HomeMy WebLinkAbout5.277 Original ContractMAINTENANCE BOND
Witness.
BDR -2308 ED. 7 -71
RELIANCE INSURANCE COMPANY
HEAD OFFICE, PHILADELPHIA, PENNSYLVANIA
KNOW ALL MEN BY THESE PRESENTS, that we PEASE SONS, INC.
as Principal, ,and INSURANCE COMPANY, a Pennsylvania corporation, as Surety, are held and
firmly bound unto CITY OF PORT ANGELES
as Obligee, in the full and just sum of TWENTY FIVE THOUSAND AND NO /100
Dollars ($25,000.00
for the payment of which sum, well and truly to be made, we bind ourselves, our heirs, executors, administra-
tors, successors and assigns, jointly and severally, firmly by these presents.
WHEREAS, the said Principal entered into a contract with CITY OF PORT ANGELES
dated JANUARY 31, 1992
for
CITY OF PORT ANGELES, PORT ANGELES WASTEWATER
TREATMENT PLANT EXPANSION AND'SHALL INCLUDE THE
CONDITION STIPULATED UNDER SERIAL LETTER NO.
CM— PEASE -09
WHEREAS, said contract provides that the Principal will furnish a bond conditioned to guarantee
for the period of TWO year(s) after approval of the final estimate on said job, by the owner, against
all defects in workmanship and materials which may become apparent during said period, and SHALL
GUARANTEE THE CONDITION UNDER CM PEASE 09.
WHEREAS, the said contract has been completed, and was approved OM SUBJECT TO THE CONTRACT
TERMS.
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that if within TWO year(s)
from the date of approval of the said contract, the work done under the terms of said contract shall disclose
poor workmanship in the execution of said work, and the carrying out of the terms of said contract, or it shall
appear that defective materials were furnished thereunder, then this obligation shall remain in full force and
virtue, otherwise this instrument shall be void.
Signed and sealed this 15TH day of JULY 19 93
PEASE &4SONS, IN
,077
Bond No. B2421846
Principal
RELIANCE I SURANCE COMPANY
KAREN J. SMI Attorney -In -Fact
THIS BOND IS A PERFORMANCE BOND COVERING AN ALTERNATE MEANS OF
SECONDARY CLARIFIER LAUNDER WALL ATTACHMENT PROPOSED BY PEASE
SONS, INC. CONSISTING OF EPDXY ANCHORS AS DESCRIBED IN CONSTRUC-
TION SUBMITTAL NUMBER 77 IN LIEU OF EMBEDDED ANCHOR BOLTS. IF,
WITHIN TWO YEARS OF ACCEPTANCE OF THE SECONDARY CLARIFIERS BY THE
CITY, THE WALL ANCHOR BOLTS SHOULD FAIL TO PERFORM, THE CITY
SHALL BE PAID ACTUAL REPAIR COSTS, UP TO $25,000. FOR INSTALLA-
TION OF NEW OR REPAIRED LAUNDER SUPPORT STRUCTURAL ATTACHMENT
HARDWARE. JUDGEMENT OF PERFORMANCE IS TO BE A MUTUAL AGREEMENT
BETWEEN PEASE SONS, INC. AND THE CITY OF PORT ANGELES. THE
RIGHT OF THE CITY OF PORT ANGELES TO PROCEED AGAINST AND TO
RECOVER UNDER THIS BOND IS INDEPENDENT FROM AND IN ADDITION TO
ANY RIGHTS OF RECOVERY THE CITY OF PORT ANGELES MAY HAVE UNDER
ANY OTHER BOND, SURETY AGREEMENT OR CAUSE OF ACTION AT LAW.
4 RELIANCE INSURANCE COMPA
HEAD OFFICE, PHILADELPHIA, PENNSYLVANIA
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS, That the REUANCE INSURANCE COMPANY, a corporation duly organized under the laws of the State of
Pennsylvania. does hereby make. constitute and appoint
KAREN J. SMITH of TACOMA, WASHINGTON
its true and lawful Attorney -in -Fact to make. execute. seal and deliver for and on its behalf, and as its act and deed
ANY AND ALL BONDS AND UNDERTAKINGS OF SURETYSHIP
and to bind the REUANCE INSURANCE COMPANY thereby as fully and to the same extent as if such bonds and undertakings and other writings
obligatory in the nature thereof were signed by an Executive Officer of the RELIANCE INSURANCE COMPANY and sealed and attested by one other
of such officers. and hereby ratifies and confirms all that its said Attorney(s) -in -Fact may do in pursuance hereof.
