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HomeMy WebLinkAboutCP1118 and CP1119 Stan Palmer Construction CITY OF Ati-RU R_ 'N Nancy Backus, Mayor WASHINGTON 25 West Main Street * Auburn WA 98001-4998 * www.auburnwa.gov * 253-931-3000 April 9, 2015 CITY CERTIFIED MAIL > 1 RETURN RECEIPT REQUESTED 201 5 Tom Abplanalp Stan Palmer Construction 5108 SW Nixon Loop Bremerton, WA 98312 NOTICE TO PROCEED RE: CP1118 and CP1119, Auburn Way South Pedestrian Improvements, Dogwood Street to Fir Street and Auburn Way South Corridor Improvements, Fir Street to Hemlock Street, Contract #14-19 You are hereby notified to proceed as of April 10, 2015 with the work on the above-referenced project, within the time period specified, in accordance with the provisions of the contract documents, copy enclosed. This project has 140 working days for completion. If you have any questions, please contact the inspector for the project, Jacob Sweeting at 253-804-3118 or the Contract Administration Specialist, Amanda DeSilver at 253-876-1980. Sincerely, 4 ri Firlect/or Ass . of Engineering/City Engineer Community Development & Public Works Department IG/ad/mm Enclosure cc: Dani Daskam, City Clerk Jacob Sweeting, Assistant City Engineer Steve Bowen, Sr. Construction Coordinator File 13.11 Project # (CP1118/CP1119) AUBURN * MORE THAN YOU IMAGINED CONTRACT Contract No. 14-19 THIS AGREEMENT AND CONTRACT, made and entered into, in triplicate, at Auburn, Washington, this day of AP r� i 2015, by and between the CITY OF AUBURN, WASHINGTON, a municipal corporation, and STAN PALMER CONSTRUCTION, 5108 SW Nixon Loop, Bremerton, WA 98312, hereinafter called the CONTRACTOR. WITNESSETH: That, in consideration of the terms and conditions contained in the Contract Documents entitled "Nos. CP 1118 and CP 1119, Auburn Way South Pedestrian Improvements, Dogwood Street to Fir Street and Auburn Way South Corridor Improvements, Fir Street to Hemlock Street," which are by this reference incorporated herein and made a part of this Contract, the parties hereto covenant and agree as follows: I. The CONTRACTOR shall do all work and furnish all tools, materials and equipment for Project Nos. CP1118 and CP1119, Auburn Way South Pedestrian Improvements, Dogwood Street to Fir Street and Auburn Way South Corridor Improvements, Fir Street to Hemlock Street—the construction of roadway and utility improvements to Auburn Way South (SRI 64) from Dogwood Street SE to east of Hemlock Street SE, including construction of a joint utility trench with City, Puget Sound Energy, Comcast, and Century Link facilities, removal and construction of asphalt pavement, curb/gutter and concrete flatwork, clearing and grubbing (including tree removal), hazardous materials abatement, demolition, and removal of a residential structure, rock wall removal, preparation of a storm water pollution prevention plan, implementation of temporary erosion and sediment control measures, traffic control, construction of storm drain pipe, structures, and bio-retention facilities, installation of water main, services, and appurtenances, installation of a new traffic signal, pedestrian crossing with warning beacons, street lighting, property restoration, landscaping, and signage for a unit, or lump sum, bid price of three million, seven hundred thirty-three thousand, forty- seven dollars ($3,733,047.00) and Washington State Sales Tax of fifty-two thousand, one hundred and ninety dollars and sixty-three cents ($52,190.63) for a total contract value of three million, seven hundred eighty-five thousand, two hundred thirty-seven dollars and sixty-three cents ($3,785,237.63) 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 140 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. 111. 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. W. 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. CITY OF AUBURN, WASHINGTON C_ By ancy Backus,Mayor Countersigned: this 61'A day of -Aon 1 , 2015 ATTEST: Danielle E. Daska ity Clerk APPRO S O F Daniel B. Heid, i Attorney STAN PALMER CONSTRUCTION By uthoriz fficial Signature CONTRACT BOND CONTRACT NOA 4-19 BOND NO. 2193627 BOND TO CITY OF AUBURN;WASHINGTON KNOW ALL MEN BY THESETRESENTS: INC. That we,.the undersigned,STAN PALMER CONSTRUCTION,5108 SW Nixon Loop,.Brernerton, WA 98312 as, > principali and .North American Specialty Insurance Company a corporation, org6iiiz'e'd:;,a'n'd,exi'stlilg,under the laws,of the State,of,New Hampshire as-a-:s'qr0ty,.,.corp:corporation, and qualified under'the.laws.of State:ofWashiu gtofi to became surety uPon",boilds;lof,.contractorswith,,,,m.u.ni.cipale6rppra-fio ;,,Eissor.city,,-are:i.'6in'fi'�,vand.-severalI A, firmly',bbutid to,the City of Aiibum, Washingtoi4,inlhe:penal sum of".thred,inilhon. sevei!,,'hujqdrqd eighty-five thousand, two hundred thirty-seven.d6flats,and sixty.-three cents ($3,785,237.63), forrifie payment of which sum we jointly" and severally bind ourselves and our successors, heir's, adm'�irii$t.tators-orpersonal representatives as the case-th be. qy This 6blika s #001s entered into ifi pursuance of the,Statutes of the,State-of W' -iii,,iiikton-and the, h Ord na.i.ic.es,,.-df,the.Cl.t,y.-of Auburn,`W shington Dated at Auburn, Washington this, day of 2015, -Nevertheless, the conditions of the above obligation are such that,: WHEREAS;,the City of Auburmon,the 16th day of March,2015.,let-.to the above.bounden principal a"certain.Contract. The said Contract beffighumbdt.ed 14491 and providiogfor.,the dbristru.cti.6n,of t.,No§. C-P 1118 and.,CP--,1,Y1 9,,Auburn W- y,. PrqJPb Imprbvbtiient§,,..Dogwo,6d,,gti-6et'"to, Fit.Str00tand.Aubqrn Way- ­'$­_-th ou OorridorIf4provoihents;fir,,S etto;H'�kilo6k.$it'e'et.-roa�d.vV' i , to roadway. 41Y, and utility:inprovements to,Apbum Way South(SR1,'64),,&m Dogwood"Street SE,to east-of' Herrirock Street.SE,including construction of a joint utility..trench with City,;Puget Sound Energy,, Comea9t, and.Century facilities, removal and construct" of asphalt pavement,,curb/gutt, d ryf ion er an concrete flatwotk,clearing and grLibbhTg(including tred-reinoval),hatarolig materials abatement, demolition,and removal of a,resid-enti a] structure,.rock Nvoll.removal,pTeparatip1i of&_stmn water, pollution prevention plan,,im' 'Pleinen(gtion of tempq erosion and,sediiberit-,tolilitr6l,,,measi.ir'e-si,. t ft-'e, Tain pipe,structures;s,,and.bio-rewn'ti6n,flacilffiesi installdtion.of water mailill;.90,r,vides.and:4p warningbeacons,street'li9htih&,pr.qp4rty restoration,landscaping, andgigiiage(which Contract.is referred to herein and is made a part hereof as though attached hereto), and WHEREAS,the.said principal.has accepted, or is about to accept,the said Contract,and undertake to- peffon-n the,worktherein provided for in the mannerandivithin the time set;f6rth? NOW, THEREFORE,if the above boundenprincipal shall faithfully and truly observed and'comply with.thelenh.s'i conditions,-and of-said Contract'nall respectg,and,§hall Vvell,mid and. fiffly do"and perform all matters and things by them undertaken to be performed 'ftact'. " oil.. upon the terms proposed therein,.and any and all duly authorized modifications of said Contract that may her6aft6r by made, and within the time prescribed therein, and -until the same is accepted, and shall pay all laborers, mechanics, subcontractors and,material men, and all persons who-shall supply principal or subcontractors with provisions and supplies for the carrying on of said work and shall hold said City of Auburn, Washington, harmless from any loss.or damage occasioned to any person or property -by reason of any carelessness or, negligence on the part of said principal or any subcontractor in the performance of said work, and "shall in all respects faithfully perform, said Contract according to"law, and shall indemnify-and hold the.City of Auburn, Washington,,harmless from any-damage or.expense by.reason of failure of performance, as specified in"said Contract,,and The undersigned principal and -the undersigned surety present 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, for the'perfonnance,-of the above-referenced contract, shallbe enforceable until, the City of Auburn has executed,the contract to the undersigned principal. The Sureiy;:;"hereby agrees that modifications and changes may be made;in'tl,ie-terms and provisions of the aforesaid'Contraet Without notice to Surety, and any,such modifications-or:ehainges increasing the.total amount to be paid the Principal shall automatically increase the obligation of the Surety on this Contract Bond in a like amount, such increase; however, not to exceed.twenty — five percent (25%)of the original amount of this bond without the consent of the Surety. PROVIDED,however,that.after the acceptance of this Contract and the expiration of the lien.period, and if there are no liens pending, then the penal sum of this bond; shall be reduced to either ten percent. (10%) of the value of the improvements to the City or two thousand dollars ($2,000), Whichever is greater, to warranty against defects appearing or developing in the; material or workmanship provided or performed under this Contract within a period of one (I)-.,year after acceptance. Not withstanding.the reduction of this bond, the principal and surety shall hold the City, of Auburn harmless, "from all" defects appearing or developing in the material or workmanship provided,or per �T formed under thhis Contract within a period of one (.1).year,after:acceptancc, HEN and in that event this.obligation..shall be void; but otherwise it shall be and "remain yin full force and effect: It is hereby expressly agreed that if any legal action is necessary to be brought,under'the,conditions of this bond, that the decisions of the Courts of the State.of Washington shall`be-,binding., IN WITNESS WHEREOF, the above-bounden parties have executed this instrument this: day of " N(x i 1 4:2015: Sta �erConstniction, Inc. North American Specialty Insurance Company e,14_P4-%_. L�aA4_4rr- Karen Surety By Swanson, Attorney in Fact Propel Insurance P. O. Box 2940, Tacoma, WA 98401 (253)759=2200 Resident Agent's Address&Phone Number i � NAS SURETY GROUP NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS,THAT North American Specialty Insurance Company,a corporation duly organized and existing under laws of the State of New Hampshire,and having its principal office in the City of Manchester,New Hampshire,and Washington International Insurance Company,a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Schaumburg,Illinois,each does hereby make,constitute and appoint: ERIC A.ZIMMERMAN,ANNE E.STRIEBY,CHRISTOPHER KINYON,JENNIFER L.SNYDER,KAREN SWANSON,JAMIE DIEMER, JAMES B.BINDER,PETER J.COMFORT,PEGGY A.FIRTH,KYLE HOWAT,JULIE R.TRUITT,CARLEY ESPIRITU and BRENT FIEILESEN JOINTLY OR SEVERALLY Its true and lawful Attorney(s)-in-Fact,to make,execute,seal and deliver,for and on its behalf and as its act and deed,bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies,as surety,on contracts of suretyship as are or may be required or permitted by law,regulation,contract or otherwise,provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of: FIFTY MILLION($50,000,000.00)DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on the 9h of May,2012: "RESOLVED,that any two of the Presidents,any Managing Director,any Senior Vice President,any Vice President,any Assistant Vice President, the Secretary or any Assistant Secretary be,and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds,undertakings and all contracts of surety,and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is FURTHER RESOLVED,that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond,undertaking or contract of surety to which it is attached." 01� ����i suNynnnmwatotw U yQ�..pF�•..!kpG4� By `.�$?&ott6oi �s �A Z. �s sSu1� :n= Steven P.Anderson,Senior Vice President of Washington International Insurance Company $_'• C.SEAL T�'•Yy*g ?W i-A 1973 Q4r°n a &Senior Vice President of North American Specialty Insurance Company F ;m q N "ON By .... ...>� David M.Layman,Vice President of Washington International Insurance Company Wto &Vice President of North American Specialty Insurance Company IN WITNESS WHEREOF,North American Specialty Insurance Company and Washington International Insurance Company have caused their official seals to be hereunto affixed,and these presents to be signed by their authorized officers this I9th day of November —2013 North American Specialty Insurance Company Washington International Insurance Company State of Illinois County of Cook ss: On this 19th day of November ,20 13 before me,a Notary Public personally appeared Steven P.Anderson ,Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and David M.Layman, Vice President of Washington International Insurance Company and Vice President of North American Specialty Insurance Company, personally known to me,who being by me duly sworn,acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. "OFFICIAL SEAL" - - - i�m�vn Q 1 Q�A, DONNA D.SKLENS —mom Notary Public,State of Minois Donna D.Sklens,Notary Public My Commission Expires 10/06/201 S 1, Jeffrey Goldberg , the duly elected Assistant Secretary of North American Specialty Insurance Company and Washington International Insurance Company,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North American Specialty Insurance Company and Washington International Insurance Company,which is still in full force and effect. IN WITNESS WHEREOF,I have set my-hand and affixed the seals of the Companies thi�day of ,rn((A C_t,,20 t Jeffrey Goldberg,Vice President&Assistant Secretary of Washington International Insurance Company&North American Specialty Insurance Company Page 1 of 2 A Search > NORTH AMERICAN SPECIALTY INSURANCE COMPANY NORTH AMERICAN SPECIALTY INSURANCE COMPANY General I Contact I Licensing I Appointments I Complaints I Orders I Ilational Info I Ratings I Tax Filings Back to Search General information Contact information Name: NORTH AMERICAN SPECIALTY INSURANCE Registered address Mailing address COMPANY 650 ELM ST 650 ELM ST Corporate family group: SWISS RE GRP Whatis MANCHESTER, NH 03101- MANCHESTER, NH 03101- this? 2524 2524 Organization type: PROPERTY Telephone Telephone WAOIC: 965 603-644-6600 603-644-6600 NAIC: 29874 Status: ACTIVE Admitted date: 03/08/1985 Ownership type: STOCK back to tpp Types of coverage authorized to sell Wlhat i5 this' Insurance types ICasuar Ity ;Disability j Marine !Ocean Marine Property Su rety I ;Vehicle ^back to top Agents and agencies that represent this company (Appointments) VV hat I s t h l 51 View agents View agencies ^back to top Company complaint history That is this? View complaints ^back to top Disciplinary orders 2008-2015 No disciplinary orders are found The orders posted here are unverified electronic duplicates of the official orders actually entered. To be certain you have the official version of the order as entered, request a hard copy from Renee Molnes at 360-725-7047 or http://www.insurance.wa.gov/consumertoolkit/Company/CompanyProfile.aspx?WAOIC=965 4/3/2015 A.M. Best's Consumer Insurance Information Center Page 1 of 1 A.M. Best's - Member Center.Loa In I Sign Uo Need Coverage? How Does Your Insurer Rate? State Insurance Information Find insurers by state or coverage type. Enter a Company Name ( � Select a State v Consumer Home I Terms to Know Why a Best's Rating is Important I Contact Us Life&Retirement © Health&Disability 0 Car&Home ® Other Life Events North American Specialty Insurance Co Print this page (a member of Swiss Re Ltd) AM Best rt 01866 NAIC k 29874 FEIN S 02-0311919 Address: 650 Elm Street Phone 603-644-6600 Manchester,NH 03101-2524 Fax. 603-644-6613 UNITED STATES Web: www swissre com Best's Ratings View Definition Need More information? Financial Strength Rating: A+ v Purchase an Insurer report,complete with Outlook: Stable rating history,market share and a list of titive Effective Date: November 06,2014(Affirmed) Viecomw peSample insurers for$9 95. Report Financial Size Category XV($2 Billion or greater) Licensing: The company is licensed in the District of Columbia,Puerto Rico and all states. Top Line(s)of Business(based upon Direct Premiums Written) 1 Surety/(View Definition) 2. Other Liability(Occurrence)(View Definition) 3 Inland Marine(View Definition) 4. Other Liability(Claims-made)(View Definition) 5. Ocean Marine(view Defimtion> Top State(s)of Business(based upon Direct Premiums Written) 1 Texas 2. New York 3. Connecticut 4. California 5 Florida Visit our NewsRoom for the latest News and Press Releases for this company and its A.M.Best Group Terms of Use All Information provided on the A.M.Best website,including but not limited to text,data,ratings,reports,Images,photos,graphics,and charts is owned by or licensed to A.M.Best Company and is protected by United States copyright laws and international treaty provisions.A.M.Best and its licensors retain all copyright and other proprietary rights to the website content. 