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HomeMy WebLinkAboutCP1402 Icon Materials Contract 15-020H.k,0-3 CONTRACT Contract No. 15 -02 THIS AGREEMENT AND CONTRACT, made and entered into, in triplicate, at Auburn, Washington, this [Qlt"' day of ilgh 9,A—) , 2015, by and between the CITY OF AUBURN, WASHINGTON, a municipal corporation, and Icon Materials, 1508 Valentine Avenue Southeast, Pacific, WA 98047- 2103,hereinafter called the CONTRACTOR. WITNESSETH: That, in consideration of the terms and conditions contained in the Contract Documents entitled "CP1402, 2014 Citywide Pavement Patching and Overlay Project," 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 CP1402, 2014 Citywide Pavement Patching and Overlay Project — grind and overlay of 1.00 lane -miles of arterial and collector streets, pavement patching on 9.53 lane -miles of arterial and collector streets; thick overlay of 0.37 lane -miles of arterial and collector streets; and thin overlay of 1.04 lane -miles of local residential streets as part of the Save Our Streets Program; and 30 ADA curb ramps in the project area fora total -contract value of One Million Five Hundred Eighty Four Thousand One Hundred Eighty Two Dollars and Ninety Five Cents ($1,584,182.95) 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 72 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. 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 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. Ill. 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. xxri 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. ,., i Countersigned: this&t:tdayof,2015 ATTEST: Danielle E. Daskam, City Clerk CITY OF AUBURN, WASHINGTON By Ntllaclajs, Mayor Icon Materials 4 ' By Rob Meidinger Authorized icial nature xxvii i' C0NTRACT BOND CONTRACT NO. 15 -02 BOND NO. 9185308 F30ND TO CITY OF AUBURN, WAS,111NGTON KNOW ALL MEN fh' THESE PRESENTS That wc, the undersigned, Icon 1Nlaterials, 1508 \'alentine Avenue Southeast. Pacific WA 98047. 2103, as principal - and Fidel i ty and Deposit Company of Maryland a CO POralI0i1. organized and existing under the laws of the State of Maryland as a surety corporation, and qualified under the laws..of the State of Washington to becoule surety upon brands of contractors with municipal corporations, a� surely, are'joiilily and sevemliv held and finely hound to Hie City of Auburn, Washington, 'in the penal sum of One 14111ion Five Ilundred Eghty Four Thousand One biundied Eighty "rwo Dollars and A ninety Five Cents (SI584,IS2.95) fbr Hie payment of which sum we jointly and severally hind ourselves and our successor,, heirs. administrators of personal representatives as tile case play be. This obligation is entered into in pursuance orihe Slnitnes of the State of Washington and the Ordinances of the coy of Auburn. "Oshinelon. Dated at Allbwn, \Vashingtoll, 11115 25TH day of FEBRUARY 2013. Nevertheless, the conditions of th such e above ohligation are su that: WHEREAS, the City of Auburn on the 17th day of February, 2015, let to the above bounden Principal a certain Contract. The said Contract being numbered 15 -02. and providing for the construction of Pr,ojeci CP1402. 2014 Citywide Pawnnenl Patching and Overlay Project - grind and overlay of 1.00 lane -miles of arlcrial and collutur streets, pavcnent patching on 9.53 lane -miles of arterial and collector sircets; thick oyerley of (1.37 lanc-niiles of arterial and ci,11cwt- streets; and thin oveiav of 104 lane -notes of local residential sircets as part of the Save Our Streeis Program; and 30 ADA curb ramps in the project area (which Contract is referred tO herein and is made a part hereof as though attached heret)), and WHEREAS, the said principal has accepted, or is about to nccept, the said Conned, and undertake to perfoml the wr-rk therein provided for in the manner and within the time scl Huth: NO \V. TI ILRI-FORF. if the above hounder principal shall tirithfiilly and truly observed and unnoy with the ternns. 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 he pet Honied under said Contract, upon the terms proposed therein, and any and all duly authorized modifications ofsaid Contract thm may hereafter by made, and within tile; tittle prescribed therein, and until the same is accepted, and shall pay all laborers, mechanics, subconn'aofors and material n1cn, and all persons who shall supply Principal or subcontractors with proyisimns and supplies for the carrying on of said work and shall hold said City of Auburn, "Id ingion. harmless from any loss or damage occasioned to any puson or propery by reason of any carelessness ni' negligence On the part of said principal nr any subcontractor in the pet lonnance of said work. and shall in all respects faithfully perlimn said Contract according to law, and shall indemnify and hold the City of Auhum. AVnshington. harmless Isom any damage nr expense by reason ot- i'mlure of p Amnance, as specified in said Cuntract, and XIM The undersigned principal and the undersigned surety present this 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, lit the performance of the above- retcrenced contract, shall be unftnrceable until [lie 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 Rand in it 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 alter the acceptance of this Contract and the expirtId0o of the lien period, and if there arc 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 (S2,000). whichever a greater, to waranty against defects appearing or developing in the material of workmanship provided nr 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 hamiless from all defects appearing or developing in the material or workmanship providcd or perRbmud under this Contract within a period of one (I) year after acceptance. THEM' and in that event this obligation shall be void; hot otherwise it shall be and remain in full force and effect, h is hereby expressly agreed that if any legal action is necessary to be brought under the conditions of !Iris bond, that the decisions of the Courts of the State of Washington shall he binding. IN WITNESS WHEREOF. [he above - bounden parties have executed this instrument this 25TH day of' FEBRUARY . 2015. V ` Icon Rtalcri'.la TrIei Binge. Fidelity and DeposiL Co. of Marpland Surety 15 W. SOUTH TEMPLE, STE. 700 SALT LAKE CITY, UT 84101 801 -533 -3624 NOW KevdeN Agent's Address S Phone Number t\i\ SURETY ACKNOWLEDGMENT STATE OF UTAH } COUNTY OF SALT LAKE } SS On this 25T11 day of FEBRUARY, 2015, before me personally came TINA DAVIS to me known, who, being by me duly sworn, did depose and say that she is an Attorney -In -Fact of FIDELITY AND DEPOSIT COMPANY OF MARYLAND the corporation described in and which executed the within instrument; that she knows the corporate seal of said corporation, that the seal affixed to the within instrument is such corporate seal, and that she signed the said instrument and affixed the said seal as Attorney -In -Fact of the Board of Directors of said corporation and by authority of this office under the Standing Resolutions thereof. 