The URL can be used to link to this page

AG 24-043 - KANWAY ABATEMENT & DEMOLITION, LLCRETURN TO: PW ADMIN EXT: 2700 ID #: 4402 CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM 1. ORIGINATING DEPT/DIV: PUBLIC WORKS / Deputy Director 2. ORIGINATING STAFF PERSON: Desiree Winkler EXT: 2711 3. DATE REQ. B)1 2/21 /24 3. TYPE OF DOCUMENT (CHECK ONE): p 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 NAME: -On -Call Asbestos and Abatement Contract 5. NAME OF CONTRACTOR: Kanway Abatement & Demolition, LLC ADDRESS: 3021 69th Ave W Ste F University Place, WA_ 98466 TELEPHONE: 253-722-7679 E-MAIL: brandoriftanwayl1c.com FAX: SIGNATURE NAME: 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: COMPLETION DATE: 12/31/2026 (option for 1-yr extension) S. TOTAL COMPENSATION: $ maximum 350,000.00 (INCLUDE EXPENSES AND SALES TAX, IF ANY) (IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES) REIMBURSABLE EXPENSE: ❑ YES ❑ NO IF YES, MAXIMUM DOLLAR AMOUNT: $ IS SALES TAX OWED: ❑ YES ❑ NO IF YES, $ PAID BY: 0 CONTRACTOR ❑ CITY RETAINAGE: RETAINAGE AMOUNT: ❑ RETAINAGE AGREEMENT (SEE CONTRACT) OR ❑ RETAINAGE BOND PROVIDED In PURCHASING: PLEASE CHARGE TO: set original PO for $200,000 charge to O&M Project: C36610-26500 9. DOCUMENT / CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL / DATE APPROVED ❑ PROJECT MANAGER 8 DIVISION MANAGER A DEPUTY DIRECTOR DSW 2/6124 d DIRECTOR ❑ RISK MANAGEMENT (IF APPLICABLE) 6 LAW DEPT KVA 2120/24 10. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED COMMITTEE DATE: COMMITTEE APPROVAL DATE: 2i5/24 SCHEDULED COUNCIL DATE: 2/20/24 COUNCIL APPROVAL DATE: L�q 11. CONTRACT SIGNATURE ROUTING ❑ SENT TO VENDOR/CONTRACTOR DATE SENT: �ir�/ DATE REC' D: Z ❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE LIC LASES, tXHIBITS ❑ CREATE ELECTRONIC REMINDERINOTIFICATION 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.) INITIAL / DATE SIGNED ❑ FINANCE DEPARTMENT ,qLLAW DEPT A, vo 4f SIGNATORY (MAYOR OR DIRECTOR) 1TY CLERK �d 3 ❑ ASSIGNED AG # AG nJJ .61-Al ❑ SIGNED COPY RETURNED DATE SENT: COMMENTS: EXECUTE" 1 " ORIGINALS MRSC Small Works Roster bid solicitation Half dozen solicited, Two bids received. 1/2020 SMALL PUBLIC WORKS CONTRACT FOR ON -CALL ASBESTOS ABATEMENT This small public works contract ("Contract") is dated effective this --i6r' day of �AtxiLV) 2024 and is made by and between the City of Federal Way, a Washington municipal corporation ("City" or "Owner"), and Kanway Abatement and Demolition, LLC, a Washington limited liability company ("Contractor"). A. The City desires to retain an independent contractor to furnish all labor and materials necessary to perform work at various locations in Federal Way, Washington ("Property"); and B. The Contractor has the requisite skill and necessary experience to perform such work. NOW, THEREFORE, the Parties ("Parties") agree to the following terms and conditions: SERVICES BY CONTRACTOR 1.1 Description of Work. Contractor shall perform all work and furnish all tools, materials, supplies, equipment, labor and other items incidental thereto necessary for the construction and completion of the work, more particularly described as the On -Call Asbestos Abatement 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 without limitation, this Contract, Contract Task Orders attached as Exhibit `B," Contract Change Order Agreement attached as Exhibit "C," Contractor's Retainage Agreement attached as Exhibit "D," Notice to Labor Unions attached as Exhibit "E," Certificate(s) of Insurance Form attached hereto as Exhibit "F," Performance/Payment Bond attached hereto as Exhibit "G," Prevailing Wage Rates attached as Exhibit "H," Title VI Assurances attached hereto as Exhibit "I," and Bid Quote attached as Exhibit "J," (collectively the "Contract Documents"), which Work shall be completed 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. 1.2 Completion Date. The Work shall be commenced within five (5) days of receipt by the Contractor of the City's Notice to Proceed for each Task Order. The Work shall be completed within a mutually agreed upon timeline for each Task Order. The Work shall not be deemed completed until the City has accepted the Work. 1.5 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. Rev 4/23 — 1 — 1.6 Compliance with Laws. 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 permit, inspection or other fees, at its sole cost and expense. 1.7 Change 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 "C" 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 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 to determine 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. 1.8 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. 1.9 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. 1.10 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. Rev 4/23 - 2 - 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 the 31 st day of December 2026 the option for one, 1-year extension, 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 Defective 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. 4. COMPENSATION 4.1 In consideration of the Contractor performing the Work, the City agrees to pay the Contractor an amount not to exceed Three Hundred Fifty Thousand and no/100 Dollars ($350,000.00), which amount shall constitute full and complete payment by the City ("Total Compensation"). 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. 4.2 The City shall pay the Contractor for Work performed under this Contract as detailed in the Task Orders issued for each scope of work specified in each associated Task Order and consistent with the unit prices specified in the Bid Quote and as detailed in Exhibit `B". 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 and absolute discretion, which shall be withheld until such time as Contractor modifies or repairs the Work so that the Work is acceptable to the City. Payment to the Contractor for partial estimates, final estimates, and retained percentages shall be subject to controlling laws. Annual increases in the Bid Quote prices (starting January 2025) may be negotiated and executed via change order to accommodate material cost increases, union labor contract increases, and use of subcontractors in -lieu of in-house staff. Contract increases shall be no more than the Puget Sound Cost Price Index on June 30 for the previous year. Contractor shall provide all back-up documentation to support annual cost increases. 