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HomeMy WebLinkAboutAG 20-543 - Pro-VacRETURN TO: PW ADMIN EXT: 2700 ID #: 3781
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. ORIGINATING DEPT/Drv: PUBLIC WORKS /CAPITAL ENGINEERING
2. ORIGINATING STAFF I)[:RSON: SARAH HAMEL EXT: 2720 3. DATE REQ. 8t': 7/31/2020
3. TYPE OF DOCUMENT (CHECK ONE):
❑ CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ)
❑ PUBLIC WORKS CONTRACT 0 SMALL OR LIMITED PUBLIC WORKS CONTRACT
❑ PROFESSIONAL SERVICE AGREEMENT ❑ MAINTENANCE AGREEMENT
❑ GOODS AND SERVICE AGREEMENT ❑ HUMAN SERVICES / CDBG
❑ REAL ESTATE DOCUMENT ❑ SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
❑ ORDINANCE ❑ RESOLUTION
❑ CONTRACT AMENDMENT (AG#): ❑ INTERLOCAL
❑ OTHER
4. PROJECT NAMES 320th Flagpole Replacement Support
5. NAME OF CONTRACTOR: PRO -VAC LLC
ADDRESS: 6622 112th Street E, Puyallup, WA 98373 TELEPHONE: 253.435.4328
E-MAIL: josh.graves@pro-vac.com FAX:
SIGNATURE NAME: Josh Graves TITLE:
6. EXHIBITS AND ATTACHMENTS: ❑ SCOPE, WORK OR SERVICES ❑ COMPENSATION ❑ INSURANCE REQUIREMENTS/CERTIFICATE ❑ ALL OTHER
REFERENCED EXHIBITS ❑ PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS
CFW LICENSE # BL, EXP. 12/31/ UBI # , EXP.
7. TERM: COMMENCEMENT DATE: UPON NTP COMPLETION DATE: WITHIN 10 WORKING DAYS
8. TOTAL COMPENSATION: $ 8,415.00 (INCLUDE EXPENSES AND SALES TAX, IF ANY)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: ❑ YES O NO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED: d YES ❑ NO IF YES, $ PAID BY: ❑ CONTRACTOR ❑ CITY
RETAINAGE: RETAINAGE AMOUNT: ❑ RETAINAGE AGREEMENT (SEE CONTRACT) OR ❑ RETAINAGE BOND PROVIDED
❑ PURCHASING: PLEASE CHARGE TO: 306-4400-226-595-70-650
9. DOCUMENT / CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL / DATE APPROVED
❑ PROJECT MANAGER SLH 7/23/2020
❑ DIVISION MANAGER
❑ DEPUTY DIRECTOR osw 712712020
❑ DIRECTOR --
•
❑ RISK MANAGEMENT (IF APPLICABLE)
❑ LAW DEPT ER 7/27/2020
10. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED COMMITTEE DATE: COMMITTEE APPROVAL DATE:
SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE:
11. CONTRACT SIGNATURE ROUTING
❑ SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC' D:
❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
❑ CREATE ELECTRONIC REMINDER/NOTIFICATION FOR 1 MONTH PRIOR TO EXPIRATION DATE
INCLUDE DEPT. SUPPORT STAFF IF NECESSARY AND FEEL FREE TO SET NOTIFICATION MORE THAN A MONTH IN ADVANCE IF COUNCIL APPROVAL IS NEEDED.)
INI"rlA[, / DATE SIGNED
❑ FINANCE DEPARTMENT `SC C It
LAW DEPT
Cr$MATORY (MAYOR OR DIRECTOR)
1 CITY CLERK
ASSIGNED AG # VATEE
'SIGNE� COPY RET�U}RNED ENT:
COMMENTS: L'� vNlLKWJ)
EXECUTE" " ORIGINALS _
1/2020
'
S 320TH STREET FLAGPOLE REPLACEMENT SUPPORT
This limited public works contract ("Contract") is dated effective this 14th day of
August, 2020 and is made by and between the City of Federal Way, a Washington municipal
corporation ("City" or "Owner"), and Olson Brothers Pro -Vac, LLC, a Washington limited
liability company ("• •
A. The City desires to retain an independent contractor to fumish all labor aniI`
materials necessary to perform • 0+f•le, Federal Way, Washington
("Property"); d
:', • • • 111 • - r • - •
CM
AO1&,-M-C-REFOA--', the Parties ("Parties") agree to the following terms and conditions:
I . SERVICES BY CONTRACTOR
1.1 Description of Work. Contractorperform all workand famish all tools,
materials, supplies, equipment, labor and other items incidental thereto necessary for th,-i
construction and • • of • more particularly described as the S 320'h Streel
withoutFlagpole Support Replacement project, in Exhibit "A" attached hereto and incorporated by this
reference, ("Work"), and in accordance with and as described in the Contract Documents, which
include •Contract,n, Contract Change Order
Agreement attached as Exhibit :" Notice to Labor Unions
of • • Prevailingr
heretoas Exhibit "E," Title VI Assurances attached other Appendices
(collectivelyattached hereto and incorporated by this reference, • D•
which Work shall be completed to the City's satisfaction, within the time period prescribed by
the City and pursuant to the direction of • or or designee.
Notice1.2 Completion Date. The Work shall be commenced within five (5) days of receipt
by the Contractor of the City's Notice t6 Proceed. The Work shall be completed 10 working days
after r Proceed is issued. In the event the Worknot •
formula•ed in Section 1.3 of •ntract. The Work shall not be deemed completed until
acceptedthe City has the Work.
1.3 Liquidated R, oessencef of •
inconvenience the traveling public, obstruct traffic, interfere with • delay commerce, and
increase risk to Highway users. Delays also cost tax payers undue sums of money, adding time
aeeded for administration, engineering, inspection, and supervision.
• • •
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1. To pay liquidated damages in the amount of $50.00 for each working day
beyond the number of working days established for Physical Completion, and
2. To authorize the Engineer to deduct these liquidated damages from any
money due or coming due to the Contractor.
When the Contract Work has progressed to the extent that the Contracting Agency has
full use and benefit of the facilities, both from the operational and safety standpoint, all
the initial plantings are completed and only minor incidental Work, replacement of
temporary substitute facilities, plant establishment periods, or correction or repair
remains to physically complete the total Contract, the Engineer may determine the
Contract Work is substantially complete. The Engineer will notify the Contractor in
writing of the Substantial Completion Date. For overruns in Contract time occurring
after the date so established, liquidated damages shown above will not apply. For
overruns in Contract time occurring after the Substantial Completion Date, liquidated
damages shall be assessed on the basis of direct engineering and related costs assignable
to the project until the actual Physical Completion Date of all the Contract Work. The
Contractor shall complete the remaining Work as promptly as possible. Upon request by
the Engineer, the Contractor shall furnish a written schedule for completing the physical
Work on the Contract.
Liquidated damages will not be assessed for any days for which an extension of time is granted.
No deduction or payment of liquidated damages will, in any degree, release the Contractor from
further obligations and liabilities to complete the entire Contract.
1.4 Performance Standard. Contractor shall perform the Work in a manner consistent
with accepted practices for other properly licensed contractors, performed to the City's
satisfaction, within the time period prescribed by the City.
1.5 CQEripliance with Lams. Contractor shall perform the Work in accordance with all
applicable federal, state and City laws, including, but not limited to all City ordinances,
resolutions, standards or policies, as now existing or hereafter adopted or amended, and obtain
all necessary permits and pay all permits, inspection or other fees, at its sole cost and expense.
1.6 Chance _Orders. The City may, at any time, without notice to sureties, order
changes within the scope of the Work. Contractor agrees to fully perform any such alterations or
additions to the Work. All such change orders shall be in the form of the Contract Change Order
Agreement attached hereto as Exhibit `B," which shall be signed by both the Contractor and the
City, shall specifically state the change of the Work, the completion date for such changed Work,
and any increase or decrease in the compensation to be paid to Contractor as a result of such
change in the Work. Oral change orders shall not be binding upon the City unless confirmed in
writing by the City. If any change hereunder causes an increase or decrease in the Contractor's
cost of, or time required for, the performance or any part of the Work under this Contract, an
equitable adjustment will be made and the Contract modified in writing accordingly.
If the Contractor intends to assert a claim for an equitable adjustment hereunder, it shall,
within five (5) days after receipt of a written change order from the City or after giving the City
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the written notice required above, as the case may be, submit to the City a written statement
setting forth the general nature and monetary extent of such claim; provided the City, in its sole
discretion, may extend such five (5) day submittal period upon request by the Contractor. The
Contractor shall supply such supporting documents and analysis for the claims as the City may
require determining if the claims and costs have merit. No claim will be allowed for any costs
incurred more than five (5) days before the Contractor gives written notice as required. No claim
by the Contractor for an equitable adjustment hereunder will be allowed if asserted after final
payment under this Contract.
1.7 Work and Materials Omitted. The Contractor shall, when directed in writing by
the City, omit work, services and materials to be furnished under the Contract and the value of
the omitted work and materials will be deducted from the Total Compensation and the delivery
schedule will be reviewed if appropriate. The value of the omitted work, services and materials
will be a lump sum or unit price, as mutually agreed upon in writing by the Contractor and the
City. If the parties cannot agree on an appropriate deduction, the City reserves the right to issue a
unilateral change order adjusting the price and the delivery schedule.
1.8 Utility Location. Contractor is responsible for locating any underground utilities
affected by the Work and is deemed to be an excavator for purposes of Chapter 19.122 RCW, as
amended. Contractor shall be responsible for compliance with Chapter 19.122 RCW, including
utilization of the "one call" locator system before commencing any excavation activities.
1.9 Air Environment. Contractor shall fully cover any and all loads of loose
construction materials including without limitation, sand, dirt, gravel, asphalt, excavated
materials, construction debris, etc., to protect said materials from air exposure and to minimize
emission of airborne particles to the ambient air environment within the City of Federal Way.
2. TERM
This Contract shall commence on the effective date of this Contract and continue until the
completion of the Work, which shall be no later than 10 working days after Notice to Proceed is
issued, and the expiration of all warranties contained in the Contract Documents ("Term").
3. WARRANTY
3.1 requisite Skill. The Contractor warrants that it has the requisite skill to complete
the Work, and is appropriately accredited and licensed by all applicable agencies and
governmental entities, including, but not limited to being registered to do business in the City of
Federal Way by obtaining a City of Federal Way business registration. Contractor represents that
it has visited the site and is familiar with all of the plans and specifications in connection with the
completion of the Work.
3.2 Detective Work. The Contractor shall, at its sole cost and expense, correct all
Work which the City deems to have defects in workmanship and material discovered within one
(1) year after the City's final acceptance of the Work.
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4. COMPENSATION
4.1 Total Compensation. In consideration of the Contractor performing the Work, the
City agrees to pay the Contractor a fixed fee equal to eight thousand four hundred fifteen and
00 /100 Dollars ($8,415 Ail ),which amount small constitute full and complete payment by the
City. Compensation scheduis sl}all be per Exhibit "G".
4.2 Contractor Responsible for Taxes. The Contractor shall be solely responsible for
the payment of any taxes imposed by any lawful jurisdiction as a result of the performance and
payment of this Contract.
4.3 Non�nent. The City shall have the right to withhold payment to the Contractor
for any of the Work not completed in a satisfactory manner, in the City's sole discretion, which
shall be withheld until such time as Contractor modifies or repairs the Work so that the Work is
acceptable to the City.
4.4 Method of PaMent. Payment by the City for the Work will only be made after
the Work has been completed, a voucher or invoice is submitted in the form specified by the
City, and such invoice is approved by the appropriate City representative. Payment shall be made
within thirty (30) days of receipt of such invoice or voucher unless otherwise set forth in the Bid
Form. The Contractor's acceptance of such payment for the Work shall constitute full
compensation for the performance of the Work. Invoices shall be submitted, to:
City of Federal Way
ATTN: Sarah Hamel
Sarah.Hamel@cityoffederalway.com
33325 8th Avenue South
Federal Way, WA 98003-6325
5. EQUAL OPPORTUNITY EMPLOYER
In all Contractor services, programs or activities, and all Contractor hiring and
employment made possible by or resulting from this Contract, there shall be no discrimination by
Contractor or by Contractor's employees, agents, subcontractors or representatives against any
person because of sex, age (except minimum age and retirement provisions), race, color, creed,
national origin, marital status or the presence of any disability, including sensory, mental or
physical handicaps, unless based upon a bona fide occupational qualification in relationship to
hiring and employment. This requirement shall apply, but not be limited to the following:
employment, advertising, layoff or termination, rates of pay or other forms of compensation, and
selection for training, including apprenticeship. Contractor shall comply with and shall not
violate any of the terms of Chapter 49.60 RCW, Title VI of the Civil Rights Act of 1964, the
Americans With Disabilities Act, Section 504 of the Rehabilitation Act of 1973, 49 CFR Part 21,
21.5 and 26, or any other applicable federal, state, or local law or regulation regarding non-
discrimination. Contractor shall post a notice to Labor Unions or other employment
organizations, attached hereto as Exhibit "C," as required by Section 202 of Executive Order
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11246. Any material violation of this provision shall be grounds for termination of this Contract
by the City and, in the case of the Contractor's breach, may result in ineligibility for further City
agreements. If this project involves federal funds including USDOT funds administered by
WSDOT, the contractor agrees to the clauses contained in Exhibit F.
6. INDEPENDENT CONTRACTOR/CONFLICT OF IN`FF-lk FST
It is the intention and understanding of the Parties that the Contractor shall be an
independent contractor and that the City shall be neither liable nor obligated to pay Contractor
sick leave, vacation pay or any other benefit of employment, nor to pay any social security or
other tax which may arise as an incident of employment. The Contractor shall pay all income and
other taxes as due. Industrial or any other insurance purchased for the benefit of the City,
regardless of whether such may provide a secondary or incidental benefit to the Contractor, shall
not be deemed to convert this Contract to an employment contract. It is recognized that
Contractor may or will be performing work during the Term for other parties; provided,
however, that such performance of other work shall not conflict with or interfere with the
Contractor's ability to perform the Work. Contractor agrees to resolve any such conflicts of
interest in favor of the City.
7. TERMMATiON
Prior to the expiration of the Term, this Contract may be terminated immediately, with or
without cause by the City.
8. INDEMNIFICATION
8.1 Contractor Indemnification. The Contractor agrees to indemnify, defend and hold
the City, its elected officials, officers, employees, agents, and volunteers harmless from any and
all claims, demands, losses, actions and liabilities (including costs and all attorney fees) to or by
any and all persons or entities, including, without limitation, their respective agents, licensees, or
representatives, arising from, resulting from, or connected with this Contract to the extent caused
by the negligent acts, errors or omissions of the Contractor, its partners, shareholders, agents,
employees, or by the Contractor's breach of this Contract. Contractor waives any immunity that
may be granted to it under the Washington State Industrial Insurance Act, Title 51 RCW.
Contractor's indemnification shall not be limited in any way by any limitation on the amount of
damages, compensation or benefits payable to or by any third party under workers'
compensation acts, disability benefit acts or any other benefits acts or programs.
8.2 Cb; Indennnification. The City agrees to indemnify, defend and hold the
Contractor, its officers, directors, shareholders, partners, employees, and agents harmless from
any and all claims, demands, losses, actions and liabilities (including costs and attorney fees) to
or by any and all persons or entities, including without limitation, their respective agents,
licensees, or representatives, arising from, resulting from or connected with this Contract to the
extent solely caused by the negligent acts, errors, or omissions of the City, its employees or
agents.
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8.3 Survival. The provisions of this Section shall survive the expiration or termination
of this Contract with respect to any event occurring prior to such expiration or termination.
9. INSURANCE
9.1 M i n i mu iii Limits. The Contractor agrees to carry as a minimum, the following
insurance, in such forms and with such carriers who have a rating, which is satisfactory to the
City:
(1) Workers' compensation and employer's liability insurance in amounts sufficient
pursuant to the laws of the State of Washington;
(2) Commercial general liability insurance with combined single limits of liability not
less than $2,000,000 for bodily injury, including personal injury or death, products
liability and property damage.
(3) Automobile liability insurance with combined single limits of liability not less
than $1,000,000 for bodily injury, including personal injury or death and property
damage.
(4) If any structures are involved in the Contract, the Contractor shall maintain an
"All Risk Builder's Risk 2 form at all times in an amount no less than the value of the
structure until final acceptance of the project by the City.
9.2 Endorsements. Each insurance policy shall contain, or be endorsed to contain, the
following provisions:
(1) The City, its officers, officials, employees, volunteers and agents shall each be
named as additional insured.
(2) Coverage may not be terminated or reduced in limits except after thirty (30) days
prior written notice by certified mail, return receipt requested, to the City.
(3) Coverage shall be primary insurance as respects the City, its officials, employees
and volunteers. Any insurance or self-insurance maintained by the City, its officials,
employees or volunteers shall be in excess of Contractor's insurance.
(4) Coverage shall apply to each insured separately against whom claim is made or
suit is brought.
(5) Coverage shall be written on an "occurrence" form as opposed to a "claims made"
or "claims paid" form.
9.3 Verification. Contractor shall furnish the City with certificates of insurance
evidencing the coverage required by this Section, attached hereto as Exhibit "D" and
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incorporated by this reference. The City reserves the right to require complete certified copies of
all required insurance policies, at any time.
9.4 Subcontractors. Contractors shall include all subcontractors as additional insured
under its policies or shall furnish separate certificates for each subcontractor. All coverage for
subcontractors shall be subject to all of the requirements stated herein.
9.5 Deductibles and Sell Insured Retentions. Any deductibles or self-insured
retentions must be disclosed by Contractor and approved in writing by the City. At the option of
the City, Contractor shall either reduce or eliminate such deductibles or self-insured retentions or
procure a bond guaranteeing payment for any amounts not covered by the insurance by reason of
such deductibles or self-insured retentions.
9.6 Asbestos Abatement or Hazardous Materials. If asbestos abatement or hazardous
materials work is performed, Contractor shall review coverage with the City's Risk Manager and
provide scope and limits of coverage that are appropriate for the scope of Work and are
satisfactory to the City. Contractor shall not commence any Work until its coverage has been
approved by the Risk Manager.
9.7 Terni i nation. The Contractor's failure to provide the insurance coverage required
by this Section shall be deemed to constitute non-acceptance of this Contract by the Contractor
and the City may then award this Contract to the next lower bidder.
The provisions of this Section shall survive the expiration or termination of this Contract
with respect to any event occurring prior to such expiration or termination.
10. SAFETY
Contractor shall take all necessary precautions for the safety of employees on the work
site and shall comply with all applicable provisions of federal, state and municipal safety and
health laws and codes, including without limitation, all OSHAIWISHA requirements, Safety and
Health Standards for Construction Work (Chapter 296-155 WAC), General Safety and Health
Standards (Chapter 296-24 WAC), and General Occupational Health Standards (Chapter 296-62
WAC). Contractor shall erect and properly maintain, at all times, all necessary guards,
barricades, signals and other safeguards at all unsafe places at or near the Work for the protection
of its employees and the public, safe passageways at all road crossings, crosswalks, street
intersections, post danger signs warning against known or unusual hazards and do all other
things necessary to prevent accident or loss of any kind. Contractor shall protect from damage all
water, sewer, gas, steam or other pipes or conduits, and all hydrants and all other property that is
likely to become displaced or damaged by the execution of the Work. The Contractor shall, at its
own expense, secure and maintain a safe storage place for its materials and equipment and is
solely responsible for the same.
11. PREVAILING WAGES
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11.1 Wages of Einployces. This Contract is subject to the minimum wage requirements
of Chapter 39.12 of the Revised Code of Washington, as now existing or hereafter amended or
supplemented. In the payment of hourly wages and fringe benefits to be paid to any of
Contractor's laborers, work persons and/or mechanics, Contractor shall not pay less than the
"prevailing rate of wage" for an hour's work in the same trade or occupation in the locality
within the State of Washington where such labor is performed, as determined by the Industrial
Statistician of the Department of Labor and Industries of the State of Washington, which
"prevailing rates of wage" are attached hereto as Exhibit "E" and incorporated herein by this
reference. Prevailing wages paid pursuant to this Agreement shall be the prevailing wage rates,
which are in effect on the date when the bids, proposals, or quotes were required to be submitted
to the City.
11.2 Exemptions to Prevailing Wage. The prevailing wage requirements of Chapter
39.12 RCW, and as required in this Contract do not apply to:
(1) Sole owners and their spouses;
(2) Any partner who owns at least 30% of a partnership; and
(3) The President, Vice President and Treasurer of a corporation if each one
owns at least 30% of the corporation.
11.3 Reporting Requirements. Contractor shall comply with all reporting requirements
of the Department of Labor and Industries of the State of Washington. Upon the execution of this
Contract, Contractor shall complete and file a Statement of Intent to Pay Prevailing Wages with
the Department of Labor and Industries. Upon completion of the Work, Contractor shall
complete and file an Affidavit of Wages Paid with the Department of Labor and Industries.
Contractor shall deliver copies of both the Statement of Intent to Pay Prevailing Wages and the
Affidavit of Wages Paid, certified by the Department of Labor and Industries, to the City.
11.4 Disputes. In the event any dispute arises as to what are the prevailing rates of
wages for work of a similar nature and such dispute cannot be resolved by the City and the
Contractor, the matter shall be referred for arbitration to the Director of the Department of Labor
and Industries of the State of Washington and the decision therein shall be final and conclusive
and binding on all parties involved in the dispute.
12. FAILURE TO PAY StJ13CONTRACTORS
In the event the Contractor shall fail to pay any subcontractors or laborers, or fail to pay
for any materials or any insurance premiums, the City may terminate this Contract and/or the
City may withhold from the money which may be due the Contractor an amount necessary for
the payment of such subcontractors, laborers, materials or insurance premiums.
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13. OWNERSI3IP OF DOCUMENTS
All originals and copies of work product, including plans, sketches, layouts, designs,
design specifications, records, files computer disks, magnetic media, all finished or unfinished
documents or material which may be produced or modified by Contractor while performing the
Work shall become the property of the City and shall be delivered to the City at its request.
14. CONFIDINTIAL.ITY
Any records, reports, information, data or other documents or materials given to or
prepared or assembled by the Contractor under this Contract will be kept as confidential and
shall not be made available to any individual or organization by the Contractor without prior
written approval of the City.
15. BOOKS AND RECORDS
The Contractor agrees to maintain books, records, and documents which sufficiently and
properly reflect all direct and indirect costs related to the performance of this Contract and such
accounting procedures and practices as may be deemed necessary by the City to assure proper
accounting of all funds paid pursuant to this Contract. These records shall be subject at all
reasonable times to inspection, review or audit by the City, its authorized representative, the
State Auditor, or other governmental officials authorized by law to monitor this Contract.
16. CLEAN UP
At any time ordered by the City and immediately after completion of the Work, the Contractor,
shall, at its own expense, clean up and remove all refuse and unused materials of any kind
resulting from the Work. In the event the Contractor fails to perform the necessary clean up, the
City may, but in no event is it obligated to, perform the necessary clean up and the costs thereof
shall be immediately paid by the Contractor to the City and/or the City may deduct its costs from
any remaining payments due to the Contractor.
17. CONTRACTOR AND SUBCONTRACTOR RESPONSIBILITY:
17.1 Contractor Verification. The Contractor verifies that it has a certificate of
registration with the State of Washington; has a current state unified business identifier number;
is not disqualified from bidding on any public works contract under RCW 39.06.010 or
39.12.065 (3); has industrial insurance as required by Title 51 RCW, if applicable; has an
employment security department number as required in Title 50 RCW, if applicable; has a state
excise tax registration number as required in Title 82 RCW, if applicable; possesses a valid
electrical contractor license as required by chapter 19.28 RCW, if applicable; and possesses an
elevator contractor license as required by chapter 70.87 RCW, if applicable.
17.2 Subcontractor Contracts. The Contractor shall include the language of this section
in each of its first-tier subcontracts, and shall require each of its subcontractors to include the
same language of this section in each of their subcontracts, adjusting only as necessary the terms
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used for the contracting parties. Upon request of the Owner, the Contractor shall promptly
provide documentation to the Owner demonstrating that the subcontractor meets the
subcontractor responsibility criteria below. The requirements of this section apply to all
subcontractors regardless of tier.
17.3 Subcontractor Veri icadon. At the time of subcontract execution, the Contractor
shall verify that each of its first tier subcontractors meets the following bidder responsibility
criteria: Have a current certificate of registration in compliance with chapter 18.27 RCW, which
must have been in effect at the time of subcontract bid submittal; Have a current Washington
Unified Business Identifier (UBI) number; Not be disqualified from bidding on any public works
contract under RCW 39.06.010 or 39.12.065 (3); Have Industrial Insurance (workers'
compensation) coverage for the subcontractor's employees working in Washington, as required
in Title 51 RCW, if applicable; A Washington Employment Security Department number, as
required in Title 50 RCW, if applicable; A Washington Department of Revenue state excise tax
registration number, as required in Title 82 RCW, if applicable; An electrical contractor license,
if required by Chapter 19.28 RCW, if applicable; An elevator contractor license, if required by
Chapter 70.87 RCW.
18. GENERAL PROVISIONS
18.1 Entire Contract. The Contract Documents contain all of the agreements of the
Parties with respect to any matter covered or mentioned in this Contract and no prior agreements
or understandings pertaining to any such matters shall be effective for any purpose.
18.2 Modification. No provisions of this Contract, including this provision, may be
amended or added to except by agreement in writing signed by the Parties or their respective
successors in interest.
18.3 Full Force and Effect. Any provision of this Contract, which is declared invalid,
void or illegal, shall in no way affect, impair, or invalidate any other provision hereof and such
other provisions shall remain in full force and effect.
18.4 Assignment. The Contractor shall not transfer or assign, in whole or in part, any or
all of its obligations and rights hereunder without the prior written consent of the City. In the
event the City consents to any such assignment or transfer, such consent shall in no way release
the Contractor from any of its obligations or liabilities under this Contract.
18.5 Successors In Interest. Subject to the preceding Subsection, this Contract shall be
binding upon and inure to the benefit of the Parties' successors in interest, heirs and assigns.
18.6 Attornev Fees. In the event the City or the Contractor defaults on the performance of
any terms in this Contract, and the Contractor or City places the enforcement of the Contract or
any part thereof, or the collection of any monies due, or to become due hereunder, or recovery of
possession of any belongings, in the hands of an attorney, or file suit upon the same, each Party
shall pay all its own attorneys' fees, costs and expenses. The venue for any dispute related to this
Contract shall be King County, Washington.
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18.7 No Waiver. Failure of the City to declare any breach or default immediately upon
occurrence thereof, or delay in taking any action in connection with, shall not waive such breach
or default. Failure of the City to declare one breach or default does not act as a waiver of the
City's right to declare another breach or default.
18.8 Governing Law. This Contract shall be made in and shall be governed by and
interpreted in accordance with the laws of the State of Washington.
18.9 Author i . Each individual executing this Contract on behalf of the City and
Contractor represents and warrants that such individuals are duly authorized to execute and
deliver this Contract on behalf of the Contractor or City.
18.10 Notices. Any notices required to be given by the City to Contractor or by the
Contractor to the City shall be delivered to the Parties at the addresses set forth below. Any
notices may be delivered personally to the addressee of the notice or may be deposited in the
United States mail, postage prepaid, to the address set forth herein. Any notice so posted in the
United States mail shall be deemed received three (3) days after the date of mailing.
18.11 Cations. The respective captions of the Sections of this Contract are inserted for
convenience of reference only and shall not be deemed to modify or otherwise affect in any
respect any of the provisions of this Contract.
18.12 Performance. Time is of the essence of this Contract and each and all of its
provisions in which performance is a factor. Adherence to completion dates is essential to the
Contractor's performance of this Contract.
18.13 Coinpliance with Ethics Cotte. If a violation of the City's Ethics Resolution No.
91-54, as amended, occurs as a result of the formation and/or performance of this Contract, this
Contract may be rendered null and void, at the City's option.
18.14 Conflicting Provisions. In the event of a conflict between the terms and provisions
of any of the Contract Documents, the Mayor or his or her designee shall issue an interpretation
of the controlling document, which interpretation shall be final and binding.
DATED the day and year set forth above.
CITY OF FEDERAL WAY:
WMayor
venue South
Federal Way, WA 98003-6325
11
1/2020
APPROVED AS TO FORM:
LJJ
J. Ryan Call, City Attorney
STATE OF WASHINGTON )
COUNTY OF Pt e. f- Ce i
ATTEST:
c
�Stel a is C 1rtncy. C (", City Clerk
OLSON BROTHERS PRO -VAC. LLC:
Bv:
Its: ` ODerAAianS
GL2Z 1124-1- S4
¢'~✓,J�t��►p , wry C48ill
3
(Address)
e -s3 zY01-_10116
(Phone)
On this dav personally appeared before ntc s [-ca-uLs _. to me known to be the
O j�T cl ; o .p S cti�yn kf of ok-1'av P-Sx -A�'x: s l) V 'zh -VCkc that executed the
foregoing instrument. and acknowledged the said instrument to be the free and Voluntary act and
deed of said limited liability company, for the uses and purposes therein mentioned, and on oath
stated that he/she was authorized to execute said instrument.
GIVEN my hand and official seal this---.. clay of- . 20_I D
MELANIE ROSS ---
Notary Public (typed/printed name ofnotary)
State of Washington Notary Public in and for the State of Washington.
License Number 18662�
My Cornrnission Expires
My commission expires
July 07. 2024
12
-` 1/2020
EXIIIIBIT G
COMPENSATION
Schedule of Values
Vactor Truck & Crew (mobilized): $1,920.00
Vactor Truck & Crew de -mobilized): $500.00
2 certified flaggers + vehicles & equipment
(mobilized):
2 UFO's with vehicles (mobilized):
Disposal:
Total Cost:
$3,300.00 *
$2,200.00 *
$495.00 per load (1 estimated)
$8,415.00
$7,420.00 * payment for mobilization
$995.00 Final payment for completion of work
31
1/2020
EXHIBIT A
SCOPE OF WORK
This contract will provide traffic control for the replacement of the flagpole including all traffic
control devices, labor (including off-duty uniformed police officers), and any other necessary
items to close S 320th Street between Pacific Highway S (SR 99) and Pete Von Reichbauer
Way at night. Contractor is to coordinate the date for closure and flagpole replacement with
Flags A'Flying and the City. Flag's A'Flying, LLC will be replacing the existing damaged
flagpole, including removal of the old flagpole, and installation of the new flagpole and
foundation media. Work shall include:
• Vactor truck and crew to remove sand from flagpole base.
Provide two certified flaggers + traffic control vehicles equipped with directional arrow
boards and all necessary signs/delineation. Lane closure will be executed per attached
TCP (below).
• All crews will perform a daily job hazard analysis onsite prior to commencing work.
• Crew members will be OSHA, CPR, and confined space certified.
• Due to the narrow opening (2.25 -inches) for vacuuming sand, Olson Brothers Pro -Vac
will construct a modified down tube with additional venting.
• All work shall be in accordance with the following Special Provisions
13
1/2020
SPECIAL PROVISIONS
(August 14, 2013 APWA GSP)
The work on this project shall be accomplished in accordance with the Standard Specifications
for Road, Bridge and Municipal Construction, 2Ci20 edition, as issued by the Washington State
Department of Transportation (WSDOT) and the American Public Works Association (APWA),
Washington State Chapter (hereafter "Standard Specifications")- The Standard Specifications,
as modified or supplemented by the Amendments to the Standard Specifications and these
Special Provisions, all of which are made a part of the Contract Documents, shall govern all of
the Work.
These Special Provisions are made up of both General Special Provisions (GSPs) from various
sources, which may have project -specific fill-ins; and project -specific Special Provisions. Each
Provision either supplements, modifies, or replaces the comparable Standard Specification, or is
a new Provision. The deletion, amendment, alteration, or addition to any subsection or portion
of the Standard Specifications is meant to pertain only to that particular portion of the section,
and in no way should it be interpreted that the balance of the section does not apply.
The project -specific Special Provisions are not labeled as such. The GSPS are labeled under
the headers of each GSP, with the effective date of the GSP and its source. For example:
(March 8, 2013 APWA GSP)
(April 1, 2013 WSDOT GSP)
(April 12, 2018 CFW GSP)
(***PROJECT -SPECIFIC SPECIAL PROVISION...)
Also incorporated into the Contract Documents by reference are:
• Manual on Uniform Traffic Control Devices for Streets and Highways, currently adopted
edition, with Washington State modifications, if any
WSDOT Standard Plans
City of Federal Way Public Works Development Standards
National Electric Code, current edition
Contractor shall obtain copies of these publications, at Contractor's own expense.
1-05.14 Cooperation with Other Contractors
(March 13, 1995 WSDOT GSP, OPTION 1)
Section 1-05.14 is supplemented with the following:
Other Contracts or Other Work
It is anticipated that the following work adjacent to or within the limits of this project will
be performed by others during the course of this project and will require coordination of
the work:
• Flag's A'Flying, LLC — will be replacing the existing damaged flagpole, including
removal of the old flagpole, and installation of the new flagpole and foundation
media. This contract will provide traffic control for the replacement of the flagpole
including all traffic control devices, labor (including off-duty uniformed police
officers), and any other necessary items to close S 320th Street between Pacific
Highway S (SR 99) and Pete Von Reichbauer Way at night. Contractor is to
coordinate the date for closure and flagpole replacement with Flags A'Flying and
the City.
14
1/2020
1-07.23 Public Convenience and Safety
1-07.23(1) Construction under Traffic
(February 3, 2020 WSDOT GSP, OPTION 2)
Section 1-07.23(1) is supplemented with the following:
Work Zone Clear Zone
The Work Zone Clear Zone (WZCZ) applies during working and nonworking
hours. The WZCZ applies only to temporary roadside objects introduced by the
Contractor's operations and does not apply to preexisting conditions or
permanent Work. Those work operations that are actively in progress shall be in
accordance with adopted and approved Traffic Control Plans, and other contract
requirements.
During nonworking hours equipment or materials shall not be within the WZCZ
unless they are protected by permanent guardrail or temporary concrete barrier.
The use of temporary concrete barrier shall be permitted only if the Engineer
approves the installation and location.
During actual hours of work, unless protected as described above, only materials
absolutely necessary to construction shall be within the WZCZ and only
construction vehicles absolutely necessary to construction shall be allowed within
the WZCZ or allowed to stop or park on the shoulder of the roadway.
The Contractor's nonessential vehicles and employees' private vehicles shall not
be permitted to park within the WZCZ at any time unless protected as described
above.
Deviation from the above requirements shall not occur unless the Contractor has
requested the deviation in writing and the Engineer has provided written
approval.
Minimum WZCZ distances are measured from the edge of traveled way and will
be determined as follows: _
Regulatory Distance From
Posted Speed Traveled Way
(Feet)
35 mph or less 10
40 mph 15
45 to 50 mph 20
55 to 60 mph 30
60 mph or greater 35
Minimum Work Zone Clear Zone Distance
(January 5, 2015 WSDOT GSP, OPTION 5)
Section 1-07.23(1) is supplemented with the following:
Lane closures are subject to the following restrictions:
• Only one lane of traffic westbound may be closed to traffic between the
hours of 7:OOAM and 3:30PM. Approval to close westbound and one
eastbound lane at the same time will require prior approval by the Project
Engineer.
15
1/2020
• Left turns may be restricted (by the Contractor) within the project limits at
the discretion of the Project Engineer.
• Closure of one lane at a time may occur between the hours of 7AM to
7PM. Any closures between 7PM to 7AM require prior approval by the
City
• If a lane closure is required, at least one lane of traffic (alternating
directions / flagger controlled) shall be maintained at all times.
• Unless otherwise approved or shown on plans, the Contractor shall
maintain two-way traffic during construction. The Contractor shall
maintain continuous two-way traffic along streets throughout the project
site. The Contractor shall have the option, with the approval of the
Engineer, of momentarily interrupting the continuous two-way traffic to
allow one-way traffic. Such interruptions shall utilize qualified flaggers
placed in strategic locations to insure the public safety and minimize
driver confusion. A momentary interruption shall be defined as a period
of time not to exceed two (2) minutes. Regardless of the period of time
no queue greater than ten (10) cars in length will be allowed.
