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AG 23-129 - RIVERS EDGE ENVIRONMENTAL SERVICES, INC.RETURN TO: Samantha Homan EXT: 2601 CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM 1. ORIGINATING DEPT./DIV: CD -Building 2. ORIGINATING STAFF PERSON: Scott Sproul EXT: 2633 3. DATE REQ. BY: 5/12/2023 4. TYPE OF DOCUMENT (CHECK ONE): ❑ CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ) ❑ PUBLIC WORKS CONTRACT ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT ❑ PROFESSIONAL SERVICE AGREEMENT ❑ MAINTENANCE AGREEMENT A GOODS AND SERVICE AGREEMENT ❑ HUMAN SERVICES / CDBG ❑ REAL ESTATE DOCUMENT ❑ SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS) ❑ ORDINANCE ❑ RESOLUTION ❑ CONTRACT AMENDMENT (AG#): ❑ INTERLOCAL ❑ OTHER 5. PROJECT NAME: 30601 1st Place SwDemolition 6. NAME OF CONTRACTOR: Rivers Edge Environmental Services, Inc ADDRESS: 17115 SE 270th Place STE 106, Covington, We 96042 TELEPHONE 425-584-7069 E-MAIL: alexm@rivers.city FAX: SIGNATURENAME: Alex Mullendore TITLE President 7. EXHIBITS AND ATTACHMENTS: ❑ SCOPE, WORK OR SERVICES ❑ COMPENSATION A INSURANCE REQUIREMENTS/CERTIFICATE IN ALL OTHER REFERENCED EXHIBITS ❑ PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS 8. TERM: COMMENCEMENT DATE: May 12 2023 COMPLETION DATE: �a " 3N Qc:)' 9. TOTAL COMPENSATION $19,070.91 (INCLUDE EXPENSES AND SALES TAX, IF ANY) (IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES) REIMBURSABLE EXPENSE: ❑ YES S NO IF YES, MAXIMUM DOLLAR AMOUNT: $ IS SALES TAX OWED 10YES IDNO IF YES, $ 1749.47 PAID BY: ❑ CONTRACTOR © CITY RETAINAGE: RETAINAGE AMOUNT: ❑ RETAINAGE AGREEMENT (SEE CONTRACT) OR ❑ RETAINAGE BOND PROVIDED ❑ PURCHASING: PLEASE CHARGE TO: 001-5200-074-556-50-410 10. DOCUMENT/CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL / DATE APPROVED Lit PROJECT MANAGER SS 4/27/23 A DIRECTOR KN 4/27/23 ❑ RISK MANAGEMENT (IF APPLICABLE) _. [I LAW KVA 5/112023, TMW 5/1123 11. COUNCIL APPROVAL (IF APPLICABLE) COMMITTEE APPROVAL DATE: N/A COUNCIL APPROVAL DATE: N/A 12. CONTRACT SIGNATURE ROUTING © SENT TO VENDOR/CONTRACTOR DATE SENT: 5/2/2023 DATE REC'D: 5/5/2023 * 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.) INITIALI DATE SIGNED 1!1 LAW DEPARTMENT IAZ SIGNATORY (gAye-ifu-cTOR) vm A 101 ❑ CITY CLERK S i ❑ ASSIGNED AG# AG# COMMENTS: Routing for signatures after vendor signature _2/2017 CITY OF CITY HALL Federal Wa 33325 8th Avenue South �` Federal Way, WA 98003-6325 (253) 835-7000 www cityoffederalway.. com GOODS AND SERVICES AGREEMENT FOR DEMOLITION OF EXISTING STRUCTURE This Goods and Services Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal corporation ("City"), and Rivers Edge Environmental Services, Inc., a "Washington corporation" ("Contractor"). The City and Contractor (together "Parties") are located and do business at the below addresses which shall be valid for any notice required under this Agreement: RIVERS EDGE ENVIRONMENTAL SERVICES, CITY OF FEDERAL WAY: INC. Alexandria Mullendore Scott Sproul 17115 SE 270th Place STE 106 33325 8th Ave. S. Covington, WA 98042 Federal Way, WA 98003-6325 P: 425-584-7089 P: (253)-835-2633 alexm@rivers.city F: (253)-835-2609 scott.sproul@,cityoffederalway.com The Parties agree as follows: 1. TERM. The term of this Agreement shall commence upon the effective date of this Agreement, which shall be the date of mutual execution, and shall continue until the completion of the Work, but in any event no later than December 31, 2023 ("Term"). This Agreement may be extended for additional periods of time upon the mutual written agreement of the City and the Contractor. 2. WORK. 2.1 Work. The Contractor shall provide goods, materials or services and otherwise perform the work more specifically described in Exhibit "A," attached hereto and incorporated by this reference ("Work"), performed to the City's satisfaction, within the time period prescribed by the City and pursuant to the direction of the Mayor or his or her designee. 2.2 Warranties. The Contractor warrants that it has the requisite training, skill, and experience necessary to provide the Work and is appropriately accredited and licensed by all applicable agencies and governmental entities, including but not limited to obtaining a City of Federal Way business registration. The Contractor warrants it will provide services in a manner consistent with the accepted practices for other similar services within the Puget Sound region in effect at the time those services are performed. The Contractor warrants goods are merchantable, are fit for the particular purpose for which they were obtained, and will perform in accordance with their specifications and Contractor's representations to City. The Contractor shall, at its sole cost and expense, correct all Work performed 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. This Agreement is subject to all warranty provisions established under the Uniform Commercial Code, Title 62A RCW. In the event any part of the goods are repaired, only original replacement parts shall be used; rebuilt or used parts are not acceptable. When defects are corrected, the warranty for that portion of the work shall extend for one (1) year from the date such correction is completed and accepted by the City. The Contractor shall begin to correct any defects within seven (7) calendar days of its receipt of notice from the City of the defect. If the Contractor does not accomplish the corrections within a reasonable time as determined by the City, the City may complete the corrections and the Contractor shall pay all costs incurred by the GOODS AND SERVICES AGREEMENT - 1 - 4/2023 �Fe d e ra ! Way CITY HALL 33325 8th Avenue South Federal Way, WA 98003-6325 �� (253) 835-7000 www. ci"ffederalway. corn City in order to accomplish the correction. 2.3 Time, Documentation, and Inspection. Work shall begin immediately upon the effective date of this Agreement. Work shall be subject, at all times, to observation and inspection by and with approval of the City, but the making (or failure or delay in making) such inspection or approval shall not relieve Contractor of responsibility for performance of the Work in accordance with this Agreement, notwithstanding the City's knowledge of defective or non -complying performance, its substantiality or the ease of its discovery. 2.4 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. 3. TERMINATION. Either party may terminate this Agreement, with or without cause, upon providing the other party thirty (30) days' written notice at its address set forth on the signature block of this Agreement. The City may terminate this Agreement immediately if the Contractor fails to maintain required insurance policies, breaches confidentiality, or materially violates Section 12 and such may result in ineligibility for further City agreements. 4. COMPENSATION. 4.1 Amount. In return for the Work, the City shall pay the Contractor an amount not to exceed a maximum amount and according to a rate or method as delineated in Exhibit `B," attached hereto and incorporated by this reference. The Contractor agrees that any hourly or flat rate charged by it for its services contracted for herein shall remain locked at the negotiated rate(s) for the Term. Except as otherwise provided in Exhibit "B," 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 Agreement. 4.2 Method of Payment. On a monthly basis, the Contractor shall submit a voucher or invoice in the form specified by the City, including a description of what Work have been performed, the name of the personnel performing such Work, and any hourly labor charge rate for such personnel. The Contractor shall also submit a final bill upon completion of all Work. Payment shall be made on a monthly basis by the City only after the Work has been performed and within thirty (30) days after receipt and approval by the appropriate City representative of the voucher or invoice. If the Work does not meet the requirements of this Agreement, the Contractor will correct or modify the work to comply with the Agreement. The City may withhold payment for such work until the work meets the requirements of the Agreement. 4.3 Defective or Unauthorized Work. If any goods, materials, or services provided under this Agreement are either defective, unauthorized, or otherwise do not meet the requirements of this Agreement, the Contractor will correct or modify the work to comply with the Agreement and the City reserves the right to withhold payment from the Contractor until the goods, materials, or services are acceptable to the City. If Contractor is unable, for any reason, to complete any part of this Agreement, the City may obtain the goods, materials or services from other sources, and Contractor shall be liable to the City for any additional costs incurred by the City. "Additional costs" shall mean all reasonable costs, including legal costs and attorney fees, incurred by the City beyond the maximum Agreement price specified above. The City further reserves its right to deduct these additional costs incurred to complete this Agreement with other sources, from any and all amounts due or to become due the Contractor. GOODS AND SERVICES AGREEMENT - 2 - 4/2023 CITY OF AN Federal Way CITY HALL 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www. cityoffederal way. corn 4.4 Non -Appropriation of Funds. If sufficient funds are not appropriated or allocated for payment under this Agreement for any future fiscal period, the City will not be obligated to make payments for Work or amounts incurred after the end of the current fiscal period, and this Agreement will terminate upon the completion of all remaining Work for which funds are allocated. No penalty or expense shall accrue to the City in the event this provision applies. 