4.3 In addition to the requirements set forth in the Contract Documents, the Contractor shall maintain Project cost records by cost codes and shall contemporaneously segregate and separately record, at the time incurred, all costs (1) directly associated with each work activity, (2) directly or indirectly resulting from any event, occurrence, condition, or direction for which Contractor seeks an adjustment in Contract price, Contract time, or related to any other claim or Rev 4/23 - 3 - protest. Any work performed for which Contractor intends to seek an adjustment in Contract price or Contract time, or related to any other claim or protest, shall be recorded on the same day the work is performed and kept separate so as to distinguish it from Contract Work. 4.4 Retainage. Pursuant to Chapter 60.28 RCW, five percent (5%) of the Total Compensation shall be retained by the City to assure payment of Contractor's state taxes as well as payment of subcontractors, suppliers and laborers. Upon execution of this Contract, Contractor shall complete, execute and deliver to the City the Contractor's Retainage Option attached hereto as Exhibit "C." No payments shall be made by the City from the retained percentage fund ("Fund") nor shall the City release any retained percentage escrow account to any person, until the City has received from the Department of Revenue a certificate that all taxes, increases, and penalties due from the Contractor and all taxes due and to become due with respect to the Contract have been paid in full or that they are, in the Department's opinion, readily collectible without recourse to the State's lien on the retained percentage. Upon non- payment by the general contractor, any supplier or subcontractor may file a lien against the retainage funds, pursuant to Chapter 60.28 RCW. Subcontractors or suppliers are required to give notice of any lien within forty-five (45) days of the completion of the Work and in the manner provided in RCW 39.08.030. Within sixty (60) days after completion of all Work on this Contract, the City shall release and pay in full the money held in the Fund, unless the City becomes aware of outstanding claims made against this Fund. 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 "E," as required by Section 202 of Executive Order 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 I. 6. INDEPENDENT CONTRACTOR/CONFLICT OF INTEREST 6.1 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 Rev 4/23 - 4 - 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 due. 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. It is recognized that Contractor may or will be performing professional services during the Term for other parties; provided, however, that 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. 6.2 If the Contractor is a sole proprietorship or if this is a contract 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. 7. TERMINATION 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 RC W. 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 City Indemnification. 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. 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. Rev 4/23 - 5 - 9. INSURANCE 9.1 Minimum Limits. The Contractor agrees to carry as a minimum, the following insurance, in such forms and with such carriers who have a rating, 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 $2,000,000 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 replacement 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 and non-contributory 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, in compliance with the Certificate(s) of Insurance Form attached hereto as Exhibit "F," which certificate must be executed by a person authorized by the insurer to bind coverage on its behalf. The City reserves the right to require complete certified copies of all required insurance policies, at any time. Rev 4/23 — 6 — 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 Self -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 Termination. 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. PERFORMANCE/PAYMENT BOND Pursuant to RCW 39.08.010, Contractor shall post a Performance/Payment Bond in favor of the City, in the form attached to this Contract as Exhibit "G" and incorporated by this reference, in a dollar amount satisfactory to the City; to guarantee Contractor's performance of the Work to the City's satisfaction; to insure Contractor's performance of all of the provisions of this Contract; and to guarantee Contractor's payment of all laborers, mechanics, subcontractors and material persons. Contractor's obligations under this Contract shall not be limited to the dollar amount of the bond. Alternatively, pursuant to RCW 39.08.010, at the option of Contractor, if the value of this Contract is less than One Hundred Fifty Thousand Dollars ($150,000.00), the City may, in lieu of a bond, retain ten percent (10%) of the Contract amount for a period of thirty (30) days after the date of final acceptance, or until receipt of all necessary releases from the Department of Revenue and the Department of Labor and Industries and settlement of any liens filed under Chapter 60.28 RCW, whichever is later. 11. 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 OSHA/WISHA requirements, Safety and Health Standards for Construction Work (Chapter 296-155 WAC), General Safety and Health Rev 4/23 — 7 — 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. 12. PREVAILING WAGES 12.1 Wages of Employees. 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 "H" 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. 12.2 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. 12.3 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. 12.4 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 Rev 4/23 - 8 - 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. 13. FAILURE TO PAY SUBCONTRACTORS 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. 14. OWNERSHIP 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. 15. CONFIDENTIALITY 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. 16. 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. 17. 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. 18. CONTRACTOR AND SUBCONTRACTOR RESPONSIBILITY: 18.1 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; Rev 4/23 — 9 — 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. 18.2 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 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. 18.3 Subcontractor Verification. 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. 19. GENERAL PROVISIONS 19.1 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. 19.2 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. 19.3 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. 19.4 Assi ng ment. 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. Rev 4/23 — 10 — 19.5 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. 19.6 Attorney 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. 19.7 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. 19.8 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. 19.9 Authori . 