HomeMy WebLinkAbout16-06 C222A Scarsella Bros, Inc * :
CITY OF *�. _ �� -.
�T T � T� �T* Nancy Backus, Mayor
V �'iJ ��1 �1
-„, �,�/A$[-��[vGT�[v 25 West Main Street * Auburn WA 98001-4998 * www.auburnwa.gov * 253-931 3000
July 12, 2016
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Robert Scarselia
Scarsella Brds., Inc.
PO Box 68697
Seattle, WA 98168-0697
NOTICE TO PROCEED
RE: Project C222A, S 277"' St Corridor Capacity & Non-motorized Trail Improvements,
Contrect#16-06
You are hereby notified to proceed as of July 12, 2016 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 240 working days for
completion.
Prior to beginning any ground disturbing activities, per Section 8-01.3(1)F (SW PPP
Preparation and General Permit Compliance), approval of the SWPPP document is
required. Per the Nationwide Section 404 Department of the Army Permit (Corps of
Engineers) referenced in Section 1-07 6 (Permits and Licenses), in water work may not
begin until the City receives approval of the City's Final Wetland and Aquatic Mitigation
Plan (Mitigation Plan). Approval of the Mitigation Plan is actively being pursued, but not
yet received.
If you have any questions, please contact the inspector for the project, Todd O'Brien at
253-804-5081 or the Contract Administration Specialist Supervisor, JoAnne Andersen
at 253-931-3012.
Sincerely,
nd G�trCf/
Asst. Director of Engineering/City Engineer
Community Development & Public Works Department
IG/cw/as
Enclosure
cc: Dani Daskam, City Clerk
Kim Truong, Project Engineer
Todd O'Brien, Project Inspector
File 13.11 Project# C222A
AUBURN *MORE THAN YOU IMAGINED
T'
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CONTRACT
Contract No. 16-06
THIS AGREEMENT AND CONTRACT, rnade and entered into, in duplicate, at Auburn,
Washington, this � day of SuIT, 2016, by and between the CITY OF
AUBURN, WASHINGTON, a municipal corporation, and Scarsella�rs�ke�s, Inc., PO Box
6869'7, Seattle, WA 98168, hereinafter called the CONTRACTOR. BroS.
WITNESSETH. That, in consideration of the terms and conditions contained in the Contract
Documents entitled "C222A, S 277th St Corridor Capacity & Non-motorized Trail
Improvements," 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
Pcoject C222A, S 277th St Corridor Capacity & Non-motorized Trail Improvements —
adding ttiree new travel lanes and a separated non-motorized Porous Hot-Mix Asphalt trail on
S 277th Street by expanding the roadway to the south, installing and monitoring preload,
constracting cetaining walls, installing 3,976 linear feet of storm drainage improvements, a
fish passable culvert, 408 linear feet of waterline iinprovements, street lighting, modifying
existing traffic signals, installing a variable message sign (VMS) system, permanent.signing,
pavement striping, installing landscaping, completing onsite stream mitigation, and
perfomung Contractor provicled survey for a unit, bid price of five million four Hnndred
seventy-eight thousand one hundred twenty-five dollars and fifty-three cents ($5,478,125.53)
and Washington State Sales Tax of thirteen thousand nine hundred seventy-four dollazs and
two cents ($13,974.02) for a total contract value of five million four-hnndred ninety-two
thousand ninety-nine dollars and fifty-five cents ($5,492,099.55) 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 complerion shall be within 240 working days of the date on the
Notice to Proceed.
If said work is not completed within the tiine speciFied, the CONTRACTOR agr8es 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 fiunished by the CITY OF AUBURN.
II. The CITY OF AUBURN hereby promises and agrees with the CONTRACTOR to
employ, and does employ the CONTRACTOR to provide the materials and to do and cause
to be done the above described work and to complete and finish the same according to the
Contract Documents and the terms and conditions herein contained and hereby contracts to
'/
Y
pay for the same according to said Contract Documents and the aforesaid proposal hereto
attached, at the time and in the manner and upon the conditions provided for in this Contract.
III. The CONTRACTOR for himself, and for his heirs, executors, administrators, successors,
and assigns, does hereby agree to the full perforinance of all the covenants herein confained
upon by part of the CONTRACTOR.
IV It is further provided that no liability shall attach to the CITY OF AUBURN,
WASHINCrTON 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 yeaz first hereinabove written.
CITY OF AUBURN, WASHINGTON
BY �
N n ackus,Mayor
Countersigned:
this �day of �1.��, 2016
ATTEST
� anielle E.�k�lerk
APPROVED TO FORM
niel B.Hei , ity Attomey
SCARSFyL , INC.
By
Authorized Official Signature
Bob Scarsella, Vice President
�
CONTRACTBOND
CONTRACT NO 16-06
BOND NO oz3o3s�9s__ _ _
BOND TO CITY OF AUBURN,WASH[NGTON
KNOW ALL MEN BY THESE PRESEN'CS.
Bros. Inc.
That we, the undersigned, Scarsella�t�St91�f1fjcHidc, PO Box 68697, Seattle, WA 98168,
as principal, and Liberry Mutual Insurance Company __ __ __ ___ _ _, a corporation,
organized and existing under the laws of the State of Massachusetts
as a surety corporation, and qualificd onder the laws of the State of Washington to become surcty
upon bonds of contractors with municipal corporations, as surety, are jointly and severalty held and
firmly bound to the City of Auburn, Washington, in the penal sum of five million four hundred
ninety-two thousand ninety-nine dollars and fifty-five-cents ($5,492,099.55), for the payment of
which sum we jointly a�id severally bind ourselves and our successors, heirs, administrators or
personal representatives as the case may be.
This obligation is entered into in pursuance of the Statutes of the State of Washington and the
Ordinances of the City of Auburn, Washington.
Dated at Auburn, Washington, this�day of_�U� _ 20��p NeveRheless,
the conditions of the above obligation are such that: �
WHEREAS, the City of Auburn on the 20th day of June, 2016, let to the above bounden principal a
certain Contract. The said Contract being numbered 16-06, and providing for the construction of
Project C222a, S 277th St Corridor Capacity & Non-motorized Trail Improvements - adding three
new travel lanes and a separated non-motorized Porous Hot-Mix Asphalt trail on S 277th Street by
expanding the roadway to the south, installing and monitoring pre(oad, wnstructing retaining walis,
installing 3,976 linear feet of storm drainage improvements, a fish passable culvert, 408 linear feet of
waterline improvements, street lighting, modifying existing traffic signals, installing a variable
message sign (VMS) system, pennanent si�ming, pavement striping, instailing ]andscaping,
completing onsite stream miti�ation, and performing Contractor provided survey(which Contract is
referred to herein azid is made a part hereof as though attached hereto), and
WHEREAS, the said principal has accepted,or is about to accept, the said Contract,and undertake to
perform ihe work therein provided for in the manner and within the time set forth;
NOW, THEREFORE, if the above bounden principal shall faithfully and truly obscrved and comply
with the terms, conditions, and provisions of said Contract in all respects and shall well and truly and
fully do and perform all matters and things by them undertaken to be performed under said Contract,
upon the terms proposed therein, and any and all duly authorized modifications of said Contract that
may hereafter by made, and within the time prescribed therein, and until the same is accepted, and
shall pay all laborers, mechanics, subcontractors and material men, and all persons who shall supply
principal or subcontractors with provisions and supplies for the carrying on of said work and shall
hold said City of'Aubum, Washington, harmless Yi•om any loss or damage occasioned to any person
or propeRy 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
i
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 wntract bond related to the
Contract, PROVIDED that this document shall not be enforceable unless and until the City of
Aubum awards and executes the Conuact to the undersigned principal. No obligarions under this
bond, for the performance of the above-referenced contract, shafl be enforceable until the City of
Auburn has executed the contract to the undersigned principal.
The Surety, hereby agrees that modifications and changes may be made in the terms and provisions
of the aforesaid Contract without notice to Surety, and any such modificarions or changes increasing
the total amount to be paid the Principal shall automatically increase the obligation of the Surety on
this Contract Bond in a like amount, such increase; however, not to exceed twenty — five percent
(25%)of the oriAnal amount bf 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 aze 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 wamnnty against defects appearing or developing in the material or
worktnanship provided or performed under this Contract within a period of one (1) yeaz 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 woikmans}iip
provided or performed under this Contract within a period of one (1) yeaz after acceptance, THEN
and in that event this obligation shall be void; but otherwise it shall be and remain in full force and
effect.
It is hereby expressly agreed that if any legal action is necessary to be brought under the conditions
of trris 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 instruinent this
24th day of ,lune , 20 �6
carsella B1Fl(DfdEDl,791(d(,Principa
Bros. Inc.
Liberty Mutual Insurance Company
Surety
By C ���
Cynt i .Jay Attomey in Fact
Propel Insurance
925 Fourth Avenue, Suite 3200
Seattle,WA 98104 206�76-4200
Resident Agent's Address&Phone Number
- ,>=1'idlS:pOWER OF ALTORNEY tS NOT_VAGD UNLESS IT IS.PRINTED ON RED.BACKGROUND. - - _ - _ _ _ � _ " _ - '
.==.Thls Pcwar uf Atf"omey Ilmib the add"of thbee named herein,end they liave n'o eiithorlty to bind the Compa�ry ezeept In tlis memro�end to the ertant hereln efated. � - _ �
- _ _�:z--�c� ;'c - _ _ _-_ _ _ �_ -. ' _ _ �� _'_ " _ _ - = ' ` "_ _' _ -� -_ _ - ,.=Certmcate No:'vazevee _ � _
�-=. .%� = - ,
_ - _'` -�-:_-�:= = _ " ,_ - r =American Fire and'Casuslty Company= : LibeAy Mutual Insu�ance Company : � _ _ _ _ = : - _ _ "
__ =� ' '' ' , '" The Ohio Casualty Insurance Company _ _West Amencan Insuranse Company- � - - ` " _
= 1 = � - - - = _ - = _ - = � _ - _ - _ . _ - - - = -_ _ '; _
s,:_ - _..___c =,_. _._ .,_ - - - - - - - - - - - ' _ " _ - -- _ - _ -
`.-='==� _=_=;_.=�- �_ _ _' - - - � - -
,�_���_. _�=;_ _�__ _� _ -== =POWEROF'ATTORNEY - � - ° - � - =_- _ - -
=-�=KNOWN ALL PERSONS BY THESE PRESENTS: Thffi Artredcen Fire 8 Ceeuztly Company end The Ohio Caaualry Insurence Company are coiporations duly oiganlied uodeFtlie lews of �--
---Uie Stete of New Hsmpshire',that Liberty Mutual Irisurance Company is a corporatlon duly organiied under ihe lawa of Me Stale of Messachuselts,and West American Insuranue Company' = :
_ �:�is a corporahon Gulq organ¢ed undei the laws of the Stale bf In�ana(herein collec6vely called the'Companies�,parsusnt to,eod tiy autliority tieieio set foAh,Coes hereby nam_e;constiWte�%;
-=.andappant=Aliceon A:.KelCnei;Annelies M:R�ohie:Barbara�A.'Johnson•Brandon K.Bush�Bient E.Heileserc Cadev Esovitu�'Christopher Kinyorc =
-�:'Cynthia L.Jav;.Diane M:Hardmp�Er�c A.Zimmermarc James B.&nder�Jamie Dlemer�Jenniter L:SnVder�Jon J Ofa:Julie R�Truitt�Karen C" '- -
= _-��Swanson,Knshne A:Lawrence,Mitchel�.R:Smee;=Peter J. omfort ='. ' - - - - �� '- - ------ - - - -� - - - - - � -
:;�all of the dty of=Tacame;.���ata�e W�WA-_ _ � each indivlCually il Nere 6e mae than one named;Its hue and lawful atlomey-in•fect to rtiaka,execute;seal,acknowle8ge�. �
_ _�_�eiM delive?for arid on ifs behafF as s�rety and"as its act and deeC,eny and all undartakings,tio`rida,iecognizances apC other surety_obligatioris,In pursuance of these presents and ahall _
= _;6e es hintlirig upoo the Companies as if th�ey have been iluly eigned by the president and attested by ihe secretery of the Companies in IAeir own pmpe�persons._ = - - _ - -
"=�=1N WITNESS YVHEREOF`this Power of Atlomey has been sutiscdbed by"an authorized ofAce?a otfioial bf Ihe Companies and the corporate seals of tlie Companies have been affixed - =
_= tlt8reto Mis=i4m`==day of=APdI - - - � = �2016 = : _ ;z ; - ' - " -c ' ' ' - - - _ - _ _ ' o
- �- = � _ � �Amencan Fire and Casualry Cbmpany " - -
" ; _ 1.' PN�CASL��_.-�jY1N5Lh. _ = pt1NSUqq � �NINSUR� � _ _ _ _ _ _
- ' ' �e4' 7li - q`� oNOM�9,� _ .���gvK'^+6'��f �` Wa�3N"°"�r����e� ' ' - ' � - TfIB�h10 C.25118�1�1�fI5UI211tC C.ORIpBfly_ - _
4 a�.' r.�. T �_. 1 f� . J _ _
-_ _ .' <y 1906%c ^ � y =�919.- n . F � � n . � � ^o c - - - c ' - = LIbCt1y MU1U81,Insu120CB QOIIIpBfly_ ; " .c __
� , v �_ o 0 0 - = 1912, � 1991 -' s _ _ ' ' _ ' _
- •:6'h''�nr.m�`?aa��=�+''�D_��'��vfi' a< _ WO= : _ _ _- _ _ _ - _ _ WESf CIIC8f11113Uf8fICe COttl 8f1 = - _ � _
� � bY F G . H` ?a - >.4� �`� _ 3 ��iirtrxn < J .. �_p. Y _" ,
m _c _-t _ � <.��_ � - � _ - - .r_ " ' ' ' ' -
�-`yjC��_�:c..=^"'_ 'c. _ _ '� ""'- ' _" _ " = BY• "- -',, _ ._'" =f = � " _ _
-=c STATE OF PENNSYLVANIA'�_�ss = _'_c - _ "c - _ - _ _ ' - _ � ;David M.Care .Assistant SecPatary = ` _ -
-='�p -, ._. .:., ._ .,_. . _ . _- _ - -,. ' _ - - _ - . - - � - _- _ -- -
-_� -COUNTV.OF MONTGOMERK = =- _ - , _ - - = - - - _ - - - _ "
=�m ;_.�n,;_ � _ - �_ . � , : _ ^_ . - _ _ ' ' - - _ - .c
�'_ ' � 14th.. ` ' ---_ a_ -� ' _ a :_ . , � ' - ' _ _ _ c ' " _ z. _ _ . _ -__ �
:�.p�_On I�is- day 6f:Apn1�= _ == 201 B p�re ma peisonally;appeaieA_David M_ Carey;wha ecknowledged himseH to be tlie 0.sistant Secretary_of American.Fire�id
_-. _. -. _.. . - - . _
�= Casualfy Compariy,Liberty MuWal Insmance Cbmpany;The Ohio'Casualty Insurance Cornpany_antl WestAmeriean Insuranoe Company,and that he;as such,tieing aulM1onied so to do, ��
p � exewte Ne foregang instrument fo�the purposes Iherein mMemed by s�gning on�behal�of Ihe corporatlons by himself as a duly aulhorized olficer. ' ' _ _ �- ; � -
` ' r. c � = _ _ _- '- � ^ -, - - _ _ _
IN WRNESS WHEREOF I have hereunto subsuibed m name and affized my notirrdl seal at Plyrtioulh Mee6ng,Pennsylvania,ou Ihe Hay and year firsl`abave qrtitten. - � _ ,O
�_�7 : "_'" '_'_ = ' ="' _ - P�FAS - � 'COMMONWEALTH OEPENNSYLVANIA: � /� � _ ///��� _ - ; ' �'+'_
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C�jp ;.»1',.;�. �,.; -;.'oly�c : � o_ c .�. 9 ._ _ 1 'Tere3ePasMlla.NblaryPu011c ' .�'�<u.^`-^�_'�:Q^�.-�R/-_'"" _� ' .O' '
-0�W. _ . ' - or " PlymwM7WP�MonlgomeryCouny _ �� _ '�.
,� -'=^�;�=c =c 3?. ==c _ : � = = Teresa Paslella,Notary PuWic""�?_"-`—'""-
"'`_ ,-T i"._�--'_'" " � , :My Commiesbn EMpirec Mam�28;2017_ _ -= _ _ _ " " _ Q��r1
°,m,0- =- __ ' _ c - _ - . ,' _ _ - _ y,�JP_,�r ._ _ ' Member.PennaNvenln rlaeodeHonbl Nomiiee = _ _ _ _ ' = _ -` _ .-� _ ' .0:,.
.�w �CJ�--'C�. 2�- ; .��^_ F.� J .T RV A1N.• - . � " ^` ^` . _ a"
.C�� -ThisPowe?ofAttonieyis'mideandexeatedpursuanttoan byauNaityofthefollowingBy-lawsandAuUorizatlonsafAmericanFireandCasualryCompeny,TheOhioCasualtylnsurance ui "
�.` . . _.
.m,;, Coinpany,-Liberry MuWal Insfirance Company;enC Wesl Amerioan Iosuraiice.Compa7iy whieh resoli�tlons are now in NII force and effecl reading;as(ollows: _ _ � _ - _. �;�
_�� ARTICLE IV OFFICERS Sectioe 12 Poxrer of Attomey My o%cei or olher offiael of the Coryora6on auMoriied for that puryose in wnting by Ne Chairtnan or tAe PresideM,and subjecl 0=b
�� to such limilatiori as the'Chmrtnan 6r the President msy prasaibe,shell�point such ettomeys-in-faU,as may be.necessvy to act m behal(of tlie Corporatlon to make,-ezecute,seal, �m
o-C acknowledge and delrveres surety any and all undertalungs bonds,recognlzances and other surely obligahons:Such atlomeys�in-tacl subjeG m the Ilmihtlons s'et foFlli in Ueu respeclive Q�
�� _poCve7s of atlomey`,-shau have NII power_to bind me Corpora6ori by,ihelr�signature and ezecutlon of any,aucli Ins6uments end to ettach fhereto tl�e seal of t�e Cwpora6on. Wheri so, '�:
.p.ip executed,such insUvments shell be as bindmg as if sigried tiy Ihe President a_nd atlested to by.the Secratary,Any-power or mAhorlty gwnted to any represenWGve oi attomey-Iri-faet undei ->�
,'�a-,�me piohsions ot this arhGe may be rewketl at any time by ihe 9oard the Chalrtnan,the President or by Ihe officer oi offcars gran6ng such powei br aulhony. _ _ _: = _= � � ��
�p ARTICLE XIO=Eaecuhon o�Contraots SECTION,5 Surety BonEs and Underhakmgs My offcer of the Company authonzed for that puryose iri vmhng by,lhe chairtnan or Me president aQ
�;� and subJed to surli limita6ons as Ue chairman or Ihe presideM may prescnbe,shall appomt such altom'eys-m-fact,as may ba necessary to act in behalf of the Company t5 make;exeate`,- ��N
o�� se`al,-acknowledge and tleliver as s`urery aoy ana all unAertalUngs,Donds,-recogn¢ance's and other surety,ohligafions. Such attwneys-in•fad sub�ect to Ne,limitations set foM in their C�
? V iespective pov;reis of attomey shall liave full:pow�er M bind tha Compan�y_tiy thair signature snd execu6on of any such Instriiments anE to attach ihereto Ihe seal o�tlie Company.YVhen sa' �o
_= execu[ed sucA insW ments shall be as biMing as'rf signed by the president'and ettested by the secretary " " - - " _ - � _ ' = " �
__ _ _ _ _- - ��- - - ' ' - � - - - - - - - - - ` - '_�. . _' _, GK�
-- _,Certifioate of Dasignatlon_=The President of Me Company,eclinp'pursuaM te the Bylzws of tlie Company,authorizes David M.Carey;Assistant Secrefery to appoint suah attomeys-in- ~�
:_ _:fact es may be necessary ta act on�behalf of the Company W make;ezecute,seal,acicnowleCge and delivei is"su�ery any and all underlakings;bonds,recognizances and other`surery - -
�- =oblig`ations. -,.="_'c: _ �_ _ _ _ , _ _ : - _ _ _ ` , � _ _ . _ -, _ _ _-
��;"AuMonration-By"unanimous conseM of tl�e Compan`y'p Board M Direcrors;the Company oonsenh that faesimile or ineehanirally repr6duced signaWie W aoy_assistaM secFetary of Me '�-
_ ��Company,wherever appearing upon a cartlfied copy of any power of atlorney issued by lhe Company in"connectlon with surery bonds,shall ba valid'and binding upon fhe Company wiN _ _.