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A M Best Worldwide Headquarters,Ambest Road,Oldwick,New Jersey,08858,U S.A. http://www3.ambest.com/Consumers/CompanyProfile.asi)x?BL=36&ambnum=001866&PP... 4/3/2015 I� BOND IN LIEU OF RETAINAGE (Retainage Borid -RCW 60.28) Bond No. 2193628 KNOW ALL PERSONS,BY THESE PRESENTS, THAT STAN PALMER CONSTRUCTION! v1.08.SW Nixon Loop, Bremerton, WA 98312 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 North American Specialty Insurance Company a corporation organized under the laws of the State of New Hampshire 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 e5h"'day of r i , 201.5, the Principal executed 'Contract No. 14-19 with the CITY for Project Numbers CP1118 and 1% Auburn Way South Pedestrian Improvements, Dogwood Street to Fir Street and Auburn Way South Corridor Improvements, Fir Street toy Hemlock Street; and WHEREAS, said contract and RCW 60.28 require the .CITY to withhold from 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 RCW 60.28,and all contract obligations.aTe: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. MIS: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 1 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' we're covered by this bond and released by the CITY prior to resumptiorrof actual witholding. 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. A. 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 subje6fto 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 releasethe 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 earhOd .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 23—day of March , 2015.. PRINCIPAL: Stan Palmer Construction, Inc. 5108 SW Nixon Loop Bremerton, WA By: igna re of A orized Representative) Thomas Abplana p, sr. Vice—President PrintlType Name Retainage Bond Page 2 of 3 North American Specialty SURETY: Insurance Company By:_ ��; (Signature of Attorney in-Fact for Surety') Karen Swanson,Attorney-in-Fact (Typed Name of Attorney-in-Fact) Dated March 23, 2015 Local Agent Name; Phone, & Address Propel Insurance P. O. Box 2940 Tacoma, WA 98401 (253)759-2200 CITY OF AUBURN: Accepted By: ,I j %-� Inge s irector-of Engineering Services/City Engineer Dated: 'lid 20!5 Approved as to for r1j Da ' I B. Hei , City Attorn *This bond must be accompanied by a fully executed Power of Attorney appointing the Attorney-in-Fact before it becomes effective. Retainage Bond Page 3 of 3 NAS SURETY GROUP NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS,THAT North American Specialty Insurance Company,a corporation duly organized and existing under laws of the State of New Hampshire,and having its principal office in the City of Manchester,New Hampshire,and Washington International Insurance Company,a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Schaumburg,Illinois,each does hereby make,constitute and appoint: ERIC A.ZIMMERMAN,ANNE E.STRIEBY,CHRISTOPHER KINYON,JENNIFER L.SNYDER,KAREN SWANSON,JAMIE DIEMER, JAMES B.BINDER,PETER J.COMFORT,PEGGY A.FIRTH,KYLE HOWAT,JULIE R.TRUITT,CARLEY ESPIRITU and BRENT HEILESEN JOINTLY OR SEVERALLY Its true and lawful Attomey(s)-in-Fact,to make,execute,seal and deliver,for and on its behalf and as its act and deed,bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies,as surety,on contracts of suretyship as are or may be required or permitted by law,regulation,contract or otherwise,provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of: FIFTY MILLION($50,000,000.00)DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on the 9th of May,2012: "RESOLVED,that any two of the Presidents,any Managing Director,any Senior Vice President,any Vice President,any Assistant Vice President, the Secretary or any Assistant Secretary be,and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds,undertakings and all contracts of surety,and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is FURTHER RESOLVED,that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond,undertaking or contract of surety to which it is attached." ������G`\ALITY j��i�ji�� �nymnmuwurn�e riQ.GpPPOq,�^`f'G/� �1�tP O[DNS X By S L :n= S[cscn P.Anderson,Senior Vice President of Washington International Insurance Company SEALy =S.1*Z 1973 rarjQ g &Senior Vice President of North American Specialty Insurance Company O•' m 'fib y?� l: By David M.Layman,Vice President of Washington International Insurance Company at &Vice President of North American Specialty Insurance Company IN WITNESS WHEREOF,North American Specialty Insurance Company and Washington International Insurance Company have caused their official seals to be hereunto affixed,and these presents to be signed by their authorized officers this I9th day of November 2013 . North American Specialty Insurance Company Washington International Insurance Company State of Illinois County of Cook ss: On this 19th day of November ,20 13 ,before me,a Notary Public personally appeared Steven P.Anderson ,Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and David M.Layman, Vice President of Washington International Insurance Company and Vice President of North American Specialty Insurance Company, personally known to me,who being by me duly sworn,acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. "OFFICIAL SEAL" DONNA D.SKLENS Notary Public,State of Illinois Donna D.Sklens,Notary Public My Commission Expires 10/0612015 1, Jeffrey Goldberg , the duly elected Assistant Secretary of North American Specialty Insurance Company and Washington International Insurance Company,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North American Specialty Insurance Company and Washington International Insurance Company,which is still in full force and effect. IN WITNESS WHEREOF,I have set my hand and affixed the seals of the Companies this -3 day of ,20 Jeffrey Goldberg,Vice President&Assistant Secretary of Washington International Insurance Company&North American Specialty Insurance Company Page 1 of 2 * Search > NORTH AMERICAN SPECIALTY INSURANCE COMPANY NORTH AMERICAN SPECIALTY INSURANCE COMPANY General I Contact I Licensing I Appointments I Complaints I Orders I National Info I Ratings I Tax Filings Back to Search General information Contact information Name: NORTH AMERICAN SPECIALTY INSURANCE Registered address Mailing address COMPANY 650 ELM ST 650 ELM ST Corporate family group: SWISS RE GRP wbatis MANCHESTER, NH 03101- MANCHESTER, NH 03101- this' 2524 2524 Organization type: PROPERTY Telephone Telephone WAOIC: 965 603-644-6600 603-644-6600 NAIC: 29874 Status: ACTIVE Admitted date: 03/08/1985 Ownership type: STOCK back to top Types of coverage authorized to sell What,sths' !Insurance types (Casualty FDisability Marine !Ocean Marine i Property Surety _ !Vehicle i back to top Agents and agencies that represent this company (Appointments) what is this? View agents View agencies ^back to top Company complaint history what is this? View complaints ^back to top Disciplinary orders 2008-2015 what,isthis? No disciplinary orders are found The orders posted here are unverified electronic duplicates of the official orders actually entered. To be certain you have the official version of the order as entered, request a hard copy from Renee Molnes at 360-725-7047 or http://www.insurance.wa.gov/consumertoolkit/Company/CompanyProfile.aspx?WAOIC=965 4/3/2015 Page 2 of 2 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 N,hat is this? 2014 2013 2012 2011 2010 ^back to top .......... ...top information on insurance companies Want more information about this company? The NAIC's Consumer Information (CIS) page allows you to retrieve national financial and complaint information on insurance companies, plus has information and tips to help you understand current insurance issues. back to top Ratings by financial organizations The following organizations rate insurance companies on their financial strength and stability. Some of these companies charge for their services. A.M. Best Weiss Group Ratings Standard and Poor's Cor Moody's Investors Service Fitch IBCA, Duff and Phelps Ratings J ^back to top hUp://www.insurance.wa.gov/consumertooIkit/Company/CompanyProfile.aspx?WAOIC=965 4/3/2015 A.M. Best's Consumer Insurance Information Center Page 1 of 1 A.M. Best's ° = �p 'UP Member Center:Loa In I Sian Uo Need Coverage? How Does Your Insurer Rate? State Insurance Information Find insurers by state or coverage type Enter a Company Name l=l Select a State v Consumer—Ho 1me Terms to Know i Why a Best's Rating Is Important I Contact Us Life&Retirement © Health&Disability Q Car&Home ® Other Life Events North American Specialty Insurance Co lQ Print this pace (a member of Swiss Re Ltd) AM Best#01866 NAIC#29874 FEIN#02-0311919 Address: 650 Elm Street Phone: 603-644-6600 Manchester,NH 03101-2524 Fax 603-644-6613 UNITED STATES Web www swissre com Best's Ratings View Definition Need More information? Financial Strength Rating: A+ Purchase an insurer report,complete with Outlook: Stable rating history,market share and a list of competitive Insurers for$9.95. Effective Date: November 06,2014(Affirmed) View Sample Report Financial Size Category XV($2 Billion or greater) Licensing: The company is licensed in the District of Columbia,Puerto Rico and all states Top Line(s)of Business(based upon Direct Premiums written) 1 Surety(View Definition) 2. Other Liability(Occurrence)(View Definition) 3. Inland Marine(View Definition) 4. Other Liability(Claims-made)(view Definition) 5. Ocean Marine(View Definition) Top State(s)of Business(based upon Direct Premiums written) 1 Texas 2. New York 3 Connecticut 4. California 5. Florida Visit our NewsRoom for the latest News and Press Releases for this company and its A.M.Best Group. 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A.M.Best Worldwide Headquarters,Ambest Road,Oldwick,New Jersey,08858,U.S.A http://www3.ambest.com/Consumers/CompanyProfile.aspx.BL--36&ambnum—001866&PP... 4/3/2015 Client#: 129059 PALMSTAN6 ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 03/26/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Kim Kleindl Propel Insurance PHONE FAX Tacoma Commercial Insurance C,Lo, Ex1:800 499-0933 ac,No): 866.577.1326 1201 Pacific Ave,Suite 1000 ADDRESs: kmk @propelinsurance.com Tacoma,WA 98402 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Zurich-American Insurance Compa 16535 INSURED INSURER B:Navigators Insurance Company 42307 Stan Palmer Construction, Inc. Indian Harbor Insurance Company 36940 5108 SW Nixon Loop INSURER C; P Y INSURER D,Travelers Indemnity Company of 19046 Bremerton,WA 98312 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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. LTR TYPE OF INSURANCE NSR WVD POLICY NUMBER MM/DDY� MMIDID�YY LIMITS • GENERAL LIABILITY X X GLA557141302 7/31/2014 07/31/201 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $300 000 CLAIMS-MADE �OCCUR MED EXP(Any one person) $10,000 X PD Ded:$2,500 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY F X PECOT- LOC $ • AUTOMOBILE LIABILITY X X GLA557141302 07/3112014 07/31/201 COMB SINGLE LIMIT (Ea accident) $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE X HIRED AUTOS Ix AUTOS Per accident $ B — UMBRELLA LIAB X OCCUR SE14EXC7895921V 07/3112014 07/311201 EACH OCCURRENCE $10000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 DED I I RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY GLA557141302 07131/2014 07/31/201 WCSTATU- X OTH- ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N WA Stop Gap E.L.EACH ACCIDENT $1,C100.0 00 OFFICER/MEMBER EXCLUDED? ❑ NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E .DISEASE-POLICY LIMIT 1$1,000,000 C Pollution Liab PECO04179001 7/31/2014 07/31/201 $2MM/$4MM/$10K Ded D Leased &Rented QT6605006X287TIA14 07/31/2014 07/31/201 $350,000/$1,000 Ded Equipment DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) RE: Contract#14-19: Project#CP1118& CP1119-Auburn Way South Pedestrian Improvements City of Auburn, Puget Sound Energy,CenturyLink, Comcast,and Muckleshoot Indian Tribe are additional insureds per the attached endorsements. This cancels and replaces certificate dated 3/23/15. CERTIFICATE HOLDER CANCELLATION City of Auburn SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 25 West Main St ACCORDANCE WITH THE POLICY PROVISIONS. Auburn,WA 98001-4998 AUTHORIZED REPRESENTATIVE -3z, A- -4 ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S 1687196/M 1462635 KM K00 This page has been left blank intentionally. GLA557141302 Additional Insured —Automatic — Owners, Lessees Or ZURICHO Contractors Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff.Date of End. Producer No. AWL Prem Return Prem. 07/31/2014 07/31/2015 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured: Stan Palmer Construction,Inc. Address(including ZIP Code): This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. Section If—Who Is An Insured is amended to include as an additional insured any person or organization whom you are required to add as an additional insured on this policy under a written contract or written agreement. Such person or organization is an additional insured 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 or "your work" as included in the "products-completed operations hazard",which is the subject of the written contract or written agreement. However,the insurance afforded to such additional insured: 1. Only applies to the extent permitted by law;and 2. Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds,the following additional exclusion applies: This insurance does not apply to: "Bodily injury", "property damage" or"personal and advertising injury" arising out of the rendering of, or failure to render,any professional architectural, engineering or surveying services including: a. The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the'occurrence"which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional architectural,engineering or surveying services. U-GL-1175-F CW(04/13) Page 1 of 2 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. GLA557141302 C. The following is added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit of Section IV — Commercial General Liability Conditions: The additional insured must see to it that: 1. We are notified as soon as practicable of an "occurrence"or offense that may result in a claim; 2. We receive written notice of a claim or"suit"as soon as practicable; and 3. A request for defense and indemnity of the claim or"suit" will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this coverage be primary and non-contributory. D. For the purposes of the coverage provided by this endorsement: 1. The following is added to the Other Insurance Condition of Section IV — Commercial General Liability Conditions: Primary and Noncontributory insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured provided that: a. The additional insured is a Named Insured under such other insurance;and b. You are required by written contract or written agreement that this insurance be primary and not seek contribution from any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.b.of the Other Insurance Condition of Section IV—Commercial General Liability Conditions: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same"occurrence", offense, claim or"suit". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by a written contract or written agreement to provide coverage to the additional insured on a primary and non- contributory basis. E. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured. F. With respect to the insurance afforded to the additional insureds under this endorsement, the following is added to Section III—Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the written contract or written agreement referenced in Paragraph A.of this endorsement; 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. All other terms and conditions of this policy remain unchanged. U-GL-1175-F CW(04/13) Page 2 of 2 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. Waiver Of Subrogation (Blanket) Endorsement ZURICH Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff.Date of End. Producer AWL Prem Return Prem. GLA557141302 07/31/2014 07/31/2015 Propel Insurance $ $ THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part The following is added to the Transfer Of Rights Of Recovery Against Others To Us Condition: If you are required by a written contract or agreement,which is executed before a loss,to waive your rights of recovery from oth- ers,we agree to waive our rights of recovery. This waiver of rights shall not be construed to be a waiver with respect to any other operations in which the insured has no contractual interest. U-GL-925-B CW(12/01) Page I of 1 Stan Palmer Construction, Inc. POLICY NUMBER GLA557141302 COMMERCIAL GENERAL LIABILITY CG 25 03 05 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction Projects): A GENERAL AGGREGATE LIMIT APPLIES TO EACH CONSTRUCTION PROJECT WHERE THE NAMED INSURED IS PERFORMING OPERATIONS HOWEVER, A GENERAL AGGREGATE LIMIT DOES NOT APPLY TO ANY CONSTRUCTION PROJECT WHERE THE NAMED INSURED IS PERFORMING OPERATIONS THAT ARE INSURED UNDER A WRAP UP OR ANY OTHER CONSOLIDATED OR SIMILAR INSURANCE PROGRAM. Information required to complete this Schedule if not shown above will be shown in the Declarations. A. For all sums which the insured becomes legally 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 expenses shall reduce the Designated for all medical expenses caused by accidents Construction Project General Aggregate Limit under Section I—Coverage C,which can be for that designated construction project Such attributed only to ongoing operations at a single payments shall not reduce the General designated construction project shown in the Aggregate Limit shown in the Declarations nor Schedule above: shall they reduce any other Designated I. A separate Designated Construction Project Construction Project General Aggregate Limit General Aggregate Limit applies to each for any other designated construction project designated construction project, and that limit shown in the Schedule above_ is equal to the amount of the 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 the most we will pay for the However, instead of being subject to the sum of all damages under Coverage A,except General Aggregate Limit 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 Construction Project completed operations hazard", and for General Aggregate Limit medical expenses under Coverage C regardless of the number of: a. Insureds; b. Claims made or"suits"brought; or c. Persons or organizations making claims or bringing"suits". CG 25 03 05 09 Q Insurance Services Office, Inc., 2008 Page 1 of 2 ❑ A,"rl ram, Stan Palmer Construction, Inc. GLA557141302 B. For all sums which the insured becomes legally C. When coverage for liability arising out of the obligated to pay as damages caused by "products-completed operations hazard"is "occurrences"under Section I—Coverage A,and provided, any payments for damages because of for all medical expenses caused by accidents 'bodily injury"or"property damage"included in under Section I—Coverage C,which cannot be the"products-completed operations hazard"will attributed only to ongoing operations at a single reduce the Products-completed Operations designated construction project shown in the Aggregate Limit, and not reduce the General Schedule above: Aggregate Limit nor the Designated Construction I. Any payments made under Coverage A for Project General Aggregate Limit_ damages or under Coverage C for medical D. If the applicable designated construction project expenses shall reduce the amount available has been abandoned, delayed, or abandoned under the General Aggregate Limit or the and then restarted, or if the authorized Products-completed Operations Aggregate contracting parties deviate from plans, blueprints, Limit,whichever is applicable; and designs, specifications or timetables, the project 2 Such payments shall not reduce any will still be deemed to be the same construction Designated Construction Project General project. Aggregate Limit E. The provisions of Section III—Limits Of Insurance not otherwise modified by this endorsement shall continue to apply as stipulated. Page 2 of 2 0 Insurance Services Office, Inc_,2008 CG 25 03 05 09 Coverage Extension Endorsement ZURICH. Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff.Date of End. Producer No. Add'I.Prem Return Prem. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Business Auto Coverage Form Motor Carrier Coverage Form A. Amended Who Is An Insured 1. The following is added to the Who Is An Insured Provision in Section II—Covered Autos Liability Coverage: The following are also"insureds": a. Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow for acts performed within the scope of employment by you. Any "employee" of yours is also an "insured" while operating an "auto" hired or rented under a contract or agreement in an "employee's" name, with your permission,while performing duties related to the conduct of your business. b. Anyone volunteering services to you is an "insured" while using a covered "auto" you don't own, hire or borrow to transport your clients or other persons in activities necessary to your business. c. Anyone else who furnishes an "auto"referenced in Paragraphs A.1.a.and A.1.b.in this endorsement. d. Where and to the extent permitted by law, any person(s)or organization(s)where required by written contract or written agreement with you executed prior to any "accident", including those person(s) or organization(s) directing your work pursuant to such written contract or written agreement with you, provided the "accident" arises out of operations governed by such contract or agreement and only up to the limits required in the written contract or written agreement, or the Limits of Insurance shown in the Declarations,whichever is less. 2. The following is added to the Other Insurance Condition in the Business Auto Coverage Form and the Other Insurance—Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Form: Coverage for any person(s) or organization(s), where required by written contract or written agreement with you executed prior to any"accident",will apply on a primary and non-contributory basis and any insurance maintained by the additional "insured"will apply on an excess basis. However, in no event will this coverage extend beyond the terms and conditions of the Coverage Form. B. Amendment—Supplementary Payments Paragraphs a.(2) and a.(4) of the Coverage Extensions Provision in Section II — Covered Autos Liability Coverage are replaced by the following: (2) Up to $5,000 for the cost of bail bonds (including bonds for related traffic law violations) required because of an "accident"we cover. We do not have to furnish these bonds. (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day because of time off from work. U-CA-424-F CW(04-14) Page 1 of 6 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. C. Fellow Employee Coverage The Fellow Employee Exclusion contained in Section 11—Covered Autos Liability Coverage does not apply. D. Driver Safety Program Liability and Physical Damage Coverage 1. The following is added to the Racing Exclusion in Section II—Covered Autos Liability Coverage: This exclusion does not apply to covered "autos" participating in a driver safety program event, such as, but not limited to, auto or truck rodeos and other auto or truck agility demonstrations. 2. The following is added to Paragraph 2. in the Exclusions of Section III — Physical Damage Coverage of the Business Auto Coverage Form and Paragraph 2.b. in the Exclusions of Section IV — Physical Damage Coverage of the Motor Carrier Coverage Form: This exclusion does not apply to covered "autos" participating in a driver safety program event, such as, but not limited to, auto or truck rodeos and other auto or truck agility demonstrations. E. Lease or Loan Gap Coverage The following is added to the Coverage Provision of the Physical Damage Coverage Section: Lease Or Loan Gap Coverage In the event of a total 'loss"to a covered "auto",we will pay any unpaid amount due on the lease or loan for a covered "auto", less: a. Any amount paid under the Physical Damage Coverage Section of the Coverage Form; and b. Any: (1) Overdue lease or loan payments at the time of the'loss'; (2) Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage; (3) Security deposits not returned by the lessor; (4) Costs for extended warranties, credit life insurance, health, accident or disability insurance purchased with the loan or lease; and (5) Carry-over balances from previous leases or loans. F. Towing and Labor Paragraph A.2.of the Physical Damage Coverage Section is replaced by the following: We will pay up to $75 for towing and labor costs incurred each time a covered "auto"of the private passenger type is disabled. However,the labor must be performed at the place of disablement. G. Extended Glass Coverage The following is added to Paragraph A.3.a.of the Physical Damage Coverage Section: If glass must be replaced, the deductible shown in the Declarations will apply. However, if glass can be repaired and is actually repaired rather than replaced, the deductible will be waived. You have the option of having the glass repaired rather than replaced. H. Hired Auto Physical Damage—Increased Loss of Use Expenses The Coverage Extension for Loss Of Use Expenses in the Physical Damage Coverage Section is replaced by the following: Loss Of Use Expenses For Hired Auto Physical Damage, we will pay expenses for which an "insured"becomes legally responsible to pay for loss of use of a vehicle rented or hired without a driver under a written rental contract or written rental agreement. We will pay for loss of use expenses if caused by: U-CA-424-F CW(04-14) Page 2 of 6 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. (1) Other than collision only if the Declarations indicate that Comprehensive Coverage is provided for any covered "auto'; (2) Specified Causes Of Loss only if the Declarations indicate that Specified Causes Of Loss Coverage is provided for any covered"auto'; or (3) Collision only if the Declarations indicate that Collision Coverage is provided for any covered "auto". However,the most we will pay for any expenses for loss of use is$100 per day,to a maximum of$3000. 1. Personal Effects Coverage The following is added to the Coverage Provision of the Physical Damage Coverage Section: Personal Effects Coverage a. We will pay up to$750 for"loss"to personal effects which are: (1) Personal property owned by an"insured'; and (2) In or on a covered"auto". b. Subject to Paragraph a.above,the amount to be paid for loss"to personal effects will be based on the lesser of: (1) The reasonable cost to replace;or (2) The actual cash value. c. The coverage provided in Paragraphs a. and b. above, only applies in the event of a total theft of a covered "auto". No deductible applies to this coverage. However, we will not pay for'loss"to personal effects of any of the following: (1) Accounts, bills, currency, deeds, evidence of debt, money, notes, securities, or commercial paper or other documents of value. (2) Bullion, gold, silver, platinum, or other precious alloys or metals; furs or fur garments; jewelry, watches, precious or semi-precious stones. (3) Paintings, statuary and other works of art. (4) Contraband or property in the course of illegal transportation or trade. (5) Tapes, records, discs or other similar devices used with audio, visual or data electronic equipment. Any coverage provided by this Provision is excess over any other insurance coverage available for the same'loss". J. Tapes, Records and Discs Coverage 1. The Exclusion in Paragraph B.4.a. of Section III — Physical Damage Coverage in the Business Auto Coverage Form and the Exclusion in Paragraph B.2.c. of Section IV — Physical Damage Coverage in the Motor Carrier Coverage Form does not apply. 