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HomeMy WebLinkAbout000640 Original Contract City of Port Angeles jcs voargv� City of Port Angeles Record # 000640 s Public Works&Utilities Dep[. Operations Office t 1703 South B Street Port Angeles WA 98362 LIMITED PUBLIC WORKS PROCESS g��5 o,� rip Tel 360-417-4541 Fax: 360-452-4972 ❑ Request for Quotation ® Contract Contract Title: Transformers Oil Testing &Sampling Project Number: LO-13-022 THIS CONTRACT is entered into the date last below written between the CITY OF PORT ANGELES, WASHINGTON ("CITY") AND ]ACO CONSTRUCTION, INC. ("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 120 calendar 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_calendar days after notice to proceed and ends (xx days thereafter or after contract award). 3. PAYMENT A. The City shall pay the Contractor for the work performed under this contract (check one): ❑ Force Account - Time and material, not to exceed: $ ❑ Force Account- Time and actual expenses incurred, not to exceed: $ ❑ Force Account- Unit prices set forth in the Contractor's bid or quote, not to exceed: $ ® Firm Fixed Price set forth in Contractor bid or quote in the amount of: $30,000.00 to test Transformer numbers 1 - 250. 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 LO-13-022 Page 1 Rev. 8/30/2011 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 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 LO-13-022 Page 2 Rev. 8/30/2011 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. B. 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. HOLD HARMLESS A. The Contractor shall protect, defend, indemnify and save harmless the City, its officers, employees and agents from any and all costs, claims,judgments or awards of damages, arising out of or in any way resulting from the negligent acts or omissions of the Contractor. The Contractor agrees that its obligations under this subparagraph extend to any claim, demand, and/or cause of action brought by, or on behalf of, any of its employees or agents. For this purpose, the Contractor, by mutual negotiation, hereby waives, as respects the City only, any immunity that would otherwise be available against such claims under the industrial insurance provision of Title 51 RCW. In the event the City obtains any judgment or award, and/or incurs any cost arising therefrom including attorneys' fees to enforce the provisions of this article, all such fees, expenses, and costs shall be recoverable form the Contractor. Project LO-13-022 Page 3 Rev. 8/30/2011 B. The City shall protect, defend, indemnify and save harmless the Contractor, its officers, employees and agents from any and all costs, claims, judgments or awards of damages, arising out of or in any way resulting from the negligent acts or omissions of the City. The City agrees that its obligations under this subparagraph extend to any claim, demand, and/or cause of action brought by, or on behalf of, any of its employees or agents. For this purpose, the City, by mutual negotiation, hereby waives, as respects the Contractor only, any immunity that would otherwise be available against such claims under the industrial insurance provision of Title 51 RCW. In the event the Contractor obtains any judgment or award, and/or incurs any cost arising therefrom including attorneys' fees to enforce the provisions of this article, all such fees, expenses, and costs shall be recoverable from the City. 11. INSURANCE The Contractor shall maintain insurance as set forth in Attachment B. 12. PREVAILING WAGE This Contract is subject to the requirements of Chapter 39.12 RCW, and as it may be amended, relating to prevailing wages. On Public Works projects, funded in part or in whole with Federal funds, Federal wages laws and regulations shall also be applicable. NO WORKER, LABORER OR MECHANIC EMPLOYED IN THE PERFORMANCE OF ANY PART OF THIS CONTRACT SHALL BE PAID LESS THAN THE PREVAILING RATE OF WAGE as determined by the Industrial Statistician of the Department of Labor and Industries for the State of Washington. The schedule of prevailing wage rates for this Contract is made a part of this contract as though fully set forth herein. Prior to making any payment under this Contract, the City must receive an approved copy of the "Statement of Intent to Pay Prevailing Wages on Public Works Contracts" from the Department of Labor and Industries. It is the Contractor's responsibility to obtain and file the "Statement of Intent to pay Prevailing Wage". The Contractor shall be responsible for all filing fees. Each invoice shall include a signed statement that prevailing wages have been paid by the Contractor and all subcontractors. Following the final acceptance of services rendered, Contractor shall submit an "Affidavit of Wages Paid". For a contract award or an on-call contract work order 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 Prevailing 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 Clallam 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 REIECTION 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 LO-13-022 Page 4 Rev. 8/30/2011 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 39.12.065(3). Project LO-13-022 Page 5 Rev. 8/30/2011 IN WITNESS WHEREOF, the parties have executed this Contract as of .T„i )z 1 1 2013. ]ACO CONSTRU N, INC. CITY OF PORT ANGELES/ By: ���'/ /3Z=& By: Printed Name: Jim N Rennett Printed Name: D!F»t-C4 Md/cr')c.n Title: President Title: 6�1 vnunagg- -- Address: 103 12th Ave SW City: Ephrata, WA 98823 Tax ID #: 91 -1 41 6698 Phone Number: ( 509) 787 1518 Purchase Order #: D -7 (-n (V ro Project LO-13-022 Page 6 Rev. 8/30/2011 City of Port Angeles ATTACHMENT "A" Operations Office Public Works and Utilities Department WORK BY CONTRACTOR 360-417-4541 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: Test existing distribution transformers on the City of Port Angeles electric utility for polychlorinated biphenyls (PCB's). Contractor shall indicate on the Bid Form the number of transformers that will be tested for an amount not to exceed $30,000, including sales tax. Transformers will be tested in the sequence shown on the transformer list included herewith. Testing will start with Number 1 and continue in sequence to the maximum number indicated on the Bid Form. The Contract will be awarded to the responsible contractor indicating the greatest number of transformers Contractor will test for $30,000. At $30,000, all work will cease. Location: Various locations throughout Port Angeles, WA 98362. See attachment"Transformer PCB Testing"for more information. Site Point of Contact: Jim Klarr, Light Operations Manager at 360-417-4731 Work Hours and Schedule: The Contractor shall work from 7:30AM to 3:30PM, Monday through Friday. Work outside of these hours may be requested from and is at the discretion of the Site Point of Contact listed above. Work Requirements: PART 1 — GENERAL 1.1 SCOPE OF WORK A. Contractor shall provide all labor, materials, vehicles, and equipment to draw oil samples from existing distribution transformers on the City of Port Angeles electric utility, and shall send samples to a certified laboratory to test for polychlorinated biphenyl (PCB) contamination. B. Contractor shall tabulate results for each transformer and provide written report to the City indicating the PCB content for each transformer tested. 