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HomeMy WebLinkAbout2002-022 2015 Yakima Convention Center Stucco Repair Project Agreement with Vineyard Country Building and Design 2015 Yakima Convention Center Stucco Repair Project - INVITATION TO - QUOTE CITY OF YAKIMA /y � /c � � � S r ENGINEERING DIVISION Contractor: / / 4 e 4 ` // � 6yl 129 NO. 2ND STREET YAKIMA, WASHINGTON 98901 Phone: /- $�C) - 5 6 G PHONE 575 -6111 / ' Address: . Quotations will be received by the Yakima City Clerk until: 4:00 PM, September 8, 2015 PROJECT SCOPE This contract provides for the repair of 6,500 sq. ft. ( +1 -) of stucco placed on the Yakima Convention Center in 2006. Repairs include, but are not limited to: Crack Repair. (grind existing stucco flat, repair with stucco); • Place new tinted stucco basecoat to all existing stucco wall panels and surfaces; etei rd et-s /®tl 44 f-r4 Place elastomeric stucco finish on all stucco wall panels, approximately 6,500 sq. ft. / Other work as deemed necessary to perform a complete work. Other related work all in accordance with the Plans and Specifications as prepared by the City Engineer of the City of Yakima. INSTRUCTIONS TO THE CONTRACTOR Please return your lowest price for the following project by: 4:00 PM, September 8, 2015 to the Yakima City Clerk's Office, 1 floor of City Hall. If you have any questions call Bob Desgrosellier at (509) 575 -6228. The city reserves the right to reject any or all quotations. The city intends to award this contract within 10 calendar days after opening quotes. g osikEtice t 1 } CC Fly , r „ an :39407 {. �r \1. X _ 1- I f 2015 Yakima Convention Center Stucco Repair Project QUOTE FORM ITEM PROPOSAL ITEM UNIT PRICE AMOUNT NO. PAYMENT SECTION QTY UNIT DOLLARS DOLLARS 1 STUCCO REPAIR 1 LS 7f 961 7s #46/7f"a 1 REPAIR OR REPLACEMENT 1 EST. $2,000.00 $2,000.00 SUBTOTAL: 18 7�'� , TAX (8.2 %): 80 p 7," TOTAL: X B.S,G 6� PREQUALIPICATIONS ( must be completed, per section 9 ) SIMILAR RECONSTRUCTED LAST FIVE YEARS Proiect liame Contact Name. Contact Phone /We an K� e - 1. 7`0 p Pf l/c5S4 4c44rvtc1 / -a0� 2Fro -C) vs � 2. / 4S'co u)i4 993v / )) e l - S'y� - S7S % ? YUF4> C 4)(0ti14 Q < I) yak-) 9� 4q r •i c r / ' 3'09 - S' S = S'70 8' Contractor's Signature:`,, Date: / 7 / �S 2 2015 Yakima Convention Center Stucco Repair Project SPECIFICATIONS The 2014 Standard Specifications for Road, Bridge, and Municipal Construction published by the Washington State Department of Transportation and the Washington State Chapter of the American Public Works Association, by this reference, are made a part of these Contract Documents. Except as may be amended, modified, or supplemented hereinafter, each section of the Standard Specifications shall be considered as much a part of these Contract Documents as if they were actually set forth herein. GENERAL /SPECIAL INSTRUCTIONS 1. Description of Project: This contract provides for the repair of 6,500 sq. ft. ( + / -) of stucco placed on the Yakima Convention Center in 2006. Repairs include, but are not limited to: Crack Repair. (grind cracks flat with a peanut grinder until a four -foot straight edge straddling the crack lies flat against the exterior wall surface without rocking; Place new stucco basecoat (Dryvit, Senergy or equivalent) that has been tinted to match top coat, to all 6,500 sq. ft. ( + / -) of existing stucco wall panels and surfaces; Place tinted primer on all 6,500 sq. ft. ( + / -) of new stucco basecoat; Place colored elastomeric finish on all 6,500 sq. ft. ( + / -) of new stucco basecoat and all identified stucco panels; Repair /replace drip cap as necessary or as directed; (Item No.2 Repair or Replacement); Perform other related work to provide a complete and finished project; All in accordance with the Plans and Specifications as prepared by the City of Yakima City Engineer. 2. Submission of Quote: Quote shall be submitted to the City Clerk's Office, Yakima City Hall, 129 North 2nd Street, Yakima, WA, 98901, by the date and time listed in the Invitation to Quote in a sealed envelope labeled 2015 Yakima Convention Center Stucco Repair Project, with the quote due date written on it. Bidders will not be allowed to adjust their quotes after submission. 3. Pre - Qualification: Bidders shall be qualified by experience, labor and equipment to do the work called for in the Contract Documents. The Contracting Agency reserves the right to take whatever action it deems necessary to ascertain the ability of the bidder to perform the work satisfactorily. The contractor shall provide evidence that he has performed similar work on at least three similar projects in the past five years that contain similar elements. Each project shall have contained features similar to the work required on this project. Contractors shall list their projects on QUOTE FORM, page 2 of these documents and submit this with their proposal. 