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CP1705 #19-18 Auburn Way S (SR164) Sidewalk Improvements
CITY OFF AUBURN Nancy Backus, Mayor WASHINGTON 25 West Main Street* Auburn WA 98001-4998 * www.auburnwa.gov * 253-931-3000 July 16, 2019 CERTIFIED MAIL RETURN RECEIPT REQUESTED Mr. Ryan Burks R.W. Scott Construction 4005 West Valley Hwy. N. Auburn, WA 98001 RE: Award of Contract No. 19-18 Project No. CP1705, Auburn Way South (SR164) Sidewalk Improvements Letter of Award Dear Mr. Burks: Bids for construction of the above-referenced project were opened by the City Clerk at Auburn City Hall on Thursday, June 27, 2019, at 11:00 AM. Six (6) responsive bids were received and have been tabulated. Your firm submitted the lowest responsible bid. The total award amount is$588,838.00.The City Council,at their meeting on July 15,2019, 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, in triplicate; OR Bond In Lieu of Retainage, in duplicate; OR Escrow Agreement for Retainage Declined, in duplicate. A pre-construction meeting has been scheduled for 10:00 AM on Tuesday, July 23, 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 4: MORE THAN YOU IMAGINED re R.W. Scott Construction July 16, 2019 Page 2 of 2 The Contractor shall submit electronically one (1) day prior to the pre-construction meeting: a) Preliminary Progress Schedule for the first 30 working days. b) Breakdown of lump sum items except for Traffic Control Supervisor, Mobilization and Record Drawings. 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 253-804-5032, or the Contracts Administration Specialist, Michelle Thompson at 253-288-4327 with any contract administration related questions. Sincerel Matt Larsen, P.E. Senior Project Engineer Public Works Department ML/mt/as Enclosures cc: Shawn Campbell, City Clerk Seth Loop, Project Inspector File 13.11 (CP1705) ENG-006, Revised 02/19 CITY OF AUBURN' Nancy Backus, Mayor WASHINGTON 25 West Main Street * Auburn WA 98001-4998 *www.auburnwa.gov * 253-931-3000 August 7, 2019 CERTIFIED MAIL RETURN RECEIPT REQUESTED Mr. Ryan Burks R. W. Scott Construction 4005 West Valley Hwy. N. Auburn, WA 98001 NOTICE TO PROCEED RE: CP1705, Auburn Way South (SR164) Sidewalk Improvements , Contract#19-18 You are hereby notified to proceed as of August 7, 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. Your first working day will be August 8, 2019. This project has 50 working days for completion. If you have any questions, please contact the inspector for the project, Seth Loop at 253-327-3278 or the Contract Administration Specialist, Michelle Thompson at 253-288-4327. Sincerel Matt Lar : CONTRACT Contract No. 19-18 THIS AGREEMENT AND CONTRACT, made and entered into, in duplicate, at Auburn, Washington, this �t r day of ;; , ; , 2014", by and between the CITY OF AUBURN, WASHINGTON, a m cipal corporation, and R.W. SCOTT CONSTRUCTION, hereinafter called the CONTRACTOR. WITNESSETH: That, in consideration of the terms and conditions contained in the Contract Documents entitled "CP1705, Auburn Way South (SR164) 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 CP1705, Auburn Way South (SR164) Sidewalk Improvements —constructing approximately 1500 linear feet of curb gutter and sidewalk, 1400 linear feet of beam guardrail including terminals and bridge connections, storm drainage improvements, electrical and ITS conduit and junctions boxes, channelization, and site restoration for a total contract value of five hundred eighty-eight thousand, eight hundred thirty-eight dollars and zero cents ($588,838.00) in accordance with and as described in the Contract Documents which are by this reference incorporated herein and made a part hereof, and shall perform any alterations in or additions to the work provided under this Contract and every part thereof. This Contract shall be executed by the Contractor and returned to the City within 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 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 y, Na -.ackus, Ma or Countersigned: this 7 day of A6j , 20 19 APPROVED AS TO FORM: 4i IN Steve Gross, City Attorney CONTRACTOR By Authorized Official Signature CONTRACT BOND CONTRACT NO. 19-18 BOND NO. 9323139 BOND TO CITY OF AUBURN, WASHINGTON KNOW ALL MEN BY THESE PRESENTS: Fidelity and Deposit Company That we, the undersigned, R. W. Scott Construction, as principal, and of Maryland a corporation, organized and existing under the laws of the State of Illinois 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 Five Hundred Eighty-eight Thousand, Eight Hundred Thirty-eight and NO/100($588,838.00) 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 15th day of July, 2019. Nevertheless, the conditions of the above obligation are such that: WHEREAS, the City of Auburn on the `T"14-day of 4ttuse' , 20 , let to the above bounden principal a certain Contract. The said Vontract being numbered 19-18, and providing for the construction of Project CP1705, Auburn Way South (SR164) Sidewalk Improvements - constructing approximately 1500 linear feet of curb gutter and sidewalk, 1400 linear feet of beam guardrail including terminals and bridge connections, storm drainage improvements, electrical and ITS conduit and junctions boxes, channelization, and site restoration (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 ' 22nd day of July , 2019 . R.W. Scott Construction Co. Principal Fidelity and Deposit Company of Maryland Surety By "LIZ Ciz--;&A-4--) Holli Albers Attorney in Fact 800 Fifth Avenue, Suite 3800 Seattle, WA 98104 (206) 622-1101 Resident Agent's Address& Phone Number ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS:That the ZURICH AMERICAN INSURANCE COMPANY,a corporation of the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY,a corporation of the State of Illinois, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by Robert D.Murray,Vice President,in pursuance of authority granted by Article V,Section 8,of the By-Laws of said Companies,which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof,do hereby nominate,constitute, and appoint Karen C. SWANSON, Holli ALBERS, Jamie L. MARQUES, Carley ESPIRITU, Christopher KINYON, Brent E. HEILESEN,Annelies M. RICHIE, Kyle Joseph HOWAT, and Heather L.ALLEN,all of Tacoma,Washington,EACH,its true and lawful agent and Attorney-in-Fact,to make,execute,seal and deliver,for,and on its behalf as surety,and as its act and deed: any and all bonds and undertakings,and the execution of such bonds or undertakings in pursuance of these presents,shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York,New York.,the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V,Section 8,of the By-Laws of said Companies,and is now in force. IN WITNESS WHEREOF,the said Vice-President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND,this 26th day of February,A.D.2019. It°1"4"iN0 Ma } SYNS cau4t416 NM ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND By: Robert D.Murray Vice President By: Dawn E.Brown Secretary State of Maryland County of Baltimore On this 26th day of February, A.D.2019, before the subscriber,a Notary Public of the State of Maryland,duly commissioned and qualified,Robert D. Murray,Vice President and Dawn E.Brown,Secretary of the Companies,to me personally known to be the individuals and officers described in and who executed the preceding instrument,and acknowledged the execution of same,and being by me duly sworn,deposeth and saith,that he/she is the said officer of the Company aforesaid,and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies,and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my Official Seal the day and year first above written. `�wul,irrrrr� A ;. Constance A.Dunn,Notary Public �,�' �in;n t``1` My Commission Expires:July 9,2019 Consumer tools Agent and Company Lookup Orders Independent Review Decisions FIDELITY & DEPOSIT COMPANY OF MARYLAND Chan.geHistory. I Licensing. I Appointments I Complaints I Orders I National Info I Ratings I Tax.,Fili,ngs I Back to Search General information Contact information Name: FIDELITY & DEPOSIT COMPANY OF MARYLAND Registered address Mailing address Corporate family group: ZURICH INS GRP O 1299 ZURICH WAY 1299 ZURICH WAY Organization type: PROPERTY SCHAUMBURG, IL 60196 SCHAUMBURG, IL 60196 Doing Business As (DBA): Unavailable Telephone Telephone WAOIC: 442 847-605-6000 847-605-3348 NAIC: 39306 Status: ACTIVE Admitted date: 07/27/1895 Ownership type: STOCK ^.................. Company change history o. View changes b?ck,to,top Types of coverage authorized to sell o Insurance types�v^_�_�.�______________M_.. Casualty Marine Ocean Marine Property Surety Vehicle Tbacktotop Agents and agencies that represent this company (Appointments) o .View agents View agencies back to top, Company complaint history o View complaints; • 108 Shares Fidelity and Deposit Company of Maryland (a member of Zurich Insurance US PC Group) AM Best#:000387 NAIC#*39306 FEIN#: 13-3046577 Address: 1299 Zurich Way Schaumburg, IL 60196-1056 UNITED STATES Phone: 847-605-6000 Fax: 877-962-2567 Web: www.zurichna.com Follow ill 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 Effective Date: September 19, 2018 Initial Rating Date: June 30, 1922 Long-Term Issuer Credit Rating View Definition Long-Term: aa- Outlook: Stable Action: Affirmed Effective Date: September 19, 2018 Initial Rating Date: September 14, 2004 ....._ u Denotes Under Review Best's Rating Licensing: Licensed Territory: (Current since 01/16/2009).The company is licensed in the District of Columbia, Guam, Northern Mariana Islands, Puerto Rico, U.S. Virgin Islands and all states. Total Assets $400,000,000 • $350,000,000 --t — i ' f ter_ $300,000,000 — ±;• _ ........