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23-115 - Northwest Cascade, Inc - 2023 Andover Park W and 58th Avenue South Sewer Repair
AGREEMENT FORM CONTRACT NO. 23-115 Council Approval 6/12/23 23-115 C-1 THIS AGREEMENT is made and entered into on this 20th day of June , 2023 , by and between the City of Tukwila, Washington ("Owner") and Northwest Cascade, Inc therefore the parties agree as follows: ("Contractor"). Now, 1. Project. Contractor shall complete all work and furnish all labor, tools, materials, and equipment for the project entitled 2023 ANDOVER PARK W AND 58TH AVENUE S SEWER REPAIR Project No. 9140203, 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 Supplemental General Requirements. 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 date. 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. Attomey'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, WASHINGTON (Owne os By: DacuSgned by: d futl. By: Mayor 6/20/2023 111:02 AM PDT Title: Attest: This 20th day of June 20 23 Approved as to Form: P---Du$iJned by: Address for giving notices: 6200 Southcenter Boulevard Tukwila, WA 98188 2023 ANDOVER PARK W AND 58TH AVENUE S SEWER REPAIR Attest: This day of Contractor's License No. 20 Address for giving notices: Rev. 5-13-14 C-2 PAYMENT AND PERFORMANCE BOND Bond to City of Tukwila, Washington Bond No. 9420445 We, Northwest Cascade, Inc. , and Fidelity and Deposit Company of Maryland (Principal) (Surety) a State of Illinois 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 One Million One Hundred Ninety -Three Thousand Eight Hundred Nine -One and 38/100ths Dollars ($1.,193,.891.38 ), 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 June 20 2023 , between Principal and Owner for a project entitled 2023 ANDOVER PARK W AND 58TM AVENUE S SEWER REPAIR, Contract No.91140203 ("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 and holds Owner, its officers, and agents harmless from and against all claims, liabilities, causes of action, damages, and costs for such payments for labor, equipment, and materials by satisfying all 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 and holds Owner harmless 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. 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%). 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. 2023 ANDOVER PARK W AND 58Th AVENUE S SEWER REPAIR Rev. 5-13-14 Performance Bond -3 Payment and Pfmae ... ..�............. ..� .....�........_ ..._w. ...� ..,,, ..___ ,..._�. 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 8th day of June , 20 23 Fidelity and Deposit Company of Maryland Northwest Cascade, Inc. ignature of AAWP 192iCtibt uthorized Official, Title Name and address of local office of agent and/or Surety Company: ature «f A ized Official By Carley Espiritu Attorney in Fact (Attach Power of Attorney) Propel Insurance P.O. Box 2940, Tacoma, WA 98401 (253) 759-2200 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. 2023 ANDOVER PARK W AND 58TH AVENUE S SEWER REPAIR Rev. 5-13-14 ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by Robert D. Murray, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies, which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute, and appoint Julie R. TRUITT, Erica E. MOSLEY, Holli ALBERS, Jamie L. MARQUES, Carley ESPIRITU, Christopher KINYON, Brent E. HEILESEN, Annelies M. RICHIE, Amelia G. BURRILL of Tacoma, Washington, EACH, its true and lawful agent and Attorney -in -Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any and ail bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York. New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of the By -Laws of said Companies, and is now in force. IN WITNESS WHEREOF, the said Vice -President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 0150 day of November, A.D. 2021. ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND By: Robert D. Murray Vice President By: Dawn E. Brown Secretary State of Maryland County of Baltimore On this Olst day of November, A.D. 2021, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, Robert D. Murray, Vice President and Dawn E. Brown, Secretary of the Companies, to me personally known to be the individuals and officers described in and who executed the preceding instrument, and acknowledged the execution of same, and being by me duly sworn, deposeth and saith, that he/she is the said officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF. I have hereunto set my hand and affixed my Official Seal the day and year first above written. Constance A. Dunn, Notary Public My Commission Expires: July 9, 2023 Authenticity of this bond can be confirmed at bondvalidator.zurichna.com or 410-559-87'., "_TRACT FROM BY-LAWS OF THE COMPANIES "Article V, Section 8, AttorneNs-in-Fact. The Chief Executive Officer, the President, or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attorneys -in -fact with authority to execute bonds, policies, recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attorney-in-fact to affix the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any time.' CERTIFICATE I, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that Article V, Section 8, of the By -Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998. RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attorney...Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 10th day of May, 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice -President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seals of the said Companies, this 8th day of June 2023 By: Brian M. Hodges Vice President TO REPORT A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT A COMPLETE DESCRIPTION OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND, THE BOND NUMBER, AND YOUR CONTACT INFORMATION TO: Zurich Surety Claims 1299 Zurich Way Schaumburg. IL 60196-1056 800-626-4577 Authenticity of this bond can be confirmed at bondvalidator.zurichna.com or 410-559-8790 RELEASE OF RET • AGE BOND OF CONTRACTOR Bond No. 9420446 KNOW ALL 1 N BY 1 SE PRESENTS: That we Northwest Cascade, Inc. (hereinafter called Principal), and Fidelity and Deposit Company of Maryland a corporation organized and doing business under and by virtue of the laws of the state of Illinois and duly licensed for the purpose of m g, . anteeing or becoming sole surety upon bonds or unde gs required and authorized by the State of Washington, (hereinafter called Surety), as Surety, are held • ly bound unto City of Tukwila , (hereinafter called Obligee) in the just and full sum of Fifty-nine Thousand Six Hundred Ninety-four & 57/100 t59,694.57 plus 5% of any increases in the contract amount that have occurred or may occur, due to change orders, increases in the quantities or the addition of any new item of work CO ITIONS OF THIS OBLIGATION A ' SUCH • T, Whereas, the said Principal on the day of entered into a written contract with the said obligee far 2023 Andover Park W & 58th Ave S Sewer Repair, Tukwila Project No. 91140203 which said contract is hereby referred to and made a part hereof by reference. 1 REAS, Pursuant to Chapter 60.28 RCW, the above named Principal has requested release of retained percentage earned or which may be earned under said contract, and, 1 REAS, the obligee is willing to release retained percentage in advance of contract terms relating to payment provided the principal shall file bond to indemnify the obligee for all loss, cost or damages which the obligee may sus : • by reason of payment of re • age to the principal, which bond shall be subject to all claims and liens in the same manner and same priority as apply to the re . • . ge percentage released, or to be released, 1 NOW, 1 REFORE, the condition of this obligation is such that if the principal shall inde the obligee for all loss, cost or d. Is ages which the obligee may sustain by reason of payment of retained percentage to the principal then this obligation shall be null and void unless otherwise to remain in full force and effect. 11 1 IN SS 1 REOF, said principal and said Surety have caused these presents to be duly signed and sealed this 8th day of June 2023 Northwest Cascade, Inc. Principal Fidelity an By: Attorney -in -Fact ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by Robert D. Murray, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies, which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute, and appoint Julie R. TRUITT, Erica E. MOSLEY, Holli ALBERS, Jamie L. MARQUES, Carley ESPIRITU, Christopher KINYON, Brent E. HEILESEN, Annelies M. RICHIE, Amelia G. BURRILL of Tacoma, Washington, EACH, its true and lawful agent and Attomey-in-Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of the By -Laws of said Companies, and is now in force. IN WITNESS WHEREOF, the said Vice -President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 01' day of November, A.D. 2021. ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND By: Robert D. Murray Vice President By: Dawn E. Brown Secretary State of Maryland County of Baltimore On this 01st day of November, A.D. 2021, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, Robert D. Murray, Vice President and Dawn E. Brown, Secretary of the Companies, tame personally_ known to be theindividuals and officers described in and who executed the preceding instrument, and acknowledged the execution of same, and being by me duly sworn, deposeth and saith, that he/she is the said officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written. Constance A. Dunn, Notary Public My Commission Expires: July 9, 2023 Authenticity of this bond can be confirmed at bondvalidator.zurichna.com or 410-559-8796 EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V, Section 8, Attomw-inThe Chief Executive Officer, the President, or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attorneys -in -fact with authority to execute bonds, policies, recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attorney-in-fact to affix the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any time." CERTIFICATE I, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate; and 1 do further certify that Article V, Section 8, of the By -Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998. RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attorney...Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 10th day of May, 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice -President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seals of the said Companies, this 8th day of June 2023 H' By: Brian M. Hodges Vice President TO REPORT A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT A COMPLETE DESCRIPTION OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND, THE BOND NUMBER, AND YOUR CONTACT INFORMATION TO: Zurich Surety Claims 1299 Zurich Way Schaumburg, IL 60196-1056 IrEf°iMil,„„ )fACJ(f ( adG➢I;,I;1, 800-626-4577 Authenticity of this bond can be confirmed at bondvalidator.zurichna.com or 410-559-8790 Client#: 12831 NORTCASCI ACORDACORD.CERTIFICATE OF LIABILITY INSURANCE MM/DD/ YYYY) ((M/DD/ DATE 6/06/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s). PRODUCER Propel Insurance 1201 Pacific Avenue; Suite 1000 COM Construction Tacoma, WA 98402-4321 CONTACT Casondra Mossuto NAME: PHONE 800499-0933 FAX 866 577-1326 Ext): (A/C, No): E-MAILo, ADDRESS: casondra.mossuto@propelinsurance.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: National Union Fire Ins Co of Pittsburg 19445 INSURED Northwest Cascade Inc. dba Honey Bucket; North Bay Portables; Liberty Site Service & Altitude Waste Solutions PO Box 73399, Puyallup, WA 98373 INSURER B : Navigators Insurance Company 42307 INSURER C: Continental Casualty Company 20443 Axis Surplus Insurance Company INSURER D : P P Y 26620 INSURER E : Homesite Insurance Company INSURER F : X 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 W1TH 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. LTR TYPE OF INSURANCE NSR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY GL3296838 05/01/2023 05/01/2024 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X OCCUR PREMISESO(Ea RENTED $ 300,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE POLICY OTHER: X LIMIT APPLIES PRO - JECT PER: LOC GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OPAGG $2,000,000 $ A AUTOMOBILE X X LIABILITY ANY AUTO OWNED AUTOS ONLY AUTOS ONLY X SCHEDULED AUTOS NONOS-OWNONLED Y AUT CA2507760 05/01/2023 05/01/2024 (E°aBcdeDt) INGLE LIMIT $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ B E x UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE SE23EXCZ0346EIC CXP00023202 05/01/2023 05/01/2023 05/01/2024 05/01/2024 EACH OCCURRENCE $5,000,000 AGGREGATE $10,000,000 DED X RETENTION $O 2nd Layer $$5,000,000 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) yes, describe D DESCRIPTION OF OPERATIONS below, Y / N N N / A WC48240166 - AOS WC48240167 - CA WC048241069 - OR Stop Gap Included 05/01/2023 05/01/2023 05/01/2023 05/01/2024 05/01/2024 05/01/2024 X SPER TATUTE OTH- ER E.L. EACH ACCIDENT $1 ,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE- POLICY LIMIT $1,000 000 C D D Pollution Leased & Rented Inst. Floater CP002899062023 CP002899062023 7037189578 05/01/2023 05/01/2023 05/01/2023 05/01/2024 05/01/2024 05/01/2024 $1M Occ/Agg. $25k Ded. $600k / $5k Ded. $100k /$25K $5k Ded. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Sewer Repair 2023 Andover Park W & 58th Ave S Additional Insured Status applies per attached form(s). CERTIFICATE HOLDER CANCELLATION City of Tukwila 6300 Southcenter Blvd. #200 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 (2016/03) 1 of 1 #S5958201/M593971 4 © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SMH01 This page has been left blank intentionally. POLICY NUMBER: GL 329-68-38 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 ANY PERSON OR ORGANIZATION WHO YOU BECOME OBLIGATED TO INCLUDE AS AN ADDITIONAL INSURED AS A RESULT OF ANY CONTRACT OR AGREEMENT YOU HAVE ENTERED PER THE CONTRACT OR AGREEMENT INTO. 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 NUMBER: GL 329-68-38 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 Any person or organization whom you become obligated to include as an additional insured as a result of any contract or agreement you have entered into. Per the written contract or agreement. 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 20 10 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 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 Page 2of2 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 CG 20 10 04 13 POLICY NUMBER: GL 329-68-38 COMMERCIAL GENERAL LIABILITY CG 20 01 12 19 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 LIQUOR 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 12 19 (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. Q Insurance Services Office, Inc., 2018 Page 1 of 1 POLICY NUMBER: GL 329-68-38 COMMERCIAL GENERAL LIABILITY CG 24 04 12 19 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS SCHEDULE Name Of Person(s) Or Organization(s): Pursuant to applicable written contract or agreement you enter into. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. CG 24 04 12 19 Q Insurance Services Office, Inc., 2018 Page 1 of 1 ENDORSEMENT This endorsement, effective 12:01 A.M. 05/01/2023 forms a part of Policy No. 250-77-60 issued to NORTHWEST CASCADE, INC. by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM Section IV - Business Auto Conditions, A. - Loss Conditions, 5. - Transfer of Rights of Recovery Against Others to Us, is amended to add: However, we will waive any right of recover we have against any person or organization with whom you have entered into a contract or agreement because of payments we make under this Coverage Form arising out of an "accident" or "loss" if: (1) The "accident" or "loss" is due to operations undertaken in accordance with the contract existing between you and such person or organization; and (2) The contract or agreement was entered into prior to any "accident" or "loss". No waiver of the right of recovery will directly or indirectly apply to your employees or employees of the person or organization, and we reserve our rights or lien to be reimbursed from any recovery funds obtained by any injured employee. AUTHORIZED REPRESENTATIVE 62897 (6/95) Includes copyrighted material of Insurance Services Office, Inc. with its permission. Page 1 of 1 ENDORSEMENT This endorsement, effective 12:01 A.M. 05/01/2023 forms a part of Policy No. 250-77-60 issued to NORTHWEST CASCADE , INC . by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA. INSURANCE PRIMARY AS TO CERTAIN ADDITIONAL INSUREDS This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM Section IV - Business Auto Conditions, B., General Conditions, 5., Other Insurance, c., is amended by the addition of the following sentence: The insurance afforded under this policy to an additional insured will apply as primary insurance for such additional insured where so required under an agreement executed prior to the date of accident. We will not ask any insurer that has issued other insurance to such additional insured to contribute to the settlement of loss arising out of such accident. All other terms and conditions remain unchanged. Authorized Representative or Countersignature (in States Where Applicable) 74445 (10/99) Includes copyrighted material of Insurance Services Office, Inc. with its permission. Page 1 of 1 ENDORSEMENT This endorsement, effective 1 2:01 A.M. 05/01/2023 forms a part of Policy No. 250-77-60 issued to NORTHWEST CASCADE, INC. by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA. ADDITIONAL INSURED - WHERE REQUIRED UNDER CONTRACT OR AGREEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM SCHEDULE ADDITIONAL INSURED: ANY PERSON OR ORGANIZATION FOR WHOM YOU ARE CONTRACTUALLY BOUND TO PROVIDE ADDITIONAL INSURED STATUS BUT ONLY TO THE EXTENT OF SUCH PERSON'S OR ORGANIZATION'S LIABILITY ARISING OUT OF THE USE OF A COVERED "AUTO". I. SECTION II - COVERED AUTOS LIABILITY COVERAGE, A. Coverage, 1. - Who Is Insured, is amended to add: d. Any person or organization, shown in the schedule above, to whom you become obligated to include as an additional insured under this policy, as a result of any contract or agreement you enter into which requires you to furnish insurance to that person or organization of the type provided by this policy, but only with respect to liability arising out of use of a covered "auto". However, the insurance provided will not exceed the lesser of: (1) The coverage and/or limits of this policy, or (2) The coverage and/or limits required by said contract or agreement. AUTHORIZED REPRESENTATIVE 87950 (9/14) Includes copyrighted material of Insurance Services Office, Inc. with its permission. Page 1 of 1 ENDORSEMENT This endorsement, effective 12:01 A.M. 05/01/2023 forms a part of Policy No. 250-77-60 issued to NORTHWEST CASCADE , INC . by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA. LIMITED ADVICE OF CANCELLATION PROVIDED VIA E-MAIL TO ENTITIES OTHER THAN THE FIRST NAMED INSURED This policy is amended as follows: In the event that the Insurer cancels this policy for any reason other than non-payment of premium, and 1. the cancellation effective date is prior to this policy's expiration date; 2. the First Named Insured is under an existing contractual obligation to notify a certificate holder when this policy is canceled (hereinafter, the "Certificate Holder(s) ") and has provided to the Insurer, either directly or through its broker of record, the email address of a contact at each such entity; and 3. the Insurer received this information after the First Named Insured receives notice of cancellation of this policy and prior to this policy's cancellation effective date, via an electronic spreadsheet that is acceptable to the Insurer, the Insurer will provide advice of cancellation (the "Advice") via e-mail to each such Certificate Holders withi n RI days after the First Named Insured provides such information to the Insurer; provided, however, that if a specific number of days is not stated above, then the Advice will be provided to such Certificate Holder(s) as soon as reasonably practicable after the First Named Insured provides such information to the Insurer. Proof of the Insurer emailing the Advice, using the information provided by the First Named Insured, will serve as proof that the Insurer has fully satisfied its obligations under this endorsement. This endorsement does not affect, in any way, coverage provided under this policy or the cancellation of this policy or the effective date thereof, nor shall this endorsement invest any rights in any entity not insured under this policy. The following Definitions apply to this endorsement: 1. First Named Insured means the Named Insured shown on the Declarations Page of this policy. 