Loading...
HomeMy WebLinkAboutContract No. 19-27 Auburn City Hall Basement Panel Replacementr NON-FORMALLY BID PUBLIC WORKS CONTRACT NO. 19-27 Auburn City Hall Basement Panel Replacement THIS CONTRACT is entered into between the City of Auburn, a Washington Municipal Corporation("City"), and MacDonald-Miller Facility Solutions("Contractor"), whose mailing address is 7717 Detroit Avenue SW, Seattle,WA 98106. RECITALS: 1. The City is in need of construction contracting services to complete the public work as described in this Contract. 2. Contractor is qualified to perform the construction contracting services described in the Scope of Work. 3. The City wishes to engage Contractor for the performances of these construction contracting services. 4. This contract was not formally bid because(check one) ® LIMITED PUBLIC WORKS CONTRACT: Engineer's Estimate<$35,000.00 and this contract was awarded using the Limited Public Works process as described in RCW 39.04.155. ❑ SMALL PUBLIC WORKS CONTRACT(SINGLE TRADE WORK): Engineer's Estimate<$40,000.00 ❑ SMALL PUBLIC WORKS CONTRACT(MULTIPLE TRADE WORK): Engineer's Estimate<$65,000.00 ❑ EMERGENCY PUBLIC WORKS CONTRACT: Per RCW 39.04.280,this work is exempt from competitive bidding requirements because the work is considered an emergency, meaning unforeseen circumstances beyond the control of the City either: (a)Present a real,immediate threat to the proper performance of essential functions; or(b)will likely result in material loss or damage to property, bodily injury, or loss of life if immediate action is not taken. ❑ COOPERATIVE PURCHASING AGREEMENT: This contract is being let under(cooperative contract No. X)between(agency)and(contractor) in accordance with RCW 39.34(Interlocal Cooperation Act). ❑ Other ENG-059,Revised 1/19 NON-FORMALLY BID PUBLIC WORK CONTRACT NO. 19-27 September 13,2019 Page 1 of 14 AGREEMENT 1) CONTRACTOR SERVICES The Contractor shall do all work and furnish all tools,materials and equipment for the completion of this project in accordance with this Contract form. Scope of work is as follows: See Exhibit A,which is attached hereto and by this reference made a part of this contract. The complete Contract includes the following parts,which are by this reference incorporated herein and made a part hereof. Any inconsistency in the parts of the Contract shall be resolved by the order in which they are listed: A. Non-Formally Bid Public Works Contract(this form) B. Proposal Form C. Exhibit A: Scope of Work D. City of Auburn Construction Standards E. City of Auburn Design Standards F. Washington State Department of Labor&Industries Prevailing Wage Rates and Benefit Key Code effective the date the Contractor submitted the Construction Work Quote Form G. In case of any ambiguity or dispute over interpreting the Contract,the City Engineer's decision will be final. 2) CITY OF AUBURN BUSINESS LICENSE The Contractor, subcontractors, and lower tier subcontractors, shall have an active City of Auburn business license. 3) NOTICE TO PROCEED A Notice to Proceed will be issued once the Contract has been fully executed by the Contractor and City,and all insurance and licensing requirements as set forth in the contract have been met. The Notice to Proceed Date shall be either the date the Contractor commenced contract work or the date the contract has been fully executed by the Contractor and City and all insurance and licensing requirements as set forth in the contract have been met,whichever occurs first. 4) TIME OF COMPLETION The Contractor shall complete the work within six months from the Notice to Proceed Date. ENG-059,Revised 1/19 NON-FORMALLY BID PUBLIC WORK CONTRACT NO. 19-27 September 13,2019 Page 2 of 14 5) LIQUIDATED DAMAGES (CHECK ONE) ® Liquidated damages shall not apply to this contract. ❑ Liquidated damages shall apply to this contract as follows: If said work is not completed within the time specified,the Contractor agrees to pay liquidated damages to the City as follows: A. To pay(according to the following formula) liquidated damages for each working day beyond the number of working days established for physical completion, and B. To authorize the Engineer to deduct these liquidated damages from any money due or coming due to the Contractor. C. Liquidated damages will not be assessed for any days for which an extension of time is granted. No deduction or payment of liquidated damages will,in any degree, release the Contractor from further obligations and liabilities to complete the entire Contract. Formula: Contract Price(without tax)x 0.15,divided by the original number of working days for completion. 6) HOURS OF WORK Allowed hours of work are as specified by the Facilities Manager. 7) COMPENSATION The Contractor shall do all work and furnish all tools,materials, and equipment for the work and services contemplated in this Contract for compensation as follows: (Check One) ® Lump Sum Amount n Unit Bid Prices as listed in the Construction Work Quote Form ❑ Not to Exceed Amount,paid per the Force Account method as described in Section 1- 09.6 of the current WSDOT Standard Specifications for Road,Bridge and Municipal Construction The Lump Sum Amount, as specified above is sixteen thousand, eight hundred and forty-eight dollars($16,848.00),and Washington State Sales Tax of one thousand, six hundred eighty-four dollars and eighty cents($1,684.80) for a total of eighteen thousand, five hundred thirty-two dollars and eighty cents($18,532.80). This project is subject to use tax,which shall be included lump sum,unit bid, or time and material compensation amount listed herein. ENG-059,Revised 1/19 NON-FORMALLY BID PUBLIC WORK CONTRACT NO. 19-27 September 13,2019 Page 3 of 14 The City's sales tax area is 1702 for work within King County and 2724 for work within Pierce County. No payment shall be issued until a Statement of Intent to Pay Prevailing Wages form, for the Contractor and each and every Subcontractor,has been approved by the State Department of Labor&Industries, and is received by the City. A. Performance Bond The Contractor shall furnish the City with an executed performance bond for the full Contract amount,unless the contact amount is$150,000.00 or less and the Contractor has elected to have 10%retainage held by the City, in which case a performance bond is not required for this project. B. Retainage(check one) ❑ This is a Limited Public Works Contract AND the City has waived retainage requirements. ® This contract is $150,000.00 or less, therefore,the following applies: The Contractor may elect to furnish a performance bond, in which case the City shall hold back retainage in the amount of 5%of any and all payments made to the Contractor, OR have the City retain, in lieu of the performance bond, 10%of the total Contract amount,pursuant to RCW 39.08.010. The Contractor shall execute a "Declaration of Option for Performance Bond or Additional Retainage"to indicate his/her option. If furnishing a performance bond,the Contractor can choose to have the retainage held by the City in a non-interest bearing account,have it placed in an Escrow(interest bearing)Account,or submit a bond in lieu of retainage. Said retainage shall be held by the City for a period of 30 days after the Completion Date, or until receipt of all necessary releases from the State Department of Revenue and State Employment Security Department, including Affidavits of Wages paid for the Contractor and each and every subcontractor,and until settlement of any liens filed under Chapter 60.28 RCW,whichever is later. ❑ This contract is over, $150,000.00, therefore,the following applies: The City shall hold back retainage in the amount of 5%of any and all payments made to the Contractor pursuant to RCW 39.08.010. The Contractor can choose to have the retainage held by the City in a non-interest bearing account,have it placed in an Escrow(interest bearing)Account,or submit a bond in lieu of retainage. Said retainage shall be held by the City for a period of 30 days after the Completion Date, or until receipt of all necessary releases from the State Department of Revenue and State Employment Security Department, including Affidavits of Wages paid for the ENG-059,Revised 1/19 NON-FORMALLY BID PUBLIC WORK CONTRACT NO. 19-27 September 13,2019 Page 4 of 14 Contractor and each and every subcontractor,and until settlement of any liens filed under Chapter 60.28 RCW,whichever is later. C. Defective or Unauthorized Work The City reserves its right to withhold payment from the Contractor for any defective or unauthorized work. Defective or unauthorized work includes,without limitation: work and materials that do not conform to the requirements of this Contract; and extra work and materials furnished without the City's written approval. If the Contractor is unable, for any reason,to satisfactorily complete any portion of the work,the City may complete the work by contract or otherwise, and the Contractor shall be liable to the City for any additional costs incurred by the City. "Additional costs" shall mean all reasonable costs, including legal costs and attorney fees, incurred by the City beyond the maximum Contract price specified above. The City further reserves its right to deduct the cost to complete the Contract work, including any additional costs,from any and all amounts due or to become due the Contractor. D. Final Payment: Waiver of Claims The submittal of the Final Invoice by the Contractor shall constitute a waiver of claims, except those previously and properly made and identified by the Contractor as unsettled at the time Final Invoice is submitted by the Contractor. 8) INDEPENDENT CONTRACTOR The parties intend that an Independent Contractor-Employer Relationship will be created by this Contract,the City being interested only in the results obtained under this Contract. 9) SUBCONTRACTING Work done by the Contractor's own organization shall account for at least 30 percent of the awarded Contract price. Before computing this percentage however,the Contractor may subtract (from the awarded Contract price)the costs of any subcontracted work on items the Contract designates as specialty items. The Contractor shall not subcontract work unless the City approves in writing. Each request to subcontract shall be on the form the City provides. If the City requests,the Contractor shall provide proof that the subcontractor has the experience,ability, and equipment the work requires. The Contractor shall require each subcontractor to comply with RCW 39.12 (Prevailing Wages on Public Works)and to furnish all certificates and statements required by the Contract. No payment shall be issued until a Statement of Intent to Pay Prevailing Wages form, for the Contractor and ENG-059,Revised 1/19 NON-FORMALLY BID PUBLIC WORK CONTRACT NO. 19-27 September 13,2019 Page 5 of 14 each and every subcontractor, has been approved by the State Department of Labor& Industries, and is received by the City. Along with the request to sublet,the Contractor shall submit the names of any contracting firms the subcontractor proposes to use as lower tier subcontractors. Collectively,these lower tier subcontractors shall not do work that exceeds 25 percent of the total amount subcontracted to a subcontractor. When a subcontractor is responsible for construction of a specific structure or structures,the following work may be performed by lower tier subcontractors without being subject to the 25 percent limitation: A. Furnishing and driving of piling, or B. Furnishing and installing concrete reinforcing and post-tensioning steel. Except for the 25 percent limit, lower tier subcontractors shall meet the same requirements as subcontractors. The City will approve the request only if satisfied with the proposed subcontractor's record, equipment, experience and ability. Approval to subcontract shall not: 1. Relieve the Contractor of any responsibility to carry out the Contract. 2. Relieve the Contractor of any obligations or liability under the Contract and the Contractor's bond. 3. Create any contract between the City and the subcontractor, or 4. Convey to the subcontractor any rights against the City. The City will not consider as subcontracting: (1)purchase of sand,gravel, crushed stone, crushed slag,batched concrete aggregates,ready mix concrete,off-site fabricated structural steel, other off- site fabricated items, and any other materials supplied by established and recognized commercial plants; or(2)delivery of these materials to the work site in vehicles owned or operated by such plants or by recognized independent or commercial hauling companies. However,the Washington State Department of Labor and Industries may determine that RCW 39.12 applies to the employees of such firms identified in A and B above in accordance with WAC 296-127. If dissatisfied with any part of the subcontracted work,the City may request in writing that the subcontractor be removed. The Contractor shall comply with this request at once and shall not employ the subcontractor for any further work under the Contract. ENG-059,Revised 1/19 NON-FORMALLY BID PUBLIC WORK CONTRACT NO. 19-27 September 13,2019 Page 6 of 14 This section does not create a contractual relationship between the City and any subcontractor. Also,it is not intended to bestow upon any subcontractor, the status of a third-party beneficiary to the Contract between the City and the Contractor. 