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HomeMy WebLinkAboutC512A Contract 13-12 Gary Harper Construction �� . CONTRACT Contract No. 13-12 THIS AGREEMENT AND CONTRACT, made and entered into, in duplicate, at Aubum, Washington, this o13"d day of OJ S, by and between the CITY OF AUBURN, WASHINGTON, a nicipal co ration, and, Gary Harper Construction, Inc., 14831 223rd Street SE, Snohomish, WA 98396, hereinafter called the CONTRACTOR. WITNESSETH: Tha[, in consideration of the [erms and conditions contained in the Contract Documents entitled "C512A, Well 4 Emergency Power Improvements," which aze by this reference incorporated herein and made a part of this Contract, [he parties hereto covenant and agree as follows: I. The CONTRACTOR shall do all work and furnish all tools, materials and equipmen[ For Project C512A, Well 4 Emergency Power Improvements - the construction of approximately 800 square feet of CMU building with an engine generator room and a chlorination room including installation- of a liquid sodium hypochlorite injection system, installation of an engine generator, secondary containment manhole, connection to ezisting chlorination system, a grinder pump system, a 1 %a-inch diameter HDPE forcemain, and connection to an existing sewer manhole for a unit bid price of seven hundred ninery-seven thousand one hundred sixty dollars ($797,160.00) and Washin�ton State Sales Tax of seventy five thousand seven hundred thirty dollars and twenty cents ($75,730.20) for a total contract value of eight hundred seventy-two thousand eight hundred ninety dollars and twenty cents ($872,890.20) 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 afrer the receipt of Ihe dated notification of award and the Contract [ime shall commence within 5 working days after execution of the Contract by the City and so designated on the No[ice to Proceed. Physical completion shall be within 120 workin� 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 1-089 (Liquidated Damages) of the Standard Specifications. The CONTRACTOR shall provide and beaz the eicpense 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 fumished by the CITY OF AUBURN. [I. 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 Con[ract 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 [his Contract. 1 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 par[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 ezpressly provided herein. IN WITNESS WHEREOF the parties hereto have caused this Con[ract to be executed the day and year first he�einabove wri[ten. CITY OF AUBURN, WASHINGTON By � a c ackus, Mayor Countersigned: thisaC� day of�, ZO 15 ATTEST: �'�1�T �—�/��--� Danielle E. Daskam,City Clerk APPR VED TO FORM: �. el B. Hei , Ciry A[tomey � GARY HARP R CONSTRUCTiON By Authorized Offici ignamre .` • �' CONTRACTBOND CONTRACT NO. 13-12 BOND NO. 339348P BOND TO CITY OF AUBURN, WASHINGTON KNOW ALL MEN BY THESE PRESEN7'S: Thet we,the undersigned,Gary Har}ier Construction,Inc., 14831 223'�Street 5E, i Snohomish,WA 98296,as principal,and Developers Surety and Indemniry Company ;a coryoration, organized end exiseng under the laws of the Stete of lowa as a surety corporation, and qualified under the Iaws of the State of Weshiugton to bexome. surety upon bonds of conhactors with municipal corporations, as surety, are jointly and ; severally held and fumly bound to the City of Aubum, W eshington, in the penal sum of eight � hundred seventy-two thousand eight hundred niuety dollars and twenry cent (5872,89020-- ), for the paymenl of which sum we jointly aad severslly bind ourselves and our successors, heirs, adminislrators or personal representatiJes as the case may be. This obligation is enterad into in pursuance of the Statutes of the State of Washington and the Ordinances of the City of Auburn,Washingcon. i , Dated at Aubum, Washington, this �,3hd day of V+ 20�. � Ne4ertheless,the conditions of the above ob3igafion are s h thaC: WHEREAS, the City of Auburn on the IS'"day of December, 2014,let to the above bounden principel a certain Contrect. The said Contrect being numbered 13-12, and providing for the conshvction of Project C512A, VJeI] 4 Emergency Power Improvements - the constcuction of approximately 800 square feet of CMU building with an engine generator room end a chlorination room including installation of a liquid sodium hypochlorite injection system, installation of en engine generator, secondary containment manhole, connection to existing chlorinarion system, a ginder pump system, a I �-inch diameter HDPE forcemain, and cnnnection to an existing sewer manhole (which Contract is referted to herein end 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 underteke to perform the work therein provided for in the manner and within the time set forth: NOW, THEREFORE, if the ebove bounden principal shall faithfiilly and tntly observed and comply with the terms, conditions, end provisions af said Contract in all respects aad shall well and truly and fully do and perform all matters and things by them undertaken to be performed under said Concract, 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 sazne is accepted, and shall pay all laborers, mechanics, subcontractors and matcrial men, and all persons who shall supply principal or subcontractors with provisions and supplies for tlie curying on of said work and shall hold said City of Aubum, Washington,hermless 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 atl respects faithfiilly perfortn said Contiact according to law, and shall inde�nnify and hold the City of Auburn, Waghington, hermless from any dam8ge or expense by reason of feilure of performance, es specified in said Contract, and The undersigned principa] and the unde�signed surety present this contract bond related ro the Contract, PROVIDED that this document shall not be enforceable unless and unril the City of � Aubum awards end executes the Contract to the undersigned principal. No obligalions 6nder I this bond, for the performancc of thc above-referenced conoract, shail be enforceable until the � Ciry of Aubum has executed tNe contract to the undersigned prtncipal. The Surety, hereby agrees that modifications and changes may be made in the terms and provisions of the aforesaid Coatract without notice to Surety, and eny such modificarions or changes increasing the tofal amount to be paid the Principal shal] autometically increase the obligation of the Surety on this ConVact Bond in a like aznount,such increese; howeJer, not to exceed twenry— five percent(25%)of the original amount of tFtis bond without the consent ' of the Surery. � PROVIDED, however, that efrer the acceptance of this Contract and the expiration of the lien period, and if therc are no liens pending, then the penal sum of this bond, shall be reduced to either ten percent (I 0%) of the 4alue of the improvements to the City or two thousend dollars ($2,000), whichever is greater, to werranty against defects appearing or developing in the material or workmanship provided or performed under this ConUact within a period of two (2) years after acceptance. Notwithstanding the reduction of this bond, the principal and surety shall hold the City of Aubum hazmless from all defects appearing or developing in the material or workmanship provided or performed under this Contract within a period of two (2) years after 9cceptance,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 ageed that if any legal action is necessary to be brought under the conditions of this 6ond, thet the decisions of the Courts of the State of Washington shall be binding. 1N WETNESS W HEREOF, the above-fiounden parties have executed this instrument this �3� day of u,urn,y ' , ZO B : Gary Hazpe�Constructio nc.,Principal Developers Surety and Indemnity Company urery By ���,J� 0�.