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CP1804 #19-06 Auburn Way North Sidewalk Improvements
CITY OF AUBURN PUBLIC WORKS DEPARTMENT ADDENDUM NO. 1 DATE: March 14, 2019 Project Number CP1804, Contract No. 19-06 Auburn Way North Sidewalk Improvements Bid Opening Date: March 19, 2019 11:00 AM PT 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 their bid: BID PROPOSAL PACKAGE: 1. REPLACE the entire Original Bid Proposal Package with the attached Revised Bid Proposal Package. The following is a summary of changes to the Original Bid Proposal Package: a. Bid Item 22 (ADA Catch Basin Frame and Grate) on Page 3 of the Proposal Form was revised to read "Catch Basin Frame and Grate". b. The Total Price of Bid Item 29 (Roadside Restoration) on Page 3 of the Proposal Form was updated from $5,000.00 to $4,000.00. By signing the space provided in the "Receipt of Addenda" section of the "Bid Proposal", bidders certify and acknowledge receipt of Addendum No. _1_ and to due consideration thereof in preparing and submitting the "Bid Proposal". Failure to acknowledge receipt of this Addendum on the "Bid Proposal" may be considered an irregularity in the "Bid Proposal". Prepared By: Revi- a ed Bo ;", , >//// `? �� 3 1 S ,y Project Manager Date r .ineerof 'ec. d Date Approved B Jacob Sw eting, . 2 0Y/A City Engineer/Asst. Director of Engineering Services * k CITY Or II , .._ .. Nancy Backus, Mayor WASHINGTON 25 West Main Street*Auburn WA 98001-4998 * www.auburnwa.gov *253-931-3000 January 22, 2020 CERTIFIED MAIL RETURN RECEIPT REQUESTED Ms. Dominique Brooks PAMF Excavation LLC, dba Rino Construction P.O. Box 667 Maple Valley, WA 98038 RE: Contract No. 19-06 Project No. CP1804 Final Pay Estimate Letter • Dear Ms. Brooks: Enclosed is your Final Payment in the amount of$10,108.00. The total contract amount for this project as shown on your Final Pay Estimate is $431,394.39. Please be aware that contract completion and final acceptance will not be granted prior to receipt of Affidavits of Wages Paid for your firm and all Subcontractors, and that incorrect information supplied to L & I may delay release of retainage until payment of industrial insurance by all Subcontractors is verified. If you have any questions, please contact Michelle Thompson, Contract Administration Specialist, at 253-288-4327. This notification does not constitute contract completion/final acceptance. Sincerely, Luis Barba, P.E. Project Engineer Public Works Department JLB/mt/as Enclosure cc: Shawn Campbell, City Clerk Debra Alvarez, Project Inspector File 13.11 (CP1804) ENG-142, Revised 02/19 AUBURN * MORE TI IAN YOU IMAGINED CITY OF AUBURN,STATE OF WASHINGTON 98001 ACCOUNTS PAYABLE CHECK NO. 457073 2tfit 1 ($NUMBER. lDAtE tR OeNUMBER'_ I 'i'k- L MRlPa'I s f : dY806-LTfiri?0611gAI?1<A IOOMtI r 19-06/#6 12/11/2019 19-001168 AWN Sidewalk Impr— 0.00 10,108,00 PLEASE DETACH BEFORE DEPOSITING IIIMINIIIMIIMSEERIDO >Y KeyBank National Association 19-10 Ttp r Auburn,Washington 98001 VOID a MONTHS 1250 4-...;.*40.°7 CLAIMS CHECK AFTER CHECK DATE ACOOUNTS PAYABLE CITY OF .. ,,.* 1-800-kEY KIDO ,a ry yn V,E DOR' ,'. ., t C ET��.^ t 1 �.al`4�r X,: ASF'... CITY OF AUBURN .U.- 4 R., © N 'Mal R . > < r 251NEST MAIN STREET �° �` ****** ° sHI <70N 98001 030555 01/21/2020 457073 10,108.00 r :STATS QF INA N.cr WA, T-IINGTON ° PAY Ten Thousand One Hundred Eight Dollars and No Cents Vr d<ph stggk. TO THE RINO CONSTRUCTION �>^: ORDER P.O BOX 667 t ,nd -..0.?,,4:i.':". ,q, � 7—• MAPLE VALLEY, WA 98038 g f ) OF.. .. �f/ t Fluence Direclef � 11'04570 ? 311' i: L 2 5000 5 7 41: 4 ? 143 L003 2330 . . •. .. - . ., iB..,,,,, f.T.K..7:mYIHH@FD.THUI:\VM..dJIU171gdrr:Iy.1d»il:i.miamin3A1,...gi.i.... .h..TgXan.,.. W..H1 51 • Ms Dominique Brooks PAMF Excavation LLC dba Rino Construction PO Box 667 Maple Valley WA 98038 II11IIIIIIIIIIIIIII1II1IIIII1It11II11I1I1II'I'I'I't"III'II'llII' PIAL@ Sl-u ktR AT TOP OF ENVELOPE T07HE AIGHY I OF THE RETURN ADDRESS r,FOLD AT DOTTED LINE UNITFDSTAihS. Cu RosTAL�Er{ulcer CERTIFIED MAIL 0 0 Hill 1 11 11 1 _T 9489 0090 0027 606 9944 05 ® � ... CITY OF AUBURNT* ,� Nancy Backus, Mayor WASHINGTON 25 West Main Street * Auburn WA 98001-4998 * www.auburnwa.gov * 253-931-3000 April 2, 2019 CERTIFIED MAIL RETURN RECEIPT REQUESTED Mr. Ethan McCrillis Rino Construction P.O. Box 667 Maple Valley, WA 98038 RE: Award of Contract No. 19-06 Project No. CP1804, Auburn Way North Sidewalk Improvements Letter of Award Dear Mr. McCrillis: Bids for construction of the above-referenced project were opened by the City Clerk at Auburn City Hall on Tuessday, March 19, 2019, at 11:00 AM. Seven (7) responsive bids were received and have been tabulated. Your firm submitted the lowest responsible bid. The total award amount including Washington State sales tax is $395,812.50. The City Council, at their meeting on April 1, 2019, approved award of the contract to your firm. This letter serves as your notification of award for the subject project and is a contract specification. Please execute and return the following contract documents and other required information to the attention of Michelle Thompson, Contract Administration Specialist,within seven (7) calendar days after receiving this letter of award: a) Contract, in duplicate. b) Contract Bond, in duplicate. c) Power of Attorney for your bonding company, in duplicate. d) Certificate(s) of insurance naming the City of Auburn as additional insured, in duplicate, for all required insurance coverages. Please include the Contract Number, Project Number and Project Name on the certificate(s). e) Escrow Agreement for Retainage Declined, in duplicate. A pre-construction meeting has been scheduled for 10:00 AM on Thursday, April 11, 2019, in Conference Room #1, located on the second floor of One East Main Street, Auburn. The City requires that the Contractor have the appropriate personnel at the pre-construction meeting. This would include, at a minimum, the project manager and the on-site superintendent.The Contractor is encouraged to include any of their staff or sub-contractor staff they feel are critical to the project. ENG-006, Revised 02/19 AUBURN * MORE THAN YOU IMAGINED Rino Construction April 2, 2019 Page 2 of 2 The Contractor shall submit electronically one (1)day prior to the pre-construction meeting: a) Preliminary Progress Schedule. b) Breakdown of lump sum items except for Traffic Control Supervisor, and Mobilization. c) SPCC Plan per Section 1-07.15(1) of the Contract Documents. Please bring the following items to the pre-construction meeting: a) Requests to sublet work for all subcontractors and lower tier subcontractors. b) Emergency call list. c) A schedule of equipment and labor rates, as outlined in Section 1-09.6 (Force Account)to be utilized in the event of any Force Account activities. As noted in the contract documents, a Notice to Proceed will be issued within five (5) working days of the contract execution date, which is the date the contract has been fully executed by the City. If you do not have a current Business License to work in the City of Auburn, an application has been included and should be returned to the Customer Service Center, One East Main Street, Auburn, as soon as possible. All subcontractors and lower tier subcontractors working on the project must also have a City of Auburn Business License. Please contact me at 253-931-4013, or the Contracts Administration Specialist, Michelle Thompson at 253-288-4327 with any contract administration related questions. Sincerely, �./ uis Barba Project Engineer Public Works Department JLB/js/as Enclosures cc: Shawn Campbell, City Clerk Debra Alvarez, Project Inspector File 13.11 (CP1804) ENG-006,Revised 02/19 CITY OF AU1 Nancy Backus, Mayor WASHINGTON 25 West Main Street * Auburn WA 98001-4998 * www.auburnwa.gov * 253-931-3000 April 25, 2019 CERTIFIED MAIL RETURN RECEIPT REQUESTED Mr. Ethan McCrillis Rino Construction P.O. Box 667 Maple Valley, WA 98038 NOTICE TO PROCEED RE: CP1804, Auburn Way North Sidewalk Improvements, Contract#19-06 You are hereby notified to proceed as of April 29, 2019 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 50 working days for completion. If you have any questions, please contact the inspector for the project, Debra Alvarez at 253-740-3696 or the Contract Administration Specialist, Michelle Thompson at 253-288-4327. Sincerely, L.../"Cuis Barb Project Engineer Public Works Department LB/mt/mm Enclosure cc: Shawn Campbell, City Clerk Jacob Sweeting, Assistant Director of Engineering/City Engineer Debra Alvarez, Construction Inspector File 13.11 (CP1804) ENG-017, Revised 12/18 AUBURN* MODE THAN YOU IMAGINED CONTRACT Contract No. 19-06 THIS AGREEMENT AND CONTRACT, made and entered into, in duplicate, at Auburn, Washington, this 210 `-day ofc e , 20 ►q, by and between the CITY OF AUBURN, WASHINGTON, a municipal corporation, and PAMF EXCAVATION LLC dba RINO CONSTRUCTION, hereinafter called the CONTRACTOR. WITNESSETH: That, in consideration of the terms and conditions contained in the Contract Documents entitled "CP1804, Auburn Way North Sidewalk Improvements,"which are by this reference incorporated herein and made a part of this Contract, the parties hereto covenant and agree as follows: I. The CONTRACTOR shall do all work and furnish all tools, materials and equipment for Project CP1804, Auburn Way North Sidewalk Improvements — the construction of sidewalk, construction of curb ramps and driveways to meet ADA, installation of a Rectangular Rapid Flashing Beacon (RRFB) and installation of new LED street lighting for a unit bid price of $391,260.00 and Washington State Sales Tax of $4,552.50 for a total contract value of three hundred ninety-five thousand, eight hundred and twelve dollars and fifty cents ($395,812.50) 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 seven (7) calendar days after the receipt of the dated notification of award and the Contract time shall commence within five (5) working days after execution of the Contract by the City and so designated on the Notice to Proceed. Physical completion shall be within fifty (50) 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 Nanackus, Mayor Countersigned: this 2(o day of Apc'� ` , 20 19 APPROVED AS TO FORM: • Steve Gross, Ci y Attorney CONTRACTOR By „gape-- ‘11. ga/_•uthorized Official Signature CONTRACT BOND CONTRACT NO. 19-06 BOND NO. SAIFSU0748631 BOND TO CITY OF AUBURN, WASHINGTON KNOW ALL MEN BY THESE PRESENTS: That we, the undersigned, PAMF EXCAVATION LLC DBA RINO CONSTRUCTION , as principal, and International Fidelity Insurance Company , a corporation, organized and existing under the laws of the State of N.J. 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 Three Hundred Ninety Five Thousand Eight Hundred Twelve and 50/100($395,812.50) dollars, 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 oc la day of f c,r 1 I , 2019. Nevertheless, the conditions of the above obligation are such that. WHEREAS, the City of Auburn on the first day of April, 2019, let to the above bounden principal a certain Contract. The said Contract being numbered 19-06, and providing for the construction of Project CP1804, Auburn Way North Sidewalk Improvements - the construction of sidewalk, construction of curb ramps and driveways to meet ADA, installation of a Rectangular Rapid Flashing Beacon (RRFB) and installation of new LED street lighting (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 The undersigned principal and the undersigned surety present this contract bond related to the Contract, PROVIDED that this document shall not be enforceable unless and until the City of Auburn awards and executes the Contract to the undersigned principal. No obligations under this bond, for the 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. Notwithstanding 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 8th day of April , 20 19 PAMF Excavation LLC dba Rino Construction Principal International Fidelity Insurance Company Surety By / Attorney in Fact Jim S. Kuich HUB Northwest PO Box 3018, Bothell,WA 98041-3018%/ • (425)489-4500 Resident Agent's Address&Phone Number l y POWER OF ATTORNEY INTERNATIONAL FIDELITY INSURANCE COMPANY ALLEGHENY CASUALTY COMPANY One Newark Center,20th Floor,Newark,New Jersey 07102-5207 PHONE:(973)624-7200 KNOW ALL MEN BY THESE PRESENTS: That INTERNATIONAL FIDELITY INSURANCE COMPANY,a corporation organized and existing under the laws of the State of New Jersey, and ALLEGHENY CASUALTY COMPANY a corporation organized and existing under the laws of the State of New Jersey,having their principal office in the City of Newark,New Jersey,do hereby constitute and appoint JIM S. KUICH, PATTI WHITE, ANDY PRILL, THERESA A. LAMB, STEVE WAGNER, MICHAEL A. MURPHY, JIM W. DOYLE, JULIE M. GLOVER, CHAD M. EPPLE Bothell, WA their true and lawful attomey(s)-in-fact to execute, seal and deliver for and on its behalf as surety, any and all bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof,which are or may be allowed,required or permitted by law,statute,rule,regulation,contract or otherwise,and the execution of such instrument(s) in pursuance of these presents, shall be as binding upon the said INTERNATIONAL FIDELITY INSURANCE COMPANY and ALLEGHENY CASUALTY COMPANY, as fully and amply, to all intents and purposes, as if the same had been duly executed and acknowledged by their regularly elected officers at their principal offices. This Power of Attorney is executed, and may be revoked, pursuant to and by authority of the By-Laws of INTERNATIONAL FIDELITY INSURANCE COMPANY and ALLEGHENY CASUALTY COMPANY and is granted under and by authority of the following resolution adopted by the Board of Directors of INTERNATIONAL FIDELITY INSURANCE COMPANY at a meeting duly held on the 20th day of July,2010 and by the Board of Directors of ALLEGHENY CASUALTY COMPANY at a meeting duly held on the 10th day of July,2015 "RESOLVED, that(1)the Chief Executive Officer, President, Executive Vice President, Vice President, or Secretary of the Corporation shall have the power to appoint,and to revoke the appointments of,Attorneys-in-Fact or agents with power and authority as defined or limited in their respective powers of attorney, and to execute on behalf of the Corporation and affix the Corporation's seal thereto, bonds, undertakings, recognizances, contracts of indemnity and other written obligations in the nature thereof or related thereto; and(2)any such Officers of the Corporation may appoint and revoke the appointments of joint-control custodians, agents for acceptance of process, and Attorneys-in-fact with authority to execute waivers and consents on behalf of the Corporation;and(3)the signature of any such Officer of the Corporation and the Corporation's seal may be affixed by facsimile to any power of attorney or certification given for the execution of any bond,undertaking,recognizance, contract of indemnity or other written obligation in the nature thereof or related thereto, such signature and seals when so used whether heretofore or hereafter, being hereby adopted by the Corporation as the original signature of such officer and the original seal of the Corporation,to be valid and binding upon the Corporation with the same force and effect as though manually affixed." IN WITNESS WHEREOF,INTERNATIONAL FIDELITY INSURANCE COMPANY and ALLEGHENY CASUALTY COMPANY have each executed and attested these presents on this 31st day of December,2018 �`A NAT}'lhS�j STATE OF NEW JERSEY Ay CPSUA\ryp Os pQ ORq, County of Essex ��� SEAL 16 c"*1 rrt 14..j&1saa , o :11 1936 .11"IE4� Kenneth Chapman �* fki. * 1� Executive Vice President,International Fidelity Insurance Company and .. Allegheny Casualty Company �►r JERS- On this 31st day of December,2018 ,before me came the individual who executed the preceding instrument,to me personally known,and, being by me duly sworn,said he is the therein described and authorized officer of INTERNATIONAL FIDELITY INSURANCE COMPANY and of ALLEGHENY CASUALTY COMPANY;that the seals affixed to said instrument are the Corporate Seals of said Companies;that the said Corporate Seals and his signature were duly affixed by order of the Boards of Directors of said Companies. �`,.