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Contract No. 19-22 Auburn City Hall Penthouse Panel-MCC Replacement
NON-FORMALLY BID PUBLIC WORKS CONTRACT NO. 19-22 Auburn City Hall Penthouse Panel-MCC 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.19-22 July 23,2019 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. 19-22 July 23,2019 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 a specified in the City of Auburn Construction Standards,Part 1, Section 1-08.0(2)(Hours of Work),which by reference is incorporated is a part of this contract. 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 ❑ 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 thirty seven thousand,nine hundred and forty-seven dollars($37,947.00),and Washington State Sales Tax of three thousand,seven hundred ninety-four dollar and seventy cents($3,794.70)for a total of forty one thousand, seven hundred forty-one dollars and seventy cents($41,741.70). 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. 19-22 July 23,2019 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. In either case,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. 19-22 July 23,2019 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.19-22 July 23,2019 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. 19-22 July 23,2019 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. 19-22 July 23,2019 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.19-22 July 23,2019 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. 19-22 July 23,2019 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. 19-22 July 23,2019 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. ❑ 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 PWSubmittals(a,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. 19-22 July 23,2019 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. 19-22 July 23,2019 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 %\ �C (Signaature) (Sgnature) By 'r G P�6.h i Q. ( egld By Nancy Backus (Print name here) Itsv FO Its Mayor (Authorized representative) DATE: b/I),/ I t DATE: ' 3 , i9 Contractor's State License No.'-W(.00 F 5 (kV KA State Tax Registration/ (UBI)No. 461—151# " 1IO Federal Tax ID# 6Q.-O5 337a6 APPROVED AS TO FORM: Steve Gre ; ey ENG-059,Revised 1/19 NON-FORMALLY BID PUBLIC WORK CONTRACT NO. 19-22 July 23,2019 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. 19-22 July 23,2019 Page 14 of 14 EXHIBIT A ©MacDonald-Miller FACILITY SOLUTIONS' We make bu,dings work better. January 2, 2019 Proposal#042018-01-EA-REVISED (Re-Revised 07/16/19) To: Lisa Moore Subject: Penthouse Panel—MCC 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 600A 480v Penthouse Panel—MCC.After looking at the proiect with the manufacturer's rep, it was determined that two(2) new MCC's would be used to replace the one (1)existing unit. The reason for the change is to allow for a separation of the two(2)power sources that are currently feeding the existing MCC, "Normal"and "Emergency" power. 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-MCC with as little down time and interruption to the building. Base Bid $37,947.00 Our proposal Includes the following: • Shutdown of the existing circuit that feeds the Panel—MCC ("Normal" power) • Demo and Make Safe the existing branch feeds from the Panel—MCC ("Emergency" power) • Removal of the existing Panel—MCC • Handling and Installation of two(2)new MCC's • Re-termination of the existing ("Normal" power)feeder to the MCC • Re-termination of the existing ("Emergency" power)branch feeds to the MCC • Testing of the new MCC's • Permit • Inspection • After hours and Weekend work Our proposal Excludes the following: • Temporary power of all types • Temporary heating or cooling • 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 OF ...�. * Declaration of Option . r =; IN • " For Performance Bond or • q , Additional Retainage WASHINGTON (Contracts Under$150,000 only) Project No., Auburn City Hall Penthouse Panel-MCC Replacement Contract No. 19-22 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. X 2. 