2. The following is added to Paragraph 1.a. Comprehensive Coverage under the Coverage Provision of the Physical Damage Coverage Section: We will pay for 'loss" to tapes, records, discs or other similar devices used with audio, visual or data electronic equipment. We will pay only if the tapes, records, discs or other similar audio, visual or data electronic devices: (a) Are the property of an"insured';and (b) Are in a covered"auto"at the time of'loss". The most we will pay for such 'loss" to tapes, records, discs or other similar devices is $500. The Physical Damage Coverage Deductible Provision does not apply to such 'loss". U-CA-424-F CW(04-14) Page 3 of 6 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. K. Airbag Coverage The Exclusion in Paragraph 13.3.a. of Section III—Physical Damage Coverage in the Business Auto Coverage Form and the Exclusion in Paragraph 113.4.a. of Section IV— Physical Damage Coverage in the Motor Carrier Coverage Form does not apply to the accidental discharge of an airbag. L. Two or More Deductibles The following is added to the Deductible Provision of the Physical Damage Coverage Section: If an accident is covered both by this policy or Coverage Form and by another policy or Coverage Form issued to you by us,the following applies for each covered "auto"on a per vehicle basis: 1. If the deductible on this policy or Coverage Form is the smaller(or smallest)deductible, it will be waived;or 2. If the deductible on this policy or Coverage Form is not the smaller (or smallest) deductible, it will be reduced by the amount of the smaller(or smallest)deductible. M. Physical Damage—Comprehensive Coverage—Deductible The following is added to the Deductible Provision of the Physical Damage Coverage Section: Regardless of the number of covered"autos"damaged or stolen,the maximum deductible that will be applied to Comprehensive Coverage for all"loss"from any one cause is$5,000 or the deductible shown in the Declarations, whichever is greater. N. Temporary Substitute Autos—Physical Damage 1. The following is added to Section I—Covered Autos: Temporary Substitute Autos—Physical Damage If Physical Damage Coverage is provided by this Coverage Form on your owned covered "autos", the following types of vehicles are also covered "autos"for Physical Damage Coverage: Any "auto" you do not own when used with the permission of its owner as a temporary substitute for a covered "auto"you do own but is out of service because of its: 1. Breakdown; 2. Repair; 3. Servicing; 4. "Loss';or 5. Destruction. 2. The following is added to the Paragraph A. Coverage Provision of the Physical Damage Coverage Section: Temporary Substitute Autos—Physical Damage We will pay the owner for"loss"to the temporary substitute "auto"unless the "loss"results from fraudulent acts or omissions on your part. If we make any payment to the owner,we will obtain the owner's rights against any other party- The deductible for the temporary substitute "auto" will be the same as the deductible for the covered "auto" it replaces. O. Amended Duties In The Event Of Accident, Claim, Suit Or Loss Paragraph a.of the Duties In The Event Of Accident, Claim, Suit Or Loss Condition is replaced by the following: a. In the event of"accident", claim, "suit" or"loss", you must give us or our authorized representative prompt notice of the "accident", claim, "suit" or "loss". However, these duties only apply when the "accident", claim, "suit" or "loss" is known to you (if you are an individual), a partner(if you are a partnership), a member(if you are a limited liability company) or an executive officer or insurance manager (if you are a corporation). The failure of any U-CA-424-F CW(04-14) Page 4 of 6 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. agent,servant or employee of the "insured"to notify us of any "accident", claim, "suit"or"loss"shall not invalidate the insurance afforded by this policy. Include, as soon as practicable: (1) How, when and where the "accident" or "loss" occurred and if a claim is made or "suit" is brought, written notice of the claim or"suit"including, but not limited to,the date and details of such claim or"suit'; (2) The"insured's"name and address; and (3) To the extent possible,the names and addresses of any injured persons and witnesses. If you report an "accident", claim, "suit" or "loss" to another insurer when you should have reported to us, your failure to report to us will not be seen as a violation of these amended duties provided you give us notice as soon as practicable after the fact of the delay becomes known to you. P. Waiver of Transfer Of Rights Of Recovery Against Others To Us The following is added to the Transfer Of Rights Of Recovery Against Others To Us Condition: This Condition does not apply to the extent required of you by a written contract, executed prior to any "accident" or "loss", provided that the "accident"or"loss"arises out of operations contemplated by such contract. This waiver only applies to the person or organization designated in the contract. Q. Employee Hired Autos—Physical Damage Paragraph b. of the Other Insurance Condition in the Business Auto Coverage Form and Paragraph f. of the Other Insurance—Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Form are replaced by the following: For Hired Auto Physical Damage Coverage, the following are deemed to be covered"autos"you own: (1) Any covered"auto"you lease, hire, rent or borrow; and (2) Any covered "auto"hired or rented under a written contract or written agreement entered into by an "employee"or elected or appointed official with your permission while being operated within the course and scope of that "employee's"employment by you or that elected or appointed official's duties as respect their obligations to you. However,any"auto"that is leased, hired, rented or borrowed with a driver is not a covered"auto". R. Unintentional Failure to Disclose Hazards The following is added to the Concealment, Misrepresentation Or Fraud Condition: However,we will not deny coverage under this Coverage Form if you unintentionally: (1) Fail to disclose any hazards existing at the inception date of this Coverage Form; or (2) Make an error,omission, improper description of"autos"or other misstatement of information. You must notify us as soon as possible after the discovery of any hazards or any other information that was not provided to us prior to the acceptance of this policy. S. Hired Auto—World Wide Coverage Paragraph 7a.(5)of the Policy Period,Coverage Territory Condition is replaced by the following: (5) Anywhere in the world if a covered "auto"is leased, hired, rented or borrowed for a period of 60 days or less, T. Bodily Injury Redefined The definition of"bodily injury"in the Definitions Section is replaced by the following: "Bodily injury" means bodily injury, sickness or disease, sustained by a person including death or mental anguish, resulting from any of these at any time. Mental anguish means any type of mental or emotional illness or disease. U-CA-424-F CW(04-14) Page 5 of 6 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. U. Expected Or Intended Injury The Expected Or Intended Injury Exclusion in Paragraph B. Exclusions under Section 11—Covered Auto Liability Coverage is replaced by the following: Expected Or Intended Injury "Bodily injury" or "property damage" expected or intended from the standpoint of the "insured". This exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or property. V. Physical Damage—Additional Temporary Transportation Expense Coverage Paragraph AA.a.of Section III—Physical Damage Coverage is replaced by the following: 4. Coverage Extensions a. Transportation Expenses We will pay up to$50 per day to a maximum of$1,000 for temporary transportation expense incurred by you because of the total theft of a covered "auto" of the private passenger type. We will pay only for those covered "autos" for which you carry either Comprehensive or Specified Causes of Loss Coverage. We will pay for temporary transportation expenses incurred during the period beginning 48 hours after the theft and ending, regardless of the policy's expiration, when the covered "auto" is returned to use or we pay for its "loss". W. Replacement of a Private Passenger Auto with a Hybrid or Alternative Fuel Source Auto The following is added to Paragraph A.Coverage of the Physical Damage Coverage Section: In the event of a total "loss"to a covered "auto" of the private passenger type that is replaced with a hybrid "auto" or "auto" powered by an alternative fuel source of the private passenger type, we will pay an additional 10% of the cost of the replacement "auto", excluding tax, title, license, other fees and any aftermarket vehicle upgrades, up to a maximum of$2500. The covered "auto" must be replaced by a hybrid "auto" or an "auto" powered by an alternative fuel source within 60 calendar days of the payment of the"loss" and evidenced by a bill of sale or new vehicle lease agreement. To qualify as a hybrid "auto", the "auto" must be powered by a conventional gasoline engine and another source of propulsion power. The other source of propulsion power must be electric, hydrogen, propane, solar or natural gas, either compressed or liquefied. To qualify as an "auto" powered by an alternative fuel source, the "auto" must be powered by a source of propulsion power other than a conventional gasoline engine. An "auto" solely propelled by biofuel, gasoline or diesel fuel or any blend thereof is not an"auto"powered by an alternative fuel source. X. Return of Stolen Automobile The following is added to the Coverage Extension Provision of the Physical Damage Coverage Section: If a covered "auto" is stolen and recovered, we will pay the cost of transport to return the "auto" to you. We will pay only for those covered"autos"for which you carry either Comprehensive or Specified Causes of Loss Coverage. All other terms, conditions, provisions and exclusions of this policy remain the same. U-CA-424-F CW(04-14) Page 6 of 6 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 1 of 2 * Search > ZURICH AMERICAN INSURANCE COMPANY ZURICH AMERICAN 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: ZURICH AMERICAN INSURANCE COMPANY Registered address Mailing address Corporate family group: ZURICH INS 1 LIBERTY PLAZA 165 1400 AMERICAN LN,TWR 1, GRP what Is this? BROADWAY 19TH F ........ . .. .. Organization type: PROPERTY NEW YORK, NY 10006 SCHAUMBURG, IL 60196 WAOIC: 1476 Telephone Telephone NAIC: 16535 847-605-6000 847-605-6000 Status: ACTIVE Admitted date: 06/25/1923 Ownership type: STOCK back to top Types of coverage authorized to sell What is this? Insurance_ types Casualty Disability Marine Property Surety Vehicle ^back to top Agents and agencies that represent this company (Appointments) what5th5 View agents View agencies back to top Company complaint history what is this? View complaints ^: back to top Disciplinary orders 2008-2015 what is this? 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? Our online orders search allows you to search a ten year history of all orders, including enforcement orders, administrative orders, and general orders. ^back to top http://www.insurance.wa.gov/consumertoolkit/Company/CompanyProfile.aspx?WAOIC=1... 4/3/2015 Page 2 of 2 Premium tax filings by tax year What is this? 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. ^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/CompanyProfile.aspx?WAOIC=1... 4/3/2015 A.M. Best's Consumer Insurance Information Center Page 1 of 1 A.M. Best's _, _.O All�Member Center Log In I Sign Up Need Coverage? How Does Your Insurer Rate? State Insurance Information Find insurers by state or coverage type. Enter a Company Name Select a State v ' I Consumer Home I Terms to Know Why a Best's Rating is Important I Contact Us Life&Retirement © Health&Disability Q Car&Home Other Life Events Zurich American Insurance Company 09 Print this page (a member of Zurich Insurance G{oup Ltd) AM Best#02563 NAIC#16535 FEIN#364233459 Address 1400 American Lane Phone: 800-987-3373 Schaumburg,IL 60196-1056 Fax: 877-962-2567 UNITED STATES Web: www zurichna com Best's Ratings View Definition Need More information? Financial Strength Rating: A+ Purchase an insurer report,complete with rating history,market share and a list of Outlook: Stable Affirmed competitive insurers for$9 95. Effective Date. November 26,2014 (Affirmed View Sample Report Financial Size Category XV($2 Billion or greater) I Licensing: The company is licensed in the District of Columbia,Guam,Northern Mariana Islands,Puerto Rico,U S Virgin Islands and all states. Top Line(s)of Business(based upon Direct Premiums carmen) I I 1 Workers'Compensation(view Definition) 2. Other Liability(Occurrence)(View Definition) 3. Auto(Commercial)(View Definition) 4. Commercial Multiple Peril(View Definition) 5. Other Liability(Claims-made)(view oefinition) Top State(s)of Business(based upon Direct Premiums writer) 1 California 2. Texas 3. New York 4. Florida 5. Illinois Visit our NewsRoom for the latest News and Press Releases for this company and its A.M.Best Group Terms of Use All information provided on the A.M.Best website,including but not limited to text,data,ratings,reports,images,photos,graphics,and charts is owned by or licensed to A M Best Company and is protected by United States copyright laws and international treaty provisions.A.M.Best and its licensors retain all copyright and other proprietary rights to the website content Best's Credit Ratings,obtained through any source,may not be reproduced,distributed to Third Parties,or stored in a database or retrieval system in any form for commercial purposes without the prior written permission of the A.M.Best Company All unauthorized use of Best's Credit Ratings or other published information is strictly prohibited By logging into Best's Member Center or accessing this site,you accept and agree to be bound by our complete Terms of Use. --------- -- --------- ---- ---- –-- ---------------- — Customer Service I Product Support I Member Center I Contact Info I Careers About A M.Best I Site Map I Privacy Policy I Security I Terms of Use I Legal&Licensing Copyright©2015 A.M Best Company,Inc.ALL RIGHTS RESERVED. A.M.Best Worldwide Headquarters,Ambest Road,Oldwick,New Jersey,08858,U.S A. http://www3.ambest.com/Consumers/CompanyProfile.aspx?BL=3 6&ambnum=002563&PP... 4/3/2015 Page 1 of 2 }� Search > NAVIGATORS INSURANCE COMPANY NAVIGATORS 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: NAVIGATORS INSURANCE COMPANY Registered address Mailing address Corporate family group: NAVIGATORS GRP what ONE PENN PLAZA 32ND FL 1375 E WOODFIELD RD Is this' SUITE 720 Organization type: PROPERTY NEW YORK, NY 10119 SCHAUMBURG, IL 60173 WAOIC: 84998 Telephone Telephone NAIC: 42307 914-934-8999 847-230-1930 Status: ACTIVE Admitted date: 08/22/1991 Ownership type: STOCK ^back to top Types of coverage authorized to sell whatisth,s? Insurance types Casualty Disability r Marine Ocean Marine I Property Surety Vehicle ^back to top Agents and agencies that represent this company (Appointments) what is this? View agents View agencies back to top Company complaint history what is this? View complaints back to top Disciplinary orders 2008-2015 What is this? No disciplinary orders are found The orders posted here are unverified electronic duplicates of the official orders actually entered. To be certain you have the official version of the order as entered, request a hard copy from Renee Moines at 360-725-7047 or email legal @oic.wa.gov. Looking for other orders? Our online orders search allows you to search a ten year history of all orders, including enforcement orders, administrative orders, and general orders. back to top http://www.insurance.wa.gov/consumertoolkit/Company/CompanyProfile.aspx?WAOIC=8... 4/3/2015 Page 2 of 2 Premium tax filings by tax year what5 h5 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. ^ba...ck.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/consumer,toolkit/Company/CompanyProfile.aspx?WAOIC=8... 4/3/2015 A.M. Best's Consumer Insurance Information Center Page 1 of 1 A.M. Best's EE -,t%x- 4,r A CROW `UP Member Center Log In I Sion UD Need Coverage? �® How Does Your Insurer Rate? State Insurance Information Find insurers by state or coverage type Enter a Company Name F=---] Select a State v Consumer Home I Terms to Know I Wny a Best's Rating is Important I Contact Us Life&Retirement © Health&Disability Q Car&Home ® Other Life Events Navigators Insurance Company Print this page (a member of Navigators Insurance Group) AM Best#01825 NAIC#42307 FEIN#'13-3138390 Address. 