3 Bidders must be a Registered Member as a Small Works Contractor through the Municipal Services Research Center's (MRSC) Small Public Works Roster at the time of submitting a quote or their quote will be deemed non - responsive. ( Register at: www.mrscrosters.org / ) 4. Right to Award: The City of Yakima reserves the right to reject any or all quotations in the best interest of the City. 5. Workmanship: The contractor shall furnish all labor, equipment, and materials, which are necessary to complete the work as described in these specifications. Quality of workmanship shall meet or exceed that which is provided by commercial plasterer industry standards. Any variance from the specifications or standards of quality must be clearly pointed out in writing by the bidder. A Performance Bond equal to the bid amount is required. 6. Regulatory Requirements: The project shall be performed in a manner that is in compliance with all applicable federal, state and local laws and regulations, including, but not limited to, vehicle regulations (WSDOT /HMTUSA /other), environmental laws and regulations (EPA/WDOE /local), and health and safety laws and regulations (OSHA /WISHA /City Safety Codes). 7. Records: The contractor shall maintain operational records at its place of business for a minimum of five years. These records shall include: point of material pick up, type of material, quantity of material. 8. Prevailing Wages: The contractor will comply with all provisions of Chapter 39.12 RCW - Prevailing Wages on Public Work. A. RCW 39.12.010 - The Prevailing Rate of Wage: Contact the Department of Labor and Industries, to confirm current prevailing wage rate for applicable workers on this particular public work project. B. RCW 39.12.040 - Statement of Intent to Pay Prevailing Wages and an Affidavit of Wages Paid: Before the City may pay any sum due on account, it must receive a statement of Intent to Pay Prevailing Wages approved by the Department of Labor and Industries. Following final acceptance of a public work project, and before any final money is disbursed, each contractor and sub - contractor must submit to the City an Affidavit of Wages Paid, certified by the Department of Labor and Industries. C. RCW 39.12.070 - Fees Authorized for Approval Certification and Arbitrations: Any fees charged by the Department of Labor and Industries for approvals or fees to cover costs of arbitration conducted shall be the responsibility of the contractor. 9. Termination - Cause: The City reserves the right to terminate this contract at any time, upon written notice, in the event that the services of the Contractor are deemed by the City to be unsatisfactory, or upon failure to perform any of the terms and conditions contained in this agreement. In addition to the foregoing right of termination, the City may terminate this contract, with or without cause, upon thirty (30) days written notice to Contractor. 10. No Disturbance: The contractor shall not disturb grounds or materials outside the sphere of the contracted project. 11. Site Review: All bidders must visit the site prior to submitting their quote and become aware of any problems which may affect their quote. Bidders will not be allowed to adjust their quotes after submission, based on information, which could have been obtained through a site visit. Contact the persons listed below to schedule an appointment. 4 12. Coordination: The contractor will coordinate his work with City of Yakima Senior Engineer, Bob Desgrosellier, (509) 575 -6228 or (509) 728 -3455; or Chief Engineer, Brett Sheffield, (509) 576 -6797. 13. Timing: Successful contractor shall complete all work within 20 working days. 14. Stucco Repair: (Lump Sum ) This contract provides for the repair of 6,500 sq. ft. ( + / -) of stucco placed on the Yakima Convention Center in 2006. Repairs include but are not limited to: 1. Crack Repair. (grind cracks flat with peanut grinder until a four -foot straight edge, centered on and straddling the crack, lies flat against exterior wall surface without rocking; repair with stucco); 2. Repair /replace drip cap as necessary or as directed; 3. Place new stucco basecoat (Dryvit, Senergy or equivalent), that has been tinted to match top coat, to all 6,500 sq. ft. ( + / -) of existing stucco wall panels and surfaces; 4. Place colored * elastomeric stucco finish on all stucco wall panels, providing uniform coverage and color to all stucco surfaces; approximately 6,500 sq. ft. a. * Finish coat color to be determined by owner prior to the start of work; 5. Other work as deemed necessary to perform a complete work. All in accordance with the Plans and Specifications as prepared by the City of Yakima City Engineer. 