•••••••r"''+, IN TESTIMONY WHEREOF, I have hereunto set my hand affixed my Official Seal,at the City of Newark, ��` oto., ' 'HY,,, ,., New Jersey the day and year first above written. y �sslo • /n/ ;•VeNOTA BY��• Olatei/ji Y% PUBLIC 01 % ,•' y`4,;� Cathy Cruz a Notary Public of New Jersey My Commission Expires April 16,2019 OpNEW ,`,�� CERTIFICATION I,the undersigned officer of INTERNATIONAL FIDELITY INSURANCE COMPANY and ALLEGHENY CASUALTY COMPANY do hereby certify that I have compared the foregoing copy of the Power of Attorney and affidavit,and the copy of the Sections of the By-Laws of said Companies as set forth in said Power of Attorney,with the originals on file in the home of said companies,and that the same are correct transcripts thereof,and of.the whole of the said originals,and that the said Power of Attorney has not been revoked and is now in full force and effect. IN TESTIMONY WHEREOF,I have hereunto set my hand on this day, Of 7- 1 [) 20 I' A01083 Irene Martins,Assistant Secretary Consumer tools Agent and Company Lookup Orders Independent Review Decisions INTERNATIONAL FIDELITY INSURANCE 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: INTERNATIONAL FIDELITY INSURANCE COMPANY Registered address Mailing address Corporate family group: IAT REINS CO GRP 0 ONE NEWARK CTR 20TH FL ONE NEWARK CTR 20TH FL Organization type: PROPERTY NEWARK, NJ 07102 NEWARK, NJ 07102 Doing Business As (DBA): Unavailable Telephone Telephone WAOIC: 655 973-624-7200 973-624-7200 NAIC: 11592 Status: ACTIVE Admitted date: 07/06/1976 Ownership type: STOCK back to top. Company change history 0 View changes back to top .................... Types of coverage authorized to sell o Insurance types Surety back to top ........................... Agents and agencies that represent this company (Appointments) o View agents View agencies back to top ........................ Company complaint history o View complaints. back to top ............................. Orders issued since 2010 a No orders are found • back to top ........................ Premium tax filings by tax year o 2018 2017 2016 2015 2014 • back to top ........................ National information on insurance companies Want more information about this company? The NAIC's Consumer Information (CIS) page allows you to retrieve national financial and complaint information on insurance companies, plus has information and tips to help you understand current insurance issues. back to top Ratings by financial organizations The following organizations rate insurance companies on their financial strength and stability. Some of these companies charge for their services. A.M. Best ...................................... Weiss Group Ratings Standard and Poor's Corp ................................................................................................ Moody's Investors Service _................... Fitch IBCA, Duff and Phelps Ratings ................................................................ 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 top ............................. 86 Shares International Fidelity Insurance Company (a member of IAT Insurance Group) AM Best#: 000520 NAIC#: 11592 FEIN#: 22-1010450 Address: One Newark Center 20th Floor Newark, NJ 07102-5207 UNITED STATES Phone: 973-624-7200 Fax: Web: www.ific.com Follow II:_1 Print this page Best's Credit Ratings Financial Strength Rating View Definition l Rating: A- (Excellent) Financial Size Category: VII ($50 Million to $100 Million) Outlook: Stable Action: Affirmed Effective Date: April 26, 2018 Initial Rating Date: June 30, 1922 Long-Term Issuer Credit Rating View Definition Long-Term: a- Outlook: Stable Action: Affirmed 1 Effective Date: April 26, 2018 Initial Rating Date: April 18, 2007 u Denotes Under Review Best's Rating Licensing: Licensed Territory: (Current since 03/03/2016).The company is licensed in the District of Columbia, Guam, Puerto Rico, U.S. Virgin Islands and all states. i i i I i S yi fI I I 1 { i Total Assets $230,000.00 f i • $225,000.00 4 , 1 $220,000.00 -14 $215,000.00 $210,000.00 $205,000.00 ! f, — E • $200,000.00 $195,000.00 , . £ — ! €- $190,000.00 2018 2017 2016 2015 2014 — Data Years II fI 1 DPW-Top Lines of Business } { t � 2 7- -99.89w- - 9.89- Surety } Company Attributes Industry: Insurance Business: Property/Casualty Business Status: In Business Entity: Operating Company Consolidated Type: Affiliated Single Company Organization Type: Stock Statement Type: NAIL PC } Last Statement: 3rd Quarter 2018 } Top Line(s) of Business (based upon Direct Premiums Written) 1. Surety (View Definition ) 2. Fidelity (View Definition ) Top State(s) of Business (based upon Direct Premiums Written) 1. California 2. Texas 3. New York 4. Pennsylvania 5. Florida To view competitive insurers for International Fidelity Insurance Company, please select State and Line of coverage and click compare. State: Select a state Line: Compare { i 1 CITY OFA., * Escrow Agreement . .,� For 00- URN Retainage Declined WASHINGTON Rino Construction, P. O. Box 667, Maple Valley, WA 98038 (CONTRACTOR) acknowledges that they have been offered the option of setting up an escrow agreement for their retainage on Contract No. 19-06, Project No. CPI804, Auburn Way North Sidewalk Improvements. The CONTRACTOR declines to set up an escrow agreement and understands that the City will hold the 5% retainage with no interest until the project is complete, accepted by the City, and all releases and liens have been satisfied. Au rized Signature Print or Type Name Title 9/117 l 6( Date File: 13.11 (CP1804) AUBURN * MORE THAN YOU IMAGINED ENG-095, Revised 8/18 �1 PAMFCON-01 LMORELOS ACORO' CERTIFICATE OF LIABILITY INSURANCE DATE(9/2019 Y) �-- 44/9/2019 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Hub International Northwest LLC PHONE FAX P.O.Box 3018 (A/C,No,Ext):(425)489-4500I (A/C,No):(425)485-8489 Bothell,WA 98041 A"DD"RESS:now.info@hubinternational.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:The Continental Insurance Company 35289 INSURED INSURER B:American Casualty Co of Reading PA 20427 PAMF CONSTRUCTION LLC DBA RINO CONSTRUCTION INSURER C:Charter Oak Fire Insurance Company 25615 PO Box 667 INSURER D: Maple Valley,WA 98038 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MM/DDIYYYY) (MMIDD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR6045814479 2/24/2018 8/1/2019 DAMAGE TO X X PREMISES(Ea occurrence)RENTED $ 100,000 MED EXP(Any one person) $ 15,000 PERSONAL 8 ADV INJURY $ 1'000'000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X PRa LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: Stop Gap $ 1,000,000 B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ X ANY AUTO X X 6045814482 2/24/2018 8/1/2019 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ X AUTOS ONLY X NON-OWNED ONLYY (Peri accidentDAMAGE $ $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE 6045814496 2/24/2018 8/1/2019AGGREGATE $ 5,000,000 DED X RETENTION$ 10,000 A WORKERS COMPENSATION PER X OTH- ANDEMPLOYERS'LIABILITY Y/N 6045814479 2/24/2018 8/1/2019 STATUTE ER 1,000 000 ANY PROPRIETOR/PARTNER/EXECUTIVE , OFFICER/MEMBER EXCLUDED? N I A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C Builder's Risk 6604G415877-COF-18 2/24/2018 8/1/2019 Limit: 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Re:Contract No.19-06:Project No.CP1804 Auburn Way North Sidewalk Improvements City of Auburn is included as an Additional Insured per the attached forms/endorsements. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Auburn Washington THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 25 West Main Street Auburn,WA 98001 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CNA • CNA PARAMOUNT CNA � -•CNA PARAMOUNT Contractors'General Liability Extension Endorsement • Contractors'General Liability Extension Endorsement If is understood and agreed that this endorsement amends the COMMERCIAL GENERAL IJABILITY COVERAGE PART E. Leese of Premises . os follows.It any other endorsement attached to this pellet'emends any'provision also emended by this endorsement. - An owner or lessor o/premises leased to Bre Named Neared,or such owner or lessors real estate manager,but then that other endorsement controls*tit rasped to...provision,end the changes made by this endorsement with only with respect to liability for bodily Injury,property damage or personal and edva'tlahg Nary arising out al _ respect to such provision do not appy. ' the dwriership,nuiintenance or use of such pan of the promisee Teased to the Named hawed,and provided that the occurrence giving rise to such bodily Injury or property damage,or the offense giving rise to such personal TABLE OF CONTENTS and aedvertialrg Injury,takes place prior to the termination of such lease.The coverage granted by the _, paragraph does not apply to structural alterations,new construction or demolition operations performed by,on 1. Additional Inured. - behalf of,or for such additional insured. 2. Additional insured•Primary And Non-Contributory To Additional Insured's Insurance F. Mortgagee,Assignee or 3. Bodily Injury-Expanded Definition - A mortgagee, •assignee or receiver of premises but only with respect to such mortgagee,as• /donee or receivers 4. Broad Knowledge of Occurrence/Notice of Occurrence .. liability.for bodily Injury,property damage or pereonal and advertising Injury arising out oI the Named • Inaured's ownership;maintenance.or use of a promises by a Named loomed. 5. Broad Named khe.ued .. . 6. Broadened Liability Coverage For Damage To Your Product And Your Work The coverage granted by this paragraph does not appy to structural alterations,new construction or demolition • operations performed by on behalf of or for such addit o al insured. 7. Contractual Liability-Railroads G. Meteor Governmental Agency or gubdlsielon or Poltical Subdlvelcns-Permits 8. Electronic Data Liabilit •y . . A stale or governmental agency or subdivision or political subdivision Nat has Issued a permit or authorization buil • N. Estates,Legal Reprht eseativee and Spouse - only with respect to such state or governmental agency or subdivision or political subdivision's liability for bodily :10.Expected Or Intended Injury-Exception for Reasonable Force - Injury,property damage or personal and adveHlehg Injury arising out or.. 11 Genual A ate Units M Ineuranee-Per Project 1. the I II Ing heierds in connection with premises a Named insured awns,rents,or controls and to which ggreg this insurance applies: - 12.In Rem Actions '• - a. the existence,maintenance,repair,construction,erection,or removal of advertising signs,awnings, 13.trucldemal Health Care Malpractice Cover.ge - - - • canopies,cellar entrances,coal holes,driveways,manholes,marquees,hole'axay openings,sidewalk 14.dolts VsnlureeTerInarahl it-ImHed liability Companies -..- • vaults,street banners,or decorations and limier exposures;or '- 15.Legal Liability-Damage To Premise./Atlantad Premises/Property In The Named Naured's b. the construction erection.or removal of elevators,or, Cars,Custody or Control • - c. the ownersh p me tenance or use f y°levefom 0000red by this insurarxe;or 16.Liquor Lfabilay • 2. the permitted or authorized operations performed by a Named Insured or one Named Insared'e behalf. 17.Medical Payments • The coverage granted by this paragraph does not apply to: • '19.Non•ownod Ahsraf Coverage . .. E Bodily Injury,properly damage personal and advertising Injury arising ed of operations performed e x - - - - - e for the stele or governmental agency-r suhdwision or political subdlveloo or -1P.Non-Owned Watercraft .. • - - 20.Personal And Advertising injury-Discrimination or Humiliation b. Bodily Injury or property drunage Included within the prodactacompleted operation hazard. 21.Pareahal And Advertising Injury-CarrbaatUal Liability .. .. With respect to this provision's requirement that additional insured status must be requested under a written contract a agreernenl,Me Insurer will treat as a wrilen contract,any governmental permit that requiress the ' 22.Property Damage-Elevator - .• - Named Insured to add the govemmenlal emit'as an additional insured _ 23.Supplemudary Peymanta __ H. Trade Show Event Lessor _ 24.Unintentional Fernee To Disclose Hazads .. - = 1. *Altrespect to a themed Insured'.participation in a trade show event as in azhibilor,presenter or 25.Waiver of 9ubrtgmbn-Blanketdisplayer,any person or organization whom the Named enured is required to include as an additional M26.Wrap-Up Extension:OCIP CCIP,or Consolidated(Wrap-Up)Insurance Programa .• • . . MI insured,but only with respect to such person or orgamzetior s liability for bodily Nagy,popery damage or c personal and advertisinghhanry caused by: . = .. = a. the Named Insured's acts or omissions;br i b. the acts or omissions of those acting on the Named Ineured's behalf, • . e = CNA74705XX( 1-15) 'Policy No:6045814479 • - CNA74705101(t-15) .. Policy No:6045814479' Page 1 of 17 ' . . Endorc -ent No: ' - Pare 3 0117. . . Endorsement No: • Effect-Pie a Data:2/24/2015 Effective Date:2/24/2018 Irwin.Name: PAMh Excavation,LLC DBA Rino Co traction Insured Name:T . t1IDaayfee Nnenre Beare ce.ao irab4re..ha.....yr.l esena Ona.a.him clb awMarion. .caoamapef awe.Feaewa insiow aorr maw,el eaaweesewcw On..eceAle Fern... . • • CNA CNA PARAMOUNT • CNA CNA PARAMOUNT • Contractors'General Liability Extension Endorsement � Contractors'General Liability Extension Endorsement 1. ADDITIONAL INSUREDSIn oi the performance of the Named insured's ongng operations al the bade show event premises during the trade show event a. WHO IS AN INSURED is amended to Include as an Insured any person or organization described In paragraphs • . . . A.through H.below whom a Named Warred is.required to add as an additional Insured on this Coverage Put 2. The rage granted by this paragraph does not apply to bodily injury or properly damage included within under a written contract or written agreement,provided such contract or agreement: the producta.ompleted operations hazard. (1)is currently in effect or becomes effectiee during the term of this Coverage Part;and 2. ADDITIONAL INSURED-PRIMARY AND NON-CONTRIBUTORY TO ADDmONAL INSUREDS INSURANCE (2)was executed prior b: .. The Other Insurance Condition in the COMMERCIAL GENERAL LIABILITY CONDITIONS Section 8 emended to . edd the following paragraph (a)the bodily Injury or properly damage;or If the Named Insured has agreed in writing in a contract or agreement that this insurance Is primary and non- (b)UM offense mat caused the personal and advertising Injury, contributory relative to an additional Insureds own Insurance,then mss Insurance Is primary,and the Insurer will not • tor which such additional insured seeks coverage, seek contribution from that other insurance.For the purpose of this Provision 2.,the additional insureds own • insurance mains insurance oh which the additional insured is a named insured_Otherwise,and notwithstanding b. However,subject always to the terms and conditions oI this policy,including the limits of insurance,the)usurer anything to the contrary elsewhere In this Condtion,the insurance provided to such person or organization Is excess will not provide such atldnional insured with: d any other insurance available to such person or organization. • • (1)a higher tidal of insurance Than required by such contract or agreement;or 3. BODILV INJURY-EXPANDED DEFINITION (2)coverage broader than required by such contrail or egreemenl,and n no avant broader than that described Under DEFINITIONS,the definition of bodily Injury is deleted and replaced by the fallowing:' by the applicable paragraph A.through H.below. Bodily Injury means physical injury,sickness or disease sustained bye person,including death,humiliation,shock, Any coverage granted by this endorsement shag apply only to the extent permissible by law. mental anguish or mental Injury sustained by that person al any time which results as a consequence of the physical A. Cerhb ging Interest . m)ury,sickness or disease.. , Any persan or organization with a controlling Interest In a Named burred,but only with respect to such person or 4. BROAD KNOWLEDGE OF OCCURRENCE/NOTICE OF OCCURRENCE organization's IeNgy for bodily Injury,property damage or personal and Bdvelletrg Injury enargout of: Under CONDITIONS,the condition entitled Duties In The Event of Occumancq Offense,Claim or Seth is amended 1such person or organization financial cointrol oi a Named brewed;orto add the following provsions: 2. premises such person or organization owes maintains or controls while a Named Insured leases or A. BROAD KNOWLEDGE OF OCCURRENCE occupies such prem nes, • - - The Named Insured must give the Insurer or the Insurer's authorized representable notice of an e, occurrenc provided that the coverage granted by the paragraph does not apply to atrudurel alteration,new construction or offenseer claim nony when the occurrence,offense or claims known to a natural person Named Interred,'to e • demolition operations performed by.on behalf of,or lar such additional insured.