1.2 DEFINITIONS A. ASTM: American Society of Testing Materials B. EPA: Environmental Protection Agency C. PALO: City of Port Angeles Department of Public Works and Utilities, Light Operations Division D. WAC: Washington Annotated Code, latest edition 1.3 QUALITY ASSURANCE A. PCB testing shall be done by a qualified testing laboratory with at least 10 years experience in PCB analysis. B. Laboratory tests shall be performed in accordance with EPA method 1668A or better. Project LO-13-022 Page 7 Rev.8/30/2011 1.4 PROJECT CONDITIONS A. Testing will be conducted on transformers in service on an energized 12,470 volt power distribution system. Contractor shall be responsible for de-energizing transformers for testing, and shall provide all equipment and personnel required for sampling equipment to comply with WAC Article 296-45-325. PART 2— EXECUTION 2.1 RECORDS A. PALO will provide Contractor with a list of transformers to be sampled, and their locations. (See enclosed location list in this section) B. Contractor shall keep accurate records of each transformer tested and laboratory results. C. Printed laboratory test reports shall be provided to the City listing the PCB content of each transformer, identified by the transformer serial number. Reports shall be certified by the testing laboratory. 2.2 PROCEDURE A. Customer outages will be necessary for the majority of testing locations. Contractor shall notify customers 48 hours in advance of planned outage. Outages shall occur only during normal business hours. Coordinate with PALO. Contractor shall be responsible for de-energizing and re-energizing the transformers by opening the associated fused cutout. B. Samples may be drawn by removing pressure relief valve. At some locations, it may be necessary to make a hole on the transformer tank above the oil level using a Hilti DX-451m or equal. C. Verify transformer is under positive pressure before drawing sample to avoid drawing air into the transformer. D. When sampling transformers with no PCB labels, treat the unit as having contaminated fluid. Since oil may contain PCB's, do not allow any oil drawn to spill on ground. Personnel shall wear latex gloves or other protective equipment to avoid exposure. E. Samples shall be transferred to individual sample bottles, to be provided by the Contractor. Clean any spillage from bottle exteriors. F. Upon completion of sampling, reinstall pressure relief valve, or plug hole by coating with a silicon sealer and plugging with a coated rivet, provided by PALO. Contractor may use alternate methods if approved in advance by PALO. G. Upon receiving laboratory test results, Contractor shall field label each transformer with PCB warning labels or"No PCB" labels, as appropriate. Labels shall be installed on interior of pad-mounted transformer compartments, or on exterior of overhead transformers to be visible from the ground. (See picture below) ' T � NOTICE `rt 1I5 UNIT HAS BEEN -1' TESTED FOR(PCBs) �-' METHOD O .. Cwy L11 .AT GRGPHY �. - � — SOREENIFST Project LO-13-022 Page 8 Rev. 8/30/2011 # ID llSeriallNumber�IflManufac"turer MGonnectio Volta a tGndlNumber; Lrocation 1 125-0861 1732000062 IRTE Corp. 11 PHASE 120/240 Transformer Yard 1 2 25-0866 731026378 RTE Corp. 120/240 Transformer Yard 3 25-1984 CP0755005079 Coo er 1 PHASE 1201240 18GQ11 632 West 3rd 4 750-0011 99JB48340 JABB Y-Y 3-Phase 277/480Y 19EQ36 HOTEL 5 750-0004 1760006652 1 RTE Corp. Y-Y 3-Phase 277I480Y 20BP01 CIVIC PIER N.OF LINCOLN 6 50-0879 96A402152 JABB Y-Y3-Phase 1 120/240 21ER07 RACE/JONES/GEORGIANA 7 25-0833 722018779 RTE Corp. 1 PHASE 1 120/240 21 FS05 2/3 ALDERIWASH. 8 15-0374 7218209 RTE Corp. OPEN DELTA 120/240 24GR04 FLORES 9 15-0800 791046867 RTE Corp. 1 PHASE 120/240 25GT02 10TH B(r WESTVIEW&O 10 37-1030 N109465YFSA General Electric 1 PHASE120/240 26CQ01 5/6 BTWN G&I 11 137-1031 N109463YFSA General Elechic 1 PHASE 120/240 26DP01 7/8 G-H 12 37-1032 N111666-YFSA General Electric 11 PHASE 120/240 1 26DP02 7/8 G TO H 13 i25-1275 792013579 RTE Corp. 1 PHASE 120/240 26DQ04 5/8-G TO L 14 137-1033 N110524 YFSA General Electric 1 PHASE 120/240 26ET03 8/9 K TO L 15 50-0364 73AH18663 M e DELTA 3 120/240 28AO04 TRUCK RT.W 3&W 2/3 16 25-1018 742012406 1 PHASE 120/240 28AS09 415&A/B 17 25-1159 78VJ015031 son 1 PHASE120/240 28DR06 7/8&A 18 37-1001 9849746 tric 1 PHASE 120/240 28GT0419 137-1019 N110520-YFSA tric 1 PHASE 120/240 29BP03 12/13 PINE/TUMWATER 20 37-0623 732002798 1 PHASE 1 120/240 298P06 FIRE DEPT.5/6&LAUREL 21 50-0491 792014332 RTE Corp. OPEN DELTA 120/240 29CP02 LAUREL/LINCOLN 6/7 22 50-0347 732002373 RTE Corp. DELTA 3 120/240 29CP04 6/7 ALLEY W.OF LINCOLN 23 300-0001 76G274035 Westinghouse Y-Y 3-Phase 208Y120 29CP05 114 E.6TH 24 37-0950 792013620 RTE Corp. Y-Y 3-Phase 120/240 29CQ04 CHERRY 25 37-0951 792013611 RTE Corp. Y-Y 3-Phase 120/240 29CQ04 CHERRY 26 37-0952 792013609 RTE Corp. Y-Y 3-Phase 120/240 29CQ04 CHERRY. 27 50-0484 792014330 RTE Corp. 1 PHASE 120/240 29CQ05 CHERRY 28 75-0249 792014337 RTE Corp. 1 PHASE 120/240 29CQ07 CHERRY 29 75-0226 78VJ018002 McGraw Edison 11 PHASE 120/240 29CQ08 JqHERRY 30 25-1175 78VJ015026 McGraw Edison 1 PHASE 120/240 29GR0l 6/7 LAUREL TO W OF CHERRY 31 50-0489 792014314 RTE Corp. 1 PHASE 120/240 29CR02 CHERRY 32 50-0462 178VJ017004 McGraw Edison 1 PHASE 120/240 29CR04 7/6 OAKICHERRY 33 50-0492 1792014325 RTE Corp. 1 PHASE 120/240 29CR06 CHERRY 34 75-0228 178VJ018004 McGraw Edison T PHASE 120/240 29CS05 6/7 LAUREL TO W.OF CHERRY 35 50-0493 792014329 RTE Corp. 1 PHASE 120/240 29CS06 617 LAUREL TO W.OF CHERRY 36 37-0984 1792013665 RTE Corp. ( 120/240 29EP05 8/9(CHERRY/LINCOLN 37 25-1160 178VJ015030 McGraw Edison IDELTA 3 120/240 1 29EP08 8/9 CHERRY TO LINCOLN 38 25-1281 792013583 IRTE Corp. DELTA 3 120/240 29EP08 8/9 CHERRY TO LINCOLN 1 39 25-0985 742008033 RTE Corp. DELTA 3 120/240 29EQ05 8/9 CHERRY TO LINCOLN 40 125-1237 1792013546 IRTE Corp. DELTA3 I 120/240 29EQ05 8/9 CHERRY TO LINCOLN 41 150-0438 77JC437196 Westinghouse DELTA 3 120/240 29EQ05 LINCOLN 42 50-0456 78VJ017011 McGraw Edison 1 PHASE 120/240 29ES05 8/9 1ST POLE W.OF CHERRY 43 37-1023 N112763-YFSA General Electric 1 PHASE 120/240 29FQ06 9/10 ALLEY OAK TO LINCOLN 44 137-0976 1792013642 RTE Corp. 11 PHASE 120/240 29GP04 ILINCOLN 45125-11 5-1063 762005816 RTE Corp. 1 PHASE 120/240 29GQ01 10/11 FM OAK TO LINCOLN 46 25-1054 762005806 RTE Corp. 1 PHASE I 120/240 29GQ03 10/11 FM OAK TO LINCOLN 47 1 75-0239 IM819079YERA 12eneral Electric 1 PHASE I 1201240 29GQ05 Queen of Angels School 48 37-0869 78JV016019 McGraw Edison Y-Y 3-Phase 120/240 29GR02 10/11 CHERRY TO OAK 49 37-0870 178VJ016002 McGraw Edison Y-Y 3-Phase 1201240 29GR02 10/11 CHERRY TO OAK 50 37-0881 178VJ016017 IMcGraw Edison 1 PHASE 1 120/240 29GR04 10/11 CHERRY TO OAK 51 X50-0457 j78VJ017F22 I McGraw Edison 1 PHASE 120/240 29GR05 10/11 CHERRY TO OAK 52 25-1002 1742012378 1 RTE Corp. 1 PHASE 120/240 31CP02 7TH W OF FRANCIS 53 37-0918 IM818825YERA 1General Electric 11 PHASE i 120/240 31DR02 1719 S RACE 54 37-0949 1792013618 IRTE Corp. 11 PHASE I 120/240 31DS03 7/8 WEST OF CHAMBERS 55 37-0738 1742014048 1RTE Corp. 11 PHASE 1 120/240 31FP02 9/10&FRANCIS 56 37-0960 1792013624 1 RTE Corp. 11 PHASE 1 120/240 1 31FP05 19110&FRANCIS ` # ID "SedalTJumber - ManutK rer Connedtion Volta a "GnC'NOR Lotion 57 37-0875 78VJ016013 McGraw Edison 1 PHASE 120/240 .31 FQ02 9/10 ALLEY W.OF RACE 58 25-0987 742008039'- RTE Corp. (1 PHASE 120/240 31 GR03 9&RACE 59 37-1025 IN112762-YFSA General Electdc 1 PHASE 120/240 1 34CP03 14&P 60 50-0200 6218526 RTE Corp. 1 PHASE 120/240 1 34CQ03 OCEAN VIEW TRAILOR PARK 61 50-0381 73VN002011 McGraw Edison 1 PHASE I 120/240 1 35BP08 13TH N.OF SAMARA PLACE