1 Notary Piklic, / VA HAIL Pl otaiy b A State of Utah Commissmn U 605901 My Commission CXPifes March 13; 2015 5 ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a, corporation of the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Maryland, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Maryland (herein collectively called the "Companies "), by THOMAS O. MCCLELLAN, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies, which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute, and appoint Tina DAVIS, Lisa HALL and Lindsey PLATTNER, all of Salt Lake City, Utah, EACH its true and lawful agent and Attorney -in -Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presenti, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland, and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a truecopy of Article V, Section 8, of the By -Laws of said Companies, and is now in force. IN WITNESS WHEREOF, the said Vice - President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 24th day of July, A.D. 2014. ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND crru .ii Jo: y b� 1tA9 � �cf BY )* 91 / 4 Kw- Secretary Vice President Michael McKibben Thomas O. McClellan State of Maryland County of Baltimore On this 24th day of July, A.D. 2014, before the subscriber, a Notary Public or the State of Maryland, duly commissiontad and qualified, THOMAS O. MCCLELLAN, Vice President, and MICHAEL MCKIBBEN, Secretary, of the Companies, to me personally known to be the individuals and officers described in and who executed the preceding instrument, and acknowledged the execution of same, and hemp by me duly sworn, deposeth and saith, that he/she is the said officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF, 1 have hereunto set my hand and affixed my Official Seal the day and year first above written POA -F 020 -8022W Mana D. Adamski, Notary Public My Commission Expires: July 8, 2015 D. 'bgnua "� POA -F 020 -8022W Mana D. Adamski, Notary Public My Commission Expires: July 8, 2015 EXTRACT FROM BY -LAWS OF THE COMPANIES "Article V, Section 8, Attornevs -in -Fact The Chief Executive Officer, the President, or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attomcys -in -fact with authority to execute bonds, policies, recognizanecs, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attomey -in -fact to affix the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any time." CERTIFICATE 1, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that Article V, Section 8, of the By -Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998. RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attorney... Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the I Oth day of May, 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice- President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN TESTIMONY WHEREOF, 1 have hereunto subscribed my name and affixed the corporate seals of the said Companies, this25TH day of FEBRUARY 20 15. �, ip o ��. rt`Owa+ye�.mi �.� �6 yOl :x( ;oEBBAL : a3 * E ,� a Gerald F. Haley, Vice President Page I of 2 Search > FIDELITY & DEPOSIT COMPANY OF MARYLAND FIDELITY & DEPOSIT COMPANY OF MARYLAN D Gene_ral.I Contact I Licensing I Appointments I Complaints I Orders I National.in(o I Ratings I Tax, Filings BBCk t0 Sea rCh General information Name. FIDELITY & DEPOSIT COMPANY OF MARYLAND Corporate family group: ZURICH_ rus. GRP What is this? Organization type: PROPERTY WAOIC: 442 NAIC: 39306 Status: ACTIVE Admitted date: 07/27/1895 Ownership type: STOCK ° back to Lop Contact information Mailing address Registered address1400 AMERICAN LN,TWR 600 Red Brook Blvd 1, 19TH F Owings Mills, MD 21211 SCHAUMBURG, IL 60196- 1056 Telephone 410 - 539 -0800 Telephone 410 -539 -0800 Types of coverage authorized to sell wbat,,,bn. Insurance types Casualty Marine Ocean Marine Property Surety vehicle hack [o rop . .. .,. Agents and agencies that represent this company (Appointments) what is this? View agents View agencies * oack io wp Company complaint history wnai, nn7. View complaints back ojop http: / /www. insurance. wa. gov /consumertool kit /Company /CompanyProfi le.a... 2/27/2015 Page 2 of 2 Disciplinary orders 2008 -2015 What ,=«_r Year Order Number 2013 13 -0223 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 Molnes at 360 - 725 -7047 or email legal @oic.wa.gov. Looking for other orders? 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Best #: 000387 NAIC #: 39306 FEIN #: 133046577 Stable Administrative Office Vim Add't'o tal Address information 1400 AlPericaa Lane gssigned to R�dr a6erpD area Schaumburg, IL 60196 -1056 companies wcdT 05i United Slates that have, in Eeng -Term Icauer Credit Rating View Definition our opinion, Web: www zur chnAcom a superior ability to meet their Phone: 800 -987 -3373 ongoing insurance obligations. Fax: 877 -962 -2567 Effective Data: Based on A.M. Best's analysis, 050457 - Zurich Insurance Group Ltd is the AMB Ultimate Parent and identifies the topmost entity of the corporate structure. View a list of operating insurance entities in this structure. 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Best Worldwide Headquarters, Arl Road, Oldwick, New Jersey, 08858, U.S.A. http: / /www3.ambest.com /ratings /entities /CompanyProfiIe.aspx ?ambnum =3... 2/27/2015 9 BOND IN LIEU OF RETAINAGE (Retainage Bond -RCW 60.28) Bond No. 9185309 KNOW ALL PERSONS BY THESE PRESENTS, THAT Iron Materials 1508 Valentine Ave SE Pacific WA 98047 -2103 a corporation organized under the laws of the State of Washington and registered to do business in the State of Washington as a contractor, as Principal, and F del.i.ry and Deposi.L Companv of Maryland a corporation organized under the laws of the State of Ntaryiand and registered to transact business in the State of Washington as surety', as Surety, their heirs, executors, administrators, successors and assigns, are jointly and severally held and bound to the City of Auburn, Washington, hereinafter called CITY,; and are similarly held and bound unto the beneficiaries of the trust fund created by RCW 60.28, in the sum of five percent (5 %) of all amounts earned by the Principal: on the contract described below. THE CONDITIONS OF THIS BOND OBLIGATION ARE THAT-, WHEREAS, on the 17TH day of FEBRUARY , 2015, the Principal executed Contract No. 15 -02 with the CITY for Project Number CP1402, 2014 Citywide Paving Patching and Overlay Project and WHEREAS, said contract and RCW 60.28 require the CITY to withhold frorn the Principal the sum of five percent (5 %) from monies earned by the Principal on estimates during the progress of the construction, hereinafter referred to as earned retained funds; and WHEREAS, the Principal has requested that the CITY not retain any earned retained funds as allowed under RCW 60.28; NOW, THEREFORE, the condition of this obligation is such that the surety is held and bound to the CITY and to the beneficiaries of the trust fund created by RCW 60.28 in the sum of five percent (5 %) of the final contract cost which shall include any increases due to change orders, increases in quantities of work, addition of new items of work, or otherwise, hereafter referred to as the final contract cost. If all purposes of RCiN 60.28 and all contract obligations are fulfilled, then this obligation shall be null and void; otherwise, it shall remain in full force and effect until release is authorized in writing by the CITY. IT IS FURTHER EXPRESSLY AGREED THAT: 1. The liability of the Surety under this bond shall not exceed five percent (5 %) of the final contract cost, if no monies are retained by the CITY pursuant to RCW 60.28 on estimates during the progress of construction. Retainage Bond Page t of 3 2. In the event this bond ceases to comply with CITY standards, the CITY reserves the right to resume the actual withholding of earned retained funds according to the contractor's designated option for management of retainage under RCW 60.28.011(4). In the event the CITY resumes withholding of earned retained funds, the liability of the Surety under this bond shall not exceed the actual amount of the earned retained funds which were covered by this bond and released by the CITY prior to resumption of actual withholding. 