4.5 Final Payment: Waiver of Claims. Contractor's acceptance of final payment shall constitute a waiver of any and all claims, except those previously and properly made and identified by Contractor as unsettled at the time request for final payment is made. 5. INDEMNIFICATION. 5.1 Contractor Indemnification. The Contractor agrees to release indemnify, defend, and hold the City, its elected officials, officers, employees, agents, representatives, insurers, attorneys, and volunteers harmless from any and all claims, demands, actions, suits, causes of action, arbitrations, mediations, proceedings, judgments, awards, injuries, damages, liabilities, taxes, losses, fines, fees, penalties expenses, attorney's fees, costs, and/or litigation expenses to or by any and all persons or entities, including, without limitation, their respective agents, licensees, or representatives, arising from, resulting from, or in connection with this Agreement or the performance of this Agreement, except for that portion of the claims caused by the City's sole negligence. Should a court of competent jurisdiction determine that this Agreement is subject to RCW 4.24.115, then, in the event of liability for damages arising out of bodily injury to persons or damages to property caused by or resulting from the concurrent negligence of the Contractor and the City, the Contractor's liability hereunder shall be only to the extent of the Contractor's negligence. Contractor shall ensure that each sub -contractor shall agree to defend and indemnify the City, its elected officials, officers, employees, agents, representatives, insurers, attorneys, and volunteers to the extent and on the same terms and conditions as the Contractor pursuant to this paragraph. The City's inspection or acceptance of any of Contractor's work when completed shall not be grounds to avoid any of these covenants of indemnification. 5.2 Industrial Insurance Act Waiver. It is specifically and expressly understood that the Contractor waives any immunity that may be granted to it under the Washington State industrial insurance act, Title 51 RCW, solely for the purposes of this indemnification. 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. The Parties further acknowledge that they have mutually negotiated this waiver. 5.3 City Indemnification. The City agrees to release, indemnify, defend and hold the Contractor, its officers, directors, shareholders, partners, employees, agents, representatives, and sub- contractors harmless from any and all claims, demands, actions, suits, causes of action, arbitrations, mediations, proceedings, judgments, awards, injuries, damages, liabilities, losses, fines, fees, penalties expenses, attorney's fees, costs, and/or litigation expenses 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 Agreement to the extent solely caused by the negligent acts, errors, or omissions of the City. 5.4 Survival. The provisions of this Section shall survive the expiration or termination of this Agreement with respect to any event occurring prior to such expiration or termination. 6. INSURANCE. The Contractor agrees to carry insurance for liability which may arise from or in connection with the performance of the services or work by the Contractor, their agents, representatives, employees or GOODS AND SERVICES AGREEMENT - 3 - 4/2023 CITY OF CITY HALL Fe d e ra I ■ R ■� Feder l Avenue South y Federal Way, WA 98003-6325 (253) 835-7000 www cityoffederalway com subcontractors for the duration of the Agreement and thereafter with respect to any event occurring prior to such expiration or termination as follows: 6.1. Minimum Limits. The Contractor agrees to carry as a minimum, the following insurance, in such forms and with such carriers who have a rating that is satisfactory to the City: a. Commercial general liability insurance covering liability arising from premises, operations, independent contractors, products -completed operations, stop gap liability, personal injury, bodily injury, death, property damage, products liability, advertising injury, and liability assumed under an insured contract with limits no less than $2,000,000 for each occurrence and $2,000,000 general aggregate. b. Workers' compensation and employer's liability insurance in amounts sufficient pursuant to the laws of the State of Washington; C. Automobile liability insurance covering all owned, non -owned, hired and leased vehicles with minimum combined single limits in the minimum amounts required to drive under Washington State law per accident for bodily injury, including personal injury or death, and property damage. 6.2. No Limit of LiabiIity. Contractor's maintenance of insurance as required by the agreement shall not be construed to limit the liability of the Contractor to the coverage provided by such insurance, or otherwise limit the City's recourse to any remedy available at law or in equity. The Contractor's insurance coverage shall be primary insurance as respect the City. Any insurance, self-insurance, or insurance pool coverage maintained by the City shall be excess of the Contractor's insurance and shall not contribute with it. 6.3. Additional Insured, Verification. The City shall be named as additional insured on all commercial general liability insurance policies. Concurrent with the execution of this Agreement, Contractor shall provide certificates of insurance for all commercial general liability policies attached hereto as Exhibit "C" and incorporated by this reference. At City's request, Contractor shall furnish the City with copies of all insurance policies and with evidence of payment of premiums or fees of such policies. If Contractor's insurance policies are "claims made," Contractor shall be required to maintain tail coverage for a minimum period of three (3) years from the date this Agreement is actually terminated or upon project completion and acceptance by the City. 6.4 Survival. The provisions of this Section shall survive the expiration or termination of this Agreement. 7. CONFIDENTIALITY. All information regarding the City obtained by Contractor in performance of this Agreement shall be considered confidential subject to applicable laws. Breach of confidentiality by the Contractor may be grounds for immediate termination. All records submitted by the City to the Contractor will be safeguarded by the Contractor. The Contractor will fully cooperate with the City in identifying, assembling, and providing records in case of any public records disclosure request. 8. WORK PRODUCT. All originals and copies of work product, including plans, sketches, layouts, designs, design specifications, records, files, computer disks, magnetic media or material which may be produced or modified by Contractor while performing the Work shall belong to the City upon delivery. The Contractor shall make such data, documents, and files available to the City and shall deliver all needed or contracted for work product upon the City's request. At the expiration or termination of this Agreement, all originals and copies of any such work product remaining in the possession of Contractor shall be delivered to the City. 9. 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 the Work and maintain such accounting procedures and practices as may be deemed necessary by the City to assure proper accounting of all funds paid pursuant to this Agreement. These records shall be subject, at all reasonable times, to inspection, review GOODS AND SERVICES AGREEMENT - 4 - 4/2023 A'!CITY OF CITY HALL Fe d e ra I Way Feder l Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www cityoffederalway com or audit by the City, its authorized representative, the State Auditor, or other governmental officials authorized by law to monitor this Agreement. 10. INDEPENDENT CONTRACTOR / EMPLOYEE CONDITIONS. 10.1 Independence. The Parties intend that the Contractor shall be an independent contractor and that the Contractor has the ability to control and direct the performance and details of its work, the City being interested only in the results obtained under this Agreement. 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, income, or other tax which may arise as an incident of employment, except as specifically provided in Section 4. Industrial or any other insurance that is 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 Agreement to an employment contract. If the Contractor is a sole proprietorship or if this Agreement is with an individual, the Contractor agrees to notify the City and complete any required form if the Contractor retired under a State of Washington retirement system and agrees to indemnify any losses the City may sustain through the Contractor's failure to do so. 10.2 Safely. Contractor shall take all necessary precautions and shall be responsible for the safety of its employees, agents, and subcontractors at the work site and in the performance of the contract work and shall utilize all protection necessary for that purpose. Contractor shall comply with all applicable provisions of federal, state and municipal safety and health laws and codes, including without limitation, all OSHA/WISHA 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 site 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 performance 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 10.3 Risk of Work. All work shall be done at Contractor's own risk, and Contractor shall be responsible for any loss of or damage to materials, tools, or other articles used or held for use in connection with the work. Industrial or any other insurance that is 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 Agreement to an employment contract. Even though Contractor is an independent contractor, the work must meet the approval of the City and shall be subject to the City's general right of inspection to secure satisfactory completion 11. CONFLICT OF INTEREST. It is recognized that Contractor may or will be performing professional services during the Term for other parties; however, such performance of other services shall not conflict with or interfere with Contractor's ability to perform the Services. Contractor agrees to resolve any such conflicts of interest in favor of the City. Contractor confirms that Contractor does not have a business interest or a close family relationship with any City officer or employee who was, is, or will be involved in the Contractor's selection, negotiation, drafting, signing, administration, or evaluating the Contractor's performance. 