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HomeMy WebLinkAboutCP1617 #17-21 Lea Hill Pressure Reducing Valve Stations CITY OF >> AUBURN Nancy Backus, Mayor WASHINGTON 25 West Main Street * Auburn WA 98001-4998 * www.auburnwa.gov * 253-931-3000 August 10, 2017 CERTIFIED MAIL RETURN RECEIPT REQUESTED Jordan Opdahl Nova Contracting, Inc 10615 Delphi Road SW Olympia, WA 98512 NOTICE TO PROCEED RE: Project No. CP1617, Lea Hill Pressure Reducing Valve stations, Contract#17-21 You are hereby notified to proceed as of August 11, 2017 with the work on the above- referenced project, within the time period specified, in accordance with the provisions of the contract documents, copy enclosed. This project has 60 working days for completion. If you have any questions, please contact the inspector for the project, Josh Linkem at 253- 876-1926 or the Contract Administration Specialist, Amanda DeSilver at 253-876-1980. Sincerely, a'M t Lar •n PE Projet'Engineer Community Development & Public Works Department ML/ad/as Enclosure cc: Dani Daskam, City Clerk Ingrid Gaub, Assistant Director of Engineering/City Engineer Josh Linkem, Project Inspector CP1617 13.11 AUBURN * MORE THAN YOU IMAGINED CONTRACT Contract No. 17-21 THIS AGREEMENT AND CONTRACT, made and entered into, in duplicate, at Auburn, Washington, this lailk day of A,nJS.}- , 2017,by and between the CITY OF AUBURN, WASHINGTON, a municipal corporation, and Nova Contracting, Inc, 10615 Delphi Road SW, Olympia, WA 98512, hereinafter called the CONTRACTOR. WITNESSETH: That, in consideration of the terms and conditions contained in the Contract Documents entitled "CP1617, LEA HILL PRESSURE REDUCING VALVE STATIONS," which are by this reference incorporated herein and made a part of this Contract, the parties hereto covenant and agree as follows: I. The CONTRACTOR shall do all work and furnish all tools, materials and equipment for Project CP1617, LEA HILL PRESSURE REDUCING VALVE STATIONS — the installation of three new pressure reducing valve stations and removal of five existing pressure reducing valves for a unit bid price of six hundred twenty-four thousand thirty dollars ($624,030.00) and Washington State Sales Tax of sixty-two thousand, four hundred and three dollars ($62,403.00) for a total contract value of six hundred and eighty-six thousand, four hundred thirty-three dollars ($686,433.00) in accordance with and as described in the Contract Documents which are by this reference incorporated herein and made a part hereof, and shall perform any alterations in or additions to the work provided under this Contract and every part thereof This Contract shall be executed by the Contractor and returned to the City within 7 calendar days after the receipt of the dated notification of award and the Contract time shall commence within 5 working days after execution of the Contract by the City and so designated on the Notice to Proceed. Physical completion shall be within 60 working days of the date on the Notice to Proceed. If said work is not completed within the time specified, the CONTRACTOR agrees to pay liquidated damages to the CITY OF AUBURN, as specified in Section 1-08.9 (Liquidated Damages) of the Standard Specifications. The CONTRACTOR shall provide and bear the expense of all equipment, work and labor of any sort whatsoever that may be required for the transfer of materials and for constructing and completing the work provided for in this Contract and every part thereof, except such as are mentioned in the Contract Documents to be furnished by the CITY OF AUBURN. II. The CITY OF AUBURN hereby promises and agrees with the CONTRACTOR to employ, and does employ the CONTRACTOR to provide the materials and to do and cause to be done the above described work and to complete and finish the same according to the Contract Documents and the terms and conditions herein contained and hereby contracts to pay for the same according to said Contract Documents and the aforesaid proposal hereto attached, at the time and in the manner and upon the conditions provided for in this Contract. III. The CONTRACTOR for himself, and for his heirs, executors, administrators, successors, and assigns, does hereby agree to the full performance of all the covenants herein contained upon by part of the CONTRACTOR. IV. It is further provided that no liability shall attach to the CITY OF AUBURN, WASHINGTON by reason of entering into this Contract, except as expressly provided herein. IN WITNESS WHEREOF the parties hereto have caused this Contract to be executed the day and year first hereinabove written. CITY OF AUBURN, WASHINGTON By /41NaMayor Countersigned: this IO day of A0305 , 2017 ATTEST: /2)&- Danielle E.Daskam,City Clerk APPROVED AS TO FORM: Daniel B. 'ity Attorne CONT`• CTOR By Authorized Official Signature CONTRACT BOND CONTRACT NO. 17-21 BOND NO. S442624 BOND TO CITY OF AUBURN,WASHINGTON KNOW ALL MEN BY THESE PRESENTS: That we,the undersigned, Nova Contracting, Inc, 10615 Delphi Road SW, Olympia, WA 98512, as principal, and Employers Mutual Casualty Company , a corporation, organized and existing under the laws of the State of Iowa as a surety corporation, and qualified under the laws of the State of Washington to become surety upon bonds of contractors with municipal corporations, as surety, are jointly and severally held and firmly bound to the City of Auburn, Washington, in the penal sum of six hundred and eighty-six thousand, four hundred thirty-three dollars ($686,433.00), for the payment of which sum we jointly and severally bind ourselves and our successors, heirs, administrators or personal representatives as the case may be. This obligation is entered into in pursuance of the Statutes of the State of Washington and the Ordinances of the City of Auburn, Washington. Dated at Auburn, Washington, this 101'' day of ,A V* , 2017. Nevertheless, the conditions of the above obligation are such that. WHEREAS, the City of Auburn on the 17th day of July, 2017, let to the above bounden principal a certain Contract. The said Contract being numbered 17-21, and providing for the construction of Project CP 1617, LEA HILL PRESSURE REDUCING VALVE STATIONS— the installation of three new pressure reducing valve stations and removal of five existing pressure reducing valves (which Contract is referred to herein and is made a part hereof as though attached hereto), and WHEREAS, the said principal has accepted, or is about to accept, the said Contract, and undertake to perform the work therein provided for in the manner and within the time set forth: NOW, THEREFORE, if the above bounden principal shall faithfully and truly observed and comply with the terms,conditions,and provisions of said Contract in all respects and shall well and truly and fully do and perform all matters and things by them undertaken to be performed under said Contract, upon the terms proposed therein, and any and all duly authorized modifications of said Contract that may hereafter by made, and within the time prescribed therein, and until the same is accepted, and shall pay all laborers, mechanics, subcontractors and material men, and all persons who shall supply principal or subcontractors with provisions and supplies for the carrying on of said work and shall hold said City of Auburn,Washington, harmless from any loss or damage occasioned to any person or property by reason of any carelessness or negligence on the part of said principal or any subcontractor in the performance of said work, and shall in all respects faithfully perform said Contract according to law, and shall indemnify and hold the City of Auburn, Washington, harmless from any damage or expense by reason of failure of performance, as specified in said Contract, and this bond, for the performance of the above-referenced contract, shall be enforceable until the City of Auburn has executed the contract to the undersigned principal. The Surety, hereby agrees that modifications and changes may be made in the terms and provisions of the aforesaid Contract without notice to Surety, and any such modifications or changes increasing the total amount to be paid the Principal shall automatically increase the obligation of the Surety on this Contract Bond in a like amount, such increase; however, not to exceed twenty—five percent(25%)of the original amount of this bond without the consent of the Surety. PROVIDED, however,that after the completion of this Contract and the expiration of the lien period, and if there are no liens pending, then the penal sum of this bond, shall be reduced to either ten percent (10%) of the value of the improvements to the City or two thousand dollars ($2,000), whichever is greater, to warranty against defects appearing or developing in the material or workmanship provided or performed under this Contract within a period of one (1) year after Contract Completion. Not withstanding the reduction of this bond,the principal and surety shall hold the City of Auburn harmless from all defects appearing or developing in the material or workmanship provided or performed under this Contract within a period of one(1) year after Contract Completion, THEN and in that event this obligation shall be void; but otherwise it shall be and remain in full force and effect. It is hereby expressly agreed that if any legal action is necessary to be brought under the conditions of this bond, that the decisions of the Courts of the State of Washington shall be binding. IN WITNESS WHEREOF, the above-bounden parties have executed this instrument this 24th day of July , 2017. 414Ae." Nov•1 acting t c 5 `"ark.,. Employers Mutual Casualty Com,a4Z Suret .1•11,0 By &--Cl _\ Attorney in Fact Aliceon A. Keltner Propel Insurance 925 4th Ave.,Suite 3200,Seattle,WA 98104,(206)676-4200 Resident Agent's Address&Phone Number THE FACE AND REVERSE OF THIS DOCUMENT HAVE A COLORED FLAG ON WHITE PAPER A I /EMCINSURANCE P. .Box 712•Des Moines,IA 50306-0712 I V o. CO218 3 CERTIFICATE OF AUTHORITY INDIVIDUAL ATTORNEY-IN-FACT KNOW ALL MEN BY THESE PRESENTS,that: 1. Employers Mutual Casualty Company,an Iowa Corporation 5. Dakota Fire Insurance Company,a North Dakota Corporation 2. EMCASCO Insurance Company,an Iowa Corporation 6. EMC Property&Casualty Company,an Iowa Corporation 3. Union Insurance Company of Providence,an Iowa Corporation 7. Hamilton Mutual Insurance Company,an Iowa Corporation 4. Illinois EMCASCO Insurance Company,an Iowa Corporation hereinafter referred to severally as"Company"and collectively as"Companies",each does,by these presents,make,constitute and appoint: CYNTHIA L.JAY,ERIC A.ZIMMERMAN,JAMES B.BINDER,ALICEON A.KELTNER its true and lawful attorney-in-fact,with full power and authority conferred to sign,seal,and execute its lawful bonds,undertakings,and other obligatory instruments of a similar nature as follows: ANY AND ALL BONDS and to bind each Company thereby as fully and to the same extent as if such instruments were signed by the duly authorized officers of each such Company,and all of the acts of said attorney pursuant to the authority hereby given are hereby ratified and confirmed. AUTHORITY FOR POWER OF ATTORNEY This Power-of-Attorney is made and executed pursuant to and by the authority of the following resolution of the Boards of Directors of each of the Companies at a regularly scheduled meeting of each company duly called and held in 1999: RESOLVED:The President and Chief Executive Officer,any Vice President,the Treasurer and the Secretary of Employers Mutual Casualty Company shall have power and authority to(1)appoint attorneys-in-fact and authorize them to execute on behalf of each Company and attach the seal of the Company thereto, bonds and undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof;and(2)to remove any such attorney-in-fact at any time and revoke the power and authority given to him or her.Attorneys-in-fact shall have power and authority,subject to the terms and limitations of the power-of-attorney issued to them, to execute and deliver on behalf of the Company, and to attach the seal of the Company thereto, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof,and any such instrument executed by any such attorney-in-fact shall be fully and in all respects binding upon the Company. Certification as to the validity of any power-of-attorney authorized herein made by an officer of Employers Mutual Casualty Company shall be fully and in all respects binding upon this Company.The facsimile or mechanically reproduced signature of such officer,whether made heretofore or hereafter, wherever appearing upon a certified copy of any power-of-attorney of the Company,shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN WITNESS THEREOF,the Companies have caused these presents to be signed for each by their officers as shown,and the Corporate seals to be hereto affixed this 17th day of MAY 2017 , Seals "" "' ;,,.1."g' nice G.Kelley, airman/ Todd Strother :01',`,°po,,/•4 '; ; c''•`'O oR,MPAi'., Q4,Pt a "`,"s'' of Companies 2,3,4,5&:;President Vice President W�.:.`p R4,,,,=;`,.'s f n.i =Q:.(.0 4.� °`:`0 POR9l'.y': -c- _ -z 9: _ f.--'7,,s of Company 1;Vice Chairman and SEAL ;= 18635:•,3:: :-= 1953 •'-:-<:: CEO of Company 7 '* +OwN* %0„'„30N, * ;°N,A,* On this 17th day of MAY '-- .