j 62 25-1219 791043716 IRTE Corp. 1 PHASE 120/240 35CQ01 14 E OF O/SAMARA WOODS 63 15-0759 792003506 RTE Corp. 1 PHASE 120/240 35DP03 O S OF 14TH 1 64 15-0588 74VC017002 IMcGraw Edison 1 PHASE 120/240 35ES02 BUTLER ST N OF 16TH 65 150-0194 H527093-67K General Electric 1 PHASE 120/240 35GS06 REYES TRAILOR PARK 66 137-0825 177131358305 ISBO 11 PHASE 1 120/240 1 36AS02 12TH E.OF O"TOE.CF"N"" 67 50-0390 73ZK815011 McGraw Edison 1 PHASE 120/240 36AS03 SEABREEZE 1 68 37-0826 177131358302 SBD 1 PHASE 120/240 3BAS06 12TH ST.E:OF O"TOE.OF"N 69 37-0824 177D1358307 JSBD 1 PHASE 120/240 36AS08 12THE.OFO"TOE.OF"N"" 70 j25-1285 1790143717 IRTE Corp. 1 PHASE 120/240 36BS04 DRIFTWOOD PL E OF N 71 125-1221 1791043724 _ RTE-Corp. 1 PHASE 120/240 36BS06 DRIFTWOOD PLACE E OF N 72 37-0828 77D1358303 ISBD 1 PHASE ' 120/240 36BS08 N"N.OFI4TH" 73 37-0829 77D1358304 SBD 1PHASE 120/240 36BT03 O"TOE.OF"N"SAMARA" 74 50-0386 73ZK815006 McGraw Edison III PHASE 120/240 36BT04 MARIE VIEW N.OF 14TH 75 25-1222 791043729 RTE Corp. —1P—HAS E 120/240 36BT07 112 E OF O TO E OF N SAMARA 76 75-0218 DJH3722 McGraw Edison 1 PHASE 120/240 36BT09 IN 77 37-0852 IPJG-3150 Standard 1 PHASE 120/240 36BU02 INN. AMARA DR.-N.OF 14TH 78 37-0612 721038478 RTE Corp. 1 PHASE 120/240 36CS12 N"N.OFI4TH" 79 25-1284 791043719 RTE Corp. 1 PHASE 120/240 36CT03 14 E OF O/SAMARA WOODS 80 25-1220 791043722 RTE Corp. 1 PHASE 120/240 36CT05 MARIE VIEW N OF 14 81 37-0771 17 6F238229 Westinghouse 1 PHASE 120/240 36CT10 WOODS" 82 25-0870 732007514 RTE Corp. 1 PHASE 120/240 36DR05 14/15&OWENS 83 25-0853 732006305 IRTE Corp. 1 PHASE 120/240 36DR10 14/15&OWENS 84 137-0946 792013619 RTE Corp. 1 PHASE 120/240 36DR20 14/15 OWENS 85 50-0283 702006400 RTE Corp. 11 PHASE 120/240 36ER02 15/16-OWENS/EVANS 86 50-0218 6213448 RTE Corp. 1 PHASE 120/240 36ER03 15/16-EAST OF N 87 50-0282 702002485 RTE Corp. 1 PHASE 120/240 36ER04 15/16-EAST OF N 88 50-0281 1702002484RTE Corp. 1 PHASE 120/240 36ER05 15/16 EAST OF N 89 50-0284 702006387 RTE Corp. 1 PHASE 1201240 36ES03 15/16-OWENS/N 90 25-1120 177029014 RTE Corp. 1 PHASE 120/240 36FR03 OWENS 16 TO 17 91 25-1119 77029012 RTE Corp. 1 PHASE 120/240 36FS01 16/17 OWENS TO N 92 37-0836 77VD082018 McGraw Edison 1 PHASE 120/240 36FS02 W 16/17 ALLEY OWENS TO N 93 25-1079 I76A102495 Westinghouse 1 PHASE I 120/240 1 36FS04 16/17 N OWENS 94 25-0644 9847324 General Electric 11 PHASE 120/240 36GQ01 18TH WEST OF M 95 25-0813 721036887 RTE Corp. 11 PHASE 120/240 36GQ05 18TH-MIN EVANS 96 25-0662 23328-1170 Industries 1 PHASE 120/240 36GS01 MIN-NORTH OF 18TH 97 37-0604 721038476 RTE Corp. (OPEN DELTA 120/240 37AP03 10/16-G/K I 98 37-0689 173VN077014 I McGraw Edison JOPEN DELTA I 120/240 37AQ03 111/12 H/I 99 37-0695 174VD020008 I McGraw Edison IOPENbELTA 1 120/240 1 37AQ05 12/13 Alley between H&I 100 50-0400 173VC167083 McGraw Edison (OPEN DELTA 120/240 1 37AQ05 11112-I/J 101 37-0642 1732002315 IRTE Corp. 1 PHASE 120124037AQ06 11/12&H/I 102 125-1278792013564 RTE Corp. 1 PHASE 120/240 37AS04 11/12/W OF K 103 25-1260 792013568 RTE Corp. 1 PHASE 120/240 37AS06 11/12/W OF K 104 25-116378VJ015011 McGraw Edison 11 PHASE 1201240 37AS07 11/12 E OF L 105 25-0808 721036884 1 RTE Corp. 11 PHASE 120/240 1 37BP07 10/16-G/K 106 25-0805 1721038686 IRTE Corp. 11 PHASE 120/240 37BP09 12/13-G/H 107 25-1043 1752015304 IRTE Corp. It PHASE 1 120/240 37BQ01 10/16 G-K 108 125-1184 1792002793 IRTE Corp. 11 PHASE 120/240 1 37BQ03 12113 3RD POLE E OFIST 109 25-0886 732010235 RTE Corp. 1 PHASE 120/240 1 37BQ06 12113&H/I 110 25-1064 762005810 RTE Corp. 1 PHASE 1 120/240 37BT03 11/12 ALLEY WEST OF L 111 25-0869 732007948 RTE Corp. 1 PHASE I 120/240 37CR05 13/14/I/K 112 50-0346 1732002375 IRTE Corp. 1OPEN DELTA 1-12 012 4 G 37GR14 1FAIRGROUNDS # ID SeriaNNumtiei Manufacturer Connection Volta a rGiid'Numb7r Location 113 100-0070 1548837YFPA 1General Electric OPEN DELTA 120/240 37GR14 18TH 1"ST.FAIRGROUNDS" 114 137-0658 73AF18188 Westinghouse 1 PHASE 120/240 38CP01 13/14&B/C 115 1000-0005 786005841 RTE Corp. Y-Y 3-Phase 277/480Y 38CS02 Stevens Ele.School 116 1100-0054 73ZH81800l McGraw Edison 1 PHASE 120/240 38EP01 15116&N 11715-0501 172AC9241 Westinghouse 1 PHASE 120/240 38ES03 15/16&F 118 25-0850 732005720 RTE Corp. 1 PHASE 120/240 38ES05 DIE&15/16 119 37-0795 77JC426034 Westinghouse 1 PHASE 120/240 38ET02 W 15/16-F 120 15-0459 9749667 General Electric 1 PHASE 120/240 38FQ02 16/17-CID 1 121 50-0285 702006394 1 RTE Corp. 1 PHASE 1 120/240 38FQ06 116117-CID 122 25-0963 74VF031007 McGraw Edison 1 PHASE 1201240 38FROZ 16/17 W OF D 123 15-0519 72AC9242 Westinghouse I1 PHASE 1 120/240- 38FR03 16/17-DIE 124 25-0904 173AK546 jWestinghouse 1 PHASE 120/240 38FR06 116/17&DIE 125 115-058674— 4VC017003 ,McGraw Edison 1 PHASE 120/240 38FS02 116TH F TO E I, 126150-0195 G749651-67K jGeneral Electric 1PHASE 120/240 1 38FS03 16/17-E/F I 127 37-0665 173AF18190 lWesfinghouse 1 PHASE 120/240 38FS08 116117&E/F 128 150-0361 173AH19603 Westinghouse 1 PHASE 120/240 il 38FT06 115116&FIG 129 ,75-0161 721037396 RTE Corp. 11 PHASE 1201240 38GQ02 W. 17&C 130 150-0323 721038484 RTE Corp. 1 PHASE 120/240 38GQ03 1707 South"A"St Storeyard I 131 37-0611 721038479 RTE Corp. -1 PHASE 120/240 38G204 W. 17&C 132 !37-0606 721038472 RTE Corp. 1 PHASE 1201240 38GO05 W. 17&C ! 133 175-0159 1721037397 RTE Corp. 1 PHASE 120/240 - 38GQ06 W 17&C 134 50-0321 721038485 RTE Corp. 11 PHASE 1 120/240 38GQ07 1W 17&C 135 25-1187 792002789 RTE Corp. 1 PHASE 120/240 1 38GR01 17/18 W OF D 136 37-0667 - 73AF13191 Westinghouse 1 PHASE 120/240 38GS03 JW. 17/18-OF 137 25-0898 73AJ5153 Westinghouse 1PHASE 120/240 1 38GS04 17/18 E/F 138 37-1016 N110522-YFSA General Electric 11 PHASE 1 120/240 1 39AQ05 11/12 PINE TO TUMWATER 139 15-0756 792001324 RTE Corp. JOPEN DELTA 1 120/240 39AR02 11/2 AT A- 140 37-0732 742010375 RTE Corp. I t PHASE 120/240 39AS03 A/B&11/12 141 25-1013 1742012358 RTE Corp. 1 PHASE 120/240 39AS04 AB 11/12 142 37-0621 732002795 RTE Corp. 11 PHASE 120/240 39AS05 11/12&A/B I 143 25-1008 1742012388 RTE Corp. 11 PHASE 120/240 39AT04 JE 4/5 E OF PENN 144 37-0842 177VD057011 McGraw Edison J1 PHASE 120/240 1 39BRO1 112113 ALLEY E.OF A 145 25-1015 1742012359 RTE Corp. �1 PHASE 120/240 396802 12/13 A/B 146 25-0902 73T S03 (Westinghouse 1 PHASE 1201240 396S03 12/13 A/B 147 125-1003 742012374 RTE Corp. 1 PHASE 1 120/240 39BT04 12113&BIC 148 25-1016 742012398 RTE Corp. 1 PHASE 120/240 39ST05 12113&BIC 149 75-0205 76A430813 Westinghouse 1 PHASE 1 120/240 1 39CP01 PINE;W.OF 13TH 150 75-0139 7020024969 RTE Corp. 1-PHASE 120/240 j 39CQ04 13/14&CEDAR 151 25-1023 742012419 1RTE Corp. 1 PHASE 1201240 1 39CQ05 13/14&CEDAR 152 50-0398 73VC167047 IMcGraw Edison 1 PHASE 120/240 39CQ07 1W 13/14 W OF CEDAR 153 137-0704t74VD02004 McGraw Edison 1 PHASE 120/240 39CS02 113/14&A&B 1 154 '37-1002 4207794 !RTE Corp. 1 PHASE i 1201240 39CS04 '13/14 W.OFA"ST" ! 155 25-0950 174VC037019 IMcGraw Edison 1 PHASE ' 120/240 1 39CS05 13114&A/B 15637-0666 173AF15911 Westinghouse 1 PHASE 120/240 39CS07 13/14&A/B 157 25-0994 1742008638 1RTE Corp. 1 PHASE 120/240 39DP04 CEDAR/PINE&14/15 158 137-0692 74VD020006 McGraw Edison !1 PHASE j 120/240 39DP05 W/14/15-PINE/CEDAR 159 25-0884 1732009662 1RTE Corp. 11 PHASE 1 1201240 i 39DR01 14/15&A/TUMWATER 160 37-0443 7216854 RTE Corp. 1 PHASE 120/240 39DR03 14/15 TRUCK ROUTE/A 161 25-0645 FV131822 1Line Material 11 PHASE 120/240 39DSOI 14/15&A/B 162 137-1003 60 SL133 1Westinghouse ITPHASE 1201240 1 39DS03 14/15 W.OF A"ST." 163 25-1125 78VG065032 !McGraw Edison 11 PHASE 1 120/240 39DS04 14/15 A TO B I 164 37-0712 74VF056003 !McGraw Edison 1 PHASE 120/240 39DS05 14115&A/B 165 125-0942 74VC037017 jMcGraw Edison 11 PHASE 1 120/240 39EP03 PINE&15/16 166 125-0984 742008643 1RTE Corp. 1 PHASE 120/240 39EQ01 15TH&CEDAR ! 