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. Contr. • Signature Printed Name - . - Title U1f , Pt-65 Date .0 /a0j(t ENG-114, Revised 11/18 MACDFAC-01 AMICHEL ,4CQRQ CERTIFICATE OF LIABILITY Y INSURANCE DATE/MMIDOwyY) 8/21/2019 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 Hub International Northwest LLC PHONE P.O.Box 3018 (A/c,No,Ext):(425)489-4500 I FAX No):(425)485-8489 Bothell,WA 98041 ADDRESS:now.info@hubinternational.com INSURER(S)AFFORDING COVERAGE NAIC 0 INSURER A:The Phoenix Insurance Company 125623 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 SUBR; POLICY EFF POLICY EXP LTR INSD wvo I POLICY NUMBER (MM/DD/YYYY) IMM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE X OCCUR X X DT-CO-3K790954-PHX-18 12/31/2018 12/31/2019 pREMISES(OEa occur ante) $ 300,000 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/OPAGG $ 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 BODILYINJURY(Perperson) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOSEONLY AUTOSpp AUTOS ONLY _ NON-OWNED ONLYY (Peri accident)DAMAGE $ — C X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE CUP-3K811180-18-26 12/31/2018 12/31/2019 AGGREGATE $ 1,000,000 DED X RETENTIONS 10,000 $ WORKERS COMPENSATION PER C AND EMPLOYERS'LIABILITY YIN 1,000,000 STATUTE X ERH UB- 3K811099-18-26-G 12/31/2018 12/31/2019 E.L.EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE F iligi MEMBER EXCLUDED? N/A Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 D PROP/POLL PCADB-5003267-1218 12/31/2018 12/31/2019 OCC/AGG: 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Re;MMFS#76199161;Contract No.19-22:Auburn City Penthouse Panel—MCC Replacement City of Auburn,The Contracting Agency and its officers,elected officials,employees,agents,and volunteers are included as Additional Insured,coverage is Primary and Non-Contributory,Per Project Aggregate 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 City of Auburn THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 25 West Main Street Auburn,WA 98001 AUTHORIZED REPRESENTATIVE c ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. 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CO T W 5 O L v 2 o.o CO v O o N t 0 —N C) N d p t ry _ 2 a O >C dr Q A d E U E y c._ c o m_ O A U �.o' N ]N L C G Um a« c a E F o_ m � I',o= o E Q mU c m m J L .i d o N V U E.F U C N`O m C da X N c v rn >m � E: N o o ma-100 2.0) a •"- C o U a N U 0 rY 2 N n 7 'c N o_gym a oa m ?£ G y 0 F 0 Q 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- erations. that is your partner, joint venture 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 K. UNINTENTIONAL OMISSION company), any of your "executive offi- 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. N_ aTo oQc3 co � a-,T) - mE d aac C6.,;,.1> 3 ; dc W .. U A 2 .m - vL nv_c,' ',',:a3 O tar LlyN Jd0 cd accoO ¢ EJ- O o > j maV 'O C Od dLd ❑.„.N.a d camv LJaJ.4 yOT, ¢ aa ...5 n dln pd.EmNm00� WTA nON c v aiEO'` , Uo O `,,.5 oCaT, . 0nN SLo4f N U'OJd dddO _N N .Odc <ndNiav, ¢ mttELJO „ ¢ d• aa(n LjcmNEQnE a N v >.• aa LaNdaC5oUVo Ev ` dyC2ciman. ceu � cai.8co ❑ L " NNaT,NO3 �a'' jL�adOCCmr,.ND- ` 0NU>`d _= oddOT 0 -' UF as .oO O ',gm .- 'SFUd E . ¢ ' E - - aT a cd U- 0 c c m-v 2 rm 3 ad" m Nd m �' ._,N dOya¢ d ma mm tr., ayad cucNagc , E amd 'td c,> 1p cmA'0coto � a. 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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 paragraph d. of this part 5.Other Insurance, this This includes any person or organization who you 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. 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F, • Q 0 = - a U u Cv. 8/22/2019 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 61 WOODLAND ST ONE TOWER SQUARE, 4MN Organization type: PROPERTY HARTFORD, CT 06183-9070 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 1 Is 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 1 View agencies back to top ................ ........ Company complaint history o View complaints htfnc•I/fnrtrpcc wa nrndnir/rnnciimprtnnikit/rmmnan drmmnan,Prnfilo acnv?1A/Ah1r=1(177 8/22/2019 https://fortress.wa.gov/oic/consumertoolkit/Company/CompanyProfile.aspx?WAOIC=1077 • oac<to too Orders issued since 2010 o No orders are found • back to too Premium tax filings by tax year a 2018 2017 2016 2015 2014 • back to top National information on insurance companies Want more information about this company? The NAIL 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. ^tack to top, https://fortress.wa.gov/oic/consumertoolkit/Company/CompanyProfile.aspx?WAOIC=1077 2/2 8/22/2019 consumers.ambest.com/CompanyProfile.aspx?BL=36&ambnum=002518&PPP= w * 0 Co. Life 8 Retirement Home 8 Auto Health 8 Disability Other Life Events 112 Shares Phoenix Insurance Company i Folbw I ii Print this page (a member of Travelers Group) AM Best 8-.002518 NAIC q'.25623 FEIN ii06-0303275 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: October 31,2018 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 Distnct 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 $4,260,000,000- .,-4-------7-7 $4.240.000,000 r - t E4,220,000 000 F -- d�Z'fi ..13,",:i rt, 000 r ! I It I 29.40% $4,160,000000- ;' $4,140,000,000 t t i —Workers Compensation $4,120.000 000 Commercial Multiple Peril 2016 2011 2016 2015 2014 --Auto(Commercial) —Other Liability(Occurrence) —Data Years —Homeowners Multiple Pent Company Adnbutes Industry: Insurance f 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 f. t t gS fi i, t r F' t r if x E.4 rnrIcnmorc omisnef nnmlrmmnnnsa Drnfiln ocnvORl —'4R4.omkn,im—neo i 04.ODD— 4In 8/22/2019 consumers.ambest.com/CompanyProfile.aspx?BL=36&ambnum=002518&PPP= Top Line(s)of Business tbased upon Direct Premiums wntten) Top State(s)of Business (based upon Direct Premiums Written) 1.Workers'Compensation(view Definition) 1.New York 2.Commercial Multiple Peril(View Definition 1 2.Pennsylvania 3.Auto(Commercial)(View Definition) 3.Texas 4.Other Liability(Occurrence)(View Definition) 4.Massachusetts 5.Homeowners Multiple Peril(View Definition I 5.North Carolina consumers.ambest.com/CompanyProfile.aspx?BL=36&ambnum=002518&PPP= 2/5 8/22/2019 https://fortress.wa.gov/oic/consumertoolkit/Company/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 0 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 860-277-0111 NAIC: 25666 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 _.._-- ---__.------ -------------— Is back to top Agents and agencies that represent this company (Appointments) o View agents ! i View agencies back to top Company complaint history p httnr//fnrtrPss wa_nnv/nic/r•.nnsumartnnikit/Cmmnanv/ComoanvProfile.asnx?WAOIC=1322 1/2 8/22/2019 https://fortress.wa.gov/oic/consumertoolkit/Company/CompanyProfile.aspx?WAOIC=1322 View complaints t,,too Orders issued since 2010 a No orders are found • back to top Premium tax filings by tax year a 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. • Lack to top https://fortress.wa.gov/oic/consumertoolkit/Company/CompanyProfile.aspx?WAOIC=1322 2/2 8/22/2019 consumers.ambest.com/CompanyProfile.aspx?BL=36&URATINGID=1869445&MCToken=5612320098210131531671075322015317424... 0 CC7 Lae&Re,tremen, t tome o Auto heal,,&asetrI r Other Life Ereuo 112 Shares Travelers Indemnity Co of America Follow 1 A Printthlsoage (a member of Travelers Group) AM Best 4-.004003 NAIC 4.25666 FEIN 458-6020487 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++(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: October 31,2018 Initial Rating Date: June 30,1951 u Denotes Under Review Best's Rating Licensing: Licensed Territory:(Current since 04/01/2004).The company is licensed in the District of Columbia,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 5660,000 000- $650,000 000 A V- 12.51% 5 $640,000 000 - - y gL58'% 5630.000 000 1 5620,000000 - - $610,000 000 + 31.39% 5600,000000- 1- $590.000 000 $580,000,000 T , —Workers'Compensation 2e13 2017 3016 2015 2014 Commercial Maple Pent —Auto(Commercial) Data Years —Farmowners Multiple Pent 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 ( ) 1 ! g E t c t consumers.ambest.com/ComDanvProfile.asOx?BL=36&URATINGID=1869445&MCToken=561232009821013153167107532201531742d519()Ranth= 1 � 8/22/2019 consumers.ambest.com/CompanyProfile.aspx?BL=36&URATINGID=1869445&MCToken=5612320098210131531671075322015317424... 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 I 2.Florida 3.Auto(Commercial)brew Definition I 3.Texas 4.Farmowners Multiple Peril(View Definition I 4.Massachusetts 5.Other Liability(Occurrence)(view Definition) 5.Georgia consumers.ambest.com/CompanyProfile.aspx?BL=36&URATINGID=1869445&MCToken=56123200982101315316710753220153174245120&auth=... 