, state, and local laws,
including regulations for licensing, certification, and operation of facilities and
programs, and accreditation and licensing of individuals, and any other standards
or criteria as set forth in the Project Manual.
b. The Contractor shall pay any applicable business and permit fees and taxes which
may be required for the performance of the work.
PW-407 _10 [rev. 1/31/07]
Small Works Roster Project Manual
Page 9 of 11
c. The Contractor shall comply with all legal and permitting requirements as set
forth in the Project Manual.
9. Non-discrimination.
The parties shall conduct their business in a manner which assures fair, equal and
nondiscriminatory treatment of all persons, without respect to race, creed, color, sex, Vietnam
era veteran status, disabled veteran condition, physical or mental handicap, or national origin,
and, in particular:
a. The parties will maintain open hiring and employment practices and will welcome
applications for employment in all positions from qualified individuals who are
members of the above-stated minorities.
b. The parties will comply strictly with all requirements of applicable federal, state
or local laws or regulations issued pursuant thereto, relating to the establishment
of nondiscriminatory requirements in hiring and employment practices and
assuring the service of all patrons and customers without discrimination with
respect to the above-stated minority status.
10. Assignment.
a. The Contractor shall not assign this Contract or any interest herein, nor any
money due to or to become due hereunder, without first obtaining the written
consent of the City, nor shall the Contractor subcontract any part of the services to
be performed hereunder without first obtaining the consent of the City.
b. The Contractor hereby assigns to the City any and all claims for overcharges
resulting from antitrust violations as to goods and materials purchased in
connection with this Contract, except as to overcharges resulting from antitrust
violations commencing after the date of the bid or other event establishing the
price of this Contract. In addition, the Contractor warrants and represents that
each of its suppliers and subcontractors shall assign any and all such claims for
overcharges to the City in accordance with the terms of this provision. The
Contractor further agrees to give the City immediate notice of the existence of any
such claim.
11. Contract Administration.
This Contract shall be administered by Roger Wheeler on behalf of the Contractor and by
Stephen Sperr on behalf of the City. Any written notices required by the terms of this Contract
shall be served or mailed to the following addresses:
PW-407_10 [rev. 1/31/07]
Small Works Roster Project Manual
Page 10 of 11
----I City: City o[Port AngeleS---- - -l
P.o. Box 1150 I
321 East Fifth Street
Port Angeles, W A 98362-0217
Contractor:
RJ Services, Inc.
514 Erving Jacobs Road
Port Angeles, W A 98362
12. 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
Clallam County, Washington.
IN WITNESS WHEREOF, the parties hereto have caused this Contract to be executed
the day and year first set forth above.
CONTRACTOR:
R J 5~rIVc..c::~
By::pn
Tit1e:----=P~ So -
CITY OF PORT ANGELES:
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Approv 1 d as to Form: .'
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City Attorney
Attest:
bVt~ -I.J.p:i5A_
City k
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PW-407_10 [rev. 1/31/07]
Small Works Roster Project Manual
Page 11 of 11
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Extend existing fence
to sidewalk at Race St.
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Skate Park Improvements
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State of Washington
DEPARTMENT OF LABOR AND INDUSTRIES
Prevailing Wage Section - Telephone (360) 902-5335
PO Box 44540, Olympia, WA 98504-4540
Washington State Prevailing Wage Rates For Public Works Contracts
The PREVAILING WAGES listed here include both the hourly wage rate and the hourly rate of fnnge benefits.
On public works projects, workers' wage and benefit rates must add to not less than this total. A brief
descnptlon of overtime calculation requirements is prOVIded on the Benefit Code Key.
CLALLAM COUNTY
Effective 08-31-06
*****************************************************************************************************************
Classification
ASBESTOS ABATEMENT WORKERS
JOURNEY LEVEL
BOILERMAKERS
JOURNEY LEVEL
BRICK AND MARBLE MASONS
JOURNEY LEVEL
CABINET MAKERS (IN SHOP)
JOURNEY LEVEL
CARPENTERS
ACOUSTICAL WORKER
BRIDGE, DOCK AND WARF CARPENTERS
CARPENTER
CREOSOTED MATERIAL
DRYWALL APPLICATOR
FLOOR FINISHER
FLOOR LAYER
FLOOR SANDER
MILLWRIGHT AND MACHINE ERECTORS
PILEDRIVERS, DRIVING, PULLING, PLACING COLLARS AND WELDING
SAWFILER
SHINGLER
