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HomeMy WebLinkAbout14-05, Project #C524A, R.L. Alia CompanytiE �k CITY OF AD-BuRN Nancy Backus, Mayor WASHINGTON 25 West Main Street * Auburn WA 98001 -4998 * www.auburnwa.gov * 253- 931 -3000 May 16, 2014 CERTIFIED MAIL RETURN RECEIPT REQUESTED Richard Alia R.L. Alia Company 107 Williams Avenue South Renton, WA 98057 NOTICE TO PROCEED cl fY ql/Q Cll yCI F� IJ RKS OFFICE MAY 1 � 1014 REs Project #C524A, Utility Physical Site Improvements, Contract #14 -05 Dear Mr. Alia: You are hereby notified to proceed as of May 20,2014 with the work on the above - referenced project, within the time period specified, in accordance with the provisions of the contract documents (copy enclosed). This project has 60 working days for completion. If you have any questions, please contact the City Inspector for the project, Dave Roselle at (253) 804 -5085 or the Contract Administration Specialist Amanda DeSilver at (253) 876 -1980. Sincer ly; J�. Ingrid Asst. Director of Engineering Services & City Engineer Community Development & Public Works Dept. IG /ad /mt Enclosure cc: Dani Daskam, City Clerk Jacob Sweeting, Assistant City Engineer Dave Roselle, Project Inspector File 13.11 (C524A) AUBURN* MORE THAN YOU IMAGINED CONTRACT Contract No. 14 -05 THIS AGREEMENT AND CONTRACT, made and entered into, in duplicate, at Auburn, Washington, this day of L , 2014, by and between the CITY OF AUBURN, WASHINGTON, a municipal orporation, and R.L. Alia Company, 107 Williams Avenue South. Renton, WA, 98057, hereinafter called the CONTRACTOR. WITNESSETH: That, in consideration of the terms and conditions contained in the Contract Documents entitled "C524A, Utility Physical Site Improvements," which are by this reference incorporated herein and made a part of this Contract, the parties hereto covenant and agree as follows: 1. The CONTRACTOR shall do all work and furnish all tools, materials and equipment for Project C524A, Utility Physical Site Improvements — the construction of utility security site improvements, including construction of chain link fencing, slide gates, fence gates, bollards, equipment shelters, and brush and tree removal for a unit bid price of four hundred seventy - three thousand, four hundred eighty -five dollars and thirty -five cents ($473,485.35) and Washington State Sales Tax of forty -four thousand nine hundred and sixty -nine dollars and forty -five cents ($44,969.45) for a total contract value of five hundred eighteen thousand, four hundred fifty -four dollars and eighty cents ($518,454.80) in accordance with and as described in the Contract Documents which are by this reference incorporated herein and made a part hereof, and shall perform any alterations in or additions to the work provided under this Contract and every part thereof. 'I his Contract shall be executed by the Contractor and returned to the City within 7 calendar days after the receipt of the dated notification of award and the Contract time shall commence within 5 working days after execution of the Contract by the City and so designated on the Notice to Proceed. Physical completion shall be within 60 working days of the date on the Notice to Proceed. If said work is not completed within the time specified, the CONTRACTOR agrees to pay liquidated damages to the CITY OF AUBURN, as specified in Section 1 -08.9 (Liquidated Damages) of the Standard Specifications. The CONTRACTOR shall provide and bear the expense of all equipment, work and labor of any sort whatsoever that may be required for the transfer of materials and for constructing and completing the work provided for in this Contract and every part thereof, except such as are mentioned in the Contract Documents to be furnished by the CITY OF AUBURN. II. The CITY 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 his heirs, executors, administrators, successors, and assigns, does hereby agree to the full performance of all the covenants herein contained upon by part of the CONTRACTOR. IV. It is further provided that no liability shall attach to the CITY OF AUBURN, WASHINGTON by reason of entering into this Contract, except as expressly provided herein. IN WITNESS WFIEREOF the parties hereto have caused this Contract to be executed the day and year first hereinabove written. Countersigned: this jeday of 2014 ATTEST: Danielle E. Daskam, City Clerk APPROV L� AS FORM: Daniel B. Heid, City Attorney CITY OF AUBURN, WASHINGTON By Na ackus, Mayor R.L. A IA CO PANY By �3oay< Autho ized Official Signature Ri -,Y4N L. /SRC— Sicepir r / CONTRACT BOND CONTRACT NO. 14 -05 s BOND NO. 2181962 BOND TO CITY OF AUBURN, WASHINGTON KNOW ALL MEN 13Y THESE PRESENTS: That we, the undersigned, R.L. Alia Company, 107 Williams Avenue South, Renton, WA, 98057, as principal, and North American Specialty Insurance Company , a corporation, organized and existing under the laws of the State of New Hampshire as a surety cof-,poration, and qualified under the laws of the State of Washington to become surety upon bonds of contractors with municipal corporations, as surety, are jointly and severally held and firmly, bound to the City of Auburn, Washington, in the penal sum of five hundred eighteen thousand, four hundred fifty -four dollars and eighty cents ($518,454.80), for the payment of which sum we jointly and severally bind ourselves and our successors, heirs, administrators or personal representatives as the case may be. This obligation is entered into in pursuance of the Statutes of the State of Washington and the Ordinances of the City of Auburn, Washington. Dated at Auburn, Washington, this 1-4= day of MCLUf 2014. Nevertheless, the conditions of the above obligation are such that: WHEREAS, the City of Auburn on the 21st day of ADril, 2014, let to the above bounden principal a certain Contract. The said Contract being numbered 14 -05, and providing for the construction of Project C524A, Utility Physical Site Improvements - utility security site improvements, including construction of chain link fencing, slide gates, fence gates, bollards, equipment shelters, and brush and tree removal (which Contract is referred to herein and is made a part hereof as though attached hereto), and WHEREAS, the said principal has accepted, or is about to accept, the said Contract, and undertake to perform the work therein provided for in the manner and within the time set faith: NOW, THEREFORE, if the above bounden principal shall faithfully and truly observed and comply with the terms, conditions, and provisions of said Contract in all respects and shall well and truly and fully do and perform all matters and things by them undertaken to be performed under said Contract, upon the terms proposed therein, and any and all duly authorized modifications of said Contract that may hereafter by made, and within the time prescribed therein, and until the same is accepted, and shall pay all laborers, mechanics, subcontractors and material men, and all persons who shall supply principal or subcontractors with provisions and supplies for the carrying on of said work and shall hold said City of Auburn, Washington, harmless from any loss or damage occasioned to any person or property by reason of any carelessness or negligence on the part of said principal or any subcontractor in the performance of said work, and shall in all respects faithfully perform said Contract according to law, and shall indemnify and hold the City of Auburn, Washington, harmless from any damage or expense by reason of failure of performance, as specified in said Contract, and The undersigned principal and the undersigned surety present &is contract bond related to the Contract, PROVIDED that this document shall not be enforceablc,unless and until the City of Auburn awards and executes the Contract to the undersigned principal. No obligations under this bond, for the performance of the above - referenced contract, shall be enforceable until the City of Auburn has executed the contract to the undersigned principal. The Surety, hereby agrees that modifications and changes may be made in the terms and provisions of the aforesaid Contract without notice to Surety, and any such modifications or changes increasing the total amount to be paid the Principal shall automatically increase the obligation of the Surety on this Contract Bond in a like amount, such increase; however, not to exceed twenty — five percent (25 %) of the original amount of this bond without the consent of the Surety. PROVIDED, however, that after the acceptance of this Contract and the expiration of the lien period, and if there are no liens pending, then the penal sum of this bond, shall_be reduced to either ten percent (10 %) of the value of the improvements to the City or two thousand dollars ($2,000), Whichever is greater, to warranty against defects appearing or developing in the material or workmanship provided or performed under this Contract within a period of one (1) year after acceptance. Not withstanding the reduction of this bond, the principal and surety shall hold the City of Auburn harmless from all defects appearing or developing in the material or workmanship provided or performed under this Contract within a period of one (1) year after acceptance, THEN and in that event this obligation shall be void; but otherwise it shall be and remain in full force and effect. It is hereby expressly agreed 