HomeMy WebLinkAboutCP1303 Lincoln Construction Contract 13-21 *
c►n oF _ * *
��:��� �T Nancy Backus,Mayor
A�1 �1
, WASHINGTON 25 West Main Street * Auburn WA 98001-4998 * www.aubumwa.gov * 253-931-3000
cr�c°'`��E�Rnr
March 14, 2014 1yqCFRKS�FF��E
R � �2Dl�f
CERTIFIED
RR REQUESTED
Lincoln Construction, Inc.
PO Box 730
Spanaway, WA 98387
NOTICE TO PROCEED
RE: Project#CP1303, City Hall Remodel, Phase 2, Contract#13-27
You are hereby notified to proceed as of March 14,2014 with the work on the
above-refere.nced project, within the time period specified, in accordance with the
provisions of the contract documents, copy enclosed. This projecthas 93 working
days for completion.
� If.you;have any questions, please contact the Facilities Manager, Lisa Moore at
25$-804288-3158 or the Contract Administration Specialist JoAnne Andersen at
253-931-3012.
Sincerely,
� -- —--
eff t
Asst. Director of Community Development
Community Development & Public Works Department
Enclosure
cc: Dani Daskam, City Clerk
Lisa Moore, Eacilities Manager
Fernando Fenandez, Building lnspector
File 13.11 (CP1303)
AUBURN * MORE THAN YOU IMAGINED
c
CONTRACT
Contract No. 13-21
THIS AGREEMENT AND CONTRACT, made and entered into, in duplicate, at Auburn,
Washington,tlus��"day of !�e 20�by and between the CITY OF AUBURN,
WASHINGTON, a municipal corporation and LINCOLN CONSTRUCTION, INC., PO Box
73Q Spanaway,WA 98387,hereinafter called the CONTRACTOR.
WITNESSETH:. That, in consideration of the terms and conditions contained in the Contract
Doguments entitled "CP1303, City Hall Remodel Phase II," which are by this reference
incorporated herein and made a part of this Coniract, the parties hereto covenant and agree as
follows:
I. The CONTRACTOR shall do all work and furnish all tools, materials and equipment for
Project CP1303, City Hall Remodel Phase II the construcUon of 6,869 square feet of
interior remodel For offices; Altemate# 2 for a lump sum bid price of four hundred six
thousand eight hundred fifty-eight dollazs ($406,858.00) and VJashington State Sales Tax of
thirty-eight thousand six hundred fifly-one dollars and fifty-one cents ($38,651.51) for a total
contract valiie of four hundred forty-five thousand five liundred nine dollars and fifty-one cents
($445,509.51) in ac.cordance with and as describ8d in the Contract Documents which aze by
this reference incorporated herein and made a part hereof, and shall perform any alterations in
or additions to the work provided under tlus Contract and every part thereof.
This Contract shall be executed by the Contractor and returned to the City within 7 calendar
. days after the receipt of the dated notification of awazd and the Conlract time sha11 commence
within 5 worldng days after execution of the Contract 6y the CiTy and so designated on the
Notice to Proceed. Physical completion shall be within 93 working days of the date on the
Notice to Proceed.
If said work is not completed within the tnne specified, the CONTRACTOR agrees to pay
liquidated damages to the CTI'Y OF AUBUItN, as speoified in Section 1-08.9 (Liquidated
Damages)of the Standard Specifications:.
Tlie CONTRACTOR shall provide and beaz the expense of all equipment; work and labor of
any sort whatsoever that may be required for the transfer of materials and for constructing
and completing the work provided for in ttris Contract and every part thereof, except such as
are mentioned in the Conh�act Documents to be furnished by the CITY OF AUBURN.
II. The CTTY OF AUBURN hereby promises and agrees with the CONTRACTOR to
employ, and does employ the CONTRACTOR to provide the materials and to do and cause
to be done the above described work and to complete and finish the same according to the
Contract Documents and the terms and conditions herein contained and hereby contracts to
pay for the same according to said Contract Documents and the aforesaid proposal hereto
attached, at the time and in the manner and upon the conditions provided for in this Contract:
III. The CONTRACTOR for himself, and for lus heirs, executors, administrators, successors;
and assigns, does hereby agree to the full performance of a11 the covenants herein contained
upon by part of the CONTRACTOR.
1Y
� IV.It is fiirther provided that no liability shall attach to the CTTY OF AUBURN,
WASHINGTON by reason of entering into this Contract, except as expressly provided
herein.
IN WITNESS WHEREOF the parties hereto have caused this Coniract to be executed the day
and year fiist fiereinabove written.
C1TY OF AUBURN, WASHINGTON
By
a y Backus,Mayor
Countersigned:
this �'1 day of`�/4�- ;20�
ATTEST:
��
Danie e E. askam,Ciry Clerk
APPRO AS T FORM:
I
—�
Daniel B.Heid,Cit!�,ttomey
LINCOLN CONS UCT ,INC.
By
utho ial�gnature
. , � .
CONTRACTBOND
CONTRACT NO. 13-21
BOND NO. WAC53734
BOND TO CI1'1'OF AUBURN,WASHINGTON
KN06V ALL MEN BY TEIFSE PRESENfS:
That we,the undersigned,Lincoln Construction,Inc.,PO Box 730,Spanaway,WA 98387,as
p�jp�� Merchants Bonding Company(Mutuap „8�rpprerinn,arg�nized
and existing�mder the laws of the State -- -_ lowa . as a w:ety
carpcuaaon,end qualified imda the taws of the State of R!ashington to beciome suiety upon
bonds of wnuactors with municipal co;porations,as surety,are jointly and severally held and
fimily boimd to the City of Aubum,Waa�on,in the penal smn of fo�hundred forty-five
thnumnd 5ve himdred nine dolLvs and fi@y-one ce�($445,549.51)fo"r the p�me�of wluch
sum we juintly and severally bind oiaselves and our s6ccessois,heirs�adminighat�s or pasonal
representatives as the cese may be.
This obligation is entered inw in pursuance of the Statutes of the State of Washingcon and ihe
Otdinances of the City of Aubum,Washington.
Dated at Aubum,Washington,this f " dny of�k� ,2014.
Nevertheless,the conditions of the a6ove obligation are sueh that:
WHEREAS,the City of Aubian on the 19m day of February,20141et to the above bounden
principal a certain Conusct. The said Conu�act being numbered 13-21 and providing for the
coastrucdon ofProject No. CP1303,City.Hall Remodel,Phase II(which Contract is referred to
herein and is made a part hereuf as though attacfied heroto),a�l
VJHEREAS,the said principal hes accepted,or is about w accept,the said Co�ract,and
undeAeke to perform the work therein provided for in the manner and within the time set forlh:
NOW,'Cf�REF'ORE,if the above bounden principal shaIl faithfiilly and tnily obsetved and
comply wish the urms,conditions,and pro4isions of said Contiact in all iespects�d shall well
and tnily end fiilly do and perfomi all matters and things by them undertaken to be perfo:med
under said Contract,upoa the terms proposed themin,end any and all duly authocized
modifications of said Contract that cnay he�eafter by made,and within the time pmscribed
tharein,and imtil the same is accepted,and shall pay all laborecs,mec6anics,subcontractors aad
maLerial men,and ail persons who sbell supply principal or subcontractors with pmvisions and
supplies for the carrying on of said work and shaIl kold said City of Auburn,Washington,
harmless from any loss or damage occasioned to any persoa or propaty by reason of any
catelessness or ne ence on the - : _ .
B1iB P�of said pnneipal oT anysubcoa�actor in the perfoimance
of said work,and shall in all nespeets,faithfully perfo;m said Caatract according to law;and shall
.
indetntu}'y and hold the Ciry of Aubum,V✓ashington,hacmless from any damage or expensa by
reason of failure of perfo:mance,as specified in said Conuaet,aad
The�mdersi�ed principa] and the�mdersigned suiety present tbis conn�act bond related to the.
Contract,PROViDED that this documcnt shall aot be enforceable unless und until the City of
Aubum awuds and executes the Conhact to the►mdersigned principal. No obligations tmder
_ @us bond,for thc performance of the abovo-refermced contract,shall be rnforceuble until the
City of Aubum hes executed the contract to the underssi�gned principal.
The S�aety,hereby agrea that modifications and changes may be made in the terms a�
provisions of the afomsaid Conhact withaut nouce w Surety,and any sueL modificatiots or
changes increasing the total ammmt to be paid thc Principal shall automatically increasc the
obligation of dre Surety on tlus Contiact Band in a likc mmoimt,such increase;haweva,not to
exceed twenty—five percent(25%)of the origina[amount of this boad without d�e cansent of
the Surety.
PROVIDED,howeva,that aRer the acceptance of this Con�act end the expiiatioa of the lien
period,and if there are no liens pending,thea the peoal sum of this bond,shall be reduced to
either ten perceat(]0%)of the value of the improvements to the City or two thousand dollars
($2,000),whichever is greaus,to werranty against defects appearing or developing ia the
msteriel or worlananship provided or performed under this Contract withia a paiod of one(1)
year after acceptance. Not withstanding the nduction of this bond,the principal end surety shall
huld the City of Aubum harn�Iess from all defects appearing or develaping in the mate:iat or
workmanship provided or performed�det this Coffiact within a period of oae(1)year after
acceptaace,THEN end in thaf event ihis obligation shall be void;but otherwise it shall be and
reanein in tu11 foree end effect.
It is hereby eapressly agrced that if any legal action is necessary to be brought under the
conditions of this bond,that the decisions of the Courts of the State of V✓asbington shall l�
binding.
IN WiTNESS WFFIERREOF,the above-I�pimdea pazties have executed this instrument this
_____��day of `WCQh C�,Y�., ,zo I a.
L'mcolnCom ., ' pal
Merchants Bonding Company(M tual)
\ Surery
1
By
Marie Poulin, Aaomryin ec
Servco Pac�c Insurance
221 S.28th Street, SuRe 101, Tacoma,WA�J84p2
(253)207-5500
Raident Agent's Address&Phone Number
MERCHANT�
BONDING COMPANY�
POWER OF ATTORNEY
Know PJI PeBOns By These PreserKS.M�at MERCHANTS BONDING CAMPANY(MUTUALj arM MERCHANTS NAT70NAL 80NOING,
INC.,both being corporations duly organized�under the laws of the State of lowa(hereirtcolleetively calletl the�'COmpanies°),
� and that the Companies do hereby make,.constltule antl appoint,inCivitlually,
Michael R.Highsmith,Marie Poulin
af Seattle anBStete of Washington �thelr true end lewful Attomey-In-FaG,with tull power �
, and authwfty hereby conferred in their name..place antl steed,to sign,execule, acknowletlge and dellver in thelr behalf as surery
any arM all borMs,undertakings,.recognizances�or other written obligations;in ttie�neture thereof, subJed to the Iimttation that any
�sud�insWmenl shall not exceetl I�e amouM of:
TEN MILLION(510,000,000.00)DOLLARS
and to hind the Companies thereby as fully and to the same extent�as if such bond or undertaking was signed by ihe duly
authoriietl o�cers of the Companies, and all the acts of saiA Attomey-in-Fac[, pursuant ro the authority herein given,are
hereby ratlfied and confirtnetl. .
This Power-of-Attomey is made anA ezecutetl pursuaM W antl..by auMOrily M Me following By-laws aEOpted by the Board of
Directors W Me Merchanls Bandirg Comparry(MUtuaq�on Ap�il23,2011 and�atlopted by Me BoaM of DireGOrs M MerchaMs Natiwwl
.BOntling,Inc..orcOUOber 24.2011�. � .
"The Presitlerrt,Seaetary,Treasurer;or arry AasistaM Treasurer or,a�ry FtssistaM Secfetary or.ary Vice PresideM shali have
� power and authority to appoiM Attort�eys•in-FaG,arW.to author¢e them to e�cute on�.behali,of die Comparry,�and attach the
seal of the Comparry thereto,boixla antl unAertakings,recognizances,corrtracb of indemrdty and other writings obligatory in.
the riature thereof.