��C£( 1 Roxana Pa acios, Ahorary in Fea . ,�' ' , Kibble 8 Pren(ice,a USI Company PO 8oz 370,Seattle,WA 98111-0370 '� 800-767:0650 Resident AgenPx Address&Phone Number ' POWER OF ATTORNEY FOR DEVELOPERS SURETYAND INDEMNITYCOMPANV INDEMNITY COMPANY OF CALIFORNIA PO Boz 79725,IRVINE,CA 92623 (949)26&9300 KNOW ALL BY THESE PRESEN7S thai ercept as expressly limited,DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA,do each hereby mske,cons6Wte and appdnt: , "'Steven W. Palmer, Holly E. Uliers, Mary A. Dobbs, Heather Allen, Angela D. Tonnon, Roxana Palacios, Nancy N. Hill,jointly or severally"• as ihefr true antl lawful Atlomey(s��In-Faa,to make,execute.deliver and acknowledge,lor and m behalf of saitl wryora6ons,a sureties,bonds,andgtakings antl contracts of surery- ship giving and grantmg unto sad A@orney(s)-in-Facl lull power and euthouty M do and to peAorm every ad necessary,requisite or proper to 6e tlme in cmnectim therevnN as exh of said corpaatims could do,bul reserving to eadi ol sad wryorations lull power of substiN6on aiE revoraAm,and all of the ac5 of sad Attomey(s}imFaq,pursuant to tl�ese presenis, are herehy ra�ified antl confirmed. Thls Power olAtlaney�s granted and is signed by lacsimile under and hy authonty o(tt�e followi�restlufions atlopted by Me respedive Boards of Directors of DEVELOPERS SURE7Y AN�INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA,eRedive as of January 1st,2008- RESOLVED,thal a comhinauon of any twa W Uie Chairman of Ihe Board,tlie Presidenl,Execulive VicePresident,Senlor VicaPresident or any Uce President of the coryoraUOns be,and ihat each ol ihem hereby is,aulhonzed to execute ihis Power olApomey,qualilying lhe attamey(s)nametl in tl�e Power of Atlomey to execule,on 6ehalf of Ihe cnrporefions,bonds,undenakings and cmtracls of suretyship;and that ihe SecrNary or any Assistant Secretary of either of Ne capaations be,and each of Mem hereby is,authorized lo attest Ne execu6on N any such Power of Attorney; RESOLVED,FURTHER,Ihat the signaWres of such offcers may be a�xed to any such Power o(Altomey or to any certifcate relating Nereto by facsimile,and any such Power ol Attomey or cerlificate bearing such facsimile signatures shall be valid and 6inding upon the coryora6ons when so affixed and in the fuWre with respect to any bond,undertaking or conlrad of suretyship to which it is attached. IN WITNESS WHEREOF,DEVELOPERS SURETYAND INDEMNITY COMPANV and INDEMNITY COMPANY OF CALIFORNIA have severally caused these presents to be signed by UIBIf fPFPflf.IIVfl 11nlfR.fS flfl(�F111P.S�fl1�hy IIIWf fflSPP.f.IIVP.SP.f.fBIBfY Of�15515�2f1�$EflE�21Y d115 M2Y 23,2��3. By: ��Q� OZ� .,'�.�Y:.AND.iry�w �MPANYp.c Danlel Young,Senior VcaPresidant .'J�` • ppq F '• G PO i�i:'00. 4�'•:,l'y=' i OP RqT C9 /`/. '¢i 4 OCT. � `:<' 2 2u OCT.5 �� � '(` 26� 10 �n: � O BY� N.0 . ice�President 60�; 7938 jeo; wp 1967 = e99 • d •., D�: y C �P � °:9d•.../OWa..:•�,: i 'qC/FOPN �L State of Califania "� * '•"' * CauntyolOrange " ""� On - Mav 23,201� belae me, Gina L Garner,Notary Puhtic Dale Here Insert Name and Ltle ot the OKcer personally appeared Daniel Young and Greqq N,Okura Name(s)of Signer(s) who proveC to me on be basis of salisfadory evidence to be Itie person(s)whose name(s)islare subsaibed to Ne wiNin instrument antl acknowledged to me that hahhelNey exeatetl the same in hlyherlUeir authaized capadry(ies�,and Ihffi by his/hedlheir signature(s)on Ihe inslrumenl Me persan(s),or Me enldy upon hehall M ('iINA L.QARNER which Me person(s)acted,ezecuted Me inswment. COMM.q 2021213 � _'� NOTARI'PUBIIC CALIFOFltlA� I cerGfy under PENALTY OP PEW URY under Ihe laws M Ihe Slale of Califomia lhat the foregoing paragraph is �I OHNWfiECQM�Y �� trueandcorrect. My wmm.e�Mey 1B,70t7�t � ��� . WITNESS my hand and oKCial seal, Place Notary Seal Above SignaWre Gina L Gemer,Notary Public CERTIFICATE The undersigned,as Secrelary orAssisianl5ecrelary of DEVELOPERS SURETYAND INDEMNITY COMPANY or INDEMNITY COMPANY OF CALIFORNIA,does hereby ceNty Ihzt ihe foregoing Power olAttornay remains in full force and has not heen revoked antl,fuMertnore,that Me provisions of Ihe resoWtlons o1 ihe respec6ve Boards of Directors of said corpaafions set forth in the Power olAtlorney ere in face as of the date of this Certifcate. � ' , This Cettifcale is executed in the CAy of Irvine,Califania,Uis Z3�day of � � . � - � , !/�-.L/n�- -��j� ,�J�Vf ti ..� � _ . B : i — �—rc. L1 G _ Y . Mark J.Wnsdon,Assistant Secrelary � � 10.1390(Rev.O5n3) Page 1 of 2 p Seareh > DEVELOPERS SURETY AND INDEMNITY COMPANY DEVELOPERS SURETY AND INDEMNITY COMPANY General � Con[ac[ � Licensing � Appomtments I Complain[s I ��ders I Nauonal Info I Ranngs I 1ax Flings Back to Search General information Contact information Name: DEVELOPERS SURETY AND INDEMNITY Registered COMPANY address Mailing address Corporate family group: AMTRUST NGH 1603 - 22ND ST SUITE PO BOX 19725 ... ...... GRP wna� sm�s� 200 IRVINE, CA 92623- Organization type: PROPERTY WEST DES MOINES, IA 9725 50266 WAOIC: 153979 Telephone NAIC' 12718 Telephone 949-263-3300 � 949-263-3300 St0iU5: ACTIVE Admitted date: OS/27/1999 Ownership type: STOCK ^back ro,Cap Types of coverage authorized to sell ,��a�,=«,,� Insurancetypes Casualty Marine Property Surety Vehicle °bapk m mp Agents and agencies that represent this company (Appointments) wna�;=�,_, View agents View agencies ?back_ro[op Company complaint history w�,��s«�s� View[omplaints ^back[o_[op Disciplinary orders 2008-2015 u,�a�,=�h,=> No tlisUplinary orders are found http://www.insurance.wa.gov/consumertoolkidCompany/CompanyProfile.a... 1/13/2015 Page 2 of 2 The orders posted here are unverified electronic duplicates of the official orders actually entered. To be certain you have tFie 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, _.... ........ ....... administ�ative o�iiers, and general orclers. ^back ro cop Fremium tax filings by tax year wna��=«,_� 2013 2012 2011 2010 ^ea�u_m_oop 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. ^oapk Wtop 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 Mood 's Investors 5ervice Fitch IBCA, Duff and Phelps Ratings ^eaa m mp http://www.insurance.wa.gov/consumertoolkibCompany/CompanyProfile.a... 1/13/2015 Developers Surety and Indemnity Company - Company Profile - Best's Cre.:. Page l of 2 Ratings & Criteria Center � WvlcameBecNJOAnncAnECnenMVMemOerCeme��bgyL�iil Rcglonal Centcrs:Asia-Pacific�Canaaa�Europe,MiGtlle East antl Nlrica�Latln Ameriw�MENA 8 SGA Homo I About Us I Conlact Us�Sltomap RetinB Saarcn:O Sao¢n x AGmnceO Searc� QS AEa to BesWlert Ratings 8 Griterie . �Pnnl Ih's onoe .Home _ ._.._--'__—__"_'--_'_'— +ClBCII Rd110Q RBIB86B9 sMel�oGdoBY Developers Surety and Indemnity Company m .Basl's Cretlll Raunps� .c�nanuai Sirenqu�aeonp A.M.Best M:071752 NAIC p:12718 FEIN 4:420429710 .bsuerCre0i1 RaMB Malling AtlO�ees View Atltlilionnl Adtlress Inlormelion .Oeoi Rating P.O.Boa 1 W25 AssiB�eE to �+�a��n n AOVancea Senrcn Irvine.CA 9282&9725 comPanies f.nebT '. .AEOUt Basib CreEil RaYnB%' Uni�etl Smtes Innl havo,in ��gprym •Gel e CreEn Raunp• our opinion. .BasYS Spanal Repotls WaE:www inuo0lco com un exceOeN abiliry lo mee�Ihair .Aao BesCS Creait Raungs Seercn phone:999-267-J300 o�eo��e��s�����e oorea�o�s. To YourSne Fec 9E42524959 .BaSLNaM for Sewra-Rabtl Inwrers ^ s Contacl an Analysl Basetl on A.M,Besl's anelysis,051�02-qmTmsi Financinl Services.Int i9 ih0 AMB UWmato Parenl onp iCenlilas�ho lopmosl �Awa�db 3/IE R6rL9���OnS ¢���Y O/IM1B fAryOl0I0 SWdIIfC.VI2W O IISI OI OOPlpI1001p9OIplIC¢PI1IiI1P4III fh19 SINCWro. Novrs6Analysls . BesYsCreailRatings ProCUCb 8 Servlcea Flnanelal Stron t�Ratin Vlev Dellnitlon Mel's CnJlt Relln Anel t Intlustry Informatlon . {ytlnp: A(Escellenl) ReGnp Isaued by:A.M.Best Compeny,Inc, Corporale . pfillialion Cotlo: r(ReinsureE) Senlor Finenclal Anelyst:Bnan O'LOhe Regulamry Alfairs . Financlal Sim CetaBOry: XI(5750 Milllon to E1 Blllion) Aaabtont Vlce Prosltlant MicOaol J.Lepomnrsino,CFA SupportdRnourcee � Oullook: $toClo Conlerences anE EvenLS � A«�a�� AKimaO Dlsclosurc Inlormntlon EMeclive Date: May 70,301< INtial Rating Dam: January 29_1986 � View A M,BesYS Raiina Disclosure Slmemem Fmd o Brv'.v CrcJ�I Rulm�; I� EM.e�aComparryName � LonB-TermlasuerCntlltPnling Vlewpebnitlon .navanwa Searrn LonB�Term: e OullooM: Slabla A.M.Brst Rating Services Acuon: nmrmee CeNaCwwmobn. EtlectiveDate: May70,201d Initial Ralinp Date: June OG,2W] 19rM�limmg Dei����rinrzr Seleaone... v �a��u�w.re�.�.we.xsc.�,.o Reports and News Nuit Besfs Ncws end Melysis aile lo�I�e lolmi news and oress releoses lo�Ihis tompany untl i�s A,M Besl Group. 