--�Me same hirce and eRect as though manually affized._- � � _ , - � ' _ " " - - .� - -
_ _?:I,Gregory W_Davenport,Ihe undersigned,Assistant Secretary,MAmencan Fire end Casuatty Company;�The,OAIo Ce6dalty Insuranc'e Compeey,Liberty;Mutuel Irisu�ance Compaoy,and ==-
VJesl Amenoan"I�urance,Compeny do hereby certify thffi the original"poviei of aBomey,of which Ihe�Oregoing Is a PoII,true and wrcect copy of the Power of Attomey executeA by said .�� _
_ __=Compames,is in full force end effect and has not been revoked. ' _ � _ " ,'` = -_- � -- - _ _ -�'_ =
_ '==1N 7ESTIMONY NIHEREOF I_have hereunto set my hand and aRxad the seals of said Companles Mis��-aey a;�G/ h..�_ - _ - pp/�(O- =-�_:
_ _ \c��N�CASVq`i��^`qJp�oN�loM�q92 _� aJP�^vu^n��'�'r y��Aoe✓o��9ry�=�' _ _ � ` - � - _- - _ - � ' :� ' _
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- - v - : o ; 1912. 3 , _1991 -. i : _ -� _ By: Oy�r��._rc�__'._ . .,
"`��� = a s = � � - °� �-- " - � a � " _ - - -Gre o W.Daven ort,Assistent Secrete � '-- _ ' -
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NBRII: LIBERTY MUTUAL INSURANCE COMPANV Registered address Mailing address
CO�PO�Bte f8T1Iy J�OUP: LIBERTY MUT GRP O 175 BERKELEY ST 100 LIBERTY WAY
O�ga111Zat1011 type: PROPERTY BOSTON, MA 02117 DOVEk, NH 03820
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Ratings by financial organizations
The following organizatlons rate Insurance companies on thelr Flnanclal strength and stability Some of these
companles charge for their servlces.
A.M. Best
Weiss Grou� Ratin s
S[andard and Poors Corp,
..., . .__::_._.__._ - - ._..._
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Liberty 1Vlutual Insurance Company - Company Profile - Best's Credit Rating Center Page 1 of 2
A M Best Ratin Services
� Y�Welrome Back JOAnne Anaersen,Mv Memoer remer,Loo put
A.M.Best�A.M.Besl RaOng Servmes�A M Best Information Sernces About�Caraers I Even[s I Support�Conlact
Rating Seamh:� Seam� ro Ativancetl Searoh �Pnnt Ihis oaoe
Rating Serv�ces Home
Retlnge �
xRemntRa(ingAdmly Liberry Mutual Insurance Company u
.Searcn ror a Ranne q.m.eae�c oozzea NAIC�'300L1 FEIN/�0615�3�)�
Regional Centen � pomicilfary Atldross �Assignetl to a� rt.0
Redng Process S DeMltions . 175 Berkeley Sireat ���s�P nCe ��� i
.UnEemtantlmg Besfs Ranngs Bostan,MA 02117 com anies �
,c��ea ro eesrs Rao�es Unnetl Stales ,�hal have,
x Financial SVeng�M1 Ra�ing GwCe I In our opinlon,an excellent aGlliry
»Isauer Cretlit Rating Gwtle Web:wrm LibeMMUWaIGroup com lo meat the�r ongoing insurance
.IssueRahngGmtla Phane:817-%7-9500
x Natmnal Srale RaYne Gwtle Faz:817-574-5955 obligations. T
x Couniry Rish Infarmetion
.Market Segmanl Owlook Basatl on A M BesPs analysis,051114-LiberN MUNaI Holtlina Comoanv Inc is ihe AMB N4mffie Parent and idenbfies ihe
Ratlng MathoAology lopmost entiry of t�e coryorata slmcWre.Uew a bst of ooeretma msurence enUUes m t0is stniaure
Intlustry Rasaam� BesCs Cretlit Ratin s
InCustry6MerkatCantan . Flnenclat5tre gtM1Ratlna viawoennition BasrsCreanRatin Anai t
ConWct an Analyst qa�ing: A(Ezcellenq Rating Issuetl by A M Best Rahng Services,Inc
Conferences 8 Events � AHlliation Cotla: p(Pooletl) Senior Financial Anelyst:Michael W Russo
Awatds 8 Recognitions Financial5rza Calagory: XV($2 Bilbon or greater) Vice President:Michael J Legomarsino,CFA,FRM
Data Sutimiasion Center � Outlook: Stable
Reflularory IMormation � ACHon: APoimed Disclosure InformaUon
EHective Date: Octaber O8,2015 � View A M Besfs ftatina Disclosure Porm
Initial RaUng�ab: June 30,1922
F7nJ�Be�Y.s Creda ftunng Guawn[oqs)-also sce Ihe RaOnp Disclosure Portn fw
._.__.................__....._......__._..._._._...._.__._._._...........................
EnbraCompenyName , �°^ 'To�misauerCretlttRaUn V' w � n n t�efollowin0�mpanies,asMeyguaranherated0ebt
,�j issuesPo��hiscom an .
.Pdvanwtl Searoh Long-Temc a
OuUook: Stable 051114-LibeM Mutual Holdino Comoanvinc.
Actlon: AtArmetl ;.q A M Besl AKrms Ratinas of L�beM Mulual Holtlma
AM.683t RBlIOg$e1YICe9 EBective Date: Oclaber O8,2015 ��} Comoanv Inc antl Its Subsitlianes
Contec[Infomlafion• ����jel Ralin9 Date: November 23,200C Oclober Oe,2015
u o>no�e.u�,ae�ar���,ees��s rea�ma
Rating History
A.M Best�as prowtletl ratings 8 analysis on ihis wmpany since 1922
Finaneial iren Iti W� .Ta�missue�C�atllt
EMctiva�ab Rntinq EflativaDaN Rating
10/8/2015 A 10/82015 a
9/24/2014 A g/py/2014 a
8/14/2013 A 6/14/2013 a
7262012 A 7/28/2012 a
6/i6/2011 A 6A6/2017 a
Rated Issues
Issue nadn9s
DaN luustl Amount GouOon Isaub Typ� Ra<ing lNective Dale Outlook/Imnlieation
OSl�il'1995 i50,00D,000U5D 8.505% SurplusNoles EbM t010 8120 7 5 SWbla
10/09/t991 b00,000,000US0 1.697% SurplusNotes bbbi 1 010 81201 5 SWble
10/16/1896 250,000,000 USD ].916% Surplus Notes bGbt 10/0812015 Stable
p7 Denotes InEicatrve Ra[ino
Rela[ed Financial and Analytical Da[a
he following Ilnka pmvi0e acceea lo relale0 tlala remrCs t�at A M Best WOzes to promGe/manual antl analytical EaW on a mnsolltla�etl o�
ranch basis
AMB%Compan Name CompanyDescrlptlon
067080LiberryMutuallnsurenceCampanyCAB RepresenlsiheProperty/CasualtyfinanclalsforiheCanatla8ranchoft�is
le al enUry.
AMB Credit Re orts
1�"� AMB Credit Reoott inGudes Besfs Fnanaal Strengih Ra[inB antl ratmnale along with compre�ensrve analylmal
vTt commentary,tletaileE business overview anA key Onancial Aata
Repo�Revision Data�W82018(represenis the latest significant c�ange).
-�, Wstodcal Repo�s are avalleble m AMB Credit Reoort Mchrve
P_P
View atldilional news,reoorts antl oroCuqs for this company
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Liberty Mutual Insurance Company - Company Profile - Best's Credit Rating Center Page 2 of 2
IPress Releases I
Date Tkle � �
Oct08,2015 A M.Best Affrms Ratinas af LiberN Mutual Holdina Comoanv Inc.and[ts Sulisidiaries
- _ _" _' - _ ' _ __'_..
ISep24,2014 B Affr in ofLb H ' " '
IApr l],2014 A.M.ees[Affrms Ratinas for Reoubhc IndemmdComoam of Amenca and Rs AKliares
IAug14,7013 AMB ffrmRam fi li � � � ' i"
_"' ' _" ___ _- _ _ —_ - __________'__ _
I lul 26,2012
IMay 04,2012 A M BestAssions kabnos m Libery�Mumal Grouo InCs New Senior Unsecured Notes _
Ilun16,3011 AM I I
IJun 11,2010 A M Best Affrtns Rat nas af Libertv Mutual Holdina Comvam Inc.and Its Su6sid�aries
_. . _ ... ._. ._ . _ .. _. . . ._.. ...' '
IDec 12,2008 A.M.BezcAs@yns Ratings M Lihertv MuNal lnsuance Eurooe Limited
Mar O5,2008 A i f � ' i
of Boston - _' _ ' - ' _
ii
1 2 Page sae: 10 19 items m 2 pages
Europian Unlon Dlieloiures
AM Beat-EuropeRa6npServlmsLimite0(AMBERS),esubsidieryofAM BestRa�ngSerncas,lnc �nanEslamalCroditAaxasmentlns�iW4on(ECApintpeEuropBenUmon(EU) T�ereNro.
creditnMgs�ssuetlanEenEoraetlbyAMBERSmayOeusatlbirepuletorypuryasesinllieEUasperDirectiw2008/48/EC � �
Auatnllan Olaclonurta
A M Best AsiaPecific 4mileE(AMBAP),Ausinlian Repisteretl BOEy NumEer(ARBN No 1503]5287),is a IimtlaE paOAlry wmpany mcaryorrtetl antl tlomiuleE in Hong'Kong AMBAP is a
wholesale Auslrollan Finanual Sarnces(AFS)L¢errc<ho1Ce�(AFS No 411055)ontle�tha Coryoratlons Ad 2001.CreElt re0ngs emana4ng from AMBAP ere not intentletl for antl muet not be
distnCutaE to any penon in AuaValia otlie�ihan a wTolesale cllent as Eefined in C�apter]of t�e Coryoretians AC AMBAP Eaes no(authonze Its CreEit Ra4n9s to be tlieseminxtetl by a ihiM-Oarty
in a manner Nat multl reasonebly be re9eNetl as bein9 Intendea to mfluanca e reteil dient in makin8 a Ceusion m rclation to a partiwlar O�duq or Gaas of finanGal protlud AMBAP Cretll!
RatinBs are mtenEaC tor wholeaale UienU anly,as OefineO
CreEI[Rebnps EatertninaE antl tllssemmefetl by AMBAP are the opiNon of AMBAP only enE nat any speafic creEit analyst AMBAP Cretlit Rabngs are stalamenb ot opmon antl nW statements of
fact Thay are not rewmmenEztiona to buy,�oIE o�sell any eewnhea o�any othe�lotm ot financial proOuU,mGuGinp incurance pobues dntl are no[a recommentlaM1on to be uaetl ta mske
invesMent Iputc�esinp tlausions
Important Notice A M BesCs CreN�ReUnBs are maepentlant end oC�ecOve opinions,not slatemanls oi taG A M Best is not an Inves�ment AdvlsoG Eoes not oHennvesimen�aONca of any kin�.
nor Eoes t�e mmpany or its Ra4n9a Analys�s oHet any tortn ot simcWtlng or Menuel ativ¢e A M BesCs creEit opimm�a are not remmmantla4ons�o buy,sell o�hold sean4as,orto make eny
at�erinvesGnent tlacisions Po�atltllGonal mformetion regeNinB��e use anE IimRaOons of creErt rzting opmiom,as wall asNe 2tinB P�se�Informa0on requirements entl olhe��atlnp relste0
tartns en0 tlefinitions,pleasa view UnEentanEina Beafs Cretlit Ratinaa
AboutAM Best ISileMaD ICuslome�Sernce IMembe�Centar IContacllnfo ICareern ITertnsotUse �PnvecyPo4q
Sewnry I�e9a18 Lwensing
Regula�oryArtairs-PormNRSRO-CoEeo�Contluct RaYn9Methotlology HistoncelPertormanceDeW
CopynBht 02016 A M Best Company.Inc anGlor its aifliates ALL RIGHTS RESERVED
http://www3.ambest.com/ratings/entities/CompanyProfile.aspx?ambnum=2283&URatingI. 6/30/2016
' Client#• 111013 SCARBR057 ,
� ACORD,. CERTIFICATE OF LIABILITY INSURANCE �ATE(MMIDDIVYVY) �
snaizois '
TH�S CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATNELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BE'f WEEN THE ISSUING INSURER(S),AUTHORIZED '
REPRESENTATVE OR PRO�UCER,AND THE CERTIFlCATE HOLDER.
IMPORTANT:If the certifiwte holder is an ADDITONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to
fhe terms and conEitions of the policy,certain policies may requlre an endorsement.A sWtement on this certiTicate does not confer rights to the
certificat0�hold¢r�in Iieu of such endorsement(s).
PRODUCER NAMEpCT Shamel Di Vona
Propelinsurance a�"N E�n:253.310.4047 ac,x,: 866.5771326
Tacoma Commercial Insurance n ors�ess: Sharnel.Divona@propelinsurance.com
1201 Pacific Ave,Suite 1000 INSUREWS)AFFOROING COVERAGE ruic a
Tacoma,WA 98402 Libe Mutual Fire Ins Co 23035
INSURERA. rtY
INSURED INSURERB.N2VIJHS015 SF10GIaITy IfI5Uf2fICB 36056
Scarsella Bros. Inc. iNsurseac.Axis Surplus Insurance Company � 26620
PO Box 68697 Travelers Pro e.w�Casual Co. � 25674
Seattle,WA 98168-0697 �NSURER D. P '`> tS'
iNsursene.A���Bd World Assurance Company 19489
INSURER F.
COVERAGES CERTFFICATE NUMBERc REVISION NUINBER:
-THIS IS TO�CERTIPY THAT-THE POLIqES�OF INSURANCE LISTED BELOW HAVEBEENISSUED TOTHE INSURED NAMEDABOVE FORTHE PO�ICVPERIOD
INDICATED. NOTMTHSTANDING ANY REQUIREMENT TERM OR CONDITIONOF ANY CONTRACTOR OTHER DOCUMENT VNTH RESPECT TO WHICH THIS
_' _ ' ' _ _ " _ " . _' ' '
CERTIFICATE MAV BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES OESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
5E%CLUSIONS�AND CONDITIONS Of SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR TYPE OF INSURANCE AOOL UB POLICY EiF iOLICY EXG
INSR NNO POIIGYNUMBER MhVOD/YVVY MRVDD/YYYV LIMITS
A GENERALIIABll1T7 X x TB?Z91454734706 5/01/2016 05101/201 EACHOCCURRENCE s1 000000
X COMMERCIALGENERALLIABILIN B"a"��i$�sjOao�,°�� s100b0U0
CLAIMS-MAOE aOCCUR MEDEXG(Anyonepersan) SSOOO
X 61lPD Ded:515.000 PERSONAlB hDV INJURY $'I OOO OOO
X LC 04 49 05H2 GENERAIAGGREGATE EP OOO OOO
GEMLAGGREGATELIMITAPPLIESPER. PROOUCTS-COMP/OPAGG SZOOOOOO
POLICY X PR6 �� y
q rivroenoei�tue�uir X X ASZZ91454734036 5/01/2016 OSl01lZ01 EOMB�IN�SINGLELIMIT �,000,000
X ANYpUTO BODILYINJURV(Petperson) f
ALLOWNED SCHEOULED BpqLYINJURV(Pe�awCeM) S
AUTOS AUTOS
X NIREOAVTO$ x NON�ONTIED PROPERTVDAMAGE S
AU(OS Petacutlant
x C840707l1S X CA206870113 E
B UMBREILA LIAB X p�CUR X X SE16EXC7496231C 5/01/2016 OS/01l201 EACH OCCURRENCE S3 0�0�Q�
)( EXCESS W1B CWMS-MADE AGGREGATE SS OOO OOO
DED X RETENTION5�1I0 S
A WORKER9COMPENSA710N TB2Z91454734106 SIO'IIYO'IB OS/O'I/ZO� �STATU- OTH-
♦ND EMPLOYERS'LIABILITY - -
ANY PROPRIETORIPARTNER/E%ECUTIVE Y�N WA STOP GAP ONLY E.L.EACH ACCIDENT E'I OOO OOO
OFFICER/MEMBERE%CIUDED9 � NIn
(ManJetorylnNH) EL OISEASE-EAEMPLOYEE E� OOOOOO
I(y85,dWCf�EBYlIdBf
DESCRIPTION Of OPERATIONS balaw E L OISEASE POLICV LIMIT E'I,OOO OOO
C Excess Liability X ELU793928012016 5/01/2016 05/071201 $2,000,000(X of$3mm)
D Inst Floater QT6605C528273TIL76 5/01/2016 05/071201 $1,000,000/$1,Q00 ded
E Contr.Pollution X 03083387 5/01/2015 05/01/201 83,000,0001525,OOO.ded..
OESGRIPTION OF OPERATION51 LOCFTIONS/VEHICLES(Akach ACORD 101,AOtlkfonal Remarka Sc�eEule,II mom apeco Is requl�oG)
RE: Project C222A,S 277th St Cortidor Capacity 8 Non-motorized Treil Improvements
The City of Aubum is additional insured per the attached endorsement.