12. EQUAL OPPORTUNITY EMPLOYER. In all services, programs, activities, hiring, and employment made possible by or resulting from this Agreement or any subcontract, there shall be no discrimination by Contractor or its subcontractors of any level, or any of those entities' employees, agents, subcontractors, or representatives against any person because of sex, age (except minimum age and retirement provisions), race, color, GOODS AND SERVICES AGREEMENT - 5 - 4/2023 CITY OF CITY HALL Federal Wa Feder 8th Avenue South Federal Way, WA 9803-6325 (253) 835-7000 www. cityoffederalway corn religion, 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 to, 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. 13. GENERAL PROVISIONS. 13.1 Interpretation and Modification. This Agreement, together with any attached Exhibits, contains all of the agreements of the Parties with respect to any matter covered or mentioned in this Agreement and no prior statements or agreements, whether oral or written, shall be effective for any purpose. Should any language in any Exhibits to this Agreement conflict with any language in this Agreement, the terms of this Agreement shall prevail. The respective captions of the Sections of this Agreement are inserted for convenience of reference only and shall not be deemed to modify or otherwise affect any of the provisions of this Agreement. Any provision of this Agreement that is declared invalid, inoperative, null and void, or illegal shall in no way affect or invalidate any other provision hereof and such other provisions shall remain in full force and effect. Any act done by either Party prior to the effective date of the Agreement that is consistent with the authority of the Agreement and compliant with the terms of the Agreement, is hereby ratified as having been performed under the Agreement. No provision of this Agreement, including this provision, may be amended, waived, or modified except by written agreement signed by duly authorized representatives of the Parties. 13.2 Assignment and Beneficiaries. Neither the Contractor nor the City shall have the right to transfer or assign, in whole or in part, any or all of its obligations and rights hereunder without the prior written consent of the other Party. If the non -assigning party gives its consent to any assignment, the terms of this Agreement shall continue in full force and effect and no further assignment shall be made without additional written consent. Subject to the foregoing, the rights and obligations of the Parties shall inure to the benefit of and be binding upon their respective successors in interest, heirs and assigns. This Agreement is made and entered into for the sole protection and benefit of the Parties hereto. No other person or entity shall have any right of action or interest in this Agreement based on any provision set forth herein. 13.3 Compliance with Laws. The Contractor shall comply with and perform the Services in accordance with all applicable federal, state, local, and city laws including, without limitation, all City codes, ordinances, resolutions, regulations, rules, standards and policies, as now existing or hereafter amended, adopted, or made effective. If a violation of the City's Ethics Resolution No. 91-54, as amended, occurs as a result of the formation or performance of this Agreement, this Agreement may be rendered null and void, at the City's option. 13.4 Enforcement. Time is of the essence in this Agreement and each and all of its provisions in which performance is a factor. Adherence to completion dates set forth in the description of the Services is essential to the Contractor's performance of this Agreement. Any notices required to be given by the Parties shall be delivered at the addresses set forth at the beginning of this Agreement. 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 above. Any notice so posted in the United States mail shall be deemed received three (3) days after the date of mailing. Any remedies provided for under the terms of this Agreement are not intended to be exclusive, but shall be cumulative with all other remedies available to the City at law, in equity or by statute. The failure of the City to insist upon strict performance of any of the covenants and agreements contained in this Agreement, or to exercise any option conferred by this Agreement in one or more instances shall not be construed to be a waiver or relinquishment of GOODS AND SERVICES AGREEMENT - 6 - 4/2023 CITY OF CITY HALL Fe d e ra I Wa Feder l Avenue South Federal Way, WA 98003-6325 400 (253) 835-7000 www. cfryoffederalway.corn those covenants, agreements or options, and the same shall be and remain in full force and effect. Failure or delay of the City to declare any breach or default immediately upon occurrence 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. This Agreement shall be made in, governed by, and interpreted in accordance with the laws of the State of Washington. If the Parties are unable to settle any dispute, difference or claim arising from this Agreement, the exclusive means of resolving that dispute, difference, or claim, shall be by filing suit under the venue, rules and jurisdiction of the King County Superior Court, King County, Washington, unless the parties agree in writing to an alternative process. If the King County Superior Court does not have jurisdiction over such a suit, then suit may be filed in any other appropriate court in King County, Washington. Each party consents to the personal jurisdiction of the state and federal courts in King County, Washington and waives any objection that such courts are an inconvenient forum. If either Party brings any claim or lawsuit arising from this Agreement, each Party shall pay all its legal costs and attorney's fees and expenses incurred in defending or bringing such claim or lawsuit, including all appeals, in addition to any other recovery or award provided by law; provided, however, however nothing in this paragraph shall be construed to limit the Parties' rights to indemnification under Section 5 of this Agreement. 13.5 Execution. Each individual executing this Agreement on behalf of the City and Contractor represents and warrants that such individual is duly authorized to execute and deliver this Agreement. This Agreement may be executed in any number of counterparts, each of which shall be deemed an original and with the same effect as if all Parties hereto had signed the same document. All such counterparts shall be construed together and shall constitute one instrument, but in making proof hereof it shall only be necessary to produce one such counterpart. The signature and acknowledgment pages from such counterparts may be assembled together to form a single instrument comprised of all pages of this Agreement and a complete set of all signature and acknowledgment pages. The date upon which the last of all of the Parties have executed a counterpart of this Agreement shall be the "date of mutual execution" hereof. [Signature page follows] GOODS AND SERVICES AGREEMENT - 7 - 4/2023 CITY OF CITY HALL Federal Wa 33325 8th Avenue South wnwi Federal Way, WA 98003-6325 (253) 835-7000 www.cityoffederalway.com IN WITNESS, the Parties execute this Agreement below, effective the last date written below. CIT ❑ERAL WAY: ATTEST: Keit Niven, C mmunity Development Director S eph nie Courtney, CMC Ci Clerk DATE Z' 7 APPROVED AS 10 FORM: V , k V �r . Ryan Call City AttoKiey RIVERS EDGE ENVIRONMENTAL SERVICES, INC. By: Printed ame: 1� Title: Pros *w— DATE: 1uL GUaI Z, Z(723 STATE OF WASHINGTON ) ss. COUNTY OF 1 On this day personally appeared before me J ll M) to me known to be the C]I.]►A of "-6i)at WraA #-y"fA 5eussgsi 1l,%j, that executed the foregoing instrument, and acknowledged the said instrum nt to be the free and voluntary act and deed of said corporation, for the uses and purposes therein mentioned, and on oath stated that they were authorized to execute said instrument and that the seal affixed, if any, is the corporate seal of 'Said corporation. GIVEN my hand and official seal this 2. rJ day of )A&u , 2023. \p- >MLily1lfill Notary's signature �{�yF1'/�� 4, Notary's printed name 1CL �7 Et, ZZ Notary Public in and for the State of Washington. 