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 Washington shall be binding. IN WITNESS WHEREOF, the above - bounden parties have execut instrument this jots, dayof 20J4_. Ricomj4 L. Ac,q R. L. Alin Company PRESik Rri North American Specialty Insurance Company Surety By Deanna —French Attorney in Fact Parker, Smith & Feek, Inc. 2233 112th Ave. N.E., Bellevue, WA 98004 425) 709 -3600 Resident Agent's Address & Phone Number NAS SURETY GROUP NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS, THAT North American Specialty Insurance Company, a corporation duly organized and existing under laws of the State of New Hampshire, and having its principal office in the City of Manchester, New Hampshire, and Washington International Insurance Company, a corporation organized and existing under the laws of the Slate of New Hampshire and having its principal office in the City of Schaumburg, Illinois, each does hereby make, constitute and appoint: STUART A. OTARRELL, SUSAN B. LARSON, SCOTT FISHER, JILL A. BOYLE, MINDEE L. RANKIN, DEANNA M. FRENCH, RONALD J LANGE ELIZABETH R. HAHN, JANA M. ROY, ELLEN M. BELL ROGER R KALTEN13ACH and SCOTT McGILVRAY JOINTLY OR SEVERALLY Its true and lawful Attorney(s)-in-Fact, to make, execute, seal and deliver, for and on its behalf and as its act and deed, bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies, as surety, on contracts of suretyship as are or may be required or permitted by law, regulation, contract or otherwise, provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of. FIFTY MILLION ($50,000,000.00) DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on the 9" of May, 2012: "RESOLVED, that any two of the Presidents, any Managing Director, any Senior Vice President, any Vice President, any Assistant Vice President, the Secretary or any Assistant Secretary be, and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds, undertakings and all contracts of surety, and that each or any of them hereby is authorized to attest to die execution of any such Power of Attorney and to attach therein the seal of the Company; and it is FURTHER RESOLVED, that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon die Company when so affixed and in the future with regard to any bond, undertaking or contract of surety to which it is attached." Q` 'AUTAl1TNnnry �eY1",� is p.�i By ti:'GO SEAL %As Ske P. Admq mier Via Puml o Wuhiogav lnemaovd n z SEARLyF G �y�aa 1073 4iq @senior Vitt Prmidem of Namh Ammieaa Sp¢ialry lnsurame Company �� �'1L'•1H �4;'pO` s cis. n �q /H14'ONNPS�D o 'li':1djv:;p0 F nfNmuumitll�0 By� ... *.. -i� David M. Lymaq Ptt Praidml of WuM1ivglav lvkmafianJ Wurantt Compavy �r @ Vice Pmideut of Nosh Am dem Spaiaky laaurance Company IN WITNESS WHEREOF, North American Specialty Insurance Company and Washington International Imurance Company have caused their official seals to be hereunto affixed, and these presents to be signed by their authorized officers thisl3th day of March 2p14 North American Specialty Insurance Company Washington International Insurance Company State of Illinois County of Cook ss: On this 13th day of March 2014 before me, a Notary Public personally appeared Steven P. Anderson , Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and David M. Layman , Vice President of Washington International Insurance Company and Vice President of North American Specialty Insurance Company, personally known to me, who being by me duly swom, acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and decd of their respective companies. "OFFICIALSEAL" 1�OnAw ,tq DONNA D. SKLENS Notary Public, Slate of Illinois Donna D. Sklens, Notary Public My Commission Etptres 10!06/2015 I, Jeffrey Goldbere ,the duly elected Assistant Secretary of North American Specialty Insurance Company and Washington International Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North American Specialty Insurance Company and Washington International Insurance Company, which is still in full force and effect. IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies this, day of Apr ; , 2011) semi ctiimwg, vine P,miaml @ Aviamm seaemmY pl Wastdn�on Nkmnumal Wmmcc rompam @ NoM Ameicmi Sprualry Wmmre Compeny Page 1 of 2 *. Search > NORTH AMERICAN SPECIALTY INSURANCE COMPANY NORTH AMERICAN SPECIALTY INSURANCE COMPANY General I Contact I Licensing I Appointments I Complaints I Orders I National Info I Ratings General information Contact information Name: NORTH AMERICAN SPECIALTY INSURANCE Registered address Mailing address COMPANY 650 ELM ST 650 ELM ST Corporate family group SWISS RE GRP wbm,, MANCHESTER, NH 03101- MANCHESTER, NH 03101 - this� - - - - - -- 2524 2524 Organization type: PROPERTY WAOIC: 965 NAIC: 29874 Status: ACTIVE Admitted date: 03/08/1985 Ownership type: STOCK back,to top Telephone Telephone 603 - 644 -6600 603 - 644 -6600 Types of coverage authorized to sell wl,atl=th= nce n Marine back to,top Agents and agencies that represent this company (Appointments) Viewyagents Viewa9encies back to top Company complaint history ,what;,thls ^ back to top Disciplinary orders 2008 -2014 what=th= No disophoary orders are found The orders posted here are unverified electronic duplicates of the official orders actually entered. To be certain you have the official version of the order as entered, request a hard copy from Renee Moines at 360 - 725 -7047 or http: / /www. insurance. wa. gov /consumertool kit / Company /CompanyProfile.aspx ?WAOIC =965 5/2/2014 Page 2 of 2 email legal @oic.wa.gov. Looking for other orders? Our on orders search allows you to search a ten year history of all orders, including enforcement orders, administrative orders, and general orders. T 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 Standard and Poors Corp Moody's Investors - Service Fitch IBCA, Duff and Phelps Ratings °. back to top http: /hv,�vNN, .insurance. wa.govlconsumertool kit / Company lCompanyProfile.aspx ?WAOIC =965 5/2/2014 no Edr V Earain read, Hind yj:m+m ' Phooe n or 'Fri r .M Mill ec0 R;WSkISm4 Wind Crveraae? Howooezvourinsurer Rate? State taturnive, Information � .evv: ryzn<m <orvee �� .. (none tax I Fornomier , ca m Relllemenl Q Healln d Immellly 0 Cm d Horne Q Coiner Life Evenrs North Afnelioan Specialty Insurance Co [69- v'- Foe We ow.rswwn,' o r mm rho MOlro 050 Elm Street Phone: 6016446600 . - ,Feder NH 03101 -25N Cx 6016446613 UNITED ifi Web - • «' Qd, ...�' Best's Ratings oiler, aarl, n n anm.l moron nv lrenpb more f Ial sve190 if Foy A• arms r.Ed,'nm, remark 5lable in9 nlsbry marFelanare 9oral 1 lm pe4Vrt lnsumrslor8995. E.I. eaie: Jan 0,31 2014 (Aniuned) N Sam le aeoon Nmml SEE CdIEQOq %V ({2 Billion OF real Llaerai of, ,n, ni 1—rOad In the ci5Nr1 of COFu l], PUana Rlco all .11 F.Ife To, Lineal of Busilmsa ne.— o-.v n.,..,.. wool 1. SOrey11 — 111-a_) ]. Omer Liabiliy(oeen n Oil no, n_) 3 mi uannel, ) - I.01bmLlabllly(Chlme. modal ra —on uI 5, onelan on-1,r,., r Top 51a1ehl of ansllmss loco a, oea moan¢ wrlm] 1. Co m<nic t Teeas ]. New Yolk - 4. CalUmnia '6Ytnw i (lerida ' Oman ou ramoodm amine laical oe,,m PeS aln ;i do this company and d AM_ Best(afto Terri OF Led el rearrmebOn O oneal on me I M Peat— ford,mNUmnp In, Fort prone, 1. red S ide. rame ,,eOrts,ImapeS,Wharfs.a,imin5. and cna1151e PwT to M Or llcenseo to AM.6es1 Y. Coma) and l5 pmlF rPd mUnlled SRts9 cnp1el loN5 and nn n itimal VeaNP fpm m m AFt B[S and Foe Ilcanound rolain all forandhe and other m00llelery rlgnF910 the .mam mnlam. al Preen F9mrc obtdmed]nmodh enrol Fill oll he I menveq dmndmeo N Third Parries. or stored in a database or omnnil mean in ammrm for commerrial ��1 WASHINGTON Escrow Agreement For Retainage Declined R.L. ALIA COMPANY, 107 WILLIAMS AVENUE SOUTH, RENTON, WA, 98057 (CONTRACTOR) acknowledges that they have been offered the option of setting up an escrow agreement for their retainage on Contract No. 14 -05, Project No. C524A, UTILITY PHYSICAL SITE IMPROVEMENTS. The CONTRACTOR declines to set up an escrow agreement and understands that the City will hold the 5% retainage with no interest until the project is complete, accepted by the City, and all releases and liens have been satisfied. Rictot" /-. LkiA Print or Type Name Title Date File: 13.11 (C524A) AUBURN* MORE THAN YOU IMAGINED ACORO® CERTIFICATE OF LIABILITY INSURANCE �� DAT412912D/YYYY) 04/29/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT - NAME: PHONE 425- 709 -3600 FAX 425- 709 -7460 Jac. Noi I (a0, Not: E -MAIL ADDRESS: Parker, Smith & Feelk, Inc. 2233 112th Avenue NE Bellevue, WA 98004 INSURER( S)AFFORDING COVERAGE NAILS INSURER A: Continental Western Insurance Company 1011/2013 101112014 INSURED R. L. Alia Company INSURER B : DAMAGE TO RENTED PREMISES Ea orrLrrence $ 1,DOO,DDO 107 Williams Ave. S- INSURER C: INSURER D: Renton, WA 98055 INSURE $ 10,000 INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OE 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 LTR TYPE OF INSURANCE ADDL SUER POLJCYNUMBER POLICY EFF MMIDDfIYYY POLICY E MMIDDIYYYY LIMITS A GENERAL LIABILITY CWP295050123 1011/2013 101112014 EACH OCCURRENCE �$ 1,000,000 DAMAGE TO RENTED PREMISES Ea orrLrrence $ 1,DOO,DDO x COMMERCIAL GENERAL LIABILITY X MED EXP (Any one person) $ 10,000 CLAIMS -MADE I OCCUR PERSONAL B ADV INJURY $ 300,000 GENERALAGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG $ 2.000,000 ^I POLICY Jl 1 PRO- � LOC IFCT $ A AUTOMOBILE LIABILITY CWP295050123 101112013 10/112014 OSINtlEDI SINGLE LIMIT LE. $ 1,000,000 BODILY INJURY (Per Person) $ X ANY AUTO X ALL OWNED SCHEDULED BODILY INJURY (Per accalonn $ AUTOS NONDWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Peraccitlenl - — , $ $ iq r A UMBRELLA LIAB I X I OCCUR CU295011222 101112013 101112014 EACH OCCURRENCE 1s 1,000,000 X AGGREGATE - $ 1,000,000 EXCESS LIAB CLAIMS -MADE X DED I x J RETENTIONS None Is A WORKERS COMPENSATION AND EMPLOYERS'LIASILIPY YIN ANY PROPRIETORIPARTNERlEXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory in NHl It yes describe under DESCRIPTION OFOPERATIONS he. NIA GWP295U5D123 �� WA Stop Gap Employers Liability only (WC statutory benefits provided by WA State 1011/2013 10/112014 VJC STATU- x OTH- T RY E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE 1 g 000,000 EL .DISEASE - POLICY LIMIT 1,000,000 IS DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is raquinie) Contract No. 14 -05 - Project No. C524A, Utility Physical Site Improvements- City of Auburn and its officers, elected officials, employees, agents and volunteers are included as Additional Insured per the attached General Liability endorsement CL CG 20 48 01 12, Auto Liability endorsement CW 34 68 01 12, and Excess Liability endorsement CU 00 01 12 07. CERTIFICATE HOLDER CANCELLATION © 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 1 of 4 ALIACOMP (ATE00) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Auburn AUTHORRED REPRESENTATIVE 25 West Main Street Auburn, WA 98001- 4998p� © 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 1 of 4 ALIACOMP (ATE00) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY COMMERCIAL AUTOMOBILE EXPANSION ENDORSEMENT - PLATINUM This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM The following provides a broad range of coverage in addition to that provided by the basic policy. In some instances, a higher limit or broader coverage is available, Should the policy indicate broader coverage or higher limits than provided by this endorsement, the higher limits or broader coverage shall apply. A. BROADENED NAMED INSURED (2) A person's or organization's status The Named Insured shown in the Declarations is as an additional insured exists only amended to include: while you are performing operations for that additional insured. Any organization, other than a joint venture, over which you maintain ownership or majority inter- est of more than 50%, unless that organization is an "insured" under any other automobile pol- icy or would be an "insured" under such a policy but for the exhaustion of its Limit of Insurance, however-, 1. Coverage under this provision is afforded only until the 180th day after you acquire or form the organizetion or the end of the policy period, whichever is earlier. 2. Coverage does nut apply to "bodily injury" or "property damage" that occurred before you acquired or formed the organization. B. ADDITIONAL INSURED BY CONTRACT OR AGREEMENT The following is added to Section II - Liability Coverage, Paragraph A.1.: d. Any person or organization for whom you are performing operations if you and such person or organization have agreed in writ- ing in a contract or agreement that such person or organization be added as an addi- tional insured on your policy. (1) Such person or organization is an additional insured only with respect to liability for "bodily injury" or "prop- erty damage ":, (a) Caused by an "accident ", and (3) Section Il. Paragraph C. Limits of Insurance for person or organization added as additional insured are those specified in the written con- tract or agreement, or in this cover- age form, whichever is less. These limits of insurance are inclusive of and are not in addition to the Limits of Insurance shown in the Declara- tions. (4) This insurance applies on a primary and non - contributory basis if that is required by the written contract or agreement. (5) This insurance does not apply unless the written contract or agreement has been executed prior to the "bodily injury" or `property damage ". C. ADDITIONAL INSURED " EMPLOYEES The following is added to the Section II — Liability Coverage, Paragraph A.1. Who is An Insured Provision: Any "employee" of yours is an "insured" while us- ing a covered "auto" you don't own, hire or borrow in your business or your personal affairs. D. EXTENDED COVERAGE - BAIL BONDS Section 11 — Liability Coverage, Paragraph A.2.a.(2). is deleted and replaced by the follow- (b) Resulting from the ownership, ing. maintenance or use of a cov- (2) Up to $5,000 for cost of bail bonds ered "auto (including bonds for related traffic law violations) required because of an `accident" we cover. We do not have to furnish these bonds. CW 34.68 D1 12 Includes Gopyrighted material of Insurance Services Page 1 of 5 Office. Inc.. with its permission THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES, CONTRACTORS OR OTHERS - COMPLETED OPERATIONS - AUTOMATIC, INCLUDING PRIMARY NON - CONTRIBUTORY This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. SECTION II - WHO IS AN INSURED is amended to include as an additional insured any person(s) or organization(s) when you are obligated by virtue of a written contract or agreement that such person be added as an additional insured to your policy, but only with respect to "bodily injury", "property damage" or "personal and advertising injury' caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; for that additional insured and included in the "products- completed operations hazard ". B. LIMITS OF INSURANCE Limits of insurance for such additional insured are the limits in this coverage form or the limits you and such additional insured agreed to by virtue of a contract or agreement, whichever is less. These limits are inclusive of and are not in addition to the Limits Of Insurance shown in the Declarations. C. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply to "bodily injury', 'property damage" or "personal and advertising injury" arising out of: 1. The rendering of or failure to render any professional services by you or on your behalf, but only with respect to either or both of the following operations: a. Providing engineering, architectural or surveying services to others in your capacity as an engineer, architect or surveyor; and b. Providing, or hiring independent professionals to provide, engineering, architectural or surveying services in connection with construction work you perform. 2. Subject to paragraph 3. below, professional services include: a. Preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders, or drawings and specifications; and b. Supervisory or inspection activities performed as part of any related architectural or engineering activities. 3. Professional services do not include services within construction means, methods, techniques, sequences and procedures employed by you or performed by or for the construction manager, its employees or its subcontractors in connection with your products - completed operations. D. PRIMARY NON - CONTRIBUTORY When required by virtue of a written contract or agreement, coverage provided to any additional insured by ADDITIONAL INSURED - OWNERS, LESSEES, CONTRACTORS OR OTHERS - COMPLETED OPERATIONS - AUTOMATIC, INCLUDING PRIMARY NON - CONTRIBUTORY will be on a primary basis CL CG 20 48 01 12 includes Copyrighted material of Insurance Services Page 1 of 1 Office, Inc with its permission 3 of 4 ALIACOMP (ATEOO) (b) 'Property damage' to property: (i) Owned, occupied or used by, (ii) Rented to, in the care, custody or control of, or over which physical control is being exercised for any purpose by you, any of your "employees ", "volunteer workers', any partner or member (if you are a partnership or joint venture), or any member (if you are a limited liability company). (2) Any person (other than your "employee' or "volunteer worker"), or any organization while acting as your real estate manager. (3) Any person or organization having proper temporary custody of your property if you die, but only. (a) With respect to liability arising out of the maintenance or use of that property; and (b) Until your legal representative has been appointed. (4) Your legal representative if you die, but only with respect to duties as such. That repre- sentative will have all your rights and duties under this Coverage Part. c. Any organization you newly acquire or form, other than a partnership, joint venture or limited liability company, and over which you maintain ownership or majority interest, will qualify as a Named Insured if there is no other similar in- surance available to that organization. How- ever: (1) Coverage under this provision is afforded only until the 90th day after you acquire or form the organization or the end of the pol- icy period, whichever is earlier; (2) Coverage A does not apply to "bodily injury" or "property damage' that occurred before you acquired or formed the organization; and (3) Coverage B does not apply to "personal and advertising injury" arising out of an of- fense committed before you acquired or formed the organization. 