CERTIFICATE HOLDER CANCELLATION
CI of Aubum SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
� THE EXPIRATION DATE THEREOF NOTICE WIIL BE �ELIVERE� IN
25 West Main ACCORDANCE WITH THE POLICY PROVISIONS.
Auburn,WA 98001
AUTNORIZED REVRESENTATIVE
_L`�!— �V`�
OO 1988-2070 ACORD CORPORATION.Ail Nghts reserved.
ACORD 25(2010I05) 1 of 1 The ACORD name and logo are registered marks of ACORD
#52262798/M2199753 SXH00
,This page has been left blank intentionally
Scarsella Bros Inc
Policy Number rezzsiasa�saios
Issued by Liberty Mutual Fire Ins Co
THIS ENDORSEMENT CHANGE$'iHE POLICY PLEASE READ IT CAREFULLY
COMMERCIAL GENERAL LIABILITY ENHANCEMENT FOR CONTRACTORS
This eniiorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
Index of modified items:
Item 1 Reasonable Force
Item 2. Non-Owned Watercreft Extension
Item 3. Damage To Premises Rented To You -Expanded Coverage
Item 4. Bodily Injury To Co-Employees
Item 5. Health Care Professionals As Insureds
Item 6. Knowledge Of Occurrence
Item 7 Notice Of Occurrence
Item 8. Unintentional Errors And Omissions
Item 9. Bodily Injury Redefinition
Item 10. Supplementary Payments—Increased Limits
Item 11 Property In Your Care,Custody Or Control
Item 12. Mobile Equipment Redefinition
Item 13. Newly Formed Or Acquired Entities
Item 14. Bianket Additional Insured Where Required By Written Contract
Lessors of Leased Equipment
Managers or Lessors of Premises
Mortgagees,Assignees or Receiyers
Owners, Lessees or Contractors
P,rchitects, Engineers or Surveyors
Any Person or Organization
Item 15. Blanket Additional Insured —Grantors Of Permits
Item 16. Waiver Of Right Of Recovery By Written Contract Or Agreement
Item 17 Other Insurance Amendment
Item 18. Contractual Liability -Railroads
Item 1 Reasonable Force
Exclusion a. of Section i - Coverage A - Bodily Injury And Property Damage Liability is replaced by the following
a. Expected Or Intended Injury
"Bodily injury" or "property damage" expected or intended from the standpoint of the insured. This ezclusion
does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect
persons or property
Item 2 Non-Owned Watercraft Extension
Paragraph (2) of Exclusion g. of Section I - Coverage A - Bodily injury And Property Damage Liability is replaced
by the following:
(2) A watercraft you do not own that is:
LC 0443 OS 12 OO 2012 Liberty Mutual Insurance. All rights reserved. Page 1 of 9
Includes copyrighted material of Insurance Services Office, Inc.
with its permission.
Scarsella Bros.Inc.
TB2Z91454734106
(a) Less than 55 feet long; and
(b) Not being used to carry persons or property for a charge;
Item 3. Damage To Premises Rented To You -Expanded Coverege
A. The final paragraph of 2. Exclus�ons of Section I - Coverage A - Boddy Injury And Property Damage Liability is
replaced by the following:
Exclusions c. through n. do not apply to damage by fire, lightning or explosion or subsequent damages
resulting from such fire, lightning or explosion including water damage to premises while rented to you or
temporarily occupied by you with perrrmission of the owner A separate limit of insurance applies to this
coverage as described in Section III -Limits Of Insurance.
B. Paragraph 6. of Section III —Limits Of Insurance is replaced by the following:
6. Subject to Paragraph 5. above, the Damage To Premises Rented To You Limit is the most we will pay
under Coverage A for damages because of"property damage"to any one premises, while rented to you,
or in the case of damage by fire, lightning, explosion or subsequent damages resulting from such fire,
lightning or explosion inciuding water damage to premises while rented to you or temporarily occupied by
you with permission of the owner
The Damage To Premises Rented To You Limit is the greater of:
a. $300,000; or
b. The Damage To Premises Rented To You Limit shown on the Declarations.
C. Paragraph 9.a. of the definition of"insured contract"in Section V—Definitions is replaced by the folldwing:
a. A contract for a lease of premises. However, that portion of the contract for a lease of premises that
indemnifies any person or organization for damage by fire, lightning, explosion or subsequent damages
resulting from such fire, lightriing or explosion including water damage to premises while rented to you or
temporarily occupied by you with permission of the owner is not an "insured contracP'
D. The paragraph immediately foilowing Paragraph (6) of exclusion j. of Section I — Coverage A — Bodily Injury
And Property Damage Liabiiity is replaced by the following:
Paragraphs (1), (3) and (4) of this exclusio� do not apply to "property damage" (other than damage by fire,
lightning or explosion or subsequent damages resulting from such fire, lightning or explosion including water
damage) to premises, including the contents of such premises, rented to you for a period of 7 or fewer
consecutive days. A separate limit of insurance applies to Damage To Premises Rented To You as described
in Section III—Limits of Insurance.
Item 4 Bodily Injury To Co-Empioyees
A. Paragraph 2. of Section II -Who Is An Insured is amended to include:
Each of the following is also an insured:
Your supervisory or management "employees" (other than either you� "executive officers" (if you are an
oYganization other than a partnership, joint venture or limited liability company) or your managers (if you are a
limited liability company)) are insureds while in the course of their employment or while performing duties
related to the conduct of your business with respect to"bodily injury"
(1) To you;
(2) To your partners or members (if you are a partnership or joint venture);
LC 04 43 0512 OO 2012 Liberty Mutual Insurance.All rights reserved. Page 2 of 9
Includes copyrighted material of Insurance Services Office, Inc.
with its permission.
Scarsella Bros Inc
T62Z91454734106
(3) To your members (if you a2 a limited liability company); or
(4) To a co-"employee" or "volunteer worker" while that co-"employee" or "volunteer worker' is either in the
cburse of his or her employment by you or while performing duties related to the conduct of your business
(including participation in any recreational activities sponsored tiy you).
Your 'emptoyees' (other than either your "executive officers" (if you are an organization other than a
partnership, �oint venture or limited liability company) or your managers (if you are a limited liability company))
or"�blunteer workers" are insureds while in the course of their employment or while performing duties related
to the conduct of your business for a Good Samaritan Act that results in "bodily injury"
(1) To you;
(2) To your partners or members (if you are a partnership or joint venture);
(3) To your members (if you are a limited liability company); or
(4) To a co-"employee" or "volunteer worker' while that co"employee" or "volunteer worker' is either in the
course of his or her empioyriment by you or while performing duties related to the conduct of your business
(including participation in any recreational activities sponso�ed by you).
A Good Samaritan Act means an attempt to rescue or aid a person in imminent or serious peril, provided the
attempt is not recklessly made.
However, none of these "employees" (including supervisory or management "employees") or "volunteer
workers"are insureds for the providing or failure to provide professional health care services.
B. The insurance provided by this Item 4 will not appiy if the injured person's sole remedy for such injury is
provided under a workers'compensation law or any similar law.
C. Otherinsurance
The insurance provided by this Item 4. is excess over any other valid and collectible insurance available to the
insured,whether primary excess, contingent or on any other basis.
Item 5. Health Care Professionals As Insureds
A. Paragraphs 2.a.(1)(a) and (d) of Section II -Who Is An Insured do not apply to"bodily injury" or"personal and
advertising injury" arising out of the providing of or failure to provide professional health care services by any
"employee' or"volunteer"of the Named Insured who is a"designated health care provider'if the"bodily injury"
or"personal and advertising injury' occurs in the course and scope of the "designated health care provider's"
employmeht by the Named Insured.
B. With respect to"employees" and "volunteer workers"providing professional health care services, the following
exclusions are added to Paragraph 2. Exclusions of Section I — Coverage A — Bodily Injury And Property
Damage Liability and Paragraph 2. Exclusions of Section I — Coverage B — Personal And Advertising Injury
Liability
This insurance does not apply to:
(1) Liability assumed under an"insured contract"or any other contract or agreement;
(2) Liability ansing out of the providing of professional health care services in violation of law;
(3) Liability arising out of the providing of any professional heafth care services while in any degree under the
influence of intoxicants or narcotics;
(4) Liability arising out of any dishonest, fraudulent, malicious or knowingly wrongful act or failure to act; or
LC 04 43 OS 12 �O 2012 Liberty Mutual Insurance.All rights reserved. Page 3 of 9
Includes copyrighted material of Insurance Services Office, Inc.
with its permission.
Scarsella Bros Inc.
TB2Z91454734106
(5) Punitive or exemplary damages, fines or penalties.
C. The following definition is added to Section V- Definitions:
"Designated health care provider" means any"employee' or 'volunteer worker' of the Named Insured whose
duties include providing professional health care services, including but not limited to doctors, nurses,
emergency medical technicians or designated first aid personnel.
D Otherinsurance
The insurance provided by this Item 5. is excess over any other valid and collectibie insurance available to the
insured, whether primary excess, contingent or on any other basis.
Item 6. Knowledge Of Occurrence
Knowledge of an "occurrence" by your agerit, servant or "erriployee" will not in itself constitute knowledge by you
unless your "executive officer" or "employee" or other third party designated by you to notify us of'bccurrences"
has knowiedge of the"occurrence"
Item 7 Notice Of Occurrence
For purposes of Paragraph 2.a. of Section IV - Conditions, you refers to an "executive officer" of the Named
Insured or to the"employee"designated by the insured to give us notice.
item 8. Unintentional Errors And Omissions
Unintentiorial failure of the Named Insured to disclose alI hazards existing at the inception of this policy shall not
be a basis for denial of any coverage afforded by this policy However you must report such an error or omission
to us as soon as practicable after its discovery
This provision does not affect our right to collect additional premium or exercise our right of cancellation or non-
renewal.
Item 9. Bodily Injury Redefinition
The definition of"bodily injury" in Sedion V-Definitions is replaced by the following:
"Bodily injury"means:
a. B6dily injury sickness or disease sustained by a person, inciuding death resulting from any of these at any
time; and
b. Mental anguish, shock or humiliation arising out of injury as defined in Paragraph a. above. Mental anguish
means any type of inental or emotional illness or distress.
Item 10. Supplementary Payments -Increased Limits
Paragraphs 1.b. and 1.d. of Section I - Supplementary Payments - Coverages A And B, are replaced by the
following:
b. Up to$3,000 for cost of bail bonds required because of accidents or traffic law violations arising out of the use
of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds.
d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of
the claim or"suiP' including substantiated loss of earnings up to$500 a day because of time off from work.
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Item 11 Property In Your Care, Cusfody Or Control
A. Paragraphs (3) and (4) of exclusion j. of Section I —Coverage A— Bodily Injury and Property Damage Liability
only apply to:
1 "Property damage"to borcowed equipment, or
2. "Property damage"to property in your care, custody and control while in transit.
B. This insurance does not apply to any portion of a loss for which the insured has available any other valid and
collectible insurance, whether primary excess, contingent, or on any other basis, unless such other insurance
was specifically purchased by the insured to apply in excess of this poficy
C. Limits of Insurance
Subject to Paragraphs 2. 3., and 5. of Section III — Limits Of Insurance, the most we will pay for insurance
provided by Paragraph A., above is:
$10,000 Each Occurrence Limit
$25,000 Aggregate Limit
The Each Occurrence Limit for this coverage applies to all damages as a result of ariy one "occurrence"
regardless of the number of persons or organizations who sustain damage because of that"occurrence"
The Aggregate Limit is the most we will pay for the sum of ail damages under this Item 11.
item 12. Mobile Equipment Redefinition
The definition of"Mobile EquipmenY'in Section V—Definitions is amended to include self-propelled yehicles with
permanently attached equipment less than 1000 pounds gross vehicle weight that are primarily designed for
(1) Snowremoval;
(2) Road Maintenance, but not construction or resurfacing; or
(3) Street cleaning.
Item 13. Newly Formed Or Acquired Entities
Paragraph 3. of Section il—Who Is An Insured is replaced by the following:
3. Any organization, other than a partnership or joint venture, you newly acquire or form and over which you
maintain majority ownership or majority interest will qualify as a Named Insured if there is no other similar
insurance available to that organization.
a. Coverage under this provision is afforded only until:
(1) The 180th day after you acquire or form the organization;
(2) Separate coverage is purchased for the organization; or
(3) The end of the policy period,
whichever is earlier
b. Coverage A does not apply to "bodily injury" or "property damage" that occurred before you acquired or
formed the organization; and
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c. Coverage 8 does not apply to "personal and advertising injury" arising out of an offense committed before
you acquired or formed the organization.
Item 14. Blanket Additional Insured Where Required By Written Contract
Paragraph 2. of Section II -Who Is An Insured is amended to add the following:
e. Additional Insured by Written Contract or Written Agreement
The following are insureds under the policy when you have agreed in a wntten contract or written agreertient to
provide them coverage as additional insureds under your policy
(1) Lessors of Leased Equipment: The person(s) or organization(s) from whom you lease equipment, but
only with respect to liability for "bddily injury", "property damage" or "personal and advertising injury"
caused, in whole or in part, by your maintenance, operation or use of equipment leased to you by such
person(s)or organization(s).
(2) Managers or Lessors of Premises: Any manager or lessor of premises leased to you in which the
written lease agreement obligates you to procure additional insured coverage.
The coverage afforded to the additional insured is limited to liability in connection with the ownership,
maintenance or use of the premises leased to you and caused, in whole or in paA, by some negligent acts
or omissions of you, your "employees", your agents or your subcontractors. There is no coverage for the
additional insured for liability arisirig out of the sole negligence of the additional insured or those acting on
behalf of the additional insured, except as provided beiow.
If the written agreement obligates you to procure additional insured coverage for the additional insured's
sole negligence, then the coverage for the additional insured shall conform to the agreement, but only if
the applicable law would allow you to indemnify the additional insured for liability arising out the aiiditional
insured's sole negiigence.
This insurance does not apply to:
(a) Any "occurrence" which takes place after you cease to be a tenant in that premises or to lease that
land; or
(b) Any premises for which coverage is excluded by endorsement.
(3) Mortgagees, Assignees or Receivers: Any person(s) or organization(s) with respect to their liability as
mortgagee, assignee or receiver and arising out of the ownership, maintenance or use of your premises.
This insurance does not apply to structural alterations, new construction and demolition operations
performed by or for that person or organization.
(4) Owners, Lessees or Contrectors: any person(s) or organization(s) to whom you are obligated by a
written agreement to procure additional insured coverage, but only with respect to liability for "bodily
injury" "property damage" or 'personal and advertising injury" caused, in whole or in paR, by your acts or
omissions or the acts or omissions of your "employees" your agents, or your subcbntractors, in the
pertormance of your ongoing operations.
This insurance does not apply to"bodily injury", "property damage", or"personal and adveRising injury"
arising out of"your work"included in the"products-completed operations hazard" unless you are required
to provide such coverage for the additional insured by tfie written agreement, and then only for the period
of time required by the written agreement and only for liability caused, in whole or in part, by your acts or
omissions or the acts or omissions of your"employees" your agents, or your subcontractors.
There is nb coverage for the additional insured for liability arising out of the sole negligence of the
additional insured or those acting on behalf of the additional insured, except as provided below.
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If the written agreement obligates you to procure additional insured coverage for the additional insured's
sole negligence, then the coverage for the additional insured shail confoYm(o the agreement, but only if
the applicable law would allow you to indemnify the additional insured for liability arising out the additional
insured's sole negligence.
This insurance does not apply to "bodily injury" "property damage" or "personai and advertising injury'
arising out of the rendering of, or the failure to render any profession:al 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 activdies.
(5) Architects, Engineers or Surveyors: any architect, engineer or surveyor engaged by you but only with
respect to liability for "bodily injury" "property damage" or "personal and advertising injury' caused, in
whole or in part, by your acts or omissions or the ads or omissions of those ading on your behalf:
(a) In connection with your premises; or
(b) In the perFormance of your ongoing operations.
This insurance dces not apply to"bodily injury" "property damage" or"personal and advertising injury"
arising out of the rendering of or the failure to render any professional services by or for you, 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.
(6) Any Person or Organization Other Than a Joint Venture: Any person or organization (other than a joint
venture of which you are a member) for whom you are obligated by a written agreement ta procure
additional insured coverage, but only with respect to liability for "bodily injury", "property damage" or
"personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or
omissions of those acting on your behaif:
(a) In the performance of your ongoing operations; or
(b) In connection with premises owned by you.
This insurance does not apply to:
1 Any construction, renovation, demolition or installation operations performed by or on behalf of you, or
those operating on your behalf;
2. Any person or organization whose profession, business or occupation is that of an architect, surveyor
or engineer with respect to liability arising out of the preparation or approval of maps, drawings,
opinions, reports, surveys, change orders, designs, specification or the performance of any other
professional services by such person or organization; or
3. Any person ororganization more specifically covered in Paragraphs e.(1) through (5) above.
The insurance afforded to any person or organization as an insured under this Paragraph 2.e.
(1) Applies only to coverage and minimum limits of insurance required by the written agreement or written
contract, but in no event exceeds either the scope of coverage or the limits of insurance provided by this
policy
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(2) Does not apply to any person or organization for any "bodily injury' "property damage' or "personal and
advertising injury" 'rf any other additional insured endorsement attached to this policy applies to that person
or organization with regard to the 'bodily injury", "property damage"or"personal and advertising injury"�
(3) Applies only if the "bodily injury" or "property damage" occurs, or offense giving rise to "personal and
adveRising injury" is committed, subsequent to the execution of the written agreement; and
(4) Applies only if the written agreement is in effect at the time the"bodily injury' or 'property damage"occurs,
or at th"e time the offense giving rise to the"personal anii advertising injury' is committed.
Item 15. Blanket Additional Insured —Grantors Of Permits
Paragraph 2. of Section II -Who Is An Insured is amended to add the following:
Any state, municipality or political subdivision with respect to any operations performed by you or on your behalf, or
in connection with premises you own, rent or control and to which this insurance applies, for which the state,
municipality or pofitical subdivision has issued a permit.
However, this insurance does not apply to:
1 "Bodily injury" "property damage" or"personal and advertising injury" arising out of operations performed for
the state, municipality or political subdivision;
2. Any "bodily injury" or "property damage" included within the "products-completed operations hazard", except
when requi�ed by written contred or agreement initiated prior to loss; or
3. "Bodily injury', "property damage" or"personal and advertising injury', uniess negligently caused, in whole or
in part, by you or those acting on your behalf.
Item 16. Waiver Of Right Of Recovery By Written Cont�act Or Agreement
The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV —
Conditions:
We waive any right of recovery because of payments we make under this policy for injury or damage arising out of
your ongoing operations or"your work" included in the "products-completed operations hazard"that we may have
against any person or organqation with whom you have ag�eed in a written contrect or agreement to waive your
rights of recovery but only if the"bodily injury" or"property damage" occurs, or offense giving rise to"personal and
adveRising injury" is committed subsequent to the execution of the written contract or agreement.