� . The signature of any authorized oiflcer arW the seal of the Comparry may be affixed by facslmile or elechonic traromission to
any Power of Attomey or CertlNcatlon thereof aulhorizing tlie execution end delivery oi any bond,�undertaking,recognizance,
�or other sureryship obligations of the.Comparry, antl aueh signature and aeal when�.so uaed s�ell have the.same force and�
.efFect es thcugh menue�ly fixed." . . .
In Wdneu Whereof,.the Companies have caused.this instrument to be signed and�sealed this 11N day of October . 2012 .
MN���MM�� •• ��• '
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�,1;.•••°••'�C • �►� • �e•, MERCNANT380ND�NGCOMPANY(MU7UAL)
:�g,-'���R��^�OA� �O�vOpP�9.y�'�s�.. MERCHANTSNATIONAl60NDING:INC.
. :�; � ,-0_ �o:.G i .�.r _p_ A�.. �
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'�STATEOFIOWA ''+„�,� * � •��..... .
�COUNTV OF POLK ss. """""� �� � ��M
On thia 11th day oi October , �2012 ,before me.eppearetl Larry Taylor,.to me personaly known,vfio being by.me duly swom did
say ihat he ia PresiOent of the MERCHANTS BONDING COMPANY(MUTUAL)antl MERCHANTS NATIONAL BONDING,JNC.;antl �
thel the seals effixed to the foregoing insUumeM is the Carporate Seals of the Companies;and that the seitl instrumeM was signed end ,
� .seeled in behalf M the Companies by euthorily of their respective Boards of Directors.
�In Testlmorry Whe2of, I�.have hereuMO set rtry hand and affixed rtry OfFdal Seal at the Ciry of Des,MOines,�lowa,.the day and.year
fl�st above wriUen.
�� MARANDA GREENWALT f�� (►�(J�� � ��
CommissionNUmber770112 - [`� /� �"—
��CMDBf Z8,"lUi4�� U
NOtBry PUDIk.Polk CouMy..lowB
STATE OF IOWA�
COUNT'OF POLK ss.
I, Wllllam Wamer,Jr.,Seaetary of the MERCHANTS BONDING COMPANY(MUTUAL)arM MERCHANTS NATIONAL BONDING,INC:,
do hereby.certHy that the above arM foregoing is e true antl corteG copy aFthe POWER-OF-ATTORNEY executeE by sai0 Companies,
whic�Is still in full force and eftect erid has not heen amandad or revoked.
In�ss Whereof,I h,a,V//e hereuM�et my hand and atfixed the seal oi.the Companies on �.. -
this I'I aYa`�/�.Q�Ll�tl o�� ' �,......� , .
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MERCHANTS BONDING COMPANY (MUTUAL)
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General information Contact information
Name: MERCHANTS BONDING COMPANY (MUTUAL) Re�JI5tC1'Cd addl'C55 Ma111Og add�C55
Corporate family group MERCHANTS BONDING CO. 2100 FLEUR DR 2100 FLEUR DR
GRP wn�is.ais� DES MOINES, IA 50321- DES MOINES, IA 50321-
OI'ga�llZatiOB typC: PROPERTY 1158 1158
WAOIC: soo Telephone Telephone.
NAIC: 14494 515-243-8171 515-243-S1Z1
StOtYS: ACTIVE
Admitted date: 09/27/1985
Ownership type: MUTUAL
?eack m my
Types of coverage authorized to sell Whagl@Mls?
, Insurance types
Cesualty
Surety
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Agents and agencies that represent this company
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http://www.insurance.wa.gov/consumertoolkiUCompany/CompanyProfile.aspx?WAOIC=800 3/11/20I4
Escrow No. �ODD�`�9��
Agency Citv of Aubum
25 W. Main. Auburn WA 98001-4998
Contract No. 13-21
ESCROWAGREEMENT
TO:
Columbia State Bank
attn: Geri Lynn
17502 Paciflc Ave South
Spanaway, WA 98387
The Undersigned, Lincoln Construction, Inc.; PO Box 730, Spanaway, WA 98387
herein referred to as the Contractor, has directed the Cityof Aubum, hereinafter
referred to as the Agency, to deliver to you its warrants which shall be payable to you
and the Contractor jointly. Such warrants are to be held and disposed of by you in
accordance with the following instructions and upon the terms and conditions
hereinafter set forth.
INSTRUCTIONS
1. Warrants or checks made payable to you and the Contractor jointly upon delivery
to you shall be endorsed by you and forvuarded for collection. The moneys will then be
used by you to purchase, as directed by the Contractor, bonds or other securi#ies .
chosen by the Contractor and approved by the Agency. Attached is a list of such
bonds, or other securities approved by the Agency. Other bonds or securities, except
stocks may be selected by the Contractor, subject to express written approval of the
Agency. Purchase of such bonds or othersecurities shall be in a form which shall allow
you alone to reconvert such bonds orother securities into money if you are required to
do so by the Agency as provided in paragraph 4 of this Escrow Agreement.
2. When and as interest on the securities held by you pursuant to this agreement.
accrues and is paid, you shall collect such interest and forward it to the Contractor at its
address designated in the first paragraph unless otherwise directed by the Contractor..
3. You are not authorized to deliver to the Contractorall or any part of the securities
held by you pursuant to this agreement (or moneys derived from the sale of such
securities, or the negotiation of the Agency's warrants) exceat in accordance with
written instructions from the Agency. Compliance with such instructions shall relieve
you of any further liability related thereto. The estimated completion date on the
contract underlying this Escrow Agreement isAugust 15, 2014.
4. Inthe event the Agency orders you to do so in writing, you shall, within thirty-five
(35) days of receipt of such order, reconvert into money the securities held by you
pursuant tothis agreement and retum such money together with any other moneys heid
by you hereunder, to the Agency.
5. The Contractor agrees to pay you as compensation for your services hereunder
as follows:
Payment of all fees shall be the sole responsibility of the Contractor and shall not be
deducted from any property placed with you pursuant to this agreement until and unless
the Agency directs the release to the Contractor of the securities and moneys held
hereunder whereupon you shall be granted a firsf lien upon such property released and
shall be entitled to reimburse yourself from such property for the entire amount of your
#ees as provided for herein above. On the event that you are made a party to any
litigation witfi respect to the property held by you liereunder, or in the event that the
conditions of this escrow are not promptly fulfilled orthat you are required to render any
service not provided for in these instructions, or that fhere is any assignment of the
interests,of this escrow or any modification hereof; you shall be entitled to reasonable
compensation for such extraordinary services from the Gontractor and reirnbursement
from the Gontractorfior all costs and expenses, including attomey fees occasioned by
such default, delay, controversy or litigation.
6; This agreement shall not be binding until executed by the Contractor and the
Agency and accepted by you.
7: This instrument contains the entire ag�eement between you, the Contractorand
the Agency with respect to this escrow and you are not a party to nor bound by any
'instrument or agreement other#han this, you shall not be required to take notice of any
default or any other matter nor be bound by nor required to give notice or demand, nor
required to take any action whatever excepfi as herein expressly provided; you shall not
be liable for any loss or damage not caused by your own negligence or willful
misconduct.
8. `The forgoing provisions shall be binding upon the assigns, successors, personal
representatives and heirs of the parfies hereto.
The undersigned have read and hereby approve the instructions as given above
governin the administr tion of this escrow and do hereby execute this agreement on
this��day of �� , 20�
Lincoln Construction. Inc. Citv ofiAubum
(Contracto�) (Agency)
By _ ' ` By � �
(Signature) (Finance Dire , Shelley Coleman)
�
(Name) (Title)
The above escrow instructions received and accepted this�day of
�� , 20�
B
( uthori n ic
���P�p ���i���C Scn� �iaHcG`-� �''�'a'��✓
(Name) (�itle)
Securifies Authorized by Agency:
1) ;Bills, certifcates, notes or bonds of the United States;
2) Other obligations of the United States or its agencies;
3) 061igation of any corporation wholly-owned by 4he govemment ofthe United
States;
4) Indebtedness of the FederaL'National MortgageAssociation;
_ .
5) Time deposits in commercial banks; and
6) Savings deposits in commercial banks.
.
;,,•s , ,
�``°RO0 CERTIFICATE OF LIABILITY INSURANCE Zi2;iZa"�";"
THIS CERTPICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS��UPON�THE CERTIFlCATE-MOLDER. TXIS
'� _._ . _ . . .. . .. . . . . ._. . . .
CERTflCA7E.DOES NOT AFFIRAAAl1VELY OR NEGA7IVELY AMEND, EXTEND OR�:ALTER THE COVERAGE�AFFORDED BY TME��POLICIES
� . . . .._. . .. . .. . . ... . . .. . . . . .. . . .
BELOW. 7HI8�CERTFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT-�BE7WEEN 7HE�ISSUING INSURER(u�, AUTHORIfFT1
'�� _REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. � � �
� �-7MPORTANT:�If the eertifl�ate holtler Ia an ADD1710NAL7NSURED,the polley(les) muat be endo�sad. H SUBROGATION IS,WAIVED,aubJeet to
� the tertns and eondWorm oi the policy,certain polkies may requfre an andoisement A statemeM on this eertMieate does not eoMer AgMs W the�
eertlflcate hdder In Ileu M sueh endoraer�reM(s).
' ���R coNrncr Mychael �8iqhamith
�'Servco Pacific Insurance P�N� . (2S3)2O�I-S$OS �F� .{206)260-2D03
1100 Dexter Ave. N. E'N^� -.michaelh@aervcopaciPic.com��
$� 22� INSURE B RFFORDINGCOVERIIOE� NRICM
$eattle WA 98109 wsuaean:Weataheater Fire Ina Co A+� XV �0030
�N�� INSURER8�130 3ecurit Ina Co A RV 4082
Lincola Coastruction, Inc. iNwpenc:Torua S cial Ina Co A- XI 6776
P.O. Hox 730 mw�en:
INSIIRER E:
3 aa wli, 98387 n�su�RF:
COVERAGES CERTIFICATE NUMBER:CL139503512 REVISION NUMBER: �
7HiS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED.ABOVE FOR THE POLICY-PERIOD
�INDICATED. NOTWITHSTANDING ANV RE�UIREMENT, TERM OR CONOITION Of ANY CONTRACT OR OTHER.DOCUMENT WITM RESPEC7 TO WHICH 7HIS
CERTIFICA7E MAY BE ISSUEO OR MAV PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN�IS SUBJECT TO ALL 7HETERMS,
EXCLUSIONS AND�CONDITIONS OF SUCH POLICIES.LIMITS SHOWN�MAY HAVEBEEN REDUCED BY PAIO CLAIMS �
.7YPE OF INSURIINCE PdJtY NIIMBER MMN � �MMIODIYYYT LIMI13
Goierw.unatun � 1,OOO,OOO
FACHOCCURRENCE S
X COMMERCIAL GENERAL LIABIUTY E ' 50�OOO
A. CLAIMS-MADE �OCCUR X Y 22016061007� /�/2013 /Y/201� MEDEXP n ans 5 5.��0
aERSOwLLBnovINJURY S� 1,000�000 �
GENERALAOGREGATE 5 Z���OO(000
GEN'LAGGREGATELIMITAPPUESPER: PRODUCTS-COMP/OPAGG �5 �Z1000�000
POLILV �.X PR0. .l� s
^�TOMOBaew!e!�rv ee 1 000 000
X FNYAUfO BODIIYIWURYIP1�ppem) S
B �OOSNED ' �AC��ESULED X 53609360 /2/2013 /2/201< �BOOILVIWURY�PerxtlOem) S
X� HIREDAUTOS X �'AlffO.��E� Po PER AMA s
� 'Urcbnneieeamomnn s - '1 000 000
�� UMBRELULUe� X ppCUR� EACHOCCURRENCE S �5,OOOr000
`. ��](� E7ICE89 LUB �pIMS-MADE AGGREGATE f 5�O00 y OOO �
D ' X� RETEMION 0061H130aLI /2/2013 /2/201� .s_ _. ".."
,A .WORI(ERSCONPEN&1TON ATU- X O H- . '- .