Working at night (10pm to 6am weekdays) is required for the closure of S
320th Street between Pacific Highway S and Pete Von Reichbauer Way
by the City, for removal of the flagpole base media and replacement of
the flagpole by Flags A'Flying. A noise variance has been acquired by
the Public Works Department for this work. Planned start time of the
closure is 10:00 pm and the planned duration of the closure is
approximately 4 hours.
For approved night work, the Contractor shall, at no additional cost to the
City, rnake all arrangements for operations during hours of darkness.
Flagger stations shall be illuminated Using a minimum 150 -watt floodlight.
Lighting used for nighttime work shall, whenever possible, be directed
away from or shielded from residences and oncoming traffic. Signs and
barricades shall be supplemented by Type C steady burn lights to
delineate edge of roadway during the hours of darkness.
The Contractor shall keep all pedestrian routes & access points
(including, but not limited to, sidewalks, and crosswalks when located
within the project limits) open and clear at all times unless permitted
otherwise by the Engineer in an approved traffic control plan. An ADA
accessible route must be provided through the project site at all times.
• Pedestrians must have access to pedestrian push buttons at all times.
The Contractor shall provide flaggers, signs, and other traffic control
devices. The Contractor shall erect and maintain all construction signs,
warning signs, detour signs, and other traffic control devices necessary to
warn and protect the public at all times from injury or damage as a result of
16
1/2020
the Contractor's operations which may occur on highways, roads, streets,
sidewalks, or paths. No work shall be done on or adjacent to any traveled
way until all necessary signs and traffic control devices are in place.
• All signs and traffic control devices for the permitted closures shall only
be installed during the specified hours. Construction signs, if placed
earlier than the specified hours of closure, shall be turned or covered so
as not to be visible to motorists
The Contractor shall be responsible for notifying all affected property
owners and tenants prior to commencing the barricading of streets,
alleys, sidewalks and driveways. Notifications should be at least 48 hours
in advance of closures, if possible.
The Contractor shall, at all times throughout the project, conduct the work
in such a manner as will obstruct and inconvenience vehicular and
pedestrian traffic as little as possible. The streets, sidewalks and private
driveways shall be kept open by the Contractor except for the brief
periods when actual work is being done. The Contractor shall so conduct
his operations so as to have under construction no greater length or
amount of work than he can prosecute vigorously and he shall not open
up sections of the work and leave them in an unfinished condition.
Lane closures shall not impact business accesses. All business
accesses will remain open during business hours.
Lane closures shall not restrict vehicular access for buses through the
project site. Bus stops shall remain ADA accessible to pedestrians at all
times throughout the project
If the Engineer determines the permitted closure hours adversely affect traffic,
the Engineer may adjust the hours accordingly. The Engineer will notify the
Contractor in writing of any change in the closure hours.
Lane closures are not allowed on any of the following:
1. A holiday,
2. A holiday weekend; holidays that occur on Friday, Saturday, Sunday or
Monday are considered a holiday weekend. A holiday weekend includes
Saturday, Sunday, and the holiday.
3. After 12:00 PM (noon) on the day prior to a holiday or holiday weekend,
and
4. Before 7:00 AM on the day after the holiday or holiday weekend.
Lane closures are not allowed within the City Center zone from the Friday after
Thanksgiving Day ("Black Friday") until the first City recognized business day of
the following year without written approval by the Engineer. The boundaries of
the City Center zone are identified in the City of Federal Way Comprehensive
Plan. in general, it is the area located within the following boundaries:
Northern boundary: S 312th Street
Southern boundary: S 324th Street
Eastern boundary: Interstate 5
17
1/2020
Western boundary: 14th Ave S (future extension) / west of 320th Public
Library / 11th PI S
1-10 Temporary Traffic Control
1-10.2 Traffic Control Management
1-10.2(1) General
(January 3, 2017 WSDOT GSP, OPTION 1)
Section 1-10.2(1) is supplemented with the following:
Only training with WSDOT TCS card and WSDOT training curriculum is
recognized in the State of Washington. The Traffic Control Supervisor shall be
certified by one of the following:
The Northwest Laborers -Employers Training Trust
27055 Ohio Ave.
Kingston, WA 98346
(360) 297-3035
Evergreen Safety Council
12545 135th Ave. NE
Kirkland, WA 98034-8709
1-800-521-0778
The American Traffic Safety Services Association
15 Riverside Parkway, Suite 100
Fredericksburg, Virginia 22406-1022
Training Dept. Toll Free (877) 642-4637
Phone: (540) 368-1701
1-10.2(2) Traffic Control Plans
(April 12, 2018 CFW GSP)
Section 1-10.2(2) is supplemented with the following:
The following minimum Traffic Control requirements shall be maintained during
the construction of the project:
1. If the Contractor opts to utilize traffic control plans other than those provided
in these Contract Documents, the Contractor shall provide traffic control plans
to the City of Federal Way for review and approval a minimum of five (5)
working days prior to implementation. These plans shall supplement
Construction Staging Plans. The plans as provided by the Contractor shall
include and not be limited to the following information:
• Stop line locations with station and offset to verify safety of
intersection turning radius for vehicles.
• Minimum lane widths provided for vehicular travel.
• Turn pocket length, gap, and tapers in conformance with the City
of Federal Way Standard Detail DWG 3-19A.
2. Detours will not be allowed except as noted herein or Section 1-07.23(2) as
amended.
18
1/2020
3. Temporary paint striping, reflective marking tape, and/or retroreflective
tubular markers shall be required for each shift of traffic control. The
Contractor shall provide temporary striping, reflective marking tape, and/or
reflective tubular markers as required at the direction of the Engineer.
4. The Contractor provided Traffic Control Plans shall lay out traffic control
device spacing, tapers, etc., to scale, and shall contain accurate dimensions
and legends and shall be signed by the preparer.
1-10.2(3) Conformance to Established Standards
(February 3, 2020 WSDOT GSP, OPTION 1)
Section 1-10.2(3) is revised to read:
Flagging, signs, and all other traffic control devices and procedures furnished or
provided shall conform to the standards established in the latest WSDOT
adopted edition (in accordance with WAC 468-95) of the MUTCD, published by
the U.S. Department of Transportation, and the 2005 draft version of the Public
Rights -of -Way Accessibility Guidelines (PROWAG): https://www.access-
board.gov/guidlines-and-standards/streets-sidewalks/public-rights-of-
way/background/revised-draft-guidelines. Judgement of the quality of devices
furnished will be based upon Quality Guidelines for Temporary Traffic Control
Devices, published by the American Traffic Safety Services Association. Copies
of the MUTCD and Quality Guidelines for Temporary Traffic Control Devices may
be purchased from the American Traffic Safety Services Association, 15
Riverside Parkway, Suite 100, Fredericksburg, VA 22406-1022.
In addition to the standards of the MUTCD described above, the Contracting
Agency enforces crashworthiness requirements for most work zone devices.
The AASHTO Manual for Assessing Safety Hardware (MASH) has superseded
the National Cooperative Highway Research Project (NCHRP) Report 350 as the
established requirements for crash testing. Temporary traffic control devices
manufactured after December 31, 2019 shall be compliant with the 2016 edition
of the Manual for Assessing Safety Hardware (MASH 16) crash test
requirements, as determined by the Contracting Agency, except as follows:
In situations where a MASH 16 compliant traffic control device does not exist
and there are no available traffic control devices that were manufactured on
or before December 31, 2019, then a traffic control device manufactured after
December 31, 2019 that is compliant with either NCHRP 350 or the 2009
edition of the Manual for Assessing Safety Hardware (MASH 09) is allowed
for use with approval of the Engineer.
2. Temporary traffic control devices that were manufactured on or before
December 31, 2019, and were successfully tested to National Cooperative
Highway Research Program (NCHRP) Report 350 or MASH 09 may continue
to be used on WSDOT projects throughout their normal service life.
3. Small and lightweight channelizing and delineating devices, including cones,
tubular markers, flexible delineator posts, and plastic drums, shall meet the
requirements of either NCHRP 350, MASH 09, or MASH 16, as determined
by the manufacturer of the device.
19
1/2020
4. A determination of crashworthiness for acceptance of trailer -mounted devices
such as arrow displays, temporary traffic signals, area lighting supports, and
portable changeable message signs is currently not required.
The condition of signs and traffic control devices shall be acceptable or marginal
as defined in the book Quality Guidelines for Temporary Traffic Control Devices,
and will be accepted based on a visual inspection by the Engineer. The
Engineer's decision on the condition of a sign or traffic control device shall be
final. A sign or traffic control device determined to be unacceptable shall be
removed from the project and replaced within 12 hours of notification.
1-10.3 Traffic Control Labor, Procedures and Devices
1-10.3(1) Traffic Control Labor
(Feb 3, 2020 CFW GSP)
Section 1-10.3(1) is supplemented with the following:
Off -Duty Uniformed Police Officer
Off-duty uniformed police officer will be required when the signal system is in
flashing mode or is not operational or when otherwise deemed necessary by the
Project Engineer.
Contractor shall coordinate and obtain approval for the use of off-duty police officers
with the Engineer. Off-duty police officers will be scheduled a minimum of four (4)
hours for any shift worked. The off-duty police officer shall be in addition to all other
personnel required for traffic control.
The off-duty uniformed police officers hours, as stated in the proposal are the City's
estimate, without knowledge of the contractor's specific method of operation and
has been presented for the purpose of providing a common amount for all bidders.
Contractor is responsible for the properly scheduling of off-duty officers. Contractor
shall provide a minimum 48-hour notice to schedule officers when possible.
Contractor shall be responsible for any charges assessed due to insufficient time in
canceling off-duty officers, except in situations outside of the Contractor's control.
Below is a list of optional resources for securing off-duty officers.
Off-duty Officer Resource List
Federal Way Police Department
King County Sheriff's Officers
Washington State Patrol Officers
(253) 835-6701 or (253) 835-6700
(206) 957-0935 ext 1
(425) 401-7788
1-10.3(1) Traffic Control Labor
(December 2, 2019 CFW GSP)
Section 1-10.3(1) is supplemented with the following:
The City shall reimburse the Contractor for the use of off-duty uniformed police
officers at the invoiced cost with no mark-up per Standard Specifications 1-09.6
Force Account.
20
1/2020
Off-duty uniformed police officer will be required when the signal system is in
flashing mode or is not operational or when otherwise deemed necessary by the
Project Engineer.
Federal Way Police Officer Requests (253) 835-6701 or (253) 835-
6700
Saturday/Sunday cancellations (253) 835-6851
When scheduling off-duty uniformed police officers in the City of Federal Way,
City of Federal Way Police Department (CFWPD) officers must be contacted
first. If CFWPD cannot fill the job, off-duty King County Sheriffs Officers or
Washington State Patrol Officers are allowed to work within the City of Federal
Way, but must receive the CFWPD Chief's prior permission to work extra duty
and fill the Contractor's request. No other agencies or private companies are
authorized to perform off duty work within the City of Federal Way without
project -specific approval from the CFWPD Chief or their designee, Lynette Allen
(253)835-6701.
The use of off-duty uniformed police officers shall be in accordance with the City
of Federal Way Police Department's guidelines as follows:
• The Contractor will be billed for the entire duration of the job as it was
requested. For example, if the Contractor requested an officer for 8 hours
and the job was completed in 4 hours, the Contractor will still be billed for
the entire 8 hours. A minimum of three (3) hours call out time shall be
paid by the Contractor for each request for off-duty police officers.
• If a job is cancelled with less than 24 hours' notice, the Contractor will be
required to pay a 3 -hour minimum. It shall be the Contractor's
responsibility to arrange a work schedule to minimize any additional costs
incurred by the minimum three (3) hour call out requirement. No
reimbursement of any portion of the minimum callout will be allowed
where Contractor -made schedule revisions occur after an off-duty officer
has been procured.
• The Contractor's request for a police officer does not guarantee they will
get one. The Contractor must provide the date(s), times, location, and
other details of their request and the CFWPD will put the job out to the
officers. Whether an officer signs up for it depends on many variables,
especially their availability on the day requested. The more advance
notice provided by the Contractor, the more likely it is that the job will be
filled. Requests shall be made a minimum of forty-eight (48) hours before
the use of the off-duty police officers on the project site.
• The officer usually arrives at the extra duty job in a police car.
• Officers cannot work extra duty jobs in plain clothes; they must wear their
police uniform.
• If a major emergency occurs, the off-duty officer may be pulled from the
project. An officer may also get pulled off the job if he/she is required to
appear in court.
• Officers must be given breaks and lunch according to the Federal Labor
Standards Act (FLSA).
21
1/2020
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EXHIBIT B
CONTRACT CHANGE ORDER AGREEMENT
PROJECT NUMBER CHANGE ORDER NUMBER
EFFECTIVE DATE
PROJECT TITLE CONTRACTOR
SUMMARY OF PROPOSED CHANGES:
The time provided for completion in the Contract is ❑ Unchanged ❑ Increased ❑ Decreased by
Calendar Days. This Document shall become an Amendment to the Contract and all provisions of the Contract
not amended herein will apply to this Change Order.
Will this change affect expiration or extent of Insurance coverage? ❑ Yes ❑ No
If "Yes" Will the Policies Be Extended? ❑ Yes ❑ No
PRICE CHANGE LUMP SUM: INCREASE $ DECREASE $
UNIT PRICE:
THE ITEMS ARE APPROXIMATE OR ESTIMATED QUANTITIES INVOLVED IN THIS CHANGE
ITEM NO. ITEM QTY. UNIT PRICE ADD OR DELETE
TOTAL NET CONTRACT: INCREASE $ DECREASE $
STATEMENT:
Payment for the above work will be in accordance with applicable portions of the standard specifications, and
with the understanding that all materials, workmanship and measurements shall be in accordance with the
provisions of the standard specifications, the contract plans, and the special provisions governing the types of
construction.
DEPARTMENT RECAP TO DATE:
ORIGINAL CONTRACT AMOUNT $
PREVIOUS CHANGE ORDERS $
THIS CHANGE ORDER $
*ADJUSTMENTS $
NEW CONTRACT AMOUNT $
CONTRACTOR'S SIGNATURE DATE
DIRECTOR'S SIGNATURE DATE
24
1/2020
ADJUSTMENTS
CHANGE ORDER ESTIMATE IS HEREBY ❑ INCREASED
❑ DECREASED
PAY THIS ADJUSTED AMOUNT:
DIRECTOR'S SIGNATURE DATE
25
1/2020
TO:
EXHIBIT C
NOTICE TO LABOR UNIONS OR OTHER EMPLOYMENT ORGANIZATIONS
NONDISCRIMINATION IN EMPLOYMENT
(Name of Union or Organization)
The undersigned currently holds contract(s) with involving
funds or credit of the City of Federal Way, Washington, or (a) subcontract(s) with a prime
contractor holding such contract(s).
You are advised that, under the provisions of the above contract(s) or subcontract(s) and in
accordance with Section 202 of Executive Order 11246 dated September 24, 1965, the
undersigned is obliged not to discriminate against any employee or applicant of employment
because of race, color, creed or national origin. This obligation not to discriminate in
employment includes, but is not limited to, the following:
EMPLOYMENT, UPGRADING, TRANSFER OR DEMOTION
RECRUITMENT AND ADVERTISING
RATES OF PAY OR OTHER FORMS OF COMPENSATION
SELECTION FOR TRAINING INCLUDING APPRENTICESHIP, LAYOFF OR
TERMINATION
This notice is furnished to you pursuant to the provisions of the above contract(s) or
subcontractor(s) and Executive Order 11246.
Copies of this Notice will be posted by the undersigned in conspicuous places available to
employees or applicants for employment.
(Contractor or subcontractor)
Date
26
1/2020
EXHIBIT D
CERTIFICATE OF INSURANCE (SEE ATTACHED).
27
1/2020
EXHIBIT E
PREVAILING RATE OF WAGE (SEE ATTACHED).
28
1/2020
7/23/2020 about:blank
State of Washington
Department of Labor & Industries
Prevailing Wage Section - Telephone 360-902-5335
PO Box 44540, Olympia, WA 98504-4540
Washington State Prevailing Wage
The PREVAILING WAGES listed here include both the hourly wage rate and the hourly rate of fringe
benefits. On public works projects, worker's wage and benefit rates must add to not less than this
total. A brief description of overtime calculation requirements are provided on the Benefit Code
Key.
Journey Level Prevailing Wage Rates for the Effective Date: 08/03/2020
1/18
*Risk
County
Trade
Job Classification.
Wage
Holiday Overtime Note
Class
King
Asbestos Abatement Workers
Journey Level
$50.86
5D
1H
View
King
Boilermakers
Journey Level
$69.29
5N
1C
View
King
Brick Mason
Journey Level
$58.82
5A
1M
View
King
Brick Mason
Pointer -Caulker -Cleaner
$58.82
5A
1M
View
King
Building Service Employees
Janitor
$25.58
5S
2F
View
King
Building Service Employees
Traveling Waxer/Shampooer
$26.03
5S
2F
View
King
Building Service Employees
Window Cleaner (Non -Scaffold)
$29.33
5S
2F
View
King
Building Service Employees
Window Cleaner (Scaffold)
$30.33
5S
2F
View
King
Cabinet Makers (In Shop),
Journey Level
$22.74
1
View
King
Carpenters
Acoustical Worker
$62.44
7A
4C
View
King
Carpenters
Carpenter
$62.44
7A
4C
View
King
Carpenters
Carpenters on Stationary Tools
$62.57
7A
4C
View
King
Carpenters
Creosoted Material
$62.54
7A
4C
View
King
Carpenters
Floor Finisher
$62.44
7A
4C
View
King
Carpenters
Floor Layer
$62.44
7A
4C
View
King
Carpenters
Scaffold Erector
$62.44
7A
4C
View
King
Cement Masons
Application of all Composition
$62.97
7A
41J
View
Mastic
King
Cement Masons
Application of all Epoxy
$62.47
7A
41J
View
Material
King
Cement Masons
Application of all Plastic
$62.97
7A
4U
View
Material
King
Cement Masons
Application of Sealing
$62.47
7A
41J
View
Compound
King
Cement Masons
Application of Underlayment
$62.97
7A
41J
View
King
Cement Masons
Building General
$62.47
7A
4U
View
King
Cement Masons
Composition or Kalman Floors
$62.97
7A
4U
View
King
Cement Masons
Concrete Paving
$62.47
7A
4U
View
King
Cement Masons
Curb Et Gutter Machine
$62.97
7A
41J
View
King
Cement Masons
Curb Et Gutter, Sidewalks
$62.47
7A
4U
View
King
Cement Masons
Curing Concrete
$62.47
7A
4U
View
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King
Cement Masons
Finish Colored Concrete
$62.97
7A
4U
View
King
Cement Masons
Floor Grinding
$62.97
7A
4U
View
King
Cement Masons
Floor Grinding/ Polisher
$62.47
7A
4U
View
King
Cement Masons
Green Concrete Saw, self-
$62.97
7A
4U
View
powered
King
Cement Masons
Grouting of all Plates
$62.47
7A
4U
View
King
Cement Masons
Grouting of all Tilt -up Panels
$62.47
7A
4U
View
King
Cement Masons
Gunite Nozzleman
$62.97
7A
4U
View
King
Cement Masons
Hand Powered Grinder
$62.97
7A
4U
View
King
Cement Masons
Journey Level
$62.47
7A
4U
View
King
Cement Masons
Patching Concrete
$62.47
7A
4U
View
King
Cement Masons
Pneumatic Power Tools
$62.97
7A
4U
View
King
Cement Masons
Power Chipping Et Brushing
$62.97
7A
4U
View
King
Cement Masons
Sand Blasting Architectural
$62.97
7A
4U
View
Finish
King
Cement Masons
Screed Et Rodding Machine
$62.97
7A
4U
View
King
Cement Masons
Spackling or Skim Coat
$62.47
7A
4U
View
Concrete
King
Cement Masons
Troweling Machine Operator
$62.97
7A
4U
View
King
Cement Masons
Troweling Machine Operator on
$62.97
7A
4U
View
Colored Slabs
King
Cement Masons
Tunnel Workers
$62.97
7A
4U
View
King
Divers Et Tenders
Bell/Vehicle or Submersible
$116.20
7A
4C
View
Operator (Not Under Pressure)
King
Divers Et Tenders
Dive Supervisor/Master
$79.23
7A
4C
View
King
Divers Et Tenders
Diver
$116.20
7A
4C
8V View
King
Divers Et Tenders
Diver On Standby
$74.23
7A
4C
View
King
Divers Et Tenders
Diver Tender
$67.31
7A
4C
View
King
Divers Et Tenders
Manifold Operator
$67.31
7A
4C
View
King
Divers Et Tenders
Manifold Operator Mixed Gas
$72.31
7A
4C
View
King
Divers Et Tenders
Remote Operated Vehicle
$67.31
7A
4C
View
Operator/Technician
King
Divers Et Tenders
Remote Operated Vehicle
$62.69
7A
4C
View
Tender
King
Dredge Workers
Assistant Engineer
$56.44
5D
3F
View
King
Dredge Workers
Assistant Mate (Deckhand)
$56.00
5D
3F
View
King
Dredge Workers
Boatmen
$56.44
5D
3F
View
King
Dredge Workers
Engineer Welder
$57.51
5D
3F
View
King
Dredge Workers
Leverman, Hydraulic
$58.67
5D
3F
View
King
Dredge Workers
Mates
$56.44
5D
3F
View
King
Dredge Workers
Oiler
$56.00
5D
3F
View
King
Drywall Applicator
Journey Level
$62.44
5D
1 H
View
King
Drywall Tapers
Journey Level
$62.81
5P
IE
View
King
Electrical- Fixture Maintenance
Journey Level
$31.99
5L
1E
View
Workers
King
Electricians - Inside
Cable Splicer
$87.22
7C
4E
View
King
Electricians - Inside
Cable Splicer (tunnel)
$93.74
7C
4E
View
King
Electricians - Inside
Certified Welder
$84.26
7C
4E
View
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King
Etectricians - Inside
Certified Welder (tunnel)
$90.47
7C
4E
View
King
Electricians - Inside
Construction Stock Person
$43.18
7C
4E
View
King
Electricians - Inside
Journey Level
$81.30
7C
4E
View
King
Electricians - Inside
Journey Level (tunnel)
$87.22
7C
4E
View
King
Etectricians Motor Shop
Journey Level
$47.53
5A
i B
View
King
Electricians - Powerline
Cable Splicer
$82.39
5A
4D
View
Construction
King
Electricians - Powerline
Certified Line Welder
$75.64
5A
40
View
Construction
King
Electricians - Powerline
Groundperson
$49.17
5A
4D
View
Construction
King
Electricians - Powerline
Heavy Line Equipment
$75.64
5A
4D
View
Construction
Operator
King
Electricians - Powertine
Journey Level Lineperson
$75.64
5A
4D
View
Construction
King
Electricians - Powerline
Line Equipment Operator
$64.54
5A
4D
View
Construction
King
Electricians - Powertine
Meter Installer
$49.17
5A
4D
8W
View
Construction
King
Electricians - Powerline
Pole Sprayer
$75.64
5A
4D
View
Construction
King
Electricians - Powerline
Powderperson
$56.49
5A
4D
View
Construction
King
Electronic Technicians
Journey Level
$53.57
7E
1 E
View
King
Elevator Constructors
Mechanic
$97.31
7D
4A
View
King
Elevator Constructors
Mechanic In Charge
$105.06
7D
4A
View
King
Fabricated Precast Concrete
All Classifications - In-Factory
$18.25
513
IR
View
Products
Work Only
King
Fence Erectors
Fence Erector
$43.11
7A
4V
8Y
View
King
Fence Erectors
Fence Laborer
$43.11
7A
4V
8Y
View
King
Flaggers
Journey Level
$43.11
7A
4V
8Y
View
King
Glaziers
Journey Level
$66.51
7L
1 Y
View
King
Heat iL Frost Insulators And
Journeyman
$76.61
5.1
4H
View
Asbestos Workers
King
Heating-Equipment Mechanics
Journey Level
$85.88
7F
1 E
View
King
Hod Carriers & Mason Tenders
Journey Level
$52.44
7A
4V
8Y
View
King
Industrial Power Vacuum
Journey Level
$13.50
1
View
Cleaner
King
Inland Boatmen
Boat Operator
$61.41
513
1_K
View
King
Inland Boatmen
Cook
$56.48
513
1 K
View
King
Inland Boatmen
Deckhand
$57.48
513
1K
View
King
inland Boatmen
Deckhand Engineer
$58.81
5B
1K
View
King
Inland Boatmen
Launch Operator
$58.89
513
1K
View
King
Inland Boatmen
Mate
$57.31
513
1K
View
King
Inspection/Cleaning/Sealing Of
Cleaner Operator, Foamer
$31.49
1
View
Sewer Et Water Systems By
Operator
Remote Control
King
Inspection/Cleaning/Sealing Of
Grout Truck Operator
$13.50
1
View
Sewer Et Water Systems By
Remote Control
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King
InsDecttonl_ leaning/Sealing Of
Head Operator
$24.91
1
View
Sewer Et Water Systems By
Remote Control
King
Inspection/Cleaning/Sealing Of
Technician
$19.33
1
View
Sewer Et Water Systems By
Remote Control
King
InspectionlCleaning/Sealing Of
Tv Truck Operator
$20.45
1
View
Sewer Et Water Systems By
Remote Control
King
Insulation Applicators
Journey Level
$62.44
7A
4C
View
King
Ironworkers
Journeyman
$73.73
7N
10
View
King
Laborers
_
Air, Gas Or Electric Vibrating
$50.86
7A
4V
8Y
View
Screed
King
Laborers
Airtrac Drill Operator
$52.44
7A
4V
8Y
View
King
Laborers
Ballast Regular Machine
$50.86
7A
4V
8Y
View
King
Laborers
Batch Weighman
$43.11
7A
4V
8Y
View
King
Laborers
Brick Pavers
$50.86
7A
4V
8Y
View
King
Laborers
Brush Cutter
$50.86
7A
4V
8Y
View
King
Laborers
Brush Hog Feeder
$50.86
7A
4V
8Y
View
King
Laborers
Burner
$50.86
7A
4V
8Y
View
King
Laborers
Caisson Worker
$52.44
7A
4V
8Y
View
King
Laborers
Carpenter Tender
$50.86
7A
4V
8Y
View
King
Laborers
Cement Dumper -paving
$51.80
7A
4V
8Y
View
King
Laborers
Cement Finisher Tender
$50.86
7A
4V
8Y
View
King
Laborers
Change House Or Dry Shack
$50.86
7A
4V
8Y
View
King
Laborers
Chipping Gun (30 Lbs. And
$51.80
7A
4V
8Y
View
Over)
King
Laborers
Chipping Gun (Under 30 Lbs.)