167 125-1128 (78VG065018 !McGraw Edison ll PHASE I I201240 I 39ER03 1A 15/15 ALLEY 168 125-0895 173AJ5155 Westinghouse 1 PHASE 1 120/240 39ES05 115116&A/B # ' " "r-:ID - $enol Numiier;'. .- Manufacturer` ':Gonnechori . `' Volta est`= Grid-.Number Location ' •'r-'" "x 169 25-0856 732006302 RTECorp. 1.PHASE 120/240 39ES09 15116 A/B 170 125-0868 732007943 IRTE Corp. TPHASE 120/240 -39ES10 16-&B 171 15-0584 74VC017016 McGraw Edison 1 PHASE 120/240 39ET01 15TH&B 172 37-0691 73VN077001 McGraw Edison 1 PHASE 120/240 39ET04 15/16&B I 173 125-0940 174VB02 0007 !McGraw Edison 1 PHASE 120/240 39ET06 15/16&B 174 15-0548 1732006887 RTE Corp. 1 PHASE 120/240 39ET07 15/16&A/B 175 15-0572 73AK5126 Westinghouse 1 PHASE 120/240 39ET08 15/16 w/o"B" 176 15-0542 732007461 RTE Corp. 1-PHASE 120/240 39FP03 16TH&PINE 177 25-0829 1722018780 RTE Corp. 1 PHASE 120/240 39FP04 16TH&PINE 178 137-0661 173AF19117 Westinghouse 1 PHASE ! 1201240 39FS06 16/17 ALLEY-EAST OF B"" I 179 137-0459 682011386 RTE Cor DELTA 3 120/240 39FS09 16/17 AB 180 37-0664 73AF18189 Westinghouse DELTA 3 1201240 39FS09 A/B&16117 181 50-0362 73AH14810 Westinghouse DELTA 3 1 120/240 39FS09 16/17-A&B 182 50-0468 IM419167YAPA General Electric it PHASE 1 1201240 39FT05 16/17 ALLEY W.OF 13- 183 100-0082 1791037846 RTE Corp. t1l PHASE 1201240 39GS03 154284-Corp Yard 184 15-0454 1702004526 RTE Corp. 1 PHASE 120/240 39GT04 18TH-B/C 185 75-0245 1792014333 RTE Corp. 1 PHASE 120/240 40AP04 11/12 E.OF LAUREL 186 37-0974 1792013648 RTE Corp. 1 PHASE 120/240 1 40AQ01 11112 CHERRY/LINCOLN j 187 37-1028 N111163E YFSA General Electric 1 PHASE 1201240 40AQ05 11/12 CHERRY/LINCOLN 188 137-1029 N108415-YFSA General Electric 1 PHASE 120/240 40AQ07 11/12.CHERRY/LINCOLN I 189 115-0697 1762005786 RTE Corp. 1 PHASE 120/240 40AQ09 111112 CHERRY/LINCOLN i 190 37-0995 792013663 RTE Corp. 1 PHASE 120/240 40AR05 11/12 CHERRY/LINCOLN 191 37-0996 792013655 RTE Corp. 1 PHASE 120/240 40AR07 111112 CHERRY/LINCOLN 192 50-0486 792014320 RTE Corp. 11 PHASE 1201240 40AS05 CHERRY 193 75-0237 M819078YERA General Electric 11 PHASE 120/240 40BP03 LINCOLN 194 37-1027 N111667-YFSA General Electric 1 PHASE 1201240 40BQ04 12/13 ALLEY OAK TO LINCOLN 195 25-1025 742012373 RTECorp. 1 PHASE 120/240 40BR06 12/13 CHERRY TO OAK 196 75-0234 M819082YERA General Electric 1 PHASE 1201240 40BS03 12/13 W.OF CHERRY ST. 197 50-0369 73AH19607 Westinghouse 1 PHASE 120/240 40BS06 12113 W.OF CHERRY 1 198 75-0233 M819083YERA General Electric 1 PHASE 120/240 40CP01 13/14 E.OF LAUREL 199 137-0919 M818818YERA General Electric 1 PHASE 120/240 40CP02 13/14 E.OF LAUREL 200 50-0467 iM419155YAPA General Electric 1 PHASE 120/240 40CP03 13/14 E.OF LAUREL 201 75-0225 178VJ01 0003 McGraw Edison 1 PHASE 1 120/240 40CQ05 LAUREL 202 125-1203 M824502YERA General Electric 11 PHASE 120/240 40CR04 13/14 VALLEY TO LAUREL 203 37-0931 IM818826YERA General Electric 1 PHASE 120/240 40CR05 LAUREL 204 37-0934 1792013612 RTE Corp. OPEN DELTA 120/240 40CS03 13114 VALLEY TO IAUREL 205 15-0318 7212241 1RTE Corp. 11 PHASE 1 120/240 40CT01 PINE WEST OF 13TH 1 206 .37-0879 178VJ016004 jMcGraw Edison 1 PHASE 120/240 40DQ02 14/15 CHERRY TO LAUREL 1 207 25-1182 1792002803 1RTE Corp. 11 PHASE F, 120/240 40DR03 14/15 W OF OAK 208 137-0878 78VJ016006 McGraw Edison 11 PHASE 120/240 40DR04 14/15 CHERRY TO LAUREL 209 50-0466 IM419162YAPA !General Electric 1 PHASE 120/240 40DR07 IST. f 210 25-1024 1742018031 1 RTE Corp. 1 PHASE 120/240 40DS03 JW 15-CHERRY ! 211 137-0866 178JV016021 !McGraw Edison 1 PHASE 120/240 40DS05W 14 5C 212 l25-1074 762005808 RTE Corp. 1 PHASE 120/240 40DS08 14115 CHERRY 213 37-0713 174VG044008 McGraw Edison 11 PHASE 120/240 40DT04 W 14/15-W OF VALLEY 214 15-0328 72122243 RTE Corp. 1 PHASE 120/240 40ET01 15!16&PINE/BLVD 215 37-0705 174VB031013 McGraw Edison 11 PHASE j 120/240 40ET03 15116&VALLEY/PINE 216 137-0716 742012429 RTE Corp. 1 PHASE 120/240 41AP05 11/12 LINCOLN/PEABODY 217 37-0962 792013649 ,RTE Corp. JOPEN DELTA 1 120/240 41AP06 11/12 ALLEY E OF LINCOLN 218 25-0851 732005713 !RTE Corp. 1 PHASE 120/240 41AQ01 111/12 LINCOLN/PEABODY 219 I37-0877 178VJ0106008 I McGraw Edison 1 PHASE 120/240 41AS06 11/12 VINE TO ENNIS 220 125-0996 1742008034 RTE Corp. 1 PHASE ! 120/240 416Q03 4/5 BR N&EVANS 221 50-0454 78VJ017014 !McGraw Edison 1 PHASE 1201240 41BQ05 14115 CHERRY TO LAUREL 222 50-0455 78VJ017019 McGraw Edison 1 PHASE 120/240 1 41BR03 12/13 CHERRY TO OAK 223 �37-0815 76JF252129 lwestinghouse 1 PHASE 120/240 1 41BR05 12/BLVD EAST OF PEABODY 224 150-0476 1792014326 !RTE Corp. 1 PHASE 1 1201240 1 41BR06 113/14 VALLEY TO LAUREL - „IDT� ';Sedal:N6fnI5er "+Manufacturer '""` _ �; ���Connection,,"`. ;r Volta-e ,F 'Gnd:Number": 225 25-0650 3-65603 Kuhlman �1 PHASE 120/240 43AS05 18 W.OF MILWAUKE 226 50-0183 IGV384308 Line Material Y-Y 3-Ph2se120/240 45AP03 118TH&M(YOUTH CENTER) 227 50-0184 ,GV384307 Line Material ,Y-Y 3-Phase 120/240 45AP03 118TH&M(YOUTH CENTER) 228 50-0185 IGV384306 Line Material Y-Y 3-Phase 120/240 45AP03 18TH&M(YOUTH CENTER 229 15-0349 67AK11343 Westinghouse 1 PHASE 120/240 45AP04 18TH-MM 230 15-0346 167E17668 Westinghouse 1 PHASE 120/240 45AQ02 18TH-M/N G45 231 25-0894 73AJ5163 Westinghouse 1 PHASE 120/240 45AR08 18TH W OF PUD 232 15-0530 721036342 RTE Corp. 1 PHASE 120/240 46CR06 LINCOLN PARK-W OF BLVD 233 25-1039 752015307 RTE Corp. 11 PHASE 120/240 47AR02 W 18/19 DIE j 234 25-0939 174VC037007 McGraw Edison 11 PHASE 120/240 47AR03 18/19-E 235 37-0512 1702002482 IRTE Corp. 11 PHASE 120/240 47AS03 18/19 E/F 236 IRTE Corp. 11 PHASE 120/240 47AS04 18/19 E/F 237 37-1021 IN111664-YFSA 'General Electric 11 PHASE 12 0/240 47BS02 119TH/BLVD 238 25-1121 177029018 RTE Corp. It PHASE 120/240 47BS03 19/BLVD E TO F 239 37-0510 1702002475 RTE Corp. 11 PHASE 120/240 47BS04 LAURIDSEN E OF F 240 37-0831 1771D1358502 SBD 11 PHASE 120/240 53FS09 RECORDED 3-26-90) 241 75-0158 J721037398 RTE Corp. J1PHASE 120/240 54AS03 BLVD.&NEWELL RD. 242 75-0160 721037395 RTE Corp. 1 PHASE 120/240 54AS04 BLVD. F&NEWELL RD. I 243 100-0069 781025000 RTE Corp. ;1 PHASE 120/240 54AT02 Apts. 244 75-0193 173ZK823005 McGraw Edison 1 PHASE 120/240 54AT03 W.BLVD.E.OF C-' 245 1100-0052 76ZK824001 McGraw Edison I1 PHASE 120/240 54AT04 C"ST.W.BLVD.(APTS)" 246 37-0614 722021209 RTE Corp. 11 PHASE 120/240 54BS04 1BOURCHER(NEWELL RD.) 1 247 100-0053 73ZH818002 McGraw Edison 11 PHASE 120/240 54BS06 BLVD.&BOURCHIER 248 100-0051 73ZK824002 McGraw Edison 11 PHASE 120/240 54BT02 C"ST.EXT.W.BLVD(APTS.)" 249 25-0871 732007515 RTE Corp. 1 PHASE 120/240 546104 HAZEL/SPRUCE C/EUCLID 250 37-0806 76J F245205 Westinghouse 1 PHASE 120/240 546105 C"ST.E)R." City of Port Angeles ATTACHMENT "B" Operations Office INSURANCE Public Works and Utilities Department 360-417-4541 INSURANCE & INDEMNITY REQUIREMENTS FOR CONSTRUCTION AND SERVICE CONTRACTS Includes construction and remodeling,janitorial service, tree maintenance, road maintenance, painting, electrical work, plumbing, movers, and on site maintenance agreements. Indemnification / Hold Harmless 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. 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 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 Agreement. 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: 1. 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. 2. 