10) TERMINATION The City may terminate this Contract for good cause. "Good cause" shall include,without limitation, any one or more of the following events: A. The Contractor's refusal or failure to supply a sufficient number of properly-skilled workers or proper materials for completion of the Contract work. B. The Contractor's failure to complete the work within the time specified in this Contract. C. The Contractor's failure to make full and prompt payment to subcontractors or for material or labor. D. The Contractor's persistent disregard of federal, state or local laws,rules or regulations. E. The Contractor's filing for bankruptcy or becoming adjudged bankrupt. After all the work contemplated by the Contract has been completed either by the Surety or the City,the City will calculate the total expenses and damages for the completed work. If the total expenses and damages are less than any unpaid balance due the Contractor,the excess will be paid by the City to the Contractor. If the total expenses and damages exceed the unpaid balance,the Contractor and the Surety shall be jointly and severally liable to,and shall pay the difference to,the City on demand. 11) PREVAILING WAGES Contractor shall file a"Statement of Intent to Pay Prevailing Wages"with the State of Washington Department of Labor&Industries prior to commencing the Contract work. The Contractor shall pay prevailing wages and comply with Chapter 39.12 of the Revised Code of Washington,as well as any other applicable prevailing wage rate provisions. The prevailing wage rate revision in effect on the date the Contractor submitted the Construction Work Quote Form is attached and by this reference incorporated herein and made a part hereof. No payment shall be issued until a Statement of Intent to Pay Prevailing Wages form, for the Contractor and each and every subcontractor,has been approved by the State Department of Labor& Industries, and is received by the City. Retainage, if applicable,shall not be released until an Affidavit of Wages Paid form for the Contractor and each and every subcontractor,has been approved by the State Department of Labor & Industries, and is received by the City. ENG-059,Revised 1/19 NON-FORMALLY BID PUBLIC WORK CONTRACT NO. 19-27 September 13,2019 Page 7 of 14 12) CHANGES The City may issue a written change order for any change in the Contract work during the performance of this Contract. If the Contractor determines,for any reason,that a change order is necessary,the Contractor must submit a written change order request to an authorized agent of the City within 10 calendar days of the date the facts and events giving rise to the requested change occurred. If the City determines that the change increases or decreases the Contractor's costs or time for performance,the City will make an equitable adjustment. The City will attempt, in good faith, to reach agreement with the Contractor on all equitable adjustments. However,if the parties are unable to agree,the City will determine the equitable adjustment as it deems appropriate. The Contractor shall proceed with the change order work upon receiving either a written change order from the City or an oral order from the City. If the Contractor fails to request a change order within the time allowed,the Contractor waives its right to make any claim or submit subsequent change order requests for that portion of the Contract work. If the Contractor disagrees with the equitable adjustment,the Contractor must complete the change order work; however,the Contractor may elect to protest the adjustment as provided below: A. Procedure and Protest by the Contractor If the Contractor disagrees with anything required by a change order, another written order, or an oral order from the City, including any direction, instruction, interpretation, or determination by the City,the Contractor shall: 1. Within 2 days of receiving a written change order or oral order that the Contractor desires to protest, the Contactor shall give a signed written notice of protest to the City; and 2. Supplement the written protest within 14 calendar days with a written statement that provides the following information: a. The date of the Contractor's protest. b. The nature and circumstances that caused the protest. c. The provisions in this Contract that support the protest. d. The estimated dollar cost,if any, of the protested work and how that estimate was determined. e. An analysis of the progress schedule showing the schedule change or disruption if the Contractor is asserting a schedule change or disruption. The Contractor shall keep complete records of extra costs and time incurred as a result of the protested work. The City shall have access to any of the Contractor's records needed for evaluating the protest. ENG-059,Revised 1/19 NON-FORMALLY BID PUBLIC WORK CONTRACT NO. 19-27 September 13,2019 Page 8 of 14 3. The City will evaluate all protests,provided the procedures in this section are followed. If the City determines that a protest is valid,the City will adjust payment for work or time by an equitable adjustment. No adjustment will be made for an invalid protest. B. Contractor's Duty to Complete Protested Work In spite of any protest,the Contractor shall proceed promptly with the work as the City has ordered. C. Contractor's Acceptance of Changes The Contractor accepts all requirements of a change order by: (1)endorsing it, (2) writing a separate acceptance,or(3)not protesting in the way this section provides. A change order that is accepted by the Contractor as provided in this section shall constitute full payment and final settlement of all claims for Contract time and for direct, indirect and consequential costs, including costs of delays related to any work, either covered or affected by the change. D. Failure to Protest Constitutes Waiver By not protesting as this section provides,the Contractor also waives any additional entitlement and accepts from the City any written or oral order(including directions, instructions, interpretations, and determination). E. Failure to Follow Procedures Constitutes Waiver By failing to follow the procedures of this section,the Contractor completely waives any claims for protested work and accepts from the City any written or oral order(including directions, instructions, interpretations, and determination). 13) CLAIMS The Contractor waives right to a claim if they have not followed the protest procedures outlined in this Contract. If resolution of a protest cannot be reached, and the Contractor wishes to pursue a claim,the Contractor shall give written notice of claim to the City within 15 calendar days of the City's notice of its final decision on the Contractor's protest. Any claim for damages,additional payment for any reason,or extension of time,whether under this Contract or otherwise, shall be conclusively deemed to have been waived by the Contractor unless a timely written claim is made in strict accordance with the applicable provisions of this Contract. At a minimum, a Contractor's written claim must include the information set forth regarding protests in this Contract. ENG-059,Revised 1/19 NON-FORMALLY BID PUBLIC WORK CONTRACT NO. 19-27 September 13,2019 Page 9 of 14 Failure to provide a complete,written notification of claim within the time allowed shall be an absolute waiver of any claims arising in any way from the facts or events surrounding that claim or caused by that delay. The Contractor must, in any event, file any claim or bring any suit arising from or connected with this Contract prior to signing the Final Payment Form. 14) WARRANTY (CHECK ONE) ❑ No warranty applies to the Contract Work. ® Warranty applies to the Contract Work as follows: All defects in workmanship and materials that occur within one year of the Contract Completion date shall be corrected by the Contractor. When defects are corrected,the warranty for that portion of the work shall extend for one year from the date such correction is completed and accepted by the City. The Contractor shall begin to correct any defects within 7 calendar days of its receipt of notice from the City of the defect. If the Contractor does not accomplish the corrections within a reasonable time,the City may complete the corrections and the Contractor shall pay all costs incurred by the City in order to accomplish the correction. 15) INDEMNIFICATION Contractor shall defend, indemnify and hold the City, its officers, officials,employees, agents and volunteers harmless from any and all claims, injuries,damages, losses or suits,including all legal costs and attorney fees, arising out of or in connection with the performance of this Contract, except for injuries and damages caused by the sole negligence of the City. The City's inspection or acceptance of any of the Contractor's work when completed shall not be grounds to avoid any of these covenants of indemnification. Should a court of competent jurisdiction determine that this Contract is subject to RCW 4.24.115, then, in the event of liability for damages arising out of bodily injury to persons or damages to property caused by or resulting from the concurrent negligence of the Contractor and the City, its officers, officials, employees,agents and volunteers,the Contractor's liability hereunder shall be only to the extent of the Contractor's negligence. ENG-059,Revised 1/19 NON-FORMALLY BID PUBLIC WORK CONTRACT NO. 19-27 September 13,2019 Page 10 of 14 It is further specifically and expressly understood that this indemnification constitutes the Contractor's waiver of immunity under Industrial Insurance,Title 51 RCW, solely for the purposes of this indemnification. The parties acknowledge that they have mutually negotiated this waiver. The provisions of this section shall survive the expiration or termination of this Contract. 16) INSURANCE Insurance requirements shall be as specified in the City of Auburn Construction Standards,Part 1, Section 1-07.18 (Insurance)which by reference is incorporated is a part of this contract. 17) CORRESPONDENCE (CHECK ONE) ® Submittals and formal Requests for Information(RFI) shall not be required for this contract. L Submittals and Requests for Information(RFI) shall be as follows: A. Requests for Information (RFI's). RFI's shall be made electronically and shall be transmitted via e-mail to PWSubmittals@auburnwa.gov. The e-mail subject line of electronic RFI's shall include the following: Contract Number and Project Name/Number as applicable—RFI Title/Subject. Each e-mail shall be limited to 7 MB's in size. All RFI's shall accompany the City of Auburn "CIP Construction Request for Information" (RFI) form as a cover letter with enough information provided for the Engineer to respond accordingly. The time required to evaluate and review RFI's is not the same for all RFI's. The Contractor shall allow a minimum of 10 calendar days,unless otherwise noted,for the Engineer to respond. B. Submittals. All submittals shall be made electronically and shall be transmitted via e- mail to PWSubmittalsa,auburnwa.gov. The e-mail subject line of electronic submittals shall include the following: <<<Project Number>>>, <<<Project Name>>>-"Submittal Title". Each electronic email shall be limited to 7 MB's in size. All electronic submittals shall be clear, sharp high contrast electronic files in Word 2007, Excel 2007 or PDF formats. All submittals shall accompany the City of Auburn "Request for Submittal Approval" (RSA) form. Any submittals made without the RSA form or without all of the required information on the form filled out by the Contractor shall be rejected without review. No additional compensation or time extension shall be granted for a Contractor not supplying this form as a cover letter for their submittals or for an improperly filled out form. ENG-059,Revised 1/19 NON-FORMALLY BID PUBLIC WORK CONTRACT NO. 19-27 September 13,2019 Page 11 of 14 18) MISCELLANEOUS A. Nondiscrimination. In the hiring of employees for the performance of work under this Contract,the Contractor, its subcontractors, or any person acting on behalf of Contractor shall not,by reason of race,religion, color, sex, sexual orientation,national origin, or the presence of any sensory, mental, or physical disability, discriminate against any person who is qualified and available to perform the work to which the employment relates. B. Compliance with Laws. The Contractor shall comply with all federal, state and local laws,rules and regulations throughout every aspect in the performance of this Contract. C. Qualifications of Bidder. Before award of a public works contract,a bidder must meet at least the minimum qualifications of RCW 39.04.350(1)to be considered a responsible bidder and qualified to be awarded a public works project. D. Work Performed at Contractor's Risk. The Contractor shall take all precautions necessary and shall