5 pZA0 C� S 56 N., y My commission expires 1djrgj86 cr 22Q3D3y9 z = E° r �'/ ,OF W A5� ��► GOODSAVICES AGREEMENT - 8 - 4/2023 CITY OF Federal Way EXHIBIT "A" SERVICES CITY HALL 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www cityoffederal way. corn 1. The Contractor shall do or provide the following -at 30601 1st Place SW, Federal Way, WA 98023, King County Parcel #5560000920: • Obtain appropriate permit(s) and demolish and dispose of existing structure and carport, to include all slabs, footers, and foundations, consistent with said permit(s). • Install and maintain erosion control measures for duration of the project. • Remove all junk, trash, and debris from site except for vehicles * Import material to backfill depression within footprint of structure. GOODS AND SERVICES AGREEMENT - 9 - 4/2023 CITY OF CITY HALL AN*Federal W 33325 8th Avenue South f ay Federal Way, WA 98003-6325 (253) 835-7000 www. ci4 offeder©lmy. corn EXHIBIT "B" COMPENSATION 1. Compensation: In return for the Services, the City shall pay the Contractor an amount not to exceed Seventeen thousand three hundred and twenty-one and 44/100 Dollars ($17,321.44) and Washington State sales tax equal to one thousand seven hundred forty-nine and 47/100 Dollars ($1,749.47) for a total of nineteen thousand seventy and 91/100 Dollars ($19,070.91). GOODS AND SERVICES AGREEMENT - 10 - 4/2023 No DO,Em PROPOSAL Rivers Edge Environmental Service, Inc 17116 SE 270th Place, Suite 106 Covington, WA 98042 (425) 584-7089 Contractor Registration No RIVEREE855DT [Estimate # 22-607 Submitted to: Date: 4/14/2023 Project Name 30601 Demolition City of Federal Way Job Site 30601 1 st Place SW, Federal Way WA 98023 Christina Dunlap 33325 8th Ave South Email Federal Way, WA 98003 Phone Description My I Rate Total Rivers Edge Environmental Services, Inc. (REES) proposes the following scope of work and costs for the demolition of the existing structure at 30601 1st Place SW, Federal Way WA 98023: Mobilize and provide labor, equipment and materials to perform the 17,321.44 17,321.44T following: City Federal Way - G�o>_� -Acquire demolition permit through of G_L Gad/ -Install and maintain erosion control measures for duration of project -Demolish and dispose of existing structure and carport; to include all slabs, footers/foundations -Remove all junk, trash and debris from site -Import material to backfill depression within footprint of structure REES assumes 4 working days to complete the demolition, vehicle I removal and site restoration/cleanup. Yt:-�cijr1 Excluded: Bonding, special inspections, site security fencing or security guards, traffic control plans or flagging, handling, hauling or disposal of contaminated materials, decommissioning of landscape I , 5 y r r monitoring wells, fuel escalation, hardscape replacement, - decommissioning UST val or replacement, or removal of or__, ! 1 AST---^ _J °r 1732 - Federal Way Sales Tait 10.10% 1,749.47 Dan Kuhn, Estimator Phone: 425-584-7089 Subtotal $17,321.44 Total $19,070 9l dkuhn@rivers. city We accept payment by credit card for an additional fee of 3%. Please notify our Estimator if this is your preferred method of payment. We propose to furnish labor and materials in a complete accordance with the above specifications for the stated total sum plus unit price, if applicable Terms of payment are net 30 days from invoice date A finance charge of 3% per month that the invoice remains past due will apply All work and materials are presented with limitations as specified All work is to be completed in a workmanlike manner according to standard practices Any deviation from above specifications involving extra work and additional costs will be executed only upon written change orders and will become an extra cost over and above the quoted price The total quoted price do not include all applicable taxes unless noted. Price is good for 30 days Signature of Authorized Representative Printed Name TITLE / COMPANY Date Rivers Edge Environmental Services, Inc. (REES) proposed personnel forth e 3060115YPlace SW, Federal Way, WA Demolition Project: Shane Patterson — Foreman and Heavy Equipment operator Shane has been with our company for 8 years and has been in charge of a multitude of demolition projects of this size and larger including the recent demolition of a 3, 500 SF residence along with miscellaneous site restoration for the City of Kent. Other recent projects include the demolition and site work of the Old Firgrove Elementary School for the Puyallup School District and the demolition of 12 single and double wide mobile homes at the Bow Lake 55+ Community to prepare for new homes to be installed. Steve Ness —Abatement Supervisor Steve Ness has been in the Asbestos Abatement field for 30 years and has vast knowledge of rules and regulations associated with asbestos abatement. Steve has overseen and managed abatement projects ranging from small mobile homes to school facilities such as Covington Elementary in which he abated all of the hazardous materials including the light tubes and ballasts, to clear the way for us to demolish the structure. n 3 N Y� N P 3 �s N n 2 w NIM N IN LL ri 3 F 3� 0 gC z P N C w � � v x .r z E o — omc 0 C E E _ c _ E E qlo 8i 0Y � r RIVERS EDGE ENVIRONMENTAL SERVICES, INC. "Proven Solutions, Defined by Quality" Rivers Edge Environmental Services, Inc. and it's key employees have been in the construction industry for over30 years, specializing in construction activities related to remediation and hazardous materials. We have worked for a variety of agencies including federal and state, local municipalities, and private development firms. PROJECTRECENT W.G. Clark, Maddux Project, Seattle, WA - $2.7 M Project Load, haul and dispose of 30,000 tons of dry cleaner contaminated soils. Over ex footings to remove contamination and bring back up to design grade for new apartment complex. Kent School District, Two Elementary School Demolitions and Site Restorations, Kent, WA - $2.6 M and $1.4 M Projects Full demolition of two existing elementary schools under two separate contracts. Cut, fill, and compact to design elevations to create a "pad ready" site to turn over to a GCCM to build new schools. Pioneer Technical Services, Harlowtown Milwaukee Roundhouse, Harlowtown, MT - $400,000 Project Excavation of ACM soils at the Milwaukee Roundhouse. Removal of soils contaminated with hydrocarbon and diesel fuels. Export was approximately 3,000 tons. Soil was burrito -wrapped, hauled and disposed, air monitoring conducted on site. Ferguson Construction, Costco Missoula Demolition, Missoula, MT - $400,000 Project Demolition of 88,000 sq. ft., single -story beverage center/bottling facility, including removal of slab on grade and footings. Project completed within allotted schedule and on budget. Strickland Holdings, Lynnwood Contaminated Soil Removal, Lynnwood, WA - $2.9 M Project Removed 12,500 tons of PCS and backfilled with compact gravel borrow. Managed a tight 90 day schedule, battling ground water and unknown USTs. Demolished building and surrounding asphalt, handled the hauling and disposal of contaminated soil, capping of utilities and site restoration for future development. Montana Civil Contractors, Black Pine Mine, Phillipsburg, MT - $225,000 Project Demolition and removal of mining building structures. Washed and disposed of contaminated concrete slab foundations. King County Housing Authority, Greenbridge Hope Project, Seattle, WA - $2.8 M Project Demolition of 172 low-income housing units and two commercial buildings in preparation of future development, Project included the cutting and capping of all water and sewer on the site, performing TESC measures and installation,.cleaning and installing catch basins, and constructing a laydown pad. Whidbey Island Naval Air Station, Whidbey Island, WA- $1.5 M Project Removal of sixteen 250,000-gallon, concrete jet fuel tanks. Cleaned and disposed of residual products from tanks and nine miles of fuel lines apd demolition of tanks below grade. Area was backfilled and compacted. Kaiser Aluminum, Port of Tacoma, Tacoma, WA - $2 M Project Performed demolition of 365 pot liners. Segregated hazardous and nonhazardous waste streams. Performed steel reclamation of 13,000 tons and processed and removed 10 million pounds of Aluminum bus, which resulted in the client's return of $900,000. Maintained waterway protection. U.S. Department of the Interior, Office of Surface Mining, Enumclaw, WA - $700,000 Project Clear and mine inert material to mix with actively burning coal tailings along with a fire retardant water solution to mitigate fire hazard. Mixed and moved approximately 200,000 yards of material. Installed erosion control and hydroseeded. Sound Transit, Excavation of Contaminated Soil, Seattle, WA- $1.9 M Project Managed the removal of 10,000 tons of PCS at a future light rail station site on Capitol Hill. Performed storm water monitoring, repaved the area, and installed storm drains. M@RIVERS.CITY RIVERS EDGE ENVIRONMENTAL SERVICES, INC. "Proven Solutions, Defined by Quality" • Implementing creative solutions for tough environmental construction projects. • Successful track record of delivering projects on time and on or under budget. • Extensive work with and for environmental consultants, all of which do repeat business with our firm. • Seasoned administrative staff, including prevailing wage, contract management and pay applications. Expanded territory into North Idaho, the Silver Valley mining area, and the west side of Montana. I,IL) • BNSF . King County Housing Authority 40 Hour HAZWOPER trained • Waste Management • Walsh Construction - Licensed Asbestos Abatement • Atkinson Construction - Farallon Consulting Contractor: ABCN00001742 • Puyallup'School District - Kent School District p Licensed Public Works Idaho: 050740- Bunker Hill Mine ■ Terracon Consultants AAA-4 • WG Clark Construction - Aspect Conslting Contractor's License (WA): - Republic Services - Landau RIVEREE855DT . WSDOT • Ferguson Construction Contractor's License (ID): RCE-56474 • Sound Transit • Haley and Alrich Contractor's License (OR): 209504 • City of Seattle . Pierce County Contractor's License (MT): 258822 • Seattle Department