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A.M.Be51 WotlOwiCe HeaOpunnm,AmOea�ROeC.01trwi4,New Jepey,OBBSB,U.S.A. http://www3.ambest.com/ratings/entities/SearchResults.aspx?A ItSrc=9 1/13/2015 Escrow No. 01 I%�0 77`10 Agency Citv of Aubum 25 W. Main, Aubum WA 98001-4998 Contract No. 13-12 ESCROW AGREEMENT T0: Mountain Pacific Bank 3732 Broadway Everett, WA 98201 The Undersigned, Gary Harper Construction, Inc., 14831 223b Street SE, Snohomish, WA, 98296 herein referred to as the Contractor, has directed the City of Auburn, hereinafter referred to as the Agency, to deliver to you its warrants which shall be payable to you and the Contrector joinfly. Such warrarits are to be held and disposed of by you in accortlance with the following instructions and upon the terms and conditions hereinafter set forth. INSTRUCTIONS 1. Warrants or checks made payable to you and the Contractorjointly upon delivery to you shall be endorsed by you and forwarded for collection. The moneys will then be used by you to purchase, as directed by the Contractor, bonds or other securities chosen by the Contractor and apprbved by the Agency. Attached is a list of such bonds, or other securities approved by 4he Agency. Other bonds or securities, except stocks may be selected by the Contractor, subject to express written approval of the Agency. Purchase of such bonds or other securities shall be in a form which shall allow you alone to reconvert such bonds or other securities into money if you are required to do so by the Agency as provided in paragraph 4 of this Escrow Agreement. 2. When and as interest on the securities held by you pursuant to this agreement accrues and is paid, }rou shall collect such interest and forward it to the Contractor at its address designateti in the first paragraph unless othervvise directed by the Contractor. 3. You are not authorized to deliver to the Contractor all or any part of the securities held by you pursuant to this agreement (or moneys derived from the sale of such securities, or the negotiation of the Agency's warrants) exceat in accordance with written instructions from the Agency. Compliance with such instructions shall relieve you of any further liability related thereto. The estimated completion date on the contract underlying this Escrow Agreement is July 31, 2015. 4. In the event the Agency orders you to do so in writing, you shall, within thiRy-five (35) days of receipt of such order, reconvert into money the securities held by you pursuant to this agreement and retum such money together with any other moneys held by you hereunder, to the Agency. 5. The Contractor agrees to pay you as compensation for your services hereunder as follows: Payment of all fees shall be the sole responsibility of the Contractor and shall not be deducted from any property placed with you pursuant to this agreement untii and unless the Agency directs the release to the Contractor of the securities and moneys held hereunder whereupon you shall be granted a first lien upon such property released and shall be entitled to reimburse yourself from such property for the entire amount of your fees as provided for herein above. On the event that you are made a party to any litigation with respect to the property held by you hereunder, or in the event that the conditions of this escrow are not promptly fulfilled or that you are required to render any service not provided for in these instructions, or that there is any assignment of the interests of this escrow orany modification hereof, you shall be entitled to reasonable compensation for such extraordinary services from the Contractor and reimbursement from the Contractor for all costs and expenses, including attorney fees occasioned by such default, delay, controversy or litigation. 6. This agreement shall not be binding until executed by the Contractor and the Agency and accepted by you. 7. This instrument contains the entire agreement between you, the Contractor and the Agency with respect to this escrow and you are not a party to nor bound by any instrument or agreement other than this; you shall not be required to take notice of any default or any other matter nor be bound by nor required to give notice or demand, nor required to take any action whatever except as herein ezpressly provided; you shali not be liable for any loss or damage not caused by your own negligence or willful misconduct. 8. The forgoing provisions shall be binding upon the assigns, successors, personal representatives and heirs of the parties hereto. The undersigned have read and hereby approve the i�structions as given above governin�the administration of this escrow and do hereby execute this agreement on this�_ day of TG���,�,- , 20�5. — Garv Haroer Construction Inc Citv of Auburn (Contractor) � (Agency) . / By _ � ��Z By �� � (Signature) (Finance i ctor, Shelley Coleman) Gary A. Harper. President (Name) (Title) The above escrow instructions received and accepted this�day of ����� 20 I�. u �-' - By ; � (Authorized Bank Officer) G( D�� o.l l �l i�.Y S5 �f,�.�nL—�i�b�' (Name) (Ti�e) Securities Authorized by Agency: 1) Bills, certificates, notes or bonds of the United States; 2) Other obligations of the United States or its agencies; 3) Obligation of any corporation wholly-owned by Ehe govemment of the United States; 4) Indebtedness of the Federal Na(ional Mortgage Association; 5) Time deposits in commercial banks; and 6) Savings deposits in commercial banks. , i� GARYHAR-01 JSCHILB '`+`ORO CERTIFICATE OF LIABILITY INSURANCE DATE�MMIODIVWY) 1I812075 � THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER..TNIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEG.4TIVELY AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BYTHEPOLICIES '._. ..._ _ . . .. . . _ BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHOR2ED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the-certificate�holdar is an ADDITIONAL INSURED,tho policy(ios)must 6e onCorsed. If SUBROGATION IS WAIVED;sub)ect to the tertns and conditions o!the policy,cartain pblicies may require an endorsement. A statement on this certificato does not confer rights to tho certifieate hblder.in lieu of such endorsement(s). PROOUGER NAME: .�1II SCr11Ib Moloney O'NeilllAlliant Insurance Services Inc vnor+e , 509 3253024 509 325-1803 818 W Rive�side#800 r1IC No: Spokane,WA 99201 nooRess:�SChilb mo-inS.COm INSURER 5 AFFORDING COVERAGE NAIC p INSURERA:A�a5K2 Nat10f1aI IfISU�af10E CO INSUREO INSURER B:ZUfICFI Aff10flCafl IfISUf3fIC0 CO Gary Harper ConsUuction,Inc. u+suaea c: 74831 223rd Street SE INSIIRER D: Snohomish,WA 98296 INSURER E: .INSIIRER 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 POLICV PERIOD INDICATED. NOPNI7HSTANDING ANV RE�UIREMENT, 7ERM OR CONOITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY-PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBEO HEREINISSUBJECTTOALLTHETERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ��Tq TYPE OF INSURANLE Pp�l[Y NUMBER MMIDOI'/YYV MMIDOIYYYY LIMITS A COMMERCIALGENERALLIABILITY EqGHOLLURRENCE § ��OOO�OO CLAIMS-hwDE �OCCUR 74EPS32018 OS10112074 05/0112075 pREMI5E5 Eeaccurrence S 100,00 MEOE%P(Anyonepmson) s 5,00 GEft50NAL6A0VINJURY $ �,OOO�OO GEN'IAGGREGATELIMITAPPLIESPER: GENEPALAGGREGATE $ Z�OOO,OO Po�����JECT ��a PRO�UCTS�COMP/OPAGG E Z�OOO�OO OTHER: $ Al1TOMOBILELIABILITY MBIN IN � �IMI g �,OOO�OOO Ea aceitlant A X qryyq�p i4EA532078 0$��7�2��4 Q$/�1�Z0�$ 9001LYINJURV(POrOarsan) E ALLOWNED SCHEDULED AUTOS AU105 BODILV INJl1RY(Per acGOanl) E x HIREUAUTOS X p�05WNED Pera�ciCent � s S UMBFEILA LIA6 X p�CUR EACH OCGURFENCE E S,OOO�OO /� X EXCESSLIAB CUIMS-Mh�E 14ELU32018 OSI07IZO7d OSIO7IYOIS qGGREGATE f S,OOO�OO �EO X REfEMIONS ���000 § WORKERS COMPENSATION PER - OTH� ANDEMPLOYERS'LIABILITY STATI/fE ER A ArrvPROPRIErOwPARTNEwexECUrIVE Y� N�A 14EPS32018 OS10112074 0510112015 E.LEnCHACCIDEr+i E 1,000,00 OFFILER/MENBER E%CLUDE�7 � (ManEalory In NH) ' E.L O�SEHSE�E4 EFIP�OYE 5 ��OOO�OOO Ifyes Eesvibauntler DESCRIPTIONOFOPERATIONSbebw E.LDISFI�SE�POLICYLIMIT $ �,OOO,OOO B BuildersRisk BR07334834 0110712015 07I0712075 873,000 p LcasedlRentedEquip 1aE1A32018 OSIO1I2014 OSI0112015 Deductible81,000 250,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHILLES (RGOR0101,AEtlNOnal qems�ha Sc�etlule,may he atUC�aE II mora 6paca la�apulratl) Project:C512A,Well 4 Emergency Power Improvements The City of Auburn,The Contrecting Agency,antl its officers,elacted oK�ials,employees,agents and volunteers aro additional Insuretl wlth respects to 9enerel liability per form ANICGL7067 03/OB and with respects to automoblle Ilahility por torm ANICCA7150 t01t3. Coverege Is Primary antl Non-Contributory per same forms. Per Project Aggregate and completed operatlons apply with respects to general Ila6ility per lorms CG2503 07I97 and ANICGL7067 03/08. Eacess Llabllity"follows form. 45 Day Notice o!Cancellation Applies,10 fo'r Non•Payment of Premlum. Alaska National Insurance Company AM Best Ratlng:A IX � - � � CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRI6ED POLIGIES BE CANCELLED BEFORE CityofAuburn THE E%PIfL4TION DATE THEREOF, NOTIGE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 25 W Main St Auburn,WA 98001 RUTHOR12Ep qEPRESENTATIVE ...._.__............