3. The Surety hereby consents to and waives notice of any extension in the time for performance of the contract, assignment of obligations under the contract, or contract alteration, amendment, or change order. 4. Any suit under this bond must be instituted within the time period provided by applicable law with venue in King County, Washington. This bond and any proceeds therefrom shall be subject to all claims and liens and in the same manner and priority as set forth for retained percentages in RCW 60.28. 5. Until written release of this obligation by the CITY, this bond may not be terminated or canceled by the Principal or the Surety for any reason. Any extension of time for the Principal's performance on the contract, assignments of obligations under the contract, or any amendment to the contract or change orders of any kind shall not release the Surety from its obligation under this bond. 6. The contractor shall comply with all applicable requirements of RCW 60.28. 7. RCW 60.28 requires the CITY to accept a retainage bond in lieu of withholding earned retained funds and the Surety hereby waives any defense that this bond or bond form is void or otherwise not authorized by law. 8. Any claim or suit against the CITY to foreclose the liens provided for by RCW 60.28 shall be effective against the Principal and Surety and any judgment under 60.28 against the CITY shall be conclusive against the Principal and Surety. WITNESS our hands this 25TH day of FEBRUARY _2015_ Retainage Bond Pace 2 of 3 PRINCIPAL: Icon Materials 1508 Valentine Avenue Southeast Pacific. rA 98047 -2103 Sy. (signature of Authorized Represen "ve) Rob Meidi.nger Prinirrype Name T' r SURETY: Fidelit_ and Deposit Co. of mtariland Y: (Si -Fact for Surety') MA -O'A S, ATTORNEY -IN -FACT (Typed Name of Attorney -in -Fact) Dated FEBRUARY 25, 2015 Local Agent Name, Phone, & Address MARSH USA, INC. 15 W. SOUTH TEMPLE, STE. 700 SALT LAKE CITY, UT 64101 801 -533 -3624 CITY OF AUBURN: Accepted By: Aa—u� e,Jr Ing ridI ssl. neerin g Services /City Engineer Dated: Approved as to form: Daniel B. Held, City Attorney 'This bond must be accompanied by a fully executed Polder of Attorney appointing the Attorney -in -Fact before it becomes effective. Relainage Bond Page 3 of 3 SURETY ACKNOWLEDGMENT S'T'ATE OF UTAH } COUNTY OF SALT LAKE } SS On this 25TH day of FEBRUARY, 2015, before me personally came TINA DAVIS to me known, who, being by me duly sworn, did depose and say that she is an Attorney -In -Fact of FIDELITY AND DEPOSIT COMPANY OF MARYLAND the corporation described in and which executed the within instrument; that she knows the corporate seal of said corporation, that the seal affixed to the within instrument is such corporate seal, and that she signed the said instrument and affixed the said seal as Attorney -In -Fact of the Board of Directors of said corporation and by authority of this office under the Standing Resolutions thereof. NotarvRbblic LISA HAIL. Notary Puolic, St2tH of Utah com c.ission # 605901 My commission Esplres March 13, 7015 ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Maryland, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Maryland (herein collectively called the "Companies'), by THOMAS O. MCCLELLAN, Vice President, in pursuance of authority granted by Article V, Section 8, of the By Laws of said Companies, which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute, and appoint Tina DAVIS, Lisa HALL and Lindsey PLATTNER, all of Salt Lake City, Utah, EACH its true and lawful agent and Attorney -in -Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland, and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of the By -Laws of said Companies, and is now in force. IN WITNESS WHEREOF, the said Vice- President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 24th day of July, A.D. 2014. ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND W,..why �+vy{q,r� 'gyp eValp ��^1HroL�by �. -- low u'l• )UA, _9 Secretary Vice President Michael McKibben Thomas O McClellan State of Maryland County of Baltimore On this 24th day of July, A.D. 2014, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, THOMAS O. MCCLELLAN, Vice President, and MICHAEL MCKIBBEN, Secretary, of the Companies, to me personally known to be the individuals and officers described in and who executed the preceding instrument, and acknowledged the execution of same, and being by me duly sworn, deposelh and saith, that he/she is the said officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written POA -F 020 -8022W Maria D. Adamski, Notary Public My Commission Expires: July 8, 2015 POA -F 020 -8022W EXTRACT FROM BY -LAWS OF THE COMPANIES "Article V, Section 8, Attomevs -in -Fact. The Chief Executive Officer, the President, or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attorneys -in -fact with authority to execute bonds, policies, recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attorney -in -fact to affix the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any time." CERTIFICATE I, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that Article V, Section 8, of the By -Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile udder and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998. RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attorney.-Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the I Oth day of May, 1990. RESOLVED: "That the facsimile or mechanically reproduced scat of the company and facsimile or mechanically reproduced signature of any Vice- Prvident, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seals of the said Companies, this 25THday of FEBRUARY 20 15. Gerald F. Haley, Vice President Page 1 of 2 >R Search > FIDELITY & DEPOSIT COMPANY OF MARYLAND FIDELITY & DEPOSIT COMPANY OF MARYLAND General I Contact I Licensing I Appointments I Complaints I Orders I National Info I Ratings I Tax Filings Back [o Search General information Name: FIDELITY & DEPOSIT COMPANY OF MARYLAND Corporate family group: ZURICH _ INS . _ . GRP whanstm :e Organization type: PROPERTY WAOIC: 442 NAIC: 39306 StatUS: ACTIVE Admitted date: 07/27/1895 Ownership type: STOCK ° back to lop Contact information Mailing address Registered address1400 AMERICAN LN,TWR 600 Red Brook Blvd 1, 19TH F Owings Mills, MD 21211 SCHAUMBURG, IL 60196- 1056 Telephone 410 -539 -0800 Telephone 410 -539 -0800 Types of coverage authorized to sell wna,=lb,s7 Insurance types Casualty Marine Ocean Marine Property Surety Vehicle backI qp Agents and agencies that represent this company (Appointments) wnatsms> View agents view agencies ^ baCk tO, top Company complaint history WhtsthV View complaints ^ back to top http: / /www. insurance. wa. gov/ consumertoolkiUCompany /CompanyProfi le.a... 2/27/2015 Page 2 of) Disciplinary orders 2008 -2015 wh s_t,s Year lorder Number 2013 13 -0223 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 Premium tax filings by tax year wt al lc tt,lsj 2014 2013 2012 2011 2010 ? 