Item 17 Other Insurance Amendment
If you are obligated under a written agreement to provide liability insu�ance on a primary excess, contingent, or
any other basis for any person or organization that qualifies as an additional insured on this policy, this policy will
apply solely on the basis required by such written agreement and Paragraph 4 Other insurance of Secfion IV—
Conditions will not apply Where the applicable written agreement does not specify on what basis the liability
insurance will apply, the provisions of Pa�agraph 4. Other Insuranc.e of Section IV — Conditions will govern.
However this insurance is excess over any other insurance available to the additional insured for which it is also
covered as an additional insured by attachment of an endorsement to another policy providing coverage forthe
same "occurrence" claim or"suiY
Item 18. Contractual Liability—Railroads
Paragraph 9. of Section V-Definitions is reptaced by the following:
9. "Insured ContracP'means:
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a. A contract for a lease of premises. However that pdrtion of the contract for a lease of premises that
indemnifies any person or organization for damage by fire to premises while rented to you or temporarily
occupied by you with permission of the owner is not an "insured contracY,
b. A sidetrack agreement;
c. Any easement or license agreement;
d. An obligation, as required by ordinance, to indemnify a municipality except in connection with work for a
municipality;
e. An elevator maintenance agreement;
f. That part of any other contract or agreement pertaining to your business (including an indemnification of a
municipality in connection with work performed for a municipality) under which you assume the toR liability
of another party to pay for "bodily injury" or "property damage' to a third person or organization. Tort
Iiability means a liability that would be imposed by law in the absence of any contract or agreement.
Paragraph f. dces not include that part of ariy contract or agreement:
(1) That indemnifies an architect, engineer or surveyor for injury or damage arising out of:
(a) Preparing, approving or failing to prepare or approve maps, shop drewings, opinions, reports,
surveys, field orders, change orders or drawings and,specifications; or
(b) Giving directions or instructions, or failing to give them, rf that is the primary cause of the injury or
damage; or
(2) Under which the insured, if an a�chi(ect, engineer or surveyor assumes liability for an injury or
damage arising out of the insured's rendering or failing to render professional services, inciuding
those listed in Paragraph (1) above and supervisory inspection, architectural or engineering activities.
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Policy Number AS2Z91454734036
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THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY
AUTO ENHANCEMENT ENDORSEMENT
This endorsement modifies insurance provided under the following
BUSINESS AUTO COVERAGE FORM
I. Newly Acquired or Formed Organizations
II. Employees as Insureds
III. Lessor-Additional Insured and Loss Payee
IV Supplementary Payments- Increased Limits
V Fellow Employee Coverage
VI Personal Property of Others
VII. Additional Transportation Expense and Cost to Recover Stolen Auto
VIII. Airbag Coverage
IX. Tapes, Records and Discs Coverage
X. Physical Damage Deductible- Single Deductible
XI. Physicai Damage Deductible- Gla`ss
XII. PFiysical Damage Deductible-Vehicle Tracking System
XIII. Duties in Event of Accident, Claim, Suit or Loss
XIV Unintentional Failure to Disclose Hazards
XV Woridwide Liability Coverage- Hired and Nonowned Autos
XVI. Hired Auto Physical Damage
XVIi. Auto Medical Payments Coverage increased Limits
XVIiI. Drive Other Car Coverage- Broaiiened Coverage for Designated individuais
XIX. Rental Reimkiursement Coverage
XX. Notice of Cancellation or Nonrenewai
XXI. Loan/Lease Payoff Coverage
XXII. Limited Mexico Coverage
XXIII. Waiver of Subrogation
I. NEWLY ACQUIRED OR FORMED ORGANIZATIONS
Throughout this policy the words you and your also refer to any organization you newly acquire or form, other
than a partnership or joint venture, and over which you maintain ownership of more than 50 percent interest,
provided:
A. There is no similar insurance available to tfiat organization;
B. Unless you notify us to add coverage to your policy the coverage under this provision is afforded only
until:
1 The 90th day after you acquire or form the organization; or
2. The end of the policy period, whichever is earlier and
C. The coverage does not apply to an "accidenY' which occu�red before you acquired or formed the
organization.
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II. EMPLOYEES AS INSUREDS
Paragraph A.1 Who Is An Insured of SECTION II-LIABILITY COVERAGE is amended to add:
Your "employee' is an 'insured" while using with your permission a covered "auto" you do not own, hire or
borrow in your business or your personal affairs.
III. LESSOR-ADDITIONAL INSURED AND LOSS PAYEE
A. Any "leased auto" will be considered an "auto" you own and not an "auto" you hire or borrow. The
coverages provided under this section apply to any "leased auto" until the expiration date of this policy or
until the lessor or his or her agent takes possession of the"leased auto"whichever occurs first.
B. For any "leased auto' that is a covered "auto" under SECTION II - LIABILITY COVERAGE, Paragraph
A.1 Who Is An insured provision is changed to include as an "insured" the lessor of the "leased auto"
However, the lessor is an "insured" only for"bodily injury" or"property damage" resulting from the acts or
omissions by
1 You.
2. Any of your"employees"or agents; or
3. Any person, except the lessor or any "employee" or agent of the lessor, operating a "leased auto"
with the permission of any of the above.
C. Loss Payee Clause
1 We will pay as interests may appear, you anii the lessor of the"leaseii auto"for"loss"to ttie covered
"leased auto"
2. The insurance covers the interest of the lessor of the "leased auto" unless the "loss" results from
fraudulent acts or omissions on your part.
3. If we make any payment to the lessor of a "leased auto", we will obtain his or her rights against any
other party
D Cancellation
1 If we cancel the policy we will mail notice to the lessor in accordance with the Cancella;ion Common
Policy Condition.
2. If you cancel the policy we will mail notice to the lessor
3. Cancellation ends this agreement.
E. The lessor is not liable for payment of your premiums.
F For purposes of this endorsement, the following definitions apply
"Leased auto" means an "auto" which you lease for a period of six months or longer for use in your
business, including any 'temporary substitute" of such "leased auto"
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"Temporary substitute" means an "auto" that is fu�nished as a substitute for a covered "auto" when the
covered "auto is out of service because of its breakdown, repair servicing, 'loss' or destruction.
IV SUPPLEMENTAFtY PAYMENTS- INCREASED LIMITS
Subparagraphs A.2.a.(2) and A2.a.(4) of SECTION II - LIABILITY COVERAGE are deleted and replaced by
the following:
(2) Up to$3,000 for the cdst of baii bbnds (�ncluding bonds for related tra�c law violations) required because
of an "accidenY'we cover We do not have to furnish these bonds.
(4) All reasonable expenses incurred by the "insured" at our request, including the actual loss of earnings up
to$500 a day because of time off from work.
V FELLOW EMPLOYEE COVERAGE
A. Exclusion 6.5. of SECTION II - LIABILITY COVERAGE does not apply
B. For the purpose of Fellow Employee Coverage only Paragraph B.S. of BUSINESS AUTO CONDITIONS
is changed as follows:
This Feliow Employee Coverage is excess over any other collectibie insurance.
VI. PERSONAL PROPERTY OF OTHERS
Exclusion 6. in SECTION II -LIABILITY COVERAGE for a covered"auto"is amended to add:
This exclusion does not apply to"property damage" or"covered pollution cost or expense" involving 'personal
property" of your "employees" or others while such property is carried by the covered "auto" The Limd of
Insurance for this coverage is $5,000 per "accidenY' Payment under this coverage does not increase the
Limit of Insurance.
For the purpose of this section of this endorsement, "personal property" is defined as any property that is not
used in the individual's traile or business or held for the production or coliection of income.
VII. ADDITIONAL TRANSPORTATION EXPENSE AND COST TO RECOVER STOLEN AUTO
A. Paragraph A.4.a. of SECTION III - PHYSICAL DAMAGE COVERAGE is amended as follows:
The amount we will pay is increased to$50 per day and to a maximum limit of$1 000.
B. Paragraph A.4.a. of SECTION III -PHYSIGAL DAMAGE.COVERAGE is amended to add the following:
If your business is shown in the Declarations as something other than an auto dealership, we will also pay
up to $1 000 for reasonable and necessary costs incurred by you to return a stolen covered "auto" from
the place where it is recovered to its usual garaging location.
Vlil. AIRBAG COVERAGE
Exclusion B 3 a in SECTION III - PHYSICAL DAMAGE COVERAGE is amended to add:
This exclusion does not apply to the accidental discharge of an airbag.
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IX. TAPES, RECORDS AND DISCS COVERAGE
Exclusion B.4.a. of SECTION III - PHYSICAI DAMAGE COVERAGE is deleted and replaced by the following:
a. Tapes, records, discs or other similar audio, visual or data electronic devices designed for use with audio,
visual or data electronic equipment except when the tapes, records, discs or other similar audio, visual or
data electronic devices:
(�) Are your property or that of a family member; and
(2) Are in a covered 'auto" at the time of"loss"
The most we will pay for "loss" is $200. No Physical Damage Coverege deductible applies to this
coverage.
X. PHYSICAL DAMAGE DEDUCTIBLE-SINGLE DEDUCTIBLE
Paragraph D. in SECTION III - PHYSICAL DAMAGE COVERAGE is deleted and replaced by the following:
D Deductible
For each covered "auto" our obfigation to pay for, repair return or replace damaged or stolen property
will be reduced by the appiicable deductibie shown in the Declarations. Any Comprehensive Coverage
deductible shown in the Declarations does not apply to"loss"caused by fire or lightning.
When two or more covered "autos" sustain"loss" in the same collision, the total of all the 'loss"for all the
involved covered "autos" will be reduced by a single deductible, which wiil be the largest of all the
deductibles applying to all such covered"autos"
XI. PHYSICAL DAMAGE DEDUCTIBLE-GLASS
Paragraph D m SECTION III - PHYSICAL DAMAGE COVERAGE is amended to add:
No deductible applies to"loss" to glass 'rf you elect to patch or repair it rather than replace it.
XII. PHYSICAL DAMAGE DEDUCTIBLE-VEHICLE TRACKING SYSTEM
Paragraph D in SECTION III -PHYSICAL DAMAGE COVERAGE is amended to add:
Any Comprehensive Coverage Deductible shown in the Declarations will be reduced by 50% for any "loss"
caused by theft if the vehicle is equipped with a vehicle tracking device such as a radio tracking device or a
global positioning device and that device was the method of recovery of the vehicle.
XIII. DUTIES IN EVENT OF ACCIDENT CLAIM, SUIT OR LOSS
Subparagraphs A.2.a. and A.2.b. of SECTION IV-BUSINESS AUTO CONDITIONS are changed to:
a. In the event of "accidenY' claim, "suiY' or "loss", your insurance manager or any other person you
designate must notify us as soon as reasonably possible of such "accident" claim, "suiY' or "loss" Such
notice must include:
(1) How when and where the "accidenY'or"loss"occurred;
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(2) The"insured's" name and address; and
(3) To the extent possible, the names and addresses of any injured persons and witnesses.
Knowledge of an "accidenY claim, "suit" or "loss" by your agent, servant or "employee" shall not be
considered knowledge by you unless you, your insurance manager or any other person you designate
has received notice of the"accidenY' claim, "suiY or"loss"from your agent, servant or"employee"
b. Additionally you and any other involved "insured" must:
(1) Assume no obligation, make no payment or incur no expense without our consent, except at the
"insured's"own cost.
(2) Immediately send us copies of any request, demand, order notice, summons or legal paper received
concerning the claim or"suiY'
(3) Cooperate with us in the investigation or settlement of the claim or defense against the 'suiY
(4) Authorize us to obtain medical records or other pertinent information
(5) Submit to examination, at our ezpense, by physicians of our choice, as often as we reasonably
require.
XIV UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS
Paragraph B.2. in SECTION IV- BUSINESS AUTO CONDITIONS is ameniied to add the following:
Any unintentional failure to disclose all exposures or hazards existing as of the effective date of the Business
Auto Coverage Form or at any time during the policy period will not invalidate or adversely affect the coverage
for such exposure or hazard. However, you must report the undisclosed exposure or hazard to us as soon as
reasonably possible after its discovery
XV WORLDWIDE LIABILITY COVERAGE-HIRED AND NONOWNED AUTOS
Condition 6.7 in SECTION IV- BUSINESS AUTO CONDITIONS is amended to include the following:
For"accidents" resulting from the use or operation of covered "autos" you do not own, the coverage territory
means all parts of the world subject to the following provisions:
a. If claim is made or 'suit' is brought against an "insured" outside of the United States of America, its
territories and possessions, Puerto Rico and Canada, we shall have the right, but not the duty to
investigate, negotiate, and settle or defend such claim or"suiP'
If we do not exercise that right, the "insured" shall have the duty to investigate, negotiate, and settle or
defend the claim or 'suiY and we will reimburse the "insurecl" for the expenses reasonably incurred in
connection with the investigation, settlement or defense. Reimbursement will be paid in the currency of
the United States of America at the rate of exchange prevailing on the date of reimbursement.
The 'insured" shall provide us with such iriformation we shall reasonably request regarding such clairim or
"suiY' and its investigation, negotiation, and settlement or defense.
The "insured" shall not agree to any settlement of the claim or "suiY' without our consent. We shall not
unreasonably withhold consent.
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b. We are not licensed to write insurance outside of the United States of America, its territories or
possessions, Puertb Rico and Canada.
We will not furnish certificates of insurance or other evidence of insurance you may need for the purpose
of complying with the laws of other countries relating to auto insurance.
Failure to compty with the auto insurance laws of other countries may result in fines or penalties This
insurance does not apply to such fines or penalties.
XVI. HIRED AUTO PHYSICAL DAMAGE
If no deductibles are shown in the Declarations for Physical Damage Coverage for Hired or Borrowed Autos,
the following will apply
A. We will pay for "loss" under Comprehensive and Collision coverages to a covered "auto" of the private
passenger type hired without an operator for use in your business:
1 The most we will pay for coverage afforded by this endorsement is the lesser of:
a. The actual cost to repair or replace such covered "auto" with other property of like kind and
quality; or
b. The actual cash value of such covered"auto"at the time of the"Ioss"
2. An adjustment for depreciation and physical condition wiil be made in determining actuai cash value
in the event of a total"ioss"
3. if a repair or replacement results in better than like kind or quality, we will not pay for the amount of
the betterment.
B. For each covered "auto" our obligation to pay for, repair, return or replace the covered "auto" wili be
reduced by any deductibie shown in the Declarations that applies to private passenger "autos" that you
own. If no applicabie deductible is shown in the Declarations, the deductible will be$250.
If the Declarations show other deductibles for Physicai Damage Coverages for Hired or Borrowed Autos,
this Section XVI of this endorsement does not apply
C. Paragraph A.4.b. of SECTION III - PHYSICAL DAMAGE COVERAGE is replaced by
b. Loss of Use Expenses
For Hired Auto Physical Damage provided by this endorsement, we will pay expenses for which an
"insured" becomes legally responsibie to pay for loss of use of a private passenger vehicle rented or
hired without a driver, under a written rental contract or agreement. We wiil pay for loss of use
expenses caused by'
(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"
AC 84 07 07 13 O 2013 Liberty Mutual Insuranca.All rights reserved. Page 6 of 11
Includes copyrighted material of Insurance Services Office, Inc.,
with its permission.
Policy Number A52Z9 7 4547 34036
Issued by
However the most we will pay under this coverage is $30 per day, subject to a maximum of$900.
XVII. AUTO MEDICAL PAYMENTS COVERAGE - INCREASED LIMITS
For any covered 'loss' the Limit of Insurance for Auto Medical Payments will be double the limit shown in the
Declarations if the "insured' was wearing a seat belt at the time of the "accidenY' This is the mazimum
amount we will pay for all covered medical expenses, regardless of the number of covered "autos"
"insureds" premiums paid, claims made, or vehicles involved in the "accidenY'
If no hmit of insurance for Auto Medical Payments is shown on the Declarations, this paragraph Section XVII
of this endorsement does not apply
XVIII. DRIVE OTHER CAR COVERAGE - BROADENED COVERAGE FOR DESIGNATED INDIVIDUALS
A. This endorsement amends only those coverages indicated with an "X" in the Drive Other Car section of
the Schedule to this endorsement.
B. SECTION II- LIABILITY COVERAGE is amended as follows:
1 Any "auto" you don't own, hire or 6orrow is a covered "auto" for Liability Coverage while being used
by any individual named in the Drive Other Car section of the Schedule to this endorsement or by his
or her spouse while a resident of the same household except:
a. Any"auto"owned by that individual or by any member of his or her household; or
b. Any "auto" used by that individual or his or her spouse while working in a business of selling,
servicing, repairing or parking"autos"
2. The foliowing is added to Who Is An Insured:
Any individual named in the Drive Other Car section of the Schedule to this endorsement and his or
her spouse, while a resident of the same household, are "insureds" while using any covered "auto"
described in Paragraph 6.1 of this endorsement.
C. Auto Medical Payments, Uninsured Motorist, and Underinsured Motorist Coverages are amended as
follows:
The following is added to Who Is An Insured:
Any individual named in the Drive Other Car section of the $chedule to this endorsement and his or her
"family members are 'insured'' while "occupying" or while a pedestrian when struck by any "auto" you
don't own except:
Any 'auto' owned by that individual or by any 'family member"
D. SECTION III - PHYSICAL DAMAGE COVERAGE is ch"anged as follows:
Any private passenger type "auto" you don't own, hire or borrow is a covered "auto" while in the care,
custody or control of any individual named in the Drive Other Car section of the Schedule to this
endorsement or his or her spouse while a resident of the same household except:
1 Any 'auto"owned by that individual or by any member of his or her household; or
AC 84 07 07 13 OO 2013 Liberty Mutual Insurance. All rights reserved. Page 7 of 11
Includes copynghted matenal of insurance Services Office, Inc.
with its permission.
Policy Number E+S2Z91454734036
Issued by
2. Any "auto" used by that individual or his or her spouse while working in a business of selling,
servicing, repairing or parking"autos"
E. For purposes of this endorsement, SECTION V-DEFINITIONS is amended to add the following:
"Family member" means a person related to the individual named in the Drive Other Car section of the
Schedule to this endorsement by blood, marriage or adoption who is a resident of the individual's
household, including a ward or foster child.
XIX. RENTAL REIMBURSEMENT COVERAGE
A. For any owned covered "auto" for which Collision and Comprehensive Coverages are provided, we will
pay for rental reimbursement expenses incurred by you for the rental of an "auto" because of a covered
physical damage 'loss" to an owned covered "auto" Such payment applies in adddion to the otherwise
applicable amount of physical damage coverage you have on a covered "auto" No deductibles apply to
this coverage.
B. We will pay only for those expenses incurred during the policy period beginning 24 hours after the "loss"
and ending with the earlier of the return or repair of the covered "auto", o�the exhaustion of the coverage
limit.
C. Our payment is limited to the lesser of the following amounts:
1 Necessary and actual expenses incurred; or
2. $30 per day with a maximum of$900 in any one period.