of • Private Residence Owners d Bonding capacity: up to 10 MM/PP Transportation • Commercial Real Estate Developers . In-house drone operations • U.S. Department of the • Washington State Department of • In-house UST/AST Decommissioner Interior Ecology RECENT CLIENT REFERENCES Client Name: Waste Management John Borghese — Facility Manager of Duwamish Reload and Alaska St Facilities (206) 713-2578, iborghes@wm.com Client Name: Kent School District Dave Bussard — Executive Director Operations and Facilities, (253) 258-1335, david.1bussard@kent.k12.wa Client Name: Department of Interior, Office of Surface Mining Elizabeth Shaeffer —Field Operations Branch Manager, (303) 236-2930, eshaeffer osmre.eove Client Name: WG'Clark Construction Scott Burkland — Project Manager, (206) 812-3986, sburkland@wgclark.ccm M @RIVERS.CIIY DATE (MM/DD/YYYY) �►coR>o� CERTIFICATE OF LIABILITY INSURANCE 5/1 /2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer riqhts to the certificate holder in lieu of such endorsement(s). PRODUCER Arthur J. Gallagher Risk Management Services, LLC 777 108th Ave NE #200 Bellevue WA 98004 INSURED Rivers Edge Environmental Services, Inc. 17115 SE 270th PI, Ste E-106 Covington WA 98042 Kristen Look INSURERS AFFORDING COVERAGE NAIC # INSURERA: Western National Mutual Insurance Co 15377 INSURER B: Colony Insurance Company 39993 INSURER C INSURER D : COVERAGES CERTIFICATE NUMBER:375710558 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE a U R POLICYNUMBER jLDICDY EFF MNtMD YY LIMITS LTR B X COMMERCIAL GENERAL LIABILITY Y PACE4281963 3/27/2023 3/27/2024 EACH OCCURRENCE $ 1 1000,000 CLAIMS -MADE J OCCURDAMAGE PREMISES Ea occurrence $ 50,000 MED EXP (Any one person) ' $ 5.000 PERSONAL & ADV INJURY $ 1 000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s 2,000,000 POLICY [X] dEET LOC PRODUCTS - COMP/OP AGG $ 2,000,000 Pollution $ 1,000,000 OTHER. A AUTOMOBILE LIABILITY CPP 1206083 04 3/27/2023 3/27/2024 COMBIN£O SINGLE LIMIT Ea acGden[ $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per acrJden $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY B X UMBRELLA LIAB X OCCUR EXC4281964 3/27/2023 3/27/2024 EACH OCCURRENCE $ 5,000.000 AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE DED I RETENTION S $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE PACE4281963 3/27/2023 3/27/2024 PER X O S7 I ER WA STOP GAP E.L. EACH ACCIDENT $ 1.000.000 OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) N/A E.L. DISEASE- EA EMPLOYEE $ 1,000,000 E.L. DISEASE- POLICY LIMIT $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below I B A Professional Liability Pollution Liability Installation Floater PACE4281963 CPP 1209365 04 3/27/2023 3/27/2023 3/27/2024 3/27/2024 Limit Limit Limit $1,000,000 $1,000.000 $300,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space Is required) RE: 30601 Demolition — City of Federal Way City of Federal Way is included as additional insured on the General Liability policy per the attached policy form. CERTIFICATE HOLDER CANCELLATION City of Federal Way 33325 8th Ave South Federal Way WA 98003 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Named Insured: Rivers Edge Environmental Services, Inc. Policy#: CPP 1206083 04 WN CA 27 06 16 Wit BUSINESS AUTO ENHANCEMENT ENDORSEMENT The Business Auto Enhancement Endorsement is an optional endorsement that provides coverage enhancements. The following is a summary of broadened coverages provided by this endorsement. No coverage is provided by this summary, refer to following endorsement for changes in your policy. SUMMARY OF COVERAGES PAGE Accidental Airbag Deployment Coverage 4 Auto Loan/Lease Gap Coverage 4 Blanket Additional Insured 2 Blanket Waiver of Subrogation 5 Broadened Definition of Insured includes: • Newly Acquired Organizations for up to 180 Days 2 Employees as Insureds 2 • Subsidiaries in Which You Own 50% or More 2 Deductible Waiver for Glass Repair 3 Employee Hired Auto 2,5 Fellow Employee Coverage 3 Hired Auto Physical Damage Coverage 4 Knowledge of Accident, Claim, Suit or Loss 5 Loss Of Use Expenses - Amended 3 Personal Effects 3 Rental Reimbursement Coverage 4 Supplementary Payments - Amended: o Bail Bonds up to $5,000 2 • Loss of Earnings up to $500/Day 2 Transportation Expense Limits —Amended 3 Unintentional Failure to Disclose Hazards 5 WN CA 27 06 16 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 5 WN CA 27 06 16 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY BUSINESS AUTO ENHANCEMENT ENDORSEMENT This endorsement modifies the insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to the coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. The SECTIONS of the Business Auto Coverage Form identified in this endorsement will be amended as shown below. SECTION II — COVERED AUTOS LIABILITY g. Any "employee" of yours is an "insured" while COVERAGE AMENDMENTS operating a covered "auto" hired or rented A. Who Is An Insured under a contract or agreement in the "employee's" name, with your permission, SECTION II — COVERED AUTOS LIABILITY while performing duties related to the conduct COVERAGE, A. Coverage, 1. Who Is An Insured of your business. is amended to add: B. Blanket Additional Insured d. Any legally incorporated subsidiary of yours in which you own more than 500/a of the voting stock on the effective date of this coverage form. However, "insured" does not include any subsidiary of yours that is an "insured" under any other automobile liability policy, or would be an "insured" under such policy but for termination of such policy or the exhaustion on such policy's limits of insurance. e. Any organization which is newly acquired or formed by you and over which you maintain majority ownership. However, coverage under this provision: (1) is afforded only for the first 180 days after you acquire or form the organization or until the end of the policy period, whichever comes first; (2) does not apply to "bodily injury" or "property damage" that results from an "accident" that occurred before you formed or acquired the organization; (3) does not apply to any newly acquired or formed organization that is a joint venture or partnership; and (4) does not apply to an "insured" under any other automobile liability policy, or would be an "insured" under such a policy but for termination of such policy or the exhaustion of such policy's limits of insurance. f. Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow in your business or your personal affairs. SECTION II — COVERED AUTOS LIABILITY COVERAGE, A. Coverage, 1. Who Is An Insured, paragraph c. is amended to add the following: Any person or organization who is required under a written contract or agreement between you and that person or organization, that is signed and executed by you before the "bodily injury' or "property damage" occurs and that is in effect during the policy period, to be named as an additional insured is an "insured" for Liability Coverage, but only for damages to which this insurance applies and only to the extent that persons or organization qualifies as an "insured" under the Who Is An Insured provision contained in Section II. C. Liability Coverage Extensions — Supplementary Payments SECTION II — COVERED AUTOS LIABILITY COVERAGE, A. Coverage, 2. Coverage Extensions, a. Supplementary Payments is amended by replacing subparagraphs (2) and (4) with the following: (2) Up to $5,000 for cost of bail bonds (including bonds for related traffic law violations) required because of an "accident' we cover. We do not have to furnish these bonds. (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day because of time off from work. WN CA 27 06 16 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 2 of 5 D. Fellow Employee Coverage SECTION II — COVERED AUTOS LIABILITY COVERAGE, B. Exclusions, S. Fellow Employee, the following is added: Co -Employee Lawsuit Defense Cost Reimbursement If a suit seeking damages for "bodily injury" to any fellow "employee" of the "insured" arising out of and in the course of the fellow "employee's" employment or while performing duties related to the conduct of your business, or a suit seeking damages brought by the spouse, child, parent, brother or sister of that fellow "employee", is brought against you, we will reimburse reasonable costs that you incur in the defense of such matters. Any reimbursement made pursuant to this sub -section will be in addition to the limits of liability set forth in the Declarations. SECTION III — PHYSICAL DAMAGE COVERAGE AMENDMENTS A. Transportation Expense — Limits Amended SECTION III — PHYSICAL DAMAGE COVERAGE, A. Coverage, 4. Coverage Extensions, a. Transportation Expenses is amended by replacing $20 per day/$600 maximum limit with $50 per day/$1000 maximum. B. Hired Auto Physical Damage — Loss Of Use Expenses — Limits Amended SECTION III — PHYSICAL DAMAGE COVERAGE, A. Coverage, 4. Coverage Extensions, b. Loss of Use Expenses is amended by replacing the $20 per day/$600 maximum limit with $50 per day/$750 maximum limit. 