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. T back to top Ratings by financial organizations The following organizations rate insurance companies on their financial strength and stability. Some of these companies charge for their services. A.M. Best Weiss Group_Ratings Standard and Poor s Corp Moody's Investors Service Fitch IBCA Duff and Phelps Ratings ° back to top http: / /www. insurance. wa. gov /consumertoolkit /Company /ConlpanyProfiIe.a... 2/27/2015 Fidelity and Deposit Company of Maryland - Company Profile - Best's Cre... Page 1 of 2 Ratings& Criteria Center welcome Back JoAnne Anderson My Member Center l L _LW Regional Centers: Asia - Pacific I Canada I Europe, Middle East and Africa I Latin America I MENA & SCA Home I About Us I Contact Us I Sitemap Ratings & Criteria . Home . Credit Rating Releases . Methodology . Best's Credit Ratings + • Financial Strength Rating • Issuer Credit Rating • Debt Rating • National S.I. Raing • Advanced Search n About Best s Credit Ratings. . Get a Credit Rating • Best s Special Reports • Add Best's Credit Ratings Search To Your Sic • Bodying, for Seen. Rated lutou"a • Contact an Analyst • Awards and Recognitions News & Analysis y Products & Services Industry Information . Corporate Regulatory Affairs . Support & Resources Conferences and Events . Recto &W., Cr,hl Rating Enter a Company —N,-,-7 W • Advanced Search A.M. Best Rating Services Cbnlact Intbrmatibn. his. liming Demur.... Select one... Rating Search: x Advanced Search Add to Bestedert A* (Superior) Print too nag Fidelity and Deposit Company of Maryland hI Financial Size Category: XV (S2 Billion or greater) A.M. Best #:000387 NAIC #: 39306 FEIN H: 133046577 Stable Administrative Office Viso, Ad round Address lnburnat tin Affirmed 1400 American Lane ASSignetl t0 Bm[tl tlairm aMO t Schaumburg, IL 601961056 cOmpaed f DCST United States Ihnt have, in L p.;SUpvlar aa- our opinion, Web: vww.zunchnz.corn a superior ability to meet their Phone: 800 -987 -3373 ongoing insurance obligations. —� Fax: 877 -%2 -2567 Initial Rating Date: Based on A.M. Bests analysis, 050457 - Zurich Insurance Group Ltd is the AMB Ultimate Parent and identifies the topmost entity of the corporate emaciate. Vow a list of operating insurance entities in this Structure. Best's Credit Ratings Financial Strength Rating view definition Rating: A* (Superior) Affiliation Code: g (Group) Financial Size Category: XV (S2 Billion or greater) Outlook: Stable Action: Affirmed Effective Date: November 26, 2014 Initial Rating Date- June 30, 1922 Long-Term Issuer Credit Rating view Canadian Long -Term: aa- Outlook: Stable Action: Affirmed Effective Date: November 26, 2014 Initial Rating Date: September 14, 2004 Best's Credit Rating Analyst Rating Issued by: A.M. Best Company, Inc. San for Financial Analyst, Michael W. Russo Assistant Vice Prasitlanb Michael J. Lagomarsino, CFA Disclosure Information it—AN A View A M. Best's Rating Disclosure Stationed vV� A }j�gdM�,M,Bygj�neslArms Ralid�aui[Zurich AZgByj.AraLl r2lcynej jyfn8j r�iL lm3urance f7t Company and Its AdiliatesIts Affiliates November 26. 2014 u oma-es lime, tartan Be51r RAim Reports and News Visit Best's News and Analysis site for the latest LMS ontl Deese releases for this Company and its A.M. Best Group, T— AMB Credit Report - includes Best's Financial Strength Raling and rationale along with comprehensive analytical ,1 commentary, detailed business overview and key financial data. Report Heated Date: 2/11 /2015 (represents the latest significant change). r Historical Reports are available in AMB Credit Report Archive LBest's Key Rating Guide Presentation Report -includes Best's Financial Strength Rating and financial data as provided in !) the most Current edition of Best's Key Rating Guide products. (Costly cross cnesiedl. 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Therefore , credit ratings issued by AMBERS may Mused for regulatory purposes in the ED as per Directive 20061481EC. http: / /www3.ambest.com /ratings /entities /seai-elii-esu Its.aspx ?U Ratingld= 138... 2/27/2015 Fidelity and Deposit Company of Maryland - Company Profile - Best's Cre... Page 2 of 2 Australian Disclosures A.M. Best Asia - Pacific Limited (AMBAP), Australian Registered Body Number (ARBN No. M375287). is a limited liability company incorporated and domiciled in Hong Kong, AMBAP Is a wholesale Australian Fearecarl Services (AFS) Licence holder(AFS Na. 411055) under the Corporations Act 2001. Credit ratings emanating from AMBAP are not intended for and must not W distributed to any person in Australia other than a wholesale count as defined in Chapter ] of the Corporations Act.. 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These ratings are neither a warranty of a company s fnandal strength nor its ability to meet Its financial obligations, Including those to policyholders. View our entire notice for complete details. Customer Service I Product Support I Member Center I'Contact Into I Careers About A M. Best I Site Map I Privacy Policy I Security I Terms of Use I Legal 8 Licensing Copynghtm20t5 A.M. Best Company, Inc. ALL RIGHTS RESERVED. A M. Best Worldwide Headquarters, Ambest Road, Oldwick, New Jersey, 00858, U.S A. http: / /www3.ambest.com /ratings /entities /searchresu lts.aspx ?U Ratingld= l 38... 2/27/2015 Certificate of Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CFRTIFICATF HOLDER. THIS CERTIFICATE IS NOT AN ( INSURANCE POLICY AND DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. POLICY LIMITS ARE NO LESS THAN THOSE LISTED. ALTHOUGH POLICIES MAY INCLUDE, ADDITIONAL SUBLIMIT /LIMITS NOT LISTED BELOW. This is to Certify that I ICON Materials (dba of CPM Development 4� a Corporation) ADDRESS - Liberty MUtuale 1508 Valentine Ave SE Pacific WA 98047 OF INSURED L INSURANCE is, at the issue date ofthis certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policyiies is subject fault their terms, exclusions and Conditions and is not altered by any requirement, term or condition ofany contract or other document with respect to which this certificate maybe issued. If the cenificate expiration date is continuous or extended term, you will be notified if coverage is terminated or reduced before the cenificate expirmi on date. SOL ICE OF CANCELLATION (NOT APPLICABLE UNLESS A NUMBER OF HAYS IS ENTERED BELOW) BEFORE THE STATED EXPIILVION DATE 'H IL COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVEPOLICIES UNTIL ATLEAST 30 DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO RE: Project No. CP1402 Litho[, Mutual Insurance Group EXP DATE A- TYPE OF POLICY ❑ CONn",v000S ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY 25 West Main Street ❑ POLICY TERM Stan Esposito WORKERS 9/1/2015 WA7 -C8D- 004095 -024 COVERAGE AFFORDED TINDER WC LAW 01: THE FOLLOWING S "FATES: EMPLOYERS LIABILITY COMPENSATION 12 Federal Street, Ste. 310 WC7 -C81- 004095 -014 WA WY and yy except OH. NO, Bodily hner,Oy Aaoidciu 1 000 000 Each Accident Bodily Injury By Disease I OFFICE PHONE DATE ISSUED -014: WI $1,000,000 Bodily Injury By Disease $1,000,000 COMMERCIAL GENERAL LIABILITY 9/1/2015 T62 -C81- 004095 -114 General Aggregate $2,000,000 ❑ OCCURRENCE ❑ CLAIMS MADE -Per Project Aggregate included Products / Completed Operations Aggregate $2,000,000 Pach Occurrence $2,000,000 Personal Bc Advcm mit Injury $2,000,000 Per Person /Organization RE'1 RO UA 1 E Other Fiber Dama a to Premises Rented to You 00 Medical Exp: $5,000 AUTOMOBILE LIABILITY 9 /1/2015 AS2 -C81- 004095 -124 EachAnrident— Single Limit $2,000,000 B.1. And P.D. Combined Faeh Person d OWNED NON -OWNED Comp Ded $10,000 Coll Ded $10,000 Each Accident or Occurrence ❑ HIRED Each Accident or Occurrence OTHER 9/1/2014 EW7 -68N- 004095 -344 SIR $250,000 EXCESS WORKERS' COMPENSATION & EMPLOYERS' LIABILITY 