•• �-., ,.,�� ` - � AD 2017 before me a Notary Public in and for the State of Iowa, personally appeared Bruce G. Kelley and ` o gURA. C , ,,�,, ccF y��; ,',`0,gy;-,, Todd Strother,who,being by me duly sworn,did say that they are,and are known tome to be the �N ,i„ °P,, �NSURq ,'PP.R'' ° : :os,, o e;,,PPOggt, Chairman,President,Vice Chairman and CEO,and/or Vice President,respectively,of each of 5,.:- The Companies above;that the seals affixed to this instrument are the seals of said corporations; W: SEAL < o SEAL '� � SEAL � -.°•- that said instrument was signed and sealed on behalf of each of the Companies by authority - � - o<P': ;,''''. ,,,,,‘ P, of their respective Boards of Directors;and that the said Bruce G.Kelley and Todd Strother,as +own" ' °RrH°nK MOINES. such officers,acknowledged the execution of said instrument to be the voluntary act and deed MUTIJqL of each of the Companies. • UTU4 m My Commission Expires October 10,2019. g IKAl1�Y LOVERIDGE �� i ,''��' z t CoianneSSion Number 7807619 C=� ��/Lt!-CJLL r m • • My Commissiona `''}''4'URA0: o October 10,2 9res Notary P lic in and for the State of I a •o/NES,0,-`;' CERTIFICATE I,James D.Clough,Vice President of the Companies,do hereby certify that the foregoing resolution of the Boards of Directors by each of the Companies, and this Power of Attorney issued pursuant thereto on MAY 17,2017 on behalf of: CYNTHIA L.JAY,ERIC A.ZIMMERMAN,JAMES B.BINDER,ALICEON A.KELTNER are true and correct and are still in full force and effect. In Testimony Whereof I have subscribed my name and affixed the facsimile seal of each Company this D'1'1"day of TL&(N , 30(--7 . GSC 1 Vice President 7832(12-16) "For verification of the authenticity of the Power of Attorney you may call(515)345-2689." Page 1 of 2 Consumer tools Agent and Company Lookup Orders Independent Review Decisions EMPLOYERS MUTUAL CASUALTY COMPANY Change History I Licensing I Appointments I Complaints I Orders I National Info I Ratings J Tax Filings Back to Search General information Contact information Name: EMPLOYERS MUTUAL CASUALTY COMPANY Registered address Mailing address Corporate family group: EMC INS CO GRP 0 717 MULBERRY BOX 712 Organization type: PROPERTY DES MOINES, IA 50309 DES MOINES, IA 50306 Doing Business As (DBA): Unavailable Telephone Telephone WAOIC' 397 515-280-2511 515-280-2511 NAIC: 21415 Status: ACTIVE Admitted date: 07/29/1940 Ownership type: MUTUAL Company change history o View changes tack to ro Types of coverage authorized to sell o ;Insurance types ;Casualty (Marine Property ;Surety Vehicle back t,t,� Agents and agencies that represent this company (Appointments) o View agents View agencies Company complaint history o View complaints ,•ba_k to op Orders issued since 2010 httns://fortress.wa.gov/nic/consumertoolkit/Comnanv/ComnanvProfile.asnx?WAOJC=397 7/11/2(117 Page 2 of 2 No orders are found T back to top Premium tax filings by tax year 2016 2015 2014 2013 2012 t back to top National information on insurance companies Want more information about this company? The NAIC's Consumer Information (CIS) page allows you to retrieve national financial and complaint information on insurance companies, plus has information and tips to help you understand current insurance issues. ':`back to too Ratings by financial organizations The following organizations rate insurance companies on their financial strength and stability. Some of these companies charge for their services. A.M. Best Weiss Group Ratings Standard and Poor's Corp Moody's Investors Service Fitch IBCA, Duff and Phelps Ratings Disclaimer:Links to external or third-party websites are provided solely for visitors'convenience.Links you take to other sites are done so at your own risk and our office accepts no liability for any external linked sites or their content.Be aware that not all financial rating companies use the same rating processes. i back to top https://fortress.wa.gov/oic/consumertoolkit/Company/CompanyProfile.aspx?WAOIC=397 7/31/2017 Page 1 of 2 OPP OGo Life&Retirement 0 Home 8 Auto 0 Health&Disability 0 Other Life Events() Employers Mutual Casualty Company Fallow ili Pnntthis page (a member of EMC Insurance Companies) AM.Best*02161 NAIC*21415 FEIN*42-0234980 Address: P.O.Box 712 Phone:515-280-2511 Des Moines,IA 50306-0712 Fax: 515-345-2895 UNITED STATES Web: www.emeins.com(http://vww.emcins.com) Best's Credit Ratings Financial Strength Rating View Definition Long-Term Issuer Credit Rating View Definition (http://www.ambest.comlratings/guide.asp) (http://www.ambest.comhatings/icrguide.asp) Rating: A(Excellent) Long-Term: a Financial Size Category: XIV($1.5 Billion to S2 Billion) Outlook: Stable Outlook: Stable Action: Affirmed Action: Affirmed Effective Date: July 07,2017 Effective Data: July 07,2017 Initial Rating Date: June 21,2005 Initial Rating Date: June 30,1922 u Denotes Under Review Beers Rating(Iutp:!two.,ambestcomhatings) Licensing: The company is licensed in the District of Columbia and all states. Total Assets DPW-Top Lines of Business Company Attributes 53,500,000.00-----------.---- -- - Industry: Insurance 5 n%—1 Business: Property/Casualty 53,00000000 .. --- ---- see% 1 Business Status: In Business t I - "`�7z" -+x z 2462 Entity: Operating Company 52.500,000.00 ._.._ k •%.� Consolidated Type:Affiliated Single Company '� '� it Organization Type: Mutual 52,000,000.00... .. }.- (y,.b " �. h;( -z Statement Type: NAIL PC 01.500,000.00.:. T ) '�/ - Last Statement 1st Quarter 2017 51,000,000.00 j 1 I.43%7 \ 5500000.00 C_ ` 19 90% I_ —Auto(Commercial) 2016 0018 2014 oars 2012 --Other Liability(Occurrence) —Workers'Compensation—Allied Lines —Data Years —Auto(Personal)—Inland Marine Top Line(s)of Business (based upon Direct Premiums Written) Top State(s)of Business (based upon Direct Premiums Written) t. Auto(Commercial)(View Definition) 1. Iowa 2. Other Liability(Occurrence)(view Deenison) 2. Kansas 3. Workers'Compensation(View Definition) 3. Nebraska 4.Allied Lines(View Dentition 1 4. Texas 5. Auto(Personal)(view Definition) 5. Minnesota To view competitive insurers for Employers Mutual Casualty Company,please select State and Line of coverage and dick compare. State:-Select a state `LM: Ccmpar: Terms of Use httn•//wwwi amhect rnm/rnnciimerc/CrsrinanvPrnfile acnx7Rl =AR.amhniim=(NYY11 1R-P 7111 /')nl'7 Page 2 of 2 All information provided on the A.M Best website.including but not limited to text.date.ratings.reports,imagee photoe graphics,and charts is owned by or licensed to AM Best Company and is protected by United States copyright laws and international treaty provisions.A.M Best and its licensors retain all copynght and other propnetary nghts to the website content Best's Credit Ratings,obtained through any source,may not be reproduced.distributed to Third Parties.or stored in a database or retneval system in any form for commercial purposes without the prior written permission of the A.M.Best Company All unauthorized use of Best's Credit Ratings or other published information is strictly prohibited By logging into Best's Member Center or accessing this site,you accept and agree to be bound by our complete Terms of Use(hap:/Awvw.ambestcomlterrns.htinl) Customer Service(httpffiwww ambest.Com/about/customerservice.html)I Product Support(hop'.f/www ambest.coinlabout/producrsupporthtml)I Member Center (httplMww7.ambestcom/MemberCenter/MemberCenter asps)I Contact Info(httplAvww.ambestcom/contact/index.him!)I Careers(http:/Iwwsv7.ambestcom/ambo/employmenticareers.aspx) About A.M Best(hap/bw v ambestcom/about)I Site Map(hap/Mwr ambestcom/abouasitemap.sap)I Pnvacy Policy(http thww ambestcom/prwacy.him')I Security(http'./Iwww.ambest.00m/about/secunty.hanl) I Terms of Use(http:/Mww.ambesLcom/terms.html)I Legal&Licensing(hap:/Awr.ambestcom/aboutlegal.hbnll CopynghtP 20t7 AM Best Company,Inc and/or its affiliates ALL RIGHTS RESERVED. http://www3.ambest.com/consumers/CompanyProfile.aspX?BL=36&ambnum=002161&P... 7/31/2017 BOND IN LIEU OF RETAINAGE (Retainage Bond -RCW 60.28) Bond No. S442629 KNOW ALL PERSONS BY THESE PRESENTS, THAT Nova Contracting. Inc. 10615 Delphi Road SW. Olympia. WA 98512, a corporation organized under the laws of the State of Washington and registered to do business in the State of Washington as a contractor, as Principal, and , Employers Mutual Casualty Company a corporation organized under the laws of the State of ,owa and registered to transact business in the State of Washington as surety, as Surety, their heirs, executors, administrators, successors and assigns, are jointly and severally held and bound to the City of Auburn, Washington, hereinafter called CITY, and are similarly held and bound unto the beneficiaries of the trust fund created by RCW 60.28, in the sum of five percent (5%) of all amounts earned by the Principal on the contract described below. THE CONDITIONS OF THIS BOND OBLIGATION ARE THAT: WHEREAS, on the f 01"day of As- -2o17, the Principal executed Contract No. 17-21 with the CITY for Projecnqumber CP1617, Lea Hill Pressure Reducing Valve Stations; and WHEREAS, said contract and RCW 60.28 require the CITY to withhold from the Principal the sum of five percent (5%) from monies earned by the Principal on estimates during the progress of the construction, hereinafter referred to as earned retained funds; and WHEREAS, the Principal has requested that the CITY not retain any earned retained funds as allowed under RCW 60.28; NOW, THEREFORE, the condition of this obligation is such that the surety is held and bound to the CITY and to the beneficiaries of the trust fund created by RCW 60.28 in the sum of five percent (5%) of the final contract cost which shall include any increases due to change orders, increases in quantities of work, addition of new items of work, or otherwise, hereafter referred to as the final contract cost. If all purposes of RCW 60.28 and all contract obligations are fulfilled, then this obligation shall be null and void; otherwise, it shall remain in full force and effect until release is authorized in writing by the CITY. IT IS FURTHER EXPRESSLY AGREED THAT: 1. The liability of the Surety under this bond shall not exceed five percent (5%) of the final contract cost, if no monies are retained by the CITY pursuant to RCW 60.28 on estimates during the progress of construction. Retainage Bond Page 1 of 3 2. In the event this bond ceases to comply with CITY standards, the CITY reserves the right to resume the actual withholding of earned retained funds according to the contractor's designated option for management of retainage under RCW 60.28.011(4). In the event the CITY resumes withholding of earned retained funds, the liability of the Surety under this bond shall not exceed the actual amount of the earned retained funds which were covered by this bond and released by the CITY prior to resumption of actual withholding. 3. The Surety hereby consents to and waives notice of any extension in the time for performance of the contract, assignment of obligations under the contract, or contract alteration, amendment, or change order. 4. Any suit under this bond must be instituted within the time period provided by applicable law with venue in King County, Washington. This bond and any proceeds therefrom shall be subject to all claims and liens and in the same manner and priority as set forth for retained percentages in RCW 60.28. 5. Until written release of this obligation by the CITY, this bond may not be terminated or canceled by the Principal or the Surety for any reason. Any extension of time for the Principal's performance on the contract, assignments of obligations under the contract, or any amendment to the contract or change orders of any kind shall not release the Surety from its obligation under this bond. 6. The contractor shall comply with all applicable requirements of RCW 60.28. 7. RCW 60.28 requires the CITY to accept a retainage bond in lieu of withholding earned retained funds and the Surety hereby waives any defense that this bond or bond form is void or otherwise not authorized by law. 8. Any claim or suit against the CITY to foreclose the liens provided for by RCW 60.28 shall be effective against the Principal and Surety and any judgment under 60.28 against the CITY shall be conclusive against the Principal and Surety. WITNESS our hands this 26th day of July , 2017. PRINCIPAL: Nova Contracting, Inc 10615 Delphi Road SW Olympia I , •:5 , 4�,Contrace By: ° o . 112 (Sign-'re of Author zed Repres ntaive). J .�_ Print/Type Name Retainage Bond Page 2 of 3 SURETY: Employers Mutual Casualty Company By: Oa CIL-A24 Q�...