� � 'IWDEM%.OYERS'LYIB0.RY . . ._ ' _ -
� ANYPROPRIEfOR/PARTNER/FJ(ECIITiVE� N�p ' E.L.EACHACCIOENT 5- - S OOO OOO �
' OFFlCERIMEMBEREXCLUOE�'+ pp016661007 /2/2013 9/2/2016
_ . . ._' '_ '_.—_'_ _. .
pYnl�OOry In Nlq� E.L NSEASE-EA EMPLOYE 5 - 1 OOO OOO
tty������� au� BZOP �P E.L.0ISEPSE-POLICYLIMIT� f � ��S OOO OOO
DESCRIPTION OF OPERATIONS Eelaw
OEBCRIPTON OF OPEWITION3I LOCAl10N8I VEXICLES(RibM NCORD 10/.ACCIUOmI Wm�rks ScMEUIC.N mow�V�M n9WM)
REi Contract No 13-21, Project No. �CP1303, Aubura City 8a11 Remodel, Bhase II .
Tha Ci£y of 1luburn� and ita oPficera, elected oEficial, employeea, agenta aad voluateesa ase iacluded�ae�
Adelitional Iasuxed aa �their� reapective intexeat may appear per C62010(11/85).. 8ar Project Aqgraqata
Appliee per fosm CG2503(OS/09) . Waiver of Subroqd£ion and Primary Noa-Contributory arosdiag apply.
, S�ject to 30 Days Notice of Cancellation.
CERTIFICATEHOLDER CANCELLATION
BNOULD ANY OF TNE A80VE DE9CRIBED POLICIES BE CANCELLED BEFORE
TNE EXPIRATION DATE TFIEREOF, NOTICE .WILL BE� DELIVERED IN
Ci� OF .A17bI1SII ACCORDANCE WITN TNE POLICY PROVISIONS.
23 West Main �
Auburn, 9lA 98001 nurxow�or�rnesexTnmre
aiqhsmith/JE[a7I8 . �'�"Q
ACORD 25(2010/0� � � m 1988-2070 ACORD CORPORATION: All dgMS reserved.
iNSOZS�r„nu�m �r�.e s rnon..e..,e a..w i....,.e.e.e,.�e.e.va...�.ra..r srnwn '
.
,��ioco�n conswetloo.�oo.
Westeheater Fire Ins Co.
POLIGY NUMBER: Guotsaaioo� COMMERCIA�GENERAL LIABIUTY
THIS ENDORSEMENT CHANGES.THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWIVERS, LESSEES OR
CONTRACT012S - (FORM B) �
This endorsemerrt modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART.
SCHEDULE
Name of Person or Organlzation:
As requlred by�writtan eonVect eignetl by both pertles prior lo loss.
Qf no entry appears above, information required to complete this endorsement will be shown in the DeclaraUons
as applicable to this endorsement.)
WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the
Schedule; tiut only with resped to liability arising out of"your work"for that insured by or for you.
CG 20 70 71 85 Copyright, Insurance Services Office, Inc., 1984 Page 7 of 1 ❑
�Lineoln ConstruWon.Inc: .
Westchester Flra Ins Co
POLICY NUMBER: czzo�saa�oo� COMMERCUIL GENERAL IIABILITY
CG 24 04 05 09
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
SCHEDULE
Name Of Person Or Organization:
' As required by wrttten contract sfgned by�boffi pardes prlor to loss.
Information re uired to com lete this Schedule if not shown above will be shown in the Declarations.
The following is:added to Paragraph 8. Transfer Of
Rights Of. Reeove_ry Agafnst Others To Us af
Seetion N—Conditions:
We waive any right of recovery we may have against
the person or organization shown in the Schedule
atiove beoause of payments we make for injury or
damage arising out of your ongoing operations or
"your work" done under a contrad with that person
o� o'ganization and included in the "products-
completed operations hazard". This waiver applies
only to the person or organization shown in the
Schedule ebove.
CG 24 04 OS 09 m Insurance Services Office, Inc., 2008 Page 1 of 1 O
, ,
� Ltncoln Construction.Inc. . .
Weschester Fha Ins Co.
POLICY NUMBER: G2201644�007 COMMERCIAL GENERAL LIABILITY
CG 25 03 05 09
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED CONSTRUCTION PROJECT(S)
GENERAL AGGREGATE LIMIT
This endorsement modifies insurance provided under the following:
- COMMERCIAL GENERAL LIABILITY COVERAGE PART �
SCHEDULE
Designated Construetfon Projeet(s):
-All PraJects. �
Informadon uired to com lete this Schedule, if not shown above,will 6e shown�in the Dectarations. . �
A. For all sums�which the insured becomes legally 3. My paymeMs made under Coverage A for
obligated'to pay as damages caused by'oacur- damages or under Coverage C for meCical �
rences"under Sectian I—Coverage q and for all' expenses shall reduce the Designated��Con- , � .
medical expenses caused 'by acciderr[s under struction Project Generel Aggregate Limit for
Section I — Coyerage C, which can be at[ributed that designated construction project. Such.
� only to ongoing�operations at a single�designated � payments�shall not reduce the General�.Ag-� ,
construction project shown in - the Schedule gregate Limk shown in�the Decla2tions nor
atidve:� � shall they reduce any other Designated Con- �
. � 1. A separate Designated Construction Project strudion Project General Aggregate�LimR for� �
General Aggregate Limtt applies to each des any other designffied wnstruction project
ignated construdion project, and that limit is shown in Uie Schedule above. .
- equal to the amount of the Generel Aggregate 4. The limits shown in the Dedarations fonEach
� Limtt shown in the.Declarations. Occurrence, Damage To PremisesRented To
2 The Designated Construction Project General You and Medical Expense continue to epply.
� Aggregate Limit is the most we wlll pay for the However, instead of being subject to the . . �
. � sum�of�ali�damages under Coverage A, ex- Gene21 Ag9regate Limit stiown in the Deda-� . �
cepY damages because of "bodily injury" or retions, such limits will be subjecf to the appli-
, "pioperty Oamage" Inclutletl In the "protlucts- ca61e Desgnated Construction Project�Gen- -
� completed_operations�hazaid", and�for`medl- eral Aggregate Limit . � �
cal expenses under Coverege C regardless of'
� the number of: � . .
� �a. Insureds; � '
b. Claims made or'suks"brougM;or �
e. Persons or�organizatlons making claims or
bringing"suits'.. . �
CG 25 03 05 09 �lnsu2nce Services Office,lnc.,2008 Page 1 of 2 �
', . .
B. For all sums which the insured becomes legally C. When coverage for liability� arising out. of�the ��
abligated to pay as damages pused'�by 'occur- 'products-complated operations hazarcl" is �pro-
rences"under Section I-Coverage 0.and for all videtl, 'any payments for damages because of
medical expenses caused by accidents untler "bodily injury" or "property damage" inoluded in
Section I - Coverage C, which cannot be at- the'products-completed operations Aazard"-will :.
tributed only to ongoing operations at a single reduce the Products-completed Operations Ag-
designated canstruction projed �ahown in the gregate LimR,�end not reduCe the Generel Ag-' �
� � Schedule a6we: . gregate Limit�nor the Designated Constructlon
� 1. Any paymeirts made under�Coverage A for P�oject General Aggregate.Limit.
damages or under Coverage C for medical D. If Me applicable designated conshuction project
ezpenses shall reduce the'amourrt a4ailable has 'been� abandoned; delayed,;or abandaned '
under She General Aggraga4e Limi4 or the end then restarted, or If the authorized contract-
Products-completed Operatiorrs Aggregate ing parties.deviate from plans; blueprints, de- "
Limtt,whichever is applicable;.and signs,�speafications or timetables,.the projed will
�� � �2. Such paymerMs shall not�reduce any:Desig- stillbe deemed to be the-same construction pro- �
nated Construction Project General Aggre- lect•
gate Limtt. - � E. Trie provisions of Section III - Umits,Of Insur-
� . ance not otherwise modified by�this endorsement .
. � shall coMinue to appty.as stipulated. �
Page 2 of 2 �Insurance,Services Office, Inc., 2008 CG 25 03 05 09 O
�Lincoln ConstrucGOn,�lnc.
Ohio Security Insurance COMMERCIAL AUTO
BAS556a93aa CA 88 10 01 10
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ R CAREFULLY.
BUSINESS AUTO COVERAGE ENHANCEMENT ENDORSEMENT
This endorsement modifles insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
� Wfth respect to coverage afforded by this endorsement, the provisions of the policy apply unless modified
� by the endorsement.
� COVERAGEINDEX
�
� � SUBJECT PROYISION NUMBER
� ° ADDITIONAL INSURED BY CONTRACT, AGREEMENT OR PERMIT 3
�
� ACCIDENTAL AIRBAG DEPLOYMENT 12
� AMENDED DUSIES IN THE EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS 18
� AMENDED FELLOW EMPLOYEE EXCLUSION 5
m Q AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT COVERAGE 13
g — $ROAD FORM INSURED 1
� BODILY INJURY REDEFINED 21
EMPLOYEES AS INSUREDS (including employee hired auto) 2
EXTENDED CANCELLATION CONDITION 22
EXTRA EXPENSE-BROADENED COVERAGE 10
GLASS REPAIR-WAIVER OF DEDUCTIBLE 15
� HIRED AUTO PHYSICAC DAMAGE(including employee hired auto) 6
HIRED AUTO COVERAGE TERRITORY 20
LOAN /LEASE GAP 14
PARKED AUTO COCLISION COVERAGE(WAIVER OF DEDUCTIBLE) 16
PERSONALEFFECTSCOVERAGE 11
PHYSICAL DAMAGE -ADDITIONAL TRANSPORTATION EXPENSE COVERAGE 8
RENTAL REIMBURSEMENT 9
SUPPLEMENTARY PAYMENTS 4
TOWING AND LABOR T
UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS 17
WAIVER OFTRANSFER OF RIGHTS OF RECOVERYAGAINST OTHERS TO US 19
SECTION II-LIABILI7Y COVERAGE is amended as follows:
1. BROAD FORM INSURED
� _.
a SECTION II - LIABILITY COVERAGE, paragraph A.1. -WHO IS AN INSURED is amended to include '
the following as an insured:
d. Any legally incorporated entity of which you own more than 50 percent of the voting stock
„ during the policy period. However, "insured" does not include any organization that:
(1) Is a partnership or joiM venture; or
(2) Is an insured under any other automobile policy; or
(3) Nas exhausted fts Limit of Insuranoe under any other automobile policy.
Paragraph d. (2) of this provision does not apply to a policy written to apply specifically in
excess of this policy.
e. Any organization you newly acquire orform, other than a partnership orjoint venture, of which
you own more than 50 percent of the voting stock. Ttiis automatic coverage is'afforded only for
180 days from the date of acquisition or fortnation. However, coverage under this provision
does not apply:
(1) If there is similar insurance or a self-insured retention plan available to that organization;
�'1010 Liberty�.Mutual Insurance Company.AII rights reserved. �
CA 88 70 01 10 Incfutles copyrighted matenal of Insurance Services Office Inc.,wiN its Permission. Page 1 0}�7
(2) If the Limits of Insurance of any other insuranae policy have been exhausted; or
(3) To "bodily injury" or "property damage" that oxurred before you acquired or formed the
organization.
2. EMPLOYEES AS INSUREDS
SECTION II - LIABILITY COVERAGE, paragraph A.1. -WHO IS AN INSURED is amended to include
the following as an insured:
f. My "employee" of yours while using a covered "auto" you do not own, hire or borrow but
only for acts within the scope of their employment by you. Insurance provided by this endorse-
ment is excess over any other insurance available to any 'employee".
g. An "employee" of yours while operatlng an "auto" hired or borrowed under e written contrad
or agreement in that "employee's" name, with your permission, while performing duties re-
lated to the conduct of your business and wkhin the scope of their empioyment. Insurance
provided by this endorsement is excess over any other insurance available to the "employee".
3. ADDITIONAL INSURED BY CONTRACT, AGREEAAENT OR PERMIT
, SECTION II - LIABILITY COVERAGE;paragraph A.1. -WHO IS AN INSURED is amended to include
the following as an insured:
h. Any person or organization with respect to the operation, maintenance or use of a covered
"auto', provided that you and such person or organization have agreeC in a written contract,
agreement, or permit issued to you by govemmental or public authority, to add such person; or
organization, or govemmentaf o� public authority to this polfcy as an "Insured".