9/1/2015 (WA) EXCESS WC $250 000,000 (INCLUDES WA STOP GAP) L $750,000 ADDITIONAL COMMENTS RE: Project No CP1402, 2014 Citywide Pavement Patching & Overlay Project, Various Streets in Auburn, WA. City of Auburn is listed as additional insured with regards to the general liability policy, where required by written contract. Coverage is primary and non - contributory. If the cenificate expiration date is continuous or extended term, you will be notified if coverage is terminated or reduced before the cenificate expirmi on date. SOL ICE OF CANCELLATION (NOT APPLICABLE UNLESS A NUMBER OF HAYS IS ENTERED BELOW) BEFORE THE STATED EXPIILVION DATE 'H IL COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVEPOLICIES UNTIL ATLEAST 30 DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO RE: Project No. CP1402 Litho[, Mutual Insurance Group This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects Such insurance as is afforded by lhose Companies NM 772 07 -10 CENT NO 23628934 CLIS'NT CODE: L 44 Nicholas Misoni 211112n15 9: 44: us Ax ICEV Pave 1 of 1 LEI COI 268896 02 11 A- FCity of Auburn z& `°"- -t),�_ 25 West Main Street Stan Esposito Auburn WA 98001 -4998 Pittsburgh 10387 AUTHORIZED REPRESENTATIVE E s 12 Federal Street, Ste. 310 0 Pittsburgh PA 15212 -5706 412 - 231 -1331 2/27/2015 LJ I OFFICE PHONE DATE ISSUED This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects Such insurance as is afforded by lhose Companies NM 772 07 -10 CENT NO 23628934 CLIS'NT CODE: L 44 Nicholas Misoni 211112n15 9: 44: us Ax ICEV Pave 1 of 1 LEI COI 268896 02 11 AC°R& CERTIFICATE OF LIABILITY INSURANCE DATE /12015 Yl CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, ooro3aols 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 MARSH USA, INC. CONTACT NAME: —F .LUC_N0- Enl�._.___ . —_.— FAX Kam: ..... ------ TWO ALLIANCE CENTER 3560 LENOX ROAD, SUITE 2400 F -MAIL ATLANTA, GA 30326 .ADDRESS:__ INSURE S) B AFFORDING COVERAGE NAIC p INSURER A: American Guarantee B Wbilay ins CO 126247 J34420.:EX -14 -15 INSURED ICON MATERIALS INSURER B. -- -- { INSURER C dba CPM DEVELOPMENT CORPORATION 1508 VALENTINE AVE SE __....__- PACIFIC, WA 98047 NSURER 0 PERSONAL A AOV INJURY S INSURER E'_ INSURER F; COVERAGES CERTIFICATE NUMBER: ATL00333820102 REVISION NUMBER:n 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, ILTI TYPE OF INSURANCE ADDL'ISUBR POLICY NUMBER MMa1DClYYYY MMLDDM'YY LIMITS GENERAL UABILItt EACH OCCURRENCE IS _ I COMMERCIAL GENERAL LIAB LITY ❑OCCUR DAMAGE a ( RENTED �PREMI�SES,(Ed orLyrren(c)_ MED E %P(Any one DersDn) E __ �pCh15MA0E _ PERSONAL A AOV INJURY S GENERAL AGGREGATE _ E_ PRODUCTS- COMPJOP ADD _ $ �IL AGGR EWTTE LIMIT APPLIES PER: I�GE � POLICY F-1 PRO- $ _._ --------- — .____. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO BODILY INJURY IPer I>e<snn) E AlL O SCHEDULED AUU TOS S AUTOS NON,QWN6D BODILY INJURY 1Per acciden0 DAMAG S HIREOAUTOS N R LC ax den $ A X UMBRELLA LIAR % cecoB AUC655102505 09,1312014 W.tI1 015 EACH OCCURRENCE Is 1.DD0,000 AGGREGATE_ I& 1,00,000 EXCESS LIAB LLAIMS`LIADE F- 1 DEC) I I RETENTIONS F E WORKERS COMPENSATION WC STATU -I DTN LTORT.LIMnS! AND EMPLOYERS' LIABILITY ylq ER ANY PROPRIETORIPARTN' ERFAELUTIVE OFFICERJMEh18ER E%CWOEO? NIA--"'--- E.L. EACH ACCIDENT $ - IM.rdatary in NH) E L DISEASE_ EA EMPLOYEE E DE SCRPTIONOFOPERATIONS below E.L. DISEASE - POLICY LIMIT IS __ I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AnacM1 ,CORD 101, Adtlillonal Remarxs Sctletlule. n more space la renuuml RE: 2014 CITYWIDE PAVEMENT PATCHING AND OVERLAY CITY CF AUSURN AND IT'S OFFICERS. ELECTED OFFICIALS, EMPLOYEES, AGENTS. AND VOLUNTEERS IS (ARE) INCLUDED AS ADDITIONAL INSURED(S) PER WRITTEN CONTRACT. THE UMBRELLA POLICY IS 'FOLLOW FORM' AND NON-CONTRIBUTORY. CITY OF AUBURN 25 WEST MAIN STREET AUBURN, WA 980014906 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. of Marsh USA Inc. Manashi Mukherjee - 3A� All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD Policy Number. AS2 -001- 004095 -124 Issued by: Liberty Mutual Fire Insurance Co. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED -NONCONTRIBUTING This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIERS COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" under the. Who Is, An Insured Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage form. Name of Person(s) or Organizatlons(s): Any person or organization for which contract with the Named Insured. Regarding Designated Contractor Project: Schedule such coverage is required by written Each person or organization shown in the Schedule of this endorsement is an 'insured' for Liability Coverage, but only to the extent that person or organization qualifies as an 'insured" under the Who Is An Insured Provision contained in Section It of the Coverage Form. The following is added to the Other Insurance Condition: If you have agreed in a written agreement that this policy will be primary and without right of contribution from any insurance in force for an Additional Insured for liability arising out of your operations, and the agreement was executed prior to the "bodily injury' or 'property damage', then this insurance wtll be primary and we will not seek contribution from such insurance. AC 84 23 0811 ® 2010, Liberty Mutual Group of Companies. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc.. with its permission. POLICY NUMBER: AS2 -CB1 -00409 5 -1 24 COMvERCIALAUTO CA 04 44 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. SCHEDULE Name(s) Of Person(s) Or Organlzation(s): Any person or organization for whom you perform work under a written contract if the contract requires you to obtain this agreement from us, but only if the contract is executed prior to the injury or damage occurring. Premium: $ INCL Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the 'accident' or the 'loss' under a contract with t �atperson or organization. CA 04 44 10 13 0 Insurance Services Office, Inc., 2011 Page 1 of 1 POLICY NUMBER: TB2 -C81- 004095 -114 COMVERCIAL GENERAL LIABILITY CG 2010 0413 THIS ENDORSEMENT.CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION 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 the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "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. in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However. 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: Name Of Additional Insured Person(s) Or Organization(s): 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed: or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the. following is added to Section III — Limits Of 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: 1. Required by the contract or agreement: or 2. Available under the applicable Limits of Insurance shown in the Declarations: SCHEDULE Any owner, lessee, or contractor for whom you have agreed in writing prior to a loss to provide liability insurance whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Location(s) Of Covered Operations Any location listed in such agreement Information required to complete this Schedule, if not shown above, will be shown in the Declarations. CG 20 10 0413 0 Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER: TB2 -C81- 004095 -114 COMMERCIAL GENERAL LIABILITY CG 20 37 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organizations) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products- completed operations hazard ". However. 