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 Project LO-13-022 Page 9 Rev. 8/30/2011 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: 1. Automobile Liabilitv insurance with.a minimum combined single limit for bodily injury and property damage of$1,000,000 per accident. 2. Commercial General Liabilitv 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: VII. E. Verification of Coverage Contractor shall furnish the City with original certificates and a copy of the amendatory endorsements, including but not necessarily limited to the additional insured endorsement, evidencing the insurance requirements of the Contractor before commencement of the work. F. Subcontractors The Contractor shall have sole responsibility for determining the insurance coverage and limits 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. H. 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 LO-13-022 Page 10 Rev. 8/30/2011 City of Port Angeles ATTACHMENT "C" Operations Office Public Works and Utilities Department PREVAILING WAGE RATES 360-417-4541 See attached listing: 1. Washington State Prevailing Wage Rates For Public Works Contracts—Journey Level and Apprentices, Clallam County, effective 6/18/2013. 2. To access applicable prevailing rate(s) of wages rates for the describe work by trade,use the following Labor and Industries website link: http://www.Ini.wa.gov/TradesLicensing/PrevWage/WageRates/default.asp 3. A copy of the applicable prevailing wage rates can be obtain by contacting Lucy Hanley at 360-417-4541 or by email, lhanley(a,cityofpa.us. A hard copy is available for viewing in person at 1703 South B Street, Port Angeles, WA. 98363. Project LO-13-022 Page 11 Rev. 8/30/2011 City of Port Angeles ATTACHMENT "D" Operations Office Public Works and Utilities Department QUOTE RECEIVED 360-417-4541 Quote attached from ]aco Construction, Inc Project LO-13-022 Page 12 Rev. 8/30/2011 06/25/2013 09:30 5097544239 JACO INC PAGE 02 QUOTATION FORM Project Title: Transformer Oil Testing&cddMp o project Number: LO-13-022 The bidder hereby bids the following amounts for all work (including labor, equipment, time Land materials) required to perform the work in the Statement of Work and this package_ 1. Bid Schedule— Bids are not-to-exceed $30,000.00. Indicate the numbers of transformers that will be tested for the above not-to-exceed amount. Transformers will be tested in the sequence shown on the transformer list in Attachment A, Work by Contractor. Testing will start with Number 1 and continue in sequence to the maximum number indicated on the Bid Form. The contract will be awarded to the responsible Contractor indicating the greatest number of transformers at$30,000. Work will cease at$30,000. EXTENDED BID ITEM QUANTM UNff PRICE PRICE Distribution Transformers Testing 250 $120. 00 $30; 000- 00 Subtotal $30,000. 00 8.4% Sales Tax N/A Total Bid Amount $30, 000 . 00 t 2.The bidder hereby acknowledges that it has received Addenda No(s). (Enter"N/A" 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 Name: Jaco Construction, Inc 2. Address: 103 12th Ave 5W 3. City, State, Zip Code: Ephrata, WA 98823 4. Phone Number: (509 ) 787 1518 S. Contractor Registration Number: JAcoCI*1 1 3P3 6. UBI Number: 601 102 032 7. WA state industrial Insurance Account Number: 560, 326-00 Project: LO-13-022 Page 3 Rev 8/30/2011 06/25/2013 09:30 5097544239 JACO INC PAGE 03 8. WA State Employment Security Dept Number: 668222-00-6 9. State Excise Tax Registration Number: 6011 02032 The bidder represents that it is qualified and possesses sufficient skills and the necessary capabilities to perform the services set f in this CDcoract. Signed by Title President Printed Name: Jim N Bennett Date June 24, 2013 Project: LO-13-022 Page 4 Rev 8/90/2011 06/25/2013 09:30 5097544239 JACO INC PAGE 01 JACO CONSTRUCTION, INC. PO Box 1167 Ephrata, WA 98823 FAX: (509)7544239 Fax Trarffmmw To: LvG� /r{a,r7Aey From: r r� Z _N/•-r�'// Fax: C— /7-417?9 Pages:v ,3 Phone: Date: Re: cc: ❑ Urgent XFor Review ❑Please Comment ❑Please Reply ❑Please Recycle Please call 509-787.1518 it any pages are not received. Tj1i1EI1fJA cotdldantlal QQpymant and Ie Intandarl pQl r!ha p.rnnn to whom It Ia aG esed It to unlawful t4CaPYQne el.e to nad andl 4T_Y44 the altachad Mtnpnwtlen In am WAY. e Comme»ts: F / 0 T A'X 9 ' Ple',�p cC�trl- .-r /7ec �, CERTIFICATE OF LIABILITY INSURANCE 7//16/16/ 1D 200133.3 Y, 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 NOMEACT Ephrata Agency Martin-Morris Agency IPA HONE (SO9)754-2021 aIc No: 1509)"154-4891 105 Basin St NW E-MAIL ADDRESS, PO BOX 1000 INSURERS AFFORDING COVERAGE NAIL# Ephrata WA 98823 INSURER A Alexander, Morford & Woo INSURED INSURER BAmeri can States.Insurance Comp 19704 Jaco Construction, Inc INSURER C: PO BOX 1167 INSURER 0: INSURER E Ephrata WA 98823 INSURER F: COVERAGES . CERTIFICATE NUMBER:CL1371602733 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. IN­SR ADDLr LTR TYPE OF INSURANCE UBR POLICY EXP POLICY NUMBER MMIODIYEYFYY MM/ ODYIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TOR NTED PREMISES Ea occurrence $ 50,000 A CLAIMS-MADE OCCUR X Y 3PXGW00919 /15/2013 3/15/2014 MED EXP(Any one person) $ 5,000 PERSONAL B ADV INJURY S 2,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGO $ 2,000,000 POLICY X PRO-FC.TLOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accitlent $ 1,000,000 B X ANY AUTO BODILY INJURY(Par person) $ ALL OWNED SCHEDULED AUTOS AUTOS X Y 1C119524950 /15/2013 /15/2014 BODILY INJURY Per accident $ ( ) HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident Untlerinsured motorist $ 1 000 000 X UMBRELLA LAB N OCCUR EACH OCCURRENCE $ 2,000,000 EXCESS LIAB CLAIMS-MADE A AGGREGATE $ 2,000,000 DED J X I RETENTION$ 10,00 X Y 113EFXW00059 /15/2013 /15/2014 1S WORKERS COMPENSATION I WCSTATU- OTH- AND EMPLOYERS'LIABILITY YIN _LIMCR ANV PROPRIETOR/PARTNER/EXECUTIVE NIA E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If Yes,describe uncler E.L.DISEASE-EA EMPLOYE $ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD tot,Additional Remarks Schedule,if more space is required) Certificate Holder is afforded coverage as an additional insured, primary no-contributory. Waiver of subrogation applies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Of Port Angeles ACCORDANCE WITH THE POLICY PROVISIONS. Public Works & Utilities Dept. 1703 South B Street AUTHORIZED REPRESENTATIVE Port Angeles, WA 98362 Ethan Lewis/CCH ACORD 25(2010/05) ©1988.2010 ACORD CORPORATION. All rights reserved. I IJSD21inm nns nr Thu Annan.,�..,e moa Inns�.e.e..l�,•o.od—P,k.