However, such person or organization is an 'insured':
(1) Only with respect to the ope2tion, maintenance or use of a covered "auto";
(2) Only for "bodily injOry" or "properry damage" caused by an 'accident" which takes
place after you executed the written conVact or agreement, or the pertnit has been
issued to you; and
(3) Only for the duration of that contract, agreement or permit
4. SUPPLEMENTARY PAYMENTS
SECTION II - LIABILI7Y COVERAGE, Coyerage Extensions, 2.a. Supplementary Payments, para-
grephs (2) and (4) are replaced by the following: ,
(2) Up to $3,000 for cost of bail bonds (including bonds for related traffic violations ) required
because of an "accidenY we cover. We do not have to fumish these bonds.
(4) All reasonable expenses incurted by the insured at our request, inGuding actual loss of eam-
ings up to $500 a day because of time oif from work.
5. AMENDED FELLOYV EMPLOYEE EXCLUSION
� . In those jurisdictlons where, by law, fellow employees� are not en8tled to the protectlon allorded to
s the employer by the workers compensation exclusivity rule, or similar protedion, the following
provision is added:
SECTION 11 - LIABIIITY, exGusion B.S. FELLOW EMPLOYEE dces not appty if the "bodily injury"
R resufts from the use of a covered "auto" you own or hire.
SECTION III=PHYSICAL DAMAGE COVERAGE is amended as follows:
6. HIRED AUTO PHYSICAL DAMAGE
Paragraph A.4. Coverage Extensions of SECTION III - PHYSICAL DAMAGE COVERAGE,is amended
hy adding the following:
If hired 'autos" are covered 'autos° for Liability Coverage, and if Comprehensive, Specified
Causes of Loss or Collision coverage are provided under the Business Auto Coverage Form for any
'auto' you own, then the Physical Damage coverages provided are extended to 'autos':
a. You hire, rent or bortow; or
� �'2010 Liberry Mutual Insurance Company.FUI rights reservetl.
CA 88 10 01 10 Includes copynghted material of Insurance Servkzs ORice Inc.,with its Pertnission. Page 2 oi 7
b. Your "employee" hires or rents under a written contract or agreement in that "employee's"
name, but only if the damage occurs while the vehicle is being used in the conduct of your
business,
subject to the following limit and deductible: �
A. The most we wlll pay for 9os5" In any one "accidenC or'loss" is the smallest of:
(1) $50,000; or
(2) The actual cash value of the damaged orstolen property as of fhe time of the "loss'; or
� (3) The cost of repairing oi replaang the damaged or stolen property wfth other property of
� like kind and quallty, minus a deductible.
� B. The deductible will be equal to the largest deducfible applicable to any owned "auto" for that
� coverage.
� C. Subject to the IimR, deductible and excess provisions described in this. provision, we will
� � provide coverage equal ro thebroadest coverage applicable to any covered "auto" you own.
� D. Subjed to a maximum of $750 per 'accidenY, we will also cover the actual loss of use of the
= hired "auro" if it results from an "accidenY, you are legally liable and the lessor incurs an
� actual financial loss.
C
�
R o E. This coverage extension does not apply to:
8 � {7) Any 'auto" that is hired, rented or borrowed with a driver; or
� (2) My "auto" that is hired, rented or bortowed from your "employee".
For the purposes of this provision, SECTION V-DEFINITIONS is amended by adding the following:
"Total loss" means a "loss" in which the cost of repairs plus the salvage value exceeds the ectuel .
cash value.
R 7. TOWING.AND LABOR
SECTION III - PHYSICAL DAMAGE COVERAGE,paragraph A.2. Towing, is amended by the additlore
of the following: '
We,.will pay towing and labor costs incurred, up to the limits shown below, each Gme a covered
'auto" classified and rated as a private passenger type, "light truck" or "medium truck" is dis
abled:
a. For private passenger lype vehicles, we will pay up to $50 per disablement.
b. For 'light trucks", we will pay up to $50 per disablement. "Light trucks" are trucks that have a
gross vehicle weight (GVW) of 10,000 pounds or less.
e. For"medium trucks" ,we wtll pay up to $150 per disablement. "Medium Wcks" are trucks that
have e gross vehicle weight (GVW) of 10,001 -20,000 pounds.
However, the labor must be performed at the place of disablement.
a.
, 8. PHYSICAL DAMAGE- ADDITIONAL TRANSPORTATION EXPENSE COVERAGE
Paragrapti A.4.a., Coverage EMension of SECTION III -PHYSICAL DAMAGE COVERAGE, is amend-
ed M provide a limit of$50 per day and a maximum limit of$1,500
� •
m2010Liberty Mutual�InsuranceCompany.All,rights reserved. -
CA 88 10 01 10 Inclutles copynghted material af Insurance Services Office.lnc.,with Its Permisslon. Pege 3 of 7
�
9. RENTAL REIMBURSEMENT
SECTION III -PHYSICAL DAMAGE COVERAGE,A.COVERAGE,is amended by adding the following: .
a. We will pay up to $75 per day for rental reimbursemeM expenses incurred by you for the rental
of an 'auto' because of 'accidenY or 9oss', to an "auto' for which we .also pay a "loss"
under Comprehensive, Specified Causes of Loss or Collision Coverages. We will pay only for
those expenses incurced after Me first 24 hours following the 'accidenY or "loss" to the
covered "auto."
b. Rental Reimbursement will be based on the rental ot a comparable vehiGe; which in many
cases may be substantially less than $75 per day, and will onty be allowed for the period of
time it should take to repair or replace the vehicle with reasonable speed and similar quality, up
to a maximum of 30 days.
e. We will' atso pay up to $500 for reasonable and necessary expenses incurted by you to remove
and replace your tools and equipment from the crovered 'auto".
d. This coverage dces not apply unless you have a business necessiry that other "autos" avail-
able for your use and operation cannot fill.
e. If"loss' results from the total theft of a covered "auto' of the private passenger type, we wlll
pay under this coverage only that amount of:your reMal reimbursement expenses which is not
already provided under Paragraph 4. Coverege Extension.
f: No deductible applies to this coverege.
For the purposes of this endorsement provision, materials and equipment do not include "persarial
effec[s" as defined In provision 17.
70. EXTRA EXPENSE-BROADENED COVERAGE
Under SECTION III -PHYSICAL DAMAGE COVERAGE,A.COVERAGE,we will pay tor the expense of
retuming a stolen covered "auto" to you: The maximum amount we will pay is $1,000.
11. PERSONALEFFECTSCOVERAGE
A. SECTION III - PHYSICAL DAMAGE COVERAGE, A. COVERAGE, is amended by edding the
following:
If you have purchased Camprehensive. Goverage on this policy for an "auto" you own and that
"auto" is stolen, we will pay, without appiication of a deductible, up to $600 for "personal
effects" stolen with the "auto."
The insurance provided under this proqision is excess over any other collectible insurance.
B. SECTION V-DEFINITIONS is amended by adding the following:
For the purposes of this provision, 'personal efFects" mean tangible property that is wom or
cartied by an insured' "Personal etfecLS" does not include tools, equipment; jewelry, money
or securities.
� 12. ACCIDENTAL AIRBAG DEPLOYMENT
s _
SECTION III - PHYSICA� DAMAGE COVERAGE. B. EXCLUSIONS is amended by adding the follow=
ing:
s If you have purchased Comprehensive or Collision Coverage under this policy, the exclusion for
"loss" relating to mechanical breakdown does not apply to the accidental discharge of an airbag.
Any insurance we provide shall be excess over any other collectible insurance or reimbursement by
manufacturer's warranty. However, we agree to pay any deductibie applicable to the other cov-
erage or warranty.
13..AUDIO, YISUAL AND DATA ELECTRONIC EQUIPMENT COVERAGE
SECTION III - PHYSICAL DAMAGE COVERAGE, B. EXCLUSIONS, exception paragraph a. to exGu-
sions 4.e. and 4.d. iadeleted and replaced with the following:
m'2010 Liberry Mutuallnsurance Company.Ali nghu reserved:
CA 88 10 01 10 Inclutles copynghted material of Insuranca�Services Office Inc.;with Its Permission. Page 4 of 7
I
Exclusion 4.c. and 4.d. do not apply to: '
a. Electronic equipment that receives or transmits audio, visual or date. signals, whether or not
designed solely Tor the reproduction of sound, if the equipment is pertnanenUy installed irt the
covered "auto' at the tlme of the "loss" and such equipment is designed to be solely operated'
by use of the power from the 'auto's" electrical. system, in or upon the covered 'auto" and
physical damage coverages are provided for the covered "auto"; or
, If the "loss" occurs solely to audio, visual or data electronic equipmeM or accessories used,with
this equipment, then ourobligation to pay for, repair; retum orreplace damaged or stolen property
, � will be reduced by a$100 deductible.
� 14. LOAN /tEASE GAP COVERAGE
� A: Paregreph C., LIMIT OF INSURANCE of SECTION III - PHYSICAL DAMAGE COVERAGE is
�, amended by adding the following:
� � The most we will pay for a "total loss" to a covered "auto" owned by or leased to you in any
� � one 'accidenY is the greater of the:
� �° 1. Balance due under the terms of the loan or lease to which the damaged covered 'auto" is
�
� subject at the time of the "loss" less the amount oF.
� a. Overdue payments and financial penalties associated wkh those payments as of 4he
� � date of the "loss",
8 � b. financial penatties imposed under a lease due to high mileage, excessive use or ab-
� normal wear and tear,
e. Costs for eMended wamanties, Credit Life Insurance, Heatth, Accident or Disability
Insurance purichased with the loan or lease,
d. Transfer or rollover balances from previous loans or leases,
R e. Final payment due under a"Balloon Loan",
f. 7he dollar amount of any unrepaired damage which occurred pdor to the "total loss"
of a covered "auto",
g. Security deposits not refunded by a lessor,
h.. All refunds payable or paid to you as a result of the early termination ot a lease
agreement or.as a result of the earty termination of any warranty or extended service
agraement on a covered "auto",
i. Any amount represenUng taxes,
j. Loan or lease termination fees; or
2. The actual cash value of the damage or sMlen property as of.the tlme of the 9oss".
An atljustrnent for depreciaGOn and physical conditlon will be made in detertnining the actual
cash vaiue at the time of the "loss". This adjustment is not appliceble in Texas. �
*+ B. ADDITIONAL CONDITIONS
� This coverage applies only to the original loan for which the covered "auto" that incurred the
loss serves as collateral, or lease written on the covered "auto" that incurred the losa
� C. SECTION V-DEFINTIONS is changed by adding the following: �
As used in this endorsement provision, the following deflnitions apply:
"Total loss" means a "loss" in which the cost of repairs plus the salvage value exceeds the
actual cash value.
A "balloon loan' is one with periodic payments that are insufficient to repay the balance over
the tertn of the loan, fhereby requiring a large final payment.
�2010 Liberry Mutual Insurance Company.All dghts�reserved.
CA 88 10 01 10 Includes copynghted matedal oi Insurance Services OHlce,lnc:,with its Permission. Page 5 of�.7
_
75. GLASS REPAIR-WANER OF-0EDUCTIBLE
Paragraph D. Deductible of SECTION III - PHYSICAL DAMAGE COVERAGE is amended by the
addi�on of the following:
No deductible applies to glass damage if the glass is 2pairec! rather than replaced.
16: PARKEDAUTO COLLISION COVERAGE(WAIVER OF�EDUCTIBLE)
Paragraph D. DeduGible of SECTION III - PHYSICAL DAMAGE COVERAGE is amended by the
addi�on of the following:
The deductible does not apply to "loss" caused by collision to such covered "auto" of the private
passenger rype or light weight truck with a gross vehicle weight of 10,000 Ibs. or less as defined by
ffie manufadurer as maximum loaded weight the "auto" is designed to carry while it is:
a. In the charge of an "insured";
b. Legally parked; and
e. Unoccupied.
The 'loss" must be reported to the police authorities within 24 hours of known damage.