be responsible for the safety of its employees, agents, and subcontractors in the performance of this Contract. All work shall be done at the Contractor's own risk, and the Contractor shall be responsible for any loss of or damage to materials,tools, or other articles used or held for use in connection with the work. E. Nonwaiver of Breach. The failure of the City to insist upon strict performance of any of the terms and rights contained herein, or to exercise any option herein conferred in one or more instances,shall not be construed to be a waiver or relinquishment of those terms and rights and they shall remain in full force and effect. F. Governing Law. This Contract shall be governed and construed in accordance with the laws of the State of Washington. If any dispute arises between the City and the Contractor under any of the provisions of this Contract,resolution of that dispute shall be available only through the jurisdiction, venue and rules of the King County Superior Court,King County, Washington. G. Attorney's Fees. To the extent not inconsistent with RCW 39.04.240, in any claim or lawsuit for damages arising from the parties'performance of this Contract, each party shall be responsible for payment of its own legal costs and attorney's fees incurred in defending or bringing such claim or lawsuit; however,nothing in this subsection shall limit the City's right to indemnification under Section 10 of this Contract. H. Written Notice. All communications regarding this Contract shall be sent to the parties at the addresses listed on the signature page of this Contract,unless otherwise notified. Any written notice shall become effective upon delivery,but in any event 3 calendar days after the date of mailing by registered or certified mail, and shall be deemed sufficiently given if sent to the addressee at the address stated in this Contract. ENG-059,Revised 1/19 NON-FORMALLY BID PUBLIC WORK CONTRACT NO. 19-27 September 13,2019 Page 12 of 14 I. Assignment. Any assignment of this Contract by the Contractor without the written consent of the City shall be void. J. Modification. No waiver,alteration, or modification of any of the provisions of this Contract shall be binding unless in writing and signed by a duly authorized representative of the City and the Contractor. K. Severability. If any one or more sections,sub-sections, or sentences of this Contract are held to be unconstitutional or invalid,that decision shall not affect the validity of the remaining portion of this Contract and the remainder shall remain in full force and effect. L. Entire Contract. The written provisions and terms of this Contract, together with any referenced documents and attached Exhibits , supersede all prior verbal statements by any representative of the City, and those statements shall not be construed as forming a part of or altering in any manner this Contract. This Contract,referenced documents, and any attached Exhibits contain the entire Contract between the parties. Should any language in any referenced documents or Exhibits to this Contract conflict with any language contained in this Contract,the terms of this Contract shall prevail. IN WITNESS WHEREOF,the parties below have executed this Contract. CONTRACTOR THE CITY OF AUBURN b!+ V to&th - *: 044 (Signature) I ,n (Signature) C4)3C&-�+C By Lam' ' �,(r11�' J By Nancy s (Print name here) Its Its Mayor (Authorized representative)1' � t�.� DATE: 'a 1 , I DATE: V:1•' ' Contractor's State License No. MACDONFS980RU State Tax Registration(UBI)No. 602-254-260 Federal Tax ID# 68-0533726 APPROVlr, ' 0 FORM: 4 4111, 1 _ Steve Gross, City ttorney ENG-059,Revised 1/19 NON-FORMALLY BID PUBLIC WORK CONTRACT NO. 19-27 September 13,2019 Page 13 of 14 Notices to be sent to: Notices to be sent to: MCODONALD MILLER FACILITY SOLUTIONS CITY OF AUBURN Attn: Michael Coffey Attn: Lisa Moore 7717 Detroit Avenue SW 25 West Main Street Seattle,WA 98106 Auburn,WA 98001 Phone: 206-387-2022 Phone: 253-288-3158 E-mail: Michael.Coffey@macmiller.com E-mail: lmoore@aubrnwa.gov ENG-059,Revised 1/19 NON-FORMALLY BID PUBLIC WORK CONTRACT NO. 19-27 September 13,2019 Page 14 of 14 a 4 MacDonald-Miller FACILITY SOLUTIONS® EXHIBIT A We make buildings work better. January 2, 2019 Proposal #010219-02-EA(Revised 07/16/19) To: Lisa Moore Subject: Basement Panel Replacement Job Site: Auburn City Hall MacDonald-Miller Facility Solutions is pleased to submit to you the following proposal for your consideration. Our proposal is based on the information gathered at the time of our site visit and job walk. This proposal includes the shutdown, removal and replacement of the existing 225A 480v Basement Panel. The project is figured for doing the work over a weekend shutdown to allow for enough time to demo, make safe, remove, replace, re-terminate and test the Panel with as little down time and interruption to the building. Base Bid $16,848.00 Our proposal Includes the following: • Shutdown of the existing circuit that feeds the Panel • Demo and Make Safe the existing branch feeds from the Panel • Removal of the existing Panel • Handling and Installation of a new Panel • Re-termination of the existing branch feeds from the Panel • Testing of the new Panel • Permit • Inspection • After hours and Weekend work Our proposal Excludes the following: • Temporary power of all types • Temporary heating or cooling • Generator work, operation or testing • Engineering, if necessary • State sales • Tax • Cutting/Patching/Painting Thank you for this opportunity. If you have any questions, please call me at(206) 768-3826. Sincerely, MacDonald-Miller Facility Solutions macmiller.com 1-800-962-5979 SEATTLE EVERETT BELLEVUE TACOMA PORTLAND EUGENE BEND CITY OF9 * Declaration of Option U — For Performance Bond or B ® Additional Retainage WASHINGTON (Contracts Under$150,000 only) Project No., Auburn City Hall Basement Panel Replacement Contract No. 19-27 Note: This form must be submitted at the time the Contractor executes the Contract. The Contractor shall designate the option desired by checking the appropriate space. MacDonald Miller Facility Solutions 7717 Detroit Avenue SW Seattle, WA 98106 The Contractor elects to: ❑ 1. Furnish a performance bond in the amount of the total contract sum, in which case the City shall hold back retainage in the amount of five percent (5%.) An executed performance bond on the required sum is included with the executed contract documents. X2. Have the City retain, in lieu of performance bond, ten percent (10%) of the total contract amount for a period of thirty (30) days after final acceptance or until receipt of all necessary releases from the State Department of Revenue and the Department of Labor and Industries and settlement of any liens filed under Chapter 60.28 RCW, whichever is later. In choosing Option 2, the Contractor agrees that if the Contractor, its heirs, executors, administrators, successors, or assigns shall in all things stand to and abide by, and well and truly keep and perform the covenants, conditions and agreements in the Contract, and shall faithfully perform all the provisions of such contract and shall also well and truly perform and fulfill all the undertakings, covenants, terms, conditions and agreements of any and all duly authorized modifications of the Contract that may hereafter be made, at the time and in the manner therein specified, and shall pay all laborers, mechanics, subcontractors, and materialmen, and all persons who shall supply such person or persons, or subcontractors, with provisions and supplies for the carrying on of such work, on his or her part, and shall indemnify, defend and hold harmless the City of Auburn and its officials, agents, and employees from any claim for such payment, then the funds retained in lieu of a performance bond shall be released at the time provided in said Option 2; otherwise, the funds shall be retained until the Contractor fulfills the said obligations. Contractor Signature ;4 Printed Name Sk0,41 vw.. G2hhCt►��� Title (1'0 Date C71 119 lei ENG-114, Revised 11/18 -', MACDFAC-01 AMICHEL ACOR®' CERTIFICATE OF LIABILITY INSURANCE DATE IDD/YYYY) �.� 10/16/2019 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 have ADDITIONAL INSURED provisions or 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 CONTACT NAME: Hub International Northwest LLC PHONE FAX P.O.Box 3018 (A/c,Na,Ext>:(425)4894500 (A/C,No):(425)485-8489 Bothell,WA 98041 ADDRESS:now.info@hubinternational.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:The Phoenix Insurance Company 25623 INSURED INSURER B:The Travelers Indemnity Company of America 25666 MacDonald-Miller Facility Solutions,Inc. INSURER c:Travelers Property Casualty Company of America 25674 P.O Box 47983 INSURER D:Berkley Assurance Company 39462 Seattle,WA 98146 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF I POLICY EXP I LIMITS LTR INSD wVD IMM/DD/YYYYI IMM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE X OCCURX X PREMISESTO(EaRENTED $ 300,000 occurrence) MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY X JECT X LOC PRODUCTS-COMP/OP AGG $ 4,000,000 OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 2,000,000 (Ea accident) $ X ANY AUTO X X DT-810-3K644256-IND-18 12/31/2018 12/31/2019 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ AUTOS ONLY NON-OWNED ONLYY (Per accidentDAMAGE C X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE X x CUP-3K811180-18-26 12/31/2018 12/31/2019AGGREGATE $ 1,000,000 DED X RETENTION$ 10,000 $ C WORKERS COMPENSATION PER X OTH- AND EMPLOYERS'LIABILITY STATUTE ER YIN UB-3K811099-18-26-G 12/31/2018 12/31/2019 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ _ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 It yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ D PROF*/POLL PCADB-5003267-1218 12/31/2018 12/31/2019 OCC/AGG: 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Re:19-27:Auburn City Hall Basement Panel Replacement City of Auburn and its officers,elected officials,employees,agents,and volunteers are included as Additional Insured,coverage is Primary and Non-Contributory,and Waiver of Subrogation applies per the attached forms/endorsements. *N/A to Additional Insured CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityof Auburn THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 25 West Main Street Auburn,WA 98001-4998 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Policy#13T-00-3K790954-PFI X-18 Policy ADT-CO-3K790954-PHX-l8 COMMERCIAL GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. 2. The insurance provided to the additional insured and collectible other insurance,whether primary, by this endorsement is limited as follows: excess,contingent or on any other basis,that is BLANKET ADDITIONAL INSURED -AUTOMATIC STATUS a. If the ns of ecca this Coverage available to the additional insured when that Partper- shown in the Declarations exceed the son or organization is an additional insured,or is IF REQUIRED BY WRITTEN CONTRACT minimum limits of liability required by the any other insured that does not qualify as a "written contract requiring insurance",the in- named insured,under such other insurance. (CONTRACTORS) surance provided to the additional insured will 4. As a condition of coverage provided to the addi- be limited to such minimum required limits of tional insured by this endorsement: liability. For the purposes of determining a. The additional insured must give us written whether this limitation applies, the minimum This endorsement modifies insurance provided under the following: notice as soon as practicable of an "occur- limits of liability required by the"written con- once"or an offense which mayresult in a COMMERCIAL GENERAL LIABILITY COVERAGE PART tract requiring insurance"will be considered claim. To the extent possible, such notice 1. The following is added to SECTION II—WHO IS (a) The Additional Insured — Owners, to include the minimum limits of liability of any should include: AN INSURED: Lessees or Contractors—Scheduled Umbrella or Excess liability coverage required Person or Organization endorsement for the additional insured by that"written con- (1) How, when and where the "occurrence" Any person or organization that: g tract requiring insurance". This endorsement or offense took place; CG 20 10 07 04 or CG 20 10 04 13, a. You agree in a"written contract requiring in- the Additional Insured — Owners, will not increase the limits of insurance de- (2) The names and addresses of any injured surance"to include as an additional insured Lessees or Contractors—Completed scribed in Section III—Limits Of Insurance. persons and witnesses;and on this Coverage Part;and Operations endorsement CG 20 37 b. The insurance provided to the additional in- (3) The nature and location of any injury or b. Has not been added as an additional insured 07 04 or CG 20 37 04 13,or both of sured does not apply to"bodily injury","prop- damage arising out of the"occurrence"or for the same project by attachment of an en- such endorsements with either of erty damage"or"personal injury"arising out offense. dorsement under this Coverage Part which