2. Insurer means the insurance company shown in the header on the Declarations page of this policy. All other terms, conditions and exclusions shall remain the same. Authorized Representative 10741 4 (3/111 Includes copyrighted material of Insurance Services Office, Inc. with its permission. Page 1 of 1 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement changes the policy to which it is attached effective on inception date of the policy unless a different date is indicated below. This endorsement, effective 12:01 AM 05/01/2023 forms a part of Policy No. WC 048-24-0166 Issued to NORTHWEST CASCADE, INC . By NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA. We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us. This agreement shall not operate directly or indirectly to benefit any one not named in the Schedule. Schedule ANY PERSON OR ORGANIZATION TO WHOM YOU BECOME OBLIGATED TO WAIVE YOUR RIGHTS OF RECOVERY AGAINST, UNDER ANY WRITTEN CONTRACT OR AGREEMENT YOU ENTER INTO PRIOR TO THE OCCURRENCE OF LOSS. This form is not applicable in Kansas for private construction contracts as defined in K.S.A. 16-1801 through K.S.A 16-1807 or public construction contracts as defined in K.S.A. 16-1901 through 16-1908, except where permitted by statute or other applicable law, such as for use in wrap-up insurance programs. Any person or organization for which the employer has agreed by written contract, executed prior to loss, may execute a waiver of subrogation. However, for purposes of work performed by the employer in Missouri, this waiver of subrogation does not apply to any construction group of classifications as designated by the waiver of right to recover from others (subrogation) rule in our manual. This form is not applicable in California, Kentucky, New Hampshire, New Jersey, Texas, or Utah. WC 00 03 13 (Ed. 04/84) Countersigned by Authorized Representative BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy). This endorsement, effective 12:01 AM 05/01/2023 forms a part of Policy No. WC 048-24-0167 Issued to NORTHWEST CASCADE , INC . By NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA. We have a right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against any person or organization with whom you have a written contract that requires you to obtain this agreement from us, as regards any work you perform for such person or organization. The additional premium for this endorsement shall be 2.00 % of the total estimated workers compensation premium for this policy. WC 04 03 61 (Ed. 11/90) Countersigned by Authorized Representative TEXAS WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) This endorsement, effective 12:01 AM 05/01 / 2023 forms a part of Policy No. WC 048-24-0166 Issued to NORTHWEST CASCADE, INC. By NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH , PA. This endorsement applies only to the insurance provided by the policy because Texas is shown in Item 3.A. of the Information Page. We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule, but this waiver applies only with respect to bodily injury arising out of the operations described in the Schedule where you are required by a written contract to obtain this waiver from us. This endorsement shall not operate directly or indirectly to benefit anyone not named in the Schedule. The premium for this endorsement is shown in the Schedule. Schedule 1. ( ) Specific Waiver Name of person or organization (X) Blanket Waiver Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. 2. Operations: ALL TEXAS OPERAT I ONS 3. Premium: The premium charge for this endorsement shall be 2 percent of the premium developed on payroll in connection with work performed for the above person(s) or organization(s) arising out of the operations described. 4. Advance Premium: $3,607 WC 42 03 04 B (Ed. 6-14) ,5-.1A,1„. t Countersigned by Authorized Representative O Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy). This endorsement, effective 12:01 AM 05/01/2023 forms a part of Policy No. WC 048-24-0167 Issued to NORTHWEST CASCADE , INC . By NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH , PA. LIMITED ADVICE OF CANCELLATION PROVIDED VIA E-MAIL TO ENTITIES OTHER THAN THE NAMED INSURED (WORKERS' COMPENSATION ONLY) This policy is amended as follows: In the event that the Insurer cancels this policy for any reason other than non-payment of premium, and 1. the cancellation effective date is prior to this policy's expiration date; 2. the Named Insured or, if applicable, any other employers named in Item 1 of the Information Page is under an existing contractual obligation to notify a certificate holder when this policy is canceled (hereinafter, the "Certificate Holder(s)") and the Named Insured has provided to the Insurer, either directly or through its broker of record, the email address of a contact at each such entity; and 3. the Insurer received this information after the Named Insured receives notice of cancellation of this policy and prior to this policy's cancellation effective date, via an electronic spreadsheet that is acceptable to the Insurer, the Insurer will provide advice of cancellation (the "Advice") via e-mail to each such Certificate Holders within 30 days after the Named Insured provides such information to the Insurer; provided, however, that if a specific number of days is not stated above, then the Advice will be provided to such Certificate Holder(s) as soon as reasonably practicable after the Named Insured provides such information to the Insurer. Proof of the Insurer emailing the Advice, using the information provided by the First Named Insured, will serve as proof that the Insurer has fully satisfied its obligations under this endorsement. This endorsement does not affect, in any way, coverage provided under this policy or the cancellation of this policy or the effective date thereof, nor shall this endorsement invest any rights in any entity not insured under this policy. The following definitions apply to this endorsement: 1. Named Insured means the insured first named employer in Item 1 of the Information Page of this policy. 2. Insurer means the insurance company shown in the header on the Information Page of this policy. All other terms, conditions and exclusions shall remain the same. AUTHORIZED REPRESENTATIVE WC 99 00 56 (Ed. 04/11) Commercial Excess Liability Coverage Part Various provisions of this policy restrict coverage. Read the entire policy carefully to determine your rights, duties and what is and is not covered. Throughout the policy the words "you" and "your" refer to the Named Insured. The words "we," "us" and "our" refer to the company providing this insurance. The word "insured" means any other person or organization qualifying as such under SECTION II — WHO IS AN INSURED. Other words and phrases that appear in quotations in this policy have special meanings. Refer to SECTION V - DEFINITIONS. SECTION I — COVERAGE 1. Insuring Agreement A. Excess Liability We will pay on behalf of the insured and in excess of "underlying limits" those sums the insured becomes legally obligated to pay as damages for "loss" to which this insurance applies. This insurance applies only if: a. the "loss" is caused by an "event" that takes place in the coverage territory; b. the "loss" occurs during the "policy period;" and c. the "controlling underlying insurance" applies to the "loss." 2. If an aggregate limit of "controlling underlying insurance" is exhausted by the payment of judgments or settlements to which this insurance applies, or would have applied but for the amount of the damages, this insurance will apply in place of the "controlling underlying insurance" until we have paid our applicable Limits of Insurance. 3. When paragraph 2. above applies, ending the "controlling underlying insurance" obligations to investigate and settle claims or defend suits against the insured, we have the right and duty to investigate claims and defend suits which seek damages to which this insurance applies. Our right and duty to defend end when we have paid our applicable Limits of Insurance. 4. When paragraph 2. above does not apply, we have the right, but not the duty, to participate in the investigation or settlement of any claim or the defense of any suit against any insured. 5. We have the right, at our discretion, to settle any claim to which this insurance applies. 6. As respects paragraphs 3. and 4. above, "defense expenses" we incur in the investigation of any claim or defense of any suit will be paid in addition to the Limits of Insurance except when such costs reduce the limits of "controlling underlying insurance," in which case they will reduce our Limits of Insurance. 