_1_.... $250,000,000 $200,000,000 - a - $150,000,000 . $100,000,000 $50,000,000 •—•— 1 • • $0 1 i rer 2018 2017 2016 2015 2014 --- Data Years t � i ! � 1 t ; l l 1 Top Line(s) of Business (based upon Direct Premiums Written) 1, Surety(View Definition ) 2. Fidelity (View Definition ) 3. Fire (View Definition ) 4. Commercial Multiple Peril (View Definition) 5, Allied Lines (View Definition ) Top State(s) of Business (based upon Direct Premiums Written) 1. California 2. New York 3. Texas 4. Pennsylvania 5. Virginia } t iI 1 � f I 1 { f � I j I i 1 � 1 � I Escrow No. 47 /x.31 O( F DU I Agency City of Auburn 25 W. Main, Auburn WA 98001-4998 Contract No. 19-18 ESCROW AGREEMENT TO: (Bank Name,Address,Phone) lot° 1 C-v asr “NCI -c) kAPN — (-{-o( Q m The Undersigned, R.W. Scott Construction, 4005 West Valley Hwy, Suite A, Auburn, WA 98001, herein referred to as the Contractor, has directed the City of Auburn, hereinafter referred to as the Agency, to deliver to you its warrants which shall be payable to you and the Contractor jointly. Such warrants are to be held and disposed of by you in accordance with the following instructions and upon the terms and conditions hereinafter set forth. INSTRUCTIONS 1. Warrants or checks made payable to you and the Contractor jointly upon delivery to you shall be endorsed by you and forwarded for collection. The moneys will then be used by you to purchase, as directed by the Contractor, bonds or other securities chosen by the Contractor and approved by the Agency. Attached is a list of such bonds, or other securities approved by the Agency. Other bonds or securities, except stocks may be selected by the Contractor, subject to express written approval of the Agency. Purchase of such bonds or other securities shall be in a form which shall allow you alone to reconvert such bonds or other securities into money if you are required to do so by the Agency as provided in paragraph 4 of this Escrow Agreement. 2. When and as interest on the securities held by you pursuant to this agreement accrues and is paid, you shall collect such interest and forward it to the Contractor at its address designated in the first paragraph unless otherwise directed by the Contractor. 3. You are not authorized to deliver to the Contractor all or any part of the securities held by you pursuant to this agreement (or moneys derived from the sale of such securities, or the negotiation of the Agency's warrants) except in accordance with written instructions from the Agency. Compliance with such instructions shall relieve you of any further liability related thereto. The estimated completion date on the contract underlying this Escrow Agreement is 4. In the event the Agency orders you to do so in writing, you shall, within thirty-five (35) days of receipt of such order, reconvert into money the securities held by you pursuant to this agreement and return such money together with any other moneys held by you hereunder, to the Agency. 5. The Contractor agrees to pay you as compensation for your services hereunder as follows: Payment of all fees shall be the sole responsibility of the Contractor and shall not be deducted from any property placed with you pursuant to this agreement until and unless the Agency directs the release to the Contractor of the securities and moneys held hereunder whereupon you shall be granted a first lien upon such property released and shall be entitled to reimburse yourself from such property for the entire amount of your fees as provided for herein above. On the event that you are made a party to any litigation with respect to the property held by you hereunder, or in the event that the conditions of this escrow are not promptly fulfilled or that you are required to render any service not provided for in these instructions, or that there is any assignment of the interests of this escrow or any modification hereof, you shall be entitled to reasonable compensation for such extraordinary services from the Contractor and reimbursement from the Contractor for all costs and expenses, including attorney fees occasioned by such default, delay, controversy or litigation. 6. This agreement shall not be binding until executed by the Contractor and the Agency and accepted by you. 7. This instrument contains the entire agreement between you, the Contractor and the Agency with respect to this escrow and you are not a party to nor bound by any instrument or agreement other than this; you shall not be required to take notice of any default or any other matter nor be bound by nor required to give notice or demand, nor required to take any action whatever except as herein expressly provided; you shall not be liable for any loss or damage not caused by your own negligence or willful misconduct. 8. The forgoing provisions shall be binding upon the assigns, successors, personal representatives and heirs of the parties hereto. The undersigned have read and hereby approve the instructions as given above governing the administration of this escrow and do hereby execute this agreement on this day of , 20_. te ' City of Auburn (Contractor) (Agency) ByBy ( a' ll 11114 (Signature) l (Kevin uhrer, Acting Finance Director) /� (Name) (Title) Th- above escrow instructions received and accepted this t'T day of , 20 By A/ thorized Ban officer) (Name) (Title) Securities Authorized by Agency: 1) Bills, certificates, notes or bonds of the United States; 2) Other obligations of the United States or its agencies; 3) Obligation of any corporation wholly-owned by the government of the United States; 4) Indebtedness of the Federal National Mortgage Association; 5) Time deposits in commercial banks; and 6) Savings deposits in commercial banks. REF. ENG-093, Revised 11/17 INSTRUCTIONS FOR RETAINAGE ESCROW AGREEMENTS Whenever possible, use the City approved escrow agreement. This will save review time and speed the process for returning your approved agreement. The City may or may not, at its-discretion, accept an agreement from another source. Please return all three originals of the agreement, with completed contractor and bank information and signatures, and the escrow account number. The City will review and sign the agreement and distribute copies. One original will go directly to the Bank, another will be returned to the Contractor. Fill in the following on the Escrow Agreement: 1. Page 1 - Escrow Number. 2. Page 1 - Name, address and phone number of the bank (following the heading TO). 3. Page 3 - Signature, typed/printed name and title of Contractor and Bank signatories. 4. Page 3 - Date of signature by the Authorized Bank Officer. Do not fill in the date in the paragraph directly following Item 8 on page 2. The City will fill in this date once the document has been fully executed by City. DECLINING RETAINAGE ESCROW If you are not going to set up an escrow account, your firm will be asked to sign a statement to the effect that an opportunity to set up an escrow account was offered and declined. The City will hold the required 5% retainage until all releases are received. No interest will be paid. r , Client#: 108729 SCOTRW ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYW) 7/19/2019 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(les)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 any rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT NAME: Tabitha Lee Propel Insurance PHONE 800499-0933 Fax (A/C,No,Ext): _(A1C,rIo): 866 577-1326 Tacoma Commercial Insurance E-MAIL .Lee Tabitharo elinsurance.com 1201 Pacific Ave,Suite 1000 ADDRESS: @P p Tacoma,WA 98402 INSURER(S)AFFORDING COVERAGE NAIL# INSURER A:Charter Oak Fire Insurance Company 25615 INSUREDINSURER B:Travelers Property Casualty CoofAmerica 25674 R.W.Scott Construction Co. Travelers Indemnit Company of America 25666 4005 West Valley Hwy N. INSURER c: Y P v Suite A INSURER D: Auburn,WA 98001 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 PAIDDCLAIMS. LTR TYPE OF INSURANCE NSR WVD POLICY NUMBER (MMMIDD/YYYY)JMMO/DDD/YYYY) LIMITS A X COMMERCIAL GENERAL UABIUTY 4TC06B389130C0F19 03/31/2019 03/31/2020 EACH OCCURRENCE $1,000,000 CLAIMS-MADE X OCCUR PREMISES insEocccurrence) $300,000 X PD Ded:$2,500 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRO- PRODUCTS-COMP/OP AGG $2 000 000 POLICY JECT LOC � , OTHER: $ C AUTOMOBILE LIABILITY 8108M407704192S 03/31/2019 03/31/2020(OMB idem) NGLE LIMIT COMBIldent) $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ OWNED ^SCHEDULED BODILY INJURY(Per accident) $ AUTOSIONLY AUTOS X AUTOS ONLY X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY (Per accident) B X UMBRELLA LIAB X OCCUR CUP1J7127651926 03/31/2019 03/31/2020 EACH OCCURRENCE $7,000,000 • EXCESS LIAR CLAIMS-MADE AGGREGATE $7,000,000 DED X RETENTION s$10,000 I $ A WORKERS COMPENSATION WA Stop Gap 03/31/2019 03/31/2020 (STATUTE I IERH AND EMPLOYERS'UABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE Y/N 4TC06838913000F19 E.L.EACH ACCIDENT $1,000 000 OFFICER/MEMBER EXCLUDED? I NI N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT Si,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) RE:Project#CP1705 Auburn Way South(SR164)Sidewalk Improvements. Additional Insured Status applies per the attached forms. CERTIFICATE HOLDER CANCELLATION Cityof Auburn Washington SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE I g THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 25 West Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Auburn,WA 98001-4998 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S3725988/M3579453 TETOO I t s ' This page has been left blank intentionally. COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY BLANKET ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. WHO IS AN INSURED—(Sention II) is amended c) The Insurance provided to the additional in- to include any person or organization that you sured does not apply to "bodily injury" or • agree in a "written contract requiring insurance" "property damage" caused by "your work" to include as an additional Insured on this Cover- and Included In the "products-completed op- age Part,but: orations hazard" unless the "written contract a) Only with respect to liability for"bodily injury", requiring insurance" specifically requires you "property damage"or"personal injury";and to provide such coverage for that additional insured, and then the Insurance provided to b) If, and only to the extent that, the injury or the additional insured applies only to such damage is caused by acts or omissions of "bodily injury" or "property damage" that oc- you or your subcontractor in the performance curs before the end of the period of time for of "your work" to which the "written contract which the "written contract requiring incur- requiring Insurance" applies. The person or ance" requires you to provide such coverage organization does not qualify as an additional or the end of the policy period, whichever is insured with respect to the Independent acts earlier. or omissions of such person or organization. 