those edition dates;or of the rendering of,or failure to render,any b. If a claim is made or"suit"is brought against includes such person or organization in the (b) Either or both of the following: the professional architectural,engineering or sur- the additional insured, the additional insured endorsement's schedule; Additional Insured — Owners, Les- veying services,including: must: is an insured,but: sees or Contractors — Scheduled (1) The preparing, approving, or failing to (1) Immediately record the specifics of the Person Or Organization endorsement prepare or approve, maps, shop draw- a. Only with respect to liability for"bodily injury", claim or"suit"and the date received;and "property damage"or"personal injury";and CG 20 10,or the Additional Insured— ings, opinions, reports, surveys,field or- Owners, Lessees or Contractors — ders or change orders,or the preparing, (2) Notify us as soon as practicable. b. Only as described in Paragraph(1),(2)or(3) Completed Operations endorsement approving, or failing to prepare or ap- The additional insured must see to it that we below,whichever applies: CG 20 37,without an edition date of prove,drawings and specifications;and receive written notice of the claim or"suit"as (1) If the "written contract requiring insur- such endorsement specified; (2) Supervisory, inspection, architectural or soon as practicable. ance"specifically requires you to provide the person or organization is an additional engineering activities. c. The additional insured must immediately send additional insured coverage to that per- insured only if the injury or damage is c. The insurance provided to the additional in- us copies of all legal papers received in con- son or organization by the use of: caused, in whole or in part, by acts orsured does not apply to "bodily injury" or nection with the claim or"suit",cooperate with (a) The Additional Insured — Owners, omissions of you or your subcontractor in "property damage"caused by"your work"and us in the investigation or settlement of the Lessees or Contractors — (Form B) the performance of"your work"to which included in the "products-completed opera- claim or defense against the"suit",and oth- endorsement CG 20 10 11 85;or the"written contract requiring insurance" tions hazard"unless the"written contract re- erwise comply with all policy conditions. (b) Either or both of the following: the applies;or quiring insurance"specifically requires you to d. The additional insured must tender the de- Additional Insured — Owners, Les- (3) If neither Paragraph(1)nor(2)above ap- provide such coverage for that additional in- fense and indemnity of any claim or"suit"to sees or Contractors — Scheduled plies: sured during the policy period. any provider of other insurance which would Person Or Organization endorsement (a) The person or organization is an ad- 3. The insurance provided to the additional insured cover the additional insured for a loss we CG 20 10 10 01,or the Additional In- ditional insured only if,and to the ex- by this endorsement is excess over any valid and cover under this endorsement.However,this sured—Owners,Lessees or Contrac- tent that, the injury or damage is collectible other insurance, whether primary, ex- condition does not affect whether the insur- tors — Completed Operations en- caused by acts or omissions of you or cess, contingent or on any other basis, that is ance provided to the additional insured by this dorsement CG 20 37 10 01; your subcontractor in the perform- available to the additional insured.However,if the endorsement is primary to other insurance the person or organization is an additional ance of"your work"to which the"writ- "written contract requiring insurance"specifically available to the additional insured which cov- insured only if the injury or damage arises ten contract requiring insurance"ap- requires that this insurance apply on a primary ers that person or organization as a named out of"your work"to which the"written plies;and basis or a primary and non-contributory basis,this insured as described in Paragraph 3.above. contract requiring insurance"applies; (b) The person or organization does not insurance is primary to other insurance available 5. The following is added to the DEFINITIONS Sec- (2) If the "written contract requiring insur- qualify as an additional insured with to the additional insured under which that person tion: ance"specifically requires you to provide respect to the independent acts or or organization qualifies as a named insured,and additional insured coverage to that per- omissions of such person or organi- we will not share with that other insurance. But "Written contract requiring insurance"means that son or organization by the use of: zation. the insurance provided to the additional insured part of any written contract or agreement under by this endorsement still is excess over any valid which you are required to include a person or or- CG D6 04 08 13 0 2013 The Travelers Indemnity Company.All rights reserved. Page 1 of 3 Page 2 of 3 C 2013 The Travelers Indemnity Company.All rights reserved. CG D6 04 08 13 Policy#DT-CO-3K790954-PHX-18 COMMERCIAL GENERAL LIABILITY ganization as an additional insured on this Cover- a. After the signing and execution of the contract age Part, provided that the "bodily injury' and or agreement by you;and "property damage"occurs,and the"personal in- b. While that part of the contract or agreement is jury"is caused by an offense committed,during in effect. the policy period and: CG D6 04 08 13 ®2013 The Travelers Indemnity Company.All rights reserved. Page 3 of 3 Policy#DT-CO-3K790954-PHX-18 COMMERCIAL GENERAL LIABILITY by any ordinance, law or building code to include (ii) A manager of any limited liability as an additional insured on this Coverage Part is company; or an insured, but only with respect to liability for (iii) An executive officer or director of "bodily injury", "property damage", "personal in- any other organization; jury" or "advertising injury" arising out of such op- that is your partner, joint venture erations. member or manager; or The insurance provided to such state or political (b).Any "employee" authorized by such subdivision does not apply to: partnership, joint venture, limited li- a. Any "bodily injury," "property damage," "per- ability company or other organization sonal injury" or "advertising injury" arising out to give notice of an "occurrence" or of operations performed for that state or po- offense. litical subdivision; or (3) Notice to us of such "occurrence" or of an b. Any "bodily injury" or "property damage" in- offense will be deemed to be given as cluded in the "products-completed operations soon as practicable if it is given in good hazard". faith as soon as practicable to your work- J. KNOWLEDGE AND NOTICE OF OCCUR- ers' compensation insurer. This applies RENCE OR OFFENSE only if you subsequently give notice to us The following is added to Paragraph 2., Duties In of the "occurrence" or offense as soon as The Event of Occurrence, Offense, Claim or practicable after any of the persons de- Suit, of SECTION IV — COMMERCIAL GEN- scribed in Paragraphs e. (1) or (2) above ERAL LIABILITY CONDITIONS: discovers that the "occurrence" or offense may result in sums to which the insurance e. The following provisions apply to Paragraph provided under this Coverage Part may a. above, but only for the purposes of the in- apply. surance provided under this Coverage Part to you or any insured listed in Paragraph 1. or 2. However, if this Coverage Part includes an en- of Section II—Who Is An Insured: dorsement that provides limited coverage for "bodily injury" or "property damage" or pollution (1) Notice to us of such "occurrence" or of- costs arising out of a discharge, release or es- fense must be given as soon as practica- cape of "pollutants" which contains a requirement ble only after the "occurrence" or offense that the discharge, release or escape of "pollut- is known by you (if you are an individual), ants" must be reported to us within a specific any of your partners or members who is number of days after its abrupt commencement, an individual (if you are a partnership or this Paragraph e. does not affect that require- joint venture), any of your managers who ment. is an individual (if you are a limited liability company), any of your "executive offi- K. UNINTENTIONAL OMISSION cers" or directors (if you are an organiza- The following is added to Paragraph 6., Repre- tion other than a partnership,joint venture sentations, of SECTION IV — COMMERCIAL or limited liability company) or any "em- GENERAL LIABILITY CONDITIONS: ployee" authorized by you to give notice The unintentional omission of, or unintentional of an "occurrence" or offense. error in, any information provided by you which (2) If you are a partnership, joint venture or we relied upon in issuing this policy will not preju- limited liability company, and none of your dice your rights under this insurance. However, partners, joint venture members or man- this provision does not affect our right to collect agers are individuals, notice to us of such additional premium or to exercise our rights of "occurrence" or offense must be given as cancellation or nonrenewal in accordance with soon as practicable only after the "occur- applicable insurance laws or regulations. rence" or offense is known by: 'L. BLANKET WAIVER OF SUBROGATION (a) Any individual who is: The following is added to Paragraph 8., Transfer (i) A partner or member of any part- Of Rights Of Recovery Against Others To Us, nership or joint venture; of SECTION IV — COMMERCIAL GENERAL LI- ABILITY CONDITIONS: CG D3 16 11 11 ©2011 The Travelers Indemnity Company.All rights reserved. Policy#DT-CO-3K790954-PHX-18 COMMERCIAL GENERAL LIABILITY If the insured has agreed in a contract or agree- 3. "Bodily injury" means bodily injury, mental ment to waive that insured's right of recovery anguish, mental injury, shock, fright, disability, against any person or organization, we waive our humiliation, sickness or disease sustained by right of recovery against such person or organiza- a person, including death resulting from any tion, but only for payments we make because of: of these at any time. a. "Bodily injury" or "property damage" that oc- N. CONTRACTUAL LIABILITY— RAILROADS curs; or 1. The following replaces Paragraph c. of the b. "Personal injury" or "advertising injury" definition of "insured contract" in the DEFINI- caused by an offense that is committed; TIONS Section: subsequent to the execution of that contract or c. Any easement or license agreement; agreement. 2. Paragraph f.(1) of the definition of "insured M. AMENDED BODILY INJURY DEFINITION contract" in the DEFINITIONS Section is de- leted. The following replaces the definition of "bodily injury" in the DEFINITIONS Section: CG D3 16 11 11 ©2011 The Travelers Indemnity Company.All rights reserved. Policy#DT-CO-3K790954-PHX-18 COMMERCIAL GENERAL LIABILITY POLICY NUMBER: DT-CO-3K790954-PHX-IR THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. PROVISIONS A. The following replaces SECTION III_LIMITS OF damage" included in the "products- TOTAL AGGREGATE LIMIT OTHER THAN PROJECTS INSURANCE: completed operations hazard". In- 1. a. The Limits of Insurance shown in the stead, the Products-Completed Op- AND DESIGNATED PROJECT AND LOCATION Schedule above and the rules below fix erations Aggregate Limit shown in the AGGREGATE LIMITS the most we will pay regardless of the Schedule above and described in 3. number of: below applies to such damages. (1) Insureds; (4) The Designated Project Aggregate Limit does not apply to damages un- This endorsement modifies insurance provided under the following: (2) Claims made or"suits"brought; der Coverage B.Instead,the General COMMERCIAL GENERAL LIABILITY COVERAGE PART (3) Persons or organizations making Aggregate Limit shown in the Sched- claims or bringing"suits";or ule above and described in 2.below SCHEDULE (4) Designated "projects" or "locations" applies to such damages. The Limits of Insurance shown in the Declarations are replaced by the following: shown in the Schedule above. (5) Any payments made for damages or b. The Total Aggregate Limit shown in the medical expenses to which the Des- LIMITS OF INSURANCE Schedule above is the most we will pay ignated Project Aggregate Limit ap- for the sum of all amounts under the Des- plies shall reduce the Designated Total Aggregate Limit $ 20000000 ignated Location Aggregate Limit and all Project Aggregate Limit for that des- (Otheramounts under the General Aggregate ignated project". Such payments Than Projects and Products-Completed Operations) shall not reduce the Total Aggregate Designated Location Aggregate Limit $ 4000000 Limit.This includes: Limit shown in the Schedule above, (Other Than Products-Completed Operations) (1) Damages under Coverage A,except the General Aggregate Limit shown in damages because of"bodily injury"or the Schedule above and described in Designated Project Aggregate Limit $ 4000000 "property damage" included in the 2.below,the Designated Project Ag- (Other Than Products-Completed