7. The amount we pay is limited. See SECTION III — LIMITS OF INSURANCE. Navigators Specialty Insurance Company Contains copyrighted material of the NAV-EXC-001 (04/10) Insurance Services Office, Inc. with its permission. Page 1 of 7 2. Exclusions The EXCLUSIONS sections of the "controlling underlying insurance" are made part of this policy. If an inconsistency or contradiction exists between an Exclusion of this policy and an Exclusion of the "controlling underlying insurance" the Exclusion of this policy will apply. However, in no case will coverage be excluded by the "controlling underlying insurance" and not excluded by this policy. This insurance does not apply to any liability: 1. to which "controlling underlying insurance" does not apply; 2. for which coverage is provided by "controlling underlying insurance" at limits less than the limits of insurance applicable to other coverage provided by the "controlling underlying insurance" and less than "underlying limits;" 3. for "loss" which commenced prior to this "policy period," whether or not such "loss" continues, progresses, changes or resumes during this "policy period;" 4. for damage to property you own, rent or occupy, including any costs or expenses incurred by you or any other person, organization or entity, for repair, replacement, enhancement, restoration or maintenance of such property for any reason, including the prevention of injury to a person or damage to another's property; 5. for damage to personal property in the care, custody or control of any insured; 6. arising out of any "aircraft products;" 7. arising out of the actual, alleged, suspected or threatened inhalation of, ingestion of, contact with, exposure to, existence of, or presence of "asbestos;" 8. arising out of the actual, alleged, suspected or threatened inhalation of, ingestion of, contact with, exposure to, existence of, or presence of "fungi" or bacteria; 9. arising out of the actual, alleged, suspected or threatened inhalation of, ingestion of, contact with, exposure to, existence of, or presence of "silica" or "silica related dust;" 10. arising out of any "employment practices" of any insured; 11. arising out of: a. war, including undeclared or civil war; b. warlike action by a military force, including action in hindering or defending against an actual or expected attack, by any government, sovereign or other authority using military personnel or other agents; or c. insurrection, rebellion, revolution, usurped power, or action taken by governmental authority in hindering or defending against any of these; 12. imposed under: a. an uninsured or underinsured motorist, uninsured or underinsured boater, Medical Payments, Personal Injury Protection, No -Fault or any similar law; b. a workers compensation, disability benefits, unemployment compensation or any similar law; c. the Employee Retirement Income Security Act of 1974, any amendments thereto or any similar law. Navigators Specialty Insurance Company Contains copyrighted material of the NAV-EXC-001 (04/10) Insurance Services Office, Inc. with its permission. Page 2 of 7 SECTION II — WHO IS AN INSURED The WHO IS AN INSURED section of the "controlling underlying insurance" is made part of this policy. Any person or organization that is an insured in "controlling underlying insurance" is an insured in this policy to the same extent. SECTION III — LIMITS OF INSURANCE The Limits of Insurance shown in the Declarations and the rules below fix the most we will pay regardless of the number of insureds, claims made or suits brought, or persons or organizations making claims or bringing suits. 1. The General Aggregate Limit is the most we will pay for the sum of all damages to which this insurance applies, except: a. damages because of bodily injury or property damage included within any applicable products -completed operations hazard; or b. damages arising out of the ownership, operation, maintenance or use of an automobile; 2. The Products -Completed Operations Aggregate Limit is the most we will pay for the sum of all damages included within any applicable products -completed operations hazard; 3. Subject to paragraphs 1. and 2. above, the Each Event Limit is the most we will pay for all damages that arise out of any one "event." SECTION IV — CONDITIONS The CONDITIONS sections of the "controlling underlying insurance" are made part of this policy. If an inconsistency or contradiction exists between the Conditions of this policy and the Conditions of the "controlling underlying insurance," the Conditions of this policy will apply. 1 Appeals At our discretion we may appeal any judgment which would result in a payment under this policy. When we do appeal, we will pay all costs associated with the appeal in addition to the Limits of Insurance. Any such appeal will not increase our Limits of Insurance. 2. Bankruptcy or Insolvency Bankruptcy or insolvency of the insured or the insured's estate will not relieve us of our obligations under this policy. Bankruptcy or insolvency of any company providing "controlling underlying insurance" will not reduce the "underlying limits" or increase our obligations under this policy. We will not be required to drop down or replace "controlling underlying insurance." 3. Cancellation a. The first Named Insured may cancel this policy at any time by providing us advanced written notice of the cancellation date. b. We may cancel this policy at any time by providing the first Named Insured written notice of cancellation: i. at least 10 days in advance if we cancel for non-payment of premium; or ii. at least 30 days in advance if we cancel for any other reason: Navigators Specialty Insurance Company Contains copyrighted material of the NAV-EXC-001 (04/10) Insurance Services Office, Inc. with its permission. Page 3 of 7 c. If the "controlling underlying insurance" is cancelled for any reason, this policy is also cancelled. Reinstatement of the "controlling underlying insurance" does not reinstate this policy unless reinstatement is endorsed hereon. Return premium, if any, will be calculated per Condition 11. Premium. Proof of mailing will be proof of notice. 4. Non -Renewal a. We are not obligated to renew this policy. However, should we decide not to renew, we will provide the first Named Insured written notice of our decision at least 30 days prior to the expiration date shown in the Declarations. b. We will not restrict the terms or increase premium of this policy at renewal unless we have given the first Named Insured at least 30 days advanced notice of any such changes. However, no notice will be provided or required if a restriction in this policy results from a restriction applicable to "controlling underlying insurance." c. The first Named Insured may non -renew this policy by: i. providing advance written notice to us; ii. rejecting our offer to renew; or iii. failing to reply to our offer to renew. Proof of mailing will be proof of notice. 5. Changes This policy contains all of the agreements between you and us. This policy may only be changed by endorsements we issue. 6. Duties When There is an "Event," Claim or Suit a. You must see to it that we and any other insurers who could provide coverage are notified as soon as practicable of any "event" which may be reasonably expected to result in a claim under this policy. To the extent possible, notice should include: i. how, when and where the "event" took place; ii. the names and addresses of any injured persons and witnesses; and iii. the nature and location of any injury or damage arising out of the "event." b. If a claim is made or suit is brought against any insured which may be reasonably expected to result in a claim under this policy, you must: i. immediately record the specifics of the claim or suit and the date received; and ii. notify us, and any other insurers who could provide coverage, as soon as practicable. c. You and any other involved insured must: i. immediately send us, and any other insurers who could provide coverage, copies of any demands, notices, summonses or legal papers received in connection with a claim or suit which may be reasonably expected to result in a claim under this policy; ii. authorize us to obtain records and other information; iii. cooperate with us in the investigation or settlement of the claim, issues relating to coverage under this policy or defense against the suit; and iv. assist us, upon our request, in the enforcement of any right against any person or organization which may be liable to the insured because of the injury or damage to which this insurance may apply. Navigators Specialty Insurance Company Contains copyrighted material of the NAV-EXC-001 (04/10) Insurance Services Office, Inc. with its permission. Page 4 of 7 d. No insured will, except at that insured's own cost, voluntarily make a payment, assume any obligation or incur any expense, other than first aid, without our consent. Notice to us may be sent to our address shown in the Declarations. 7. Legal Action Against Us No person or organization has a right under this insurance: a. to join us as a party or otherwise bring us into a suit asking for damages from an insured; or b. to sue us on this insurance unless all of its terms have been fully complied with. 8. Maintenance of Controlling Underlying Insurance During the "policy period" you must maintain "controlling underlying insurance" with "underlying limits" at least equal to the amounts shown in the Declarations. The "underlying limits" must be unimpaired at the beginning of this "policy period." If you fail to maintain the "controlling underlying insurance" this policy will be invalid. If you fail to maintain "underlying limits," we will only be liable to the extent we would have been liable had you maintained the "underlying limits." Reduction of "underlying limits" by the payment of judgments or settlements for "loss" to which this insurance applies, or would have applied but for the amount of the damages, will not be considered a failure to maintain "underlying limits." 9. Other Insurance This insurance is excess over any insurance available to the insured except insurance purchased specifically to apply in excess of this policy. 10. Payment of Damages When the amount of damages payable under this policy has been determined by final judgment or a written settlement agreement between the claimant and us, we will pay that amount, up to our applicable Limits of Insurance, after the "controlling underlying insurance" or the insured has paid the full amount of the "underlying limits." 11. Premium The Premium shown in the Declarations is the premium for the coverage we provide for the "policy period." The first Named Insured is responsible for the payment of all premiums under this policy. If this policy is cancelled prior to its expiration date return premium will be calculated as follows: a. if cancelled by us: [{(Premium) — (Minimum Earned Premium)} x (Pro Rata factor)] b. if cancelled by you: [{(Premium) — (Minimum Earned Premium)} x {(Pro Rata factor) x (.90))]. 12. Separation of Insureds Except with respect to the Limits of Insurance and any rights or duties specifically assigned in this policy to the first Named Insured, this insurance applies: a. as if each Named Insured were the only Named Insured; and b. separately to each insured against whom claim is made or suit is brought. 