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. 19.10 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. 19.11 Captions. 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. 19.12 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. 19.13 Compliance with Ethics Code. 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. 19.14 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. Rev 4/23 - 11 - DATED the day and year set forth above. APPROVED AS TO FORM: . yan Call, City AK�� CITY OF FEDERAL WAY: Jiipe i erreK Mayor 2'325 8th Avenue South ederal Way, WA 98003-6325 ATTEST: ww'64p'�' t phanie Courtney, C C City Clerk Rev 4/23 — 12 — KANWAY ABATEMENT & DEMOLIMON LLC: a� B Brandon Its: President 3021 69th Ave. W Ste F University Place, WA 98466 (Address) 253-442-6999 (Phone) STATE OF WASH NGTON ) ) ss. COUNTY OF Pf WfQ- On this,4ay ersonally appeared before me � 4bq C f-vvM to me known to be the f of Kanwa Abateme-d & Demolition. LLC that executed the within and 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 or she was authorized to execute said instrument. GIVEN under my hand and official seal this -P""- day of 1, a r&� 2024. Notary's signature 4v—u:�P Notary's printed name ? yVGt Mewr,a Rain smek"y Notary Public in and for the Late of �►r Pubk Washington_ s� °F1""°" My commission expires 3 Zl1 a+r ins M%rzn2s canmd9sFon Number N 014636 Rev 4/23 — 13 — EXHIBIT "A" SCOPE OF WORK and BID QUOTE Asbestos removal at locations identified through Task Order as described in associated "Asbestos Inspection Report" in accordance with applicable state laws and guidelines including, but not limited to: Northwest Clean Air Agency and file for associated notifications and permits. Rev 4/23 — 14 — IVAINIAM&II ABATEMENT I DEMOLITION January 23, 2024 City of Federal Way Attn: Mr. Jarred Larson 33325 8th Ave. South Federal Way, WA 98003 RE: Asbestos Abatement at 31016 28th Ave. S/31014 28th Ave. S/31004 28th Ave. S, Federal Way, WA Scope: Remove and dispose of all asbestos containing materials as identified in the Asbestos Northwest, LLC Survey Reports dated January 3, 2024. Quote includes environmental notifications to L&I and Puget Sound Clean Air Agency, Prevailing Wages, drivetime, set-up, removal, air monitoring, disposal, and rental (if needed). The work will be performed by State Certified Asbestos Workers and Supervisors. Dear Jarred, Following are our quotes for the above noted project. Bid Amount for 31004 28th Ave. 5.................................................................................................. $9,500.00 Bid Amount for 31014 28th Ave. 5................................................................................................... $20,600.00 Bid Amount for 31016 28th Ave. 5.................................................................................................. $14,400.00 Notes: Insurance is per standard policy limits-GIL per occurrence. Additional policy limits are available at a premium. Not Included In This Quote: • _ Washington State Sales Tax • Removal of materials not noted above • Demolition of buildings • 3rd party air monitoring This quote is based on acceptance of mutually agreed upon contract terms. All work will be performed in compliance with Federal, State, and Local regulations. This quote is valid for 30 days. Thank you for giving KANWAY Abatement & Demolition, LLC the opportunity to furnish a quote for this project. Any questions please contact Brandon Brockway. Respectfully, Brandon Brockway President Brandon Brockway (253) 722-7679 brandonekanwayllc.com 3021 69th Ave W Ste F www.kanwayllc.com University Place, WA 98466 ASBESTOS NORTHWEST LLC SURVEY REPORT ..4v_ NORTHWEST 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 Asbestos Northwest, LLC - Survey Report 30620 Pacific Hwy S, #103, Federal Way, WA 98003 253.941.4343 Survey Location: 31004 28th Ave S Federal Way WA Prepared for: City of Federal Way Date: January 31d 2024 Asbestos Northwest Batch Number: 202410020 Inspector: Sean Butler (#18-9109) E-mail: seanb _lashestosnw.com 1 ASBESTOS NORTHWEST LLC SURVEY REPORT ASBESTOS NORTHWEST 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 Contents 1. Background Information and Scope of Work............................................................................3 2. Main Building Description.........................................................................................................4 StructuralSystem.....................................................................................................................................4 FinishingMaterials.......................................................................................—....................... ..........4 Mechanicalsystem................................................................................................................................4 Electricalsystem............................................................................................................................ ......4 Insulation..................................................................................................................................................... 4 Roofing.........................................................................................................................................................14 Outbuildings...............................................................................................................................................4 3. Material Sampling Information..................................................................................................5 Definitions...... ....... ................................................................................................................................ 5 SurveyMethodology................................................................................................................................5 4. Asbestos Containing Material...................................................................................................7 5. Conclusions................................................................................................................ ......... 8 AppendixA — Certifications................................................................._.......................................10 AppendixB - Building Layout ............................................. ................. .... ........... I ... .................... .12 Kitchen..........................................................................................................................................13 LivingRoom.................................................................................................................................13 MainFloor Bedroom......................................................................................................................14 BasementEast Bedroom .............................................. ................................................................14 GarageExterior ................................... .................... ......................................................... ...........15 GarageInterior..........................................................................................................I...................15 Appendix C — Laboratory Report ............ ....... ....... .............. .............. ...........................................16 2 ASBESTOS NORTHWEST LLC SURVEY REPORT ASIBESTO NORTHWESTSAA" 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 1. Background Information and Scope of Work On January 3rd 2024 Asbestos Northwest, LLC conducted an AHERA survey of the single family residence located at 31004 28th Ave S in Federal Way WA. AHERA-certified building inspector Sean Butler (#18-9109) conducted the survey to determine the presence of Asbestos Containing Materials (ACM's) prior to the demolition of the building as part of a reconfiguration of the property. The home was vacant at the time of the inspection and appeared to have been occupied until relatively recently. The building had been almost entirely emptied of personal property, though some furnishings remained in place. It had a single bedroom on the main floor along with one bathroom. Two more bedrooms were located in the basement level of the building, while the remainder of the basement was unfinished. The building was a log style home, and had seen limited maintenance for an extended period. There was a detached garage structure next to the home that appeared to be much newer than the home itself. This had been finished as a film developing and printing studio, and still contained some of the related equipment. There were no other structures on the property. Two houses directly south of this residence were also accessed at this time, and are covered under their own inspection reports. The building appeared to have been through some alterations in the past but was largely as -built. There was no clear distinction between different eras of work or types of materials in use. For the purposes of this inspection the structure was considered to be a single homogenous area, with the garage as a separate homogenous area. Samples were taken from the interior and exterior of the buildings. The inspector had access to all areas of the structure as well as the detached garage. See the attached layout drawing with sample locations in Appendix B. Materials were located and sampled following AHERA protocol in 40 CFR 763.86, then analyzed in-house at Asbestos Northwest per 40 CFR 763.86. See section 3 for detailed sampling information. ASBESTOS NORTHWEST LLC SURVEY REPORT ASBESTOS.- NORTHWEST A" Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 2. Main Building Description County records indicate that the building was originally constructed in 1943 and had a total finished area of roughly 1,000ft2 over the main floor and a portion of the basement. The layout and materials of the main floor were typical for a home of this age and style, while the basement remodel seemed to be several decades newer. The home was vacant and in fair condition at the time of the inspection, it will be demolished to make way for a replacement dwelling. Structural System The building was of wood -framed construction, on a concrete foundation with a full-size basement below. The overall structure appeared unaltered from its original form. Finishing Materials The interior walls and ceilings were finished drywall throughout the main floor and the basement bedrooms. Popcorn was present only in the living room area at the front of the home. Flooring was mostly carpet over wood, with vinyl present in the kitchen, bathroom and entrance areas only. The finishing materials on the main floor were largely consistent, and the basement space appeared somewhat newer. The exterior was clad in logs, which may have been structural. Window units lacked suspect glazing materials. Mechanical system The home had a forced air heating system, with the furnace located in the basement area and metal ducting run under the floors. No asbestos containing tape products were seen on the ducting, but most of the basement ceiling was enclosed. A fireplace was located in the living room. Electrical system The electrical system was live at the time of the inspection. Visible wiring was the older woven insulated type with some newer rubber insulated varieties. The electrical panel contained breakers and had no suspect backing materials visible. Insulation The home had some fiberglass insulation. No vermiculite was encountered. Roofing The home has an asphalt shingle roof with a tar paper vapor barrier. Outbuildings The garage next to the home was a wood framed structure with an asphalt shingle roof. Interior walls and ceilings were finished drywall, this was a newer building. 4 ASBESTOS NORTHWEST LLC SURVEY REPORT A S 7- E S T Q SA NORTHWEST 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 3. Material Sampling Information Asbestos survey work performed by Asbestos Northwest meets inspection regulatory requirements enforced by federal, state, and local agencies, including Asbestos Hazard Emergency Response Act (AHERA), WAC 296-62-077 (WISHA) and 40 CFR Part 61 (NESHAP) and 29 CFR Part 1926.1101 (OSHA) Definitions Homogenous — Materials with the same appearance, texture, color, and which were applied during the same general construction period. Surfacing Material — Material that has been sprayed -on, troweled -on or otherwise applied to surfaces, such as acoustical plaster, texture and joint compound, and fireproofing materials on structural members. Thermal System Insulation — Material applied to pipes, fittings, boilers, breaching, ducts, and other interior structural components to prevent heat loss or gain. Miscellaneous Material — Building materials such as structural components, structural members or fixtures not included in surfacing and thermal insulation. Survey Methodology Before sampling began, inspectors documented the total surveyed area. A sketch of each space was created, and total square footage was roughly measured. The inspectors then determined the extent of each visible homogenous material throughout the survey area. Materials were classified as surfacing, thermal insulation, or miscellaneous material, and friability was assessed according to AHERA specifications. Materials were sampled according to 40 CFR 763.86. Depending on homogeneity, square footage, and material type, the proper number of samples needed to accurately assess the location and extent of asbestos was determined and collected. At the point of collection, samples were placed in an appropriate container and labeled. Location was noted on the building floor plan, and a description of the material was recorded with the label number. Sampling tools were then wiped clean to prevent contamination between samples. Any suspect debris was sealed. The samples were then counted, and their label numbers were recorded on a chain of custody form. The inspector then signed and released the form to the laboratory with the samples. Samples were analyzed in-house at Asbestos Northwest. Below is a list of all materials sampled. Appendix C contains the laboratory report and analytical results for each sample. 