3. The insurance provided to the additional insured 2. The insurance provided to the additional insured by this endorsement is excess over any valid and by this endorsement is limited as follows: collectible. "other Insurance", whether printery, a) In the event that the Limits of Insurance of excess, contingent or on any other basis, that is this Coverage Part shown In the Declarations available to the additional Insured for a loss we exceed the limits of liability required by the cover under this endorsement. However, if the "written contract requiring insurance", the In- "written contract requiring insurance" specifically surance provided to the additional insured requires that this Insurance apply on a primary shall be limited to the limits of liability re- basis or a primary and non-contributory basis, quired by that "written contract requiring in- this insurance is primary to "other insurance" surance". This endorsement shall not in- available to the additional insured which covers crease the limits of Insurance described in that person or organization as a named insured Section:Ili—Limits Of insurance. for such loss, and we will not share with that "other insurance". But the Insurance provided to b) The insurance provided to the additional in- the additional insured bythis endorsement still is sured does not apply to"bodily injury", "prop- excess over.any valid. and .collectible. "otherln- erty damage" or "personal injury" arising out surance", whether primary, excess, contingent or of the rendering of, or failure to render, any on any other basis, that Is available to the addl- professional architectural, engineering or sur- tional insured when that person or organization is veying services, including: an additional insured under such "other insur- i. The preparing, approving, or failing to ance". prepare or approve, maps, shop draw- 4. As a condition of coverage provided to the ings, opinions, reports, surveys, field or- additional insured by this endorsement: ders or change orders, or the preparing, approving, or falling to prepare or ap- a) The additional Insured must give us written prove;_drawings and specifications;:and- notice.-es-soon-.as-practicable.-of._an—"occur ii. Supervisory, inspection, architectural or rence" or an offense which may result In. a engineeringoactivities. claim. To the extent possible, such notice should include: CG D2 46 08 05 ©2005 The St. Paul Travelers Companies, Inc. Page 1 of 2 COMMERCIAL GENERAL LIABILITY I. How, when and where the "occurrence" any provider of"other insurance"which would or offense took place; cover the additional insured for a loss we The names and addresses of any Injured Bi. cover under this endorsement. However, this persons and witnesses;and condition does not affect whether the insur- ance provided to the additional insured by III. The nature and location of any injury or this endorsement Is primary to "other insur- damage arising out of the "occurrence or ance" available to the additional insured offense. which covers that person or organization as a b) If a claim Is made or"suit"is brought against named insured as described In paragraph 3. the-additional-insured the additional insured - above. must: 5. The following definition is added to SECTION V. t. Immediately record the spedi lcs of the —DErlNITIONS: claim or"suit"and the date received;and "Written contract requiring insurance" means it. Notify us as soon as practicable. that part of any written contract or agreement under which you are required to include a The additional Insured must see to it that we person or organization as an additional in- receive written notice of the claim or"suit"as sured on this Coverage Part, provided that soon as practicable. the "bodily Injury"and "property damage"oc- c) The additional Insured must immediately curs and the"personal injury"is caused by an send us copies of all legal papers received in offense committed: connection with the claim or'suit", cooperate a. After the signing and execution of the with us In the investigation or settlement of contract or agreement by you; the claim or defense against the "suit", and otherwise comply with all policy conditions. b. While that part of the contract or agreement is in effect;and d) The additional insured must tender the de- fense and indemnity of any claim or"suit" to c. Before the end of the policy period. Page 2 of 2 ©2005 The St. Paul Travelers Companies, Inc. CG D2 46 08 05 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTORS XTEND ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART GENERAL DESCRIPTION OF COVERAGE—This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to this Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. Aircraft Chartered With Pilot H. Blanket Additional Insured — Lessors Of Leased B. Damage To Premises Rented To You Equipment C. Increased Supplementary Payments I. Blanket Additional Insured — States Or Political Subdivisions—Permits D. Incidental Medical Malpractice J. Knowledge And Notice Of Occurrence Or Offense E. Who Is An Insured — Newly Acquired Or Formed Organizations K. Unintentional Omission F. Who Is An Insured — Broadened Named Insured L. Blanket Waiver Of Subrogation —Unnamed Subsidiaries M. Amended Bodily Injury Definition G. Blanket Additional Insured — Owners, Managers N. Contractual Liability—Railroads Or Lessors Of Premises PROVISIONS INJURY AND PROPERTY DAMAGE LI- A. AIRCRAFT CHARTERED WITH PILOT ABILITY: The following is added to Exclusion g., Aircraft, Exclusions c. and g. through n. do not apply Auto Or Watercraft, in Paragraph 2. of SECTION. to "premises damage". Exclusion f.(1)(a) I — COVERAGES — COVERAGE A BODILY IN- does not apply to "premises damage"caused JURY AND PROPERTY DAMAGE LIABILITY: by: This exclusion does not apply to an aircraft that a. Fire; is: b. Explosion; (a) Chartered with a pilot to any insured; c. Lightning; (b) Not owned by any insured; and d. Smoke resulting from such fire, explosion, (c) Not being used to carry any person or prop or lightning; or erty for a charge. e. Water; B. DAMAGE TO PREMISES RENTED TO YOU unless Exclusion f. of Section I —Coverage A 1. The first paragraph of the exceptions in Ex- — Bodily Injury And Property Damage Liability clusion J., Damage To Property, in Para is replaced by another endorsement to this graph 2. of SECTION I — COVERAGES — Coverage Part that has Exclusion —All Pollu- COVERAGE A BODILY INJURY AND tion Injury Or Damage or Total Pollution Ex- PROPERTY DAMAGE LIABILITY is deleted. clusion in its title. 2. The following replaces the last paragraph of A separate limit of insurance applies to Paragraph 2.; Exclusions, of SECTION 1 — "premisesdamage"_as described....in_.Para- COVERAGES .— COVERAGE A. BODILY graph 6. of SECTION III — LIMITS OF IN- SURANCE. CG D3 16 11 11 ©2011 The Travelers Indemnity Company.All rights reserved. Page 1 of 6 • • COMMERCIAL GENERAL LIABILITY 3. The following replaces Paragraph 6. of SEC- C. INCREASED SUPPLEMENTARY PAYMENTS TION III—LIMITS OF INSURANCE: 1. The •following replaces Paragraph 1.b. of Subject to 5. above, the Damage To Prem- SUPPLEMENTARY PAYMENTS — COVER- ises Rented To You Limit is the most we will AGES A AND B of SECTION I — COVER- pay under Coverage A for damages because AGE: of"premises damage" to any one premises. b. Up to $2,500 for the cost of bail bonds The Damage To Premises Rented To You required because of accidents or traffic Limit will apply to all "property damage" law violations arising out of the use of any proximately caused by the same "occur- vehicle to which the Bodily Injury Liability rence", whether such damage results from: Coverage applies. We do not have to fur- fire; explosion; lightning; smoke resulting from nish these bonds. such fire, explosion, or lightning; or water; or 2. The following replaces Paragraph 1.d. of any-combination-of-any-of these causes. SUPPLEMENTARY PAYMENTS — COVER- The Damage To Premises Rented To You AGES A AND B of SECTION I — COVER- Limit will be: AGES: a. The amount shown for the Damage To d. All reasonable expenses incurred by the Premises Rented To You Limit on the insured at our request to assist us in the Declarations of this Coverage Part; or investigation or defense of the claim or b. $300,000 if no amount is shown for the "suit", including actual loss of earnings up Damage To Premises Rented To You to $500 a day because of time off from Limit on the Declarations of this Coverage work. Part. D. INCIDENTAL MEDICAL MALPRACTICE 4. The following replaces Paragraph a. of the 1. The following is added to the definition of"oc- definition of"insured contract" in the DEFINI- currence" in the DEFINITIONS Section: TIONS Section: "Occurrence" also means an act or omission a. A contract for a lease of premises. How- committed in providing or failing to provide ever, that portion of the contract for a "incidental medical services", first aid or lease of premises that indemnifies any "Good Samaritan services"to a person. person or organization for "premises 2. The following is added to Paragraph 2.a.