„r Arnan INTERLINE . MARKEL® THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. POLICY CHANGES CHANGE NUMBER: 1 POLICY NUMBER: 13PKGWO0919 POLICY CHANGES COMPANY: EFFECTIVE: EVANSTONINSURANCE 07/12/2013 COMPANY NAMED INSURED: Policy Fee $0.00 AUTHORIZED REPRESENTATIVE Jaco Construction, Inc. Broker Fee $0.00 Inspection Fee $0.00 State Tax$0.00 Stamp Fee $0.00 q , Total $0.00 COVERAGE PART(S)AFFECTED: Commercial General Liability; Contractor's Pollution Liability The following item(s): ❑ Insured's Name/Additional Named Insureds ❑ Insured's Mailing Address ❑ Policy Number ❑ Effective/Expiration Date/Policy Period ❑ Company ❑ Locations/Location Description ❑ Insured's Legal Status/Business Description ❑ Minimum Earned Premium ❑ Rates ® Coverage Forms and Endorsements . ❑ Policy Cancel/Reinstatement ❑ Limits/Exposures/Premium Basis ❑ Additional Insureds, Loss Payees, Mortgagees ❑ Buildings/Personal Property ❑ Deductibles ❑ Aggregate Cap ❑ Classification/Class Codes ❑ Underlying Insurance Information ❑ Per Vehicle Limit ❑ Vehicle ❑ Drivers Vehicle Description (Type/Year/Make/Model/ ❑ Vehicle Identification Number/Cost New/Value) ❑ Equipment ❑ Other(describe below) is (are) ❑ changed ® added ❑ deleted as shown below: Form MEEI 2209 08 12 (Primary and Non-Contributory With Waiver of Subrogation for Specified Project or Contract) and CG 20 10 07 04 (Additional Insured -Owners, Lessees, or Contractors-Scheduled Person or Organization) are hereby added to this policy as attached The above amendments result in a change in the premium as follows: ® NO CHANGES ❑ TO BE ADJUSTED ❑ ADDITIONAL PREMIUM ❑ RETURN PREMIUM AT AUDIT $ $ NO RETURN NO RETURN NO RETURN PREMIUM— ❑ PREMIUM— ❑ PREMIUM— El FULLY EARNED El OTHER(DESCRIBE): CLAIM STILL IN TOTAL LOSS TO PROVISION APPLIES PROCESS INSURED ITEM MEIL 1203 03 12 Includes copyrighted material of Insurance Services Office, Inc.with Page 1 of 2 its permission. All other terms and conditions remain unchanged. MEIL 1203 03 12 Includes copyrighted material of Insurance Services Office, Inc. with Page 2 of 2 its permission. ENVIRONMENTAL POLICY NUMBER: 13PKGWO0919 MARKEL® EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON-CONTRIBUTORY WITH WAIVER OF SUBROGATION FOR SPECIFIED PROJECT OR CONTRACT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE FORM CONTRACTOR'S POLLUTION LIABILITY COVERAGE FORM SPECIFIED PROJECT SCHEDULE Project Name: Transformers Oil Testing & Sam lin Location: 1703 South B Street, Port Angeles, WA 98362 Operations/Work/Services: Transformer oil testing and sampling Contract#/Work Order/[D#: LO-13-022 Name Of Person Or Organization: City of Port Angeles Public Works& Utilities Dept. Please refer to the coverage form to determine which terms are defined. Words shown in quotations on this endorsement may or may not be defined in the coverage form. As respects the above scheduled person or organization, the following changes are made a part of this insurance but only if required by a written contract, signed by both parties and executed prior to the commencement of operations. 1. This insurance shall be primary and not contributing with any other insurance available to the above scheduled person or organization under any other third party liability policy. 2. We waive any right of recovery we may have against the above scheduled person or organization because of payments we make for injury or damage arising out of your ongoing operations or"your work" done under a written contract with that person or organization and included in the "products-completed operations hazard" or"completed operations'. This waiver applies only to the above scheduled person or organization. This waiver shall not apply for "occurrences" or"pollution conditions" resulting from the sole negligence of the person or organization shown in the Schedule above. The coverage provided by 1. and 2. above applies only if above scheduled person or organization is also granted additional insured status under this insurance. All other terms and conditions remain unchanged. MEEI 2209 08 12 Includes copyrighted material of Insurance Services Office, Page 1 of 1 Inc., with its permission. POLICY NUMBER: 13PKGWO0919 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Locations Of Covered Operations City of Port Angeles Public Works & Utilities Dept. 1703 South B Street, Port Angeles, WA 98362 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional exclu- organization(s) shown in the Schedule, but only sions apply: with respect to liability for "bodily injury", "property This insurance does not apply to "bodily injury" or damage" or "personal and advertising injury" "property damage"occurring after: caused, in whole or in part, by: 1. Your acts or omissions; or 1. All work, including materials, parts or equip- ment furnished in connection with such work, 2. The acts or omissions of those acting on your on the project(other than service, maintenance behalf; or repairs) to be performed by or on behalf of in the performance of your ongoing operations for the additional insured(s) at the location of the the additional insured(s) at the location(s) desig- covered operations has been completed; or nated above. 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a princi- pal as a part of the same project. CG 20 10 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 ❑ "--ncrnin ic,.rnvh inc nn�rn vc. me iiv..� innnon�n�nivn, iiv�w�c nvvin�rvn�rvnna . COMMERCIAL AUTO CA 71 10 03 07 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AUTO PLUS ENDORSEMENT 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 modified by the endorsement. EXTENDED CANCELLATION CONDITION BLANKET ADDITIONAL INSURED Paragraph 2.1b. of the CANCELLATION Common SECTION 11 — LIABILITY COVERAGE — A.1. WHO Policy Condition is replaced by the following: IS AN INSURED provision is amended by the addition b. 60 days before the effective date of cancellation of the following: if we cancel for any other reason. e. Any person or organization for whom you are re- quired by an "insured contract" to provide insur- TEMPORARY SUBSTITUTE AUTO — PHYSICAL ance is an "insured", subject to the following DAMAGE COVERAGE additional provisions: Under paragraph C. — CERTAIN TRAILERS, MO- (1) The "insured contract" must be in effect during the policy period shown in the Decla- BILE EQUIPMENT AND TEMPORARY SUBSTITUTE AUTOS of SECTION 1 — COVERED AUTOS, the rations, and must have been executed prior to the "bodily injury" or "property damage". following is added: (2) This person or organization is an "insured" If Physical Damage coverage is provided by this Cov- only to the extent you are liable due to your erage Form, then you have coverage for: ongoing operations for that insured, whether the work is performed by you or for you, and Any "auto" you do not own while used with the per- only to the extent you are held liable for an mission of its owner as a temporary substitute for a "accident" occurring while a covered "auto" covered "auto" you own that is out of service be- is being driven by you or one of your em- cause of its breakdown, repair, servicing, "loss" or ployees. destruction. (3) There is no coverage provided to this person or organization for "bodily injury" to its em- BROAD FORM NAMED INSURED ployees, nor for "property damage" to its SECTION II — LIABILITY COVERAGE — A.I. WHO property. IS AN INSURED provision is amended by the addition (4) Coverage for this person or organization of the following: shall be limited to the extent of your negli- gence or fault according to the applicable d. Any business entity newly acquired or formed by principles of comparative negligence or fault. you during the policy period provided you own (5) The defense of any claim or "suit" must be 50% or more of the business entity and the business entity is not separately insured for tendered by this person or organization as soon as practicable to all other insurers Business Auto Coverage. Coverage is extended which potentially provide insurance for such up to a maximum of 180 days following acquisk claim or tsuit". tion or formation of the business entity. Coverage under this provision is afforded only until the end of the policy period. Includes copyrighted material of Insurance Services Office, Inc., with its permission. Copyright, Insurance Services Office, Inc., 1997 CA 71 10 03 07 Page 1 of 6 EP --rmr Mv i Lu rnvm INC rnI­nivc. me vmenvr1_ i Mn IN ons 11 civ imp T nv uwL nUI i i I INrLr JnNlo (6) The coverage provided will not