0 C. Personal Effects Coverage SECTION III — PHYSICAL DAMAGE COVERAGE, A. Coverage, 4. Coverage Extensions is amended by adding the following: c. Personal Effects We will pay up to $500 for "loss" to personal effects, which are: (1) Owned by an "insured"; and (2) In or on your covered "auto." This coverage applies only in the event of the total theft of your covered "auto." No deductible applies to this coverage D. Glass Repair— Deductible Waiver SECTION III — PHYSICAL DAMAGE COVERAGE, A. Coverage, 3. Glass Breakage — Hitting A Bird Or Animal — Falling Objects Or ti Missiles, is amended by adding the following: No deductible will apply to glass breakage if such glass is repaired, in a manner acceptable to us, rather than replaced. E. Hired Auto Physical Damage SECTION III — PHYSICAL DAMAGE COVERAGE, A. Coverage is amended by adding the following: 5. Hired Auto Physical Damage If hired "autos" are covered "autos" for Liability Coverage and if Comprehensive, Specified Causes of Loss, or Collision coverages are provided under this coverage form for any "auto" you own, then the Physical Damage Coverages provided are extended to "autos" you hire of like kind and use, subject to the following: a. The most we will pay for any one "loss" is $50,000 or the actual cash value or cost to repair or replace, whichever is less, minus a deductible; b. The deductible will be equal to the largest deductible applicable to any owned "auto" for that coverage. Any Comprehensive deductible does not apply to "loss" caused by fire or lightening; c. Hired Auto Physical Damage coverage is excess over any other collectible insurance; and d. Subject to the above limit, deductible and excess provisions we will provide coverage equal to the broadest coverage applicable to any covered "auto" you own. If a limit for Hired Auto Physical Damage is indicated in the Declarations, then that limit replaces, and is not added to, the $50,000 limit indicated above. WN CA 27 06 16 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 3 of 5 F. Rental Reimbursement SECTION Ili — PHYSICAL DAMAGE COVERAGE A. Coverage, is amended by adding the following: 6. Rental Reimbursement This coverage applies only to a covered "auto" of the private passenger or light truck type as follows: a. We will pay for rental reimbursement expenses incurred by you for the rental of a private passenger or light truck type "auto" because of "loss" to a covered private passenger or light truck type "auto". Payment applies in addition to the otherwise applicable amount of each coverage you have on a covered private passenger or light truck type "auto." No deductibles apply to this coverage. b. We will pay only for those expenses incurred during the policy period beginning 24 hours after the "loss" and ending, regardless of the policy's expiration, with the lesser of the following number of days: (1) The number of days reasonably required to repair or replace the covered private passenger or light truck type "auto". If "loss" is caused by theft, this number of days is added to the number of days it takes to locate the covered private passenger or light truck type "auto" and return it to you; or (2) 30 days. c. Our payment is limited to the lesser of the following amounts: (1) Necessary and actual expenses incurred, or (2) $50 per day, up to a maximum of $1,000. d. This coverage does not apply while there are spare or reserve private passenger or light truck type "autos" available to you for your operations. e. If "loss" results from the total theft of a covered "auto" of the private passenger or light truck type, we will pay under this coverage only that amount of your rental reimbursement expenses which is not already provided for under SECTION III — PHYSICAL DAMAGE COVERAGE, A. Coverage, 4. Coverage Extensions. G. Accidental Airbag Deployment Coverage SECTION III — PHYSICAL DAMAGE COVERAGE, A. Coverage is amended by adding the following: 7. Accidental Airbag Deployment Coverage We will pay to reset or replace factory installed airbag(s) in any covered "auto" for accidental discharge, other than discharge due to a collision loss. This coverage is applicable only if comprehensive coverage applies to the covered "auto". This coverage is excess over any other collectible insurance or reimbursement by manufacturer's warranty. H. Auto Loan/Lease Gap Coverage SECTION III PHYSICAL DAMAGE COVERAGE, Item A., Coverage, is amended by adding the following: 8. Auto Loan/Lease Gap Coverage This coverage applies only to a covered "auto" described or designated in the Schedule or in the Declarations as including physical damage coverage. In the event of a covered total "loss" to a covered "auto" described or designated in the Schedule or in the Declarations, we will pay any unpaid amount due on the lease or loan for a covered "auto" less: a. The amount paid under the Physical Damage Coverage Section on the policy; and b. Any: (1) Overdue lease/loan payments at the time of the "loss"; (2) Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage; (3) Security deposits not returned by the lessor; (4) Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability Insurance purchased with the loan or lease; and (5) Carry-over balances from previous loans or leases. For the purposes of this Rental Reimbursement coverage, light truck is defined as a truck with a gross vehicle weight of 10,000 lbs. or less as defined by the manufacturer as the maximum loaded weight the auto is designed to carry. WN CA 27 06 16 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 4 of 5 0 N a 0 SECTION IV — BUSINESS AUTO CONDITIONS AMENDMENTS A. Duties In The Event Of Accident, Claim, Suit Or Loss Amended SECTION IV — BUSINESS AUTO CONDITIONS, A. Loss Conditions, 2. Duties In The Event Of Accident, Claim, Suit Or Loss, a. is amended by adding the following: This condition applies only when the "accident' or "loss" is known to: (1) You, if you are an individual; (2) A partner, if you are a partnership; (3) An executive officer or insurance manager, if you are a corporation; or (4) A member or manager, if you are a limited liability company. But, this section does not amend the provisions relating to notification of police, protection or examination of the property which was subject to the "loss". B. Blanket Waiver of Subrogation Section IV — BUSINESS AUTO CONDITIONS, A. Loss Conditions, 5. Transfer of Rights of Recovery Against Others to Us, is amended by adding the following exception: However, we waive any right of recovery we may have against any person or organization to the extent required of you by a written contract signed and executed prior to any "accident" or "loss", provided that the "accident" or "loss" arises out of operations contemplated by such contract. The waiver applies only to the person or organization designated in such contract. C. Unintentional Failure to Disclose Hazards SECTION IV — BUSINESS AUTO CONDITIONS, B. General Conditions, 2. Concealment, Misrepresentation Or Fraud, is amended by , adding the following paragraph: If you unintentionally fail to disclose any hazards existing at the inception date of the policy, or during the policy period in connection with any additional hazards, we will not deny coverage under this Coverage Part because of such failure. D. Employee Hired Auto SECTION IV — BUSINESS AUTO CONDITIONS, B. General Conditions, S. Other Insurance, paragraph b. is deleted and replace by the following: b. For Hired Auto Physical Damage Coverage, the following are deemed to be a covered "autos" you own: (1) Any covered "auto" you lease, hire, rent or borrow. (2) Any covered "auto" hired or rented by your "employee" under a contract in that individual "employee's" name, with your permission, while performing duties related to the conduct of your business. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto". WN CA 27 06 16 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 5 of 5 Insured: Rivers Edge Environmental Services, Inc. Policy #: CPP 1206083 04 c. Take all or any part of the damaged or while a covered "auto" which is a stolen property at an agreed or ap- "trailer" is connected to another praised value. vehicle, the Covered Autos Liability If we pay for the "loss", our payment will Coverage this Coverage Form provides include the applicable sales tax for the for the "trailer" is: damaged or stolen property. (1) Excess while it is connected to a 5. Transfer Of Rights Of Recovery Against motor vehicle you do not own; or Others To Us (2) Primary while it is connected to a If any person or organization to or for covered "auto" you own. whom we make payment under this Cov- b. For Hired Auto Physical Damage erage Form has rights to recover damages Coverage, any covered "auto" you from another, those rights are transferred lease, hire, rent or borrow is deemed to to us. That person or organization must do be a covered "auto" you own. How - everything necessary to secure our rights ever, any "auto" that is leased, hired, and must do nothing after "accident" or rented or borrowed with a driver is not "loss" to impair them. a covered "auto". B. General Conditions c. Regardless of the provisions of Para- 1. Bankruptcy graph a. above, this Coverage Form's Covered Autos Liability Coverage is �arakruptcy--or insolvency of the "insured" primary for- any liability assumed under or the "insured's" estate will not relieve us an "insured contract". of any obligations under this Coverage Form. d. When this Coverage Form and any other Coverage Form or policy covers 2. Concealment, Misrepresentation Or Fraud on the same basis, either excess or This Coverage Form is void in any case of primary, we will pay only our share. fraud by you at any time as it relates to Our share is the proportion that the this Coverage Form. It is also void if you or Limit of Insurance of our Coverage any other "insured", at any time, inten- Form bears to the total of the limits of tionally conceals or misrepresents a ma- all the Coverage Forms and policies terial fact concerning: covering on the same basis. a. This Coverage Form; 6. Premium Audit b. The covered "auto"; a. The estimated premium for this Cov- c. Your interest in the covered "auto"; or erage Form is based on the exposures you told us you would have when this d. A claim under this Coverage Form. policy began. We will compute 'the final 