13. Transfer of Rights of Recovery Against Others If an insured has rights to recover all or part of any payment we have made under this insurance, the insured must preserve those rights and, at our request, pursue or transfer those rights to us. The insured must do nothing after an "event" to impair them. Navigators Specialty Insurance Company Contains copyrighted material of the NAV-EXC-001 (04/10) Insurance Services Office, Inc. with its permission. Page 5of7 14. Reformation of Underlying If the "controlling underlying insurance" is reformed after an "event" to provide coverage for a "loss," the terms of such reformation do not apply to this policy. 15. When we Defend When we have a duty to defend an insured, the insured will cooperate with us in the transfer of the defense to counsel of our choosing. If the law of the governing jurisdiction permits an insured to select their own counsel to be paid for by us, we shall only be liable for the reasonable and necessary defense costs of one law firm per insured at rates customarily paid by us for the defense of similar claims in the jurisdiction where the claim is pending. 16. Claims outside the U.S.A, it's Territories, Possessions or Canada When we have the duty to defend an insured and are prevented by law or otherwise from doing so, we will reimburse the insured for any reasonable and necessary expenses incurred in the defense of a suit to which this insurance applies. If the insured becomes legally obligated to pay damages to which this insurance applies and we are prevented by law from paying such damages on behalf of the insured, we will reimburse the insured, in U.S currency at the prevailing exchange rate at the time the damages were paid, for such damages. SECTION V — DEFINITIONS The DEFINITIONS sections of the "controlling underlying insurance" are made part of this policy, and apply to words or phrases used in this policy provided always that words or phrases in quotations in this policy will have the meaning given them in this policy. "Aircraft products" means: a. an aircraft; b. ground control or support equipment; or c. any article, component or device made, sold, licensed, handled or distributed by any insured that is used to achieve, control or maintain flight or landing of an aircraft. "Asbestos" means the mineral in any form. "Controlling underlying insurance" means the policy listed in the Schedule of Underlying Insurance shown in the Declarations, or its renewal or replacement, which applies to the "loss," or would have applied but for: a. an exclusion in that policy; or b. the exhaustion or erosion of an aggregate limit of insurance; If more than one policy is listed in the Schedule, the "controlling underlying insurance" is the policy which applies to the "loss" or would have applied but for the reasons a. or b. listed above. "Defense expenses" means expenses we incur to investigate a claim or defend a suit. Defense expenses include interest which accrues on our portion of a judgment, after entry of that judgment and after the insured or any underlying insurer has paid the full amount of their portion of the judgment but before we have paid, offered to pay or deposited in the court the part of the judgment that is within our applicable Limits of Insurance. "Employment practices" means: Navigators Specialty Insurance Company Contains copyrighted material of the NAV-EXC-001 (04/10) Insurance Services Office, Inc. with its permission. Page 6 of 7 a. dismissal, discharge or termination of employment, whether actual, constructive or retaliatory; b. failure or refusal to hire or promote; c. discipline, demotion, coercion or retaliatory treatment; d. failure to grant tenure; e. negligent employment evaluation; f. sexual or other workplace harassment, including quid pro quo and hostile work environment; g. employment discrimination; h. invasion of privacy, violation of employment related civil rights, employment related libel, slander or defamation; i. creating or enforcing or failing to create or enforce employment related policies or procedures; or actual or alleged violations of the Family and Medical Leave Act of 1993 or its amendments. J. "Event" means an accident, incident, occurrence, offense, wrongful act or other "loss" causing "event" defined by and to which the "controlling underlying insurance" applies. "Fungi" means any type or form of fungus, including mold or mildew and any mycotoxins, spores, scents or byproducts produced or released by fungi. But "fungi" does not include mushrooms cultivated for human consumption. "Loss" means bodily injury, property damage, personal and advertising injury or other loss defined by and to which the "controlling underlying insurance" applies. "Policy period" means the period of time between the effective date shown in the Declarations and the earlier of the expiration date shown in the Declarations or the expiration date shown in an endorsement to this policy. "Silica" means silicon dioxide, occurring in crystalline, amorphous or impure forms, silica particles, silica dust or silica compounds. "Silica related dust" means a mixture or combination of silica and other dust particles. "Underlying limits" means the amounts shown in the Declarations as the minimum limits of insurance to be provided by "controlling underlying insurance." In Witness Whereof, the issuing Company has caused this policy to be signed officially below, and countersigned on the Declarations page by a duly authorized representative of said Company. iczattf„ ia:ot Douglas Elliot President Kevin Barnett Secretary Navigators Specialty Insurance Company Contains copyrighted material of the NAV-EXC-001 (04/10) Insurance Services Office, Inc. with its permission. Page 7of7 COMMERCIAL EXCESS LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT OF CONDITIONS OTHER INSURANCE PRIMARY AND NON-CONTRIBUTING This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY COVERAGE PART SCHEDULE When required by written contract executed before the "loss." A. Section IV - Conditions, 9. Other Insurance is deleted and replaced by the following: 9. This insurance is excess over any other insurance available to the insured except: a. insurance that is purchased specifically to apply in excess of this policy; or b. insurance available to the person or organization shown in the Schedule of this endorsement as an additional insured on the "controlling underlying insurance." B. When this insurance applies on a primary and non-contributing basis, the Limits of Insurance available for the additional insured will be the lesser of: 1. the amounts shown in item 3 of the Declarations of this policy; or 2. the amount of insurance you are required to provide the additional insured in the written contract or agreement. All other terms of the policy remain unchanged. NAV-EXC-348A (01/11) Navigators Specialty Insurance Company Page 1 of 1 Contains copyrighted material of the Insurance Services Office, Inc. with its permission. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF SUBROGATION SCHEDULE Name of Person or Organization: As required by written contract or agreement. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to SECTION IV - CONDITIONS, 13. Transfer of Rights of Recovery Against Others. We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization. This waiver applies only to the person or organization shown in the Schedule above. All other terms of the policy remain unchanged. NAV -ECD -6012 (01/11) Navigators Specialty Insurance Company Page 1 of 1 Contains copyrighted material of the Insurance Services Office, Inc. with its permission. CITY OF TUKWILA CAPITAL PROJECT SUMMARY 2023 to 2028 PROJECT: Annual Sewer Repair Program Project No. 80040201 DESCRIPTION: Reduce sewer line infiltration and inflow (I & 1) through groundwater intrusion or storm events as a result of damaged deteriorating systems or illicit connections. Includes small repairs and capital maintenance. JUSTIFICATION: Decreases treatment, discharge, and pumping costs. STATUS: Annual program is determined after pipeline TV inspection reports are completed. MAINT. IMPACT: Less maintenance costs through rehabilitation of aging system. COMMENT: Ongoing project, only one year actuals shown in first column. FINANCIAL Through Estimated (in $000's) 2021 2022 2023 2024 2025 2026 2027 2028 BEYOND TOTAL EXPENSES Design 15 75 150 150 150 150 150 150 750 1,740 Land (R/VV) 0 Const. Mgmt. 10 232 150 200 150 200 150 200 1,200 2,492 Construction 75 1,875 750 750 750 750 500 500 4,500 10,450 TOTAL EXPENSES 100 2,182 1,050 1,100 1,050 1,100 800 850 6,450 14,682 FUND SOURCES Awarded Grant 0 Proposed Grant 0 Mitigation Actual 0 Mitigation Expected 0 Utility Revenue 100 2,182 1,050 1,100 1,050 1,100 800 850 6,450 14,682 TOTAL SOURCES 100 2,182 1,050 1,100 1,050 1,100 800 850 6,450 14,682 Project Location: Entire System 65 2023 - 2028 Capital Improvement Program PROPOSAL (unit price) Contractor's Name Contractor's State License No. ^/ City of Tukwila Project No. 9140203 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 2028 ANDOVER PARK W AND 58T* AVENUE S SEWER FtEPA|R, which project includes but is not Iimited to: Construction of approximately 40 linear feet of sewer improvements within the right-of-way of 513mAvenue S and 430 linear feet of sewer improvements within the rigof Andover Park W including, but not limited to, replacing existing asbestos cement and concrete sewer main with PVC pipe and other work necessary to complete the Work as specified and shown in the Contract Documents. 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 foliowing schedule of rates and prices. The Bidder understands that the quantities mentioned herein are approximate only and are subject to increase or decreasa, 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 0 cash, 0 cashier's check, 0 certified check, or 0 postal money order made payable to the City of Tukwila equalto five percent (5%) ofthe Tot& 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 liability 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 Iiquidated damages, aJI as provided for in the Bid Documents. Bidder shall attain Physical Completion of all Work in all respects within sixty (60) working days from the date stated in the written Notice to Proceed. If the work is not completed within this time per|od. 