� (Signature of Attorney in-Fact for Surety*) Aliceon A. Keltner (Typed Name of Attorney-in-Fact) Dated 7/26/2017 Local Agent Name, Phone, & Address Propel Insurance 925 4th Ave., Suite 3200 Seattle, WA 98104 (206) 676-4200 CITY OF AUBURN: Accepted By: •��«r u�J �v2 Ingrid G b, Asst. Director of Engineering Services/City Engineer Dated: 7(7//rte Approv s to fo Danie . Heid, City orney *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 THE FACE AND REVERSE OF THIS DOCUMENT HAVE A COLORED FLAG ON WHITE PAPER /EMC No. CO2185 INSURANCE P.O.Box 712•Des Moines,IA 50306-0712 CERTIFICATE OF AUTHORITY INDIVIDUAL ATTORNEY-IN-FACT KNOW ALL MEN BY THESE PRESENTS,that: 1. Employers Mutual Casualty Company,an Iowa Corporation 5. Dakota Fire Insurance Company,a North Dakota Corporation 2. EMCASCO Insurance Company,an Iowa Corporation 6. EMC Property&Casualty Company,an Iowa Corporation 3. Union Insurance Company of Providence,an Iowa Corporation 7. Hamilton Mutual Insurance Company,an Iowa Corporation 4. Illinois EMCASCO Insurance Company,an Iowa Corporation hereinafter referred to severally as"Company"and collectively as"Companies",each does,by these presents,make,constitute and appoint: CYNTHIA L.JAY,ERIC A.ZIMMERMAN,JAMES B.BINDER,ALICEON A.KELTNER its true and lawful attorney-in-fact,with full power and authority conferred to sign,seal,and execute its lawful bonds,undertakings,and other obligatory instruments of a similar nature as follows: ANY AND ALL BONDS and to bind each Company thereby as fully and to the same extent as if such instruments were signed by the duly authorized officers of each such Company,and all of the acts of said attorney pursuant to the authority hereby given are hereby ratified and confirmed. AUTHORITY FOR POWER OF ATTORNEY This Power-of-Attorney is made and executed pursuant to and by the authority of the following resolution of the Boards of Directors of each of the Companies at a regularly scheduled meeting of each company duly called and held in 1999: RESOLVED:The President and Chief Executive Officer,any Vice President,the Treasurer and the Secretary of Employers Mutual Casualty Company shall have power and authority to(1)appoint attorneys-in-fact and authorize them to execute on behalf of each Company and attach the seal of the Company thereto, bonds and undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof;and(2)to remove any such attorney-in-fact at any time and revoke the power and authority given to him or her.Attomeys-in-fact shall have power and authority,subject to the terms and limitations of the power-of-attorney issued to them, to execute and deliver on behalf of the Company, and to attach the seal of the Company thereto, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof,and any such instrument executed by any such attorney-in-fact shall be fully and in all respects binding upon the Company. Certification as to the validity of any power-of-attorney authorized herein made by an officer of Employers Mutual Casualty Company shall be fully and in all respects binding upon this Company. The facsimile or mechanically reproduced signature of such officer, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power-of-attorney of the Company,shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN WITNESS THEREOF,the Companies have caused these presents to be signed for each by their officers as shown,and the Corporate seals to be hereto affixed this 17th day of MAY 2017 . C J G� 44/A4(.Th'1( __ Seals ,,,INs,,,, ruce G.Kelley, airman / Todd Strother �:PSGO Uqq�,- `,DOM,,,1,,,, .��;Y,8,cqs, of Companies 2,3,4,5&:;President Vice President 4`� OPP"%C.C,": 4`1.:,50'.°84,.'...0.,"... � OpPORq�,'O,- - „.4., 'o.'°"';°-` of Company 1;Vice Chairman and :0 SEAL `>; Z 1863 1953 ` CEO of Company 7 -7' -`F; 2 IOWA :0J; ,.y' `0 ,, 'ON;" , * S,,%,,,,,," ,,„°,,,*„0 On this 17th day of MAY 2017 before m AD e „., a Notary Public in and for the State of Iowa, personally appeared Bruce G. Kelley and �,SURANC'' ,,,SURA,' 'a F'- 4 ",,,,%'',, ;' ,,;;,A,,, Todd Strother,who,beingbyme dulysworn,did saythat theyare,and are known to me to be the i. ,,,,,,,, c', -'4,4‘ , F :'0 qs', uQ:,pOpP 0q4?.:O?i3O `='="---A7: :2= `OOPiOHS PACO�% LyF'e OAP Oggj--9 Chairman,President,Vice Chairman and CEO,and/or Vice President,respectively,of each of = ' .= ` '<= The Companies above;that the seals affixed to this instrument are the seals of said corporations; w: SEAL =1.: SEAL =Z : SEAL : that said instrument was signed and sealed on behalf of each of the Companies by authority =,, -,.„•; •20'.,,,,,-,0 FS',,,,,,,.r of their respective Boards of Directors;and that the said Bruce G.Kelley and Todd Strother,as O P �OWP ; -,,qrH DPr` ''-, MD,NEs.� , such officers,acknowledged the execution of said instrument to be the voluntary act and deed Muruq4 of each of the Companies. .•� UTUq My Commission Expires 10,2019. y _ KATHY WVERIDOE /U-'�('QG� , j' z t Comm 780769 m MY Commission '','•,, .A p 201 October 10, 9 Notary P lic in and for the State of Idi✓a 'iro/NES,atk CERTIFICATE I,James D.Clough,Vice President of the Companies,do hereby certify that the foregoing resolution of the Boards of Directors by each of the Companies, and this Power of Attorney issued pursuant thereto on MAY 17,2017 on behalf of: CYNTHIA L.JAY,ERIC A.ZIMMERMAN,JAMES B.BINDER,ALICEON A.KELTNER are true and correct and are still in full force and effect. In Testimony Whereof I have subscribed my name and affixed the facsimile seal of each Company this ., day of S v.k\ , 3-011 , r /� Vice President 7832(12-161 "For verification of the authenticity of the Power of Attorney you may call (515)345-2689.” Page 1 of 2 Consumer tools Agent and Company Lookup Orders Independent Review Decisions EMPLOYERS MUTUAL CASUALTY COMPANY Change History I Licensing I Appointments I Complaints I Orders I National Info I Ratings I Tax Filings Back to Search General information Contact information Name: EMPLOYERS MUTUAL CASUALTY COMPANY Registered address Mailing address Corporate family group: EMC INS CO GRP 0 717 MULBERRY BOX 712 Organization type: PROPERTY DES MOINES, IA 50309 DES MOINES, IA 50306 Doing Business As (DBA): Unavailable Telephone Telephone WAOIC' 397 515-280-2511 515-280-2511 NAIC: 21415 Status: ACTIVE Admitted date: 07/29/1940 Ownership type: MUTUAL Company change history o View changes 'nck to:JD Types of coverage authorized to sell 0 Insurance types !Casualty Marine Property Surety Vehicle back to toc Agents and agencies that represent this company (Appointments) 0 View agents View agencies l CO:J3 Company complaint history o View complaints oa to ca Orders issued since 2010 o httns://fortress.wa.gov/c)ic/cc)nsumertoolkit/Comnanv/ComnanvPrnfile.asnx?WA UTC;97 7/;1/2017 Page 2 of 2 No orders are found sac to too Premium tax filings by tax year 2016 2015 2014 2013 2012 bac co National information on insurance companies Want more information about this company? The NAIC's Consumer Information (CIS) page allows you to retrieve national financial and complaint information on insurance companies, plus has information and tips to help you understand current insurance issues. ?back to top Ratings by financial organizations The following organizations rate insurance companies on their financial strength and stability. Some of these companies charge for their services. A.M. Best Weiss Group Ratings Standard and Poor's Corp Moody's Investors Service Fitch IBCA, Duff and Phelps Ratings Disclaimer:Links to external or third-party websites are provided solely for visitors'convenience.Links you take to other sites are done so at your own risk and our office accepts no liability for any external linked sites or their content.Be aware that not all financial rating companies use the same rating processes. back to too https://fortress.wa.gov/oic/consumertoolkit/Company/CompanyProfile.aspx?WAOIC=397 7/31/2017 Page 1 of 2 * O c' Life&Retirement() Home&Auto 0 Health&Dieabiliry 0 Other Life Events 0 Employers Mutual Casualty Company Follow 4 Pnnt this page (a member of EMC Insurance Companies) A Best*02181 NAIC*21415 FEIN*42-0234980 Address: P.O.Box 712 Phone: 515-280-2511 Des Moines,IA 50306-0712 Fax: 515-345-2895 UNITED STATES Web: www.emcins.corn(http:lfwww.emcins.com) Best's Credit Ratings Financial Strength Rating View Definition Long-Term Issuer Credit Rating View Definition (http:!/www.ambest.coMratings/guide,asp) (hltpa/www.ambest.com/ratingslicrguide.asp) Rating: A(Excellent) Long-Term: a Financial Size Category: XIV($1.5 Billion to$2 Billion) Outlook: Stable Outlook: Stable Action: Affirmed Action: Affirmed Effective Date: July 07,2017 Effective Date: July 07,2017 Initial Rating Date: June 21,2005 Initial Rating Date: June 30,1922 u Denotes Under Review Bests Rahn°(http://www.ambest.com/ratings) Licensing: The company is licensed in the Distnct of Columbia and all states. Total Assets DPW-Top Lines of Business Company Attributes 53,50000000•---- -- .-- Industry: Insurance 5.77% Business: Property!Casualty 83.000 000 00 l.. --.--- -.--- 5.89%\ Business Status: In Business ' ti • , 2402 Entity: Operating Company 52,50000000 • ._.• ............. i. :rtil; • �.3�. Consolidated Type: Affiliated Single Company l t( n:,:` Organization Type: Mutual 52,000 000 00. - ' - . ( Statement Type: NAIC PC $1.500,000.00-- I. Last Statement 1st Quarter 2017 51,000.000 00 l - 1.43"'Auto 5500,000 00`- _ `` 1990% (Commernal) 2018 2015 2014 2013 2012 --Other Liability(Occurrence) —Workers'Compensation—Allied Lines —Data Years —Auto(Personal)—Inland Marine Top Line(s)of Business (based upon Direct Premiums Written) Top State(s)of Business (based upon Direst Premiums Written) 1. Auto(Commercial)(view Definition) 1. Iowa 2. Other Liability(Occurrence)(view Dafinition) 2. Kansas 3. Workers Compensation(view Definition) 3. Nebraska 4. Allied Lines(view Definition) 4 Texas 5 Auto(Personal)(view Definition) 5. Minnesota To view competitive insurers for Employers Mutual Casualty Company,please select State and Line of coverage and click compare. State: Select a state Line: Terms of Use httn•//www1 amhect mnm/mnncnmPrc/fmmnanvPrnfiliw acnv7RT =1ARramhn„m=(1f ')1 Al RAA 1/11 P)!11 07 Page 2 of 2 All mtormebon provided on the A.M.Best website.including but not limited to test date,mange.reports,Images,photos,graphics,and charts Is owned by or licensed to A.M Best Company and is protected by United States copyright laws and international treaty provmions A.M Best and its licensors retain all copynght and other propnetary nghts to the website content Bests Credit Ratings.obtained through any source,may not be reproduced,distributed to Third Parties,or stored Ina database or retneval system in any form for commercial purposes without the prior written permission of the A.M Best Company All unauthorized use of Best's Credit Ratings or other published information is strictly prohibited.By logging into Best's Member Center or accessing this site,you accept and agree to be bound by our complete Terms of Use(http.//www.arnbest com/termehtml) Customer Service(http:/Nmx.ambestcomlabouucuetomarservice.hbnl)I Product Support(http'.//www ambest.coedaboutlproductsupporthtml)I Member Cather (Mtpl/wwa3.ambeat.conilMomberCenter/Membercenter.asps)I Contact Intofhttp/Aweaambestwm/wntactandez.htmf)I Careers(http:/lwww3,ambestconVambo/employment/careers.aspzl About AM.Best(http/Nosey ambest.com/aboull I Site Map(htP./Mww ambestcom/about/sitemap.asp)I Pnvaq Policy(http:/Nmw.ambestcomlprivacy.html)I Security(http./Avww ambest.com/aboutisecunty.htnl) I Terms of Use(http:/Awwt,,ambesLcomrterms.html)I Legal&Licensing(httpl/www.ambastcom/abouNegal.hbnl) Copynght'0 2017 AM.Bat Company.Inc and/or its affiliates ALL RIGHTS RESERVED. • http://www3.ambest.corn/consumers/CompanyProfile.aspx?BL=36&ambnum=002161&P... 7/31/2017 w Client#: 147519 NOVACONT3 ACORDrc CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)7/26/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NTACT Rainey Lindholm Propel Insurance PHONE 800499-0933c 866 577-1326 (NC,No,Ext): (A/C,No): Tacoma Commercial Insurance ADS' : rainy.lindholmc+propelinsurance.com 1201 Pacific Ave,Suite 1000 INSURER(S)AFFORDING COVERAGE NAIC I Tacoma,WA 98402 INSURER A:Ohio Security Insurance Company 24082 _ INSURED INSURERa:The Ohio Casualty Insurance Co 24074 Nova Contracting Inc. INSURER C: 10617 Delphi Road SW INSURER D: Olympia,WA 98512 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TM INSURANCE ADDL SUBR POLICY EFpF� POLICY EXP LIMITS LTRINSR WYY VD POLICY NUMBER (MMIDD/ YY) (MMIDDIYYW) A X COMMERCIAL GENERALLIABIUTY X X BKS57422991 07/01/2017 07/01/2018 EACHOCCURRENCE $1,000,000 PREMISES(Ea CLAIMS-MADE X OCCUR oNccu ence) $1,000,000 X PD Ded:$500 MED EXP(Any one person) $5,000 PERSONAL B ADV INJURY $1,000,000 _ GE 'L AGGREGATE LIMIT APPLIES'PER: GENERAL AGGREGATE $2,000,000 POLICY ACT LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: _ $ A AUTOMOBILELIABIUTY X X BAS56173054 07/01/2017 07/01/2018(conewINPLE LIMIT $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ X HIRED AUTOS X AUTOS (Per accident) $ B X UMBRELLA LIAB X OCCUR X USO56173054 07/01/2017 07/01/2018 EACH OCCURRENCE $1,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $1,000,000 DED X RETENTION$10,000 $ A WORKERS COMPENSATION (WA Stop Gap) 07/01/2017 07/01/2018 STATUTE ERH AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEY/N BKS57422991 E.L.EACH ACCIDENT $$1,000,000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $$1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below - E.L DISEASE-POLICY UMIT $$1,000,000 - DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:Contract#17-21 -Project#CP1617-Lea Hill Pressure Reducing Valve Stations The City of Auburn,the contracting agency, its officers,elected officials,employees,agents,and volunteers are included as additional insureds per the attached. CERTIFICATE HOLDER CANCELLATION Cityof Auburn SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 25 West Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Auburn,WA 98001 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014/01) 1 of 1 The ACORD name and logo are registered marks of ACORD #S2791140/M2765815 ALWOO This page has been left blank intentionally. COMMERCIAL GENERAL LIABILITY CG 85 83 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED CONTRACTORS - PRODUCTS/COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Paragraph 2. under Section II -Who Is An Insured is amended to include as an insured any person or organization whom you have agreed to add as an additional insured in a written contract or written agreement. Such person or organization is an additional insured but only with respect to liability for "bodily injury" or "property damage": 1. Caused by "your work" performed for that additional insured that is the subject of the written contract or written agreement; and 2. Included in the "products-completed operations hazard". However: a) The insurance afforded to such additional insured only applies to the extent permitted by law; and b) If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured The insurance provided by this endorsement applies only if the written contract or written agreement is signed prior to the "bodily injury" or "property damage". We have no duty to defend an additional insured under this endorsement until we receive written notice of a "suit" by the additional insured as required in Paragraph b. of Condition 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit under Section IV -Commercial General Liability Conditions. B. With respect to the insurance provided by this endorsement, the following are added to Paragraph 2. Exclusions under Section I-Coverage A-Bodily Injury And Property Damage Liability: This insurance does not apply to: 1. "Bodily injury" or "property damage" that occurs prior to you commencing operations at the location where such "bodily injury" or "property damage" occurs. 