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15-178 - Michels Corporation - 2015 CBD Sanitary Sewer Rehabilitation
Sheet 1 of 1 CITY OF TUKWILA CONTRACT CHANGE ORDER NO. 1 DATE: October 7, 2016 BUDGET NO.: 402.98.594.353.65.00 PROJECT NO.: 91140203 CONTRACT NO.: 15 -178 Ccc) PROJECT NAME: CBD Sanitary Sewer Rehabilitation — 2015 Construction TO: Michels Corporation You are hereby directed to make the herein described changes to the plans and specifications or do the following described work not included in the plans and specifications on this contract: NOTE: This change order is not effective until approved by the "Owner" and a notice to proceed is issued. Conditions: A. The following change, and work affected thereby, are subject to all contract stipulations and covenants; B. The rights of the "Owner" are not prejudiced; C. All claims against the "Owner" which are incidental to or as a consequence of this change are waived; and D. The Contractor must submit all Field Overhead and Home Office Overhead Rates for approval in advance of all change orders. CHANGE: See Attached Exhibit "A" We the undersigned Contractor, have given careful consideration to the change proposed and hereby agree, if this proposal is approved, that we will provide all equipment, furnish all materials, except as may otherwise be noted above, and perform all services necessary for the work above specified, and will accept as full payment therefore the prices shown above and below. ACCEPTED: Date !!. —10 —I.& By C Original Contract (without tax) Previous Change Order This Change Order (without tax) REV. CONTRACT AMOUNT $ 482,616.00 " $ 0.00 / $ 26,244.60 y $ 508,860.60 Original Contract Time: 150 Calendar Days Additional Contract Time for this Change Order: 0 Day pdated Contract Time: 150 Calendar Days RIGINAL: City Clerk (1 of 2) Contractor (2 of 2) PW Project Finance File Contractor AALr_t.%L.1 P, 5Eztik,cEf Title GvnAs T.w�Tio.0 AA A) .Bit- APPROVED BY THE CITY OF TUKWILA Date 2wAIM By I�lV-L /MAO City Engineer Mayor cc: Finance Department (w /encumbrance) Project Management File 1�//t/i9t.-5 (1 1/20,4) C -1 AGREEMENT FORM CONTRACT NO. THIS AGREEMENT is made and entered into on this day of Q 20 I i by and between the City of Tukwila, Washington ( "Owner ") and NA S (btr foit4 u . (" ontractor "). Now, therefore the parties agree as follows: 15 -178 Council Approval 10/19/15 1. Project. Contractor shall complete all work and furnish all labor, tools, materials, and equipment for the project entitled 2015 CENTRAL BUSINESS DISTRICT SANITARY SEWER REHABILITATION Project No. #91140203 including all changes to the Work and force account work, in accordance with the Contract Documents, as described in Section 1 -04.2 of the Special Provisions. 2. Payments. Owner shall pay Contractor at the unit and lump sum prices, and by force account as specified in the Proposal according to the Contract Documents as to time, manner, and condition of payment. The payments to Contractor include the costs for all labor, tools, materials and equipment for the Work. 3. Completion Date. Contract time shall commence upon Owner's Notice to Proceed with submittal phase, and construction phase dates. The Work under this Agreement shall be completed within the time specified in the Proposal. If the Work under this Agreement is not completed within the time specified, as detailed in the Contract Documents, Contractor shall pay liquidated damages and all engineering inspection and supervision costs to Owner as specified in the Proposal. 4. Attorney's Fees. In the event litigation is commenced to enforce this Agreement, the prevailing party shall be entitled to recover its costs, including reasonable attorney's and expert witness fees. 5. Disclaimer. No liability of Contractor shall attach to Owner by reason of entering into this Agreement, except as expressly provided in this Agreement. 6. Counterparts. This Agreement is executed in two (2) identical counterparts, by the parties, each of which shall for all purposes be deemed an original. CITY OF TUKWILA, WASH NGTON (Owner) BY: .uti 7MVf Attest: T I This ) D •ay of dVQ (20 ity Clerk Approved as to Form: C City Attorney Address for giving notices: � O $ &f) 37-6 /00 la ;\6 (JA q &1 Vl cit.e.'S l�U ►�i1uuL (Contractor) By: „:1/40;11111111140, Orxr4 ..0 Title: Attest: ddd POIVS„y`,�����`� This ' O day of (1..k— , 20 CS- Contractor's License No. WITCty C 549 T%J Address for giving notices: 1710 /401-` 61— s� SettgoNx ©t. g7 3D-z__ 2015 Central Business District Sanitary Sewer Rehabilitation September 2015 C -2 PAYMENT AND PERFORMANCE BOND Bond to City of Tukwila, Washington Bond No. CCC #929623359 & LMIC #013127295 Continental Casualty Company & We, Michels Corporation and Liberty Mutual Insurance Company (Principal) (Surety) a IL & MA corporation, and as a surety corporation authorized to become a surety upon Bonds of Contractors with municipal corporations in Washington State, are jointly and severally bound to the City of Tukwila; Washington ("Owner "), in the penal sum of Five Hundred Twenty Eight Thousand Four Hundred Sixty Four and 52/100 Dollars ($ 528,464.52 ), the payment of which sum, on demand, we bind ourselves and our successors, heirs, administrators, executors, or personal representatives, as the case may be. This Payment and Performance Bond is provided to secure the performance of Principal in connection with a contract dated Novemberl el" , 20 15, between Principal and Owner for a project entitled 2015_CENTRAL BUSINESS DISTRICT SANITARY SEWER REHABILITATION Contract No. [1_6- i'7 ( "Contract "). The initial penal sum shall equal 100% of the Total Bid Price, including sales tax, as specified in the Proposal submitted by Principal, NOW, THEREFORE, this Payment and Performance Bond shall be satisfied and released only upon the condition that Principal: • Faithfully performs all provisions of the Contract and changes authorized by Owner in the manner and within the time specified as may be extended under the Contract; • Pays all laborers, mechanics, subcontractors, lower tier subcontractors, material men, and all other persons or agents who supply labor, equipment, or materials to the Project; • Indemnifies, holds harmless, and defend Owner, its officers, and agents from and against all claims, liabilities, causes of action, damages, and costs for such payments for labor, equipment, and materials by satisfying ail claims and demands incurred under the Contract, and reimbursing and paying Owner all expenses that Owner may incur in making good any default by Principal; and • indemnifies, holds harmless, and defend Owner from all claims, liabilities, causes of action, damages and costs, including property damages and personal injuries, resulting from any defect appearing or developing in the material provided or workmanship performed under the Contract. The indemnities to Owner shall also inure to the benefit of the Consulting Engineers and other design professionals retained by Owner in connection with the Project. These indemnities shall be primary to all other indemnities from other parties. This bond shall remain in effect for one (1) year after Final Acceptance of the Contract at ten percent (10 %) of the Total Bid Price, including sales tax, to insure against all defects and corrections needed in the material provided or workmanship performed. The Liability of Surety shall be limited to the penal sum of this Payment and Performance Bond. No change, extension of time, alteration, or addition to the terms of the Contract or to the Work to be performed under the Contract shall in any way affect Surety's obligation on the Payment and Performance Bond. Surety hereby waives notice of any change, extension of time, alteration, or addition to the terms of the Contract or the Work, with the exception that Surety, shall be notified if the Contract time is extended by more than twenty percent (20%). 2015 Central Business District Sanitary Sewer Rehabilitation September 2015 Performance & Payment Bond C-3 If any modification or change increases the total amount to be paid under the Contract, Surety's obligation under this Payment and Performance Bond shall automatically increase in a like amount. Any such increase shall not exceed twenty -five percent (25%) of the original amount of the Payment and Performance Bond without the prior written consent of Surety. This Payment and Performance Bond shall be governed and construed by the laws of the State of Washington, and venue shall be in King County, Washington. IN WITNESS WHEREOF, the parties have executed this instrument in two (2) identical counterparts this 2nd day of November , 20 15 Michels Corporation ���nmsrr►er,,,� Principal ‘\‘‘;‘9-1.7.1.2/1/11 c V 'R.