Operations) "products-completed operations haz- gregate Limit for any other designat- ard"; ed "project" shown in the Schedule General Aggregate Limit $ 4000000 (2) Damages under Coverage B;and above or the Designated Location (Other Than Products-Completed Operations) (3) Medical expenses under Coverage C. Aggregate Limit shown in the Sched- ule above. Products-Completed Operations Aggregate Limit $ 4000000 c. A Designated Project Aggregate Limit is d. Subject to the Total Aggregate Limit Personal and AdvertisingInjury Limit $ 2000000 provided and isalsoDshown in the Scheg- shown in the Schedule above and de- scribed 1 ry ule above. The Designated Project Ag- gregate Limit is subject to all of the follow- in b. above,a Designated Loca- Each Occurrence Limit $ 2000000 ng provisions: tion Aggregate Limit is provided and is al- so shown in the Schedule above. The Damage To Premises Rented to You Limit $ 300000 (1) The Designated Project Aggregate Designated Location Aggregate Limit is Any One Premises Limit is the most we will pay for the subject to all of the following provisions: sum of: Medical Expense Limit $ 5000 (1) The Designated Location Aggregate Any One Person (a) Damages under Coverage A be- Limit is the most we will pay for the cause of "bodily injury" and sum of: Designated Projects: EACH "PROJECT" FOR WHICH YOU HAVE AGREED,IN A WRITTEN CONTRACT WHICH "property damage" caused by IS IN EFFECT DURING THIS POLICY PERIOD, TO PROVIDE A SEPARATE GENERAL and (a) Damages under Coverage A be- AGGREGATE LIMIT, PROVIDED THAT THE CONTRACT IS SIGNED AND EXECUTED BY cause of "bodily injury" and YOU BEFORE THE "BODILY INJURY" OR "PROPERTY DAMAGE" OCCURS. (b) Medical expenses under Cover- "property damage" caused by age C for"bodily injury" caused "occurrences";and by accidents: (b) Medical expenses under Cover- which can be attributed only to opera- age C for"bodily injury" caused tions at a single designated"project" by accidents; shown in the Schedule above. which can be attributed only to opera- Designated Locations: (2) The Designated Project Aggregate lions at a single designated"location" Limit applies separately to each des- shown in the Schedule above. ignated"project". (2) The Designated Location Aggregate (3) The Designated Project Aggregate Limit applies separately to each des- Limit does not apply to damages be- ignated"location". cause of"bodily injury" or "property Page 2 of 4 02014 The Travelers.Indemnity Company.All rights reserved. CG D4 69 07 14 CG D4 69 07 14 02014 The Travelers.Indemnity Company.All rights reserved. Page 1 of 4 Policy#DT-810-3K644256-IND-18 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY WITH OTHER INSURANCE - CONTRACTORS This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM PROVISIONS 2. The following is added to Paragraph B.5., Other 1. The following is added to Paragraph c. in A.1., Insurance of SECTION IV — BUSINESS AUTO Who Is An Insured, of SECTION II — COVERED CONDITIONS: AUTOS LIABILITY COVERAGE: Regardless of the provisions of paragraph a. and This includes any person or organization who you paragraph d. of this part 5. Other Insurance, this are required under a written contract or insurance is primary to and non-contributory with agreement, that is signed by you before the applicable other insurance under which an "bodily injury" or "property damage" occurs and additional insured person or organization is a that is in effect during the policy period, to name named insured when a written contract or as an additional insured for Covered Autos agreement with you, that is signed by you before Liability Coverage, but only for damages to which the "bodily injury" or "property damage" occurs this insurance applies and only to the extent of and that is in effect during the policy period, that person's or organization's liability for the requires this insurance to be primary and non- conduct of another"insured". contributory. CA T4 99 02 16 ©2016 The Travelers Indemnity Company.All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc.with its permission. DT-00-3K790954-PHX-18 DT-CO-3K790954-PI-IX-18 COMMERCIAL GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY (3) The Designated Location Aggregate stead, the Products-Completed Opera- a. Damages under Coverage A;and tional period of less than 12 months.In that case, Limit does not apply to damages be- tions Aggregate Limit shown in the b. Medical expenses under Coverage C the additional period will be deemed part of the cause of"bodily injury" or"property Schedule above and described in 3.be- last preceding period for purposes of determining damage" included in the "products- low applies to such damages. because of all "bodily injury" and "property the Limits of Insurance. completed operations hazard." In- .damage"arising out of any one"occurrence" c. Any payments made for damages or B. The following is added to the DEFINITIONS Sec- stead, the Products-Completed Op- medical expenses to which the General 6. Subject to the Each Occurrence Limit shown tion: erations Aggregate Limit shown in the Aggregate Limit applies shall reduce both in the Schedule above and described in 5. Schedule above and described in 3. the Total Aggregate Limit shown in the above,the Damage To Premises Rented To "Location" means any premises owned by or below applies to such damages. Schedule above and the General Aggre- You Limit is the most we will pay under Coy- rented to you shown in the Schedule above.For (4) The Designated Location Aggregate gate Limit shown in the Schedule above. erage A for damages because of"property the purposes of determining the applicable ag- Limit does not apply to damages un- Such payments shall not reduce the Des- damage"to any one premises,while rented to gregate limit of insurance,each"location"that in- der Coverage B.Instead,the General ignated Project Aggregate Limit for any you,or in the case of damage by fire,while cludes a premises involving the same or connect- Aggregate Limit shown in the Sched- designated"project"shown in the Sched- rented to you or temporarily occupied by you ng lots, or premises whose connection is inter- ule above and described in 2.below ule above or the Designated Location with permission of the owner. rupted only by a street,roadway or waterway,or by a right-of-way of a railroad,shall be considered applies to such damages. Aggregate Limit for any designated"Iota- 7. Subject to the Each Occurrence Limit shown a single"location". (5) Any payments made for damages or tion"shown in the Schedule above. in the Schedule above and described in 5. medical expenses to which the Des- 3. If coverage for liability arising out of the above,the Medical Expense Limit is the most "Project" means any area, away from premises ignated Location Aggregate Limit ap- "products-completed operations hazard" is we will pay under Coverage C for all medical owned by or rented to you,shown in the schedule plies shall reduce both the Total Ag- provided,the Products-Completed Operations expenses because of"bodily injury"sustained above at which you are performing operations gregate Limit shown in the Schedule Aggregate Limit shown in the Schedule above by any one person. pursuant to a contract or agreement.For the pur- poses of determining the applicable aggregate above and the Designated Location is the most we will pay under Coverage A for The Limits of Insurance of this Coverage Part ap- limit of insurance,each "project"that includes a Aggregate Limit for that designated damages because of"bodily injury"or"prop- ply separately to each consecutive annual period premises involving the same or connecting lots, "location". Such payments shall not erty damage" included in the "products- and to any remaining period of less than 12 or premises whose connection is interrupted only reduce the General Aggregate Limit completed operations hazard".Any payments months, starting with the beginning of the policy by a street,roadway or waterway,or by a right-of- shown in the Schedule above and made for such damages shall reduce the period shown in the Declarations,unless the poli- way of a railroad, shall be considered a single described in 2.below,the Designated Products-Completed Operations Aggregate cy period is extended after issuance for an addi- "project". Project Aggregate Limit shown in the Limit shown in the Schedule above. Such Schedule above or the Designated payments shall not reduce the Total Aggre- Location Aggregate Limit for any oth- gate Limit shown in the Schedule above,the er designated"location"shown in the General Aggregate Limit shown in the Schedule above. Schedule above,the Designated Project Ag- 2. Subject to the Total Aggregate Limit shown in gregate Limit for any designated "project" the Schedule above and described in 1.b. shown in the Schedule above or the Desig- above,a General Aggregate Limit is provided nated Location Aggregate Limit for any des- and is also shown in the Schedule above. ignated "location" shown in the Schedule The General Aggregate Limit is subject to all above. of the following provisions: 4. Subject to the Total Aggregate Limit and the a. The General Aggregate Limit is the most General Aggregate Limit shown in the we will pay for the sum of: Schedule above and described in 1.b.and 2. above, the Personal and Advertising Injury (1) Damages under Coverage A be- Limit is the most we will pay under Coverage cause of"bodily injury"and"property B for the sum of all damages because of all damage" caused by "occurrences", "personal injury" and all "advertising injury" and medical expenses under Cover- sustained by any one person or organization. age C for"bodily injury" caused by accidents,which cannot be attributed 5. Subject to the Total Aggregate Limit and ei- only to operations at a single desig- ther the Designated Location Aggregate Limit nated"project"or"location"shown in or the General Aggregate Limit,subject to the the Schedule above;and Designated Project Aggregate Limit or subject to the Products-Completed Operations Ag- (2) Damages under Coverage B. gregate Limit, shown in the Schedule above b. The General Aggregate Limit does not and described in 1. b., 1.c, 1.d., 2. and 3. apply to damages for "bodily injury" or above,whichever apply or applies,the Each "property damage"included in the"prod- Occurrence Limit is the most we will pay for ucts-completed operations hazard." In- the sum of: CG D4 69 07 14 ©2014 The Travelers.Indemnity Company.All rights reserved. Page 3 of 4 Page 4 of 4 ©2014 The Travelers.Indemnity Company.All rights reserved. CG D4 69 07 14 Policy#DT-810-3K644256-IND-18 Policy#DT-8I0-3K644256-IND-18 COMMERCIAL AUTO COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. permission, while performing duties (a) With respect to any claim made or"suit" related to the conduct of your busi- brought outside the United States of BUSINESS AUTO EXTENSION ENDORSEMENT ness. America, the territories and possessions However,any"auto"that is leased,hired, of the United States of America, Puerto rented or borrowed with a driver is not a Rico and Canada: This endorsement modifies insurance provided under the following: covered"auto". (i) You must arrange to defend the"in- BUSINESS AUTO COVERAGE FORM D. EMPLOYEES AS INSURED sured"against,and investigate or set- s any such claim or"suit"and keep The following is added to Paragraph Al.,Who Is u ac- GENERAL DESCRIPTION OF COVERAGE—This endorsement broadens coverage.However,coverage for any An Insured,of SECTION II—COVERED AUTOS us advised of all proceedings and injury,damage or medical expenses described in any of the provisions of this endorsement may be excluded or LIABILITY COVERAGE: tions. limited by another endorsement to the Coverage Part,and these coverage broadening provisions do not apply to (ii) Neither you nor any other involved the extent that coverage is excluded or limited by such an endorsement.The following listing is a general cover- Any"employee"of yours is an"insured"while us- "insured" will make any settlement age description only.Limitations and exclusions may apply to these coverages.Read all the provisions of this en- ing a covered"auto"you don't own,hire or borrow without our consent. dorsement and the rest of your policy carefully to determine rights,duties,and what is and is not covered. in your business or your personal affairs. E. SUPPLEMENTARY PAYMENTS—INCREASED (iii)We may,at our discretion,participate A. BROAD FORM NAMED INSURED H. HIRED AUTO PHYSICAL DAMAGE—LOSS OF in defending the"insured"against,or B. BLANKET ADDITIONAL INSURED USE—INCREASED LIMIT LIMITS in the settlement of, any claim or C. EMPLOYEE HIRED AUTO I. PHYSICAL DAMAGE — TRANSPORTATION 1. The following replaces Paragraph A.2.a.(2), "suit". EXPENSES—INCREASED LIMIT of SECTION II—COVERED AUTOS LIABIL- (iv)We will reimburse the "insured" for D. EMPLOYEES AS INSURED J. PERSONAL PROPERTY ITY COVERAGE: sums that the "insured"legally must E. SUPPLEMENTARY PAYMENTS—INCREASED K. AIRBAGS (2) Up to $3,000 for cost of bail bonds (in- pay as damages because of"bodily LIMITS L. NOTICE AND KNOWLEDGE OF ACCIDENT OR cluding bonds for related traffic law viola- injury"or"property damage"to which F. HIRED AUTO — LIMITED WORLDWIDE COV- LOSS tions)required because of an"accident" this insurance applies, that the "in- ERAGE—INDEMNITY BASIS M. BLANKET WAIVER OF SUBROGATION we cover. We do not have to furnish sured" pays with our consent, but Para- G. WAIVER OF DEDUCTIBLE—GLASS these bonds. only up to the limit described in N. UNINTENTIONAL ERRORS OR OMISSIONS 2. The following replaces Paragraph A.2.a.