(1)of damage"is not an "insured contract"; SECTION II—WHO IS AN INSURED: 5. The following is added to the DEFINITIONS Paragraph (1)(d) above does not apply to Section: "bodily injury" arising out of providing or fail- "Premises damage" means "property dam- ing to provide: age"to: (i) "Incidental medical services" by any of a. Any premises while rented to you or tem- your "employees" who is a nurse practi- porarily occupied by you with permission tioner, registered nurse, licensed practical of the owner; or nurse, nurse assistant, emergency medi- b. The contents of any premises while such cal technician or paramedic;or premises is rented to you, if you rent such (ii) First aid or"Good Samaritan services" by premises for a period of seven or fewer any of your "employees" or "volunteer consecutive days. workers", other than an employed or vol- 6. The following replaces Paragraph 4.b.(1)(b) unteer doctor. Any such "employees" or of SECTION IV —COMMERCIAL GENERAL "volunteer workers" providing or failing to LIABILITY CONDITIONS: provide first aid or "Good Samaritan ser- (b) That is insurance for"premises damage"; vices' during their work hours for you will or be deemed to be acting within the scope 7. Paragraph 4.b.(1)(c) of SECTION IV — of their employment by you or performing COMMERCIAL GENERAL LIABILITY CON- duties related to the conduct of your busk DI`iIONS"is deleted___ . _ ness. Page 2 of 6 ©2011 The Travelers Indemnity Company.All rights reserved. CG D3 16 11 11 COMMERCIAL GENERAL LIABILITY 3. The following is added to Paragraph 5. of 4. Any organization you newly acquire or form, SECTION III—LIMITS OF INSURANCE: other than a partnership, joint venture or lim- For the purposes of determining the applica- ited liability company, of which you are the ble Each Occurrence Limit, all related acts or sole owner or in which you maintain the ma- omissions committed in providing or failing to jority ownership interest, will qualify as a provide"incidental medical services", first aid Named Insured if there is no other insurance or"Good Samaritan services"to any one per- which provides similar coverage to that or- son will be deemed to be one"occurrence". ganization. However: 4. The following exclusion is added to Para- a. Coverage under this provision is afforded graph 2., Exclusions, of SECTION I —COV- only: ERAGES —COVERAGE A BODILY INJURY (1) Until the 180th day after you acquire or AND PROPERTY DAMAGE LIABILITY: form the organization or the end of the Sale Of Pharmaceuticals policy period, whichever is earlier, if ydu "Bodily injury" or "property damage" arising do not report such organization in writing out of the willful violation of a penal statute or to us within 180 days after you acquire or ordinance relating to the sale of pharmaceuti- form it; or cals committed by, or with the knowledge or (2) Until the end of the policy period, when consent of, the insured. that date is later than 180 days after you 5. The following is added to the DEFINITIONS acquire or form such organization, if you Section: report such organization in writing to us "Incidental medical services"means: within 180 days after you acquire or form a. Medical, surgical, dental, laboratory, x-ray it, and we agree in writing that it will Con- or nursing service or treatment, advice or tinue to be a Named Insured until the end instruction, or the related furnishing of of the policy period; food or beverages; or b. Coverage A does not apply to "bodily injury" b. The furnishing or dispensing of drugs or or "property damage" that occurred before medical, dental, or surgical supplies or you acquired or formed the organization; and appliances. c. Coverage B does not apply to "personal in- "Good Samaritan services" means any emer- jury" or "advertising injury" arising out of an gency medical services for which no compen- offense committed before you acquired or sation is demanded or received. formed the organization. 6. The following is added to Paragraph 4.b., Ex- F. WHO IS AN INSURED — BROADENED NAMED cess Insurance, of SECTION IV — COM- INSURED—UNNAMED SUBSIDIARIES MERCIAL GENERAL LIABILITY CONDI- TIONS: The following is added to SECTION II —WHO IS AN INSURED: The insurance is excess over any valid and collectible other insurance available to the in- Any of your subsidiaries, other than a partnership, sured, whether primary, excess, contingent or joint venture or limited liability company, that is on any other basis, that is available to any of not shown as a Named Insured in the Declare- your "employees" or "volunteer workers" for tions is a Named Insured if you maintain an own- "bodily injury" that arises out of providing or ership interest of more than 50% in such subsidi- failing to provide "incidental medical ser- ary on the first day of the policy period. vices", first aid or "Good Samaritan services" No such subsidiary is an insured for"bodily injury" to any person to the extent not subject to or "property damage" that occurred, or "personal Paragraph 2.a.(1) of Section II — Who Is An injury" or "advertising injury" caused by an of- Insured. fense committed after the date, if any, during the E. WHO IS AN INSURED — NEWLY ACQUIRED policy period, that you no longer maintain an OR FORMED ORGANIZATIONS ownership interest of more than 50% in such sidiar sub- The-following replaces"Paragraph-4. of SECTIONy� II—WHO IS AN INSURED: CG D3 16 11 11 ©2011 The Travelers Indemnity Company.Al rights reserved. Page 3 of 6 COMMERCIAL GENERAL LIABILITY G. BLANKET ADDITIONAL INSURED -OWNERS, H. BLANKET ADDITIONAL INSURED - LESSORS MANAGERS OR LESSORS OF PREMISES OF LEASED EQUIPMENT The following is added to SECTION II -WHO IS The following is added to SECTION II -WHO IS AN INSURED: AN INSURED: Any person or organization that is a premises Any person or organization that is an equipment owner, manager or lessor and that you have lessor and that you have agreed in a written con- agreed in a written contract or agreement to in- tract or agreement to include as an insured on dude as an additional insured on this Coverage this Coverage Part is an insured, but only with re- Part is an insured, but only with respect to liability spect to liability for"bodily injury", "property dam- for "bodily injury", "property damage", "personal age", "personal injury"or"advertising injury"that: injury"or"advertising injury"that: a. Is "bodily injury" or "property damage" that a.—Is-"bodily-injury"or"property-damage" that_ _--- ----occurs oris "personal-injury"-or-"advertising -- - occurs, or is "personal injury" or "advertising injury" caused by an offense that is commit- injury" caused by an offense that is commit- ted, subsequent to the execution of that con- ted, subsequent to the execution of that con- tract or agreement; and tract or agreement; and b. Is caused, in whole or in part, by your acts or b. Arises out of the ownership, maintenance or omissions in the maintenance, operation or use of that part of any premises leased to use of equipment leased to you by such you. equipment lessor. The insurance provided to such premises owner, The insurance provided to such equipment lessor manager or lessor is subject to the following pro- is subject to the following provisions: visions: a. The limits of insurance provided to such a. The limits of insurance provided to such equipment lessor will be the minimum limits premises owner, manager or lessor will be which you agreed to provide in the written the minimum limits which you agreed to pro- contract or agreement, or the limits shown on vide in the written contract or agreement, or the Declarations,whichever are less. the limits shown on the Declarations, which- b. The insurance provided to such equipment ever are less. lessor does not apply to any"bodily injury" or b. The insurance provided to such premises "property damage" that occurs, or "personal owner, manager or lessor does not apply to: • injury"or"advertising injury" caused by an of- (1) Any "bodily injury" or "property damage" fense that is committed, after the equipment that occurs, or"personal injury"or"adver- lease expires. tising injury" caused by an offense that is c. The insurance provided to such equipment committed, after you cease to be a tenant lessor is excess over any valid and collectible in that premises; or other insurance available to such equipment (2) Structural alterations, new construction or lessor, whether primary, excess, contingent demolition operations performed by or on or on any other basis, unless you have behalf of such premises owner, lessor or agreed in the written contract or agreement manager. that this insurance must be primary to, or c. The insurance provided to such •premises non-contributory with, such other insurance, owner, manager or lessor is excess over any in which case this insurance will be primary valid and collectible other insurance available to, and non-contributory with, such other in- to such premises owner, manager or lessor, surance. whether primary, excess, contingent or on I. BLANKET ADDITIONAL INSURED - STATES any other basis, unless you have agreed in OR POLITICAL SUBDIVISIONS-PERMITS the written contract or agreement that this in- The following is added to SECTION II -WHO IS surance must be primary to, or non AN INSURED: contributory with, such other insurance, in which case this insurance will be primary to, Any state or political subdivision that has issued a and non-contributory with, such other insur- permit in connection with operations performed by ance. you or on your behalf and that you are required Page 4 of 6 ©2011 The Travelers Indemnity Company.All rights reserved. CG D3 16 11 11 COMMERCIAL GENERAL LIABILITY by any ordinance, law or building code to include (ii) A manager of any limited liability as an additional insured on this Coverage Part is company; or an insured, but only with respect to liability for (iii)An executive officer or director of "bodily injury", "property damage", "personal in- any other organization; jury" or "advertising injury" arising out of such op- that is your partner, joint venture erations. member or manager; or The insurance provided to such state or political (b) Any "employee" authorized by such subdivision does not apply to: partnership, joint venture, limited li- a. Any "bodily injury," "property damage," "per- ability company or other organization sonal injury" or "advertising injury" arising out to give notice of an "occurrence" or of operations performed for that state or