5 ASBESTOS NORTHWEST LLC SURVEY REPORT Description Popcorn Asbestos Containing Material Type Friable Surfacing Material Joint Compound Friable Surfacing Material Asbestos Containing Texture Friable Surfacing Material Asbestos Containing Layered Vinyl Non -Friable Asbestos Containing Miscellaneous Material Texture I Friable Surfacing Material Non -Friable Miscellaneous White Sheet Vinyl Material Joint Compound I Friable Surfacing Material Fibrous Ceiling Tile Friable Miscellaneous Material Asphaltic Shingle Non -Friable Miscellaneous Material Tar Paper Non -Friable Miscellaneous Material ASBESTOS .�. NORTHWEST 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 Sample Numbers and Locations 1- Living Ceiling North 2- Living Ceiling Middle 3- Living Ceiling South 4- Living Wall North 7- Living Wall South 9- Kitchen Wall 16- Basement West Bedroom Wall 5- Living Wall North 8- Living Wall South 6- Entrance Floor 10- Kitchen Floor 11- Bathroom Wall 14- Bedroom Wall 17- East Bedroom Wall 20- Garage Main Room Wall 22- Garage NE Room Wall 24- Garage NW Room Wall 12- Bathroom Floor 13- Bedroom Wall 19- Garage Main Room Wall 21- Garage NE Room Wall 23- Garage NW Room Wall 15- Basement West Bedroom Ceiling 18- Roof 26- Garage Roof 25- Under Garage Siding ASBESTOS NORTHWEST LLC SURVEY REPORT 4. Asbestos Containing Material ASBESTO NORTHWESTSA" 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 A homogenous material is considered ACM (Asbestos Containing Material) if one or more samples of the material are found to have greater than 1 % asbestos. Analysis can result in both positive and negative conclusions in materials containing less than 10% asbestos, or materials that have very fine asbestos fibers, have been hand mixed, or have asbestos fibers tightly bound in the matrix; therefore, EPA recommends a minimum of three samples be analyzed by PLM for these types of materials. All materials that were sampled during the inspection were analyzed under PLM, EPA Method 600/R-93/116. Laboratory results show that eleven of the samples taken contained asbestos. Description and Asbestos Material Type and Locations Type Estimated Quantity Friable Surfacing 1- Living Ceiling North Popcorn Material 2- Living Ceiling Middle 5% Chrysotile Asbestos -350ft 3- Living Ceiling South 4- Living Wall North Joint Compound Friable Surfacing 7- Living Wall South 2% Chrysotile Asbestos Material 9- Kitchen Wall See Conclusions 16- Basement West Bedroom Wall Texture Friable Surfacing 5- Living Wall North 2% Chrysotile Asbestos Material 8- Living Wall South See Conclusions _ Sheet Vinyl Non -Friable 65% Chrysotile Miscellaneous Material 6- Entrance Floor Asbestos - 15ft2 Non -Friable Vinyl Tile Miscellaneous Material 10- Kitchen Floor 3% Chrysotile Asbestos -100ft2 ASBESTOS NORTHWEST LLC SURVEY REPORT 5. Conclusions ASBESTO NORTHWESTS, 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 All three samples of popcorn ceiling were found to contain asbestos. This material was only present in the living room area of the home, none of the other rooms had this type of ceiling finish. The popcorn was in good condition with no significant damage. Four of the eight samples of joint compound taken were found to contain asbestos. All four of these samples came from the residence itself, and were from both the main floor and the finished portions of the basement. All joint compound within this building should be treated as asbestos containing. This material was in good condition with no outstanding damage. All samples of joint compound from the garage were asbestos free, this separate homogenous area can be excluded from the abatement work of the home itself. Two of the eight samples of texture taken were found to contain asbestos. All four of these samples came from the residence itself, and were from the living room area of the home. There was no visual distinction between these sample locations and the remaining texture samples from within this building. All finished drywall within the home itself should be treated as having this asbestos containing material in place. This material was in good condition with no outstanding damage. All samples of texture from the garage were asbestos free, this separate homogenous area can be excluded from the abatement work of the home itself. The sheet vinyl in the entrance area of the home was found to contain asbestos. This was a lower layer of flooring, and was only found in the entrance area. It was in good condition at the time of the inspection. The kitchen floor had a layer of asbestos containing vinyl tiles in place. This was in good condition and was only found in this room. The associated mastic was asbestos free. None of the other materials sampled during the inspection process were found to contain asbestos. Materials in use within the building were generally simple and were consistent with a residential structure. The building had been through some alterations in the past, which did result in a mix of materials in use. There was no clear distinction between different eras of work. The garage was a newer structure than the residence itself, and contained a more limited array of building materials. This structure was treated as a separate homogenous area, and samples were collected from both the interior and exterior. None of these samples were found to contain asbestos. ASBESTOS NORTHWEST LLC SURVEY REPORT NoRgNw�sT 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 Further materials may be identified during the demolition process that would warrant testing. Any identified asbestos containing material must be abated before demolition can continue. A Certified Asbestos Abatement Contractor must carry out abatement. Different materials require different abatement processes depending on the friability, type of asbestos, and amount of asbestos present. It is important that materials are treated by a Certified Asbestos Abatement Contractor. ASBESTOS NORTHWEST LLC SURVEY REPORT Appendix A — Certifications ASBESTOSve NORTHWEST 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 E ti ^M f a a 0 N N Lo LID N chi p 0aN L c o � .o m U 0 Q co e C� (caUU a; o E Q. UEA a o N U fi O S ,O O �..