This Power of Attorney is granted under and by authority of Article VII of the By -Laws of RELIANCE INSURANCE COMPANY which became
effective September 7, 1978, which provisions are now in full force and effect reading as follows
1. The Board of Directors. the President. the Chairman of the Board. any Senior Vice President, any Vice President or Assistant Vice President
or other officer designated by the Board of Directors shall have power and authority to (a) appoint Attomeys -in -Fact and to authorize them to execute
on behalf of the Company, bonds and undertakings. recognizances, contracts of indemnity and other writings obligatory in the nature thereof. and (b)
to remove any such Attomey -in -Fact at any time and revoke the power and authority given to him.
2. Attorneys -in -Fact shall have power and authority, subject to the terms and limitations of the power of attorney issued to them, to execute
and deliver on behalf of the Company, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof.
The corporate seal is not necessary for the validity of any bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory
in the nature thereof.
3. Attomeys -in -Fact shalt have power and authority to execute affidavits required to be attached to bonds, recognizances, contracts of indem-
nity or other conditional or obligatory undertakings and they shall also have power and authority to certify the financial statement of the Company and
to copies of the By -Laws of the Company or any article or section thereof.
This power of attorney is signed and sealed by facsimile under and by authority of the following Resolution adopted by the Board of Directors of
RELIANCE INSURANCE COMPANY at a meeting held on the 5th day of June, 1979, at which a quorum was present and said Resolution has not been
amended or repealed:
"Resolved. that the signatures of such directors and officers and the seal of the Company may be affixed to any such power
of attorney or any certificate relating thereto by facsimile, and any such power of attorney or certificate bearing such
facsimile signatures or facsimile seal shall be valid and binding upon the Company and any such power so executed and
certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company in the future with respect
to any bond or undertaking to which it is attached."
IN WITNESS WHEREOF. the REUANCE INSURANCE COMPANY has caused these presents to be signed by its Vice President and its corporate seal
to be hereto affixed, this 1 day of July 19 92
STATE OF Washington
ss
COUNTY OF King
On this 14 day of July
to me known to be the Vice President of the RELIANCE INSURANCE COMPANY, and acknowledged that he executed and attested the foregoing
instrument and affixed the seal of said corporation thereto, and that Article VII, Section 1, 2, and 3 of the By -Laws of said Company and the Resolu-
tion. set forth therein, are still in full force
My Commission Expires.
March 5.1996
BDR -1431 Ed 6/79
ARTICLE VII EXECUTION OF BONDS AND UNDERTAKINGS
Vice President
is
19 92 personally appeared
REUANCE INS!! CE COMPANY
Lawrence W. Carlstrom
1t-I r t)O')J
Notary Public in a for State of Washington
Residing at Puyallup
Naar -orie S. Hansen Assistant Secretary of the RELIANCE INSURANCE COMPANY, do hereby certify that the above
and oreg ng is a true an correct copy of a Power of Attorney executed by said RELIANCE INSURANCE COMPANY, which is still in full force and
effect
IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of said Company this 15T,H day of
l
q,,
Assistant Secretary
JULY
19 93
MAINTENANCE BOND
RELIANCE INSURANCE COMPANY
HEAD OFFICE, PHILADELPHIA, PENNSYLVANIA
KNOW ALL MEN BY THESE PRESENTS, that we PEASE SONS, INC.
as Principal, and RELIANCE INSURANCE COMPANY, a Pennsylvania corporation, as Surety, are held and
firmly bound unto CITY OF PORT ANGELES
as Obligee, in the full and just sum of TWENTY FIVE THOUSAND AND NO /100
Dollars ($25,000.00
for the payment of which sum, well and truly to be made, we bind ourselves, our heirs, executors, administra-
tors, successors and assigns, jointly and severally, firmly by these presents.