400 Atlantic Street Phone: 203-905-6090 8th Floor Fax: 203-658-1823 Stamford,CT 06901 Web: www nave com UNITED STATES Best's Ratings View Definition Need More information? Financial Strength Rating: A Purchase an insurer report,complete with Outlook Stable rating history,market share and a list of Effective Date: June 04,2014 Affirmed Insurers for$9.95 ( ) View Sample Report Financial Size Category XI($750 Million to$1.00 Billion) Licensing: The company is licensed in the District of Columbia,Puerto Rico and all states.It also operates on a surplus lines or non-admitted basis in U S.Virgin Islands.This company Is also licensed in the United Kingdom. Top Line(s)of Business(based upon Direct Premiums Written) 1 Other Liability(Occurrence)(View Definition) 2 Ocean Marine(view Definition) 3 Other Liability(Claims-made)Niew Definition) 4 Inland Marine(View Definition) 5. Auto(Commercial)(view Definition) Top State(s)of Business(based upon Direct Premiums written) 1 New York 2. Other Alien 3. California 4. Texas 5. Washington Visit our NewsRoom for the latest News and Press Releases for this company and its A.M.Best Group. .— ..._---.._.._..._.---._..-----------........................_....... ...___..-_.-_.______._..._ Terms of Use All information provided on the A.M.Best website,including but not limited to text,data,ratings,reports,images,photos,graphics,and charts is owned by or licensed to A.M.Best Company and is protected by United States copyright laws and international treaty provisions A.M.Best and its licensors retain all copyright and other proprietary rights to the website content. Best's Credit Ratings,obtained through any source,may not be reproduced,distributed to Third Parties,or stored in a database or retrieval system in any form for commercial purposes without the prior written permission of the A.M.Best Company All unauthorized use of Best's Credit Ratings or other published information is strictly prohibited By logging into Best's Member Center or accessing this site,you accept and agree to be bound by our complete Terms of Use. Customer Service I Product Support I Member Center I Contact In I Careers About A M Best I Site Map I Privacy Policy I Security I Terms of Use I Lec al&Licensing Copyright©2015 A M.Best Company,Inc ALL RIGHTS RESERVED. A.M.Best Worldwide Headquarters,Ambest Road,Oldwick,New Jersey,08858,U.S.A http://www3.ambest.com/Consumers/CompanyProfile.aspx?BL=36&ambnum=001825&PP... 4/3/2015 rlW"A 777777; 1 M-7-771] T:!;:;!!:f:::::' 7 t 2, �i" _F File Edit Vim Favorites Tools Help X 434Cornnin Select �'2 k, f 34 ADoutUs I flews Members Filing Information I sBrokerelCamers I SLIP Laws&Regulations Education I Links Board of ll.c 4!h. % Home Brokers/Ca­­ L,,-of Am-C..... List of Active Carriers Inclusion on this list does not indicate that the carne,meets the requirement as an appropriate insurer.The Surplus Line Broker is solely responsible for determining the qualsficabons of each carrier Being on this list mews the carner is fecognizeallythe Surplus Line Assocation of Washington and filings by brokers for the tamer wil peauelpledfor ..... examination A B C D j.F_j G Add— ILLINOIS EMCASCO INSURANCE COMPANY 717 MULBERRY MEET DESMOINES,LA50309 v 436 WALNUT STREET J., ILLINOIS UNION INSURANCE COMPANY % PHILADELPHIA,PA 19.1_0.6 v 'V" 11455 EL CAMINO REAL INDEPENDENCE CASUALTY&SURETY COMPANY SAN DIEGO,CA 9213020 41­ "X 705 VENUE FAVIEW INDIAN HARBOR INSURANCE COMPANY DA C't' STAMFOR CT 06902 ji{ ONE SOUTH WACKER DRIVE I INEX INSURANCE EXCHANGE CHICAGO,IL 60606 10 FENCHURCH STREET "W C 0 ANYOFHANNOVERSE INTERNATIONAL INSURAN EC MP LONDON.UK EC3M3BE 33 WEST MONROE STREET INTERSTATE FIRE&CASUALTY COMPANY CHICAGO,IL W603 2ND FLOOR,33 SIR JOHN ROGERSON'S QUAY TRONSHORE EUROPE,LTD. DUBLIN,IE 2 e, SWAN BUILDING,3RD FLOOR IRONSHORE INSURANCE,LTD. "„'e_ HAMILTON,BM HM12 if I 76 FEDERAL S T' TRONSHORE SPECIALTY INSURANCE COMPANY REET BOSTON, 02110 xi vx .. .. 2015 A89oeiefnn�of Wes Resery About Us I News I Mrobers I fAriginfametren j�9mkeht9eF­I SUP 1:1.1.181leg.Lu..I Ed.lation Inks I Boiird.fl)weiti­ He- I D—rltlds I Retlit.r.,I Carter; is A FAQS I dr, fE sii C.rfl..'us, A vt'�, A.M. Best's Consumer Insurance Information Center Page 1 of 1 i I _ . A.M. Best's -. - ..,._ - ,,. _. .. _ -=,rte _ - i1i Member Center:Loq In I Sign Up Need Coverage? ®� How Does Your Insurer Rate? State Insurance Information Find Insurers by state or coverage type. Enter a Company N-7 FM Select a State v I Consumer Home Terms to Know I Why a Best's Rating Is Important I Contact Us Life&Retirement © Health&Disability Q Car&Home 0 Other Life Events Indian Harbor Insurance Company Print this page (a member of XL Group plc) A M.Best#11340 NAIC#35940 FEIN t 06-1346380 Address: Seaview House,70 Seaview Avenue Phone. 203-964-5200 Stamford,CT 06902-0040 Fax* 203-964-0763 UNITED STATES Web. www xlgroup corn Best's Ratings View Definition y= Need More information? Financial Strength Rating A u Purchase an insurer report,complete with rating history,market share and a list of Implication: Negative competitive Insurers for$9.95. Effective Date: January 09,2015(Under Review) p View Sample Report Financial Size Category XV($2 Billion or greater) u Denotes Under Review Best's Ratings Licensing: It also operates on a surplus lines or non-admitted basis in the District of Columbia,Puerto Rico and all states. I Top Line(s)of Business(based upon Direct Premiums Written) 1 Other Liability(Claims-made)(View Definition) 2 Fire(View Definition) 3. Other Liability(Occurrence)(view Definition) 4. Aggregate Write-ins(View Definition) 5. Inland Marine Mew Definition) iTop State(s)of Business(based upon Direct Premiums written) 1 California 2. New York 3. Texas 4. Florida 5. New Jersey r Visit our NewsRoorn for the latest News and Press Releases for this company and its A M Best Group ._..__.........._.._..____----------------- .............................................____.........._---__----------------._........---------......................._..._..._.... . ---`------------------_ ____-------------......._._...__. I Terms of Use All information provided on the A.M.Best website,including but not limited to text,data,ratings,reports,images,photos,graphics,and charts Is owned by or licensed to A.M.Best 1 Company and is protected by United States copyright laws and international treaty provisions.A.M.Best and Its licensors retain all copyright and other proprietary rights to the website content. Best's Credit Ratings,obtained through any source,may not be reproduced,distributed to Third Parties,or stored in a database or retrieval system in any form for commercial purposes i without the prior written permission of the A M Best Company All unauthorized use of Best's Credit Ratings or other published information is strictly prohibited.By logging into Best's Member Center or accessing this site,you accept and agree to be bound by our complete Terms of Use I 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&Licensing Copyright©2015 A.M.Best Company,Inc.ALL RIGHTS RESERVED A.M.Best Worldwide Headquarters,Ambest Road,Oldwick,New Jersey,08858,U.S.A. http://www3.ambest.com/Consumers/CompanyProfile.aspx?BL=3 6&ambnum=011340&PP... 4/3/2015 Page 1 of 2 }I< Search > TRAVELERS CASUALTY INSURANCE COMPANY OF AMERICA TRAVELERS CASUALTY INSURANCE COMPANY OF AMERICA 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: TRAVELERS CASUALTY INSURANCE COMPANY OF Registered Mailing address AMERICA address ONE TOWER SQUARE, Corporate family group: TRAVELERS GRP what stns? ONE TOWER SQUARE 4MN Organization type: PROPERTY HARTFORD, CT 06183 HARTFORD, CT 06183 WAOIC: 9 Telephone Telephone NAIL: 19046 860-277-0111 860-277-0111 Status: ACTIVE Admitted date: 09/20/1977 Ownership type: STOCK back to top Types of coverage authorized to sell What is this? Insurance types Casualty Disability Marine Ocean Marine Property Surety Vehicle ^back to top Agents and agencies that represent this company (Appointments) What,=th5? View agents View agencies ^back to top ............... Company complaint history What is this? View complaints ^back to top Disciplinary orders 2008-2015 Whatisthis? No disciplinary orders are found The orders posted here are unverified electronic duplicates of the official orders actually entered. To be certain you have the official version of the order as entered, request a hard copy from Renee 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. http://www.insurance.wa.gov/consumertoolkit/Company/CompanyProfile.aspx?WAOIC=9 4/3/2015 Page 2 of 2 ^back to top ............. ... Premium tax filings by tax year U,hatisthisl 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. ^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/CompanyProfile.aspx?WAOIC=9 4/3/2015 A.M. Best's Consumer Insurance Information Center Page 1 of 1 A.M. Best's =mom . 4 -_. . _ — -s ilill Member Center Log In I Sign Up Need Coverage? How Does Your Insurer Rate? State Insurance Information Find insurers by state or coverage type. Enter a Company Name FM--1 Select a State v Consumer Home Terms to Know I Why a Best's Rating is Important I Contact Us Life&Retirement © Health&Disability Q Car&Home ® Other Life Events Travelers Casualty Insurance Co of Amer ER Print this page (a member of Travelers Group) AM.Best#04465 NAIC#19046 FEIN 41 06-0876835 Address: One Tower Square Phone: 860-277-0111 Hartford,CT 06183 Fax: 860-277-7002 UNITED STATES Web: www travelers com Best's Ratings View Definition Need More information? Financial Strength Rating: A++ Purchase an insurer report,complete with rating history,market share and a list of Outlook Stable Effective Date: May 23,2014(Upgraded competitive insurers for$9.95. Y ( P9 ) View Sample Report Financial Size Category XV($2 Billion or greater) Licensing: The company is licensed in the District of Columbia and all states. Top Lines)of Business(based upon Direct Premiums Written) 1 Commercial Multiple Peril(view Definition) 2. Auto(Commercial)(\/iew Definition) 3. Workers'Compensation(View Definition) 4. Other Liability(Occurrence)(View Definition) 5. Other Liability(Claims-made)(View Definition) Top State(s)of Business(based upon Direct Premiums written) 1 California 2. New York 3. Texas 4. Illinois 5. Massachusetts Visit our NewsRoom for the latest News and Press Releases for this company and its A.M.Best Group. Terms of Use All information provided on the A.M.Best website,including but not limited to text,data,ratings,reports,Images,photos,graphics,and charts is owned by or licensed to A M.Best Company and is protected by United States copyright laws and international treaty provisions.A M.Best and its licensors retain all copyright and other proprietary rights to the website content. Best's Credit Ratings,obtained through any source,may not be reproduced,distributed to Third Parties,or stored In a database or retrieval system in any form for commercial purposes without the prior written permission of the A.M Best Company All unauthorized use of Best's Credit Ratings or other published Information is strictly prohibited.By logging Into Best's Member Center or accessing this site,you accept and agree to be bound by our complete Terms of Use. Customer Service I Product Support I Member Center I Contact info I Careers About A M Best I Site Map I Privacy Policy I Security I Terms of Use I Legal&Licensing Copyright©2015 A.M Best Company,Inc ALL RIGHTS RESERVED A M.Best Worldwide Headquarters,Ambest Road,Oldwick,New Jersey,08858,U.S.A. http://www3.ambest.com/Consumers/CompanyProfile.aspx?BL=3 6&ambnum=004465&PP... 4/3/2015 t CITY OF AUBURN CONTRACT CHANGE ORDER AGREEMENT NO. 2 Contract No., Project No. and Project Title: Contract #14 -19, CP1118/CP1119 AWS Pedestrian /Corridor Improvements Contractor Name and Address: Stan Palmer Construction 5108 SW Nixon Loop Bremerton, WA 98312 The Contractor is hereby directed to make the changes to the Contract as described herein. This document and all attachments are a supplement to the contract. All work, materials and measurements for the type of construction involved shall be in accordance with the contract documents of the above named project unless stated otherwise in this change order. Summary of Proposed Changes: 1. The contract price of "12 -Inch Water Main Replacement' is re- allocated between bid schedules as indicated in the table below. 2. "Sand Bedding for JUT' is moved from Schedule CP1118 -B to CP1118 -0. 3. The pay item "Asphalt Cold Patch Mix" is added to schedules CP1118 -B and CP1119 -C. 4. The quantities of pay items 60 and 210 are adjusted as shown on the table below. 5. The pay item "Aggregate Subbase" is added to schedule CP1119 -A. 6. The equitable adjustment pay item "Emergency Sewer Repair" is added and shall include all compensation for all costs to repair the damaged 24 -inch sewer main as directed by the Engineer. 7. The equitable adjustment pay items "Power Service Underground - AWS" are added and shall include all compensation for all costs to install underground power and communications service conduits from the service connection point in the City right -of -way to the existing service connection points on the property, as directed by the Engineer. The Contract time is extended by 3 days. Item Sch. Sec. No Item Description Quantity ( + / -) Units Unit Price ($) Total Price ( + / -) Sales Tax (YIN) CO -1 -1 CP1118 -B 7 12 -Inch Water Main Replacement -1 LS LS $ (385,871.75) Y CO -1 -1 CP1118 -B 7 12 -Inch Water Main Replacement (Revised) 1 LS LS $ 158,756.80 Y CO -1 -1 CP1119 -C 7 12 -Inch Water Main Replacement 1 LS LS $ 227,024.95 Y CO-1-41 CP1118 -13 1 8 -32 Sand Bedding for JUT -469 1 CY 3.89 $ (1,824.41) Y CO -2 -1 CP1118 -C 8 -32 Sand Bedding for JUT 469 CY 3.89 $ 1,824.41 Y CO -2 -2 CP1118 -B 5 -04 Asphalt Cold Patch Mix 40 TON 300.00 $ 12,000.00 Y CO -2 -3 CP1119 -C 5 -04 Asphalt Cold Patch Mix 40 TON 300.00 $ 12,000.00 Y 60 CP1118 -A 8 -14 Aggregate Subbase -290 TON 26.00 $ (7,540.00) N 210 CP1119 -A 8 -14 Aggregate Subbase -3 TON 55.00 $ (165.00) N CO -2-4 CP1119 -A 8 -14 Aggregate Subbase (Revised) 950 TON 26.00 $ 24,700.00 N CO -2 -5 CP1119 -C N/A Emergency Sewer Repair 1 Eq. Adj. Eq. Adj. 1 $ 14,000.00 Y CO -2 -6 CP1119 -D N/A Power Service Underground - 3209 AWS 1 1 Eq. Adj. Eq. Adj. $ 5,000.00 Y CO -2 -7 CP1119 -D N/A Power Service Underground - 3210 AWS 1 Eq. Adj. Eq. Adj. $ 5,000.00 Y Subtotal $ 54,905.00 Washington State Sales Tax (9.5 %) on applicable items $ 4,076.45 TOTAL $ 58,981.45 H: \Forms \FCO25.xls (Revised 0512012) �.r CITY OF AUBURN CONTRACT CHANGE ORDER AGREEMENT NO. 2 Contract No., Project No. and Project Title: Contract #14 -19, CP1 1 18/CP1 119 AWS Pedestrian /Corridor Improvements This change order constitutes full and complete compensation for all labor, equipment, materials, overhead, profit, any and all indirect costs, and time adjustment to perform the above described changes. All other costs are non - compensible. All other terms and conditions of the contract remain unchanged. H: \Forms \FCO25.xls (Revised 05/2012) Contractor: Inspector: Project Manager: City Engineer: Approved by: Base Amount Totals incl.Tax 1. Total Cost this C/O $ 54,905.00 $ 58,981.45 2. Total Cost Previous C/O $ 410,746.16 $ 449,767.05 3. Original Contract Amount $ 