The total amount of the damage to the covered "auto' must exceed the deductible shown in the
Declarations. �
This proyision does not apply to any "loss" if the covered "auto" is in the charge of any person or .
organization engaged in the automobile business:
SECTION IV -BUSINE33 AUTO CONDITIONS Is amended as follows:
17. UNINTENTIONAL FAICURE TO DISCLOSE HAZARDS
SECTION IV-BUSINESS AUTO CONDITIONS, Paragraph 6.2. is amended by adding the following:
If you unintentionally fail to disclose any hazards,,exposures or material facts exisUng as of the
inception date or renewal date of the 8usiness Auto Coverage Form, the coverage afforded by this
policy will not be prejudiced.
However, you must report the undisclosed hazard of exposure as soon as practicable after its
discovery, and we have the right to collect additional premium for any such harard or exposure.
78. AMENDED DUTIES JN THE EVENT OF ACCIDENT, CLAIM, SUIT; OR LOSS
SECTION IV - BUSINESS AUTO CONDITIONS, paragrapFi A.2.a. is replaced in its entirety by the
following:
a. In the event of "accidenY, claim, 'suiY or 9oss", you must promptly notify us when it is
known to:
1. You, if you are an individual;
2. A partner, if you are a partnership;
3. Member, if you are a limited liability company;
a
, 4. An executive officer or the 'employee' designated by the Named Insured to give such
notice, 'rf you are a corporation. �
To the extent possible, notice to us should. include:
. (1) How, when and where the�"accidenP or'loss" took place;
(2) The 'insureds" name and address; and
(3) The names and addresses of any'injured persons and witnesses.
19. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US
SECTION IV - BUSINESS AUTO CONDITIONS, paragraph A.5., Transfer of Rights of Recovery
Against Others to Us, is amended by the addition of the fol�owing:
If the person or organization haswaived those rights before an "accidenC or "loss", our rights are '
waived also.
m2010 Liberty Mutual Insurance Company.All:rights reserved.
CA 88 10 01 10 Inclutles copyrighted matenal of Insurance Services Office Inc.,with i5 Permission. Page 6 of 7
20. HIRED AUTO COVERAGE TERRITORY
SECTION IV- BUSINESS AUTO CONDITIONS, paragraph B.T., Poiicy Period, Coverage Territory, is
amended by the addition of the Tnllowing:
f. For"autos" hired 30 days or less, the coverage territory is anywhere in the worid, provided that
the insured's responsibility So pay for damages is determined in a "suit"; on the merits, in the
United States, the tertitories an'd possessions of the United States of America, Puerto Rico or
Canada or in a settlement we agree to.
This extension of coverage does not apply to an "auto" hired, leased, rented or borrowed with
� a dnvec.
� SECTION V-'bEFINITIONS is amended as follows:
� 27. BO�ILY INJURY REDEFINED
e Under SECTION V-DEFINTIONS, definition C. is replaced by the following:
� �
� "Bodily injury" means physical injury, sickness or disease sustained by a person, including mental
— anguish, mental injury, shock, fight or death resulting from any of these at any time.
' � COMMMON POLICY CONDI710NS
�
� 22. EXTEN�ED CANCELLATION CONDITION
� � COMMON POLICY CONDITIONS, paragraph A. - CANCELLATION condition applies except as fol-
8 ° lows:
� If we cancel for any reason other than nonqayment of premium, we will mail to the first Named
Insured written notice of cancellation at least 60 days before the effectiye date of cancellation. This
provision does not apply in those s[ates which require more than 60 days p�ior notice of cancella-
tion.
R
�
a
I
�"2010 Liberty Mutual Insurance Campany.All righcs reserved.
CA 88 10 01 10 Includas copynghted matenal of Insuranae Services OfficeJnc.,with its Permission. Page 7 of 7
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WESTCHESTER FIRE INSURANCE COMPANY
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General information Contact information
NaMe: WESTCHESTER FIRE INSURANCE'COMPANY Registered address Mailing address
Corporate family group ACE,LTD GRP wn���s 436 WALNUTST PO BOX 436 WALNUT ST PO BOX
jhisj
1000 1000
Organization type: PROPERTY PHILADELPHIA, PA 19103 PHILADELPHIA,PA 19103
WAOiC: zs Telephone Telephone
NAIC: 10030 907-263-0200 907-263-0200
Status: ACTNE
Admitted'date: 07/09/1974
Ownership type: STOCK
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Insurancetypes
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�Cantact an Malyst AMB Ultlmate Parent and ideritrfies the bpmost entlry of.t�e corporete structure.Viaw �
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Support&Resourcee . AmllationCOtle: r(Reinsured) � SeNOrFinancialAnalyst:W.OolsaaSmith,Ph:O.,
Financlal Size Cabgory: XV(S2 8illion or proeMr) CFA
Conterencen and EveMa . Outlook: SWble Aeslatarrt Vice PresitleM:Michael J.Lapomersino,
.ACtlon: �rmed CFA
PMd a Basig�5wdlf FGtil]g'"" EMecflve�ate: Au9ust.14,2013
Erdne Campeny Neme O''�. ��wal Rating Date:. June 30,1958 Oiseloaure Infommtion
�� -d='= Lon -Tartn Issuer Crotlll Ratin V�� 11 � View A.M.BesYS Rallna Oietlosuro Statement
Lon9•Tertn: a LL�
fl.6Q.��f�lflg$GYICCS Outbok: SteWe :. A.M.Best ARirtns Ratinas o!Libertv Mutual�
���O^��^' - Actlon: ARirmed �'^� Holtlina Comoanv Inc.anA Ita Subaldladea
- -— � Dafi:Aupuat 14;2013
Effecflve Dete: Aupust 14;2013
.Vlaw RatlnglkJlnldOns Initial Rating Date: July 27,2005
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BeaPe Executive Summary Reporta(Finaneial Overvfew)-available in throe versions,these presenfation sryle
�' reports feaWre belance sheet,inwme stetamem,key finenciel pertormance tesW inclutlino prafibbiliry,liqultliry end
rasarva enalysis.
� Dafa SfaWa:2074 BeaPS StatemeM Flle-P/C,US CoMeins data complletl es oF 3/1 VT014 Ps Recelvea.
• Slnole Comoarn-!ve yeare of financlal Ea�e specifically on this compeny.
• Comoerison-sitle-by-aide finenciel enalysis ol this com0any with a peer qroup of up to fiva other companies you
salect.
• Comooelte-evaluate this compeny'e finencials ageinst e peer group wmposita.Report diapleye both the
averspe and total compntte of your salactetl pear group.
� BeaYa Kev Ratlna Gulde PreaaMatlon ReeoR-indudes BeaYs Financiel Strength Rating antl finenclal deta as
i provitletl in the most curtent etlitlon of Basfs Key RaUng Guitle protlucts.(�uanry Cmes Cnerxecq.
Finencial and Ana cal ProducM
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Best's Credit Raring Center- CompanyInformarion for Ohio Security Insurance Company Page 2�of 4 .
BesYs Sietemenl File-Giobel
BesYS Reaulebrv Centx Merket S�ere Reoarls
$eeYS Stete Lina-P/C.L1S
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BesYa Schedute D(Municloel BunCSI-11S
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Europam Unlan Disclwuro�
AM.Beat Compeny end ih aubeidianes are not mpbteretl ae Exlamal Crcdit Nxssment InstlNllans(ECAq In ihe Europeen Union(EU).Cretllt ratlnBs�6sue0 by AM.Best Comperry antl Xe
aubaltllatlea fan nM be uxd Wf rc0ulelory puryoses In Ma EU as pet DlredWe 2006/48/EC. •
Auatrellen Dixloauna
A�.M.Best Cretlil Retinpa me alatements W opinion entl not siffiamenls at fect They are not recammentlations to buy;holtl or sell eny eecu�kes ar arry oNerfomi of finsndal proEUCI;InGUtllnp
_ _ "
insurenie pdides anE are no(e recommenCellan to be usetl to make InJesM1neM/purchavnB dedaions.A.M.Beat AsIaPaGPC Lttl la replsteretl es a Cretlll Ratlnp Agenq In Auaballe entl�oWa
a Financlal Service�licence numEer 477055 untler t�e CorporaUOns Atl oF 2007. ' �
AM.Best ANa-Petlik Lttl cratlil�atlnBS an0 any other releteU reaeerch aro not IntentleC for entl musl not ba tlistribuled to airy Darew�in Auflralla othar ihan e wFiolesele client ea tlefineC in Ihe
Corparetlons Act of 2001,Chepte�7.The AM.Best webailes are not Intentletl(or use by Australien uaera who are not tl�ne0 es whalesale uaers.
ImpoRaM Notlee:9esfs Ralinps rollad aur indepentlrnl apinlan,beseC on e wmprehensive quenlltallve antl qualHellve eveluatlon of e compenys Gelenca a�eet slrenpth,ope�ing�.
pertamence antl busfness proflle.Theie ratinps are neX�er a warranty o(a companY'%ManGel strangM nor Ib abllity ta meel Ite Menclal aEll9�lona,InGUtlInB mose to poliryhokerm.Vlew our
e�ritire natice for mmplate tletalla. �
Customer Sarvke�Protluct Support�Mambm Cariter�Contact Info�Cereera.
About A.M.Best�Slla Map�Pnvacy Poliry�SecurRy�Ta�ms of U9e I�0818 Licenalnp .
Copyrl0hl m 2014 A.M.Best Compmry,Inc.PLL RIGHTS RESERVED.
A.M:Beet Watldwitle Heatlquarten,Ambeat Raetl;Oltlwick,New Jereey,08858,U.S.A
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1R Search > OHIO SECURITY INSURANCE COMPANY
OHID SECURITY INSURANCE COMPANY
General�� Cgntac5l Licensing � Appolntmen(s I Complalnts� OrGers I National [nfo� Rati,n,gs
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General information Contact information
Name: OHIO SECURITY INSURANCE COMPANY Registered Mailing address
Corporate family group LIBERTY MUT G.RP wna�i:cni:7 address ll5 BERKELEY ST
Organization type: PROPERTY 62 MAPCE AVE gOSTON, MA 02116
KEENE, NH 03431
WAOIC: 100� Telephone
NAIC: zaosz Telephone 6i�35�-9500
513-867-3023
Status: ACTIVE
Admitted date: 05/11/19�a
Ownership type: STOCK
T back[a tap
Types of coverage authorized to sell Wh�,=�„s�
Insurance.types
Casualty
Macine
Ocean Macine
Property
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Vehicle
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Agents and agencies that represent this company
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Company complaint history Wna�,=�„=z
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Disciplinary orders 2008-2014 Wha�,=�h�=�
Year Order Number
2012 12-0253
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Ratings by financial organizations
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A.M. Best
Weiss Group Ratings.
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Standard and Poor's,Corp.
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Fitch IBCA Duff an8 PISeI s Ratin s
s na�k m roo
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�est's Credit Rating Center- Company Information for Torus Specialry Insurance Company Page 1 of 2
.
Ratings & Criteria Center �WelcomeBeckJOAnneAntleoenMVMemGerCenter�LOaOuf
Reglonal Ce�roen:Asia•Pacillc�Canatla�Europe,Mltltlle Eaat anE AMCa�LaUn Amarip�MENA E SCA Xomo I A��Ue I Conbct Un�SKemap
.RatlI1gB 8 CIItella • NeW Seero�:� _ � �PAM Mis eaae (j)
�Home
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a BeaYa CretlX Ratlnpa. AM.BM k 011A72 WUC p:M'f6 FEIN R 6t0a167]t
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.��a�p pey�a Adminleb'aGve Olflee View Atltlitional Adtlress A��O��m
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.Get a Cre01t RetlnO+ UnitedBtetee en excallant abiliy to meet lliair
s BesYe SpOUeI RBpMte O�QOinp In6YfBnCe�ODIi88110n5.
s AEd BeeYa CretlM RetlnBa Seartn Wab:www.torun.cam
ToYaurSile Phono:207-741770U
>BeslMark hr$ecu�ReleE Fu:201-743-7701
Insurers
s Contect an Malyel Beaed on A.M.BpYe enalysis,OSSB53-Ton�s Inau�enee MWOlnas Limited is the AM8
.Awartla mtl Recopnitions Ultimate PaieM entl identlfiea the tl�pmost entity o(the wrporate atruclure.Viaw e Ilst
NevB 6 Anetysle � b eoeretine Ineurence entitlea in this atrucluie.