2. Only with respect to liability arising out of the own- ership, maintenance or use of "covered autos ": a. You are an insured. Page 10 of 17 b. Anyone else while using with your permission a ..covered auto' you own, hire or borrow is also an insured except: (1) The owner or anyone else from whom you hire or borrow a "covered auto'. This excep- tion does not apply if the "covered auto' is a trailer or semitrailer connected to a "cov- ered auto" you own. (2) Your "employee" if the "covered auto" is owned by that "employee' or a member of his or her household. (3) Someone using a "covered auto" while he or she is working in a business of selling, servicing, repairing, parking or storing "autos" unless that business is yours. (4) Anyone other than your "employees ", part- ners (if you are a partnership), members (if you are a limited liability company), or a lessee or borrower or any of their "employ- ees', while moving property to or from a "covered auto ". (5) A partner (if you are a partnership), or a member (if you are a limited liability com- pany) for a "covered auto" owned by him or her or a member of his or her household. (6) "Employees' with respect to 'bodily injury" to any fellow "employee" of the insured aris- ing out of and in the course of the fellow "employee's" employment or while perform- ing duties related to the conduct of your business. c. Anyone liable for the conduct of an insured described above is also an insured, but only to the extent of that liability. 3. Any additional insured under any policy of "under- lying insurance" will automatically be an insured under this insurance. If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance required by the contract, less any amounts payable by any "underlying insur- ance'. Additional insured coverage provided by this in- surance will not be broader than coverage pro- vided by the "underlying insurance'. No person or organization is an insured with respect to the conduct of any current or past partnership, joint venture or limited liability company that is not shown as a Named Insured in the Declarations. © ISO Properties, Inc., 2007 CU 00 01 12 07 ❑ 4 of 4 ALIACOMP (ATE00) Page 1 of 2 A Search >- CONTINENTAL WESTERN INSURANCE COMPANY CONTINENTAL WESTERN INSURANCE COMPANY General I Contact I Ulcensing I Appointments I Complaints I Orders I National Info I Ratings General information Contact information Name: CONTINENTAL WESTERN INSURANCE COMPANY Registered Mailing address Corporate family group: WR BERKLEY.CORP_ GRP What is address 11201 DOUGLAS AVE th,h'. 11201 DOUGLAS Organization type: PROPERTY URBANDALE, IA 50322 URBANDALE, IA 50322 WAOIC: 116648 NAIC: 10804 status: ACTIVE Admitted date: 08/23/1995 Ownership type: STOCK ° back to top Telephone Telephone 800 -235 -2942 800 - 235 -2942 Types of coverage authorized to sell What is this, ^ back to top Agents and agencies that represent this company (Appointments) What is ths, view agentsYiew agencies ^. back. [atop Company complaint history Wn ?c.s mis,. ^. back tamp Disciplinary orders 2008 -2014 Whan,s,ha?. Year lorder Number 12010 10 -0156 The orders posted here are unverified electronic duplicates of the official orders actually entered. To be certain you have the official version of the order as entered, request a hard copy from Renee Moines at 360 - 725 -7047 or email legal @oic.wa.gov. Looking for other orders? Our online orders. search allows you to search a ten year history of all orders, including enforcement orders, administrative orders, and general orders. ^ back to top http: / /www. insurance. wa.gov /consumertool kit /Company /CompanyProfi le. aspx? W AOI C =1... 5/2/2014 Page 2 of 2 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. t back to roe 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 ^ back to top http: / /www. insurance.%v a. gov/ consuniertoolkiUCompany lCompanyllrofile.aspx? WAOIC =1... 5/2/2014 +. Xp/. M e4usBL=_Swlfnan=®_ J}1dR_i. _ _ = B 'f X l>Lrve SesN __ P {:. _.nia_r_hu_mNCbaama2_u_Im_pPl4t Fb FN 4w faroan lart N:e v CmM � [.h 5de4 'aebn. � QNy / /m...:vxemgo.,, .:: AN. BenY[wnnl�mas.. + M�BaA'ifmmmla Y ■ ���--� Naetl Cevarapa) How Does Your Insurer RRJTQ7 State lnt Information. � ^uranca aaunxwetYe a, [a....epelYe., •I r °'n ^• ^a na ^• IiaLyR I'•'-y• °'-'- J Ca—. 1 i x1... I_v+rca oe�s wagenomic I Cana © LIN d. Peli a,nanl Q HeaDb a OhM111W Q fm a Mvma Q uNer 1.14 Fanro Continental Western Insurance Company ® egmws.; a . .. A e.. n a.e .1 AM rune. easaam Po Prone: ssal}ono - aaa n[s'.® . . eaxlsga DesMaine ;USmoGl sae Poe 515: T. GIs - VNREO STALES wcb. nnn neon, Best's Ratings 41ew Denrcbon Heed Mau Inlamaala� } L an[IZl$vanyT RAaq A QL.M, an naonrr'a'mlmplenwdl ra,$el an... andallslu Ot.n6m S.W. [IVq`Isbn, lmi 985 Eal. D. D.wmba 11. 2013 M.M.d1 N eamela Pevan. Rmrclal pm Data,., " (I2 Billion of gwalal LlfensNg: Tre arms ry IS Iltensan In Me Olund olColamela A,A!( A2, M, CO, CT, DE, 0/, H. 10. IT, IN, 1•[ F5. KY, lA ME, YO, M{Yl N. M5, Y0. Mr, NE, W. NH, W. NR IN. HC. ND. ON. CK ON. SA, SC. SD. TN, }K IR, W. VAWa, MN, N am W/ Top I lout) el Hour.. P... — aa... wa..) 1. eammemal MuIHyI. Fear.......... }. auavvs C*AtJaD0d.n N'-Cn I Ca111palnalloll m.M ➢.cbD.nl On.. LI I Daher llabiW0IAammnmlmspgaln.al 5. e.11., and MacM1lneryryamp.apapnl Tap slal.tq al Bum.•eede.. a.. u... ra.... ae.1 wasd.'..n 3 Mlnne.ala - a. Ra1nat 5 lava IM... NaAaROam far Ma lae,t naPeeeFlr • 01 In' uarrarnana 11 AY BeslCrom Tana N W. M Munreuon Pmi lml on Me AM De9,IIIIN. INNdu o Wee MraIC M aK Dan, laarps, rtpofs.Maaes, plebs, anprirs, and Nan. H arced In., Y[e, W la hM. Beal Compao.ml is na4[4d 1M Vn rd Owes sourga Tet, am Inlemaboral rea/ormlMorm aY Bru aM 12II<..mN Is,— all am,mrr and vrwpeapnehry npM, iv Me weave ronam. - Are�e .Y „a� Is.a.smD ���.n�.�. C >w.. +. i c+cb. �i'7cu �ITA�'�•wMe r�.p. ^Da[.a1x +u. �,..P`h �� Ii ' � sz+pM CITY OF AUBURN CONTRACT CHANGE ORDER AGREEMENT NO. I Contract No., Project No. and Project Title: Contractor Name and Address: 14 -05, C524A, Utility Physical Site Improvements R.L. Alia Company 107 Williams Ave South Renton, WA, 98057 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 Neork, 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 slated otherwise in this change order. Summary of Proposed Changes: The Contractor shall repair the damaged sewer line(s) at, or near, 1402 17th Street SE and restore the impacted areas. The pay item "Emergency Sewer Repair, Complete' is added to the Contract and will be paid per Section 1 -09.4 (Equitable Adjustment) of the Special Provisions. Payment for "Emergency Sewer Repair, Complete" shall be for all labor, materials, traffic control, and erosion control associated with exploration, investigation, repair, and restoration of the sewer line(s). All other costs associated with the sewer repair shall be considered incidental to the Contract. Additional working days are added to the Contract for the sewer repair work. The Contract time is extended by 3 days. Item Sch. Sec. No. Item Description Quantity ( +/-) Units Unit Price (S) Total Price ( +/-) CO -1 2, Total Cost Previous CIO $ Emergency Sewer Repair, Complete 1 Eq. Adj, Eq. Adj. $ 15,000.00 473,485.35 $ 518,454.80 4. Revised Contract Amount $ 488,485.35 $ 534,879.80 Subtotal Washington State Sales Tax (9.5 %) on applicable items TOTAL $ 15,000.00 $ 1,425.00 $ 16,425.00 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: Project Manager: City Engineer: Approved by: H: \Forms \FCO25.xls (Revised 05/2012) T /iw+il S -a-, - I y na,e I _ ..i Dam y8./ Rase Amount Total met. Tax 1. Total Cost this CIO $ 15,000.00 $ 16,425.00 2, Total Cost Previous CIO $ - $ - 3. Original Contract Amount $ 473,485.35 $ 518,454.80 4. Revised Contract Amount $ 488,485.35 $ 534,879.80 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: Project Manager: City Engineer: Approved by: H: \Forms \FCO25.xls (Revised 05/2012) T /iw+il S -a-, - I y na,e I _ ..i Dam y8./ >k ACITY OF k DBu WASHINGTON May 16, 2014 Dural Nancy Backus, Mayor 25 West Main Street * Auburn WA 98001 -4998 * www.auburnwa.gov * 253 -931 -3000 CERTIFIED MAIL RETURN RECEIPT REQUESTED Richard Alia R.L. Alia Company 107 Williams Avenue South Renton, WA 98057 NOTICE TO PROCEED c(!y Ur MAY 1014 RE;� Project #C524A, Utility Physical Site Improvements, Contract #14 -05 Dear Mr. Alia: You are hereby notified to proceed as of May 20,2014 with the work on the above - referenced project, within the time period specified, in accordance with the provisions of the contract documents (copy enclosed). This project has 60 working days for completion. If you have any questions, please contact the City Inspector for the project, Dave Roselle at (253) 804 -5085 or the Contract Administration Specialist Amanda DeSilver at (253) 876 -1980. Sincer ly, Ingrid Asst. Director of Engineering Services & City Engineer Community Development & Public Works Dept. IG /ad /mt Enclosure cc: Dani Daskam, City Clerk Jacob Sweeting, Assistant City Engineer Dave Roselle, Project Inspector File 13.11 (C524A) AUBURN* MORE THAN YOU IMAGINED CONTRACTBOND CONTRACT NO. 14 -05 BOND NO. 2181962 BOND TO CITY OF AUBURN, WASHINGTON KNOW ALL MEN 13Y THESE PRESENTS: That we, the undersigned, R.L. Alia Company, 107 Williams Avenue South, Renton, WA, 98057, as principal, and North American Specialty Insurance Company , a corporation, organized and existing under the laws of the State of New Hampshire as a surety corporation, and qualified under the laws of the State of Washington to become surety upon bonds of contractors with municipal corporations, as surety, are jointly and severally held and firmly bound' to the City of Auburn, Washington, in the penal sum of five hundred eighteen thousand, four hundred fifty -four dollars and eighty cents ($518,454.80), for the payment of which sum we jointly and severally bind