- . partner,executive officer,manager or member of a Named Insured,or an employee designated by any ol the • above to give such notice. B. Co-owner of Mewed Remises B. NOTICE OF OCCURRENCE A co-owner M e premises o-owned bye Named enured and covered under this insurance bid only with respect to such co-owner's liability tor bodIty Injury;property aemege'or personal and adverteNg Injury as coowner The Namedo/ca01insureds rights under this Coverage Part will not be prejudiced it the Named enured fails to give the Insurer notice of an oauurence,offense or claim and that failure is Soley due b the Named Iraursd'e of such premises. - reasonable belief that the bodily Injury,er property damage is not covered under the Coverage part.However, ' C. Lessor el Equipment • • such the Named insured shall give written notice of suoccurrence,offense tar claim to the beam as soon as the Any person.or organization ham whom a themed Insured leases equipment,but only With rasped to Lability for Named Insured is aware that this insurance may apply to such oestrane,offense or claim.' • bodily Injury,property damage or personal end edvertisehg Injury caused,in Whale or In part,by the Named 5. BROAD NAMED INSURED _ Insured's malntenerae,operation or use of such equipment,provided that the occurrence giving rise to such bodily Injury,property damage or the offense giving rise to such personal and advenlebg Injury takes place WHO IS AN INSURED is amended to delete its Paragraph 3. its entirety and replace it with the following: prior I th termination of such lease. . 3. Pursuant to the limitations described In Paragraph 4.below,any organization In which a Named Insured has 0. Lasser of lad - • mamgemanl control: Arty person or organization from whom a Named Insured leases land but only with respect to liability for bodily a. on the selective date of the Coverage Para;or Injury.property damage or personal and advertising injury arising out of the ownership,maintenance or use b. by reason of a Hamed bitted creating or acquiring the organization during Se polley petted of such land,provided that the occurrence giving rise to such bodily berry,property damp"or the offense giving rise to such persued and edvmteirg Injury takes place prior to the termination of such lease. The qualifies as Named Insured,provided that there no other similar liability Imo rice,whether primary, coverage granted by the•paragraph does not appy to structural alterations new construction or demolition contributory.a cess,contingent or otherwise,whichprovdes coverage to such organization,or which would have operations performed by,on behalf 01,or for such additional Insured. • provided coverage but for the exhaustion M Its limit,and without regard la whether Its coverage is broader or narrower than that provided by the Insurance. • _ CNA74705XX(1-15) • ' Policy No: 6043814479 CNA74705XX(1-15) EndorsementPolicy No: 6044814479 Peon P nl 17 Endorsement No: Pape 4 of 17 .Effective Date- Effective Date: 2/24/2018 ,.cured Name. pAMP Excavation,LLC DBA Rico Construction Insured Name: C aandealse.Was Ramrod.Mu.exxUNear 4lalrervaewke.Onw,ec,esb p.a.. coaxes Oto NI Pent Mani efE.aapiierareevei al laoane a.ntasema,ee.atmo For.... • CNA CNA PARAMOUNT CNA CNA PARAMOUNT Contractors'General Liability Extension Endorsement Contractors'General Liability Extension Endorsement But this BROAD NAMED INSURED provision does not apply to; Damages arising out oh • (a)any partnership,Crated liability company or joint venture;or (1)any access to or disclosure of any person's or organization's confidential or personal llormalon, (b)any organization for which coverages excluded inducting patens,bade secrets,processing methods,customer lists,financial Information,credt card by another endorsement attached to this Coverage Part, information,health Information w any other type of nonpublic Information;w • For the purpose of this provision,management control means: (2)the loss oL Ices of use of,damage to,corruption of,Inability to access,or Inability to manipulate A. owning interass representing more than 50%of the voting.appointment or designation power for the electronic data that does not result from physical injury to tangible properly. selection of a majority 0f the Board of Directors of a corporation;or However,unless Paragraph(1)above applies,this exclusion does not appy to damages because of bodily B. having the right,pursuant toe written tout agreement to protect,control the use of,encumber or transfer or Injury. sell property held bye trust. This exclusion applies even if damages are claimed for notification costs,credit monitoring expenses, '' '4. With rasped to organizations which gustily as Named Insureds by virtue of Paragraph 3-above,this insurance forensic expenses,public relation expenses or any other loss,cost or expense Incurred by the Named does not apply to: - tenured or others arisi ng out of that which is described in Paragraph(1)or(2)above. e. bodily Injury or properly damage that first monad prior to the date of management control,or that but B. The following• paragraph is added to LIMITS OF INSURANCE 'atoms after management control ceases;nor Subject to 5.above,$1 00,000 is the most the Insurer will Co personal a advertising b pay underCoverage A for all damages arising out of D pe Ing jury caused by an offense that first occurred prior to the dale of management any one occurrence because of property damage that results from physical Injury to tangible property and control orthat first occurs after management control ceases. arises out of electronic dela. ' 5- The Insurance provided by this Coverage Part applies to Nand Insureds when trading under thew own names C. The following definition Is added to DEFINITIONS: • smyiody r such other baring names or doing-businesses names(dere)as any Named Insured should choose la Electronic data means infarction,lads or programs stored as or on,created or used on,or transmitted to or from computer software(Including systems and applications software),hard or floppy disks,CD-BONS,tapes, 6. BROADENED LIABILITY COVERAGE FOR DAMAGE TO YOUR PRODUCT AND YOUR WORK drives,cels,data processing devices or any other media which are used with electronically controlled equipment A. Under COVERAGES,Coverage A-Bodily Injury and Property Damage Liability,the paragraph entitled D. For the purpose 01 the coverage provided by this ELECTRONIC DATA LIABILITY Provision,the definition of Exclusions is amended to delete exclusions k.and 4 end replace them with the(allowing: property damage in DEFINmONS Is replaced by the following: This Insurance does not appy to: Property damage means: It, Damage to Tour Product a. Physical injury to tangible properly,including all resulting loss of used that property.PAI such loss of use Property damage to your product arising out of it,or any part of it except when caused by or resulting from: shall be deemed to occur et the time of the physical injury that caused it damage (1)lire; b. Loss of use Cl tangible property that s not physically injured.All such loss of use shall be deemed to occur at the time of the commence that caused it;or (2)smoke; Loss of,loss of use of,damage to,conniption of,inability to access,or inability to property manipulate (3)collapse;or g e electronic data,resulting from physical injury to tangible property.All such Cas of electronic data shall be fi (4)explosion. ma deemed to occur at the time 0f the orren.that caused it. I. Demags to Your Work For the purposes of this insurance,electronic data is not tangible properly.. Properly damage to your work arising out of it,or any pad of It and included in the produclacomplatad iE h Electronic Data Liability s provided ata higher limit by another endorsement attached to this policy,Then the • operations harard $100,000 limit provided by the ELECTRONIC DATA LIABILITY Provisions part of,and not in addition to,that higher limit This exclusion does not appy: B. ESTATES,LEGAL REPRESENTATIVES,AND SPOUSES (1)If the damaged work,or the work out of which the damage anises,was performed on the Named Inaured'a behalf by a subcontractor,or = The estates,heirs,legal representatives and spouses of any natural person Inured shall also be Insured under this __ policy;prarided,however,coverage is afforded to such estates,heirs,legal representatives,end spouses only for (2)if the cause of loss to the damaged work arises as a result at c = claims arising coley out of their,capacity or status as such and,In the case of a spouse,where such Maim seeks (a)fire; = damages from marital community properly,jointly held property or property transferred from such natural parson Insured to such spouse.No coverage Is provided for any act,error or omission of an estate,heir,legal - ' (b)smoke; representative,or spouse outside the scope of such person's capacity or status as such,'providatl however that the gumtree(c)collapse;or cgumtree of a natural person Named poured end the spouses of members or partners of joint venture or partnership =- CNA74705XX(1-15) Policy No: 6043814479 — CNA74705XX(1-15) Policy No: 6045814479 Page 5 0117 Endorsement No: Page 7 0117 Endorsement Nor • Effective Date: Effective Date: 2/24/2018 insured Name: PAMF Excavation,LLC DRA Rina Construction Insurer,Name:. (anxlrsDUNeoOs Nunes trsueaaoN4soscs risolamaanws.Mwr dliw,Ic,Y,nrWmrabn. canrYNwu N itnn iaenwa.w.q»wpNVbamenasa trousers aanMorro.icatnbw•aubn. CNA • • • CNA PARAMOUNT CNA CNA PARAMOUNT • Contractors':General Liability Extension Endorsement Contractors'General Liability Extension Endorsement • (d)explosion. - Named insureds are Insureds with respect to such spouses'ads,errors or omissions in the conduct of the Named B. The following paragraph is added to LIMITS OF INSURANCE: Inaured'e business. Subject l0 5.above,$100,000 s the most the Insurer will pay under Coverage A for the sum of damages arising• 10.EXPECTED OR INTENDED INJURY-EXCEPTRIN FOR REASONABLE FORCE out of any one occ rranoe because of property damage to your product and your work that is caused by fire, Under COVERAGES,Coverage A-Bodily Injury end Property Damage Liability,the paragraph entitled ' •smoke,collapse or explosion and is Included within the predudcompleted operations hazard.This sublimit Exclusions is emended to delete the exclusion entitled Expected or Intended Injury and space It with the following: , 'does net apply to property damage to your work d the damaged work,or the work out of which the damage This Insurance does not apply to: • arises,was pedonmed on the Reread Inarred'e behalf bye subconlraclor. C. This Broadened Liability Coverage For Damage To Your Product And Your Work Provision does not appy d Expected or Intended Injury Broadened an endorsement Cl the same name is attached to this policy. Bodily Injury or property damage expected or intended from Ice standpoint of the bowed.This exclusion does not 7. CONTRACTUAL LIABILITY-RAILROADS apply to bodily Injury or properly damage resulting horn the use of reasonable nonce to protect persons or property. With respect to operations performed within 50 feet of railroad properly,the definition Cl Inured contract Is replaced 11.GENERAL AGGREGATE LIMITS OF INSURANCE•PER PROJECT • by the fallowing: A. For each construction project away horn premises the Named Insured owns or rens,a separate Construction Project General Aggregate Limit,equal to the amount of the General Aggregate Limit shown In the Declarations, Insured Contract means: is the most the Insurer will pay for the sum of: .e. A unxbad for a lease 01 premises.,However,that portion oflhe contract for a lease of premises that indemnifies ':any person or organaatinn far damage by fire tope seta while rented to a Named Insured or temporary 1. All damages under Coverage A.except damage because of bodily Injury w property damage included In occupied by a Named maured with permission of the owner is nal an Insured coolness; the predudacampleted operations hexad,and b. A sidetrack agreement;• 2. All medical expenses under Coverage C, that arise from occurrences or accidents which can be attributed solely to ongoing operations al that construction o Any easement or license agreement; project.Such payments shall not reduce the General Aggregate Limit shown in to Dedamtiona nor the d. An obligation,as required by'ordinance,to Indemnify a municipality,except In connection with work fora Construction Project General Aggregate Limit 01 any other construction project nicipaliy; . B. All: e..An elevator maintenance agreement • 1. Damages under Coverage B,regaMoss of the number of locations or construction projects involved; f. That part of any other contrast or agreement pertaining to the Named Insuredbusiness(including an 2. Dam indemnificationof a municipality in connection with nk performed for a munidpaRy)under.which the Namur epee under,Coverage A caused by occurrences which cannot be attributed solely to ongoing Insured -es the tort I ability of another parry til pay for bodity Injury w property damage to a Third person operations al a single construction project,except damages because ul bodily Injury or property damage organization.Tort liability means a!lability that would be Imposed by law in the absence 01 any contract w included In reproduces-wmpbted operations bawd,and '•agreement 3. Medical expenses under Coverage C caused by accidents which cannot be attributed coley to ongoing Para 1.does not InUutle thatpad of anyoperations ata single construction project, Paragraph contract or agreement: will reduce the General Aggregate Limit shown in the Declarations. ' • (1)Thal indemnbiae an architect,engineer on surveyor for Injury or damage arising out of: C. The limits shown in the Declarations for Each Occurrence,far Damage To Premises Rented To You end for (a)Preparing,approving or failing to prepare or approve naps,shop drawicgs,•opinons,reports.surveys, • field orders,change orders or drawings and spedticetions;or Medical Expense continua to apply,but will be subject 1r,either the Construction Project General Aggregate Limit or the General Aggregate Limit shown in the Dedlaratiore,depending On whether the occurrence can be (b)Going directions or instructions,or tailing to give them,0 that is the primary cause of the injury or attributed solely to ongoing operations ate particular construction project clangs;' D. When coverage for liability arising out of the products-completed operation hazard is provided,any payments (2)Under which the Unured,if en architect,engineer or surveyor,assumes liability for en injury or damage for damages because 01 bodiy Injury or property'damage Included In the products-completed operations 'arising out 01 the Insureds rendering or Wilma to render professional services,Including those listed in(1) hazard will reduce the Products-Completed Operations Aggregate Limit shown in Ira Declarations,regardless of above and supervisory,inspection,architectural or engineering activities. the number of projects involved. B. ELECTRONIC DATA IJABIUTY E. If a single construction project away from premises owned by or rented to the fissured has been abandoned and A. t/ndar:COVERAGES,Co parry Damage Liability,the then restarted,or it the authorized contracting parties deviate from plans,blueprints,designs,specifications or Coverage A-Bodily Injury end Pro Iyparagraph entitled timetables,the project will still be deemed to be the same construction project. '•Exofuslone is amended to delete exclusion p.Electronic Data and reptaco it with the following: F. The provisions of LIMITS OF INSURANCE not otherwise modified by this endorsement shall continue to apply as This Insurance does not appy to: stipulated. .