STATIONARY POWER SAW OPERATOR
STATIONARY WOODWORKING TOOLS
CEMENT MASONS
JOURNEY LEVEL
DIVERS & TENDERS
DIVER
DIVER TENDER
DREDGE WORKERS
ASSISTANT ENGINEER
ASSISTANT MATE (DECKHAND)
BOATMEN
ENGINEER WELDER
LEVERMAN, HYDRAULIC
MAINTENANCE
MATES
OILER
DRYWALL TAPERS
JOURNEY LEVEL
ELECTRICIANS - INSIDE
CABLE SPLICER
CABLE SPLICER (TUNNEL)
CERTIFIED WELDER
CERTIFIED WELDER (TUNNEL)
CONSTRUCTION STOCK PERSON
JOURNEY LEVEL
JOURNEY LEVEL (TUNNEL)
ELECTRICIANS - POWERLlNE CONSTRUCTION
CABLE SPLICER
CERTIFIED LINE WELDER
GROUNDPERSON
HEAD GROUNDPERSON
Page 1
PREVAILING
WAGE
$34.36
$46.32
$42.47
$14.67
$41 .43
$41.33
$41.33
$41.37
$41.31
$41.40
$41.40
$41.40
$42.27
$41.47
$41 40
$41 .40
$41.40
$41 .40
$34 36
$85 75
$44 22
$42 02
$41.51
$42.02
$42 07
$43.64
$41.51
$42.02
$41.64
$41.14
$52.30
$56.21
$50 53
$54.26
$27.32
$48.75
$52 30
$52.38
$47.88
$34 87
$36.75
(See Benefit Code Key)
Over
Time Holiday Note
Code Code Code
1N 50
1C 5N
1M 5A
1M 50
1M 50
1M 50
1M 50
1M 50
1M 50
1M 50
1M 50
1M 50
1M 50
1M 50
1M 50
1M 50
1M 50
1N 50
1M 50 8A
1M 50
1T 50 8L
1T 50 8L
1T 50 8L
1T 50 8L
1T 50 8L
1T 50 8L
1T 50 8L
1T 50 8L
1E 5P
10 5A
10 5A
10 5A
10 5A
10 5A
10 5A
10 5A
4A 5A
4A 5A
4A 5A
4A 5A
CLALLAM COUNTY
Effective 08-31-06
*****************************************************************************************************************
(See 8enefit Code Key)
Over
PREVAILING Time Holiday Note
Classification WAGE Code Code Code
HEAVY LINE EQUIPMENT OPERATOR $47.88 4A 5A
JACKHAMMER OPERATOR $36.75 4A 5A
JOURNEY LEVEL L1NEPERSON $47.88 4A 5A
LINE EQUIPMENT OPERATOR $40.87 4A 5A
POLE SPRAYER $47.88 4A 5A
POWDERPERSON $36.75 4A 5A
ELECTRONIC TECHNICIANS
ELECTRONIC TECHNICIANS JOURNEY LEVEL $12.07
ELEVATOR CONSTRUCTORS
MECHANIC $55.22 4A 6Q
MECHANIC IN CHARGE $60.60 4A 6Q
FENCE ERECTORS
FENCE ERECTOR $13.80
FENCE LA80RER $11.60
FLAGGERS
JOURNEY LEVEL $29.68 1N 5D
GLAZIERS
JOURNEY LEVEL $42 41 1H 5G
HEAT & FROST INSULATORS AND AS8ESTOS WORKERS
MECHANIC $44.68 1S 5J
HOD CARRIERS & MASON TENDERS
JOURNEY LEVEL $34.84 1N 5D
INLAND 80ATMEN
CAPTAIN $37 34 1K 58
COOK $31.23 1K 58
DECKHAND $30.90 1K 58
ENGINEER/DECKHAND $33.65 1K 58
MATE, LAUNCH OPERATOR $35.32 1K 58
INSULATION APPLICATORS
JOURNEY LEVEL $20.50
IRONWORKERS
JOURNEY LEVEL $46.25 10 5A
LABORERS
ASPHALT RAKER $34.84 1N 5D
BALLAST REGULATOR MACHINE $34 36 1N 5D
BATCH WEIGHMAN $29.68 1N 5D
BRUSH CUTTER $34.36 1N 5D
BRUSH HOG FEEDER $34.36 1N 5D
BURNERS $34 36 1N 5D
CARPENTER TENDER $34.36 1N 5D
CASSION WORKER $35.20 1N 5D
CEMENT DUMPER/PAVING $34.84 1N 5D
CEMENTAN~HERTENDER $34.36 1N 5D
CHANGE-HOUSE MAN OR DRY SHACKMAN $34.36 1N 5D
CHIPPING GUN (OVER 30 LBS) $34.84 1N 5D
CHIPPING GUN (UNDER 30 L8S) $34.36 1N 5D
CHOKER SETTER $34 36 1N 5D
CHUCK TENDER $34.36 1N 5D
CLEAN-UP LABORER $34.36 1N 5D
CONCRETE DUMPER/CHUTE OPERATOR $34 84 1N 5D
CONCRETE FORM STRIPPER $34.36 1N 5D
CONCRETE SAW OPERATOR $34.84 1N 5D
CRUSHER FEEDER $29.68 1N 5D
CURING LABORER $34.36 1N 5D
DEMOLITION, WRECKING & MOVING (INCLUDING CHARRED $34 36 1N 5D
DITCH DIGGER $34.36 1N 5D
DIVER $35.20 1N 5D
DRILL OPERATOR (HYDRAULIC, DIAMOND) $34.84 1N 5D
DRILL OPERATOR, AIRTRAC $35.20 1N 5D
Page 2
CLALLAM COUNTY
Effective 08-31-06
*****************************************************************************************************************
(See Benefit Code Key)
Over
PREVAILING Time Holiday Note
Classification WAGE Code Code Code
OUMPMAN $34.36 1N 50
EPOXY TECHNICIAN $34.36 1N 50
EROSION CONTROL WORKER $34.36 1N 50
FALLER/BUCKER, CHAIN SAW $34.84 1N 50
FINAL DETAIL CLEANUP (I.e., dusting, vacuuming, window cleaning, NOT $27.36 1N 50
construction debns cleanup)
FINE GRADERS $34.36 1N 50
FIRE WATCH $29.68 1N 50
FORM SETTER $34.36 1N 50
GABION BASKET BUILDER $34.36 1N 50
GENERAL LABORER $34 36 1N 50
GRADE CHECKER & TRANSIT PERSON $34.84 1N 50
GRINDERS $34.36 1N 50
GROUT MACHINE TENDER $34 36 1N 50
GUARDRAIL ERECTOR $34.36 1N 50
HAZARDOUS WASTE WORKER LEVEL A $35.20 1N 50
HAZARDOUS WASTE WORKER LEVEL B $34.84 1N 50
HAZARDOUS WASTE WORKER LEVEL C $34.36 1N 50
HIGH SCALER $35.20 1N 50
HOD CARRIER/MORTARMAN $34.84 1N 50
JACKHAMMER $34.84 1N 50
LASER BEAM OPERATOR $34 84 1N 50
MANHOLE BUILOER-MUOMAN $34.84 1N 50
MATERIAL YARDMAN $34.36 1N 50
MINER $35 20 1N 50
NOZZLEMAN, CONCRETE PUMP, GREEN CUTTER WHEN USING HIGH $34.84 1N 50
PRESSURE AIR & WATER ON CONCRETE & ROCK, SANDBLAST,
GUNITE, SHOTCRETE, WATER BLASTER
PAVEMENT BREAKER $34.84 1N 50
PILOT CAR $29.68 1N 50
PIPE POT TENDER $34.84 1N 50
PIPE RELlNER (NOT INSERT TYPE) $34.84 1N 50
PIPELAYER & CAULKER $34.84 1N 50
PIPELAYER & CAULKER (LEAD) $35.20 1N 50
PIPEWRAPPER $34.84 1N 50
POT TENDER $34.36 1N 50
POWOERMAN $35.20 1N 50
POWOERMAN HELPER $34.36 1N 50
POWERJACKS $34.84 1N 50
RAILROAD SPIKE PULLER (POWER) $34 84 1N 50
RE-TIMBERMAN $35 20 1N 50
RIPRAP MAN $34.36 1N 50
ROOOER $34.84 1N 50
SCAFFOLD ERECTOR $34.36 1N 50