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. Name Of Additional Insured Person(s) Or Organization(s): Any owner, lessee, or contractor for whom you have agreed in writing prior to a loss to provide liabilby insurance B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of 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: SCHEDULE 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Location And Description Of Completed Operations Any location listed in such agreement Information required to complete this Schedule, if not shown above, will be shown in the Declarations. CG 20 37 0413 0 Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER: TB2 -C81- 004095 -114 COMMERCIAL GENERAL LIABILITY 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 The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery we may have against .the person or organization shown in the Schedule below because of payments we make for injury or damage arising out of your ongoing operations or "your work' done under a contract with that person or organization and included in the "products - completed operations hazard ". This waiver applies only to the person or organization shown in the Schedule below. SCHEDULE Name Of Person Or Organization: As required by written contract or agreement entered into prior to loss. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. CG 24 04 05 09 O Insurance Services Office, Inc., 2008 Page 1 of 1 POLICY NUMBER: T82 -C81. 004095 -114 COMMERCIAL GENERAL LIABILITY CG 25 03 05 09 THIS ENDORSENENT-CHANGES THE POLICY. PLEASE READ ITCARMLLY, DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following; . COMMERCIAL GENERAL LIABILITY COVERAGE PART A For all sums which the Insured becomes legally B, obligated to pay as damages caused by 'occur - rencee under Section I — Coverage A, and for all medical expenses caused by accidents under Section I — Coverage C, which can be allrN tad only to ongoing operations at a single designated conduction project shown in the Schedule below. 1. A separate Designated Construction Project General Aggregate Limit applies to each des- ignated construction project and that limit is equal to the amount of the General Aggregate Limit shown in the Declarations. 2. The Designated Construction Project General Aggregate Limit is the most we will pay for the sawn of all damages under Coverage A, ex- cept damages because of "body injury' or "property damage" Included in the *producls- completed operations hazard', and for medi- cal expenses under Coverage C regardless of the number of. e. Insureds; Is. Claims made or 'suits' brought; or c. Persons or organizations making claims or bringing 'sues". 3. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the Designated Con- struction Project General Aggregate Limb for that designated construction project Such payments shall not reduce the General Ag- gregate Limit shown In the Declarations nor shall they reduce any other Designated Con- struction Project General Aggregate Limb. for any other designated construction project shown in the Schedule below. 4. The limits shown in the Declarations for Each Occurrence. Damage To Premises Rented To You and Medical Expense continue to apply. However, instead of being subject to the General Aggregate Limb shown in the Decla- rations, such limits will be subject to the appli- cable Designated Construction Project Gen- eral Aggregate Limb For all sums which the insured becomes legally obligated to pay as damages caused by 'occurrences' under Section I — Coverage A, and for all medical expenses caused by accidents under Section I — Coverage Q vdddt cannot be attributed only to ongoing operations at a single designated construction project shown In the Schedule below.. 1. Any payments made under Coverage A for damages or under Coverage C for medial expenses shall reduce the amount available under the General Aggregate Lbnl or the Products- completed Operations Aggregate tin k whichever is applicable; and 2. Such paymerds shall not reduce any Designated Construction Project General Aggregate Limit. C. When coverage for liability arising out of the 'products-completed operations hoard' is prov- ided, any payments for damages because of 'bodily Injury" or 'property damage' hduded in the 'products-completed operations hazard' will reduce the Products-completed Operations Agg- regate Limit and not reduce the General Agg- regate Limit nor the Designated Construction Project General Aggregate Lion@. 0. If the applicable designated construction project has been abandoned, delayed, or abandoned and then restarted, or 8 the authorized contracting parties deviate from plans, blueprints, designs, specifications or timetables. the project will still be deemed to be the same construction project. E. The provisions of Section III — Limits Of Insurance not otherwise modified by this endorsement shall continue to apply as stipulated. CG 25 03 05 09 0 Insurance Services Office, Inc., 20D8 Page 1 of 2 SCHEDULE Designated Construction ProJect(s): All Projects. Information required to complete this Schedule, N not shown above, will be shown in the Declarations. CG 25 03 05 09 0 Insurance Services Office, Inc., 200(1 Page 2 of 2 Policy Number TB2- C81- 004095 -114 Issued by LIBERTY MUTUAL FIRE INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON - CONTRIBUTORY — SCHEDULED ADDITIONAL INSURED This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART EXCESS COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART Schedule Person or Organization: Where required by written contract prior to a loss It you are ooligatec under a written agreement to provide liaoiiity insurance on a primary, excess, contingent, or any other basis for any person or organization shown in the Schedule that is an additional insured on this policy, this policy will apply solely on the basis required by such written agreement If the applicable written agreement does not specify on what basis the liability insurance will apply, this insurance shall be excess over any other valid and collectible insurance available to the additional insured, whether such insurance Is on an excess, contingent or primary basis. Condition 4 Other Insurance of Section IV is revised accordingly. LD 24 10 07 13 Q 2013 Liberty Mutual Insurance. All rights reserved. - Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Pagel of 2 p Search > LIBERTY MUTUAL INSURANCE COMPANY LIBERTY MUTUAL INSURANCE COMPANY General_ I Contact I Licensing I Appointments I Complaints I orders I National Info I Ratings I Tax Filings Back to Search General information Contact information Name: LIBERTY MUTUAL INSURANCE COMPANY Registered Mailing address Corporate family group: LIBERTY_MUT address 100 LIBERTY WAY GR_P what is M s, 175 BERKELEY ST DOVER, NH 03820 Organization type: PROPERTY BOSTON, MA 02117 WAOIC: 733 NAIL: 23043 Status: ACTIVE Admitted date: 10/30/1933 Ownership type: STOCK ^ sack m hp Telephone Telephone 617- 357 -9500 617 - 357 -9500 Types of coverage authorized to sell What is this? Insurance types Casualty Marine Ocean Marine Property Surety Vehicle Sack tp, top Agents and agencies that represent this company (Appointments) wt.hs., View agents View agencies ° back to top Company complaint history View complaints ° bacx m cop Disciplinary orders 2008 -2015 W... h, No disciplinary orders are found http:// www. insurance.wa.gov /consuinertoolkit /Company /CompanyProfile.a... 2/27/2015 Page 2 of 2 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 on orders search allows you to search a ten year history of all orders, including