• p. Accor Or Disclosure Of Confidential Or Personal trdwmatbn And Data-related Lleblllry CNA74705XX(1-15) Policy No: '6045814479 CNA74705XX(I-15) Patcy No: 6045814479 Pace 6 of 17 Endorsement No: Page 8 0117 Endorsement No: Effective Date: Effective Date: 2/24/2018 .Insured Name: PAMF Excavation,LLC USA Rino Construction Insured Nemec PnrCo, QpNpx RN Al aeae Peeernia.Ird,Wampytyvtl mew.of haven.Pannascru,R,win es lair dl xr00 grmewn. (LpyaaM wuNeyb Pswma.IM vaNlaaa rosea mucro swoon 011b. .. bpwbreon. CNA CNA PARAMOUNT CNA CNA PARAMOUNT • . Contractors'General Liability Extension Endorsement Contractors'General Liability Extension Endorsement 12.IN REM ACTIONS (2)badly Injury to an employee while in the course of the employee's employment by the Named • A quasi In tem action against arty vessel owned or operated by w for the Named enured,or chartered try or for the Insured or while performing duties related la the conduct of the Named inauaad'e business; Named Inure,will be treated in the same manner as though the action were in pereonam against the Namad when such bodily Injury arises out ole heath care Incident. Inured. b. delete Subparagraphs(a),(b),(0)and(d)of Paragraph 2.e.(1)01 WHO IS AN INSURED. • 13.INCIDENTAL HEALTH CARE MALPRACTICE COVERAGE D. The Other Insurance condition In amended to delete Paragraph b.(1)In its entirety end replace it with the Solely with rasped to bodily Injury that arises out ole health care Incident: following: A. Under COVERAGES,Coverage A-Bodily Injury and Property Damage Llablity,the paragraph entitled Other trnurane Insuring Agreement is amended to replace Paragraphs 1.6.(1)and 1.b.(2)with the following: b, Excess Insurance b. This insurance applies no bodily Injury provided that the professional health care services are Incidental to the Named Stehrerre primary business purpose,end only II: (/)To the extentt,'whe Insurance primar,excess,t a excess over anynooth insurance,5 set insurance or risk transfer instrument,' primary,excess,contingent or on any other basis,except for insurance purchased (f)such bodM Injury is caused by an occurrence that takes place in the coverage territory. specifically by the Named Insured to be excess of this coverage. • (2)the bodily Injury fest occurs during the policy period All bodily injury arising from en owaran..will . 19.JOINT VENTURES/PARTNERSHIP/LIMITED LIABILITY COMPANIES be deemed to have occurred at the time of the first act,error,or omission that report of the o00sanew a; WHO IS AN INSURED is amended to delete its last paragraph and replays It with the I towing: and B. Under COVERAGES,Coverage A-:Bodily bh)ury end Property Damage Liability,the paragraph entitled Na person or organization is an Insured with respect t0 the coridud of any current or pall partnership,OM venture w Exclusions a amended to: limited liatidy company that Is not shown as a Named bssuured in the Declarations,exCepl mal ii the=nod Inured • _ a joint venturer,partner,or member of a limited liability companyy and such joint venture,partnership or limited I. add the blowing to the Employers Liability exclusion: liability company terminated prior to or during the policy period,such Named ensured is an ensured with respect to ' its Intoned in such joint venture,partnership or limited liability company but only to the extent mal: This exclusion apples only I the bodily Injury arising from e health care incident Is covered by other ' liability insurance available to the Insured(or which would have beenavailable old for exhaustion of its a. any offense giving rise to Puma al and edemIMMg Injury occurred prior to such termination dale,and the limits).' personal end advertising allay arising out of such offense first occurred atter such termination date; IL delete the exclusion entitled Contractual Liability and replace it with the following: b, the badly Injury or properly damege first ocarrad alter such termination date;and This insurance does not appy to: - - c. there is no other valid and collectible insurance purchased spedlicaly to insure the parhhership,joint venture or Contractual Liability limited liability company;and the Inaured'e actual or alleged liability under any oral or written contrail or agreement,including but not - If me pint venture,partnership or limited liability company Is or was insured under a cmhaoldMed(wrap-up) maurance program,then such insurance will always be considered valid and collectible for the purpose of paragraph limited to express wartanles or guarantees; c.above.But this provlslon will not serve to exclude bodily Injury,properly damage or personal and advwtlsIg Ill add the IMowing additional exclusions: . . .. a Injury that would otherwise be covered under the Contractor/.General Liability baleen Endorsement provision This insurance does not apply to: a entitled WRAP-UP EXTENSION:DCIP,CCIP,OR CONSOLIDATED(WRAP-UP)INSURANCE PROGRAMS. g Please see that provision,for the definition of noneelidated(wrap-up)hssurence program. 1 Discrimination - 15.LEGAL LIABILITY-.DAMAGE TO PREMISES/ALIENATED PREMISES/PROPERTY IN THE NAKED any actual or alleged tliscrimination,humiliation or harassment,including but not limited to claims based on INSURED'S CARE,CUSTODY OR CONTROL an individual's race,creed,alar,age,gender,natonel origin,religion,disability,marital stats or sexual orientation. A. Under COVERAGES,Coverage A-Bodily Injury and Property Damage Liability,me paragraph entitled Exclusions Is amended to delete exclusion).Damage IA Properly in its entirety and replace it with the following, Dishonesty or Crime = This insurance does not apply Io: = Any actual or alleged dishonest,criminal or malicious act,error or omission. - ® • MedlcaMMadlold Ruud 1. Damage to Pro •perty aProperty damage to: any actual or alleged violation oI few with rasped to Medicare,Medicaid,Tdcare or any simlar federal,state or kcal governmental program. M (1)Properly the Named burned owns,rents,or occupies,inducting any costs or caponses incurred by you, or any other person,organization or entity,for repair,replacement,enhancement,restoration or Services Excluded by F�hdoraement = maintenance of such properly for any reason,Including prevention of injury to a person or damage to Any healthco re Incident for which coverage Is excluded by endorsement another's property; CNA74705XX(1-15) Policy No.60,15814479 c CNA74705XX(1-15) Policy No: 6045814.179 Page 90117 Endorsement No:. Page 110117 . Endorsement No: Effective Date: 2/24/2018 - Elective Date: 2/24/2018 rnsuretl Name: PAhIF Excavation,LLC DILA Rine Construction _ insured Name: mrryy. pvu mRdin r.aen a......r011...r.+wwa mmra Inure. o ,uv-,vis 1.paw*.. oaorrTrcrww npns w.rw.hbmmmaareerw.wof Insurance sesrsOf..Ia,.mmo rtty • CNA • CNA PARAMOUNT - CNA • • - CNA PARAMOUNT Contractors'General Liability Extension Endorsement Contractors'General Liability Extension Endorsement • C. DEFINITIONS is emended to, . (X)Premises the Neared mored sells,givesaway or abandons,I the property damage arises out of any • part of those premisess, - I. add the following definitions: - . Heath care Incident means an act,error or omission by the Named Inured's employees or volunteer (3)Properly loaned to the Named insured; workers in the rendering ob (9)Personal property in the care,custody or control of the Insured; • a. professional health care moot a on'behal at the Named Insured or - (5)Thal particular part of real property on which the Named Insured or any contractors or subcontractors •b. Good Samaritan services rendered in an emergency and for which no 1 is dorm clod or received. working directly or Indirectly on the Named insured'.behalt are pertorming operations,if the property Paymentdamage arises out of those operations;or Professional health..n services means any health rare services or the related furnishing of food, '(6)That particular pad°l any properly that must be restored,repaired or replaced because your work was beverages,medical supplies or appliances by the blowing providers in their capacity as such but solely to incorrectly performed on iL the extent they are duly licensed as required:' - a. Physician; Paragraphs(1),(3)and(4)of this exclusion do not apply da to property damage(other than mage by lire)to premises rented to the Named Insured or Iemporarily occupied by the Named Insured with the permission of b. Nurse: - the owner,nor to the contents al premises rented to the Named ehsmed for a period at 7 or fewer e. Nurse practitioner, - consecutive days.A separate limit of insurance applies to Damage To Premises Rented To You as described in LIMITS OF INSURANCE. d. Emergency medical technician; • - - ' Paragraph(2)of this exclusion does not apply if the premises are your work. e. Paramedic; Paragraphs(3),(4),(5)and(6)of this exclusion do not apply to liability assumed under a sidetrack 1. Dentist; agreement. 9. Physical therapist; Paragraph(6)of this exclusion does not apply to property damage included In the products-completed • h. Psychologist; � • • - operations hazard. . I. therapist; - Paragraphs(3)and(4)of this exclusion do not apply to properly damage to: Speech vs ). Other allied health professional;or L Toole,or equipment the Named Insured borrow.from other,nor Profsealanel Math cure services does not Include a services rendered In connection with human clinical i• 'II, other personal property of others In the Named naurees care,custody Or control while being used in. any ... the Nemed.lneureda operations away from any Named Insured's premises. Mals or product testing. However,the coverage granted by this exception to Paragraphs(3)and(4)does not apply to: 0.•delete the detinit on 01°waren..and replace it with the following: • • Occurrence means a health care Incident.All acts,errors or omissions that ere logically connected by any a property al a job site awaiting or during such property's installation,fabrication,or Bracton; common lad,circumstance,situation,transaction,event,advice or decision will be considered to constitute a b. property that is moble equipment leased by an insured;• - singla owarencs; c. properly that Is an auto,aircraft or watercraft; . III.amend the definition of Inured to: • owproperty in IrarsiL or • e. add the following.i a. any pnrtinn of properly damage for which the insured has avalable other valid and collectible • • the Named Sneered',employees are hnureda with respect to: InsuranCe,or would have such Insurance but for exhaustion of its Imus,or but for application of one of its . exclusions. (1)bodily Injury lo a co-employee while In the course of the co-employee: employment by the ' Named Insured or while performing duties'relate/Ito the conduct of the Named Ineured'e A separate limit of insurance and deductible apply to such property of others.See LIMITS OF INSURANCE business;and - - as amended below. • - (2)badly Injury to a voNNeer worker while performing duties related to the conduct of the . B. Under COVERAGES,Coverage A-BodilyInjury and Properly Damage liability,the paragraph entitled Named Insured's business:• Exoluabna is amended to delete its last paragraph end replace it with the lollowing: when such bodily Injury arises out of a health care Incident. . - • Exclusions n.through n.do not apply to damage by lire to premises while rented to a Named Insured or temporarily occupied by a Named Insured witn permission el the owner,nor to damage to the contents of • the Named Insureds volunteer workers am assureds with respect to: premises ranted to a Named Intared fora period of 7 or fewer consecutive days, (1)bodily Injury to a co-volunteer worker while performing duties related to the conduct of the Aseparate limit of Insurance applies to this coverage as described in LIMITS OF INSURANCE. Named Insured'e business;and CNA74705XX(1-15) Policy No: 6045814479 CNA74705XX(1-15) Policy No:6045814479 Page 10 0117 Endorsement No: Page 12 0117 Endorsement No, Effective Date:2/24/2018 • Etfeclive Date: 2124(2018 Insured Name: PAhIF Frca ation,LLC DSA Rino Construction Insureo Name:I . Conrrgmtuxaercnsn.umd.Yduass=Vronad mem.annsu.ncawnsa 01'oa.Irt.,rens penis"mt Cbyrn0711.M Ptnu Pour..edamooln'Oue m.aranr iianrra Waal ora.xc.,*sno O.nnwan. CN. A CNA PARAMOUNT CNA CNA PARAMOUNT Contractors'General Liability Extension Endorsement Contractors'General Liability Extension Endorsement • C. The following paragraph is added to LIMITS OF INSURANCE: Nolwithstandmg the above,there o no coverage for fines or penalties levied or Imposed by a governmental entity Subject to 5.above,$25,000 ie the most the Insurer will payunder because of discrimination. 1 Coverage A for damages arising out al any one occurrence because of the sum of all property damage to borrowed tools or equipment,end to other The coverage provided by this PERSONAL AND ADVERTISING INJURY-DLSCRIMWATION OR HUMILIATION • personal property of others in the'Named Insured'e care,custody or cannot while being used in the Named Provision does not apply to any parson or organization whose status as an lowered derives solely horn bsured'e operations away from any Named bheured'a premises.The Insurers obligation to pay such property • damage does not apply unll the amount of such property damage exceeds$1,000.The Insurer has the right but Provision 1.AODRIONAL INSURED of this endorsement;or • not the duty to pay any porton of this$1,000 In order to effect settlement If the Insurer exercises that right,the • attachment of an additional insured endorsement to this Coverage Part Named Insured will promptly'reimburse the Insurer for any such amount.- This PERSONAL AND ADVERTISING INJURY-DISCRIMINATION OR HUMILIATION Provision does not apply to ' D. Paragraph 6.,Damage Ta Premises Rented To You Limit,of LIMITS OF INSURANCE Is deleted end replaced by any person or organization who otherwise qualifies as en additional insured on this Coverage Pail. the following: 21.PERSONAL AND ADVERTISING INJURY-CONTRACTUAL LIABILITY _ 6. Subject to Paragraph 5.above,(the Each Occurrence Limit),the Damage To Premises Rented To You Limit A. Under COVERAGES,Coverage B-Personal and Advertising Injury Liability,the paragraph entitled • Is the-nuedf Ne Insurer will pay under Coverage A for damages,bemuse of property damage to any one Exclusions is amended to delete the exclusion entitled Contractual Liability. premises while rented to the Named Insured or'temporarily occupied by the Named Insured with the • permission of the owner,including contents of such premises rented to the Named Insured fore period of 7 B. Solely for the purpose.ol the coverage provided by this PERSONAL AND ADVERTISING INJURY- or lower corsecutiva days.Tha Damage To Premises Rented To You Limit Is the greater of: CONTRACTUAL LIABILITY provision, the following changes are made to the section entitled SUPPLEMENTARY PAYMENTS-COVERAGES A AND B: a. $500,000;or 'b. The Damage To Premises Rented To You Limit shown in the Declarations. 1. Paragraph 24L is replaced by the f0lowing: E. Parac aph 4b41$e$IR 01 the 011ier Insurance Conation is deleted and replaced by the following: d. The allegations in the wall and Uha information the Insurer knows about the offense alleged in such cul are such that no conflict appears to exist between the interests of the bsured and the Interests of the (II)That is property insurance for premises rented to the Named brewed,for premises temporarily occupied by indemnitee; the Named Insured with the permission 01 the owner;or for personal property of others In the Named 2. The first unnumbered paragraph beneath Paragraph 2.142)(6)is deleted and replaced by the hollowing: Duuntl'e care,custody or control; 16.LIOUOfl LIABILITY - So long as the above conditions are mat,attorneys lees incurred by the Insurer In the defame of that Indemnitee,necessary litigalon expenses incurred by the Insurer,and necessarylitigation expenses incurred Under COVERAGES,Coverage.A, Bodily Injury and Properly Damage LIebSIl,the paragraph entitled by the indemnitee at the Insurer's request will be paid aedatense costs.Such payments will not be deemed Exclusions is amended to delete the exclusion entitled Liquor Liability. • to be damages for ganorial and advertising Injury and will not reduce the limits of insurance. .This LIQUOR LIABILITY provision does not appy to any person or organization who uthevvlse qualifies as an C. This PERSONAL AND ADVERTISING INJURY-CONTRACTUAL LIABILITY Provision does not appy fl additional Insuredon this Coverage Part. Coverage a-Personal and Adomtiei g Injury Liability Is excluded by another endorsement attached to this N. Coverage Part tl 17.MEDICAL PAYMENTS ' - A. LIMITS OF INSURANCE w amended to delete Para F This PERSONAL AND ADVERTISING INJURY•CONTRACTUAL LIABILITY Provision does not apply to any Paragraph 7.