$50.86
7A
4V
8Y
View
King
Laborers
Choker Setter
$50.86
7A
4V
8Y
View
King
Laborers
Chuck Tender
$50.86
7A
4V
8Y
View
King
Laborers
Clary Power Spreader
$51.80
7A
4V
8Y
View
King
Laborers
Clean-up Laborer
$50.86
7A
4V
8Y
View
King
Laborers
Concrete Dumper/Chute
$51.80
7A
4V
8Y
View
Operator
King
Laborers
Concrete Form Stripper
$50.86
7A
4V
8Y
View
King
Laborers
Concrete Placement Crew
$51.80
7A
4V
8Y
View
King
Laborers
Concrete Saw Operator/Core
$51.80
7A
4V
8Y
View
Driller
King
Laborers
Crusher Feeder
$43.11
7A
4V
8Y
View
King
Laborers
Curing Laborer
$50.86
7A
4V
8Y
View
King
Laborers
Demolition: Wrecking Et Moving
$50.86
7A
4V
8Y
View
(Incl. Charred Material)
King
Laborers
Ditch Digger
$50.86
7A
4V
8Y
View
King
Laborers
Diver
$52.44
7A
4V
8Y
View
King
Laborers
Drill Operator (Hydraulic,
$51.80
7A
4V
8Y
View
Diamond)
King
Laborers
Dry Stack Walls
$50.86
7A
4V
8Y
View
King
Laborers
Dump Person
$50.86
7A
4V
8Y
View
King
Laborers
Epoxy Technician
$50.86
7A
4V
8Y
View
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King
Laborers
Erosion Control Worker
$50.86
7A
4V
8Y
View
King
Laborers
Faller Et Bucker Chain Saw
$51.80
7A
4V
8Y
View
King
Laborers
Fine Graders
$50.86
7A
4V
8Y
View
King
Laborers
Firewatch
$43.11
7A
4V
8Y
View
King
Laborers
Form Setter
$50.86
7A
4V
8Y
View
King
Laborers
Gabian Basket Builders
$50.86
7A
4V
8Y
View
King
Laborers
General Laborer
$50.86
7A
4V
8Y
View
King
Laborers
Grade Checker Et Transit Person
$52.44
7A
4V
8Y
View
King
Laborers
Grinders
$50.86
7A
4V
8Y
View
King
Laborers
Grout Machine Tender
$50.86
7A
4V
8Y
View
King
Laborers
Groutmen (Pressure) Including
$51.80
7A
4V
8Y
View
Post Tension Beams
King
Laborers
Guardrail Erector
$50.86
7A
4V
8Y
View
King
Laborers
Hazardous Waste Worker (Level
$52.44
7A
4V
8Y
View
A)
King
Laborers
Hazardous Waste Worker (Level
$51.80
7A
4V
8Y
View
B)
King
Laborers
Hazardous Waste Worker (Level
$50.86
7A
4V
8Y
View
C)
King
Laborers
High Scaler
$52.44
7A
4V
8Y
View
King
Laborers
Jackhammer
$51.80
7A
4V
8Y
View
King
Laborers
Laserbeam Operator
$51.80
7A
4V
8Y
View
King
Laborers
Maintenance Person
$50.86
7A
4V
8Y
View
King
Laborers
Manhole Builder-Mudman
$51.80
7A
4V
8Y
View
King
Laborers
Material Yard Person
$50.86
7A
4V
8Y
View
King
Laborers
Motorman -Dinky Locomotive
$51.80
7A
4V
8Y
View
King
Laborers
Nozzleman (Concrete Pump,
$51.80
7A
4V
8Y
View
Green Cutter When Using
Combination Of High Pressure
Air Et Water On Concrete Et
Rock, Sandblast, Gunite,
Shotcrete, Water Blaster,
Vacuum Blaster)
King
Laborers
Pavement Breaker
$51.80
7A
4V
8Y
View
King
Laborers
Pilot Car
$43.11
7A
4V
8Y
View
King
Laborers
Pipe Layer Lead
$52.44
7A
4V
8Y
View
King
Laborers
Pipe Layer/Tailor
$51.80
7A
4V
8Y
View
King
Laborers
Pipe Pot Tender
$51.80
7A
4V
8Y
View
King
Laborers
Pipe Reliner
$51.80
7A
4V
8Y
View
King
Laborers
Pipe Wrapper
$51.80
7A
4V
8Y
View
King
Laborers
Pot Tender
$50.86
7A
4V
8Y
View
King
Laborers
Powderman
$52.44
7A
4V
8Y
View
King
Laborers
Powderman's Helper
$50.86
7A
4V
8Y
View
King
Laborers
Power Jacks
$51.80
7A
4V
8Y
View
King
Laborers
Railroad Spike Puller - Power
$51.80
7A
4V
8Y
View
King
Laborers
Raker - Asphalt
$52.44
7A
4V
8Y
View
King
Laborers
Re-timberman
$52.44
7A
4V
8Y
View
King
Laborers
Remote Equipment Operator
$51.80
7A
4V
8Y
View
King
Laborers
Rigger/Signal Person
$51.80
7A
4V
8Y
View
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King
Laborers
Rip Rap Person
$50.86
7A
4V
8Y
View
King
Laborers
Rivet Buster
$51.80
7A
4V
8Y
View
King
Laborers
Rodder
$51.80
7A
4V
8Y
View
King
Laborers
Scaffold Erector
$50.86
7A
4V
8Y
View
King
Laborers
Scale Person
$50.86
7A
4V
8Y
View
King
Laborers
Sloper (Over 20")
$51.80
7A
4V
8Y
View
King
Laborers
Sloper Sprayer
$50.86
7A
4V
8Y
View
King
Laborers
Spreader (Concrete)
$51.80
7A
4V
8Y
View
King
Laborers
Stake Hopper
$50.86
7A
4V
8Y
View
King
Laborers
Stock Piler
$50.86
7A
4V
8Y
View
King
Laborers
Swinging Stage/Boatswain
$43.11
7A
4V
8Y
View
Chair
King
Laborers
Tamper Et Similar Electric, Air
$51.80
7A
4V
8Y
View
Et Gas Operated Tools
King
Laborers
Tamper (Multiple Ft Self-
$51.80
7A
4V
8Y
View
propelled)
King
Laborers
Timber Person - Sewer (Lagger,
$51.80
7A
4V
8Y
View
Shorer Et Cribber)
King
Laborers
Toolroom Person (at Jobsite)
$50.86
7A
4V
8Y
View
King
Laborers
Topper
$50.86
7A
4V
8Y
View
King
Laborers
Track Laborer
$50.86
7A
4V
8Y
View
King
Laborers
Track Liner (Power)
$51.80
7A
4V
8Y
View
King
Laborers
Traffic Control Laborer
$46.10
7A
4V
9C
View
King
Laborers
Traffic Control Supervisor
$48.84
7A
4V
9C
View
King
Laborers
Truck Spotter
$50.86
7A
4V
8Y
View
King
Laborers
Tugger Operator
$51.80
7A
4V
8Y
View
King
Laborers
Tunnel Work -Compressed Air
$120.61
7A
4V
9B
View
Worker 0-30 psi
King
Laborers
Tunnel Work -Compressed Air
$125.64
7A
4V
9B
View
Worker 30.01-44.00 psi
King
Laborers
Tunnel Work -Compressed Air
$129.32
7A
4V
9B
View
Worker 44.01-54.00 psi
King
Laborers
Tunnel Work -Compressed Air
$135.02
7A
4V
9B
View
Worker 54.01-60.00 psi
King
Laborers
Tunnel Work -Compressed Air
$137.14
7A
4V
9B
View
Worker 60.01-64.00 psi
King
Laborers
Tunnel Work -Compressed Air
$142.24
7A
4V
9B
View
Worker 64.01-68.00 psi
King
Laborers
Tunnel Work -Compressed Air
$144.14
7A
4V
9B
View
Worker 68.01-70.00 psi
King
Laborers
Tunnel Work -Compressed Air
$146.14
7A
4V
96
View
Worker 70.01-72.00 psi
King
Laborers
Tunnel Work -Compressed Air
$148.14
7A
4V
9B
View
Worker 72.01-74.00 psi
King
Laborers
Tunnel Work-Guage and Lock
$52.54
7A
4V
8Y
View
Tender
King
Laborers
Tunnel Work-Miner
$52.54
7A
4V
8Y
View
King
Laborers
Vibrator
$51.80
7A
4V
8Y
View
King
Laborers
Vinyl Seamer
$50.86
7A
4V
8Y
View
King
Laborers
Watchman
$39.18
7A
4V
8Y
View
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King
Laborers
Welder
$51.80
7A
4V
8Y
View
King
Laborers
Well Point Laborer
$51.80
7A
4V
8Y,
View
King
Laborers
Window Washer/Cleaner
$39.18
7A
4V
8Y
View
King
Laborers - Underground Sewer
General Laborer Et Topman
$50.86
7A
4V
8Y
View
Et Water
King
Laborers - Underground Sewer
Pipe Layer
$51.80
7A
4V
8Y
View
Et Water
King
Landscape Construction
Landscape
$39.18
7A
4V
8Y
View
Construction/Landscaping Or
Planting Laborers
King
Landscape Construction
Landscape Operator
$68.02
7A
3K
8X
View
King
Landscape Maintenance
Groundskeeper
$17.87
1
View
King
Lathers
Journey Level
$62.44
5D
1H
View
King
Marble Setters
Journey Level
$58.82
5A
1M
View
King
Metal Fabrication (In Shop)
Fitter
$15.86
1
View
King
Metal Fabrication (In Shop)
Laborer
$13.50
1
View
King
Metal -Fabrication (In Shop),
Machine Operator
$13.50
1
View
King
Metal Fabrication (In Shop),
Painter
$13.50
1
View
King
Metal Fabrication (In Shop)
Welder
$15.48
1
View
King
Millwright
Journey Level
$63.94
7A
4C
View
King
Modular Buildings
Cabinet Assembly
$13.50
1
View
King
Modular Buildings
Electrician
$13.50
1
View
King
Modutar Buildings
Equipment Maintenance
$13.50
1
View
King
Modular Buitdings
Plumber
$13.50
1
View
King
Modular Buildings
Production Worker
$13.50
1
View
King
Modutar Buildings
Tool Maintenance
$13.50
1
View
King
Modular Buildings
Utility Person
$13.50
1
View
King
Modular Buildings
Welder
$13.50
1
View
King
Painters
Journey Level
$43.40
6Z
2B
View
King
Pile Driver
Crew Tender
$67.31
7A
4C
View
King
Pile Driver
Crew Tender/Technician
$67.31
7A
4C
View
King
Pile Driver
Hyperbaric Worker -
$77.93
7A
4C
View
Compressed Air Worker 0-30.00
PSI
King
Pile Driver
Hyperbaric Worker -
$82.93
7A
4C
View
Compressed Air Worker 30.01 -
44.00 PSI
King
Pile Driver
Hyperbaric Worker -
$86.93
7A
4C
View
Compressed Air Worker 44.01 -
54.00 PSI
King
Pile Driver
Hyperbaric Worker -
$91.93
7A
4C
View
Compressed Air Worker 54.01 -
60.00 PSI
King
Pile Driver
Hyperbaric Worker -
$94.43
7A
4C
View
Compressed Air Worker 60.01 -
64.00 PSI
King
Pile Driver
Hyperbaric Worker -
$99.43
7A
4C
View
Compressed Air Worker 64.01 -
68.00 PSI
King
Ple_Driver
Hyperbaric Worker -
$101.43
7A
4C
View
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7/23/2020
Power Equipment Operators
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King
Power Equipment Operators
King
Power Equipment Operators
Compressed Air Worker 68.01 -
Power Equipment Operators
42m
70.00 PSI
$68.02 7A
Cranes friction: 200 tons and
King
Pile Driver
Hyperbaric Worker -
$103.43
7A
tons, or 150' of boom
Compressed Air Worker 70.01 -
attachments)
Cranes: 20 Tons Through 44
72.00 PSI
Tons With Attachments
King
Pile Driver
Hyperbaric Worker -
$105.43
7A
Cranes: 300 tons and over or
Compressed Air Worker 72.01 -
300' of boom including jib with
attachments
74.00 PSI
$69.16 7A
King
Pile Driver
Journey Level
$62.69
7A
King
Plasterers
Journey Level
$59.29
7Q
King
Playground It Park Equipment
Journey Level
$13.50
Installers
King
Plumbers Et Pipefitters
Journey Level
$89.19
6Z
King
Power Equipment Operators
Asphalt Plant Operators
$69.16
7A
King
Power Equipment Operators
Assistant Engineer
$65.05
7A
King
Power Equipment Operators
Barrier Machine (zipper)
$68.55
7A
King
Power Equipment Operators
Batch Plant Operator: concrete
$68.55
7A
King
Power Equipment Operators
Bobcat
$65.05
7A
King
Power Equipment Operators
Brokk - Remote Demolition
$65.05
7A
Equipment
King
Power Equipment Operators
Brooms
$65.05
7A
King
Power Equipment Operators
Bump Cutter
$68.55
7A
King
Power Equipment Operators
Cableways
$69.16
7A
King
Power Equipment Operators
Chipper
$68.55
7A
King
Power Equipment Operators
Compressor
$65.05
7A
King
Power Equipment Operators
Concrete Finish Machine -
$65.05
7A
Laser Screed
King
Power Equipment Operators
Concrete Pump - Mounted Or
$68.02
7A
King Power Equipment Operators
King
Power Equipment Operators
With Boom Attachment Over 42
King
Power Equipment Operators
King
Power Equipment Operators
King
Power Equipment Operators
King Power Equipment Operators
King Power Equipment Operators
King Power Equipment Operators
King Power Equipment Operators
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Trailer High Pressure Line
Pump, Pump High Pressure
Concrete Pump: Truck Mount
$69.16 7A
With Boom Attachment Over 42
3K
M
View
Concrete Pump: Truck Mount
$68.55 7A
With Boom Attachment Up To
42m
Conveyors
$68.02 7A
Cranes friction: 200 tons and
$71.26 7A
over
Cranes: 100 tons through 199
$69.85 7A
tons, or 150' of boom
(including jib with
attachments)
Cranes: 20 Tons Through 44
$68.55 7A
Tons With Attachments
Cranes: 200 tons- 299 tons, or
$70.57 7A
250' of boom including jib with
attachments
Cranes: 300 tons and over or
$71.26 7A
300' of boom including jib with
attachments
Cranes: 45 Tons Through 99
$69.16 7A
4C View
4C View
4C
1R
1
1G
3K
3K
3K
3K
3K
3K
3K
3K
3K
3K
3K
3K
3K
View
View
View
View
8X View
8X View
8X View
8X View
8X View
8X View
8X View
8X View
8X View
8X View
8X View
8X View
8X View
3K 8X View
3K 8X View
3K
3K
3K
8X View
8X View
8X View
3K
8X
View
3K
8X
View
3K
8X
View
3K 8X View
8/18
7/23/2020
King
Power Equipment Operators
King
Power Equipment Operators
King
Power Equipment Operators
King
King
King
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Power Equipment Operators
Power Equipment Operators
Power Equipment Operators
Power Equipment Operators
Power Equipment Operators
Power Equipment Operators
Power Equipment Operators
Power Equipment Operators
Power Equipment Operators
Power Equipment Operators
Power Equipment Operators
Power Equipment Operators
Power Equipment Operators
Power Equipment Operators
Power Equipment Operators
Power Equipment Operators
Power Equipment Operators
Power Equipment Operators
Power Equipment Operators
Power Equipment Operators
Power Equipment Operators
Power Equipment Operators
Power Equipment Operators
Power Equipment Operators
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Tons, Under 150' Of Boom
(including Jib With
Attachments)
Cranes: A -frame - 10 Tons And
$65.05 7A
Under
Cranes: Friction cranes through
$70.57 7A
199 tons
Cranes: through 19 tons with
$68.02 7A
attachments, A -frame over 10
tons
Crusher
$68.55 7A
Deck Engineer/Deck Winches
$68.55 7A
(power)
Derricks, On Building Work
$69.16 7A
Dozers D-9 Et Under
$68.02 7A
Drill Oilers: Auger Type, Truck
$68.02 7A
Or Crane Mount
Drilling Machine
$69.85 7A
Elevator And Man -lift:
$65.05 7A
Permanent And Shaft Type
Finishing Machine, Bidwell And
$68.55 7A
Gamaco Et Similar Equipment
Forklift: 3000 Lbs And Over
$68.02 7A
With Attachments
Forklifts: Under 3000 Lbs. With
$65.05 7A
Attachments
Grade Engineer: Using Blue
$68.55 7A
Prints, Cut Sheets, Etc
Gradechecker/Stakeman
$65.05 7A
Guardrail Punch
$68.55 7A
Hard Tail End Dump
$69.16 7A
Articulating Off- Road
Equipment 45 Yards. Et Over
Hard Tail End Dump
$68.55 7A
Articulating Off-road
Equipment Under 45 Yards
Horizontal/ Directional Drill
$68.02 7A
Locator
Horizontal/ Directional Drill
$68.55 7A
Operator
Hydralifts/Boom Trucks Over
$68.02 7A
10 Tons
Hydralifts/Boom Trucks, 10
$65.05 7A
Tons And Under
Loader, Overhead 8 Yards. Et
$69.85 7A
Over
Loader, Overhead, 6 Yards. But
$69.16 7A
Not Including 8 Yards
Loaders, Overhead Under 6
$68.55 7A
Yards
Loaders, Plant Feed
$68.55 7A
Loaders: Elevating Type Belt
$68.02 7A
3K
3K
3K
3K
3K
3K
3K
3K
3K
3K
3K
3K
3K
3K
3K
3K
3K
3K
3K
3K
3K
3K
3K
3K
3K
3K
3K
8X View
8X View
8X View
8X View
8X View
8X View
8X View
8X View
8X View
8X View
8X View
8X View
8X View
8X View
8X View
8X View
8X View
8X View
8X View
8X View
8X View
8X View
8X View
8X View
8X View
8X View
8X View
9/18
7/23/2020
abouttlank
King
Power Equipment Operators
Locomotives, All
$68.55
7A
3K
8X
View
King
Power Equipment Operators
Material Transfer Device
$68.55
7A
3K
8X
View
King
Power Equipment Operators
Mechanics, All (leadmen -
$69.85
7A
3K
8X
View
$0.50 Per Hour Over Mechanic)
King
Power Equipment Operators
Motor Patrol Graders
$69.16
7A
3K
8X
View
King
Power Equipment Operators
Mucking Machine, Mole, Tunnel
$69.16
7A
3K
8X
View
Drill, Boring, Road Header
And/or Shield
King
Power Equipment Operators
Oil Distributors, Blower
$65.05
7A
3K
8X
View
Distribution Et Mulch Seeding
Operator
King
Power Equipment Operators
Outside Hoists (Elevators And
$68.02
7A
3K
8X
View
Manlifts), Air Tuggers, Strato
King
Power Equipment Operators
Overhead, Bridge Type Crane:
$68.55
7A
3K
8X
View
20 Tons Through 44 Tons
King
Power Equipment Operators
Overhead, Bridge Type: 100
$69.85
7A
3K
8X
View
Tons And Over
King
Power Equipment Operators
Overhead, Bridge Type: 45 Tons
$69.16
7A
3K
8X
View
Through 99 Tons
King
Power Equipment Operators
Pavement Breaker
$65.05
7A
3K
8X
View
King
Power Equipment Operators
Pile Driver (other Than Crane
$68.55
7A
3K
8X
View
Mount)
King
Power Equipment Operators
Plant Oiler - Asphalt, Crusher
$68.02
7A
3K
8X
View
King
Power Equipment Operators
Posthole Digger, Mechanical
$65.05
7A
3K
8X
View
King
Power Equipment Operators
Power Plant
$65.05
7A
3K
8X
View
King
Power Equipment Operators
Pumps - Water
$65.05
7A
3K
8X
View
King
Power Equipment Operators
Quad 9, Hd 41, D10 And Over
$69.16
7A
3K
8X
View
King
Power Equipment Operators
Quick Tower - No Cab, Under
$65.05
7A
3K
8X
View
100 Feet In Height Based To
Boom
King
Power Equipment Operators
Remote Control Operator On
$69.16
7A
3K
8X
View
Rubber Tired Earth Moving
Equipment
King
Power Equipment Operators
Rigger and Bellman
$65.05
7A
3K
8X
View
King
Power Equipment Operators
Rigger/Signal Person, Bellman
$68.02
7A
3K
8X
View
(Certified)
King
Power Equipment Operators
Rollagon
$69.16
7A
3K
8X
View
King
Power Equipment Operators
Roller, Other Than Plant Mix
$65.05
7A
3K
8X
View
King
Power Equipment Operators
Roller, Plant Mix Or Multi -lift
$68.02
7A
3K
8X
View
Materials
King
Power Equipment Operators
Roto -mill, Roto -grinder
$68.55
7A
3K
8X
View
King
Power Equipment Operators
Saws - Concrete
$68.02
7A
3K
8X
View
King
Power Equipment Operators
Scraper, Self Propelled Under
$68.55
7A
3K
8X
View
45 Yards
King
Power Equipment Operators
Scrapers - Concrete Et Carry All
$68.02
7A
3K
8X
View
King
Power Equipment Operators
Scrapers, Self-propelled: 45
$69.16
7A
3K
8X
View
Yards And Over
King
Power Equipment Operators
Service Engineers - Equipment
$68.02
7A
3K
8X
View
King
Power Equipment Operators
Shotcrete/Gunite Equipment
$65.05
7A
3K
8X
View
King
Power Equipment Operators
Shovel, Excavator, Backhoe,
$68.02
7A
3K
8X
View
Tractors Under 15 Metric Tons
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7/23/2020
King
King
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King
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King
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3K 8X View
3K 8X View
3K 8X View
3K 8X View
3K
about:blank
View
Power Equipment Operators
Shovel, Excavator, Backhoe:
$69.16 7A
3K
Over 30 Metric Tons To 50
View
3K
Metric Tons
View
Power Equipment Operators
Shovel, Excavator, Backhoes,
$68.55 7A
3K
Tractors: 15 To 30 Metric Tons
View
Power Equipment Operators
Shovel, Excavator, Backhoes:
$69.85 7A
3K
Over 50 Metric Tons To 90
View
3K
Metric Tons
Yj ew
Power Equipment Operators
Shovel, Excavator, Backhoes:
$70.57 7A
3K
Over 90 Metric Tons
View
Power Equipment Operators
Slipform Pavers
$69.16 7A
Power Equipment Operators
Spreader, Topsider Et
$69.16 7A
3K
Screedman
View
Power Equipment Operators
Subgrader Trimmer
$68.55 7A
Power Equipment Operators
Tower Bucket Elevators
$68.02 7A
Power Equipment Operators
Tower Crane Up To 175' In
$69.85 7A
3K
Height Base To Boom
View
Power Equipment Operators
Tower Crane: over 175'
$70.57 7A
through 250' in height, base to
11/18
boom
Power Equipment Operators
Tower Cranes: over 250' in
$71.26 7A
height from base to boom
Power Equipment Operators
Transporters, All Track Or Truck
$69.16 7A
Type
Power Equipment Operators
Trenching Machines
$68.02 7A
Power Equipment Operators
Truck Crane Oiler/driver - 100
$68.55 7A
Tons And Over
Power Equipment Operators
Truck Crane'OiLer/ Driver Under
$68.02 7A
100 Tons
Power Equipment Operators
Truck Mount Portable Conveyor
$68.55 7A
Power Equipment Operators
Welder
$69.16 7A
Power Equipment Operators
Wheel Tractors, Farman Type
$65.05 7A
Power Equipment Operators
Yo Yo Pay Dozer
$68.55 7A
Power Equipment Operators-
Asphalt Plant Operators
$69.16 7A
Underground Sewer Et Water
Power Equipment Operators-
Assistant Engineer
$65.05 7A
Underground Sewer Et Water
Power Equipment Operators-
Barrier Machine (zipper)
$68.55 7A
Underground Sewer Et Water
Power Equipment Operators-
Batch Plant Operator, Concrete
$68.55 7A
Underground Sewer Et Water
Power Equipment Operators-
Bobcat
$65.05 7A
Underground ;ewer It Water
Power Equipment Operators-
Brokk - Remote Demolition
$65.05 7A
Underground Sewer Et Water
Equipment
Power Equipment Operators-
Brooms
$65.05 7A
Underground Sewer Et Water
Power Equipment Operators-
Bump Cutter
$68.55 7A
Underground Sewer Et Water
Power Equipment Operators-
Cableways
$69.16 ZA—
UndergLound Sew r €t Wa er
Power Equipment Operators-
Chipper
$68.55 7A
3K 8X View
3K 8X View
3K 8X View
3K 8X View
3K
8X
View
3K
8X
View
3K
8X
View
3K
8X
View
3K
8X
View
3K 8X View
3K
8X
View
3K
8X
View
3K
8X
View
3K
8X
View
3K
8X
View
3K
a
View
3K
�X
View
3K
LX
View
3K
E
Yj ew
3{(
AX
View
3K
8X
View
3K
8X
View
3K
8X
View
3K
8X
View
3K
8X
View
3K
8X
View
3K
8X
View
3K
8X
View
3K
8X
View
11/18
7/23/2020
about:blank
Underground Sewer Et Water-
aterKing
King
Power Equipment Operators-
Compressor
$65.05
7A 3K 8X View
Underground Sewer Et Water-
aterKing
King
Power Equipment Operators-
Concrete Finish Machine -
$65.05
7A 3K 8X View
Underground Sewer Et Water
Laser Screed
King
Power Equipment Operators-
Concrete Pump - Mounted Or
$68.02
7A 3K 8X View
Underground Sewer Et Water
Trailer High Pressure Line
Pump, Pump High Pressure
King
Power Equipment Operators-
Concrete Pump: Truck Mount
$69.16
7A 3K 8X View
Underground Sewer Et Water
With Boom Attachment Over 42
M
King
Power Equipment Operators-
Concrete Pump: Truck Mount
$68-55
7A 3K 8X View
Underground Sewer €t Water
With Boom Attachment Up To
42m
King
Power Equipment Operators-
Conveyors
$68.02
7A 3K 8X View
Underground Sewer Et Water-
aterKing
King
Power Equipment Operators-
Cranes friction: 200 tons and
$71.26
7A 3K 8X View
Underground Sewer lz Water,
over
King
Power Equipment Operators-
Cranes: 100 tons through 199
$69.85
7A 3K 8X View
Underground Sewer $ Water
tons, or 150' of boom
(including jib with
attachments)
King
Power Equipment Operators-
Cranes: 20 Tons Through 44
$68.55
7A 3K 8X View
Underground Sewer Et Water
Tons With Attachments
King
Power Equipment Operators-
Cranes: 200 tons- 299 tons, or
$70-57
7A 3K 8X View
Underground Sewer Et Water
250' of boom including jib with
attachments
King
Power Equipment Operators-
Cranes: 300 tons and over or
$71.26
7A 3K 8X View
Underground Sewer Et Wa°t%!
300' of boom including jib with
attachments
King
Power Equipment Operators-
Cranes: 45 Tons Through 99
$69.16
7A 3K 8X View
Underground Sewer Et Water
Tons, Under 150' Of Boom
(including Jib With
Attachments)
King
Power Equipment Operators-
Cranes: A-frame - 10 Tons And
$65.05
7A 3K 8X View
Underground Sewer Et Water
Under
King
Power Equipment Operators-
Cranes: Friction cranes through
$70-57
7A 3K 8X View
Underground Sewer Et Water
199 tons
King
Power Equipment Operators-
Cranes: through 19 tons with
$68.02
7A 3K 8X View
Underground Sewer ft Water
attachments, A-frame over 10
tons
King
Power Equipment Operators-
Crusher
$68-55
7A 3K 8X View
Underground Sewer Et Water-
aterKing
King
Power Equipment Operators-
Deck Engineer/Deck Winches
$68.55
7A 3K 8X View
Underground Sewer Et Water
(power)
King
Power Equipment Operators-
Derricks, On Building Work
$69.16
7A 3K 8X View
Underground Sewer Et Water
King
Power Equipment Operators-
Dozers D-9 Et Under
$68.02
7A 3K 8X View
Underground Sewer a Water
King
Power Equipment Operators-
Drill Oilers: Auger Type, Truck
$68.02
7A 3K 8X View
Underground Sewer Et Water
Or Crane Mount
King
Power Equipment Operators-
Drilling Machine
$69.85
7A 3K 8X View
Underground Sewer Et Water-
aterKing
King
Power Equipment Operators-
Elevator And Man-lift:
$65.05
7A 3K 8X View
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12/18
7/23/2020
about:blank
Underground Sewer Et Waterr
Permanent And Shaft Type
King
Power Equipment Operators-
Finishing Machine, Bidwell And
$68.55
7A 3K 8X View
Underground Sewer Et Water
Gamaco Et Similar Equipment
King
Power Equipment Operators-
Forklift: 3000 Lbs And Over
$68.02
7A 3K 8X View
Underground Sewer Et Water
With Attachments
King
Power Equipment Operators-
Forklifts: Under 3000 Lbs. With
$65.05
7A 3K 8X View
Underground Sewer Et Water
Attachments
King
Power Equipment Operators-
Grade Engineer: Using Blue
$68.55
7A 3K 8X View
Underground Sewer Et Water
Prints, Cut Sheets, Etc
King
Power Equipment Operators-
Gradechecker/Stakeman
$65.05
7A 3K 8X View
Underground Sewer Et Water
King
Power Equipment Operators-
Guardrail Punch
$68.55
7A 3K 8X View
Underground Sewer Et Water
King
Power Equipment Operators-
Hard Tail End Dump
$69.16
7A 3K 8X View
Underground Sewer Et Water
Articulating Off- Road
Equipment 45 Yards. Et Over
King
Power Equipment Operators-
Hard Tail End Dump
$68.55
7A 3K 8X View
Underground Sewer fi Water
Articulating Off-road
Equipment Under 45 Yards
King
Power Equipment Operators-
Horizontal/Directional Drill
$68.02
7A 3K 8X View
Underground Sewer Et Water
Locator
King
Power Equipment Operators-
Horizontal/ Directional Drill
$68.55
7A 3K 8X View
Underground Sewer Et Water
Operator
King
Power Equipment Operators-
Hydralifts/Boom Trucks Over
$68.02
7A 3K 8X View
Underground Sewerft Water'
10 Tons
King
Power Equipment Operators-
Hydralifts/Boom Trucks, 10
$65.05
7A 3K 8X View
Underground Sewer Et Water
Tons And Under
King
Power Equipment Operators-
Loader, Overhead 8 Yards. Et
$69.85
7A 3K 8X View
Underground Sewer Et Water
Over
King
Power Equipment Operators-
Loader, Overhead, 6 Yards. But
$69.16
7A 3K 8X View
Underground Sewer &r Water
Not Including 8 Yards
King
Power Equipment Operators-
Loaders, Overhead Under 6
$68.55
7A 3K 8X View
Underground Sewer Et Water
Yards
King
Power Equipment Operators-
Loaders, Plant Feed
$68.55
7A 3K 8X View
Underground Sewer Et Water
King
Power Equipment Operators-
Loaders: Elevating Type Belt
$68.02
7A 3K 8X View
Underground Sewer ft Water
King
Power Equipment Operators-
Locomotives, All
$68.55
7A 3K 8X View
Underground Sewer Et Water.
King
Power Equipment Operators-
Material Transfer Device
$68.55
7A 3K 8X View
Underground Sewer Et Water
King
Power Equipment Operators-
Mechanics, All (leadmen -
$69.85
7A 3K 8X View
Underground Sewer Et Water
$0.50 Per Hour Over Mechanic)
King
Power Equipment Operators-
Motor Patrol Graders
$69.16
7A 3K 8X View
Underground Sewer Et Water
King
Power Equipment Operators-
Mucking Machine, Mole, Tunnel
$69.16
7A 3K 8X View
Underground Sewer ft Water
Drill, Boring, Road Header
And/or Shield
King
Power Equipment Operators-
Oil Distributors, Blower
$65.05
7A 3K 8X View
Underground Sewer Et Water
Distribution Et Mulch Seeding
Operator
King
Power Equipment Operators-
Outside Hoists (Elevators And
$68.02
7A 3K 8X View
Underground Sewer Et Water
Manlifts), Air Tuggers, Strato
about:blank 13/18
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abouttlank
King
Power Equipment Operators-
Overhead, Bridge Type Crane:
$68.55
7A 3K 8X View
Underground Sewer Et Water
20 Tons Through 44 Tons
King
Power Equipment Operators-
Overhead, Bridge Type: 100
$69.85
7A 3K 8K View
Underground Sewer Et Water
Tons And Over
King
Power EquipmentOperators-
Overhead, Bridge Type: 45 Tons
$69.16
7A 3K 8X View
Underground Sewer Et Water
Through 99 Tons
King
Power Equipment Operators-
Pavement Breaker
$65.05
7A 3K 8X View
Underground Sewer Et Water
King
Power Equipment Operators-
Pile Driver (other Than Crane
$68.55
7A 3K SX View
Underground Sewer Et Water
Mount)
King
Power Equipment Operators-
Plant Oiler - Asphalt, Crusher
$68.02
7A 3K 8X View
Underground Sewer Et Water
King
Power Equipment Operators-
Posthole Digger, Mechanical
$65.05
7A 3K 8X View
Underground Sewer Et Water
King
Power Equipment Operators-
Power Plant
$65.05
7A 3K 8X View
Underground Sewer Et Water
King
Power Equipment Operators-
Pumps - Water
$65.05
7A 3K 8X View
Underground Sewer Et Water
King
Power Equipment Operators-
Quad 9, Hd 41, D10 And Over
$69.16
7A 3K 8X View
Underground Sewer Et Water
King
Power Equipment Operators
Quick Tower - No Cab, Under
$65.05
7A 3K 8X View
Underground Sewer It Water
100 Feet In Height Based To
Boom
King
Power Equipment Dperators-
Remote Control Operator On
$69.16
7A 3K 8X View
Underground Sewer Et Water
Rubber Tired Earth Moving
Equipment
King
Power Equipment Operators-
Rigger and Bellman
$65.05
7A 3K 8X View
Underground Sewer Et Water
King
Power Equipment Operators-
Rigger/Signal Person, Bellman
$68.02
7A 3K 8X View
Underground Sewer Et Water
(Certified)
King
Power Equipment Operators-
Rollagon
$69.16
7A 3K 8X View
Underground Sewer Et Water
King
Power Equipment Operators-
Roller, Other Than Plant Mix
$65.05
7A 3K 8X View
Underground Sewer Et Water
King
Power Equipment Operators-
Roller, Plant Mix Or Multi -lift
$68.02
7A 3K 8X View
Underground Sewer Ft Water
Materials
King
Power Equipment Operators-
Roto -mill, Roto -grinder
$68.55
7A 3K 8X View
Underground Sewer Ft Water
King
Power Equipment Operators-
Saws - Concrete
$68.02
7A 3K 8X View
Underground Sewer Et Water
King
Power Equipment Operators-
Scraper, Self Propelled Under
$68.55
7A 3K 8X View
Underground Sewer Et Water
45 Yards
King
Power Equipment Operators-
Scrapers - Concrete Et Carry All
$68.02
7A 3K 8X View
Underground Sewer Et Water
King
Power Equipment Operators-
Scrapers, Self-propelled: 45
$69.16
7A 3K 8X View
Underground Sewer Et Water
Yards And Over
King
Power Equipment Operators-
Service Engineers - Equipment
$68.02
7A 3K 8X View
Underground Sewer Et Water
King
Power Equipment Operators-
Shotcrete/Gunite Equipment
$65.05
7A 3K 8? View
Underground Sewer Et Water
King
Power Equipment Operators-
Shovel, Excavator, Backhoe,
$68.02
7A 3K 8X View
Underground Sewer Et Water
Tractors Under 15 Metric Tons
King
Power Equipment Operators-
Shovel, Excavator, Backhoe:
$69.16
7A 3K 8X View
abouttlank
14/18
7/23/2020
about:blank
Underground Sewer Et Water
Over 30 Metric Tons To 50
Metric Tons
King
Power Equipment Operators-
Shovel, Excavator, Backhoes,
$68.55
7A
3K
8X
View
Underground Sewer Et Water
Tractors: 15 To 30 Metric Tons
King
Power Equipment Operators-
Shovel, Excavator, Backhoes:
$69.85
7A
3K
8X
View
Underground Sewer Et Water
Over 50 Metric Tons To 90
Metric Tons
King
Power Equipment Operators-
Shovel, Excavator, Backhoes:
$70.57
7A
3K
8X
View
Underground Sewer Ft Water
Over 90 Metric Tons
King
Power Equipment Operators-
Slipform Pavers
$69.16
7A
3K
8X
View
Underground Sewer Et Water
King
Power Equipment Operators-
Spreader, Topsider Et
$69.16
7A
3K
8X
View
Underground Sewer Et Water
Screedman
King
Power Equipment Operators-
Subgrader Trimmer
$68.55
7A
3K
8X
View
Underground Sewer Et Water
King
Power Equipment Operators-
Tower Bucket Elevators
$68.02
7A
3K
8X
View
Underground Sewer Et Wates
King
Power Equipment Operators-
Tower Crane Up To 175' In
$69.85
7A
3K
8X
View
Underground Sewer Et Water
Height Base To Boom
King
Power Equipment Operators-
Tower Crane: over 175'
$70.57
7A
3K
8X
View
Underground Sewer Et Water
through 250' in height, base to
boom
King
Power Equipment Operators-
Tower Cranes: over 250' in
$71.26
7A
3K
8X
View
Underground Sewer Et Water
height from base to boom
King
Power Equipment Operators-
Transporters, All Track Or Truck
$69.16
7A
3K
8X
View
Underground Sewer £t Water
Type
King
Power Equipment Operators-
Trenching Machines
$68.02
7A
3K
8X
View
Underground Sewer Ft Water
King
Power Equipment Operators-
Truck Crane Oiler/driver - 100
$68.55
7A
3K
8X
View
Underground Sewer Et Water
Tons And Over
King
Power Equipment Operators-
Truck Crane Oiler/Driver Under
$68.02
7A
3K
8X
View
Underground Sewer Et Water
100 Tons
King
Power Equipment Operators-
Truck Mount Portable Conveyor
$68.55
7A
3K
8X
View
Underground Sewer Et Water
King
Power Equipment Operators-
Welder
$69.16
7A
3K
8X
View
Underground Sewer Ft Water
King
Power Equipment Operators-
Wheel Tractors, Farmall Type
$65.05
7A
3K
8X
View
Underground Sewer Et Water
King
Power Equipment Operators-
Yo Yo Pay Dozer
$68.55
7A
3K
8X
View
Underground Sewer Et Water
King
Power Line Clearance Tree
Journey Level In Charge
$53.10
5A
4A
View
Trimmers
King
Power Line Clearance Tree
Spray Person
$50.40
5A
4_A
View
Trimmers
King
Power Line Clearance Tree
Tree Equipment Operator
$53.10
5A
4A
View
Trimmers
King
Power Line Clearance Tree
Tree Trimmer
$47.48
5A
4A
View
Trimmers
King
Power Line Clearance Tree
Tree Trimmer Groundperson
$36.10
5A
4A
View
Trimmers
King
Refrigeration Et Air
Journey Level
$84.01
6Z
1G
View
Conditioning Mechanics
King
_Residential Brick Mason
Journey Level
$58.82
5A
i M
View
about:blank
15/18
7/23/2020
abouttlank
King
Residential Carpenters
Journey Level
$32.06
1
View
King
Residential Cement Masons
Journey Level
$29.25
1
View
King
Residential Drywall Applicators
Journey Level
$46.43
7A
4C
View
King
Residential Drywall Tapers
Journey Level
$47.04
5P
1E
View
King
Residential Electricians
Journey Level
$36.01
1
View
King
Residential Glaziers
Journey Level
$45.90
7L
1 H
View
King
Residential Insulation
Journey Level
$29.87
1
View
Applicators
King
Residential Laborers
Journey Level
$26.18
1
View
King
Restdential Marble Setters
Journey Level
$27.38
1
View
King
Residential Fainters
Journey Level
$27.80
1
View
King
Residential Plumbers Et
Journey Level
$39.43
1
View
Pipefitters
King
Residential Refrigeration Et Air
Journey Level
$54.12
5A
1G
View
Conditioning Mechanics
King
Residential Sheet Metal
Journey Level (Field or Shop)
$51.89
7F
1R
View
Workers
King
Residential Soft Floor Layers
Journey Level
$51.07
5A
3J
View
King
Residential Sprinkler Fitters
Journey Level
$50.89
5C
211
View
.(Fire Protection).
King
Residential 'Stone Masons
Journey Level
$58.82
5A
1M
View
King
Residential Terrazzo Workers
Journey Level
$54.06
5A
1M
View
King
Residential Terrazzo/Tile
Journey Level
$24.39
1
View
Finishers
King
Residential Tile Setters
Journey Level
$21.04
1
View
King
Roofers
Journey Level
$55.02
5A
3H
View
King
Roofers
Using Irritable Bituminous
$58.02
5A
3H
View
Materials
King
Sheet Metal Workers
Journey Level (Field or Shop)
$85.88
7F
1E
View
King
Shipbuilding Et Ship Repair
New Construction Boilermaker
$36.36
7V
1
View
King
Shipbuilding Et Ship Repair
New Construction Carpenter
$36.36
7V
1
View
King
Shipbuilding Et Ship Repair
New Construction Crane
$36.36
7V
1
View
Operator
King
Shipbuilding Et Ship Repair
New Construction Electrician
$36.36
7V
1
View
King
Shipbuilding Et ShipRepair
New Construction Heat Et Frost
$76.61
5J
4H
View
Insulator
King
Shipbuilding Et ShipRepair
New Construction Laborer
$36.36
7V
1
View
King
Shipbuilding Et Ship Repair
New Construction Machinist
$36.36
7V
1
View
King
Shipbuilding Et Ship Repair
New Construction Operating
$36.36
7V
1
View
Engineer
King
Shipbuilding Et Ship Repair
New Construction Painter
$36.36
7V
1
View
King
Shipbuilding Et Ship Repair
New Construction Pipefitter
$36.36
7V
1
View
King
Shipbuilding Et Ship Repair
New Construction Rigger
$36.36
7V
1
View
King
Shipbuilding Et Ship Repair
New Construction Sheet Metal
$36.36
7V
1
View
King
Shipbuilding Et Ship Repair
New Construction Shipfitter
$36.36
7V
1
View
King
Shipbuilding Et Ship Repair
New Construction
$36.36
7V
1
View
Warehouse/Teamster
King
Shipbuilding Et Ship Repair
New Construction Welder /
$36.36
7V
1
View
Burner
abouttlank 16/18
7/23/2020
about:blank
King
Shipbuilding Et Ship Repair
Ship Repair Boilermaker
$46.15
7X
4J
View
King
Shipbuilding Et Ship Repair
Ship Repair Carpenter
$44.95
7X
4J
View
King
Shipbuilding Et Ship Repair
Ship Repair Crane Operator
$45.06
7Y
4K
View
King
Shipbuilding Et Ship Repair
Ship Repair Electrician
$46.22
7X
4J
View
King
Shipbuilding Et Ship Repair
Ship Repair Heat Et Frost
$76.61
5J
4H
View
Insulator
King
Shipbuilding Et Ship Repair
Ship Repair Laborer
$46.15
7X
4J
View
King
Shipbuilding Et ShipRepair
Ship Repair Machinist
$46.15
7X
4J
View
King
Shipbuilding Et Ship Repair
Ship Repair Operating Engineer
$45.06
7Y
4K
View
King
Shipbuilding Et Ship Repair
Ship Repair Painter
$46.15
7X
4J
View
King
Shipbuilding Et Ship Repair
Ship Repair Pipefitter
$46.15
7X
4J
View
King
Shipbuilding Et ShipRepair
Ship Repair Rigger
$46.15
7X
4J
View
King
Shipbuilding Et Ship Repair
Ship Repair Sheet Metal
$46.15
7X
4J
View
King
Shipbuilding Et Ship Repair
Ship Repair Shipwright
$44.95
7X
4J
View
King
Shipbuilding Et Ship Repair
Ship Repair Warehouse /
$45.06
7Y
4K
View
Teamster
King
Sign Makers ix Installers
Journey Level
$49.44
0
1
View
,(Electrical),
King
Sign Makers Et Instatters (Non-
Journey Level
$31.96
0
1
View
Electrical).