2. "Bodily injury" or "property damage" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services including: a. The preparing, approving or failure to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawing and specifications; and b. Supervisory, inspection, architectural or engineering activities. @ 2013 Liberty Mutual Insurance CG 85 83 04 13 Includes copyrighted material of Insurance Services Office,Inc.,with its permission . Page 1 of 2 C. With respect to the insurance afforded by this endorsement, exclusion I. Damage To Your Work of Paragraph 2. Exclusions under Section I - Coverage A- Bodily Injury And Property Damage Liability is replaced by the following: I. Damage To Your Work "Property damage" to "your work" arising out of it or any part of it and included in the "products- completed operations hazard". D. With respect to the insurance afforded to these additional insureds, the following is added to Section II - Limits of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declaration. whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declaratio ns. E. With respect to the insurance afforded by this endorsement, Section IV -Commercial General Liability • Conditions is amended as follows: 1. The following is added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Claims Or Suit: An additional insured under this endorsement will as soon as practicable: a. Give written notice of an "occurrence" or an offense that may result in a claim or "suit" under this insurance to us; b. Tender the defense and indemnity of any claim or "suit" to all insurers whom also have insurance available to the additional insured; and c. Agree to make available any other insurance which the additional insured has for a loss we cover under this Coverage Part. d. We have no duty to defend or indemnify an additional insured under this endorsement until we receive written notice of a"suit" by the additional insured. 2. Paragraph 4. of Section IV -Commercial General Liability Conditions is amended as follows: a. The following is added to Paragraph a. Primary Insurance: If an additional insured's policy has an Other Insurance provision making its policy excess, and you have agreed in a written contract or written agreement to provide the additional insured coverage on a primary and noncontributory basis, this policy shall be primary and we will not seek contribution from the additional insured's policy for damages we cover. b. The following is added to Paragraph b. Excess Insurance: When a written contract or written agreement, other than a premises lease, facilities rental contract or agreement, an equipment rental or lease contract or agreement, or permit issued by a state or political subdivision between you and an additional insured does not require this insurance to be primary or primary and non-contributory, this insurance is excess over any other insurance for which the additional insured is designated as a Named Insured. Regardless of the written agreement between you and an additional insured, this insur- ance is excess over any other insurance whether primary, excess, contingent or on any other basis for which the additional insured has been added as an additional insured on other policies. ® 2013 Liberty Mutual Insurance CG 85 83 04 13 Includes copyrighted material of Insurance Services Office,Inc.,with its permission . Page 2 of 2 COMMERCIAL GENERAL LIABILITY CG 88 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL GENERAL LIABILITY EXTENSION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART INDEX SUBJECT PAGE NON-OWNED AIRCRAFT 2 NON-OWNED WATERCRAFT 2 PROPERTY DAMAGE LIABILITY—ELEVATORS 2 EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage) 2 MEDICAL PAYMENTS EXTENSION 3 EXTENSION OF SUPPLEMENTARY PAYMENTS—COVERAGES A AND B 3 ADDITIONAL INSUREDS—BY CONTRACT, AGREEMENT OR PERMIT 3 PRIMARY AND NON-CONTRIBUTORY—ADDITIONAL INSURED EXTENSION 5 ADDITIONAL INSUREDS— EXTENDED PROTECTION OF YOUR"LIMITS OF INSURANCE" 6 WHO IS AN INSURED—INCIDENTAL MEDICAL ERRORS/MALPRACTICE AND WHO IS AN INSURED— 6 FELLOW EMPLOYEE EXTENSION—MANAGEMENT EMPLOYEES NEWLY FORMED OR ADDITIONALLY ACQUIRED ENTITIES 7 FAILURE TO DISCLOSE HAZARDS AND PRIOR OCCURRENCES 7 KNOWLEDGE OF OCCURRENCE, OFFENSE, CLAIM OR SUIT 7 LIBERALIZATION CLAUSE 7 BODILY INJURY REDEFINED 7 EXTENDED PROPERTY DAMAGE 8 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US— 8 WHEN REQUIRED IN A CONTRACT OR AGREEMENT WITH YOU ©2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. Page 1 of 8 With respect to coverage afforded by this endorsement, the provisions of the policy apply unless modified by the endorsement. A. NON-OWNED AIRCRAFT Under Paragraph 2. Exclusions of Section I—Coverage A-Bodily Injury And Property Damage Liability, exclusion g.Aircraft,Auto Or Watercraft does not apply to an aircraft provided: 1. It is not owned by any insured; 2. It is hired, chartered or loaned with a trained paid crew; 3. The pilot in command holds a currently effective certificate, issued by the duly constituted authority of the United States of America or Canada, designating her or him a commercial or airline pilot; and 4. It is not being used to carry persons or property for a charge. However, the insurance afforded by this provision does not apply if there is available to the insured other valid and collectible insurance, whether primary, excess(other than insurance written to apply specifically in excess of this policy), contingent or on any other basis,that would also apply to the loss covered under this provision. B. NON-OWNED WATERCRAFT Under Paragraph 2. Exclusions of Section I—Coverage A—Bodily Injury And Property Damage Liability, Subparagraph (2)of exclusion g.Aircraft,Auto Or Watercraft is replaced by the following: This exclusion does not apply to: (2) A watercraft you do not own that is: (a) Less than 52 feet long; and (b) Not being used to carry persons or property for a charge. C. PROPERTY DAMAGE LIABILITY—ELEVATORS 1. Under Paragraph 2. Exclusions of Section I—Coverage A—Bodily Injury And Property Damage Liability, Subparagraphs(3), (4)and (6) of exclusion j. Damage To Property do not apply if such "property damage" results from the use of elevators. For the purpose of this provision, elevators do not include vehicle lifts. Vehicle lifts are lifts or hoists used in automobile service or repair operations. 2. The following is added to Section IV—Commercial General Liability Conditions, Condition 4.Other Insurance, Paragraph b. Excess Insurance: The insurance afforded by this provision of this endorsement is excess over any property insurance, whether primary, excess, contingent or on any other basis. D. EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage) If Damage To Premises Rented To You is not otherwise excluded from this Coverage Part: 1. Under Paragraph 2. Exclusions of Section I -Coverage A-Bodily Injury and Property Damage Liability: a. The fourth from the last paragraph of exclusion j. Damage To Property is replaced by the following: Paragraphs (1), (3)and (4)of this exclusion do not apply to"property damage"(other than damage by fire, lightning, explosion, smoke, or leakage from an automatic fire protection system) to: (i) Premises rented to you for a period of 7 or fewer consecutive days; or (ii) Contents that you rent or lease as part of a premises rental or lease agreement for a period of more than 7 days. Paragraphs (1), (3)and (4)of this exclusion do not apply to"property damage"to contents of premises rented to you for a period of 7 or fewer consecutive days. A separate limit of insurance applies to this coverage as described in Section III—Limits of Insurance. ©2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 2 of 8 b. The last paragraph of subsection 2. Exclusions is replaced by the following: Exclusions c.through n.do not apply to damage by fire, lightning, explosion, smoke or leakage from automatic fire protection systems to premises while rented to you or temporarily occupied by you with permission of the owner. A separate limit of insurance applies to Damage To Premises Rented To You as described in Section III—Limits Of Insurance. 2. Paragraph 6. under 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: a. Any one premise: (1) While rented to you; or (2) While rented to you or temporarily occupied by you with permission of the owner for damage by fire, lightning, explosion, smoke or leakage from automatic protection systems; or b. Contents that you rent or lease as part of a premises rental or lease agreement. 3. As regards coverage provided by this provision D. EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage)-Paragraph 9.a. of Definitions is replaced with the following: 9.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, smoke, or leakage from automatic fire protection systems to premises while rented to you or temporarily occupied by you with the permission of the owner, or for damage to contents of such premises that are included in your premises rental or lease agreement, is not an"insured contract". E. MEDICAL PAYMENTS EXTENSION If Coverage C Medical Payments is not otherwise excluded,the Medical Payments provided by this policy are amended as follows: Under Paragraph 1. Insuring Agreement of Section I—Coverage C—Medical Payments, Subparagraph (b)of Paragraph a. is replaced by the following: (b) The expenses are incurred and reported within three years of the date of the accident; and F. EXTENSION OF SUPPLEMENTARY PAYMENTS—COVERAGES A AND B 1. Under Supplementary Payments—Coverages A and B, Paragraph 1.b. is 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. 2. Paragraph 1.d. is replaced by the following: d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or"suit", including actual loss of earnings up to$500 a day because of time off from work. G. ADDITIONAL INSUREDS-BY CONTRACT,AGREEMENT OR PERMIT 1. Paragraph 2. under Section II—Who Is An Insured is amended to include as an insured any person or organization whom you have agreed to add as an additional insured in a written contract, written agreement or permit. Such person or organization is an additional insured but only with respect to liability for"bodily injury", "property damage"or"personal and advertising injury" caused in whole or in part by: a. Your acts or omissions, or the acts or omissions of those acting on your behalf, in the performance of your on going operations for the additional insured that are the subject of the written contract or written agreement provided that the"bodily injury"or"property damage"occurs, or the"personal and advertising injury" is committed, subsequent to the signing of such written contract or written agreement; or ©2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. Page 3 of 8 b. Premises or facilities rented by you or used by you; or c. The maintenance, operation or use by you of equipment rented or leased to you by such person or organization; or d. Operations performed by you or on your behalf for which the state or political subdivision has issued a permit subject to the following additional provisions: (1) This insurance does not apply to"bodily injury", "property damage", or"personal and advertising injury"arising out of the operations performed for the state or political subdivision; (2) This insurance does not apply to"bodily injury"or"property damage" included within the "completed operations hazard". (3) Insurance applies to premises you own, rent, or control but only with respect to the following hazards: a) The existence, maintenance, repair, construction, erection, or removal of advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoist away openings, sidewalk vaults, street banners, or decorations and similar exposures; or (b) The construction, erection, or removal of elevators; or (c) The ownership, maintenance, or use of any elevators covered by this insurance. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. With respect to Paragraph 1.a. above, a person's or organization's status as an additional insured under this endorsement ends when: (1) All work, including materials, parts or equipment furnished in connection with such work, on the project(other than service, maintenance or repairs)to be performed by or on behalf of the additional insured(s)at the location of the covered operations has been completed; or (2) That portion of"your work"out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. With respect to Paragraph 1.b. above, a person's or organization's status as an additional insured under this endorsement ends when their written contract or written agreement with you for such premises or facilities ends. With respects to Paragraph 1.c. above,this insurance does not apply to any"occurrence"which takes place after the equipment rental or lease agreement has expired or you have returned such equipment to the lessor. The insurance provided by this endorsement applies only if the written contract or written agreement is signed prior to the"bodily injury"or"property damage". We have no duty to defend an additional insured under this endorsement until we receive written notice of a"suit" by the additional insured as required in Paragraph b. of Condition 2. Duties In the Event Of Occurrence, Offense, Claim Or Suit under Section IV—Commercial General Liability Conditions. ©2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. Page 4 of 8 2. With respect to the insurance provided by this endorsement,the following are added to Paragraph 2. Exclusions under Section I -Coverage A-Bodily Injury And Property Damage Liability: This insurance does not apply to: a. "Bodily injury"or"property damage"arising from the sole negligence of the additional insured. b. "Bodily injury"or"property damage"that occurs prior to you commencing operations at the location where such "bodily injury"or"property damage"occurs. c. "Bodily injury", "property damage"or"personal and advertising injury"arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: (1) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (2) Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment,training or monitoring of others by that insured, if the"occurrence"which caused the"bodily injury"or"property damage", or the offense which caused the"personal and advertising injury", involved the rendering of, or the failure to render, any professional architectural, engineering or surveying services. d. "Bodily injury"or"property damage"occurring after: (1) All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or (2) That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. e. Any person or organization specifically designated as an additional insured for ongoing operations by a separate ADDITIONAL INSURED—OWNERS, LESSEES OR CONTRACTORS endorsement issued by us and made a part of this policy. 3. With respect to the insurance afforded to these additional insureds, the following is added to Section III— Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement,the most we will pay on behalf of the additional insured is the amount of insurance: a. Required by the contract or agreement; or b. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. H. PRIMARY AND NON-CONTRIBUTORY ADDITIONAL INSURED EXTENSION This provision applies to any person or organization who qualifies as an additional insured under any form or endorsement under this policy. Condition 4. Other Insurance of SECTION IV—COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows: a. The following is added to Paragraph a. Primary Insurance: If an additional insured's policy has an Other Insurance provision making its policy excess, and you have agreed in a written contract or written agreement to provide the additional insured coverage on a primary and noncontributory basis,this policy shall be primary and we will not seek contribution from the additional insured's policy for damages we cover. ©2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. Page 5 of 8 b. The following is added to Paragraph b. Excess Insurance: When a written contract or written agreement, other than a premises lease,facilities rental contract or agreement, an equipment rental or lease contract or agreement, or permit issued by a state or political subdivision between you and an additional insured does not require this insurance to be primary or primary and non-contributory,this insurance is excess over any other insurance for which the additional insured is designated as a Named Insured. Regardless of the written agreement between you and an additional insured, this insurance is excess over any other insurance whether primary, excess, contingent or on any other basis for which the additional insured has been added as an additional insured on other policies. ADDITIONAL INSUREDS -EXTENDED PROTECTION OF YOUR"LIMITS OF INSURANCE" This provision applies to any person or organization who qualifies as an additional insured under any form or endorsement under this policy. 1. The following is added to Condition 2. Duties In The Event Of Occurrence, Offense, Claim or Suit: An additional insured under this endorsement will as soon as practicable: a. Give written notice of an "occurrence"or an offense that may result in a claim or"suit"under this insurance to us; b. Tender the defense and indemnity of any claim or"suit"to all insurers whom also have insurance available to the additional insured; and c. Agree to make available any other insurance which the additional insured has for a loss we cover under this Coverage Part. d. We have no duty to defend or indemnify an additional insured under this endorsement until we receive written notice of a"suit"by the additional insured. 2. The limits of insurance applicable to the additional insured are those specified in a written contract or written agreement or the limits of insurance as stated in the Declarations of this policy and defined in Section III—Limits of Insurance of this policy, whichever are less.These limits are inclusive of and not in addition to the limits of insurance available under this policy. J. WHO IS AN INSURED-INCIDENTAL MEDICAL ERRORS/MALPRACTICE WHO IS AN INSURED -FELLOW EMPLOYEE EXTENSION -MANAGEMENT EMPLOYEES Paragraph 2.a.(1)of Section II -Who Is An Insured is replaced with the following: (1) "Bodily injury"or"personal and advertising injury": (a) To you,to your partners or members(if you are a partnership or joint venture),to your members (if you are a limited liability company), to a co-"employee"while in the course of his or her employment or performing duties related to the conduct of your business, or to your other "volunteer workers"while performing duties related to the conduct of your business; (b) To the spouse, child, parent, brother or sister of that co-"employee"or"volunteer worker"as a consequence of Paragraph (1) (a)above; (c) For which there is any obligation to share damages with or repay someone else who must pay damages because of the injury described in Paragraphs (1) (a)or(b)above; or (d) Arising out of his or her providing or failing to provide professional health care services. However, if you are not in the business of providing professional health care services or providing professional health care personnel to others, or if coverage for providing professional health care services is not otherwise excluded by separate endorsement, this provision (Paragraph (d))does not apply. ©2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 6 of 8 Paragraphs(a) and (b)above do not apply to"bodily injury"or"personal and advertising injury" caused by an "employee"who is acting in a supervisory capacity for you. Supervisory capacity as used herein means the "employee's"job responsibilities assigned by you, includes the direct supervision of other"employees"of yours. However, none of these"employees"are insureds for"bodily injury"or"personal and advertising injury"arising out of their willful conduct, which is defined as the purposeful or willful intent to cause"bodily injury" or"personal and advertising injury", or caused in whole or in part by their intoxication by liquor or controlled substances. The coverage provided by provision J. is excess over any other valid and collectable insurance available to your "employee". K. NEWLY FORMED OR ADDITIONALLY ACQUIRED ENTITIES Paragraph 3.of Section II-Who Is An Insured is replaced by the following: 3. Any organization you newly acquire or form and over which you maintain ownership or majority interest, will qualify as a Named Insured if there is no other similar insurance available to that organization. However: a. Coverage under this provision is afforded only until the expiration of the policy period in which the entity was acquired or formed by you; b. Coverage A does not apply to"bodily injury"or"property damage"that occurred before you acquired or formed the organization; and c. Coverage B does not apply to"personal and advertising injury"arising out of an offense committed before you acquired or formed the organization. d. Records and descriptions of operations must be maintained by the first Named Insured. No person or organization is an insured with respect to the conduct of any current or past partnership,joint venture or limited liability company that is not shown as a Named Insured in the Declarations or qualifies as an insured under this provision. L. FAILURE TO DISCLOSE HAZARDS AND PRIOR OCCURRENCES Under Section IV—Commercial General Liability Conditions,the following is added to Condition 6. Representations: Your failure to disclose all hazards or prior"occurrences"existing as of the inception date of the policy shall not prejudice the coverage afforded by this policy provided such failure to disclose all hazards or prior"occurrences" is not intentional. M. KNOWLEDGE OF OCCURRENCE, OFFENSE, CLAIM OR SUIT Under Section IV—Commercial General Liability Conditions,the following is added to Condition 2. Duties In The Event of Occurrence, Offense, Claim Or Suit: Knowledge of an "occurrence", offense, claim or"suit" by an agent, servant or"employee"of any insured shall not in itself constitute knowledge of the insured unless an insured listed under Paragraph 1.of Section II—Who Is An Insured or a person who has been designated by them to receive reports of "occurrences", offenses, claims or"suits"shall have received such notice from the agent, servant or "employee". N. LIBERALIZATION CLAUSE If we revise this Commercial General Liability Extension Endorsement to provide more coverage without additional premium charge, your policy will automatically provide the coverage as of the day the revision is effective in your state. O. BODILY INJURY REDEFINED Under Section V—Definitions, Definition 3. is replaced by the following: 3. "Bodily Injury" means physical injury, sickness or disease sustained by a person. This includes mental anguish, mental injury, shock,fright or death that results from such physical injury, sickness or disease. ©2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. Page 7 of 8 P. EXTENDED PROPERTY DAMAGE Exclusion a. of 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 exclusion does not apply to"bodily injury"or"property damage" resulting from the use of reasonable force to protect persons or property. Q. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US—WHEN REQUIRED IN A CONTRACT OR AGREEMENT WITH YOU Under Section IV— Commercial General Liability Conditions, the following is added to Condition 8. Transfer Of Rights Of Recovery Against Others To Us: We waive any right of recovery we may have against a person or organization because of payments we make for injury or damage arising out of your ongoing operations or"your work"done under a contract with that person or organization and included in the"products-completed operations hazard"provided: 1. You and that person or organization have agreed in writing in a contract or agreement that you waive such rights against that person or organization; and 2. The injury or damage occurs subsequent to the execution of the written contract or written agreement. ©2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 8 of 8 COMMERCIAL AUTO CA 88 10 01 10 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO COVERAGE ENHANCEMENT ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage afforded by this endorsement, the provisions of the policy apply unless modified by the endorsement. COVERAGE INDEX SUBJECT PROVISION NUMBER ADDITIONAL INSURED BY CONTRACT, AGREEMENT OR PERMIT 3 ACCIDENTAL AIRBAG DEPLOYMENT 12 AMENDED DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS 18 AMENDED FELLOW EMPLOYEE EXCLUSION 5 AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT COVERAGE 13 BROAD FORM INSURED 1 BODILY INJURY REDEFINED 21 EMPLOYEES AS INSUREDS (including employee hired auto) 2 EXTENDED CANCELLATION CONDITION 22 EXTRA EXPENSE—BROADENED COVERAGE 10 GLASS REPAIR—WAIVER OF DEDUCTIBLE 15 HIRED AUTO PHYSICAL DAMAGE(including employee hired auto) 6 HIRED AUTO COVERAGE TERRITORY 20 LOAN/LEASE GAP 14 PARKED AUTO COLLISION COVERAGE (WAIVER OF DEDUCTIBLE) 16 PERSONAL EFFECTS COVERAGE 11 PHYSICAL DAMAGE—ADDITIONAL TRANSPORTATION EXPENSE COVERAGE 8 RENTAL REIMBURSEMENT 9 SUPPLEMENTARY PAYMENTS 4 TOWING AND LABOR 7 UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS 17 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US 19 SECTION II—LIABILITY COVERAGE is amended as follows: 1. BROAD FORM INSURED SECTION II—LIABILITY COVERAGE, paragraph A.1.