(the Metltal Expense Limit)end replace h with the % parson or organization who otherwise qualifies as an adtttional Insured on this Coverage Part hollowing: - - - 22.PROPERTY DAMAGE-ELEVATORS g 7. Subject.to Paragraph 5.•above(the Each Occurrence Limit),the Medical Expo Limit is the wool the N Insurewill pay under Coverage C-Medical Payments for all medial expenses because of bodily Injury A. Under COVERAGES,Coverage A-Badly Injury and Property Damage Liability,the paragraph entitled sustained by any one person.The Medical Expense Limit la the greeterr of: Exclusions Is emended such that the Damage to Your Product Exclusion end subparagraphs(3),(4)and(6)of (1)•'$15,000 unless a different amount¢strewn here: ;or the Damage to Property'Exclusion do not apply to property damage that results horn the use of elevators. B. Soley for the purpose of the coverage provided by this PROPERTY DAMAGE-ELEVATORS Provision,the o (2)the amount shown in the Declarations for Medical Expense Limit. _ Other insurance conditions is amended to add the Iollowing parayeph: M B. Under COVERAGES,the Insuring Agreement of Coverage C-Medical Payments is amended to replace This Insurance is excess over anyof the other insurance,whether contingentany Paragraph ta(3)(b)with the following primary,excess, or on other basis that is Property= insu ante covering properly of others tlamaged from the use of elevators. - (A)The expeisas a incurred end reported to the Insurer within three years of the date of the accident;and 23.SUPPLEMENTARY PAYMENTS o - .This Paragraph B.does not apply to medical expenses incurred in the stale of Missouri. = The section entitled SUPPLEMENTARY PAYMENTS-COVERAGES A AND B is amended as follows: 16.NON-OWNED AIRCRAFT A. Paragraph 1.D.In emended to delete the$250 limit shown ter the cost of bel bonds and replace It with a$5,000. - Under COVERAGES,Coverage A-Bodily injury end Property Damage Liability,the paragraph entitled limit and 'Exdualens isamendedas follows: .. •- CNA74705XX(1-15) Polity No: 6045814479 - CNA74705XX(I-15) Policy No: 6045814479 Page 13 ni 17 Endorsement No: Page•r,of 17 Endorsement No: Elective Date: 2/24/2018 Eltecrve Data: 2/24/2018 Insured Name: - P.Ah1F Excavation,LLC IJBA Nino Construction Insured Name: PAMF Excavation,I.I.0 DBA Rino Construction oamn0x OUAI RV,Ramona.I:dlaempndrtaa meas N Imwwxw Sanas olhi.vc,wln O Gwmr,an. (bpaVaaw xr wpbs Roar..Irtluaa cop etyma rola.ofan oarm sense,anu.t2.realb araaahn. • • CNA CNA PARAMOUNT CNA CNA PARAMOUNT • . Contractors'General Liability Extension Endorsement Contractors'General Liability Extension Endorsement The exclusion entitled Aircraft,Auto or Watercraft Is amended In add the falowingi • B. Paragraph IA.Is amended to delete the limit of$250 shown for daily loss o1 earnings and replace it with a This exclusion does not apply to an!Moran not owned by any Named Insured,provided that: - 51.000.limit. sh 24.UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS • 1. the pilot in command holds a currently effective certificate issued by the duly constituted authority o1 the United 'States of America or Canada,designating that persan as a commercial or airline transport pilot; II the Named blued unintenttonaly fails to clueless all existing hazards al the inception date of the Named 2. the aircraft is rented with a trained,paid crew to the Named Insured;and . heured'e Coverage Pert,the Insurer will not deny coverage under This Coverage Part because of such failure. 3. the aircraft's not being used to carry persons or property fora charge. - • 25.WAIVER OF SUBROGATION-.BLANKET 1g.NON-OWNED WATERCRAFT Under CONDITIONS,the condition entitled Transfer 01 Rights Of Recovery Against Others To Uri Is emended to add the following: Under COVERAGES,Coverage A-Bodily Injury and Property Damage Llebtllty,the paragraph entitled Exeluebne is amended to delete subparagraph(2)of the exclusion entitled Aircraft,Auto or Watercraft,and The Insurer Insurerne any makrighes of injuryreyor damagery the irisin may have against any parson or organization because of ' replace n with the folowtg. paymens the rnskes br or arising out of: . This exclusion does not appy to: 1. the Named Insureds ongoing operations;or • (2)a watercraft that ts th not owned by any Named awed,provided the watercraft is: 2. your work included in the products-completed operations hazartl. However,this waiver applies only when the•Named inured has agreed in writing to waive such rights of recovery in (a)•taws than 75 feet long;and '' • e written contract or written agreement,and only it such contract or agreement: (b)not being used to Carry persons or property fora charge. 1, is in effector becomes effective during the lam el this Coverage Part and 20.PERSONAL AND ADVERTISING INJURY,DISCRIMINATION OR HUMILIATION 2. was executed prior to the bodily Injury,property damage or personal and advertising injury giving rise to the • A. Under DEFINITIONS,the definition of pereorsal and advertlaing Injury is amended to add the bellowing tort: ebbe. • piscrirnination or humiliation Ihat results in Injury to the feelings or reputation of a natural person. 26.WRAP-UP EXTENSION:OCIP,CCIP,OR CONSOLIDATED(WRAP-UP)INSURANCE PROGRAMS B. Under COVERAGES,Coverage B-•Personal erhd Advertising Injury Lia'Willy,the paragraph entitled Note:The following provision does not apply to any public construction project in the slate 01 Oklahoma,nor to any Exclusions is amended to: construction project in the state of Alaska,that is not permitted to be insured under a consogdeted(wrap-up) 1. delete the Exclusion entitled Knowing Vbtalion Of Rights 01 Another and replace it with the following: Ineurence program by applicable slate statute or regulation. Thio Insuraurm does not appy to: - if the endorsement EXCLUSION-CONSTRUCTION WRAP-UP is attached to this policy,or another exclusionary endorsement pertaining to Owner Controlled Insurance Programs(O.C.I.P.)or Contractor Controlled Iruvmnce Knowig Vleletbn of Rights of Another Programs(C.C.I.P.)Is attached,then the following changes apply: .. Pereonal and advertising Injury caused by or al Ihe'direction al the Insured with the knowledge that the ad A. The following wording Is added to the above-referenced endorsement: would violate the rights of another and would inflict peraorial and advertising Injury.This exclusion shall not With respect to a consolidated Insurance . appy to disaiminaton or humiliation that results in Injury to the feelings or reputation of a natural person,but (wrap-up) program project in whish the Named gamed is or was ony it such dsauninalion or humiliation isnot done intentionally by or at the direction of: involved,this exclusion does not apply to lose sums the Named hoofed become legally obligated to pay as damages because of: (a)the Nerved Sutured;or 1. Bodily Injury,properly damage,or personal or advertising Injury that occurs during the Named Lnwred's . (A)any exeadNe other,director.stockholder,partner,member or manager(if the Named Insured Is a ongoing operations al the project,or during such operations of anyone acting on the Named Insureds limited liability company)of the Named Sutured. behet;nor ' 2. add the hollowing exclusions:.. 2. Bodily injury or property damage Included within the preduetacortrpleted operetana hazard that arises • This Insurance does not apply to: This of those portions of the project That are not residential structures. Employment Related DiscriminationB. Condition 4.Other Insurance is amend to add the following subparagraph 44541x0): • ' Discrimination or humiliation dtrecly or Ind'uedly related to the employment,prospective employment,past This insurance Is excess over employment or lerminalion of employment of any parson by any Insured. (e)Any of the other insurance whether primary,excess,contingent or any other basis that is insurance available Premises Related Discrbat anon - to the Named beaded as a result of the Named Insured being a participant in e eonsoldeted(wrap-up) bhaurerce program,but only es respects the Named Insureds imoNement in that consolidated(wrap-up) dlxrbninalion or henlllatbn arising out of the sale,rental,lease or sublease or prospective sale,rental, Insurance program. lease or sublease of any room,dwelling or premises by or at the tirecfion of any Insured. CNA74705XX(I-15) - - .Policy No: 6045814479 CNA74705XX(1-15) Policy No: 6045814479 Page 14 0117 Endorsement No: Porn,1R of 17 Endorsement No: - Effective Dal.: 2/24/2018 - Elective Date: 2/24/2018 Insured Name: ppMF Excavation,LLC DBA Rina Construction Insured Name: PAMF Excavation,LLC DBA Rino Construction cagrov art 44Pynerenaa.aaa.aarwvosa aa.la almnia...mca,Ona,kc.rem p.n.. CasrrtNau..taa,ewrre6 Yaaau aWn,wsacabala uss..,o s.aa.emu.re.,wnm pam„ae. CNA CNA PARAMOUNT Contractors'General Liability Extension Endorsement • C. DEFINITIONS Is emended to add the tollosing definitions: Consolidated(wrap-op)Insurance program moans a construction,erection or demolition project for which the prime contractor/prefect manager or owner of the construction project has secured general liability Insurance covering some on all of the contractors or subcontractors involved in the project ,such as an Owner Controlled Insurance Program(O.C.I.P.)or Contractor Controlled Insurance Program(C.C.I.P.). Residential structure means any structure where 30%or more al Dia square foot area Is used or Is Intended to be used for human residency,Including but not limited to: 1. single or multifathiy housing,epartnionts,condominlums,townhouses,co-operatives or planned unit developments;and 2 the common areas and structures appurtenant to the structures in paragraph 1.(including pools,hot hubs, detected garages,guest houses or any similar structures). However,when there Is no Individual ownership of units,realdenllal structure does not Include military housing, college/university housing or dormitories;long term care facilities,hotels or motels.Reeldentlsl structure also does not include hospitals or prisons. This WRAP-UP EXTENSION:OCIP,CCIP,OR CONSOLIDATED(WRAP-UP)INSURANCE PROGRAMS Provision does not apply to any person or organization who otherwise qualifies as en addtionel insured on the Coverage Pent AA other lens and conditions of the Polley remain unchanged. This endorsement,which forms a part of and is for attachment to the Policy issued by the designated Insurers,takes effect on the effective dale o1 said Policy al the hour slated In said Policy,unless another effective dale is shown below,and aspires concurrently with said Policy. • t1 • • • • • • • • • • • • • • • CNA74705XX(1.15) Policy No:-6045814479 Papa 17 of 17 Endorsement No: • Insured Name: PANIF ltxcuvation,LLC ORA Rino Construction Effective Date: 2/24/2018 memo CraaaRCM neesor.Anar opity1 Em.i...1rearse eemtte Otte.m.,.enmpraeerian CNA Blanket Additional Insured - Owners, Lessees or Contractors - with Products-Completed Operations Coverage - Limited Liability Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART It is understood and agreed as follows: I. The WHO IS AN INSURED section is amended to add as an Insured any person or organization whom the Named Insured is required by written contract to add as an additional insured on this Coverage Part; including any such person or organization, if any, specifically set forth on the Schedule attachment to this endorsement. However, such person or organization is an Insured only with respect to such person or organization's liability for: A. bodily injury, property damage, or personal and advertising injury to the extent caused by: 1. the Named Insured's acts or omissions; or • 2. the acts or omissions of those acting on the Named Insured's behalf, in the performance of the Named Insured's ongoing operations specified in the written contract; or B. bodily injury or property damage to the extent caused by your work specified in the written contract and included in the products-completed operations hazard, and only if 1. the written contract requires the Named Insured to provide the additional insured such coverage; and 2. this coverage part provides such coverage. II. Subject always to the terms and conditions of this policy, including the limits of insurance, the Insurer will not provide such additional insured with: A. coverage broader than required by the written contract; or B. a higher limit of insurance than required by the written contract. III. The insurance granted by this endorsement to the additional insured does not apply to bodily injury, property damage, or personal and advertising injury arising out of: A. acts or omissions of the additional insured, or of anyone acting on the additional insured's behalf; or B. 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; and 2. supervisory, inspection, architectural or engineering activities; or C. any premises or work for which the additional insured is specifically listed as an additional insured on another endorsement attached to this coverage part. IV. Notwithstanding anything to the contrary in the section entitled COMMERCIAL GENERAL LIABILITY CONDITIONS, the Condition entitled Other Insurance, this insurance is excess of all other insurance available to the additional insured whether on a primary, excess, contingent or any other basis. However, if this insurance is required by written contract to be primary and non-contributory, this insurance will be primary and non- contributory relative solely to insurance on which the additional insured is a named insured. V. Solely with respect to the insurance granted by this endorsement, the section entitled COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows: CNA75081XX (1-15) Policy No: 6045814479 Page 1 of 2 Endorsement No: Insured Name: PAMF Excavation, LLC DBA Rino Construction Effective Date: 2/24/2018 Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc.,with its permission. CNA Blanket Additional Insured - Owners, Lessees or Contractors - with Products-Completed Operations Coverage - Limited Liability Endorsement The Condition entitled Duties In The Event of Occurrence, Offense, Claim or Suit is amended with the addition of the following: Any additional insured pursuant to this endorsement will as soon as practicable: 1. give the Insurer written notice of any claim, or any occurrence or offense which may result in a claim; 2. except as provided in Paragraph IV. of this endorsement, agree to make available any other insurance the additional insured has for any loss covered under this coverage part; 3. send the Insurer copies of all legal papers received, and otherwise cooperate with the Insurer in the investigation, defense, or settlement of the claim; and 4. tender the defense and indemnity of any claim to any other insurer or self insurer whose policy or program applies to a loss that the Insurer covers under this coverage part. However, if the written contract requires this insurance to be primary and non-contributory, this paragraph 4 does not apply to insurance on which the additional insured is a named insured. The Insurer has no duty to defend or indemnify an additional insured under this endorsement until the Insurer receives written notice of a claim from the additional insured. VI. Solely with respect to the insurance granted by this endorsement, the section entitled DEFINITIONS is amended to add the following definition: Written contract means a written contract or written agreement that requires the Named Insured to make a person or organization an additional insured on this coverage part, provided the contract or agreement: A. is currently in effect or becomes effective during the term of this policy; and B. was executed prior to: 1. The bodily injury or property damage; or 2. The offense that caused the personal and advertising injury for which the additional insured seeks coverage. Any coverage granted by this endorsement shall apply solely to the extent permissible by law. All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. CNA75081XX (1-15) Policy No: 6045814479 Page 2 of 2 Endorsement No: Insured Name: PAMF Excavation, LLC DBA Rino Construction Effective Date: 2/24/2018 Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. CNA71526XX CNA (Ed. 10/12) ADDITIONAL INSURED ENDORSEMENT - CONTRACTUAL OBLIGATION It is understood and agreed that this endorsement amends the BUSINESS AUTO COVERAGE FORM as follows: SCHEDULE Name of Additional Insured Person Or Organization AS PER WRITTEN CONTRACT 1. Paragraph A.1. Who Is An Insured of Section II — LIABILITY COVERAGE is amended to include as an additional insured the person or organization scheduled above, but only if you are required by"written contract"to make that person or organization an additional insured under this policy. 