WHEREAS, the said Principal entered into a contract with CITY OF PORT ANGELES
dated JANUARY 31, 1992
BDR -2308 ED. 7 -71
for
Bond No. B2421846
CITY OF PORT ANGELES, PORT ANGELES WASTEWATER
TREATMENT PLANT EXPANSION AND SHALL INCLUDE THE
CONDITION STIPULATED UNDER SERIAL LETTER NO.
CM— PEASE -09
02? 7
WHEREAS, said contract provides that the Principal will furnish a bond conditioned to guarantee
for the period of TWO year(s) after approval of the final estimate on said job, by the owner, against
all defects in workmanship and materials which may become apparent during said period, and SHALL
GUARANTEE THE CONDITION UNDER CM PEASE 09.
WHEREAS, the said contract has been completed, and was approved al SUBJECT TO THE CONTRACT
TERMS.
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that if within TWO year(s)
from the date of approval of the said contract, the work done under the terms of said contract shall disclose
poor workmanship in the execution of said work, and the carrying out of the terms of said contract, or it shall
appear that defective materials were furnished thereunder, then this obligation shall remain in full force and
virtue, otherwise this instrument shall be void.
Signed and sealed this 15TH day of JULY 1 9 93
Witness.
PEASE SONS, INC.
BY: r if 4 7
RELIANCE I SURANCE COMPANY
Principal
By:
KAREN J. SMI Attorney -In -Fact
THIS BOND IS A PERFORMANCE BOND COVERING AN ALTERNATE MEANS OF
SECONDARY CLARIFIER LAUNDER WALL ATTACHMENT PROPOSED BY PEASE
SONS, INC. CONSISTING OF EPDXY ANCHORS AS DESCRIBED IN CONSTRUC-
TION SUBMITTAL NUMBER 77 IN LIEU OF EMBEDDED ANCHOR BOLTS. IF,
WITHIN TWO YEARS OF ACCEPTANCE OF THE SECONDARY CLARIFIERS BY THE
CITY, THE WALL ANCHOR BOLTS SHOULD FAIL TO PERFORM, THE CITY
SHALL BE PAID ACTUAL REPAIR COSTS, UP TO $25,000. FOR INSTALLA-
TION OF NEW OR REPAIRED LAUNDER SUPPORT STRUCTURAL ATTACHMENT
HARDWARE. JUDGEMENT OF PERFORMANCE IS TO BE A MUTUAL AGREEMENT
BETWEEN PEASE SONS, INC. AND THE CITY OF PORT ANGELES. THE
RIGHT OF THE CITY OF PORT ANGELES TO PROCEED AGAINST AND TO
RECOVER UNDER THIS BOND IS INDEPENDENT FROM AND IN ADDITION TO
ANY RIGHTS OF RECOVERY THE CITY OF PORT ANGELES MAY HAVE UNDER
ANY OTHER BOND, SURETY AGREEMENT OR CAUSE OF ACTION AT LAW.
portann
SECTION 00510
AGREEMENT
THIS AGREEMENT, made this 31st day of January
199 by and between the City of Port Angeles, hereinafter called
the "Owner," and PEASE SONS, INC.
hereinafter called the "Contractor."
WITNESSETH:
�5,a277
WHEREAS, THE Owner has caused a project manual to be prepared
comprised of 5 volumes of bidding and contract requirements and
technical specifications and 2 volumes of drawings for the
construction of City of Port Angeles Wastewater Treatment Plant
Expansion as described therein, and
WHEREAS, the Contractor has offered to perform, the proposed
work in accordance with the terms of the contract set forth in
Volume I, said terms being in part:
1. The Contractor shall furnish all labor, materials,
equipment, supplies, tools, and plant and other services
necessary for the construction and completion of the
project as provided for in the Project Manual.
2. The Contractor shall commence work within 10 calendar
days from the date of Notice to Proceed and shall
complete the same within 724 calendar days from the date
of Notice to Proceed, unless otherwise extended or
modified as provided for in the Project Manual.