15. Repair or Replacement: ( Estimated) The work shall consist of additional work required by the Engineer or the repair of any incidental damages to landscaping, fencing, private irrigation, top soil, turf, or other miscellaneous items within or adjacent to the project area. This includes complete replacement of items that are beyond repair as determined by the Engineer. Payment for the item "Repair or Replacement" shall be by force account. For the purpose of providing a common proposal for all bidders, and for that purpose only, the City has estimated the force account for "Repair or Replacement ", and has arbitrarily entered the amount for the pay item in the proposal to become a part of the total bid by the Contractor. 16. Business License: All bidders shall have a valid and current business license issued by the City of Yakima covering this type of work. It will be the contractor's responsibility to obtain any licenses or permits required, to complete the project. 17. Right to Reject: The City of Yakima reserves the right to reject any or all quotes or accept any presented which meet or exceed these specifications and which they may deem to be in the best interest of the City and will not necessarily be bound to accept the low quote. 18. No Preferences: No exceptions will be considered that may tend to give an individual bidder a distinct advantage. 19. Warranty: The contractor shall warrant to the Owner and guarantee the work under this contract against defective workmanship and materials for a period of one year commencing on the date of final acceptance of the work. 5 20. Contractor's Liability Insurance (Sample Certificate Attached): The contractor shall obtain and maintain in full force and effect during the term of the contract, commercial general liability coverage and automobile coverage with insurance carriers admitted to do business in the State of Washington. The insurance companies must carry a Best's Rating of A- VII or better. The policies will be written on an occurrence basis subject to the following minimum limits of liability: Commercial General Liability: Combined Single Limit: $1,000,000 Per Occurrence $2,000,000 Annual Aggregate The City of Yakima, its agents, elected and appointed officials, and employees are to be listed as additional insured under the policies. The contractor will provide a Certificate of Insurance to the City as evidence of coverage. The certificate will provide 45 days notice of cancellation, and under the cancellation section, the wording "endeavor to" and "but failure to mail such notice shall impose no obligation or liability of any kind upon the company, its agents or representatives" will be crossed out. A copy of the additional insured endorsement attached to the policy will be included with the certificate. The contract shall also maintain workers compensation through the State of Washington. If at any time during the life of the contract or any extension, the contractor fails to maintain the required insurance in full force and effect, all work under the contract shall be discontinued immediately. Any failure to maintain the required insurance may be sufficient cause for the City to terminate the contract. 21. Compliance with Immigration and Naturalization Act The City of Yakima supports the Federal Immigration, Reform and Control Act of 1986, as amended. The City requires that all contractors or business entities that contract with the City for the award of any City contract for public works in excess of Five Thousand Dollars ($5,000), or any other City contract in excess of Two Thousand Five Hundred Dollars ($2,500), enroll in the E- Verify program or its successor, and thereafter to verify its employees' proof of citizenship and authorization to work in the United States. E- Verify will be used for newly hired employees during the term of the contract only; it is not to be used for existing employees. The Contractor must remain enrolled in the program for the duration of the contract and be responsible for verification of every applicable subcontractor. If the contractor has not previously filed an E- Verify Compliance Declaration with the City, the contractor must sign the attached E- Verify Compliance Declaration and submit it to the City prior to being awarded the contract. Failure to do so may be cause for rejection of the bid. 6 Below are two views of the west side of the 2006 Addition to the Yakima Convention Center showing the approximate limits of the stucco wall repair areas. _ - - ,mot - — - •� i► ---- 10 r- t ill -IP1414, . - 40 �''� 111 ii ir 4 View 1: Looking Northeasterly from Yakima Avenue toward the Yakima Convention Center ( Yellow ribbon depicts the limits of vertical faces requiring repair and new surfacing ) w i ll :. 