(4), graph C., Limits Of Insurance, of PROVISIONS of SECTION II—COVERED AUTOS LIABIL- SECTION II — COVERED AUTOS A. BROAD FORM NAMED INSURED this insurance applies and only to the extent that ITY COVERAGE: LIABILITY COVERAGE. personorganizationqualifies (4) All reasonable expenses incurred bythe (v) We will reimburse the "insured" for The following is added to Paragraph Al.,. Who Is or as an "insured" p under the Who Is An Insuredprovision contained "insured"at our request, includingactual the reasonable expenses incurred LIABILITYAInsured,O SECTION II_COVERED AUTOS q with our consent for your investiga- COVERAGE: in Section II. loss of earnings up to $500 a day be- Any organization you newly acquire or form durof- C. EMPLOYEE HIRED AUTO • cause of time off from work. lion of such claims and your defense ing the policy period over whichyou maintain 1. The followingis added to Paragraph A.1., F. HIRED AUTO — LIMITED WORLDWIDE COV- "suit",the "insured"tolyagainstoany such but only up to and included 50%or more ownership interest and that is not Who Is An Insured,of SECTION II—COV- ERAGE—INDEMNITY BASIS within the limit described in Para- separately insured for Business Auto Coverage. ERED AUTOS LIABILITY COVERAGE: The following replaces Subparagraph(5)in Para- graph C., Limits Of Insurance, of Coverage under this provision is afforded only un- An"employee"of yours is an"insured"while graph B.7., Policy Period, Coverage Territory, SECTION II — COVERED AUTOS til the 180th day after you acquire or form the or- operating an "auto"hired or rented under a of SECTION IV — BUSINESS AUTO CONDI- LIABILITY COVERAGE, and not in ganization or the end of the policy period,which- contract or agreement in an "employee's" TIONS: addition to such limit. Our duty to ever is earlier. name,with your permission,while performing make such payments ends when we duties related to the conduct of your busi- (5) Anywhere in the world,except any country or p y B. BLANKET ADDITIONAL INSURED ness. jurisdiction while any trade sanction, em- have used up the applicable limit of The following is added to Paragraph c. in Al., 2. The following replaces Paragraph b.in B.S., bargo, or similar regulation imposed by the insurance in payments for damages,United States of America applies to and pro- AUTOS settlements or defense expenses. Who Is An Insured,of SECTION II—COVERED Other Insurance, of SECTION IV— BUSI- LIABILITY COVERAGE: NESS AUTO CONDITIONS: hibits the transaction of business with or (b) This insurance is excess over any valid within such country or jurisdiction, for Cov- and collectible other insurance available Any person or organization who is required under b. For Hired Auto Physical Damage Cover- ered Autos Liability Coverage for any covered to the"insured"whether primary,excess, a written contract or agreement between you and age,the following are deemed to be cov- "auto" that you lease, hire, rent or borrow contingent or on any other basis. that person or organization, that is signed and ered"autos"you own: without a driver for a period of 30 days or less re- executed by you before the "bodily injury" or (1) Any covered "auto" you lease, hire, and that is not an"auto"you lease,hire,rent (c) This insurance is not a substitute for property damage" occurs and that is in effect rent or borrow;and quired or compulsory insurance in any ter- during the policy period,to be named as an addi- or borrow from any of your "employees", (2) Any covered"auto"hired or rented by partners(ifyou area partnership), countryoutside the United States,its p p),members Ctodes and tional insured is an "insured"for Covered Autos your"employee"under a contract in (if you are a limited liability company) or possessions,Puerto Rico and Liability Coverage,but only for damages to which an "employee's" name, with Canada. your members of their households. CA T3 53 02 15 ©2015 The Travelers Indemnity Company.All rights reserved. Page 1 of 4 Page 2 of 4 ©2015 The Travelers Indemnity Company.All rights reserved. CA T3 53 02 15 Includes copyrighted material of Insurance Services Office.Inc.with its permission. Includes copyrighted material of Insurance Services Office,Inc.with its permission. Policy#DT-810-3K644256-IND-18 Policy#DT-810-3K644256-IND-18 COMMERCIAL AUTO COMMERCIAL AUTO You agree to maintain all required or (2) In or on your covered"auto". such contract.The waiver applies only to the The unintentional omission of, or unintentional compulsory insurance in any such coun- This coverage applies only in the event of a total person or organization designated in such error in, any information given by you shall not try up to the minimum limits required by theft of your covered"auto". contract. prejudice your rights under this insurance. How- local law. Your failure to comply with N. UNINTENTIONAL ERRORS OR OMISSIONS ever this provision does not affect our right to col- No deductibles apply to this Personal Property compulsory q coverage. The following is added to Paragraph B.2., Con- lett additional premium or exercise our right of not invalidate the coverage afforded by cancellation or non-renewal. this policy,but we will only be liable to the K. AIRBAGSSECTION cealment, Misrepresentation, Or Fraud, of SECTION IV—BUSINESS AUTO CONDITIONS: same extent we would have been liable The following is added to Paragraph B.3.,Exclu' had you complied with the compulsory in- sions, of SECTION III —PHYSICAL DAMAGE surance requirements. COVERAGE: (d) It is understood that we are not an admit- Exclusion 3.a.does not apply to"loss"to one or ted or authorized insurer outside the more airbags in a covered"auto"you own that in- United States of America, its territories flate due to a cause other than a cause of"loss" and possessions, Puerto Rico and Can- set forth in Paragraphs A.1.b. and A.1.c., but ada.We assume no responsibility for the only: furnishing of certificates of insurance, or a. If that"auto"is a covered"auto"for Compre- for compliance in any way with the laws hensive Coverage under this policy; of other countries relating to insurance. b. The airbags are not covered under any war- G. WAIVER OF DEDUCTIBLE—GLASS ranty;and The following is added to Paragraph D.,Deducti- c. The airbags were not intentionally inflated. ble, of SECTION III — PHYSICAL DAMAGE We will pay up to a maximum of$1,000 for any COVERAGE: one"loss". No deductible for a covered "auto"will apply to L. NOTICE AND KNOWLEDGE OF ACCIDENT OR glass damage if the glass is repaired rather than LOSS replaced. The following is added to Paragraph A.2.a., of H. HIRED AUTO PHYSICAL DAMAGE—LOSS OF SECTION IV—BUSINESS AUTO CONDITIONS: USE—INCREASED LIMIT Your duty to give us or our authorized representa- The following replaces the last sentence of Para- tive prompt notice of the"accident"or"loss"ap- graph A.4.b., Loss Of Use Expenses, of SEC- plies only when the"accident"or"loss"is known TION III—PHYSICAL DAMAGE COVERAGE: to: However,the most we will pay for any expenses (a) You(if you are an individual); for loss of use is$65 per day,to a maximum of (b) A partner(if you are a partnership); $750 for any one"accident". (c) A member(if you are a limited liability corn- ]. PHYSICAL DAMAGE — TRANSPORTATION pany); EXPENSES—INCREASED LIMIT (d) An executive officer, director or insurance The following replaces the first sentence in Para- manager(if you are a corporation or other or- graph A.4.a., Transportation Expenses, of ganization);or SECTION III — PHYSICAL DAMAGE COVER- (e) Any"employee"authorized by you to give no- AGE: tice of the"accident"or"loss". We will pay up to$50 per day to a maximum of M. BLANKET WAIVER OF SUBROGATION $1,500 for temporary transportation expense in- The following replaces Paragraph A.5.,Transfer curred by you because of the total theft of a cov- Of Rights Of Recovery Against Others To Us, ered"auto"of the private passenger type. of SECTION IV — BUSINESS AUTO CONDI- J. PERSONAL PROPERTY TIONS: The following is added to Paragraph A.4.,Cover- 5. Transfer Of Rights Of Recovery Against age Extensions, of SECTION III—PHYSICAL Others To Us DAMAGE COVERAGE: We waive any right of recovery we may have Personal Property against any person or organization to the ex- tent required of you by a written contract We will pay up to$400 for"loss"to wearing ap- signed and executed prior to any"accident" parel and other personal property which is: or"loss",provided that the"accident"or"loss" (1) Owned by an"insured";and arises out of operations contemplated by CA T3 53 02 15 0 2015 The Travelers Indemnity Company.All rights reserved. Page 3 of 4 Page 4 of 4 @ 2015 The Travelers Indemnity Company.All rights reserved. CA T3 53 02 15 Includes copyrighted material of Insurance Services Office,Inc.with its permission. i Includes copyrighted material of Insurance Services Office,Inc.with its permission. Policy#CUP-3K811180-18-26 UMBRELLA (3) Any statute, ordinance or regulation relat- borrow while it is being used in your busi- ing to the sale, gift, distribution or use of ness. alcoholic beverages. None of the following is an insured under (1) This exclusion applies only if you are in the or(2)above: business of manufacturing, distributing, sell- (a) Any person employed by or engaged ing, serving or furnishing alcoholic beverages. in the duties of an auto sales agency, This exclusion does not apply to "bodily in- repair shop, service station, storage jury"or"property damage"to which any policy garage or public parking place that of "underlying insurance" listed in the you do not operate; SCHEDULE OF UNDERLYING INSURANCE (b) The owner or lessee of any "auto" of the DECLARATIONS of this insurance, or hired by or for you or loaned to you, any renewal or replacement thereof, applies and any agent or employee of such or would apply but for the exhaustion of its owner or lessee. limits of liability. Coverage provided will follow the same provisions, terms, definitions, ex- b. Except as respects the "auto hazard": clusions, limitations and conditions of the pol- (1) Your executive officers, employees, direc- icy(ies) of "underlying insurance" listed in the tors or stockholders while acting within SCHEDULE OF UNDERLYING INSURANCE the scope of their duties; and of the DECLARATIONS of this insurance. (2) Any person or organization while acting ,SECTION II—WHO IS AN INSURED:: as real estate manager for you. 1. If you are designated in the Declarations as: c. Any organization you newly acquire or form, a. An individual, you and your spouse are insur- other than a partnership or joint venture, and eds, but only with respect to the conduct of a over which you maintain ownership or major- business of which you are the sole owner. ity interest, will be deemed to be a Named In- b. A partnership or joint venture, you are an in- sured. However, coverage does not apply to: sured. Your members, your partners, and (1) "Bodily injury" or "property damage" that their spouses are also insureds, but only with occurred before you acquired or formed respect to the conduct of your business. the organization; and c. A limited liability company, you are an in- (2) "Personal injury" or "advertising injury" sured. Your members are also insureds, but arising out of an "offense" committed be- only with respect to the conduct of your busi- fore you acquired or formed the organiza- ness. Your managers are insureds, but only tion. with respect to their duties as your managers. d. Any person or organization having proper d. An organization other than a partnership, joint temporary custody of your property if you die, venture or limited liability company, you are but only: an insured. (1) With respect to liability arising out of the e. A trust, you are an insured. Your trustees are maintenance or use of that property; and also insureds, but only with respect to their (2) Until your legal representative has been duties as trustees. appointed. 