\ i�aSignatu r - of Authorized Official / 0 i e U�� �W ; Gj _ Title V Name and address of local office of °�wntiutuu, 0 agent and/or Surety Company: Continental Casualty Company & Liberty Mutual Insurance Company Surety Christine Eitel Sign re of Au al By Attorney in Fact (Attach Power of Attorney) CCC 333 South Wabash Avenue, Chicago, IL 60604 LMIC 5600 New King Street, Troy, MI 48098 Surety companies executing bonds must appear on the current Authorized Insurance List in the State of Washington per Section 1 -02.7 of the Standard Specification 2015 Central Business District Sanitary Sewer Rehabilitation September 2015 STATE OF ILLINOIS COUNTY OF DuPage I, Kimberly R. Holmes Notary Public of Will County, in the State of Illinois , do hereby certify that Christine Eitel Attorney -in -Fact, of the Continental Casualty Company who is personally known to me to be the same person whose name is subscribed to the foregoing instrument, appeared before me this day in person, and acknowledged that she signed, sealed and delivered said instrument, for and on behalf of the Continental Casualty Company for the used and purposes therein set forth. Given under my hand and notarial seal at my office in the City of Lisle in said County, this 2nd day of November A.D., 2015. :....�y_y. /_.4-ag_■111K._ (Notary Public) imberly R. Holmes My Commission expires: 2/11/2018 Notary Seal: "OFFICIAL SEAL" KIMBERLY R. HOLMES NOTARY PUBLIC, STATE OF ILLINOIS MY COMMISSION EXPIRES 2/11/2018 POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN-FACT Know All Men By These Presents, That Continental Casualty Company, an Illinois insurance company, National Fire Insurance Company of Hartford, an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company (herein called "the CNA Companies "), are duly organized and existing insurance companies having their principal offices in the City of Chicago, and State of Illinois, and that they do‘by virtue of the signatures and seals herein affixed hereby make, constitute and appoint Karen A Ryan, Harriet R Reilly, William P Weible, William Cahill, Kimberly R Holmes, Melissa Newman, Kimberly Sawicki, Ann Marie Waters, Christine Eitel, Deborah A Campbell, Leigh Ann Francis, Individually of Lisle, IL, their true and lawful Attorney(s) -in -Fact with full power and authority hereby conferred to sign, seal and execute for and on their behalf bonds, undertakings and other obligatory instruments of similar nature - In Unlimited Amounts - and to bind them thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of their insurance companies and all the acts of said Attorney, pursuant to the authority hereby given is hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By -Law and Resolutions, printed on the reverse hereof, duly adopted, as indicated, by the Boards of Directors of the insurance companies. In Witness Whereof, the CNA Companies have caused these presents to be signed by their Vice President and their corporate seals to be hereto affixed on this 2nd day of July, 2015. Continental Casualty Company National Fire Insurance Company of Hartford American Cas lty Company of Reading, Pennsylvania Paul T. Bruflat 1 Vice President State of South Dakota, County . of Minnehaha, ss: On this 2nd day of July, 2015, before me personally came Paul T. Bruflat to me known, who, being by me duly sworn, did depose and say: that he resides in the City of Sioux Falls, State of South Dakota; that he is a Vice President of Continental Casualty Company, an Illinois insurance company, National Fire Insurance Company of Hartford, an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company described in and which executed the above instrument; that he knows the seals of said insurance companies; that the seals affixed to the said instrument are such corporate seals; that they were so affixed pursuant to authority given by the Boards of Directors of said insurance companies and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said insurance companies. S. EICH ,NOTARY PUBLtCr i SOUTH OAWOtA S i V•.44y44Syy4hi4..r•.sotitil.. My Commission Expires February 12, 2021 S. Eich CERTIFICATE otary Public 1, D. Bult, Assistant Secretary of Continental Casualty Company, an Illinois insurance company, National Fire Insurance Company of Hartford, an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company do hereby certify that the Power of Attorney herein above set forth is still in force, and further certify that the By -Law and Resolution of the Board of Directors of the insurance companies printed on the reverse hereof is still in force. In estimony whereof I have hereunto subscribed my name and affixed the seal of the said insurance companies this A day of 0 re/lb,, , cASU,gi WSURe.. �pglrrOc Continental Casualty Company National Fire Insurance Company of Hartford American Casualty Company of Reading, Pennsylvania Form F6853- 4/2012 D. Bult Assistant Secretary STATE OF ILLINOIS COUNTY OF DuPage I, Kimberly R. Holmes Notary Public of Will County, in the State of Illinois , do hereby certify that Christine Eitel Attorney -in -Fact, of the Liberty Mutual Insurance Company who is personally known to me to be the same person whose name is subscribed to the foregoing instrument, appeared before me this day in person, and acknowledged that she signed, sealed and delivered said instrument, for and on behalf of the Liberty Mutual Insurance Company for the used and purposes therein set forth. Given under my hand and notarial seal at my office in the City of Lisle in said County, this 2nd day of November A.D., 2015. (Notary Public) Kim • - rly R. Holmes My Commission expires: 2/11/2018 Notary Seal: OFFICIAL SEAL" KIMBELY R. NOTARY PUBLIC, STATE OFIESNOIS MY COMMISSION EXPIRES 2/11/2018 N 1v c STATE OF PENNSYLVANIA R COUNTY OF MONTGOMERY d 0.1 On this 28th day of April 2015 , before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of American Fire and U d Casualty Company, Liberty Mutual Insurance Company, The Ohio Casualty Insurance Company, and West American Insurance Company, and that he, as such, being authorized so to do, p execute the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. ) > IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at Plymouth Meeting, Pennsylvania, on the day and year first above written. +' S PAT COMMONWEALTH OF PENNSYLVANIA \ // 77 r ee44- ` o d p S C N By' O a. d O r d c p This Power of Attomey is made and executed pursuant to and by authority of the following By -laws and Authorizations of American Fire and Casualty Company, The Ohio Casualty Insurance y".`,, Company, Liberty Mutual Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows: C 4) ARTICLE IV— OFFICERS — Section 12. Power of Attorney. Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject ;; to such limitation as the Chairman or the President may prescribe, shall appoint such attomeys -in -fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, O c acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact, subject to the limitations set forth in their respective E • powers of attorney, shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attorney -in -fact under the provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority. t. c ARTICLE XIII — Execution of Contracts — SECTION 5. Surety Bonds and Undertakings. Any officer of the Company authorized for that purpose in writing by the chairman or the president, > ` and subject to such limitations as the chairman or the president may prescribe, shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Company to make, execute, Z v Z acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact subject to the limitations set forth in their respective powers of attomey, shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if signed by the president and attested by the secretary. Certificate of Designation — The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such attomeys-in- fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Authorization — By unanimous consent of the Companys Board of Directors, the Company consents that facsirmile or mechanically reproduced signature of any assistant secretary of the Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding upon the Company with the same force and effect as though manually affixed. I, Gregory W. Davenport, the undersigned, Assistant Secretary, of American Fire and Casualty Company, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full, true and correct copy of the Power of Attorney executed by said Companies, is in full force and effect and has not been revoked. � IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this PZ day of N0 vem j , 20 /5. . THIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND. This Power of Attomey limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated. Certificate No. 6967125 American Fire and Casualty Company Liberty Mutual Insurance Company The Ohio Casualty Insurance Company West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS: That American Fire & Casualty Company and The Ohio Casualty Insurance Company are corporations duly organized under the laws of the State of New Hampshire, that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duty