SCALE PERSON $34.36 1N 50
SIGNALMAN $34.36 1N 50
SLOPER (OVER 20") $34.84 1N 50
SLOPER SPRA YMAN $34.36 1N 50
SPREADER (CLARY POWER OR SIMILAR TYPES) $34.84 1N 50
SPREADER (CONCRETE) $34.84 1N 50
STAKE HOPPER $34.36 1N 50
STOCKPILER $34.36 1N 50
TAMPER & SIMILAR ELECTRIC, AIR & GAS $34.84 1N 50
TAMPER (MULTIPLE & SELF PROPELLED) $34.84 1N 50
TOOLROOM MAN (AT JOB SITE) $34.36 1N 50
TOPPER-TAILER $34.36 1N 50
TRACK LABORER $34 36 1N 50
TRACK LINER (POWER) $34.84 1N 50
Page 3
CLALLAM COUNTY
Effective 08-31-06
*****************************************************************************************************************
(See Benefit Code Key)
Over
PREVAILING Time Holiday Note
Classification WAGE Code Code Code
TRUCK SPOTTER $34.36 iN 50
TUGGER OPERATOR $34.84 iN 50
VIBRATING SCREED (AIR, GAS, OR ELECTRIC) $34.36 iN 50
VIBRATOR $34.84 iN 50
VINYL SEAMER $34.36 iN 50
WELDER $34.36 iN 50
WELL-POINT LABORER $34 84 iN 50
LANDSCAPE CONSTRUCTION
IRRIGATION OR LAWN SPRINKLER INSTALLERS $11.42
LANDSCAPE EQUIPMENT OPERATORS OR TRUCK DRIVERS $7.81
LANDSCAPING OR PLANTING LABORERS $7.93
LATHERS
JOURNEY LEVEL $41.31 1M 50
PAINTERS
JOURNEY LEVEL $32.73 2B 5A
PLASTERERS
JOURNEY LEVEL $25.83
PLUMBERS & PIPEFITTERS
JOURNEY LEVEL $54.34 1G 5A
POWER EQUIPMENT OPERATORS
ASSISTANT ENGINEERS $39.57 1T 50 8L
BACKHOE, EXCAVATOR, SHOVEL (3 YO & UNDER) $42 35 1T 50 8L
BACKHOE, EXCAVATOR, SHOVEL (OVER 3 YO & UNDER 6 YO) $42 84 1T 50 8L
BACKHOE, EXCAVATOR, SHOVEL (6 YO AND OVER WITH $43.39 1T 50 8L
BACKHOES, (75 HP & UNDER) $41 93 1T 50 8L
BACKHOES, (OVER 75 HP) $42.35 1T 50 8L
BARRIER MACHINE (ZIPPER) $42.35 1T 50 BL
BATCH PLANT OPERA TOR, CONCRETE $42.35 1T 50 BL
BELT LOADERS (ELEVATING TYPE) $41.93 1T 50 BL
BOBCAT (SKID STEER) $39.57 1T 50 BL
BROOMS $39 57 1T 50 8L
BUMP CUTTER $42.35 1T 50 8L
CABLEWAYS $42.84 1T 50 8L
CHIPPER $42 35 1T 50 8L
COMPRESSORS $39 57 1T 50 8L
CONCRETE FINISH MACHINE - LASER SCREED $39.57 1T 50 8L
CONCRETE PUMPS $41.93 1T 50 8L
CONCRETE PUMP-TRUCK MOUNT WITH BOOM ATTACHMENT $42 35 1T 50 8L
CONVEYORS $41 93 1T 50 8L
CRANES, THRU 19 TONS, WITH ATTACHMENTS $41.93 1T 50 8L
CRANES, 20 - 44 TONS, WITH ATTACHMENTS $42 35 1T 50 8L
CRANES, 45 TONS - 99 TONS, UNDER 150 FT OF BOOM (INCLUDING $42.84 1T 50 8L
JIB WITH ATACHMENTS)
CRANES, 100 TONS -199 TONS, OR 150 FT OF BOOM (INCLUDING JIB $43.39 1T 50 8L
WITH ATTACHMENTS)
CRANES, 200 TONS TO 300 TONS, OR 250 FT OF BOOM (INCLUDING JIB $43.96 1T 50 8L
WITH ATTACHMENTS)
CRANES, A-FRAME, 10 TON AND UNDER $39.57 1T 50 8L
CRANES, A-FRAME, OVER 10 TON $41.93 1T 50 BL
CRANES, OVER 300 TONS, OR 300' OF BOOM INCLUDING JIB WITH $44.52 1T 50 8L
ATTACHMENTS
CRANES, OVERHEAD, BRIDGE TYPE ( 20 - 44 TONS) $42.35 1T 50 8L
CRANES, OVERHEAD, BRIDGE TYPE ( 45 - 99 TONS) $42 84 1T 50 8L
CRANES, OVERHEAD, BRIDGE TYPE (100 TONS & OVER) $43.39 1T 50 8L
CRANES, TOWER CRANE UP TO 175' IN HEIGHT, BASE TO BOOM $43.39 1T 50 8L
CRANES, TOWER CRANE OVER 175'IN HEIGHT, BASE TO BOOM $43.96 1T 50 8L
CRUSHERS $42.35 1T 50 8L
DECK ENGINEER/DECK WINCHES (POWER) $42.35 1T 50 8L
DERRICK. BUILDING $42.84 1T 50 8L
Page 4
CLALLAM COUNTY
Effective 08-31-06
*****************************************************************************************************************
(See Benefit Code Key)
Over
PREVAILING Time Holiday Note
Classification WAGE Code Code Code
DOZERS, D-9 & UNDER $41.93 1T 5D 8L
DRILL OILERS - AUGER TYPE, TRUCK OR CRANE MOUNT $41.93 1T 5D 8L
DRILLING MACHINE $42.35 1T 5D 8L
ELEVATOR AND MANLlFT, PERMANENT AND SHAFT-TYPE $39.57 1T 5D 8L
EQUIPMENT SERVICE ENGINEER (OILER) $41.93 1T 5D 8L
FINISHING MACHINE/BIDWELL GAMACO AND SIMILAR EQUIP $42.35 1T 5D 8L
FORK LIFTS, (3000 LBS AND OVER) $41.93 1T 5D 8L
FORK LIFTS, (UNDER 3000 LBS) $39.57 1T 5D 8L
GRADE ENGINEER $41.93 1T 5D 8L
GRADECHECKER AND ST AKEMAN $39.57 1T 5D 8L
GUARDRAIL PUNCH $42.35 1T 5D 8L
HOISTS, OUTSIDE (ELEVATORS AND MANLlFTS), AIR TUGGERS $41.93 1T 5D 8L
HORIZONTAUDIRECTlONAL DRILL LOCATOR $41.93 1T 5D 8L
HORIZONTAUDIRECTIONAL DRILL OPERATOR $42.35 1T 5D 8L
HYDRALlFTS/BOOM TRUCKS (10 TON & UNDER) $39.57 1T 5D 8L
HYDRALlFTS/BOOM TRUCKS (OVER 10 TON) $41.93 1T 5D 8L
LOADERS, OVERHEAD (6 YD UP TO 8 YD) $42.84 1T 5D 8L
LOADERS, OVERHEAD (8 YD & OVER) $43 39 1T 5D 8L
LOADERS, OVERHEAD (UNDER 6 YD), PLANT FEED $42 35 1T 5D 8L
LOCOMOTIVES, ALL $42.35 1T 5D 8L
MECHANICS, ALL $42.84 1T 5D 8L
MIXERS, ASPHALT PLANT $42 35 1T 5D 8L
MOTOR PATROL GRADER (FINISHING) $42.35 1T 5D 8L
MOTOR PATROL GRADER (NON-FINISHING) $41 93 1T 5D 8L
MUCKING MACHINE, MOLE, TUNNEL DRILL AND/OR SHIELD $42 84 1T 5D 8L
OIL DISTRIBUTORS, BLOWER DISTRIBUTION AND MULCH SEEDING $39.57 1T 5D 8L
OPERATOR
PAVEMENT BREAKER $39 57 1T 5D 8L
PILEDRIVER (OTHER THAN CRANE MOUNT) $42.35 1T 5D 8L
PLANT OILER (ASPHALT, CRUSHER) $41.93 1T 5D 8L
POSTHOLE DIGGER, MECHANICAL $39 57 1T 5D 8L
POWER PLANT $39.57 1T 5D 8L
PUMPS, WATER $39.57 1T 5D 8L