3. The Contractor agrees to perform all of the work
described in the Project Manual and comply with the terms
therein for the total bid price of $12,728,936.00
as set forth in the Bidding Schedule, Volume 1, Part A.
NOW, THEREFORE, in consideration of the mutual covenants and
agreements of the parties contained in the contract and to be
performed, the Contractor hereby agrees to complete the work at
the price and on the terms and conditions therein contained, and
the Owner agrees to pay the Contractor the contract price
provided therein for the fulfillment of the work and the
performance of the covenants set forth herein.
00510 -1
The further terms, conditions, and covenants of this
agreement are set forth in the contract documents, each of i
is attached hereto and by this reference made a part hereof
Volume 1 containing Part A, Bidding and Contract Requirt
(including Addenda numbers 1 through 4 Part B,
Technical Specifications (4 volumes); and Part C, a set
drawings consisting of 2 volumes.
IN WITNESS WHEREOF, this agreement has been executed on
day of January 27 1992
portann
f_ ature f• Owner
./Wat4cIi
Title df Signator
Attest:
Signatur
Attest:
*END OF SECTION
00510 -2
Do J
Title .f Signator
PEASE SONS, INC.
Name of Contractor
Signature or Contractor
President
Title of Signator
0 A WA Int ita9g 4
Title Signator
1
TO: Pease Sons, Inc.
PO Box 44100
Tacoma, WA 98444
CITY OF PORT ANGF1 PS
NOTICE OF AWARD
PROJECT Description: Port Angeles Wastewater Treatment Plant Expansion
The OWNER has considered the BID submitted by you for the above described WORK in response to its
Advertisement for Bids dated December 11, 1991.
Yon are hereby notified that your BID has been accepted for items in the amount of $12,728,936.00.
(Washington State Sales Tax not included_)
You are required by the Information for $idders to execute the Agreement and famish the required
CONTRACTOR's Performance BOND, Payment BOND and certificates of insznance within ten (10) calendar days
from the dace of this Notice to yon_
If you fail to execute said Aix and to furnish said BONDS within tea (10) days from the date of this
Notice, said OWNER will be entitled to consider all you rights arising out of the OWNER'S acceptance of your
BID es abandoned and as a forfeiture of your BID BOND. The OWNER will be entitled to such other rights as
may be granted by law.
Please return original to the Qry of Pon Angeles.
cc: City Clerk
You are required to return Sn acknowledged copy of this NOTICE OF AWARD to the OWNER.
Dated this 6th day of January. 1992
ACCEPTANCE OF NOTICE
CITY OF PORT ANGELES
By
V
Title City Ermined-
Receipt of the above NOTICE OF AWARD is hereby acknowledged this day of 19_.
BY
Title
SECTION 00610
FAITHFUL PERFORMANCE BOND
BOND NO. B2362430
KNOW ALL PERSONS BY THESE PRESENTS, THAT WHEREAS, the City of
Port Angeles, hereinafter designated the "Owner," has, on
January 31, 19 92 awarded to PEASE $ONS INC.
hereinafter designated as the "Pr a contract for the
construction of the Port Angeles Treatment Plant Expansion, and
WHEREAS, said Principal is required under the terms of said
contract to furnish a bond for the faithful performance of said
contracts:
NOW, vT�HMMJERT EV are E TT F Op O NN RE SF vp NC
WE, the Principal, and RELIAN INSURAE COMPANY sum
of HTERRDKE LS ENTYE dn VN Dl M bound to the NI E T HOU I e ($1 7 9 9 1
N S 120
lawful money of the United States, for the payment of which sum
well and truly to be made, we bind ourselves, our heirs,
executors, administrators and successors, jointly and severally,
firmly these presents_
THE CONDITION OF THE OBLIGATION IS SUCH, that if the above
bounden Principal, his or its heirs, executors, administrators,
successors, or assigns, shall in all things stand to and abide
by, and well and truly keep and faithfully perform the covenants,
conditions, and agreements in the said contract and any
alterations made as therein provided, on his or their part, to be
kept and performed at the time and in the manner and within the
time therein specified, and in all respects according to their
true intent and meaning, and shall indemnify and save harmless,
the Owner, its officers and agents as therein stipulated, then
this obligation shall become null and void; otherwise it shall be
and remain in full force and virtue and Principal and Surety, in
the event suit is brought on this bond, will pay to the Owner
such reasonable attorney's fees as shall be fixed by the court.