—WHO IS AN INSURED is amended to include the following as an insured: d. Any legally incorporated entity of which you own more than 50 percent of the voting stock during the policy period. However, "insured"does not include any organization that: (1) Is a partnership or joint venture; or (2) Is an insured under any other automobile policy; or (3) Has exhausted its Limit of Insurance under any other automobile policy. Paragraph d. (2) of this provision does not apply to a policy written to apply specifically in excess of this policy. e. Any organization you newly acquire or form, other than a partnership or joint venture, of which you own more than 50 percent of the voting stock. This automatic coverage is afforded only for 180 days from the date of acquisition or formation. However, coverage under this provision does not apply: (1) If there is similar insurance or a self-insured retention plan available to that organization; ©2010 Liberty Mutual Insurance Company.All rights reserved. CA 88 10 01 10 Includes copyrighted material of Insurance Services Office,with its permission. Page 1 of 7 (2) If the Limits of Insurance of any other insurance policy have been exhausted; or (3) To "bodily injury" or "property damage" that occurred before you acquired or formed the organization. 2. EMPLOYEES AS INSUREDS SECTION II—LIABILITY COVERAGE, paragraph A.1.—WHO IS AN INSURED is amended to include the following as an insured: f. Any"employee" of yours while using a covered "auto"you do not own, hire or borrow but only for acts within the scope of their employment by you. Insurance provided by this endorsement is excess over any other insurance available to any"employee". g. An "employee" of yours while operating an "auto" hired or borrowed under a written contract or agreement in that "employee's" name, with your permission, while performing duties related to the conduct of your business and within the scope of their employment. Insurance provided by this endorsement is excess over any other insurance available to the"employee". 3. ADDITIONAL INSURED BY CONTRACT, AGREEMENT OR PERMIT SECTION II—LIABILITY COVERAGE, paragraph A.1.—WHO IS AN INSURED is amended to include the following as an insured: h. Any person or organization with respect to the operation, maintenance or use of a covered "auto", provided that you and such person or organization have agreed in a written contract, agreement, or permit issued to you by governmental or public authority, to add such person, or organization, or governmental or public authority to this policy as an "insured". However, such person or organization is an"insured": (1) Only with respect to the operation, maintenance or use of a covered"auto"; (2) Only for"bodily injury" or"property damage" caused by an "accident"which takes place after you executed the written contract or agreement, or the permit has been issued to you; and (3) Only for the duration of that contract, agreement or permit 4. SUPPLEMENTARY PAYMENTS SECTION II—LIABILITY COVERAGE, Coverage Extensions, 2.a. Supplementary Payments, paragraphs (2)and (4)are replaced by the following: (2) Up to $3,000 for cost of bail bonds (including bonds for related traffic violations) required because of an"accident"we cover. We do not have to furnish these bonds. (4) All reasonable expenses incurred by the insured at our request, including actual loss of earnings up to$500 a day because of time off from work. 5. AMENDED FELLOW EMPLOYEE EXCLUSION In those jurisdictions where, by law, fellow employees are not entitled to the protection afforded to the employer by the workers compensation exclusivity rule, or similar protection, the following provision is added: SECTION II—LIABILITY, exclusion B.5. FELLOW EMPLOYEE does not apply if the"bodily injury" results from the use of a covered "auto"you own or hire. SECTION III—PHYSICAL DAMAGE COVERAGE is amended as follows: 6. HIRED AUTO PHYSICAL DAMAGE Paragraph A.4. Coverage Extensions of SECTION III — PHYSICAL DAMAGE COVERAGE, is amended by adding the following: If hired "autos" are covered "autos" for Liability Coverage, and if Comprehensive, Specified Causes of Loss or Collision coverage are provided under the Business Auto Coverage Form for any"auto"you own, then the Physical Damage coverages provided are extended to"autos": a. You hire, rent or borrow; or ©2010 Liberty Mutual Insurance Company. All rights reserved. CA 88 10 01 10 Includes copyrighted material of Insurance Services Office,with its permission. Page 2 of 7 b. Your"employee" hires or rents under a written contract or agreement in that"employee's" name, but only if the damage occurs while the vehicle is being used in the conduct of your business, subject to the following limit and deductible: A. The most we will pay for"loss"in any one"accident"or"loss" is the smallest of: (1) $50,000; or (2) The actual cash value of the damaged or stolen property as of the time of the"loss"; or (3) The cost of repairing or replacing the damaged or stolen property with other property of like kind and quality, minus a deductible. B. The deductible will be equal to the largest deductible applicable to any owned "auto" for that coverage. C. Subject to the limit, deductible and excess provisions described in this provision, we will provide coverage equal to the broadest coverage applicable to any covered "auto"you own. D. Subject to a maximum of $750 per "accident", we will also cover the actual loss of use of the hired "auto" if it results from an "accident", you are legally liable and the lessor incurs an actual financial loss. E. This coverage extension does not apply to: (1) Any"auto"that is hired, rented or borrowed with a driver; or (2) Any"auto"that is hired, rented or borrowed from your"employee". For the purposes of this provision, SECTION V—DEFINITIONS is amended by adding the following: "Total loss" means a "loss" in which the cost of repairs plus the salvage value exceeds the actual cash value. 7. TOWING AND LABOR SECTION III —PHYSICAL DAMAGE COVERAGE, paragraph A.2. Towing, is amended by the addition of the following: We will pay towing and labor costs incurred, up to the limits shown below, each time a covered "auto" classified and rated as a private passenger type, "light truck"or"medium truck" is disabled: a. For private passenger type vehicles, we will pay up to$50 per disablement. b. For "light trucks", we will pay up to $50 per disablement. "Light trucks" are trucks that have a gross vehicle weight(GVW)of 10,000 pounds or less. c. For"medium trucks" , we will pay up to$150 per disablement. "Medium trucks"are trucks that have a gross vehicle weight(GVW)of 10,001 —20,000 pounds. However, the labor must be performed at the place of disablement. 8. PHYSICAL DAMAGE-ADDITIONAL TRANSPORTATION EXPENSE COVERAGE Paragraph A.4.a., Coverage Extension of SECTION III—PHYSICAL DAMAGE COVERAGE, is amended to provide a limit of$50 per day and a maximum limit of$1,500 ©2010 Liberty Mutual Insurance Company.All rights reserved. CA 88 10 01 10 Includes copyrighted material of Insurance Services Office,with its permission. Page 3 of 7 9. RENTAL REIMBURSEMENT SECTION III—PHYSICAL DAMAGE COVERAGE,A. COVERAGE, is amended by adding the following: a. We will pay up to$75 per day for rental reimbursement expenses incurred by you for the rental of an "auto" because of "accident" or "loss", to an "auto" for which we also pay a "loss" under Comprehensive, Specified Causes of Loss or Collision Coverages. We will pay only for those expenses incurred after the first 24 hours following the"accident"or"loss"to the covered"auto." b. Rental Reimbursement will be based on the rental of a comparable vehicle, which in many cases may be substantially less than $75 per day, and will only be allowed for the period of time it should take to repair or replace the vehicle with reasonable speed and similar quality, up to a maximum of 30 days. c. We will also pay up to $500 for reasonable and necessary expenses incurred by you to remove and replace your tools and equipment from the covered"auto". d. This coverage does not apply unless you have a business necessity that other "autos" available for your use and operation cannot fill. e. If"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 under Paragraph 4. Coverage Extension. f. No deductible applies to this coverage. For the purposes of this endorsement provision, materials and equipment do not include "personal effects"as defined in provision 11. 10. EXTRA EXPENSE -BROADENED COVERAGE Under SECTION III — PHYSICAL DAMAGE COVERAGE, A. COVERAGE, we will pay for the expense of returning a stolen covered "auto"to you. The maximum amount we will pay is$1,000. 11. PERSONAL EFFECTS COVERAGE A. SECTION III — PHYSICAL DAMAGE COVERAGE, A. COVERAGE, is amended by adding the following: If you have purchased Comprehensive Coverage on this policy for an "auto" you own and that"auto" is stolen, we will pay, without application of a deductible, up to $600 for"personal effects" stolen with the"auto." The insurance provided under this provision is excess over any other collectible insurance. B. SECTION V—DEFINITIONS is amended by adding the following: For the purposes of this provision, "personal effects" mean tangible property that is worn or carried by an insured." "Personal effects"does not include tools, equipment,jewelry, money or securities. 12. ACCIDENTAL AIRBAG DEPLOYMENT SECTION III—PHYSICAL DAMAGE COVERAGE, B. EXCLUSIONS is amended by adding the following: If you have purchased Comprehensive or Collision Coverage under this policy, the exclusion for "loss" relating to mechanical breakdown does not apply to the accidental discharge of an airbag. Any insurance we provide shall be excess over any other collectible insurance or reimbursement by manufacturer's warranty. However, we agree to pay any deductible applicable to the other coverage or warranty. 13. AUDIO,VISUAL AND DATA ELECTRONIC EQUIPMENT COVERAGE SECTION III — PHYSICAL DAMAGE COVERAGE, B. EXCLUSIONS, exception paragraph a. to exclusions 4.c. and 4.d. is deleted and replaced with the following: ©2010 Liberty Mutual Insurance Company.All rights reserved. CA 88 10 01 10 Includes copyrighted material of Insurance Services Office,with its permission. Page 4 of 7 Exclusion 4.c. and 4.d. do not apply to: a. Electronic equipment that receives or transmits audio, visual or data signals, whether or not designed solely for the reproduction of sound, if the equipment is permanently installed in the covered "auto" at the time of the "loss" and such equipment is designed to be solely operated by use of the power from the "auto's" electrical system, in or upon the covered "auto" and physical damage coverages are provided for the covered "auto"; or If the "loss" occurs solely to audio, visual or data electronic equipment or accessories used with this equipment, then our obligation to pay for, repair, return or replace damaged or stolen property will be reduced by a$100 deductible. 14. LOAN/LEASE GAP COVERAGE A. Paragraph C., LIMIT OF INSURANCE of SECTION III — PHYSICAL DAMAGE COVERAGE is amended by adding the following: The most we will pay for a "total loss" to a covered "auto" owned by or leased to you in any one "accident" is the greater of the: 1. Balance due under the terms of the loan or lease to which the damaged covered"auto" is subject at the time of the"loss" less the amount of: a. Overdue payments and financial penalties associated with those payments as of the date of the"loss", b. Financial penalties imposed under a lease due to high mileage, excessive use or abnormal wear and tear, c. Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability Insurance purchased with the loan or lease, d. Transfer or rollover balances from previous loans or leases, e. Final payment due under a"Balloon Loan", f. The dollar amount of any unrepaired damage which occurred prior to the "total loss" of a covered "auto", g. Security deposits not refunded by a lessor, h. All refunds payable or paid to you as a result of the early termination of a lease agreement or as a result of the early termination of any warranty or extended service agreement on a covered "auto", i. Any amount representing taxes, j. Loan or lease termination fees; or 2. The actual cash value of the damage or stolen property as of the time of the"loss". An adjustment for depreciation and physical condition will be made in determining the actual cash value at the time of the"loss". This adjustment is not applicable in Texas. B. ADDITIONAL CONDITIONS This coverage applies only to the original loan for which the covered "auto" that incurred the loss serves as collateral, or lease written on the covered "auto"that incurred the loss. C. SECTION V—DEFINTIONS is changed by adding the following: As used in this endorsement provision, the following definitions apply: "Total loss" means a "loss" in which the cost of repairs plus the salvage value exceeds the actual cash value. A"balloon loan" is one with periodic payments that are insufficient to repay the balance over the term of the loan,thereby requiring a large final payment. ©2010 Liberty Mutual Insurance Company.All rights reserved. CA 88 10 01 10 Includes copyrighted material of Insurance Services Office,with its permission. Page 5 of 7 15. GLASS REPAIR-WAIVER OF DEDUCTIBLE Paragraph D. Deductible of SECTION III — PHYSICAL DAMAGE COVERAGE is amended by the addition of the following: No deductible applies to glass damage if the glass is repaired rather than replaced. 