enforcement orders, administrative orders, and general orders. back to top Premium tax filings by tax year What=jns, 2014 2013 20.12 2011 2010 ? back to top National information on insurance companies Want more information about this company? The „NAIL s,Consumer Information (CIS) page allows you to retrieve national financial and complaint information on insurance companies, plus has information and tips to help you understand current insurance issues. back, to top Ratings by financial organizations The following organizations rate insurance companies on their financial strength and stability. Some of these companies charge for their services. A.M. Best --- -- -- - - -- Weiss Group Ratings Standard and Poor's Corp Moody's_Investors Service Fitch IBCA Duff and Phelps_Ratings back tp top http: / /www. insurance. wa. gov /consumertoolkit /Company /CompanyProfile.a... 2/27/2015 Liberty Mutual Insurance Company - Company Profile - Best's Credit Rati... Page 1 of 2 Ratings & Criteria Center yW,elcome Back JoAnne Andersen My Me,nbe, Ceme, I LouO Regional Centers: Asia - Pacific I Canada I Europe, Middle East and Africa I Latin America I MENA & SCA Home I About Us I Contact Us I Sidi Ratingii Criteria y • Home • Credit Rating Releases • Methodology • Best's Credit Ratings a Financial Strength Rating n Issuer Credit Rating • Debt Rating • National Scale Rating • Advanced Search . About Best's Credit Ratgs in . Get Credit Ran, • Best s Special Reports • Add Bears Credit Ratings Search To Your Site • SestMark for Secure -Rated Insurers • Contact an Analyst • Awards and Recognitions News B Analysis v Products A Services Industry Information Corporate a Regulatory Affairs v SUppi Resources v Conferences and Events . h7nJ d J;i (:'our l Hiding Enter. Company Name ®. . Advanced Search A.M. Best Rating Services Contact Intdrmaten . Ii Rid ing Def ... rlrrra Select one._ v Rating Search: Fs-..--] • Advanced Search Liberty Mutual Insurance Company (2) A.M. Best #:002283 NAIC M 23043 FEIN 4:041543470 Domiciliary Address 175 Berkeley Street Boston, MA 02117 United States Web: vnvw.liber yMutd3IGrouo.com Phone: 617- 357.9500 Fax: 617 -574 -5955 �F, Add to BestAkat 8 Print this seae Assigned to g RnsneY k RMF companies teFST that have, in A;6ullant mr, opinion. an excellent ab0iry to meet their ongoing insurance obligations. Based on A.M. Best's analysis, 051114- Liberty Mutual Holdino Company Inc. is the AMB Ultimate Parent and idenGFies the topmost entity of the Corporate structure. View a list of operating insurance entities in this structure. Best's Credit Ratings Financial Strength Rating View Definition Rating: A(Excellen0 Affiliation Code: is (Pooled) Financial Size Category: XV ($2 Billion or greater) Outlook: Stable Action: Affirmed Effective Date: September 24, 2014 Initial Rating Date: June 30. 1922 Long -Teem Issuer Credit Rating _We_w_Definit_ion Long -Term: a Outlook: Stable Action: Affirmed Effective Date: September 24, 2014 Initial Rating Date: November 23, 2004 emcees a. Rector eeri R.um Beat's Credit Rating Analyst Rating Issued by A M. Best Company, Inc. Senior Financial Analyst: W. Dolson Smith. Ph.D.. CFA Assistant Vice President: Michael J. Lagomarsirro, CFA Disclosure Information A View AM. Best's Rating Deedoeme Statement A.M. st Afirms Ratings of Ratings of LibenyMutual HoldinnHOldin t 11001 Cow Inc. and Its Subs d'arieslls Subs dams, September 24, 2014 Security Ratings Date Effective Under Amount Coupon Issued Typo Racine Data Reyiawllmplieation 0511111995 150,000.000 USD 8.505% Surplus bbb. 0912412014 No Notes 1010911997 500,000,000 USD 7.697% Surplus Ebb+ 0912412014 No Nolen 1011611996 250,000,000 USD 7.875% Surplus Notes bb" 0 912 412 01 4 No 1'1 Denotes Indicative Ratbta Redated Financial and Analytical Data he following links provide access to toiled data rewind. that A.M. Best utilizes to provide thereat and analytical data on a wnwhdated or an. bases AMB if Company He. Company Description 087060 liberty Mutual Insurance Company CAB Represents the Propert Casualty financials lot the Canada Branca of this legal entity. Reports and New> Visit Best's News and Analysis site for the latest news and press releases for this company and its A.M. Best Group. AMB Credlt Report - Includes Best's Financial Strength Rating and rationale along with comprehensive analytical commentary, derailed business overview and key financial data . Report Revision Date: 12116/2014 (represents the latest significant change). v' I Hadorieal Reports are available in AMB Credit Rental Archive. �_t �Best's Key Routine Guide Presentation Report- includes Best's Final Strength Rating antl financial dale as provided in � the most Current edition Of Beat's Key Rating Guide products. recall Ones Crocked). I F reni al and Ana lytieal Prod nets Best's Insurance Reports - Online- PIC US R Canada Best's Key Ralino Gaide - P/C US 8 Canada Best's Statement File - PIC US Best's Executive Summary R -C - P tlC It http: / /www3.ambest.com /ratings /entities /CompanyProfile.aspx ?ambnum =2... 2/27/2015 Liberty Mutual insurance Company - Company Profile - Best's Credit Rati... 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They are hot tecommendauons to Guy, hold or sell any secmues or any other form of bnmin al prolud, including insurance policies and are not a recommenda4on to be used to make investment /purchasing dedions. Important Notice, Best's Ralints hi our independent opinion, based on a Comprehensive quantitative and qualitative evaluation of a company s balance sheet strength, operating performance and business profile. These mfings are neither a warranty of a company s financial strength nor its drift to moot its financial obligations, Ind using those to policyholders, View our entire notice for complete details. Customer Service I Product Support I Member Center I Contact Into I Careers About A M. Best I Site Map I Privacy Policy I Security I Terms of Use I Legal 8 Licensing Copyright 02015 A M. Best Company, Inc. ALL RIGHTS RESERVED. A M. Best Worldwide Heedquaners, Arl Road, OMwick, New Jmsey, 08858, US A. http: / /www3.ambest.com /ratings /entities /CompanyProfi I e.aspx ?ambnum =2... 2/27/2015 Page 1 of 2 R Search > AMERICAN GUARANTEE & LIABILITY INSURANCE COMPANY AMERICAN GUARANTEE & LIABILITY INSURANCE COMPANY Gene,al I Con[pct I Licensing I Appontri I Complaints I Orders I National info I Ratings I "I 'ax Filings Back [o Search General information Contact information Name: AMERICAN GUARANTEE & LIABILITY Registered Mailing address INSURANCE COMPANY address 1400 AMERICAN LANE Corporate family group: ZURICH INS 14TH FLOOR 20 EXCHANGE PLACE G.RP wl,at,tn's' NEW YORK, NY 10005 SCHAUMBURG, IL Organization type: PROPERTY 60196 WAOIC: 84 NAIC: 26247 Status: ACTIVE Admitted date: 11/25/1939 Ownership type: STOCK * back to Telephone Telephone 708 - 605 -6000 708- 605 -6000 Types of coverage authorized to sell - Nti,.,hi;_, Insurance types Casualty Disability Marine Ocean Marine Property Surety Vehicle ? W.Ck IOtop Agents and agencies that represent this company (Appointments) «_ View agents View agencies ^ each to top Company View complaints back.-.top complaint history ,shat. n,st littp: / /www. insurance. wa. gov/ consumertoolkiUCompany /CoinpanyProfile.a... 2/27/2015 Page 2 of 2 Disciplinary orders 2008 -2015 Y11IL101111 Year 10rder Number 2013 13 -0223 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 Molnes 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 Premium tax filings by tax year 2014 2013 2012 2011 2010 111.111 " back to top, National information on insurance companies Want more information about this company? The_NAICs_ Con sumer 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. ° back totop http: / /www. insurance .wa.gov /consumei-toolkit /Company /CompanyProfile.a... 2/27/2015 American Guarantee and Liability Insurance Company - Company Profile ... 