QUAD 9, D-10, AND HD-41 $42.84 1T 5D 8L
REMOTE CONTROL OPERATOR ON RUBBER TIRED EARTH MOVING $42.84 1T 5D 8L
EQUIP
RIGGER AND BELLMAN $39.57 1T 5D 8L
ROLLAGON $42.84 1T 5D 8L
ROLLER, OTHER THAN PLANT ROAD MIX $39.57 1T 5D 8L
ROLLERS, PLANTMIX OR MUL TILlFT MATERIALS $41.93 1T 5D 8L
ROTO-MILL, ROTa-GRINDER $42 35 1T 5D 8L
SAWS, CONCRETE $41.93 1T 5D 8L
SCRAPERS - SELF PROPELLED, HARD TAIL END DUMP, ARTICULATING $42.35 1T 5D 8L
OFF-ROAD EQUIPMENT ( UNDER 45 YD)
SCRAPERS - SELF PROPELLED, HARD TAIL END DUMP, ARTICULATING $42.84 1T 5D 8L
OFF-ROAD EQUIPMENT (45 YD AND OVER)
SCRAPERS, CONCRETE AND CARRY ALL $41 93 1T 5D 8L
SCREED MAN $42.35 1T 5D 8L
SHOTCRETE GUNITE $39.57 1T 5D 8L
SLlPFORM PAVERS $42.84 1T 5D 8L
SPREADER, TOPSIDE OPERATOR - BLAW KNOX $42.35 1T 5D 8L
SUBGRADE TRIMMER $42 35 1T 5D 8L
TOWER BUCKET ELEVATORS $41.93 1T 5D 8L
TRACTORS, (75 HP & UNDER) $41.93 1T 5D 8L
TRACTORS, (OVER 75 HP) $42.35 1T 5D 8L
TRANSFER MATERIAL SERVICE MACHINE $42.35 1T 5D 8L
TRANSPORTERS, ALL TRACK OR TRUCK TYPE $42 84 1T 5D 8L
TRENCHING MACHINES $41.93 1T 5D 8L
Page 5
CLALLAM COUNTY
Effective 08-31-06
*****************************************************************************************************************
(See Benefit Code Key)
Over
PREVAILING Time Holiday Note
ClassificatIon WAGE Code Code Code
TRUCK CRANE OILER/DRIVER ( UNDER 100 TON) $41.93 1T 5D 8L
TRUCK CRANE OILER/DRIVER (100 TON & OVER) $42.35 1T 5D 8L
TRUCK MOUNT PORT ABLE CONVEYER $42.35 1T 5D 8L
WHEEL TRACTORS, FARMALL TYPE $39 57 1T 5D 8L
YO YO PAY DOZER $42.35 1T 5D 8L
POWER LINE CLEARANCE TREE TRIMMERS
JOURNEY LEVEL IN CHARGE $34.75 4A 5A
SPRAY PERSON $33 00 4A 5A
TREE EQUIPMENT OPERATOR $33.43 4A 5A
TREE TRIMMER $31 10 4A 5A
TREE TRIMMER GROUNDPERSON $23 43 4A 5A
REFRIGERATION & AIR CONDITIONING MECHANICS
MECHANIC $27 68
ROOFERS
JOURNEY LEVEL $35.78 1R 5A
USING IRRITABLE BITUMINOUS MATERIALS $38.78 1R 5A
SHEET METAL WORKERS
JOURNEY LEVEL (FIELD OR SHOP) $49.97 1E 6L
SOFT FLOOR LAYERS
JOURNEY LEVEL $33.76 1B 5A
SOLAR CONTROLS FOR WINDOWS
JOURNEY LEVEL $10.31 1B 50
SPRINKLER FITTERS (FIRE PROTECTION)
JOURNEY LEVEL $19.67
SURVEYORS
CHAIN PERSON $9.35
INSTRUMENT PERSON $11.40
PARTY CHIEF $13.40
TELECOMMUNICATION TECHNICIANS
TELECOMMUNICATION TECHNICIANS JOURNEY LEVEL $29 87 10 5A
TELEPHONE LINE CONSTRUCTION - OUTSIDE
CABLE SPLICER $29.89 2B 5A
HOLE DIGGER/GROUND PERSON $1681 2B 5A
INSTALLER (REPAIRER) $28.68 2B 5A
JOURNEY LEVEL TELEPHONE L1NEPERSON $27.82 2B 5A
SPECIAL APPARATUS INSTALLER I $29 89 2B 5A
SPECIAL APPARATUS INSTALLER 11 $29 30 2B 5A
TELEPHONE EQUIPMENT OPERATOR (HEAVY) $29.89 2B 5A
TELEPHONE EQUIPMENT OPERATOR (LIGHT) $27 82 2B 5A
TELEVISION GROUND PERSON $15.96 2B 5A
TELEVISION L1NEPERSON/lNSTALLER $21.17 2B 5A
TELEVISION SYSTEM TECHNICIAN $25.15 2B 5A
TELEVISION TECHNICIAN $22.64 2B 5A
TREE TRIMMER $27.82 2B 5A
TERRAZZO WORKERS & TILE SETTERS
JOURNEY LEVEL $40.33 1B 5A
TILE, MARBLE & TERRAZZO FINISHERS
FINISHER $34.16 1B 5A
TRAFFIC CONTROL STRIPERS
JOURNEY LEVEL $34.90 1K 5A
TRUCK DRIVERS
ASPHALT MIX ( TO 16 YARDS) $39.04 1T 5D 8L
ASPHALT MIX (OVER 16 YARDS) $39.62 1T 5D 8L
DUMP TRUCK $20 23 1
DUMP TRUCK & TRAILER $20.23 1
OTHER TRUCKS $39.62 1T 5D 8L
TRANSIT MIXER $23.73 1
WELL DRILLERS & IRRIGATION PUMP INSTALLERS
IRRIGATION PUMP INSTALLER $11.60
Page 6
CLALLAM COUNTY
Effective 08-31-06
*****************************************************************************************************************
Classification
PREVAILING
WAGE
(See Benefit Code Key)
Over
Time
Code
Note
Code
OILER
WELL DRILLER
$9.45
$11.60
Page 7
Holiday
Code
.ACORD.. CERTIFICATE OF LIABILITY INSURANCE OP 10 01 DATE (MM/DDIYYYY)
RJSERV2 02/16/07
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Ralston & Ralston ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
An EHL Insurance Company HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 1405 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Port Angeles WA 98362
Phone: 360-452-8415 Fax: 866-697-4598 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A General Ins Co. of America
INSURER B F~rst Nat'l Ins Co of Amer.ca
R. J. Services, Inc. INSURER C
514 Ervin~ Jacobs Road INSURER 0
Port Ange es WA 98362 INSURER E
COVERAGES
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 AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
Nsiu POLICY NUMBER 'D~,;!~T!EFFEG- J:f..E PQ!-Lq,VXPIRAJ!t~N LIMITS
LTR TYPE OF INSURANCE DATE MM/DDIYY DATE MM/DDIYY
GENERAL LIABILITY EACH OCCURRENCE $1,000,000
I--
B X X COMMERCIAL GENERAL LIABILITY 01CG32074940 04/02/06 04/02/07 ~~ffi~siEaO~ffin~) $200,000
I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 10,000
PERSONAL & ADV INJURY $1,000,000
GENERAL AGGREGATE $2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $2,000,000
I POLICY !Xl ~~8i n LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000
-