41110. t - : ■. - � ;r' - . 1 . 1 -11 ` 4 0 '''' -.'. ' .0 „.•,...} .1 ,111k. ------- 44 k_.. . - - 111. View 2: Looking Southeasterly toward the Yakima Convention Center from above the Red Lion Hotel ( Yellow ribbon depicts the limits of vertical faces requiring repair and new surfacing ) 7 CONTRACT THIS AGREEMENT, made and entered into in triplicate, this l day of 00-t0 QV, 2015, by and between the City of Yakima, hereinafter called the Owner, and Vineyard Country Building & Design. A Washington S- Corporation, hereinafter called the Contractor. WITNESSETH: That in consideration of the terms and conditions contained herein and attached and made a part of this agreement, the parties hereto covenant and agree as follows: I. The Contractor shall do all work and furnish all tools, materials, labor and equipment for THE BID AMOUNT OF: $ 106,849.66 , for 2015 Yakima Convention Center Stucco Repair Project, all in accordance with, and as described in the attached plans and specifications and the 2014 Standard Specifications for Road, Bridge, and Municipal Construction 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. Work shall start within ten (10) days after the Notice to Proceed and shall be completed in Twenty (20) working days. The first chargeable working day shall be the 11th working day after the date on which the City issues the Notice to Proceed. If said work is not completed within the time specified, the Contractor agrees to pay to the Owner the sum specified in the Standard Specifications for each and every day said work remains uncompleted after expiration of the specified time, as liquidated damages. The Contractors 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 specifications to be furnished by the City of Yakima. IL The City of Yakima 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 attached plans and specifications and the terms and conditions herein contained and hereby contracts to pay for the same according to the attached specifications and the schedule of unit or itemized prices hereto attached, at the time and in the manner and upon the conditions provided for in this contract. III. INDEMNIFICATION. The Contractor shall defend, indemnify, and hold harmless the City, its officers, elected officials, employees and agents from and against any and all claims, causes of action, damages, losses, and expenses of any kind or nature whatsoever, including but not limited to, attorneys fees and court costs, arising out of, relating to, or resulting from The Contractor's performance or non - performance of the services, duties and obligations required of it under this Agreement. IV. 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 the part of the Contractor. V. It is further provided that no liability shall attach to the City of Yakima by reason of entering into this contract, except as expressly provided herein. IN WITNESS WHEREOF the parties hereto have caused this agreement to be executed the day and year first herein above written. Countersigned: CI OF AKLMA CONTRACTOR • this day of ( 0 .1 015. VW EyI D Cpci vT2 %„&lei ,1c1i fly , a S Corporation A ye iG N ► N G , Contractor By / Ci anager - t: a ivh — - Leo.fn01+ (Print Name) • 'it y Cferi 5 I ts: f es i.de-w�, (^ % (President, Owner, etc.) 6 I A< i Address: - ' Z �S0a (.),)0 .g 93oZ 1 k e d% l CITY CON WRAC r NO:, ',1`) a1 1 REM:CI:MON-NO: 21002'022- O DI Western Surety Company PERFORMANCE BOND Bond Number: 71702207 KNOW ALL PERSONS BY THESE PRESENTS, That we Vineyard Country Building & Design, Inc. of P O. Box 2773, Pasco, WA 99302 , hereinafter referred to as the Principal, and Western Surety Company as Surety, are held and firmly bound unto City of Yakima of 129 North Second Street, Yakima, WA 98901 , hereinafter One Hundred Six Thousand Eight Hundred Forty -Nine and referred to as the Obligee, in the sum of 66/100 Dollars ($ 106,849.66 ), for the payment of which we bind ourselves, our legal representatives, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, Principal