ourselves and our successors, heirs, administrators or personal representatives as the case may be. This obligation is entered into in pursuance of the Statutes of the State of Washington and the Ordinances of the City of Auburn, Washington. Dated at Auburn, Washington, this 1��-0 , day of MCL9 2014. Nevertheless, the conditions of the above obligation are such that: WHEREAS, the City of Auburn on the 21st day of April, 2014, let to the above bounden principal a certain Contract. The said Contract being numbered 14 -05, and providing for the construction of Project C524A, Utility Physical Site Improvements - utility security site improvements, including construction of chain link fencing, slide gates, fence gates, bollards, equipment shelters, and brush and tree removal (which Contract is referred to herein and is made a part hereof as though attached hereto), and WHEREAS, the said principal has accepted, or is about to accept, the said Contract, and undertake to perform the work therein provided for in the manner and within the time set forth: NOW, THEREFORE, if the above bounden principal shall faithfully and holy observed and comply with the terms, conditions, and provisions of said Contract in all respects and shall well and truly and fully do and perform all matters and things by them undertaken to be performed under said Contract, upon the terms proposed therein, and any and all duly authorized modifications of said Contract that may hereafter by made, and within the time prescribed therein, and until the same is accepted, and shall pay all laborers, mechanics, subcontractors and material men, and all persons who shall supply principal or subcontractors with provisions and supplies for the carrying on of said work and shall hold said City of Auburn, Washington, harmless from any loss or damage occasioned to any person or property by reason of any carelessness or negligence on the part of said principal or any subcontractor in the performance of said work, and shall in all respects faithfully perform said Contract according to law, and shall indemnify and hold the City of Auburn, Washington, harmless from any damage or expense by reason of failure of performance, as specified in said Contract, and The undersigned principal and the undersigned surety present dais contract bond related to the Contract, PROVIDED that this document shall not be enforceable unless and until the City of Auburn awards and executes the Contract to the undersigned principal. No obligations under this bond, for the performance of the above - referenced contract, shall be enforceable until the City of Auburn has executed the contract to the undersigned principal. The Surety, hereby agrees that modifications and changes may be made in the terms and provisions of the aforesaid Contract without notice to Surety, and any such modifications or changes increasing the total amount to be paid the Principal shall automatically increase the obligation of the Surety on this Contract Bond in a like amount, such increase; however, not to exceed twenty — five percent (25 %) of the original amount of this bond without the consent of the Surety. PROVIDED, however, that after the acceptance of this Contract and the expiration of the lien period, and if there are no liens pending, then the penal sum of this bond, shall be reduced to either ten percent (10 %) of the value of the improvements to the City or two thousand dollars ($2,000), whichever is greater, to warranty against defects appearing or developing in the material or workmanship provided or performed under this Contract within a period of one (1) year after acceptance. Not withstanding the reduction of this bond, the principal and surety shall hold the City of Auburn harmless from all defects appearing or developing in the material or workmanship provided or performed under this Contract within a period of one (1) year after acceptance, THEN and in that event this obligation shall be void; but otherwise it shall be and remain in full force and effect. It is hereby expressly agreed 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 Washington shall be binding. IN WITNESS WHEREOF, the above - bounden parties have execut instrument this Otl� day of M [t _ , 20.IL4 . RlegAe4 G. ,Qc,k R. L. Alia Company PRCS,0. =Mi North American Specialty Insurance Company Surety By Deanna M. French Attorney in Fact Parker, Smith & Feek, Inc. 2233 112th Ave. N.E., Bellevue, WA 98004 (425) 709 -3600 Resident Agent's Address & Phone Number CONTRACT Contract No. 14 -05 THIS AGREEMENT AND CONTRACT, made and entered into, in duplicate, at Auburn, Washington, this Q%' day of ,\ , 2014, by and between the CITY OF AUBURN, WASHINGTON, a municipal orporation, and R.L. Alia Company, 107 Williams Avenue South, Renton, WA, 98057, - hereinafter called the CONTRACTOR. WITNESSETH: That, in consideration of the terms and conditions contained in the Contract Documents entitled "C524A, Utility Physical Site Improvements," which are by this reference incorporated herein and made a part of this Contract, the parties hereto covenant and agree as follows: 1. The CONTRACTOR shall do all work and furnish all tools, materials and equipment for Project C524A, Utility Physical Site Improvements — the construction of utility security site improvements, including construction of chain link fencing, slide gates, fence gates, bollards, equipment shelters, and brush and tree removal for a unit bid price of four hundred seventy - three thousand, four hundred eighty -five dollars and thirty -five cents ($473,485.35) and Washington State Sales Tax of forty -four thousand nine hundred and sixty -nine dollars and forty -five cents ($44,969.45) for a total contract value of five hundred eighteen thousand, four hundred fifty -four dollars and eighty cents ($518,454.80) in accordance with and as described in the Contract Documents which are by this reference incorporated herein and made a part hereof, and shall perform any alterations in or additions to the work provided under this 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 award and the Contract time shall commence within 5 working days after execution of the Contract by the City and so designated on the Notice to Proceed. Physical completion shall be within 60 working days of the date on the Notice to Proceed. If said work is not completed within the time specified, the CONTRACTOR agrees to pay liquidated damages to the CITY OF AUBURN, as specified in Section 1 -08.9 (Liquidated Damages) of the Standard Specifications. The CONTRACTOR shall provide and bear the expense of all equipment, work and labor of any sort whatsoever that ;may be required for the transfer of materials and for constructing and completing the work provided for in this Contract and every pail thereof, except such as are mentioned in the Contract Documents to be furnished by the CITY OF AUBURN. 11. The CITY 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 terns 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 his heirs, executors, administrators, successors, and assigns, does hereby agree to the full performance of all the covenants herein contained upon by part of the CONTRACTOR. IV. It is further provided that no liability shall attach to the CITY OF AUBURN, WASHINGTON by reason of entering into this Contract, except as expressly provided herein. IN WITNESS WHEREOF the parties hereto have caused this Contract to be executed the day and year first hereinabove written. Countersigned: this jeday of M 2014 I ATTEST: Danielle E. Daskam, City Clerk APPROV AS FORM: Daniel IT Heid, City Attorney CITY OF AUBURN, WASHINGTON By —A Na , ackus, Mayor R.L. AtlA COPPANY By `/-3c> f Auth ized Official Signature Ri -,mN L, AL-4 Azc3jee-A) r NAS SURETY GROUP NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS, THAT North American Specialty Insurance Company, a corporation duly organized and existing under laws of the State of New Hampshire, and having its principal office in the City of Manchester, New Hampshire, and Washington International Insurance Company, a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Schaumburg, Illinois, each does hereby make, constitute and appoint: STUART A. OTARRELL, SUSAN B. LARSON, SCOTT FISHER, JILL A. BOYLE, MINDEE L. RANKIN, DEANNA M. FRENCH, RONALD J LANGE ELIZABETH R. HAI IN, JANA M. ROY, ELLEN M. BELL, ROGER R KALTENBACI I and SCOTT McGILVRAY JOINTLY OR SEVERALLY Its true and lawful Attomey(s) -in -Fact, to make, execute, seal and deliver, for and on its behalf and as its act and deed, bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies, as surety, on contracts of suretyship as are or may be required or permitted by law, regulation, contract or otherwise, provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of FIFTY MILLION ($50,000,000.00) DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on the 9'h of May, 2012: "RESOLVED, that any two of the Presidents, any Managing Director, any Senior Vice President, any Vice President, any Assistant Vice President, the Secretary or any Assistant Secretary be, and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds, undertakings and all contracts of surely, and that each or any of them hereby is authorized to atict to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is FURTHER RESOLVED, that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond, undertaking or contract of surety to which it is attached." `yMlunIInulryyy so GJkLITY, %, 'Z ...'4's ; 5:' aFq- & SION,tt ttpp rJ - By L_.CP.......