A X X ANY AUTO 01CG32074940 04/02/06 04/02/07 (Ea aCCIdent)
-
ALL OWNED AUTOS BODILY INJURY
- (Per person) $
SCHEDULED AUTOS
-
HIRED AUTOS BODILY INJURY
- (pe, aCCIdent) $
NON-OWNED AUTOS
-
- PROPERTY DAMAGE $
(Per eccldent)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
~ ANY AUTO OTHER THAN EAACC $
AUTO ONLY AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
~ OCCUR o CLAIMS MADE AGGREGATE $
$
=1 DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I TORY L1Mln3 [ [U~~-
B EMPLOYERS' LIABILITY 01CG32074940 04/02/06 04/02/07 E L EACH ACCIDENT $1,000,000
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? E L DISEASE - EA EMPLOYEE $ 1,000,000
If yes, deSCribe unde, E L DISEASE - POLICY LIMIT $2,000,000
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
City of Port Angeles is named as additional insured per policy forms CG8674
and CA7110. Coverage is primary.
A waiver of subrogation for the City of Port Angeles is included per
endorsement on policy.
CERTIFICATE HOLDER
CANCELLATION
CITYP04 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 45 DAYS WRITTEN
City of Port Angeles NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Director Public Work/Utilities IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
PO Box 1150
Port Angeles WA 98362 REPRESENTATIVES.
~SEmE. ~
ACORD 25 (2001/08)
@ ACORD CORPORATION 1988
-.. REPRINTED FROM THE FORMS LIBRARy....
. Insurance
Qll
COMMERCIAL GENERAL LIABILITY
CG 867410 02
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CONTRACTORS LIABILITY PLUS ENDORSEMENT
This endorsement modifies insurance provided under the following:
SCHEDULE
COMMERCIAL GENERAL LIABILITY COVERAGE PART
Name of Person or Organization:
?????????????????????????????????????????????
?????????????????????????????????????????????
?????????????????????????????????????????????
?????????????????????????????????????????????
?????????????????????????????????????????????
?????????????????????????????????????????????
?????????????????????????????????????????????
?????????????????????????????????????????????
?????????????????????????????????????????????
DUTY TO DEFEND
Paragraph a. of SECTION I - COVERAGE A and
COVERAGE B is replaced by the following:
a. We will pay those sums that the insured be-
comes legally obligated to pay as damages
because of "bodily injury", "property
damage" or "personal injury and advertising
injury" to which this insurance applies. We
will have the right and duty to defend the in-
sured against any "suit" seeking those dam-
ages. Our duty to defend begins once you
notify us of a "suit" as described in SEC-
TION IV - COMMERCIAL GENERAL LI-
ABILITY CONDITIONS, 2.b. However, we
will have no duty to defend the insured
against any "suit" seeking damages for
"bodily injury", "property damage", or
"personal injury or advertising injury" to
which this insurance does not apply. We
may. at our discretion. investigate any
"occurrence" and settle any claim or "suit"
that may result. But:
CG 86 74 10 02
(1) The amount we will pay for damages is
limited as described in SECTION III -
LIMITS OF INSURANCE; and
(2) Our right and duty to defend ends when
we have used up the applicable limit of
insurance in the payment of judgments
or settlements under COVERAGES A
or B or medical expenses under COV-
ERAGE C.
No other obligation or liability to pay sums or
perform acts or services is covered unless ex-
plicitly provided for under SUPPLEMENTARY
PAYMENTS - COVERAGES A AND B.
EMPLOYERS LIABILITY
The last paragraph of exclusion e. of SECTION I -
COVERAGE A is replaced by the following:
This exclusion does not apply to liability assumed
by the insured under an "insured contract" ex-
cept for that part of a contract or agreement that
indemnifies any person or organization for their
sole liability.
Safeco and the Safeco logo are regIStered trademarks of Saleco Corporabon
Page 1 of 5 EP
-. REPRINTED FROM THE FORMS LIBRARy....
WRONGFUL EVICTION
The following exclusion is added to SECTION I -
COVERAGE B:
The wrongful eviction from, wrongful entry into,
or invasion of the right of private occupancy of a
room, dwelling or premises arising out of any:
(1) "property damage" to the room, dwell-
ing or premises; or
(2) "bodily injury" sustained through occu-
pancy of a room, dwelling or premises.
ADDITIONAL INSURED - BY WRITTEN CON-
TRACT, AGREEMENT OR PERMIT, OR SCHED-
ULE
The following paragraph is added to SECTION II -
WHO IS AN INSURED:
5. Any person or organization shown in the Sched-
ule or for whom you are required by written con-
tract, agreement or permit to provide insurance
is an insured, subject to the following additional
provisions:
a. The contract, agreement or permit must be
in effect during the policy p~riod shown in
the Declarations, and must have been exe-
cuted prior to the "bodily injury," "property
damage," "personal and advertising injury."