exceed the PERSONAL EFFECTS COVERAGE lesser of: A. SECTION III — PHYSICAL DAMAGE COVER- (a) The coverage and/or limits of this policy; AGE, A.4. COVERAGE EXTENSIONS, is or amended by adding the following: (b) The coverage and/or limits required by c. Personal Effects Coverage the "insured contract". For any Owned "auto" that is involved in a (7) A person's or organization's status as an covered "loss", we will pay up to $500 for "insured" under this subparagraph d ends "personal effects" that are lost or damaged when your operations for that "insured" are as a result of the covered "loss", without completed. applying a deductible. EMPLOYEE AS INSURED EXTRA EXPENSE — BROADENED COVERAGE Under Paragraph A. of Section II — LIABILITY COV- Paragraph A. — COVERAGE of SECTION III — ERAGE item f. is added as follows: PHYSICAL DAMAGE COVERAGE is amended to add: Your "employee" while using his owned "auto", or an "auto" owned by a member of his or her household, 5. We will pay for the expense of returning a stolen in your business or your personal affairs, provided you covered "auto" to you. do not own, hire or borrow that "auto". This coverage is excess to any other collectible insurance coverage. AIRBAG COVERAGE FELLOW EMPLOYEE COVERAGE Under paragraph B. — EXCLUSIONS of SECTION III — PHYSICAL DAMAGE COVERAGE, the following is Exclusion 5. FELLOW EMPLOYEE of SECTION II - added: LIABILITY COVERAGE — B. EXCLUSIONS is amended by the addition of the following: The exclusion relating to mechanical breakdown does not apply to the accidental discharge of an airbag. However, this exclusion does not apply if the "bodily injury" results from the use of a covered "auto" you NEW VEHICLE REPLACEMENT COST own or hire, and provided that any coverage under this provision only applies in excess over any other, Under Paragraph C — LIMIT OF INSURANCE of collectible insurance. Section III — PHYSICAL DAMAGE COVERAGE sec- tion 2 is amended as follows: BLANKET WAIVER OF SUBROGATION 2. An adjustment for depreciation and physical con- We waive the right of recovery we may have for pay- dition will be made in determining actual cash ments made for "bodily injury" or "property damage" value in the event of a total loss. However, in the on behalf of the persons or organizations added as event of a total loss to your "new vehicle" to "insureds" under Section II — LIABILITY COVERAGE which this coverage applies, as shown in the — AA.D. BROAD FORM NAMED INSURED and declarations, we will pay at your option: A.1.e. BLANKET ADDITIONAL INSURED. a. The verifiable "new vehicle" purchase price you paid for your damaged vehicle, not in- PHYSICAL DAMAGE — ADDITIONAL TRANS- cluding any insurance or warranties pur- PORTATION EXPENSE COVERAGE chased; The first sentence of paragraph A.4. of SECTION III b. The purchase price, as negotiated by us, of — PHYSICAL DAMAGE COVERAGE is amended as a new vehicle of the same make, model and follows: equipment, not including any furnishings, parts or equipment not installed by the We will pay up to $50 per day to a maximum of manufacturer or manufacturer's dealership. $1,500 for temporary transportation expense incurred If the same model is not available pay the by you because of the total theft of a covered "auto" purchase price of the most similar model of the private passenger type. available; Page 2 of 6 nrrn„v curw,vi ,nc nn�n,vc. enc unionvn� ,nnrvon� w."im ,n�wurnw„iuivn�rvn,v,o - ' c. The market value of your damaged vehicle, a. Actual cash value of the damaged or stolen not including any furnishings, parts or equip- property as of the time of the "loss", less an ment not installed by the manufacturer or adjustment for depreciation and physical manufacturer's dealership. condition; or This coverage applies only to a covered "auto" b. Balance due under the terms of the loan or of the private passenger, light truck or medium lease that the damaged covered "auto” is truck type (20,000 lbs or less gross vehicle subject to at the time of the "loss", less any weight) and does not apply to initiation or set up one or all of the following adjustments: costs associated with loans or leases. (1) Overdue payment and financial TWO OR MORE DEDUCTIBLES penalties associated with those payments as of the date of the Under SECTION III — PHYSICAL DAMAGE COV- "loss". ERAGE, if two or more "company" policies or cover- (2) Financial penalties imposed under a age forms apply to the same accident, the following lease due to high mileage, exces- applies to paragraph D. Deductible: sive use or abnormal wear and tear. a. If the applicable Business Auto deduct- (3) Costs for extended warranties, Cre- ible is the smaller (or smallest) deduct- dit Life Insurance, Health, Accident ible it will be waived; or or Disability Insurance purchased b. If the applicable Business Auto deduct- with the loan or lease. ible is not the smaller (or smallest) de- (4) Transfer or rollover balances from ductible it will be reduced by the amount previous loans or leases. of the smaller (or smallest) deductible; or (5) Final payment due under a "Balloon Loan". c. If the loss involves two or more Busi- ness Auto coverage forms or policies un-repaired damage that occurred the smaller (or smallest) deductible will be waived. prior to the "total loss" of a covered "auto". For the purpose of this endorsement (7) Security deposits not refunded by a "company" means: lessor. a. Safeco Insurance Company of America (g) All refunds payable or paid to you b. American States Insurance Company as a result of the early termination c. General Insurance Company of America of a lease agreement or any war- ranty or extended service agree- d. American Economy Insurance Company ment on a covered "auto". e. First National Insurance Company of (9) Any amount representing taxes. America (10) Loan or lease termination fees f. American States Insurance Company of Texas GLASS REPAIR — WAIVER OF DEDUCTIBLE g. American States Preferred Insurance Under paragraph D. — DEDUCTIBLE of SECTION III Company _ PHYSICAL DAMAGE COVERAGE, the following is h. Safeco Insurance Company of Illinois added: LOAN/LEASE GAP COVERAGE No deductible applies to glass damage if the glass is repaired rather than replaced. Under paragraph C — LIMIT OF INSURANCE of SECTION III — PHYSICAL DAMAGE COVERAGE, AMENDED DUTIES IN THE EVENT OF ACCI- the following is added: DENT, CLAIM, SUIT OR LOSS 4. The most we will pay for a total "loss" in any one The requirement in LOSS CONDITION 2.a. — "accident" is the greater of the following, subject DUTIES IN THE EVENT OF ACCIDENT, CLAIM, to a $1,500 maximum limit: SUIT OR LOSS — of SECTION IV — BUSINESS AUTO CONDITIONS that you must notify us of an CA 71 10 03 07 Page 3 of 6 EP "accident" applies only when the "accident" is known deductible and excess provisions, we will provide to: coverage equal to the broadest coverage applicable to any covered "auto" you own. (1) You, if you are an individual; (2) A partner, if you are a partnership; or HIRED AUTO PHYSICAL DAMAGE COVERAGE — LOSS OF USE (3) An executive officer or insurance manager, if you are a corporation. SECTION III — PHYSICAL DAMAGE AA.b. Form does not apply. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS Subject to a maximum of $1,000 per accident, we will cover loss of use of a hired "auto" if it results from SECTION IV — BUSINESS AUTO CONDITIONS — an accident, you are legally liable and the lessor in- B.2. is amended by the addition of the following: curs an actual financial loss. If you unintentionally fail to disclose any hazards ex- RENTAL REIMBURSEMENT COVERAGE fisting at the inception date of your policy, we will not A. We will pay for rental reimbursement expenses deny coverage under this Coverage Form because of incurred by you.for the rental of an "auto" be- such failure. However, this provision does not affect cause of a covered "loss" to a covered "auto". our right to collect additional premium or exercise our Payment applies in addition to the otherwise ap- right of cancellation or non-renewal. plicable amount of each coverage you have on a HIRED AUTO — LIMITED WORLD WIDE COVER- covered "auto". No deductibles apply to this AGE coverage. B. We will pay only for those expenses incurred Under Section IV — Business Conditions, Paragraph during the policy period beginning 24 hours after B.7.b.e(1) is replaced by the following: the "loss" and ending, regardless of the policy's (1) The "accident" or "loss" results expiration, with the lesser of the following number from the use of an "auto" hired for of days: 30 days or less. 1. The number of days reasonably required to repair or .replace the covered "auto". If RESULTANT MENTAL ANGUISH COVERAGE "loss" is caused by theft, this number of days is added to the number of days it takes SECTION V — DEFINITIONS — C. is replaced by the to locate the covered "auto" and return it to following: you. "Bodily injury" means bodily injury, sickness or dis- 2• 30 days. ease sustained by a person including mental anguishC. Our payment is limited to the lesser of the fol- or death resulting from any of these. lowing amounts: HIRED AUTO PHYSICAL DAMAGE COVERAGE 1. Necessary and actual expenses incurred. If hired "autos" are covered "autos" for Liability cov- 2. $50 per day. erage and if Comprehensive, Specified Causes of D. This coverage does not apply while there are Loss or Collision coverages are provided under this spare or reserve "autos" available to you for your Coverage Form for any "auto" you own, then the operations. Physical Damage Coverages provided are extended to "autos" you hire or borrow. E. If "loss" results from the total theft of a covered "auto" of the private passenger type, we will pay The most we will pay for loss to any hired "auto" is under this coverage only that amount of your $50,000 or Actual Cash Value or Cost of Repair, rental reimbursement expenses which is not al- whichever is smallest, minus a deductible. The de- ready provided for under the PHYSICAL DAM- ductible will be equal to the largest deductible appli- AGE COVERAGE Coverage Extension. cable to any owned "auto" of the private passenger or light truck type for that coverage. Hired Auto Phy- F. The Rental Reimbursement Coverage described sical Damage coverage is excess over any other col- above does not apply to a covered "auto" that is fectibfe insurance. Subject to the above limit, described or designated as a covered "auto" on Page 4 of 6 Rental Reimbursement Coverage Form the manufacturer for the installation of a CA 99 23. radio. AUDIO, VISUAL AND DATA ELECTRONIC C. Limit of Insurance EQUIPMENT COVERAGE With respect to this coverage, the LIMIT OF IN- A. Coverage SURANCE provision of PHYSICAL DAMAGE COVERAGE is replaced by the following: 1. We will pay with respect to a covered "auto" for "loss" to any electronic equipment that 1. The most we will pay for "loss" to audio, vi- receives or transmits audio, visual or data sual or data electronic equipment and any signals and that is not designed solely for the accessories used with this equipment as a reproduction of sound. This coverage applies result of any one "accident" is the lesser of: only if the equipment is permanently installed a. The actual cash value of the damaged in the covered "auto" at the time of the or stolen property as of the time of the "loss" or the equipment is removable from a "loss"; or housing unit which is permanently installed in the covered "auto" at the time of the b. The cost of repairing or replacing the "loss", and such equipment is designed to damaged or stolen property with other be solely operated by use of the power from property of like kind and quality. the "auto's" electrical system, in or upon the c. $1,000. covered "auto". 2. An adjustment for depreciation and physical 2. We will pay with respect to a covered "auto" condition will be made in determining actual for "loss" to any accessories used with the cash value at the time of the "loss". electronic equipment described in paragraph A.1. above. 3. If a repair or replacement results in better than like kind or quality, we will not pay for However, this does not include tapes, the amount of the betterment. records or discs. D. Deductible 3. If Audio, Visual and Data Electronic Equip- ment Coverage form CA 99 60 or CA 99 94 1. If "loss" to the audio, visual or data elec- is attached to this policy, then the Audio, Vi- tronic equipment or accessories used with sual and Data Electronic Equipment Cover- this equipment is the result of a "loss" to the age described above does not apply. covered "auto" under the Business Auto Coverage Form's Comprehensive or Colli- B. Exclusions sion Coverage, then for each covered "auto" The exclusions that apply to PHYSICAL DAM- our obligation to pay for, repair, return or re- AGE COVERAGE, except for the exclusion relat- place damaged or stolen property will be re- ing to Audio, Visual and Data Electronic duced by the applicable deductible shown in Equipment, also apply to this coverage. In addi- the Declarations. Any Comprehensive Cov- tion, the following exclusions apply: erage deductible shown in the Declarations does not apply to "loss" to audio, visual or We will not pay for either any electronic equip- data electronic equipment caused by fire or ment or accessories used with such electronic lightning. equipment that is: 2. If "loss" to the audio, visual or data elec- 1. Necessary for the normal operation of the tronic equipment or accessories used with covered "auto" for the monitoring of the this equipment is the result of a "loss" to the covered "auto's" operating system; or covered "auto" under the Business Auto 2. Both: Coverage Form's Specified Causes of Loss Coverage, then for each covered "auto" our a. an integral part of the same unit housing obligation to pay for, repair, return or replace any sound reproducing equipment de- damaged or stolen property will be reduced signed solely for the reproduction of by a $100 deductible. sound if the sound reproducing 3. If "loss" occurs solely to the audio, visual or equipment is permanently installed in data electronic equipment or accessories the covered "auto"; and used with this equipment, then for each cov- b. permanently installed in the opening of ered "auto" our obligation to pay for, repair, the dash or console normally used by CA 71 10 03 07 Page 5 of 6 EP _.ncrnnvic�rnvni mcnwnrvc. inwnwuvn� innwon�n�n mn,uv..wucnwnu.nn�runmo --"- return or replace damaged or stolen property SECTION V — DEFINITIONS is amended by adding will be reduced by a $100 deductible. the following: 4. In the event that there is more than one ap- Q. `Personal effects" means your tangible plicable deductible, only the highest deduct- property that is worn or carried by you, ex- ible will apply. In no event will more than one cept for tools, jewelry, money, or securities. deductible apply. R. "New vehicle" means any "auto" of which you are the original owner and the "auto" has not been previously titled and is less than 365 days past the purchase date. Page 6 of 6