As a condition precedent to the satisfactory completion of
the said contract, the above obligation in the said amount shall
hold good for a period of one (1) year after the completion and
acceptance of the said work, during which time if the above
bounden Principal, his or its heirs, executors, administrators,
successors or assigns shall fail to make full, complete, and
satisfactory repair and replacements or totally protect the said
Owner from loss or damage made evident during said period of one
year from the date of acceptance of said work, and resulting from
or caused by defective material and /or faulty workmanship in the
prosecution of the work done, the above obligation in the said
amount shall remain in full force and effect. However, anything
5.2.11
in this paragraph to the contrary notwithstanding, the obligation
of the Surety hereunder shall continue so long as any obligation
of the Principal remains.
And the said Surety, for value received, hereby stipulates
and agrees that no change, extension of time, alteration, or
addition to the terms of the contract or to the work to be
performed thereunder or the specifications accompanying the same
shall, in any way, affect its obligations on this bond, and it
does hereby waive notice of any such change, extension of time,
alteration, or addition to the terms of the contract or to the
work or to the specifications.
IN WITNESS WHEREOF, the above bounden parties have executed
this instrument under their seals this 24TH day of JANUARY
199 the name and corporate seal of each corporate party being
hereto affixed and these presents duly signed by its undersigned
representative, pursuant to authority of its governing body.
(Seal)
(Seal)
PEASE SONS, INC.
Principal
BY:
Signature for Principal
U" ?r S ;4f Title of Signator
RELIANCE INSURANCE COMPANY
Surety
RY s/; .42.14 :Zed'//
Signgture fe6 Surety
ATTORNEY -IN -FACT
Title of Signator
*END OF SECTION
SECTION 00620
PAYMENT BOND
BOND NO. B2362430
KNOW ALL MEN BY THESE PRESENTS, THAT, WHEREAS, the City of
Port Angeles, hereinafter designated the "Owner," has, on
January 31, 19 99, awarded to PEASE SONS. INC.
hereinafter designated as the "Principal," a contract.for the
construction of Port Angeles Treatment Plant Expansion, and
WHEREAS, said Principal is required to furnish a bond in
connection and with said contract, providing that if said
Principal, or any of his or its subcontractors, shall fail to pay
for any materials, provisions, or other supplies used in, upon,
for, or about the performance of the work contracted to b+a done,
or for any work or labor done thereon of any kind, the Su: -ety of
this bond will pay the same to the extent hereinafter set forth:
NOW, THEREFORE, WE, the Principal, and
RELIANCE INSURANCE COMPANY
as surety, are held and firmly bound unto the Owner the pienal sun
of THIRTEEN MILLION SEVEN HUNDRED FIFTY NINE THOUSAND NINE HUNDRED SEVENTY
NINE AND 81/100 dollars ($13,759,979.81 law::ul
money of the United States, for the payment of which sum well and
truly to be made, we bind ourselves, our heirs, executors,
administrators and successors, jointly and severally, firmly by
these presents.
l'HE CONDITION OF THIS OBLIGATION IS SUCH, that if said
Principal, his or its heirs, executors, administrators,
successors, or assigns, shall fail to pay for any materials,
provisions, or other supplies used in, upon, for, or about the
performance of the work contracted to be done, or for any work or
labor thereon of any kind or for amount due under the
Unemployment Insurance Act with respect to such work or labor,
and provided that the persons, companies, or corporations so
furnishing said materials, provisions, or other supplies,
appliances, or power use, in, upon, for, or about the performance
of the work contracted to be executed or performed, or any person
who performs work or labor upon same, or any person who supplies
both work and materials, thereto, then said surety will pay the
same in or to an amount not exceeding the amount hereinabove set
forth, and also will pay in case suit is brought upon this bond,
such reasonable attorney's fees to the Owner as shall be fixed by
the court.