King
Soft Floor Layers
Journey Level
$51.07
5A
3J
View
King
Solar Controls For Windows
Journey Level
$13.50
1
View
King
Sprinkler Fitters (Fire
Journey Level
$82.39
5C
1X
View
Protection)
King
Stage Rigging Mechanics (Non
Journey Level
$13.50
1
View
Structural),
King
Stone Masons
Journey Level
$58.82
5A
1M
View
King
Street And Parking Lot Sweeper
Journey Level
$19.09
1
View
Workers
King
Surveyors
Assistant Construction Site
$68.02
7A
3K
8X View
Surveyor
King
Surveyors
Chainman
$65.05
7A
3K
8X View
King
Surveyors
Construction Site Surveyor
$69.16
7A
3K
8X View
King
Telecommunication Technicians
Journey Level
$53.57
7E
1E
View
King
Telephone Line Construction -
Cable Splicer
$41.81
5A
2B
View
Outside
King
Telephone Line Construction -
Hole Digger/Ground Person
$23.53
5A
2B
View
Outside
King
Telephone Line Construction -
Installer (Repairer)
$40.09
5A
2B
View
Outside
King
Telephone Line Construction -
Special Aparatus Installer 1
$41.81
5A
2B
View
Outside
King
Telephone Line Construction -
Special Apparatus Installer II
$40.99
5A
2B
View
Outside
King
Telephone Line Construction -
Telephone Equipment Operator
$41.81
5A
2B
View
Outside
(Heavy)
King
Telephone Line Construction -
Telephone Equipment Operator
$38.92
5A
2B
View
Outside
(Light)
King
Telephone Line Construction -
Telephone Lineperson
$38.92
5A
2B
View
Outside
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17/18
7/23/2020
about:blank
King
Telephone Line Construction -
Television Groundperson
$22.32
5A
2B
View
Outside
King
Telephone Line Construction
Television Lineperson/Installer
$29.60
5A
213
View
Outside
King
Telephone Line Construction -
Television System Technician
$35.20
5A
2B
View
Outside
King
Telephone Line Construction -
Television Technician
$31.67
5A
2B
View
Outside
King
Telephone Cine Construction -
Tree Trimmer
$38.92
5A
2B
View
Outside
King
Terrazzo Workers
Journey Level
$54.06
5A
1M
View
King
T te�Setters
Journey Level
$54.06
5A
1M
View
King
Ti e, Marble Et Terrazzo
; Finisher
$44.891
5A
1 B
View
Finishers
King
Traffic Control Stripers
'Journey Level
$47.68,
7A
1K
View
King
Truck Drivers
Asphalt Mix Over 16 Yards
$61.59
5D
4Y
8L
View
King
Truck Drivers
Asphalt Mix To 16 Yards
$60.75
5D
4Y
8L
View
King
Truck Drivers
Dump Truck
$60.75
5D
4Y
8L
View
King
Truck Drivers
Dump Truck Et Trailer
$61.59
5D
4Y
8L
View
King
Truck Drivers
Other Trucks
$61.59
5D
4Y
8L
View
King
Truck Drivers - Ready Mix
Transit Mix
$61.59
5D
4Y
8L
View
King
Well Drillers Et Irrigation Pump
Irrigation Pump Installer
$17.71
1
View
Installers
King
Well Drillers Et Irrigation Pump
Oiler
$13.50
1
View
Installers
King
Well Drillers Et Irrigation Pump
Well Driller
$18.00
1
View
Installers
about:blank 18/18
Benefit Code Key — Effective 3/4/2020 thru 9/1/2020
************************************************************************************************************
Overtime Codes
Overtime calculations are based on the hourly rate actually paid to the worker. On public works projects, the hourly rate
must be not less than the prevailing rate of wage minus the hourly rate of the cost of fringe benefits actually provided for
the worker.
ALL HOURS WORKED IN EXCESS OF EIGHT (8) HOURS PER DAY OR FORTY (40) HOURS PER WEEK SHALL BE
PAID AT ONE AND ONE-HALF TIMES THE HOURLY RATE OF WAGE.
B. All hours worked on Saturdays shall be paid at one and one-half times the hourly rate of wage. All hours worked on
Sundays and holidays shall be paid at double the hourly rate of wage.
C. The first two (2) hours after eight (8) regular hours Monday through Friday and the first ten (10) hours on Saturday
shall be paid at one and one-half times the hourly rate of wage. All other overtime hours and all hours worked on
Sundays and holidays shall be paid at double the hourly rate of wage.
D. The first two (2) hours before or after a five -eight (8) hour workweek day or a four -ten (10) hour workweek day and
the first eight (8) hours worked the next day after either workweek shall be paid at one and one-half times the hourly
rate of wage. All additional hours worked and all worked on Sundays and holidays shall be paid at double the hourly
rate of wage.
E. The first two (2) hours after eight (8) regular hours Monday through Friday and the first eight (8) hours on Saturday
shall be paid at one and one-half times the hourly rate of wage. All other hours worked Monday through Saturday,
and all hours worked on Sundays and holidays shall be paid at double the hourly rate of wage.
The first two (2) hours after eight (8) regular hours Monday through Friday and the first ten (10) hours on Saturday
shall be paid at one and one-half times the hourly rate of wage. All other overtime hours worked, except Labor Day,
shall be paid at double the hourly rate of wage. All hours worked on Labor Day shall be paid at three times the hourly
rate of wage.
G. The fust ten (10) hours worked on Saturdays and the first ten (10) hours worked on a fifth calendar weekday in a four -
ten hour schedule, shall be paid at one and one-half times the hourly rate of wage. All hours worked in excess of ten
(10) hours per day Monday through Saturday and all hours worked on Sundays and holidays shall be paid at double
the hourly rate of wage.
H. All hours worked on Saturdays (except makeup days if work is lost due to inclement weather conditions or equipment
breakdown) shall be paid at one and one-half times the hourly rate of wage. All hours worked Monday through
Saturday over twelve (12) hours and all hours worked on Sundays and holidays shall be paid at double the hourly rate
of wage.
All hours worked on Sundays and holidays shall also be paid at double the hourly rate of wage.
The first two (2) hours after eight (8) regular hours Monday through Friday and the first ten (10) hours on Saturday
shall be paid atone and one-half times the hourly rate of wage. All hours worked over ten (10) hours Monday through
Saturday, Sundays and holidays shall be paid at double the hourly rate of wage.
K. All hours worked on Saturdays and Sundays shall be paid at one and one-half times the hourly rate of wage. All hours
worked on holidays shall be paid at double the hourly rate of wage.
M. All hours worked on Saturdays (except makeup days if work is lost due to inclement weather conditions) shall be paid
at one and one-half times the hourly rate of wage. All hours worked on Sundays and holidays shall be paid at double
the hourly rate of wage.
N. All hours worked on Saturdays (except makeup days) shall be paid at one and one-half times the hourly rate of wage.
All hours worked on Sundays and holidays shall be paid at double the hourly rate of wage.
1
Benefit Code Key — Effective 3/4/2020 thru 9/1/2020
Overtime Codes Continued
O. The first ten (10) hours worked on Saturday shall be paid at one and one-half times the hourly rate of wage. All hours
worked on Sundays, holidays and after twelve (12) hours, Monday through Friday and after ten (10) hours on Saturday
shall be paid at double the hourly rate of wage.
All hours worked on Saturdays (except makeup days if circumstances warrant) and Sundays shall be paid at one and
one-half times the hourly rate of wage. All hours worked on holidays shall be paid at double the hourly rate of wage.
Q. The first two (2) hours after eight (8) regular hours Monday through Friday and up to ten (10) hours worked on
Saturdays shall be paid at one and one-half times the hourly rate of wage. All hours worked in excess of ten (10)
hours per day Monday through Saturday and all hours worked on Sundays and holidays (except Christmas day) shall
be paid at double the hourly rate of wage. All hours worked on Christmas day shall be paid at two and one-half times
the hourly rate of wage.
R. All hours worked on Sundays and holidays shall be paid at two times the hourly rate of wage.
S. The first two (2) hours after eight (8) regular hours Monday through Friday and the first eight (8) hours on Saturday
shall be paid at one and one-half times the hourly rate of wage. All hours worked on holidays and all other overtime
hours worked, except Labor Day, shall be paid at double the hourly rate of wage. All hours worked on Labor Day
shall be paid at three times the hourly rate of wage.
U. All hours worked on Saturdays shall be paid at one and one-half times the hourly rate of wage. All hours worked on
Sundays and holidays (except Labor Day) shall be paid at two times the hourly rate of wage. All hours worked on
Labor Day shall be paid at three times the hourly rate of wage.
V. All hours worked on Sundays and holidays (except Thanksgiving Day and Christmas day) shall be paid at one and
one-half times the hourly rate of wage. All hours worked on Thanksgiving Day and Christmas day shall be paid at
double the hourly rate of wage.
W. All hours worked on Saturdays and Sundays (except make-up days due to conditions beyond the control of the
employer)) shall be paid at one and one-half times the hourly rate of wage. All hours worked on holidays shall be paid
at double the hourly rate of wage.
X. The first four (4) hours after eight (8) regular hours Monday through Friday and the fust twelve (12) hours on Saturday
shall be paid at one and one-half times the hourly rate of wage. All hours worked over twelve (12) hours Monday
through Saturday, Sundays and holidays shall be paid at double the hourly rate of wage. When holiday falls on
Saturday or Sunday, the day before Saturday, Friday, and the day after Sunday, Monday, shall be considered the
holiday and all work performed shall be paid at double the hourly rate of wage.
Y. All hours worked outside the hours of 5:00 am and 5:00 pm (or such other hours as may be agreed upon by any
employer and the employee) and all hours worked in excess of eight (8) hours per day (10 hours per day for a 4 x 10
workweek) and on Saturdays and holidays (except labor day) shall be paid at one and one-half times the hourly rate
of wage. (except for employees who are absent from work without prior approval on a scheduled workday during the
workweek shall be paid at the straight -time rate until they have worked 8 hours in a day (10 in a 4 x 10 workweek) or
40 hours during that workweek.) All hours worked Monday through Saturday over twelve (12) hours and all hours
worked on Sundays and Labor Day shall be paid at double the hourly rate of wage.
Z. All hours worked on Saturdays and Sundays shall be paid at one and one-half times the hourly rate of wage. All
hours worked on holidays shall be paid the straight time rate of pay in addition to holiday pay.
Benefit Code Key — Effective 3/4/2020 thru 9/1/2020
Overtime Codes Continued
ALL HOURS WORKED IN EXCESS OF EIGHT (8) HOURS PER DAY OR FORTY (40) HOURS PER WEEK SHALL BE
PAID AT ONE AND ONE-HALF TIMES THE HOURLY RATE OF WAGE.
B. All hours worked on holidays shall be paid at one and one-half times the hourly rate of wage.
C. All hours worked on Sundays shall be paid at one and one-half times the hourly rate of wage. All hours worked on
holidays shall be paid at two times the hourly rate of wage.
F. The first eight (8) hours worked on holidays shall be paid at the straight hourly rate of wage in addition to the holiday
pay. All hours worked in excess of eight (8) hours on holidays shall be paid at double the hourly rate of wage.
G. All hours worked on Sunday shall be paid at two times the hourly rate of wage. All hours worked on paid holidays
shall be paid at two and one-half times the hourly rate of wage including holiday pay.
H. All hours worked on Sunday shall be paid at two times the hourly rate of wage. All hours worked on holidays shall
be paid at one and one-half times the hourly rate of wage.
O. All hours worked on Sundays and holidays shall be paid at one and one-half times the hourly rate of wage.
R. All hours worked on Sundays and holidays and all hours worked over sixty (60) in one week shall be paid at double
the hourly rate of wage.
U. All hours worked on Saturdays shall be paid at one and one-half times the hourly rate of wage. All hours worked
over 12 hours in a day or on Sundays and holidays shall be paid at double the hourly rate of wage.
W. The first two (2) hours after eight (8) regular hours Monday through Friday and the first eight (8) hours on Saturday
shall be paid at one and one-half times the hourly rate of wage. All other hours worked Monday through Saturday,
and all hours worked on Sundays and holidays shall be paid at double the hourly rate of wage. On a four-day, ten-
hour weekly schedule, either Monday thru Thursday or Tuesday thru Friday schedule, all hours worked after ten shall
be paid at double the hourly rate of wage. The first eight (8) hours worked on the fifth day shall be paid at one and
one-half times the hourly rate of wage. All other hours worked on the fifth, sixth, and seventh days and on holidays
shall be paid at double the hourly rate of wage.
ALL HOURS WORKED IN EXCESS OF EIGHT (8) HOURS PER DAY OR FORTY (40) HOURS PER WEEK SHALL BE
PAID AT ONE AND ONE-HALF TIMES THE HOURLY RATE OF WAGE.
A. Work performed in excess of eight (8) hours of straight time per day, or ten (10) hours of straight time per day when
four ten (10) hour shifts are established, or forty (40) hours of straight time per week, Monday through Friday, or
outside the normal shift, and all work on Saturdays shall be paid at time and one-half the straight time rate. Hours
worked over twelve hours (12) in a single shift and all work performed after 6:00 pm Saturday to 6:00 am Monday
and holidays shall be paid at double the straight time rate of pay. Any shift starting between the hours of 6:00 pm and
midnight shall receive an additional one dollar ($1.00) per hour for all hours worked that shift. The employer shall
have the sole discretion to assign overtime work to employees. Primary consideration for overtime work shall be given
to employees regularly assigned to the work to be performed on overtime situations. After an employee has worked
eight (8) hours at an applicable overtime rate, all additional hours shall be at the applicable overtime rate until such
time as the employee has had a break of eight (8) hours or more.
C. Work performed in excess of eight (8) hours of straight time per day, or ten (10) hours of straight time per day when
four ten (10) hour shifts are established, or forty (40) hours of straight time per week, Monday through Friday, or
outside the normal shift, and all work on Saturdays shall be paid at one and one-half times the hourly rate of wage.
All work performed after 6:00 pm Saturday to 5:00 am Monday and Holidays shall be paid at double the hourly rate
of wage. After an employee has worked eight (8) hours at an applicable overtime rate, all additional hours shall be at
the applicable overtime rate until such time as the employee has had a break of eight (8) hours or more.
Benefit Code Key — Effective 3/4/2020 thru 9/1/2020
Overtime Codes Continued
3. E. All hours worked Sundays and holidays shall be paid at double the hourly rate of wage. Each week, once 40 hours of
straight time work is achieved, then any hours worked over 10 hours per day Monday through Saturday shall be paid
at double the hourly wage rate.
F. All hours worked on Saturday shall be paid at one and one-half times the hourly rate of wage. All hours worked on
Sunday shall be paid at two times the hourly rate of wage. All hours worked on paid holidays shall be paid at two and
one-half times the hourly rate of wage including holiday pay.
H. All work performed on Sundays between March 16th and October 14th and all Holidays shall be compensated for at
two (2) times the regular rate of pay. Work performed on Sundays between October 15th and March 15th shall be
compensated at one and one half (1-1/2) times the regular rate of pay.
All hours worked between the hours of 10:00 pm and 5:00 am, Monday through Friday, and all hours worked on
Saturdays shall be paid at a one and one-half times the hourly rate of wage. All hours worked on Sundays and holidays
shall be paid at double the hourly rate of wage.
K. Work performed in excess of eight (8) hours of straight time per day, or ten (10) hours of straight time per day when
four ten (10) hour shifts are established, or forty (40) hours of straight time per week, Monday through Friday, or
outside the normal 5 am to 6pm shift, and all work on Saturdays shall be paid at one and one-half times the hourly
rate of wage. All work performed after 6:00 pm Saturday to 5:00 am Monday and Holidays, and all hours worked in
excess of twelve (12) hours in a single shift shall be paid at double the hourly rate of wage.
After an employee has worked eight (8) hours at an applicable overtime rate, all additional hours shall be at the
applicable overtime rate until such time as the employee has had a break of eight (8) hours or more. When an employee
returns to work without at least eight (8) hours time off since their previous shift, all such time shall be a continuation
of shift and paid at the applicable overtime rate until he/she shall have the eight (8) hours rest period.
4. ALL HOURS WORKED IN EXCESS OF EIGHT (8) HOURS PER DAY OR FORTY (40) HOURS PER WEEK SHALL BE
PAID AT ONE AND ONE-HALF TIMES THE HOURLY RATE OF WAGE.
A. All hours worked in excess of eight (8) hours per day or forty (40) hours per week shall be paid at double the hourly
rate of wage. All hours worked on Saturdays, Sundays and holidays shall be paid at double the hourly rate of wage.
B. All hours worked over twelve (12) hours per day and all hours worked on holidays shall be paid at double the hourly
rate of wage.
C. On Monday through Friday, the first four (4) hours of overtime after eight (8) hours of straight time work shall be
paid at one and one half (1-1/2) times the straight time rate of pay, unless a four (4) day ten (10) hour workweek has
been established. On a four (4) day ten (10) hour workweek scheduled Monday through Thursday, or Tuesday
through Friday, the first two (2) hours of overtime after ten (10) hours of straight time work shall be paid at one and
one half (1-1/2) times the straight time rate of pay. On Saturday, the first twelve (12) hours of work shall be paid at
one and one half (1 - 1/2) times the straight time rate of pay, except that if the job is down on Monday through Friday
due to weather conditions or other conditions outside the control of the employer, the first ten (10) hours on Saturday
may be worked at the straight time rate of pay. All hours worked over twelve (12) hours in a day and all hours worked
on Sunday and Holidays shall be paid at two (2) times the straight time rate of pay.
4
Benefit Code Key — Effective 3/4/2020 thru 9/1/2020
Overtime Codes Continued
4. D. All hours worked in excess of eight (8) hours per day or forty (40) hours per week shall be paid at double the hourly
rate of wage. All hours worked on Saturday, Sundays and holidays shall be paid at double the hourly rate of pay. Rates
include all members of the assigned crew.
EXCEPTION:
On all multipole structures and steel transmission lines, switching stations, regulating, capacitor stations, generating
plants, industrial plants, associated installations and substations, except those substations whose primary function is
to feed a distribution system, will be paid overtime under the following rates:
The first two (2) hours after eight (8) regular hours Monday through Friday of overtime on a regular workday, shall
be paid at one and one-half times the hourly rate of wage. All hours in excess of ten (10) hours will be at two (2) times
the hourly rate of wage. The first eight (8) hours worked on Saturday will be paid at one and one-half (1-1/2) times
the hourly rate of wage. All hours worked in excess of eight (8) hours on Saturday, and all hours worked on Sundays
and holidays will be at the double the hourly rate of wage.
All overtime eligible hours performed on the above described work that is energized, shall be paid at the double the
hourly rate of wage.
E. The first two (2) hours after eight (8) regular hours Monday through Friday and the first eight (8) hours on Saturday
shall be paid at one and one-half times the hourly rate of wage. All other hours worked Monday through Saturday,
and all hours worked on Sundays and holidays shall be paid at double the hourly rate of wage.
On a four-day, ten-hour weekly schedule, either Monday thru Thursday or Tuesday thru Friday schedule, all hours
worked after ten shall be paid at double the hourly rate of wage. The Monday or Friday not utilized in the normal four-
day, ten hour work week, and Saturday shall be paid at one and one half (1'/z) times the regular shift rate for the first
eight (8) hours. All other hours worked Monday through Saturday, and all hours worked on Sundays and holidays
shall be paid at double the hourly rate of wage.
All hours worked between the hours of 6:00 pm and 6:00 am, Monday through Saturday, shall be paid at a premium
rate of 20% over the hourly rate of wage. All hours worked on Sundays shall be paid at one and one-half times the
hourly rate of wage. All hours worked on holidays shall be paid at double the hourly rate of wage.
G. All hours worked on Saturdays shall be paid at one and one-half times the hourly rate of wage. All hours worked
Monday through Saturday over twelve (12) hours and all hours worked on Sundays and holidays shall be paid at
double the hourly rate of wage.
H. The first two (2) hours after eight (8) regular hours Monday through Friday and the first eight (8) hours on Saturday
shall be paid at one and one-half times the hourly rate of wage. All other overtime hours worked, except Labor Day,
and all hours on Sunday shall be paid at double the hourly rate of wage. All hours worked on Labor Day shall be paid
at three times the hourly rate of wage.
The First eight (8) hours worked on Saturdays shall be paid at one and one-half times the hourly rate of wage. All
hours worked in excess of eight (8) per day on Saturdays shall be paid at double the hourly rate of wage. All hours
worked on Sundays and holidays shall be paid at double the hourly rate of wage.
The first eight (8) hours worked on a Saturday shall be paid at one and one-half times the hourly rate of wage. All
hours worked in excess of eight (8) hours on a Saturday shall be paid at double the hourly rate of wage. All hours
worked over twelve (12) in a day, and all hours worked on Sundays and Holidays shall be paid at double the hourly
rate of wage.
K. All hours worked on a Saturday shall be paid at one and one-half times the hourly rate of wage, so long as Saturday
is the sixth consecutive day worked. All hours worked over twelve (12) in a day Monday through Saturday, and all
hours worked on Sundays and Holidays shall be paid at double the hourly rate of wage.
Benefit Code Key — Effective 3/4/2020 thru 9/1/2020
Overtime Codes Continued
L. The first twelve (12) hours worked on a Saturday shall be paid at one and one-half times the hourly rate of wage. All
hours worked on a Saturday in excess of twelve (12) hours shall be paid at double the hourly rate of pay. All hours
worked over twelve (12) in a day Monday through Friday, and all hours worked on Sundays shall be paid at double
the hourly rate of wage. All hours worked on a holiday shall be paid at one and one-half times the hourly rate of wage,
except that all hours worked on Labor Day shall be paid at double the hourly rate of pay.
M. All hours worked on Sunday and Holidays shall be paid at double the hourly rate. Any employee reporting to work
less than nine (9) hours from their previous quitting time shall be paid for such time at time and one-half times the
hourly rate.
N. All hours worked on Saturdays shall be paid at one and one-half times the hourly rate of wage. All hours worked on
Sundays and holidays, and all work performed between the hours of midnight (12:00 AM) and eight AM (8:00 AM)
every day shall be paid at double the hourly rate of wage.
O. All hours worked between midnight Friday to midnight Sunday shall be paid at one and one-half the hourly rate of
wage. After an employee has worked in excess of eight (8) continuous hours in any one or more calendar days, all
additional hours shall be at the applicable overtime rate until such time as the employee has had a break of six (6)
hours or more. All hours worked on Holidays shall be paid at double the hourly rate of wage.
P. All hours worked on Holidays shall be paid at one and one-half times the hourly rate of wage.
Q. The first four (4) hours after eight (8) regular hours Monday through Friday and the first eight (8) hours on Saturday
shall be paid at one and one-half times the hourly rate of wage. All hours worked over twelve (12) hours Monday
through Saturday shall be paid at double the hourly rate. All hours worked on Sundays and holidays shall be paid at
double the hourly rate of wage.
R. All hours worked on Saturdays shall be paid at one and one-half times the hourly rate of wage, so long as Saturday is
the sixth consecutive day worked. All hours worked on Sundays and holidays shall be paid at double the hourly rate
of wage.
S. All hours worked on Saturdays and Holidays shall be paid at one and one-half times the hourly rate of wage. All hours
worked on Sundays shall be paid at double the hourly rate of wage.
T. The fust two (2) hours of overtime for hours worked Monday -Friday shall be paid at one and one-half times the hourly
rate of wage. All hours worked in excess of ten (10) hours per day shall be paid at double the hourly rate of wage. All
hours worked on Sundays and holidays shall be paid at double the hourly rate of wage. For work on Saturday which
is scheduled prior to the end of shift on Friday, the first six (6) hours work shall be paid at one and one-half times the
hourly rate of wage, and all hours over (6) shall be paid double the hourly rate of wage. For work on Saturday which
was assigned following the close of shift on Friday, all work shall be paid at double the hourly rate of wage.
U. The first four (4) hours after eight (8) regular hours Monday through Friday and the first twelve (12) hours on Saturday
shall be paid at one and one-half times the hourly rate of wage. (Except on makeup days if work is lost due to inclement
weather, then the first eight (8) hours on Saturday may be paid the regular rate.) All hours worked over twelve (12)
hours Monday through Saturday, and all hours worked on Sundays and holidays shall be paid at double the hourly
rate of wage.
Benefit Code Key — Effective 3/4/2020 thru 9/1/2020
Overtime Codes Continued
4. V. Work performed in excess of ten (10) hours of straight time per day when four ten (10) hour shifts are established or
outside the normal shift (5 am to 6pm), and all work on Saturdays, except for make-up days shall be paid at time and
one-half (1 '/z) the straight time rate.
In the event the job is down due to weather conditions, then Saturday may, be worked as a voluntary make-up day at
the straight time rate. However, Saturday shall not be utilized as a make-up day when a holiday falls on Friday. All
work performed on Sundays and holidays and work in excess of twelve (12) hours per day shall be paid at double (2x)
the straight time rate of pay.
After an employee has worked eight (8) hours at an applicable overtime rate, all additional hours shall be at the
applicable overtime rate until such time as the employee has had a break of eight (8) hours.
When an employee returns to work without a break of eight (8) hours since their previous shift, all such time shall be
a continuation of shift and paid at the applicable overtime rate until such time as the employee has had a break of eight
(8) hours.
W. All hours worked on Saturdays (except makeup days if work is lost due to inclement weather conditions) shall be paid
at one and one-half times the hourly rate of wage. All hours worked on Sundays and holidays shall be paid at double
the hourly rate of wage.
When an employee returns to work without at least eight (8) hours time off since their previous shift, all such time
shall be a continuation of shift and paid at the applicable overtime rate until such time as the employee has had a break
of eight (8) hours.
X. All hours worked on Saturdays shall be paid at one and one-half times the hourly rate of wage. All hours worked on
Sundays and holidays shall be paid at double the hourly rate of wage. Work performed outside the normal shift of 6
am to bpm shall be paid at one and one-half the straight time rate, (except for special shifts or three shift operations).
All work performed on Sundays and holidays shall be paid at double the hourly rate of wage. Shifts may be established
when considered necessary by the Employer.
The Employer may establish shifts consisting of eight (8) or ten (10) hours of work (subject to WAC 296-127-022),
that shall constitute a normal forty (40) hour work week. The Employer can change from a 5 -eight to a 4 -ten hour
schedule or back to the other. All hours of work on these shifts shall be paid for at the straight time hourly rate. Work
performed in excess of eight hours (or ten hours per day (subject to WAC 296-127-022) shall be paid atone and one-
half the straight time rate.
When due to conditions beyond the control of the Employer, or when contract specifications require that work can
only be performed outside the regular day shift, then by mutual agreement a special shift may be worked at the straight
time rate, eight (8) hours work for eight (8) hours pay. The starting time shall be arranged to fit such conditions of
work.
When an employee returns to work without at a break of eight (8) hours since their previous shift, all such time shall
be a continuation of shift and paid at the applicable overtime rate until such time as the employee has had a break of
eight (8) hours.
Benefit Code Key — Effective 3/4/2020 thru 9/1/2020
Oyertinic Codes Continued
4. Y. Work performed in excess of eight (8) hours of straight time per day, or ten (10) hours of straight time per day when
four ten (10) hour shifts are established, or forty (40) hours of straight time per week, Monday through Friday, or
outside the normal shift, and all work on Saturdays shall be paid at time and one-half the straight time rate. All work
performed after 6:00 pm Saturday to 6:00 am Monday and holidays shall be paid at double the straight time rate of
pay.
Any shift starting between the hours of 6:00 pm and midnight shall receive an additional one dollar ($1.00) per hour
for all hours worked that shift.
After an employee has worked eight (8) hours at an applicable overtime rate, all additional hours shall be at the
applicable overtime rate until such time as the employee has had a break of eight (8) hours or more.
Holiday Codes
A. Holidays: New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, Friday after
Thanksgiving Day, and Christmas Day (7).
B. Holidays: New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, Friday after
Thanksgiving Day, the day before Christmas, and Christmas Day (8).
C. Holidays: New Year's Day, Presidents' Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, the
Friday after Thanksgiving Day, And Christmas Day (8).
D. Holidays: New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, the Friday and
Saturday after Thanksgiving Day, And Christmas Day (8).
H. Holidays: New Year's Day, Memorial Day, Independence Day, Thanksgiving Day, the Day after Thanksgiving Day,
And Christmas (6).
Holidays: New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, and Christmas Day
(6).
Holidays: New Year's Day, Memorial Day, Independence Day, Thanksgiving Day, Friday after Thanksgiving Day,
Christmas Eve Day, And Christmas Day (7).
K. Holidays: New Year's Day, Presidents' Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day,
Friday After Thanksgiving Day, The Day Before Christmas, And Christmas Day (9).
L. Holidays: New Year's Day, Martin Luther King Jr. Day, Memorial Day, Independence Day, Labor Day, Thanksgiving
Day, Friday after Thanksgiving Day, And Christmas Day (8).
N. Holidays: New Year's Day, Presidents' Day, Memorial Day, Independence Day, Labor Day, Veterans' Day,
Thanksgiving Day, The Friday After Thanksgiving Day, And Christmas Day (9).
P. Holidays: New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, Friday And Saturday
After Thanksgiving Day, The Day Before Christmas, And Christmas Day (9). If A Holiday Falls On Sunday, The
Following Monday Shall Be Considered As A Holiday.
Q. Paid Holidays: New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, and Christmas
Day (6).
8
Benefit Code Key — Effective 3/4/2020 thru 9/1/2020
HaIiida Codes Continued
R. Paid Holidays: New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, Day After
Thanksgiving Day, One -Half Day Before Christmas Day, And Christmas Day. (7 1/2).
S. Paid Holidays: New Year's Day, Presidents' Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day,
And Christmas Day (7).
T. Paid Holidays: New Year's Day, Washington's Birthday, Memorial Day, Independence Day, Labor Day,
Thanksgiving Day, The Friday After Thanksgiving Day, Christmas Day, And The Day Before Or After Christmas (9).
Z. Holidays: New Year's Day, Memorial Day, Independence Day, Labor Day, Veterans Day, Thanksgiving Day, the
Friday after Thanksgiving Day, And Christmas Day (8).
A. Paid Holidays: New Year's Day, Presidents' Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day,
the Friday after Thanksgiving Day, And Christmas Day (8).
E. Paid Holidays: New Year's Day, Day Before Or After New Year's Day, Presidents Day, Memorial Day,
Independence Day, Labor Day, Thanksgiving Day, the Friday after Thanksgiving Day, Christmas Day, and a Half -
Day On Christmas Eve Day. (9 1/2).
G. Paid Holidays: New Year's Day, Martin Luther King Jr. Day, Presidents' Day, Memorial Day, Independence Day,
Labor Day, Veterans' Day, Thanksgiving Day, the Friday after Thanksgiving Day, Christmas Day, and Christmas Eve
Day (11).
H. Paid Holidays: New Year's Day, New Year's Eve Day, Memorial Day, Independence Day, Labor Day, Thanksgiving
Day, Friday After Thanksgiving Day, Christmas Day, The Day After Christmas, And A Floating Holiday (10).
I. Paid Holidays: New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, Friday
After Thanksgiving Day, And Christmas Day (7).
T. Paid Holidays: New Year's Day, Presidents' Day, Memorial Day, Independence Day, Labor Day,
Thanksgiving Day, The Friday After Thanksgiving Day, The Last Working Day Before Christmas Day, And
Christmas Day (9).
Z. Holidays: New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, Friday after
Thanksgiving Day, And Christmas Day (7). If a holiday falls on Saturday, the preceding Friday shall be
considered as the holiday. If a holiday falls on Sunday, the following Monday shall be considered as the
holiday.
A. Holidays: New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, the Friday and
Saturday after Thanksgiving Day, And Christmas Day (8). Any Holiday Which Falls On A Sunday Shall Be Observed
As A Holiday On The Following Monday. If any of the listed holidays falls on a Saturday, the preceding Friday shall
be a regular work day.
B. Holidays: New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, the Friday and
Saturday after Thanksgiving Day, And Christmas Day (8). Any holiday which falls on a Sunday shall be observed as
a holiday on the following Monday. Any holiday which falls on a Saturday shall be observed as a holiday on the
preceding Friday.
C. Holidays: New Year's Day, Martin Luther King Jr. Day, Memorial Day, Independence Day, Labor Day, Thanksgiving
Day, the Friday after Thanksgiving Day, And Christmas Day (8). Any holiday which falls on a Sunday shall be
observed as a holiday on the following Monday. Any holiday which falls on a Saturday shall be observed as a holiday
on the preceding Friday.
Benefit Code Key — Effective 3/4/2020 thru 9/1/2020
Holiday Codes Continued
D. Paid Holidays: New Year's Day, Memorial Day, independence Day, Labor Day, Veteran's Day, Thanksgiving Day,
the Friday after Thanksgiving Day, And Christmas Day (8). Unpaid Holidays: President's Day. Any paid holiday
which falls on a Sunday shall be observed as a holiday on the following Monday. Any paid holiday which falls on a
Saturday shall be observed as a holiday on the preceding Friday.
E. Holidays: New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, the Friday after
Thanksgiving Day, And Christmas Day (7). Any holiday which falls on a Sunday shall be observed as a holiday on
the following Monday. Any holiday which falls on a Saturday shall be observed as a holiday on the preceding Friday.
F. Holidays: New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, the Friday after
Thanksgiving Day, the last working day before Christmas day and Christmas day (8). Any holiday which falls on a
Sunday shall be observed as a holiday on the following Monday. Any holiday which falls on a Saturday shall be
observed as a holiday on the preceding Friday.
G. Holidays: New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, and Christmas Day
(6). Any holiday which falls on a Sunday shall be observed as a holiday on the following Monday.
H. Holidays: New Year's Day, Martin Luther King Jr. Day, Independence Day, Memorial Day, Labor Day, Thanksgiving
Day, the Friday after Thanksgiving Day, the Last Working Day before Christmas Day and Christmas Day (9). Any
holiday which falls on a Sunday shall be observed as a holiday on the following Monday. Any holiday which falls on
a Saturday shall be observed as a holiday on the preceding Friday.
I. Holidays: New Year's Day, President's Day, Independence Day, Memorial Day, Labor Day, Thanksgiving Day, The
Friday After Thanksgiving Day, The Day Before Christmas Day And Christmas Day (9). Any holiday which falls on
a Sunday shall be observed as a holiday on the following Monday. Any holiday which falls on a Saturday shall be
observed as a holiday on the preceding Friday.
J. Holidays: New Year's Day, Independence Day, Memorial Day, Labor Day, Thanksgiving Day and Christmas Day (6).
Any holiday which falls on a Sunday shall be observed as a holiday on the following Monday. Any holiday which
falls on a Saturday shall be observed as a holiday on the preceding Friday.
K. Holidays: New Year's Day, Memorial Day, Independence Day, Thanksgiving Day, the Friday and Saturday after
Thanksgiving Day, And Christmas Day (8). Any holiday which falls on a Sunday shall be observed as a holiday on
the following Monday. Any holiday which falls on a Saturday shall be observed as a holiday on the preceding Friday.
L. Holidays: New Year's Day, Memorial Day, Labor Day, Independence Day, Thanksgiving Day, the Last Work Day
before Christmas Day, And Christmas Day (7). Any holiday which falls on a Sunday shall be observed as a holiday
on the following Monday. Any holiday which falls on a Saturday shall be observed as a holiday on the preceding
Friday.
M. Paid Holidays: New Year's Day, The Day after or before New Year's Day, President's Day, Memorial Day,
Independence Day, Labor Day, Thanksgiving Day, the Friday after Thanksgiving Day, Christmas Day, And the Day
after or before Christmas Day (10). Any holiday which falls on a Sunday shall be observed as a holiday on the
following Monday. Any holiday which falls on a Saturday shall be observed as a holiday on the preceding Friday.
N. Holidays: New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, the Friday after
Thanksgiving Day, And Christmas Day (7). Any holiday which falls on a Sunday shall be observed as a holiday on
the following Monday. When Christmas falls on a Saturday, the preceding Friday shall be observed as a holiday.
P. Holidays: New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, Friday after
Thanksgiving Day, And Christmas Day (7). Any holiday which falls on a Sunday shall be observed as a holiday on
the following Monday.
10
Benefit Code Key — Effective 3/4/2020 thru 9/1/2020
Hohda► Codes Continued
Q. Holidays: New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, the Friday after
Thanksgiving Day, the Last Working Day before Christmas Day and Christmas Day (8). Any holiday which falls on
a Sunday shall be observed as a holiday on the following Monday. If any of the listed holidays falls on a Saturday, the
preceding Friday shall be a regular work day.