b. The person or organization added as an in-
sured by this endorsement ;s an insured only
to the extent you are held liable due to:
(1) The ownership, maintenance or use of
that part of premises you own, rent,
lease or occupy, subject to the following
additional provisions:
(a) This insurance does not apply to
any "occurrence" which takes place
after you cease to be a tenant in
any premises leased to or rented to
you;
(b) This insurance does not apply to
any structural alterations, new con-
struction or demolition operations
performed by or on behalf of the
person or organization added as an
insured;
(2) Your ongoing operations for that in-
sured, whether the work is performed
by you or for you;
Page 2 of 5
(3) The maintenance, operation or use by
you of equipment leased to you by such
person or organization, subject to the
following additional provisions:
(a) This insurance does not apply to
any "occurrence II which takes place
after the equipment lease expires;
(b) This insurance does not apply to
"bodily injury" or "property
damage" arising out of the sole
negligence of such person or or-
ganization;
(4) Permits issued by any state or political
subdivision with respect to operations
performed by you or on your behalf,
subject to the following additional pro-
vision:
This insurance does not apply to "bodily
injury," "property damage," "personal
and advertising injury" arising out of op-
erations performed for the state or
municipality;
c. The insurance with respect to any architect,
engineer, or surveyor added as an insured
by this endorsement does not apply to
''bodily injury," "property damage,"
"personal and advertising injury" arising out
of the rendering of or the failure to render
any professional services by or for you, in-
cluding:
(1) The preparing, approving, or failing to
prepare or approve maps, drawings,
opinions, reports, surveys, change or-
ders, designs or specifications; and
(2) Supervisory, inspection or engineering
services.
d. This insurance does not apply to "bodily
injury" or "property damage" included within
the "products-completed operations haz-
ard."
e. A person's or organization'S status as an in-
sured under this endorsement ends when
your operations for that insured are com-
pleted.
f. No coverage will be provided if, in the ab-
sence of this endorsement, no liability would
be imposed by law on you. Coverage shall
be limited to the extent of your negligence
or fault according to the applicable principles
of comparative fault.
-.. REPRINTED FROM THE FORMS LIBRARY"-
g. The defense of any claim or "suit" must be
tendered as soon as practicable to all other
insurers which potentially provide insurance
for such claim or "suit".
h. The insurance provided will not exceed the
lesser of:
(1) The coverage and/or limits of this policy,
or
(2) The coverage and/or limits required by
said contract, agreement or permit.
NON.OWNED WATERCRAFT AND NON-OWNED
AIRCRAFT LIABILITY
Exclusion g. of SECTION I - COVERAGE A is re-
placed by the following:
g. "Bodily injury" or "property damage" arising
out of the ownership, maintenance, use or
entrustment to others of any aircraft, "auto"
or watercraft owned or operated by or rented
or loaned to any insured. Use includes oper-
ation and "loading or unloading."
This exclusion applies even if the claims
against any insured allege negligence or
other wrongdoing in the supervision, hiring,
employment, training or monitoring of others
by that insured, if the "occurrence" which
caused the "bodily injury" or "property
damage" involved the ownership, mainte-
nance, use or entrustment to others of any
aircraft, "auto" or watercraft that is owned
or operated by or rented or loaned to any in-
sured.
This exclusion does not apply to:
(1) A watercraft while ashore on premises
you own or rent;
(2) A watercraft you do not own that is:
(a) Less than 52 feet long; and
(b) Not being used to carry persons or
property for a charge;
(3) Parking an "auto" on, or on the ways
next to, premises you own or rent, pro-
vided the "auto" is not owned by or
rented or loaned to you or the insured;
(4) Liability assumed under any "insured
contract" for the ownership, mainte-
nance or use of aircraft or watercraft; or
(5) "Bodily injury" or "property damage"
arising out of the operation of any of the
CG 86 74 10 02
equipment listed in paragraph f.(2) or
f.(3) of the definition of "mobile equip-
ment. "
(6) An aircraft you do not own provided it is
not operated by any insured.
TENANTS I PROPERTY DAMAGE LIABILITY
When Damage To Premises Rented To You Limit is
shown in the Declarations, SECTION I - COVER-
AGE A, exclusion j" is replaced by the following:
j. Damage To Property
''Property damage" to:
(1) Property you own, rent, or occupy, in-
cluding any costs or expenses incurred
by you, or any other person, organiza-
tion or entity, for repair, replacement,
enhancement, restoration or mainte-
nance of such property for any reason,
including prevention of injury to a per-
son or damage to another's property;
(2) Premises you sell, give away or aban-
don, if the "property damage" arises out
of any part of those premises;
(3) Property loaned to you;
(4) Personal property in the care, custody
or control of the insured;
(5) That particular part of real property on
which you or any contractors or sub-
contractors working directly or indirectly
on your behalf are performing oper-
ations, if the "property damage" arises
out of those operations, or
(6) That particular part of any property that
must be restored, repaired or replaced
because "your work" was incorrectly
performed on it.
Paragraphs (1), (3) and (4) of this exclusion
do not apply to "property damage" (other
than damage by fire) to premises, including
the contents of such premises, rented to
you. A separate limit of insurance applies to
Damage To Premises Rented To You as
described in SECTION III - LIMITS OF
INSURANCE. Paragraph (2) of this exclu-
sion does not apply if the premises are "your
work" and were never occupied, rented or
held for rental by you.
Page 3 of 5
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Paragraphs (3), (4), (5) and (6) of this exclu-
sion do not apply to liability assumed under
a sidetrack agreement.
Paragraph (6) of this exclusion does not ap-
ply to ''property damage" included in the
"products-completed operations hazard."
Paragraph 6. of Section III is replaced by the follow-
ing:
6. Subject to 5. above, the Damage To Property
Limit is the most we will pay under COVERAGE
A for damages because of "property damage" to
anyone premises, while rented to you, or in the
case of damage by fire, while rented to you or
temporarily occupied by you with permission of
the owner.
The Tenants' Property Damage To Premises Rented
To You Limit is the higher of $200,000 or the amount
shown in the Declarations as Damage To Premises
Rented To You Limit.
WHO IS AN INSURED - MANAGERS
The following is added to Paragraph 2.a. of SECTION
II - WHO IS AN INSURED:
Paragraph (1) does not apply to executive officers, or
to managers at the supervisory level or above.
SUPPLEMENTARY PAYMENTS - COVERAGES A
AND B - BAIL BONDS
Paragraph 1.b. of SUPPLEMENTARY PAYMENTS
- COVERAGES A AND B is replaced by the follow-
ing:
b. Up to $2,000 for cost of bail bonds required
because of accidents or traffic law violations
arising out of the use of any vehicle to which
the Bodily Injury Liability Coverage applies.
We do not have to furnish these bonds.
SUPPLEMENTARY PAYMENTS - COVERAGES A
AND B - INDEMNITEES AND ADDITIONAL IN-
SUREDS
Paragraph 2.f.(1) (d) of SUPPLEMENTARY PAY-
MENTS - COVERAGES A AND B is replaced by
the following:
(d) Cooperate with us with respect
to coordinating other applicable
insurance and self-insured
retention available to the in-
demnitee; and
EMPLOYEES AS INSUREDS - HEALTH CARE
SERVICE
Provision 2.a.(1) d. of SECTION II - WHO IS AN
INSURED is deleted, unless excluded by separate
endorsement.
EXTENDED COVERAGE FOR NEWLY ACQUIRED
ORGANIZATIONS
Provision 4.a. of SECTION II - WHO IS AN IN-
SURED is replaced by the following:
a. Coverage under this provision is afforded
only until the end of the policy period.