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. 2023 ANDOVER PARK W AND 58 AVENUE 8 SEVVER REPAIR Rev 5-13-14 P-2 2023 ANDOVER PARK W AND 58TH AVENUE S SEWER REPAIR BASE BID Project No. 9140203 Note: Unit prices for all itemsall 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 prewai|, and totals shall be corrected to conform thereto. Item Item Description Quantity Unit Unit Price Amou�Nn. 1 Mobilization/Demobilization (10% Max.)1 �// LS /�� �7�-�� ' "'- /m3�� '- ~ ^ 2 Traf�cContru[Ten�ponaryTraf�cControl /�F|aQ�e/ Labor 1 LS /��� „ /%'��'w� �1»�8'� 3 Temporary Eroson Control 1 LS '- 9di�i_iW ' tin 0191D, l' 4 Trench Safety and Shoring bidof�10ODOD\ (Minimum- � ' 1 LS ' ��»«»^00 ���,m*m'e 5 Dexvaterin8using Sumpin�On/y'SO`»Avenue Spn�ect Site 1 L� ' /0 25-0“,0 ye) 2.ro.� 6 Dewatering using Sunnpin�On|y'Andover Park VVest Project Site 1 LS , /0 2 C�0� ' / b � ��i A` 6A System,Dem/aterinQVacuum VVe||pointifNeededto Support Sumping - Andover Park West Project Site 1 LS � 4� 3��do ' ' - 3/coa.�0 6B Supplemental Dewatering Vacuum VVe||pointSystenn, if Needed to Support Sumping - Andover Park West Project Site 1 LS / � 690,6D :� 3ow, do � 7 Potho!e Existing Utilities and Groundwater 12 EA nO&7 / 013 L�>^^r D Prnvide,|nota||,and��anaQeTennpororyVVastewater Bypasses l LS «�� m, ���^�� - �-� -1 -~ �m�m. - 9 O'inchPVC Gravity Sewer Pipe 45 LF Z5-0'91) 1/ 6-1.,31'Q/» 10 24'inchPVC Gravity Sewer Pipe 430 LF /�08�w �b��' �0w^*° 11 48" Dia.EccentricK4Hwf34"Frome��Cover&Pred| ` Base Liner, (Q'Depth) 2 EA =~'' /0,05: ~~- ~/ 26 CC^''� 12 48" Dia. Manhole (ExtraDepth) 3 VF �� �w _/,-»�W �Y�1 '-°,�� 13 Re-establish MH Penetrations 3 EA -/- � /��'� - / 14 Reconnect Existing Laterais 4 EA�- '- /~~~^ ~--~''- 15 CS8CBackfill &[STCBedding 2470 TONS l^- s-3,io / /30 16 Foundation Material 210 CY /�L��a). ^ 25 s 17 HMA for Full Depth Trench Patching 400 TONS 2:2, /^6W er^'Rad� 18 HMA for 2"Grind &Overlay 50 TONS c7X~10 2.?,/i~- 19 6'inchThick [ST[SubgradeLayer 210 TONS 7aL�� ' ~ 20 Post -Construction Sewer Main OeaninQand Vide» Inspection 1 LS ,` "^' ��M�� '/~ ,�.�- � 2�0'�� 21 Restoration 1 =� LS --` 2. x�,00 '4 � 6o.'/ 22 Force Account - Minor Changes 1 FA r- S 40,000.00 i $ 40,000.00 Subtotal 1D]96Sales Tax $ > ,..��� 1~ -- �-��.8# Total Base Bid (Subtmto/� / / 8v � ��6� , � ' / -�- t 2023 ANDOVER PARK W AND 58TH AVENUE S SEWER REPAIR Rev 5-13-14 u Proposal Signature Sheet P-3 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 -fir m ed quantities shown on the Bid form then totaling all of the extended amounts. 4,41 amyl Signed. Title: Date: 5 oc By signing below, Bidder acknowledges receipt and understanding of the following Addenda to the Bid Documents: Addendum No. 1 2 Date of Receipt 1 1� Addendum No. 3 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 Companyhick ill furnish the required Payment and Performance Bond is 1-S1P � ,�� �� �-Com. �-�✓��°�c /� � � -�� �. l ► _ /0JZ1i1Iota of (� r� (Name) (Address) 2023 ANDOVER PARK W AND 58TH AVENUE S SEWER REPAIR Rev. 5-13-14 Proposal Signature Sheet P-4 Bidder: Signature of Authorized Official: Printed Name and TitIe: 44 eetVade, IAA � 01/1/ P J D_ ��� � Po73q9 Pilu t ° WA- 837 5 Circle One: Individual / Partnership / PhoneJoint Venture Lc,orporation N0� /1r���— �//�—���-� � ^�`�~�^ �� ���� � `'-`~ `~-- ~ ' Date: -.� /=��� /��~���`� This address and phone number is the one to which all communications regarding this proposal should be sent. NOTES: State of Incorporation: / 1. If the Bidder is a co -partnership, give flrm name under which business is transacted; � proposalmust be executed byape�nec �the Bidder ienooqpo�dion.proposal nnun be executed in the co'naname bvthe president or vice-president (or any other corporate officer accompanied by evidence of autority 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 ordivide 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. 2023 ANDOVER PARK W AND 58TH AVENUE S SEWER REPAIR Rev 5-13-14 P-5 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 ($ ). -- OR -- Bid Bond: The undersigned, Northwest Cascade, Inc. (Principal), and Fidelity and Deposit Company of Maryland (Surety), are held and firmly bound unto the City of Tukwila (Owner) in the penal sum of Five Percent (5%) of Bid Amount dollars ($5% of Bid Amount ), 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 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 2023 ANDOVER PARK W AND 58TH AVENUE S SEWER REPAIR, Project No. 9140203, 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 extension. Signed and dated this 25th day of May , 20 23 Northwest Cascade, Inc. Title Name and address of local office of agent and/or Surety Company: Fidelity and Deposit Company of Maryland Surety By Attorn A ac wer of Attorney) Carley Espiritu Propel Insurance P.O. Box 2940, Tacoma, WA 98401 (253) /59-2200 Surety companies executing bonds must appear on the current Authorized Insurance List in the State of Washington per Section 1-027 of the Standard Specifications. 2023 ANDOVER PARK W AND 58TH AVENUE S SEWER REPAIR Rev. 5-13-14 ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by Robert D. Murray, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies, which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute, and appoint Julie R. TRUITT, Erica E. MOSLEY, Holli ALBERS, Jamie L. MARQUES, Carley ESPIRITU, Christopher KINYON, Brent E. HEILESEN, Annelies M. RICHIE, Amelia G. BURRILL of Tacoma, Washington, EACH, its true and lawfitl agent and Attorney -in -Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of the By -Laws of said Companies, and is now in force. IN WITNESS WHEREOF, the said Vice -President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this OP day of November, A.D. 2021. ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND By: Robert D. Murray Vice President CV -i/71" By: Dawn E. Brown Secretary State of Maryland County of Baltimore On this 01st day of November, A.D. 2021, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, Robert D. Murray, Vice President and Dawn E. Brown, Secretary of the Companies, to nie personally known to be the individuals and officers described in and who executed the preceding instrument, and acknowledged the execution of same, and being by me duly sworn, deposeth and saith, that he/she is the said officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written. Constance A. Dunn, Notary Public My Commission Expires: July 9, 2023 Authenticity of this bond can be confirmed at bondvalidator.zurichna.com or 410-559-8790 P-6 NON -COLLUSION DECLARATION STATE OF WASHINGTON ) )os. COUNTY OF KING The undersigned, being first duly evvonl, on oath states that the pnrson, firm, association, partnership, joint venture, or corporation named in the Bid Proposal has (have) not, e�hVrdir$ntbo[ indireotk/, 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 2023 ANDOVER PARK WAND 58TH AVENUE S SEWER REPAIR, Prject No. 9140203. om+ O", pa.J - / 1A � Signed and sworn to before B Official ulo) P MID/ Title e on this day of �� KKi , �~ ~ Signature of Notary Public in and for the State of Washington, residing at AA UtAyn My appointment exis: SE �-� -7/~ =��'^��_-_ Aft. == AS, Alk, 41141,������ L CHARLOTTE A BASKETT Notary Public State of Washinton Commission /#1s*93O My Comm. Expires Aug 26, 2023 To reporbid riggingaoUvitimaoaU: 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' r|0QinQ, bidder coUusion, or other fraudulent activities should use the "hotline" to report such activities. The "hotline" is part of USDOT's continuing effort to identify and iate hihway 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. 2023 ANDOVER PARK W AND 58TH AVENUE 5 SEWER REPAIR Rev 5-13-14 P-7 RESPONSIBLE BIDDER DETERMINATION FORM Attach additional sheets as necessary to fully provide the information required. ectsca6, LtAL Name of Bidder: Address of 13. der: pl FD -1-0)( 75S 0357 City State !J -WA State UBI No. 078— 6443-`11719 Contractor's License No./\!0L,INDept. of L&I u'OINorker's Comp. Acct. No. License Bond Registration No. Bidder is a(n): 0 Individual 0 Partnership 0 Joint Venture ncorporated in the state of tia7 List business names used by Bidder during the past 10 years if different than above: Bidder has been in business continuously from Bank Reference i/op.a 1--1t4iP Bank No. of regular full-time employees: 3G ---f I cisU Dixrnr Account Officer Officer's Phone No. Number of projects in the past 10 years completed: 1-10 ahead of schedule WO on schedule -F)—behind schedule Bidder has had experience in work comparable to that required for this Project: As a prime contractor for years. As a subcontractor for 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 PADididi How Long with Bidder 111.41 co -f i/y) •?