R. Paid Holidays: New Year's Day, the day after or before New Year's Day, President's Day, Memorial Day,
Independence Day, Labor Day, Thanksgiving Day, the Friday after Thanksgiving Day, Christmas Day, and the day
after or before Christmas Day (10). If any of the listed holidays fall on Saturday, the preceding Friday shall be observed
as the holiday. If any of the listed holidays falls on a Sunday, the day observed by the Nation shall be considered a
holiday and compensated accordingly.
S. Paid Holidays: New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, Friday after
Thanksgiving Day, Christmas Day, the Day after Christmas, and A Floating Holiday (9). If any of the listed holidays
falls on a Sunday, the day observed by the Nation shall be considered a holiday and compensated accordingly.
T. Paid Holidays: New Year's Day, the Day after or before New Year's Day, President's Day, Memorial Day,
Independence Day, Labor Day, Thanksgiving Day, the Friday after Thanksgiving Day, Christmas Day, and The Day
after or before Christmas Day. (10). If any of the listed holidays falls on a Sunday, the day observed by the Nation
shall be considered a holiday and compensated accordingly. Any holiday which falls on a Saturday shall be observed
as a holiday on the preceding Friday.
V. Holidays: New Year's Day, President's Birthday, Memorial Day, Independence Day, Labor Day, Thanksgiving Day,
the Friday after Thanksgiving Day, Christmas Day, the day before or after Christmas, and the day before or after New
Year's Day. If any of the above listed holidays falls on a Sunday, the day observed by the Nation shall be considered
a holiday and compensated accordingly.
W. Holidays: New Year's Day, Day After New Year's, Memorial Day, Independence Day, Labor Day, Thanksgiving
Day, the Friday after Thanksgiving Day, Christmas Eve Day, Christmas Day, the day after Christmas, the day before
New Year's Day, and a Floating Holiday.
X. Holidays: New Year's Day, Day before or after New Year's Day, Presidents' Day, Memorial Day, Independence Day,
Labor Day, Thanksgiving Day, the Friday after Thanksgiving Day, Christmas Day, and the day before or after
Christmas day. If a holiday falls on a Saturday or on a Friday that is the normal day off, then the holiday will be taken
on the last normal workday. If the holiday falls on a Monday that is the normal day off or on a Sunday, then the holiday
will be taken on the next normal workday.
Y. Holidays: New Year's Day, Presidents' Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, the
Friday after Thanksgiving Day, and Christmas Day. (8) If the holiday falls on a Sunday, then the day observed by the
federal government shall be considered a holiday and compensated accordingly.
Z. Holidays: New Year's Day, President's Day, Independence Day, Memorial Day, Labor Day, Thanksgiving Day, The
Friday After Thanksgiving Day, And Christmas Day (8). Any holiday which falls on a Sunday shall be observed as a
holiday on the following Monday. Any holiday which falls on a Saturday shall be observed as a holiday on the
preceding Friday.
15. A. Holidays: New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, the Friday after
Thanksgiving Day, the day before Christmas Day and Christmas Day. (8) Any holiday which falls on a Sunday shall
be observed as a holiday on the following Monday.
B. Holidays: New Year's Day, Martin Luther King Jr. Day, President's Day, Memorial Day, Independence Day, Labor
Day, Veteran's Day, Thanksgiving Day, and Christmas Day. (9)
C. Holidays: New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, the Friday after
Thanksgiving Day, the day before Christmas Day and Christmas Day. (8)
11
Benefit Code Key — Effective 3/4/2020 thru 9/1/2020
Holidav Codes Continued
15. D. Holidays: New Year's Day, Presidents' Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, Friday
after Thanksgiving Day, Christmas Day, and the day after Christmas.
E. Holidays: the day before New Years's Day, New Year's Day, Martin Luther King, Jr. Day, Presidents' Day, Memorial
Day, Independence Day, Labor Day, Veteran's Day, Thanksgiving Day, Friday after Thanksgiving Day, the day before
Christmas, and Christmas Day. (12)
Note Codes
D. Workers working with supplied air on hazmat projects receive an additional $1.00 per hour.
L. Workers on hazmat projects receive additional hourly premiums as follows -Level A: $0.75, Level B: $0.50, And
Level C: $0.25.
M. Workers on hazmat projects receive additional hourly premiums as follows: Levels A & B: $1.00, Levels C & D:
$0.50.
N. Workers on hazmat projects receive additional hourly premiums as follows -Level A: $1.00, Level B: $0.75, Level
C: $0.50, And Level D: $0.25.
P. Workers on hazmat projects receive additional hourly premiums as follows -Class A Suit: $2.00, Class B Suit: $1.50,
Class C Suit: $1.00, And Class D Suit $0.50.
Q. The highest pressure registered on the gauge for an accumulated time of more than fifteen (15) minutes during the
shift shall be used in determining the scale paid.
S. Effective August 31, 2012 — A Traffic Control Supervisor shall be present on the project whenever flagging or spotting
or other traffic control labor is being utilized. Flaggers and Spotters shall be posted where shown on approved Traffic
Control Plans or where directed by the Engineer. All flaggers and spotters shall possess a current flagging card issued
by the State of Washington, Oregon, Montana, or Idaho. This classification is only effective on or after August 31,
2012.
T. Effective August 31, 2012 — A Traffic Control Laborer performs the setup, maintenance and removal of all temporary
traffic control devices and construction signs necessary to control vehicular, bicycle, and pedestrian traffic during
construction operations. Flaggers and Spotters shall be posted where shown on approved Traffic Control Plans or
where directed by the Engineer. All flaggers and spotters shall possess a current flagging card issued by the State of
Washington, Oregon, Montana, or Idaho. This classification is only effective on or after August 31, 2012.
U. Workers on hazmat projects receive additional hourly premiums as follows — Class A Suit: $2.00, Class B Suit: $1.50,
And Class C Suit: $1.00. Workers performing underground work receive an additional $0.40 per hour for any and all
work performed underground, including operating, servicing and repairing of equipment. The premium for
underground work shall be paid for the entire shift worked. Workers who work suspended by a rope or cable receive
an additional $0.50 per hour. The premium for work suspended shall be paid for the entire shift worked. Workers who
do "pioneer" work (break open a cut, build road, etc.) more than one hundred fifty (150) feet above grade elevation
receive an additional $0.50 per hour.
12
Benefit Code Key — Effective 3/4/2020 thru 9/1/2020
Note Codes Continued
8. V. In addition to the hourly wage and fringe benefits, the following depth and enclosure premiums shall be paid. The
premiums are to be calculated for the maximum depth and distance into an enclosure that a diver reaches in a day.
The premiums are to be paid one time for the day and are not used in calculating overtime pay.
Depth premiums apply to depths of fifty feet or more. Over 50' to 100'- $2.00 per foot for each foot over 50 feet. Over
101' to 150'- $3.00 per foot for each foot over 101 feet. Over 151' to 220'- $4.00 per foot for each foot over 220 feet.
Over 221' - $5.00 per foot for each foot over 221 feet.
Enclosure premiums apply when divers enter enclosures (such as pipes or tunnels) where there is no vertical ascent
and is measured by the distance travelled from the entrance. 25' to 300' - $1.00 per foot from entrance. 300' to 600'
- $1.50 per foot beginning at 300'. Over 600' - $2.00 per foot beginning at 600'.
W. Meter Installers work on single phase 120/240V self-contained residential meters. The Lineman/Groundmen rates
would apply to meters not fitting this description.
X. Workers on hazmat projects receive additional hourly premiums as follows - Class A Suit: $2.00, Class B Suit:
$1.50, Class C Suit: $1.00, and Class D Suit: $0.50. Special Shift Premium: Basic hourly rate plus $2.00 per hour.
When due to conditions beyond the control of the Employer or when an owner (not acting as the contractor), a
government agency or the contract specifications requires that work can only be performed outside the normal 5 am
to 6pm shift, then the special shift premium will be applied to the basic hourly rate. When an employee works on a
special shift, they shall be paid a special shift premium for each hour worked unless they are in OT or Double-time
status. (For example, the special shift premium does not waive the overtime requirements for work performed on
Saturday or Sunday.)
Y. Tide Work: When employees are called out between the hours of 6:00 p.m. and 6:00 a.m. to work on tide work
(work located in the tide plane) all time worked shall be at one and one-half times the hourly rate of pay.
Swinging Stage/Boatswains Chair: Employees working on a swinging state or boatswains chair or under conditions
that require them to be tied off to allow their hands to be free shall receive seventy-five cents ($0.75) per hour above
the classification rate.
Z. Workers working with supplied air on hazmat projects receive an additional $1.00 per hour.
Special Shift Premium: Basic hourly rate plus $2.00 per hour. When due to conditions beyond the control of the
Employer or when an owner (not acting as a contractor), a government agency or the contract specifications require
that more than (4) hours of a special shift can only be performed outside the normal 6 am to 6pm shift, then the
special shift premium will be applied to the basic straight time for the entire shift. When an employee works on a
special shift, they will be paid a special shift premium for each hour worked unless they are in overtime or double-
time status. (For example, the special shift premium does not waive the overtime requirements for work performed
on Saturday or Sunday.)
13
Benefit Code Key — Effective 3/4/2020 thru 9/1/2020
Note Codes Continued
A. Workers working with supplied air on hazmat projects receive an additional $1.00 per hour.
Special Shift Premium: Basic hourly rate plus $2.00 per hour. When due to conditions beyond the control of the
Employer or when an owner (not acting as the contractor), a government agency or the contract specifications require
that more than four (4) hours of a special shift can only be performed outside the normal 6 am to 6pm shift, then the
special shift premium will be applied to the basic straight time for the entire shift. When an employee works on a
special shift, they shall be paid a special shift premium for each hour worked unless they are in overtime or double-
time status. (For example, the special shift premium does not waive the overtime requirements for work performed on
Saturday or Sunday.)
Certified Crane Operator Premium: Crane operators requiring certifications shall be paid $0.50 per hour above their
classification rate.
Boom Pay Premium: All cranes including tower shall be paid as follows based on boom length:
(A) — 130' to 1997 — $0.50 per hour over their classification rate.
(B) — 200' to 299' — $0.80 per hour over their classification rate.
(C) — 300' and over — $1.00 per hour over their classification rate.
B. The highest pressure registered on the gauge for an accumulated time of more than fifteen (15) minutes during the
shift shall be used in determining the scale paid.
Tide Work: When employees are called out between the hours of 6:00 p.m. and 6:00 a.m. to work on tide work (work
located in the tide plane) all time worked shall be at one and one-half times the hourly rate of pay. Swinging
Stage/Boatswains Chair: Employees working on a swinging stage or boatswains chair or under conditions that require
them to be tied off to allow their hands to be free shall receive seventy-five cents ($0.75) per hour above the
classification rate.
C. Tide Work: When employees are called out between the hours of 6:00 p.m. and 6:00 a.m. to work on tide work (work
located in the tide plane) all time worked shall be at one and one-half times the hourly rate of pay. Swinging
Stage/Boatswains Chair: Employees working on a swinging stage or boatswains chair or under conditions that require
them to be tied off to allow their hands to be free shall receive seventy-five cents ($0.75) per hour above the
classification rate.
Effective August 31, 2012 — A Traffic Control Supervisor shall be present on the project whenever flagging or spotting
or other traffic control labor is being utilized. A Traffic Control Laborer performs the setup, maintenance and removal
of all temporary traffic control devices and construction signs necessary to control vehicular, bicycle, and pedestrian
traffic during construction operations. Flaggers and Spotters shall be posted where shown on approved Traffic Control
Plans or where directed by the Engineer. All flaggers and spotters shall possess a current flagging card issued by the
State of Washington, Oregon, Montana, or Idaho. These classifications are only effective on or after August 31, 2012.
D. Industrial Painter wages are required for painting within industrial facilities such as treatment plants, pipelines,
towers, dams, bridges, power generation facilities and manufacturing facilities such as chemical plants, etc., or
anywhere abrasive blasting is necessary to prepare surfaces, or hazardous materials encapsulation is required.
E. Heavy Construction includes construction, repair, alteration or additions to the production, fabrication or
manufacturing portions of industrial or manufacturing plants, hydroelectric or nuclear power plants and atomic
reactor construction. Workers on hazmat projects receive additional hourly premiums as follows -Level A: $1.00,
Level B: $0.75, Level C: $0.50, And Level D: $0.25.
14
EXHIBIT F
TITLE VI ASSURANCES
During the performance of this contract, the contractor/consultant, for itself, its assignees and
successors in interest (hereinafter referred to as the "contractor") agrees as follows:
1. Compliance with Regulations
The contractor shall comply with the Regulations relative to non-discrimination in
federally assisted programs of United States Department of Transportation (USDOT), Title 49,
Code of Federal Regulations, part 21, as they may be amended from time to time, (hereinafter
referred to as the Regulations), which are herein incorporated by reference and made a part of
this contract.
2. Non-discrimination
The contractor, with regard to the work performed by it during the contract, shall not
discriminate on the grounds of race, color, sex, or national origin in the selection and retention of
sub -contractors, including procurement of materials and leases of equipment. The contractor
shall not participate either directly or indirectly in the discrimination prohibited by Section 21.5
of the Regulations, including employment practices when the contract covers a program set forth
in Appendix B of the Regulations.
3. Solicitations for Sub -contracts, Including Procurement of Materials and Equipment
In all solicitations either by competitive bidding or negotiations made by the contractor
for work to be performed under a sub -contract, including procurement of materials or leases of
equipment, each potential sub -contractor or supplier shall be notified by the contractor of the
contractor's obligations under this contract and the Regulations relative to non-discrimination on
the grounds of race, color, sex, or national origin.
4. Information and Reports
The contractor shall provide all information and reports required by the Regulations or
directives issued pursuant thereto, and shall permit access to its books, records, accounts, other
sources of information, and its facilities as may be determined by the contracting agency or the
appropriate federal agency to be pertinent to ascertain compliance with such Regulations, orders
and instructions. Where any information required of a contractor is in the exclusive possession of
another who fails or refuses to furnish this information, the contractor shall so certify to WSDOT
or the USDOT as appropriate, and shall set forth what efforts it has made to obtain the
information.
5. Sanctions for Non-compliance
29
1/2020
In the event of the contractor's non-compliance with the non-discrimination provisions of
this contract, the contracting agency shall impose such contract sanctions as it or the USDOT
may determine to be appropriate, including, but not limited to: Withholding of payments to the
contractor under the contract until the contractor complies, and/or; Cancellation, termination, or
suspension of the contract, in whole or in part
6. Incorporation of Provisions
The contractor shall include the provisions of paragraphs (1) through (5) in every sub-
contract, including procurement of materials and leases of equipment, unless exempt by the
Regulations, or directives issued pursuant thereto. The contractor shall take such action with
respect to any sub -contractor or procurement as the contracting agency or USDOT may direct as
a means of enforcing such provisions including sanctions for non-compliance. Provided,
however, that in the event a contractor becomes involved in, or is threatened with, litigation with
a sub -contractor or supplier as a result of such direction, the contractor may request WSDOT
enter into such litigation to protect the interests of the state and, in addition, the contractor may
request the USDOT enter into such litigation to protect the interests of the United States.
30
1/2020
EXHIBIT G
COMPENSATION
Schedule of Values
Vactor Truck & Crew (mobilized): $1,920.00
Vactor Truck & Crew de -mobilized): $500.00
2 certified flaggers + vehicles & equipment
(mobilized):
2 UPO's with vehicles (mobilized):
Disposal:
Total Cost:
$3,300.00 *
$2,200.00 *
$495.00 per load (1 estimated)
$8,415.00
$7,420.00 * payment for mobilization
$995.00 Final payment for completion of work
31
1/2020
CNA CNA PARAMOUNT
Contractors' General Liability Extension Endorsement
It is understood and agreed that this endorsement amends the COMMERCIAL GENERAL LIABILITY COVERAGE PART
as follows. If any other endorsement attached to this policy amends any provision also amended by this endorsement,
then that other endorsement controls with respect to such provision, and the changes made by this endorsement with
respect to such provision do not apply.
11, General Aggregate Limits of Insurance — Per Project
12. In Rem Actions
13. Incidental Health Care Malpractice Coverage
14. Joint Ventures/Partnership/Limited Liability Companies
15. Legal Liability — Damage To Premises / Alienated Premises / Property In The Named Insured's Care,
Custody or Control
16. Liquor Liability
17. Medical Payments
18 Non -owned Aircraft Coverage
19. Non -owned Watercraft
TABLE OF CONTENTS
1.
Additional Insureds
2.
Additional Insured - Primary And Non -Contributory To Additional Insured's Insurance
3.
Bodily Injury — Expanded Definition
4.
Broad Knowledge of Occurrence/ Notice of Occurrence
5.
Broad Named Insured
6.
Broadened Liability Coverage For Damage To Your Product And Your Work
7.
Contractual Liability - Railroads
8.
Electronic Data Liability
9.
Estates, Legal Representatives and Spouses
10.
Expected Or Intended Injury — Exception for Reasonable Force
11, General Aggregate Limits of Insurance — Per Project
12. In Rem Actions
13. Incidental Health Care Malpractice Coverage
14. Joint Ventures/Partnership/Limited Liability Companies
15. Legal Liability — Damage To Premises / Alienated Premises / Property In The Named Insured's Care,
Custody or Control
16. Liquor Liability
17. Medical Payments
18 Non -owned Aircraft Coverage
19. Non -owned Watercraft
20.
Personal And Advertising Injury — Discrimination or Humiliation
21.
Personal And Advertising Injury - Contractual Liability
22.
Property Damage- Elevators
23.
Supplementary Payments mm..
24.
Unintentional Failure To Disclose Hazards
25.
Waiver of Subrogation — Blanket
26.
Wrap -Up Extension: OCIP CCIP, or Consolidated (Wrap -Up) Insurance Programs
CNA74705XX (1-15) Policy No: 6079756997
Page 1 of 17 Endorsement No: 5
CONTINENTAL CASUALTY COMPANY Effective Date: 11/16/2019
Insured Name: OLSON BROTHERS PRO -VAC, LLC
Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc , with its permission.
CNA PARAMOUNT
Contractors' General Liability Extension Endorsement
1. ADDITIONAL INSUREDS
a. WHO IS AN INSURED is amended to include as an Insured any person or organization described in paragraphs
A. through H. below whom a Named Insured is required to add as an additional insured on this Coverage Part
under a written contract or written agreement, provided such contract or agreement:
(1) is currently in effect or becomes effective during the term of this Coverage Part; and
(2) was executed prior to:
(a) the bodily injury or property damage; or
(b) the offense that caused the personal and advertising injury,
for which such additional insured seeks coverage.
b. However, subject always to the terms and conditions of this policy, including the limits of insurance, the Insurer
will not provide such additional insured with:
(1) a higher limit of insurance than required by such contract or agreement; or
(2) coverage broader than required by such contract or agreement, and in no event broader than that described
by the applicable paragraph A. through H. below.
Any coverage granted by this endorsement shall apply only to the extent permissible by law.
A. Controlling Interest
Any person or organization with a controlling interest in a Named Insured, but only with respect to such person or
organization's liability for bodily injury, property damage or personal and advertising injury arising out of.
1. such person or organization's financial control of a Named Insured; or
2. premises such person or organization owns, maintains or controls while a Named Insured leases or
occupies such premises;
provided that the coverage granted by this paragraph does not apply to structural alterations, new construction or
demolition operations performed by, on behalf of, or for such additional insured.
B. Co-owner of Insured Premises
A co-owner of a premises co -owned by a Named Insured and covered under this insurance but only with respect
to such co -owner's liability for bodily injury, property damage or personal and advertising injury as co-owner
of such premises.
C. Lessor of Equipment
Any person or organization from whom a Named Insured leases equipment, but only with respect to liability for
bodily injury, property damage or personal and advertising injury caused, in whole or in part, by the Named
Insured's maintenance, operation or use of such equipment, provided that the occurrence giving rise to such
bodily injury, property damage or the offense giving rise to such personal and advertising injury takes place
prior to the termination of such lease.
D. Lessor of Land
Any person or organization from whom a Named Insured leases land but only with respect to liability for bodily
injury, property damage or personal and advertising injury arising out of the ownership, maintenance or use
of such land, provided that the occurrence giving rise to such bodily injury, property damage or the offense
giving rise to such personal and advertising injury takes place prior to the termination of such lease. The
CNA74705XX 1-15 Polic No: 6079756997
Page 2 of 17 Endorsement No: 5
CONTINENTAL CASUALTY COMPANY Effective Date: 11/16/2019
Insured Name: OLSON BROTHERS PRO -VAC, LLC
Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Once, Inc , with its permission.
CNA PARAMOUNT
Contractors' General Liability Extension Endorsement
coverage granted by this paragraph does not apply to structural alterations, new construction or demolition
operations performed by, on behalf of, or for such additional insured.
E. Lessor of Premises
An owner or lessor of premises leased to the Named Insured, or such owner or lessors real estate manager, but
only with respect to liability for bodily injury, property damage or personal and advertising injury arising out of
the ownership, maintenance or use of such part of the premises leased to the Named Insured, and provided that
the occurrence giving rise to such bodily injury or property damage, or the offense giving rise to such personal
and advertising injury, takes place prior to the termination of such lease. The coverage granted by this
paragraph does not apply to structural alterations, new construction or demolition operations performed by, on
behalf of, or for such additional insured.
F. Mortgagee, Assignee or Receiver
A mortgagee, assignee or receiver of premises but only with respect to such mortgagee, assignee or receiver's
liability for bodily injury, property damage or personal and advertising injury arising out of the Named
Insured's ownership, maintenance, or use of a premises by a Named Insured.
The coverage granted by this paragraph does not apply to structural alterations, new construction or demolition
operations performed by, on behalf of, or for such additional insured.
G. State or Governmental Agency or Subdivision or Political Subdivisions — Permits
A state or governmental agency or subdivision or political subdivision that has issued a permit or authorization but
only with respect to such state or governmental agency or subdivision or political subdivision's liability for bodily
injury, property damage or personal and advertising injury arising out of:
1. the following hazards in connection with premises a Named Insured owns, rents, or controls and to which
this insurance applies:
a. the existence, maintenance, repair, construction, erection, or removal of advertising signs, awnings,
canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoistaway openings, sidewalk
vaults, street banners, or decorations and similar exposures; or
b. the construction, erection, or removal of elevators; or
c. the ownership, maintenance or use of any elevators covered by this insurance; or
2. the permitted or authorized operations performed by a Named Insured or on a Named Insured's behalf.
The coverage granted by this paragraph does not apply to:
a. Bodily injury, property damage or personal and advertising injury arising out of operations performed
for the state or governmental agency or subdivision or political subdivision; or
b. Bodily injury or property damage included within the products -completed operations hazard.
With respect to this provision's requirement that additional insured status must be requested under a written
contract or agreement, the Insurer will treat as a written contract any governmental permit that requires the
Named Insured to add the governmental entity as an additional insured.
H. Trade Show Event Lessor
1. With respect to a Named Insured's participation in a trade show event as an exhibitor, presenter or displayer,
any person or organization whom the Named Insured is required to include as an additional insured, but only
with respect to such person or organization's liability for bodily injury, property damage or personal and
advertising injury caused by:
CNA74705XX (1-15)
Page 3 of 17
CONTINENTAL CASUALTY COMPANY
Insured Name: OLSON BROTHERS PRO -VAC, LLC
Policy No: 6079756997
Endorsement No: 5
Effective Date: 11/16/2019
Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission.
r
CNA PARAMOUNT
Contractors' General Liability Extension Endorsement
a. the Named Insured's acts or omissions; or
b. the acts or omissions of those acting on the Named Insured's behalf,
in the performance of the Named Insured's ongoing operations at the trade show event premises during the
trade show event.
2. The coverage granted by this paragraph does not apply to bodily injury or property damage included within
the products -completed operations hazard.
2. ADDITIONAL INSURED -PRIMARY AND NON-CONTRIBUTORY TO ADDITIONAL INSURED'S INSURANCE
The Other Insurance Condition in the COMMERCIAL GENERAL LIABILITY CONDITIONS Section is amended to
add the following paragraph:
If the Named Insured has agreed in writing in a contract or agreement that this insurance is primary and non-
contributory relative to an additional insured's own insurance, then this insurance is primary, and the Insurer will not
seek contribution from that other insurance. For the purpose of this Provision 2., the additional insured's own
insurance means insurance on which the additional insured is a named insured. Otherwise, and notwithstanding
anything to the contrary elsewhere in this Condition, the insurance provided to such person or organization is excess
of any other insurance available to such person or organization.
3. BODILY INJURY— EXPANDED DEFINITION
Under DEFINITIONS, the definition of bodily injury is deleted and replaced by the following:
Bodily injury means physical injury, sickness or disease sustained by a person, including death, humiliation, shock,
mental anguish or mental injury sustained by that person at any time which results as a consequence of the physical
injury, sickness or disease.
4. BROAD KNOWLEDGE OF OCCURRENCE/ NOTICE OF OCCURRENCE
Under CONDITIONS, the condition entitled Duties in The Event of Occurrence, Offense, Claim or Suit is amended
to add the following provisions:
A. BROAD KNOWLEDGE OF OCCURRENCE
The Named Insured must give the Insurer or the Insurer's authorized representative notice of an occurrence,
offense or claim only when the occurrence, offense or claim is known to a natural person Named Insured, to a
partner, executive officer, manager or member of a Named Insured, or an employee designated by any of the
above to give such notice.
B. NOTICE OF OCCURRENCE
The Named Insured's rights under this Coverage Part will not be prejudiced if the Named Insured fails to give
the Insurer notice of an occurrence, offense or claim and that failure is solely due to the Named Insured's
reasonable belief that the bodily injury or property damage is not covered under this Coverage Part. However,
the Named Insured shall give written notice of such occurrence, offense or claim to the Insurer as soon as the
Named Insured is aware that this insurance may apply to such occurrence, offense or claim.
5. BROAD NAMED INSURED
WHO IS AN INSURED is amended to delete its Paragraph 3. in its entirety and replace it with the following:
3. Pursuant to the limitations described in Paragraph 4. below, any organization in which a Named Insured has
management control:
a. on the effective date of this Coverage Part; or
CNA74705XX (1-15) Policy No: 6079756997
Page 4 of 17 Endorsement No: 5
CONTINENTAL CASUALTY COMPANY Effective Date: 11/16/2019
Insured Name: OLSON BROTHERS PRO -VAC, LLC
Copyright CNA All Rights Reserved Includes copyrighted material of Insurance Services Office, Inc., with its permission.
OVA CNA PARAMOUNT
Contractors' General Liability Extension Endorsement
b. by reason of a Named Insured creating or acquiring the organization during the policy period,
qualifies as a Named Insured, provided that there is no other similar liability insurance, whether primary,
contributory, excess, contingent or otherwise. which crovides coverage to such organization, or which would have
provided coverage but for the exhaustion of its limit, and without regard to whether its coverage is broader or
narrower than that provided by this insurance.
But this BROAD NAMED INSURED provision does not apply to:
(a) any partnership, limited liability company or joint venture; or
(b) any organization for which coverage is excluded by another endorsement attached to this Coverage Part.
For the purpose of this provision, management control means:
A. owning interests representing more than 50% of the voting, appointment or designation power for the
selection of a majority of the Board of Directors of a corporation; or
B. having the right, pursuant to a written trust agreement, to protect, control the use of, encumber or transfer or
sell property held by a trust.
4. With respect to organizations which qualify as Named Insureds by virtue of Paragraph 3. above, this insurance
does not apply to:
a. bodily injury or property damage that first occurred prior to the date of management control, or that first
occurs after management control ceases; nor
b. personal or advertising injury caused by an offense that first occurred prior to the date of management
con -sol or that first occurs after management control ceases.
5. The insurance provided by this Coverage Part applies to Named Insureds when trading under their own names
or under such other trading names or do,ng-business-as names (dba) as any Named Insured should choose to
employ.
6. BROADENED LIABILITY COVERAGE FOR DAMAGE TO YOUR PRODUCT AND YOUR WORK
A. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled
Exclusions is amended to delete exclusions k. and I. and replace them with the following:
This insurance does not apply to:
k. Damage to Your Product
Property damage to your product arising out of it, or any part of it except when caused by or resulting from:
(1) fire;
(2) smoke;
(3) collapse; or
(4) explosion.
I. Damage to Your Work
Property damage to your work arising out of it, or any part of it and included in the products -completed
operations hazard.
This exclusion does not apply:
(1) If the damaged work, or the work out of which the damage arises, was performed on the Named
Insured's behalf by a subcontractor; or
05XX (1-15) Policy No: 6079756997
CNA74717 Endorsement No: 5
Page 5 0
CONTINENTAL CASUALTY COMPANY Effective Date: 11/16/2019
Insured Name: OLSON BROTHERS PRO -VAC, LLC
Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance services Office, Inc., with its permission.
CAM CNA PARAMOUNT
Contractors' General Liability Extension Endorsement
(2) If the cause of loss to the damaged work arises as a result of:
(a) fire;
(b) smoke;
(c) collapse; or
(d) explosion.
B. The following paragraph is added to LIMITS OF INSURANCE:
Subject to 5. above, $100,000 is the most the Insurer will pay under Coverage A for the sum of damages arising
out of any one occurrence because of property damage to your product and your work that is caused by fire,
smoke, collapse or explosion and is included within the product -completed operations hazard. This sublimit
does not apply to property damage to your work if the damaged work, or the work out of which the damage
arises, was performed on the Named Insured's behalf by a subcontractor.
C. This Broadened Liability Coverage For Damage To Your Product And Your Work Provision does not apply if
an endorsement of the same name is attached to this policy.
7. CONTRACTUAL LIABILITY— RAILROADS
With respect to operations performed within 50 feet of railroad property, the definition of insured contract is replaced
by the following:
Insured Contract means:
a. A contract for a lease of premises. However, that portion of the contract for a lease of premises that indemnifies
any person or organization for damage by fire to premises while rented to a Named Insured or temporarily
occupied by a Named Insured with permission of the owner is not an insured contract;
b. A sidetrack agreement;
c. Any easement or license agreement;
d. An obligation, as required by ordinance, to indemnify a municipality, except in connection with work for a
municipality;
e. An elevator maintenance agreement;
If. That part of any other contract or agreement pertaining to the Named Insured's business (including an
indemnification of a municipality in connection with work performed for a municipality) under which the Named
Insured assumes the tort liability of another party to pay for bodily injury or property damage to a third person
or organization. Tort liability means a liability that would be imposed by law in the absence of any contract or
agreement.
Paragraph f. does not include that part of any contract or agreement:
(1) That indemnifies an architect, engineer or surveyor for injury or damage arising out of:
(a) Preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys,
field orders, change orders or drawings and specifications; or
(b) Giving directions or instructions, or failing to give them, if that is the primary cause of the injury or
damage;
(2) Under which the Insured, if an architect, engineer or surveyor, assumes liability for an injury or damage
arising out of the insured's rendering or failure to render professional services, including those listed in (1)
above and supervisory, inspection, architectural or engineering activities.
8. ELECTRONIC DATA LIABILITY
CNA74705XX (1-15) Policy No: 6079755997
Page 6 of 17 Endorsement No: 5
CONTINENTAL CASUALTY COMPANY Effective Date: 11/16/2019
Insured Name:OLSON BROTHERS PRO -VAC, LLC
Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc, with its permission
{�,�� _ CNA PARAMOUNT
516 71.E
Contractors' General Liability Extension Endorsement
A. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled
Exclusions is amended to delete exclusion p. Electronic Data and replace it with the following:
This insurance does not apply to:
p. Access Or Disclosure Of Confidential Or Personal Information And Data -related Liability
Damages arising out of:
(1) any access to or disclosure of any person's or organization's confidential or personal information,
including patents, trade secrets, processing methods, customer lists, financial information, credit card
information, health information or any other type of nonpublic information; or
(2) the loss of, loss of use of, damage to, corruption of, inability to access, or inability to manipulate
electronic data that dues not result from physical injury to tangible property.
However, unless Paragraph (1) above applies, this exclusion does not apply to damages because of bodily
injury.
This exclusion applies even if damages are claimed for notification costs, credit monitoring expenses,
forensic expenses, public relation expenses or any other loss, cost or expense incurred by the Named
Insured or others arising out of that which is described in Paragraph (1) or (2) above.
B. The following paragraph is added to LIMITS OF INSURANCE:
Subject to 5. above, $100,000 is the most the Insurer will pay under Coverage A for all damages arising out of
any one occurrence because of property damage that results from physical injury to tangible property and
arises out of electronic data.
C. The following definition is added to DEFINITIONS:
Electronic data means information, facts or programs stored as or on, created or used on, or transmitted to or
from computer software (including systems and applications software), hard or floppy disks, CD-ROMS, tapes,
drives, cells, data processing devices or any other media which are used with electronically controlled equipment.
D. For the purpose of the coverage provided by this ELECTRONIC DATA LIABILITY Provision, the definition of
property damage in DEFINITIONS is replaced by the following:
Property damage means:
a. Physical injury to tangible property, including all resulting loss of use of that property. All such loss of use
shall be deemed to occur at the time of the physical injury that caused it;
b. Loss of use of tangible property that is not physically injured. All such loss of use shall be deemed to occur at
the time of the occurrence that caused it; or
c. Loss of, loss of use of, damage to, corruption of, inability to access, or inability to properly manipulate
electronic data, resulting from physical injury to tangible property. All such loss of electronic data shall be
_ deemed to occur at the time of the occurrence that caused it.
For the purposes of this insurance, electronic data is not tangible property.
E. If Electronic Data Liability is provided at a higher limit by another endorsement attached to this policy, then the
$100,000 limit provided by this ELECTRONIC DATA LIABILITY Provision is part of, and not in addition to, that
higher limit.
9. ESTATES, LEGAL REPRESENTATIVES, AND SPOUSES
The estates. I-eirs, legal representatives and spouses of any natural person Insured shall also be insured under this
policy; provided, however, coverage is of€arded to such estates, heirs, legal representatives, and spouses only for
CNA74705XX (1-15) Policy No: 6079756997
Page 7 of 17 Endorsement No. 5
CONTINENTAL CASUALTY COMPANY Effective Date. 11/16/2019
Insurea Name: OLSON BROTHERS PRO -VAC, LLC
Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc. with its permission.
CNA CNA PARAMOUNT
Contractors' General Liability Extension Endorsement
claims arising solely out of their capacity or status as such and, in the case of a spouse, where such claim seeks
damages from marital community property, jointly held property or property transferred from such natural person
Insured to such spouse. No coverage is provided for any act, error or omission of an estate. heir, legal
representative, or spouse outside the scope of such person's capacity or status as such, provided however that the
spouse of a natural person Named Insured and the spouses of members or partners of joint venture or partnership
Named Insureds are Insureds with respect to such spouses' acts, errors or omissions in the conduct of the Named
Insured's business.
10. EXPECTED OR INTENDED INJURY — EXCEPTION FOR REASONABLE FORCE
Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled
Exclusions is amended to celete the exclusion entitled Expected or Intended Injury and replace it with the following:
This insurance does not apply to:
Expected or Intended Injury
Bodily injury or property damage exp«acted or intended from the standpoint of the Insured. This exclusion does not
apply to bodily injury or property damage resulting from the use of reasonable force to protect persons or property.
11. GENERAL AGGREGATE LIMITS OF INSURANCE - PER PROJECT
A. For each construction project away from premises the Named Insured owns or rents, a separate Construction
Project General Aggregate Limit, equal to the amount of the General Aggregate Limit shown in the Declarations,
Is tale most the Insurer will pay for the sum of:
1. All damages under Coverage A, except damages because of bodily injury or property damage included in
the products -completed operations hazard; and
2. All medical expenses under Coverage C,
that arise from occurrences or accidents which can be attributed solely to ongoing operations at that construction
project. Such payments shall not reduce the General Aggregate Limit shown in the Declarations, nor the
Construction Project General Aggregate Limit of any other construction project.
B. All:
1. Damages under Coverage B, regardless of the number of locations or construction projects involved;
2. Damages under Coverage A, caused by occurrences which cannot be attributed solely to ongoing
operations at a single construction project, except damages because of bodily injury or property damage
ncludea in the products -completed operations hazard; and
3. Medical expenses under Coverage C caused by accidents which cannot be attributed solely to ongoing
operations at a single construction project,
will reduce the General Aggregate Limit shown in the Declarations.