3,733,047.00 $ 3,785,237.63 4. Revised Contract Amount $ 4,198,698.16 $ 4,293,986.13 This change order constitutes full and complete compensation for all labor, equipment, materials, overhead, profit, any and all indirect costs, and time adjustment to perform the above described changes. All other costs are non - compensible. All other terms and conditions of the contract remain unchanged. H: \Forms \FCO25.xls (Revised 05/2012) Contractor: Inspector: Project Manager: City Engineer: Approved by: BID BOND BOND NO. Bid kNOW ALL MEN BY THESE PRESENTS: That we, Stan Palmer Construction, Inc. , as Principal, (hereinafter called the "Principal"), and North American Specialtv Insurance Com�anv , a wiporation duly organized under the laws of the State of New Ham�shire as Swety, (hereinafter called the "Surety"), are held and finnly bound unto tlie CITY OF AUBURN,Washington, as Obligee, (hereivafter called the "Obligee"), in the sum of FIVE PERCENT (5%) OF TOTAL AMOUNT BID not to exceed Five Percent(5%) of Bid Amount dollars ($5%of Bid Amoun�,for the payment of which sum well and trply to be made,the said Piincipal wu!the said Surety, bind ourselvea, our heirs, executora, administrators, successors and assigns,jointly and severally, fumly by these presents. WHEREAS,the Pcincipal has submitted a bid for AUBIIRN WAY SOUTH PEDESTRIAN IMEROVEMENTS, DOGWOOD STREET TO FIR STREET AND AUBURN WAY SOUTH CORRIDOR IMPROVEMENTS, FIR STREET TO HEMLOCK STREET, Nos. CP1118 and CP1119, 14-19 NOW THEREFORE, if the Obligee shail accept the bid of the Principal and the Principal shall enter into a conh�act with the Obligee in accordance with the terms of such bid and give such bond or bonds as may be spec�ed in the bidding or contract doomnents with good and sufficient surety for the faithful perfocmance of such contract and for the proper payment of labor aitd material in the prosecution thereof, or in the event of the failwe of the Principul to enter into such contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amowu for wliich the Obligee may in good faith contract with another party to perform the work covered by said bid, then this obligation shall be null and void, othercvise to remain in full fome and effect. SIGNED, SEALED AND DATED THIS 3 DAY OF March ,20 15 Stan Palmer Construction, Inc. Namc of Con7actor �/ ned by Principal North American Specialty Insurance Company �Surety Name !�/•��l�.- :)�l.�t/.Ii'1�- _.r Signed by Surety Karen Swanson Attorney-in-Faci NASSURETY GROUP NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY GENERAL POWER OF ATTORNEY KNO W ALL MEN BY"CHESE PRESENTS,THAT North American SpecialTy Insurance Company,a corporation duly organized and exis[ing under laws of[he State of New Hampshire,and having its principal office in the Ciry of Manchester,New Hampshire,and Washingron In[emational Insurance Company,a wrporation organized and existing under the laws of the State of New Hampshire and having its principal office in the Ciry of Schaumburg,Illinois,each does hereby make,constimre and appoint: ERIC A.ZIMMERMAN,ANNE E.STRIEHY,CHRISTOPHER KiNYON,JENNIFER L. SNYDfiR,KAREN SWANSON,7AMIE DIEMER, JAMES B.BINDER,PETER 7.COMFORT,PEGGY A.FIRTH,KYLE HOWAT,NLIE R.TRUITT,CARLEY ESPIffiTU and BRENT HEILESEN JOINTLY ORSEVERALLY Its true and lawful Attorney(s)-in-Fact,to make,execute,seal and deliver,for and on its behalf and as its ut and deed,bonds or other writings ob(igatory in the nature of a bond on behalf of each of said Companies,as surery,on contracts of sureryship as aze or may be requircd or pem�itted by law regulation,wntract or othen+�ise,provided that no bond or undertaking or contract or sureryship exewted under[his authoriry shall exceed the amount of: FIFfY MII.LION(550,000,000.00)DOLLARS This Power of Attdmey is ganted and is signed by facsimile under and by the authoriry of the following Resolutions adopted by the Boards of Direcrors of both North American Specialty Insurance Company and Washington Intemational (nsurance Company at meetings duly called and held on the 9ib of May,2012: `RESOLVED,that any two of the Presiden[s,any Managing Director,any Senior Vice President,any Vice PresidenL any Assistant V ice President, the Secretary or any Assistant Secretary be,and each or any of them hereby is authorized[o execute a Power of Attomey quglifying the attorney named in[he given Power of Attorney to execute on behalf of the Company bonds,undertakings and all contracts of surery,and that each or any of tfiem hereby is authorized to attest to the execution of any such Power of Attomey and to attach therein the seal of the Company; and it is FURTHER RESOLVED,that the signature of such officers and the seal of the Company may be�xed to any such Power of Attomey or ro any certificate relating themto by facsimile,and any such Power of Attomey or certificate beanng such facsimile signatures dr facsimile seal shall be bindipg upon the Company when so affixed and in the future with regazd to any bond,undertaking or contract of surety to which it is attached." ���jy�i 'di3����'�lp��� SION�t� � ,�°��,;�= By ����;j,.. jS� :�c SlevenP.Antlerwn,SeniorVimRplEen[ofWu41ng1oninmrnnlo�ullmor�viceComp�ey 2! ���� �t� 1Y75 •n &Senior Vlee Pmideot of NOM Ame�inn Speelelty Ineunna Compmy O: S 79 �s�,N��p� r: 4p�"�^�_A....�..r' R� 1 My�i�r "�nlNlliRl�"� ���yw//.�- .��� ��•••••"'� D BIJ M.Layman,Vlce PreelEmrof Weehin�on intemellonel Ineunnee Comp�ny * &Viee Praldmt of Narth Ammnn Specfelry Imm�nee Compmy M WI'INESS WHEREOF North American Specialty Insurance Company and Washingron Inremational Insurance Company have caused their official seals to be hereunto affixed,and these presents to be signed by their authorized officers thist�day of November �Zp 13 North American Specialty Insurance Company Washington[nternational Insurance Company State of Illinois Counry of Cook ss: On this 1`�day of November zp t 3 before me,a Notary Public personally appeared Steven P.Anderson Senior Vice President of Washington International Insurance Company and Senior Vice Presidnnt of North American SpecialTy Insurance Company and David M.Layman, Vice Presiden[ofWashington Intemational Insurance Company and Vice Presiden[of North American Specialty Insurance Company, personally known to me,who being by me duly swom,acknowledged that they signed the above Power of Attomey as officers of and acknowledged said instrument to be the voluntary act and deed of[heir respec[ivz companies. �(� ro�c�nt.seat.^ l�l�v,u+ st/. ,�,�...o DONNA D.SIQ,ENS Nara"ryPnblie,SweoPWinois DonnaD.Sklens,NotaryPublic M'C�L irtalON6I2015 I, leffrev Goldbere . the duty elected Assistant Secretarv of North American Specialty Insurance Company and Washingron Intemational Insurance Company,do hereby certify that�6z aL•uve and foregoing is a true and correct copy of a Power of Attomey given by said North American Specialty Insurance Company and Washington In.eanatio�a;!nsurance Company which is still in full force and effect. IN WITNESS WHEREOF [have set my hand and affix��!�he::e21s ofthe Companies this�day of ��,,�.� 20 �S: ,��.�-���-- , JetTrey Galdberg,Nce Pmn�dent&Aaeiatant Secmery of Weehiny�on Imameuond Inmrana Compeny&North Americen Specielry Imumnce Compeny am soxn norro rro. B�a i I{NOW ALL MEN HY T}IESE PRESLNTS: Thnt wc, R W Scott Construction Co. � as AtinciPaL (heroivaft�r called the "Principal"), and Fidelity and Deposit Company of Maryland , a cocporatioe duly otgazrized under the lawe of tbe State of Marvland as 3urety, (hereinaRer calied the "Surety'�, are held and firmly bound unto the CITY OF AUBURN, Wasiriugton, es Obligee, (hereinaCtier called tl�e "Obligee'�, in the sum of FIVE PERCENT (5%) UF TOTA.L AMOUNT BID not co exceed .Five Percent(5%)of Bid Amount dollazs ($5%of Bid ),For tlae payment of wl�ich eutn well and Wly to be made,the said Pti»cipul und tl1E said 9urety biRd oiarselves, oin•luir8, erecutors, admini.atratora, auecessors and aesig�s,joinUy and aeverally,fimtly by Chese presants. WHEREAS,the Principal has sulimitted a bid for AUBiiRN WAY SOUTH YEDESTRIAN IMPROV�M�NT6, DOGWOOD STREET TO FIR STREET AND AIIBURN WAY SOLTTH CORRIDOR IMPROVEMENTS, FIR 5TREET TO HT,Mi.(1CK STRT,F.T,Nos. C`.P111 R nnd C:P1119, 1419 NOW TIiEREFORE, i!•'Ute Obligee shxll uccept the bid of the Principal atul tl�e Principal shall enter into a coatraci with die Obligae in uccorclat►ce with the terms oCsuch bid and give auch bond ar bonds as may be specifiad in the biddiug a coim•act doeuments with good and sufficienC surety for the faitl�i'vl perFonnatce of such contract uid for the propar payment of )abor and material in the prosei,vtion thereof, or in tlie evmt of the failure of the Pruuipal to ent�r i�rto such oontract and give such bond or bonds, if the Prineipal shall pay m 4he Obligee the difference not to exceed the penalty hereof between the ambucR specified in said bid and such large�• amount for which the Obligee uaay in good faith cocrtraat with another party to perform the work aovered by said bid then this obligation sliall be null and void, otherwise to remain in full force and effect. SICtN�D, SEALED ANA DATED THIS 3rd DAY OI March ,20 15 R.W. Scott Constmction Co. Name of Con¢•act ��t " - S�qned by Prineipal Fidelity and Deposit Company of Maryland Nsm e Sigu Sucery Jennifer Snyder Attorney-in-Fact Psge 29 Bid Ebnd prpvided to Builders Exchange of WA, Inc. For usage Condifions qgreement see www bxwa.eom Alwayc Venry Scale ZURICH AMERICAN[NSURANCE COMPANY COLONIAL AMERICAN CASOALTY AND SURETY COMPAIYY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW AI.L MEN BY THESE PRESENTS.That the ZURICH AMERICAN INSURANCE COMPANY,a cotporetion of the Stare of New York,the COLONIAI.AMERICAN CASUALT'Y AND SURETY COMPANY,a corporetion of the State of Maryland,and the F[DELITY AND DEPOSIT WMPANY OF MARYLAND a corporation of th,e State of IvIaryland (herein collectivety called the "Companies"), by THOMAS O. MCCLELLAIV, Viee President, in pdrsuance of authoriry granted by Article V Secfion 8, oF the By-Laws of said Companies,which are set forth on the revecse side hereof and are hereby certified to be in full force and effect on[he date hereof,do hereby nominate,constitute,and appoint Eric A.ZIMMERMAN>Cynthia L.JAY,Karen SWANSON,Jeonifer SNYDER�ulie R TRUITT, Peggy A. FIRTH,C6ristopher KINYON,Jamie DIEMER, Carley ESPIItITU aqd Mandy ICELTNER,all of Taeoms,Washingtou, EACH its hve and lawful agent and Attomey-in-Fact,to make,execute,seal and deliver,for,and on its behalf as surery,and as its act and deed: any and ell bonds and uodertakings, and the exeo6tion of such bonds or undertakings in pursuance of these presrnts, shall be as binding upon said Companies, as fully and amply,to all intenu and purposes, as if Ihey had been duly executed and acknoivledged by the regulazly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York. the regulazly elected officers of the COLONIAL AMERICAN CASUAL7'Y AND SURETY COMPANY at its office in Owings Mills,Maryland. and the regularly elected officers of the FIDELII'Y 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 h"ereunto subscribed his/her names and affixed the Coiporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAI. AMERICAN CASUAI.TY AND SURETY COMPANY, aod FIDELITY A1VD DEPOSIT COMPANY OF MARYLAND,this 13th day of Januazy,A.D.2015. p�EST ZURICH AMERICAN INSURANCE COMPANY COLOMAL AMERICAN CASUALTY AN11 SURETY COMPANY FIDELITY AND DEPOSIT COMPAIYY OF MARYLAND ���'16 C���s ��a/d'a�+'e`-m� �BAL � � " 7oj �d�� '� � ���"`�� �.�'�„��� ` -w,.:w+�" ,� ,�, ,� � � ���'.� � Viee President SeCrelary Thomas D McC(e[Jan Eric D.Barnes State of Maryland County of Baltimore Oo Uvs 13[h daY of lanuary,A.D.2015,before the suburiber,a Notary Public of tht State of Maryland,duly commissioned and qual�fied,THOMAS O. MCCLELLAN,Viee President,end ERIC D.BARNES,SecrMary,of[he Companies,to me personally known to bc[he individuals aod officers descrt6ed in apd w6o exxu[ed the prxed�ng instnunen�.and acknowledged tMe execuuon of samc,and bcing by me duly swom,deposeth aeid saith,that hdshe is t6e said offica of[he Company aforesaid,and dut the seals affized to Ihe preceding insln+mm[atc Ihe Coryorate Seals of said Companies,and tha[the said Co�porzte Seals aod the signaNre as sucfi officer w�re duly affixed and subscrtbed to tt�e said inshvment by the auti�oriry ind d'vecdon of the said Corporations. QJ'CESTIMONY WHEREOF (6ave hereunro set my hand and aRued my O�cia15ea1 the day and year first above writtrn. `,anunp�� �t�11.1�.��/i� ``�1l01/y,��Y[ ���,a � ' ,(( \ �,. ����/ it���..,114�p� / '� " L� /����iii�il������ Mari3 D.Adamskt.Notary Public My Commission Ezpircs:]uly 8,20I5 POA-F 180-2&49C , am soNn BOPrD NO. Bid kNOW ALL MEN HY TI3E3E PTtE5ENT3: 'Ihat wc, Miles Resources LLC _� ac Principal. piereinaftar called the "Principal"), and Libertv Mutual Insurance Companv , a corporetion dWy organized under the Iswe of tbe State of IVlassachusetts as Surety, (heceinafter ealled the "Surety"� are held and firmly bound unto the CTTY OF AUBURN,Washiagton,av Obligee. (hereinafter called tl�e "Obligee�, in the sum of FIV'E PERG'�NT (5°k) UF TOTA.L AMOUNT SID not fo exceed Five Percent(5%)of'Bid Amount dollazs (S5%of Bid Amount),for tlas payment of wUich ewT1 well and trnly to be made,the said Pmicipnl a»d the said 3wtity, bitid outse)ves, ow•I�eirs, eaecrxtors, 8dR11A151Y9tOL8� 6LICCl9AOf6 wtd aesigns,jointly and aeverally,finnly by chese presents. WHEREAS,the Principal has submitted a,bid for AUBLTRN WAY SOUTH PEDESTRIAN IMYROVEA2�NTS. DOGWODD STREET TO FIR 5TREF�T AND AiTBL1RN WAY SOIITH CORRIDOR IMPROVEMENTS, FIR 5TREET TO HT11?TAC'K STRr.F.T,Nos. C'P171R nnd C:P1119, 1419 NOW THEREFORE, if tlie Obligee shall uceept the bid of tlte Ptincipal and the Prineipal shall mter into a cosrtraat with the Obligae in accordance with the teinis of sncb bid and give such bond or bonds as may be spec�ed in the biddiug or coirtraict documents with good and sufFieient surety for the faitlaful perfonnance of such contract and for the propar payment of labor and rnaterial iia the prosewtioa thareof, or in the evmt of the failure of U�e Prnuipal to enter i�rto such aontrad and give such bond or bonds, if fl�e Principal shall pay to Ehe Obligee the difference not to exceed 8�e penaity hereof betwesn the amount specified in said bid and such Lazga• amouut for whicli the Obligce may in good faith contract with anarthar party to perfo►m the work coveced by said Uid, then this obligation shall be nu.11 and void, otherwise to remain in ful] force and effect. SIGNLD, SEALED ANA DATED THiS 3rd DAY OF March ,20�_ Miles Resources C N n o tracta SignedbyPrinciyalMichael Tollkueuhn Operations Manager Libert .Mutual Insurance Com an 0 7 Siput Svn�ey Jennifer L. Snyder, Attorney-in-Fact Page 29 Bid f3ond provided !o Builders FxcAange of WA, Ina For usape Canditions P,greement see www.bzwa.aom-Always Veriry Seale •THIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND. tfhis Power of Attarney limits Ma acls of thoae named herein,and they have no authority tc bind the Company except in the manner and to the eztent Certficat�e No. seoEsao Amencan Fire and Casually Company LibeAy Mutual Insurance Company The Ohio Casualty Insurance Company West Amencan Insurance Company POWER OF ATTORNEY KNOWNALL PERSONS BYTHESE PRESENTS: ThelAmerican Fire&Casualry Company and The Ohio Casuatty Insurance Company are corporations duly organizetl underthe laws of ihe State of New Hampshire,thal Libehy Mulual Insurance Company is a coryoretion duly organized undertha laws of the Slate of Massachusetls,and VJest Amencan Insurance Company is acorporeUon duty organ¢ed under Ihe laws of the Stale o(Indiana(trerein colledively called the"Companies").pursuenl to and by sulhority harem set foAh,does hereby name.canstiWle and appoin�, Bar6ara A.Johnson�Brent E Heilesen�Carle Es intu�Chnsto her Kin on C thia l.Ja �Diane M.Hardin �Enc A.