� V N V1 Q 0 N m ti U U v m U �+ _t 16 03 0 0 cmi O y`11► Q� c 0 0) • r.r a W w �0 Xz O V O U � � ma t� c c Q) �� o 4" BOO rq h O y b m o 12 ca c -E::o CW Z Qi 0 a o U � m W N L O ■� t7 y U C i' •�" N 4) 10 ASBESTOS NORTHWEST LLC SURVEY REPORT ASBESTOS �'` NORTHWEST 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 21905 64th Ave W, #100 Mountlake Terrace, WA 98043 �rr�on (206) 285-3373 This certifies that =.� .• Sean T. Butler has satisfactorily completed 4 hours of online refresher training as an AHERA Building Inspector to comply with the training requirements of TSCA Title II, 40 CFR 763 (AHERA) r.,•� . EPA Provider # 1085 Instructor: Tracy Bockla Date: Apr 25, 2023 Expires in 1 year. Cert, Num: 189109 11 ASBESTOS NORTHWEST LLC SURVEY REPORT Appendix B — Building Layout %3 5%j 0E 12 .5, ASBESTOS NORTHWESTAi" 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 Mo.',n 'Fi ba-v- 40-4e5)t5 so..,TlO- ASBESTOS NORTHWEST LLC SURVEY REPORT Kitchen Living Room 13 ASBESTOS NORTHWEST 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 ASBESTOS NORTHWEST LLC SURVEY REPORT Main Floor Bedroom Basement East Bedroom 14 ASBESTOS NORTHWESTA" 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 : fi ram. �� •. �•. `,='.-; ,r.: �,�: :�� -. - A.: - � +- !; �a w--ram.:: s:c � �:�_.• - ;�. - 4 wo ASBESTOS NORTHWEST LLC SURVEY REPORT Appendix C — Laboratory Report NORT�HWEaST SAI" 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 NASBESTO Asbestos NW Batch# 202410020 30620 Pacific Hwy S. #103, Federal Way, WA 98003 (253) 941-4343 NVLAP Lab Code: 200993-0 Bulk Samples Chain of Custody (EPA 600/R-93/116) Naive/company-. City of Federal Way_ Date: 1/3/2024 Address Phone 253 261 3749 E-mail:;arred.larsPno,, rityoffederal'.vay C0nI _Project Manager. Jarred Larson Pro'ect # Project Location 31004 28th Ave S Federal Way WA 98003 Number of Samples. 26 f Turn arnund time 72 # Sample ID Description Location/Comments 1 1 Popcorn Living Ceiling North 2 2 Popcorn Living Ceiling Middle 3 3 Popcorn Living Ceiling South 4 4 Joint Compound Living Wall North 5 5 Texture Living Wall North 6 6 Layered Vinyl Entrance Floor 7 7 Joint Compound Living Wall South 8 8 Texture Living Wall South 9 9 Joint Compound Kitchen Wall 10 10 Layered Vinyl Kitchen Floor 11 11 Texture Bathroom Wall 12 12 White Sheet Vinyl Bathroom Floor 13 13 Joint Compound Bedroom Wall 14 14 Texture Bedroom Wall 15 15 Fibrous Ceiling Tile Basement West Bedroom Ceiling 16 16 Joint Com ound Basement West Bedroom Wall 17 17 Texture Basement East Bedroom Wall 18 18 Asphaltic Shingle Roof 19 19 Joint Compound Garage Main Room Wall 20 20 Texture Garage Main Room Wall 21 21 Joint Com ound Garage NE Room Wall 22 22 Texture Garage NE Room Wall 23 23 Joint Compound Garage NW Room Wall 24 1 24 Texture Garage NW Room Wall 25 25 Tar Paper Under Garage Siding 26 26 Asphaltic Shingle Garage Roof 27 28 29 30 Print bian Go mpanv Date Time Sampled by: Relinquished by: Sean Butler Asbestos Northwest 1/3/2024 11:OOAM Delivered by: Sean Bu estos Northwest 1/3/2024 12:10PM Accepted by: Datn Laile y Asbestos Northwest LsAb 1/3/2024 12 10PM Anal zed b __ r, estos Northwest I q 2,41 16 ASBESTOS NORTHWEST LLC SURVEY REPORT ASBESTOS NORTHWEVA" 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 'ASBESTOS r� NORTHWEST V [`r'3,�u�fJ Asbestos Northwest, LI.0 resnr vvinaraecoDE iWR7su 30620 Pacific Fhvy S, 9103, Federal Way, WA 98003 Ph: (253) 9414343 Batch Number: 202410020 PLM Analysis by EPA Method 600/M4-82-020 and 600/R-93/116 This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NISI, or any agency of the U S Government. Attn: Jarred Larson City of Federal Way Location: 31004 28th Ave S Federal Way WA 98003 Date Received: 1/3/2024 Date Analyzed: 1/4/2024 Samples Received: 26 Samples Analyzed: 26 Client Sample Lab Sample % von -Asbestos % Asbestos Fibers ID ID Layer Description Matrix Fibers and Type White soft/lumpy material Filler/binder, I I o 5 /o Cellulose ° 5 /° Chrysotile with paint Paint While soft/lum P, v material Filler/binder. 2 I 5% Cellulose 5% Chrysotile with paint Paint White soft/lumpy/° material Filler/binder, 3 I with paint Paint ° Cellulose 5 n /° Chrysotile 4 Blue powdery material with Bindcr/filler. 1 paint Paint '% Cellulose 2% Chrysotile White powdery material with Filler/binder 10% Cellulose 2% Chrysotile paper _ White chalky material with Filler/binder. 3 '25%Cellulose None Detected paper Gypsum Blue powdery material with Binder1filler, paint _Paint 2% Cellulose 2% Chrysotile White chalky material with Filler/hinder, I 25% Cellulose None Detected paper Gypsum 6 1 Gray sheet vinyl Vinyl/binder None Detected None Detected 2 Clear mastic Mastic/binder I%Cellulose None Detected 3 None Detected Green sheet vinyl Vinyl/binder None Detected Filler, Gray fibrous material with 4 10% Cellulose 65% Chrysotile mastic Mastic/binder White powdery material with Binder/filler, 7 I and paper Paint 10% C'ellulose 2'% Chrysotile _pion _ White chalky material with _ Filler/binder. I paper Gypsum 25%Cellulose None Detected Analyzed by: Dan Lafley Report Page I 17 Reviewed by: Cathy Butler;, `J1�� Rif� f ASBESTOS NORTHWEST LLC SURVEY REPORT NORTH E�55 30620 Pacific Hwy S Suite 103 Federal Way, WA,98003 Tel: 253 9414343 Fax: 253 9414175 ASBESTOS NORTHWESES TESTING nvtar tae aor Asbestos Northwest, LLC CODE :oosaa n 30620 Pacific Hwy S. #103, Federal Way, WA 98003 Ph: (253) 941-4343 Batch Number: 202410020 PLM Analysis by EPA Method 600/M4-82-020 and 600/R-93/116 This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the U S Government Attn: Jarred Larson City of Federal Way Location: 31004 28th Ave S Federal Way WA 98003 Date Received: 1/3/2024 Date Analyzed: 1/4/2024 Samples Received: 26 Samples Analyzed: 26 Client Sample Lab Sample % Non -Asbestos % Asbestos Fibers ID ID Layer Description Matrix Fibers and Type Green powdery material with Binder/filler. 8 I 2% Cellulose 2% Chrysotile paint Paint White chalky material with Filler!binder. 25% Cellulose None Detected paper Gypsum White powdery material with Binder/filler. 9 I paint and paper Paint 10% Cellulose ° 2% Chrysotile White chalky material with Fillcr/bindcr. 25% Cellulose None Detected piper Civ sum 10 1 White and blue sheet vinyl Vinyl/binder None Detected None Detected Gray fibrous material with Filler, 2 40% Cellulose None Detected mastic Mastic/binder 3 Yellow tile Vinyl/binder, 3'%n Cellulose 3% Chrysotile Mineral grti ains 4 Yellow mastic Mastic/binder 4%Cellulose None Detected 5 Asphalt/binder. Black asphaltic fibrous ^55% Cellulose. material with Mastic Mastic Stinthetic fibers None Detected White chalky material with Filler/binder, I I I paint and paper Gvpsum. Paint 20%Cellulose None Detected 12 I White sheet vinyl Vinyl/binder None Detected None Detected Gray fibrous material with Filler, 2 mastic Mastic/binder Cellulose None Detected White chalky material with Filler/binder. 