po- offense. litical subdivision; or (3) Notice to us of such "occurrence"or of an b. Any "bodily injury" or "property damage" in- offense will be deemed to be given as cluded in the "products-completed operations soon as practicable if it is given in good hazard". faith as soon as practicable to your work- J. KNOWLEDGE AND NOTICE OF OCCUR- ers' compensation insurer. This applies RENCE OR OFFENSE only if you subsequently give notice to us of the "occurrence" or offense as soon as The following is added to Paragraph 2., Duties In The Event of Occurrence, Offense, Claim or practicable after any of the persons de- Suit, of SECTION IV — COMMERCIAL GEN- scribed in Paragraphs e. (1) or (2) above ERAL LIABILITY CONDITIONS: discovers that the"occurrence" or offense may result in sums to which the insurance e. The following provisions apply to Paragraph provided under this Coverage Part may a. above, but only for the purposes of the in- apply. surance provided under this Coverage Part to you or any insured listed in Paragraph 1. or 2. However, if this Coverage Part includes an en- of Section II—Who Is An Insured: dorsement that provides limited coverage for "bodily injury" or "property damage" or pollution (1) Notice to us of such "occurrence" or of- costs arising out of a discharge, release or es- fense must be given as soon as practica- cape of"pollutants" which contains a requirement ble only after the "occurrence" or offense that the discharge, release or escape of "pollut- is known by you (if you are an individual), ants" must be reported to us within a specific any of your partners or members who is number of days after its abrupt commencement, an individual (if you are a partnership or this Paragraph e. does not affect that require- joint venture), any of your managers who ment. is an individual (if you are a limited liability K. UNINTENTIONAL OMISSION company), any of your "executive offi- cers" or directors (if you are an organiza- The following is added to Paragraph 6., Repre- tion other than a partnership,joint venture sentations, of SECTION IV — COMMERCIAL or limited liability company) or any "em- GENERAL LIABILITY CONDITIONS: ployee" authorized by you to give notice The unintentional omission of, or unintentional of an "occurrence"or offense. error in, any information provided by you which (2) If you are a partnership, joint venture or we relied upon in issuing this policy will not preju- limited liability company, and none of your dice your rights under this insurance. However, partners, joint venture members or man- this provision does not affect our right to collect agers are individuals, notice to us of such additional premium or to exercise our rights of "occurrence" or offense must be given as cancellation or nonrenewal in accordance with soon as practicable only after the "occur- applicable insurance laws or regulations. rence" or offense is known by: L. BLANKET WAIVER OF SUBROGATION (a) Any individual who is: Thefollowing_is added to.Paragraph 8., Transfer. (i) A partner or member of any part- Of Rights Of Recovery Against Others To Us, nership or joint venture; of SECTION IV — COMMERCIAL GENERAL LI- ABILITY CONDITIONS: CG D3 16 11 11 ©2011 The Travelers Indemnity Company.All rights reserved. Page 5 of 6 • COMMERCIAL GENERAL LIABILITY If the insured has agreed in a contract or agree- 3. "Bodily injury" means bodily injury, mental ment to waive that insured's right of recovery anguish, mental injury, shock,fright, disability, against any person or organization, we waive our humiliation, sickness or disease sustained by right of recovery against such person or organize- a person, including death resulting from any tion, but only for payments we make because of: of these at any time, a. "Bodily injury" or property damage" that oc- N. CONTRACTUAL LIABILITY-RAILROADS curs;or 1. The following replaces Paragraph c. of the b. "Personal injury" or "advertising injury" definition of"insured contract" in the DEFINI- caused by an offense that is committed; TIONS Section: subsequent to the execution of that contract or c. Any easement or license agreement; agreement. 2. Paragraph f.(1) of the definition of "insured • M. AMENDED BODILY INJURY DEFINITION — contract`-in-the-DEFINITIONS-Section-is-de- leted. The following replaces the definition of "bodily injury"in the DEFINITIONS Section: Page 6 of 6 ©2011 The Travelers Indemnity Company.All rights reserved. CG D3 16 11 11 COMMERCIAL GENERAL LIABILITY POLICY NUMBER: ISSUE DATE: - - 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY DESIGNATED PROJECT(S) 1 GENERAL AGGREGATE LIMIT This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Project Designated Project(s): General Aggregate(s): EACH "PROJECT" FOR WHICH YOU HAVE AGREED, GENERAL AGGREGATE LIMIT IN A WRITTEN CONTRACT WHICH IS IN EFFECT SHOWN ON THE DECLARATIONS DURING THIS POLICY PERIOD, TO PROVIDE A SEPARATE GENERAL AGGREGATE LIMIT, PROVIDED THAT THE. CONTRACT IS SIGNED AND EXECUTED BY YOU BEFORE THE "BODILY INJURY" OR "PROPERTY DAMAGE" OCCURS. A. For all sums which the insured becomes legally 3. Any payments made under COVERAGE A. obligated to pay as damages caused by "occur- for damages or under COVERAGE C. for rences" under COVERAGE A. (SECTION I), and medical expenses shall reduce the Desig- for all medical expenses caused by accidents un- nated Project General Aggregate Limit for der COVERAGE C (SECTION I), which can be that designated "project". Such payments attributed only to operations at a single desig- shall not reduce the General Aggregate Limit nated"project"shown in the Schedule above: shown in the Declarations nor shall they re- 1. A separate Designated Project General Ag- duce any other Designated Project General gregate Limit applies to each designated"pro- Aggregate Limit for any other designated Ject , and that limit is equal to the amount of "project"shown in the Schedule above. the General Aggregate Limit shown In the 4. The limits shown in the Declarations for Each 1111 Declarations, unless separate Designated Occurrence, Damage To Premises Rented Project General Aggregate(s) are sched- To You and Medical Expense continue to uled above. apply. However, instead of being subject to 2. The Designated Project General Aggregate the General Aggregate Limit shown in the Limit is the most we will pay for the sum of all Declarations, such limits will be subject to the damages under COVERAGE A., except applicable Designated Project General Ag- damages because of "bodily injury" or"prop- gregate Limit. erty damage" included 1n the "products- B. For all sums which the insured becomes legally completed operations hazard", and for medi- obligated to pay as damages caused by "occur- cal expenses under COVERAGE C, regard- rences" under COVERAGE A. (SECTION I), and less of the number of: for all medical expenses caused by accidents un- a. Insureds; der COVERAGE C. (SECTION I), which cannot be.attributedonly to operations at a single.desig- b. Claims made or"suits"brought; or nated "project"shown in the Schedule above: c. Persons or organizations making claims or bringing"suits". • CG D2 11 01 04 Copyright,The Travelers Indemnity Company, 2004 Page 1 of 2 COMMERCIAL GENERAL LIABILITY 1. Any payments made under COVERAGE A. vided, any payments for damages because of for damages or under COVERAGE C. for "bodily injury" or "property damage" included in medical expenses shall reduce the amount the "products-completed operations hazard" will available under the General Aggregate Limit reduce the Products-Completed Operations Ag- or the Products-Completed Operations Ag- gregate Limit, and not reduce the General Aggre- gregate Limit, whichever is applicable;and gate Limit nor the Designated Project General Aggregate Limit. 2. Such payments shall not reduce any Desig- nated Project General Aggregate Limit. E. For the purposes of this endorsement the Defini- C. Part 2.of SECTION III—LIMITS OF INSURANCE tions Section is amended by the addition of the is deleted and replaced by the following: following definition: 2. The General Aggregate Limit is the most we "Project" means an area away from premises will pay for the-sum of: - owned by or rented to you at which you are per- _ forming operations pursuant to a contract or a. Damages under Coverage B; and agreement. For the purposes of determining the b. Damages from "occurrences" under applicable aggregate limit of insurance, each COVERAGE A (SECTION I) and for all "project' that includes premises involving the medical expenses caused by accidents same or connecting lots, or premises whose con- under COVERAGE C (SECTION I)which nection is interrupted only by a street, roadway, cannot be attributed only to operations at waterway or right-of-way of a railroad shall be a single designated"project"shown in the considered a single"project". SCHEDULE above. F. The provisions of SECTION III — LIMITS OF D. When coverage for liability arising out of the INSURANCE not otherwise modified by this en- "products-completed operations hazard" is pro- dorsement shall continue to apply as stipulated. jI Page 2 of 2 Copyright,The Travelers Indemnity Company, 2004 CG D2 11 01 04 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO EXTENSION ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GENERAL DESCRIPTION OF COVERAGE—This endorsement broadens coverage, However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to the Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. BROAD FORM NAMED INSURED H. HIRED AUTO PHYSICAL DAMAGE— LOSS OF B. BLANKET ADDITIONAL INSURED USE—INCREASED LIMIT C. EMPLOYEE HIRED AUTO I. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES—INCREASED LIMIT D. EMPLOYEES AS INSURED J. PERSONAL PROPERTY E. SUPPLEMENTARY PAYMENTS — INCREASED K. AIRBAGS LIMITS L. NOTICE AND KNOWLEDGE OF ACCIDENT OR F. HIRED AUTO — LIMITED WORLDWIDE COV- LOSS ERAGE—INDEMNITY BASIS M. BLANKET WAIVER OF SUBROGATION G. WAIVER OF DEDUCTIBLE—GLASS N. UNINTENTIONAL ERRORS OR OMISSIONS PROVISIONS A. BROAD FORM NAMED INSURED this insurance applies and only to the extent that The following Is added to Paragraph A.1., Who Is person or organization qualifies as an "insured" An Insured, of SECTION II—COVERED AUTOS under the Who Is An Insured provision contained LIABILITY COVERAGE: In Section II. Any organization you newly acquire or form dur- C, EMPLOYEE HIRED AUTO ing the policy period over which you maintain 1. The following is added to Paragraph A.1., 50% or more ownership interest and that is not Who Is An Insured, of SECTION II — COV- separately insured for Business Auto Coverage. ERED AUTOS LIABILITY COVERAGE: Coverage under this provision is afforded only un- An "employee" of yours is an "insured" while til the 180th day after you acquire or form the or- operating an "auto" hired or rented under a ganization or the end of the policy period, which- contract or agreement in an "employee's" ever Is earlier. name, with your permission, while performing duties related to the conduct of your busi- B. BLANKET ADDITIONAL INSURED ness. The following is added to Paragraph c. in A.1., 2. The following replaces Paragraph b. in B.5., Who Is An Insured, of SECTION II — COVERED Other Insurance, of SECTION IV — BUSI- AUTOS LIABILITY COVERAGE: NESS AUTO CONDITIONS: Any person or organization who is required under b. For Hired Auto Physical Damage Cover- a written contract or agreement between you and age, the following are deemed to be cov- that person or organization, that is signed and eyed "autos"you own: executed by you before the "bodily injury" or (1) Any covered "auto" you lease, hire, "property damage" occurs and that is in effect rent or borrow; and during the policy period, to be named as an addi- (2) Any covered "auto" hired or rented by tional insured is an "Insured" for Covered Autos your "employee" under a contract in Liability Coverage, but only for damages to which an "employee's" name, with your CA T3 53 02 15 &92015 The Travelers Indemnity Company.All rights reserved. Page 1 of 4 Includes copyrighted material of Insurance Services Office,Inc.with Its permission. COMMERCIAL AUTO permission, while performing duties (a) With respect to any claim made or "suit" related to the conduct of your busi- brought outside the United States of ness. America, the territories and possessions However, any "auto"that is leased, hired, of the United States of America, Puerto rented or borrowed with a driver is not a Rico and Canada: covered "auto". (i) You must arrange to defend the "in- D. EMPLOYEES AS INSURED sured"against, and investigate or set- tle any such claim or "suit" and keep The following is added to Paragraph A.1., Who Is us advised of all proceedings and-ac- An Insured, of SECTION II–COVERED AUTOS tions. LIABILITY COVERAGE: (ii) Neither you nor any other involved Any "employee" of yours is an "insured"while us- "insur_ed"will make—any _settlement_____—__ ing a covered"auto" you don't own, hire or borrow without our consent. in your business or your personal affairs. (iii)We may, at our discretion, participate E. SUPPLEMENTARY PAYMENTS – INCREASED in defending the "insured" against, or LIMITS in the settlement of, any claim or 1. The following replaces Paragraph A.2.a.(2), "suit". of SECTION II– COVERED AUTOS LIABIL- (iv)We will reimburse the "insured" for ITY COVERAGE: sums that the "insured" legally must (2) Up to $3,000 for cost of bail bonds (in- pay as damages because of "bodily cluding bonds for related traffic law viola- injury" or"property damage" to which tions) required because of an "accident" this Insurance applies, that the "in- we cover. We do not have to furnish sured" pays with our consent, but these bonds. only up to the limit described in Para- 2. The following replaces Paragraph A.2.a.(4), graph C., Limits Of Insurance, of of SECTION II–COVERED AUTOS LIABIL- SECTION II – COVERED AUTOS ITY COVERAGE: LIABILITY COVERAGE. (4) All reasonable expenses incurred by the (v) We will reimburse the "insured" for "insured" at our request, including actual the reasonableexpenses incurred loss of earnings up to $500 a day be- with our consent for your investiga- cause of time off from work, tion of such claims and your defense of the "insured" against any such F. HIRED AUTO – LIMITED WORLDWIDE COV- "suit", but only up to and included ERAGE–INDEMNITY BASIS within the limit described in Para- The following replaces Subparagraph (5) in Para- graph C., Limits Of Insurance, of graph B.7., Policy Period, Coverage Territory, SECTION II – COVERED AUTOS of SECTION IV – BUSINESS AUTO CONDI- LIABILITY COVERAGE, and not in TIONS: addition to such limit. Our duty to make such payments ends when we (5) Anywhere in the world, except any country or have used up the applicable limit of jurisdiction while any trade sanction, em insurance in payments for damages, bargo, or similar regulation imposed by the settlements or defense expenses. United States of America applies to and pro- hibits the transaction of business with or (b) This insurance is excess over any valid within such country or jurisdiction, for Coy- and collectible other insurance available ered Autos Liability Coverage for any covered to the "insured" whether primary, excess, "auto" that you lease, hire, rent or borrow contingent or on any other basis. without a driver for a period of 30 days or less (c) This insurance is not a substitute for re- and that is not an "auto" you lease, hire, rent quired or compulsory insurance in any or borrow from any of your "employees", country outside tile United States, its ter- partners (if you are a partnership), members ritories and possessions, Puerto Rico and (if you are a limited liability company) or Canada. members of their households. Page 2 of 4 ©2015 The Travelers Indemnity Company.All rights reserved. CA T3 53 02 15 Includes copyrighted material of Insurance Services Office,Inc.with its permission. COMMERCIAL AUTO You agree to maintain all required or (2) In or on your covered "auto", compulsory insurance in any such coun- This coverage applies only in the event of a total try up to the minimum limits required by theft of your covered "auto". local law. Your failure to comply with No deductibles apply to this Personal Property compulsory insurance requirements will not invalidate the coverage afforded by coverage. this policy, but we will only be liable to the K. AIRBAGS same extent we would have been liable The following Is added to Paragraph B.3., Exclu- had you complied with the compulsory in- sions, of SECTION III — PHYSICAL DAMAGE surance requirements. COVERAGE: (d) It is understood that we are not an admit- Exclusion 3.a. does not apply to "loss" to one or ted or authorized insurer outside the more airbags in a covered "auto"you own that in- United States of America, its territories flate due to a cause other than a cause of "loss" and possessions, Puerto Rico and Can- set forth in Paragraphs A.1.b. and A.1.c., but ada. We assume no responsibility for the only: furnishing of certificates of insurance, or a. If that "auto" is a covered "auto" for Compre- for compliance in any way with the laws hensive Coverage under this policy; of other countries relating to insurance. b. The airbags are not covered under any war- G. WAIVER OF DEDUCTIBLE—GLASS ranty; and The following is added to Paragraph D., Deducti- c. The airbags were not intentionally inflated. ble, of SECTION III — PHYSICAL DAMAGE We will pay up to a maximum of $1,000 for any COVERAGE: one "loss". No deductible for a covered "auto" will apply to L. NOTICE AND KNOWLEDGE OF ACCIDENT OR glass damage if the glass is repaired rather than LOSS replaced. The following is added to Paragraph A.2.a., of H. HIRED AUTO PHYSICAL DAMAGE— LOSS OF SECTION IV—BUSINESS AUTO CONDITIONS: USE—INCREASED LIMIT Your duty to give us or our authorized representa- The following replaces the last sentence of Para- tive prompt notice of the "accident" or "loss" ap- graph A.4.b., Loss Of Use Expenses, of SEC- plies only when the "accident" or"loss" is known TION III—PHYSICAL DAMAGE COVERAGE: to: However, the most we will pay for any expenses (a) You (if you are an individual); for loss of use is $65 per day, to a maximum of (b) A partner(if you are a partnership); $750 for any one "accident". (c) A member (if you are a limited liability corn- !. PHYSICAL DAMAGE — TRANSPORTATION pany); EXPENSES—INCREASED LIMIT (d) An executive officer, director or insurance The following replaces the first sentence in Para- manager(if you are a corporation or other or- graph A.4.a., Transportation Expenses, of ganization); or SECTION III — PHYSICAL DAMAGE COVER- (e) Any "employee" authorized by you to give no- AGE: tice of the "accident"or"loss". We will pay up to $50 per day to a maximum.of M. BLANKET WAIVER OF SUBROGATION $1,500 for temporary transportation expense in- The following replaces Paragraph A.6., Transfer curred by you because of the total theft of a cov- Of Rights Of Recovery Against Others To Us, ered"auto" of the private passenger type. of SECTION IV — BUSINESS AUTO CONDI- J. PERSONAL PROPERTY TIONS: The following is added to Paragraph A.4., Cover- 5. Transfer Of Rights Of Recovery Against age Extensions, of SECTION III — PHYSICAL Others To Us DAMAGE COVERAGE: We waive any right of recovery we may have Personal Property against any person or organization to the ex- tent--required-of-you by a written contract We will pay up to $400 for "loss" to wearing ap- signed and executed prior to any "accident" parel and other personal property which is: or"loss", provided that the"accident" or"loss" (1) Owned by an "insured"; and arises out of operations contemplated by CA T3 53 02 15 02015 The Travelers Indemnity Company.All rights reserved. Page 3 of 4 Includes copyrighted material of Insurance Services Office,Inc.with Its permission. • COMMERCIAL AUTO such contract. The waiver applies only to the The unintentional omission of, or unintentional person or organization designated in such error in, any information given by you shall not contract. prejudice your rights under this insurance. How- N. owN. UNINTENTIONAL ERRORS OR OMISSIONS ever this provision does not affect