Produete 6 Sarvleoe BeeCe Cretlit Retin s
Intlustry InfomuGOn � View all ot the wmonniee esalgnetl this reting as e part olan AM8 Retina Unit.
COIpOnt9 r Finenelel S[nn N Retln BeeC�CraEk Ratin Anal t
Regulatory Aflaln • petlng: A-u(Excellenq � Olflce:A.M:Beat Compeny,OlOwlck NJ
SuppoR 6 Raeouroas . p�ry�latlon CoAe: g(Group) $enior Finenekl Analyst 6ele Guerre
ConPonnees antl EvaMS' . Financlal SW Category: XI($750 Mlllion ro$1 Billion) ViCe Presitle�Rohert B.DeROae
ImpllcaLon: Nepative
pDYIQB¢Sr�"Cre07,t . ACtlon: UnderReview DisclonurelMOrmatlon
��'� EfleclWe Dafe: July 11,20t3
Er1me Compeny Neme � �, �nMlal R�Iin Dafe:� June 25,2001
- B � Yaw A.M.Beafe Reline Oiedeaure Statement
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Cantwuummafl�.. hnplleatlon: Negativa V�j RaviewWlMNeaatirelmoliratlons
Aetlon: Undar Review Data:July 11,2013
VkwRdingL�¢fhlMlau�'���' EffeCtlwDab: JulYt7.2073
� Select one... - InMle�Retlnp Date: Nowmber t 7,2009�
-. u wmrosSl�pO[gptlt�99938tl�
Reports and News
vait Best's Newa entl Anelysis ska for the labst newa antl oresa rcleases for tliis company antl Ib A.M.Best Group.
� AMB CreCk Reeert -InUudes BesPS Finenciel Strenpih Re4n0 and retionale alonB wiU eomprohensive enelyECal
� commeMery,tlefeiled busineas overview end key finaneial tleta.
Report Revision Da[e:7/112013(represe'rts Ma latest sipnNicant chanpa).
t j�'� Hlarotlwl Reports ere available in AMB Cretlll Reoort Archive.
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� BeeYc Executivo Summery Reports(Finenclal Ovarvlew)-eveilebla In thrae vereions,thesa proeentetlon sryle
�` reports feaNre Ealence sheeL income afatement,key.finencial pertarmance Mab inclutlinp prohfeCllly,IIqulEtty end
reeerve anelysis. � � � �
Defe S1eWa:2014 Besfa Sfetamant File-P/C,US CoMaine daU wmpiled ee o(3/11/2014 As Recalvea.
• Slnale Cemeamr-five yeers of finandal dete epecifiwlly on thin wmpany.
• �-aido-by-aide financiel enalysis af thls company wIN a peer proup of up W five other�ompenles you
select.
• ComooeNa-evaluebfhiscomDanysfinanclals�apainatepeargroupmmpoWte.Reportdiaplaysboththe
averape antl total compwke of youi selectetl peer 8�up.
� BaeYC Nev Retlrw Gulda Preaendtlon Ranoet-'mUUCea BeeCS Finanelel StrenptlrRatlnB antl flnanolal Eete es
i Orovided In the most wrrent edition of BesYS Key Ratino C�uida producla.(�uaury Croaa CMCkea�.
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Best's Credit Rating Center-Company Information forTorus Specialty Insurance Company Page 2 oP'2
;
Be6fe E�roeutive Summerv Reoort-Comoerieon-ProeeM/CeaualN
BeaYe Stafemenl File-Globel
Besl's Reouletorv Ceriter Mafket Share Renorls
BesCs Stete Line-P/C:�US
BesYS Corooraro C�enaee entl ReNremeMS-P/C.USICN
BenPe Insurenem Emmae E�ibk(IEEI-P/C:lJS
BeaYe Scheduk P(LOU Reservesl-PlC.US
BgsCs Reaulelorv Cemer
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Eum�wen Unbn Obelwum
AM.Best Compeny entl ib wbaidieria ere not ropbtaeE es Ewamal Cadll AssassmarillnstiNtions(ECAI)In Ne European Union(EU).CreCil ra11n0a bsue0 Dy AM.Ben Canpeiry en0 Xs
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Austrellen Dlaeloauros
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insuranca pdiclea BnG ere nM e rewmmantlatlon ro Ee uaetl lo meka Invasbnent/purchaeUig CeGabns.A.M.Best AelaPedAc LW Ie repleteie0 es B Cm011 Rullnp Aponry in/Watrelb an0 hoMs
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Coryaretionn Act W 2001,Ch80�ef 7.The A.M.Beal vroballea ero not Intentletl fo�u98 by Australlan usera w�o are not EaMatl ea whalesala uxn.
lmportent NaUCe:BeaPe Ratlnpe�ect our IndaOentlml apinlon.Oeaetl on e comDrehensive quentltalhre entl quelltellve aveluetlon of e compenye Dalenco sheel elrenplh,oparatlnp
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Cusbmer Service�Protluct SuPV�I MemEaf CaMer�ContecY IMO I Coreen
Abaul AM:Basl�Sita Map I Privecy Policy I Seai�iry I Tamn d Uae I�Oe18�Llcenalnp
CopyrlpM m 2014 A.M.Besl Compmry.Ina ALL RIGHTS RESERVED.
A.M.Beat WaIEwiEe NeeEquanen.Ambast Roed.Oltlwkk.New Jxaey.OBBSB.U.S:A
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List of Active Carriers
List of Active Carriers
Inclusion on this list does not indicate that the carrier meets the requuement as an appropriate
insurer. The.Surplus Line Broker issolely resp.onsible 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 examinarion.
ABCDEFGHIJKLMNOPORSTUV WXYZShow All
Insurer Address
THROUGH TRANSPORT MUTUAL INSiJRANCE P.O. BOX HM665
ASSOCIATION, LTD. HAMILTON, BM HMCX
150 LEADENHALL
TOKIO MARINE EUROPE INSURANCE, LTD. STREET
LONDON, EC3V 4TE
TOKIO MARINE SPECIALTY INSURANCE COMI'ANY FKA ONE BALA PLAZA
PHILADELPHIA INSURANCE COMPANY BALA CYNWYD,PA
19004
1800 AVENLJE OF THE
TOPA INSURANCE COMPANY STARS
LOS ANGELES, CA.90067
88LEADENHALL
TORUS INSLJRAIVCE (UK), LTD. STREET
LONDON, UK EC3A3P
HARBORSIDE
TORUS SPECIALTY INSURANCE COMPANY FINANCIAL CENTER
JERSEY CITY,NJ 07311
TRAVELERS EXCESS AND SURPLUS LINES COMPANY ONE TOWER SQUARE
HARTFORD,CT 06183
TT CLUB MUTUAL INSURANCE, LTD. 90 FENCHURCH STREET
LONDON, ECM 4ST
400 PARSON'S POND
TUDOR INSURANCE COMPANY DRIVE
FRANKLIN LAKES,NJ
07417
I
CITY OF AUBURN
CONTRACT CHANGE ORDER AGREEMENT NO. I
Contract No., Project No. and Project Title: 13 -21 , CP1303, City Hall Remodel, Ph. 2
Contractor Name and Address:
Lincoln Construction. Inc.
PO Box 730
Spanaway, WA 98387
The Contractor is hereby directed to make the changes to the Contract as described herein. This document and all attachments
are a supplement to the contract. All work, materials and measurements for the type of construction involved shall be in
accordance with the contract documents of the above named project unless stated otherwise in this change order.
Summary of Proposed Changes:
1. I Add door frame/hardware to Room 125
2.
The Contract time is extended by
0 days.
Item
Seh.
Sec. No.
Item Description
Quantity
( + / -)
Units
Unit Price
($)
Total Price
( + /-)
Sales
Tax
(YIN)
1
$
2,929.00
Door frame /hardware Room 125
1
1
1157.00
$ 1,157.00
y
445,509.51
4. Revised Contract Amount
$
410,944.00
$
449,983.68
JUUWIQl
Washington State Sales Tax (9.5 %) on applicable items $ 109.92
TOTAL $ 1,266.92
This change order constitutes full and complete compensation for all labor, equipment, materials, overhead, profit, any
and all indirect costs, and time adjustment to perform the above described changes. All other costs are non- compensible.
All other terms and conditions of the contract remain unchanged.
Contractor:
Inspector:
Project Manager
City Engineer:
Approved by:
H: \Forms \FCO25.xls
(Revised 05/2012)
Base Amount
Totals incl.Tax
1. Total Cost this C/O
$
1,157.00
$
1,266.92
2. Total Cost Previous C/O
$
2,929.00
$
3,207.26
3. Original Contract Amount
$
406,858.00
$
445,509.51
4. Revised Contract Amount
$
410,944.00
$
449,983.68
This change order constitutes full and complete compensation for all labor, equipment, materials, overhead, profit, any
and all indirect costs, and time adjustment to perform the above described changes. All other costs are non- compensible.
All other terms and conditions of the contract remain unchanged.
Contractor:
Inspector:
Project Manager
City Engineer:
Approved by:
H: \Forms \FCO25.xls
(Revised 05/2012)
G, u, I
CITY OF AUBURN
CONTRACT CHANGE ORDER AGREEMENT NO. 2
Contract No., Project No. and Project Title: 13 -21 , CP1303, City Hall Remodel, Ph. 2
Contractor Name and Address: Lincoln Construction. Inc.
PO Box 730
Spanaway, WA 98387
7 he Contractor is hereby airecled to in aKe the changes to the Contract as described herein. l ms document and all
attachments are a supplement to the contract. All work, materials,measurements and unit bid prices for the type of
construction involved shall be in accordance with the contract documents of the above named project unless stated
otherwise in this change order.
Summary of Proposed Changes:
1. Main Lobby: Walk -off Matting Upgrade
2 Match Pavers at Legal
3 Lift Rental for Window Film Removal
The Contract time is extended by
0 days.
Item
Sch.
Sec. No.
Item Description
Quantity
( + /-)
qUnits
Un it Price
(S)
Total Price
( + / -)
CO2 -1
2. Total Cost Previous C/O
$
Walk -Off Matting
1
1,266.92
423.50
$ 423.50
602.2
$
445,509.51
Match Pavers at Legal
1
LS
1,979.92
$ 1,979.92
CO2 -3
Lift Rental for Window Film Removal
1
LS
1,099.07
$ 1,099.07
Subtotal
Washington State Sales Tax (9.5 %) on applicable items
TOTAL
$ 3,502.49
$ 40.23
$ 3,542.72
This change order constitutes full and complete compensation for all labor, equipment, materials, overhead, profit, any
and all indirect costs, and time adjustment to perform the above described changes. All other costs are non- compensible.
All other terms and conditions of the contract remain unchanged.
Contractor,
Facilities Manager:
Asst. Director Community Developfl
Approved by:
H: \Forms \FCO25.xls
(Revised 05/2012)
���Ry�i' %Aw/fJ
Base Amount
Total incl. Tax
1. Total Cost this C/O
$
3,502.49
$
3,542.72
2. Total Cost Previous C/O
$
1,157.00
$
1,266.92
3. Original Contract Amount
$
406,858.00
$
445,509.51
4. Revised Contract Amount
$
411,517.49
$
450,319.15
This change order constitutes full and complete compensation for all labor, equipment, materials, overhead, profit, any
and all indirect costs, and time adjustment to perform the above described changes. All other costs are non- compensible.
All other terms and conditions of the contract remain unchanged.
Contractor,
Facilities Manager:
Asst. Director Community Developfl
Approved by:
H: \Forms \FCO25.xls
(Revised 05/2012)
���Ry�i' %Aw/fJ
CITY OF_ _�
A ='��j�;j� (��
_V ill V
WASI'II NGTON
Project Name:
City Hall Remodel Phas
Project No.
CP1303
Contract No.
13 -21
Contractor:
Lincoln Construction
Date:
512912014
FORCE ACCOUNT SUMMARY WORKSHEET
I
I
Description:
Walk Off Matt Upgrade
I
_
Hours::
_ :' Rate
Labor::
Unit
Regular
Overtime
Re ular
Overtime
I Total
<.:
-Description
Pipelayer
IHr
0.00
Operator
Hr
0.00
.2
Foreman
IHr
0.00
Traffic Control Supervisor
IHr.