EXTENDED "PROPERTY DAMAGE"
Exclusion a. of SECTION I - COVERAGE A is
amended to read:
a. "Bodily injury" or "property damage" ex-
pected or intended from the standpoint of the
insured. This exclusion does not apply to
"bodily injury" or "property damage" result-
ing from the use of reasonable force to pro-
tect persons or property.
INCREASED MEDICAL EXPENSE LIMIT
The medical expense limit is amended to $10,000.
KNOWLEDGE OF OCCURRENCE
The following is added to Paragraph 2. SECTION IV
COMMERCIAL GENERAL LIABILITY
CONDITIONS Duties In The Event Of Occurrence,
Offense, Claim Or Suit of:
Knowledge of an "occurrence," claim or "suit" by
your agent, servant or employee shall not in itself
constitute knowledge of the named insured unless an
officer of the named insured has received such notIce
from the agent, servant or employee.
INSURED CONTRACT
The following definition is added to SECTION V -
DEFINITIONS, Definition 9. "insured contract" par-
agraph f.:
(4) That part of any contract or agree-
ment that indemnifies any person
or organization for the indemnitee's
sole tort liability.
Page 4 of 5
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OTHER INSURANCE
The first paragraph of Other Insurance of SECTION
IV - COMMERCIAL GENERAL LIABILITY CON-
DITIONS is replaced with the following:
If other valid and collectible insurance, or any self-in-
sured retention, is available to the insured for a loss
we cover under COVERAGE A or B of this Coverage
Part, our obligations are limited as follows:
METHOD OF SHARING
The second paragraph of Method of Sharing of SEC-
TION IV - COMMERCIAL GENERAL LIABILITY
CONDITIONS is replaced with the following:
If any of the other insurance does not permit contri-
bution by equal shares or is subject to a self-insured
retention, we will contribute by limits. Under this
method, each insurer's share is based on the ratio of
its applicable limit of insurance or self-insured re-
tention or both combined to the total applicable limits
of insurance of all insurers and the amount of any
self-insured retention.
CG 86 74 10 02
UNINTENTIONAL FAILURE TO DISCLOSE ALL
HAZARDS
The following is added to Paragraph 6. Representa-
tions of SECTION IV - COMMERCIAL GENERAL
LIABILITY CONDITIONS:
If you unintentionally fail to disclose any hazards ex-
isting at the inception date of your policy, we will not
deny coverage under this Coverage Form because of
such failure. However, this provision does not affect
our right to collect additional premium or exercise our
right of cancellation or non-renewal.
LIBERALIZATION CLAUSE
The following paragraph is added to SECTION IV -
COMMERCIAL GENERAL LIABILITY CONDI-
TIONS:
10. If a revision to this Coverage Part, which would
provide more coverage with no additional
premium, becomes effective during the policy
period in the state shown in the Declarations,
your policy will automatically provide this addi-
tional coverage on the effective date of the re-
vision.
Page 5 of 5
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ULTRA AUTO PLUS ENDORSEMENT
CA 71 10 10 01
COMMERCIAL AUTO
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless mo dified by the
endorsement.
EXTENDED CANCELLATION CONDITION
Paragraph 2.b. of the CANCELLATION Common Policy
Condition is replaced by the following:
b. 60 days before the effective date of cancellation if we
cancel for any other reason.
TEMPORARY SUBSTITUTE AUTO . PHYSICAL DAMAGE
COVERAGE
Under paragraph C. - CERTAIN TRAILERS, MOBILE
EQUIPMENT AND TEMPORARY SUBSTITUTE AUTOS of
SECTION 1 - COVERED AUTOS, the following is added:
If Physical Damage coverage is provided by this Coverage
Form, then you have coverage for:
Any "auto" you do not own while used with the permission
of its owner as a temporary substitute for a covered "auto"
you own that is out of service because of its breakdown,
repair, servicing, "loss" or destruction.
BROAD FORM NAMED INSURED
SECTION II - LIABILITY COVERAGE-A.1. WHO IS AN
INSURED provision is amended by the addition of the
following:
d. Any business entity newly acquired or formed by you
during the policy period provided you own 50% or
more of the business entity and the business entity is
not separately insured for Business Auto Coverage.
Coverage is extended up to a maximum of 180 days
following acquisition or formation of the business
entity. Coverage under this provision is afforded only
until the end of the policy period.
FELLOW EMPLOYEE COVERAGE. EXECUTIVE OFFICERS
Exclusion 5. FELLOW EMPLOYEE of SECTION II - LIABILITY
COVERAGE - B. EXCLUSIONS is amended by the addition
of the following:
This exclusion does not apply to liability incurred by your
employees that are executive officers.
PHYSICAL DAMAGE . ADDITIONAL TRANSPORTATION
EXPENSE COVERAGE
The first sentence of paragraph A.4. of SECTION III
PHYSICAL DAMAGE COVERAGE is amended as follows:
Includes Copyrighted Material of .
Insurance Services Office, Inc., with its permission.
Copyright, Insurance Services Office, Inc., 1997
We will pay up to $50 per day to a maximum of $1,500 for
temporary transportation expense incurred by you because
of the total theft of a covered "auto" of the private
passenger type.
EXTRA EXPENSE . BROADENED COVERAGE
Paragraph A. - COVERAGE of SECTION III - PHYSICAL
DAMAGE COVERAGE is amended to add:
5. We will pay for the expense of returning a stolen
covered "auto" to you.
AIR BAG COVERAGE
Under paragraph B. - EXCLUSIONS of SECTION III -
PHYSICAL DAMAGE COVERAGE, the following is added:
The exclusion relating to mechanical breakdown does not
apply to the accidental discharge of an airbag.
GLASS REPAIR. WAIVER OF DEDUCTIBLE
Under paragraph D. - DEDUCTIBLE of SECTION III .
PHYSICAL DAMAGE COVERAGE, the following is added:
No deductible applies to glass damage if the glass is
repaired rather than replaced.
AMENDED DUTIES IN THE EVENT OF ACCIDENT, CLAIM,
SUIT OR LOSS
The requirement in LOSS CONDITION 2.a. - DUTIES IN THE
EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS - of SECTION
IV - BUSINESS AUTO CONDITIONS that you must notify us
of an "accident" applies only when the "accident" is
known to:
(1) You, if you are an individual;
(2) A partner, if you are a partnership; or
(3) An executive officer or insurance manager, if you are
a corporation.
UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS
SECTION IV - BUSINESS AUTO CONDITIONS . B.2. is
amended by the addition of the following:
If you unintentionally fail to disclose any hazards existing
at the inception date of your policy, we will not deny
coverage under this Coverage Form because of such failure.
However, this provision does not affect our right to collect
additional premium or exercise our right of cancellation or
non-renewal.
Page 1 of 3
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RESULTANT MENTAL ANGUISH COVERAGE
SECTION V . DEFINITIONS . C. is replaced by the
following:
"Bodily injury" means bodily injury, sickness or disease
sustained by a person including mental anguish or death
resulting from any of these.