D. This coverage does not apply�
1 Whiie there are spare or reserve "autos"availabie to you for your operations; or
2. If coverage is provided by another endorsement attached to this policy
E. If a covered "loss" results from the total theft of a covered "auto" of the private passenger type, we will
pay under this coverage only that amount of your rental reimbursement expenses which is not already
provided for under Paragraph A.4 Coverage 6densions of SECTIDN III — PHYSICAL DAMAGE
COVERAGE of the Business Auto Coverage Form or Sedion VII of this endorsement.
XX.NOTICE OF CANCELLATION OR NONRENEWAL
A. Paragraph A 2. of the COMMON POLICY CONDITIONS is changed to:
2. We may cancel or non-renew this policy by mailing written notice of cancellation or non-renewal to
the Named Insured, and to any name(s) and address(es) shown in the Cancellation and Non-renewal
Schedule:
a. For reasons of non-payment, the greater of:
(1) 10 days; or
(2) The number of days specified in any other Cancellation Condition attached to this policy; or
b. For reasons other than non-payment, the greater of:
AC 84 07 07 13 OO 2013 Liberty Mutual Insurance.All rights reserved. Page 8 of 11
Includes copyrighted matenal of Insurance Services Office, Inc.,
with its permission
Policy Number AS2Z91454734036
Issued by
(�) 60 days;
(2) The number of days shown in the Ca�cellation and Non-renewal Schedule; or
(3) The number of days speafied in any other Cancellation Condition attached to this policy
prior to the effective date of the cancellation or non-renewal.
B. All otFier terms of Paragraph A. of the COMMON POLICY CONDITIONS, and any amendments thereto,
remain in full force and effect.
XXI. LOAN/LEASE PAYOFF COVERAGE
The following is added to Paragraph C. Limit of Insurance of SECTION III - PHYSICAL DAMAGE
COVERAGE:
In the event of a total "loss' to a covered "auto" of the private passenger type shown in the schedule or
declarations for which Collision and Comprehensive Coverage apply, we will pay any unpaid amount due on
thelease orloanforthatcovered "auto" less:
1 The amount paid under the PHYSICAL DAMAGE COVERAGE SECTION of the policy; and
2. Any
a. Overdue leaselloan payments at the time of the"�oss";
b. Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high
mileage;
c. Security deposits not retumed by the lessor
d. Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability insurance
puYchased with the loan or lease; and
e. Carry-over baiances from previous loans or leases.
This coverage is limited to a mauimum of$'1500 for each covered"auto"
XXII. LIMITED MEXICO COVERAGE
WARNING
AUTO ACCIDENTS IN MEXICO ARE SUBJECT TO THE LAWS OF MEXICO ONLY- NOT THE LAWS OF THE
UNITED STATES OF AMERICA. THE REPUBLIC OF MEXICO CONSIDERS ANY AUTO ACCIDENT A
CRIMINAL OFFENSE AS WELL AS A CIVIL MATTER.
IN SOME CASES THE COVERAGE PROVIDED UNDER THIS ENDORSEIIAENT MAY NOT BE RECOGNIZED
BY THE MEXICAN AUTHORITIES AND WE MAY NOT BE ALLOWED TO IMPLEMENT THIS COVERAGE AT
ALL IN MEXICO YOU SHOULD CONSIDER PURCHASING AUTO COVERAGE FROM A LICENSED
MEXICAN INSURANCE COMPANY BEFORE DRIVING'INTO MEX�CO
THIS ENDORSEMENT DOES NOT APPLY TO ACCIDENTS OR LOSSES WHICH OCCUR BEYOND 25 MILES
FROM THE BOUNDARY OF THE UNITED STATES OF AMERICA.
AC 8d 07 07 13 OO 2013 Litierty Mutual Insurance.All rights reserved Page 9 of 11
Includes copyrighted material of Insurance Services Office, Inc.
with its permission.
Policy Number AS2Z91454734036
Issued by
A. Coverage
1 Paragraph B.7 of SECTION IV- BUSINESS AUTO CONDITIONS is amended by the addition of the
following:
The coverage territory is extended to include Mexico but only if all of the following criteria are met:
a. The"accidents" or"loss"occurs within 25 miles of the United States border and
b. While on a trip into Mexico for 10 days or less.
2. For coverage provided by this section of the endorsement, Paragraph B.5. Other Insurance in
SECTION IV- BUSINESS AUTO CONDITIONS is replaced by the tollowing:
The insurance provided by this endorsement will lie excess over any other collectible insurance.
B. Physical Damage Coverage is amended by the addition of the following:
If a "loss" tb a covered "auto" occurs in Mexico, we will pay for such "loss" in the United States. If the
covered "auto" must be repaired in Mexico in order to be driven, we will not pay more than the actual cash
value of such"loss"at the nearest United States point where the repairs can be made.
C. Additional Exclusions
The following additional exclusions are added:
This insurance does not apply�
1 If the wvered "auto" is not principally garaged and principally used in the United States.
2. To ariy"insured"who is not a resident of the United States.
XXIII. WAIVEFt OF SUBROGATION
Paragreph A.5. in SECTION IV - BUSINESS AUTO CONDITIONS does not appiy to any person or
organization where the Named Insured has agreed, by written contract executed prior to the date of
"accidenY',to waive rights of recovery against such person or organization.
AC 84 07 07 13 O 2013 Liberty Mutual Insurance.All rights reserved. Page 10 of 11
Includes copyrighted material of Insurance Services Office, Inc.
with its permission.
Policy Number Aszz9iasa�3aoss
Issued by
Schedule
Premium
Liability �
Physical Damage �" :'�
Total Premium r�'�n
V Fellow Employee
Schedule of Employees:
:qze}1
XVIII. DriveOtherCar LIAB MP UM UIM COMP COLL
Name of Individual
LxJwr �CL�r.L.J fi.}.i �"'��[i` ui �
XX. Notice of Cancellation or Nonrenewal
Name and Address Number of Days
AC 84 07 07 13 OO 2013 Liberty Mutual Insurance. All rights reserved Page 11 of 11
Includes copyrighted material of�Insurance Services Office, Inc.
with its permission
This page has been left blank intentionally
POLICY NUMBER: AS2-Z91-454734-036 COMMERCIAL AUTO
CA 20 48 1013
THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY
DESIGNATED INSURED FOR
COVERED AUTOS LIABILITY COVERAGE
This endorsement modifies insurance provided under the following:
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FbF21v1
MOTOR CARRIER COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless
modified by this endorsement.
This endorsement identifies person,(s) or organization(s)who are "insureds"for Covered Autos Liability Coverage
under the 1Nho is An Insured provision of the Coverage Form. This endorsement does not aRer coverage
provided in the Coverage Form.
SCHEDULE
Name Of Person(s)Or Organization(s):
Any person or organization whom you agreed in writing as an additional insured, but only for the coverage and
minimum limits of insurance required by the written ag�eement, and in no event to exceed eilher the scope of
covera e or the limits of insurance rovided in this olic
Information re uired to com lete this Schedule, if not shown above, will be shown in the Declarations.
Each person or o�ganization shown in the Schedule is
an "insured"for Covered Autos Liability Coverage, but
only to the extent that person or organization qualifies
as an "insured" under the Who Is An Insured
provision contained in Paragraph A.1 of Section 11 —
Covered Autos Liability Coverage in the. Business
Auto and Motor Carrier Coverage Forms and
Paregraph D.4. of Secfion I — Covered Autos
Coverages of the Auto Dealers Coverage Form.
CA 20 48 70 13 �O Insurance Services Office, Inc. 2011 Page 1 of 1
This page has been left blank intentionally
' Page 1 of 2
Consumer tools
Agent and Company Lookup Orders Independen[Review Decisions
LIBERTY MUTUAL FIRE INSURANCE COMPANY
Licensing � A,ppointments � Complain[s � OrderS � National Info � Ratings � Tax Filin,gs
Back So SeSrch
General information Contact information
NBMC: LIBER7Y MUTUAL FIRE INSURANCE COMPANY Registered address Mailing address
CO�p01'dYE fB1T111)/ QI'OIIP: LIBERTY MUT GRP O 2000 WESTWOOD DR 175 BERKELEY ST
0�g0111Z0t1011 type: PROPERTY NIAUSAU, WI 54401 BOSTON, MA 02117
WAOIC: 732 Telephone Telephone
NAIC: 23035 617-357-9500 617-357-9500
StatUS: ACTIVE
Admitted date: i2/v/i92a
Ownership type: rtuTun�
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Types of coverage authorized to sell o
Insurancetypes
...........................................................................................................................
Casualty
Marine
Ocean Marine
Property
--._._._.._......_.._._.........._................._......................._.........._..._
Suret
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Disciplinary orders 2008-2014 0
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Year Order Number �
2010 10-0161
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2015 2014 2013 2012 2011
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Liberty Mutual Fire Insurance Company - Company Profile - Best's Credit Rating Center Page 1 of 2
AM Best Rating Services �WelcomeBeckJoAnneAntlersen�MVMam�erCenle��LoaOut
A M.6es1�A.M.Best Wtmg Services�A.M.Bes[In(ormahon Serv¢es About I Careers�Events�Support�Contact
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Conbrences 6 Eventa . Atllliation Cotle: p(PooleE) Sanloi Financlel Anelyet:Michael W Russo
Awards 3 Ratoqnitions Flnaneial Size Category: XV($2 Bilbon or grealer) Vica PrealtlenL Michael J Legomarsmo,CFA,FRM
DalaSubmisslonCanter . OWook: Stable
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EHec[ive Date: OcloEer O8,2015
Initial Ratinq Da[e: June 30,1920 "�'� VIewA.M.Basl's qahno Disclosure Fo�m
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Rating History
A M Best�as prontleE ra4ngs 8 analysis on ihis compeny since 1920
Inancla Sinn Lon �Tarmle�uerCroClt
Elbcpv�0ate Wtlng EllectiveDaH RHinp
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7/2N2012 A �/26/2012 a
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AMB Cretlrt Reports
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' commentary.delatletl business oveniew antl key Mancial tlata.
Report Revision Dale 6/I2018(represenls t0e lelm�aipnlfcenl c�anpe)
=� His[oncal Repotls are available in AMB CreEil Reooh Amhrve
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View aAtlNonal nc+vs.reooris antl oro0uds forthis company
Press Releases
Date �
O<t08.2015 A.M.BescAffirmsRannosofbbeMMumalHoldinqCo�Inc.andl�Subndiaries
ISep 24,2014 A M Affirm � n f i I I in n n n i i ri 5
IAuq 14,2013 A.M.Best Affimx Rarinq,of L bem Mumal Hold no Comoanv Inc.and Its Subs d aries
IJul 26,2012 A.M.Best Affirms R�nnos o/Lib rtv M�t al Holdina omoanv � and I< !p idian <
Ilun lfi,2011 A � �--'_— '—" '—�—�"—"Inc n 1 sid� n' — — '
(lun 11,2010 A.M.Bert Affirms Rahnps of Liber(y Mufual HoldinQComoarry Inc.and Its Subsidmnes
I Mar O5,2008 A M Bert A/firms Ra�nas of Liber(y Mutual Gmuo.inc Its Suhsidiaries and 4bertv Uk Assurance Comwnv
of Bonon
I Jan 25,2006 ! i
Stable OuHook
Ilun ll,2004 A.M�Best AKrtns Libertv Mutual's Hatinqs�Revises Outlook ta Stable
I
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Liberty Mutual Fire Insurance Company - Company Profile - Best's Credit Rating Center Page 2 of 2
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Contac[an Analys[ Rating: 'A(Excellenp ����9�saued Gy A M Best Raling Services,In�
Conferencec 8 Events � AKliation Coae: r(Reinsuretl) Senior Financial Analyst:Jonathan Hams,CFA,FRM
AwaMs 6 Racoynitions Flnanclal Size Ga[egory: XI($750 Mllllon to$7 Blllion) ManaB�^9 Sanior Flnancial AnalysC Jarqalene Lentz,CPA
. . _ ..._ ..._._..._ _._...._._._._._.._..."""'_'_
Data Submission Canler . Outlook: SUCIe
Requlatory Info�mation . A�tion: ARirtnetl Disclosure Informatlon
Ettactive Date: June 03,2015
Initlal Rating Date: June 30,1990 � View A M Besfs Rahna Disclosure Statement
hmAa de�Ps Cmdrl Itulmg
EntereCompanyName � �on �TermbauerCrcdltRaOn VlewOetinkbn AM BeslABumsRahnosofNav�qalorslnsurance
Comoanv.its Subsidiarv and The Naviaators Grauo.Inc.
s Ativancetl Search Long-Term: at �p �une 03,2015
Outlook: SWble
����vvv � Aelion: Affirmetl
AM.883t F2811fg ServICe9 Et/ective Date: June 03,2015
Contactlnfofmabon s ���Nal RatinB Date: Oclober10.2005
�oeno��unar�ae.�ew eesrs aaena
Ratmg History
A.M Best has provitletl rahnBs&analysis on ihis company since 1990
Flnanclal5tren th �on -TarminnueiC�atlit
EflecOve�eM Ratlng ERectivaDab�Rating
6/3/2015 A 8/3/2015 at
6/0/2014 A 6/G/2014 a+
6/72013 A 6/7/2013 ai
&192012 A fi/192012 ai
6/21/2011 A fi/21/2011 ai
6/22/2010 A fi/22/2010 a�
AMB Cretlit Reports
5��- AMB Cretlrt Reoort incluCes Besl§Finanaal 51rengN Rating antl rabonale along wiN comprehensrve analyUral
`� r commentary,tletailea business ovornew anE key finannal aata
Repotl Revision Da[e 4H9/2016(represents lhe letest aigmfcant change)
Histoncal Repohs are available in AMB Credit Reoort ArcNve
V,�j
View atldilional news.rnoorts and pmtlucis(o���is company
Press Releases
Date T_JI£
Jun03,2015 AM B tAK Ra6 fN ' f I C y t 5 6 d' dTh N �to G I
IJun 04,2014 A M BestAffrms Ratlnas of Navqaton Insurance Com a It�5 6'd' d Th N q t �G 1
IJun 0�,2013 A M.Best Affrms Rannos of Nawqaron msuranre Comoanv I[s Subs d ary and The Nav oarors U.ouo mc
IJun19,2012 AMB tAff RE fN qt� 1 C I656d ry dTh N t G I
�lun 21,2011 A M.Best Affrms Rannqs of Naviaamrs Insuranre Grouo Iis Members and The Nav'oarors Grouo Inc
I lun 22,2030 A M B t Affi R 4 q f N g t I G Its M be d Th N ' to G I�
I1u123,2009 A.M.BestAssiqnslndi trv DbtRanno�toNavaator< m�olnc' hlfReo=haton
IMar28,2008 AM B tAff R n fN ' ro I G dTh N ' ro G I
I O<t10,2005 AM B tA '...I d� [ _&I C dtR3c g=t Th N �g c =G I 'Aff Rat �"�f
Nawoators Iniurona Grouo
I
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Navigators Specialty Insarance Company - Company Profile - Best's Credit Rafing Center Page 2 of 2
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A M Best Eu�ape RatinB Serv¢ea Lim�letl(AMBERS),a suESGiary af A M Best Rating SerHcas,Inc is en Enemal CreCitAsaessment Institution(ECAp In tM1e European Umon(ELI)T�erefore,
cretll�ratlnqs iasue0 anE en0arsad by AMBERS may ba useG ror reguletory purpoms in�he EU as per Direcbve 2006/9&EC
Australlen Dbelo�uros
A M Best Asia-Pacifc Limtletl(AM6AP).AusVahan Regislemtl Botly Numba�(ARBN Na 1503]528]),i¢a bmitetl Ilabibty wmpany int�rporate0 antl tlomiuletl in Hong Kang AMBAP ia a
w�olesale Austrz6en Finanual Serncee(AFS)4cence holtler(AFS No 411055)unEar t�a Coryonbons Acl Y001 CreER rz4ngs emanatlnp hOm AMBAP are nat mtenEatl tor antl must no�be
EutnEutatl to any Darson in Austrahe ot�erMan a whaleaale Glent as EefineE m C�apter]ot iha Coryors�ons Act AMBAP Coes nat euNonze ila Cretlit Ra4npa to Ce Cisaeminatatl Ey a Nirdparty
in a manner ihat coulC reasona�ly ba repaMatl as being In�enOeG to influence a reGA client m makmg a Cension in reiS�on to a paNwlar pmtluU or dene of I�nendal proCuct AMBAP Credit
Ratinga are in�enaetl fo�wholesale Gienls only,aa tlefinetl
CreCit ftabnga tletermineE entl EisseminaleE by AMBAP are��e apmion ot AMBAP anly antl not any apeaf¢aetllt anaryat AMBAF Cretlit RaYnqs are statements ot opimon entl not statemenis at
fact T�ey are nat recommentlatlons b Ouy.�oIE or sell any sawnties or any otheriarm of hnancial pmtlud,inUutlmp inaurenca Dollaes anC are not a recommanEaLon b be usetl to maNe
mvesbnanl/pmrliasin9 tleuaionn
ImportaM Notice A M BesYs Cretlit ftahngs are IntlepanCent antl oC�eclrve a0��iona,not s�ataments of fact A M Bas[n not an Inveednent Atlwsor,Coes not o/fennveaMant atlmce ot any kinQ
w�tloea ihe compeny ar its Ratings Anelyata aflar any rorm of simcWnng o�finanaal atlrce A M BesYs cretl¢opimonn are not rewmmanCa4ons m buy,aell or�oIE xcuntlea,or to make any
otM1ei Inves�ment tleasmna Far aCtliYanal mfotmatlon reBaNinB�e use antl bmiGbons o(cre�rt reting opinions,as well as ihe rzYng promsa,iMormabon mqulrcmenls entl ather tating rolaletl
tertna antl tlaflnNons,pleex mew UnEeMantl no BesYs CreCit Ratinas
AGout A M Bea� I Site Map I Customer Sernce I Member Center�Contact Infa �Caraers �Terms of Uae I Pnvacy Pollq
Sewnry I LepalB�cemm�g
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CopyngM m 2018 A M Best Compeny.Inc an0lor its aifliates ALL RIGHTS RESERVED
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Indusion an Ihis lisl Coas nal inCiwta�hal t�a camer m¢els I�e�eqoirement as an app�opnate insurer T�e Surylus Lme Bmker is solety respons��le tor Celermimng I�e
quatificapons o/eac�cartier Being on Ihis lisl mearm tha cartieris recogmzetl Ey t�e SurpWs Line Assoc�a�on ot Washing�on antll�hngs Gy Cmkers lorihe carner will be
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Searc�By Inwrer Name ar Ciry qxis _JI I Searc�
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IAXISSPECIALTYEIJROPESE , MOUNTHERBERTCOURT I DU6LIN IE
LAXIS SURPWS WSURANCE COMPANV 111 50UTH W.ICKER DRIVE GHICAGO IL
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AXIS Surplus Insurance Company - Company Profile - BesYs Credit Rating Center Page 1 of 2
AM Best Rating Services �yyelcomeBackJOAnneAntlenenlMVMemberr.��er�LooQu�
A.M Best I A�M.Best Ratmg Services�A M.Bes[Informahon Serv¢es About I�areers�Evenls�Support�Con[ac[
Ratlng Seam�:O Search u AAvanced Seaah 8 Pnnt�Ns oaae
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N.M.BntY.01R313 NAICC28B20 FEINY:6]OW113s
Raybaal Centen . Administrative ORiee View AOGNonal Atldress Infortnabon "' '— ""
Rating Pmcess 8 Deflnrtiona . 71680 Great Oaks Way Suita 500 Asspnetl ro�
•UnEerstanamg Best's Rannes Alpharetta.GA 30022 I insurance �,e�
•Gwee m Beses Rabngs Umtetl Slates companies •. p
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+Finanmal SlrengN Rahng Gwtle m our opinian,a supenor eGllity to
.IssuerCreaitRatlneGwtle WeG:wwwaviscaoitalcom
.Issue Ratinp GuiCe Phone:678-7459400 meet iheir ongoing insurance
Faz:67&7453420 obligations �
n National Swle RatinB Gwde ---
n Couniry Risk Inbrtnation
.MaAet SeOmentOunook Basetl on A M Beefs anatysis,051089-AXIS Caoilal Holdinos Limiletl is Ihe AMB Ultlmate Parent antl itlenMes ihe lopmost enliry
Rating Methotlology o(Ne wrporete slmctuie Vlew a list of gperatina insurance enbties m ihis sbucture
Intlustry Redearch BesPs Cretlit Ratings -
InEustryBMarketGanten r Fi enebl5iren thRatln ViewDeflnitlon BesCaC EttRatl Anal t
___
Contacl an Analysl qyting: Ai(Superior) ���ng lasuetl by A M Best Ra�np Services,Inc.