_0(Lem,( :„2,)--)- 141c aMltA» L 2023 ANDOVER PARK W AND 58TH AVENUE S SEWER REPAIR Rev. 5-13-14 Responsible Bidder Determination Form P-8 Name the Surveyor tobeused onthis Project, who will diraodvaupen/�U' a�au activities. /�techaresurneoutlining the oxpahenoeand q | sof'the Surveyor. ls the Surveyor licensed in the State of Washington (a PLS)? Kg. Yes n No Surveyor's Name: �]��e�'���� ���4����' 8 I ��� ^����w���� � ' � -� " ` 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 ��ing must include all this information. Bidder must have at least 10 years experience working on pr gots 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: Name of Client and Project Total Claims Amount of Contract Arbitrated Settlement Amount or Litigated of Claims Has Bkddar, or any representative or partner thof, ever failed to complete a contract? No 0Y�s �ye�. give dmt�iks� �/ y �1�- Has Bidder ever had any Payment/Performance Bonds called a result of its work? i.CNo 0 Yes If yes, please state: Project Name Contracting Party Bond Amount 2023 ANDOVER PARK W AND 58TH AVENUE S SEWER REPAIR Rev 5-13-14 0 O d 0 a v ca LL E m z N N rn c 0 2 v m d G) O) c 19 0 U O c d O E.0 0- e/Contract No O 0 J VV..c. nyeucy Rep. City of Tacoma 368 So. 35th St. Tacoma, WA Ryan Flynn 253-502-8468 F 253-502-8372 / dklaaskate@cityoftacoma ora Providence Ridge LLC 12900 NE 180th St. #220, Bothell, WA Jenkins Chen 206-683-3888 / jenkins@element-residential.com Sager Family Homes P.O. box 44428, Tacoma, WA Bill Sager 253-370-7185 / sagerfamilyhomes@gmail.com RSW Real Estate 218 Main Street #109, Kirkland, WA 206-383-2505 / ben@pswrealestate.com HRD Construction 5517 Manchester Ave, St. Louis, MO Robert Turck 314-781-8000 / rturck@hbdgc.com Inland Group 102 W Catalado #100, Spokane, WA TJ Bassen 509-321-3227 / tjc@inlandconstruction.com Absher Construction 1101 Shaw Road E, Puyallup, WA Rob Kemper 253-845-9544 / rob/kuemper@absherco.com Absher Construction 1101 Shaw Road E. Puyallup, WA ,Devin Becker 253-845-9544 / rob/kuemper@absherco.com Sager Family Homes P.O. Box 44428, Tacoma, WA Bill Sager 253-370-7185 / sagerfamilyhomes@amail.com Pierce County Public Works 4301 So. Pine St. Tacoma, WA Henry Gertje 253-798-7497 Susan.holder@piercecountywa.org City of Lakewood 6000 Main Street, Lakewood, WA Troy Pokswinski 253-983-7729 / tpokswinski@cityoflakewood.us City of Tacoma 3628 So. 35th St. Tacoma, WA Lisa Oesterich 253-594-7871 / dklaaskate@cityoftacoma.ora City of Tacoma 3628 So. 35th St. Tacoma, WA Lisa Oesterich 253-594-7871 / dklaaskate@cityoftacoma.org City of Lakewood 6000 Main Street, Lakewood, WA Troy Pokswinski 253-983-7729 / tpokswinski@cityoflakewood.us City of Tacoma 3628 So. 35th St. Tacoma, WA Lisa Oesterich 253-594-7871 / dklaaskate@cityoftacoma.ora City of Kent 2204th Ave so. Kent, WA Wastewater/Sewer Repl/ Fawcett Sewer Providence Ridge Curran Estates Clear Creek Cottesmore E. Phase 1 Copper Valley Apts Wesley Homes Bay Terrace Phase II Gonyea Development Waller Road E/128th St E. Union Ave/ SW Frontage Imp 2017 B Wastewater Sewer Replacement East 40th St. / Green Infrastructure 2017 Stormwater pipe Repair Wastewater Sewer Main Snake Lake & Tyler Street Woodford Ave No. Drainage Improvements a cry a a cn cn cn a a a a 0. a a 04/01/017 04/01/201 r- 0 N - h n 0 N coW r 0 N 04/01/018 co 0 N 1., 5/1/2017 05/012017 10/29/2018 r N O) N m 4/22/2018 co o N _M (p 9/29/2017 r 0 N in m o N N N V M h co- o (7), I $784,413 $639,594 co u) N M c0 69 $430,000 $3,400,000 O N V N $835,145 In n O) O) 69 $1,514,097 co aOM) N CO EA c0 p) b3 Nco O) O - in 0N') E9 $427,696 $207,912 City of Puyallup 333 So Main Street, Puyallup, WA Ryan Rutkosky 253-842-5473 / rrutkosky@ci.puyallup.wa.us City of YeIm 901 Proton Road SE, YeIm, WA Patrick Hughes 360-458-8499 / patrickh@yelmwa.gov King County Housing 600 Andover Pkway, Seattle, WA Stephan Norman 206-574-1100 / StephenH@kcha.org Puyallup School District 323 12th St NW, Puyallup, WA Tom Shields 253-720-8215 / topasfj@puyallup.k12.wa.us City of Lakewood 6000 Main Street, Lakewood, WA Troy Potswinkski 253-983-7729 / tpokswinski@cityoflakewood.us Puyallup School District 323 12th St NW, Puyallup, WA Tom Schields 253-720-8215 / sheildtj@puyallup.k12.wa.us Lakehaven Water District 31627 1st Ave So., Federal Way, WA 253-946-5415 / procurement@lakehaven.org Pierce County Public Works 930 Tacoma Ave So. Tacoma, WA Brian Stacy 253-798-7250 / andrew.robson@piercecountywa.gov Port of Tacoma P.O. Box 1837, Tacoma , WA Larua Emerson 23-383-9458 / procurement@portoftacoma.com (Thurston County 9605 Tilley Road, Olympia, WA Steve Bricker 360-867-2300 / steve.bricker@co.thurston.wa.us City of Lakewood 6000 Main Street, Lakewood, WA D'Andra Buchanon 253-589-2489 / dklaaskate@cityoftacoma.ora Absher Construction 1001 Shaw Road, Puyallup, WA Cory patton 253-845-9544 / cory.patton@absherco.com City of Federal Way 33325 8th Ave So. Federal Way, WA Sarah Flame 253-835-7000 / ej.walsh@cityoffederalway.com City of Tacoma 3628 So. 35th St. Tacoma, WA Alex Clark 253-208-3739 / dklaaskate@cityoftacoma.org Lakewood Water District 11900 Gravely Lake Dr. SW Lakewood, WA James Morgan 253-929-1113 / Ibornstad@tbailey.com City of Centralia 1100 N. Tower Ave, Centralia, WA Patty Page, 360-330-7512 / ppage@cityofcentralia.com City of Salem 555 Liberty Rd SE Rm. 330, Salem OR Mark Stevenson 503-763-3455 / libergerson@cityofsalem.net City of Federal Way VV iU Liu -rontage Improvements Ft. Stevens Elementary Pedestrial Impr. 4th Ave SW Improvements Edgemont JR HS Sanitary Sewer Colonial Plaza Ridgecrest Elementary School 2019 1st Ave So. Watermain Crossing 14th Ave Northwest Trail East Sitcum Terminal Stormvault Olympic View Safe Routes N. Thorne Lane Sanitary/ Road Improvements 'UW Oak Hall & Denny Field 1st Ave So. & So. 305th Storm Pipe Replace. Watermain Replacement/ Curran Rd. Nyanza Reservoir & Booster Pump 2019 Sidewalk Access Ramp Replacement City of Salem Digester Cleaning West Hylebos Creek i a a a a a a a a a a a a a a a a a n 12/15/2019 10/10/2019 8/28/2019 CD O CV O 6 9/23/2019 a) ON 7/31/2019 3/12/2020 a)a) N r O 10/25/2019 11/0/2019 N r O 0) O CV rn N r 1/13/2020 6/19/2020 O CV CO CO j 9 V 69 N O 04 V r (fl $1,789,376 N W N 69 M Q) O) N d3 V N N 69 O O O N 69 (0 N (p ffl p r - rr O N W N 0 0) M N EA $314,750 LL)00 h0 CO [O- 0 N 0)) _4 fA CO I $66,725 —• � • .. . via,/ .,-wvv cpa i 41. cnuiiiwaw.wa.ua Rush Commercial 6622 Wollochet Dr Gig Harbor, WA 98335 Aaron Gallingston 253-858-3636 / agallington@therushcompanies.com Department of Enterprise PO Box 41476 Olympia, WA 98504 Dianna Cannon 360-725-8338 / dmcannondocl.wa.gov Cassnik Contracting 15 N Central Ave Canonsburg, PA 15317 Gilo Zavala 724-941-2055 / gilo@cassnik.com City of Lakewood 6000 Main St SW Lakewood, WA 98499 A.D'Andra Buchanan 253-983-7820 / adbuchanancityoflakewood.us City of Tacoma PO Box 11007 Tacoma, WA 98411 Doreen Klaaskate 253-502-8139 / dklaaskate@cityoftacoma.ora City of Tacoma 747 Market St Ste #408 Tacoma, WA 98402 Tina Eide 253-502-8103 / teide@cityoftacoma.org Parker Pacific 27120 112th St E Buckley, WA 98321 Jason Linkem 253-862-9133 / jason@parkerpacific.com Soos Creek Water & Sewer District PO Box 58039 Renton, WA 98058 Greg Hill 253-630-9900 / chris.schmidt@bhcconsultants.com City of Edgewood 2224 104th Ave E Edgewood, WA 98372 Jeremy Metzler 253-831-4266 / jeremy@cityofedgewood.org Construct Incorporated 855 Trosper Rd Sw #108-345 Tumwater, Wa 98512 Mike Haupert 360-236-8200 / mikeh@constructinc.com City of Lakewood 6000 Main St SW Lakewood, WA 98499 A.D'Andra Buchanan 253-983-7820 / adbuchanancityoflakewood.us City of Sumner 1104 Maple St Sumner, WA 98390 Ann Bustanante 253-299-5700 / annb@sumnerwa.gov WSDOT PO Box 47420 Olympia, WA 98504 Jenna Fettis / fettigj@wsdot.wa.gov City of Lacey PO Box 3400 Lacey, WA 98509 Michelle Capestany 360-491-5600 / mcapesta@ci.lacey.wa.us Puyallup School District 323 12th St NW, Puyallup, WA Frankie Topasna 253-841-8641 / topasfj@puyallup.k12.wa.us City of Auburn 25 West Main St, Auburn, Wa Cindy West 253-931-3002 / cwestauburnwa.gov Pierce County 950 Fawcett Ave Tacoma, WA 95402 Tina Basil 253-798-2426 / tinabasil@piercecountywa.gov Puyallup Wresting Center MCCCW Septic System Repair Dollar General Centralia 108th St SW Overlay Project Stormwater, Wastewater & Watermain Replacement Street Initiative Package #33 Bergren's Landing Septic Witte Rd LS #38 Forcemain Relocation Edgewood Dr E & Sumner Heights Dr E Intersection Pavement Preservation Yelm Community School - Lacamas Site Intersection Pavement Preservation Maple St Sanitary Sewer Extension Project WWTF Decant Paving SE 507 Noble Ln to First St Incl Couplet with Exceptions Lift Station 20 Abondonment Walker HS Site Utilities Storm Renewal & Replacement $2,500,000 5/9/2022 P Steilacoom Blvd Emergency Sewer Repair cn a cn a a a cn a a cn a a a a a a 12/31/2021 N O NN M ch O N N N O N (O co 5/19/2022 9/19/2022 12/31/2022 N O CV N 11/24/2021 8/31/2022 9/30/2021 9/21/2021 4/8/2022 2/22/2022 9/3/2021 N O N O $753,156 $463,579 $483,270 $649,954 O O co- u7 N 0)69 $571,026 M N O�co $132,359 $441,907 co a 69 $730,457 $210,875 N N O 67, $581,435 Q o m M E9 a 69 Responsible Bidder Determination Form P-9 Has Bidder ever been found guilty of violating any State or Federal employment laws? No 0 Yes If yes, give details: Has Bidder filed for protection under any provision of the federal bankruptcy laws or state insolvency laws?NgfNo 0 Yes If yes, give details: Nilw4 /^� � « ' Has any adverse legal judgment been rendered against Bidder in the past 5 years? X -No 0 Yes If yes, give details: Has Bidder or any of its employees filed any claims with Washington State Workman's Compensation or oth r insurance company for accidents resulting in fatal injury or dismemberment in the past 5 years? No 0 Yes If yes, please state: Date Typoof|niury 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 rei Signature of Bidder 4'4 Aiovol ^ .tcp 7\ Title: Date: brS 2023 ANDOVER PARK W AND 58TH AVENUE eSEWER REPAIR Rev 5-13-14 P-10 PROPOSED EQUIPMENT AND LABOR SCHEDULE (Use additional sheets if required) Equipment to be used: DESCRIPTION/TYPE YEAR CONDITION OWN/RENT cQc Labor to be used: — 0 Lo,f1)-(y FictucAcjrc Coiv-ro 1 as 2023 ANDOVER PARK W AND 58TH AVENUE S SEWER REPAIR Rev. 5-13-14 November 5, 2021 CCI 0 0 0 O o 0 0 o g o 0 0 0 0 0 0 0 0 S o 0 0 0 0 0 g o 0 0 0 0 0 0 0 0 0 0 0 07 0 0 0 0 0 0 0 0 0 0 0 0 0 c o 0 0 0 0 0 0 0 0 0 °' 0 0 0 0 0 8 0 00 0 0 0 8 oo 0 0 0 0 8 8 8 o0 8 0 0 0 0 00 00 0 0 0 N O O f0 Ci O O O aJ N co co 0) W .- N CO "V a m V m O (p )!') 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IO O Z 0 0 0000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Y Y Y November 5, 2021 to J w d (y E d co Lucr Z 2 0 0 ag E w `m 0 m .18 0 License No. 6 0 z O O O O 6 O O O O O O O O O . S O O o p O 0 O O O O O S O op O O O S O O O G 0 0 O O O O O 0 0 0 0 O O o O o O O O O O O 0 0 O Cl O O d O O N CO rn CO CO(, GC05-1318115 0 O (D -J w w SPECTRA PHYSICS N CCD C7) O COin O 0 v 0803018120 r r TTTTTT 0803018120 'V V N m O Cl CI v0 a CO pp N NO 0) 0) 0 DJ op N. r- co O � 0) �0)�{ CO O 0O 'V pp O sY CO 0) aO N 0- O 0) ( ) 0) 0)CO (0 00 Z 'V' N t1- O O N O 1- ti 0) 0 d' 0 co M 0 V N d' O ti' to w 00 r- O (D O N O CO P) (D O N CO .- 0. 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In~ 0.. 