organized under the laws of the State of Indiana (herein collectively called the "Companies "), pursuant to and by authority herein set forth, does hereby name, constitute and appoint, Ann Marie Waters; Blanca Townsend; Christine Eitel; Dale A. Reilly; Deborah A. Campbell; Harriet R. Reilly; Karen A. Ryan; Kimberly R. Holmes; Leigh Ann Francis; Melissa Newman; Richard T. Morency; William F. Cahill; William P. Weible all of the city of Lisle state of IL each individually if there be more than one named, its true and lawful attomey -in -fact to make, execute, seal, acknowledge and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations, in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 28th day of April 2015 ss American Fire and Casualty Company The Ohio Casualty Insurance Company Liberty Mutual Insurance Company West merican Insurance Company By: 7� David M. Care , Assistant Secretary Notarial Seal Teresa Pastella. Notary Public Plymouth Twp., Montgomery County My Commission Expires March 28, 2017 Member, Pennsylvania Association of Notaries Teresa Pastella, Notary Public LMS_12873_122013 By: Gregory W. Davenport, Assistant Secretary 172 of 1000 MICHE -8 OP ID: HM .4CORG►° CERTIFICATE OF LIABILITY INSURANCE �+--�- ' DATE 10/28/2015 10/28/2015 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 Weible & Cahill 2300 Cabot Drive, Suite 100 Lisle, IL 60532 William P. Weible NAME: Hannah Schwartz (AIC o. Extt: 630- 245 -4600 FAX No): 630 - 245 -4601 E-MAIL DSS, h.schwartz @weiblecahill.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Arch Insurance Company 11150 INSURED Michels Corporation 1715 16th Street SE . Salem, OR 97302 INSURER B : National Fire & Marine Ins Co 20079 INSURER C : Arch Insurance Company 11150 INSURER D : Zurich American Insurance Co 16535 INSURER E : INSURER F : DAMAGE TO RENTED PREMISES (Ea occurrence) 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 LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF IMM /DD/YYYYI POLICY EXP (MMIDDIYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY X 41 PKG8915306 02/01/2015 02/01/2016 EACH OCCURRENCE $ 1,000,001 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ 300,00 1 X XCU Included MED EXP (Any one person) $ 10,001 X Stop Gap Included PERSONAL & ADV INJURY $ 1,000,001 GE 'L AGGREGATE POLICY OTHER: X LIMIT APPLIES JECT X PER: LOC GENERAL AGGREGATE $ 2,000,001 PRODUCTS - COMP /OP AGG $ 2,000,001 $ A AUTOMOBILE X X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS MCS -90 X SCHEDULED AUTOS NON -OWNED AUTOS X 41PKG8915306 02/01/2015 02/01/2016 COMBINED SINGLE LIMIT (Ea accident) $ 2,000,001 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE X 42XSF10013902 02/01/2015 02/01/2016 EACH OCCURRENCE $ 10,000,001 AGGREGATE $ 10,000,001 DED X RETENTION $ 0 $ A C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/" ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N N / A 41WC18915106 44WCI8915206 02/01/2015 02/01/2015 02/01/2016 02/01/2016 X PER STATUTE OTH- ER EL. EACH ACCIDENT $ 1,000,001 E.L. DISEASE - EA EMPLOYEE $ 1,000,001 E . DISEASE - POLICY LIMIT $ 1,000,001 D Builders Risk All Risk MBR537239209 02/01/2015 02/01/2016 5,000,000 Any Projec, 50,000 Deductibl> DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Michels Job #50476; 2015 Central Business District Sanitary Sewer Rehabilitation. Project No. 91140203, Contract Amount $528,464.52 Primary & Non - Contributory Additional Insured on General Liability, Auto & Excess: *See Page 2 *Per CG2010 4/13, CG2037 4/13, CG2001 4/13, CA2048 10/13, 00CA011600 4/10 CERTIFICATE HOLDER CANCELLATION TUKWI -1 City of Tukwila 6300 Southcenter Blvd, #100 Tukwila, WA 98188 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NOTEPAD: HOLDER CODE TUKWI -1 INSURED'S NAME Michels Corporation MICHE -8 PAGE 2 OP ID: HM Date 10/28/2015 Re: Michels Job #50476; 2015 Central Business District Sanitary Sewer Rehabilitation. Project No. 91140203, Contract Amount $528,464.52 Primary & Non - Contributory Additional Insured on General Liability, Auto, & Excess: - City of Tukwila, WA, its officers, elected officials, employees, agents, & volunteers - RH2 Engineering, Inc. POLICY NUMBER: 41 PKG891 5306 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations All parties where agreed to by a written contract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury ", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 2010 04 13 B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. © Insurance Services Office, Inc., 2012 Page 1 of 2 C. With respect to the insurance afforded to these additional insureds, the following is added to Section I11— Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is Tess. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 2010 0413 POLICY NUMBER: 41 PKG8915306 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations All parties where agreed to by written contract. All construction operations of the named insured where required by written contract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products- completed operations hazard ". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 37 04 13 B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. © Insurance Services Office, Inc., 2012 Page 1 of 1 Policy No. 41PKG8915306 COMMERCIAL GENERAL LIABILITY CG 20 01 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and CG 20 01 04 13 (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. © Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER: 41PKG8915306 COMMERCIAL AUTO CA20481013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Endorsement Effective Date: SCHEDULE Name Of Person(s) Or Organization(s): ANY PERSON OR ORGANIZATION, WHEN REQUIRED BY WRITTEN CONTRACT OR AGREEMENT, ARE AN ADDITIONAL INSURED. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II — Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section 1 — Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 48 10 13 0 Insurance Services Office, Inc., 2011 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON - CONTRIBUTING INSURANCE ENDORSEMENT - DESIGNATED CONTRACT(S) This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM SCHEDULE Designated Contract(s): All parties where agreed to by a written contract. With respect to the contract(s) designated in the Schedule above, it is agreed that the following subparagraph e. is added to SECTION IV - BUSINESS AUTO CONDITIONS, Paragraph B. 5. and SECTION V — GARAGE CONDITIONS, Paragraph B. 5. 5. Other Insurance e. With respect to SECTION II - LIABILITY COVERAGE, where you are specifically required by a written contract designated in the Schedule above to provide insurance that is primary and non - contributory, and the written contract designated in the Schedule above so requiring is executed by you before any "accident ", this insurance will be primary and the other insurance will not contribute with this insurance, but only to the extent required by that written contract. All other terms and conditions of this Policy remain unchanged. Endorsement Number: Policy Number: 41 PKG8 915 3 0 6 This endorsement is effective on the inception date of this Policy unless otherwise stated herein: Endorsement Effective Date: 0 2 / 01 / 2 015 00 CA0116 00 04 10 Page 1 of 1 P -1 PROPOSAL (unit price) Contractor's Name I ltrivaS Inovptgtutk, Contractor's State License No. tMLCI+6C4€949T8 City of Tukwila Project No. 91140203 To the Mayor and City Council City of Tukwila, Washington The undersigned (Bidder) hereby certifies that he personally examined the location and construction details of Work outlined in the Contract Documents for the City of Tukwila (Owner) project titled 2015 CENTRAL BUSINESS DISTRICT SANITARY SEWER REHABILITATION, which project includes but is not limited to: Installation of approximately 6,510 linear feet of cured in place pipe (CIPP) within the right -of -way of Andover Park East, Industry Drive, Minkler Boulevard, and private easements to rehabilitate existing sewer main and other work necessary to complete the Work as specified and shown in the Contract Documents. The basis for contract award will be the the Base Bid. A description of Bid Alternate No. 1 is as follows: Bid Alternate No. 1 includes installing an additional approximately 1,608 LF of .CIPP within the right -of -way of Industry Drive and Treck Drive to rehabilitate existing sewer main. The Bidder has read and thoroughly understands these Documents which govern all Work embraced in this improvement and the methods by which payment will be made for said Work, and thoroughly understands the nature of said Work; and hereby proposes to undertake and complete all Work embraced in this improvement in accordance with these Contract Documents and at the following schedule of rates and prices. The Bidder understands that the quantities mentioned herein are approximate only and are subject to increase or decrease, and hereby proposes to perform all quantities