0.00
1
0.00
0.00
Subtotal
-
Markup
29%
Total
$ -
I
I
I
Hours
<
Rate
E r
Re ular
IStandby
Total
Hr
0.00
Hr
0.00
Hr
0.00
0.00
0.00
0.00
Subtotal
-
Markup
21%
I�
-
Total
I
I
I
:Material: :: :: :::«
Description
Unit
Regular
Standby
Re ular
IStandby
I Total
Mannington Commercial Resource II
Travers Tan
LS
1.001
f{
350.00
350.00
0.00
0.00
1
0.00
0.00
0.00
Subtotal
350.00
Markup
21%
73.50
Total
423.50
Subs 2:'
Description
Unit
Regular
Standby
Re ular
Standb
Totaf
.' <.. .. _??
ABC Sun Control
0.00
0.00
0.00
0.00
f
0.00
Subtotal
Markup
12%
1
Total
I
I
I
I
I
Total Force Account
1 $ 423.50
LINCOLN CONSTRUCTION, INC.
21323 MT HIGHWAY, PO BOX 730 SPANAWAY, WA 98387 OFFICE 253.847.6414 FAX 253.847.6806
May 29, 2014
City of Auburn
25 West Main
Auburn, WA 98002
Attn: Lisa Moore
Re: Auburn City Hall Remodel Phase II
Project #13 -21
LCI #1183
Subject: COP 6 Walk Off Mat Upgrade
Below are the costs associated with changing the walk off mat'from
the specified Hercules NOP 20 Natural Beige, to Mannington Commercial,
Resource II Travers Tan
Lincoln Construction
material $ 350
0labor $ -
$ 350
Overhead on Prime Contractors Labor 29%
$ -
Overhead on Prime Contractors Material 21%
$ 74
t Total Prime Contractors Work
$ 424
Total Subconhactors Work
$ -
Overhead on Subcontractors Work 12%
$
Total Change Order Requested
$ 424
Please issue a change order in the amount of $424.00
If you have any questions, please contact me @ 253 - 847 -6414
Since ely
�l
Isaac Efah
i r Lincoln Construction
P.1
�Ogdl
M.J. KELLER ENTERPRISES
11006 Pacific Avenue
TACOMA, WASHINGTON 98444
(253)537 - 8686•(253)537 -7881• Fax(253)531 -9741
WBE Certification Number W2F22403681
- Contractors # MJKELE'03102
PHOPOSALSUBUITTEDTO
PHONE 1
Ul
UATE L 4
STREET
JOBNAME
CM,, STATE aM ZIP CODE
JOB LOCATION '
AARCCH?EOT
DATE aF PLANS
JOBPNONE
at jk0Ol r hereby to furnish material and labor - complete In accordance with specifications below, for the sum of:
dollars
PaYndeM IP na nubs m ldbxe:
All materiel is guaranteedin be as sIne.ined. All work to be mr,pteled In a workmanlike AOhodzed
I11arx1Br0LGCndko 10 M.1 ddpr ebtlbas. any offefaOon IX deJ%bM iron,$pGJficatiCr6Uak1N Signature
kwolving extra Deals win be executed only upon written orders, and wig become an Me
charge over and above the actlmate. An egreemanb conngent upon strikes, acddenls or Note: This proposal may to
delays beyondour control. 0e r rto wry fire, romado and other necessary iDsxu Bnce.Olr withdrawn by us if not accepted within tlaye.
workers we fully covered by workmen'. Ca mpensal Bn Insurance.
We hereby submit specifications and estimates for:
.. _ _. Sean, _ t
��_�b�
----
- - --------------- - - - - - - - --
__
0[CCtPM1Xt Of VOPOiil -The abovepdces, spearcationsandcondl. Signature
tanseresetisfa- twyendereherebyaccepted .YouareaLlw edwdotheworke spadfad.
Payment win be made as outlned above.
Data of Acceptance: Signature
*
CITY OF _ / -
�_ _ • �
'WASHINGTON
Project Name:
City Hall Remodel Phas
Project No.
Contract No.
13-21 13 -21
I
Contractor:
Lincoln Construction
1
1
1
Date:
6 1212013
I
I
FORCE ACCOUNT SUMMARY WORKSHEET
I
Description:
Match pavers at Legal
1
I
I
I
I
I
Hours..:
>: Rate
Labor.: :..
Description
I Unit
I Regular Regularl
Overtime
li Regular
I Overtime
I Total
: -:
Labor
lHr
1 24.00
59.88
1 11437.12
Hr
0.00
Hr
0.00
H r.
I
0.00
0.00
0.00
Subtotal
1,437.12
Markup
29%
416.76
Total
$ 1,853.88
I
I
I
Hours
:
< Rate
Equipment
Description
Unit
Regular
Standb
Re ular
Standb
Total
Hr
0.00
Hr
0.00
Hr
I
0.00
0.00
0.00
0.00
Subtotal
I
-
Markup
21%
-
Total
I
I
I
I
:Material: ::
Description
Unit ]Regular
]Standby
Re ular ]Standby
Total
Providing Samples to match existing
pavers
LS
I 1.00
93.001
93.00
0.00
1
0.00
0.00
_
0.00
0.00
Subtotal
93.00
Markup
121%
19.53
Total
112.53
I
I
I
I
Subs
Description I
Unit I
Regular I
Standby
Re ular IStandby
I
Total
ABC Sun Control
0.00
0.00
0.00
.6........::
0.00
I
0.00
Subtotal
$ 112.53
Markup
12%
13.50
Total
126.03
I
I
I
I
I I
I
I
Total Force Account
1,979.92
LINCOLN CONSTRUCTION, INC.
21323 MT HIGHWAY, PO BOX 730 SPANAWAY, WA 98387 OFFICE 253.847.6414 FAX 253.847.6806
E
June 2, 2014
City of Auburn
25 West Main
Auburn, WA 98002
Attn: Lisa Moore
Re: Auburn City Hall Remodel Phase II
Project #13 -21
LCI #1183
Subject: COP 7 Match Pavers at Legal
Below are the costs associated with providing samples to match the
tile pavers outside of legal counter
Lincoln Construction material $ 93
24 hours labor $ 1,437
$ 1,530
Overhead on Prime Contractors Labor 29%
Overhead on Prime Contractors Material 21%
s Total Prime Contractors Work
Total Subcontractors Work
Overhead on Subcontractors Work 12%
Total Change Order Requested
Please issue a change order in the amount of $1,966.00
Since ely
j Isaac fah
Lincoln Construction
$ 417
$ 20
$ 1,966
$ 1,966
CITY OF
A -, : � �- �-
-. U-.RN
WASHINGTON
Project Name:.
City Hall Remodel Phasi
I
I"
Project No.
TP1303
Contract No.
Contractor:
13-21
Lincoln Construction
Date:
61312013
FORCE ACCOUNT SUMMARY WORKSHEET
Description:
ILift Rental for Window Film Removal
I
I
I Hours
Labor
Description
I Unit
I Regular
l Overtime
I Regular
I Overtime
Total
Pipelayer
Hr
I
I
I
I
I 0.00
operator
Hr
I
0
Foreman
Hr
N
Traffic Control Supervisor
Hr.
1
0.00
0.00
1
0.00
Subtotal
Markup
_129%
Total
I
Hours
:::::::Rate
Ecluipirrierit:
Description
I Unit
I Regular I
Standby
IRegular IStandby
I
Total
lHr
I I
0.00
Hr
I
0.00
Hr
I
0.00
0.00
0.00
6!00
Subtotal
Markup
21%
Total
—i$
Subcontractor
I Ma I t . eir I ial.
Description
Unit
Regular
Standby
�Regular IStandby
Total
Mannington Commercial Resource 11
Travers Tan
LS I
1.00
811.00
811.00
0.00
0.00
0.00
0000
o
Subtotal
811.00
Markup
�21%
17031 1
Total
$ 981.31 1
Subs
Description
Unit
Regular
Standby
IRegular IStandby
Total
ABC Sun Control
0.00
...... .
1
1
0.00
0.00
0.00
. .. ..... .
0,00
Subtotal
$ 981.31
Markup �12%
117.76
Total
$ 1,099.07
I
ITotal Force Account
$ 1,099.07
LINCOLN CONSTRUCTION, INC.
21323 MT HIGHWAY, PO BOX 730 SPANAWAY, WA 98387 OFFICE 253.847.6414- FAX 253.847.6806
June 3, 2014
City of Auburn
25 West Main
Auburn, WA 98002
Attn: Lisa Moore
Re: Auburn City Hall Remodel Phase II
Project #13 -21
LCI #1183
Subject: COP 8 Lift Rental for Window Film Removal
Below are the costs associated with lift rental for safe approach,
due to the lack of indication on drawings of Sally Port
Lincoln Construction material $
labor $
ABC Sub Control $ 811
Overhead on Prime Contractors Labor 29%
$
Overhead on Prime Contractors Material 21%
$
Total Prime Contractors Work
$
-
Total Subcontractors Work
$
811
Overhead on Subcontractors Work 12%
$
97
$
908
Total Change Order Requested
$
908
Please issue a change order in the amount of $908.00
Since ely
Isaac fah
Lincoln Construction
Architectural Window Films & Graphics
Proposal & Contract
9722 Canyon Rd. E. Puyallup, WA 98373
W 253 -536 -4440 / 800 - 404 -3695 F: 253 -536 -4443
www.abesuncontrol.net - bids @abesuncontrol.net
�SUB;NUTTEDTO: Lincoln Coast - Auburn City Ball PHONE: DATE: 6/2114
INVOICE ADDRESS: FAX: 'P O.#
jCITY STATE, &ZIP: WORK/CELL: LSTIbfA "1'ED JOB TIME
JOB SI'Z'E ADDRESS: 251Y NImn St CONTACT Dan i
;CITY, STATE, & ZIP: Auburn MAiL:
----- _ —_.__
(Scope of Work)
Auburn City Hall - Window film removal
% 6.2.14 - The following is the cost for additional lift rental for safe approach, Due to lack of
indication on drawings of Sally Port, - This will require 1) "knuckle" boom and 1) Straight boom
Total = $ 81.1.00 (Approval Pending)
Notes
• Installation to be scheduled when windows and areas are clean and free of dust and airborne
debris
• Installation requires 3 foot clearance for access to glass
• GC to coordinate with City Hall to ensure clear access to ramp
• This is to be done in 2 - 2.5 +1- Hour trips; one trip per lift
• ABC Sun is not responsible for any fine scratches that may occur during the film removal
process due to silicone glass containments.
• Cost based on daytime work hours
• Cost Reflects State Prevailing Wage
• To proceed please provide PO or sign and fax back this proposal
Thank you,
Fabian Garcia
253.377.7700
WE PROPOSE hereby to furnish material and labor — complete . in accordance with above specifications for the sum of:
FILhI TYPES
No fibn -removal only
EGW
Beginning Balance:
YES
Tax Amount:
NO
Less De osit:
BALANCEDUE
Page 1
CITY OF AUBURN
CONTRACT CHANGE ORDER AGREEMENT NO. 4
Contract No., Project No. and Project Title;
Contractor Name and Address:
13 -21 , CP 1303, City Hall Remodel, Ph. 2
Lincoln Construction, Inc.
PO Box 730
Spanaway WA 98387
The Contractor is hereby directed to make the changes to the Contract as described herein. This document and all attachments arc a
supplement to the contract. All work, materials and measurements for the type of construction involved shall be in accordance with
the contract documents of the above named project unless stated otherwise in this change order.
Summary of Proposed Changes:
1. This Change order covers costs for the Contractor to "Phase" the work and to delete work in the
I st Floor Bathrooms; 33 days is added to the Contract for the `Phasing ".
The Contract time is extended by
33 days.
Item
Sch.
Sec. No.