has entered into a contract with Obligee, dated the day of , for >015 Yakim •s — •a (V — - r Stucco Repair Project NOW, THEREFORE, if the Principal shall faithfully pertorm such contract or shall indemnify and save harmless the Obligee from all cost and damage by reason of Principal's failure so to do, then this obligation shall be null and void; otherwise it shall remain in full force and effect. ANY PROCEEDING, legal or equitable, under this Bond may be instituted in any court of competent jurisdiction in the location in which the work or part of the work is located and shall be instituted within two years after Contractor Default or within two years after the Contractor ceased working or within two years after the Surety refuses or fails to perform its obligations under this Bond, whichever occurs first. If the provisions of this Paragraph are void or prohibited by law, the minimum period of limitation available to sureties as a defense in the jurisdiction of the suit shall be applicable. NO RIGHT OF ACTION shall accrue on this Bond to or for the use of any person or corporation other than the Obligee named herein or the heirs, executors, administrators or successors of the Obligee. SIGNED, SEALED AND DATED this 1st day of October 2015 . Vineyard Country Building & Design, Inc. (Principal) By 1/(/ (Seal) ttestern Suret Com•an - (Surety) gURETy Y Kec,ORPORATN M HAE '�,r�� // / L D MINNI H Attorni * SEAL Form F4597 Western Surety Company POWER OF ATTORNEY - CERTIFIED COPY Bond No. 71702207 Know All Men By These Presents, that WESTERN SURETY COMPANY, a corporation duly organized and existing under the laws of the State of South Dakota, and having its principal office in Sioux Falls, South Dakota (the "Company "), does by these presents make, constitute and appoint MICHAEL D MINNICH its true and lawful attorney(s) -in -fact, with full power and authority hereby conferred, to execute, acknowledge and deliver for and on its behalf as Surety, bonds for: Principal. Vineyard Country Building & Design, Inc. Obligee: City of Yakima Amount: $500,000.00 and to bind the Company thereby as fully and to the same extent as if such bonds were signed by the Senior Vice President, sealed with the corporate seal of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said attorney(s) -in -fact may do within the above stated limitations. Said appointment is made under and by authority of the following bylaw of Western Surety Company which remains in full force and effect. "Section 7. All bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation shall be executed in the corporate name of the Company by the President, Secretary, any Assistant Secretary, Treasurer, or any Vice President or by such other officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint Attorneys in Fact or agents who shall have authority to issue bonds, policies, or undertakings in the name of the Company. The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile." All authority hereby conferred shall expire and terminate, without notice, unless used before midnight of Nov ember 15 2015 , but until such time shall he irrevocable and in full force and effect. In Witness Whereof, Western Surety Company has caused these presents to be signed by its Vice President, Paul T. Bruflat, and its corporate se41,49,1 e affixed this 1st day of October 2015 a s =r WESO SURE COMPANY Paul T. ruflat, Vice President ST 4.P RQL �1 TTA ss COUN jy ji) 5�' On this 1 s t day of October , in the year 2015 , before me, a notary public, personally appeared Paull T. Bruflat, who being to me duly sworn, acknowledged that he signed the above Power of Attorney as the aforesaid officer of WESTERN SURETY COMPANY and acknowledged said instrument to be the voluntary act and dee .f said co, o at'on. • S. PETRIK i .0r& i ▪ M ▪ NOTAFtY PUBLIC C I SOUTH DAKOTA $ i otary Public - South Dakota My Commission Expires August 11, 2016 I the undersigned officer of Western Surety Company, a stock corporation of the State of South Dakota, do hereby certify that the attached Power of Attorney is in full force and effect and is irrevocable, and furthermore, that Section 7 of the bylaws of the Company as set forth in the Power of Attorney is now in force. In testimony whereof, T have hereunto set my hand and seal of Western Surety Company this 15 t day of October , 2015 WEST ,R.► 4 SURE Y COMPANY Paul T. uflat, Vice President Form F5306 -8-2012 Policy Number: Date Entered: 2/19/2010 ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD /YYYY) `.