of work as either increased or decreased in accordance with the Contract Documents. As evidence of good faith, (check one)'bid bond or ❑ cash, ❑ cashier's check, ❑ certified check, or ❑ postal money order made payable to the City of Tukwila equal to five percent (5 %) of the Total Bid Price is attached hereto. Bidder understands that, should this offer be accepted by Owner within ninety (90) calendar days after the day of Bid Opening and the Bidder fails or refuses to enter into an Agreement and furnish the required Payment and Performance Bond and certificate of insurance within ten (10) calendar days after Notice of Award, the Contract shall be null and void and the Bid Deposit or Bond accompanying this Proposal shall be forfeited and become the property of Owner as liquidated damages, all as provided for in the Bid Documents. One Notice to Proceed will be issued to the Bidder. The Bidder shall attain Physical Completion of all Work in all respects within 150 calendar days from the date stated in the written Notice to Proceed. If the work is not completed within this time period, Bidder shall pay liquidated damages to Owner as specified in Section 1 -08.9 of the Standard Specifications for every calendar day work is not Physically Complete after the expiration of the Contract time stated above. In addition, Bidder shall compensate Owner for actual engineering inspection and supervision costs and any other legal fees incurred by Owner as a result of such delay. 2015 Central Business District Sanitary Sewer Rehabilitation September 2015 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scale P -2 2015 CENTRAL BUSINESS DISTRICT SANITARY SEWER REHABILITATION (CIPP lining on Andover Park East, Industry Drive, Minkler Boulevard, and private easements) Project No. - 91140203 — BASE BID Note: Unit prices for all items, all extensions, and the total amount bid must be shown. Where conflict occurs between the unit price and the total amount specified for any item, the unit price shall prevail, and totals shall be corrected to conform thereto. Item No. Item Description Quantity Unit Unit Price Amount 1. Mobilization 1 LS $ 22,465.00 $ 22,465.00 2. Traffic Control — Flagger Labor (Minimum Bid of $36.17) 208 HR $ 62.25 $ 12,948.00 3. Traffic Control — Off -Duty Uniformed Police Officer 32 HR $72.00 $2,304.00 4. Project Temporary Traffic Control 1 LS $ 30,250.00 $ 30,250.00 5. Pre- Cleaning Video Inspection 1 LS $ 12,120.00 $ 12,120.00 6. Clean and Prep Sewer Prior to Construction 1 LS $ 20,619.00 $ 20,619.00 7. Video Inspection Prior to Construction 1 LS $ 13,357.00 $ 13,357.00 8. Provide, Install, and Manage Wastewater Bypasses 1 LS $ 7,992.00 $ 7,992.00 9. 8 -inch Main Line Cured -in -Place -Pipe (CIPP) 4,986 LF $ 36.00 $ 179,496.00 10. 12 -inch Main Line Cured -in -Place -Pipe (CIPP) 1,524 LF $ 45.00 $ 68,580.00 2015 Central Business District Sanitary Sewer Rehabilitation Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scale September 2015 Proposal P -3 Item No. Item Description Quantity Unit Unit Price Amount 11. 8 -Inch Main: Line Cured -in -Place -Pipe (CIPP) Pre -Liner 750 LF $ 2.00 $ 1,500.00 12. 12 -Inch Main Line Cured -in -Place -Pipe (CIPP) Pre -Liner 230 LF $ 3.00 $ 690.00 13. Trenchless Lateral and Outside Manhole Drop Connection Reinstatement and Packer Injection Grouting 14 EA $ 903.00 $ 12,642.00 14. Force Account — Additional Clean and Prep of Sewer Prior to Construction 15 HR $ 535.00 $ 8,025.00 Subtotal $ 392,988.00 9.50% Sales Tax $ 37,333.86 Total Base Bid (Subtotal w /SST) $ 430,321.86 2015 Central Business District Sanitary Sewer Rehabilitation September 2015 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scale Proposal P -4 2015 CENTRAL BUSINESS DISTRICT SANITARY SEWER REHABILITATION BID ALTERNATE NO. 1 (CIPP lining on Industry Drive, and Treck Drive) Project No. 91140203 Note: Unit prices for all items, all extensions, and the total amount bid must be shown. Where conflict occurs between the unit price and the total amount specified for any item, the unit price shall prevail, and totals shall be corrected to conform thereto. Item No. Item Description Quantity Unit Unit Price Amount Al. Mobilization 1 LS $ 2,806.00 $ 2,806.00 A2. Traffic Control — Flagger Labor (Minimum Bid of $36.17) 64 HR $ 62.25 $ 3,984.00 A3. Project Temporary Traffic Control 1 LS $ 3,660.00 $ 3,660.00 A4. Pre- Cleaning Video Inspection 1 LS $ 4,550.00 $ 4,550.00 A5. Clean and Prep Sewer Prior to Construction 1 LS $ 5,387.00 $ 5,387.00 A6. Video Inspection Prior to Construction 1 LS $ 3,400.00 $ 3,400.00 A7. Provide, Install, and Manage Wastewater Bypasses 1 LS $ 4,058.00 $ 4,058.00 A8. 8 -inch Main Line Cured -in -Place -Pipe (CIPP) 1,608 LF $ 33.50 $ 53,868.00 A9. 8 -Inch Main Line Cured -in- Place -Pipe (CIPP) Pre -Liner 240 LF $ 2.00 $ 480.00 A10. Trenchless Lateral and Outside Manhole Drop Connection Reinstatement and Packer Injection Grouting 4 EA $ 1,190.00 $ 4,760.00 2015 Central Business District Sanitary Sewer Rehabilitation Provided to Builders Exchange of WA, Inc. For usage Conditions. Agreement see www.bxwa.com - Always Verify Scale September 2015 Proposal P -5 Item No. Item Description Quantity Unit Unit Price Amount . A11. Force Account — Additional Clean and Prep of Sewer Prior to Construction 5 HR $ 535.00 $ 2,675.00 Subtotal 9.50% Sales Tax $ 89,628.00 $ 8,514.66 Total Bid Alternate No. 1 (w /SST) $ 98,142.66 The basis for contract award will be the Base Bid. The City of Tukwila reserves the right to delete Bid Alternate No. 1 prior to the award of the contract with no cost adjustment to the Bid. 2015 Central Business District Sanitary Sewer Rehabilitation September 2015 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scale Proposal P -6 Bids Submitted on Computer Printouts Bidders, at their option, in lieu of hand writing in the unit prices in figures in ink on the Bid forms above, may submit an original computer printout sheet with their bid, as long as the following requirements are met: 1. Each sheet of the computer printout must contain the exact same information as shown on the hard - copy bid form — Project Name, Schedule Name, column headings — in the order shown, totals, etc. 2. The computer printout of the Bid Proposal must have the exact certification language shown below, signed by the appropriate officer of the firm. 3. If a computer printout is used, the bidder must still execute that portion of the unit price Bid form which acknowledges the Bid Guaranty, Time of Completion, and all addenda that may have been issued, etc. If any of these things are missing or out of order, the bid may be rejected by the Owner. The unit and lump sum prices shown on acceptable printouts will be the unit prices used to tabulate the Bid and used in the Contract if awarded by the City. In the event of conflict between the two, unit Bid prices will prevail over the extended (Total) prices. If the Bid submitted by the bidder contains both the form on these Bid Proposal sheets, and also a computer printout, completed according to the instructions, the unit bid prices shown on the computer printout will be used to determine the bid. Put this certification on the last sheet of the Bid computer printout, and sign: (YOUR FIRM'S NAME) certifies that the unit prices shown on this complete computer print -out for all of the bid items contained in this Proposal are the unit and lump sum prices intended and that its Bid will be tabulated using these unit prices and no other information from this print -out. (YOUR FIRM'S NAME) acknowledges and agrees that the total bid amount shown will be read as its total bid and further agrees that the official total Bid amount will be determined by multiplying the unit Bid prices shown in this print -out by the respective estimated quantities shown on the Bid form then totaling all of the extended amounts. Signed: Title: Date: 2015 Central Business District Sanitary Sewer Rehabilitation September 2015 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scale Proposal P -7 By signing below, Bidder acknowledges receipt and understanding of the following Addenda to the Bid Documents: Addendum No. 1 Date of Receipt nwL.t./ Addendum No. 3 2 4 Date of Receipt NOTE.: Failure to acknowledge receipt of Addenda may be considered as an irregularity in the Bid Proposal and Owner reserves the right to determine whether the bid will be disqualified. By signing below, Bidder certifies that Bidder has reviewed the insurance provisions of the Bid Documents and will provide the required coverage. It is understood that Owner may accept or reject all bids. The Surety Company which will furnish the required Payment and Performance Bond is (Name) Bidder: W` tck.ei S Signature of Authorized Official: Printed Name and Title: 5co Address: t 1 lS Circle One: Individual / Partnership / Joint Venture Phone No.: 503- 'S(o`-E -t\`k9 Date: Iunnt UP- sT se SALLIA ©t 9'7302 State of Incorporation: (h)rsCwtSick) eI(Zt I�S� This address and phone number is the one to which all communications regarding this proposal should be sent NOTES: 1. If the Bidder is a partnership, give firm name under which business is transacted; proposal must be executed by a partner. If the Bidder is a corporation, proposal must be executed in the corporate name by the president or vice - president (or any other corporate officer accompanied by evidence of authority to sign). 