16. PARKED AUTO COLLISION COVERAGE (WAIVER OF DEDUCTIBLE) Paragraph D. Deductible of SECTION III — PHYSICAL DAMAGE COVERAGE is amended by the addition of the following: The deductible does not apply to "loss" caused by collision to such covered "auto" of the private passenger type or light weight truck with a gross vehicle weight of 10,000 lbs. or less as defined by the manufacturer as maximum loaded weight the"auto"is designed to carry while it is: a. In the charge of an"insured"; b. Legally parked; and c. Unoccupied. The"loss" must be reported to the police authorities within 24 hours of known damage. The total amount of the damage to the covered "auto" must exceed the deductible shown in the Declarations. This provision does not apply to any "loss" if the covered "auto" is in the charge of any person or organization engaged in the automobile business. SECTION IV—BUSINESS AUTO CONDITIONS is amended as follows: 17. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS SECTION IV-BUSINESS AUTO CONDITIONS, Paragraph B.2. is amended by adding the following: If you unintentionally fail to disclose any hazards, exposures or material facts existing as of the inception date or renewal date of the Business Auto Coverage Form, the coverage afforded by this policy will not be prejudiced. However, you must report the undisclosed hazard of exposure as soon as practicable after its discovery, and we have the right to collect additional premium for any such hazard or exposure. 18. AMENDED DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUIT, OR LOSS SECTION IV — BUSINESS AUTO CONDITIONS, paragraph A.2.a. is replaced in its entirety by the following: a. In the event of"accident", claim, "suit"or"loss", you must promptly notify us when it is known to: 1. You, if you are an individual; 2. A partner, if you are a partnership; 3. Member, if you are a limited liability company; 4. An executive officer or the "employee" designated by the Named Insured to give such notice, if you are a corporation. To the extent possible, notice to us should include: (1) How, when and where the"accident"or"loss"took place; (2) The"insureds" name and address; and (3) The names and addresses of any injured persons and witnesses. 19. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US SECTION IV—BUSINESS AUTO CONDITIONS, paragraph A.5., Transfer of Rights of Recovery Against Others to Us, is amended by the addition of the following: If the person or organization has waived those rights before an "accident" or "loss", our rights are waived also. ©2010 Liberty Mutual Insurance Company.All rights reserved. CA 88 10 01 10 Includes copyrighted material of Insurance Services Office,with its permission. Page 6 of 7 20. HIRED AUTO COVERAGE TERRITORY SECTION IV — BUSINESS AUTO CONDITIONS, paragraph B.7., Policy Period, Coverage Territory, is amended by the addition of the following: f. For "autos" hired 30 days or less, the coverage territory is anywhere in the world, provided that the insured's responsibility to pay for damages is determined in a "suit", on the merits, in the United States,the territories and possessions of the United States of America, Puerto Rico or Canada or in a settlement we agree to. This extension of coverage does not apply to an "auto" hired, leased, rented or borrowed with a driver. SECTION V—DEFINITIONS is amended as follows: 21. BODILY INJURY REDEFINED Under SECTION V—DEFINTIONS, definition C. is replaced by the following: "Bodily injury" means physical injury, sickness or disease sustained by a person, including mental anguish, mental injury, shock,fright or death resulting from any of these at any time. COMMMON POLICY CONDITIONS 22. EXTENDED CANCELLATION CONDITION COMMON POLICY CONDITIONS, paragraph A.—CANCELLATION condition applies except as follows: If we cancel for any reason other than nonpayment of premium, we will mail to the first Named Insured written notice of cancellation at least 60 days before the effective date of cancellation. This provision does not apply in those states which require more than 60 days prior notice of cancellation. ©2010 Liberty Mutual Insurance Company.All rights reserved. CA 88 10 01 10 Includes copyrighted material of Insurance Services Office,with its permission. Page 7 of 7 a This page has been left blank intentionally. POLICY NUMBER: BKS57613887 COMMERCIAL GENERAL LIABILITY CG 90 44 08 12 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED- OWNERS, LESSEES OR CONTRACTORS-COMPLETED OPERATIONS - INCLUDING PRIMARY AND NON-CONTRIBUTORY AND WAIVER OF SUBROGATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location And Description Of Completed Operations City of Auburn,the contracting agency and its officers, Project No CP1617, Lea Hill Pressure Reducing Valve elected officials, employees agents and volunteers Stations Intersection of 110th PI SE and SE 304th street, Intersection of Leahill Road SE and 106 PL SE, Intersection of SE 304th Street, 108th Ave SE and SE 304th way, Intersection of Lea Hill Road SE and 106th PL SE, Lea Hill Road SE and 107th PI SE (City of Auburn) Information required to complete this Schedule, if not shown above,will be shown in the Declarations. A. To the extent permitted by law, Section II—Who Is An Insured is amended to include as an additional insured the person(s)or organization(s)shown in the Schedule, but only with respect to liability for"bodily injury"or"property damage"arising out of"your work"at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the"products-completed operations hazard". B. Primary and Non-Contributory Condition 4. Other Insurance of SECTION IV—COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows: This provision applies to any person or organization who is named in the schedule of this endorsement as an additional insured or scheduled as an additional insured under any other form or endorsement under this policy. 1. The following is added to paragraph a. Primary Insurance: To the extent permitted by law, this insurance is primary insurance as respects to our coverage to an additional insured person or organization,where the written contract or written agreement requires that this insurance be primary and non-contributory. In that event,we will not seek contribution from any other insurance policy available to the additional insured on which the additional insured person or organization is a Named Insured. 2. The following is added to paragraph b. Excess Insurance: ©2012 Liberty Mutual Insurance CG 90 44 08 12 Includes copyrighted material of Insurance Services Office,Inc.,with its permission Page 1 of 2 When a written contract or written agreement does not require this insurance to be primary or primary and non-contributory,this insurance is excess over any other insurance for which the additional insured is designated a Named Insured. Regardless of the written contract or written agreement,this insurance is excess over any other insurance whether primary, excess, contingent or on any other basis for which the additional insured has been added as an additional insured on other policies. C. WAIVER OF SUBROGATION To the extent permitted by law,we waive any rights of recovery we may have against the persons or organizations shown in the Schedule above because of payments we make for"bodily injury"or"property damage"arising out of your completed operations,where required in a written contract or agreement.This waiver applies only to the persons or organizations shown in the Schedule above. ©2012 Liberty Mutual Insurance CG 90 44 08 12 Includes copyrighted material of Insurance Services Office,Inc.,with its permission Page 2 of 2 Page 1 of 2 Consumer tools Agent and Company Lookup Orders Independent Review Decisions OHIO SECURITY INSURANCE COMPANY Change History I Licensing. I Appointments I Complaints I Orders I National Info I Ratings I Tax Filings I Back to Search General information Contact information Name: OHIO SECURITY INSURANCE COMPANY Registered address Mailing address Corporate family group: LIBERTY NUT GRP O 62 MAPLE AVE 175 BERKELEY ST Organization type: PROPERTY KEENE, NH 03431 BOSTON, MA 02116 Doing Business As (DBA): Unavailable Telephone Telephone WAOIC' 1007 513-867-3023 617-357-9500 NAIC: 24082 Status: ACTIVE Admitted date: 06/11/1974 Ownership type: STOCK ,pack[.,top Company change history o View changes 4 back to too Types of coverage authorized to sell o Insurance types Casualty Marine Ocean Marine Property Surety Vehicle I ;`back to too Agents and agencies that represent this company (Appointments) o View agents View agencies back to too Company complaint history o View complaints gack 4o top Iiftrxc•//fnrtracc xx/a rrnx lnir/nnnciimartnnlirit/(-'nmr.onx,/!-'l.m,.n.,<,D,-., to n err'—i nn-, '7/A i /1n i-, Page 2 of 2 Orders issued since 2010 c View orders Premium tax filings by tax year a 2016 2015 2014 2013 2012 oaf,to'_oo National information on insurance companies Want more information about this company? The NAIC's Consumer Information (CIS) page allows you to retrieve national financial and complaint information on insurance companies, plus has information and tips to help you understand current insurance issues. b3,:k Ratings by financial organizations The following organizations rate insurance companies on their financial strength and stability. Some of these companies charge for their services. A.M. Best Weiss Group Ratings, Standard and Poor's Corp LMoody's.Investors Service Fitch IBCA, Duff and Phelps Ratings Disclaimer:Links to external or third-party websites are provided solely for visitors'convenience.Links you take to other sites are done so at your own risk and our office accepts no liability for any external linked sites or their content.Be aware that not all financial rating companies use the same rating processes. back to too https://fortress.wa.gov/oic/consumertoolkit/Company/CompanyProfile.aspx?WAOIC=1007 7/31/2017 Page 1 of 2 ler * O ce Lite 8 Reorement O Home&Auto O Health 8 Disability)) Other Life Events() Ohio Security Insurance Company Follow., ar Print this page (a member of Liberty Mutual Insurance Companies) A.M Best C 02379 NAIC It 24082 FEIN#31-0541777 Address: 175 Berkeley Street Phone: 617-357-9500 Boston,MA 02116 Fax: 513-603-3179 UNITED STATES Web: www.LibertyMutualGroup.com (http://wawv.LibenyMutu alGroup.com) Best's Credit Ratings Financial Strength Rating View Definition Long-Term Issuer Credit Rating View Definition (http://www.ambest.contiratings/guide.asp) (http.!/w.wv.ambest.com/ratings/icrguide.asp) Rating: A(Excellent) Long-Term: a Affiliation Code: r(Reinsured) Outlook: Stable Financial Size Category: XV($2 Billion or greater) Action: Affirmed Outlook: Stable Effective Date: March 08,2017 Action: Affirmed Initial Rating Date: July 21,2005 Effective Date: March 08,2017 Initial Rating Date: June 30,1958 u Denotes Under Review Best's Rating(http#www ambestcom/raengs) Licensing: The company is licensed in the District of Columbia,AL,AK,AZ,AR,CA,CO,CT,DE,FL,GA,ID,IL,IN,IA,KS,KY,LA,ME,MD,MA,MI,MN,MS,MO,MT,NE, NV,NH,NJ,NM,NY,NC,ND,OH,OK,OR,PA,RI,SC,SD,TN,TX,UT,VT,VA,WA,WV,WI and WY. Total Assets DPW-Top Lines of Business Company Attributes 590,00000 - ------ Industry: Insurance Business: Property/Casual tY580,000 00 i 11 65 56 Business Status: In Business $70.00000' - Entity: Operating Company S60,000.00 I i� '' v Consolidated Type: Affiliated Single Company Organization Type: Stock $50,000 00 Statement Type: NAIC PC $40,00000 -- - - M1 �h' Last Statement 1st Ouaner 2017 $30.00000 yf,� So rI ,Tx $20,000 00 $10,000 00 so.00 I 2010 2015 2014 2013 2012 —Commercial Multiple Peril •Auto(Commercial) —Data Years —Workers'Compensation Top Line(s)of Business (based upon Direct Premiums Written) Top State(s)of Business (based upon Direct Premiums Written) 1. Commercial Multiple Peril(View Desnieon) 1. California 2. Auto(Commercial)(View Desnieon) 2. Texas 3. Workers'Compensation(View Definition) 3 Washington 4. Other Liability(Occurrence)(View Definition) 4 New Jersey 5. Products Liability(View Definition) 5 Florida To view competitive insurers for Ohio Secunty Insurance Company,please select State and Line of coverage and click compare. State: Select a state .Line: http://www3_am hest_cnm/Conslim ers/C'.mmnanvPrnfile acnx7RT="1 „Rramhrn,m—f11017QyP 7/21 MCI 17 Page 2 of 2 Terms of Use All information provided on the A.M.Best website,inducting but not limited to text.data,ratings.reports,images,photos,graphics,and charts is Owned by or licensed to A.M.Best Company and Is protected by United States copyright laws and international treaty provisions.A.M.Best and its licensors retain all copyright and other proprietary rights to the website content. Best's Credit Ratings.obtained through any source,may not be reproduced.distributed to Thud Pames or stored in a database on retrieval system in any tram for commerce'purposes without the prior written permission of the A.M Best Company All unauthorized use of Best's Credit Ratings or other published information is strictly prohibited.By loggmg into Best's Member Center or accessing this site.you accept and agree to be bound by our complete Terms of Use(http/hsww.ambestcomtterms.html). Customer Service(http//www.ambest.cam/abouticustomersetsice.html)I Product Support(http://www.ambest.corn/about/prochictsupporihtml)I Member Center (hop;//wtwi3.ambest.com/MemberCenter/MemberCenter.aspx)I Contact Info(http://www.ambestcom/contactAndex.html)I Careers(httplli 3.ambestoom/ambo/employment/careers.aspu) About AM.Best(http:/hwww.ambest.com/about)I Site Map(http:/Auww.ambestcom/aboutlseamap.asp)I Privacy Policy(http:/M^w..ambesLcom/prloacy html)I Security(http/Awnvarnbest.com/about/sacunty.html) I Terms of Use(hap://www ambesicomrterms html)I Legal&Licensing(http.