� 10/12/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAM CT phia Adams (503) 520 -0699 WCFL Insurance Services 3800 SW Cedar Hills Blvd. Ste.228 tn No.Ext): (877) 888 -5377 FAX (760)720-4900 (760) 720 -4900 ADDRESS: www.workcompforless.com Beaverton, OR 97005 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Preferred Contractors Ins. Co. INSURED Vineyard Country Building & Design, Inc. INSURER B Mrs. Marleen Lechelt INSURER C : P.O. Box 2773 INSURER D : Pasco, WA 99302 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE I INSD S WVD I POLICY NUMBER (MMI D/YYYY) (MM/ D/YYYY) I LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $2,000,000 CLAIMS -MADE X OCCUR X PC98151 12/14/2014 2/14/2015 DAMAGE TO RENTED 50 000 PREMISES (Ea occurrence) $ X Stop Gap MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $1,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY / \I JE ° LOC 2,000,000 PRODUCTS - COMP /OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON -OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ — DED RETENTION $ $ WORKERS COMPENSATION PER I 1OTH- AND EMPLOYERS' LIABILITY Y / N STATUTE ER ANY PROPRIETOR/PARTNER /EXECUTIVE E.L. EACH ACCIDENT $ OFFICER /MEMBER EXCLUDED? N / A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Yakima City Convention Center -- The City of Yakima, its agents, employees, volunteers, and elected and appointed officials are additional insureds. 10 Days Notice of Cancellation due to Non - payment of Premium. 30 Days Notice for all other reasons. See endorsement No. 1 with United Specialty Insurance Company Policy No. SII4836E19324, coverages are provided under this endorsement CERTIFICATE HOLDER CANCELLATION City of Yakima SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 129 N. 2nd Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Yakima, WA 98901 AUTHORIZED REPRESENTATIVE 9 1 3 1 • © 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Produced using Forms Boss Plus software. www.FormsBoss.com, Impressive Publishing 800 - 208 -1977 UNITED SPECIALTY INSURANCE COMPANY 3250 Grey Hawk Ct, Unit Z • Carlsbad, CA 92010 FOLLOWING FORM DESIGNATED PROJECT LIABILITY INSURANCE POLICY ENDORSEMENT TO POLICY NO. 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. SCHEDULED DESIGNATED PROJECT COVERAGE This endorsement modifies coverage provided under the Policy, as follows: Coverage provided under this endorsement shall comply with the terms and conditions set forth in Section I — COVERAGE in policy form SIS FFDP 01 TCC 10 14. The following information must be provided by the insured for a designated project to be deemed scheduled. Scheduled Project: Job /Scope of Work: Stucco repair for the city of Yakima Initial Contract Price: 106850.00 Project Start Date: 10/26/2015 Estimated Completion Date: 11/20/2015 Project Location 10 N. 8th Street, Yakima, WA 98901 CERTIFICATE HOLDER City of Yakima 192 N. 2nd Street Yakima, WA 98901 It is a condition of this endorsement that if any of the information required to properly schedule a project (above) is misrepresented on this form or on the application for insurance, then no coverage shall be provided to the insured under this policy. Except as set forth above, all of the terms, conditions, and exclusions of this policy apply and remain in effect. Policy No. SII4836E19324 United Specialty Insurance Company 3250 Grey Hawk Ct, Ste. Z Date 12/14/2014 Carlsbad, CA 92010 By: Time: 12:01 a.m. , Authorized ' epresentative t ' SIS FFDP 01 TCC 10 14 / END 1 Page 1 011 FARMERS' INSURANCE` t N1 ° P ,, FARMER S COMMERCIAL CERTIFICATE OF INSURANCE {- Agency Name: Michael D. Minnich Date Issued: 10/02/2015 5150 W Clearwater Ave Ste #120 This certificate is issued as a matter of info only & con - Kennewick, WA 99336 fers no rights upon the cert. holder. This certificate does not amend, extend, or alter coverage afforded by the pol- icies shown below. ST: 79 DIS: 25 AGENT: 341 Insured Name & Address: Company A: Truck Insurance Exchange VINEYARD COUNTRY BUILDING & DESIGN, INC Company B: Farmers Insurance Exchange PO BOX 2773 Company C: Mid - Century Insurance Company PASCO, WA 99302 Company D: Foremost Insurance Coverages: 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 requirements, tern or condition of any contract or other document with respect to which this cert. may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions and conditions of such policies. Limits shown may have been reduced by paid claims. Co. Type of Insurance Policy # Effective Expiration Policy Limits Ltr. Date Date General Liability General Aggregate $ Commercial General Products - Comp /OPS $ - occurrence version Personal & Ad. Injury $ Contractual- Incidental Only Each Occurrence $ Owners & Contactors Prot. Fire Damage $ Medical Expense $ B Automobile Liability 034825664 01/31/2015 01/31/2016 Combined Single Limit $1,000,000 All Owned Commercial Autos Bodily Injury $ x Scheduled Autos (per person) x Hired Autos Bodily Injury $ x Non -Owned Autos (per accident) Garage Liability Property damage $ Garage Aggregate $ Umbrella Liability Limit $ Workers' Comp Statutory & Each Accident $ Disease- Each Emp. Employers Liability Disease- Policy Lmt. $ Description of Operations /Vehicles/Restrictions /Special Items: The City of Yakima, its agents, employees, volunteers, and elected and appointed officials are additional insureds. 10 days Notice of Cancellation due to Non - payment of premium. 30 Days Notice for all other reasons. Cancellation: Should any of the above described policies be cancelled before the expiration date thereof, the issuing company will endeavor to mail 30 days written notice to the certificate holder named below, but failure to mail such notice shall impose no obligation or liability of any kind upon the company, its agents, or representatives. Certificate Holder: City of Yakima 129 N 2 Street Yakima, WA 98901 Authorized Representative: UNITED SPECIALTY INSURANCE COMPANY 3250 Grey Hawk Ct, Unit Z • Carlsbad, CA 92010 FOLLOWING FORM DESIGNATED PROJECT LIABILITY INSURANCE POLICY ENDORSEMENT TO POLICY NO. 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. SCHEDULED DESIGNATED PROJECT COVERAGE This endorsement modifies coverage provided under the Policy, as follows: Coverage provided under this endorsement shall comply with the terms and conditions set forth in Section I — COVERAGE in policy form SIS FFDP 01 TCC 10 14. The following information must be provided by the insured for a designated project to be deemed scheduled. Scheduled Project: Job /Scope of Work: Stucco repair for the city of Yakima Initial Contract Price: 106850.00 Project Start Date: 10/26/2015 Estimated Completion Date: 11/20/2015 Project Location 10 N. 8th Street. Yakima, WA 98901 CERTIFICATE HOLDER City of Yakima 192 N. 2nd Street Yakima, WA 98901 It is a condition of this endorsement that if any of the information required to properly schedule a project (above), is misrepresented on this form or on the application for insurance, then no coverage shall be provided to the insured under this policy. Except as set forth above, all of the terms, conditions, and exclusions of this policy apply and remain in effect. Policy No. SII4836E19324 United Specialty Insurance Company 3250 Grey Hawk Ct, Ste. Z Date 12/14/2014 Carlsbad, CA 92010 By: Time: 12:01 a.m. Authorized epresentative SIS FFDP 01 TCC 10 14 / END 1 Page 1 of 1 Policy # S114836E19324 "This contract is registered and delivered as a surplus line coverage under the insurance code of the state of Washington, Title 48 RCW. It is not protected by any Washington state guaranty association law." SafeBuilt Insurance Services, Inc. (SIS) • 3250 Grey Hawk Court • Carlsbad, CA 92010 WA Surplus Lines License #767373 UNITED SPECIALTY INSURANCE COMPANY 3250 Grey Hawk Ct, Unit Z • Carlsbad, CA 92010 COMMERCIAL GENERAL LIABILITY FOLLOWING FORM DESIGNATED PROJECT LIABILITY INSURANCE POLICY DECLARATIONS INSURED'S AGENT Work Comp For Less Ins. Services Date: 10/13/2015 1022 Grand Ave, Carlsbad, CA 92008 Time: 12:01 a.m. POLICY NO.: SII4836E19324 ITEM 1. (a) NAMED INSURED: Vineyard Country Bldg /Dsgn Inc (b) ADDRESS: 2105 Kunn Street Richland, WA 99352 ITEM 2. POLICY PERIOD: 10/13/2015 to 12/14/2015 (12:01 A.M. prevailing time at the address stated in Item 1. above) ITEM 3. RETROACTIVE DATE: Not Applicable ITEM 4. COVERAGE: Commercial General Liability Following Form Designated Project Liability Insurance Policy ITEM 5. LIMITS OF LIABILITY: $ 1,000,000 Per Occurrence, Per Claim, or Per Loss (per Followed Policy) $ 2,000,000 Aggregate, where applicable ITEM 6. FOLLOWED POLICY: Company: Per Scheduled Designated Project (See Endorsement No. 1) Policy Number: On file with the Company Coverage: Following Form Designated Project Liability Insurance Policy Policy Period: 12/14/2014 to 12/14/2015 Limits of Liability: $ 4,000,000 Per Occurrence, Per Claim, or Per Loss $ 4,000,000 Aggregate, where applicable ITEM 7. (a) PREMIUM: $ 354.00 ITEM 8. NOTICES TO THE INSURER: Surplus Lines Tax 7.08 Stamping Tax 0.35 ITEM 9. POLICY FORM: SIS FFDP 01 TCC 10 14 together with endorsements as per attached form United Specialty Insurance Company 3250 Grey Hawk Ct, Ste. Z Carlsbad, CA 92010 By: • Authorized ''epresentative SIS FFDP 01 TCC 10 14 Page 1 of 3 UNITED SPECIALTY INSURANCE COMPANY 3250 Grey Hawk Ct, Unit Z • Carlsbad, CA 92010 COMMERCIAL GENERAL LIABILITY FOLLOWING FORM DESIGNATED PROJECT LIABILITY INSURANCE POLICY SERVICE OF SUIT It is agreed that service of process in suit may be made upon: David Cleff, General Counsel United Specialty Insurance Company 1900 L Don Dodson Drive Bedford, TX 76021 And that in any suit instituted against any one of them upon this contract, the Company will abide by the final decision of such Court or of any Appellate Court in the event of an appeal. The above -named are authorized and directed to accept service of process on behalf of the Company in any such suit and /or upon the request of the Insured to give a written undertaking to the Insured that they will enter a general appearance upon the Company behalf in the event such a suit shall be instituted. Further, pursuant to any statute of any state, territory or district of the United States which makes provision therefor, the Company hereon hereby designates the Superintendent, Commissioner or Director of Insurance or other official specified for that purpose in the statute, or his successor or successors in office, as their true an lawful attorney upon whom may be served any lawful process in any action, suit or proceeding instituted by or on behalf of the Insured or any beneficiary hereunder arising out of this contract of insurance, and hereby designates the above -named as the person to whom the said officer is authorized to mail such process or a true copy thereof. SIS FFDP 01 TCC 10 14 Page 2 of 3 UNITED SPECIALTY INSURANCE COMPANY 3250 Grey Hawk Ct, Unit Z • Carlsbad, CA 92010 COMMERCIAL GENERAL LIABILITY FOLLOWING FORM DESIGNATED PROJECT LIABILITY INSURANCE POLICY In consideration of the payment of premium and in reliance upon the statements in the Declarations of this Policy, United Specialty Insurance Company, hereinafter referred to as the Insurer, agrees as follows: SECTION I.— COVERAGE A. This Policy shall provide the Insured with Designated Project Liability Insurance coverage in accordance with the same warranties, terms, conditions, exclusions and limitations as are contained, on the Inception Date of this Policy, in the Followed Policy set forth in Item 6. of the Declarations of this Policy, subject to any endorsements attached hereto, inconsistent with or supplementary to the Followed Policy. SIS FFDP 01 TCC 10 14 Page 3 of 3 COMPLIANCE WITH IMMIGRATION AND NATURALIZATION ACT The City of Yakima supports the Federal Immigration, Reform and Control Act of 1986, as amended. The City requires that all contractors or business entities that contract with the City for the award of any City contract for public works in excess of Five Thousand Dollars ($5,000), or any other city contract in excess of Two Thousand Five Hundred Dollars ($2;500), enroll in the E-Verify program or its and thereafter to verify its employees' proof of citizenship and authorization to work in the United States. E- Verify will be used for newly hired employees during the term of the contract ONLY: it is NOT to be used for existing employees. The Contractor must remain enrolled in the program for the duration of the contract and be responsible for verification of every applicable subcontractor. The contractor shall sign and return with their bid response the E- Verify Declaration below. Failure to do so may be cause for rejection of bid. E- VERIFY COMPLIANCE DECLARATION The_und.ersig.ne d. declares, under - penalty of perjury_ under_ the laws_ of_ Washington _State_that: 1. By submitting this Declaration, I certify that I do not and will not, during the performance of this contract, employ illegal alien workers, or otherwise violate the provisions of the Federal Immigration Reform and Control Act of 1986. 2. I agree to enroll in E- Verify prior to the start date of any contract issued by the City of Yakima to ensure that-my workforce is legal to work in the United States of America. I agree to use-6- Verify -for all newly hired employees during the length of the contract. 3. I certify that I am duly authorized to sign this declaration on behalf of my company. 4. I acknowledge that the City of Yakima reserves the right to require evidence of enrollment of the E- Verify program at any time and that non - compliance could lead to suspension of this contract. Firm Name: (/one. ccy ao.n4/ Z L „ Y- 4)er fr Dated this day of a ;! 20 /S7 Signature:,, Printed Name: /., • • ' c - T Phone #: /-f0?- S Email Address: wi ? Qut ereci' , n ef 14