4 Z F w- W F Z W Z Z 5 g n O (w7 s UU o z r a z,¢¢ a a z a C7 U vi c9 0 lC iE 0' WHEEL TRENCHER GENERATOR SUBMERSIBLE DEWAT SUBMERSIBLE DEWAT N O R CO 'Q 0) CO Nn 0- (O N 0) (n I- h N c0) V' (O '0 ( N (f) N. 0) 0) Nn 0 h N ttio o to (O (OCD N r- c0 LO c0 co co co R N a�M N N N N N 10 O N N N N O N (0 0) w 0 CV � in m U 2 toa g 0 .o 0 d O O ori E w 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0$ o 0 0 0 0 0 0 0 0 0 0 S$ 0 8 C G O G d O 000000000 6 0 C O O t7 co C C7 O G C7 O d d O r o of ct CL 0 0 w o 0 U r r r r r r r r r r r r .- r .- .- r r r r r_ r r r r 0 z W O z m ro N J C O) m g C. (q Q' U LUZ x Lo n Q (()) T9216798/RZ MEPOO7B 100KW M1 O O O d O E O (ai M N c o § U r° m J235 W w a} a X w 1- U ( J m LLI z z- ? m 0 ° m 3 B2OHAMMER 101541231208 N O) O 0 0 CO 0) Oh N C‘jM1 CO 0) 8 0 o c0 0) CO (0 pN 0) Q o X0 w N (O N 4GM2M1514K1415852 1VR907OUTM1000481 012-0196-423 o Q() 0) N 0 N 2 O N O Z x ([(0 0 Ng -x �. W X !D cD m F- 3 03 o x O) -J CO co0] l/) O. LL 3' TRASH PUMP N n CO O 0) M1 0) CO 0) N N N N N N N N N W a W W GENERATOR WHEEL WASH COMPACTOR COMPACTOR DIRECTIONAL DRILL LO W J 0 CONCRETE BREAKER JUMPING JACK COMPACTOR PLATE COMPACTOR JOHN DEERE W 0: co O 4 x x PLATE COMPACTOR W -J 0 D: WACKER NEUSON PALTE WACKER WACKER NEUSON JUMPING JACK CO LL w X w w a °r (.- m0 3 0) N O 0) a st co U LL O) N HPK170809 Zre 0 7 IL 0 O Y Y W O 0' = w W 1- w U U 2 W c...)2 0 w O¢>< w< w i p c 0 00 Q C7 D_ 'S > O_ W I- W LL X x I- GARWOOD O N N N N N 01 O O r CO N N N N N n Or MESSAGE BOARD BRUSH HOUND FOR 85 PLATE WACKER PLATE WACKER VIBRATORY PLOW V(D' V ([) t(f N 8 (0 2 8 (`r0 ((0 (no ((0 M1O n 0- OA 0) 0) 00)) O BRUSH HOUND MOWE 0 Z rQre } WC7 w re W Z w 0 W -(H m H C7 O "S r I TILT TOP TRAILER csi R. M1 r N r O O O O END DUMP TRAILER November 5, 2021 N c c v d E ' 3U W Z S 0 0 0 0 S S$ a 0 088 0 o o c o 0 0 0 0 0 00 0 0 0 c r 3 0 a U cn o Q a- d .o License No. O 2 w y o 0 o o 0 oo 0 0 2 C°- m m r N 10 N O W 888 0 0 0 r r r r r r r r r r r r r r r r r r r J J Z m O 0 0 4SEPN16138M4SE357 4SEPN161X8M4SE355 IL w < Q m (0 w v co coo to to Manufacturer 0 0 3G ALLENTOWN 9562TY-PER 151ZE8535LG327057 NO LICENSE O O O h- 0 5F12S161281004239 WTLMB-S-LL(A) 5F12S161981004240 WTLMB-S-LL(A) NO LICENSE 1M9AS2423CA633061 DECK OVER 0 (0 m 4RJHT1824D1104462 U < 0r 0 U OU UO O (I) s m NO LICENSE 1P9D1717EE301365 ❑ ❑ O N NC Q ¢ ¢ N N N (00) O (0 CO 0) 0) fop 0 r0 •) CO O CO 0) LC) N N (0 CO O 0) 01 1-- (12) � 4GNBM1229FB039240 4GNBM122XFB038887 5VUTW1327EP000234 4GNBM1225G6041987 1G9ZY0517JB336323 O O 0 0 0 001 CV CV CV IyN� S 2 2 Z O ¢U 4 2 IE SPRAYERS MULTIQUIP 1G9XX2728JB336021 5R8D81423JM05466 n N N O 0 0 59KBU2020H1001 D6STB720TA5 1TKSO4841YM031 N0) 0 0 0 (1) h 0 Z F Y 0 m m M 0 0 0 2 vv t- 0 0(0 0 0 0) N N O O m CO O CO 0o n 0 0 0 0 0) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 N N N r N N N N N N 0 N N N N N N N MESSAGE BOARD MESSAGE BOARD SHOTCRETE PUMP VAN TRAILER JOB SHACK MESSAGE BOARD MESSAGE BOARD SKID STEER TRAILER TANDEM AXLE TILT DE MESSAGE BOARD 500 GAL WATER TRAIL WATER TRAILER 500 GAL WATER TRAIL a LL w CCw w w J J O O O O LU W J ❑ tandem axle tilt 0 7 ❑ 0 w JOHN DEERE 750 PELLAND DOZER 10f0 F- W CO h. CO O CO 0 r 0) 0) 10 0) 0 CO N 0 '0 0 O 0 N (0 N 10 O CO C0 W O) 0 (0 W (0(0(0(0PPP h PPP x P-11 PROPOSED SUBCONTRACTORS Name of Bidder (iL1 L13,e--( .LvtC- 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 /XI' Schedule/Bid Item Numbers Subcontractor will perform Name % of Total Bid 0 Al at CQ SCacC&, IA c awl Al 64- &lade, a ra_n_sj 12.e-haA- 2023 ANDOVER PARK W AND 58TH AVENUE S SEWER REPAIR Rev. 5-13-14 RESOLUTION OF CORPORATE AUTHORITY OF NORTHWEST CASCADE, INC. Be it resolved that Greg Potts be appointed the Chief Executive Officer, President and an officer of Northwest Cascade, Inc. Be it resolved that Jason Perry be appointed Chief Operating Officer and an officer of Northwest Cascade, Inc. Be it resolved that Clint Myers be appoionted Vice President and an officer of Nortwest Cascade, Inc. Be it resolved that Ron Inman be appointed Vice Presideint and an officer of Northwest Cascade, Inc. Be it resolved that Tracey Schwartz be appointed Secretary and an officer of Northwest Cacade Inc. This authority shall remain in effect until revoked by action of the Board of Directors. Dated this 21st Day of December, 2021 Secretary I certify that this is a true copy of the Resolution dated December 21, 2021. Mart: Perry (Jan 22, 2022 05:40 CST) Chairman of the Board 11/11/22,17:14 AM �rm,of Labor & IndustriesPubtps://Ini.wa.gov . ntr c rs NORTHWEST CASCADE INC NORTHWEST CASCADE INC Owner or tradesperson Principals LILIEQUIST, CARL ANDERS, PRESIDENT POTTS, GREGORY ALLEN, TREASURER HEWES, CAMERON MOSES, DIRECTOR mariani, gary e, DIRECTOR Gorski, Donald Joseph, DIRECTOR Jones, Harvey Norton, DIRECTOR WINGARD, WILLIAM B JR, SECRETARY (End: 09/16/2013) Diklich, John Martin, PRESIDENT (End: 09/21/2015) BARGER, STEPHEN Richard, VICE PRESIDENT (End: 09/21/2015) PERRY, MARK Roger, SECRETARY (End: 10/27/2015) Doing business as NORTHWEST CASCADE INC WA UBI No. 278 049 149 PO BOX 73399 Puyallup, WA 98373 253-848-2371 PIERCE County Business type Corporation Governing persons MARK R PERRY J R INMAN; RON INMAN; CARL LILIEQUIST; CLINT MYERS; GREG POTTS; License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Construction Contractor Active Meets current requirements. License specialties GENERAL License no. NORTHCI148BG Effective — expiration 01/07/1986-10/04/2023 Bond Fidelity & Deposit Co of MD Bond account no. 09090648 $12,000.00 Received by L&I Effective dale 09/17/2012 10/01/2012 Expiration date Until Canceled https://secure.lni.wa.gov/verify/Detail.aspx?UB1=278049149&LIC=NORTHC1148BG&SAW= 1/3 11/11/22;7:14 AM NORTHWEST CASCADE INC Insuran :......................c.......e National Union Fire Ins of PA $1,000,000.00 Policy no. 3296838 Received by L&I Effective date 04/28/2022 10/01/2021 Expiration date 05/01/2023 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts ........... No L&I tax debts are recorded for this contractor license during the previous 6 year period, but some debts may be recorded by other agencies. License Violations .................................................. No license violations during the previous 6 year period. Certifications & Endorsements OMWBE Certifications No active certifications exist for this business. Apprentice Training Agent Registered training agent. Check their eligible programs and occupations. Workers' Comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. Account is current. L&I Account ID 265,081-00 ................................ Doing business as NORTHWEST CASCADE INC Estimated workers reported Quarter 3 of Year 2022 "Greater than 100 Workers" L&I account contact TO / DAVID PRYOR (360)902-5617 - Email: PRYD235@lni.wa.gov Public Works Requirements Verify the contractor is eligible to perform work on public works projects. Required Training— Effective July 1, 2019 Exempt from this requirement. Contractor Strikes ....................................................... No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been Issued against this contractor. Workplace Safety & Health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 08/24/2020 Inspection no. 317960291 Location 8401 Canyon Rd E Puyallup, WA 98371 Inspection results date 04/17/2019 Inspection no. 317953878 No violations No violations https://secure.lni.wa.gov/verify/Detail.aspx?UBI=278049149&LIC=NORTHC1148BG&SAW= 2/3 1'-/11/22, 7:14 AM NORTHWEST CASCADE INC Location 3280 SW Avalon Way Seattle, WA 98126 Inspection results date 10/24/2017 Inspection no. 317946477 Location 12111 104th Ave E Puyallup, WA 98372 Inspection results date 12/02/2016 Inspection no. 317942954 Location 10th Ave S Tacoma, WA 98444 Inspection results date 11/15/2016 Inspection no. 317942365 Location 10412 John Bananola Way E Puyallup, WA 98374 Inspection results date 02/12/2016 Inspection no. 317938663 Location 23502 Rim Road Graham, WA 98338 Inspection results date 09/24/2014 Inspection no. 317424547 Location Des Moines Memorial Drive Des Moines, WA 98198 No violations No violations No violations Violations Violations https://secure.lni.wa.gov/verify/Detail.aspx?UB1=278049149&LIC=NORTHC1148BG&SAW= 3/3 .47 Total Amount $ 50,000 RE ~ $ 25,000 $ 50,000 $ 50,000I 88 § $ 38,250 $ 198,660 $ 30,000 $ 900 $ 22,500 $ 8,000 $ 148,200 $ 15,750 $ 90,000 $ 14,000 $ 12,600 $ 3,000 $ 12,000 $ 40,000 $ 1,132,560.00 $ 114,388.56 \\ 0000::: :m02, m>!!}:}}}::! Washington Sfafe Saks', k������F " F E RRRR E8'"" §82 : ; R, ""c422� \\g,,,,, i}------ g - ��(�!, - ---------------- ic., §<°\\) \\ 2 222 Washington Sfafe Saks 7 \k������ F " F E /§&&RR ------ 7 - 7� -----------------/\ :�� \;;;;; \\,,,,, ; ;§;§§K;K!2gilFE;; < 1 S' S“ : : "2, LIJ LIJ LI ) :: ! 2 ' ! ";;"""FiE§::��� cq Error k: 7 $ 75,000I $ 10,000 $ 25,000 $ 5,000 ! § $ 50,000I $ 14,400 $ 20,000 $ 11,250 $ 215,000 $ 24,000 $ 750 $ 9,000 $ 9,450 $ 90,000 $ 18,750 $ 9,450 $ 40,000 $ 981,500.00 $ 99,131.50 $ 75,000 $ 10,000 $ 25,000 $ 5,000 $ 50,000 $ 1,200 $ 20,000 $ 250 $ 500 $ 12,000 $ 250 $ 3,000 $ 375 $ 45 $ 40,000 Subtotal 10.1% gmeer. Unit LS LS LS LS LS LS LS LS CV TONS TONS TONS LS LS FA Washington Sfafe Saks Tax }cq 4; 210 400 50 210 City of Tukwila 2023 Andover Park W and 58th Avenue S Sewer Repair Item Description Mobilization/Demolition (10%Max.) Traffic Control, Temporary Traffic Control & Flagger Labor Temporary Erosion Control Trench Safety and Shoring (Minimum bid of $1000.00) Dewatering using Sumping Onty - 58th Avenue S Project Site Dewatering using Sumping Onty - Andover Park West Project Site Dewatering Vacuum Wellpoint System, if Needed to Support Sumping - Andover Park West Project Site Supplemental Dewatering Vacuum Wellpoint System, if Needed to Support Sumping - Antlover Park West Project Site Pothole Existing Utilites and Groundwater Provide, Install, and Manage Temporary Wastewater Bypasses 8 -inch PVC Gravity Sewer Pipe 24 -inch PVC Gravity Sewer Pipe 48" Dia. Eccentric MH w/ 24" Frame & Cover & Predl Base Liner, (8' Depth) 48" Dia. Manhole (Extra Depth) Re-establish MH Penetrations Reconnect Existing Laterals CSBC Back0hl & CSTC Bedding Foundation Material HMA for Full Depth Trench Patching HMA for Y' Grind & Overlay 6 -inch Thick CSTC Subgrade Layer Post -Construction Sewer Main Cleaning and Video Inspection Restoration Force Account - Minor Changes $��:��� .47