_.. l/" � �O 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD . � x`�5��� � e4laSka INat'%o11a1 '= b I N Sl1 RANCE CO M PANV BUSINESS AUTO COVERAGE ENHANCEMENT ENDORSEMENT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM # # Various provisions in this endorsement restrict SECTION IV — Business Auto Conditions, coverage. Read the entire policy carefully to Paragraph A. 5. — Transfer of Rights of Recoyery determine rights, duties, and what is and is not Against Others To Us is amended to include: covered. 5. Transfer of Rights of Recovery Against Throughout this policy, the words "you" and "your" Others to Us refer to the Named Insured shown in the Declarations. The words "we", "us", anii "ou�' refer to This condition does not apply [o any the company providing this insurance. person(s) or organization(s) to the extent that subrogation against that person or Other words and phrases that appear in quotation organization is waiJed prior ro tFie"accidenC marks have special meaning. Refer to SECTION V— or the"loss" under a contract with that person DEFINITION$ in the Business Auto Coverage Form. or organization. The coverages provided by this endorseriment apply SECTION II — COVERED AUTO LIABILITY per "accident" and, unless othenvise specified, are COVERAGE, Paragraph A.2.a. (2)— Supplementary subject [o all of the terms, conditions, exclusions and Payments is replaced by the following: dedtictible proyisions of the policy, to which it is attach"ed. (2) Up to $10,000 for cost of bail bonds (including bonds for related traffic law SECTION 11 - COVERED AUTO LIABILITY violations) required because of an COVERAGE, Paragraph A.1. Who Is An Insured is "accidenC we cover. We do not have amended to include: to furnish these bonds. d. Any "employee" of yours while operating SECTION II — COVERED AUTO LIABILITY an "auto" hired or rented under a COVERAGE, Paragraph A2.a. (4) — Supplementary contract or agreement in an "employee's" Payments is replaced by the following: name, with your permission, while performing duties related to the conduct (4) All reasonable expenses incurred by of your business. the "insured" at ou�request, including actual loss of earnings up to $500 a e. Any person or organization for whom you day because of time off from work. have agreed in writing to provide insurance such as is afforded by this Coyerage Form, 6ut only with respect to liability arising out of the ownership, maintenance or use of"autos"covered by this policy. If such person or organization has other insurance then this insurance is primary to and we will not seek contributionfrom the otherinsurance. ANIC 6A 1150 10 13 Page 1 of 4 � � ~� �Ilaska IVational = � � ' �� INSURANCE COMPANV c. "Loss" caused by falling objects or SECTION II — COVERED AUTO LIABILITY missiles. COVERAGE, Paragraph A.2.c. —Voluntary Property Damage is added as follows: However, you have the option of having glass breakage caused by a covered "auto's" c. Voluntary Property Damage collision or overtum considered a"loss" under Collision Coverage. At your written request, we may make a voluntary payment for Property Damage Glass Repair—Waiver of Deductible caused by an "insured", but without liability to a third party, up to $25,000. We No deductible applies to glass breakage, if will not make a Voluntary Property the glass is repaired rather than replaced. Damage payment to anyone who is an "insured"under this policy. SECTION III — PHYSICAL DAMAGE COVERAGE, Paragraph A.4.a. — Transportation Ezpenses is SECTION III — PHYSICAL DAMAGE COVERAGE, replaced by the following: Paragraph A.2. —Towing is replaced by the following: a. Transportation Expenses Towing We will pay up to $200 per day to a We will pay up to $500 for towing and labor maximum of $1,500 for temporary costs incurred each time a covered "auto" transportation expense incurred by you that is a: because of the total thek of a covered "auto"that is a: a. Private passenger; (1) Private passenger; b. Truck; (2) Truck; c. Pick-up truck; (3) Pick-up truck; d. Panel ; or e. Van (4) Panel; or (5) Van type vehicle under 20,000 Ibs. of Gross Vehicle Weight is disabled. However, the labor must be performed at place of type vehicle under 20,000 Ibs. of Gross disablemen[. Vehicle Weight. We will pay only for tliose covered "autos" for which you carry either Comprehensive or Specified SECTION III — PHYSICAL DAMAGE COVERAGE, Causes of Loss Coverage. We will pay Paragraph A.3. — Glass Breakage — Hitting a Bird for temporary transportation expenses or Animal — Falling Objects or Missiles is replaced incurred during the period beginning 48 by the following: hours after the theft and ending, regardless of the policy's expiration, Glass Breakage—Hitting a Bird or Animal when the covered "auto" is retumed to — Falling Objects or Missiles use or we pay for its"loss". If you carry Comprehensive Coverage for the damaged covered "auto", we will pay the following under Comprehensive Coverage: a. Glass Breakage; b. "Loss" caused by hitting a bird or animal; and ANIC CA 1150 10 13 Page 2 of 4 �� r` ° e4laska IVatio��l � ° � ' � I N 5 U R A N C E C O M P A N Y (2) Specified Causes of Loss only if the SECTION III = PHYSICAL DAMAGE COVERAGE, Declarations indicate that Specifed Paragraph A.4.b. — Loss of Use Expenses is Causes of Loss Coverage is provided replaced by the following: for the "auto" withdrawn from service; or b. Loss of Use Expenses—Hired, Rented, (3) Collision only if the Declarations � or Borrowed Automobiles indicate that Collision Coverage is provided for the "auto" withdrawn We will pay expenses for which an from service. "insured" becomes legally responsible to pay for loss of use of a vehicle hired, SECTION III — PHYSICAL DAMAGE COVERAGE, rented or borrowed without a driver under Paragraph A.4.d. — Airbag Coverage is addeii as a wntten rental contract or agreement. follows: We will pay for loss of use expenses, if caused by: d. Airbag Coverage (1) Other than Collision, only if the We will pay for the cost to repair, replace, Declarations indicate that or reset an airbag that inFlates for any Comprehensive Coverage is provided reason other than as a result of a for the vehicle witfidrewn from collision, if the Declarations indicate tFiat service. the covered "auto" has Comprehensive Coverage or Specified Causes of Loss (2) Specifed Causes of Loss only if the Coverage. Declarations indicate that Specified Causes of Loss Coverage is provided SECTION III — PHYSICAL DAMAGE COVERAGE, for the vehicle withdrewn from Paragraph A.4.e. - Rental Reimbursement service. Coverage is added as follows: (3) Collision only if the Declaretions e. Rental Reim6ursement Coverage indicate that Collision Coverage is provided for the vehicle withdrawn We will pay up to $75 per day for rental from service. reimbursement expenses incurred by you for the rental of an "auto" because of However, the most we will pay for any "loss"to a covered "auto"that is a: expenses for loss of use is $200 per day, to a maximum of$1,500. (1) Private Passenger; SEGTION III — PHYSICAL DAMAGE COVERAGE, (2) Truck; Paregraph A.4.c. —Non-TranspoRation Loss of Use Expenses is added as follows� (3) Pick-up truck; c. Non-Transportation Loss of Use (4) Panel; or Expenses (5) Van We will pay up to $2,000 for non- transportation expense incurred by you, type vehicle under 20,000 Ibs. of Gross because of "loss" to a covered "auto", if Vehicle Weight. Payment applies in caused by: addition to the olherwise applicable amounl of each coverage you have on a (1) Other than Collision, only if the covered "auto". No deductibles apply to DeclaraGons indicate that this coderage. Comprehensive Coverage is provided for the"aulo"withdrawn from service; ANIC CA 1150 10 13 Page 3 of 4 � � � Alaska 6Va�ional � 4 ' I N S U F A N C E C O M P A N Y (1) We will pay only for tliose expenses SECTION IV — BUSINESS AUTO CONDITIONS — incurred during the policy period Paragraph 8.5.b. — Other Insurance is replaced by beginning 24 hours after the "loss" the following: and ending, regardless of the policy's expiration, with the lesser of the b. For Hired Auto Physical Damage following number of days: Coverage, the following are deemed to be covered"autos"you own: (a) The number of days reasoriably required to repair or replace th'e (1) Any covered "auto" you lease, hire, covered"auto". rent, or borrow; and (b) 30 days. (2) Any covered "auto"" hired or rented by your "employee" under a contract (2) This coverege does not apply while in that individual "employee's" name, there are spare or reserve "auros" with