Con/erences b Evenfs � pffillaHon Code: g(Group) Senior Financial Analyst Scott Mangan
Awartls 8 Recognkions Financial Sizs Category: %V(E2 Billian or greeter) Aesiefan[Vice Presidant:Greg Reisner
_._.._......._._..........'__
DataSubmissionCenter � Outlook: StaGle
Regulatorylnfortnatlon � Acdon: A/firtne0 DlsclosurelnformaHon ' -
EffecGve Date: August 04,2015
Ini4al Rating Date: June 20,2002 � View A M BesPs Ratma Disclosure Form
FmAu BeaPs C'redn Rul�ng
" Lon -Termissue�CreCitRatin ViewDaflnition
Entera Compeiry Nama ,�� --�-�--�-�-���-----�-�-�0....- „ A.M Best Removes From Untler Review antl ARrms
»Advancetl Saerch Long-Term� aa- Rapnos o(AXIS Caortal Holdinos Limlle4 antl Its
Outlook: Sfable ,r_� SubsiOianes
Augus�0q,2015
�,,,��aa.�/// Action: Affirmetl
AM.BeSf RBllrlg StlMC84 Eflactiva�ata: August 04,2015
CdnCaG Infortnafion� ��itiel Rating Oate: May 16.2005
�oe�mes o�a�r ae�iew sess aae�a
Rating History
A M Best has provided ratings 8 analysis cn this company since 2002
Financlal Stren Wn .Tarm Isauer Cretlit
ERactiva0ate RadnB ERactive W4 Ratlny
B/4/2015 A+ 8/4/2015 aa-
1262015 A+u �/p&2015 aa-u
9/30rz016 Aa 9/30/2014 aa-
9/252013 Ai 9252013 aa-
9/21/2012 A 9/21/2012 a+
ii/2?12011 A 71222017 a+
11A712010 A 11H2/2010 a+
AMB Credit Reports
V— HMB Cretli[Revort mciutles Basfs Fmenciel S�renB�Ra�mg antl refionale along wi�M1 cnmprehenslve analyllwl
j cammenlary,detailed business ovarview and key fnancial tlata
Repon Revison Date:9/25/2015(represenls the latest sigmficant c�ange)
+`�=y Histoncal Reporls are available m AMB Cretlrt Reootl Amhrve
`P.P
View atltlilional news repotls antl omtlucis for ihis company
Press 0.eleases
Date Title
Aug 04,2015 A M B st Remave�From Li d R ' d Affi R t q� f AXI�C t I H Id g L t d d Ih
Subsidianee
I Jan 2fi,2015 A.M.Best Places the Ratinos of A%IS Caortal Holdinq�t m ted and ts Su6z d ares Under Revew w[h
Neaative ImoLcations
I Sep30,2014 AM 8 tAff R G fAXISS ' INC t d dA%fSC WIH Id' C ted
ISep 25,2013 A.M.Best Lloarades Rat na=_of AX6 Cao t�l Hold no.L m ted
I Nov22,2011 AM 8 tR O tl ktoP 'Y k AXISS � IpjL ted dit O t gAffl t
INov 12,2010 A.M.Best Akrm�Ratnas of A%IS Soecialtv Limired and AX6 Cao bl Hold"nqs L m Md
�Aug 30,2009 A.M.Best AKrtns Ratinas of AXIS Soecialtv Limited and AMS Cao t I Hold'nos L m tad
IAug O5,2008 6M_Best Affrtms Rahnys of AXIS SoeaalN Limrted and AMS Cao fal Hold nos L m ted
I " _ " . .. . . . . . .
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AXIS Surplus Insurance Company - Company Profile - BesYs Credit Rating Center Page 2 of 2
IJu124,200] AMBes[AffrmSandl�oqradesRannasofA�SSoecalNLmtedandA�SCaoitalHoldinpsLimrted
I Jul 11,2006 A M B � Aff R{ f AXIS 5 I L t d d D bt Rati f AMS Cao tal Hold nes L m ted
1 2 Page srze 30 15 items in 2 pages
Europnn UNon Olsclonure�
A M Bast Europe RaOnp Servicea Limi�etl(AMBERS),e suGsitliary ot A M Besl Ralmp Serv¢es,Inc is an Extemal CretlM1Assassment InsOlubon(ECAI)m t�e European Union(EU)Therefore.
uetlit ratinps�seuetl anG entlorseG Cy AMBERS may be ueetl b�re9ulatory puryoses m Ma EU as pe�OmeWve 20a61A8lEC
Aurtnllen Diecloeuro�
A M BestAaia-Pauflc limitetl(AMBAP�,AuaValian Registeretl Botly NumEer(ARBN No 15031528]),is a limilatl Imbilily compeny incoryarateE anE tlomiGletl in Wong Kang AMBAP ia e
wholeaale AvsUaiian Fmenael Sernces(APS)Licence M1olOer(AFS No dt 1055)unEar t�a Co@oraLans Act 2001 CreEit�atinqe emana�lnp hom AMBAP are not mtentletl fo�antl must not ba
tl�sinEutetl to eny person in AusVal�a oM�er ihan a�wholesale client es Oef�neE in Chapter]of ihe CeNorations Atl AMBAP tlaes not euthonze ita CreCit RaYngs to be OmseminabC by a tlnM-party
in a manner Ihat toultl roasoneEly Oe rcgeNetl ee Eeinp intentlad W mlluence a reteil client m making a tleuaion m releLon to a pa�¢ular pmtluct or clasa o/Menual piotluQ AMBAP CreErt
Retin9s are intenEetl lor wholesale cltenta only,�as tlefinetl
CraOit Ratings Eeta(minetl anE tlmaeminetetl Dy AMBAP aro t�e opmion of AMBAP only enC not eny speufic aetlit analyst AMBAP Cratlil Rahngs are atalements of opimon an0 not s�etemeMs of
fact T�ey eie not recommenEations to buy,hala or sall any xanYes or any ol�ar fo�m o/flnanqel pmduC,mduEinB insuranw pollcies antl are not e recommentlahon to be usetl to make
invasimenl/purchasinq tletnslons
Impartanl Notice A M BesYs Ctetlit Ratings ere mtlepantlent antl o0lecOva opinwns,not statemenis of faG A M Bast is not an Invesbnent Atlwso�,tloes not otler mvestmen[atlhce of any kinQ
no�Ooes Me campany ar ib Ratlnys Anelysts oRar any form of eVudunng or flnanaal atlmce A M Beafs crctlit opiniona aro no�rewmmentlahorm[a buy,aell or holtl aecun4es,or to make eny
oNer invaslment Eeasians Fo�atltltllonal mfotmehon reBeNing Me use antl bmita0ona of cre0it rating opmwna,as well as t�e rzYnB�Pmcess,mfomia6on reqoiremenis anC ottier ratlnp releta0
terms antl tlaMlGons,pleese view Untlamtantllna BesPa Crodll Retinas
MoutAM Bes[ ISiteMap ICus�omer5ernce �MemEerCante� IContaainro ICareen ITermsofUse IP��`�cyPWlcy
Sawnry I�egal 8 Litenainq
RaBulatoryARairs-FortnNRSRO-CotlaofContluct RaM1ngMeNOCology HistoncalPerfortnanmData
Copynght�2016 A M Best Company.Inc anOlor Rs affiliates ALL ftIGHTS RESERVEO
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TRAVELERS PROPERTY CASUALTY COMPANY OF
AMERICA
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General information Contact information
NalI12: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA RCQISYe�2d Mailing address
CO�p01'BLe f8IT11Iy 91'OUP: TRAVELERS GRP O addl'e55 ONETOWER SQUARE
O�g0111Z0YlOn typE: PROPERTY ONE TOWER SQ HARTFORD, CT 06183
HARTFORD, CT 06183
WAOIC: 132o Telephone
NAIC: 256�a Telephone g6o-ova0ii
860-027-7011
SYBYUS: ACTIVE
Admitfed date: io/ii/i9�a
Ow�ership type: STocK
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Types of coverage authorized to sell o
----._...._....--------------
Insurancetypes
._.__._...__._......__._._._......_._......-'-----
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Travelers Property Casualty Company of America- Company Profile - Best's Credit Rati. Page 1 of 2
AM Best Rating Services {�yyglromaBackJOAnnaAntlersenlMVMem�erCame��LaaOut
A.M.Bes[I A.M.Bes[Raung Senices I A.M Best Informa[ion Serv¢es About�Caraers�Events I SupPort I�ontact
Ratinp SeamR� Searcli .AOvancetl SearcO 8 Pnnt Inis oaae
Rating SaMcee Home
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i Recenl Rauny Apmry Travelers Property Casualty Company of America ��
a$!e/M/W e ReOpp p M Best t 00Net NAIG/']58]� FEM�:J6])1Y165
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RatinO Proceo 6 Deflnkione . One Tower Square �s�9°�1O �� ��
•UntlentenEinp 8asib Rahnps HerttorQ CT 06183 insurance 4BlT
.Gmtla to Bee6 Retinps Untletl Sta�es compemes �
x Finanaal SVan M RaUn GWoe ihat pave,
7 7 In our opinlon,a supe�lor a0ility lo
n�sauer CmCit Rellnp Gmee Web:www Iravelers com
.Isaue Retlnp Gwtla Phone:880-277-0111 b�li tatlons ��oing in6u�ance
.Netionel5csle Ratinp Owtle Fax:860.277-7002 B
�Counlry RIeM Inloima�lon
,MaMel5e0menl OWook Basetl an A M BesPs analysle,056470-Travelers Comoanies.Inc.is Ihe AMB Ultimate Paront anC itlentl(es ihe topmast entity of
Ra[Ing MathoGolopy Iha corporete slruGure Vew a liat of ooerehna insuranca anlihes in this shutlure
InEuetry Reaeemh BesPs Cretlit Ratin s
InEustryBMarkatGenten � p��uncblStrangthRatlnaVlewDeOnition uYaCnattR�dn Nnalnt
Co�rtact an Analri� Rating: Ai+(Supenor) ����9�asuetl Ey�A.M Best RabnB Services,Inc
Contemncx d Evanb � AKliation CoOe: p(Group) Sanior Financ�al Analys[:Michael W.Russo
AwarEa 8 RacapnlUons Financial Siu Cateflory: XV(5Y Bllllon or greateQ Aasisbnt Vfca PresiCent:Jenmfer Mars�sll,CPCU,ARM
Detn SuEmisslon Center . Outlook: Stable
Ragulatory In/ortnatlon . Aetlon: Alfirtnetl omciosuee inrormation
Ettxtive Date. May 28,2015
InMal Rating Date: June 30,197Y � Va'�'A M BesPs Ralma DisGosure Statemenl
Fwd a Hev:�'Credn Nurm,�
Enter e ComOeny Neme �'� �O^ 'T�^^��suar CraEn Ratln 'a n t o A M 0es1�rtns Ratinos o!T�e Travelen Comoan es
" Inc and Its Subsidianes
.AOvanceG Sea¢li Lon9-Term: �r �j MaY 28.2015
Outlaok: SWble
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A.M.809t RBllllg SBMCB9 Ef/eetive Date: May 28,2015
C0l1Wtt InfOmliti0n� Initial Rating Date: April 18.2005
�o��o�e:woer ae...w ees s aae�a
Rating History
A.M.Best hes prohtleE retings 8 analysls on Mis company sinee 1972
Flnanc I ban M1 Lon -Tertnluu��Cntllt
EMacHva Dab R�tln9 ERectiva Dete Retinq
528/2015 A+. 5/28/2015 aet
5232014 A+r 5/23/2014 eet
5/30R013 At 5/30/Y013 aa
SI10/2012 At 5/10/2012 ea
526rz011 A+ y26/2017 aa
6/8/2010 A+ 6/g/2010 es
AMB Cretlrt Reports
,_ AMB Credrt Reoort mGUCes Besfs Finanuel Slrengt�Re4ng and rationale along with mmpre�enwve analyGcal
�,.1
f-� commenlary,tlelalletl business overview anE kay finanaal Eala
Report Remsion Dete 3H8/2016(represents t�a latesl siqniMant change)
{��� Histoncal Repotls are availa0le In AMB Cre0i1 Reooh Nehrve
V- P
View aEtlNonal news.reoorts antl oroEucts br t�is wmpany.
Prass Releases
Pa:e Titl€
May 28,2015 A.M.B st Affrms Rabnos of Th Trav I n omoani < In and It u6 d ar =
IMay 23,2014 A.M_Bert llyorades Ratine.of The Travelen[omoan e<Inc and Most o(Its Subs d ar s
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I May 30,2013 A.M.B <t R vis <O�tlaak to Positi for Th Tra I r amoam .In and Mosto(1< �6�d an �
IMay10.2012 A.M.B s[AffrmsRa[inasafTh Tmv lers omoani S.In[andi[ �b�id'ari
IMay26,2011 A.M stAPormsRatinosafTh Tra I r� omoanie In .andlt �b•idiari •
Ilun08,2010 A.M.Best��oaradesBsuerGedi[RatingSofTravelersGrouo
I1un 03,2008 A M.Be<r Alfirms Raena�of Tra I rs m=nan omoan and v ral of It. bs d m �
IJun18,200] AMB tAff Rt !T I .I � d i fI[� b'd �
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Travelers Property Casualty Company of America - Company Profile - Best's Credit Rati. Page 2 of 2
l - - - - - - - - --
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A M.Best-Eunpa RebnB Semcea Umirotl(AMBERS),a wbsMiary olA M Best Ra0nO5arv2ea.lnc o en E�nemal CredltAssessmenl Ins4N0on(ECAp�n Me Eumpean Unian(EU) Theafore.
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• Allied World Assurance Company (U.S.) Inc. - Company Profile - BesYs Credit Rating C. Page 1 of 2
A.M. Best Rating Services �we, om.aa �,oq �aq ,ena �M Memee �a ,a ,�
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Conferen<es 3 EvenLs . AfIIIIaHon Cotle: g(Group) Asslstant Vice Presitlent Steven M Chidw,CPA
Awartls 8 Recognitions Financial Size Ca4gory: XV(S2 Bilbon or greater) ��ce Prnidant:Robert B DeRose
_............_""..__......._.............____
Data Submission Center � Outlook: S�able
Regulatorylnfortnation � A�tlon: ARrtnetl Oiseloaurelnformation
EHeetive Dale: February 11,2016 - -"--
Initlal Ratlng Date: July 25,2002 � View A M BesPs Ratma Disclosure Fortn
FmJ a BrsIS Crrdn Runng
EnbraCampanyNama � �on -TermisnumCreCkRetlng__ViewOeMiM1on „'" qMBesfARirtnsRahnosofAl6edWoddHssurance
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Long-Term: a+ �q�� Comoanv HOIGmos.AG and Its Subsidanes
n A, nvancetl Searcn �--p Febmary 11,2016
Outlook: Stable
������!!! Action: Nflrmed
AM:BBSf Reflfg SMvICe9 Ef/ective Date: Febmary 11,2016
Contad IMofmahon s Inrtiai Rating Date: January 09,2006
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Rating Hisrory
A.M Best has providetl rahngs&anarysis on Ws wmpany since 2002
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ERaNlva Dab RatlnB EReeliw�ete Reling
2A1/2018 A 2/ii/2016 a+
12/78/2014 A 12/182014 a+
11A3l2013 A 11/13/2013 a+
11/15/2012 A 11A5/2012 a
10/25/2011 A 10/25/2011 e
AMB Credit Reports
VTpMB Credrt Reoort-Inciutles Basfs FinanGal Strength Rating antl rahonale alang wrth comprehensrva analyllwl
�1 commantary.tletailetl business overview and key Bnanqal data
RepoM Revision Deta 3/21/2016(�epresenls the lelest signifcant change)
��_l� Histonral Repotls are availeCle m AMB Credit Reooh lvchrve
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View aOtliGonal naws.reoorts antl pmtlucis forNis company.