00620 -1
This bond shall inure to the benefit of any and all persons,
companies, and corporations entitled to file claims under said
Government Code, so as to give a right of action to them or their
assigns in any suit brought upon this bond.
And the said Surety, for value received, hereby stipulates
and agrees that no change, extension of time, alteration, or
addition of the terms of the contract or to the work to be
performed thereunder or the specifications accompanying the same
shall, in any way, affect its obligations of this bond, and it
does hereby waive notice of any change, extension of tirie,
alteration, or addition to the terms of the contract or to the
work or to the specifications.
IN WITNESS WHEREOF, the above bounden parties have executed
this instrument under their seals this 24TH day of TANTTARV
19 92, the name and corporate seal of each corporate party being
hereto affixed and these presents duly signed by its undersigned
representative, pursuant to authority of its governing body.
(Seal)
(Seal)
PEASE SONS. TATC
Principal
ZV ms
Signature for Principal
RELIANCE 7NSUNCE CO ANL
Surety
S igiiature f6r Surety Title
KAREN J. SMITH, ATTORNEY IN FACT
*END OF SECTION
Title
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS. That the RELIANCE INSURANCE COMPANY. a corporation duly organized under the laws of the State of
Pennsylvania. does hereby make. constitute and appoint
KAREN J. SMITH of TACOMA, WASHINGTON
its true and lawful Attorney-in-Fact to make. execute. seal and deliver for and on its behalf. and as its act and deed
ANY AND ALL BONDS AND UNDERTAKINGS OF SURETYSHIP
and to bind the REUANCE INSURANCE COMPANY thereby as fully and to the same extent as if such bonds and undertakngs and other wnbngs
obligatory in the nature thereof were signed by an Executive Officer of the REUANCE INSURANCE COMPANY and sealed and attested by one other
of such officers, and hereby ratifies and confirms all that its said Attorney(s)-in-Fact may do in pursuance hereof.
This Power of Attorney is granted under and by authority of Article VII of the By -Laws of REUANCE INSURANCE COMPANY which became
effective September 7. 1978. which provisions are now in full force and effect reading as follows:
1. The Board of Directors, the President the Chairman of the Board. any Senior Vice President any Vice President or Assistant Vice President
or other officer designated by the Board of Directors shall have power and authority to (a) appoint Attorneys-in-Fact and to authorize them to execute
on behalf of the Company. bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof. and (b)
to remove any such Attorney -in -Fact at any time and revoke the power and authority given to him.
2. Attorneys-in-Fact shah have power and authority, subject to the terms and limitations of the power of attorney issued to them, to execute
and deliver on behalf of the Company, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory In the nature thereof.
The corporate seal is not necessary for the validity of any bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory
in the nature thereof.
Attorneys -in -Fact shall have power and authority to execute affidavits required to be attached to bonds, recognizances, contracts of indem-
nity or other conditional or obligatory undertakings and they shall also have power and authority to certify the financial statement of the Company and
b copies of the By -Laws of the Company or any article or section thereof.
This power of attomey is signed and sealed by facsimile under and by authority of the following Resolution adopted by the Board of Directors of
REUA NCE INSURANCE COMPANY at a meeting held on the Sth day of June. 1979, at which a quorum was present, and said Resolution has not been
amended or repealed:
IN WITNESS WHEREOF. the REUANCE INSURANCE COMPANY has caused these presents to be signed by its Vice President and des corporate seal
ID be hereto affixed. this 2nd day of April to 91
STATEOF Washington as.
OF King
Ong 2nd da y of April'
to me known to be the Vice- President of the REUANCE INSURANCE COMPANY,
instrument and affixed the seal of said corporation thereto, and that Article V11,
don. set forth therein. are still in full force.