your permission, while available to you for your operations. performing duties related to the conduct of your business. (3) The Rental Reimbursement Coverage described above does not However, any "auto" that is leased, hired, apply to a covered "auto" that is rented or borrowed with a driver is not a desc�ibed or designated as a covered covered "auto". "auto" on Rental Reimtiursement Coverage Form CA 99 23. SECTION V — DEFINITIONS — Paragraph G. — "Bodily injury" is replaced by lhe following: SECTION IV — BUSINESS AUTO CONDITIONS — Paragraph B.2. — Concealment, Misrepresentation Or C. "Bodily injury" means bodily injury, sickness or Fraud is amended by adding Unintentional Failure disease sustained by a person iriduding death or to Disclose Hazards at the end of Paragraph B.2. as mental anguish resulting from any of these. follows: Mental anguish means any type of inental or emotional illness or disease Unintentional Failure to Disclose Hazards If you unintentionally fail to disclose any hazards existing at the inception date of your policy, we will not deny coverage under this Coverage Form because of such failure. However, this provision does not affect our right to collect additional premium or exercise our right of cancellation or non-renewal. This endorsement changes the policy to which it is attached and, unless othervvise stated, is effective on the date issued at 12:01 A.M. standard time at your mailing address shown in the policy. The information below is required only when this endorsement is issued subsequent to commencement of the policy. Endorsement Effective May 1, 2014 Policy No. 14E AS 32018 Insured Gary Harper Construction, Ina Endorsement No. 2 Countersigned By �PRt2G2 j�Ru2t2 Moloney, O'Neill 8 CorkerylSpokane O Insurance Services Office, Inc., 2009 ANIC CA 1150 10 13 Page 4 of 4 - �-�,�'��,�� �Ilaska IV�tional I N S U R A N C E C O M P A N Y ADDITIONAL INSURED (CONTRACTORS) - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU THIS ENDORSEMENT CHANGES THEPOLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE P,SRT 1. Who Is An Insured (Section II) is amended to ii. supervisory, inspection, or engineering include as an insured any person or organization services. (herein referred to as an additional insured), bul only if you are required to add that person or a The insurance provided to the additional organiiation as an insured to this policy by a insured, referred to in paragraph 1. of this written contrect that is in effect prior ro tFie "bodily endorsement, does not cover "bodily injury" injury", "property damage", or "personal and or "property damage" caused liy your advertising injury". negligent acts anii omissions in the performance of "your work" that occurs 2. The insurance provided to the additional insured within the "products-completed operations is limited as follows: hazard," unless the written contract, referred to in paragraph 1. of this endorsement, a. That person or organization is only an contains a specifc requirement that you additional insured if, and only to the extent procure completed operelions coverage or that, the injury or damage is causeiJ by coverage within the "products-completed negligent acts or omissions of you or your operations hazard" for the additional insured. subcontrector in the performance of "your However, even if coverege within the work" to which the written contract applies. "products-completed operations haiard" is The person or organization does not qualify required by the written contract, sOch as an additional insured with respect to injury coverage is available to the additional insured or damage caused in whole or in part by only if the "bodily injury"or"property damage" independent negligent acts or omissions of occurs prior to the end of the time period such person or organization. during which you are required by the written contract to provide such coverage or the b. The insurance provided to the additional expiration date of the policy, whichever insured does not apply to "bodily injury", comes first. "property damage", or "personal and advertising injury" arising out of an architect's, 3. If other valid and collectible insurance, whether engineer's, or surveyor's rendering of or on a primary, excess, contingent or any other failure to render any professional services basis, is available to the additional insured for a including: loss we cover under this endorsement, then the insurance provided 6y this endorsement is i. the preparing, approving, or failing to excess over that other insurance. However, the prepare or approve maps, drawings, insurance provided by this endorsement will be opinions, reports, surveys, change primary to other insurance on which the additional orders, design or specifications; and insured is a named insured for the covered loss, if the written contract, referred to in paragraph 1. of lhis ANIC GL 1061 03 08 Page 1 of 2 ;�:�a:��� ABas1�IVa�ioetal � _ INSURANCE COMPANY endorsement, contains a specific requirement that this insurance be primary or primary and non-contributory. In that case we will not share with that other insurance on a pro-reta or other basis. If the other insurance a4ailable to the additional insured, whether on a primary, excess, contingent or any other basis, is coverage for which it has been named as an additional insured, then the coverage provided by this endorsement is excess over that other insurance. This endorsement changes the policy to which it is attacFied and, unless othervvise stated, is effective on the date issued at 12:01 A.M. standard time at your mailing address shown in the policy. The information below is required only when this endorsement is issued subsequent to commencement of the policy. Endorsement Effective May 1, 2014 Policy No. 14E PS 32018 Insured Gary Harper Construction, Inc. Endorsement No. 12 Countersigned By �FI�KGC �CLUP,cL Moloney, O'Neill &Corkery/Spokane ANIC GL 1061 03 OS Page 2 of 2 ; 9�� � �����6��a��a� INSURANCE COMPANY DESIGNATED CONSTRUCTION PROJECT(5)GENERAL AGGREGATE LIMIT THIS ENOORSEMENT CHANGE5 THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies Insurence provfded under the following: COMMERCIAL GENERAL LIABILITY COVER,4GE PART , SCHEDULE Designated Construction Project(s): AII proJects I I ,, ; Information re tilred to com lete this Schedule, if not shown above,will he shown in the Declaralions. A. For all sums which Ihe insured becomes Iegaliy 3. Any payments made under Coverage A for obligated to pay as damages caused by damages or under Coverage C for medical "occurrences" under Section I— Coverage A, and ezpenses shali reduce the Designated for all medicai expenses caused by accidenEs Construction ProJect General Agg�egate Limit under Section I — Coverage C, which can be for lhat designated construction projecL Such attributed only to ongoing operetions at a single payments shall not reduce the General designated construction project shown in the Aggregale Limit shown in the Declaralions nor Schedule atiove: shall they reduce any other Designafed 7. A separate Designated Construction Project Construction Project General Aggregate Limit General Aggregate Limit applies to each for any other des(gnated construc(ion project desfgnated constructlon project, and that limit shown in the Schedule above. is equal to lhe amount of ihe General 4. The limits shown in the Declarations for Each Aggregate Limit shown in the Declarations: Occurrence, Damage To Premises Rented To 2. The Designated Construction Project General You and Medical Expense continue to apply. Aggregate Limit is lhe most vie will pay for the Howeder, instead of being su6ject to lhe sum of all dameges under Coverage A, except General Aggregate Llmlt shown in the damages because of "bodily Injury' or Declarations, such limits will be subject to the "property damage" Included In the "products- applicable Designated Construclion Project completed operations tiaiard", and for medical General Aggregate Limit. expenses under Coverege C regardless of the numbe�of: a. Insureds; b. Claims made or"suits"brought;or c. Persons or organizations making claims or • bringing "suits". CG 25 03 OS 09 Producer Copy Page 1 of 2 N � � ' e4laska f�9ational � $ � A��� INSURANCE COMPANV endorsement, contains a specific requirement that this insurence be primary or primary and non-contributory. In that case we will not share with that other insurance on a pro-rata or other basis. If the other insurance available to the additional insured, whether on a primary, excess, contingent or any other basis, is coverege