�r ppD _ ?air SEAL 81 Steven F. Anderson, Senior Via President of Washington International Insurance Company igIc�e7T' SEALe z 1873 d:OC & senior Via President of North American Specialty Insurance Company 80: ;ran M11',SbeC nN � By/j�r� David M.IAvman,Vice PmidentofWuhinpan IntemationAlmurance Cmn y & Ya President of North American spmulty Insurance Company IN WITNESS WHEREOF, North American Specialty Insurance Company and Washington International Insurance Company have caused their official seals to be hereunto affixed, and these presents to be signed by their authorized officers this13th day of March 2p14 North American Specialty Insurance Company Washington International Insurance Company State of Illinois County of Cook ss. On this 13th day of March 2014 before me, a Notary Public personally appeared Steven P. Anderson , Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and David M. layman , Vice President of Washington International Insurance Company and Vice President of North American Specialty Insurance Company, personally known to me, who being by me duly swom, acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. LNb cwt4 SKLENSc,State of Illinois Donna D. Sklens, Notary Public DD Fipilcs IORW1015 I, Jeffrey Goldberg ,the duly elected Assistant Secretary ot'North American Specialty Insurance Company and Washington International Insurance Company, do hereby certify that the above and foregoing is awe and correct copy of a Power of Attorney given by said North American Specialty Insurance Company and Washington International Insurance Company, which is still in full force and effect. IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies this day off &>- I ) , 20)q Jenny eoldherg Vice Pmidmt & A+sista t secrets, of Washinamn le mauwul insrmce emitter, & North Am ran Speriah, insurance contmy Page I of 2 A Search > NORTH AMERICAN SPECIALTY INSURANCE COMPANY NORTH AMERICAN SPECIALTY INSURANCE COMPANY General I Contact I Licensing I Appointments I Complaints I Orders I NationallnFOI Ratings General information Contact information Name: NORTH AMERICAN SPECIALTY INSURANCE Registered address Mailing address COMPANY 650 ELM ST 650 ELM ST Corporate family group: SWISS RE GRP whats MANCHESTER, NH 03101- MANCHESTER, NH 03101 - this? -- - - - --- 2524 2524 Organization type: PROPERTY WAOIC: 965 NAIC: 29874 Status: ACTIVE Admitted date: 03/08/1985 Ownership type: STOCK ^ track to_ [Or Telephone Telephone 603 - 644 -6600 603 - 644 -6600 Types of coverage authorized to sell What[=t,la? Insurance types Casualty Disability Marine Ocean Marine Property Surety Vehicle ? back to top Agents and agencies that represent this company (Appointments) WlhaLsthil View 19eMS Yiew agencies back lorop Company complaint history what is ths- ^. back, to toy Disciplinary orders 2008 -2014 wnat_sthis? No disciplinary orders are found The orders posted here are unverified electronic duplicates of the official orders actually entered. To be certain you have the official version of the order as entered, request a hard copy from Renee Moines at 360 - 725 -7047 or htlp: / /www. insurance. wa. gov /consunlcrtoolkit/ Company /Compaiiy]3rofile.aspx ?WAOIC =965 5/2/2014 Page 2 of 2 email legal @oic.wa.gov. Looking for other orders? Our online _order_s_se_arch allows you to search a ten year history of all orders, including enforcement orders, administrative orders, and general orders. ^ W ck to tap 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. 1. Wck 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 y rs Service Mood s Investo _ Fitch IBCA, Duff and Phelps Ratings _ _ °. back to_top llttp: / /WWW. insurance .wa.gov /consumertoolkitI Company lCompanyProfile.aspx ?WAOIC =965 5/2/2014 _aF .I • MNm / /xswimbe mNCmvmalM1'mosA�tlAt nw'ISL�vAN1 herah Y. 1= ® 4, % �L'rve seam P.• FJs EN V feMn tat Yob -- Yijlrmet A.,Sekd ' fwaYea � � '�Mq / /wnv roe euy.. vAM. PPYICUmnnlws �M.9mldfnma:nlra_ F (:W�Averew Ceders, 1.4doldish4 Need Coverage? Now Does Your Insurer Rate? State Insurance Information eMMUnseyalaewsennev lme. °r •L'• [s<— fyrona+ISnv ramauxre.. YMe Mdruauearevlas .1—on © Liie d Rerilenrenl O Health d Okar ililY Q Chi L Nnme Q Olh c Llie E.enn North American Specialty Insurance Co LIM P Ith1Zo ]a a re.+.. -. Lost AM Address Or. s 6505 rere Elm xemml Prone: M... -6600 Masehiler, Not 03101 -3514 find 60}644,6613 UNITED STATES Weo -. lore Best's Ratings Verve R °• ^R °'P "1 ° " "' ° °'° financial accord Raong Or Taeosner An prom report contras elm and A Be is Stable 5 Insurers ES¢Pe D. Jsm 11. N114 �rmeul Nwro9m denReoonlor{995 fmaMasoccalepOrf xv((l Blliallorgr.A.) Licensing: The company Is licensed In We Dentill of Col lical, Plena Rn0 no at thrPa. lap U-N of Bueiee. pow . -y 1. Sondlevs O,noco) i. Other LlahilIts BO can re use) For Fee p n,_l. up) 1. Inland YaJn° Other Lial , IIW (Clallnsmade)N'mpslmaPOl 5. For. ahlV'mID4rv0m1 Tep Slawn) of Bolnessmr..a o.°naua. sous) 1. Ce...cocul ?. Ter 1 New YON, 4. Glil°nda 5. Florida Men our NewsRroom nor me latest News and Press Re ea es for thus compdT add As AN Be510mup Temhor USe M'mf°rmaY°n Wadded ien p.e AM. BeslweosN, IMPadrng oY1 n011lmiied I° test ddli, ratnge, revers,:.apes, rates, graft^[? and [oafs Is owned Man licensed b AM Best Compam and is reelected of United BWtes wmAF laws and In t national treaty pronsions. AM Best and Its no entire retain all Coacedge and other unprlPlan rights to the seares. mount BPS. Credit Rated,.1temed It anymamma, mar not repruduced distributed to Ned Parties. or stored In a database OF social 5Y5mm In am form mar rommerndl _J ul5lerl�`.� ve. —ev. • ♦ �Q rDJ °.uH�...Ill fSt4 -ST?0N I�am'pmrmre,I LCa'V'•PS ( [ACwum[Mn�I YJ 614Y1A �. I �AM. eealsC_�� v ..Q 's SIIPM WASHINGTON Escrow Agreement For Retainage Declined R.L. ALIA COMPANY, 107 WILLIAMS AVENUE SOUTH, RENTON, WA, 98057 (CONTRACTOR) acknowledges that they have been offered the option of setting up an escrow agreement for their retainage on Contract No. 14 -05, Project No. C524A, UTILITY PHYSICAL SITE IMPROVEMENTS. The CONTRACTOR declines to set up an escrow agreement and understands that the City will hold the 5% retainage with no interest until the project is complete, accepted by the City, and all releases and liens have been satisfied. R1c,kr#" L. .4t-#A Print or Type Name X,i5slocwr Title - -i 54 Date File: 13.11 (C524A) AUBURN *MORE THAN YOU IMAGINED a �® CERTIFICATE OF LIABILITY INSURANCE OAT/29//226,4 014 YI 044 /29 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER CONTACT NAME: Parker, Smith & Feek, Inc. 2233 112th Avenue NE Bellevue, WA 98004 PHONE 425- 709 -3600 FAX 425- 709 -7460 -EA!MA11° E t IAIC, Nn1: ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: Continental Western Insurance COmpaOy X INSURED R. L. ALa Company INSURER B : MED EXP (Any one person) I s 10,000 107 Williams Ave. S. INSURER C: INSURER D: Renton, WA 98055 INSURER E: PERSONAL B ADV INJURY $ 300,000 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 rypE OF INSURANCE AODLLjSUER POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER (MM DIYYYY MMIDD"YY A GENERAL LIABILITY AUTHORIZED REPRESENTATIVE CWP295050123 1011/2013 10/1/2014 EACH OCCURRENCE 5 1,000,000 DAMAGE TO RENTED PREMISES Ea occvnence S 1,000,000 X COMMERCIAL GENERAL LIABILITY X MED EXP (Any one person) I s 10,000 CLAIMS -MADE O OCCUR PERSONAL B ADV INJURY $ 300,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER'. PRODUCTS - COMPIOP AGO s 2,000.000 $ POLICY X PRO I n l LOO tP A AUTOMOBILE LIABILITY CWP295050123 10/1/2013 10/1/2014 COMBINED SINGLE LIMIT Eaacadent 1,000,600 $ BODILY INJURY (Per person) $ x ANY AUTO X BODILY INJURY IPerawdenq 8 ALL UOVVNED �ACHEDULED H RTEOD AUTOS AUTOS A TN-0WNED POPPERdTeY; DAMAGE S • UMBRELLA UAS X OCCUR CU295050222 101112013 10/1/2014 EACH OCCURRENCE $ 1'000'000 AGGREGATE $ 1'000'000 X EXCESS LIAB CLAIMS -MADE X DED %� RETENTIONS None $ A WORKERS COMPENSATION AND EMPLOYERTLIABILITY YIN YIN ANY PROPRIETORIPARTNEWEXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes. desodde under DESCRIPTION OF OPERATIONS below N /A CWPZ95050123 WA Stop Gap Employers Liability only (WC statutory benefits provided by WA State 10/1/2013 10/1/2013 10/1/2014 10/1/2014 VJCSTATU- X OTH -I T V�T TAND E.L. EACH ACCIDENT S 1,ODDODD E. L. DISEASE -EA EMPLOYE S 1,000,000 EL DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Contract No. 14 -05 - Project No. C524A, Utility Physical Site Improvements. City of Auburn and its officers, elected officials, employees, agents and volunteers are included as Additional Insured per the attached General Liability endorsement CL CG 20 48 01 12, Auto Liability endorsement CW 34 68 01 12, and Excess Liability endorsement CU 00 01 12 07. r FRTIFIrATF Hnl FFP CANCELLATION © 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD 1 of 4 ALIACOMP (ATEDO) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Auburn AUTHORIZED REPRESENTATIVE 25 West Main Street Auburn, WA 98001 -4998 / C' / 7 (`y1Qnrct.