2. The insurance provided to the additional insured is limited as follows: a. The person or organization is an additional insured only with respect to "bodily injury" or "property damage" arising out of a covered "auto" and caused by your negligent acts or omissions or the negligent acts or omissions of someone, other than the additional insured, for whom you are legally liable. b. The person or organization is not an additional insured for the person or organization's own acts or omissions, nor those of anyone, other than you, for whom the person or organization is legally liable. c. We will not provide the additional insured any broader coverage or any higher limit of liability than the least that is: (1) Required by the"written contract"; or (2) Afforded to you under this policy. 3. Condition 2. Duties In the Event of Accident, Claim, Suit or Loss of Section IV — BUSINESS AUTO CONDITIONS is amended to add the following conditions applicable to the additional insured: An additional insured under this endorsement will as soon as practicable: a. Give us written notice of an "accident" which may result in a claim or "suit" under this insurance, and of any claim or"suit"that does result; b. Agree to make available any other insurance the additional insured has for a loss we cover under this policy; c. Send us copies of all legal papers received, and otherwise cooperate with us in the investigation, defense, or settlement of the claim or"suit"; and d. Tender the defense and indemnity of any claim or "suit" to any other insurer or self insurer whose policy or program applies to a loss we cover under this policy. But if the "written contract" requires this insurance to be primary and non-contributory, this provision d. does not apply to insurance on which the additional insured is a Named Insured. We have no duty to defend or indemnify an additional insured under this endorsement until we receive from the additional insured written notice of a "suit." 4. Only for the purpose of the insurance provided by this endorsement, SECTION V— DEFINITIONS is amended to add the following definition: "Written contract" means a written contract or written agreement that requires you to make a person or organization an additional insured under this policy, provided the contract or agreement: 1. Is currently in effect or becomes effective during the term of this policy; and 2. Was executed prior to the accident for which the additional insured seeks coverage under this policy. CNA71526XX(10/12) Policy No: 6045814482 Page 1 of 2 Endorsement No: Insured Name: PAMF Excavation, LLC DBA Rino Construction Effective Date: 2/24/2018 Copyright CNA All Rights Reserved. CNA71526XX (Ed. 10/12) All other terms and conditions of the Policy remain unchanged. Material used with permission of ISO Properties, Inc CNA71526XX (10/12) Policy No: 604581448 Page 2 of 2 Endorsement No: Effective Date: 2 2/24/2018 Insured Name: Copyright CNA All Rights Reserved. CNA CNA71527XX (Ed. 10/12) ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY It is understood and agreed that this endorsement amends the BUSINESS AUTO COVERAGE FORM as follows: SCHEDULE Name of Additional Insured Persons Or Organizations ANY PERSON OR ORGANIZATION THAT YOU ARE REQUIRED BY WRITTEN CONTRACT OR WRITTEN AGREEMENT TO NAME AS AN ADDITIONAL INSURED 1. In conformance with paragraph A.1.c. of Who Is An Insured of Section II — LIABILITY COVERAGE, the person or organization scheduled above is an insured under this policy. 2. The insurance afforded to the additional insured under this policy will apply on a primary and non-contributory basis if you have committed it to be so in a written contract or written agreement executed prior to the date of the "accident" for which the additional insured seeks coverage under this policy. All other terms and conditions of the Policy remain unchanged. a a CNA71527XX(10/12) Policy No: 6045814482 Page 1 of 1 Endorsement No: Effective Date: 02/24/2018 Insured Name: PAMF EXCAVATION LLC Copyright CNA All Rights Reserved. POLICY NUMBER: 6045814482 COMMERCIAL AUTO CA 04 44 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: PAMF Excavation, LLC DBA Rino Construction Endorsement Effective Date: 2/24/2018 SCHEDULE Name(s) Of Person(s) Or Organization(s): PER WRITTEN CONTRACT Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. CA 04 4410 13 Copyright, Insurance Services Office, Inc., 2011 Page 1 of 1 Consumer tools Agent and Company Lookup Orders Independent Review Decisions CONTINENTAL 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: CONTINENTAL INSURANCE COMPANY THE Registered address Mailing address Corporate family group: CNA INS GRP O 100 MATSONFORD RD STE 151 N FRANKLIN ST . ................... Organization type: PROPERTY 200 Chicago, IL 60606 Doing Business As (DBA): Unavailable RADNOR, PA 19087 Telephone Telephone WAOIC: 338 312-822-5000 NAIC: 35289 312-822-5000 Status: ACTIVE Admitted date: 06/26/1890 Ownership type: STOCK ^back to top Company change history p View changes back to top Types of coverage authorized to sell .. Insurance types Casualty Disability Marine Ocean Marine Property Surety Vehicle back to top ......................... Agents and agencies that represent this company (Appointments) o View agents. View agencies back to top Company complaint history o View complaints, back to.top Orders issued since 2010 o No orders are found back to top. Premium tax filings by tax year o 2018 2017 2016 2015 2014 back to top ............................. National information on insurance companies Want more information about this company? The NAIC's Consumer Information (CIS) page allows you to retrieve national financial and complaint information on insurance companies, plus has information and tips to help you understand current insurance issues. back to top Ratings by financial organizations The following organizations rate insurance companies on their financial strength and stability. Some of these companies charge for their services. A.M. Best ...................................... Weiss Group_Ratings Standard and Poor's Corp ................................................................................................. Moody's Investors Service ................... Fitch IBCA Duff and Phelps Ratings 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 top ........................ 86 Shares Continental Insurance Company (a member of CNA Insurance Companies) AM Best#:002118 NAIC#: 35289 FEIN#: 13-5010440 Address: 151 North Franklin Street Chicago, IL 60606 UNITED STATES Phone: 312-822-5000 Fax: Web: www.cna.com Follow A Print this page Best's Credit Ratings Financial Strength Rating View Definition Rating: A (Excellent) Affiliation Code: g (Group) Financial Size Category: XV ($2 Billion or greater) Outlook: Stable Action: Affirmed Effective Date: July 05, 2018 i i( iI Initial Rating Date: December 31, 1907 Long-Term Issuer Credit Rating View Definition Long-Term: a I i Outlook: Positive Action: Affirmed Effective Date: July 05, 2018 Initial Rating Date: June 21, 2005 u Denotes Under Review Best's Rating Licensing: Licensed Territory: (Current since 06/25/2009).The company is licensed in the District of Columbia, Guam, Northern Mariana Islands, Puerto Rico, U.S. Virgin Islands and all states. Also, it is an Authorized/Registered Reinsurer in Bermuda, Chile, Mexico, Paraguay, Peru, Philippines, and Venezuela. Total Assets $2,100,000.00 .....mmuramalm. � 01111111 .— Miallinillialr$2,000,000.00 M� a�� . IMINUMMUMMEN 111111111111111111111111111111111= $1,900,000.00 WIMMINNIMMUNUMMI IMMUNIMINNIMil�--- 2.111.11111111111111•111:11 i $1,800,000.00 �--Mi H------ Ii---- _-_- • $1,700,000.00 �;� � -- - s $1,600,000.00 IFIFI!1 :{ $1,500,000.00 2018 2017 2016 2015 2014 — Data Years I DPW -Top Lines of Business iff,J a 068 • 38 09 pf 5.20% r J 16.24% ® Other Liability ccurrenc Commercial Multiple(OPeril e) — Workers'Compensation — Auto(Commercial) — Ocean Marine Company Attributes Industry: Insurance Business: Property/Casualty Business Status: In Business Entity: Operating Company Consolidated Type: Affiliated Single Company Organization Type: Stock Statement Type: NAIL PC Last Statement: 3rd Quarter 2018 tt Top Line(s) of Business (based upon Direct Premiums Written) 1. Other Liability (Occurrence) (View Definition ) 2. Commercial Multiple Peril (View Definition ) 3. Workers' Compensation (View Definition ) 4. Auto (Commercial) (View Definition ) 5. Ocean Marine (View Definition ) Top State(s) of Business (based upon Direct Premiums Written) 1. California 2. Texas 3. Florida 4. New York 5. Illinois I ' { i To view competitive insurers for Continental Insurance Company, please select State and Line of coverage and click compare. State: Select a state Line: Compare { i{{ }f1 } Terms of Use All information provided on the AM Best website, including but not limited to text, data, ratings, reports, images, photos, graphics, and charts is owned by or licensed to AM Best and is protected by United States copyright laws and international treaty provisions.AM Best and its licensors retain all copyright and other proprietary rights to the website content. Best's Credit Ratings, obtained through any source, may not be reproduced, distributed to Third Parties, or stored in a database or retrieval system in any form for commercial purposes without the prior written permission of the AM Best.All unauthorized use of Best's Credit Ratings or other published information is strictly prohibited. By logging into My Account or accessing this site, you accept and agree to be bound by our complete Terms of Use. J Customer Service I Support I My Account I Contact I Careers About Us I Site Map I Privacy Policy I Security I Terms of Use I Legal&Licensing Copyright©2019 A.M. Best Company, Inc.and/or its affiliates.ALL RIGHTS RESERVED. Consumer tools Agent and Company Lookup Orders Independent Review Decisions AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIA 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: AMERICAN CASUALTY COMPANY OF READING, Registered PENNSYLVANIA address Mailing address Corporate family group: CNA INS GRP O 100 MATSONFORD RD 151 N FRANKLIN ST Organization type: PROPERTY STE 200 CHICAGO, IL 60606 Doing Business As (DBA): Unavailable RADNOR, PA 19087 Telephone WAOIC: 55 Telephone 312-822-5000 NAIL: 20427 312-822-5000 Status: ACTIVE Admitted date: 09/22/1939 Ownership type: STOCK back to top Company change history o. View changes 1 back to top ........................ Types of coverage authorized to sell o Insurance types Casualty Disability Marine Ocean Marine Property Surety Vehicle 1 back to top Agents and agencies that represent this company (Appointments) o View a9ents, View agencies 1 back to top ........................ Company complaint history o. ...................................................... View complaints1 back to top ............................. Orders issued since 2010 0 View orders back to top ........................ Premium tax filings by tax year o. 2018 2017 2016 2015 2014 • back to 91) top ..................... National information on insurance companies Want more information about this company? The NAIC's Consumer Information (CIS) page allows you to retrieve national financial and complaint information on insurance companies, plus has information and tips to help you understand current insurance issues. • back to top ............................. Ratings by financial organizations The following organizations rate insurance companies on their financial strength and stability. Some of these companies charge for their services. A.M. Best ...................................... Weiss Group_Ratings Standard and Poor's Corp ................................................................................................ Moody's Investors Service .................... Fitch IBCA, Duff and Phelps Ratings 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 top ........................ 86 Shares American Casualty Company of Reading, PA (a member of CNA Insurance Companies) AM Best#:002127 NAIC#: 20427 FEIN#: 23-0342560 Address: 151 North Franklin Street Chicago, IL 60606 UNITED STATES Phone: 312-822-5000 Fax: 312-822-6419 Web: www.cna.com Follow l Print this page Best's Credit Ratings Financial Strength Rating View Definition Rating: A (Excellent) Affiliation Code: g (Group) Financial Size Category: XV ($2 Billion or greater) Outlook: Stable Action: Affirmed Effective Date: July 05, 2018 Initial Rating Date: June 30, 1922 ( I Long-Term Issuer Credit Rating View Definition Long-Term: a Outlook: Positive Action: Affirmed Effective Date: July 05, 2018 1, Initial Rating Date: June 21, 2005 f i u Denotes Under Review Best's Rating Licensing: Licensed Territory: (Current since 11/08/2001).The company is licensed in the District of Columbia, Puerto Rico and all states. Total Assets NM= ali _ ��$155,000.00 _� rami� r�� NE=� __ g .$150,000.00 umialll INialli IT-1 -mum ' �� $145,000.00 allaill--- 0111111 11111n.11_11111111 f i •aINUIN i $140,000.00 � x im. $135,000.001111111=1 , $130,000.00 '' t :::: Ii ri 5 $125,000.00 � i $120,000.00 ' 2018 2017 2016 2015 2014 — Data Years DPW -Top Lines of Business 505% . 40.40-'3/4 34.12%0 • -- Medical Professional Liability Workers'Compensation Commercial Multiple Peril — Auto(Commercial) Company Attributes Industry: Insurance Business: Property/Casualty Business Status: In Business Entity: Operating Company Consolidated Type: Affiliated Single Company Organization Type: Stock Statement Type: NAIL PC Last Statement: 3rd Quarter 2018 Top Line(s) of Business (based upon Direct Premiums Written) 1. Medical Professional Liability (View Definition ) 2. Workers' Compensation (View Definition ) 3. Commercial Multiple Peril (View Definition ) 4. Auto (Commercial) (View Definition ) 5. Other Liability (Occurrence) (view Definition ) Top State(s) of Business (based upon Direct Premiums Written) 1. California 2. New York 3. Florida 4. Texas 5. Pennsylvania To view competitive insurers for American Casualty Company of Reading, PA, please select State and Line of coverage and click compare. State: Select a state Line: Compare • Terms of Use All information provided on the AM Best website, including but not limited to text, data, ratings, reports, images, photos, graphics,and charts is owned by or licensed to AM Best and is protected by United States copyright laws and international treaty provisions.AM Best and its licensors retain all copyright and other proprietary rights to the website content. Best's Credit Ratings,obtained through any source, may not be reproduced, distributed to Third Parties,or stored in a database or retrieval system in any form for commercial purposes without the prior written permission of the AM Best.All unauthorized use of Best's Credit Ratings or other published information is strictly prohibited. By logging into My Account or accessing this site, you accept and agree to be bound by our complete Terms of Use. J Customer Service I Support I My Account I Contact I Careers About Us I Site Map I Privacy Policy I Security I Terms of Use I Legal&Licensing Copyright©2019 A.M. Best Company, Inc. and/or its affiliates.ALL RIGHTS RESERVED. Consumer tools Agent and Company Lookup: :Orders` Independent Review Decisions CHARTER OAK FIRE 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: CHARTER OAK FIRE INSURANCE COMPANY THE Registered address Mailing address Corporate family group: TRAVELERS GRP O ONE TOWER SQUARE ONE TOWER SQUARE Organization type: PROPERTY HARTFORD, CT 06183-9070 HARTFORD, CT 06183-9070 Doing Business As (DBA): Unavailable Telephone Telephone WAOIC' 253 860-277-0111 860-277-0111 NAIC: 25615 Status: ACTIVE Admitted date: 01/02/1936 Ownership type: STOCK is back to top ........................ Company change history o View change ^back to top ....................... Types of coverage authorized to sell o Insurance types Casualty Marine _ Ocean Marine Property Surety Vehicle back to top Agents and agencies that represent this company (Appointments) p View agents View agencies. back to top Company complaint history 0 View;;compiaints+ back to top. Orders issued since 2010 0 View orders.I back to top ........................ Premium tax filings by tax year o 2018 2017 2016 2015 2014 back to top. ........................ National information on insurance companies Want more information about this company? The NAIC's Consumer Information_(CIS) pa.g_e 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 top ............................. • 86 Shares I i Charter Oak Fire Insurance Company (a member of Travelers Group) AM Best#:002516 NAIC#:25615 FEIN#: 06-0291290 Address: One Tower Square Hartford, CT 06183 UNITED STATES ;Phone: 860-277-0111 Fax: 860-277-7002 Web: www.travelers.com Follow 1 1 Print this page Best's Credit Ratings Financial Strength Rating View Definition Rating: A++ (Superior) Affiliation Code: g (Group) Financial Size Category: XV ($2 Billion or greater) Outlook: Stable Action: Affirmed ! i i 1 Effective Date: October 31, 2018 Initial Rating Date: June 30, 1936 Long-Term Issuer Credit Rating View Definition Long-Term: aa+ Outlook: Stable Action: Affirmed Effective Date: October 31, 2018 Initial Rating Date: April 18, 2005 u Denotes Under Review Best's Rating Licensing: Licensed Territory: (Current since 12/20/2001).The company is licensed in the District of Columbia, Puerto Rico, AL, AK, AZ, AR, CO, CT, DE, FL, GA, HI, 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. ' 1 1 i i { Total Assets ( $945,000.00 —ir �� ! $940,000 00 r, , iiiiimmi NM $935,000.00 _;:--43'°. 11.1==.11111111111111111111111111 $930,000.00 —- M ____ - M $925,000.00 A Vry o 0 — ""m 44 $920,000.00 - Li-' -., $915,000.00 -- ' _ o $910,000 00 , __ ,; i_— — 0— i $905,000.00 ., - : " . 2018 2017 2016 2015 2014 — Data Years 1 I ' 1 i I tI I i 1 i { DPW -Top Lines of Business g 8 08-i°la a ';{��tn� �; �' a 5 f-,k x", "k 7 � a35i48t°0 111':99% ',4"''4 ,:x E .+'£tress-'=E F 'f�' E t-'.1-'' des,:i .- s e ' K°a'4'4 ' "r 7-P `� h 1 3 PJ 3 ,1 t i £ iF 30$7%0 ;,'';4 t : I ; ® Commercial Multiple Peril — Workers'Compensation — Auto(Commercial) Other Liability(Occurrence) — Homeowners Multiple Peril a J I 1 Company Attributes - Industry: Insurance Business: Property/Casualty Business Status: In Business Entity: Operating Company ! Consolidated Type: Affiliated Single Company Organization Type: Stock Statement Type: NAIC PC Last Statement: 3rd Quarter 2018 Top Line(s) of Business (based upon Direct Premiums Written) 1. Commercial Multiple Peril (View Definition ) 2. Workers' Compensation (View Definition ) 3. Auto (Commercial) (View Definition ) 4. Other Liability (Occurrence) (View Definition ) 5. Homeowners Multiple Peril (View Definition ) Top State(s) of Business (based upon Direct Premiums Written) 1. New York 2. New Jersey 3. Texas 4. Florida 5. Illinois ! i c I � 4 � t � f To view competitive insurers for Charter Oak Fire Insurance Company, please select State and Line of coverage and click compare. State: Select a state Line: l� j Compare I I Terms of Use All information provided on the AM Best website, including but not limited to text, data, ratings, reports, images, photos, graphics,and charts is owned by or licensed to AM Best and is protected by United States copyright laws and international treaty provisions.AM Best and its licensors retain all copyright and other proprietary rights to the website content. Best's Credit Ratings,obtained through any source, may not be reproduced, distributed to Third Parties, or stored in a database or retrieval system in any form for commercial purposes without the prior written permission of the AM Best.All unauthorized use of Best's Credit Ratings or other published information is strictly prohibited. By logging into My Account or accessing this site, you accept and agree to be bound by our complete Terms of Use. I I i I I I I j a � r ' { I I i I iv I � Customer Service I Support I My Account I Contact I Careers About Us I Site Map I Privacy Policy I Security I Terms of Use I Legal &Licensing Copyright©2019 A.M. Best Company, Inc. and/or its affiliates.ALL RIGHTS RESERVED. CITY OP AUBURN CONTRACT CHANGE ORDER AGREEMENT NO. I Contract No.: Contract 19-06 Project Name: CP1804 Auburn Way North Sidewalk Improvement Project Contractor: Rino Construction P.O. Box 667 Maple Valley,WA 98038 The Contractor is hereby directed to make the changes to the Contract as described herein. This document and all attachments are a supplement to the contract. All work, materials, measurements and unit bid prices for the type of construction involved shall be in accordance with the contract documents of the above named project unless stated otherwise in this change order. Summary of Proposed Changes: 1. ADD new pay item, "Removal and Disposal of Underground Fuel Tank"to the Contract to be paid per lump sum, and shall be full pay for equipment, labor, and material to complete the removal and disposal of abandoned diesel fuel tank(UST), including soil sampling of area within a ten foot radius of UST, excavation and disposal of any contaminated soil encountered, and backfilling area with imported soil. All additional materials and labor, not shown on the plans or called for herein and which are required to complete the removal of the UST, shall be included in the lump sum Contract price. The Contract time is extended by 5 working days. Sec. Quantity Unit Price Total Price Item Sch. No. Item Description (+I ) Units ($) (+/-) C01-1 A N/A Removal and Disposal of Underground Fuel Tank 1 LS 13,630.00 $ 13,630.00 Subtotal $ 13,630.00 Washington State Sales Tax(10%)on applicable items $ - TOTAL $ 13,630.00 Base Amount Total incl. Tax 1. Total Cost this C/O $ 13,630.00 $ 13,630.00 2. Total Cost Previous C/O - 3. Original Contract Amount $ 395,812.50 $ 395,812.50 4. Revised Contract Amount $ 409,442.50 $ 409,442.50 This change order constitutes full and complete compensation for all labor, equipment, materials, overhead, profit, any and all indirect costs,and time adjustment to perform the above described changes. All other costs are non-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 s. e A. --merit and shall become effective when one or more counterparts have been signed by each of the parties - ,d deliv;,=:t. •• o -r party. / Contracto (gj(3/17/e� '� D to / Project Manag• . / 5. • j ate City Engineer: 6/21-7-5 /l!_ �-5 Date Approved by: ' i,1 _ ' , r Mayo•, *yof Auburn Da e � r Approved as to form: Oc - City Attorney late ENG-028, Revised 01/19 Page 1 of 1 • CITY OF AUBURN CONTRACT CHANGE ORDER AGREEMENT NO. 3 SCAPOIED Contract No.: Contract 19-06 Project Name: CP1804 Auburn Way North Sidewalk Improvement Project Contractor: Rino Construction P.O. Box 667 Maple Valley,WA 98038 The Contractor is hereby directed to make the changes to the Contract as described herein. This document and all attachments are a supplement to the contract. All work, materials, measurements and unit bid prices for the type of construction involved shall be in accordance with the contract documents of the above named project unless stated otherwise in this change order. Summary of Proposed Changes: 1. Add a new non-taxable schedule to include the items listed in the table below. These items shall conform to the existing Contract Specifications.The added Work is to remove the existing alley access driveway between the properties located at 10 and 20 Auburn Avenue and install with new curb and gutter and sidewalk. The Contract time is extended by 4 working days. Sec. Quantity Unit Price Total Price Item Sch. No. Item Description (1-1-1 ($) ($) CO3-1 C 1-10 Traffic Control Labor(Min. Bid$42.33 per hour) 15 HR 60.00 $ 900.00 CO3-2 C 1-10 Outside Agency Uniform Police Flagging Labor 500 EST 1.00 $ 500.00 CO3-3 C 2-02 Removal of Asphalt Pavement 25 SY 12.00 $ 300.00 CO3-4 C 2-02 Removal of Cement Concrete Flat Work 12 SY 12.00 $ 144.00 CO3-5 C 2-02 Removal of Curb and Gutter 35 LF 6.00 $ 210.00 CO3-6 C 4-04 Crushed Surfacing Top Course 5 TON 60.00 $ 300.00 CO3-7 C 5-04 Commercial HMA 10 TON 240.00 $ 2,400.00 CO3-8 C 8-04 Cement Concrete Traffic Curb and Gutter 32 LF 41.00 $ 1,312.00 CO3-9 C 8-14 Cement Concrete Sidewalk 25 SY 120.00 $ 3,000.00 Subtotal $ 9,066.00 Washington State Sales Tax(10%)on applicable items $ - TOTAL $ 9,066.00 Base Amount Total incl.Tax 1. Total Cost this C/O _ $ 9,066.00 $ 9,066.00 2. Total Cost All Previous C/O $ 26,515.89 $ 26,515.89 3. Original Contract Amount $ 395,812.50 $ 395,812.50 4. Revised Contract Amount $ 431,394.39 $ 431,394.39 This change order constitutes full and complete compensation for all labor, equipment, materials, overhead, profit, any and all indirect costs, and time adjustment to perform the above described changes. All other costs are non-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 eement and shall become effective when one or more counterparts have been signed by each of the parties delivered e other party. Contra or i-^� e3/1/(? Project Manage 7. g G / Aate City Engineer: � i �7 Date Approved by: k '._1..�_ ►�.A. t_ . 8'B ayor,Ny of Auburn Date Approved as to form: a�►t►'\ City 777,1,7011` S a e ENG-028, Revised 01/19 Page 1 of 1 • ti CP1804-AWN Sidewalk Improvement Project Contract No. 19-06 Change Order No. 3 Independent Engineer's Estimate Change Order Summary: This change order includes the following: • Add a new non-taxable schedule to include the items listed in the table below. These items shall conform to the existing Contract Specifications. The added Work is to remove the existing alley access driveway between the properties located at 10 and 20 Auburn Avenue and install with new curb and gutter and sidewalk. Engineers Estimate was generated using contract unit bid prices. Bid quantities were taken using field measurements. Backup information is available in project folder. Total Change Order Cost $9,066.00 Fund 105 (Street Preservation) $9,066.00 Budget: Parks Fund 330 allocated $10,000.00 to our project complete scope of work. The work is covered under the authorized construction contingency. Prepared By:L Barba Date:8/1/2019 l , 2716� . UtSE.. /0 K I btwV \9 .f°AY X 'SY \.D.47.2 t ,‘ 5, A , 166/60 -) x .o 2oY " i O S ? I CcA,R,0 /6“Ax-rf,(L. LI" /C-F x 3 ( F ) Lr r ,o 7 - 190 sr x © • 1716 1 ` ►-ic.le.. (0'33 Fr) _ 3 Scr S To/Q s rnf� R�C t le;-00 „ 6,7 1 f� v _7 Thy 3 ) / .STr: yC Fr 4t/ �c.'�f • t� C3 T! ! 8 (0,6_27 r-ri) Cr c16, C2t .0 /.F X - ams CO NC- �6 s y ,cI e)/5 `3r . ° 11300 C 3 ► � x '/�� TC2.-et FFi c... 4 S,,s c)//_,. Ilrcx ` y o TL BUDGET STATUS SHEET Project No: CP1804 Project Title: AWN Sidewalk Improvement Project 1 Project Manager: Luis Barba • O Project Update Initiation Date: 12/21/2017 0 Permission to Advertise Date:July 31,2019 Advertisement Date: 3/5/2019 0 Contract Award Award Date:4/1/2019 Q Change Order Approval 0 Contract Final Acceptance Funds Budgeted(Funds Available) Funding Prior Years 2018(Actual) 2019 Total 328 Fund-Citywide ADA and Sidewalks 44,531 93,319 137,850 328 Fund-State TIB Grant 30,375 232,875 263,250 462 Fund-Storm 0 76,000 76,000 102 Fund-Streets 110,000 110,000 330-Fund-Parks 10,000 10,000 Total 0, 74,906 522,194 597,100 Estimated Cost(Funds Needed) Activity Prior Years 2018(Actual) 2019 I Total Design Engineering-City Costs 74,906 12,184 87,090 Design Engineering-Permits 0 550 550 Design Engineering-Other 0 500 500 Construction Contract Bid 0 395,813 395,813 'Change Order No.1 0 13,630 13,630 Change Order No.2 0 12,886 12,886 Change Order No.3 0 9,066 9,066 Authorized Construction Contingency Remaining 0 17,629 17,629 Construction Engineering-Other 0 466 466 Construction Engineering-Permitting 0 500 500 Construction Engineering-City Costs 0 26,000 26,000 Total 0 74,906 489,224 564,130 'Change Order No.1 was approved by City Council on June 3,2019 with a not to exceed amount of$15,000 using project contingency 328 Capital Improvement Project Budget Status Prior Years 2018(Actual) 2019 Total '328 Funds Budgeted () 0_ (74,906) (326,194) (401,100) 328 Funds Needed 0 74,906 326,194 401,100 '328 Fund Project Contingency() 0 0 0 0 328 Funds Required 0 0 0 0 462 Storm Bud et Status Prior Years 2018(Actual) 2019 Total '462 Funds Budgeted () 0 0 (76,000) (76,000) 462 Funds Needed 0 0 63,050 63,050 '462 Fund Project Contingency() 0 0 (12,950) (12,950) 462 Funds Required 0 0 0 0 102 Arterial Street Budget Status Prior Years 2018(Actual) 2019 Total '102 Funds Budgeted () 0 0 (110,000) (110,000) 102 Funds Needed 0 0 90,914 90,914 '102 Fund Project Contingency() 0 0 (19,086)_ _(19,086) _ 102 Funds Required 0 _ 0 0 0 •(#)in the Budget Status Sections indicates Money the City has available. 330 Parks Bud et Status Prior Years 2018(Actual) 2019 Total __'330 Funds Budgeted () 0 0 (10,000) (10,000) 330 Funds Needed 0 0 9,066 9,066 '330 Fund Project Contingency() 0 0 (934) (934) 330 Funds Required 0 0 0 0 •(#)in the Budget Status Sections indicates Money the City has available. ENG-270,Revised 12/17 H:\PROJ\CP1804-AWN Sidewalk Improvement Project\3.00 Project Management\3.20 Budget\CP1804 AWN Sidewalks BudgetStatusSheet.xls 1 of 1 CITY OF AUBURN CONTRACT CHANGE ORDER AGREEMENT NO. 2 Contract No.: Contract 19-06 Project Name: CP1804 Auburn Way North Sidewalk Improvement Project Contractor: Rino Construction P.O. Box 667 Maple Valley,WA 98038 The Contractor is hereby directed to make the changes to the Contract as described herein. This document and all attachments are a supplement to the contract. All work, materials, measurements and unit bid prices for the type of construction involved shall be in accordance with the contract documents of the above named project unless stated otherwise in this change order. Summary of Proposed Changes: 1. Increase the Contract unit quantity for the pay items BI# 15(Commercial HMA). 2. Add pay item, "Rectangular Rapid Flashing Beacon (RRFB)System Lighting Modification"to the Contract,which shall be paid per lump sum and shall include the incremental costs for installing advance warning flashers. The Lump Sum pay item shall include the incremental costs for the labor, materials, and equipment required to furnish and install lights on the advance warning sign. In addition, since the new pay item for"Rectangular Rapid Flashing Beacon(RRFB)System Lighting Modification" is an incremental cost,the existing pay item for"Rectangular Rapid Flashing Beacon (RRFB)System and Signal, Complete",which includes the costs to install the advanced warning sign, shall be paid to its full bid price once complete. The Contract time is extended by 0 working days. Sec. Quantity Unit Price Total Price Item Sch. No. Item Description +/-� Units ($) +1-) 15 A 5-04 Commercial HMA 36 TON 240.00 $ 8,640.00 Rectangular Rapid Flashing Beacon (RRFB)System Lighting CO2-1 A 8-20 Modification 1 LS 4245.89 $ 4,245.89 Subtotal $ 12,885.89 Washington State Sales Tax(10%)on applicable items $ - TOTAL $ 12,885.89 Base Amount Total incl.Tax 1. Total Cost this C/O $ 12,885.89 $ 12,885.89 2. Total Cost Previous C/O $ 13,630.00 $ 13,630.00 3. Original Contract Amount $ 395,812.50 $ 395,812.50 4. Revised Contract Amount $ 422,328.39 $ 422,328.39 This change order constitutes full and complete compensation for all labor, equipment, materials, overhead, profit, any and all indirect costs, and time adjustment to perform the above described changes. All other costs are non-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 partie deliv to the other party. Contracto i, / /-7 • D. e Project Manager: - - i , / ` Date City Engineer: QL v b j �,� .