2. A bid must be received on all items. If either a unit price or an extension is left blank (but not both) for a bid item, the Owner will multiply or divide the available entry by the quantity, as applicable, and enter it on the bid form. If there is no unit price or extension for one or more bid item(s), the proposal will be rejected. 2015 Central Business District Sanitary Sewer Rehabilitation September 2015 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scale P -8 BID SECURITY Bid Deposit: The undersigned Principal hereby deposits a Bid Deposit with the City of Tukwila in the form of a cash .deposit, certified or cashier's check, or postal money order in the amount of dollars ($ ). Bid Bond: The undersigned, Michels Corporation (Principal), and Continental Casualty Company (Surety), are held and firmly bound unto the City of Tukwila (Owner) in the penal sum of rive percent of bid amount dollars ($ 5% ), which for the payment of which Principal and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally. The liability of Surety under this Bid Bond shall be limited to the penal sum of this Bid Bond. Conditions: The Bid Security (Bid Deposit or Bid Bond) shall be an amount not less than five percent (5 %) of the total bid, including sales tax and is submitted by Principal to Owner in connection with a Proposal for 2015 CENTRAL. BUSINESS DISTRICT SANITARY SEWER Project No. 91140203, according to the terms of the Proposal and Bid Documents. Now therefore, a. If the Proposal is rejected by Owner, or b. If the Proposal is accepted and Principal shall duly make and enter into an Agreement with Owner in accordance with the terms of the Proposal and shall furnish a bond for the faithful performance of said Project and for the payment of all persons performing labor or furnishing materials in connection therewith, with Surety or Sureties approved by Owner, then this Bid Security shall be released; otherwise it shall remain in full force and effect and Principal shall forfeit the Bid Deposit or Surety shall immediately pay and forfeit to Owner the amount of the Bid Bond, as penalty and liquidated damages. The obligations of Surety and its Bid Bond shall be in no way impaired or affected by any extension of time within which Owner may accept bids; and Surety does hereby waive notice of any such `�00,1ur tension. 1M fig 29th day September •Gin and dated this da of z.' iehels Corporation . n� Principal Surety G';� B -, 2•* �. ail d��- " By ` Sign. re of Authorized Official Attorney in Fact (Attach Power of Attoh ey) co 4- OckU, It .4et & ui IM ✓�- Christine Eitel Title Name and address of local office of agent and /or Surety Company: ,2015 Continental Casualty Company CNA Surety 333 South Wabash Avenue Chicago, Illinois 60604 Surety companies executing bonds must appear on the current Authorized Insurance List in the State of Washington per Section 1 -02.7 of the Standard Specifications. 2015 Central Business District Sanitary Sewer Rehabilitation Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scale September 2015 STATE OF ILLINOIS COUNTY OF DuPacle I, Kimberly R. Holmes Notary Public of Will County, in the State of Illinois , do hereby certify that Christine Eitel Attorney -in -Fact, of the Continental Casualty Company who is personally known to me to be the same person whose name is subscribed to the foregoing instrument, appeared before me this day in person, and acknowledged that she signed, sealed and delivered said instrument, for and on behalf of the Continental Casualty Company for the used and purposes therein set forth. Given under my hand and notarial seal at my office in the City of Lisle in said County, this 29th day of September A.D., 2015. (Notary Public) K. berly R. Holmes My Commission expires: 2/11/2018 Notary Seal: "OFFICIAL SEAL" KIMBERLY R. HOLMES NOTARY PUBLIC, STATE OF ILLINOIS MY COMMISSION EXPIRES 2/11/2018 POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN-FACT Know All Men By These Presents, That Continental Casualty Company, an Illinois insurance company, National Fire Insurance Company of Hartford, an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company (herein called "the CNA Companies "), are duly organized and existing insurance companies having their principal offices in the City of Chicago, and State of Illinois, and that thej do by virtue of the signatures and seals herein affixed hereby make, constitute and appoint Karen A Ryan, Harriet R Reilly, William P Weible, William Cahill, Kimberly R Holmes, Melissa Newman, Kimberly Sawicki, Ann Marie Waters, Christine Eitel, Deborah A Campbell, Leigh Ann Francis, Individually of Lisle, IL, their true and lawful Attorney(s) -in -Fact with full power and authority hereby conferred to sign, seal and execute for and on their behalf bonds, undertakings and other obligatory instruments of similar nature - In Unlimited Amounts - and to bind them thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of their insurance companies and all the acts of said Attorney, pursuant to the authority hereby given is hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By -Law and Resolutions, printed on the reverse hereof, duly adopted, as indicated, by the Boards of Directors of the insurance companies. In Witness Whereof, the CNA Companies have caused these presents to be signed by their Vice President and their corporate seals to be hereto affixed on this 2nd day of July, 2015. Continental Casualty Company National Fire Insurance Company of Hartford American Cas lty Company of Reading, Pennsylvania Paul T. Bruflat ® Vice President State of South Dakota, County of Minnehaha, ss: On this 2nd day of July, 2015, before me personally came Paul T. Bruflat to me known, who, being by me duly sworn, did depose and say: that he resides in the City of Sioux Falls, State of South Dakota; that he is a Vice President of Continental Casualty Company, an Illinois insurance company, National Fire Insurance Company of Hartford, an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company described in and which executed the above instrument; that he knows the seals of said insurance companies; that the seals affixed to the said instrument are such corporate seals; that they were so affixed pursuant to authority given by the Boards of Directors of said insurance companies and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said insurance companies. 1ti4�4+��4MtiheNM�hbNM�'ywr S. EICH f�,,,•c NOTARY Puau n c ; 1�SOUTH DAKOTA My Commission Expires February 12, 2021 S. Eich CERTIFICATE aq, otary Public I, D. Bult, Assistant Secretary of Continental Casualty Company, an Illinois insurance company, National Fire Insurance Company of Hartford, an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company do hereby certify that the Power of Attorney herein above set forth is still in force, and further certify that the By -Law and Resolution of the Board of Directors of the insurance companies printed on the reverse hereof is still in force. testi ony whereof I have here] ntolsscribed my name and affixed the seal of the said �LQ�LQ insurance companies this day of , Form F6853- 4/2012 Continental Casualty Company National Fire Insurance Company of Hartford American Casualty Company of Reading, Pennsylvania •.(3 D. Bult Assistant Secretary P -9 NON - COLLUSION DECLARATION STATE OF ) ) ss. COUNTY OF 14ING ) Mh lw` The undersigned, being first duly sworn, on oath states that the person, firm, association, partnership, joint venture, or corporation named in the Bid Proposal has (have) not, either directly or indirectly, entered into any agreement, participated in any collusion, or otherwise taken any action in restraint of free competitive bidding in connection with the City of Tukwila project named 2015 CENTRAL BUSINESS DISTRICT SANITARY SEWER REHABILITATION`Rfeijddtn,J){p. 91140203. �:`° OO I M ye- Name of Fi Signat a of A orized Official , �j'� `'0��,��� So) `122+1 Title (( `3 Signed and sworn to before me on this 2Q day of _`�4mt_ , 20 IS —. r Signature of Notary Public in and for the State of� My appointment expires: SEAL To report bid rigging activities call: , residing at N 'u OFFICIAL STAMP DAVID R PHELPS NOTARY PUBLIC - OREGON COMMISSION NO. 922071 MY COMMISSION EXPIRES NOVEMBER 11, 2017 NOTICE TO ALL BIDDERS 1- 800 - 424 -9071 The U.S. Department of Transportation (USDOT) operates the above toll -free "hotline" Monday through Friday, 8:00 a.m. to 5:00 p.m., eastern time. Anyone with knowledge of possible bid rigging, bidder collusion, or other fraudulent activities should use the "hotline" to report such activities. The "hotline" is part of USDOT's continuing effort to identify and investigate highway construction contract fraud and abuse and is operated under the direction of the USDOT Inspector General. All information will be treated confidentially and caller anonymity will be respected. 