C. The limits shown in the Declarations for Each Occurrence, for Damage To Premises Rented To You and for
Medical Expense continue to apply, but will be subject to either the Construction Project General Aggregate Limit
or the General Aggregate Limit shown in the Declarations, depending on whether the occurrence can be
attributed solely to ongoing operations at a particular construction project.
D. When coverage for liability arising out of the products -completed operations hazard is provided, any payments
for damages because of bodily injury or property damage included in the products -completed operations
hazard will reduce the Products -Completed Operations Aggregate Limit shown in the Declarations, regardless of
the number of projects involved.
4705X (1-15) Policy No: 6079756997
CNA7Endorsement No: 5
Page 4 0 X
CONTINENTAL CASUALTY COMPANY Effective Date: 11/16/2019
Insured Name: OLSON BROTHERS PRO -VAC, LLC
Copyright CNA All Rights Reserved Includes copyrighted material of Insurance Services Office, Inc., with its permission.
CNA CNA PARAMOUNT
Contractors' General Liability Extension Endorsement
E. If a single construction project away from premises owned by or rented to the Insured has been abandoned and
then restarted, or if the authorized contracting parties deviate from plans, blueprints, designs, specifications or
timetables, the project will still be deemed to be the same construction project.
F. The provisions of LIMITS OF INSURANCE not otherwise modified by this endorsement shall continue to apply as
stipulated.
12. IN REM ACTIONS
A quasi in rem action against any vessel owned or operated by or for the Named Insured, or chartered by or for the
Named Insured, will be treated in the- same manner as though the action were in personam against the Named
Insured.
13. INCIDENTAL HEALTH CARE MALPRACTICE COVERAGE
Solely with respect to bodily injury that arises out of a health care incident:
A. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled
Insuring Agreement is amended to replace Paragraphs 1.b.(1) and 1.b.(2) with the following:
b. This insurance applies to bodily injury provided that the professional health care services are incidental to
the Named Insured's primary business purpose, and only if:
(1) such bodily injury is caused by an occurrence that takes place in the coverage territory.
(2) the bodily injury first occurs during the policy period. All bodily injury arising from an occurrence will
be deemed to have occurred at the time of the first act, error, or omission that is part of the occurrence;
and
B. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled
Exclusions is amended to:
I. add the following to the Employers Liability exclusion:
This exclusion applies only if the bodily injury arising from a health care incident is covered by other
liability insurance available to the Insured (or which would have been available but for exhaustion of its
limits).
ii. delete the exclusion entitled Contractual Liability and replace it with the following:
This insurance does not apply to:
Contractual Liability
the Insured's actual or alleged liability under any oral or written contract or agreement, including but not
limited to express warranties or guarantees.
iii. add the following additional exclusions:
This insurance does not apply to:
Discrimination
any actual or alleged discrimination, hl.in- !.iation or harassment, including but not limited to claims based on
an individual's race, creed, color, age, gender, national origin, religion, disability, marital sl.aluS or sexual
orientation.
Dishonesty or Crime
Any actual or alleged dishonest, criminal or malicious act, error or omission.
Medicare/Medicaid Fraud
Policy No: 6079756997
CNA74705)(X(1-15) 17 Endorsement No: 5
Page
CONTINENTAL CASUALTY COMPANY Effective Date: 11/16/2019
Insured Name: OLSON BROTHERS PRO -VAC, LLC
Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission.
fPM CNA PARAMOUNT i
Contractors' General Liability Extension Endorsement,
any actual or alleged violation of law with respect to Medicare, Medicaid, Tricare or any similar federal, state
or local governmental program.
Services Excluded by Endorsement
Any health care incident for which coverage is excluded by endorsement.
C. DEFINITIONS is amended to:
L add the following definitions:
Health care incident means an act, error or omission by the Named Insured's employees or volunteer
workers in the rendering of:
a. professional health care services on behalf of the Named Insured or
b. Good Samaritan services rendered in an emergency and for which no payment is demanded or received.
Professional health care services means any health care services or the related furnishing of food,
beverages, medical supplies or appliances by the following providers in their capacity as such but solely to
the extent they are duly licensed as required:
a.
Physician;
b.
Nurse;
c.
Nurse practitioner;
d.
Emergency medical technician;
e.
Paramedic;
f.
Dentist;
g.
Physical therapist;
h.
Psychologist;
i.
Speech therapist;
j. Other allied health professional; or
Professional health care services does not include any services rendered in connection with human clinical
trials or product testing.
ii. delete the definition of occurrence and replace it with the following:
Occurrence means a health care incident. All acts, errors or omissions that are logically connected by any
common fact, circumstance, situation, transaction, event, advice or decision will be considered to constitute a
single occurrence;
iii. amend the definition of Insured to:
a. add the following:
the Named Insured's employees are Insureds with respect to:
(1) bodily injury to a co -employee while in the course of the co -employee's employment by the
Named Insured or while performing duties related to the conduct of the Named Insured's
business; and
CNA74705XX (1-15) Policy No: 6079756997
Page 10 of 17 Endorsement No: 5
CONTINENTAL CASUALTY COMPANY Effective Date: 11/16/2019
Insured Name: OLSON BROTHERS PRO -VAC, LLC
Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission
7 y CNA PARAMOUNT
Contractors' General Liability Extension Endorsement
(2) bodily injury to a volunteer worker while performing duties related to the conduct of the
Named Insured's business;
when such bodily injury arises out of a health care incident.
the Named Insured's volunteer workers are Insureds with respect to:
(1) bodily injury to a co -volunteer worker while performing duties related to the conduct of the
Named Insured's business; and
(2) bodily injury to an employee while in the course of the employee's employment by the Named
Insured or while performing duties related to the conduct of the Named Insured's business;
when such bodily injury arises out of a health care incident.
b. delete Subparagraphs (a), (b), (c) and (d) of Paragraph 2.a.(1) of WHO IS AN INSURED.
D. The Other Insurance condition is amended to delete Paragraph b.(1) in its entirety and replace it with the
following:
Other Insurance
b. Excess Insurance
(1) To the extent this insurance applies, it is excess over any other insurance, self insurance or risk transfer
instrument, whether primary, excess, contingent or on any other basis, except for insurance purchased
specifically by the Named Insured to be excess of this coverage.
14. JOINT VENTURES 1 PARTNERSHIP / LIMITED LIABILITY COMPANIES
WHO IS AN INSURED is amended to delete its last paragraph and replace it with the following:
No person or arganitation is an Insured with respect to the conduct of any current or past partnership, joint venture or
limited liability company That is not snov. n :s a Named insured in the Declarations, except that if the Named Insured
was a joint venturer, palrer. or mernl er of a united liability company and such joint venture, partnership or limited
liability company terminated prior to or dunna the policy period, such Named Insured is an Insured with respect to
its interest in such joint venture, partnership or IIm ted liability company but only to the extent that:
a. any offense giving rise to personal and advertising injury occurred prior to such termination: date, and the
personal and advertising injury arising out of such offense rirst occurred after such termination date;
b. the bodily injury or property damage first occurred after such termination date; and
c. there is no other valid and collectible insurance purchased specifically to insure the partnership, joint venture or
limited liability company; and
If the joint venture, partnership or limited liability company is or was insured under a consolidated (wrap-up)
insurance program, then such insurance will always be considered valid and collectible for the purpose of paragraph
c. above. But this provision will not serve to exclude bodily injury, property damage or personal and advertising
injury that would otherwise be covered under the Contractors General Liability Extension Endorsement provision
entitled WRAP-UP EXTENSION: OCIP, CCIP, OR CONSOLIDATED (WRAP-UP) INSURANCE PROGRAMS.
Please see that provision for the definition of consolidated (wrap-up) insurance program.
15. LEGAL LIABILITY — DAMAGE TO PREMISES / ALIENATED PREMISES / PROPERTY IN THE NAMED
INSURED'S CARE, CUSTODY OR CONTROL
A. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled
Exclusions is amended to delete exclusion j. Damage to Property in its entirety and replace it with the following:
This insurance does not apply to:
CNA74705XX (1-15) Policy No: 6079756997
Page 11 of 17 Endorsement No: 5
CONTINENTAL CASUALTY COMPANY Effective Date: 11/16/2019
Insured Name: OLSON BROTHERS PRO -VAC, LLC
Copyright CNA All Rights Reserved Includes copyrighted material of Insurance Services Office, Inc., with its permission.
CNA PARAMOUNT
-
Contractors' General Liability Extension Endorsement
j. Damage to Property
Property damage to:
(1) Property the Named Insured owns, rents, or occupies, including any costs or expenses incurred by you,
or any other person, crganization or entity, for repair, replacement, enhancement, restoration or
maintenance of such property for any reason, including prevention of injury to a person or damage to
another's property;
(2) Premises the Named Insured sells, gives away or abandons, if the property damage arises out of any
part of those premises;
(3) Property loaned to the Named Insured;
(4) Personal property in the care, custody or control of the Insured;
(5) That particular part of real property on which the Named Insured or any contractors or subcontractors
working directly or indirectly on the Named Insured's behalf are performing operations, if the property
damage arises out of those operations; or
(6) That particular part of any property that must be restored, repaired or replaced because your work was
incorrectly performed on it.
Paragraphs (1), (3) and (4) of this exclusion do not apply to property damage (other than damage by fire) to
premises rented to the Named Insured or temporarily occupied by the Named Insured with the permission of
the owner, nor to the contents of premises rented to the Named Insured for a period of 7 or fewer
consecutive days. A separate limit of insurance applies to Damage To Premises Rented To You as described
in LIMITS OF INSURANCE.
Paragraph (2) of this exclusion does not apply if the premises are your work.
Paragraphs (3), (4), (5) and (6) of this exclusion do not apply to liability assumed under a sidetrack
agreement.
Paragraph (6) of this exclusion does not apply to property damage included in the products -completed
operations hazard.
Paragraphs (3) and (4) of this exclusion do not apply to property damage to:
L tools, or equipment the Named Insured borrows from others, nor
ii. other personal property of others in the Named Insured's care, custody or control while being used in the
Named Insured's operations away from any Named Insured's premises.
However, the coverage granted by this exception to Paragraphs (3) and (4) does not apply to:
a. property at a job site awaiting or during such property's installation, fabrication, or erection;
b. property that is mobile equipment leased by an Insured;
c. property that is an auto, aircraft or watercraft;
d. property in transit; or
e. any portion of property damage for which the Insured has available other valid and collectible
insurance, or would have such insurance but for exhaustion of its limits. or but for application of one of its
exclusions.
A separate limit of insurance and deductible apply to such property of others. See LIMITS OF INSURANCE
as amended below.
CNA74705XX (1-15) Po Icy o: 607975699
Page 12 of 17 Endorsement No: 5
CONTINENTAL CASUALTY COMPANY Effective Date: 11/16/2019
Insured Name: OLSON BROTHERS PRO -VAC, LLC
copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with ils permission.
CNA CNA PARAMOUNT
Contractors' General Liability Extension Endorsement
B. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled
Exclusions is amended to delete its last paragraph and replace it with the following:
Exclusions c. through n. do not appy to darnaae by fire to premises while rented to a Named Insured or
temporarily Occup ed by a Named Insured with permission of the owner, nor to damage to the contents of
premises rented to a Named Insured for a period of 7 or fewer consecutive days.
A separate limit of insurance applies to this coverage as described in LIMITS OF INSURANCE.
C. The following paragraph is added to LIMITS OF INSURANCE:
Subject to 5. above, $25,000 is the most the Insurer will pay under Coverage A for damages arising out of any
one occurrence because of the sum of all property damage to borrowed tools or equipment, and to other
personal property of others in the Named Insured's care, custody or control, while being used in the Named
Insured's operations away from any Named Insured's premises. The Insurer's obligation to pay such property
damage does not apply until the amount of such property damage exceeds $1,000. The Insurer has the right but
not the duty to pay any portion of this $1,000 in order to effect settlement. If the Insurer exercises that right, the
Named Insured will promptly reimburse the Insurer for any such amount.
D. Paragraph 6., Damage To Premises Rented To You Limit, of LIMITS OF INSURANCE is deleted and replaced by
the following:
6. Subject to Paragraph 5. above, (the Each Occurrence Limit), the Damage To Premises Rented To You Limit
is the most the Insurer will pay under Coverage A for damages because of property damage to any one
premises while rented to the Named Insured or tern porari".y occupied by the Named Insured with the
permission of the owner, including contents of rich prernises rented to ,he Named Insured for a period of 7
or fewer consecutive days The Damage To -remises Rented To You Limit is the greater of:
a. $500,000; or
b. The Damage To Premises Rented To You Limit shown in the Declarations.
E. Paragraph 4,b.(1)(a)(ii) of the Other Insurance Condition is deleted and replaced by the following:
(ii) That is property insurance for premises rented to the blamed Insured, for premises temporarily occupied by
the Named Insured with the permission of the owr,r;r of property of others in the Named
Insured's care, custody or control;
16. LIQUOR LIABILITY
_ Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled
Exclusions is amended to delete the exclusion entitled Liquor Liability.
- This LIQUOR LIABILITY provision does not apply to any person or organization who otherwise qualifies as an
additional insured on this Coverage Part.
17. MEDICAL PAYMENTS
_ A. LIMITS OF INSURANCE is amended to delete Paragraph 7. (the Medical Expense Limit) and replace it with the
following:
7. Subject to Paragraph 5. above (the Each occurrence Limit), the Medical Expense Limit is the most the
Insurer will pay under Coverage C — Medical Payments for all medical experses because of bodily injury
sustalred by &viy :are person. The Medical Expense Limit is the greater of:
(1) $15,000 unless a different amount is shown here: $N,NNN,NNN,NNN; or
(2) the amount shown in the Declarations for Medical Expense Limit.
CNA74705XX (1-15) Policy No: 6079756997
Page 13 of 17 Endorsement No: 5
CONTINENTAL CASUALTY COMPANY Effective Date: 11/16/2019
Insured Name: OLSON BROTHERS PRO -VAC, LLC
Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission.
CNA PARAMOUNT
Contractors' General Liability Extension Endorsement
B. Under COVERAGES, the Insuring Agreement of Coverage C — Medical Payments is amended to replace
Paragraph 1.a.(3)(b) with the following:
(b) The expenses are incurred and reported to the Insurer within three years of the date of the accident; and
18. NON -OWNED AIRCRAFT
Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled
Exclusions is amended as follows:
The exclusion entitled Aircraft, Auto or Watercraft is amended to add the following:
This exclusion does not apply to an aircraft not owned by any Named Insured, provided that:
1. the pilot in command holds a currently effective certificate issued by the duly constituted authority of the United
States of America or Canada, designating that person as a commercial or airline transport pilot;
2. the aircraft is rented with a trained, paid crew to the Named Insured; and
3. the aircraft is not being used to carry persons or property for a charge.
19. NON -OWNED WATERCRAFT
Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled
Exclusions is amended to delete subparagraph (2) of the exclusion entitled Aircraft, Auto or Watercraft, and
replace it with the following.
This exclusion does not apply to:
(2) a watercraft that is not owned by any Named Insured, provided the watercraft is:
(a) less than 75 feet long; and
(b) not being used to carry persons or property for a charge.
20. PERSONAL AND ADVERTISING INJURY—DISCRIMINATION OR HUMILIATION
A. Under DEFINITIONS, the definition of personal and advertising injury is amended to add the following tort:
Discrimination or humiliation that results in injury to the feelings or reputation of a natural person.
B. Under COVERAGES, Coverage B — Personal and Advertising Injury Liability, the paragraph entitled
Exclusions is amended to:
1. delete the Exclusion entitled Knowing Violation Of Rights Of Another and replace it with the following:
This insurance does not apply to:
Knowing Violation of Rights of Another
Personal and advertising injury caused by or at the direction of the Insured with the knowledge that the act
would violate the rights of another and would inflict personal and advertising injury. This exclusion shall not
apply to discrimination or humiliation that results in injury to the feelings or reputation of a natural person, but
only if such discrimination or humiliation is not done intentionally by or at the direction of:
(a) the Named Insured; or
(b) any executive officer, director, stockholder, partner, member or manager (if the Named Insured is a
limited liability company) of the Named Insured.
2. add the following exclusions:
CNA74705XX (1-15) Policy No:
Page 14 of 17 Endorsement No:
CONTINENTAL CASUALTY COMPANY Effective Date:
Insured Name: OLSON BROTHERS PRO -VAC, LLC
Copyright CNA All Rights Reserved Includes copyrighted material of Insurance Services Office, Inc., with its permission.
6079756997
5
11/16/2019
CNA CNA PARAMOUNT
Contractors' General Liability Extension Endorsement
This insurance does not apply to:
Employment Related Discrimination
Discrimination or humiliation directly or indirectly related to the employment, prospective employment, past
employment or termination of employment of any person by any Insured.
Premises Related Discrimination
discrimination or humiliation arising out of the sale, rental, lease or sub -lease or prospective sale, rental,
lease or sub -lease of any room, dwelling or premises by or at the direction of any Insured.
Notwithstanding the above, there is no coverage for fines or penalties levied or imposed by a governmental entity
because of discrimination.
The coverage provided by this PERSONAL AND ADVERTISING INJURY —DISCRIMINATION OR HUMILIATION
Provision does not apply to any person or organization whose status as an Insured derives solely from
Provision 1. ADDITIONAL INSURED of this endorsement; or
attachment of an additional insured endorsement to this Coverage Part.
This PERSONAL AND ADVERTISING INJURY —DISCRIMINATION OR HUMILIATION Provision does not apply to
any person or organization who otherwise qualifies as an additional insured on this Coverage Part.
21. PERSONAL AND ADVERTISING INJURY - CONTRACTUAL LIABILITY
A. Under COVERAGES, Coverage B —Personal and Advertising Injury Liability, the paragraph entitled
Exclusions is amended to delete the exclusion entitled Contractual Liability.
B. Solely for the purpose of the coverage provided by this PERSONAL AND ADVERTISING INJURY -
CONTRACTUAL LIABILITY provision, the following changes are made to the section entitled
SUPPLEMENTARY PAYMENTS — COVERAGES A AND B:
1. Paragraph 2.d. is replaced by the following:
d. The allegations in the suit and the information the Insurer knows about the offense alleged in such suit
are such that no conflict appears to exist between the interests of the Insured and the interests of the
indemnitee;
2. The first unnumbered paragraph beneath Paragraph 2.f.(2)(b) is deleted and replaced by the following:
So long as the above conditions are met, attorneys fees incurred by the Insurer in the defense of that
indemnitee, necessary litigation expenses incurred by the Insurer, and necessary litigation expenses incurred
by the indemnitee at the Insurer's request will be paid as defense costs. Such payments will not be deemed
to be damages for personal and advertising injury and will not reduce the limits of insurance.
C. This PERSONAL AND ADVERTISING INJURY - CONTRACTUAL LIABILITY Provision does not apply if
Coverage B —Personal and Advertising Injury Liability is excluded by another endorsement attached to this
Coverage Part.
This PERSONAL AND ADVERTISING INJURY - CONTRACTUAL LIABILITY Provision does not apply to any
person or organization who otherwise qualifies as an additional insured on this Coverage Part.
22. PROPERTY DAMAGE —ELEVATORS
A. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled
Exclusions is amended such that the Damage to Your Product Exclusion and subparagraphs (3), (4) and (6) of
the Damage to Property Exclusion do not apply to property damage that results from the use of elevators.
CNA74705XX (1-15) Policy No: 6079756997
Page 15 of 17 Endorsement No: 5
CONTINENTAL CASUALTY COMPANY Effective Date: 11/16/2019
Insured Name: OLSON BROTHERS PRO -VAC, LLC
Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission
CPIA CNA PARAMOUNT �
Contractors' General Liability Extension Endorsement
B. Solely for the purpose of the coverage provided by this PROPERTY DAMAGE — ELEVATORS Provision, the
Other Insurance conditions is amended to add the following paragraph:
This insurance is excess over any of the other insurance, whetl'ier primary, excess, contingent or on any other
basis that is Property insurance covering property of others damaged franc the use of elevators.
23. SUPPLEMENTARY PAYMENTS
The section entitled SUPPLEMENTARY PAYMENTS — COVERAGES A AND B is amended as follows:
A. Paragraph 1.b. is amended to delete the $250 limit shown for the cost of bail bonds and replace it with a $5,000.
limit; and
B. Paragraph 1.d. is amended to delete the limit of $250 shown for daily loss of earnings and replace it with a
$1,000. limit.
24. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS
If the Named Insured unintentionally falls to disclose all exisiing hazards at the inception date of the Named
Insured's Coverage Part, the Insurer will not deny coverage undef this Coverage Part because of such failure.
25. WAIVER OF SUBROGATION - BLANKET
Under CONDITIONS, the condition entitled Transfer Of Rights Of Recovery Against Others To Us is amended to
add the following:
The Insurer waives any right of recovery the Insurer may have against any person or organization because of
payments the Insurer makes for injury or damage arising out of.
1. the Named Insured's ongoing operations; or
2. your work included in the products -completed operations hazard.
However, this waiver applies only when the Named Insured has agreed in writing to waive such rights of recovery in
a written contract or written agreement, and only if such contract or agreement:
1. is in effect or becomes effective during the term of this Coverage Part; and
2. was executed prior to the bodily injury, property damage or personal and advertising injury giving rise to the
claim.
26. WRAP-UP EXTENSION: OCIP, CCIP, OR CONSOLIDATED (WRAP-UP) INSURANCE PROGRAMS
Note: The following provision does not apply to any public construction project in the state of Oklahoma, nor to any
construction project in the state of Alaska, that is not permitted to be insured under a consolidated (wrap-up)
insurance program by applicable state statute or regulation.
If the endorsement EXCLUSION — CONSTRUCTION WRAP-UP is attached to this policy, or another exclusionary
endorsement pertaining to Owner Controlled Insurance Programs (O.C.I.P.) or Contractor Controlled Insurance
Programs (C.C.I.P.) is attached, then the following changes apply:
A. The following wording is added to the above -referenced endorsement:
With respect to a consolidated (wrap-up) insurance program project in which the Named Insured is or was
involved, this exclusion does not apply to those sums the Named Insured become legally obligated to pay as
damages because of:
1. Bodily injury, property damage, or personal or advertising injury that occurs during the Named Insured's
ongoing operations at the project, or during such operations of anyone acting on the Named Insured's
behalf; nor
CNA74705XX (1-15) roIvo:
Page 16 of 17 Endorsemeentnt No:
CONTINENTAL CASUALTY COMPANY Effective Date:
Insured Name: OLSON BROTHERS PRO -VAC, LLC
Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission.
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5
11/16/2019
r 7 CNA PARAMOUNT
Contractors' General Liability Extension Endorsement
2. Bodily injury or property damage included within the products -completed operations hazard that arises
out of those portions of the project that are not residential structures.
B. Condition 4. Other Insurance is amended to add the following subparagraph 4.b.(1)(c):
This insurance is excess over:
(c) Any of the other insurance whether primary, excess, contingent or any other basis that is insurance available
to the Named Insured as a result of the Named Insured being a participant in a consolidated (wrap-up)
insurance program, but only as respects the Named Insured's involvement in that consolidated (wrap-up)
insurance program.
C. DEFINITIONS is amended to add the following definitions:
Consolidated (wrap-up) insurance program means a construction, erection or demolition project for which the
prime contractor/project manager or owner of the construction project has secured general liability insurance
covering some or all of the contractors or subcontractors involved in the project, such as an Owner Controlled
Insurance Program (O.C.I.P.) or Contractor Controlled Insurance Program (C.GI.P.).
Residential structure means any structure where 30% or more of the square foot area is used or is intended to
be used for human residency, including but not limited to:
1, single or multifamily housing, apartments, condominiums, townhouses, co-operatives or planned unit
developments; and
2. the common areas and structures appurtenant to the structures in paragraph 1. (including pools, hot tubs,
detached garages, guest houses or any similar structures).
However, when there is no individual ownership of units, residential structure does not include military housing,
college/university housing or dormitories, long term care facilities, hotels or motels. Residential structure also
does not include hospitals or prisons.
This WRAP-UP EXTENSION: OCIP, CCIP, OR CONSOLIDATED (WRAP-UP) INSURANCE PROGRAMS Provision
does not apply to any person or organization who otherwise qualifies as an additional insured on this Coverage Part.
All other terms and conditions of the Policy remain unchanged.
m
This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect
on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and
expires concurrently with said Policy.
N
CNA74705XX (1-15)Y
POIIC NO: 6079756997
Page 17 of 17 Endorsement No: 5
CONTINENTAL CASUALTY COMPANY Effective Date: 11/16/2019
Insured Name: OLSON BROTHERS PRO -VAC, LLC
Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc , with its permission.
�.Q CNA PARAMOUNT
Blanket Additional Insured - Owners, Lessees or
Contractors - with Products -Completed
Operations Coverage Endorsement
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
It is understood and agreed as follows:
I. WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required by
written contract to add as an additional insured on this coverage part, but only with respect to liability for bodily
injury, property damage or personal and advertising injury caused in whole or in part by your acts or omissions, or
the acts or omissions of those acting on your behalf:
A. in the performance of your ongoing operations subject to such written contract; or
B. in the performance of your work subject to such written contract, but only with respect to bodily injury or
property damage included in the products -completed operations hazard, and only if:
1. the written contract requires you to provide the additional insured such coverage; and
2. this coverage part provides such coverage.
it. But if the written contract requires:
A. additional insured coverage under the 11-85 edition, 10-93 edition, or 10-01 edition of CG2010, or under the 10-
01 edition of CG2037; or
B. additional insured coverage with "arising out of language; or
C. additional insured coverage to the greatest extent permissible by law;
then paragraph 1. above is deleted in its entirety and replaced by the following:
WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required by
written contract to add as an additional insured on this coverage part, but only with respect to liability for bodily
injury, property damage or personal and advertising injury arising out of your work that is subject to such written
contract.
Ill. Subject always to the terms and conditions of this policy, including the limits of insurance, the Insurer will not provide
such additional insured with:
A. coverage broader than required by the written contract; or
B. a higher limit of insurance than required by the written contract.
IV. The insurance granted by this endorsement to the additional insured does not apply to bodily injury, property
damage, or personal and advertising injury arising out of:
A. the rendering of, or the failure to render, any professional architectural, engineering, or surveying services,
including:
1. the preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys,
field orders, change orders or drawings and specifications; and
2. supervisory, inspection, architectural or engineering activities; or
B. any premises or work for which the additional insured is specifically listed as an additional insured on another
_ endorsement attached to this coverage part.
V. Under COMMERCIAL GENERAL LIABILITY CONDITIONS, the Condition entitled Other Insurance is amended to
add the following, which supersedes any provision to the contrary in this Condition or elsewhere in this coverage
part:
CNA75079XX (10-16) Policy No: 6079756997
Page 1 of 2 Endorsement No: 7
CONTINENTAL CASUALTY COMPANY Effective Date: 11/16/2019
Insured Name: OLSON BROTHERS PRO -VAC, LLC
Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission.
Primary and Noncontributory Insurance
CNA PARAMOUNT
Blanket Additional Insured - Owners, Lessees or,
Contractors - with Products -Completed
Operations Coverage Endorsement
With respect to other insurance available to the additional insured under which the additional insured is a named
insured, this insurance is primary to and will not seek contribution from such other insurance, provided that a written
contract requires the insurance provided by this policy to be:
1. primary and non-contributing with other insurance available to the additional insured; or
2. primary and to not seek contribution from any other insurance available to the additional insured.
But except as specified above, this insurance will be excess of all other insurance available to the additional insured.
VI. Solely with respect to the insurance granted by this endorsement, the section entitled COMMERCIAL GENERAL
LIABILITY CONDITIONS is amended as follows:
The Condition entitled Duties In The Event of Occurrence, Offense, Claim or Suit is amended with the addition of
the following:
Any additional insured pursuant to this endorsement will as soon as practicable:
1. give the Insurer written notice of any claim, or any occurrence or offense which may result in a claim;
2. send the Insurer copies of all legal papers received, and otherwise cooperate with the Insurer in the investigation,
defense, or settlement of the claim; and
3. make available any other insurance, and tender the defense and indemnity of any claim to any other insurer or
self -insurer, whose policy or program applies to a loss that the Insurer covers under this coverage part. However,
if the written contract requires this insurance to be primary and non-contributory, this paragraph 3. does not
apply to insurance on which the additional insured is a named insured.
The Insurer has no duty to defend or indemnify an additional insured under this endorsement until the Insurer receives
written notice of a claim from the additional insured.
VII. Solely with respect to the insurance granted by this endorsement, the section entitled DEFINITIONS is amended to
add the following definition:
Written contract means a written contract or written agreement that requires you to make a person or organization an
additional insured on this coverage part, provided the contract or agreement:
A. is currently in effect or becomes effective during the term of this policy; and
B. was executed prior to --
1.
o:1. the bodily injury or property damage; or
2. the offense that caused the personal and advertising injury;
for which the additional insured seeks coverage.
Any coverage granted by this endorsement shall apply solely to the extent permissible by law.
All other terms and conditions of the Policy remain unchanged.
This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect
on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and
expires con:,,_jrr1=r4'1y with said Policy.
CNA75079XX (10-16) Policy No: 6079756997
Page 2 of 2 Endorsement No: 7
CONTINENTAL CASUALTY COMPANY Effective Date: 11/16/2019
Insured Name: OLSON BROTHERS PRO -VAC, LLC
Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission.
Business Auto Policy
Policy Endorsement
I
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
I. LIABILITY COVERAGE
A. Who Is An Insured
The following is added to Section II, Paragraph A.1., Who Is An Insured:
1. a. Any incorporated entity of which the Named Insured owns a majority of the voting stock on the
date of inception of this Coverage Form; provided that,
b. The insurance afforded by this provision A.1. does not apply to any such entity that is an
insured under any other liability "policy" providing auto coverage.
2. Any organization you newly acquire or form, other than a limited liability company, partnership or
joint venture, and over which you maintain majority ownership interest.
The insurance afforded by this provision A.2.:
a. Is effective on the acquisition or formation date, and is afforded only until the end of the policy
period of this Coverage Form, or the next anniversary of its inception date, whichever is earlier.
b. Does not apply to:
(1) Bodily injury or property damage caused by an accident that occurred before you acquired or
formed the organization; or
(2) Any such organization that is an insured under any other liability "policy" providing auto
coverage.
3. Any person or organization that you are required by a written contract to name as an additional
insured is an insured but only with respect to their legal liability for acts or omissions of a person,
who qualifies as an insured under SECTION II — WHO IS AN INSURED and for whom Liability
Coverage is afforded under this policy. If required by written contract, this insurance will be primary
and non-contributory to insurance on which the additional insured is a Named Insured.
4. An employee of yours is an insured while operating an auto hired or rented under a contract or
agreement in that employee's name, with your permission, while performing duties related to the
conduct of your business.
"Policy", as used in this provision A. Who Is An Insured, includes those policies that were in force on
the inception date of this Coverage Form but:
1. Which are no longer in force; or
2. Whose limits have been exhausted.
B. Bail Bonds and Loss of Earnings
Section II, Paragraphs A.2. (2) and A.2. (4) are revised as follows:
1. In a.(2), the limit for the cost of bail bonds is changed from 82,000 to $5,000; and
2. In a.(4), the limit for the loss of earnings is changed from $250 to $500 a day.
Form No: CNA63359XX (04-2012)
Endorsement Effective Date: Endorsement Expiration Date:
Endorsement No: 12; Page: 1 of 4
Underwriting Company: The Continental Insurance Company, 151 N Franklin St, Chicago, IL 60606
m Copyright CNA All Rights Reserved. Includes copyrighted material of the
Insurance Services Office, Inc., used with its permission.
Policy No: BUA 6079761990
Policy Effective Date: 11116/2019
Policy Page: 55 of 350
Business Auto Policy
Policy Endorsement
C. Fellow Employee
Section 11, Paragraph B.5 does not apply.
Such coverage as is afforded by this provision C. is excess over any other collectible insurance.
11. PHYSICAL DAMAGE COVERAGE
A. Glass Breakage — Hitting A Bird Or Animal — Falling Objects Or Missiles
The following is added to Section 111, Paragraph A.3.:
With respect to any covered auto, any deductible shown in the Declarations will not apply to glass
breakage if such glass is repaired, in a manner acceptable to us, rather than replaced.
B. Transportation Expenses
Section III, Paragraph A.4.a. is revised, with respect to transportation expense incurred by you, to
provide:
a. $60 per day, in lieu of $20; subject to
b. $1,800 maximum, in lieu of $600.
C. Loss of Use Expenses
Section III, Paragraph A.4.b. is revised, with respect to loss of use expenses incurred by you, to
provide:
a. $1,000 maximum, in lieu of $600.
D. Hired "Autos"
The following is added to Section III. Paragraph A.:
5. Hired "Autos"
If Physical Damage coverage is provided under this policy, and such coverage does not extend to Hired
Autos, then Physical Damage coverage is extended to:
a. Any covered auto you lease, hire, rent or borrow without a driver; and
b. Any covered auto hired or rented by your employee without a driver, under a contract in that
individual employee's name, with your permission, while performing duties related to the
conduct of your business.
c. The most we will pay for any one accident or loss is the actual cash value, cost of repair, cost
of replacement or $75,000, whichever is less, minus a $500 deductible for each covered auto.
No deductible applies to loss caused by fire or lightning.
d. The physical damage coverage as is provided by this provision is equal to the physical damage
coverage(s) provided on your owned autos.
e. Such physical damage coverage for hired autos will:
(1) Include loss of use, provided it is the consequence of an accident for which the Named
Insured is legally liable, and as a result of which a monetary loss is sustained by the leasing
or rental concern.
(2) Such coverage as is provided by this provision will be subject to a limit of $750 per
accident.
E. Airbag Coverage
The following is added to Section 111, Paragraph B.3.:
The accidental discharge of an airbag shall not be considered mechanical breakdown.
Form No: CNA63359XX (04-2012) Policy No: BUA 6079761990
Endorsement Effective Date: Endorsement Expiration Date: Policy Effective Date: 1111612019
Endorsement No: 12; Page: 2 of 4 Policy Page: 56 of 350
Underwriting Company: The Continental Insurance Company, 151 N Franklin St, Chicago, IL 60606
® Copyright CNA All Rights Reserved. Includes copyrighted material of the
Insurance Services Office, Inc., used with its permission.
F. Electronic Equipment
Business Auto Policy
Policy Endorsement
Section III, Paragraphs B.4.c and B.4.d. are deleted and replaced by the following:
c. Physical Damage Coverage on a covered auto also applies to loss to any permanently installed
electronic equipment including its antennas and other accessories
d. A $100 per occurrence deductible applies to the coverage provided by this provision.
G. Diminution In Value
The following is added to Section III, Paragraph B.6.:
Subject to the following, the diminution in value exclusion does not apply to:
a. Any covered auto of the private passenger type you lease, hire, rent or borrow, without a driver
for a period of 30 days or less, while performing duties related to the conduct of your business;
and
b. Any covered auto of the private passenger type hired or rented by your employee without a
driver for a period of 30 days or less, under a contract in that individual employee's name, with
your permission, while performing duties related to the conduct of your business.
c. Such coverage as is provided by this provision is limited to a diminution in value loss arising
directly out of accidental damage and not as a result of the failure to make repairs; faulty or
incomplete maintenance or repairs; or the installation of substandard parts.
d. The most we will pay for loss to a covered auto in any one accident is the lesser of:
(1) $5,000; or
(2) 20% of the auto's actual cash value (ACV).
III. Drive Other Car Coverage — Executive Officers
The following is added to Sections II and III:
1. Any auto you don't own, hire or borrow is a covered auto for Liability Coverage while being used by,
and for Physical Damage Coverage while in the care, custody or control of, any of your "executive
officers", except:
a. An auto owned by that "executive officer" or a member of that person's household; or
b. An auto used by that "executive officer" while working in a business of selling, servicing, repairing
or parking autos.