� e late Approved by: 1 _. . Mayo 'y of Auburn Date Approved as to form: 8 i y• n Bate ENG-028, Revised 01/19 Page 1 of 1 CP1804-AWN Sidewalk Improvement Project Contract No. 19-06 Change Order No. 2 Independent Engineer's Estimate Change Order Summary: This change order includes the following: • Increase the Contract unit quantity for the pay items BI# 15 (Commercial HMA). • Add "Rectangular Rapid Flashing Beacon (RRFB) System Lighting Modification" to the Contract, which shall be paid per lump sum and shall include the incremental costs for installing advance warning flashers. The Lump Sum pay item shall include the incremental costs for the labor, materials, and equipment required to furnish and install lights on the advance warning sign. In addition, since the new pay item for "Rectangular Rapid Flashing Beacon (RRFB) System Lighting Modification" is an incremental cost, the existing pay item for "Rectangular Rapid Flashing Beacon (RRFB) System and Signal, Complete", which includes the costs to install the advanced warning sign, shall be paid to its full bid price once complete. The increase in quantity of commercial HMA was used to correct drainage issues that were created with a new driveway design on a commercial property. As for incremental costs for the RRFB system, the cost were to install advance flashers on the advance warning sign for our project. This was an item that was requested by Traffic, which we did not clearly identified on the plans. Commercial HMA was estimated using contract unit cost, while incremental costs for RRFB flashers was generated using cost proposal for material and markups supplied by the sub-contractor. Backup information is provided. Total Change Order Cost $12,885.89 Fund 105 (Street Preservation) $12,885.89 Budget: The total added cost for Fund 102 is estimated to be $12,885.89 which is within the project's authorized construction contingency. Prepared By:L Barba Date:7/24/2019 TRANSPORTATION SYSTEMS, Inc CHANGE REQUEST PROJECT NAME: CP 1804 AUBURN WAY NORTH TRANSPORTATION SYSTEMS: REQUEST FOR CHANGE: DATE: 6/5/2014 RFP#: EXTRA COST FOR SUBMITTAL CHANGE OF THE SIDE LIGHTS FOR RRFB B/16 B/Ill 39 COA REQUESTING SIDE BAR LIGHTS NOTE 4 OF SUBMITTAL REVIEW Unit DESCRIPTION LABOR MATERIAL EQUIPMENT SUBCONTRACTOR UNIT TOTAL UNIT TOTAL UNIT TOTAL UNIT TOTAL 1 SIDE OAR INDICTATOR LIGHTS 0.00 0.00 $ LEO $ 2,900.00 $ - $ - $ - 1 0.00 0.00 $ - $ - $ - $ - $ - $ - 0.00 0.00 $ - $ - $ - $ - $ - $ - 0.00 0.00 $ - $ - $ - $ - $ - $ - 0.00 0.00 $ - $ - $ - $ - $ - $ - 0.00 0.00 $ - $ - $ - $ - $ - $ - 0.00 2,900.00 $ HOURS MULTIPLIED BY BURDENED RATE $69.00 50.00 MARK UP APPLIED TO LABOR 29.00% $0.00 TOTAL MATERIAL $2,900.00 Material Tax 10.00% $290.00 MARK UP APPLIED TO MATERIAL&TAX 21.00% $66990 TOTAL EQUIPMENT $0.00 'This proposal is based solely on the usual cost elements such as labor,material MARK UP APPLIED TO EQUIPMENT 2100% $0.00 and normal markups and does not include any amount for changes in the sequence of work,delays,disruptions,rescheduling,extended overhead,acceleration and/or TOTAL SUBCONTRACTOR $0.00 impact costs,and the right is expressly reserved to make claim for any and all of these MARK LIP APPLIED TO SUBCONTRACTOR 0.00% 50.00 related items of cost prior to arty final settlement of this contract. SUBTOTAL $3,859.90 • 0.0011 $0.00 TOTAL OF CHANGE REQUEST $3,8S9.90 46 a r PO Box 1897 Quote ALTITUDE Loveland,Co 80539 `�[_ 470 461 4922 !'-"---;•�-7:7:7: S I G N A L LLC t ) :Date =:, 5! `i,Quote,; '?. sales@altftudesigna Isom 5/8/2019_1 Q001348d Bill To Ship To Transportation Systems,Inc Attn:Angie Hiatt Project,.... . .....T I -_.r>:`;;:i ti•• ''Re Delive' Auburn Way N.Sidewalk Im I Net 30 1 Destination r SR ) 4-6 Weeks ARO IL 'MPN 7 ;.' Description Qty # Unit.Cost Total :{ I ELTEC RRFB System,Solar-Median 1 3,950.00 3,950.00 Includes: 1 x ELTEC SL55 RRFB Controller,Solar 1 x Radio and Salt Shaker Antenna 1 x 65W/75Ahr Solar System,top of pole mount 2 x ELTEC 2L RRFB Bar,Federal Yellow,Banding Mount with Ped I Indicator ' l ELTEC RRFB Crossin 9'Solar-. ur Cb.`:'c::s'::!.;+r't.:a ' 'r:'t ' .;` , :.-:-.-.i.'.:..;.,......:,':-.'.: •.'( (:3,700.00 400.00_., Includes 1 x.ELTEC SL55 RRFB Controller Solar 1,x Radio i oun 1 '65 oar stem'to of tem t�,�.� ?`�:',!>:::'.,<�:' ';< x. W/SSAhr,S I ..�y, p, po. - ,::::1 • .1 ,:.. x:ELTEC:2L:RRFB,Bar'?Federal Yellow,with,P _ .;" „�,. ed.Indicator'�' ::.;::;; 'ti :r 1 'Cam•bell AGPS.Push Buttons Yellow .with R10725 Braille Sign S:::* -1,-- Sign Kit Includes: 1 925.00 925.00 6 x W11-2 Pedestrian Sign,Fluorescent Yellow, Facing Left,Type 11, I i 30"x 30° 4 x W16-7 Arrow Sign,Fluorescent Yellow,Type 11,24"x 12" 20 x Sign Mounting Bracket,Banding Installation ,; pP...9. I .;500.001' 500.00. Estimated Shl In .:'.: :;!.-;?. ``+ PO Box 1897 ALTITUDE Loveland,C080539 Quote S I G NAL, LLC (970)461-4922 ,-'.-'.-.---.-.<:-r-.-._-.,,T,.-...,-,7;-,-;.; . sales@altitudesignal.com Date„.::;, + - :Quote.#. .;I I) 5/8/2019 0002348d j Bill To Ship To Transportation Systems,Inc Attn:Angie Hiatt Project yTerms j FOB Rep 4 Dehyery JAuburn Way N Sidewalk Im i Net 3o I Desbnauon — SR 4 6 Weeks ARO '..:;::::::':::'..2,-.111,7';-. ::‘, -----., P - t Description ' I Qty;: k Unit Cost Total , .-: u fi i NOTES_ % , o 00 0 00_I ,1)Project.;Auburn,Way N, dewalk Improvements::..:.:.:.. '.:, a • 2),Pdles Not Included i .:;i ;it, 'I. a .res :':':i :of the'wnt2 t 3 Final uantlbes re th e n Po tY.. 4 Prices are formaterial.o installation is not included. ;. `•k e :a inimum of. II' ='si technics l assistance MUST:be chedul d m 'S A on to 2 3 weeks �`j :; :: :...:;;Inadvanceofintersectionium-on•:';NOIXCEiriIONS' ._.:,.:. .:,;,.,;.<.;'::::.l ;.3\*If.addltlonal.on-sste.octechglcal,ass?stance.ls regwred,opttonah>�: :.,;.:;> .::;:,,:_ 0,.::::1 :s!` r;:. ;:'' `' technical"'X ".- :'' to'the' 'urchase order at: 1 00 .assistahce fees must be'added - 3.d minimum charge.' r 22219.1..Ifadditional{material-is c eria a ans ated 6 n e.orv.mat i P f ::.re ulred a ernsed. note must be r •nested. r eg `•<'+'' ”' '•7 All. nces are sub ect to a ]icable taxes.'If.taz:exem tion applies; .:�:, :;���' - I -....•,'..''.:•'.••.•;i.•:-....:::':::•-:•.'•.•..-":,-, �.. i number.wit order ' furn sh i ova '.�thout a roved ':8 Ali iiiit es are sub'ect to ed t a r I. a a id dvance" G• 1 `o els m st`be'a Iri'a ' i na LLC cred t Iine rd �S I u o dencanceilatlon w a 25/. stoc lv fee for•an r ' .,.9 There III o' i i ........::...:..._ ..:after'.the ., :: �se'orderJias�beenenteredwitfi a�delive �"date: �`'>'<:, ' urcha urchase order.. :: 10)Submittal literature available after receipt ofp ., ,. ,-• I if-')(..,./..) L„, 1 .ii_Q .,:).(:,_ ....i.c . , /1,.,vl ,p ,, A i,--), , .-, r PO Box 1897 Quote i Pv.1.74.0 ALTITUDE Loveland,CO 80539 SIGNAL , LLC (970)461-4922 sales©altitudesignal.com i Date . Quote tt,: 5/31/2019 i Q001348e I Bill To Ship To Transportation Systems,Inc Transportation Systems,Inc 6917 166th Ave E Attn:Angle Hiatt Sumner,WA 98390 6917 166th Ave E Sumner,WA 98390 253-250-0814 • • •':•. ;.,.'-7-'-:,,27-7.777-F.-.. .'.•.•:.:i;::',, •'''7P'.:;;;',:::',...i.,..q.t:',7,47:717:,7'.N Project Terms FOB :' 71.i.: ,;!,,Rei) :.'..:,'Qt'"'"'1`:*: .;'Delkie'ry:. •,:..y2•:,; .. . i Auburn Way N.Sidewalk Im Net 30 PPA : SR I 1-6 Weeks ARO I MPN Description ' Qty:::: Umt Cost:':•:::::::'::' Total :,..„,... • ELTEC RRFB System,Solar-Median ,../ 1 3,950.00 3,950.00 ;Includes: 1 x ELTEC SL55 RRFB Controller,Solar 1 x Radio and Salt Shaker Antenna • • I 1,x 65W/75Ahr Solar System,top of pole mount ! I 2 x ELTEC 2L RRFB Bar,Federal Yellow,Banding Mount with Ped :Indicator ELTEC RRFB Crossing,Solar-Curb ''''' 2 3,700.00 7,400.00 Includes: 1 x ELTEC SL55 RRFB Controller,Solar ' . 1 x Radio . ' 1 x 65W/55Ahr Solar System,top of pole mount • : 1 x ELTEC 2L RRFB Bar,Federal Yellow,with Ped Indicator 1 x Campbell AGPS Push Buttons,Yellow,with R10-25 Braille Sign,5" Sign Kit Includes: --' 1 925.00: 925.00 •-"" 6 x W11-2 Pedestrian Sign,Fluorescent Yellow, Facing Left,Type 11, . 30"„.....x 4 x W16,7)Arrow Sign,Fluorescent Yellow,Type 11,24”x 12" : 20 x Sign Mounting Bracket,Banding Installation , ..J . I e"t/CA'ti ' ' • i_. (," -t: .. .01 0-t.c....-'s...---1 . I PO Box 1897 Quote ALTITUDE Loveland,Co 80539 -.....__ S i G NAL, LLC (970)461-4922 sales@altitudesi9 nal.com Date ! ::°:'rt;Quote:,, 5/31/2019 Q001348e -I Bill To •Ship To Transportation Systems,Inc Transportation Systems,Inc 6917 166th Ave E Attn:Angle Hiatt Sumner,WA 98390 6917 166th Ave E Sumner WA 98390 _ 25330=6814 Project Terms FOB Rei � �i v Delivery j • Auburn Way N.Sidewalk Im i Net 30 PPA ! SR I 4-6 Weeks ARO -i MPN Description Qty 1..._ Unit.Cost !`:;r:Total.` •: Advanced Flasher for RRFB System 1 2,750.00! 2,750.00 Includes: I I • 1 x 12"Amber Beacon,Yellow Poly with mounting hardware 1 x SL55 Beacon Controller,Solar i 1 x Radio • 1 x 20W/35Ahr Solar System,Post Top Mount • 1 x W11-2 Pedestrian Sign,Fluorescent Yellow,30"x 30" 1 x W16-9 Ahead Sign,Fluorescent Yellow,24"x 12" 2 x Sign Mounting Kit • 'Estimated Shipping ! 1 650.00+ 650.00 { 1 • ! 1 GI .j,:..•'. '''''"4," '' ''',,z...I'l: ••.,'''''''''e PO Box 1897 J Quote • -" 1 1 ALTITUDE Loveland,CO 80539 6 sr e N A L, LLC (970)461-4922 r , sales@altitudesignal corn i _Date; Y^Quote '. .I l 5/31/2019 1 Q001348e 1 I Bill To Ship To Transportation Systems,Inc Transportation Systems,Inc 6917 166th Ave E Attn:Angle Hiatt Sumner,WA 98390 6917 166th Ave E Sumner,WA 98390 253-230 0014 ° Fr i Project TermsFOB epsi : f `Deliey, .-.:7`.''.:ii R :A I Auburn Way N.Sidewalk Im ! Net 30 PPA I SR I 4-6 Weeks ARO MPN Description ;-'Qty Unit CostY Total 1 NOTES: 1 0.001 0.00 1 1)Project:Auburn Way N.Sidewalk Improvements I 2)Poles Not Included I • 3)Final quantities are the responsibility of the contractor 4)Prices are for material only,Installation Is not included. ! 1 5)All on-site technical assistance MUST be scheduled a minimum of ! j '2-3 weeks 1 In advance of Intersection turn-on. NO EXCEPTIONS I If additional on-site or technical assistance Is required,optional technical assistance fees must be added to the purchase order at$1,500 per day with a 3 day minimum charge. 6)Price for material per plans dated 2/22/19.If additional material I i !Is I 1 required,a revised quote must be requested. I 7)All prices are subject to applicable taxes.If tax exemption applies,please i ! I furnish number with order. 1 i ' 8)All quotes are subject to credit approval.Without approved i 1 Altitude Signal,LLC credit line,orders must be paid In advance. I 9)There will be a 25%re-stocking fee for any order cancellation !after the I : { purchase order has been entered with a delivery date. i ) I 10)Submittal literature available after receipt of purchase order. I • Request for Submittal Approval Form -CITYOF • I : t1,;___/ _ New Submittal El Re-submittal of No. ' WASHINGTON 0 Material AicePtanceDocum elation for SubMittal No.[1,,p,n(tUnci COritract/Project Name Project No. CP18644 -;:. Date; S/1/1/19';',:ir.Y..;:tr:,?.; Cop cattail fichi6CO4bliC.r:14,50,ILS,VMS:Siit, fiX,iii-;: iq Su b Contra cton qeneral Submittal 11dm For IAaten '7":7:n7...t'!•1:17 i3 For assistance in completing this form,please refer to Section 146.7(1)Aar the Special Provisions ti b Ini t t is MIS.441)14VIAtigiigg Request Ed Submittal Description Name and location Request Approval submiitd A.Submittal 8.Material kern Re.ference, Contqct Specification Materlalsof Manufacturer's pf Fabricator,Manufacturer use ofafApproval Acceptance No. Page Number, - No. Product/Type or Pit Number or Plan Sheet Number QPL Material Code Code (131°4 reitgW.611.W4'',1 0 gGOOaNviu gikd II//1 F giO P740 ,rgr'R rTf, KAT,WipSa§ iZ0 0 rig.-, ,,,E,A.24.0'ir*ig•gi A1 . -5.1f e• >• , 1, Lai E] Mr7,75 43,10W-41,0,z nes!' t1n ---, Fk7T4-"---inEltr,m-opp 0 0 • - A. Submittal Approval Codesfor use by Engineer: B.Material Acceptance Codes for use by Engin gen' NET No Exceptions Taken 1. Aceepiance based upon a'Satisfactory'Tot Report for samples of Materials to be Mal Make Corrections Noted(No re-stibmisslon reciuirad) Incorporated Into project for acceptance. AR Amend and Re-submit 2.Submit a Manufacturer's Certificate of Compliance(MCO for-Acceptance prior to use or RR Rejected-Re-§uhrolt material. NR Not Reviewed 3. Submit Catalog Cuts for acceptance priori°use of material. 4.Submit Shop Drawings for°Approver prior to fabrication of material. 5. Only-Approved for Shipment,'"WSDOT Inspected;or'Fabrication Approval decal"material shall be used.(Fedeta(Projects Only) 8.Submit C.artifipiceof Materials:Origin(CM0}.(Feiteral Fro/ec4 Onlya 7, N/A 8.Source Approved 9. Approval Withheld:Submit Samples for preliminary evaluation. 10.Approval Withheld 1 -Miscellaneous Acceptance Criteria(Liste2 in Gly Remarks beam) 12.LAG-Approved Catalog Cut Dorum ented with:0 Mfg.Cert.of Comp, o Visual Inspection A • r– ' A/44 c1 -f-.wa(2)r�Fc I5Lrl.1 /1-e' �- ,�.� .....sr.-- No :.- : cr G) 1,174 di.,4 f f..at7��__ 7 000 I--'.2..D---1 _. __ _.. .... S.. 1 _ JUL '1,—' 1 750 3230 300 Q:[II]i: c) :jLiIz I 7]75 –IT 1I --1 2S2> I— I rar3 —r2Dw zODca-- r- . ----- ------1 2.025 r I r I _ _) L • NOTES I ALUM Wats THICKNESS is agn/STRY STANDARD AT.D62" ' . OMNIM ELECTROTECHNICS CORPORATION 1h0006 itace.u.msti LcuouS-usr0 'AMR.'SXSU 71W.aRW ELTEG 2-UGHTRRFS m."•r “`" °VC HOUSING WITH me r:l V11,2013ED+un BANDING MOUNT .m•r ^"""-"* ' PAPTIID'4DER MAXIMM/. ,min Apir.t.un +....,son • • • • 1 • I. • i 1 Bob Kiyohara From: Katie Robinson<krobinson@altitudesignal.com> • Sent: Friday,May 31,2019 3:24 PM To: angieh@transportationsystemsinc.com Cc: 'Bob Kiyohara' Subject: RE:PO 19-037-05 Attachments: Auburn-Adv Flasher Submittal for Approval.pdf;Record ONLY Submittals Auburn WA.pdf;Quote 0001348e_TCS.pdf Angie Attached is REVISED Quote Q001348e which includes(1)Advanced warning flasher which will flash when the RRFB system is activated. I have included submittals on that system which will need to be approved. I have also attached "Record Only"submittals for the RRFB Crossing itself. Please note that the RRFB in the median is two separate bars and each bar will have(1)Pedestrian Indicator to be faced toward the street. The submittal comments referenced one bar ' with(2)indicator lights,however,Eltec does it as I describe above. When you have a moment,please send a revised PO including the advanced warning flasher. IPlease let me know if you have any questions,I will have an estimated shipping date for you Monday. j Katie Robinson • BUDGET STATUS SHEET Project No: CP1804 Project Title: AWN Sidewalk Improvement Project Project Manager: Luis Barba O Project Update Initiation Date: 12/21/2017 0 Permission to Advertise Date:July 31,2019 Advertisement Date: 3/5/2019 0 Contract Award Award Date:4/1/2019 Q Change Order Approval 0 Contract Final Acceptance Funds Budgeted(Funds Available, Funding Prior Years 2018(Actual) 2019 Total 328 Fund-Citywide ADA and Sidewalks 44,531 93,319 137,850 328 Fund-State TIB Grant 30,375 232,875 263,250 462 Fund-Storm 0 76,000 76,000 102 Fund-Streets 110,000 110,000 330-Fund-Parks 10,000 10,000 Total 0 74,906 522,194 597,100 I Estimated Cost(Funds Needed) Activity Prior Years 2018(Actual) 2019 Total Design Engineering-City Costs 74,906 12,184 87,090 Design Engineering-Permits 0 550 550 Design Engineering-Other 0 500 500 Construction Contract Bid 0 395,813 395,813 *Change Order No.1 0 13,630 13,630 Change Order No.2 0 12,886 12,886 Change Order No.3 0 9,066 9,066 Authorized Construction Contingency Remaining 0 17,629 17,629 Construction Engineering-Other 0 466 466 Construction Engineering-Permitting 0 500 500 Construction Engineering-City Costs 0 26,000 26,000 Total 0 74,906 489,224 564,130 *Change Order No.1 was approved by City Council on June 3,2019 with a not to exceed amount of$15,000 using project contingency 328 Capital Improvement Project Budget Status Prior Years 2018(Actual) 2019 Total '328 Funds Budgeted () 0 (74,906) (326,194) (401,100) 328 Funds Needed 0 74,906 326,194 401,100 '328 Fund Project Contingency() 0 0 0 0 328 Funds Required 0 0 0 0 462 Storm Bud et Status Prior Years 2018(Actual) 2019 Total '462 Funds Budgeted () 0 0 (76,000) (76,000) 462 Funds Needed 0 0 63,050 63,050 *462 Fund Project Contingency() 0 0 (12,950) (12,950) 462 Funds Required 0 0 0 0 102 Arterial Street Budget Status Prior Years 2018(Actual) 2019 Total *102 Funds Budgeted () 0 0 (110,000) (110,000) 102 Funds Needed 0 0 90,914 90,914 *102 Fund Project Contingency() 0 0 (19,086) (19,086) 102 Funds Required 0 0 0 0 •(#)in the Budget Status Sections indicates Money the City has available. 330 Parks Bud et Status Prior Years 2018(Actual) 2019 Total *330 Funds Budgeted () 0 0 (10,000) (10,000) 330 Funds Needed 0 0 9,066 9,066 *330 Fund Project Contingency() 0 0 (934) (934) 330 Funds Required 0 0 0 0 •(8)in the Budget Status Sections indicates Money the City has available. ENG-270,Revised 12/17 H:\PROD\CP1804-AWN Sidewalk Improvement Project\3.00 Project Management\3.20 Budget\CP1804 AWN Sidewalks BudgetStatusSheet.xls 1 of 1