2/5 8/22/2019 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 Telephone Telephone WAOIC: 1320860-027-7011 NAIL: 25674 860-027-7011 Status: ACTIVE Admitted date: 10/11/1974 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 View agents i View agencies back to top Company complaint history .® https://fortress.wa.onv/nic/consumertoolkit/Comoanv/ComoanvProfile.asnx?WAQIC=1320 119 8/22/2019 htlps://fortress.wa.gov/oic/consumertoolkit/Company/CompanyProfile.aspx?WAOIC=1320 View complaints 10 top Orders issued since 2010 a No orders are found sock to top .......................... Premium tax filings by tax year a 2018 2017 2016 2015 2014 ^bock 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. bock 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. ^bock to top https://fortress.wa.gov/oic/consumertoolkit/Company/CompanyProfile.aspx?WAOIC=1320 2/2 8/22/2019 consumers.ambest.com/CompanyProfile.aspx?BL=36&ambnum=004461&PPP= elt li o C6' Life a Remanent home&Auto r,eaim a asabery Diner Life C.ants 112 Shares Travelers Property Casualty Co of Amer ! Folbw i di Printthis page (a member of Travelers Group) AM Best X 004461 NAIC x.25674 FEIN tt 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: 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: October 31,2018 Initial Rating Date: June 30,1972 u Denotes Under Review Best's Rating Licensing: Licensed Territory:(Current since 11I05/2018).The company is licensed in the District of Columbia,Northern Mariana Islands, Puerto Rico,U.S.Virgin Islands and all stales. Total Assets DPW-Top Lines of Business $940.000.000—__ 5920,000000 - $900.000.000 — ._.z ,5.. 2821% $880,000,000 `"g�, +!,,,,‘ -Y."."":7-1:-"' ", $860,000,000 - '' 1478%G 5840,000 000 -+- --j 8 1 ) $820,000 000 ^-u- r 19.63% i C i §800,000000 -r- -J $780,000 000 —Workers'Compensation 2ols 2017 2016 2015 201a Other LMbitity(Occurrence) —Commercial Multiple Peril 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 1 R a 3 : 3 1 I consumers.amhr=sfrnm/CmmnanvPrnfila_asnx9R(=3ERamhnum=0(144R1RPPP= iic 8/22/2019 consumers.ambest.com/CompanyProfile.aspx?BL=36&ambnum=004461&PPP= Top Line(s)of Business (based upon Direct Premiums Wrmeni 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 I 5.Pennsylvania consumers.ambest.com/CompanyProfile.aspx?BL=36&ambnum=004461&PPP= 2/5 8/22/2019 Carriers I Surplus Lines Association of Washington 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: berkley Search Insurer Name Address City S... BERKLEY ASSURANCE COMPANY 4820 LAKE BROOK DRIVE GLEN ALLEN VA BERKLEY SPECIALTY INSURANCE COMPANY/FKA/BERKLEY REGIONAL 14902 NORTH 73RD STREET SCOTTSDALE AZ SPECIALTY INS CO W.R.BERKLEY EUROPE A.G. C/O REGUS MUNCHEN NEUE MESSE RIEM MUNCHEN DE 0 1-3 of 3 items Copyright©2019 Surplus Line Association of Washington,All Rights Reserved. 1 1i4 8/22/2019 consumers.ambest.com/CompanyProfile.aspx?BL=36&ambnum=014158&PPP= w ilk C'' Lila&Helirement Home&Auto Health&Disability Other Life Events '.. 112 Sharez '', Berkley Assurance Company Fotbw 1 11 Print this page (a member of W.R.Berkley Insurance Group) AM Best N'.014158 NAIC#'.39462 FEIN 0-59-1993236 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 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 $100,000.000 { 590.000,000 $80,000 000 15AS%. 570,000000 4---------) $60000000 -+- z I. $50,000,000 L r r� i $40.000 000 t- $30,000000 7 -t- 7320'5. 3245 $20,000000- `` ..flu $10,000,000'"-- -I- _ _. so - tote 201r 2015 2015 201 3 —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 i Organization Type: Stock 4 Statement Type: NAIC PC I Last Statement: 2nd Quarter 2019 111 I 1 f t E rnncnmorc amhoct rnm/rmmrtanvPrnfilc acnv9Rl ='2RRamhnllm=11141RRRPPP= -/a 8/22/2019 consumers.ambest.com/CompanyProfile.aspx?BL=36&ambnum=014158&PPP= Top Line(s)of Business(based upon Direct Premiums Moen) Top State(s)of Business (based upon Direct Pronouns wnnenl 1.Other Liability(Claims-made)(View Definition) 1.California 2.Other Liability(Occurrence)(View Definition) 2.Florida 3.Products Liability(view Definition I 3.Texas 4.Auto(Commercial)Vow Definition) 4.New York 5.Allied Lines phew Definition) 5.Illinois • consumers.ambest.com/CompanyProfile.aspx?BL=36&ambnum=014158&PPP= 2/5