3. Liberalization premium due when we determine your If we revise this Coverage Form to provide actual exposures. The estimated total more coverage without additional premium premium will be credited against the charge, your policy will automatically pro- final premium due and the first Named vide the additional coverage as of the day Insured will be billed for the balance, ifany. the revision is effective in your state, The due date for the final premium or retrospective premium is the date 4. No Benefit To Bailee — Physical Damage shown as the due date on the bill. If Coverages the estimated total premium exceeds We will not recognize any assignment or the final premium due, the first Named grant any coverage for the benefit of any Insured will get a refund. person or organization holding, storing or b. If this policy is issued for more than transporting property for a fee regardless of one year, the premium for this Cov- any other provision of this Coverage Form. erage Form will be computed annually 5. Other Insurance based on our rates or premiums in ef- fect at the beginning of each year of a. For an covered "auto" y you own, this the policy. Coverage Form provides primary in surance. For any covered "auto" you don't own, the insurance provided by this Coverage Form is excess over any other collectible insurance. However, CA 00 01 10 13 a Insurance Services Office, Inc., 2011 Page 9 of 12 Named Insured: Rivers Edge Environmental Services, Inc. Policy #: CPP 1206083 04 a. Pay its chosen appraiser; and b. Bear the other ex^enses of the apprais- al and umpire equ Ily. Neither we nor you shall be held to have waived any rights by any act relating to ap- praisal. 2. The Transfer Of Rights Of Recovery Against Others To Us Condition is replaced by the following: Transfer Of Rights Of Recovery Against Others To Us a. If any person or organization to or for whom we make payment under this Coverage Form has rights to recover damages from another, those rights are transferred to us for that payment. That person or organization must do everything necessary to secure our S rights and must do nothing after "accident" or "loss" to impair them. b. We are entitled to a recovery only after the person or organization has been fully compensated for damages by another party. 3. The following is added to the Legal Action Against Us Condition: If this action is brought pursuant to Sec. 3 of RCW 48.30, then 20 days prior to filing such an action, you are required to provide written notice of the basis for the cause of action to us and the Office of the Insurance Commissioner. Such notice may be sent by regular mail, registered mail, or certified mail with return receipt requested. CA 01 35 10 13 ® Insurance Services Office, Inc., 2012 Page 3 of 3 Named Insured: Rivers Edge Environmental Services, Inc. Policy # PACE4281963 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: EnviroPACE Insurance Policy SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations BLANKET WHEN SPECIFICALLY REQUIRED IN A WRITTEN CONTRACT WITH THE NAMED INSURED A. Section XX. WHO IS AN INSURED, Coverage Part 1 and Part 2 is amended to include as an additional insured the person(s) or organization(s) shown in the SCHEDULE above, but only with respect to liability for bodily injury, property damage, personal and advertising injury, environmental damage, or cleanup costs caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to bodily injury or property damage occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of your work out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. EPACE101-0721 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 2 with its permission. C. With respect to the insurance afforded to these additional insureds, the following is added to section XXI. LIMITS OF LIABILITY AND DEDUCTIBLE: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of liability; whichever is less. This endorsement shall not increase the applicable limits of liability. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. EPACE101-0721 Includes copyrighted material of Insurance Services Office, Inc., Page 2 of 2 with its permission. Named Insured: Rivers Edge Environmental Services, Inc. Policy # PACE4281963 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: EnviroPACE Insurance Policy SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations BLANKET WHEN SPECIFICALLY REQUIRED IN A WRITTEN CONTRACT WITH THE NAMED INSURED A. Section XX. WHO IS AN INSURED, Coverage Part 1 and Part 2 is amended to include as an additional insured the person(s) or organization(s) shown in the SCHEDULE above, but only with respect to liability for bodily injury, property damage, environmental damage, or cleanup costs caused, in whole or in part, by your work at the location designated and described in the SCHEDULE of this endorsement performed for that additional insured and included in the products -completed operations hazard. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to section XXI. LIMITS OF LIABILITY AND DEDUCTIBLE: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of liability; whichever is less. This endorsement shall not increase the applicable limits of liability. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. EPACE100-0721 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1 with its permission. Named Insured: Rivers Edge Environmental Services, Inc. Policy # PACE4281963 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON-CONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: EnviroPACE Insurance Policy SCHEDULE Person(s) or Organization(s): BLANKET WHEN SPECIFICALLY REQUIRED IN A WRITTEN CONTRACT WITH THE NAMED INSURED Section XXIII. CONDITIONS, 14. Other Insurance is amended by the addition of the following: This insurance is primary to and will not seek contribution from any other insurance available to the person(s) or organization(s) listed in the SCHEDULE above provided that: 1. The person(s) or organization(s) listed in the SCHEDULE is a Named Insured under such other insurance; and 2. You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the person(s) or organization(s) listed in the SCHEDULE. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. EPACE107-0714 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1 with its permission. Named Insured: Rivers Edge Environmental Services, Inc. Policy # PACE4281963 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF SUBROGATION FOR SPECIFIED PERSON, ENTITY OR ORGANIZATION This endorsement modifies insurance provided under the following: EnviroPACE Insurance Policy SCHEDULE Name Of Person(s), Entity(ies) or Organization(s): WHERE REQUIRED BY WRITTEN CONTRACT Section XXIII. CONDITIONS, 17. Subrogation is amended by the addition of the following: In the event of any payments made pursuant to this Policy, we shall be subrogated to any insured's rights of recovery against any person, entity or organization. The insured shall execute and deliver instruments and papers and do whatever is necessary to secure and perfect such rights. No insured shall do anything to prejudice such rights. Any recovery obtained as a result of subrogation, after such expenses incurred in the subrogation proceedings are deducted by us, shall accrue first to the insured to the extent of any payments in excess of the Limit of Liability; then us to the extent of any payments made under this Policy; and then to the insured to the extent of its Deductible. However, solely with respect to Coverage Part 1 or Coverage Part 2, if the insured has waived rights of recovery against the person(s), entity(ies) or organization(s) shown in the SCHEDULE above prior to a loss or claim, we waive any right to recovery we may have under the Policy against such person(s), entity(ies) or organization(s). ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. EPACE113-0714 Page 1 of 1 Named Insured: Rivers Edge Environmental Services, Inc. Policy # EXC4281964 COMMERCIAL EXCESS LIABILITY COMMERCIAL EXCESS LIABILITY COVERAGE FORM Various provisions in this policy restrict coverage. Read the entire policy carefully to determine rights, duties and what is and is not covered. Throughout this policy the words "you" and "your" refer to the Named Insured shown in the Declarations, and any other person or organization qualifying as a Named Insured under this policy. The words "we", "us" and "our" refer to the company providing this insurance. The word "insured" means any person or organization qualifying as such under the "applicable underlying insurance". Other words and phrases that appear in quotation marks in this policy have special meaning. Refer to SECTION IV — DEFINITIONS. Other words and phrases that are not defined under this policy but defined in the "applicable underlying insurance" will have the meaning described in the policy of "underlying insurance". The insurance provided under this policy will follow the same provisions, exclusions and limitations that are contained in the "applicable underlying insurance", unless otherwise directed by this insurance. To the extent such provisions differ or conflict, the provisions of this policy will apply. However, this policy will not provide coverage for an "event" unless all the "applicable underlying insurance" provides coverage for the "event". Under no circumstances will coverage provided by this policy ever be broader than coverage provided by all the "applicable underlying insurance". SECTION I — COVERAGES 1. Insuring Agreement a. We will pay on behalf of the insured the "ultimate net loss" in excess of the `retained limit' because of "injury or damage" for which the insured is legally obligated to pay and