�� © 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD 1 of 4 ALIACOMP (ATEDO) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY COMMERCIAL AUTOMOBILE EXPANSION ENDORSEMENT - PLATINUM This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM The following provides a broad range of coverage in addition to that provided by the basic policy. In some instances, a higher limit or broader coverage is available. Should the policy indicate broader coverage or higher limits than provided by this endorsement, the higher limits or broader coverage shall apply. A. BROADENED NAMED INSURED (2) A person's or organization's status The Named Insured shown in the Declarations is as an additional insured exists only amended to include: while you are performing operations for that additional insured. Any organization, other than a joint venture, over which you maintain ownership or majority inter- est of more than 50 %, unless that organization is an "insured" under any other automobile pol- icy or would be. an "insured" under such a policy but for the exhaustion of its Limit of Insurance, however; 1. Coverage under this provision is afforded only until the 180th day after you acquire or form, the organization or the end of the policy period, whichever is earlier. 2. Coverage does not apply to "bodily injury" or "property damage" that occurred before you acquired or formed the organization. B. ADDITIONAL INSURED BY CONTRACT OR AGREEMENT The Following is added to Section II - Liability Coverage, Paragraph A.1.: d. Any person or organization for whom you are performing operations if you and such person or organization have agreed in writ- ing in a contract or agreement that such person or organization be added as an addi- tional insured on your policy. (1) Such person or organization is an additional insured only with respect to liability for "bodily injury" or "prop - erty damage ": (a) Caused by an "accident", and (3) Section II, Paragraph C. Limits of Insurance for person or organization added as additional insured are those specified in the written con- tract or agreement, or in this cover- age form, whichever is less. These limits of insurance are inclusive of and are not in addition to the Limits of Insurance shown in the Declara- tions. (4) This insurance applies on a primary and non - contributory basis if that is required by the written contract or agreement. (5) This insurance does not apply unless the written contract or agreement has been executed prior to the "bodily injury" or `property damage ". C. ADDITIONAL INSURED - EMPLOYEES The following is added to the Section II — Liability Coverage, Paragraph A.1. Who Is An Insured Provision: Any "employee" of yours is an "insured" while us- ing a covered "auto" you don't own, hire or borrow in your business or your personal affairs. D. EXTENDED COVERAGE - BAIL BONDS Section 11 — Liability Coverage, Paragraph A.2.a.(2). is deleted and replaced by the fullow- (b) Resulting from the ownership, ing maintenance or use of a cov- (2) Up to $5,000 for cost of bail bonds ered "auto ". (including bonds for related traffic law violations) required because of an `accident" we cover. We do not have to furnish these bonds. CW 34 68 01 12 Includes Copyrighted material of Insurance Services Page 1 of 5 Office. Inc.. with its permission THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES, CONTRACTORS OR OTHERS - COMPLETED OPERATIONS - AUTOMATIC, INCLUDING PRIMARY NON - CONTRIBUTORY This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. SECTION II - WHO IS AN INSURED is amended to include as an additional insured any person(s) or organization(s) when you are obligated by virtue of a written contract or agreement that such person be added as an additional insured to your policy, but only with respect to "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; for that additional insured and included in the "products- completed operations hazard ". B. LIMITS OF INSURANCE Limits of insurance for such additional insured are the limits in this coverage form or the limits you and such additional insured agreed to by virtue of a contract or agreement, whichever is less. These limits are inclusive of and are not in addition to the Limits Of Insurance shown in the Declarations. C. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply to "bodily injury', "property damage" or "personal and advertising injury" arising out of: 1. The rendering of or failure to render any professional services by you or on your behalf, but only with respect to either or both of the following operations: a. Providing engineering, architectural or surveying services to others in your capacity as an engineer, architect or surveyor; and b. Providing, or hiring independent professionals to provide, engineering, architectural or surveying services in connection with construction work you perform. 2. Subject to paragraph 3. below, professional services include: a. Preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders, or drawings and specifications, and b. Supervisory or inspection activities performed as part of any related architectural or engineering activities. 3. Professional services do not include services within construction means, methods, techniques, sequences and procedures employed by you or performed by or for the construction manager, its employees or its subcontractors in connection with your products - completed operations. D. PRIMARY NON - CONTRIBUTORY When required by virtue of a written contract or agreement, coverage provided to any additional insured by ADDITIONAL INSURED — OWNERS, LESSEES, CONTRACTORS OR OTHERS — COMPLETED OPERATIONS — AUTOMATIC, INCLUDING PRIMARY NON - CONTRIBUTORY will be on a primary basis CL CG 20 48 01 12 Includes Copyrighted material of Insurance services Page 1 Of 1 Office, Inc with its permission 3 of 4 ALIACOMP (ATE00) (b) "Property damage" to property: (i) Owned, occupied or used by, (ii) Rented to, in the care, custody or control of, or over which physical control is being exercised for any purpose by you, any of your "employees ", "volunteer workers ", any partner or member (if you are a partnership or joint venture), or any member (if you are a limited liability company). (2) Any person (other than your "employee" or "volunteer worker "), or any organization while acting as your real estate manager. (3) Any person or organization having proper temporary custody of your property if you die, but only: (a) With respect to liability arising out of the maintenance or use of that property, and (b) Until your legal representative has been appointed. (4) Your legal representative if you die, but only with respect to duties as such. That repre- sentative will have all your rights and duties under this Coverage Part. c. Any organization you newly acquire or form, other than a partnership, joint venture or limited liability company, and over which you maintain ownership or majority interest, will qualify as a Named Insured if there is no other similar in- surance available to that organization. How- ever: (1) Coverage under this provision is afforded only until the 90th day after you acquire or form the organization or the end of the pol- icy period, whichever is earlier, (2) Coverage A does not apply to "bodily injury" or "property damage" that occurred before you acquired or formed the organization, and (3) Coverage B does not apply to "personal and advertising injury" arising out of an of- fense committed before you acquired or formed the organization. 2. Only with respect to liability arising out of the own- ership, maintenance or use of "covered autos ": a. You are an insured. Page 10 of 17 b. Anyone else while using with your permission a "covered auto" you own, hire or borrow is also an insured except: (1) The owner or anyone else from whom you hire or borrow a "covered auto ". This excep- tion does not apply if the "covered auto" is a trailer or semitrailer connected to a "cov- ered auto" you own. (2) Your "employee" if the "covered auto" is owned by that "employee" or a member of his or her household. (3) Someone using a "covered auto" while he or she is working in a business of selling, servicing, repairing, parking or storing "autos" unless that business is yours. (4) Anyone other than your "employees ", part- ners (if you are a partnership), members (if you are a limited liability company), or a lessee or borrower or any of their "employ- ees", while moving property to or from a "covered auto ". (5) A partner (if you are a partnership), or a member (if you are a limited liability com- pany) for a "covered auto" owned by him or her or a member of his or her household. (6) "Employees" with respect to "bodily injury" to any fellow "employee" of the insured aris- ing out of and in the course of the fellow "employee's" employment or while perform- ing duties related to the conduct of your business. c. Anyone liable for the conduct of an insured described above is also an insured, but only to the extent of that liability. 3. Any additional insured under any policy of "under- lying insurance" will automatically be an insured under this insurance. If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance required by the contract, less any amounts payable by any "underlying insur- ance". Additional insured coverage provided by this in- surance will not be broader than coverage pro- vided by the "underlying insurance ". No person or organization is an insured with respect to the conduct of any current or past partnership, joint venture or limited liability company that is not shown as a Named Insured in the Declarations. © ISO Properties, Inc., 2007 CU 00 01 12 07 ❑ 4 of 4 ALIACOMP (ATE00) Page 1 of 2 �► Search > CONTINENTAL WESTERN INSURANCE COMPANY CONTINENTAL WESTERN INSURANCE COMPANY General I Contact I Ljcensing I Appointments I Complaints I Orders I National Info 1 Ratings Back to Search General information Contact information Name: CONTINENTAL WESTERN INSURANCE COMPANY Registered Mailing address Corporate family group: WR BERKLEY_CORP GRP %gh.tis address 11201 DOUGLAS AVE this ?. 