2. Each of the following is also an insured: e. Your legal representative if you die, but only a. As respects the "auto hazard": with respect to duties as such. That represen- (1) Anyone using an "auto" you own, hire or tative will have all your rights and duties un- borrow including any person or organiza- der this insurance. tion legally responsible for such use pro- f. Any other person or organization insured un-; vided it is with your permission; and der any policy of the "underlying insurance" (2) Any of your executive officers, directors, listed in the SCHEDULE ;OF UNDERLYING' INSURANCE of the DECLARATIONS of this; partners, employees or stockholders, op- insurance for whom you have agreed in a' erating an "auto" you do not own, hire or written contract executed prior to loss to pro vide insurance. This insurance is subject to all; Page 6 of 13 Copyright, The Travelers Indemnity Company, 2003 UM 00 01 11 03 Policy#CUP-3K811180-18-26 UMBRELLA the limitations upon coverage under such pol- Non cumulation of Personal and Advertising In- icy of "underlying insurance", and, the limits; jury Limit— If"personal injury" and/or "advertising of insurance afforded to such person or or- injury" is sustained by any one person or organi- ganization will be: zation during the policy period and during the pol- i) The difference between the "underlying icy period of one or more prior and/or future poli- insurance" limits and the minimum limits cies that include a COMMERCIAL EXCESS of insurance which you agreed to provide; LIABILITY (UMBRELLA) INSURANCE policy for or the insured issued by us or any affiliated insur- ance company, the amount we will pay is limited. (ii) The limits of insurance of this policy This policy's Personal and Advertising Injury Limit whichever is less. will be reduced by the amount of each payment If the minimum limits of insurance you agreed made by us and any affiliated insurance company to provide such person or organization in a under the other policies because of such "per- written contract are wholly within the"underly- sonal injury"and/or"advertising injury". ing insurance", this policy shall not apply. 5. Subject to 2. or 3. above, whichever applies, the No person or organization is an insured with re- Each Occurrence Limit is the most we will pay for spect to the conduct of any current or past part- the sum of damages under Coverage A because nership or joint venture that is not shown as a of all "bodily injury" and "property damage" arising Named Insured in the Declarations. out of any one "occurrence". No person is an insured as respects "bodily in- Non cumulation of Each Occurrence Limit— If one jury" to a fellow employee unless insurance for "occurrence" causes "bodily injury" and/or "prop- such liability is afforded by the "underlying insur- erty damage" during the policy period and during ance". the policy period of one or more prior and/or fu- ture policies that include a COMMERCIAL EX- SECTION III— LIMITS OF INSURANCE. CESS LIABILITY (UMBRELLA) INSURANCE 1. The Limits of Insurance shown in the Declarations policy for the insured issued by us or any affiliated and the rules below fix the most we will pay re- insurance company, the amount we will pay is gardless of the number of: limited. This policy's Each Occurrence Limit will a. Insureds; be reduced by the amount of each payment made by us and any affiliated insurance company under b. Claims made or"suits" brought; or the other policies because of such "occurrence". c. Persons or organizations making claims or To determine the limit of our liability, all "bodily injury" bringing "suits". and "property damage" arising out of continuous or 2. The Products-Completed Operations Aggregate repeated exposure to the same general conditions Limit is the most we will pay under Coverage A shall be considered one"occurrence". for damages because of injury and damage in- The limits of this insurance apply separately to each cluded in the "products-completed operations consecutive annual period and to any remaining hazard". period of less than 12 months. The policy period 3. The General Aggregate Limit is the most we will begins with the effective date shown in the Declara- pay for damages under Coverage A and Cover- tions. If the policy period is extended after issuance age B, except: for an additional period of less than 12 months, the a. Damages because of injury and damage in- additional period will be deemed part of the last cluded in the "products-completed operations preceding period. hazard"; and SECTION IV—CONDITIONS. b. Damages because of injury and damage in- 1. APPEALS. cluded in the "auto hazard". a. If the insured or the insured's "underlying in- 4. Subject to 3. above, the Personal and Advertising surer" elects not to appeal a judgment which Injury Limit is the most we will pay under Cover- exceeds the "applicable underlying limit", we age B for the sum of all damages because of all may do so. "personal injury" and all "advertising injury" sus- b. If we do, we will pay all costs of the appeal. tained by any one person or organization. We will also pay all costs on appeals related UM 00 01 11 03 Copyright, The Travelers Indemnity Company, 2003 Page 7 of 13 Policy#CUP-3K811180-18-26 UMBRELLA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT - OTHER INSURANCE CONDITION AND MEANING OF OTHER INSURANCE AND OTHER INSURER This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY (UMBRELLA) INSURANCE The following replaces Paragraph 10., OTHER IN- graph 5. of SECTION III — LIMITS OF IN- SURANCE., of SECTION IV— CONDITIONS.: SURANCE or the Non cumulation of Personal 10. OTHER INSURANCE and Advertising Injury Limit provision of Para- graph 4. of SECTION III — LIMITS OF IN- This insurance is excess over any valid and col- SURANCE applies; lectible other insurance whether such other insur- ance is stated to be primary, contributing, excess, (iii)Any risk retention group; contingent or otherwise. This provision does not (iv) Any self-insurance method or program, in- apply to a policy bought specifically to apply ex- cluding any failure to buy insurance, or deci- cess of this insurance. sion to not buy insurance, for any reason, in As used anywhere in this policy, other insurance which case the insured will be deemed to be means insurance, or the funding of losses, that is the provider of other insurance; or provided by, through or on behalf of: (v) Any similar risk transfer or risk management (i) Another insurance company; method. (ii) Us or any of our affiliated insurance compa- As used anywhere in this policy, other insurer nies, except when the Non cumulation of means a provider of other insurance. Each Occurrence Limit provision of Para- UM 04 79 07 08 ©2008 The Travelers Companies,Inc. Page 1 of 1 Policy#CUP-3K811180-18-26 UMBRELLA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY (UMBRELLA) INSURANCE The following is added to Paragraph 11., OUR RIGHT a. "Bodily injury" or"property damage" caused by an TO RECOVER FROM OTHERS., of SECTION IV — "occurrence"that takes place; or CONDITIONS.: b. "Personal injury" or "advertising injury" caused by If the insured has agreed in a contract or agreement an "offense" that is committed; to waive that insured's right of recovery against any subsequent to the execution of the contract or agree- person or organization, we waive our right of recovery against such person or organization, but only for ment. payments we make because of: UM 04 88 07 08 ©2008 The Travelers Companies, Inc. Page 1 of 1 Includes the copyrighted material of Insurance Services Office, Inc.with its permission. 10/16/2019 https://fortress.wa.gov/oic/consumertoolkit/Company/CompanyProfile.aspx?WAOIC=1077 Consumer tools Agent and Company Lookup Orders Independent Review Decisions PHOENIX INSURANCE COMPANY THE Change History I Licensing I Appointments I Complaints I Orders I National Info I Ratings I Tax Filings Back to Search General information Contact information Name: PHOENIX INSURANCE COMPANY THE Registered address Mailing address Corporate family group: TRAVELERS GRP O ONE TOWER SQUARE ONE TOWER SQUARE, 4MN Organization type: PROPERTY HARTFORD, CT 06183 HARTFORD, CT 06183 Doing Business As (DBA): Unavailable Telephone Telephone WAOIC: 1077 860-277-0111 860-277-0111 NAIC: 25623 Status: ACTIVE Admitted date: 09/10/1890 Ownership type: STOCK back to top ......................... Company change history o View changes • back to top ........................ Types of coverage authorized to sell p Insurance types Casualty Marine Ocean Marine Property Surety Vehicle back to top ......................... Agents and agencies that represent this company (Appointments) o View agents -View agencies back to top ........................ Company complaint history o View complaints. https://fortress.wa.gov/oic/consumertoolkiUCompany/CompanyProfile.aspx?WAOIC=1077 1/2 10/16/2019 https://fortress.wa.gov/oic/consumertoolkit/Company/CompanyProfile.aspx?WAOIC=1077 • back to top Orders issued since 2010 o No orders are found • back to top ......................... Premium tax filings by tax year o 2018 2017 2016 2015 2014 • back to top ........................ National information on insurance companies Want more information about this company? The NAIC's Consumer Information (CIS) page allows you to retrieve national financial and complaint information on insurance companies, plus has information and tips to help you understand current insurance issues. • back to top ............................. Ratings by financial organizations The following organizations rate insurance companies on their financial strength and stability. Some of these companies charge for their services. A.M. Best ...................................... Weiss Group Ratings Standard and Poor's Corp ................................................................................................ Moody's Investors Service .................... Fitch IBCA,.Duff and Phelps Ratings Disclaimer: Links to external or third-party websites are provided solely for visitors'convenience. Links you take to other sites are done so at your own risk and our office accepts no liability for any external linked sites or their content. Be aware that not all financial rating companies use the same rating processes. • back to top ........................ https://fortress.wa.gov/oic/consumertoolkit/Company/CompanyProfile.aspx?WAOIC=1077 2/2 10/16/2019 consumers.ambest.com/CompanyProfile.aspx?BL=36&ambnum=002518&PPP= VP" * Q CP Lire 8 Retirement Home 8 Auto Health 8 Disability Other Life Events 117 snares Phoenix Insurance Company Follow tl Printthis page (a member of Travelers Group) AM Best 8:002518 NAIC 9 25623 FEIN#:06-0303275 Address: One Tower Square Phone: 860-277-0111 Hartford,CT 06183 Fax: 844-816-9447 UNITED STATES Web: www.travelers.com Best's Credit Ratings Financial Strength Rating View Definition Long-Term Issuer Credit Rating View Definition Rating: A++(Superior) Long-Term: aa+ Affiliation Code: g(Group) Outlook: Stable • Financial Size Category: XV($2 Billion or greater) Action: Affirmed Outlook: Stable Effective Date: October 31,2018 Action: Affirmed Initial Rating Date: April 18,2005 Effective Date: October31,2018 „_._...._.�- Initial Rating Date: December 31,1907 u Denotes Under Review Best's Rating Licensing: Licensed Territory:(Current since 02/24/2005).The company is licensed in the District of Columbia,U.S.Virgin Islands,AL,AK,AZ, AR,CO,CT,DE,FL,GA,HI.ID,IL,IN,IA,KS,KY,LA,ME,MD,MA,MI,MN,MS,MO,MT,NE,NV,NH,NJ,NM,NY,NC,ND,OH,OK,OR,PA, RI,SC.SD,TN,TX,UT,VT,VA,WA,WV,WI and WY. Total Assets DPW-Top Lines of Business 84,280,000,000 04,260,000,0W —� t ! _.(.....1k $4,240,000,000 11 y_ fi _ $4.220,000.000 .v 42'4' $4,200,000,000 } $4,160,000,000 ` — -- $4.140,000,000 �--- t —WorkersCompensation —Commercial Multiple Pent • 8.1,120,OW,000 i �_. 2018 2017 2016 2015 2014 we..Auto(Commercial) —Other Liability(Occurrence) —Data Years —Homeowners Multiple Peril Company Attributes Industry: Insurance Business: Property/Casualty Business Status: In Business Entity: Operating Company • Consolidated Type: Affiliated Single Company Organization Type: Stock Statement Type: NAIC PC Last Statement: 2nd Quarter 2019 consumers.ambest.com/CompanyProfile.aspx?BL=36&ambnum=002518&PPP= 1/5 10/16/2019 consumers.ambest.com/CompanyProfile.aspx?BL=36&ambnum=002518&PPP= Top Line(s)of Business (based upon Direct Premiums Written) Top State(s)of Business (based upon Direct Premiums Written) 1.Workers Compensation(View Definition) 1.New York 2.Commercial Multiple Peril(View Definition) 2.Pennsylvania 3.Auto(Commercial)(View Definition) 3.Texas I 4.Other Liability(Occurrence)(View Definition) 4.Massachusetts 5.Homeowners Multiple Peril(View Definition) 5.North Carolina • j I I i 1 I consumers.ambest.com/CompanyProfile.aspx?BL=36&ambnum=002518&PPP= 2/5 10/16/2019 https://fortress.wa.gov/oic/consumertoolkiUCompany/CompanyProfile.aspx?WAOIC=1322 Consumer tools Agent and Company Lookup Orders Independent Review Decisions TRAVELERS INDEMNITY COMPANY OF AMERICA THE Change History I Licensing I Appointments I Complaints I Orders I National Info I Ratings I Tax Filings Back to Search General information Contact information Name: TRAVELERS INDEMNITY COMPANY OF AMERICA Mailing address THE Registered address ONE TOWER SQUARE, Corporate family group: TRAVELERS GRP O ONE TOWER SQUARE 4MN .......... Organization type: PROPERTY HARTFORD, CT 06183 HARTFORD, CT 06183- Doing Business As (DBA): Unavailable 9070 Telephone WAOIC: 1322 860-277-0111 Telephone NAIC: 25666 860-277-0111 Status: ACTIVE Admitted date: 08/13/1968 Ownership type: STOCK back to top ........................ Company change history o View changes back to top ........................ Types of coverage authorized to sell o. Insurance types Casualty Marine Ocean Marine Property Surety Vehicle back to top Agents and agencies that represent this company (Appointments) o IView agents] [View agencies] back to top ....................... Company complaint history o https://fortress.wa.gov/oic/consumertoolkiUCompany/CompanyProfile.aspx?WAOIC=1322 1/2 10/16/2019 https://fortress.wa.gov/oic/consumertoolkit/Company/CompanyProfile.aspx?WAOIC=1322 View complaints back to top .......................... Orders issued since 2010 o No orders are found back to top ............................. Premium tax filings by tax year o. 20182017 2016 2015 2014 .............. .................... .................... .................... back to top ........................... National information on insurance companies Want more information about this company? The NAIC's.Consumer Information (CIS) page allows you to retrieve national financial and complaint information on insurance companies, plus has information and tips to help you understand current insurance issues. is back to top Ratings by financial organizations The following organizations rate insurance companies on their financial strength and stability. Some of these companies charge for their services. A.M. Best ...................................... Weiss Group.Ratings Standard and Poor's Corp ................................................................................................ Moody's Investors Service .... .............. Fitch.IBCA, Duff.and Phelps Ratings Disclaimer: Links to external or third-party websites are provided solely for visitors'convenience. Links you take to other sites are done so at your own risk and our office accepts no liability for any external linked sites or their content. Be aware that not all financial rating companies use the same rating processes. back to top, ......................... https://fortress.wa.gov/oic/consumertoolkiUCompany/CompanyProfile.aspx?WAOIC=1322 2/2 10/16/2019 consumers.ambest.com/CompanyProfile.aspx?BL=36&ambnum=004003&PPP= I to it 0 C' Life 8 Retirement Home 8 Auto Health 8 Disability Other Life Events 117 snares Travelers Indemnity Co of America Follow 41 Print thispage (a member of Travelers Group) AM Best#:004003 NAIC#:25666 FEIN#:58-6020487 ' Address: One Tower Square Phone: 860-277-0111 Hartford,CT 06183 Fax: 844-816-9447 UNITED STATES Web: www.travelers.com Best's Credit Ratings Financial Strength Rating View Definition Long-Term Issuer Credit Rating View Definition Rating: A*a(Superior) Long-Term: aa+ t j Affiliation Code: g(Group) Outlook: Stable • Financial Size Category: XV($2 Billion or greater) ' Action: Affirmed Outlook: Stable Effective Date: October 31,2018 Action: Affirmed Initial Rating Date: April 18,2005 Effective Date: October 31,2018 ', Initial Rating Date: June 30,1951 u Denotes Under Review Best's Ratinq Licensing: Licensed Territory:(Current since 04)01/2004 The company is licensed in the District of Columbia,AL,AK,AZ,AR,CO,CT,DE, )� P Y FL,GA,HI,ID,IL,IN,IA,KS,KY,LA,ME,MD,MA,MI,MN,MS,MO,MT,NE,NV,NH,NJ,NM,NY,NC,ND,OH,OK,OR,PA,RI,SC,SD,TN, TX,UT,VT,VA,WA,WV,WI and WY. Total Assets DPW•Top Lines of Business $670,000,000 $660,000,000,L-- ..'rt-4i.. 74 $650000,000 _ f + ;,~ .I $640,000,000 : W 1 r ' 37.58.t $630000000- -_ - 1 $620,000000- _ _. __ _ $610,000,000- E. _- 31.391, $600.000 000- _ ''- $590000 000- I _ €---- 7; $580,000,000 _a -1-1`.. _ -i- —Workers'Compensation 2016 20x7 2016 2015 20ta —Commercial Multiple Peril —Auto(Commercial) —Data Years —Farmowners Multiple Peril Company Attributes Industry: Insurance Business: Property/Casualty Business Status: In Business Entity: Operating Company Consolidated Type: Affiliated Single Company Organization Type: Stock Statement Type: NAIC PC Last Statement: 2nd Quarter 2019 1 I I I consumers.ambest.com/CompanyProfile.aspx?BL=36&ambnum=004003&PPP= 1/5 10/16/2019 consumers.ambest.com/CompanyProfile.aspx?BL=36&ambnum=004003&PPP= Top Line(s)of Business (based upon Direct Premiums Written) Top State(s)of Business (based upon Direct Premiums Written) 1.Workers'Compensation(View Definition) 1.New York 2.Commercial Multiple Peril(View Definition) 2.Florida 3.Auto(Commercial)(View Definition) 3.Texas 4.Farmowners Multiple Peril(View Definition) 4.Massachusetts 5.Other Liability(Occurrence)(View Definition) 5.Georgia I i 1 f i I I � ! j I I consumers.ambest.com/CompanyProfile.aspx?BL=36&ambnum=004003&PPP= 2/5 10/16/2019 https://fortress.wa.gov/oic/consumertoolkit/Company/CompanyProfile.aspx?WAOIC=1320 Consumer tools Agent and Company Lookup Orders Independent Review Decisions TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA Change History I Licensing I Appointments I Complaints I Orders I National Info I Ratings I Tax Filings Back to Search General information Contact information Name: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA Registered Mailing address Corporate family group: TRAVELERS GRP O address ONE TOWER SQUARE Organization type: PROPERTY ONE TOWER SQ HARTFORD, CT 06183 Doing Business As (DBA): Unavailable HARTFORD, CT 06183 WAOIC: 1320 Telephone Telephone 860-277-0111 NAIC: 25674 860-277-0111 Status: ACTIVE Admitted date: 10/11/1974 Ownership type: STOCK back to top ........................ Company change history .. View changes back to top Types of coverage authorized to sell o Insurance types Casualty Marine Ocean Marine Property Surety Vehicle back to top Agents and agencies that represent this company (Appointments) o View agents View agencies back to top. ........................ Company complaint history o https://fortress.wa.gov/oic/consumertoolkit/Company/CompanyProfile.aspx?WAOIC=1320 1/2 10/16/2019 https://fortress.wa.gov/oic/consumertoolkit/Company/CompanyProfile.aspx?WAOIC=1320 (View complaints] ^: back to top Orders issued since 2010 0 No orders are found back to top ............................. Premium tax filings by tax year 0 2018 2017 2016 2015 2014 back to top National information on insurance companies Want more information about this company? The NAIC's Consumer Information (CIS) page allows you to retrieve national financial and complaint information on insurance companies, plus has information and tips to help you understand current insurance issues. back to top ......................... Ratings by financial organizations The following organizations rate insurance companies on their financial strength and stability. Some of these companies charge for their services. A.M. Best ...................................... Weiss Group Ratings Standard and Poor's Corp Moody's Investors Service .................... Fitch IBCA, Duff and Phelps Ratings Disclaimer: Links to external or third-party websites are provided solely for visitors'convenience. Links you take to other sites are done so at your own risk and our office accepts no liability for any external linked sites or their content. Be aware that not all financial rating companies use the same rating processes. back to top ............................. https://fortress.wa.gov/oic/consumertoolkit/Company/CompanyProfile.aspx?WAOIC=1320 2/2 10/16/2019 consumers.ambest.com/CompanyProfile.aspx?BL=36&ambnum=004461&PPP= w Life&Retirement Home 8 Auto Health 8 Disability Other Life Events 117 snares Travelers Property Casualty Co of Amer Follow b Print thispage (a member of Travelers Group) AM Best 9:004461 NAIC p:25674 FEIN p:36-2719165 Address: One Tower Square Phone: 860-277-0111 Hartford,CT 06183 Fax 844-816-9447 UNITED STATES Web: www.travelers.com Best's Credit Ratings Financial Strength Rating View Definition Long-Term Issuer Credit Rating View Definition Rating: A++(Superior) Long-Term: ea* Affiliation Code: g(Group) Outlook: Stable Financial Size Category: XV($2 Billion or greater) ; Action: Affirmed Outlook: Stable Effective Date: October 31,2018 Action: Affirmed Initial Rating Date: April 18,2005 Effective Date: October 31,2018 Initial Rating Date: June 30,1972 u Denotes Under Review Best's Rating Licensing: Licensed Territory:(Current since 11/0512018).The company is licensed in the District of Columbia,Northern Mariana Islands, Puerto Rico,U.S.Virgin Islands and all states. Total Assets DPW-Top Lines of Business • $940,000,000 I- -1— $920,000,000 W $900,000,000 tL- t- . As's' 282 ri • $880,000,000 I $860.000,000 _ ,..._ .78_°4 $840,000,000 7 $820,000,000 $800,000,000 $700,000,000 i —Workers'Compensation 2018 2017 2010 2015 T20t4 —Other Liability(Occurrence) Commercial Multiple Pont —Data Years —Auto(Commercial)—Inland Marine • Company Attributes Industry: Insurance Business: Property/Casualty Business Status: In Business Entity: Operating Company Consolidated Type: Affiliated Single Company Organization Type: Stock Statement Type: NAIC PC Last Statement: 2nd Quarter 2019 • I I consumers.ambest.com/CompanyProfile.aspx?BL=36&ambnum=004461&PPP= 1/5 10/16/2019 consumers.ambest.com/CompanyProfile.aspx?BL=36&ambnum=004461&PPP= Top Line(s)of Business(based upon Direct Premiums Written) Top State(s)of Business (based upon Direct Premiums Written) 1.Workers'Compensation(view Definition) 1.California 2.Other Liability(Occurrence)(View Definition) 2.New York 3.Commercial Multiple Peril(View Definition) 3.New Jersey 4.Auto(Commercial)(View Definition) 4.Illinois 5.Inland Marine(View Definition) 5.Pennsylvania I � I ! I � I � I ' I I j ! I i I ! I i A j I I i { i ! I + I i I i I ! I , consumers.ambest.com/CompanyProfile.aspx?BL=36&ambnum=004461&PPP= 2/5 10/16/2019 Carriers I Surplus Lines Association of Washington Documents I Membership I Calendar of Events I FAOs I Contact Us SEARCH About Us I News I Filing Information I Brokerage Firms I Carriers I SLIP 1 Laws&Regulations I Education I Links i Manual Home > Carriers Carrier Requirements Carriers List of Active Carriers Inclusion on this list does not indicate that the carrier meets the requirement as an appropriate insurer.The Surplus Line Broker is solely responsible for determining the qualifications of each carrier.Being on this list means the carrier is recognized by the Surplus Line Association of Washington and filings by brokers for the carrier will be accepted for examination. Search By Insurer Name or City:I berk Search j Insurer Name Address ! City S... BERKLEY ASSURANCE COMPANY 4820 LAKE BROOK DRIVE GLEN ALLEN j VA BERKLEY SPECIALTY INSURANCE COMPANY/FKN BERKLEY REGIONAL 14902 NORTH 73RD STREET SCOTTSDALE AZ SPECIALTY INS CO BERKSHIRE HATHAWAY INTERNATIONAL INSURANCE,LTD. LONDON UNDERWRITING CENTRE j LONDON UK W.R.BERKLEY EUROPE A.G. C/O REGUS MUNCHEN NEUE MESSE RIEM � MUNCHEN DE 1 1-4 of 4 items About Us I News I Filing Information I Brokerage Firms I Carriers I SLIP I Lass&Regulations I Education I Links I Manual Home I Documents I Membership I Calendar of Events I FAQs I Contact Us Copyright©2019 Surplus Line Association of Washington,All Rights Reserved.I RS 44 www.surpluslines.org/carriers/ 1/1 10/16/2019 consumers.ambest.com/CompanyProfile.aspx?BL=36&ambnum=014158&PPP= i Pi a co Life 8 Retirement Home&Auto Health 8 Disability Other Lile Events 117 Sh4.es . Berkley Assurance Company Follow 13 Print this page (a member of W.R.Berkley Insurance Group) AM Best 6:014158 NAIC 8:39462 FEIN 6:59-1993236 Address: 7233 East Butherus Drive Phone: 480-951-0905 Scottsdale,AZ 85260-2410 Fax: 480-281-0910 UNITED STATES Web: www.wrberkley.com Best's Credit Ratings Financial Strength Rating View Definition Long-Term Issuer Credit Rating View Definition Rating: A+(Superior) Long-Term: aa- Affiliation Code: r(Reinsured) Outlook: Stable Financial Size Category: XV($2 Billion or greater) Action: Affirmed Outlook: Stable Effective Date: May 10,2019 j Action: Affirmed Initial Rating Date: June 29,2011 Effective Date: May 10,2019 Initial Rating Date: June 29,2011 u Denotes Under Review Best's Rating Licensing: Licensed Territory:(Current since 11/06/2018).The company is licensed in Iowa.It also operates on a surplus lines or non-admitted basis in the District of Columbia,AL,AK,AZ,AR,CA,CO,CT,DE,FL,GA,HI,ID,IL,IN,KS,KY,LA,ME,MD,MA,MI,MN,MS,MO,MT,NE,NV, • NH,NJ,NM,NY,NC,ND,OH,OK,OR,PA,RI,SC,SD,TN,TX,UT,VT,VA,WA,WV,WI and WY. Total Assets DPW-Top Lines of Business 5100,000,000 --�_ $90,000,000 ,_� ,. $80,000,000 _ '—'- 15:48% l 570 000,000_ --r- _,. >•__ ' / ;. • $60,000,000—, {�'. • $.50,000.000 1 Z. $40,000,000- -r _ :$- - �f; 1 $30,000,000-,,, ' '— _. 73.2011{, $20000,000 1-1-,) .. ' - ,-_—.. `t_ T. si0000.000- — .=-. 7. 2016 2017 2016 2015 2014 ww Other Liability(Claims-made) —Data Years --Other Liability(Occurrence) Company Attributes Industry: Insurance Business: Property/Casualty Business Status: In Business Entity: Operating Company Consolidated Type: Affiliated Single Company • • Organization Type: Stock Statement Type: NAIC PC Last Statement: 2nd Quarter 2019 • • i consumers.ambest.com/CompanyProfile.aspx?BL=36&ambnum=014158&PPP= 1/5 10/16/2019 consumers.ambest.com/CompanyProfile.aspx?BL=36&ambnum=014158&PPP= • Top Line(s)of Business(based upon Direct Premiums written) Top State(s)of Business (based upon Direct Premiums Wntten) 1.Other Liability(Claims-made)(View Definition) 1.California 2.Other Liability(Occurrence)(View Definition) 2.Florida 3.Products Liability(View Definition) 3.Texas • 4.Auto(Commercial)(View Definition) 4.New York 5.Allied Lines(View Definition) 5.Illinois • • I i i I I iJ� I ` i 1 I � consumers.ambest.com/CompanyProfile.aspx?BL=36&ambnum=014158&PPP= 2/5