13 I paint and paper G%PRIM, Paint 20% Cellulose None Detected White chalky material with Filler/binder. paint and paper Gvpsum. Paint 20%Cellulose None Detected 41�Analyzed by: Dan Lafley Report Page 2 18 , Reviewed by: Cathy Butler( ASBESTOS NORTHWEST LLC SURVEY REPORT ASBESTO NORTHWESTSAA" 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 ASBESTOS Hvi NORTHWEST lrJ�[ Asbestos Northwest, LLC TESTING rrnnv the coor Mrrtsa 30620 Pacific Hwy S, #103, Federal Way, WA 98003 Ph: (253) 941-4343 Batch Number: 202410020 PLM Analysis by EPA Method 600/M4-82-020 and 600/R-93/116 This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the U.S. Government. Attn: Jarred Larson Date Received: 1/3/2024 City of Federal Way Date Analyzed: 1/4/2024 Samples Received: 26 Samples Analyzed: 26 Location: 31004 28th Ave S Federal Way WA 98003 Client Sample Lab Sample Layer Description Matrix % Non -Asbestos % Asbestos Fibers ID ID Fibers and Type IS I Brown fibrous material with Filler, Paint 90%Cellulose None Detected paint White powdery material with Binder/filler, 16 1 ° 10/° Cellulose 2 /° Chrysolite paint and paper Paint White chalky material with Filler/binder, 25% Cellulose None Detected paper Gypsum White chalky material with Filler/binder. 17 i1 20% Cellulose None Detected paint and paper Gypsum. Paint Black asphaltic material with Asphaldbinder. 18 1 4% Cellulose None Detected sand Sand Black asphaltic fibrous _ 2 Asphalt/binder 30% Cellulose None Detected material White powdery material with P r5 Binder/filler, 19 1 paint and a er Paint 8%Cellulose None Detected White chalky material with Filler/hinder, 25% Cellulose None Detected paper Gypsum White chalky material with Filler/binder. 20 I paint and paper Gypsum, Paint 20% Cellulose None Detected White powdery material with P n Binder/filler, 21 I 8%Cellulose None Detected paint and_paper Paint White chalky material with Filler/binder. I 25% Cellulose None Detected paper Gypsum White chalky material with Filler/binder, 22 I paint and paper Gypsum. Paint 20°%Cellulose None Detected White owde material with P Binder/filler, 23 1 3% Cellulose None Detected 1 paint Paint White chalky material with Filler/binder. I 25% Cellulose None Detected paper Gypsum r Analyzed by: Dan Lafley Report Page 3 19 r "I Reviewed by: Cathy Butler(�� ASBESTOS NORTHWEST LLC SURVEY REPORT ASBESTOS * NORTHWEST 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 ASBESTOS MwRay. NORTHWEST LIV l� TESTINGAsbestos Northwest, LLC xvur ue cooc tart?: o 30620 Pacific Hwy S, # 103, Federal Way, WA 98003 Ph: (253) 941-4343 Batch Number: 202410020 PLM Analysis by EPA Method 600/M4-82-020 and 600/R-93/116 This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the U.S. Government. Attn: Jarred Larson City of Federal Way Location: 31004 28th Ave S Federal Way WA 98003 Date Received: 1/3/2024 Date Analyzed: 1/4/2024 Samples Received: 26 Samples Analyzed: 26 Client Sample Lab Sample Layer Description % Non -Asbestos Matrix % Asbestos Fibers ID ID Fibers and Type 24 I White chalky material with Fillerfbinder, 0 o %Cellulose None Detected paint and paper Gypsum, Paint -�-- Analyzed by: Dan LaFley Report Page 4 20 Reviewed by: Cathy Butler(, ASBESTOS NORTHWEST LLC SURVEY REPORT A S B E S T 0 S NORTHWEST 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 Asbestos Northwest, LLC - Survey Report 30620 Pacific Hwy S, #103, Federal Way, WA 98003 253.941.4343 Survey Location: 31014 28th Ave S Federal Way WA Prepared for: City of Federal Way Date: January 3rd 2024 Asbestos Northwest Batch Number: 202410021 Inspector: Sean Butler (#18-9109) E-mail: seanb(cD, asbestos nw. com ASBESTOS NORTHWEST LLC SURVEY REPORT A5BE5TO5 "� NORTHWEST 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 Contents 1. Background Information and Scope of Work............................................................................3 2. Main Building Description .................................... StructuralSystem .................................................................................................................................4 FinishingMaterials....................................................................................................................................4 Mechanicalsystem............................................................................................................................-4 Electricalsystem.......................................................................................................................................4 Insulation.....................................................................................................................................................4 Roofing........................................................................................................................................................4 Outbuildings............................................................................................................................................... 4 3. Material Sampling Information..................................................................................................5 Definitions................................................................................................................................................... 5 SurveyMethodology-............................................................................................................................... 5 4. Asbestos Containing Material............................................................... ..............................7 5. Conclusions.......................................................................................................... ...............8 AppendixA - Certifications ............. ...................... .•-•--................... ................................................. 9 Appendix B - Building Layout.......................................................................................................11 LivingRoom..................................................................................................................................12 Kitchen..........................................................................................................................................12 Den...........................................................................................................................13 Roof................................................................................................................................................13 ShedExterior................................................................................................................................14 ShedInterior............................................................................................................................... .14 Appendix C - Laboratory Report ............................................................... ...... .....