for which it has been named as an additional insured, then the coverege provided by this endorsement is excess over that other insurance. This endorsement changes the policy to which it is attached and, unless othervvise stated, is effective on the date issued at 12:01 A.M. standard time at your mailing address shown in the policy. The information below is required only when 4his endorsement is issued subsequent to commencement of the policy. Endorsement Effective May 1, 2014 Policy No. 14EPS 32018 Insured Gary Harper Construction, Inc. Endorsement No. 12 Countersigned By �?Rt1CC �Glv2t2 Moloney, 0'Neill&Corkery/Spokane ANIC GL 1061 03 08 Page 2 of 2 Page 1 of 2 q Search > ALASKA NATIONAL INSURANCE COMPANY ALASKA NATIONAL INSURANCE COMPANY General I Con[act I Licensing I APpom[ments I Complaints I OrGers I Na[ional Info I Ra[ings I Tax.Filings 9ack fo Search General information Contact information Name: ALASKA NATIONAL INSURANCE Registered Mailing address COMPANY afJdl'QSS 7001 JEWEL LAKE RD COI'pO�ate fd17111)/ JI'OUp: n/a ��ma��s�n,� 7001 JEWEL LAKE RD ANCHORAGE, AK 99502 Organization type: PROPERTY ANCHORAGE, AK 99502 WAOIC: za Telephone Telephone NAIC: 38733 907-248-2642 907-248-2642 St8tU5: ACTIVE Admitted date: 06/25/1984 Ownership type: STOCK 4 back ro.rop n Types of coverage authorized to sell �,na�,=�n�,, Insurancetypes Casualty Marine Ocean Marine Property Surety Vehicle ^eaqx po,�op Agents and agencies that represent this company (Appointments) ,,,���,�,_, View a9ents View agencies ?Eack cp_top Company complaint history ,�„a:,=,,,�> View complaints ^bacA[o,lap Disciplinary orders 2008-2015 ,,,�,�,s�h„ No disciplinary orders are Iound httn://www.insurance.wa.e�v/c�nsumertoolkit/Comnanv/ComnanvPmfile.a... 1/I 3/2015 • Page 2 of 2 - The orders posted here are unyerified electronic duplicates of the official orders actually entered. To be certain you have the official yersion 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 tb search a ten year histo.ry of all orders, including enforcement orders, _.....__.._.__. administretive orders, and general orders. ^back to top Premium tax filings by tax year �,�a�,=��,., 2013 2012 2011 2010 _. ..... ^hack[o rop National information on insurance companie5 Want more information a6out this company? The NAI.0 s Consumer Information_ (CIS) page allows you to retrieve national financial and complaint information on insurance companies, plus has informafion and tips to help you understand current insurance issues. ^back m mp Ratings by financial organizations The following organizations rate insurance companies on their financial strength and stability. Some of these cbmpanies charge for their services. A.M. Best Weiss Grou Ratings Standard and Poor's Corp Moody s Investors Service Fitch IBCA, Duff and Phelps Ratings ^ezck m_�pp http://www.insurance.wa.gov/consuinertoolkit/Coinpany/CompanyProfile.a.:, 1/13/2015 Alaska National [nsurance Company - Company Profile - Best's Credit Rat... Page 1 of 2 Ratings & Criteria Center j�{ WCICOmOBackJoNnn�qnO01600hIVf�lamOc�CO�pIILooOui Regianal Genfcrs:Asia-Pacilic I Canutl��Europe,Mitltlle Easl antl Alrica�Latln Ameriw�hIENA 6 SCA Home�About Us I Contac[Us�Siremap Ratln95earch:O See¢� xAGVnnced5earch � tlC Ratings 8 Crllerla . .Home _ _ _ _ Pnnl Ihis woe .Craen Reung Reieases .Me���a���a� Alaska National Insurance Company ��� .Beefa CmGrt Ratinps� ' ':Finannai Strenqin Raone A.M.Best p:0026GB NAIC p:787]] FEIN R:92007)65A .ISSUerC�eanRnting DamlclllaryAtltlresa -- i •Oeb�Ralinp 7001 Jewal Lake RooC AssipnM lo a���oa�NeM �AOVancea Searc� q�c�ornge,AK 99502-2B25 wmpanias p wESi i: .AOOw Bes(s CreEil RaunBS• I�ol have,in�( �{y�yM .Ge�a Cremi Raun UnileO Slares . g� ouropinion, .BeeCS Speral Repans Web:vrnw.alasNOnnlional cam an e�cellenl obllity lo mea�Nei� .AOE BesYS Cre0i1 Raunps Searc� p�ona:9W-24B-26a2 onBOinB insurence o0ligalions. ToYOUrSila FaR:907�288�9252 .BesIMaA ror Secure-Ra�eE InsulBl9 •Conwu an Aneqsi BaseE on AM.0esfa onelysis.055953�AlasNa Naliaml Corooraiion is I�e AMB Ulilmate Parent onE i0enlifos Ihe lapmost eniiy of •AwdMS B�G RefLqnNOpS �ne��POf3L¢SINC�IIlC.VI@N B II51 OI Oy2fdiipq IIISLIfdlIC!BOIIIIPS IO 11119 SINdOfB. Newa 6 Analyais . BesYS Cradil Ratings PmEUCIe 85arvlces Flnanclal SlronglM1 italing Vlow Dollnitlon Best's CrsEll RaNnp An�ly�l InCUS�ry Inlarmatlon . RatlnB� A(Eecalienp Rafinp IazuoO Oy:A.M.Besl Company,Inc, Corporata . Flnanclal Size IX(E250 Mil�lon�o ESW Sanlor Flnenclal Analysr.RoGen Volenla Ragulamry Atlain . Gatagory: Mlllian) Asalztant Vico PrasltlanL GararE J.Pllonji Support 6 Resaurces � Outlook: Sla�lo Conferences antl Events . A«���' A�^^ed Dlscioeure��lorma�lon EHeclive Daro: Ju�y 35.201a �� Initiai RatinB Date: June 70.t98] i'[� Viow A.M.Basfs Ralina Oisclosure Slmemen� FinJ u Revl i Gedn Ruimg �L EnleraCOmpenyName � Long-TermlaamiCmEl�Ratln VlawO011nl�lon .AEVanceESearch -.._..._ Long-Term: n• Outlook: Slaole A.M.Bes�RaGng Services ACt1O"� �nne0 ComacilnlcrmeEOn. EHectiveDate: July75.201a Initlal Rating�am: June 18,3007 17rx�Heiing Urlmiimn.c Sebetane.. v �a^aeaLirae,A�Ne..e-.nA,rrn Reports antl News Visil Besl's News an0 Matysis site lor I�e latesl news nn0 oress relenses lor Ihia company antl ils A.M.Besl Group. V=i AMB Cretld Raoort �InGuaes 8esi's Financia151rengi�Ra�ing ana ralionale along wilh compre�envve analylirai : � commentary,EatnileE Eminoss ovarviaw nnd Mey finanua�oaia � Repon Revision�ate;13/d/20ta(re0resenb��e�atesl siB�lfcnnl c�anBe). ' ' His�oncal Reparts ere availabla in AMB Crean Reoart Mcnive V.l J IF'-, Besfs Exacutiva Summary Repons(flnancial Oveniew)�available in Ihrce versions,ihese presenlaiion slyle reporls �I IeaWre balance s�eot,income valomanl,key Mantial pertarmance tes�a IncluEinp pmNaOilily,liquitlity antl reserve nnalysis. Data Status:2014 Bes�'s SLiloment Flle�P/C.US Contains Eata compilaE ns of 1L1920t4 Ouality Cross ChackeQ • Sinqle Comoanv-!ve yeon of Monclal tlaln spetlflcally on�his fnmpeny. � Como�r'son -siCe�by-sitle fnancial analysls ol�Itis company wil�o peer B�oup ol up�o frve olner componies you selecl. • Compospo -evaluale Ihis company's Onancials ngainsl o peer grouP composiie.Repon displays bolh Ihe average antl total wmposile al yaur seleclea pcer proup, pBesfc Nav Ratino Gvitle Presenmlion Rcoon-incWCes Besl's Fiwncial SIrenB�h Ra�InB antl Onanual Oala as proviGed ln ) I�e mosl currenl eaition ol Bosfs Key Raling GuiEe pmEUCts�a�oi�ry creae cnecxea�. Financlal and Awly�ical Products 0esfslnsunnceReoorts-Onllne-PIC USBCnnada Besl's Hev Ratina GuiOe-PIC.US 8 Cnnntla Besl's SlatemeN File�P/C t1S Besl's Ere<ulive Summarv Reootl-Comamison�PmoetivlCasuallv Besfs Execulrve Summarv Reoatl-Comoovile�Pmoenv�Ci^�illv Besfs Stalemenl Fiie-Glo�nl BesfsSlamLine-P/C US Besl's ReaulNOrv Cenler Market Share Rcootls Besl'slnsurancoExomseEMhl�il(IEEI-P/C US Besfs Sche�ula P(Loss Rescrvas)-PIC US Besl's Reaulzlorv Cen�er Besl's Schetlule D(Corparate Bantlsl-US htto://www3.ambest.com/ratines/entities/ComoanvProfile.asox?ambnum=2... 1/13/2(115 Alaska National Insurance Company - Company Profile - Best's Credit Rat,.. Page 2 of 2 � Besfs Scnntlule D(Gommon 5 or.ks)-115 Besl's Scnetli la D IW in'cioal Bondst-US Besl's ScbcOUle F Iqeinsumncel-P/C US Ewopean Unlon Olscloaurea A M Best.EuroOe Raling Svmcea Limiletl�AMBERS�,a suGSiEiary ol A.M Bes�Company,ie en Ealemal CreCitASSeesmenllnsliW�mn(ECAq In ilfa Eumpean Umon(EU) T�emlare,creErt raungs issuetl Dy AMBERS may Ge uaeE lor reBulaiary D��POSes in i�e EU as Oer Oimnne 200fi1a8/EC Puatrallan Oleclo�urea rl.M.Bes�Asia-PacRC limnatl(AMBAP�.Ausvalian ReB�store0 BoOy Number(AR6N No.150395281�,is a hmReE IiaEiLq wmpeny incoryoraloU onE Uom¢iletl in HonB Konp.AMBAP is a w�oleea:e Aust2lien Financml Sarvicee(AF$)Litence�olGa�(AFS No.91ID557 unGa�I�e COrponuans Acl]001.CraEil mlinpa emanelinp Irom ANBAP er0 nallnten0e0 b�enC muel not Ge CisinEweE ia eny person in Fuslralia oNenhan a w�olesale clieni as EafineE In Chapler"!M tM1e Corporeliona Atl.AMBAP Goae nol awbanze ip CreCil Ralinpa lo Ge Gusemmele40y a�NrC�pany m a manne�IM1a�rAWE reasondEly Oe rcB�beO as OainB inten0e010 inlluence e�elail chenl in makmp a Gecnian in rolalian[a e parl¢u10�O��ucl ar clase OI fwnaal O�OGUtI AMBAP Ge0i1 f�dII11Q5 8fB 1IIIBIIdB��O!W�1�IB9d�B C�19f119 0(IIY,94 49�IIOE C/eEil RaOnps tlele�mineE and Ei95Bminate0 Oy AM9AP am IM1e o0ini0n ol AMBAP only and�01 any speu0c veOM1 Bnelysl.FMBAP CtBEiI Relinps Bi0 SIalBmen�s a(Opi�iOn antl nol slalBilla�l9 0l lact.TM1ey ere nol recommenEalione lo Evy,�aIC or sell any semnLes o�any ol�er�orm ol Inanual O�du[t,inGUGinp Insumnca Oel¢iee BnE a�e nol e recommeMaLan�a Oe uEeE lo meka If1VB5b11B11�IDUlfjld5illA�BG6i0lI5. Impartanl Natice B¢SP9 R8LOB9!Bfl¢CI OII�IOOBOBOGBOI OpI�IOn,�dSBE OIl d fATp�9M1CnNVO 0����IIe1�V0 8nC QJOIIVIIIVB Bv�1u01101101 B LOIIIp80y'8 OdI.lOCO 9hBB19UtI1B�h.OpBl311lIB GBROlRIOlVd an0 Oasinass pmfle.These 2unBS are neit�er a wananty of a company's Manoal slrenB���arib aEiLly lo meet itslnenaol ablipationl mUutlmg I�aee ro pol¢y�olGen Viawour enlrta nol¢a lor mmplele tlelails Cusmmer Sernce I P�aua Suppan I MemOarGemar I ConmU Inlo I�oreen AEaul P M Bosl�$ilo Mnp I P����'/Pal¢y I Secunly�Te�ms ol Use�LlBal b Liceneinp Copynp�l O 2015 A M.Baal Cwnpam�.inc FLL RIGHTS RESERVEO A.M.Ba51 Wo�EwiEe Hea04u¢tlen,AmGmi RooE,Oltlwid,Naw Jeney.OBB58,U.5 N http://www3.ambest.com/ratings/entities/CompanyProfile.aspx?ambnum=2.,. 