My Commission Expires:
RELIANCE INSURANCE COMPANY
HEAD OFFICE. PHILADELPHIA. PENNSYLVANIA
ARTICLE VII EXECUTION OF BONDS AND UNDERTAKINGS
Resolved, that the signatures of such directors and officers and the seal of the Company may be affixed to any such power
of attorney or any certificate relating thereto by facsimile, and any such power of attorney or certificate bearing such
facsimile signatures or facsimile seal shall be valid and binding upon the Company and any such power so executed and
certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company in the future with reaped
to any bond or undertaking to which It is attached.'
tn•=
REUANCE INSURANCE COMPANY
.19 9lperaonanyappeared Lawrence W. Carlstrom
wl -elged that he executed and attested the foregoing
3 of the By-Laws of said Company and the Resolu-
May 15 .19 94 '4 w rs'"' Notary Public in and for St�e Wa s h i n(gk on
Residing et Tacoma
t. Robert D. Ritzhaupt Assistant Secretary of the REUANCE INSURANCE COMPANY. do hereby certify that the above
and foregoing is a true and correct copy of a Power of Attorney executed by said REUANCE INSURANCE COMPANY. which is skint In full force and
effect
IN WITNESS WHEREOF. 1 have hereunto set my hand and affixed the seal of said Company this 24TH day of JANUARY I 19 92
80R -1431 Ed 5179 f
Robert D. Rit(Jaup
MCOO1:11® CERTIFICATE OF INSURANCE
PRODUCER
INSURED
COVERAGES
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
CO' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MM /DD /YY) DATE (MM /DD /YY)
GENERAL LIABILITY
A X COMMERCIAL GENERAL LIABILITY EPA1O846039
CLAIMS MADE OCCUR
.X
OWNER'S CONTRACTOR'S PROT.'
X_ Stop Gap
A X
X
X_ NON -OWNED AUTOS
GARAGE LIABILITY
A j X
Hentschell Associates, Inc.
621 Pacific Ave. #204
Tacoma, Wa. 98402
Pease Sons, Inc.
P.O. Box 44100
Tacoma, Wa. 98444
AUTOMOBILE LIABILITY
OTHER
ANY AUTO
ALL OWNED AUTOS
,SCHEDULED AUTOS
HIRED AUTOS
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION
AND
EMPLOYERS' LIABILITY
CITY OF PORT ANGELES
P.O. BOX 1150
PORT ANGELES, WA. 98362
ACORD 25 -S (7/90)
ECA10846062
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW.
COMPANY D
LETTER
COMPANY E
LETTER
UBA68122010 9 -1 -91 9 -1 -92
COMPANIES AFFORDING COVERAGE
COMPANY
LETTER A Maryland Casualty Company
COMPANY B
LETTER
COMPANY C
LETTER
BODILY INJURY
(Per accident)
EXCESS LIABILITY EACH OCCURRENCE
STATUTORY LIMITS
EACH ACCIDENT
DISEASE— POLICY LIMIT
DISEASE —EACH EMPLOYEE
ISSUE DATE (MM /DD /YY)
'11-24-92
GENERAL AGGREGATE 2 000,000
9 -1 -91 9 -1 -92 PRODUCTS- COMP /OP AGG 1,000.000.
PERSONAL ADV INJURY 1.000 000.
EACH OCCURRENCE 1 000. 000_.
FIRE DAMAGE (Any one fire) 50'0(10 O.,.
MED. EXPENSE (Any one person) 5 n n
COMBINED SINGLE 1,000,000.
9 -1 -91 9 -1 -92 LIMIT
BODILY INJURY
(Per person)
PROPERTY DAMAGE
'$4,000,000.
AGGREGATE $4,000,000.
DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /SPECIAL ITEMS
RE: CONSTRUCTION OF WASTEWATER TREATMENT PLANT EXPANSION. THE CITY OF PORT ANGELES, THE
CONSTRUCTION MANAGER, DESIGN ENGINEER, AND THEIR OFFICERS, PRINCIPALS, AGENTS,
SUBCONTRACTORS AND EMPLOYEES ARE ADDED AS ADDITIONAL INSUREDS AS RESPECTS THIS PROJECT ONLY
CERTIFICATE HOLDER CANCELLATION T
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY ND UPON THECOMPAjfV', ITS AGENTS REPRESENTATIVES
AUTHORfiiED ESENTATIVE
D CORPORATION 1990