2015 Central Business District Sanitary Sewer Rehabilitation September 2015 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scale Responsible Bidder Determination Form P -10 RESPONSIBLE BIDDER DETERMINATION FORM Attach additional sheets as necessary to fully provide the information required. Name of Bidder: Nkt c,Leks aKeOUtaruA.k Address of Bidder: l71‘5 ale S.t St; City ©L State 97 302- Zip Code Contractor's License No. wtsckEe #99R 1-2 WA State UBI No. loo ( O(o( 01( Dept. of L &I License Bond Registration No. 7797 3 510 32- Worker's Comp. Acct. No. (o O ( 0`( 0' Bidder is a(n): ❑ Individual ❑ Partnership ❑ Joint Venture Incorporated in the state of WZ. List business names used by Bidder during the past 10 years if different than above: h(fr Bidder has been in business continuously from (°t 40 P1/4-ttoreiciw.. c3otu.(ct.S Year Bank Reference 'Fbvdd,k Lice- a,. Cl,..iteti-uvL cob-922-929z Bank Account Officer Officer's Phone No. No. of regular full -time employees: 50 Number of projects in the past 10 years completed: 1Z° ahead of schedule 3`40 on schedule 7 behind schedule Bidder has had experience in work comparable to that required for this Project: As a prime contractor for 30 years. As a subcontractor for 30 years. List the supervisory personnel to be employed by the Bidder and available for work on this project (Project Manager, Principal Foreman, Superintendents, and Engineers): Name Title How Long With Bidder (leis gyp tre Atevt- ?'/Ul1A k S NAts�� Se* n4eik ckor.VoPos ✓L (1 -(i✓t5 croft-2vkk k (7 c`ia-S uks‘ea.v1/4. 2., ti Z0 �k5 2015 Central Business District Sanitary Sewer Rehabilitation September 2015 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scale P -11 List all those projects, of similar nature and size, completed by Bidder within the past 10 years. Include a reference for each. Any attached preprinted project listing must include all this information. Bidder must have at least 10 years' experience working on projects of similar nature and size. Year Contract Project Name Completed Amount Owner /Reference Name and Phone List all projects undertaken in the last 10 years which have resulted in partial or final settlement of the Contract by arbitration or litigation in the courts: Total Claims Amount of Contract Arbitrated Settlement Name of Client and Project Amount or Litigated of Claims n- Has Bidder, or any representative or partner thereof, ever failed to complete a contract? XNo ❑ Yes If yes, give details: Has Bidder ever had any Payment /Performance Bonds called as a result of its work? No ❑ Yes If yes, please state: Project Name Contracting Party Bond Amount \Hps Bidder ever been found guilty of violating any State or Federal employment laws? �t,No ❑ Yes If yes, give details: 2015 Central Business District Sanitary Sewer Rehabilitation September 2015 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scale Responsible Bidder Determination Form P -12 Has Bidder ever filed for protection under any provision of the federal bankruptcy laws or state _ insolvency laws? XNo ❑ Yes If yes, give details: 1:19s any adverse legal judgment been rendered against Bidder in the past 5 years? Ali No ❑ Yes If yes, give details: Has Bidder or any of its employees filed any claims with Washington State Workman's Compensation or other i surance company for accidents resulting in fatal injury or dismemberment in the past 5 years? No ❑ Yes If yes, please state: Date Type of Injury Agency Receiving Claim The undersigned warrants under penalty of Perjury that the foregoing information is true and accurate to the best of his /her knowledge. The undersigned authorizes the City of Tukwila to verify all information contained herein. Signature of Bidder 2015 Central Business District Sanitary Sewer Rehabilitation September 2015 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scale P -13 PROPOSED EQUIPMENT AND LABOR SCHEDULE (Use additional sheets if required) Equipment to be used: DESCRIPTION/TYPE YEAR CONDITION OWN /RENT fifrte 4300 e too tiP S6Atu, atiir 2w („emo OuyvL 1k. 4 u OOeS CtAili../ i i i e,L- 240 6 %o0 (kr..._, 1 *C- Cast / J, • z c 20t2.. !sue c0 14-e 4 241 "ikhciw. 2ee42. t' # ii.30 &uocD Labor to be used: 0 itw& 24S Mt citeic `tt rting4� • Tt 1VRS of Bidc102••,)) c� 2015 Central Business District Sanitary Sewer Rehabilitation e of Authorized Title Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scale September 2015 P -14 PROPOSED SUBCONTRACTORS Name of Bidder ItittcLek In accordance with RCW 39.30.060 as amended, every bid that totals $1 million or more shall include below the names of the subcontractors with whom the Bidder, if awarded the contract, will subcontract for performance of the . work of: HVAC (heating, ventilation, and air conditioning); plumbing as described in chapter 18.106 RCW; and electrical as described in chapter 19.28 RCW, or to name itself for the work. The Bidder shall not list more than one subcontractor for each category of work identified, unless subcontractors vary with bid alternates, in which case the Bidder must indicate which subcontractor will be used for which alternate. Failure of the Bidder to submit as part of the bid the names of such subcontractors or to name itself to perform such work or the naming of two or more subcontractors to perform the same work shall render the prime contract bidder's bid nonresponsive and, therefore, void. The successful Bidder must have the written permission of the Owner to make any change to this list. Percent of total bid to be performed by Bidder % Schedule /Bid Item Numbers % of Name Subcontractor will perform Total Bid Ao MAC Plvotb,� ,oZ LtAr Aut. loss *,k 4 t,000,000 2015 Central Business District Sanitary Sewer Rehabilitation September 2015 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scale CONSENT RESOLUTION OF THE BOARD OF DIRECTORS OF MICHELS CORPORATION JUNE 9, 2015 The undersigned, being the Board of Directors of MICHELS CORPORATION, a Wisconsin corporation, pursuant to Section 180.0821 of the Wisconsin Statutes, do hereby consent to the following acts taken without a meeting: RESOLVED: that the following employees of Michels Pipe Services, a Division of Michels Corporation, shall have the following authority vested in it by the Board of Directors through this Consent Board Resolution for the fiscal year ending December 31, 2015, or until their respective successors have been elected and qualified. Mr, Scott O'Dell shall replace Mr. Pat Anderson as Western Regional Manager of Michels Pipe Services. Mr. O'Dell shall have the ability to legally negotiate and execute contracts and agreements. By this grant of authority to Mr. O'Dell, the Board of Directors hereby rescinds Mr. Anderson's authority to do the same, effective the date of this Consent Resolution. Dated this 9"' day of June, 2015. Ruth/L. Michels, Director Patrick D. Michels, Director ......... .. .: ?e'i3o en:se3:- ?x:a_: y.0,e 111111 111111111 111111111111111111111111111111111111111111111111111111 11111111 1 I 1111111111111111111110 11 11 0 1111111111111111111111111111111111111111111 1 di II II 11111 I II 111111 111111111111111111111111111 iiipikiiiib1111 iipiiiiiiiiiiiiiiiiioiioiiiiiipi R I 111111 Ill I III s III Dada Hurling Al Wopaslak Michels SW&T Terry En g. I _ J Jennifer Prinz Brett Valow Lee Fell Bob Cole Matt Ryan Brian Erickson Josh Wheeler Andy Will Lane Biggs Michels SW&T Michels SW&T Brad D. Werner Jan Bovine Ron Moore 'Tony Cam Yurly Arnelyan 'James Morgan 'Robert Dave Barbara Trible 'Glen McCen La Waldo Carol Schneider Michael Sm Dennis Buschke Ste. . en Lazarus Ton Conn Chad Weyenberg Tim Kam • a Michelle Sullivan Van Calombaris Steve Haute ''Mike Rimer Steve Sage Tim Looter 'Kagan Senvardadi 'Gory Miksls f (Anne Mar Dalre O'Rourke IVf Larry Norwood 'Bob Anthon 'Fernando Ulloa Rick Kenn: • 'Randy Redmann ILisa Sanll Justin Hopkins 'Mike Carr !David Stems 'Mike Cusick 'Brandon Cole IMichels Corporation L 5 Year Partial Reference List Elm iiiiiiiiiiiiii aim ii I� f Manteno, IL Fox Point, IL Mihaukee. WI Burr Ridge, IL Tittle Park, IL Mundellen, IL Clarendon Hills IL Ca •entersville, IL Duluth, MN Cit of Stou,hton, IL No. Chice•o IL 'Rollin. Meadows IL ICI of Evanston IL 'Milwaukee WI Miwaukee, WI Neenah, WI St Paul, MN St Louis, MO Naperville, IL St Charles, IL I Indiana Iis, IN Fox Point, WI Milwaukee, WI Wauconda, IL Milwaukee, WI Green Lake, WI Mlnnesirtsta, MN Wausau, WI Lemont, IL Fredonia, WI Wilmette, IL Naperville. IL Appleton, WI Bloomington, MN Racine, WI Manhattan, IL Mt Pleasant, WI RocMOrd, IL JanesvIlle, WI Bloomington. IL Winters, CA San Francisco, CA Mariposa County WVSD El Dorado Ctv ICaltrans Nevada C Caltrans Union CI , CA Fainleld, CA Mann : CA Uklah CA Camp Pendleton, CA Santa Rosa, CA Vacaville. CA St Helena, CA Camp Pendleton, CA Mt Angel, OR Eugene, OR Tukwila, WA Issaquah, WA FfRE¢RPIffi91181 tIei EFEf Gkli6l16EE E6Ff6Ei 66i F6 @!