�Zimmertnan Jake O'a�James B.Binder;Jamie Diemer Jeffre L Zimmerman:Jenniter L Sn der Julie R.Troitt�Karen Swansorc Kellie Ho an�Knstine A.Lawrence: Lisa M.Anderson,Mand Keltner,Mitchell R.Smee:Pe A.Firth;Peter J.Comfort:Sandra J.Kulseth;W ntrene Mace - all of the city of Tacoma ,stale of wn exh individually if there be more than one named,i4s tr�e and lawful atlomey-io-fect to meke,execute,seal,acknowledge and deliver,kr and on its 6ehelf as surery and as its ect and deed,any end all undetlakings,bonds,recogmzances end other surety o61iga6ons,in pursuance of these presents and shall 6e es bmding upon lhe Companies as if they lieve 6een duly sgned by the president end attested by the secretary of the Companies in Iheir ovm proper persons. IN WITNESS WHEREOF ihis Power of Attomay haz been subscribed 6y en authorizeC offcer or official of the Companies and the coryorale seals of the Companies have been affixed T �Ite2to ihis Bth day Of December , 2�14 Amencan Fire and Casuatty Company � � ` The Ohio CasuaAy Insurance Company �+ . m " Uberry Mutual Insurance Company � r I; ' - � WestAmencan Insurance Company � � y . � ey: .� a, � " David M.Care ,Assistanl SecreWry � = STATE OF PENNSYLVANIA ss � COUN7YOFMON7GOP�frRY C � O � On this Btn day ot�December 2oi,a hefo2 me Dersonally appeared Davul M.Carey, who acknowledged himselt to be the Assistant Secretary of Amencan Fire and v y o� Casuatty Company.LibeAy MAual Inwrance Company,The Ohw Casualry Insurence Company,and West Americmi Insurence Company,arM Mat he,as such,being authonzed so ro do, � ��'� execule ihe foregoing insWmeM for ihe purposes Uerein contained by signing on hehelF of ine�corporations by himself as a duly auUwrized oRicec � E ��� IN WITNESS WHEREOF I have hereunto subscribed my neme and alFxed my notenal seal at Plymouth Meeting.PannsyNania,on�ay anC yesr first above wMlen Z 0- i � I �� a�t • 7 �� O .'O ` By: r� � y � Terosa Past011a Notery Public gf C � � S � . O � � . � io �'�. ; � a � �« " i : ip This Power of Attomey is made and executed pufsiiaritto aod by,aulhorily of the folbwing By-Wxs and AulhorizaUons ofAmerican Fire and CaweNy Company,The w nsurance L o0 p�`„ Company,Libehy MuWsl I�urance Company:�d:West Amencen Inwrance Company wh�ch resolNions are now in full(orce and eNect reading es(oibws: ...w o m MTICLEIV-OFFICERS-Sectionl2 PowerofAttomeyAnyo�icerorMherofficialoflheCoryora6onaNhonzedlonhat0uryoseinv+rilingbytheChaimanorthePresident,andsubject O � p�; m sueh limiledon as the Charman or the Pres�dent mey p2scribe.shell appomt such ffilomeYs-i�facl,es mey be neeessary to act m behalf of Ihe Corporalion to make,ezeate,seal, '�� )= acknmvledge and deliver as surety eny and all undertakings,bonds,�ewgniianees an0 other surety obliga6ons. Such allomeys-io-fact,wbjea to the Ifmitations set fohh in their respeetive �p - y powers of allomey,shall haye full power ta bind the Coryoranon by their signature and ezecWon of any such Ins6umen4s and to attach fhereW the seel of the Coryaration. When w � j` ezeculed,sueh mslmmants shall be es binding es if signed by the President end atlested fo hy the Secretary.Any power or authority granted to eny represemative or adomaydn-fect under >� � T tl�e provisions of this aNcle may be rewked at any lime by the Boartl.Ihe Chelrtnan,the PresideM or by the officer or officers granting such power or authority. «N e c �CLE XIII-Execulion of Contracts-SECTION 5.Su�ety Bonds and UrideAakings.Any otficer of the Company aulhonzed for thal purpose in writing 6y the charman or Ihe president, E N > m and subject to such IimilaWns as 1he chairman or me p2sident may D��be,shell appoim such attomeys-in-fact,as may be necessary to ea in beheN of llie Company b make,e:ecute. iy j � seel,acknwAetlge and defrver as surely any end all undertakings,bonds,recogni:ances and other surety obligelions. Surh atlomeys-in-fe;.t su6ject to the IimAations set foAh in Neir O o � c� reypective poweis of atlomey.shall haue full power to bind fhe Co�eny by their signalure and execulion ot any such ins6umenl5 and to attach�hereto me seal of Ihe Campany. When�so ��„ ezecuted such insWments shall tie as binding az if signed by the p25ident and adested by Ihe sec�etary. F� Certilicate oi Designation-The Pres�dent of the Company,ac6ng gursueM to ihe 8ylaws of the Company,aulhonzes Dayid M.Carey,Assistant Secretary to appoiM wch attomeys-in- fxt as may be,necessary to acl on behalf of Ne Company to make,ezecule,seal,acknoyAedge and deliver as surety any and ell undertakings,6onds,recognizaxes and other surety obligalions. Authorization-By unanirtrous wnsenl oNhe Compan�s Board of Direclors,the Company consents that facsimile or mechamcally reproduced signeture of any assistant secietary of the Company,wherever appeanng upon a ceAified copy of any power of ellomey issued hy the Compar�y in conneclion wilh surety honds,shall be valid and binding upon Ihe Company qAth Iha same fort;e azM eftect as thotigh manually affized. I,Gregory W.Da+renport,me undersigned,AssistaM Seuetary,of American Fire end Casually Company,The Ohio Cawalty Insurance Company,LibeAy Mutual Insurance Company.aM Nkst American Inwrdnce Company do hereby ceNly Nat the onginal power of etlomey of which Ihe foiegoirig is a full,We and correcl copY of the Power of Ariomay executed by said Companies,is in lull force aiM eHect and has not heen revoked. � /! / ' IN TESTIMONY WHEREOf I have hereunM set rtry hand and affixed Ihe se@Is of said Companies Mi's-�YG� day of � �^� ��!j-6'1 20� _ _..... ey: ��� i � Grepory W.Davenport,AssisWnt SecreWry 294 ot 500 LMS 12873 122013 'r sm soNn IIUND 1�10. eid IiNOVJ ALL MEN BY THE3E PRES�NTS: lltat•4ue, DPK Inc � as Ptincipal. (hereinaFter called tlie "Principal"�, and Travelers Casualty and SureN Companv of America- > a cmpoi'etiotl duly otgaz�ited wtder the lawe of tbe State of Connecticuf as Surety, (he[einafi;er called the "Suraty"), are held ead fumly bound unto the CITY OF AVBURN, Washingtoo, as Obligee, (heroinnfter called tl�e "Obligee'�, in the sum of FIVE YERCENT (5%) OF TOTAI. AMOUNT SID not to excaed Five Fercent(5%1 of Bid Amount dollsu9 ($5°�ot sid nmount ),for tlae paynnert of.�vl�ich aum we11 and tmly to be made,the said Principul nnd dze said 9ur�ty.Ui�ad ourselves, ow�!�e'va, e�ecutors,administ'rators, Sl7CCGyNOY6 atd aseigns,joiafly and severa]lq,fsrnlly by Yhese presents. WHEREAS,.the Priucipal has submitted a bid for AUBURN WAY SOUTH PEDESTRIAN INIPROVEII�NT9, DOGWOOD BTREET TO FIR $TREET AND ALi$URN WAY SOUTIi CORRIDOR IMPROVEMENT5, FIR STRFET 'CU }iF,Mi.00K STRT,F.T,Noc_CP711 R smd C:P1179, 1419 NOW 1TiEREFORE. if tlie Obligee shall accept the bid of tlte Principal and the Principal shall enter into a wqRraot wittl tlie Obligae in accordance with the terms of such bid and give xueh bond or bonds as may be specified.in the bidding dr eoKtract documents with good and suffieieat aurety for the faitt�fiit perfo�mance of such contract and for the proper paymant of labor and material in the prosecutioa thareo£ or ia the event of the failure of lfie Principal to enter into snch eonh-act and give such boad or honds.if the Principal shall pay oo the Obligee the difference not to racceed the penalty hereof between the emou[tt spe�ed in said bid and such larger amowit for which Uae Obligee may i� good f�ith conuact with another party to pnrform the work covered by said bid,then this obligation slis�ll be nulL and void, otherwise to remain in fu.11 force snd effect. SIGNCD, SEALED ANA DATED'IHIS 3rd DAY OF March ,20 15 DPK, Inc. Name of ConC�actor � �L� ' .. Si b Prineiyal Travelers Casualty and Surety Company of America 5 !j Nn e � - arley Espiritu d�'Y S� Attorney-in-Fact Page 29 Bid Elond Provided!o Builders Exchange of WA, Ina For usa9e Co�diSons qqreement see www.bxwa.eom Alvrays Veriy Seale WARNING:THIS POWER OF ATTORNEY IS INVALIO WITHOUTTHE RED BORDEF POWER OF ATTORNEY '�TRAVELERS J� Fermington Casualty Company St.Paul Mercury Innurance Compnny Fidelity and Guaranty Insurance Company 71�avelers Wsualty and Surety Company Fidelity and Guaranty Insurance OnHerwriters,Inc. Travelers Casualty and Surely Company of Americe SL Paul Fire and Marine Insurence Company United S[ates Fideli[y and Guurenty Company St.Paul Guazdian Insurance Company Attorney-In Fact No. Cer[ificate No. O O C����O��4 228904 KNOW AI.L b1EN BY THESE PRESENTS That Furmm�ron Casualty Company, St. Paul Fae and Manne htswunce Compuny, SL Paul Guardinn losurance Compuny,St. Paul Mercury Insuranre Company,Travelers Casuulry and Surery Cnmpany,Travelers Casualry and Surety Company of America,and Uni[ed States Fidehty and Guazanty Company aze corporations duly organized under[he laws of[he Sm[e of Connec[iwt, Ihat Fideliry and Guaranry Insurance Company is a corporation duly organized under the laws of the S[are of lowa,and tha[Fidehty and Gu:u'anty Insurance Underwri[erx,Inc. is a corporat�on duly organized unAer the laws of the Stare of W�sconsin(herein collectively called[he 'Comp�nies'),and[ha[the Compames do here6y make,constinrte and appuin! Karen Swanson,Brent E.Heilesen,Peter J.Comfort,]ennifer L.Snydey Julie R.Truitt,Christopher Kinyon,Jamie Diemer,and Carley Espiritu of the City of TgCOma .S[ate of Washington [heir tme and lawful A[torney(s)-in-Fac[, each in[heir separa[e capu�ty if more than one is named above,ro sign,ezecute,seal and acknowlzdge any and all 6on�s,recognizances,condi[ional un�enakings anJ othek writings obligamry in the nature thereof on behalf of the Compames in[he�r business of guaranteeing the 5deliry of persons,guaranteeine the performance of convacts and exewnn�or guaran[eemg bonds and undertakin�s required or permi[[ed in any uctions or proceedings allowed by law. IN�VITNESS WHEREOF the Companies have caused th�s mstrumenLm be si�ned and[he'v ro�porete seals ro be herem affixed,this �4� day of lanuary 2015 '� Farming[on Casualty Company SL Paul Mercury Insurance Company Fidelity and GuaranTy Iasurance Company 'h�avelers Casualty and Surety Company Fidetity and Guaranty Lisurance Underwd[ers,Inc. Travelers Casualty and Surety Company of America St.Paul Fire and biarine Insurance Company Uni[ed States Fidelity and Guaranty Company SL Paul Guardian Insurance Company u�-"I.En"a ���^ .�T �-�'r I...� x:c0"__V t� JO�^ ��� �Ay�� GI.SV�� � '� ' Q�i...�.,G,4 J�1x 9. JT�T L ✓CiNfIY 4 � � 6 n �OMIFD o.Pon�r�.'m a vonar ^ IUR1faW � �ri= 0 7sn � coxx. s onn. e � ess , > s �957 �% o ::SE0.Lj�o^ ���.�58AL:� e° 6"a . nN 45nxca �lS.AN� ,�ID.._.. 'y �4 � 5[ate of Connzctsut BY — Ci[y of HaRford 55. Roben L Raney, cmoi Vice Prcviden[ On[his the 14th d.ry of 7a11Uarv 2015 before me personally appemed Robert L Raney,whu acknowledged himself ro be the Senior Vice President of Fartnin�mn Cas'ualty Company, Fidelity and Guaranty Insurance Compan}'.Fldelity and Guaranry Insumnce Unde�u�ritzrs,Inc Se.Paul Fire and Marine Inmrance Company,SL Paul Gu:vdian Inmrance Company,SL Paol Mercury Insurance Company,Travelrrs Cawalry;md Surery Company,Travelen Casualty and Surery Company of Amarica,and Um[ed Stares Fidelity and Guaranty Company,and that he,as such.6eing authonzed ao to do,exewted[he forzemng insmiment fur[he purposes therem cont:tinzd by signmg on behalf of thz coiporations by himself as a duly authorizeJ officer. aT� �('Rc�n�.� C ���5�' In�Yitness{�-hereof,l hereun[o se[my hand and o�c�al seaL '� �� hly Commusion ezpires the 30th day of lune,2016. t p(����� T1une C.Rtrcnuh.Notary Public 58440-8-12 Printed in U.S.A. WARNING:THIS POWER OF AT70RNEV IS INVALID WITHOUTTHE RED BORDER \• r sYn sorrn BOlYD 1�T0. Bid KNOW ALL MEN BY THESE PRESLNTS: Ihnt we, Active Constcuction Inc. � � ���P�l• (hereinaftnr catled flie "PzincipaP'), snd Libertv Mutual Insurance Companv , a cotpotation duly organized uader the lawa of tbe State of Massachuseus as Surety, (hereinafter callad the "Surery"�, are held aad firmly bound uato the CIT.Y OF AUBLiRN, Washington, as Obligee. (hereinaf�ter called Uie "Obligea'�, in the sum of FIVE PERC�NT (5%) UF TOTA.I. AMOUPIT SID not to exceed Five Percent(5°/ql of Bid Amount d011al9 ($5%of Bid Amount),for tlaa payu�ent of wl�ieh eum well and truly to be m�de,the said Principul aud th@ said 9w•�ty. bind ourselvEs, ow heira, eaecutors, administraWra, auceessors vzd assip�s,joinUy and severally,fitmly by these presents. WHEREAS,the Pri�iciUal has submitted a bid for AUBITRN WAY SOU'fH PEDESTRIAN IMPROVEMCNT6, DOGWOOD STREFT TO FIR STREET AND AIIBURN WAY SOLTTA CORRIDOR IMPROVEMENTS, FIR STRFE7' TO HT,Mi.ACK STRT,F.T,Nos. C'P111 R and C:Pt 119, 1419 NOW THEREFORE. if tlte Obligee shall aecept the bid of the Principal at�d tlie Principai sliall eater iato a comvzet with Uie Obligee in accordattce with the te�ms of such bid and give such bond or bonds as may-be syecifiad in the biddiug or corttract documents witli good �iid suffieienl• surety for the faitl�ful perfoimance of sucli contract and for the propar paymant of labor ar�d material ua the prose�vtion ther0of, or in the event of the failure of t'he Prnuipsl to enter irrto such oonb-act and give such bodd or bonds.if ffie Principal shall pay to the Ob]igee the difference not to exceed the penalty hereof between the amount apecifed in said bid and such lazge�• amowtt for whicli tt�e OUlagce �auy in good,faith corstract with ahothm• party to perform the wock covered by said bid,then this obligation sliall be null and void, otherwise to remain in full foroe and effect. SIGNED, SEALED AND DATED THIS 3rd DAY OI' March .20y�_ Active Construction, Inc. Name af Con¢•actor /"��,�--� Siqned by Prineiyal Libert MutuaLInsurance Company Sive ame 5igac " Surery Jennif r L. Snyder Atto;ney-in-Fact Page Z9 Bid Bond Prowded to Builders Exchange of WA, �na For usaye CandiBons qgreement see www bxwa.eom Always Venly5cale ', THIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND. 7 This Power of Altorney Iimlts the acts of those named herein,and they have no authority to bind lhe Coriipany exeept in the manner and to the ealeM C rt fi at�e No 680Gfi0B American Fire and Casualty Company Liberty Mutual Insuronce Company The Ohio Casualfy Insurance Company West American Insurance Company POWER OF ATTORNEY KNONM ALL PERSONS BY THESE PRESENTS: Thai American Fi2&Casuatty Company and The Ohio Cawelry Insurznce Company are coiporalions duly or9arnzed under�he laws of ihe Stale of New Hampshire,ihet Liberty MNual Insurance Company is a wrporaUon duly oryanized underthe lews of the State of Massachusetts,and Wesl Amencan Insurance Company is e corporaGon duly organized underthe laws of the Stffie of Indiana(herem collectively called tl�e"Companies"),pursuaM to end by eWwriry herein set foAh,does hereby name,consfilNe e�appo�M, Barbara A.Johnson�Brent E Heilesen�Cade Es iriM Chnsto her Kin on�C nihia L Ja �Diane M.Hardin �Eric A.Zimme7marc Jake O'a�James B.Binder Jamie Diemer Jeffre l.Z�mmerman�Jennifer L Sn der Julie R.Truitt�Karen Swanson�Kallie Ho an Knstine A.Lawience� Lisa M.Andersbn'Mand Keltner.Mitcfiell R.Smee;Pe A.Firth,Peter J.Comfortl Sandre J.Kulseth�W ntrene Mace all otth"e city of Tacoma ,state of wn each individually A Ihere be more than one named.ds We and lev,ful altomey-in-facl to make,execute,seal,acknowledge and deliver,for and on its behelF as surety and as i!s acl and deed,any and all undertakirigs,bonds,racognizances and other wrety ob6ga6ons,in pursuence of ihese p2sems and sAall be as bindinq upon the Compenies as if lhey have been duly signed by the presiden)and attestad by the secretary of Me Companies in Iheir ovm proper persons. IN WITNESS WHEREOF Ihis Pov+er of Atromey has been subscnhed by an autlwrized otficer or official of the Companies and ihe corporate seals of the Companies have been affixed T �hereto mis em day of Decem6er , Z��4 American Fire and Casualty Company � " �� The Ohio CasuaAy Insurance Company y � Liberty Mutual Insurance Company � -� West mencan Insurance Company y /� 3 N� � ^ , By: ..w , ( . _ _ y ---- Daoid M.Cara ,assis'lant Secrewry � � STATE OF PENNSYLVANIA ss c _� QOUMY OF MONTGOMERY R o tim Onthis Bth dayof December , zoia , before me personally appeared David M. Cerey,who ecknowledged himseH to be the Assistant Secretery of Amencan Fi�e end �y � ur Casualry Company,Liberry A�LWaI Insurence Company,The Ohio Casualry Insurence Company,and Nkst Art�ericen Inwrmice Company,and thffi he,as such,being authorized so to do, � p� execute Ihe toregomg inshumeM(or ihe pu�poxs therein contaned by signing on behaH of Ihe coryora6ons by himseM as a duty aulhorized olficec = `oa d � IN WITNESS WHEREOF I have hereunto subxribed myneme and affixed my notadal seal at Plymouth Meeting,PennsyNania,on the day eM year first abode vmtten. Q� �� � . � �� �< ?