Such Liability and/or Physical Damage Coverage as is afforded by this provision.
(1) Equal to the greatest of those coverages afforded any covered auto; and
(2) Excess over any other collectible insurance.
2. For purposes of this provision, "executive officer" means a person holding any of the officer positions
created by your charter, constitution, by-laws or any other similar governing document, and, while a
resident of the same household, includes that person's spouse.
Such "executive officers" are insureds while using a covered auto described in this provision.
IV. BUSINESS AUTO CONDITIONS
A. Duties In The Event Of Accident, Claim, Suit Or Loss
The following is added to Section IV, Paragraph A.2.a.:
Form No: CNA63359XX (04-2012) Policy No: BUA 6079761990
Endorsement Effective Date: Endorsement Expiration Date: Policy Effective Date: 1111612019
Endorsement No: 12; Page: 3 of 4 Policy Page: 57 of 350
Underwriting Company: The Continental Insurance Company, 151 N Franklin St, Chicago, IL 60606
m Copyright CNA All Rights Reserved. Includes copyrighted material of the
Insurance Services Office, Inc., used with its permission.
Business Auto Policy
Policy Endorsement
(4) Your employees may know of an accident or loss. This will not mean that you have such
knowledge, unless such accident or loss is known to you or if you are not an individual, to any
of your executive officers or partners or your insurance manager.
The following is added to Section IV, Paragraph A.2.b.:
(6) Your employees may know of documents received concerning a claim or suit. This will not mean
that you have such knowledge, unless receipt of such documents is known to you or if you are
not an individual, to any of your executive officers or partners or your insurance manager.
B. Transfer Of Rights Of Recovery Against Others To Us
The following is added to Section IV, Paragraph A.5. Transfer Of Rights Of Recovery Against Others To
Us:
We waive any right of recovery we may have, because of payments we make for injury or damage,
against any person or organization for whom or which you are required by written contract or
agreement to obtain this waiver from us.
This injury or damage must arise out of your activities under a contract with that person or
organization.
You must agree to that requirement prior to an accident or loss.
C. Concealment, Misrepresentation or Fraud
The following is added to Section IV, Paragraph B.2.:
Your failure to disclose all hazards existing on the date of inception of this Coverage Form shall not
prejudice you with respect to the coverage afforded provided such failure or omission is not intentional.
D. Other Insurance
The following is added to Section IV, Paragraph B.5.:
Regardless of the provisions of Paragraphs 5.a. and 5.d. above, the coverage provided by this policy
shall be on a primary non-contributory basis. This provision is applicable only when required by a
written contract.
That written contract must have been entered into prior to Accident or Loss.
E. Policy Period, Coverage Territory
Section IV, Paragraph B. 7.(5).(a). is revised to provide:
a. 45 days of coverage in lieu of 30 days.
V. DEFINITIONS
Section V. paragraph C. is deleted and replaced by the following:
Bodily injury means bodily injury, sickness or disease sustained by a person, including mental anguish,
mental injury or death resulting from any of these.
Form No: CNA63359XX (04-2012) Policy No: BUA 6079761990
Endorsement Effective Date: Endorsement Expiration Date: Policy Effective Date: 11 /16/2019
Endorsement No: 12; Page: 4 of 4 Policy Page: 58 of 350
Underwriting Company: The Continental Insurance Company, 151 N Franklin St, Chicago, IL 60606
Copyright CNA All Rights Reserved. Includes copyrighted material of the
Insurance Services Office, Inc., used with its permission.
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:
the amounts shown in item 3 of the Declarations of this policy; or
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 (01111) Navigators 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 Insurance Company Page 1 of 1
Contains copyrighted material of the
Insurance Services Office, Inc. with its permission.
National Utility Contractors Association
- -----
CNA PARAMOUNT
Construction
Stop Gap Coverage Part Declarations
Taxes and
Fees at
Issuance
Total Premium for this Coverage Part
Total Premium, Surcharges Taxes and Fees for this Coverage Part
S. Designated
States,
Territories or
Possessions: WA
6. Audit Period: Annual
$315.00
$315.00
Your Premium includes the following amount for
Certified Acts of Terrorism $3.00
CNA7483OXX 01-15 Page 1 of 1
Copyright CNA All Rights Reserved
Policy Number: 6079756997
1.
Named
Name:OLSON BROTHERS PRO -VAC, LLC
Insured
and
mailing
address
Address: 6622 112TH ST E
PUYALLUP, WA 98373-4630
2.
Type of
Limited Liability Company
Organization
3.
Limits of
Bodily Injury by Accident —Each Accident Limit
$1,000,000
Insurance,
Deductibles
Bodily Injury by Disease—Aggregate Limit
$1,000,000
Bodily Injury by Disease— Each Employee Limit
$1,000,000
4.
Premium,
Taxes and
Fees at
Issuance
Total Premium for this Coverage Part
Total Premium, Surcharges Taxes and Fees for this Coverage Part
S. Designated
States,
Territories or
Possessions: WA
6. Audit Period: Annual
$315.00
$315.00
Your Premium includes the following amount for
Certified Acts of Terrorism $3.00
CNA7483OXX 01-15 Page 1 of 1
Copyright CNA All Rights Reserved
STATE of WASHINGTON
Department of Labor & Industries
Certificate of Workers' Compensation Coverage
WA UBI No.
L&I Account ID
Legal Business Name
Doing Business As
Workers' Comp Premium Status:
Estimated Workers Reported
(See Description Below)
Account Representative
Licensed Contractor?
License No.
License Expiration
July 27, 2020
602 170 975
565,502-01
OLSON BROTHERS PRO VAC LLC
OLSON BROTHERS PRO VAC LLC
Account is current.
Quarter 1 of Year 2020 "Greater than 100
Workers"
Employer Services Help Line, (360) 9024817
Yes
OLSONBP985J2
06/27/2022
What does "Estimated Workers Reported"
mean?
Estimated workers reported represents the number of
full time position requiring at least 480 hours of work
per calendar quarter. A single 480 hour position may
be filled by one person, or several part time workers.
Industrial Insurance Information
Employers report and pay premiums each quarter
based on hours of employee work already performed,
and are liable for premiums found later to be due.
Industrial insurance accounts have no policy
periods, cancellation dates, limitations of coverage
or waiver of subrogation (See RCW 51 .1 2.050 and
`s l .1 G.1 90).
7/23/2020 Corporations and Charities System
BUSINESS INFORMATION
Business Name:
OLSON BROTHERS PRO -VAC, LLC
UBI Number:
602 170 975
Business Type:
WA LIMITED LIABILITY COMPANY
Business Status:
ACTIVE
Principal Office Street Address:
7315 WISCONSIN AVE STE 900, BETHESDA, MD, 20814-3202, UNITED STATES
Principal Office Mailing Address:
7315 WISCONSIN AVE STE 900, BETHESDA, MD, 20814-3202, UNITED STATES
Expiration Date:
01/31/2021
Jurisdiction:
UNITED STATES, WASHINGTON
Formation/ Registration Date:
01/03/2002
Period of Duration:
PERPETUAL
Inactive Date:
Nature of Business:
PRO -VAC IS AN ADVANCED INDUSTRIAL STORM WATER MAINTENANCE AND
ENVIRONMENTAL SERVICE COMPANY.
REGISTERED AGENT INFORMATION
Registered Agent Name:
MICHAEL V OLSON
Street Address:
6622 112TH ST E, PUYALLUP, WA, 98373-0000, UNITED STATES
Mailing Address:
6622 112TH ST E, PUYALLUP, WA, 98373-0000, UNITED STATES
GOVERNORS
Title
Governors Type
GOVERNOR
INDIVIDUAL
GOVERNOR
INDIVIDUAL
GOVERNOR
INDIVIDUAL
GOVERNOR
INDIVIDUAL
GOVERNOR
INDIVIDUAL
Entity Name First Name
Last Name
MIKE
OLSON
GRAHAM
GILL
THOMAS OTEY
SMITH
RUFUS H.
RIVERS
JERRY L.
JOHNSON
https://ccfs.sos.wa.gov/#/BusinessSearch/Businesslnformation /�
DATE (MMIDD/YYYY)
A��1z® CERTIFICATE OF LIABILITY INSURANCE
11/16/2020 �3i' t]?0
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER Lockton Companies rCON an.cr
1185 Avenue of the Americas, Suite 2010 P" E aic No
New York NY 10036 E-MAIL
...
646-572-7300 ADDRESS:
tNSUr;ERISI AFFORDING COVERAGE NAIC #
INSURERn.('0il(111 11ILI1 lr„_1�1.ifl1fV C011111�tIIV �.... 20443
INS uRED INSURER B : The Continental Insurance Company 35289_
1458107 Olson Brothers Pro -Vac, LLC 42307
6622 112th Street East INSURER C : Navi - at Insurance Company__.
Puyallup WA 98373 INSURER D: Allied World Assurance Company (U.S.) Inc. 19489
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 16892600 REVISION NUMBER: XXXXXXX
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,
TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR AD DL
LTR TYPE OF INSURANCE
51JUN POLICY EFF POLICY EXP LIMITS
YYI
POLICY NUMBER INVMILDDrYYYY1 fr,1WDC VY
A
i COMMERCIAL GENERAL LIABILITY
Y
N
6079756997 11/16/2019
11/16/2020 ,
EACH OCCURRENCE $ I,000 000
.H.I
Dti P (TE'�
- I
CLAIMS -MADE OCCUR
F`-_ F rre .0(}0,01/0
MED EXP (Any one perSon) I $ 1 x.000
PERSONAL B ADV INJURY S 1.[1011,11! 111
1
GENERAL AGGREGATE1[!•1:'11)(]-
GEN'L AGGREGATE LIMIT APPLIES PER:
PRO- LOC
POLICY ❑X JECT F
PRODUCTS -COMPIOPAGG ! F• t �)(Y(I-[Zia{I
-$ —
I X OTHER: StD -G. i 7 Incl
B
AUTOMOBILE LIABILITY
Y
N
6079761990 11/16/2019
11/16/2020
-
$ j,a.aO[),000
BODILY INJURY (Per person)
4. ANY AUTO
S X \ i
BODILY INJURY (Per accident)
OWNED SCHEDULED
$
AUTOS ONLY AUTOS
HIRED NON -OWNED
X X
$ XXXXXXX
.PROPL DAMAGE
Per acciderri
AUTOS ONLY AUTOS ONLY
_
$XXXXXXX _
C
Y
UMBRELLA LIAB
}{.
OCCUR
Y
N
CH19EXC921841IV
11/16/2019
11/16/2020
EACH OCCURRENCE
EXCESS LIAB
CLAIMS -MADE
AGGRE41ATE ._ a J•S )(.1 (:1,(N..)Ia
Xxxxxxx
DEO RETENTIONS
•'
STA EII'l
WORKERS COMPENSATION
NOT APPLICABLE
AND EMPLOYERS' LIABILITY Y 7 N
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SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
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ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
CNA PARAMOUNT
Contractors' General Liability Extension Endorsement,
It is understood and agreed that this endorsement amends the COMMERCIAL GENERAL LIABILITY COVERAGE PART
as follows. If any other endorsement attached to this policy amends any provision also amended by this endorsement,
then that other endorsement controls with respect to such provision, and the changes made by this endorsement with
respect to such provision do not apply.
TABLE OF CONTENTS
1. Additional Insureds
2. Additional Insured - Primary And Non -Contributory To Additional Insureds Insurance
3. Bodily Injury—Expanded Definition
4. Broad Knowledge of Occurrence/ Notice of Occurrence
S. Broad Named Insured
6. Broadened Liability Coverage For Damage To Your Product And Your Work
7. Contractual Liability - Railroads
8. Electronic Data Liability
9, Estates, Legal Representatives and Spouses
10. Expected Or Intended Injury — Exception for Reasonable Force
11. General Aggregate Limits of Insurance — Per Project
12. In Rem Actions
13. Incidental Health Care Malpractice Coverage
14. Joint Ventures/Partnership/Limited Liability Companies
15. Legal Liability — Damage To Premises / Alienated Premises / Property In The Named Insured's Care,
Custody or Control
16. Liquor Liability
17, Medical Payments
18. Non -owned Aircraft Coverage
19, Non -owned Watercraft
20. Personal And Advertising Injury — Discrimination or Humiliation
21. Personal And Advertising Injury - Contractual Liability
22. Property Damage - Elevators
23. Supplementary Payments
24. Unintentional Failure To Disclose Hazards
25. Waiver of Subrogation — Blanket
26. Wrap -Up Extension: OCIP CCIP, or Consolidated (Wrap -Up) Insurance Programs
CNA74705XX (1-15) P011cy No: 6079756997
Page 1 of 17 Endorsement No: 5
CONTINENTAL CASUALTY COMPANY Effective Date: 11./16/201.9
Insured Name: OLSON BROTHERS PRO -VAC, LLC
Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission.
CNA CNA PARAMOUNT
Contractors' General Liability Extension Endorsement
1. ADDITIONAL INSUREDS
a. WHO IS AN INSURED is amended to include as an Insured any person or organization described in paragraphs
A. through H. below whom a Named Insured is required to add as an additional insured on this Coverage Part
under a written contract or written agreement, provided such contract or agreement:
(1) is currently in effect or becomes effective during the term of this Coverage Part; and
(2) was executed prior to:
(a) the bodily injury or property damage; or
(b) the offense that caused the personal and advertising injury,
for which such additional insured seeks coverage.
b. However, subject always to the terms and conditions of this policy, including the limits of insurance, the Insurer
will not provide such additional insured with:
(1) a higher limit of insurance than required by such contract or agreement; or
(2) coverage broader than required by such contract or agreement, and in no event broader than that described
by the applicable paragraph A. through H. below.
Any coverage granted by this endorsement shall apply only to the extent permissible by law.
A. Controlling Interest
Any person or organization with a controlling interest in a Named Insured, but only with respect to such person or
organization's liability for bodily injury, property damage or personal and advertising injury arising out of:
1. such person or organization's financial control of a Named Insured; or
2. premises such person or organization owns, maintains or controls while a Named Insured leases or
occupies such premises;
provided that the coverage granted by this paragraph does not apply to structural alterations, new construction or
demolition operations performed by, on behalf of, or for such additional insured.
B. Co-owner of Insured Premises
A co-owner of a premises co -owned by a Named Insured and covered under this insurance but only with respect
to such co -owner's liability for bodily injury, property damage or personal and advertising injury as co-owner
of such premises.
C. Lessor of Equipment
Any person or organization from whom a Named Insured leases equipment, but only with respect to liability for
bodily injury, property damage or personal and advertising injury caused, in whole or in part, by the Named
Insured's maintenance, operation or use of such equipment, provided that the occurrence giving rise to such
bodily injury, property damage or the offense giving rise to such personal and advertising injury takes place
prior to the termination of such lease.
D, Lessor of Land
Any person or organization from whom a Named Insured leases land but only with respect to liability for bodily
injury, property damage or personal and advertising injury arising out of the ownership, maintenance or use
of such land, provided that the occurrence giving rise to such bodily injury, property damage or the offense
giving rise to such personal and advertising injury takes place prior to the termination of such lease. The
CNA74705XX (1-15) Policy No: 6079756997
Page 2 of 17 Endorsement No: 5
CONTINENTAL CASUALTY COMPANY Effective Date: 11/16/2019
Insured Name: OLSON BROTHERS PRO -VAC, LLC
Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission.
CNA CNA PARAMOUNT
I
Contractors' General Liability Extension Endorsement
coverage granted by this paragraph does not apply to structural alterations, new construction or demolition
operations performed by, on behalf of, or for such additional insured.
E. Lessor of Premises
An owner or lessor of premises leased to the Named Insured, or such owner or lessor's real estate manager, but
only with respect to liability for bodily injury, property damage or personal and advertising injury arising out of
the ownership, maintenance or use of such part of the premises leased to the Named Insured, and provided that
the occurrence giving rise to such bodily injury or property damage, or the offense giving rise to such personal
and advertising injury, takes place prior to the termination of such lease. The coverage granted by this
paragraph does not apply to structural alterations, new construction or demolition operations performed by, on
behalf of, or for such additional insured.
F. Mortgagee, Assignee or Receiver
A mortgagee, assignee or receiver of premises but only with respect to such mortgagee, assignee or receiver's
liability for bodily injury, property damage or personal and advertising injury arising out of the Named
Insured's ownership, maintenance, or use of a premises by a Named Insured.
The coverage granted by this paragraph does not apply to structural alterations, new construction or demolition
operations performed by, on behalf of, or for such additional insured.
G. State or Governmental Agency or Subdivision or Political Subdivisions – Permits
A state or governmental agency or subdivision or political subdivision that has issued a permit or authorization but
only with respect to such state or governmental agency or subdivision or political subdivision's liability for bodily
injury, property damage or personal and advertising injury arising out of:
1, the following hazards in connection with premises a Named Insured owns, rents, or controls and to which
this insurance applies:
a. the existence, maintenance, repair, construction, erection, or removal of advertising signs, awnings,
canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoistaway openings, sidewalk
vaults, street banners, or decorations and similar exposures; or
b. the construction, erection, or removal of elevators; or
c. the ownership, maintenance or use of any elevators covered by this insurance; or
0
2, the permitted or authorized operations performed by a Named Insured or on a Named Insured's behalf.
The coverage granted by this paragraph does not apply to:
a. Bodily injury, property damage or personal and advertising injury arising out of operations performed
for the state or governmental agency or subdivision or political subdivision; or
b. Bodily injury or property damage included within the products -completed operations hazard.
With respect to this provision's requirement that additional insured status must be requested under a written
contract or agreement, the Insurer will treat as a written contract any governmental permit that requires the
Named Insured to add the governmental entity as an additional insured.
—"' H. Trade Show Event Lessor
1. With respect to a Named Insured's participation in a trade show event as an exhibitor, presenter or displayer,
®_ any person or organization whom the Named Insured is required to include as an additional insured, but only
with respect to such person or organization's liability for bodily injury, property damage or personal and
advertising injury caused by:
CNA74705XX (1-15) Policy No: 6079756997
Page 3 of 17 Endorsement No: s
CONTINENTAL CASUALTY COMPANY Effective Date: 11/16/2019
Insured Name: OLSON BROTHERS PRO -VAC, LLC
Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission.
OVA CNA PARAMOUNT
Contractors' General Liability Extension Endorsement
a. the Named Insured's acts or omissions; or
b, the acts or omissions of those acting on the Named Insured's behalf,
in the performance of the Named Insured's ongoing operations at the trade show event premises during the
trade show event.
2. The coverage granted by this paragraph does not apply to bodily injury or property damage included within
the products -completed operations hazard.
2. ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY TO ADDITIONAL INSURED'S INSURANCE
The Other Insurance Condition in the COMMERCIAL GENERAL LIABILITY CONDITIONS Section is amended to
add the following paragraph:
If the Named Insured has agreed in writing in a contract or agreement that this insurance is primary and non-
contributory relative to an additional insured's own insurance, then this insurance is primary, and the Insurer will not
seek contribution from that other insurance. For the purpose of this Provision 2., the additional insured's own
insurance means insurance on which the additional insured is a named insured. Otherwise, and notwithstanding
anything to the contrary elsewhere in this Condition, the insurance provided to such person or organization is excess
of any other insurance available to such person or organization.
3. BODILY INJURY— EXPANDED DEFINITION
Under DEFINITIONS, the definition of bodily injury is deleted and replaced by the following:
Bodily injury means physical injury, sickness or disease sustained by a person, including death, humiliation, shock,
mental anguish or mental injury sustained by that person at any time which results as a consequence of the physical
injury, sickness or disease.
4. BROAD KNOWLEDGE OF OCCURRENCE/ NOTICE OF OCCURRENCE
Under CONDITIONS, the condition entitled Duties in The Event of Occurrence, Offense, Claim or Suit is amended
to add the following provisions:
A. BROAD KNOWLEDGE OF OCCURRENCE
The Named Insured must give the Insurer or the Insurer's authorized representative notice of an occurrence,
offense or claim only when the occurrence, offense or claim is known to a natural person Named Insured, to a
partner, executive officer, manager or member of a Named Insured, or an employee designated by any of the
above to give such notice.
B. NOTICE OF OCCURRENCE
The Named Insured's rights under this Coverage Part will not be prejudiced if the Named Insured fails to give
the Insurer notice of an occurrence, offense or claim and that failure is solely due to the Named Insured's
reasonable belief that the bodily injury or property damage is not covered under this Coverage Part. However,
the Named Insured shall give written notice of such occurrence, offense or claim to the Insurer as soon as the
Named Insured is aware that this insurance may apply to such occurrence, offense or claim.
5. BROAD NAMED INSURED
WHO IS AN INSURED is amended to delete its Paragraph 3. in its entirety and replace it with the following:
3. Pursuant to the limitations described in Paragraph 4. below, any organization in which a Named Insured has
management control:
a. on the effective date of this Coverage Part; or
CNA74705XX (1-15) Policy No: 6079756997
Page 4 of 17 Endorsement No: 5
CONTINENTAL CASUALTY COMPANY Effective Date: 11/16/2019
Insured Name: OLSON BROTHERS PRO -VAC, LLC
Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission.
9
R
CNA CNA PARAMOUNT
Contractors' General Liability Extension Endorsement
b. by reason of a Named Insured creating or acquiring the organization during the policy period,
qualifies as a Named Insured, provided that there is no other similar liability insurance, whether primary,
contributory, excess, contingent or otherwise, which provides coverage to such organization, or which would have
provided coverage but for the exhaustion of its limit, and without regard to whether its coverage is broader or
narrower than that provided by this insurance.
But this BROAD NAMED INSURED provision does not apply to;
(a) any partnership, limited liability company or joint venture; or
(b) any organization for which coverage is excluded by another endorsement attached to this Coverage Part.
For the purpose of this provision, management control means:
A. owning interests representing more than 50% of the voting, appointment or designation power for the
selection of a majority of the Board of Directors of a corporation; or
B. having the right, pursuant to a written trust agreement, to protect, control the use of, encumber or transfer or
sell property held by a trust.
4. With respect to organizations which qualify as Named Insureds by virtue of Paragraph 3. above, this insurance
does not apply to:
a. bodily injury or property damage that first occurred prior to the date of management control, or that first
occurs after management control ceases; nor
b. personal or advertising injury caused by an offense that first occurred prior to the date of management
control or that first occurs after management control ceases.
5. The insurance provided by this Coverage Part applies to Named Insureds when trading under their own names
or under such other trading names or doing -business -as names (dba) as any Named Insured should choose to
employ.
6. BROADENED LIABILITY COVERAGE FOR DAMAGE TO YOUR PRODUCT AND YOUR WORK
A. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled
Exclusions is amended to delete exclusions k. and I, and replace them with the following:
This insurance does not apply to:
k. Damage to Your Product
Property damage to your product arising out of it, or any part of it except when caused by or resulting from:
(1) fire;
(2) smoke;
(3) collapse; or
(4) explosion.
I. Damage to Your Work
Property damage to your work arising out of it, or any part of it and included in the products -completed
operations hazard.
This exclusion does not apply:
(1) If the damaged work, or the work out of which the damage arises, was performed on the Named
Insured's behalf by a subcontractor; or
CNA74705XX (1-15) Policy No: 6079756997
Page 5 of 17 Endorsement No: 5
CONTINENTAL CASUALTY COMPANY Effective Date: 11/16/2019
Insured Name: OLSON BROTHERS PRO -VAC, LLC
Copyright CNA All Rights Reserved, Includes copyrighted material of Insurance Services Office, Inc., with its permission.
CNA PARAMOUNT
Contractors' General Liability Extension Endorsement
(2) If the cause of loss to the damaged work arises as a result of:
(a) fire;
(b) smoke;
(c) collapse; or
(d) explosion.
B. The following paragraph is added to LIMITS OF INSURANCE:
Subject to 5. above, $100,000 is the mast the Insurer will pay under Coverage A for the sum of damages arising
out of any one occurrence because of property damage to your product and your work that is caused by fire,
smoke, collapse or explosion and is included within the product -completed operations hazard. This sublimit
does not apply to property damage to your work if the damaged work, or the work out of which the damage
arises, was performed on the Named Insured's behalf by a subcontractor.
C. This Broadened Liability Coverage For Damage To Your Product And Your Work Provision does not apply if
an endorsement of the same name is attached to this policy.
7. CONTRACTUAL LIABILITY— RAILROADS
With respect to operations performed within 50 feet of railroad property, the definition of insured contract is replaced
by the following:
Insured Contract means:
a. A contract for a lease of premises. However, that portion of the contract for a lease of premises that indemnifies
any person or organization for damage by fire to premises while rented to a Named Insured or temporarily
occupied by a Named Insured with permission of the owner is not an insured contract;
b. A sidetrack agreement;
c. Any easement or license agreement;
d. An obligation, as required by ordinance, to indemnify a municipality, except in connection with work for a
municipality;
e. An elevator maintenance agreement;
If. That part of any other contract or agreement pertaining to the Named Insured's business (including an
indemnification of a municipality in connection with work performed for a municipality) under which the Named
Insured assumes the tort liability of another party to pay for bodily injury or property damage to a third person
or organization. Tort liability means a liability that would be imposed by law in the absence of any contract or
agreement.
Paragraph If. does not include that part of any contract or agreement:
(1) That indemnifies an architect, engineer or surveyor for injury or damage arising out of:
(a) Preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys,
field orders, change orders or drawings and specifications; or
(b) Giving directions or instructions, or failing to give them, if that is the primary cause of the injury or
damage;
(2) Under which the Insured, if an architect, engineer or surveyor, assumes liability for an injury or damage
arising out of the insured's rendering or failure to render professional services, including those listed in (1)
above and supervisory, inspection, architectural or engineering activities.
8. ELECTRONIC DATA LIABILITY
CNA74705XX (1-15) Policy No: 6079756997
Page 6 of 17 Endorsement No: 5
CONTINENTAL CASUALTY COMPANY Effective Date: 11/16/2019
Insured Name: OLSON BROTHERS PRO -VAC, LLC
Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission.
CNA CNA PARAMOUNT
Contractors' General Liability Extension Endorsement
A. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled
Exclusions is amended to delete exclusion p. Electronic Data and replace it with the following:
This insurance does not apply to:
p. Access Or Disclosure Of Confidential Or Personal Information And Data -related Liability
Damages arising out of:
(1) any access to or disclosure of any person's or organization's confidential or personal information,
including patents, trade secrets, processing methods, customer lists, financial information, credit card
information, health information or any other type of nonpublic information; or
(2) the loss of, loss of use of, damage to, corruption of, inability to access, or inability to manipulate
electronic data that does not result from physical injury to tangible property.
However, unless Paragraph (1) above applies, this exclusion does not apply to damages because of bodily
injury.
This exclusion applies even if damages are claimed for notification costs, credit monitoring expenses,
forensic expenses, public relation expenses or any other loss, cost or expense incurred by the Named
Insured or others arising out of that which is described in Paragraph (1) or (2) above.
B. The following paragraph is added to LIMITS OF INSURANCE:
Subject to 5. above, $100,000 is the most the Insurer will pay under Coverage A for all damages arising out of
any one occurrence because of property damage that results from physical injury to tangible property and
arises out of electronic data.
C. The following definition is added to DEFINITIONS:
Electronic data means information, facts or programs stored as or on, created or used on, or transmitted to or
from computer software (including systems and applications software), hard or floppy disks, CD-ROMS, tapes,
drives, cells, data processing devices or any other media which are used with electronically controlled equipment.
D. For the purpose of the coverage provided by this ELECTRONIC DATA LIABILITY Provision, the definition of
property damage in DEFINITIONS is replaced by the following:
Property damage means:
a. Physical injury to tangible property, including all resulting loss of use of that property. All such loss of use
shall be deemed to occur at the time of the physical injury that caused it;
b. Loss of use of tangible property that is not physically injured. All such loss of use shall be deemed to occur at
the time of the occurrence that caused it; or
c. Loss of, loss of use of, damage to, corruption of, inability to access, or inability to properly manipulate
electronic data, resulting from physical injury to tangible property. All such loss of electronic data shall be
deemed to occur at the time of the occurrence that caused it.
For the purposes of this insurance, electronic data is not tangible property.
E. If Electronic Data Liability is provided at a higher limit by another endorsement attached to this policy, then the
$100,000 limit provided by this ELECTRONIC DATA LIABILITY Provision is part of, and not in addition to, that
higher limit.
9. ESTATES, LEGAL REPRESENTATIVES, AND SPOUSES
The estates, heirs, legal representatives and spouses of any natural person Insured shall also be insured under this
policy; provided, however, coverage is afforded to such estates, heirs, legal representatives, and spouses only for
CNA74705XX (1-15) Policy No: 6079756997
Page 7 of 17 Endorsement No: 5
CONTINENTAL CASUALTY COMPANY Effective Date: 11/16/2019
Insured Name: OLSON BROTHERS PRO -VAC, LLC
Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission.
% CNA PARAMOUNT
Contractors' General Liability Extension Endorsement
claims arising solely out of their capacity or status as such and, in the case of a spouse, where such claim seeks
damages from marital community property, jointly held property or property transferred from such natural person
Insured to such spouse. No coverage is provided for any act, error or omission of an estate, heir, legal
representative, or spouse outside the scope of such person's ra.,nadN or sta?us is such, provided however that the
spouse of a natural person Named Insured and the spouses of r7 euiWIrs �r p iW', vs c.f joint venture or partnership
Named Insureds are Insureds with respect to such spouses' acts, F rrOrS or cmisstor s in the conduct of the Named
Insured"s business.
10. EXPECTED OR INTENDED INJURY — EXCEPTION FOR REASONABLE FORCE
Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled
Exclusions is amended to delete the exclusion entitled Expected or Intended Injury and replace it with the following:
This insurance does not apply to:
Expected or Intended Injury
Bodily injury or property damage expected or intended from the standpoint of the Insured. This exclusion does not
apply to bodily injury or property damage resulting from the use of reasonable force to protect persons or property.
11. GENERAL AGGREGATE LIMITS OF INSURANCE - PER PROJECT
A. For each construction project away from premises the Named Insured owns or rents, a separate Construction
Project General Aggregate Limit, equal to the amount of the General Aggregate Limit shown in the Declarations,
is the most the Insurer will pay for the sum of:
1. All damages under Coverage A, except damages because of bodily injury or property damage included in
the products -completed operations hazard; and
2. All medical expenses under Coverage C,
that arise from occurrences or accidents which can be attributed solely to ongoing operations at that construction
project. Such payments shall not reduce the General Aggregate Limit shown in the Declarations, nor the
Construction Project General Aggregate Limit of any other construction project.
B. All:
1. Damages under Coverage B, regardless of the number of locations or construction projects involved;
2. Damages under Coverage A, caused by occurrences which cannot be attributed solely to ongoing
operations at a single construction project, except damages because of bodily injury or property damage
included in the products -completed operations hazard; and
3. Medical expenses under Coverage C caused by accidents which cannot be attributed solely to ongoing
operations at a single construction project,
will reduce the General Aggregate Limit shown in the Declarations.
C. The limits shown in the Declarations for Each Occurrence, for Damage To Premises Rented To You and for
Medical Expense continue to apply, but will be subject to either the Construction Project General Aggregate Limit
or the General Aggregate Limit shown in the Declarations, depending on whether the occurrence can be
attributed solely to ongoing operations at a particular construction project.
D. When coverage for liability arising out of the products -completed operations hazard is provided, any payments
for damages because of bodily injury or property damage included in the products -completed operations
hazard will reduce the Products -Completed Operations Aggregate Limit shown in the Declarations, regardless of
the number of projects involved.
CNA74705XX (1-15) Policy No: 6079756997
Page 8 of 17 Endorsement No: 5
CONTINENTAL CASUALTY COMPANY Effective Date: 11/16/2019
Insured Name: OLSON BROTHERS PRO -VAC, LLC
Copyright CNA All Rights Reserved. Includes copyrghted material of Insurance Services Office, Inc., with its permission.
CNA PARAMOUNT
Contractors' General Liability Extension Endorsement
E. If a single construction project away from premises owned by or rented to the Insured has been abandoned and
then restarted, or if the authorized contracting parties deviate from plans, blueprints, designs, specifications or
timetables, the project will still be deemed to be the same construction project.
F. The provisions of LIMITS OF INSURANCE not otherwise modified by this endorsement shall continue to apply as
stipulated.
12. IN REM ACTIONS
A quasi in rem action against any vessel owned or operated by or for the Named Insured, or chartered by or for the
Named Insured, will be treated in the same manner as though the action were in personam against the Named
Insured,
13. INCIDENTAL HEALTH CARE MALPRACTICE COVERAGE
Solely with respect to bodily injury that arises out of a health care incident:
A. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled
Insuring Agreement is amended to replace Paragraphs 1.b.(1) and 1.b.(2) with the following:
b. This insurance applies to bodily injury provided that the professional health care services are incidental to
the Named Insured's primary business purpose, and only if:
(1) such bodily injury is caused by an occurrence that takes place in the coverage territory.
(2) the bodily injury first occurs during the policy period. All bodily injury arising from an occurrence will
be deemed to have occurred at the time of the first act, error, or omission that is part of the occurrence;
and
B, Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled
Exclusions is amended to:
I. add the following to the Employers Liability exclusion:
This exclusion applies only if the bodily injury arising from a health care incident is covered by other
liability insurance available to the Insured (or which would have been available but for exhaustion of its
limits).
ii. delete the exclusion entitled Contractual Liability and replace it with the following:
This insurance does not apply to:
Contractual Liability
the Insured's actual or alleged liability under any oral or written contract or agreement, including but not
limited to express warranties or guarantees.
iii, add the following additional exclusions:
This insurance does not apply to:
Discrimination
any actual or alleged discrimination, humiliation or harassment, including but not limard to claims based on
an individual's race, creed, color, age, gender, national origin, religion, disability, marital sta,us or sexual
orientation.
Dishonesty or Crime
Any actual or alleged dishonest, criminal or malicious act, error or omission.
Medicare/Medicaid Fraud
CNA74705XX (1-15) Policy No: 6079756997
Page 9 of 17 Endorsement No: 5
CONTINENTAL CASUALTY COMPANY Effective Date: 11/16/2019
Insured Name: OLSON BROTHERS PRO -VAC, LLC
Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services office, Inc., with its permission,
CNA PARAMOUNT
Contractors' General Liability Extension Endorsement
any actual or alleged violation of law with respect to Medicare, Medicaid, Tricare or any similar federal, state
or local governmental program.
Services Excluded by Endorsement
Any health care incident for which coverage is excluded by endorsement.
C. DEFINITIONS is amended to:
L add the following definitions:
Health care incident means an act, error or omission by the Named Insured's employees or volunteer
workers in the rendering of:
a. professional health care services on behalf of the Named Insured or
b. Good Samaritan services rendered in an emergency and for which no payment is demanded or received.
Professional health care services means any health care services or the related furnishing of food,
beverages, medical supplies or appliances by the following providers in their capacity as such but solely to
the extent they are duly licensed as required:
a, Physician;
b. Nurse;
c. Nurse practitioner;
d. Emergency medical technician;
e. Paramedic;
f. Dentist;
g. Physical therapist;
h. Psychologist;
I. Speech therapist;
j. Other allied health professional; or
Professional health care services does not include any services rendered in connection with human clinical
trials or product testing.
ii, delete the definition of occurrence and replace it with the following:
Occurrence means a health care incident. All acts, errors or omissions that are logically connected by any
common fact, circumstance, situation, transaction, event, advice or decision will be considered to constitute a
single occurrence;
iii. amend the definition of Insured to:
a. add the following:
the Named Insured's employees are Insureds with respect to:
(1) bodily injury to a co -employee while in the course of the co -employee's employment by the
Named Insured or while performing duties related to the conduct of the Named Insured's
business; and
CNA74705XX (1-15) Policy No: 6079756997
Page 10 of 17 Endorsement No: 5
CONTINENTAL CASUALTY COMPANY Effective Date: 11/16/2019
Insured Name: OLSON BROTHERS PRO -VAC, LLC
copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission.