to which this insurance applies. We have no duty to investigate any claim, suit or proceeding or defend under this policy. However, at our sole discretion we have the right and will be given the opportunity to effectively associate in the defense or investigation of any claim, suit or proceeding. At our sole discretion we also have the right to assume charge of, negotiate and settle any claim, suit or proceeding to which this policy applies. In all such circumstances the insured will cooperate with us fully. But: (1) The amount we will pay for "ultimate net loss" is limited as described in SECTION II — LIMITS OF INSURANCE, and (2) Our right to defend terminates when we have exhausted the applicable limit of insurance in the payment of "ultimate net loss" under this Coverage Part. However, if any policy of "underlying insurance" specifies that limits are reduced by defense expenses, our right to defend terminates when we have used up the applicable limit of insurance in the payment of "ultimate net loss" under this Coverage Part. b. An additional insured under "applicable underlying insurance" will automatically be an additional insured under this insurance. If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the lessor of the amount of insurance required by the contract or available under the limits of insurance provided under this policy, less any amounts payable by any "underlying insurance". Additional insured coverage provided by this insurance will not be broader than coverage provided by all "applicable underlying insurance". 2. Exclusions The following exclusions, and any other exclusions added by endorsement, apply to this policy. If any exclusion of "underlying insurance" conflicts with any exclusion in this policy, that exclusion of this policy will apply. However, if that exclusion would result in broader coverage than is provided by the "underlying insurance", the exclusion of the "underlying insurance" will apply. This policy will not provide broader coverage than that provided by all "applicable underlying insurance". This insurance does not apply to: XPCOVFORM-0815 Includes copyrighted material of Insurance Services Offices, Inc., Page 1 of 6 with its permission. ;;rir,5sq%W� nd Charities Filing System BUSINESS INFORMATION RIVERS EDGE ENVIRONMENTAL SERVICES, INC. 603 483 511 WA PROFIT CORPORATION ACTIVE Business Name: UBI Number: Business Type: Business Status: Principal Office Street Address: 17115 SE 270TH PL STE E106, COVINGTON, WA, 98042-5647, UNITED STATES Principal Office Mailing Address: 17115 SE 270TH PL, SUITE 106, COVINGTON, WA, 98042-5647, UNITED STATES Expiration Date: 03/31/2024 jurisdiction: UNITED STATES, WASHINGTON Formation/ Registration Date: 03/03/2015 Period of Duration: PERPETUAL Inactive Date: Nature of Business: CONSTRUCTION, ENVIRONMENTAL CONSTRUCTION REGISTERED AGENT INFORMATION ALEXANDRIA MULLENDORE 33618 SE 287TH ST, RAVENSDALE, WA, 98051-9010, UNITED STATES 33618 SE 287TH ST, RAVENSDALE, WA, 98051-9010, UNITED STATES GOVERNORS Title Governors Type Entity Name First Name GOVERNOR INDIVIDUAL ALEXANDRIA GOVERNOR INDIVIDUAL CLAYTON Back Registered Agent Name: Street Address: Mailing Address: Last Name 8111l11► I • C Filing History Name History Print Return to Business Search Request for Taxpayer Give Form to the Form Identification Number and Certification requester. Do not (Rev. October2018) Department of the Treasury Send to the IRS. Internal Revenue Service ► Go to www.irs.gov/FormWg for instructions and the latest information. f Name (as shown on your Income tax return). Name is required on this line; do not leave this fine blank. Rivers Edge Environmental Services, Inc. 2 Business nameldisregarded entity name, H different from above m 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the 4 Exemptions (codes apply only to mfollowing seven boxes. certain entities, not individuals; see a p ❑ Individual/sole proprietor or ❑ C Corporation 0S Corporation ElPartnership ElTrust/estate instructions on page 3): c single -member LLC Exempt payee code (if any) O ❑ Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) It, `0 2 Note: Check the appropriate box in the line above for the tax classification of the single -member owner. Do not check Exemption from FATCA reporting c 1n LLC if the LLC is classified as a single -member LLC that Is disregarded from the owner unless the owner of the LLC is for U.S. federal tax Otherwise, LLC that t code (f any) a another LLC that is not disregarded from the owner purposes. a single -member is disregarded from the owner should check the appropriate box for the tax classification of its owner. ❑ Other (see instructions) ► 4k+vAw ro.¢ounb m•hbin.d oubid. me U.S) N 5 Address (number, street, and apt. or suite no.) See instructions. Requester's name and address (optional) 17115 SE 270th PL, Suite 106 6 City, state, and ZIP code Covington, WA 98042 7 177 account nUMberis! here (optional) Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid Social security number backup withholding. For individuals, this Is generally your saolsecurity number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later, For other — M entitles. it Is vour emnlover identification number (EIN►. If you do not have a number, see How to qet a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter. or Identification number a1010©©I©IOIOC7E] CM Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. 1 am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above R you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, Rem 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign,the certification, but you must provide your correct TIN. See the instructions for Part II, later. J -` r - Sign 9 Signature of V �f f Here U.S. person ► J } l General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Futture developments. For the latest Information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/ForTnW9. Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (FIN) which may be your social security number (SSN), individual taxpayer identification number ([TIN), adoptlon taxpayer identh9cation number (ATIN). or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an Information return. Examples of information returns Include, but are not limited to, the following. • Form 1099-INT (interest earned or paid) Date ► t;' 1 ;:;L0 1 ' ? 3 • Form 1099-DIV (dividends, including those from stocks or mutual funds) • Form 1099-MISC (various types of income, prizes, awards, or gross proceeds) • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estate transactions) • Form 1099-K (merchant card and third party network transactions) • Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T (tuition) • Form 1099-C (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only If you are a U.S. person (including a resident alien), to provide your correct TIN. 1f you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What !s backup withholding, later. Cat. No. 10231X Form W-9 (Rev. 10-2018) 5/1 /23, 9:12 AM Washington State Department of Revenue Washington State Deparb, a_. ,� if Re,, ,-... < Business Lookup License Information: New search Back to results Entity name: RIVERS EDGE ENVIRONMENTAL SERVICES, INC. Business RIVERS EDGE ENVIRONMENTAL SERVICES, INC. name: Entity type: Profit Corporation UBI #: 603-483-511 Business ID: 001 Location ID: 0001 Location: Active Location address: 17115 SE 270TH PL STE E-106 COV I N GTO N WA 98042 Mailing address: 17115 SE 270TH PL - STE 106 COVINGTON WA 98042-5647 Excise tax and reseller permit status: Click here Secretary of State status: Endorsements https://secure.dor.wa.gov/gteunauth/ /#5 Click here Page 1 of 2 Fil, 1/4 5/1/23, 9:12 AM Washington State Department of Revenue Endorsements held i License # Count Detz Status Expiration date First issuance date Auburn General BUS-3301 Active Mar-31-2024 Sep-14-2022 Business - Non - Resident Bremerton General 34578 Active Mar-31-2024 Aug-11-2021 Business - Non - Resident Burien General 12582 Active Mar-31-2024 May-09-2017 Business - Non - Resident Carnation General Active Mar-31-2024 Oct-13-2020 Business - Non - Resident Covington General BL19-233 Active Mar-31-2024 Dec-02-2015 Business Federal Way Active Apr-30-2024 Apr-25-2023 General Business - Non -Resident Issaquah General Active Mar-31-2024 Apr-02-2020 Business - Non - Resident Kirkland General Active Mar-31-2024 Jun-08-2020 Business - Non - Resident Lacey General 211569 Active Mar 31 2024 Dec 13 2021 Business - Non - Resident Lynnwood General Active Aug-31-2023 Aug-24-2022 Business - Non- hftps://secure.dor.wa.gov/gteunauth/—/#6 2/4 5/1/23, 9:12 AM Washington State Department of Revenue Endorsements held z License # Count Detz Status Expiration date First issuance date Resident Marysville General 7089CON Active Mar-31-2024 Nov-10-2020 Business - Non - Resident Mount Vernon General Business - Non -Resident Mountlake Terrace General Business - Non -Resident Olympia General 44496 Business - Non - Resident Pacific General 4707 Business - Non - Resident Active Mar-31-2024 Oct-29=2020 Active Mar-31-2024 Apr-22-2021 Active Mar-31-2024 Dec-06-2021 Active Mar-31-2024 Oct-27-2021 Governing People May include governing people not registered with Secretary of State Governing people Title MULLENDORE, ALEXANDRIA MULLENDORE, CLAYTON View Additional Locations The Business Lookup information is updated nightly. Search date and time: 5/1/2023 9:12:11 AM https://secure.dor.wa.gov/gteunauth/_/#5 3/4 5/1 /23, 9:12 AM Washington State Department of Revenue Contact us How are we doing? Take our survey! Don't see what you expected? Check if your browser is supported hftps://secure.dor.wa.gov/gteunauth/—/#5 4/4