11201 DOUGLAS Organization type: PROPERTY URBANDALE, IA 50322 URBANDALE, IA 50322 WAOIC: 116648 NAIC: 10804 Status: ACTIVE Admitted date: 08/23/1995 Ownership type: STOCK back tg top Telephone Telephone 800 - 235 -2942 800 - 235 -2942 Types of coverage authorized to sell What ls.Nl ;? Insurance types Casualty _ Marine Property Surety Vehicle ^ backro,top Agents and agencies that represent this company (Appointments) ....this' Yiew agents View agencies back to top Company complaint history What sthis? back. to [op Disciplinary orders 2008 -2014 N,1st isthis' Year 10rder Number 2010 10 -0156 The orders posted here are unverified electronic duplicates of the official orders actually entered. To be certain you have the official version of the order as entered, request a hard copy from Renee Moines at 360 - 725 -7047 or email legal @oic.wa.gov. Looking for other orders? Our online orders search allows you to search a ten year history of all orders, including enforcement orders, administrative orders, and general orders. back to top http: / /www. insurance. wa. gov/ consumertoolkit /Conipan), /Companyl3rofile.aspx? WAOIC -1... 5/2/2014 Page 2o[2 National information on insurance companies Want more information about this company? Th NA{[' allows you toretrieve national financial and complaint information on insurance companies, plus has information and tips to help you understand current insurance issues. t back to top Ratings by financial organizations }ns 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'sCorp _ _1 estors Service kfop:Hnn*n'.ioouruuoo.n/u.Aov/uooxunuo,\oo|kit/Cuoupuuv/(.ocnpuuyYnofi|c.uspx?W/\()l[=l.. 5/2/2014 . N:a /Ner.vlar6eY wN NCwrmuyRdbmw 'RL =33mMm`.DPJ]I6PYV4 _ _ - B �> % i°U a9 _md_i__ _ .._�P.: -. FM Ed Vw Fenw<. Iwk N$ vyCwnN � 1¢ISeM least r i BNV// ^iw r'ra po., vAM. Be,r(nma:'n Mm.n.. .M. Betl'afmurnlrt. as r me - .. :.r ,. v ..tie eanmm?���� �Armm CMU oacci�14 Need Coverage? 'Mel How Does Your Insurer Rate? Sute Insurance In ounslen fessmem"rec -erne , Fe "^"f�" tamer roes 1 T Few 1 VeryaEkVa BMpearMM 1 fdtl © Lib & Retirenmm Q Heads It Dinabillry Q Car A Home Q tither IIts Fai Continental Western Insurance Company ®P'n Nfvay. wRr.1 r r9na a)mMp M P 0[ Tax 1 sat Phone'. 51 51)33000 E.... Dee Moines, ur 50306159/ Farr 51 Sal I UNITED STATES Wed. Best's Ratings View Deenr.^.vn Heed Mme list. ;,a. I.h? Financial Strength Ralmg A- Fair an Insurer rape n, 9oh,wilh M Odson Starts r abrp Nebry,mYketchashrocalislol ompwas, Insurers tin s 9 95. Elecpe OMs: 0ecere :'S ylergamole Revvn XV(12011inim,u Fnaxlal s¢e Category XV IS2 BIIIlon va grmurl Licesting:Thesampan/ISIlsense0ln Pe DiSinIWCvlumbla PL,AK,A AR, CO,CT,DE,GAHI,ID,II,IN,AKS,KY,L ME,MD,I Mi,MN,M9,M0,MT,NE,W,,NH,W,NM, ". NC, N0, OH, OK OR, Pq BQ SD, N,TY ln, V . VN WAM.. W andM Too LSreyi of Buvneare...e�e n.0 HeM..: reel t Connnmelal Ill Pedl Cde_Fari 2 Cued ICvmmerdegw3ey yngav3 3. Weriere( din ensativnpggl 1. Dinar ueMlny IDr.r:naneqcoreei 5. Buller NNI M-hen.'adeersi Top Stalely dl BUalnessoe .a epee rwe lersa.,a mvnl 1. Woehini ?. Hosorks 3. Nlana.... Ma 1. ma 5. owes Voulonit1eweRpOmlor the latefi Nexa and Press Relessee for We r dmpon / and Os AM. DestGhdi TwrmeM Pd WOmNbbn p chold On N¢ AM Benowelo Oe, holuENO but nor Interco Wled, data, rabn9f, colons. Images, ells 9mphlee, ind tsar tf mined bean ualle l l.A M. Best Comparreand a proaded by Unsed Btales cOpRlpnNaM and lniemallon.Ir lrea, orplSlOn[ AM. Seal and its licensors retain all Copectur and other prop atery rights to the washrewhent «.a..re�.. �r11- �1fQGd ES00(B 6— ��'__'-.— ��-- �r+x..l6'.__I�w:o-m:1�+7�maar i -�BaM e... I�^30. CITY OF AUBURN CONTRACT CHANGE ORDER AGREEMENT NO. 3 Contract No., Project No. and Project Title: Contractor Name and Address: 14 -05, C524A, Utility Physical Site Improvements R.L. A I is Company 107 Williams Ave South WA, 98057 f) 6/. 2. 1 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: The Contractor shall repair the damaged sewer line(s) at, or near, 702 10th Street NE, and restore the impacted areas. The pay item "Emergency Sewer Repair No. 2, Complete" is added to the Contract and will be paid per Section 1 -09.6 (Force Account) of the Special Provisions. Payment for "Emergency Sewer Repair No. 2, Complete" shall be for all labor, materials, traffic control, and erosion control associated with exploration, investigation, repair, and restoration of the sewer line(s). All other costs associated with the sewer repair shall be considered incidental to the Contract. Additional working days are added to the Contract for the sewer repair work. The Contract time is extended by days. Item Sch. Sec. No. Item Description Quantity ( + /-) Units Unit Price (S) Total Price ( + /-) CO -3 3. Original Contract Amount $ 473,485.35 Emergency Sewer Repair No. 2, Complete I Eq. Adj. $2,898 $ 2,898.43 S $ Subtotal Washington State Sales Tax (9.5 %) on applicable items TOTAL $ 2,898.43 $ 275.35 $ 3,173.78 This change order constitutes full and complete compensation for all labor, equipment, mate indirect costs, and time adjustment to perform the above described changes. Al I other costs terms and conditions of the contract remain unchanged. Contractor: Inspector: Project Manager: City Engineer: Approved by: H: \Forms \FCO25.xis (Revised 05/2012) ale vcrh d, profit. any and all -e on -co pensible. All other 2z -i Auburn Mt, Base Amount Total incl. Tax 1. Total Cost this C/O $ 2,898.43 $ 3,173.78 2. Total Cost All Previous C/O $ 40,520.00 $ 43 894.40 3. Original Contract Amount $ 473,485.35 $ 518,454.80 4. Revised Contract Amount $ 516,903.78 $ 565,522.98 This change order constitutes full and complete compensation for all labor, equipment, mate indirect costs, and time adjustment to perform the above described changes. Al I other costs terms and conditions of the contract remain unchanged. Contractor: Inspector: Project Manager: City Engineer: Approved by: H: \Forms \FCO25.xis (Revised 05/2012) ale vcrh d, profit. any and all -e on -co pensible. All other 2z -i Auburn Mt, OLl s it CITY OF AUBURN CONTRACT CHANGE ORDER AGREEMENT NO. 4 Contract No., Project No. and Project Title: 14 -05, C524A, Utility Physical Site Improvements Contractor Name and Address: R.L. Alia Company 107 Williams Ave South Renton, WA, 98057 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. The shelter shown on Sheet 16 of the Contract Plans shall be 10' wide by 10' long with the support posts offset 1 -1/2' from center. The shelter shown on Sheet 17 of the Contract Plans shall be 7' wide by 12' long with the support posts spaced at 10'. The pay item "Modification of Shelters, Complete" is added to the Contract and will be paid per lump sum. Payment for "Modification of Shelters, Complete" shall be for all additional labor, materials, coordination, shop drawing preparation and revision, fabrication, installation, excavation, slab construction, and engineering work associated with the modification of the equipment shelters, slabs, foundations, and related appurtenances shown on Sheets 16 and 17 of the Contract Plans to accommodate existing utility boxes, equipment, and other obstructions that were not accounted for in the Contract Plans. Additional working days are added to the Contract for the shelter modification work. A suspension of work will be issued when critical path work is impeded by the long lead time associated with procurement of the modified shelters. The suspension will be lifted when the Contractor begins installing the modified shelters. The Contractor shall commence installation of the modified shelters within 14 calendar days of when they are received by the Contractor. The Contract time is extended by 20 days. Item Sch. See. No. Item Description Quantity ( + /-) Units Unit Price ($) Total Price ( + /-) Sales Tax (Y/N) 1 CO -4 N/A Modification of Shelters, Complete 1 LS 9470.07 $ 9,470.07 Y 2 $ 3 $ _ Subtotal $ 9,470.07 Washington State Sales Tax (9.5 %) on applicable items $ 899.66 TOTAL $ 10,369.73 This change order constitutes full and complete compensation for all labor, equipment. all indirect costs, and time adjustment to perform the above described changes. All otl other terns and conditions of the contract remain unchanged. �- Contractor: Inspector: Project Manager: City Engineer: Approved by: H: \Forms \FCO25.xls Mayor (Revised 05/2012) rials, overhead, profit. any and rosts arc non- compensablc. All 5- ��/ Date �y Date Auburn 7� Date Base Amount Total incl. Tax I. Total Cost this C/O $ 9,470.07 $ 10,369.73 2. Total Cost Previous C/O $ 43,418.43 $ 47,068.18 3. Original Contract Amount $ 473,485.35 $ 518,454.80 4. Revised Contract Amount $ 526,373.85 $ 575,892.71 This change order constitutes full and complete compensation for all labor, equipment. all indirect costs, and time adjustment to perform the above described changes. All otl other terns and conditions of the contract remain unchanged. �- Contractor: Inspector: Project Manager: City Engineer: Approved by: H: \Forms \FCO25.xls Mayor (Revised 05/2012) rials, overhead, profit. any and rosts arc non- compensablc. All 5- ��/ Date �y Date Auburn 7� Date