1/13/2015 Page 1 of 2 p Search > ZURICH AMERICAN INSURANCE COMPANY ZURICH AMERICAN INSURANCE COMPANY General � Contac[ I L¢ensing � Appoin[men[s � Complamts I Ortlers I Na[ional Info � Rabngs � Tax Filinys Back to Search General information Contact information Name: ZURICH AMERICAN INSURANCE Registered address Mailing address COMPANY 1 LIBERTY PLAZA 165 1400 AMERICAN LN,TWR Corporate family group; ZURIC.H BROADWAY 1, 19TH F INS GRP wna��sm��� NEW YORK, NY 10006 SCHAUMBURG, IL 60196 ....... Organization type: PROPERTY Telephone Telephone WAOIC: 1476 847-605-6000 847-605-6000 NAIC: 16535 Status: ACTIVE Admitted date: o5/zs/i9zs Ownership type: STOCK ^: back w mp Types of coverage authorized to sell �„na�,�n,=,. Insurancetypes Casualty Disability Marine Property S u rety Vehicle °qacq m mp Agents and agencies that represent this company (Appointments) ,,,���„�n,;�. View a9entr View agencies ^bacl.m,mp Company complaint history �vn,:,=«,_, View complaints ^bzck fo,[pg Disciplinary orders 2008-2015 ,.,h���=«_�. Year Order Number r httn://www.insurance.wa.e�v/consumertoolkit/Comnanv/ComnanvProfile.a... 1/13/2�15 Page 2 of 2 I2013 �13-0223 � The orders posted here are unverified electronic duplicates of the official orders actually entered: To be cerEain you have the oFfcial version oF the order as entered, �equest 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, inclutling enforcement orders, ....,..._._........_......_. .. administrative orders, and general orders. ^back to_[op Premium tax filings by tax year �,na�„���,� 2013 2012 2011 2010 ^back ro,vop National information on insurance companies Want more information about this company? The NAIC s Consumer Information (CIS) page allows _ _..._ _ . ybu to retrieve national financial and complaint information on insurance coriipanies, plus has inforrriation and tips to help you understand current insurance issues. ^back[o,top Ratin.gs by financial organizations The following organizations rete insurance companies on their financial strength and stability. Some oP 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 Phel s Ratings ^back ro top http://www.insurance.wa.gov/consuinertoolki t/Company/CompanyProfile.a... I/13/2015 Zurich American Insurance Company - Company Profile - Best's Credit Ra.:. Page 1 of 2 Ratings & Criteria Center L{ NlcicomeBacNJoHnneAntlanenMVMI?mp?rCen=r�LO �� Reglonal Centers:Asia�Pacific�Canatla�Europe,Mitltlle Easl and Af�ica I Latin America I MENA 85CA Home�Pboul Us I Contact Us�Sitemap Rating Saerch:O Seorcn n Pdvanced Se.a¢M1 �AEa m BesWlen Ratinga 8 Crilerie . �Pnnl Ihis oace .Home � .Crean Raunp Relvasea .MeN�a��or Zurich American Insurance Company �� +Beses CreGn Raunps. .Financni Simnpin Reuna A.M.Best p:00256J NAIC p:16575 FEIN C:064IJ7459 .IssuerGreEU Raiing Atlminiahallve Oliica View Adtlitional AAaress Inbrmalion '--'�"'i'—"---- � .�a��Roiinp 1400 Ameticon Wne I A951B�Q410 A���aF�]p i .qavancea Searcn Schoum�urp,I�fi01964056 com0onies � to¢sr y:e1]�I .qpoui BesYe CreEn Raonps� UnileJ Slnles I thal heve,in M 6uprlx �r� .Gel a CreEil Fatmp• i ou�opinion, •BBSY6 SpBU01 RBp0�15 j e supenm aDility lo meel Neir Web:www,xuncbna wm •AGa BasCS CreCil Raunpf Searrn phona:800.807J77J �ongoinB insuranw obliBauons. ToYaurSrte Faz:B7A962-25fi7 •BesIMaM hr Sawra�RaleE Inauren •Con1aU an Analysl Basee on A.M.Besl's nnalysis,OSOaS'!-Zurich Insurance Gmuo LIa is the AMB Ultimate Parent and IEenlifes I�e lopmosl entiry ol .AwaMS an0 Rempmliom ��¢��POfdIO SINLIO(2.VI¢W d II51 OI Op2lflilllp IpSU(dpt2 201111PS IO IIIiSl�NCIOfC, Nows 6 Analysls � BesCS CreClt Ra�ings Produels 8 Servleef Finsnelel Seron th Ratlng Vlew Oellnlllon BeaCS Cmtlit Rating qnalyst Intlustry Informelion � Ra�i� A� Ratin Isbued b 'AM.Besl Com on Inc, g: (Supedm) 9 Y� P R Corporata r AHlllallon Coda: g(Gmup) $eniar Finenclol AnalysL Michael W,Rusao Reqularory AMairs . Financial Siza Category: %V(52 Billion or grenler) Fsslstanl Vlce Vmsl�enF.Mic�aH J.Lepomarsino,CFA SuOPOrt 8 Resources . Ou11ooN: SlaEle Conlerancea antl Evanla . Aclion: AI(irmeE Oisclosu.e Inbrmaeion EttecllveDato: Novem0er26,2014 Initial Ratlng Daw: June 30.1922 � Vlew A.M.9esYS Ralina Disclosure Slalement l�inJu Re.vllc Credu Rulrn} �1 Enter a Company Nome long-T�rm lasuer Cratlil Raling VI w D lini lon S1—. A.M.Besl AK�ms Ralinos o!Zu�ich Amencin Insonnce � V � Coinoanv antl Its Affliales .Aavonceo Senrtn Long-Tdrm: aa- "''j November Y6,2014 Ou[look: Slable 'i A-.M.Best Rating Services n=eoo: armmea Contaa�nlnrmo!"vn. EMectivaData: November7Q201< Initial Ratlng Date: SepiemEer14,200a Peee�Ruring Delmm�n.v Selactone... v ���ba+w�=�a�.��we�.na.�-�a Relatetl Fiwnclal ontl Analytical�ata M1e IallowlnB links pmWde access lo�elatetl Eole mmNS I�oi A.M Besi wiliies lo pmvitle hnonqal antl analyucul tlata an e wnsoliEaleO ar Irznrn oosle " AMB:1COm �n Nama Company0eacrlpllon 019�9]Zunch U.S.Pool(CS) Represems Property/Cosuatry business of Nis IeB��enti . OOaiJO Zutich U.S-Poal(SG) Represents I�e A.M.Best ConsoliEatea financiob br Ne Propeny/Casualry Ousiness ol Nis IeB�I enllry. Reports and Naws VisilBesfs News anC Malysls sile(or lha latast news antl oress releases tor Ihis company antl ils A.M.Besl Group. V=� qMB Crntld Rnoort -IncWaos Besl's Financlal SGenB�h RalinB ona tnlionale along with wmpro�ensive nnalylir�l ,:�:_� commenlary,Eetailetl business overvlew anE key Mancial tlala. Repon Rovision Dale:1P/15/201<(mprosonls I�e lams�sig^ifwnl chanBO). =� Hislorir�l Repoqs are availohla In AM1IB Credil Reoon Arc�ivr v�� fF—'- Boal's E�acutiva Summary fteporta(FinanUal Overview)-availaEla in Nrea versions,theso prosontalion sMe repons '�'-�1 leoture Ealance sneet,income slalemenl.koy fnancial pertortnanco los�s IncWGing pmflabilily,liquitllly and rescrve analysis, Oam 5[atua:201a BesYS Slatemen�Fllo-PIC.US Conlnins Oaia compileE as ol II/192014 Qualiry Cross Ctleched. • Sinala Comoanv-(ve yeurs of fnoncial Eam specifcaly on Ihls company. • Comonrlson -sitle-by-sitle Mancial analysis of ihis company wilh a peer proup of up la fue olher companies you selecl, • Comoosiie -evaluale Ihis mmpany's financlals eBainst a peer gmup composile.Repo�tlisplays boU Ihe averege antl lolal composile af yaur selecleE peer Braup. '� Besfs Kav Ratina GuiEe Preeemal�on Reoort-incluGes Besl's Fiwndal Slrengih Raiing anE fnanool Oala as provi0ed in f� Ihe mosl curren�etlilion ol Basl's Kay Raling Guitle pmeuc6,(ouauiy croee enecxao�. Fin�ncial and Analy(ical Protluc[s Besl's Insurnnce Rcoarls-Online-P/C US 8 Can.tln Besl's Kev Ralina Gultle-PIC US 8 Canaaa 6es1's SlalemeN File-P/C US B I' E I 5 R n-C 'I -P n IC II 9esfs Eveculive Summarv Reoon-Comoanson�ProoetlWCasualN httn•//www� amhPSt cnm/ratinas/entitiec/GmnanvPrnfile acnv9amhnnm=� 1 /1 '2/�hl S Zurich Ame�ican Insurance Company - Company Profile - Best's Credit Ra... Page 2 of 2 � BesYS Sidlement Fla-Glo�al Bes's Reauhlorv Cenler Markel S�ara Reoo�s Bes's Sliie Line-PiC.US Bes's Coroora o Cninoes antl Reliremems-PIC.USICN Besl's Ins�r,nce Evoense Exbibil(IEE1-P/C.U$ Besfs ScheOUle P(loss Reservesl-P10.US � Besl's Reoulalorv Lanler Besfs SUietlule�ICoroorale BonES1-US BesYS SrneENe D fCOmmon 9xks1-US _ B fsScheEWOD(Munco�IBOnOSI-US Besi's Schetlule F(Reinsurance)-P/C,US B f <cheEUle D-Hvbna�P/C 8 VH US B f S h tl I DA Bh M1 T I veslmenlsl-P/C A UH US B f 5 h eule BA(0 ner Lana Term Inveslmemsl-PiC 8 LIH.US Europaan Ilnion Olaclo�urve A M,Besl-EumOa Ra0n0 Servims GmitaO(AMBERS),a auE+itliory o1 A.M.Best Company,is an Extemal Credtl Assessmenl Insuwoon(ECAp in I�a Eumpean Union IEU) T�erelore,ae0i1 raLnBS��suetl Ey AMBER$moy De usetl Mr regulalory Duryoees m i�e EU as per Diracuve 2008IJ8lEC. Aualollan Obcloeums A.M.6es1 AaimPenGC Limiletl�NMBPP).AusValian