our right to col- The following is added to Paragraph B.2., Con- lect additional premium or exercise our right of cealment, Misrepresentation, Or Fraud, of cancellation or non-renewal. SECTION IV—BUSINESS AUTO CONDITIONS: • Page 4 of 4 U 2015 The Travelers Indemnity Company.All rights reserved. CA T3 53 02 15 Includes copyrighted material of Insurance Services Office,Inc.with Its permission. Consumer tools Agent and Company Lookup Orders Independent Review Decisions CHARTER OAK FIRE INSURANCE COMPANY THE Change History 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 backto top Company change history o View changes l ^hack totop ...................... Types of coverage authorized to sell o Insurance types Casualty Marine Ocean Marine Property Surety hack to top Agents and agencies that represent this company (Appointments) o View,ayents View agenciesi back to top. Company complaint history o i Vtew,complaintsJ back to tup_ Orders issued since 2010 0 .. . ...................... [View orders is 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_insur-ance_companies,_pl.us-has information and tips to help you__ understand current insurance issues. back to tqp, 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 _ N 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 108 Shares 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: 844-816-9447 ,Web: www.travelers.com 0 ! [ IIow A Print this page I i Best's Credit Ratings Financial Strength Rating View Definition• Rating: A++ (Superior) Affiliation Code: g (Group) f ! Financial Size Category: XV($2 Billion or greater) r I Outlook: Stable Action: Affirmed Effective Date: October 31, 2018 I i Initial Rating Date: June 30, 1936 Long-Term Issuer Credit Rating View Definition Long-Term: aa+ r t Outlook: Stable Action: Affirmed �I 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. • • I • • • Total Assets • $945,000,000 -- • ' $940,000,000 • $935,000,000 — • • • • I $930,000,000 T- $925,000,000 • _ $920,000,000 — J,4•1 $915,000,000 — . -- $910,000,000 — $905,000,000 2018 2017 2016 2015 2014 Data Years DPW -Top Lines of Business ,7;�i 1 f3 LQ'V tP }yra ti'tf • l • , 30.87 — Commercial Multiple Peril Workers'Compensation — Auto(Commercial) --- Other Liability(Occurrence) — Homeowners Multiple Peril 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: 1st Quarter 2019 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 Ji I f f ` ! i ii To view competitive insurers for Charter Oak Fire Insurance Company, please select State and Line of coverage and click compare. State: l 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. 1 I 1 � i I i I I I f I i I I i I j fI a i 1 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 TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA Change History I Licensing I Appointments I Complaints I Orders I National Info I Ratings I Ie. .,Fi)Ings Back to Search General information Contact information Name: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA Registered Mailing address Corporate family group: TRAVELERS . ,RE. P. address ONE TOWER SQUARE Organization type: PROPERTY ONE TOWER SQ HARTFORD, CT 06183 Doing Business As (DBA): Unavailable HARTFORD, CT 06183 Telephone WAOIC: 1320 Telephone 860-027-7011 NAIC: 25674 860-027-7011 Status: ACTIVE Admitted date: 10/11/1974 Ownership type: STOCK • back Company change history o LView changes .• 45K.!.°19f? Types of coverage authorized to sell •g Insurance types Casualty Marine Ocean Marine Property Surety Vehicle .• 12AcKtc?.N.P. Agents and agencies that represent this company (Appointments) .9.. Lyiewpge: o.:1 a6e9c! s] .12. 1c..!2.19P. Company complaint history p View complaints back to top Orders issued since 2010 0 No orders are found back to top, Premium tax filings by tax year 2018 2017 2016 2015 2014 back to top National information on insurance companies Want more information about this company? The NAIC's Consumer I_n.formation (CIS).pa�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. T 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 pours Moody'sInvestors Service Fitch IBCA,.Duff and Phes 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.13e aware that not all financial rating companies use the same rating processes. back,tg,top. ` — 108 Shares Travelers Property C roertasaUtof Amer mer (a member of Travelers Group) AM Best#:004461 NAIC#t 25674 FEIN#:36-2719165 Address: One Tower Square Hartford, CT 06183 UNITED STATES Phone: 860-277-0111 Fax: 844-816-9447 Web: www.travelers.com RdloJ Print this pag . . Best's Credit Ratings ! �----- --------�—��--- i | / Financial Strength Rating View Definition ' 1 Rating: A++ /8upehor ` ' Affiliation Code: g � | Financial Size Category: XV($2 Billion or greater) Outlook: Stable } � Action: Affirmed / | Effective Date: October 31, 2018 ! i � | ' Initial Rating Date: June 30, 1972 -- ' -- '---' -- — ---- Long-Term Issuer Credit Rating View Definition -----'--- --'--- —i i � . Long-Term: aa+ Outlook: Stable Action: Affirmed Effective Date: October 31, 2018 Initial Rating Date: April 18, 2005 .---------------------------'----------~-----------------'--------'---- ---/ u Denotes Under Review Bests Rating Licensing: Licensed Territory: (Current since 11/05/2018).The company is licensed in the District of | Co|umbi8. Northern Mariana Islands, Puerto Rico, U.S. Virgin Islands and all states. i f 3 i i i i 1 i i I � i i i 1 i i i 1 r ' i ,i i j i t I i 7r 1 � � r Total Assets $940,000,000 $920,000,000 ��- $900,000,000 l' $880,000,000 $860,000,000 - � , $840,000,000 • , $820,000,000 ;!` $800,000,000 T•� • 4. $780,000,000 . , 2018 2017 2016 2015 2014 -�- Data Years I � I ` � I { DPW-Top Lines of Business ;vs 1 e 1f t ;tit Wil f 2$;21 l F 44,,,,41(_ 44,3 SYS. Y r y I7 Y } 1wf.1 j a,j v.. 19.63% --- Workers'Compensation Other Liability(Occurrence) Commercial Multiple Peril ..�. Auto(Commercial) -- Inland 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: 1st Quarter 2019 i i Top Line(s) of Business (based upon Direct Premiums Written) 1. Workers' Compensation (View Definition ) 2. Other Liability (Occurrence) (View Definition ) 3. Commercial Multiple Peril (View Definition) 4. Auto (Commercial) (View Definition ) 5. Inland Marine (View Definition ) Top State(s) of Business (based upon Direct Premiums Written) 1. California 2. New York 3. New Jersey 4. Illinois 5. Pennsylvania 4 I { a ' II To view competitive insurers for Travelers Property Casualty Co of Amer, please select State and Line of coverage and click compare. State: Telect a stateLine: Compare are 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, r i tel lt! ► 1 ! � 1 i i { ► 1 � ► ft Customer Service I Support I My Account I Contact I Careers About Us J Site Map (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 toots Agent and Company Lookup Orders Independent Review Decisions TRAVELERS INDEMNITY COMPANY OF AMERICA THE Change History I Licensing I Appointments I Complaints I Orders I National Info Ratings I Tax Filings [Back to Search J General information Contact information Name: TRAVELERS INDEMNITY COMPANY OF AMERICA Mailing address THE Registered address ONE TOWER SQUARE, Corporate family group: TRAVELERS GRP O ONE TOWER SQUARE 4MN Organization type: PROPERTY HARTFORD, CT 06183 HARTFORD, CT 06183- Doing Business As (DBA): Unavailable 9070 Telephone WAOIC: 1322 860-277-0111 Telephone 860-277-0111 NAIC: 25666 Status: ACTIVE Admitted date: 08/13/1968 Ownership type: STOCK back to top. ........................ Company change history o View changes C� . 1`b�ck_to,top, Types of coverage authorized to sell o Insurance types Casualty Marine Ocean Marine Property Surety Vehicle T back to top. Agents and agencies that represent this company (Appointments) o f Vlew agents.l [View;agenciesI back to top Company complaint history o • View complaints 1 back_to.top. Orders issued since 2010 0 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 Ratius� 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 • 108 Shares Travelers Indemnity Co of America (a member of Travelers Group) AM Best#:004003 NAIC#:25666 FEIN#: 58-6020487 Address: One Tower Square Hartford, CT 06183 UNITED STATES Phone: 860-277-0111 Fax: 844-816-9447 Web: www.travelers.com Follow] di Print this page Best's Credit Ratings _._....__._-,.._._.__---..__..._._......._._._........._...._...._..._.._..............._.._._....,_.._.__..__,..._.._,_.._..._...,..._._.....___.__._.r.__.._.._._. Financial Strength Rating View Definition Rating: A++ (Superior) Affiliation Code: g (Group) Financial Size Category: XV ($2 Billion or greater) j } Outlook: Stable Action: Affirmed i i I Effective Date: October 31, 2018 Initial Rating Date: June 30, 1951 i 4 Long Term Issuer Credit Rating View Definition Long-Term: aa+ Outlook: Stable Action: Affirmed 1 i Effective Date: October 31, 2018 I} 1 I Initial Rating Date: April 18, 2005 u Denotes Under Review Best's Rating Licensing: Licensed Territory: (Current since 04/01/2004).The company is licensed in the District of Columbia, 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. • � I 1 I I • � 3 Il • I Total Assets . $670,000,000 • —....17: _ $660,000,000 `, ' ! 1-- $650,000,000 �� ---,.,.rr�.:__. _..... $640,000,000 •,--: 4,'ili_o_t___. ...,‘ ____ ,.: $630,000,000 $620,000,000 • l; — _ r' L $610,000,000 t $600,000,000 -'' _. +_ ; $590,000,000 iI *y • ' t. rt �I .. IS ,' Lr $580,000,000 ^ 2018 2017 2016 2015 2014 --- Data Years I i � I I j 1 � DPW -Top Lines of Business 1251% K 'i i-:' . 5:1'.