� 7 � q B �,(i1GQ.t) ��- O a - _. ' ' . Y. Teresa Pastella Notary Public p`��� d O — o o, E � � � cd q This PowerotAriomey is made and ezaculed puisuaMio arid by,eiAhoriry of Me folbw�ng By-lav+s andAulhaize6ons ofAmancan Fre end Casuatty Company,The Ohio CasuaAy Insurance �n o0 m; Company,Liberty Mulual Insurance Compeny.andWestAmerican Insurance Compeny which resoluhons are now in full fou end eHect reading as follows: «� r W�i qRTICLEIV-OFPICERS-Sectionl2.PowerofAdomey.AnyofficerorotherofficieloNheCoryoreOonauthodzedkrMffipurposeinwritingbytheChairtnanorthePresident,andsubjecl O c. Td �,�m„ to such IimilaUon as the Cheirman or Me Presdent may presaiba,shall appoim such atlomeYsin-fact,as mey tie necessary lo act f�behalf of the Corporahon to meke,ezecute,seal, _ O C xknowledge end deliver as surety anY aod all urMartakings,bonds,recognizances and other surety obfiga�ore. Such allomeys-in-facl,subjeclto the limitabons set foM in iheir respecLve �o� E � powers of attomey,shall have full power to bind the Coiporetion by their signeture and ezecNion of any such instrumeMs eod to attach Ihemto Ihe seal ot the Coryorelbn. Whan so R m �R ezewled,such inswme_nts shall be as binding as if signed by Ihe President end altested lo by the Secretmy.�Any power or aWhoriry grented lo any representetive or attomey-in-facl under >o ,0 T the pm�sbns of this aAicle may 6e revoked al sny lime by the Board,the Chaiman,tlie Pres�tleM or by the olficer or officars grantiug such power or authority. y-V � AFtTICLE XIII-Execution of Cornracts-SECTION 5 Swaty Bonds and Underlakings.Any officer of Ne Company aiRiwrired for that purpOse in vmGng by tlie charmen or Ihe p25ident, £N « ` and subjed to such limitatians as ihe eheinnen a ihe p25idenl may prescribe,shall appoint such ellomeys-i�rfecl,es may De necessary to ec1 in behalf of the Company lo make,execule. ��,.� p � seal.ecknovAedge and deliver az surety eny arid all undertakiigs,bonds,recognizences end other suiety o611gaUons. Such euomeysJn-facl subject ta the Ilmilatlons set foRh in Iheir �o Z v 2specllve powers o(attomey,shall heve full powerto bind the Compariy by Iheir signaWre and exewfion of any such insWmants and to aq�h ihe2ta the seal of the Company. Nfien so r� ezecuted such mstrumertls shali be as bmding as if signed by the president end attesled by the sec2lery. . CeruFleate oi Daignatlon-The Prasident of the Company,ecting pureuaM to Ne Bylaws ot the Company,authonzes David M.Carey,AssistaM Secretary to appoim such attomeys-io- fact as may ba necessa�Y to acl on behalf of fhe Company to make,ezecule,seal,acknowledge end deliver as surety eny end all undeRekings,bonds;recognirances end other surety ohGgalbns. AuthorlxaUon-By unanimous consent of ihe Company s Board of Directors,the CompanY consents that facsimle or mechanically reproduced sgnalu2 of any assistaM sec2tary of the CompanY.wherever appeering Opon a ceelfied copy of any power of ettomey issued by the Company in wnnection wilh surery bonds,shall be velid and bmding upon the Compeny wilh Me sama force and eRecl as Ilwugh manualy atfized. I,Gregory W.Davenport,ihe uMersigned.AssislaM SecietmY.o�Ame^can Fire and Casualty Company.The Ohio CasuaXy Insurance Company,LibeAy MuWal Insurance Co�any,and Nkst Amencan Insurance Company do hereby ceAdy ihat Ihe origmal power of edomey of which the fo^9oing is a full,hue and conecl copy of the Power of Attomey execuled by said Companies,is in tull hrce and eHecl and has not been 2voked. �1 ; � , ! /S IN TESTIMONY WHEREOF I ha�e he2unto set my hand and affuced ihe seals of said Companies this�Y�"' day of �M�/�� ��•7 Z� _ ,�__ , - �7'�""'�_y's�. 1 ey: I � Grepory W.Daaenport,Amsfant Secretary I i s I " I i I 302 of 500 LMS 12973_122013 , 0 � .`? G CITY OF AUBURIV CONTRACT CHANGE ORDER AGREEMENT NO. I Contract No., Project No.and Project Title: Cont�2ct#14-19, CP1118/CP1119 AWS Pedestrian/Corridor Improvements Contractor Name and Address: Sten PeImB�COnSt�UCtiOn 5108 SW Nixon Loop Bremerton, WA 98312 The Contractor is hereby directed ro maAe the changes[o the Contract as dcscribed herein. This document and all atYachments are a supplement m�he contract. All work materials,mee.wrements and unit bid priees for the type of construction imolvcd shall be in accordance with the eontract documents of the above named project unless stated otherwise in this change order. Summary of Proposed Changes: 1. The lump sum payment item "12-Inch Water Main ReplacemenY' is added to the Contract and includes full payment for all labor, equipment, and materials for constructing the water main improvements shown as redlines on the attached Sheets UT-1 and UT-2, except payment for the following work items that will be paid under separate bid items: Traffic Control Labor, Pipe Zone Bedding and Backfill, CDF for Pipe Abandonment, Potholing, Shoring, Adjusting Valve Boxes, Connection to the existing water main at approximately Station 203+32, HMA, and Temporary Cold Mix. Z. Various contract quantities are adjusted to account for items that are included or excluded from the"12-Inch Water Main Replacement" payment item. 3. The payment item "5/8-Inch Minus for Pipe Bedding and Select Backfill" is added to the Contract and shall be measured per ton of bedding and select backfill that is furnished and placed for the water main pipe, fittings, and services. 4. The payment item "CDF for Filling Abandoned Water Pipe" is added to the Contract and shall be measured per cubic yard of controlled density fill that is furnished and placed in abandoned water main pipe. 5. The payment item "Sand Bedding for JUT" is added to the Contrect and shall be measured per ton of"Joint Trench Pipe Zone Bedding, Including Haul" that is measured and paid and shall be full payment for the incremental cost of furnishing and installing sand instead of the gravel backfill for bedding that was originally specified. 6. Additional working days are added to the contract to allow for the water main replacement work. The Contract time is extended by 30 dey5. Sales ►tem Sch. Sec. No. I[em Description Quantity Units ��nit Price Total Price Tax (+/-) ($) (+/-) (�'/N) CO-1 CP11'18-B 7 12-Inch Water Main Replacement 1 LS LS $ 385,87175 Y 5/8-Inch Minus for Pipe Bedding and Select CO-2 CP�118-B 7 Backfll 800 TON 14.00 $ 11,200.00 Y CO3 CP1118-B 7-08 CDF for Filling Abandoned Water Pipe 10 CY 160.00 $ 1,600.00 Y CO-4 CP1118-B 8-32 Sand Bedding for JUT 469 CY 3.89 $ 1,824.41 Y 79 CP1118-8 1-10 Traffic Control Labor 390 HR 60.00 $ 23,400.00 Y 80 CP1118-B 7-08 Plugging Existing Pipe q EA 500.00 $ (2,000.00) Y 81 CP1118-B 2-02 Removal of Water Meter -2 EA 250.00 $ (500.00) Y 82 CP1118-B 7-09 Connect to Existing Water Main -t EA 1,550.00 $ (1,550.OD) Y 83 CP1118-B 7-12 Gate Valve, 10 Inch Diam. -2 EA 2,200.00 $ (4,400.00) Y 241 CP1119-C 7-08 Plugging Existing Pipe -2 EA 100.00 $ (200.00) Y � �Water Service Connection 3/4 Inch Meter I 245 CP1119-C 7-75 with 1 Inch Diam. Service Line -2 EA 2,250.00 $ (4,500.00) Y Subtotal $ a�0,�a6.�6 W ashington State Sales Tax(9.5%)on applicable items $ 39,020.89 TOTAL $ 449,767.05 Page 1 of 2 CITY OF AUBURN CONTRACT CHANGE ORDER AGREEMENT NO. 1 Contract No.,Project No.and Project Title: Cont�act#14-19, CP1118/CP1119 AWS Pedestrian/Corridor Improvements Base Amount Total incl. Tax L Total Cost this GO $ 410,746.16 $ 449,767.05 2. Tota] Cost Previous GO $ - $ - 3. Ori inal Contract Amount $ 3,733,047.00 $ 3,785,237.63 4. Revised Contract Amount $ 4,143,793.16 $ 4,235,004.68 This change order cunstitutes full and wmplete compensation Por all labor,equipment materials,overhead profit,aoy and all indirect costs,and time adjustment to perform[he above described changes All officr costs are non-compensible. AII o[her[enns and wndi[ions of[he wnvact remain unchanged. Contractor. �' �-''`�� �?'-/s� Dare Inspector: . ' .c_ � 7-1Z-i-.� / �ute Project Manager. � -�:vlsi�i+.--� %-- �Z- /I' � D;ne CityEngineer. /� �„/� ���iZ/20�5 OWe Approved by: � Mayor,City a duburn °eio J� p�...J����'��..�, c-.� �2�t �� Page 2 of 2 j��ia u �io+ �� ¢neA"�eoKr�o�"" uu�e�ouuw.�e.0 � mmce � � -- € ,ra.vr m��.msas�r T. 21N . R. 5E .W. M. �"xEwA��.a.���.�r�a.w.«�� � --- SECTION 20 �^�.�_�.����"'�.���^ i ,> �:«;.�..kK�,«,.�.,w.,wH,.. � ----- o �....�<..o � � � 'i;';een90. n,e �w.u,�.«w.,..re��...,��.nn..�.� i ' ��,k,iee�r r '____ ..: .a�w•�,:�,:,� wum.x�as�w.w � � \ ___'_'____ % I.n & ,R�W ,��e1 _____________ ���E��w � I W REN'LNIS'If�iO'� � 9EINCELNE � __ _I �.ISOV ^ ��E•.X C:4����r-P�11- ~ L � :._. . 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' W 1M40 il�Oql ` RWSI µ� Z ` I / _ tt1OTECiEAvµ�E ]I�'� ]f]�6 � / w.m u.a U x r h y x x x x � x �/x x r x I Q r x � g o n n / c—F 7— /� o — o— m—f n n� p�— p r�a ��_ —_ �__ .. .: .... i T �c —i —__J � ��� 0 I;.,�r��T�����.1 ,__ . , � � ,:�� .� �.u,� � J�SWE[.T� \� '.f` ��d,";"�' � r� nspi N v � 1n.u;� � �J M �wu.ununuwu�e �--�� nun c�u�u�ow�vou oia w. o.. wne, wn« er • . �,w�a.ffa�, u.,,,. w ���ri�� � ,'GOMMUNITY�EVELOPMENTAND ���wEoar �h� pUBURN WAY SOUTII �0�: � �� q A�/:LBUl�l\ PueIICWORKSOEPARTMENT � �� � � �, cPnta �� �`��""°"'"°'�� � m +�r-� � zswa:in+emsvesi CORRIDORIMPROVEMENTS ��p � „nm — xue i.. Ri;;�q�pE . queum,wasmrgmn � FIR ST SE TO MEMLOCN OTlE � �,�A`.�a� WASHINGTON UTILITY&DRAINAGE "�1° '�" � PLAN AND PROFILE — - -tr" CH2MHILL 0i1 ..ne� T. 21 N . R. 5E .W. M. � SECTION 20 � o � 'I a i I � � M���s������m�aE � � ww e yz ��� J� B � f �-� 1"> g NI I 8 U I �y O � 1 w I � vs ; 2 O � � � °^�iscows r 19 .�w ExaFse�.x eurwweva ameweunxwers , ewuqewnvs ,v�wAE.io�� ". 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"x�w°""0°"m� � � �ur"�cw `Co'Im'ido�„F` \ ��m..a.���..,tA - k�E--�-E�X �( 3( ' - - � / w"'"a+:ro:e�;�s".eao«.,iw..w.,�n.e»m / 1 ao..o�,. �� / `�"NY^����nEo°.:o�°�.`.,,P.Ew� �� � F . � I �;"„o,Fx,.�„�"..�E�E.;.�a�Wha�k,�� I � � ,.,,. ,�,»,� � ��"— w— I �� t��,'�'E�'9�.°�' % \ ' � � i � caassvy � � i Am�iwi � � i �\ .o��r�.wi / � � � o�swesp�� �a���v,.�, i� �—`_____� wnw� � ^ _ ------�'� u::oi��.�.n.�..... u.u.e.oe.roow. n<. o.�. a.+..e, �� �W�+�a��Fo e• v ` '.couMUNinoEVE�ovMErrrauo "`"�o °"•`� pUBURN WAY`SOUTH „^„�„ wv+crMo[4wi �dn,���etltl � � CITVOf - ... � � . � � p ��,� � �, 7 T KT cuaucwoaKsoePna�nerur o� ���� � ��� CORRIDOR IMPROVEMENTS cvme � fanYae q 0.�• . �J�URL V 25 wesi Ma�n Street p'M'P�� FIR ST SE TO HEMLOCK ST SE �� � n� u. scuc�. -mx � �415IE � quWrn,Washin on "�r d — "� *LssruN����" � "'^s�iiNcroN � UTILITY&DRAINAGE '�r° ° �� — �" -`7-/�� CH2MHILL � ""°'''� PLAN AND PROFILE �r.z �/93 � �-1,�� l CITY OF AUBURN CONTRACT CHANGE ORDER AGREEMENT NO. 3 Contrac[No.,Project No.and Project Title: ConVact#14-19,CPll 18/CP1119 AWS Pedestrian/Corridor Improveme�ts Contractor Name and Address: Stan Palmer Construction 5108 SW Nixan Loop Bremerton, WA 98312 The Contra<tor is hereby directed to make tlie changes to the Contract as described herein. 7'his document and all attachments are a supplement to the contract. All work,materials and measurements for the type of construction invoived shall be in accordance with Ihe contract duc�ments of[he above named prolect unless s[ated otherwnse m this change order Summary of Proposed Changes: I. "fhe lump sum payTnent items"CPI 118-Weekend Paving Prcmium"and"CP]119-Weekend Paving Premium"aze added to the Co�tract and are full payment to the Contractor for the incremental wsts of paving on non-working days (Saturday and Sunday),as was requested by the Ciry in order to expedite the paving of Auburn Way South to minimize impacts to the travelling public and to avoid delaying the paving due to unsuitable weather conditions. 2. The lump sum payment items"CP I I 1 R-Paviug Material Transfer Device"a�id "CPI I 19-Paving Material Transfer Device"are added to the Contract and are full payment to the Contractur for the ineremental costs of providing a material transf'er device in accordanee with WSDOT S[a�idard Specilication Sec[ion 5-04.3(3)A.This section is deleled by[he City's Special Provisions but was subseyuently required by WSDOT. 3. The quantities of pay items 23 and 151 are adjusted as shown on the table below. � The Contract time is extended by 0 days. Item Sch. Sec.No. Item Description Quantity Units Unit Price Total Price 1+/-) I$) (+/-) 03-1 CPl1IS-A 5-04 CPII18-WeekendPavingPremium I LS 8902.5 $ 8.902.�0 .03- CPl I IS-A 5-04 CPI I IS-Paving Material Transfer Device 1 l.S 6000 $ 6,000.00 ------ --------------- --------- p 23 CPl I IS-A 5-04 As hnit Cold Patch Mix I 13 TON 300 $ 33,900.00 —"""-'—"--'--""--"—"'-"'-'-"" '03- CP1119-A 5-04 CP1119-We�keodPavingPremiwn 1 LS 8902.5 $ 8,902.i0 ----- ----"--'--'---'-- -------'--- - �03- CPl I 19-A 5-04 CP1119-Pavi�g Material Tra�isfer Deviee 1 LS 6000 $ 6,OOD.00 I51 CPI 119-A 5-04 Asphalt Cold Patch Mix 109 TON 300�� $ 32,700.00 $ - Subtotal R 9(,,405.00 Washington State Sales Tax(9.5%a)on applicable items $ - TOT.4L $ 96.405.00 Base Amount Total incL Tas 1. Total Cost this C/O $ 96.105.00 $ 96,405.00 2. Total Cost Al]Previous C/O $ 465,65 L 16 $ 508,7d8.50 3. Ori inal Contract Amount $ 3.733,047.00 $ 3.78�137.63 4. Ravised ConVact Amouut $ 4295,103.16 $ 4390391.l3 This change order cons[itu[es full and complete compcnsa[ion for all labor,equipmenC marerials.overhead,pro&t,any and all indirect wsts,and time ndlustmem lo pedorm[he nbove described changes. All other wsh are nommmpensible. All other tertns and condi[ions ot [he convac[remain unchanged. Contractor. ���' / "a � .12--?�^�.$� Dum lospector: �.— o �—�/� De�c Project Manager. � Gt�f ivl.��� � � �� Deie City Engineer. � c � Dace Approved by: � ° � ' ' � H:\fortns\FCO25.x1s Mayor, Ciry, or urn � °ate (Revised OS/2012) �v