�N CNA PARAMOUNT
Contractors' General Liability Extension Endorsement
(2) bodily injury to a volunteer worker while performing duties related to the conduct of the
Named Insured's business;
when such bodily injury arises out of a health care incident.
the Named Insured's volunteer workers are Insureds with respect to:
(1) bodily injury to a co -volunteer worker while performing duties related to the conduct of the
Named Insured's business; and
(2) bodily injury to an employee while in the course of the employee's employment by the Named
Insured or while performing duties related to the conduct of the Named Insured's business;
when such bodily injury arises out of a health care incident.
b. delete Subparagraphs (a), (b), (c) and (d) of Paragraph 2.a.(1) of WHO IS AN INSURED.
D. The Other Insurance condition is amended to delete Paragraph b.(1) in its entirety and replace it with the
following:
Other Insurance
b. Excess Insurance
(1) To the extent this insurance applies, it is excess over any other insurance, self insurance or risk transfer
instrument, whether primary, excess, contingent or on any other basis, except for insurance purchased
specifically by the Named Insured to be excess of this coverage.
14. JOINT VENTURES / PARTNERSHIP / LIMITED LIABILITY COMPANIES
WHO IS AN INSURED is amended to delete its last paragraph and replace it with the following:
No person or organization is an Insured with respect to the conduct of any current or past partnership, joint venture or
limited liability company that is not shown as a Named Insured in the Declarations, except that if the Named Insured
was a joint venturer, partner, or member of a limited liability company and such joint venture, partnership or limited
liability company terminated prior to or during the policy period, such Named Insured is an Insured with respect to
its interest in such joint venture, partnership or limited liability company but only to the extent that:
a. any offense giving rise to personal and advertising injury occurred prior to such termination date, and the
personal and advertising injury arising out of such offense first occurred after such termination date;
8
b. the bodily injury or property damage first occurred after such termination date; and
c, there is no other valid and collectible insurance purchased specifically to insure the partnership, joint venture or
limited liability company; and
If the joint venture, partnership or limited liability company is or was insured under a consolidated (wrap-up)
insurance program, then such insurance will always be considered valid and collectible for the purpose of paragraph
c, above. But this provision will not serve to exclude bodily injury, property damage or personal and advertising
injury that would otherwise be covered under the Contractors General Liability Extension Endorsement provision
entitled WRAP-UP EXTENSION: OCIP, CCIP, OR CONSOLIDATED (WRAP-UP) INSURANCE PROGRAMS.
Please see that provision for the definition of consolidated (wrap-up) insurance program.
.... 15. LEGAL LIABILITY — DAMAGE TO PREMISES / ALIENATED PREMISES / PROPERTY IN THE NAMED
=_ INSURED'S CARE, CUSTODY OR CONTROL
A, Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled
Exclusions is amended to delete exclusion j. Damage to Property in its entirety and replace it with the following:
This insurance does not apply to:
CNA74705XX (1-15) Policy No: 6079756997
Page 11 of 17 Endorsement No: 5
CONTINENTAS. CASUALTY COMPANY Effective Date: 11/16/2019
Insured Name: OLSON BROTHERS PRO -VAC, LLC
Copyright CNA AI! Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with Its permission.
j. Damage to Property
Property damage to:
CNA PARAMOUNT
Contractors' General Liability Extension Endorsement
(1) Property the Named Insured owns, rents, or occupies, 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 prevention of injury to a person or damage to
another's property;
(2) Premises the Named Insured sells, gives away or abandons, if the property damage arises out of any
part of those premises;
(3) Property loaned to the Named Insured;
(4) Personal property in the care, custody or control of the Insured;
(5) That particular part of real property on which the Named Insured or any contractors or subcontractors
working directly or indirectly on the Named Insured's behalf are performing operations, if the property
damage arises out of those operations; or
(6) That particular part of any property that must be restored, repaired or replaced because your work was
incorrectly performed on it.
Paragraphs (1), (3) and (4) of this exclusion do not apply to property damage (other than damage by fire) to
premises rented to the Named Insured or temporarily occupied by the Named Insured with the permission of
the owner, nor to the contents of premises rented to the Named Insured for a period of 7 or fewer
consecutive days. A separate limit of insurance applies to Damage To Premises Rented To You as described
in LIMITS OF INSURANCE.
Paragraph (2) of this exclusion does not apply if the premises are your work.
Paragraphs (3), (4), (5) and (6) of this exclusion do not apply to liability assumed under a sidetrack
agreement.
Paragraph (6) of this exclusion does not apply to property damage included in the products -completed
operations hazard.
Paragraphs (3) and (4) of this exclusion do not apply to property damage to:
i. tools, or equipment the Named Insured borrows from others, nor
ii. other personal property of others in the Named Insured's care, custody or control while being used in the
Named Insured's operations away from any Named Insured's premises.
However, the coverage granted by this exception to Paragraphs (3) and (4) does not apply to:
a. property at a job site awaiting or during such property's installation, fabrication, or erection;
b. property that is mobile equipment leased by an Insured;
c. property that is an auto, aircraft or watercraft;
d. property in transit; or
e. any portion of property damage for which the Insured has available other valid and collectible
insurance, or would have such insurance but for exhaustion of its limits, or but for application of one of its
exclusions.
A separate limit of insurance and deductible apply to such property of others. See LIMITS OF INSURANCE
as amended below.
CNA74705XX (1-15) Policy No: 6079756997
Page 12 of 17 Endorsement No: 5
CONTINENTAL CASUALTY COMPANY Effective Date: 11/16/2019
Insured Name: OLSON BROTHERS PRO -VAC, LLC
Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission.
CCNA PARAMOUNT
Contractors' General Liability Extension Endorsement
B. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled
Exclusions is amended to delete its last paragraph and replace it with the following:
Exclusions c. through In. do not apply to damage by fire to premises while rented to a Named Insured or
temporarily occupied by a Named Insured with permission of the owner, nor to damage to the contents of
premises rented to a Named Insured for a period of 7 or fewer consecutive days.
A separate limit of insurance applies to this coverage as described in LIMITS OF INSURANCE.
C. The following paragraph is added to LIMITS OF INSURANCE:
Subject to S. above, $25,000 is the most the Insurer will pay under Coverage A for damages arising out of any
one occurrence because of the sum of all property damage to borrowed tools or equipment, and to other
personal property of others in the Named Insured's care, custody or control, while being used in the Named
Insured's operations away from any Named Insured's premises. The Insurer's obligation to pay such property
damage does not apply until the amount of such property damage exceeds $1,000. The Insurer has the right but
not the duty to pay any portion of this $1,000 in order to effect settlement. If the Insurer exercises that right, the
Named Insured will promptly reimburse the Insurer for any such amount.
D. Paragraph 6., Damage To Premises Rented To You Limit, of LIMITS OF INSURANCE is deleted and replaced by
the following:
6. Subject to Paragraph 5. above, (the Each Occurrence Limit), the Damage To Premises Rented To You Limit
is the most the Insurer will pay under Coverage A for damages because of property damage to any one
premises while rented to the Named Insured or temporarily occupied by the Named Insured with the
permission of the owner, including contents of such premises rented to the Named Insured for a period of 7
or fewer consecutive days. The Damage To Premises Rented To You Limit is the greater of:
a. $500,000; or
b. The Damage To Premises Rented To You Limit shown in the Declarations.
E. Paragraph 4.b.(1)(a)(lii) of the Other Insurance Condition is deleted and replaced by the following:
(ii) That is property insurance for premises rented to the Named Insured, for premises temporarily occupied by
the Named Insured with the permission of the owner; or for personal property of others in the Named
Insured's care, custody or control;
m
16. LIQUOR LIABILITY
Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled
Exclusions is amended to delete the exclusion entitled Liquor Liability.
s
This LIQUOR LIABILITY provision does not apply to any person or organization who otherwise qualifies as an
additional insured on this Coverage Part,
17. MEDICAL PAYMENTS
A. LIMITS OF INSURANCE is amended to delete Paragraph 7. (the Medical Expense Limit) and replace it with the
following:
7. Subject to Paragraph 5. above (the Each Occurrence Limit), the Medical Expense Limit is the most the
Insurer will pay under Coverage C — Medical Payments for all medical expenses because of bodily injury
sustained by any one person. The Medical Expense Limit is the greater of:
(1) $15,000 unless a different amount is shown here: $N,NNN,NNN,NNN; or
(2) the amount shown in the Declarations for Medical Expense Limit.
CNA74705XX (1-15) Policy No: 6079756997
Page 13 of 17 Endorsement No: 5
CONTINENTAL CASUALTY COMPANY Effective Date: 11/16/2019
Insured Name: OLSON BROTHERS PRO -VAC, LLC
Copyright CNA All Rights Reserved, Includes copydghted material of Insurance Services Office, Inc., with ils permission.
CNA CNA PARAMOUNT
Contractors' General Liability Extension Endorsement
S. Under COVERAGES, the Insuring Agreement of Coverage C — Medical Payments is amended to replace
Paragraph 1.a.(3)(b) with the following:
(b) The expenses are incurred and reported to the Insurer within three years of the date of the accident; and
18. NON -OWNED AIRCRAFT
Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled
Exclusions is amended as follows:
The exclusion entitled Aircraft, Auto or Watercraft is amended to add the following:
This exclusion does not apply to an aircraft not owned by any Named Insured, provided that:
1. the pilot in command holds a currently effective certificate issued by the duly constituted authority of the United
States of America or Canada, designating that person as a commercial or airline transport pilot;
2. the aircraft is rented with a trained, paid crew to the Named Insured; and
3, the aircraft is not being used to carry persons or property for a charge.
19. NON -OWNED WATERCRAFT
Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled
Exclusions is amended to delete subparagraph (2) of the exclusion entitled Aircraft, Auto or Watercraft, and
replace it with the following.
This exclusion does not apply to;
(2) a watercraft that is not owned by any Named Insured, provided the watercraft is:
(a) less than 75 feet long; and
(b) not being used to carry persons or property for a charge.
20. PERSONAL AND ADVERTISING INJURY —DISCRIMINATION OR HUMILIATION
A. Under DEFINITIONS, the definition of personal and advertising injury is amended to add the following tort:
Discrimination or humiliation that results in injury to the feelings or reputation of a natural person.
B. Under COVERAGES, Coverage B — Personal and Advertising Injury Liability, the paragraph entitled
Exclusions is amended to:
1, delete the Exclusion entitled Knowing Violation Of Rights Of Another and replace it with the following:
This insurance does not apply to:
Knowing Violation of Rights of Another
Personal and advertising injury caused by or at the direction of the Insured with the knowledge that the act
would violate the rights of another and would inflict personal and advertising injury. This exclusion shall not
apply to discrimination or humiliation that results in injury to the feelings or reputation of a natural person, but
only if such discrimination or humiliation is not done intentionally by or at the direction of:
(a) the Named Insured; or
(b) any executive officer, director, stockholder, partner, member or manager (if the Named Insured is a
limited liability company) of the Named Insured.
2. add the following exclusions:
CNA74705XX (1-15) Policy No: 6079756997
Page 14 of 17 Endorsement No: 5
CONTINENTAL CASUALTY COMPANY Effective Date: 11/16/2019
Insured Name: OLSON BROTHERS PRO -VAC, LLC
Copyright CNA All Rights Reserved, Includes copyrighted material of Insurance Services Office, Inc., with its permission
CNA CNA PARAMOUNT
Contractors' General Liability Extension Endorsement
This insurance does not apply to:
Employment Related Discrimination
Discrimination or humiliation directly or indirectly related to the employment, prospective employment, past
employment or termination of employment of any person by any Insured.
Premises Related Discrimination
discrimination or humiliation arising out of the sale, rental, lease or sub -lease or prospective sale, rental,
lease or sub -lease of any room, dwelling or premises by or at the direction of any Insured.
Notwithstanding the above, there is no coverage for fines or penalties levied or imposed by a governmental entity
because of discrimination.
The coverage provided by this PERSONAL AND ADVERTISING INJURY —DISCRIMINATION OR HUMILIATION
Provision does not apply to any person or organization whose status as an Insured derives solely from
Provision 1. ADDITIONAL INSURED of this endorsement; or
attachment of an additional insured endorsement to this Coverage Part.
This PERSONAL AND ADVERTISING INJURY —DISCRIMINATION OR HUMILIATION Provision does not apply to
any person or organization who otherwise qualifies as an additional insured on this Coverage Part,
21. PERSONAL AND ADVERTISING INJURY - CONTRACTUAL LIABILITY
A. Under COVERAGES, Coverage B —Personal and Advertising Injury Liability, the paragraph entitled
Exclusions is amended to delete the exclusion entitled Contractual Liability.
B. Solely for the purpose of the coverage provided by this PERSONAL AND ADVERTISING INJURY -
CONTRACTUAL LIABILITY provision, the following changes are made to the section entitled
SUPPLEMENTARY PAYMENTS — COVERAGES A AND B:
1. Paragraph 2.d, is replaced by the following:
d. The allegations in the suit and the information the Insurer knows about the offense alleged in such suit
are such that no conflict appears to exist between the interests of the Insured and the interests of the
indemnitee;
2. The first unnumbered paragraph beneath Paragraph 2.f.(2)(b) is deleted and replaced by the following:
So long as the above conditions are met, attorneys fees incurred by the Insurer in the defense of that
indemnitee, necessary litigation expenses incurred by the Insurer, and necessary litigation expenses incurred
by the indemnitee at the Insurer's request will be paid as defense costs. Such payments will not be deemed
to be damages for personal and advertising injury and will not reduce the limits of insurance.
C. This PERSONAL AND ADVERTISING INJURY - CONTRACTUAL LIABILITY Provision does not apply if
Coverage B —Personal and Advertising Injury Liability is excluded by another endorsement attached to this
Coverage Part.
This PERSONAL AND ADVERTISING INJURY - CONTRACTUAL LIABILITY Provision does not apply to any
person or organization who otherwise qualifies as an additional insured on this Coverage Part.
22. PROPERTY DAMAGE — ELEVATORS
A. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled
Exclusions is amended such that the Damage to Your Product Exclusion and subparagraphs (3), (4) and (6) of
the Damage to Property Exclusion do not apply to property damage that results from the use of elevators.
CNA74705XX (1-15) Policy No: 6079756997
Page 15 of 17 Endorsement No: 5
CONTINENTAL CASUALTY COMPANY Effective Date: 11/16/2019
Insured Name: OLSON BROTHERS PRO -VAC, LLC
Copyright CNA All Rights Reserved, Includes copyrighted material of Insurance Services Office, Inc., with its permission.
CNA CNA PARAMOUNT
Contractors' General Liability Extension Endorsement
B. Solely for the purpose of the coverage provided by this PROPERTY DAMAGE — ELEVATORS Provision, the
Other Insurance conditions is amended to add the following paragraph:
This insurance is excess over any of the other insurance, whether primary, excess, contingent or on any other
basis that is Property insurance covering property of others damaged from the use of elevators.
23. SUPPLEMENTARY PAYMENTS
The section entitled SUPPLEMENTARY PAYMENTS — COVERAGES A AND B is amended as follows:
A. Paragraph 1.b. is amended to delete the $250 limit shown for the cost of bail bonds and replace it with a $5,000.
limit; and
B. Paragraph 1.d. is amended to delete the limit of $250 shown for daily loss of earnings and replace it with a
$1,000. limit.
24. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS
If the Named Insured unintentionally fails to disclose all existing hazards at the inception date of the Named
Insured's Coverage Part, the Insurer will not deny coverage under this Coverage Part because of such failure.
25. WAIVER OF SUBROGATION - BLANKET
Under CONDITIONS, the condition entitled Transfer Of Rights Of Recovery Against Others To Us is amended to
add the following:
The Insurer waives any right of recovery the Insurer may have against any person or organization because of
payments the Insurer makes for injury or damage arising out of:
1. the Named Insured's ongoing operations; or
2, your work included in the products -completed operations hazard.
However, this waiver applies only when the Named Insured has agreed in writing to waive such rights of recovery in
a written contract or written agreement, and only if such contract or agreement:
1. is in effect or becomes effective during the term of this Coverage Part; and
2. was executed prior to the bodily injury, property damage or personal and advertising injury giving rise to the
claim.
26. WRAP-UP EXTENSION: OCIP, CCIP, OR CONSOLIDATED (WRAP-UP) INSURANCE PROGRAMS
Note: The following provision does not apply to any public construction project in the state of Oklahoma, nor to any
construction project in the state of Alaska, that is not permitted to be insured under a consolidated (wrap-up)
insurance program by applicable state statute or regulation.
If the endorsement EXCLUSION — CONSTRUCTION WRAP-UP is attached to this policy, or another exclusionary
endorsement pertaining to Owner Controlled Insurance Programs (O.C.I.P.) or Contractor Controlled Insurance
Programs (C.C,I.P.) is attached, then the following changes apply:
A. The following wording is added to the above -referenced endorsement:
With respect to a consolidated (wrap-up) insurance program project in which the Named Insured is or was
involved, this exclusion does not apply to those sums the Named Insured become legally obligated to pay as
damages because of:
1. Bodily injury, property damage, or personal or advertising injury that occurs during the Named Insured's
ongoing operations at the project, or during such operations of anyone acting on the Named Insured's
behalf; nor
CNA74705XX (1-15)
Page 16 of 17
CONTINENTAL CASUALTY COMPANY
Insured Name: OLSON BROTHERS PRO -VAC, LLC
Policy No: 6079756997
Endorsement No: 5
Effective Date: 11/16/2019
copyright CNA All Rights Reserved Includes copyrighted material of Insurance Services Office. Inc., with its permission.
CNA PARAMOUNT
Contractors' General Liability Extension Endorsement
2. Bodily injury or property damage included within the products -completed operations hazard that arises
out of those portions of the project that are not residential structures.
B. Condition 4. Other Insurance is amended to add the following subparagraph 4.b.(1)(c):
This insurance is excess over:
(c) Any of the other insurance whether primary, excess, contingent or any other basis that is insurance available
to the Named Insured as a result of the Named Insured being a participant in a consolidated (wrap-up)
insurance program, but only as respects the Named Insured's involvement in that consolidated (wrap-up)
insurance program,
C. DEFINITIONS is amended to add the following definitions:
Consolidated (wrap-up) insurance program means a construction, erection or demolition project for which the
prime contractor/project manager or owner of the construction project has secured general liability insurance
covering some or all of the contractors or subcontractors involved in the project, such as an Owner Controlled
Insurance Program (O.C.I.P.) or Contractor Controlled Insurance Program (C,C.I.P.).
Residential structure means any structure where 30% or more of the square foot area is used or is intended to
be used for human residency, including but not limited to:
1. single or multifamily housing, apartments, condominiums, townhouses, co-operatives or planned unit
developments; and
2. the common areas and structures appurtenant to the structures in paragraph 1. (including pools, hot tubs,
detached garages, guest houses or any similar structures).
However, when there is no individual ownership of units, residential structure does not include military housing,
college/university housing or dormitories, long term care facilities, hotels or motels. Residential structure also
does not include hospitals or prisons.
This WRAP-UP EXTENSION: OCIP, CCIP, OR CONSOLIDATED (WRAP-UP) INSURANCE PROGRAMS Provision
does not apply to any person or organization who otherwise qualifies as an additional insured on this Coverage Part.
All other terms and conditions of the Policy remain unchanged.
This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect
on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and
expires concurrently with said Policy.
CNA74705XX (1-15) Policy No: 6079756997
Page 17 of 17 Endorsement No: 5
CONTINENTAL CASUALTY COMPANY Effective Date: 11/16/2019
Insured Name: OLSON BROTHERS PRO -VAC, LLC
Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office. Inc., with its permission.
CKA CNA PARAMOUNT
Blanket Additional Insured - Owners, Lessees or
Contractors - with Products -Completed
Operations Coverage Endorsement
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
It is understood and agreed as follows:
I. WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required by
written contract to add as an additional insured on this coverage part, but only with respect to liability for bodily
injury, property damage or personal and advertising injury caused in whole or in part by your acts or omissions, or
the acts or omissions of those acting on your behalf:
A. in the performance of your ongoing operations subject to such written contract; or
B. in the performance of your work subject to such written contract, but only with respect to bodily injury or
property damage included in the products -completed operations hazard, and only if:
1, the written contract requires you to provide the additional insured such coverage; and
2. this coverage part provides such coverage.
ll. But if the written contract requires:
A. additional insured coverage under the 11-85 edition, 10-93 edition, or 10-01 edition of CG2010, or under the 10-
01 edition of CG2037; or
B. additional insured coverage with "arising out of language; or
C. additional insured coverage to the greatest extent permissible by law;
then paragraph L above is deleted in its entirety and replaced by the following:
WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required by
written contract to add as an additional insured on this coverage part, but only with respect to liability for bodily
injury, property damage or personal and advertising injury arising out of your work that is subject to such written
contract.
III. Subject always to the terms and conditions of this policy, including the limits of insurance, the Insurer will not provide
such additional insured with:
A. coverage broader than required by the written contract; or
B. a higher limit of insurance than required by the written contract,
IV. The insurance granted by this endorsement to the additional insured does not apply to bodily injury, property
damage, or personal and advertising injury arising out of:
A. the rendering of, or the failure to render, any professional architectural, engineering, or surveying services,
including:
1. the preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys,
field orders, change orders or drawings and specifications; and
2. supervisory, inspection, architectural or engineering activities; or
B. any premises or work for which the additional insured is specifically listed as an additional insured on another
endorsement attached to this coverage part.
V. Under COMMERCIAL GENERAL LIABILITY CONDITIONS, the Condition entitled Other Insurance is amended to
add the following, which supersedes any provision to the contrary in this Condition or elsewhere in this coverage
part:
CNA75079XX (10-16) Policy No: 6079756997
Page 1 of 2 Endorsement No: 7
CONTINENTAL CASUALTY COMPANY Effective Date: 11/16/2019
Insured Name: OLSON BROTHERS PRO -VAC, LLC
Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission.
CNA CNA PARAMOUNT
Blanket Additional Insured - Owners, Lessees or
Contractors - with Products -Completed
Operations Coverage Endorsement
Primary and Noncontributory Insurance
With respect to other insurance available to the additional insured under which the additional insured is a named
insured, this insurance is primary to and will not seek contribution from such other insurance, provided that a written
contract requires the insurance provided by this policy to be:
1, primary and non-contributing with other insurance available to the additional insured; or
2. primary and to not seek contribution from any other insurance available to the additional insured.
But except as specified above, this insurance will be excess of all other insurance available to the additional insured.
VI. Solely with respect to the insurance granted by this endorsement, the section entitled COMMERCIAL GENERAL
LIABILITY CONDITIONS is amended as follows:
The Condition entitled Duties In The Event of Occurrence, Offense, Claim or Suit is amended with the addition of
the following:
Any additional insured pursuant to this endorsement will as soon as practicable:
1, give the Insurer written notice of any claim, or any occurrence or offense which may result in a claim;
2, send the Insurer copies of all legal papers received, and otherwise cooperate with the Insurer in the investigation,
defense, or settlement of the claim; and
3. make available any other insurance, and tender the defense and indemnity of any claim to any other insurer or
self -insurer, whose policy or program applies to a loss that the Insurer covers under this coverage part. However,
if the written contract requires this insurance to be primary and non-contributory, this paragraph 3. does not
apply to insurance on which the additional insured is a named insured.
The Insurer has no duty to defend or indemnify an additional insured under this endorsement until the Insurer receives
written notice of a claim from the additional insured.
VII. Solely with respect to the insurance granted by this endorsement, the section entitled DEFINITIONS is amended to
add the following definition:
Written contract means a written contract or written agreement that requires you to make a person or organization an
additional insured on this coverage part, provided the contract or agreement:
A. is currently in effect or becomes effective during the term of this policy; and
B. was executed prior to:
1. the bodily injury or property damage; or
2. the offense that caused the personal and advertising injury;
for which the additional insured seeks coverage.
Any coverage granted by this endorsement shall apply solely to the extent permissible by law.
All other terms and conditions of the Policy remain unchanged.
This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect
on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and
expires concurrently with said Pcl:cy,
CNA75079XX (10-16) Policy No: 6079756997
Page 2 of 2 Endorsement No: 7
CONTINENTAL CASUALTY COMPANY Effective Date: 1I/16/2019
Insured Name: OLSON BROTHERS PRO -VAC, LLC
copyright CNA All Rights Reserved. Includes copyrighted material of Insurance services Office, Inc., with its permission.
2r"A j�', Business Auto Policy
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
I. LIABILITY COVERAGE
A. Who Is An Insured
The following is added to Section II, Paragraph A.1., Who Is An Insured:
1. a. Any incorporated entity of which the Named Insured owns a majority of the voting stock on the
date of inception of this Coverage Form; provided that,
b. The insurance afforded by this provision A.1 , does not apply to any such entity that is an
insured under any other liability "policy" providing auto coverage.
2. Any organization you newly acquire or form, other than a limited liability company, partnership or
joint venture, and over which you maintain majority ownership interest.
The insurance afforded by this provision A.2.:
a. Is effective on the acquisition or formation date, and is afforded only until the end of the policy
period of this Coverage Form, or the next anniversary of its inception date, whichever is earlier.
b. Does not apply to:
(1) Bodily injury or property damage caused by an accident that occurred before you acquired or
formed the organization; or
(2) Any such organization that is an insured under any other liability "policy" providing auto
coverage.
3. Any person or organization that you are required by a written contract to name as an additional
insured is an insured but only with respect to their legal liability for acts or omissions of a person,
who qualifies as an insured under SECTION II — WHO IS AN INSURED and for whom Liability
Coverage is afforded under this policy. If required by written contract, this insurance will be primary
and non-contributory to insurance on which the additional insured is a Named Insured.
4. An employee of yours is an insured while operating an auto hired or rented under a contract or
agreement in that employee's name, with your permission, while performing duties related to the
conduct of your business.
"Policy", as used in this provision A. Who Is An Insured, includes those policies that were in force on
the inception date of this Coverage Form but:
1. Which are no longer in force; or
2. Whose limits have been exhausted.
B. Bail Bonds and Loss of Earnings
Section II, Paragraphs A.2. (2) and A.2. (4) are revised as follows:
1. In a.(2), the limit for the cost of bail bonds is changed from $2,000 to $5,000; and
2. In a.(4), the limit for the loss of earnings is changed from $250 to $500 a day.
Form No: CNA63359XX (04-2012) Policy No: BUA 6079761990
Endorsement Effective Date: Endorsement Expiration Date: Policy Effective Date: 11 /1 61201 f
Endorsement No: 12; Page: 1 of 4 Policy Page: 55 of 350
Underwriting Company: The Continental Insurance Company, 151 N Franklin St, Chicago, IL 60606
y Copyright CNA All Rights Reserved, Includes copyrighted material of the
Insurance Services Office, Inc., used with its permission.
C. Fellow Employee
Business Auto Policy
i-
Polic Endorsernerit
Section II, Paragraph B.5 does not apply.
Such coverage as is afforded by this provision C. is excess over any other collectible insurance.
II. PHYSICAL DAMAGE COVERAGE
A. Glass Breakage - Hitting A Bird Or Animal - Falling Objects Or Missiles
The following is added to Section III, Paragraph A.3.:
With respect to any covered auto, any deductible shown in the Declarations will not apply to glass
breakage if such glass is repaired, in a manner acceptable to us, rather than replaced.
B. Transportation Expenses
Section III, Paragraph A.4.a. is revised, with respect to transportation expense incurred by you, to
provide:
a. $60 per day, in lieu of $20; subject to
b. $1,800 maximum, in lieu of $600,
C. Loss of Use Expenses
Section III, Paragraph A,4.b. is revised, with respect to loss of use expenses incurred by you, to
provide:
a. $1,000 maximum, in lieu of $600,
D. Hired "Autos"
The following is added to Section III. Paragraph A.:
5. Hired "Autos"
If Physical Damage coverage is provided under this policy, and such coverage does not extend to Hired
Autos, then Physical Damage coverage is extended to:
a. Any covered auto you lease, hire, rent or borrow without a driver; and
b. Any covered auto hired or rented by your employee without a driver, under a contract in that
individual employee's name, with your permission, while performing duties related to the
conduct of your business.
G. The most we will pay for any one accident or loss is the actual cash value, cost of repair, cost
of replacement or $75,000, whichever is less, minus a $500 deductible for each covered auto.
No deductible applies to loss caused by fire or lightning.
d. The physical damage coverage as is provided by this provision is equal to the physical damage
coverage(s) provided on your owned autos.
e, Such physical damage coverage for hired autos will:
(1) Include loss of use, provided it is the consequence of an accident for which the Named
Insured is legally liable, and as a result of which a monetary loss is sustained by the leasing
or rental concern.
(2) Such coverage as is provided by this provision will be subject to a limit of $750 per
accident.
E. Airbag Coverage
The following is added to Section Ill, Paragraph B.3.:
The accidental discharge of an airbag shall not be considered mechanical breakdown,
Form No: CNA63359XX (04-2012) Policy No: BUA 6079761990 I
Endorsement Effective Date: Endorsement Expiration Date: Policy Effective Date: 11 /16/2019 I
Endorsement No: 12; Page: 2 of 4 Policy Page: 56 of 350
Underwriting Company: The Continental Insurance Company, 151 N Franklin St, Chicago, IL 60606
a Copyright CNA All Rights Reserved. Includes copyrighted material of the
Insurance Services Office, Inc., used with its permission.
F. Electronic Equipment
Business Auto Policy
Section III, Paragraphs B.4.c and B.4.d. are deleted and replaced by the following:
c. Physical Damage Coverage on a covered auto also applies to loss to any permanently installed
electronic equipment including its antennas and other accessories
d. A 5100 per occurrence deductible applies to the coverage provided by this provision.
G. Diminution In Value
The following is added to Section 111, Paragraph 13.6.:
Subject to the following, the diminution in value exclusion does not apply to;
a. Any covered auto of the private passenger type you lease, hire, rent or borrow, without a driver
for a period of 30 days or less, while performing duties related to the conduct of your business;
and
b. Any covered auto of the private passenger type hired or rented by your employee without a
driver for a period of 30 days or less, under a contract in that individual employee's name, with
your permission, while performing duties related to the conduct of your business.
c. Such coverage as is provided by this provision is limited to a diminution in value loss arising
directly out of accidental damage and not as a result of the failure to make repairs; faulty or
incomplete maintenance or repairs; or the installation of substandard parts.
d. The most we will pay for loss to a covered auto in any one accident is the lesser of:
(1) $5,000; or
(2) 20% of the auto's actual cash value (ACV).
Ill. Drive Other Car Coverage — Executive Officers
The following is added to Sections II and Ill:
1. Any auto you don't own, hire or borrow is a covered auto for Liability Coverage while being used by,
and for Physical Damage Coverage while in the care, custody or control of, any of your "executive
officers", except:
a, An auto owned by that "executive officer" or a member of that person's household; or
b. An auto used by that "executive officer" while working in a business of selling, servicing, repairing
or parking autos.
Such Liability and/or Physical Damage Coverage as is afforded by this provision.
(1) Equal to the greatest of those coverages afforded any covered auto; and
(2) Excess over any other collectible insurance.
2. For purposes of this provision, "executive officer" means a person holding any of the officer positions
created by your charter, constitution, by-laws or any other similar governing document, and, while a
resident of the same household, includes that person's spouse.
Such "executive officers" are insureds while using a covered auto described in this provision.
IV. BUSINESS AUTO CONDITIONS
A. Duties In The Event Of Accident, Claim, Suit Or Loss
The following is added to Section IV, Paragraph A.2.a.:
Form No: CNA63359XX (04-2012) Policy No: SUA 6079761990
Endorsement Effective Date: Endorsement Expiration Date: Policy Effective Date: 11/16/2019
Endorsement No: 12; Page: 3 of 4 Policy Page: 57 of 350
Underwriting Company: The Continental Insurance Company, 151 N Franklin St, Chicago, IL 60606
Copyright CNA All Rights Reserved. Includes copyrighted material of the
Insurance Services Office, Inc., used with its permission.
Business Auto Policy
Policy Endorse-mcni
(4) Your employees may know of an accident or loss. This will not mean that you have such
knowledge, unless such accident or loss is known to you or if you are not an individual, to any
of your executive officers or partners or your insurance manager.
The following is added to Section IV, Paragraph A.2.b.:
(6) Your employees may know of documents received concerning a claim or suit. This will not mean
that you have such knowledge, unless receipt of such documents is known to you or if you are
not an individual, to any of your executive officers or partners or your insurance manager.
B. Transfer Of Rights Of Recovery Against Others To Us
The following is•added to Section IV, Paragraph A,5. Transfer Of Rights Of Recovery Against Others To
Us:
We waive any right of recovery we may have, because of payments we make for injury or damage,
against any person or organization for whom or which you are required by written contract or
agreement to obtain this waiver from us.
This injury or damage must arise out of your activities under a contract with that person or
organization.
You must agree to that requirement prior to an accident or loss.
C. Concealment, Misrepresentation or Fraud
The following is added to Section IV, Paragraph B.2.:
Your failure to disclose all hazards existing on the date of inception of this Coverage Form shall not
prejudice you with respect to the coverage afforded provided such failure or omission is not intentional.
D. Other Insurance
The following is added to Section IV, Paragraph B.5.:
Regardless of the provisions of Paragraphs 5.a, and 5.d, above, the coverage provided by this policy
shall be on a primary non-contributory basis. This provision is applicable only when required by a
written contract.
That written contract must have been entered into prior to Accident or Loss.
E. Policy Period, Coverage Territory
Section IV, Paragraph B, 7.(5).(a), is revised to provide:
a. 45 days of coverage in lieu of 30 days.
V. DEFINITIONS
Section V. paragraph C. is deleted and replaced by the following:
Bodily injury means bodily injury, sickness or disease sustained by a person, including mental anguish,
mental injury or death resulting from any of these.
Form No: CNA63359XX (04-2012) Policy No; BUA 6079761990
Endorsement Effective Date: Endorsement Expiration Date: Policy Effective Date: 11 /16/2019
Endorsement No: 12; Page: 4 of 4 Policy Page: 58 of 350
Underwriting Company: The Continental Insurance Company, 151 N Franklin St, Chicago, IL 60606
Copyright CNA All Rights Reserved. Includes copyrighted material of the
Insurance Services Office, Inc., used with its permission.
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
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 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.
WANER 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 Insurance Company Page 1 of 1
Contains copyrighted material of the
Insurance Services Office, Inc. with its permission.
National Utility Contractors Association
CNA PARAMOUNT
Construction
Stop Gap Coverage Part Declarations
Policy Number: 6079756997
1. Named Name:OLSON BROTHERS PRO -VAC, LLC
CNA7483OXX 01-15 Page 1 of 1
Copyright CNA All Rights Reserved.
msurea
and
mailing
address
Address: 6622 112TH ST E
PUYALLUP, WA 98373-4630
2.
Type of
Organization
Limited Liability Company
3.
Limits of
Insurance,
Bodily Injury by Accident— Each Accident Limit
$1,000,000
Deductibles
Bodily Injury by Disease—Aggregate Limit
$1,000,000
Bodily Injury by Disease — Each Employee Limit
$1, 000, 000
4.
Premium,
`
Surcharges
Taxes and
Fees at
Issuance
Total Premium for this Coverage Part
$315.00
Total Premium, Surcharges Taxes and Fees for this Coverage Part
$315.00
Your Premium includes the following amount for
Certified Acts of Terrorism
$ 3 .00
5.
Designated
States,
Territories or
Possessions:
WA
6.
Audit Period:
Annual
CNA7483OXX 01-15 Page 1 of 1
Copyright CNA All Rights Reserved.
6622112th St E I Puyallup, WA 98373
(888) 565-5665 1 Fax: (253) 435-5788 1 www.pro-vac.com
August 13, 2020
Attn: City of Federal Way
I am writing to confirm that our Operations Mgr, Josh Graves, is authorized to approve this contract on behalf
of Olson Brothers Pro -Vac, LLC.
Thank you for you continued business.
My Best Regards,
Wesley Braod ^':
CFO
Olson Brothers Pro -Vac, LLC
P: 253.569.2377
E: wesley.brood@pro-vac.com