$63 iF }_ 31:39% Yy;., — Workers'Compensation Commercial Multiple Peril -- Auto(Commercial) - Farmowners Multiple Peril 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: 1st Quarter 2019 Top Line(s) of Business (based upon Direct Premiums Written) 1. Workers' Compensation (View Definition) 2. Commercial Multiple Peril (View Definition ) 3. Auto (Commercial) (View Definition) 4. Farmowners Multiple Peril (View Definition) 5. Other Liability (Occurrence) (View Definition ) Top State(s) of Business (based upon Direct Premiums Written)• 1. New York 2. Florida 3. Texas 4. Massachusetts 5. Georgia ! i f ' i I c f f ' f i To view competitive insurers for Travelers Indemnity Co of America, please selectState and Line of coverage and click compare. — --- Line^ � . ~ ~' ' ' . ' ' - ` _~ `'^~`� � | � ! � { | ' . | , | • 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 j I � I I i i I ' f 1 l 1 j t 1 1 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 OF AUBURN Nancy Backus, Mayor WASHINGTON 25 West Main Street * Auburn WA 98001-4998 * www.auburnwa.gov * 253-931-3000 July 11, 2019 Ms. Judi Rosenau-Payseno Otto Rosenau & Associates, Inc. 6747 Martin Luther King Jr. Way S Seattle, WA 98118-3216 RE: Task Assignment No. 14 to Agreement for Professional Services, AG-C-465 Project No. CP1705, Auburn Way South (SR164) Sidewalk Improvements Notice to Proceed Dear Ms. Rosenau-Payseno: Enclosed please find an executed copy of the above-referenced Task Assignment. This Task Assignment has a completion date of December 31, 2019 and a not-to-exceed amount of $5,000.00. You are not authorized to perform work beyond the completion date, or expend funds above and beyond the not-to-exceed amount. This letter serves as your Notice to Proceed. As the project manager, I am the designated contact for this task assignment. Questions, assignments and coordination shall be routed through me. You can contact me at 253-804-5032. Sincerely, Matt La on, P.E. Senior Project Engineer Public Works Department ML/mt/as Enclosure cc: Shawn Campbell, City Clerk AG-C-465 ENG-221, Revised 12/18 AUBURN * MORE THAN YOU IMAGINED TASK ASSIGNMENT FOR ON-CALL PROFESSIONAL SERVICES AGREEMENT NO: AG-C-465 TASK NO: AGC465-T014 CONSULTANT: Otto Rosenau & Associates PROJECT NO/DESCRIPTION: CP1705, Auburn Way South (SR164) Sidewalk Improvements The general provisions and clauses of the Agreement referenced above shall be in full force and effect for this Task Assignment. Location of Project: Auburn Way South (SR164) - 17th Street SE to Muckleshoot Plaza Maximum Amount Payable per this Task Assignment: $5,000.00 Completion Date: December 31, 2019 Scope of Work: See Exhibit A, which is attached hereto and by this reference made part of this Agreement. Approvals: Consultant Project Manager: Signature: 111,1 ' ' Date: l l l L City Project Manager: Signature: Date: -7///zot ENG-186, Revised 11/17 Page 1 of 1 EXHIBIT A Otto Rosenau &Associates, Incorporated Geotechnical Engineering,Construction Inspection&Materials Testing City of Auburn Auburn Way South(SR 164)Sidewalk Improvements(CP1705) Proposal No.:19-0585 July 1,2019 ESTIMATED BUDGET Description of Services Quantity Unit Fee Extension Soils Compaction Testing 22 Hr $77.00 $1,694.00 -Assumes 5 inspection trips and 1 sample pick-up trip Soil Grain Size Distribution (Sieve Analysis;D422) 2 Ea $103.00 $206.00 Soil Moisture-Density Relationship (Proctor; D1557) 2 Ea $204.00 $408.00 Sand Equivalent 1 Ea $131.00 $131.00 Dust Ratio 1 Ea $11.00 $11.00 Associated Mileage (Portal to Portal) 276 Mile $0.580 $160.08 -Assumes 6 trips x 46 miles/round-trip Final Inspection/ Review/ Report 1 Hr $95.00 $95.00 Project Management (Report Review, Inspector Supervision) 1.5 Hr No Charge Administrative (Report Typing and Distribution) 1.5 Hr No Charge Subtotal: $2,705.08 Contingency for Unforeseen Circumstances: $405.92 Total Estimated Budget: $3,111.00 Notes: 1) Additional services are available, and will be provided upon request, at our published rates and fees. 2) ORA anticipates in this estimate the testing of native soils and crushed surfacing. CITY OF AUBURN CONTRACT CHANGE ORDER AGREEMENT NO. 1 Contract No.: Contract 19-18 Project Name: CP1705, Auburn Way South (SR164) Sidewalk Improvements Contractor: RW Scott Construction 4005 West Valley Highway Auburn,WA 98001 The Contractor is hereby directed to make the changes to the Contract as described herein. This document and all attachments are a supplement to the contract. All work, materials, measurements and unit bid prices for the type of construction involved shall be in accordance with the contract documents of the above named project unless stated otherwise in this change order. Summary of Proposed Changes: 1. Adds Substantial Completion to the Contract. See attached revisions to the Contract Provisions. The Contract time is extended by 0 working days. Sec. Quantity Unit Price Total Price Item Sch. No. Item Description (+/_) Units ($) (+/-) • N/A $ - Subtotal $ - Washington State Sales Tax(10%)on applicable items $ - TOTAL $ - Base Amount Total incl. Tax 1. Total Cost this C/O $ - $ - 2. Total Cost Previous C/O $ - $ - 3. Original Contract Amount $ 588,838.00 $ 588,838.00 4. Revised Contract Amount $ 588,838.00 $ 588,838.00 This change order constitutes full and complete compensation for all labor, equipment, materials,overhead, profit, any and all indirect costs, and time adjustment to perform the above described changes. All other costs 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 parties and • ered to the other party. Contractor " 1t / 9 Date Project Manager: 2-he 2«' Date City Engineer: ' ��,,r �� (Z/X r9 Date Approved by: , II. :� : - — !.. .,..:: � � • ayo ,o ..uburn Date Approved as to form: � j�a \ )D • City A •rney late ENG-028, Revised 01/19 Page 1 of 1 This section is revised as shown. 1-01.3 Definitions (March 2018, City of Auburn) Delete the heading Completion Dates and the three paragraphs that follow it, and replace them with the following: Dates Bid Opening Date The date on which the Contracting Agency publicly opens and reads the Bids. Award Date The date of the formal decision of the Contracting Agency to accept the lowest responsible and responsive Bidder for the Work. Contract Execution Date The date the Contracting Agency officially binds the Agency to the Contract. Notice to Proceed Date The date stated in the Notice to Proceed on which the Contract time begins. Substantial Completion Date See Physical Completion Date. The day the Engineer determines the Contracting Agency has full and unrestricted use and benefit of the facilities, both from the operational and safety standpoint, any remaining traffic disruptions will be rare and brief, and only minor incidental work, replacement of temporary substitute facilities, plant establishment periods, or correction or repair remains for the Physical Completion of the total Contract. Physical Completion Date The day all of the Work is physically completed on the project. All documentation required by the Contract and required by law does not necessarily need to be furnished by the Contractor by this date. Completion Date The day all the Work specified in the Contract is completed and all the obligations of the Contractor under the contract are fulfilled by the Contractor. All documentation required by the Contract and required by law must be furnished by the Contractor before establishment of this date. Final Acceptance Date See Completion Date. This section is revised as shown. 1-05.11 Final Inspections and Operational Testing 1-05.11(1) Substantial Completion Date (October 1, 2005 APWA GSP) When the Contractor considers the work to be substantially complete, the Contractor shall so notify the Engineer and request the Engineer establish the Substantial Completion Date. The Contractor's request shall list the specific items of work that remain to be completed in order to reach physical completion. The Engineer will schedule an inspection of the work with the Contractor to determine the status of completion. The Engineer may also establish the Substantial Completion Date unilaterally. If, after this inspection, the Engineer concurs with the Contractor that the work is substantially complete and ready for its intended use, the Engineer, by written notice to the Contractor, will set the Substantial Completion Date. If, after this inspection the Engineer does not consider the work substantially complete and ready for its intended use, the Engineer will, by written notice, so notify the Contractor giving the reasons therefore. Upon receipt of written notice concurring in or denying substantial completion, whichever is applicable, the Contractor shall pursue vigorously, diligently and without unauthorized interruption, the work necessary to reach Substantial and Physical Completion. The Contractor shall provide the Engineer with a revised schedule indicating when the Contractor expects to reach substantial and physical completion of the work. The above process shall be repeated until the Engineer establishes the Substantial Completion Date and the Contractor considers the work physically complete and ready for final inspection. 1 CITY OF T T T T Nancy Backus, Mayor WASHINGTON 25 West Main Street *Auburn WA 98001-4998 * www.auburnwa.gov*253-931-3000 March 3, 2020 CERTIFIED MAIL RETURN RECEIPT REQUESTED Mr. Ryan Burks R. W. Scott Construction 4005 West Valley Hwy. N. Auburn, WA 98001 RE: Contract No 19-18 Project No. CP1705, Auburn Way South Sidewalk Improvements Contract Completion and Acceptance Dear Mr. Burks: In accordance with Section 1-05.12 of the Contract Specifications, the above referenced contract is considered complete and accepted as final. The one-year warranty period begins as of the date of this letter. Your Contract Bond must remain in full effect until the expiration of the lien period and there are no liens pending, then the penal sum of this bond, may be reduced to either ten percent (10%) of the value of the improvements to the City or two thousand dollars ($2,000.00), whichever is greater. Your retainage in the amount of $28,928.61 will be released within 60 days provided all necessary releases have been received and there are no outstanding claims against the retainage. If you have any questions, please contact Michelle Thompson, Contract Administrative Specialist at 253-288-4327. Sincerely, , Jacob Sweeti g, City Engineer/Assistant Director of Engineering Services Public Works Department JS/mt/as cc: Shawn Campbell, City Clerk Matt Larson, Senior Project Engineer File 13.11 (CP1705) ENG-075, Revised 03/19 T U N 4 MORE THAN YOU IMAGINED