{klE k6EP FkEfi p8 1 o— oi �.i m � .- a .- N ui � ? n °°n e N wm n of N v Q .- M nlI� t n P. CO el Y m w N O N a n N wN __ F. m m NN m N =S« 82 nNO N N a m2 �m�N..�88888n"m8NS° mm w ° N "o gN M 2 N N N w m m a° ` m wN w3wwdm ooN�.- �m m wN' w oNNmmmmoSmo�m�NeON�mv�� r Um NaN mdm�..'. N dw d.< N a wdmw.m.�w m n d d �wNwm ^ SS' w n m NN , '< r bmdmmo �o2�omo°enm o m m m NO"N NON v m ."n n oulN m o d mm e emmmmm N m o6nA6 mr ° won 6 re w °Ao mme moo m � mm Contact Phil Hear Kurt Kimsey And Cy Date __ Steve Clements j Randy Ponce 'Brenda Kuiken Roy Markee _ Lorry Nullimer Denny Wicker George Matote Leland Wange ,Randy Ponce 'Dave Smith [David Buchanan Nona Kininmonth Bob Reis Rick Bollinger ITIm Brown Del Bibler Greg Cearley Bob Henderson Dale Mix Vince Makinson Zhen• Lu Robin Weeks Dale McCabe -a° ME —V 03 Gunnar Frldriksson Dee Kong Mike Broadsword Garry Black . Terry Engel Brian Erickson Pam Koll Richard Machete Bernard Pondexter Shaun Flenery Mike Maki Ross Weigert Steve 0ilkey John Lenghans Dave Goble Michael Garant Gary Mlksls Ken Wahlund Ron DeMee•d Rick Walls Mirasol Mercado Joseph O'Leary Del Bibler Michael Carr Rick Marina Michels Corporation 5 Year Partial Reference List " w.nw. .....n. n o mim 2 ..n. � ° <n ^ cJNOri' .. °mm� ..... ... --w ..n.n.nw om2pmm " ww. '-' . .n w.n w. m. ....ww... . °n ................. momomw8 mwwNm m$w1om � ....nw"w .- n [Location_ -- S•rin•field, OR Hillsboro, OR Beaverton, OR L den, WA ISprnngfield, OR _ IStayton, OR McMinnville, OR Portland, OR Redmond, WA Springfield, OR (19c) Forest Grove, OR Bend, OR Lon•view WA McMinnville, OR .Ellensburg, WA [The Dallas, OR ,Reedsport, OR Seattle, WA Albany, OR 1 Lace , WA S•rin• field, OR 01 •ia, WA = _ S Blaine, WA Federal Wa , WA Washou•al, WA Bremerton, WA Honolulu, HI Eugene, OR Philomath, OR tab Projects - 2010 2 Burr Ridge, IL Stoughton, WI DeKalb, IL Whitefish Bay. WI Theresa, WI Sussex, WI Lake Forest, IL Scales Mound, IL Racine, WA Northbrook, IL Wauwatosa, WI St Charles, IL Beach Park, IL Rockford, IL Omro, WI Lake Dalton, WI O LL Y Corte Madera, CA Crescent City, CA Reddin•, CA Oroville, CA Martinez, CA Redmond, WA Wedderburn, OR Mt An el, OR Portland, OR `f me m11 N N N N N N N N w ° o N N N N N N N N N O N N N N m C N N N N N N N N N N N N N N N N N N N ° N N 0 N - mmv N co m O �m 6 n 6 v m - -. m .-- m N N .- a 6 N I I I I I I X a IE II to 'O-4, N m m 0 0 HI g - N o o m m 28 a m m m Sm _mm N m .2. _ C. .- g N NN m m m2 8 °i I— -- CO .m- q 8 til m m 8 o m " O N o mm m m m N ^ N N __ m m � m N __1 v m m d�vm�i m.rd v.mo ' mo5 m, ��h��um,�m r o ��n mmb �n (3 mmm Zi oo �n ° Pn�mm m ��mu�myP ' S - ABdmo m e m�Nm�m n am r mmmmm v � o Nd�vm$amJ�m m NmNmN o ° m.�o aon�oma �<nm�m.�o <`u3 N °�°nmmmm %e r_r_ mn .8 �e + Contact Tom Seals Shaun Obrien Steve Treiz. er Stan Thompson Randy Stubner Tim Looney Kevin Knutson Larry Sherwood Jason Rice (Gene Soules Jim Gearhart 'Tom Rasch (Lance Landis John Kennedy Rick Bollinger Daryl Hill Brandon Cole (Tom Seals 1Kyle Woodward E o Chad Kenny Dale McCabe Francesco Tortorlci Robon Evans Roy Markee Kent McCue 0 _ Richard Machete Daniel Loos KrIntine Giga Barbara Trible Mark De Groot Richard Sokol m 3 Mike Skibbe Bill Stewart Scoff Huebner Mike Aleksic Jerry Broekman Jan Begins_ Brian Erickson Lisa Sareu Richard Machete Johanna Johnson Judy Brazelton Dan Feldner Pat Wunsch Ron Raboine Greg Skinner Wade St. Onge Mustafa Imir Jeanette Younger Rosa Alvarez Justin Hopkins Randy Stubner -� Dan Joins Marc Nlshida ;I Dee Kong David Jaeger Michels Corporation j_ 5 Year Partial Reference List = >N m` N wwwwwwwwwwwwwwwwwwwwwwwwwww m am _ m — - mSA Z a v.a wwwwwwwwwwwwwwww °g m N w�f wwwwwwwwwwwwwwwwww ..- iL cation Estacada, OR Moses Lake, WA Shelby, MT Tualatin, OR Lake Oswego, OR i Beaverton, OR FM- cMinnville, OR ]McMinnville, OR j Milwaukie, OR Toppenish, WA Skykomish, WA Beaverton, OR Beaverton, OR Hillsboro, OR Ellensburg, WA 'Blaine, WA Issaquah, WA Estacada, OR Sutherlin, OR tumsville, OR oodbum, OR Lynnwood, WA The Dallas, OR Ft Lewis, WA Klamath Falls, OR ° ma i as a` Waukesha, WI d f ' Q Roseville, MN Milwaukee, WI Green Bay, WI Greenfield, WI Manitowoc, WI No. Chicago, IL Buffalo Grove, IL Highland Park, IL Glenview, IL Skokie, IL Sussex, WI St Paul, MN 3 -r o m n 7 Milwaukee, WI Madison, WI Waukesha, WI Sheyboygan, WI Oshkosh, WI Green Bay, WI Mound, MN Fox Point, WI River Hills, W I Nevada County, CA Stockton, CA Dixon, CA Lake Oswego, OR Bellingham, WA Honolulu, HI Honolulu, HI Menlo Park, CA 0000000;000000000000000000 .NNNN a N N N N N N N N N N N N N N N N 2822 oo- T. �N �06a - ,c6 n:ni n m � _m m‘ida, ,t a _� .nl d a n E. N N m d m N N V n m N N m FAm m m m m t ° m °m °o °i N m m m e N N m m N � O` '.T m N g ._. m N m N m N N m N N r m .- ! o dhNN ONV°in °mm�oememnn �Nm ^dldm V V°i Nm °nm°m'mntn '6'n p Om�m � m N mend O`dNdt�dfN «n�Nt7 Nmmv OOip ON en ^�Om Ned ° V hOt°povN1 m TT T Muich m m 6 ad 0 Ml <6 NW S� O.L d vNin^ amj ' 2 1:6 CO W m o Cole Sherman Kirt Matzoll _ Ton adman Lana Cam doe!! Bret Miller Tim Wetherell RoyMarkee 'Tim Kiser Lana Campbell j Brandon Miller Jim Austin David Jaeger Sam Dhaliwal Harvey Chew Lance Landis Marc Chirrick (Richard Ingram klohn Martin ' Lana Campbell Ardith Lewis Sarah Bersheron Steve Nichols Mike Johnson Spencer Chamberlain Joe Amerson Michael Perrie Joseph O'Leary Jeanette Younger Boris Piatskl Rick Bollinger Andrew Mellon Robert Blaine Joe Moreira Mike De Lille Jesse Rodriguez _. Steve Lilkela Sue Walsh Finbar Brody Francesco Tonorici Normann Paullus Lane Amos Brody Harvey Terry Danough Lance Landis Derek Isenhert mQ Mazen Amer Matt Stephan Jan Fischer Thomas Turchl Lisa Sarau Jeremy Hauser Mark DeGroot Ramesh Kane • aredd Steve Horn Terry Johnson _ Jeff musinski Michael Rivard Nick Webber Michels Corporation `____ 5 Year Partial Reference List N .- N m p m m w e w N e— N MT _ __ _ N — 0 - Echo Summit, CA Placer County, CA _ Yoncalla, OR Richmond, CA Ea•le Creek, OR Arlin•ton, OR McMinnville, OR Grass Valley, CA IMenlo Park, CA Twin Bridges, CA The Dalles, OR Menlo Park, CA Kern County, CA Honolulu, HI Beaverton, OR Roseburg, OR (Napa, CA Josephine County, OR Hayward, CA Lakeside, OR Truckee, CA Tacoma, WA Tuolumne County, CA Albany, OR Hillsboro, OR Portland, OR Redmond, WA Truckee, CA West Linn, OR Ellensburg, WA Menlo Park, CA Pasco, WA Santa Rosa, CA a o y O Bellingham, WA Renton, WA Martinez, CA Ft Lewis, WA La Grande, OR Glendale, OR Portland, OR Sacramento, CA Corvallis, OR Bellingham, WA So San Francisco, CA Lodi, CA a 0 tab Projects - 2012 Milwaukee, WI New Berlin, WI Naperville, IL Marshfield, WI Green Bay, WI Forest Lake, MN Green Bay, WI Lake Forest, IL Green Bay, WI OePere, WI Arlin•ton Hei•h.s. IL Winnetka, IL Park Ridge, IL 00 N N N N N N N N N R2 N N N R8 N N N RR N N N N N N N N N N N n .°v c°� N N N N N N N N N N N N N N N N N N N N N N N w N 11111111101111111 IIIII i dill III 19111111111111 mommull mommEms mirpormomil 1 Tom mmummiiiii impugn mum II pimimpiiiiimmiiiibi I mummy 11111 pin " I 11111111111111 I 'illl Thillfdi pop sii _- ifiiimirorimmi E . ? li 111 1 i i fill OMER 11011111111611•111liblillb III a 1 I 1 11110 pirrmodimmmomp ' 1 pi lip oil mihmimmodmi 1 NI I I mug I MN IIMINIIIMMI r Jeny Vella 209-522-1655 1 34 Jake Eagle 503-628-1137 620 Tim Hayner 425 -455 -2570 308 Steve Holmes 503-588-7576 275 Jeff Radish 503-939-1820 7749 7602 1168 334 David Peterson 509 -586 -1104 Boris Pietskl 503- 722 -5519 12500 John Cichosz 360. 907 -8632 153 57 Brian Elliot 541- 459 -5768 312 Andew Albee 541 - 430 -1790 175 _ Augustly Lopez 916 -875 -6595 475 John Jurgens 206-733-9857 70 78 Steve Rushton 425-453-8380 100 1 Thomas BBuchaI 651- 325 -6369 I 1 Mike Rle er i815 -387 -7804 Steve Herzog 920 - 374 -0415 1 1 5360 101 16741 3961 Ron Kroop 847 -546 -0962 1 1 860 1 11401 i t II j ii I Steve Holmes 503 -588 -7576 1 880 Steve Holmes 503 - 588 -7576 • Jeff Radish 503 - 939 -1820 290 83 Miguel Gulroz 707- 693 -0289 Rod Leback 503 -455 -3634 1 Brian Parker 530- 392 -6008 1 Chuck Aldrige 916 -381 -0911 Mike Moll 541-683-5741 572 ''Chris George 425-864-9221 I 426 'Dan Shaffer 503- 845.6260 1 1081 Megan Meachum 808- 489.3065 853 614 43 Chris George 425- 864 -9221 149 Jeff Allen 360-674-2100 Curt Matzoll 775-786-2677 Kevin Knutson 503- 266 -2792 511 657 Sarah Bersheron 530 - 587 -3804 1029 600 Dayne Randall 425- 202 -3654 1 1525 Miguel Ouiroz 707 - 693 -0289 Sean McLoughlin 1650- 267 -5300 Dale Mathison 916 -808 -1911 3040 1975 Phil Crummett 916- 645 -4845 70 Curt Matzoll 775- 786 -2677 Curt Matzoll 775- 786 -2677 Corey Palfrey 503 -661 -5093 823 Mario Lozano 925-447-0292 Shawn Riley 425 -452 -4320 Bob Pankratz 503 -373 -4307 _ Mike Stamm 925-960-4543 Michael Neer 541-689-5863 6363 El m ill 1 0 lb EM 111 Kyle Berger 847.526 -5457 Michel Bukolt 647- 272 -4711 (Bo Miller 503. 