Press Releases
Date IIS�4
Feb 11,2016 A.M.Best Atfirms Ratinas of All ed World Assurance Comoanv Hald nes AG and Its Sub�d ar e�
IDx 16,2014 A.M Be tAKrm Ra in /Alli W rl A r e om n Holdm AG n i
I Nov 13,2013 q.M.Best Uoarades Issuer Credit Ratinos of All edWorld A=�urance Comoanv Hold'no�AG and In
Su6sidiaries
INov 15,2012 A.M.BestAffrms Rannas of Allied World Assuranre Comwnv Hold nQs AG and 1�Sub<_d ar'es
I Oct 25,2011 A1c1.8est Rewses IssuerCredit Ratino OuHook to Posinve kr Allied Wodd Assumnce Comoany Ltd and Its
Ooeratina Atfiliates
�Aug 24,2010 A.M.Best Affirms Rahnas of Allied Wodd As�u•ance Comoarn Ltd and It=Overa4na Affl ate�
(lul 15,2009 A M B t Affi RaG f All ed W dd A C Ltd d It O tl AH'I' te
IOct 24,2008 A.M.Besi Uogrades Ratinos of Darwm Grouo and I[s Members'Affirm=Rat nas ot All'ed Wodd and Ih
IOct22,2007 A.A�tAffrtnsRahng�ofAlliedWoddASsuranceComoanvandltsAffilates
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Allied World Assurance Company (U.S.) Inc. - Company Profile - Best's Credit Rating C. Page 2 of 2 �
� 1 2 Page sae: 10 14 items in 2 p3ge5
Europaen Union Disclosuros
A M Best Eutape RaUnp Services Um�teE(AMBERS),a suEsitliary of A M Beat Rahng SeMcea,Inc is an Exlemel Cratlit Assessment ImYWYon(ECAI)in t�e Eumpean Umm�(EU) Therefare,
creCit rzYngs muetl antl antlonetl by AMBERS may be uaetl lor requlatory puryoses m Me EU as per Direclne 200614&EC
AuaNallan Dlicloaum�
A M Besl Aaia-Paafic Limitetl(AMBAP),Auabalian Reqiaterotl BOGy N�mbar(ARBN No 15W]528]),is a limitetl liabibty campany incoiporatetl antl tlominled in Honp KonB�AMBAP is e
w�olesale Auelralian Financial Senwea(AFS)�cence holper(AFS No Y11055)under Ua Coryorztiom Act 2001 Cretllt re9nps amanahnp from AMBAP ere not mtanCeE br antl must nol be
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invesMent/purc�esing tleuaione
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Capyngh1�2016AM BesiComOany,lnc andlonlsalfillatesALLRIGHT5RE5ERVE0
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Intluvan on iNs list Eoes nol inEirate I�al l�a cartier mee�s IM1e reQwremenl as an eppropnale msurer The Surylus Line Bmker is solely respon:a�le far Cetefminmg t�e
quahficahvns a(eatlf tame� Being on this bs�means Ih¢wmar is recognrzaC Oy��e Surylus Line Associal�on of Wasbmglon an0 filings Dy Drokers b��he came�vnll be
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�InsurerName I Atltlress Gq S�ale�
________ __". ___ ""_' '__ __ _ __"___1 __"_i
ALLIED WORlO ASSUAANCE COMPANY(USI,INC 2 LI6ERiY SOUARE � BOSTON ! MA
jALLIED WOPLD SURPWS LWES INSURANCE COMPANY FKA DARWIN I
i 1590ME`NBRITAINAVENUE Ii FA�MINGTON CT I
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t
l �
BOND/N L1EU OF RETAlNAGE
(Retainage Bond -RCW 60.28)
Bond No. o23oss2oa
Bros Ina
KNOW ALL PERSONS BY THESE PRESENTS, THAT Scarsella �aafha¢ec�l�ac,
PO Box 68697, Seattle, WA 98168 a corporation organized under the laws of the State
of wasninqcon __ _ _ __ and registered to do business in the State of
Washington as a contractor, as Principal, and
�berty Mutual I�urence Company a
corporation organized under the laws of the State of Mas9aon�,seus _ and
registered to transact business in the State of Wasfiington as surety, as SureYy, their
heirs, executors, administrators, successors and assigns, are jointly and severalfy held
and bound to the City of Auburn, Washington, hereinafter called CITY, and are simllarly
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 eamed by the Principal on the contract
described 6elow
THE CONDITIONS OF THIS BOND OBLIGATION ARE THAT
WHEREAS, on the�ay of Sl� 2016, the Principal executed
Contract No. 16-06 with the CITY for Proje�umber C222A, South 277�' Street
Corridor Capacity & Non-Motorized Trail Improvements; and
WHEREAS, said contract and RCW 60.28 require the CITY to withhold frbm the
Principal the sum of five percent(5%)from manies eamed 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 eamed
retained funds as allowed under RCW 60.28;
NOW, THEREFORE, the conditfon of this obligation !s 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 6028 and all contract obligations are fulfilled, then this obligation shali be nuii and
void; otherwise, it sha�f remain in full force and effect untii release is authorized in
writing by the CITY
!T IS EU6t791ER EXPRESSLY AG62EED TH/AT
1 The liability of the Surety under this bond shall not exceed five percent (5%)
of the finai 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
T
2. In the event this bond ceases to comply wtth 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 witliholding of earned retained fuhds, the
liability of the Surety under this bond shall not exceed the actual amount of the eamed
retained funds which were covered by this bond and released by the CITY prior to
resumption of actual withhoiding.
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 afteration, amendment, or change order
4 Any suit under this bond must be instituted within the time period provided by
appiicable law with venue in King County, Washington. This bond and any proceeds
therefrom shall be subject to all claims and liens and in the same manner and priority as
set forth for retained percentages in RCW 60.28.
5. Until written release of this obligation by the CITY, this bond may not be
terminated or canceled by the Principal or the Surety for any reason. Any extension of
time for the Principal's performance on the contract, assignments of obligations under
the contract, or any amendment to the contract or change orders of any kind shall not
release the Surety from its obligation under this bond.
B. 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 eamed 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 zam day of June , 2ois
PRINCIPAL.
Bros. Inc.
Scarsella �
P O. Box 68697
Seattle, Wq,98
By
(Si ture of Authorized Representative)
FOS SCARSE(1_A,yIcE pRESLD�NT
Print/Type Name
Retainage Bond
Page 2 of 3
� •
$�JREN' �iberty Mutual Insurance Company
By � VF—�� �
( ig a re of Attomey in-Fact for Su y )
Cynthia L.Jay,Attomey-in-Fact
(Typed Name of Attomey-in-Fact)
�at2C� June 24,2016
Local Agent Name, Phone, & Address
Propel Insurance
925 Fourth Avenue, Suite 3200
Seattle,WA 98104 206-876-420b
CITY OF AUBURN:
Accepted By���
Ingrid Ga Asst. Di r of Engineering ServiceslCity Engineer
Dated: 7� S� 7�lo
App ed a to f .
D ' . Heid, ' ttomey
*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
- - - - -
' � TH13 POWER-OF ATTORNEY-IS NOT VALID UNLESS IT IS.PRINTED.ON RED"BACKGROUND. � - _ - _ "�= = = " ' -
_ -_:�Thit�ower ot ACome`y IMdlilhe_aeb ot tlioee namad herein,and Ney have no aalhorky to bind the Company except In tlie manner and to the extent hereiri afated.;=�_��-_�_
' _ _ 'c _ ' , ' � _ _ _ __ _ : � _ ' - ��Certlficate No.:>azaaea :
._c ' � __�_ � -„__- ` � " t '- ' � � _ _ "
,v� . _
- ' " �_ '= = -�_ �_ = = American Fire and Casaatty Company�- ="_ :Litierty:Mutual Insurartce Company_ - _ _ - ="
_ _ " - = _ _ "-: ;,The Ohio Cesualry Insuran"oe Company =� WestAmencan InsuFance Campany.�_ _
-'=="'y' ='=.'',�_ '= _ ,_ -; '. _ . - _ _ -' - __ _ -_ " _ _ ` - - __-: = - _ _ _
'�ti - - _ _ ;<POWER OF A7'TORNEY_,` _ _ - , , _
__-.., - _ - _ _ _ - -,: � - - _ _ __ . . - = - -- �- - � - -
_ ,.__ .._-,�_..._- ,_ _ __ _ _ _ __._ _ _. _ . . _. _
- _ _ ._ -
_-�=KNOWN ALCPERSONS BY THESE PRESENTS.;That American Fire 8 Casually Company and The Ohio Cawalty Insurance Company aie corpora6ons duly orgsn�ed urider iFe lew3 of<:��
,the Sfate of New Hampshire,thet Liberty MuNal Ineurance Company is a coryo�atlon duly orgapiied under the laws otihe State of Massaphusetfs,and WestAmencan Insurance Canpany c`
,isecorporah6nAuly.organrzeGunderthelar`isuftlie3tsteoflndiana(her�nmlleclivelycalledthe'Companies' pursuanttoandtiyautliorilyhereln`set(oM,doesherebyname,consBtute ==
= =�andeppant,`�Aliceon A:Keltner Annelies M.`Richie[Barbara'A:Johnson:Brandon K.Bush�'Brent E.HeileSen;CarleV Espiritu'Chnstopher Kinvon� c �-
- =�=_CyMhia L=JaY;Diane M:Hardinp;Eric A.Zimmerman;;lames B:8inder,Jamie Diemer;-Jennifer L.-Snyder Jon J.Oia;Julie R:Truitt�Karen C._=_�-�- -
= J�Swanson;-Kdstine A':Lawrence;Mitchell R.Smee;Pater J.Comfort'- " - - - -- � ` " � _ - �_- - � - _ -=
-'�zll of fh'e_ol of=Tacoma ; ,`g(y�e of=WA�==�-= e2ch IndlNEuelf if Nele b9 dwre than one named,its true and lewful Bllom
_ , . �Y_ Y� . eY•irnfact lo make,execute,seaf ackoowledge _:: -
- � �;aiM delide?,kF and on its tieFatt as surety and"as its act end deed,aoy and all u'ndeAakings,bontls,iecogoizandes aod bther surety bbligations,in pursuance of Mese presents and Niatl ��:`
-' be es bmGmg upon the Compznies as if they have 6een`dury signed by the president enG attested,by the secretary of th'e Companies in their rnin pmper persons:= - -
= -=1N,WITNESS;WHEREOF tl�is Power W Attomey.has been su6scribed by an authadzed officer or oRaiel of�the Companies and the coryorate seals of the Companies have been a�xed =.
- -_-:thePetothis iatn-`-=daybf-A6dI .� , �2ois __ = _ . -- -_ - _ - _' - _ _ - . _ :
'- == _ =`PNo cqs� �" '=:�zv in,s�'=_ ��NsuR Nwsua = = American FireanA Ca`suakyCoqlpany:='=� _
=, �pE _� '9Ci vJP ov✓�M�Eq9,yn . .�Js�w'w4r6�'���. : Wy:�aF.oa�Wr?�"rF-..�. �_ _ '- - " ThB�h10 Ci&SU3��fI5Uf211C8 CiUffl(18f1Y_ -
z o - _' - _ UtieR MutuallnsuranceCom an
� 1906 :- p - o�_ 1919 =� � 1912 a �� 1991 = � _ _ - _ , - Y P Y _ _ --
a x � _ ' West erican Insurance Company
_a�hb Ham'r?aD: . .J,S,�4naMY`v�'a� - 9)a�no�vsl�� � rv�nn � � " .�
;;ai =. � _ _ --- 1._�__r _ � _ _.�_ .= . ;_ = _ ' - - � '��=-� =� ' �a
� _. . ey: ..
==C �STA7E OF PENNSYLVANIA�_-�`ss d � � = _ _ _ = " ` _;= - � David M.Cere ,AssisWnt Secietary_.;`_=y r = - -
,�>� COUNTY OF MONTGOMERY- - '=- '- - - - ' - - - - ' ' - - - -- -- _ _ - '
'ac= ��o=c-:..:: c�cr.-� .. - . = '��. c - - =_�_ "' _ `,= ___ -- -_� _^` _ � _ - _ ,_.� =' � __� �. :-'_��' .=^y =40
`,p�Onthis_��4�� deyof'AP��`"�='==��,�20�6,,p8{are me=persooally_appeared Dayid M. Carey, who ackriowledged himself to ba�the Assietent Seaetary of American:Fiie'end' �F
-v'ei -Cesualry Compeny:Liberty Mutual In"surance Company The Ohio Casualty Insuranca Company,end West Amedcan Insuiance Compeny,and ihffi h"e,as sucFi,being authonzed so to do, �j�N
p� ezecute the foregoing inslrumant for the purposes therein contzined by s�gnmg on behalt of the coryorahons by himself as a duly authonzeC otfider. : _ _ ' � -�W
��'� IN WITNES5 WHEREOF-I have hereunto aubscribed m name and affixed my notanel"seal at Plymouth Meetiog Pennsylvania,on the Hay and year f rst above vmflen ` �. �Q��
N " -� : .-,_-�� ,� �pq = ",=COMMONWEALTHOFPENNSYIVANIA - = - . F�p
.�.7 � '�" '�'�_" =. , . yP STF _ _ " .� _._ _ . __. .. ' . �� _ ��)_ nT/,//�.f- � , �.r - '" QM
.. .D G=��.�^� , _ __ �Q,o�yoxw�t Cf _ '= __ - Nofana(SW I t S ; � - _ - F,^„'^.-.�' ' /GGf✓"`-i`„-n�'Y��^,y-.-" �a
�y �_ - " _ �- � s a - � 'Teiesa Pastelle NMary Public; � B O".'
0 � oF ' plymouth 7wp:-Mon�gomery Couory Y� Teresa Pastella,Notary Public �C
_, ` :_ _ - - -�p - My Commisaion Expiree March 28;2017- ; -, - _ _ _ � �
p � " ' _ J __ _ _. '�,�JP � 'Member PonmNvBnle ASeacmflon W NWatlm, , :� _ '- J_ , _ . � J �.
-�' _ __ _ `:-;; � .� ' - _z 4AY W�"_ _ _ _ .n _- - _� -^ - - p:�
C Th�sPowerofAttomeyismadesMexecutedpursuantlaan byauthorRyMtl�efullowingByIawsandAuthorizatlonsofAmedcznFireandCasualty_CompanyTheOhidCasualrylnsurance mp
_ � ----
-�,,, Company Li6erty Mutual Inwianoe Company�and Wesl Amenoan Insurance Compan"y which resolutlons are now m full force and effect readmg as follows: - � : -- _ ;; ��
m-� ,ARTICLEN OFFICERS_Sectlonl2PowerMAttomeyAnyofflcerorotherofAaelofiheCoryoratlonaulhoniedforthatpurposemwrihngbytheChairmenorfhePresident,andsubJect O�d
�� �lo such IimAa�on a`s the Cheirman or ihe Presiden(may prescnbe,shell�pant such attomeys-in-fact-as maypa necessary to acl in behaH of the Corpora6on�M make'exewte seal ��
'O'= ecknowletlgeand dehver es surety eny and all undertaRings,bonds,recognuances and oMer surety ohligsUons�Such atlomeys-in�hact subject lo ihe lim�tadons set forlh in Mei�res`pective, Q�
.��"_powers af all_omey,�shall haye full power to bind the C'aporatian by their sigriaNre and execuhon of any such InsVuments and to aHach thereto Ne seel ol ttie Corporation.-�-WAen so- '--m
-�'� -_-- - - - _ . � __
p,�p ezeculed sucd insW meMs sliall be as bindirig as if sigried by the President and"atleste`d to by the Secretary.Aoy powei w aufiaity granted}o any representative.a attomey-in-fact under >a
'�'� the provlsions of lhis erticle^mey be revoked at any time by the Board-Ue Chairtnan Ne PresideM or by the otficer or offcers granting sueh power or authorily:=� - == $N
a �,� - . - � - -
�p�� ARiICLE XIU Execuhon M Co�ecfs-SECTION 5 Surety Bonds and Undertakings.My officer of ine Company authonzed for Nat puryose in vmting by tlie chairman oi the president; -' �
��m -and subJect W such IimAahons as the chairman or tlie president may presrnbe shall appomt such akomeys m fact;as may be necesszry to aet in behalf 8f tlfe Compeny b make`ezecute,� E�
O�p -seal,acknOwledge and dehver as surety any antl all undertaklugs,�bonds recognizances and other surery obligatlons. Such attomeysio-fact sub�ect to=fhe limitahons set foM in�tAeir C�
z!� 7especfive poweFs of atlo`meyishell tiave full power to bind the Compan`y by ihelr signature anE ezecution of any such instruments and to attach thereM ihe seal of the Co_mpeny.-When so O o
; executed auch insUomenta shell be as binHing as if signed by the pres�denfand eHested by the secretary : - - - _ _ _ " -` v�
� ----.. ._ . _ . _ � _- _ c- - _ - .� J - - -� `_ O�
-� -- �Cerlifieate of De'sigeation=�The PresideM of the Company,acling puieuant fn Jhe 891aws o�the Company,authorizas David M.Carey,Assistant Secretary.to appoint su6h attomeys-in= ~�
_:, faet as may,6e ne6essery,lo act on behaK of the Company M make-ezecote,seal;aaknowledge and�deliver as surety any snd all undertakings,bonds recognizances and other'surery� ,-
=iobligadon"s::`�9=` - - _ " - = - - - - _ � _ _ " = _ - _ _ - - _ - - -
�"Airthori�n"_By tirianimoas consent of the Campanys Board of Diiectors,the Company conserds that facsimile or mechanicelly reproduced agnalure of any,assisfant secretary`of ihe,�'=�
_ �"Compeny wherever appearirig upon a ce�tifieE coDY of any power of attomey issued by the Company in connecfion with su2ty bonds,shall be valid and tiinding upon the CompaPry wAh , -�
-,^� � _., - _ � - - . .. �„ _ _ . _
--'�_<the same force and etlect es though,manually�xed.= ,� � -���- -- � - _ - � : - _ = - -
- =�I;Gregory W.�Davenporl;ba undersigned,Assistsnt Seaetary,of American Fre aod Casualry.Comperiy,3he Ohiv Casuatty insurance Company,Li6erty Mu[ualJnsufance Company,and ��"-=
_�:-West Am_erira_n Insurance Company do�ereby oeRify that the original"ppwer of altomey of whMAi the foregoing Is a full,true and correct copy of tha Power of Attomey exeeutetl by said =. _:
-Compames is in tull,force end effect and has not been revoked. _ _ , _ � - ' c - - _
-IN TESTIMONY WHEREOF I have hereunro set my hand antl affized Me seals of said Companies fhi��day of- �LC"i�� ' _ pp�� _
__ _ _�PNDCASL��_ � �SY INSp � - �tNSUp = J - N�rvSUq �' ., _ _ �� - - " _ - _ _ _ . " _c _, _ _ _
_ __ j4F,���uryF9�t__Y�oar�vk�R9yn " a�a'uonp�H�, � Wy;O��pyoiwr��T.` _ ' _ _ _ _ _ _. /J �7=� � _ - - ' - _ _ _
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,- e ,7906_:;_ o o , �1919 - n - r -1912 ° � "-1997 � °s - ' BY3 ��'�t�f�►�" "-��'_'�j�~� ,`� _
--'_=a�o� 0�3 ' w�a . w�n _ ' ' � _ -Gregory W.Davenpotl,Asslstant Secretery;�_ _ � _
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� Page 1 of 2
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LIBERTY MUTUAL INSURANCE COMPANY
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General information Contact information
NOMC: ISBERTY MUTUAL INSURANCE COMPANY Registered address Mailing address
CO�PO�dYE fdMll)/ 9POUP: LIBERTY MUT GRP O 175 BERKELEY ST 100 LIBERTY WAY
O�gBttIZBt10i1 typ2: PROPERTY BOSTON, MA 021ll DOVER, NH 03820
WAOIC• �33 Telephone Telephone
NAIC: 23043 617-357-9500 617-357-9500
$YdYUS: ACTIVE
Ad1111tt2d dOtE: 10/30/1933
Ownership type: srocK
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Types of coverage authorized to sell o
_.__..._.._._..__....._._......................._
Insurancetypes
.__....._._...--'--.__._...--"-'--"-'-'-'-'---'—
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_......................_....__..._.�.�.