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Advanced Search R Add to (esWert A+ (Superior) 6b Pant this pane American Guarantee and Liability Insurance Company (7) A.M. Best #: 002562 NAIL #: 26247 FEIN #: 766071400 Outlook: Adminlstrative Office Vi€w9ddilfntl Addresslnformaton Lane Assigned to nTCY 56ntIN aetYtp Schaumburg. IL 80196 companies LDCST 4• L -1058 Unites Stales United States that have In M. ypyfy a June 30, 1944 our opinion, Web: www. zunrJrna.com a superior ability to meet their Phone: 800.987 -3373 ongoing insurance obligations. Fax: 877- 962 -2567 Affirmed Based on A.M. Best's analysis. 050457 - Zurich Insurance Group Ltd is the AMB Ultimate Parent and identifies the topmost entity of the corporate structure. View a list of operating insurance entities in this structure_ Initial Rating Dale: Best's Credit Ratings Be her Lead Term Imostra nts Financial Strength Rating View Definflion Rating: A+ (Superior) Affiliation Code: g(Group) Financial Size Category: %V ($2 Billion or greater) Outlook: Stable Action: Affirmed Effective Dale: November 26. 2014 Initial Rating Dale: June 30, 1944 Long-Term Issuer Credit Rating View _D_efiniti_on Long-Tenam ad- Outlook: Stable Action: Affirmed Effective Date: November 26, 2014 Initial Rating Dale: September 14, 2004 Visit Best's News and Analysis site for the latest Best's Credit Rating Analyst Rating Issued by: A.M. Best Company, Inc. Senior Financial Analyst: Michael W. Russo Assistant Vice President: Michael J. Legomarsino. CFA oli htctosure Information ii View A.M. 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Best Asia - Pacific Limited ( AMBAP), Aufmighan Registered Body Number(ARBN No 1503752e7), is a limned Ilablhly company incorporated and rents lect in Hong Kong. AMBAP isa wholesale Australian Financial Services (AFS) Licence holder (AFS No 411055) under the Corporations Act 2001. Credit ratings emanating from AMBAP are hat intended for and must not be i isinbuted to any person in Ausimlia other than a wholesale client as defined In Chapter 7 of the Corporations Act , AMBAP does not authorize its Credit Ratings to ce disseminated by a third -parry in a manner Nat could reasonably be regarded as being intended to influence a retail client in making a decision in relation to a particular product or Gass of financial product . AMBAP Credit Ratings are intended for wholesale clients only, as defined. Credit Ratings determined ead disseminated by AMBAP are the opinion of AMBAP only and not any Specific credit analyst. AMBAP Credit Ratings are statements of opinion and not statements of fad. They are not recommendations to buy, had or sell any securities or any other form of financial product insurance policies and are not a rewmmendation to be used to make Investment (purchasing decisions. Important Notice: Best'a Ratings refiecl our independent opinion, based on a comprehensive quantitative and qualitative evaluation of a companys balance sheet strength , operating performance and business profile. These ratings are neither a warranty of a companys financial strength nor Its ability to meet its financial obligations, inducting those to poligholders. View our entire notice for complete details. Customer Service I Product Support I Member Center I Contact Info I Careers About A.M. Best I Site Map I Privacy Policy I Secunty I Terms of Use I Legal 8 Licensing Copynght ® 2015 A.M. Best Company, Inc. ALL RIGHTS RESERVED. A . Best Worldwide Headquarters, Ambest Road, Oldwick, Now Jersey, 08858, U.S A. http: / /www3.ambest.com /ratings/ entities /SearcliResuIts.aspx ?AltSrc =9 2/27/2015 Cli Y Or * • Nancy Backus, Mayor • I WASH I NGT ON 25 West Main Street * Auburn WA 98001-4998 * www.auburnwa.gov * 253-931-3000 August 18, 2015 CERTIFIED MAIL RETURN RECEIPT REQUESTED ICON Materials dba CPM Development Corporation 1508 Valentine Avenue SE Pacific, WA 98047-2103 RE: Contract No. 15-02 Project No. CP1402 Final Pay Estimate Letter Dear Mr. Eichelberger: Enclosed is your Final Payment in the amount of $45,042.85. The total contract amount for this project as shown on your Final Pay Estimate is $1,669,856.50. The one-year warranty period begins as of August 3, 2015, the date the City Council accepted Construction of Project. No.CP1402. We have attached a list of approved Subcontractors shown to have performed work on this contract, as well as their Unified Business Identifier (UBI) numbers and Affidavit of Wages Paid ID number (if known). This is based on our current records, and may not be all inclusive. Please review the attached list, and return with any additions or corrections to JoAnne Andersen Contract Administration Specialist Supervisor, no later than two weeks from the date of this letter. If we do not receive a response from you regarding this list, we will assume that it is correct. Please be aware that contract completion will not be granted prior to receipt of Affidavits of Wages paid for your firm and all Subcontractors, and that incorrect information supplied to L & I may delay release of retainage and clearance of your bond until payment of industrial insurance by all Subcontractors is verified. If you have any questions, please contact JoAnne Andersen, Contract Administration Specialist Supervisor, at 253-931-3012. This notification does not constitute contract completion. Sincerely, Jai Carter Street Systems Engineer Community Development and Public Works Department JC/ja/as Enclosure cc: Dani Daskam, City Clerk Rick Keely, Construction Inspector File 13.11 (CP1402) AUBURN * MORE THAN YOU IMAGINED >` 0 o 0 Io 0 o a ?Awls Oa 0'0 0 0lo a o e e e a o 0 0 0 0 0 0 0 0 a 0 tCO 0jo 0 0 o Io N m O O O M N N O O l[) O M O N O In M V 01 O N co t0 r N a r O O r In O N 'O t0 N CO CO N : C N V O O r M P N 2.`4 N Cl N M O co O M O N r- �0 0 0) o N V r t[1 M NINA N O tn,M > E w o 0 H i r rlr V of o Z Cl - E L I i in n • a) 0. O CL ' to N C• N H 1 N! 1 , 1 1 • 1 1 i i f00 1 1 , 1 1 1 1 1 . 1 . 1 1 1 , 1 1 1 , 1 1 1 1 N 'R- E Q 0 `°I 0 a) w U N r o > J 0 1 Cl v o. 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E E Z o E L v O a Q N U J o CO N in 15 a a U co D W a O I- a J -J I- 0 0 a U t w w a x _ ry' m h ! 9 co / ( 0 < CV ) \ \ § k x a) ` \ \ § \ \ « ` o K.ti\ 0 - 3 a a) a / ) ! 3 J a) 3 \ ` � ® { - , o \ } \\ ; \ 4)o \\ \ / ) aj le ` E \ / ^\ G f3 { / § \\ \ \ . § . j { } \ § � � . 9 ¥ $ / / 0 G � ■ CL m- / ) \‘ 0 \ \ \ \ / y /� ■ ® g [ w $ » o * � � � / �� fie. / § / ) z # e ; e = > : C ® & D. / \ ) \ \ \ \ ) , } ¥ a) / / / /\ / 0 .2 \ \ _ z ^ = ) f § ; / / / / / rj % ) \ 0 - \ \ List of Approved Subcontractors Project No. CP1402 Contract No. 15-02 2014 Citywide Pavement Patching &Overlay ICON Materials Prime Affidavit ID: Subcontractor UBI Number Affidavit ID Apply A Line, Inc. 600653941 Cascade Utility Adjusting, LLC 603407046 Highmark Concrete Contractors, LLC 603004408 PR Systems, Inc. 601303110 Transportation Systems, Inc, 602726209 Northwest Concrete Cutting 600472894 Sea-Tac Sweeping 601735583 Evergreen Sawcutting 601605667 LB y4 414 i OUk x� ..vp, y. 4 r a U' S w cn fai'f `g ,,•r Y zT z y "E En - �� r Ili' NN - g o: rfl $r. 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