986.2738 1 (Rick Marina 503- 209 -4173 Sam Rose 916 -786 -8522 Anne Hogan 831- 420 -5425 Iontect 1 [Tom Plaschnski Doug-Derks Charles Fochs Jan Bevins _ Ge Vo•el ___ Ken Schrock Joe VonArx Is Corporation Partial Reference L Location 'Sheboygan, WI ,Eau Claire, WI J Hilbert, WI rSt Paul, MN Delavan, WI Rockford, IL Rockford, IL Mundelein, IL Northbrook, IL Rocklin, CA Santa Cruz, CA Beaverton, OR Portland, OR McMinnville, OR Vacaville, CA Clatskanie, OR [Ma svilla, CA EMEMMEMEMIIM Eu•ene, OR [Seattle, WA 1 Mt Angel, OR 'Honolulu, HI White Center, WA Bremerton, WA Incline Villa•e, NV Beaverton, OR Truckee, CA Seattle, WA Nevada Count , CA Antioch, CA Sacramento, CA Citrus Hal•hts, CA Incline Villa•e, NV Incline Villa•e, NV Portland, OR Berkele , CA Bellevue, WA Salem, OR Livermore, CA Eu,ene, OR AI•ine Lakes, CA Ore•on Ci , OR Redmond, WA Vancouver, WA West Linn, OR Vancouver, WA Sutherlln, OR Myrtle Creek, OR Sacramento, CA Seattla, WA Federal Way, WA tab Projects - 2013 Manitowoc, WI Round Lake, IL nmm gr`w m o 0 0 me m o cu .-mm g m N ma o m m m m o m iv o a m r r o w a o m o 00 0o m �= o I I «I 6 SI m m a - ' o o w M a m n o - o m b m w n a m 8 m AI n m m n E E A a m m w fO e n n `41m a m n m ,. F v_e m nem .-.- a m E _ m Nm ER,A, o m vm mm V8 WO mm MV, r a o m o o N 88 a m mo m _N mm o w ^ d nmrmmmNmmmmmma «mnd8 mh bmmdi m wmm m o <mhe °m �� mm �aa�N��m H nn°n'mao`m '`'`� m m m <NN m m mom -""""""'"-"%'',:18,7.88222228%,88"82 `,7i Off' moo�od' n nm "H wv m m mmm��m�nnnnmemmanmmn `.' na�)dEmmmmNCmEW54 non LIA5Ad�moto�' mmnm�nc� V'o§ mn °e mmER .i.W2m�n^� n °mm ion lv�mNWAVAt m r. ammmamm �mn�nmrc a n °m 022 MA Contact Ken Rye Scott Huebner Jeff Musinski Mike Rleger [Steve Klomsten (Michael Rivard Thomas Bucket Bill Stewart Aaron Hess, PE Dave Kerr Jeff Woltgram Chris Langemak Jim Nolan Kristin Romanowicz Daniel Faulkner ,Michael Bukolt (Jeff Woltgram S Vmq ❑ N Violet Razo Jan Bevins Torn Piccolatti Mike McFearin Suzan Donning O Gary Merlino Jim Schulte Steve Hanson Lynda McKee Zachary Milner Morgan Wayman David McChesney Lureen Komoda Karen Loan Jen Vella Sandra Davis Bill Heffernan Lisa Oestreich Nolan Nelson Joseph Frank David Sterns Fred Braun Skeeter May Jake Marshall Nick Jones Tamblynn Stewart Melissa Marshall Rob Daykin Kevin Cullen Sarah Bergeron Laura Riehl Michels Corporation I _ 5 Year Partial Reference List > w mom, w w m w w w w w ° w w w w F7= w w w w -N w w w w Nm w w w w w N w w F w w w w m w w e w w w w w vi' w w w w ro °a f w w w w o w w ^ mm w w m oo w w om w w w w H mom.- w w w w <mo w w w w n w w Location -3 i Wausau, WI Glenview, IL Arlin•ton Hei•hts. IL Rockford, IL Milwaukee, WI Winnetka, IL St Paul, MN Highland Park, IL Sr IPaul, MN Naperville, IL Wheeling, IL Waukesha, WI Forestvlew, IL Green Bay, WI Mound, MN (Northbrook, IL Wheeling, IL Wadena, MN St Paul, MN Daly City, CA L nden, WA Bellin•hem, WA Code Madera, CA Washou•al, WA Seattle, WA Aumsville, OR MPQ pQ a Sherwood, OR Glendale, OR Sacramento, CA Ashland, OR Honolulu, HI Honolulu, HI Honolulu, HI Meyers, CA Honolulu, HI Strawberry, CA Nevada County, CA Troutdale, OR Sunnyvale, CA Tacoma, WA Tacoma, WA Albany, OR Portland, OR Pasco, WA Monterey County Eugene, OR Dallas, OR Clackamas, OR Las ye • as, NV Clackamas County, OR Sacramento, CA Sacramento, CA Dundee, OR Fairfield, CA Truckee, CA Gresham, OR mmmn. ,. , �mm�m�,. ���aw$ �$ a�RRRRa�m�RRRaR22222222222$22222 �. �n. nmmmmno��nmm��c��m�, m�, �, m, ,nmmwmm,�.�mm�.�nnmmmnwmmmmmmm $R2$2R222222222222a2222R ,c, ,,, ,.,,,,,,,,,__,_,< _ .,,._os, ,,„,,,,,,„ ,,,,,. 11,1111111111111111111111111111111111111111111 . 1111111111111111111111111111111111111111111111 — I: 111111111 s s 1Keith Jesse Rodriguez Carl Tappen Renee Graves Denzel Conner Daryl Davis Chrls Terrell Mark Mengoni Dale Sessums Bill McClure Joyce Bomstedt Jeff Hansen Steve Liikala Ran. Sanford Dick Schroeder Mike Holland Jennifer Hudon Brian Wa•strom Bill Monville Eric Kucin Ter Me er Barbara Trible Susan Mi.cz Jeff re Seitz Lance Guentzel Ga Ziehr Ga Ziehr Joshua Norton Blaine Shotwell Pat Minger Stu Hietpas Daryl Fox Barbara Rest Kimberly Schmidt Steve Klomsten Michele Hough David Trais John Burke Dave Eastman Mike Keller Phil Gianfortone Dale McCabe Mike Barrett (Lyman Chang Roy Bonner Robin Krause Burt Peterson Michels Moore Geoff Conley Will Morgan Garritt hisser Erik Well•orskl George Schmidt I I Katie Howell > 12'''' ''., :1111 Liiiiiiiiiiiiiiiiiiiiiiiiniiiiiiiiiiiii[ 2014 Combined Locks, WI $ 21,462 2014 Delavan, WI $ 61,961 2014 Cornucopia, WI $ 117.525 2014 Naperville, IL $ 457,378 2014 Milwaukee. WI $ 48.136 N 20141Lo bard.IIL I $ 98.754 li 2013IPortland, OR I $ 39,288 2013 Meeks Bay. CA $ 54,947 2014 Yaklma, WA 1 $ 173,398 2013 Manteca. CA $ 88,512 li 2014 Lodl, CA 1 $ 1,528,314 2014 Washougal. WA $ 74,035 2014 Vancouver, WA 1 $ 692,095 2014 Pollock Pines, CA $ 72.597 2014 Armador County 1 $ 43,160 2013 Newberg. OR I $ 24,349 2014 Newport, OR 1 $ 68,985 2013 Gorda. CA $ 84,733 2014 Kingsbury, NV 1 $ 233,452 2014 Wenatchee, WA $ 129,239 2014 Des Moines, WA $ 199,677 2014 Olympia, WA $ 347,514 2014 Redding, CA j $ 71,868 s Corporation Partial Reference L Location Steilacoom, WA Portland, OR 20131KIamath Falls, OR 2013 [Phoenix, OR 2013 Sacramento, CA 2013 Albany, OR 2013 Fresno County, CA f 2013 Tualatin, OR 2013 Bakersfield, CA 2013 Baker City, OR 2014IThorp. WI 20131 Oshkosh, WI 2014 DeKalb, IL 2014 Manitowoc, WI 2014 Minnetonka, MN 2014 Milwaukee, WI 2014 Lisle, IL 2014IThiensville, WI 2014 Sturtevant, WI 2014 Saskatoon•West 2013 Mapleton, MN 2014 Menominee, MI 20141St Paul, MN I ,,,,„ — m I f cl NvOOO IOi h N n N N m _ N NO o o _ d m a O N m �- N N OO N a N0�m m �- _ fo dm N zlN E ' 2 m Ca m go In r o g d ^ d d N H N d am N o d m N N N m m n m n N .n to m m d '. i N N n� _ d omm m M N .- nl S mON n N r� W Nmn�mm dor. ��b ��nm$�.d° O rCI d,o'o� Jesse Rodriguez 503- 931 -5114 Steve Holmes 503 -598 -7576 Lori Medeiros 925- 779 -7050 Jamie Cruz 209 -385 -6860 Dianna Delgy 707 -588 -2232 Patty Page 360 - 330 -7512 IDiarmaid Foley 415 -822 -3700 [01 mN O NN tmO<OONomNm `.' O �t1 vmiNdgd Joel Tetzleft 707-455-4019 Aida Fairman 650- 947 -2603 Sidney Nakao 808.487 -4885 O NwdN�� Greg Penza 1312 -821 -0291 1 f Yuriy Amelyan 1414- 351 -8811 l Parker Sovey 262- 524 -1879 Alsheen Hameed 773- 736 -0607 Jane Bottum 541- 485 -1700 Erich Leis 503- 722 -5514 Shannon Miller 541-679-7191 1 Greg Tyler 530 -222 -5048 t Steve Smith 503 -392 -0523 Brian Parker 530 -392 -6008 Dalin Sanchez 530-673-7080 Dewayne Kliewer 503 - 793 -7291 I Ryan Lampi 503 - 338 -3878 Lou Ann Heerspink 360 - 354.3500 Careen Reno 509- 925 -8614 Joseph Frank 530- 222 -1408 Shawne Olgin 510 -632 -7678 Knsty Beardemphl 253- 502 -2272 _ Contact Summer Paul Don Reitan Sandra Davis Dale McCabe Tina Phi ..5 Mike Conwa Dan Chronister _ June Kalkoven Linda Anderson Ken Perkins Robin Krause Jeff Anderson Michael Cusick I IDiarmaid Fole David Stems Dou• McFad en Pa Vase Mike Conwa Bradd Kindle Robert RI. • ee Michels Corporation 5 Year Partial Reference List -� n N g - o n m N o N m N N N m w d .- m N - 00000' en .n vn w W itPortland, OR Friday Harbor, WA Kyburz, CA The Dallas, OR Bellevue, WA Newberg, OR 'Channel Is! Beach, CA Portland, OR E. Wenatchee, WA Scotts Valle , CA MI Ansel, OR Portland, OR Antioch, CA Merced, CA Rohnert Park, CA Centralia, WA Na.a, CA Sumner WA Inde•endence, OR Vancouver, WA Las Ve•as, NV Tukwila, WA Na•a, CA Eu•ene, OR Kirkland, WA Fite, WA Newber., OR Salem, OR Sheridan, OR Vacaville, CA Los Altos, CA Honolulu, HI I I Pipe Rehab Projects - 2015 2014 1Chlcago, IL 2015 Bayside, WI 2015 Sussex, WI 2015 Lincolnshire, IL 2014 Manzanila, OR 2015 West Linn, OR 2015 ISacrameinto, CA 20th Milweukle, OR 2015 Warrenton, OR 2015 Bellingham, WA 2015 Ellensburg, WA CV 2015ITacoma, WA � NNNNNNNNNNNNNNN�RNNR�NNNRR °NRPvPv� 4 CONSENT RESOLUTION OF THE BOARD OF DIRECTORS OF MICHELS CORPORATION JUNE 9, 2015 The undersigned, being the Board of Directors of MICHELS CORPORATION, a Wisconsin corporation, pursuant to Section 180.0821 of the Wisconsin. Statutes, do hereby consent to the following acts taken without a meeting: RESOLVED: that the following employees of Michels Pipe Services, a Division of Michels Corporation, shall have the following authority vested in it by the Board of Directors through this Consent Board Resolution for the fiscal year ending December 31, 2015, or until their respective successors have been elected and qualified. Mr. Scott O'Dell shall replace Mr. Pat Anderson as Western Regional Manager of Michels Pipe Services. Mr. O'Dell shall have the ability to legally negotiate and execute contracts and agreements. By this grant of authority to Mr. O'Dell, the Board of Directors hereby rescinds Mr. Anderson's authority to do the same, effective the date of this Consent Resolution. Dated this 9th day of June, 2015. Ruth Michels, Director Patrick D. Michels, Director