Regis�emC Botly NumEer(ARBN No.150]]5209),ie e IimileE IiaOiliry compony Incoryoraietl and EomialcE in Honp Konp FMBAP is e w�oledaie Auevallan Finantial Servicea(AFS)Licanw holtler(AFS No a 11055)unden�a Coryomtians Ap 2001.CreCil ralinpa emana�mp hom AMBAP are nol inlonEeE lor anE musl nei Ce tluln0ulvtl m eny penon in Ausvolie oNer Ihan a wliolasale dient ns OafineE in Chap�er 9 oI1M1e Coryoraiions AcL.PMBAP Goae not aulnodxa ib CreEil RalinOs ia be Umsaminmetl Ey a IIiiM-perty In a menner tl�al cou10 maaona0ty pe reBaMeE as Eeinp InlenEatl m Inlluence a rewil cliem in makinp a tlecition in relalmn lo p Oe�imlor pmGUCI or class o!lnanaal pratlucl.NMBAP CreEil RaOnps are intenEeE lor wholeeale Ulanu only,es tlaMeE. CrtEil Raunqs EetermineE¢ntl tllssemina�e0 Ey AM6AP em Ne api^ion ol AMBAP only ana nol eny apeafic veEil analys�.AMBhG CrMtl Raunpz ere staiemems ol opiman antl noi suiemems ol 18[L T�ey are nol RCOmmmEOlion5lo buy,holU o�aell any aemn4e5 0�dny oNe�lo�m 01 Rnenciel pmOUQ,intlu0ing insvrant0 poliuea mE aR not e remmmen03110n 10 Oe uu010 Take IIIMlMMI IpuR11d5111Q tl9G810118 Important Notlro.8osfa Rolinps re0etl oarinEependom opmion,EoseO on a wmpre�ensive Quanumuva an0 quahuove ewluaUan ol a company's balanra s�eet atmnpm,a0enunB Ve�oimeirca entl bufinma pmfile.These�IinOe ere neil�er a wartanry ol a mmpany's finanaal slrenB���or ib aEiliry Io meel ib financial o0lipollona,Intludinp Nase lo poiicy�olEen.View our enlire notica lar complete tlelails. Cu910me�Service�Pmtluct SuppoM1 I MemGe�Cenler�Conlacl lnfo�CirBB�9 AOOUt A.M Besl I Sile Map I P���cy Pobcy�Sacunry I Tertns of Una 1 LeBel 6 Licensinp Copynp�t O 20t 5 A M.Bes�Campeny,Inc ALL RIGHTS RESERVED. A M BaSI WOtlGwiGe Hea4puatlers,AmOesl flOdq qdwit'1t,New Jersey,OBBSB,LL5 A. http://www3.ambest.com/ratings/entities/CompanyProfile.aspx?ambnum=2... 1/13/2015 � �, � �'� CITY OF _�` ,.; * � � �,� ..�,- � � � , � y ` ��� � . � Nancy Backus,N�ay�r � *__ - z a � ,: � � ,'� ,,.u,.. �/AS,�jN�'I'(�� 25We'stMainStreet�k�Aubum'WA98001-4996�*ww,w:auburnwa.gov�253-43T;3000 � � i February 24, 2017 ` � � � � � CERTIFI'ED MAIL � R'ETURN RECEIPT REQUESTED Ga.ry Harper � Gary Ha:rper Construction, 'Inc. 14831 223rd Street SE . Snohomish, 1NA 98396 � RE: Contract No. 13-12 Project No. G512A a Final Pay Estimate and Acceptanee Letter � [)ear Mr. Harper: � Er�closed is your zero dollar Final Pay Estimate.: The fotal contract amount for this project � as shown on your Final Pay Estimate is $858,279.46. The two=year warranty period � begins as of th'e date of this Finat Pay Estimate Letter. ( � , We have attached a list of appcoved subcantractors shown to have perform:ed work on � this contracf, as well as their Unified Business Identi�er (UBI) nu,mbers and Affidavit of � Wages Paid fD number. This is based on our current records; and may not be all � inclusive. lease review the attached list; and ceturn with any additions or corrections to � JoAnne Antlersen, Gontraet Administration Specialist, no lafer than two weeks frarn the � date of fhis Ietter. if we do no# receive a response from you regarding this list, we will � assum,e that it is correct. [ Please be aware that contract completicrn will not be grant�ed prior to receipt of'A�da:vits � ofi Wages Paid for your firm and all Subcontract�rs, and that incorrect information = supplied to L& I may delay release of refiainage and clearance of your bond until payment � of industrial insurance by'all Subcontractors is verified. If yau have any questions, please � contact JaAnne Andersen, Contract Administration Specialist, at 253-931-3012. r ; This noti�ea#ion does not constitute contract cornpletian, � � Sincerely � I � eth Wickstrom, P.E. � �� Pro ect En inee� R J 9. � Community Deveiaprnent and Public Works Department � � i Enclosure � _. _ _ � cc; �ani Daskarn, City Clerk Dave Roselle, Construction lnspector File��`1_3.'f 1�'�(C512A) ��� �[��j"j� �kMOIZE T'HAN"YOU IMAG[NED ; ( ' ' CITY OF AtJBUi�N CO.NO.13-92 C512A Well 4 Emergency Power lmprovements PAY ESTiMATE�#11&FINAL SCNEDULE A: Water Utility lmprovements iTEM ESl7MATE TO7AL PERIOb UN1T PERCENT EST. NO. '�M'DESCRIP7tON! I QUANTt1Y QUAN7ITY 'QUAM'ITY 'fYpE UNIT COST TOTAL COST PERIOD COST Q�nr. 1 Minor Qhan�es 1 0.6481537. E Ad 25 ODU.00 $ 16 203:84 $ 65°, 2 Mobillzation 1 t� �s 46�0.00_$ 4S 000.00 $ - 00°0 3 Gonstructlon Site Slon 9 1 EA 900.00 900A0 100°�G 4 Gleari and rub in 1 1 LS 23 000.00 $ 23 000.00 100% 5 Unsuitable Foundatlon Excavation Including Haul& 10 0 $ _ � _ Dis�osal CY 40.00 0'/, s Gravel Borrow Includina Haul&Rlacement 20 0 TON 28:00 $ $ p�o ' 7 Crushed Surfacinq To�Course 90 229.36 TON 33.00�$ 7:568.88 $ - 255°� $ Crushed SurPaci�Base Course 60 4a.31 TON 33:00� 1 462.23 74°0 9 Commercial HMA 90 102.06 __ TON 225_00_$ 22;963_5g $ - 13%a � 10 Rem vable Bollard 5 3. EA 396,,.40 $ 1.188.00 '$ - 60fo '11 Manl�.ole Tv�e.1,�& c Di eter 1 1.0024255 EA 4 700A� $ 4.711.40 $ - 100% ' 12 Remove Existinq Manhole 1 1 EA 1 600 00 $ 9,600.00 $� 100°0 13 Grinder Pump Statto�Com�ete 1 1 LS 12 300.00� 1�21300.00 $ - 100% _ 14_Sele�t Pf�eZ,er�Fh Backfill '30 0, TON 25.U0_$ - p% � 15 Pipe FoundatLor Material 20 0 TON �7:pQ $ _ $ _ po�a 16 Speciai'Elass 52 Ductile Iron Ripe for Water�Main& $ _ inch Diameter _ 41 41 ; LF 130.00 $ 5,330.00 100% 17 Conr�e_c o�_to F�i�,�INater Mains 2 2: EA 800.00�_1 600:00 $ - 100% 78 SDR 11 HDPE Pine 1.25-Inch Diam. 450 420 � LF 25,UD $ 10.500:00 - 93°/0. 19 _Well 4�uildinq Com ete 1 1 LS 310 50n.00 $ 310 500.00 $ 100°0 20 Weli 4 Buildinq.(_Generator.Electricaf&Teleme 1 1 Ls 237,_000_00 $ 23'f.000:U0 - 100% 21 Fuel'Tank�tem.Complete 1 1 LS 38,500.OQ 38 500.00 - 100% _2i Fads�ng_Buil�.itn odiflcaUons 1 7 LS 13 500.00 $ 13 500:00 $ - 100% 23 Hvdroseedin4°with Bonded Fiber Matrix 300 637 SY 4.50 2 866:50 - 2�2% 24 Temnorary Water Poliution/Erosion Cor�trcj{ 4 0:145195 Eq 10 000.00 1 451.95 - 15°0� 2s Lewn Sod 100 0 SY 16.00 - p�/a 26 To�soil Tvae A 40 0 CY D 00$ - $ - p% 27 _Cha�Link Fence&Gate 600 655 LF 35.00 22 925:00 $ - 109% Ca1-1 B c oosETransfo er n Ilation 9 - 1 LS 855.70 855:70 - 100°k SCHEDULE TOTAL $ - Pedod Dates Begin: Aug21,2016 End: Jan.27,2017 h:�projlpe1C512A PE:�s 1 of3 2/7/2017 at3:56 PM CO.N0.13-12 El7Y OF AUBURN C542A,WeU 4 Emergency Power lmprovements Weti 4 Emergency Power tmprovements PROJECT SUMMARY GO.NO.13-12 PAY ESTIMATE#11 &FINAL Original Contract Contract Change Amount �rders Total Payment This Per(od PercenUCorttraci SCHEDULE A: Water Utillty lmprovements Contract $ 797,'!60.00 $ . 855:70 $ 783,816.86 $ - 98% Sales Tax(+9.5°.6) $ 75,730.20 $ 81.29 $ 74,462.60 $ - Retainage{�%) $ (39,190.84) $ - SCHEDULE TOTAL $ 872,890.20 $ 936.99 $ 819,088.62 $ - 98% OVERALL F1Ni4L PERCENTAGE TOTAL CONTRACT AMOUNT TO DATE (inc[uding Sales Tax) $ 858,279.46 TOTAL PAYMENT TO CONTRACTOR $ 849,088.62 $ - PAYMENT DUE CONTRACTOR: $ - Period Dates Begin: Aug 21.2018 End; Jan 27,2017 h:lprojlpeCC512A PE.xls 2 of 3 2/7l20A 7 at 3:56 PM CITY OF AUBURN CO. NO. '1�-12 - C5'i ZA PAY ESTIMATE#17 &FINAL CONTRACTOR: Gary Harper Constnaction, Inc. 14839 223rd Street SE Snohomish.WA 98296 Phone: 360-863-1955 The undersigned has reviewed and approved this final pay estirnate. I agree that it is a irue and correct statement showing a[I monies due rne from the City of Aubum under this contract; that 1 have carefully examined the final pay estimate estimate and understand it and that I heceby release the City of Auburn from any and all claims of whatsoever nafure which I may have,arising out of this contract,which are not sef forth in this estimate. PAYMENT DUE TO CONTRACTOR= $0.00 Signatures: •'f�� �` '' / ; Y Cor�tractor � � Dat� - - � f� � ,� / lnspectar �t' Date �-//3 '� v Projecf Manager ��,�„�_---'— Date 2 �lo�t� City Engineer Date�� �• h:lprojlpe\C512A PE.�ds 3 of 3 217/2017 at 3:56'PM List of Approved Subcontractors Project No.C512A Contract No. 13-12 Well 4 Emergency Power Improvements Prime Contractor Name:Gary Harper Prime Affidavit ID: 669332 Subcontractor UBI Number Affidavit ID# Advanced Power LLC 602633757 689926 _ _ _ Johnston Construction Co., Inc. 278Q46559 586017 Capital Heating&Cooling 342008959 589575 Southeast Architectural Sheet Metal 602682768 579672 Insulation Contractors, Inc. 601160822 586605 Engineered Products 602684203 586984 Quality Fence Builders 601206501 577528 George Goddard, Inc. 578051563 588665 Puget Paving&Construction, {nc. 600403309 595216 Scientific Lab Technology, Inc. _602333789 595216 Corliss Resources, Inc. 602237779 589006 Ralphs Concrete Pumping 578055430 589628 Centre Pointe Surveying 601752691