Ocean Marine
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P eack[o cop
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LiSerty Mutual Insurance Company - Company Profile - Best's Credit Rating Center Page 1 of 2
AM Best Rating Services ��yg��omaBackJONnneAnOo�senlMVMemberCemer�loo0ul
A.M.Beat�A.M.Bes[Rating Services�A.M.Best Information Sarvices qCout�Laraers�Events�Support I ConWc[
Ratinq Saarch:� Seamn n Ativancetl Saerch �Prinl ihis oaoe
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Reylonel Centen . Domleiliery Atldress qssi0�etl ta A�s`4 mui7
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Rating Procnc 8 O�MIllona . 175 Berkeley Street insurance �,p� �
.Unaerauntling Bases Retinge Bwton,MA 02117
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Net�eve.
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.Issue 1EaM1n GmEa Phona:817-357-9500 b meet I�mrongoinB�nsurance
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�Couniry Risk Inbrtnation
.Merket Sepment Outlook Basetl on A M BesPs enelysis,051114-Libertv Mulual Holtlina Comoanv Inc is the AMB Ultimate Parontantl itlm0(es Ihe
RaUng MeNaEology ropmost enOty of lhe coryorate shucture View e Ilst of ooerahna msurance enhhes In Ihis strudure
InEustry Reaeamh BesPs CretlM1 Ratm s
InEu¢tryBMadetCentsn . n n ial5tran R�tln VlawDeONtion BesYaCraEttRatlngAnalvst
CoMac[dn Analri� Ralin9� A(Excellent) ���n9lssuatl Gy.A M Best RaOnB Services,Inc.
CoMeronces b Evenb � Afllliation Cotla: p(Pooletl) Sanlor FinanNal Analyat:Michael W Russo
Awartle 8 Reeognitiona Flnanclal Slze Category: XV($2 Billlon or yreater) Vlca Presitlenk M¢hael J Lagomarslno,CFq FRM
. __..._..........._._.
DaW SuDmission Canter . Outlook: Stable
Regulatary Infortnatlon � A��on: AlFrtnetl Diccbsure InformaUon
� Etlactive Date: OctoDer 08,2015 r},}�� Yew A.M.BesPs Ratino Disclosare Form
InlGal Reting Date: June 30,1922 TC I
F�nAUHesI:�(YeJrlltulmA IL� Gudmntor�s�-alsaseetheRe11ng01aclosureFormtor
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�AM.BBSf Re�ng SBrvIeeS Ettective Date: October08,2015 �� Comoanv Inc.anC Ils Subsitlianes
CofICiA lidofmatlon s �--1 OCWGer O8.2075
Inillal Rating Dats: Nouember 23,2004
�oenm..ome�a,.,ew ee.�:a�i�o
Ra[inq Hisrory
A.M.Beat�as pmvidetl ratlngs 8 anatysis w Mis wmpany since 192Y.
nane el Stron N Lon �Tarm 4�uo Cnalt
Ellaetiv�0ate Ratinp E11active0ab Ratlnp
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924/2014 A g�p{/2014 a
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7/282012 A 7/2&2012 a
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Ratad Issues
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D>te IssueO Gmoan! Coupon Issue Tvoe Ratina E/fective Date OutlooWlmolication
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10/09I1B99 500,000,000 USD 9.89]X Surylus Notea bGbi tO/OBl2016 Stable
10/18I1998 250,000,000 USD 7.873% Surplus Notae bbb+ t0108/Y016 Stable
(0 Denotes Indicaliva Ratina
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ha/ollowing links provitle eccoas lo reletetl tleta rawrtls ttialA M Best utillzes m proviEe linanual antl analybcal0em on a consohtle�etl or
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Histonwl Repahs are evailaCle in AMB Cretln Reoort Arc�rve
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View addltional news.raoorts antl oroducis brihis company.
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Libeity Mutual Insurance Company -Company Profile - Best's Credit Rating Center Page 2 6f 2
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Press Releases
Wte Tflg
Oct O8,2075 e� ee�pifirms Ra[nas of L beM MuRal Holdina Comoanv Inc.and Its$a6sidiaries
ISep 24,2016_ >_a•st Affi _R C = f L b M M�t I H Id' C moanv Inc and[fs 4M'd'ar es
IApr 17,2014 A A B =t Aff �R t p�fo R �61 Indemn'N Comoa y of Ameri�and its Affl'ates
IAug 14,2013 a M.BestAlfrms Ratlnas of L'bertv Mumal Hold na Comoanv Nc and Its Su6sid�aries
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•
CITY OF AUBURN
J CONTRACT CHANGE ORDER AGREEMENT NO. I
Contract No., Project No. and Project Title: Contract 16-06, Project C222A
South 277th Corridor Capacity& Non-
Motorized Improvements
Contractor Name and Address: Scarsella Bros. Inc.
PO Box 68697
Seattle, WA 98166
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,measurements and unit bid prices for the type of
construction involved shall be in accordance with the contract documents of the above named project unless stated
otherwise in this change order.
Summary of Proposed Changes:
1. DELETE Pay Item#23(Gravel Borrow Incl. Haul)in its entirety. An alternative material to Gravel Borrow was
requested by the Contractor and has been approved for use by the City as a replacement for all work where
Gravel Borrow is specified in the Contract Documents.
2. ADD new Pay Item, #CO-1 (Gravel Borrow Incl. Haul Alternative), to the Contract as a substitue alternate to
Gravel Borrow. The alternate Gravel Borrow material shall meet the requirements of the approved material
identified in the attached Submittal Number 88 (Gravel Borrow Alternate#2). The alternate material pay item
price was negotiated during review of Submittal Number 88.
The Contract time is extended by 0 days.
Item Sch. Sec. No. Item Description Quantity Units Unit Price Total Price
(+/-) (5) (+/-)
23 A 2-03 Gravel Borrow Incl. Haul -39,450 TON 16.25 $ (641,062.50)
CO-1 A N/A Gravel Borrow Incl. Haul Aternative 39,450 TON 14.75 $ 581,887.50
Subtotal $ (59,175.00)
Washington State Sales Tax (9.5%)on applicable items $ -
TOTALI $ (59,175.00)
Base Amount Total incl. Tax
I. Total Cost this CIO $ (59,175.00) $ (59,175.00)
2. Total Cost Previous C/O -
3. Original Contract Amount $ 5,478,125.53 $ 5,492,099.55
4. Revised Contract Amount $ 5,418,950.53 $ 5,432,924.55
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 teens and conditions of the contract remain unchanged.
Counterparts: This agreement may be executed in multiple counterparts,each of which shall be one and t e same
Agreement and shall become effective when one or more counterparts have bee .gned by -.,....f th-...,,�es and delivered
to the other party.
Contractor: 1-14 '/e
a.• - i .�/LDate
Inspector: /P' r 0_Z
b �/ Vire/
Dare
Project Manager:
str �� � r 2 Date
City Engineer: al. F 7- �l
.a
Approved by: r ._ .-.
Date
/1113,0/, IQt,of Auburn
CITY OF Request for Submittal Approval Form
d 4 1 ..p'.. ® New Submittal 0Re•submittal of No. "'
- WASHINGTON
0 Material Acceptance Documentation for Submittal No c '
Contract/Project Name S 277th St Corridor Capacity&Non motorized Traillmproveinents Project No. C222a , Date 1,20616":11M?
Contractor ScarsellaBrgs.'irlc a , , `iSub Contractor. , ,, u y
General SubmittalTitie: Gravel Borrow'Alternative p2 `c ..' -'�
For Material tit; ' - -eta.)-i- .
For assistance in completing this form,please refer to Section 1-06.7(1)A of the Special Provisions Submittals .r " . 1 i '
Contract Specification Request
Bid Item Submittal Description Name and Location Request Approval A. Submittal B. Material
Reference, Submittal
Materials of Manufacturers of Fabricator,Manufacturer use of of Approval Acceptance
No. Product/Type or Pit Number Page Number, QPL Material N0' Code Code
or Plan Sheet Number (RAM)
�-- ""W a 6 wt a xv" , 1 .i ..
v, nrg+.r
'?� si � t97 { l4 ,,,,rap ' r..
88 MCN 1
¢ dm , tXAl 7144-1477;71.7 S, iw1n1 � pl
.s. Oe .t ;1pp c.;4.,,- ` ur
ir,71 p r 's . 71—'t+y a+T4 r^^"r^*r�.,--iq . �+Frteni
s p` l ,4 ✓f, iM1'"�r&j i ie r l k`4Z� ` '{.r Cr d f lyty ii '!{1( .01 ® t❑-'
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A. Submittal Approval Codes for use by Engineer: B. Material Acceptance Codes for use by Engineer:
NET No Exceptions Taken 1. Acceptance based upon a"Satisfactory'Test Report for samples of materials to be
MCN Make Corrections Noted(No re-submission required) Incorporated into project for acceptance.
AR Amend and Re-submit 2. Submit a Manufacturer's Certificate of Compliance(MCC)for"Acceptance"prior to use of
RR Rejected-Re-submit material.
NR Not Reviewed 3. Submit Catalog Cuts for acceptance prior to use of material.
4. Submit Shop Drawings for"Approval"prior to fabrication of material.
5. Only"Approved for Shipment,"WSDOT Inspected,"or"Fabrication Approval decal"material
shall be used.(Federal Projects Only)
6. Submit Certificate of Materials Origin(CMO).(Federal Projects Only)
7. N/A
8. Source Approved
9. Approval Withheld: Submit Samples for preliminary evaluation.
10.Approval Withheld
11.Miscellaneous Acceptance Criteria(listed in City Remarks below.)
12.LAG-Approved Catalog Cut Documented with: El Mfg.Cert.of Comp. 0 Visual Inspection
City Remarks: It Is noted that the letter references 1.9%of the material passing the number 200 sieve,but the test results
reflect 6%passing the number 200 sieve.This material is approved as a direct substitution for gravel borrow.
This material may be used for the preload and within 1-foot of the pavement section.Approval of this material
as a substitution for gravel borrow does not mean the City approves the use of select borrow,or material from
other sources,for backfill.
Engineer Signature: (?„(1,, (A'ki (* Date: rg7-(�
Heavy• Highway o'Ssi
Construction -'` 5 �'` An Equal
SCIRRSELLA Opportunity
1;4
,N ecBBa e;o- Employer
1S/MGE•19A5•
August 9, 2016
City of Auburn
25 West Main St,
Auburn, WA 98001-4998
Attention: Kim Truong, P.E.
Project Engineer
Reference: Contract No, 1606
5 277w St. Corridor Capacity &Non-Motorized Trail Improvements
Gravel Borrow Alternative
Dear Kim:
Scarsella Bros. Inc. hereby proposes the use of an alternate material for Item 23 Gravel
Borrow Licluding Haul, to be incorporated into the above referenced project. The
proposed alternate material is a select borrow, with on 1.9%passing the No. 200 Sieve
and a sand equivalency 84. This material should provide excellent drainage and
foundation characteristics for the South 277th Street Corridor project.
The material will be generated from a Scarsella Bros. Inc. owned pit located off Hwy 18
and SE 304th Place in Kent. This pit is commonly known as Pacific Raceway Pit and
65,000 tons of this select borrow has gone to our County Line Levee Project for King
County.
Scarsella would use the alternate Select Borrow material to-the top of preload.
subgrade, The top 1' of subgrade would be constructed otUlizing 1. •
- Scarsella will provide the
additional water and compactive efforts necessary for the alternate Select Borrow
material, in order to ensure proper placement and compaction.
In addition to minimizing traffic impacts to the travelling public, Scarsella would offer a
credit of$1.50/ton for the use of this alternate material. Assuming 30,000 tons of this
alternative material is used, the savings to the City of Auburn would equate to
P.O.Box 68697 • Seattle,Washington 98168-0697 • Tel: (253) 872-7173 • Fox: (253) 395-1209
A.KLic. #34714 • AZ Lic. #R00249216 • CA Lic. #779354 • ID Lie. #10394-Unlimited-i-2
approximately $45,000.00. Scarsella presently has a Certified Scale at the site, A few
sieve analysis performed by Construction Testing Laboratories, Inc. are attached for your
review.
As we are anxious to get this project moving forward, we would appreciate your timely
review of this proposal. Should you have any additional questions, please feel free to
contact me.
Sincerely,
Robert Scarsella
Vice President
cc: Sherry Peter
Sean Osborne
Particle Size Distribution Report ASTM C-117/C-136
100 Jq • • N \ :g cl 33 i! i0C1k' 3 V t. 3t V
I 1i I I I I I I I
80 011111 II 11 ii _ la II 1 II f70 II
E w 60 1Qn
Ili
o Z Li IllI
Z 50 v
C cc 40 mu"
' �k '11 _
N 30II'
I 1� �i�n.,,, .II12ea)
I, 1, 1 1 1. , 111,„ —J__I 11
10 I Ir i 0p 1 r-1 I;I,� I'�.•�i [
m I I 1 1 1 N I I I I I I �•
° o I I I l l I I I 1 i i i
m
100 10 1 0.1 0.01 0.001
th GRAIN SIZE-mm.
p %+3" %Gravel %Sand %Fines
Coarse Flue Coarse Medium Fine Silt Clay
a 0 50 16 4 8 16 6
n
m SIEVE PERCENT SPEC." PASS? Soil Description
Y SIZE FINER PERCENT (X=NO) Select Fill Types I &2
6" 100 100 Sampled from Stockpile
4" 100
cu 3" 100 75 - 100
21/2 100 Atterberg.Limits
0 2" 84
PL= LL= P1=
t 1" 56 Coefficients
3 3/4" 50 Dg0= 54.7535 D85= 51.7126 D60= 30.2723
a' 1/2" 42 D50= 18.9631 D30= 2.2362 D15= 0.2341
c 3/8" 39 D10= 0.1500 CL1= 201.82 Cc= 1.10
ft4 34
a8 30
Classification
ty o 8f10 30 USCS= AASHTO=
oxo
816 28 Remarks
/1100 12 0 50 Report: 8 07
2 /1200 6.0 0.0.30
$ Sampled by:Client
e2 * Select Fill Types I 8:2
es
O Source of Sample: Pacific Raceways Pit
o Sample Number: I6-753(A) bate: 07-18-16
co Construction Testing Laboratories Client: Scarsella
0 400 Valley Ave. NE, Suite 11102 Pl'tiject: County Linc Levee Project
n
Puyailtip WA,98372 Tel. 253
( ) 383.8776 Pt`olect No: 6246 Fiy (e—Nl
Tested By: R Bowden Checked By: C Pedersen
R'
Particle Size Distribution Report ASTM C-117/C-136
C d O O
C C '�- p p p 0 H 0
1 O N -
I F\ f� 1C i! i! ik it i! i i! i!
100 1
I 1 1 I I
90 I )- 1 I 1_I__ — I 2 _1_-_ -.
1 80 - ---r .
n
v
70 I' - - --
.173
li
EW GO - -I-f—i- ---- h----
L
O Z 50 - _— __ - _—
oal
v I
w •
w 40 •- I i.___ - --i--_
cd. I I I I I I I
I I I I I I
a) 30 I 1 T I •' . 1-a I I I
t I I I I I I
a)°n 20 _I--I-.l—I-I--I_ 1 _ I I 1
I I I I I
I I I I I
10 I I- T I I I
r I I I Y
° 0 I I I I I I I
N 100 10 1 0.1 001 0001
w GRAIN SIZE-ram.
.c
o %*3„ %Gravel V.Sand %Fines
Coarse Fine Coarse Medium Fine Silt Clay
> 0 50 16 4 8 16 6
2
a
Q SIEVE PERCENT SPEC.* PASS? Soil Description
N
c SIZE FINER PERCENT (X=NO) Select Fill Types 1 42,Top 2'
V 6" 100 100 Sampled from Stockpile
3 4" 100 99- 100
0) 3" 100 75- 100
Atterherg Limits
2" 84 75- 100
2 U2" 100 PL= LL= P1=
a
I" 56 Coefficients
3 3/4" 50 D00= 54.7585 D85= 51.7126 DG0= 30.2723
2 1/2" 42 D50 18.9631 D80= 2.2362 D15= 0.2341
c 3/8" 39 Di0= 0.1500 Co-- 201.82 Cc= 1.10
'Q #4 34 Classification
o #0 30 USCS= AASHTO=
a) #16 28 Rem?rks
0) #40 22 0-50 Report:#7
n 11100 10
o #200 6.0 0.0-30 Sampled by:Client
la
Select Fill Types I and 2,Top 2'
m
'° Source of Sample: Pacific Raceways Pit
o Samlile Number: 16-753(B) Date: 07-18-16
.roc Construction Tasting Laberatorles Client: Searsella
En
0 400 Valley Ave. NE, Suite 11102, Project: County Line Levee Project
o
tX Puyallup WA, 98372 Tel. (253) 383-0770 Project No: 6246 FiciCt Th
Tested By: R Rowden Checked By: C Pedersen •
Particle Size Distribution Report ASTM C-117IC-136
a o o
C d d d ` ` , 0 �0 00 10 O TTTt �I
C ;p K• N 1 e- t� 1 4k iC ik At it �t r it
1UU Y
1 1
90 L. 1.__1 I 1--L,— --1 L_ _
I I
• I 1 I
i 1 1
—� 70 I 1 1 L L .. __
t II I
I I I
E w 00 f 1---1—f--— - - 1
0 — I I I
0 50 1
z ----- - 1
z I I
v I I
m
CC 40---1--I— — (
I-1— --1 -- I -
—
ca 1 I
t • I I
a 30 •• • I
to
I
a 20—1 1--1— I 1 1-
iv
cc I I
I I I
t0 T1— —-t I •
o I i I l r
0 0 I I l
N 100 10 1 61 -0.01 0,001
-J
at GRAIN SIZE-mm.
o %+3" %Gravel %Sant) %Fines
Coarse Fine Coarse Medium Fine Slit Clay
Tl00 50 16 4 8 16 6
a
a SIEVE PERCENT SPEC.' PASS? Soil Description
0
c SIZE FINER PERCENT (X=NO) Select Fill Type 3
a)
I8 100 100 Sampled from Stockpile
6" 100 100
a) 3" 100 75 - 100
-c2 1/2" 100 Atterberci Limits
0 2" 84 PL= LL= P1=
I" 56 Coefficients
3/4" 50. D90= 54.7770 D85= 51.7169 D63= 30.2467
1/2" 42 D50= 18.9630 D30= 2.2362 D15= 0.2341
E 3/8" 39 D10= 0.1500 Cu- 201.64 Cc= 1.10
'Q 84 34 25 -50 Classification
at 118 30
X #10 30 USCS= AASHTO=
a' 1116 28
Remarks
cii 1140 22 0-50 Report:it 07
0
D .11100 10
0 11200 6.0 0.0- 10 Sampled by: Client
a
L. * Select Fill Type 3
a)
Source of Sample: Pacific Raceways Pit
oa Sample Number: 16.753(C) Date: 07-18-16
NConstruction Testing Laboratories Client: Scarsella
0 400 Valtey Ave. NE,Suite#102 Project: County Linc Levee Project
a
K Puyallup WA, 98372 Tel, (253) 383.8778 project No: 6246_- Figur
i(
Tested By: R Rowden Checked By: C Pedersen 1