Item Description
Quantity
Units
Unit Price
Total Price
I
3. Original Contract Amount
$ 406,858.00
Phasing Costs and deleted bathroom work
4. Revised Contract Amount
$ 422,536.05
$ 462,384.47
$ 10,501.12
Subtotal
Washington State Sales Tax (9.5 %) on applicable items
TOTALI
$ 10,501.12
$ 997.61
$ 11,498.73
This change order constitutes full and complete compensation for all labor, equipment, materials, overhead, profit, any and all
indirect costs, and time adjustment to perform the above described changes. All other costs are no - compensib/e. All other
terms and conditions of the contract remain unchanged. �� ,
Contractor: L- 5O '" '1'
Facilities Manager: l -6t -
Asst. Director Community Develop eat S -
Approved by
H:1Forms\FCO25.xls
(Revised 0512012)
r;,
Base Amount
I Total Incl. Tax
1. Total Cost this C/O
$ 10,501.12
$ 11,498.73
2. Total Cost Previous C/O
$ 5,176.93
$ 5,376.23
3. Original Contract Amount
$ 406,858.00
$ 445,509.51
4. Revised Contract Amount
$ 422,536.05
$ 462,384.47
This change order constitutes full and complete compensation for all labor, equipment, materials, overhead, profit, any and all
indirect costs, and time adjustment to perform the above described changes. All other costs are no - compensib/e. All other
terms and conditions of the contract remain unchanged. �� ,
Contractor: L- 5O '" '1'
Facilities Manager: l -6t -
Asst. Director Community Develop eat S -
Approved by
H:1Forms\FCO25.xls
(Revised 0512012)
r;,
A--.
=OF .'
WASHINGTON
Project Name:
Project No.
Remodel Phase 2
CP1303
Contract No.
13-21
Contractor:
Lincoln Construction
Date.
5WO14
FORCE ACCOUNT
SUMMARY WORKSHEET
Description:
PrqOct Phasing, credit for no work in
Ist Floor Bathrooms
Description
Unit
Regularl
Overtime
Regular
Overtime
Total
L hrs a day)
Hrs
132.00
59.86
7902.00
::
Bathrooms no work credit)
-16.00
59.88
-958.00
...........
0.00
0.00
...........
. .. ........
0.00
0.00
Subtotal
6.944.00
Markup
29%
21W.76
Total
EijtlijYhlertt
Description
Unit
Re ular
Standb
Regular
Standby
Total
..............
...........
Hr
0.00
............
Hr
0.00
..........
Hr
0.00
0.00
..............
........... -
......
0.00
...........
040
Subtotal
-
Markup
21%
Total
$
Description
Unit
Regular
Standby
aegular
Standby
Total
............
0.00
..........
0.00
0.00
...... 4 .......
0.00
..........
0.00
.............
..............
0.00
Subtotal
Markup
21%
-
Total
Description
Unit
Regular
Standby
Regular
Standby
Total
.......
West Valley Electric
LS
1.00
2766.00
2,766.00
......
DB Solutions (credit)
LS
1.00
- 1388.00
I
-1 388.00
..............
0400
0.00
..........
0.00
Subtotal
1 37a.00
Markup
12%
165.36
Total
1 543.36
Total Force
ccount
10,50. 2
LINCOLN CONSTRUCTION, INC.
21323 MT HIGHWAY, PO BOX 730 SPANAWAY, WA 98387 OFFICE 253.847,6414 FAX 253.847.6806
May 6, 2014
City of Auburn
25 West Main
Auburn, WA 98002
Attn: Lisa Moore
Re: Auburn City Hall Remodel Phase II
Project #13 -21
LCI #1183
Subject: COP 5 Electrical Phasing
n�- ,
71 �1 -�•�
Per our jobsite meeting, I agreed to answer your letter as follows:
We will give you a credit for no work in the toilet rooms and a charge to
phase the project in 2 parts
Lincoln Construction
33 days x 4 hrs per day 132 hrs
Credit 16 hrs Tabor
West Valley Electric
DB Solutions
material $ -
labor $ 7,902
$ 7,902
$ (958)
$ 6,944
$ 2,766
$ 1388
$ 1,378
Overhead on Prime Contractors Labor 29% $ 2,014
Overhead on Prime Contractors Material 21% $ -
Total Prime Contractors Work $ 9,915
Total Subcontractors Work
Overhead on Subcontractors Work
Total Change Order Requested
$ 1,388
12% $ 167
$ 1,555
$ 11,470
Please issue a change order in the amount of $11,470.00
We request 33 days be added to the contract completion
If you Have any questions, please contact me @ 253 - 847 -6414
Sincerely
Is�ah
Lincoln Construction
11 DID Solutions
April 3, 2014
Lincoln Construction Inc.
PO Box 730
Spanaway, WA 98387
Project: Auburn City Hall Phase Two
Subject: DB COP -7, Delete Restroom 117 and 119 Plumbing Work
Dan,
We are pleased to provide a credit proposal to delete all plumbing work for restroom 117 and
119.
Our Deduct price for this credited work is ($1,388)
Should you have any questions or require further information please do not hesitate to contact
me,
Regards,
DIB Solutions
Dana Hannan
2100 196th St. SW. Suite 122, Lynnwood, WA 9M t 425 744 6300 If 425 744 6341
COP Cost Breakdown
Project Name: Aubum City Hall Phase Two DB COP No
21'
Project No. 1407 Date: ys
co"tmct"
S Contractor Ref. No.
AuD n M Hall OB COP-7 Pagt_of_
V MT I I,
AuD n M Hall OB COP-7 Pagt_of_
Project Name: Auburn City I
Project No 1407
Contractor: Out
Doscriptlorn
1. CRAFT LABOR
fall Phase Two
Source Dvoum,rdso,
Dow;
Contractor Ref. No,
Direct Labor Cost$:
a. crew (apprentices, journey
in, foreman
c. lead foreman
wil, & laborers),
DIRECT LABOR SUBTOTAL $ (806.80)
Supervision;
$
b. NTE 6% of Lino 6 In excess of $60,000 for each sub
4. direct SUPONISOU [NTE 1S % of 10)
(130.32)
7. OVERHEAD & PROFIT ON SUSSUSCONTRACTORS $.
a. safety (NTE 21/6 of lines In, b, & a)
8 117.38}
a. payroll driven liability Insurance A.9% of 1
$
b. volume driven liability Insurance Lw%ofl-7
1. CRAFT LABOR COSTS
2. MATERIAL COSTS
a. material costs
T,
h. Restocking Charge
x. gwv�0'1
2.MATERIALCOSTS 380,00
3. EQUIPMENT COSTS
a. owned equipment (La"torlse)
It. rental equipment (per Invoices attached)
lk . V.E
S. EQUIPMENT COSTS (95200)
4. SMALL TOOLS
a, small tools (NTE 51A of Is & b)
4, $MALL TOOL -5 II
SUBTOTAL i thm 4
G. OVERHEAD & PROFIT
a. HTE 12% portion of 1. 2. 3. & 4 up to $90,000
1). NTE 10-A portion of 1, 2, 3, & 4 In excess of $60,000
6. OVERHEAD & PROFIT $
6. SUB-SUBCONTRACTORS
b.
t
16 lttt.Ki,
d. AW.
(I. SUB - SUBCONTRACTORS ,
7. OVERHEAD & PROFIT ON SUB•SUBCONTRACTORS
a. NTE 7% of Lino 6 UP to $60,000 for each sub
$
b. NTE 6% of Lino 6 In excess of $60,000 for each sub
7. OVERHEAD & PROFIT ON SUSSUSCONTRACTORS $.
S. INSURANCE
a. payroll driven liability Insurance A.9% of 1
$
b. volume driven liability Insurance Lw%ofl-7
$ $.INSURANCE $
9. BOND
a. bond
F. RM Orw0e1
of 1.8
9. BOND $ -
TOTAL COST
Aubum CXV Hall 08 COP-7 pago—ol— issued eIY2014
Capital projects Office
COP Wage Rates
Proloct Name: Auburn City Hall Phasa Two
Project No: 1467
Conhactor- DB Solutions
Trade &,y
Position
-.'F`� sMSbalal
..' Faemm
Sar[IeYI
Appreram 7a%
P bw/Gyafiner
WT« Fweoea
SMet X101
Jedeaynwn Via)
Rat° Schedule Date
v=-y .r OWA2
06Ni112
06101112
P Wa a (Intl. Benefits)
;$44.4"4
.
. Hmrly Wage Rate
: $ 46.86
$ 26.76
$ 49 -14
S 61.11
2 Hoorly Berne=.ts
$ 23-38
$ 11.73
$ 2529
$ 23.38
SUBTOTAL
F' v S 72.16
S 67.62
16 - 38.50
.$ 74AS..S
._ -...
S 74.49.
t $
S -
S
-
Rats
. FUI %of t
.080% S 059
$ 036
S . -021.
$ 03g
$
S 041'
S
S
S
9
.FICA %oft
620% S 3.03
S, . 296
S. 1 -W
$ .3.05
S.`.,- '...
S 1:17
$
$ .
S. MEDICARE %oft
.. . • 0.71
i.469'a S
.5. 044
S 0:'39
$ 0.71
$
S AT4
$ .
So% Of I isxlart weed% to 6-0hp
E' 299:
$ X267
$`'c. 4.8d
S .296
L'
S .. 3.CT.
S - -
$
$
T.wc 0rrsertE aTwon[pel tgWj
$ 1.59
$ 1.59
S 159
$ .1.60
TOTAL (trial, payroll taxes)
S -'•:'A eA
S 7383
S ';L. •4196
'S:' 8193
S " - ..
$ '8$�6
$ -. ..
S
L
$ -
NOTES: • Rate schedule dab is the date of the Dept of labor& 0dusties Prevagmg Wage Rabe wedarthe Union Agreanent.
a. W Minns 3 gbu 5, the Federal rates do notvary by grab and the pamemagesare already lodted into this form.
b. lorHUn 6. theWWI rate is defe<rtdned by this Stat e Empbyment Seaaity Dept. and varies by 6rra h shag be verified by five contactor at the start of the project
Q fw item 7. the ram is based m L & i dessffcagort The h=iy dollar arnot" is6wifro to to Krm@ade and shall be veNed bylhecontractor at the start Otte project
CL definitions
1. items i & 2 are basic wages and Wnefds(see general cxxlQlms 7.028.1.s(1))
2 Hem S. FEU i5 Federal Unemplo'yment Tax Act (sea general wrGfio[a 7.02 &7.a(3))
3. item 4, FICA is Federal insurance CmWensaBonActSocial Socially (see general cps Worn, 7.OM.7(3))
4. lean 5, Medicare is FICA Medical aid (see general wndi "7.02 8.7.9(3))
5. ilem 6, SIN is State Unemplrn nerd CanpelsBfim Ad (see general conditions 7.028.1x(3))
S. item 7, WC is Indmtrial irosleam- eNrodcers' wmperwatlm (ses general cord bores 7.02 8.7.a(2))
f,
F. ReN9ed aiV lSYad b9IdT14
F01cornmercial interiors
A CHUKCHANSI CORPORATION
BILL TO:
CLIENT NUMBER.: 001010
City of Auburn
Attn: Lisa Moore
25 W Main Street, 2nd Floor
Auburn, WA 98001
I N
INVOICE: 318263
PROPOSAL: 18049
DATE: 06/30/14
INSTALL AT:
City of Auburn
Attn: Lisa Moore
25 W Main Street, 2nd Floor
Auburn, WA 98001
V O I C B
CUSTOMER P /0: TERMS PROJECT MANAGER:
NET 1.0 DAYS MICHELLE GEARHART / M CARMIER
PROPOSAL DESCRIPTION: Legal Dept - Maxon /Creative Woodcraft /Global
NO. QTY DESCRIPTION SELL EXTENDED
4 1 Delivery & Installation 10,965.00 10,965.00
10 cubicles, 1 counter unit, 7
offices, 1 conference table and
16 chairs. Also move 5 offices
and reinstall.
Thank you for
your order.
SUBTOTAL....:
10,965.00
We appreciate
your business.
SALES TAX...:
1,041.68
FINAL TOTAL.:
12,006 68
-
PAY THIS AMOUNT......:
------- ----
12,006.68
1215 4th Avenue
- Suite 1125 - Seattle, Washington 9fi16]
office. 206.623.4300 /ax 206.623.3377
www.foici.com
PAGE.
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