HIRED AUTO PHYSICAL DAMAGE COVERAGE
If hired "autos" are covered "autos" for Liability coverage
and if Comprehensive, Specified Causes of Loss or
Collision coverages are provided under this Coverage Form
for any "auto" you own, then the Physical Damage
Coverages provided are extended to "autos" you hire of the
private passenger or light truck (10,000 Ibs. or less gross
vehicle weight) type, subject to the following limit.
The most we will pay for loss to any hired "auto" is
$35,000 or Actual Cash Value or Cost of Repair, whichever
is smallest, minus a deductible. The deductible will be equal
to the largest deductible applicable to any owned "auto"
of the private passenger or light truck type for that
coverage. Hired Auto Physical Damage coverage is excess
over any other collectible insurance. Subject to the above
limit, deductible and excess provisions, we will provide
coverage equal to the broadest coverage applicable to any
covered "auto" you own of the private passenger or light
truck type.
If symbol 8 is listed on the Covered Autos section of the
policy declarations page as applying to any of the physical
damage coverages, then the Hired Auto Physical Damage
Coverage described on this form does not apply.
HIRED AUTO PHYSICAL DAMAGE COVERAGE . LOSS OF
USE
SECTION III . PHYSICAL DAMAGE A.4.b. Form does not
apply.
Subject to a maximum of $1000 per accident, we will cover
loss of use of a hired "auto" if it results from an accident,
you are legally liable and the lessor incurs an actual
financial loss.
RENTAL REIMBURSEMENT COVERAGE
A. This coverage applies only to a covered "auto" of the
private passenger or light truck (10,000 Ibs. or less
gross vehicle weight) type.
B. We will pay for rental reimbursement expenses
incurred by you for the rental of an "auto" because
of a covered "loss" to a covered "auto." Payment
applies in addition to the otherwise applicable amount
of each coverage you have on a covered "auto." No
deductibles apply to this coverage.
C. We will pay only for those expenses incurred during
the policy period beginning 24 hours after the "loss"
Includes Copyrighted Material of
Insurance Services Office, Inc., with its permission.
CoPYright, Insurance Services Office, Inc., 1997
CA 71 10 10 01
COMMERCIAL AUTO
and ending, regardless of the policy's expiration, with
the lesser of the following number of days:
1. The number of days reasonably required to repair
or replace the covered "auto." If "loss" is caused
by theft, this number of days is added to the
number of days it takes to locate the covered
"auto" and return it to you.
2. 30 days.
D. Our payment is limited to the lesser of the following
amounts:
1. Necessary and actual expenses incurred.
2. $25 per day.
E. This coverage does not apply while there are spare or
reserve "autos" available to you for your operations.
F. If "loss" results from the total theft of a covered
"auto" of the private passenger type, we will pay
under this coverage only that amount of your rental
reimbursement expenses which is not already provided
for under the PHYSICAL DAMAGE COVERAGE
Coverage Extension.
G. The Rental Reimbursement Coverage described above
does not apply to a covered "auto" that is described
or designated as a covered "auto" on Rental
Reimbursement Coverage Form CA 99 23.
AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT
COVERAGE
A. Coverage
1. We will pay with respect to a covered "auto" for
"loss" to any electronic equipment that receives
or transmits audio, visual or data signals and that
is not designed solely for the reproduction of
sound. This coverage applies only if the
equipment is permanently installed in the covered
"auto" at the lime of the "loss" or the equipment
is removable from a housing unit which is
permanently installed in the covered "auto" at the
time of the "loss", and such equipment is
designed to be solely operated by use of the
power from the "auto's" electrical system, in or
upon the covered "auto."
2. We will pay with respect to a covered "auto" for
"loss" to any accessories used with the
electronic equipment described in paragraph A.1.
above. However, this does not include tapes,
records or discs.
3. If Audio, Visual and Data Electronic Equipment
Coverage form CA 99 60 or CA 99 94 is attached
to this policy, then the Audio, Visual and Data
Electronic Equipment Coverage described above
does not apply.
Page 2 of 3
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B. Exclusions
The exclusions that apply to PHYSICAL DAMAGE
COVERAGE, except for the exclusion relating to Audio,
Visual and Data Electronic Equipment, also apply to
this coverage. In addition, the following exclusions
apply:
We will not pay for either any electronic equipment or
accessories used with such electronic equipment that
is:
1. Necessary for the normal operation of the
covered "auto" for the monitoring of the covered
"auto 's" operating system; or
2. Both:
a. an integral part of the same unit housing any
sound reproducing equipment designed
solely for the reproduction of sound if the
sound reproducing equipment is
permanently installed in the covered "auto";
and
b. permanently installed in the opening of the
dash or console normally used by the
manufacturer for the installation of a radio.
C. Limit of Insurance
With respect to this coverage, the LIMIT OF
INSURANCE provision of PHYSICAL DAMAGE
COVERAGE is replaced by the following:
1. The most we will pay for "loss" to audio, visual
or data electronic equipment and any accessories
used with this equipment as a result of anyone
"accident" is the lesser of:
a. The actual cash value of the damaged or
stolen property as of the time of the "loss";
or
b. The cost of repairing or replacing the
damaged or stolen property with other
property of like kind and quality.
c. $1,000.
Includes Copynghted Material of
Insurance Services Office, Inc., with its permission.
Copyright Insurance Services Office, Inc., 1997
CA 71 10 10 01
COMMERCIAL AUTO
2. An adjustment for depreciation and physical
condition will be made in determining actual cash
value at the time of the "loss."
3. If a repair or replacement results in better than
like kind or quality, we will not pay for the amount
of the betterment.
D. Deductible
1. If "loss" to the audio, visual or data electronic
equipment or accessories used with this
equipment is the result of a "loss" to the covered
"auto" under the Business Auto Coverage Form's
Comprehensive or Collision Coverage, then for
eac~ covered "auto" our obligation to pay for,
repair, return or replace damaged or stolen
property will be reduced by the applicable
deductible shown in the Declarations. Any
Comprehensive Coverage deductible shown in the
Declarations does not apply to "loss" to audio,
visual or data electronic equipment caused by fire
or lightning.
2. If "loss" to the audio, visual or data electronic
equipment or accessories used with this
equipment is the result of a "loss" to the covered
"auto" under the Business Auto Coverage Form's
Specified Causes of Loss Coverage, then for each
covered "auto" our obligation to pay for, repair,
return or replace damaged or stolen property will
be reduced by a $100 deductible.
3. If "loss" occurs solely to the audio, visual or data
electronic equipment or accessories used with
this equipment, then for each covered "auto" our
obligation to pay for, repair, return or replace
damaged or stolen property will be reduced by a
$100 deductible.
4. In the event that there is more than one
applicable deductible, only the highest deductible
will apply. In no event will more than one
deductible apply.
Page 3 of 3