//www arnbestcom/aboualegal.html) Copyright 920t7 AM Best Company,Inc and/or its affiliates ALL RIGHTS RESERVED • http://www3.ambest.com/Consumers/CompanyProfile.aspx?BL=36&arnbnum=0023 79&P... 7/31/2017 Page 1 of 2 Consumer tools Agent and Company Lookup Orders Independent Review Decisions OHIO CASUALTY INSURANCE COMPANY THE Change History I Licensing I Appointments I Complaints I Orders I National Info I Ratings I Tax Filings Back to Search General information Contact information Name: OHIO CASUALTY INSURANCE COMPANY THE Registered address Mailing address Corporate family group: LIBERTY MUT GRP 0 62 MAPLE AVE 175 BERKELEY ST Organization type: PROPERTY KEENE, NH 03431 BOSTON, MA 02116 Doing Business As (DBA): Unavailable Telephone Telephone WAOIC: 1001 513-603-2400 617-357-9500 NAIC: 24074 Status: ACTIVE Admitted date: 04/10/1926 Ownership type: STOCK bac' r��,❑ Company change history o View changes o3 to COD Types of coverage authorized to sell o Insurance types Casualty Disability Marine Ocean Marine Property Surety Vehicle ?back to too Agents and agencies that represent this company (Appointments) o. View agents View agencies Company complaint history G View complaints httnc•//fnrtracc uta anv/nir/rnncnmpr-rwa-itiOnmr anti/rmmr‘anVAr•nf1p ao, ,9UT A(\TP-1(VU '7h 1 /'1!11'7 Page 2 of 2 Orders issued since 2010 View orders Premium tax filings by tax year a 2016 2015 2014 2013 2012 c‘a_k tOo National information on insurance companies Want more information about this company? The NAIC's Consumer Information (CIS) page allows you to retrieve national financial and complaint information on insurance companies, plus has information and tips to help you understand current insurance issues. back to too Ratings by financial organizations The following organizations rate insurance companies on their financial strength and stability. Some of these companies charge for their services. A.M. Best Weiss Group Ratings Standard and Poor's Corp Moody's Investors Service Fitch IBCA, Duff and Phelps Ratings Disclaimer:Links to external or third-party websites are provided solely for visitors'convenience. Links you take to other sites are done so at your own risk and our office accepts no liability for any external linked sites or their content.Be aware that not all financial rating companies use the same rating processes. is back Co too https://fortress.wa.gov/oic/consumertoolkit/Company/CompanyProfile.aspx?WAOIC=1001 7/31/2017 Page 1 of 2 11 O d' Life 8 Re❑rement p Home 8 Auto 0 Health&Disability O Other Life Events O ......_._..._ Ohio Casualty Insurance Company Follow 6 Pnnt this page (a member of Liberty Mutual Insurance Companies) A .Best*02378 NAC at 24074 FEIN If 31-0396250 Address: 175 Berkeley Street Phone: 513-603-2400 Boston,MA 02116 Fax: 513-603-3179 UNITED STATES Web: www.LibertyMutualGroup.com (httpl/www.LibertyMulualGroup.corn) Best's Credit Ratings Financial Strength Rating View Definition Long-Term Issuer Credit Rating View Definition (http-//www.ambest.conVratingsfguide.asp) (http://www.ambest.com/ratingslicrguide.asp) Rating: A(Excellent) Long-Term: a Affiliation Code: p(Pooled) Outlook: Stable Financial Size Category: XV(S2 Billion or greater) Action: Affirmed Outlook: Stable Effective Date: March 08,2017 Action: Affirmed Initial Rating Date: July 21,2005 Effective Date: March 08,2017 Initial Rating Date: June 30,1924 u Denotes Under Review Bests Rating lhttplAvww.ambestcom/ratingsl Licensing: The company is licensed in the District of Columbia and all states. Total Assets DPW-Top Lines of Business Company Attributes Industry: Insurance 535% $5,600,00000-- - Business: Property/Casualty 1 Business Status: In Business $5,50000000 : ; �+ 4Entity: Operating Company $0 400 oW 00 - t%\ `� = Consolidated Type: Affiliated Single Company , r .. w Organization Type: Stock E5,300 000 00– - fi >r Tsa ',7' 1 Statement Type: NAIC PC $5,200,000001: y [4'i �`i.,,,::,--,-- 3 ,;i4::(1- Last Statement 1st Quarter 2017 3% t $5,100.00000 -. i 1 zzze% s4so0 000 00 - c �- a $4,800000001 - -i —a:Liability 1OccurranceI tote 2014 2014 2013 2012 "^Commercial Multiple Peril—Surety —Inland Marine—Auto(Commercial) —Data Years —Workers'Compensation Top Line(s)of Business (based upon Direct Premiums Written) Top State(s)of Business (based upon Direct Premiums Written) 1. Other Liability(Occurrence)(View Dennison) 1. California 2. Commercial Multiple Peril(View Definition 1 2 Texas 3 Surely(View Dennison I 3. Washington 4 Inland Marine(View Definition) 4 New York 5. Auto(Commercial)(View Dennison I 5 New Jersey To view competitive insurers for Ohio Casualty Insurance Company,please select State and Line of coverage and click compare. State: Select a state Line: http•//xxnxnx7' amhvct rnm/rnncnmprc/CmmnamrPrnfilp acnx7RT ='2(iRramhmtm—1110172.12713 7/21 /')l117 Page 2 of 2 Terms of Use All information provided on the A.M.Best website,including but not limited to text.data,ratings,reports images.photos,graphics and charts is owned by or licensed to A.M Best Company and is protected by United States copyright laws and international treaty provisions A.M Best and its licensors retain all copyright and other proprietary nghts to the website content Best's Credit Ratings,obtained through any source.may not be reproduced.distributed to Third Parties.or stored m a database or retneval system in any form for eommefwal purposes without the prior written permission of the A.M.Best Company All unauthorized use of Bests Credit Ratings or other published information is strictly prohibited.By logging into Best's Member Center or accessing this site,you accept and agree to be bound by our complete Terms of Use(http//w.ww ambest.com/terms htmi). Customer Service(http.//www.ambest.con/about/customerservice html)I Product Support(http-//wvnr_ambest.com)aboutproductsupportthtml)I Member Center (http//ww+3.ambestcom/MemberCenter)MsmberCenter.asps)I Contact Info(http//www ambestcom/contactAndex.hMl)I Careers(http://wwwlambest.com/ambv/employment/careers.aspx) About AM.Best(http//www.ambest.com/about)I Site Map(http./Mvwr.ambest.com/aboutsitemap.asp)I Pnvacy Policy(http//www.ambestcorti/privacy html)I Security(http/Awww.ambest com/abouthecunly html) I Terms of Use(http'//www.ambestcomrterms.htmll I Legal&Licensing(http/AvowambestconVaboublegal html) Copyright D2017 AM.Best Company,Inc.and/or its affiliates ALL RIGHTS RESERVED http://www3.ambest.com/Consumers/CompanyProfile.aspx?BL=36&ambnum=002378&P... 7/31/2017 CITY OF AUBURN COMMUNITY DEVELOPMENT AND PUBLIC WORKS DEPARTMENT ADDENDUM NO. 1 DATE 07/03/17 Project Number CP1617, Contract No. 17-21 Lea Hill Pressure Reducing Valve Stations Bid Opening Date: July 6, 2017 11:00 AM PDT The following revisions, additions, and/or deletions are hereby made a part of the specifications and plans of the above-named contract and shall be taken into consideration by the bidder in submitting his/her bid. BID PROPOSAL PACKAGE: 1. REPLACE the Proposal Form of the original Bid Proposal Package with the attached revised Proposal Form. a. The following is a summary of changes to the original Proposal Form: i. Bid Item 23 (Ductile Iron Pipe, Class 52 for Water main, 4 In Dim.)on the Proposal Form is revised from 45 to 65 LF. PART 1: GENERAL SPECIAL PROVISIONS: 1. REVISE Section 1-08.5(1) (Project Constraints, Sequences, and Milestones) to read: a. The Contractor shall complete Work associated with site 611-3 prior to sites 611-1 and 611-2. Work associated with sites 611-1, 611-2, and 611-3 shall be completed prior to sites 512-1 and 512-2. For Site 611-3, Contractor shall install the temporary 4-inch DI line and keep the existing PRV station operational while the new PRV is being installed. Permanent 4-inch DI piping,new PRV vault and piping, PRV upstream connection to the 12-inch water main and the permanent 8-inch DI piping shall be installed while the temporary 4-inch DI line is in service. The downstream connection to the 12-inch water main, existing PRV station removal,blind flange removal on the 12-inch sides of the 12-inch x 4-inch cross and blind flange installation on the temporary 4-inch DI pipe side of the 12-inch x 4-inch cross shall be performed during the scheduled water service shutdowns. 11Page CONTRACT PLANS: 1. REPLACE Drawing No. UW 106 (PRV Station No. 611-3 Site Plan) with the attached revised Drawing No.UW 106 (PRV station No. 611-3 Site Plan). a. The following is a summary of changes to the original Drawing No. UW106: i. A temporary 4 inch ductile iron water line was added from the existing PRV to the outlet piping for the new PRV for construction sequencing. By signing the space provided in the "Receipt of Addenda"section of the "Bid Proposal Package", bidders certify and acknowledge receipt of Addendum No. 1 and to due consideration thereof in preparing and submitting the"Bid Proposal Package". Failure to acknowledge receipt of this Addendum on the"Bid Proposal Package" may be considered an irregularity in the "Bid Proposal Package". Prepared By: Reviewed By: K ku 1-utike 3o,2017 ��� 4,[;oj ? Project Er1neer Date E gineer of Record Date Approved By: I n u.r . -7/3/R.0-7 City Engineer/Asst. Director of Engineering Services 2IPac -11 CITY OF AUBURN CONTRACT CHANGE ORDER AGREEMENT NO.t Contract No..,Project No.and Project Title: Contract 17-21,Project CP1617 Lea Hill Pressure Reducing Valve Stations Contractor Name and Address: Nova Contracting, Inc 10615 Delphi Road SW Olympia,WA 98512 The Contractor is hereby directed to make the changes to the Contractas 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: Add 11 non-compensable working days to the Contract due to inefficiencies caused by multiple utility conflicts,icts,delivery delays for City supplied materials,adverse weather,and Work added under the Minor Change item. The Contract time is extended by 11 days. Item Seb. Sec.No. Item Description Quantity 1 Units Unit Price Total Price (+1-) ($) (+1- N/A Subtotal S - Washington State Sales Tax(10%)on applicable items $ - TCaTAL $ - Base Amount Total incl.Tax 1. Total Cost this CIO $ - $ 2. Total Cost Previous C/O $ - $ - 3. Original Contract Amount $ 624,030.00 ! $ 686,433,00 4. Revised Contract Amount $ 624,030.00 $ 686,433.00 This change order constitutes full and complete compensation for all labor,equipment,materials,overhead,profit,any and all indirect costs,and time adjustment to perform the above described changes. All other costs arc non-compensable. All other terms and conditions of the Contract remain unchanged. Counterparts: This agreement may be executed in multiple counterparts,each of which shall be one and the same Agreement and shall become effective when one or more counterparts have been signed by each of the parties and delivered to the other party. 411" Contractor: r ',,, 5 /5 /Sj ifOw inspector: /- 517 Z,,,,,.." i fty Project tManager: --'''.--- �,. mac City Engineer: ,pe ( - e e ,t ` +: -1722 r Approved by: r h , 6'2 Mayor, f Auburn iiik HtFormstFCO25.xIs (Revised 08/2017) * 0 4. it. CITY OF Nancy Backus,Mayor WASHINGTON 25 West Main Street * Auburn WA 98001 4998 * www.auburnwa.gov * 253-931-3000 October 11, 2018 CERTIFIED MAIL RETURN RECEIPT REQUESTED Jordan Opdahl Nova Contracting, Inc. 10615 Delphi Road SW Olympia, WA 98512 RE: Contract No. 17-21 Project No. CP1617, Lea Hill Pressure Reducing Valve Stations Contract Completion and Acceptance Dear Mr. Opdahl: In accordance with Section 1-05.12 of the Contract Specifications, the above referenced contract is considered complete and accepted as final. The one-year warranty period begins as of the date of this letter. Your Contract Bond must remain in full effect until the expiration of the lien period and there are no liens pending, then the penal sum of this bond, may be reduced to either ten percent (10%) of the value of the improvements to the City or two thousand dollars ($2,000.00), whichever is greater. Your bond in lieu of retainage will be released within 60 days provided all necessary releases have been received and there are no outstanding claims against the retainage. If you have any questions, please contact Jenny Sebero, Contract Administrative Specialist at 253-931-3012. Sincerely, -5/134/4"--7 Jac Sweeting, P.E. City Engineer/Assistant Director Public Works Department JS/js/mm cc: Shawn Campbell, City Clerk Matthew Larson, Sr. Project Engineer File 13.11 (CP1617) ENG-075, Revised 8/18 AUBURN * MORE THAN YOU IMAGINED