--- ... --- ------ -15 01 ASBESTOS NORTHWEST LLC SURVEY REPORT 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 1. Background Information and Scope of Work On January 31d 2024 Asbestos Northwest, LLC conducted an AHERA survey of the single family residence located at 31014 28th Ave S in Federal Way WA. AHERA-certified building inspector Sean Butler (#18-9109) conducted the survey to determine the presence of Asbestos Containing Materials (ACM's) prior to the demolition of the building as part of a reconfiguration of the property. The home was vacant at the time of the inspection and appeared to have been occupied until relatively recently. The building had been entirely emptied of personal property and was in good condition. It appeared to have been well maintained. There were two bedrooms and a single bathroom in the front portion of the home, with an additional bedroom and bathroom at the rear of the building. This rear suite may have been a later addition along with the den. There were a pair of simple sheds to the rear of the home, these were wood, plastic and metal structures that lacked suspect building materials. Two houses directly south of this residence were also accessed at this time and are covered under their own inspection reports. The building appeared to have been through some alterations in the past, possibly including an expansion to the rear. There was no clear distinction between different eras of work or types of materials in use. For the purposes of this inspection the structure was considered to be a single homogenous area. Samples were taken from the interior and exterior of the building. The inspector had access to all areas of the structure as well as the detached sheds. See the attached layout drawing with sample locations in Appendix B. Materials were located and sampled following AHERA protocol in 40 CFR 763.86, then analyzed in-house at Asbestos Northwest per 40 CFR 763.86. See section 3 for detailed sampling information. ASBESTOS NORTHWEST LLC SURVEY REPORT ASBESTOS � NORTHWEST 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 2. Main Building Description County records indicate that the building was originally constructed in 1957 and had a total finished area of roughly 1,700ft2 over a single floor. The layout was largely typical for a ranch style home, with three bedrooms and a pair of bathrooms. Materials in use were typical for a home of this age and style. It was vacant and in good condition at the time of the inspection and will be demolished. Structural System The building was of wood -framed construction, on a concrete foundation with a crawl space below. The home may have been expanded to the rear. Finishing Materials The interior walls and ceilings were finished drywall throughout most of the home. Fibrous ceiling tiles were present in the living room, and plastic ceiling tiles were installed in the kitchen. No popcorn or other heavy texture products were present. Flooring was a mix of carpeting and wood plank, with vinyl below this in the kitchen, bathrooms, entrance and den. The exterior was clad in wood siding, and the window units lacked suspect glazing putty materials. Mechanical system The home had a forced air heating system, with the furnace located in the laundry room and metal ducting run under the floors. No asbestos containing tape products were seen on the ducting. A wood stove was also installed in the den area. Electrical system The electrical system was disabled at the time of the inspection. Visible wiring was rubber insulated. The electrical panel contained breakers and had no suspect backing materials visible. Insulation The home had some fiberglass insulation. No vermiculite was encountered. Roofing The home has a rolled asphalt roof with no silver paint. Outbuildings The two sheds to the rear of the home were simple structures that lacked suspect building materials. Both were relatively new. 4 ASBESTOS NORTHWEST LLC SURVEY REPORT ASBESTOS ` NORTHWEST 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 3. Material Sampling Information Asbestos survey work performed by Asbestos Northwest meets inspection regulatory requirements enforced by federal, state, and local agencies, including Asbestos Hazard Emergency Response Act (AHERA), WAC 296-62-077 (WISHA) and 40 CFR Part 61 (NESHAP) and 29 CFR Part 1926.1101 (OSHA) Definitions Homogenous — Materials with the same appearance, texture, color, and which were applied during the same general construction period. Surfacing Material — Material that has been sprayed -on, troweled -on or otherwise applied to surfaces, such as acoustical plaster, texture and joint compound, and fireproofing materials on structural members. Thermal System Insulation — Material applied to pipes, fittings, boilers, breaching, ducts, and other interior structural components to prevent heat loss or gain.. Miscellaneous Material — Building materials such as structural components, structural members or fixtures not included in surfacing and thermal insulation. Survey Methodology Before sampling began, inspectors documented the total surveyed area. A sketch of each space was created, and total square footage was roughly measured. The inspectors then determined the extent of each visible homogenous material throughout the survey area. Materials were classified as surfacing, thermal insulation, or miscellaneous material, and friability was assessed according to AHERA specifications. Materials were sampled according to 40 CFR 763.86. Depending on homogeneity, square footage, and material type, the proper number of samples needed to accurately assess the location and extent of asbestos was determined and collected. At the point of collection, samples were placed in an appropriate container and labeled. Location was noted on the building floor plan, and a description of the material was recorded with the label number. Sampling tools were then wiped clean to prevent contamination between samples. Any suspect debris was sealed. The samples were then counted, and their label numbers were recorded on a chain of custody form. The inspector then signed and released the form to the laboratory with the samples. Samples were analyzed in-house at Asbestos Northwest. Below is a list of all materials sampled. Appendix C contains the laboratory report and analytical results for each sample. ASBESTOS NORTHWEST LLC SURVEY REPORT NOR T�HWEOST " 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 Description Material Type Sample Numbers and Locations Friable Miscellaneous � Fibrous Ceiling Tile 1-Living Room Ceiling Material Green Sheet Vinyl Non -Friable 2- Entrance Floor Asbestos Containing Miscellaneous Material 3- SW Bedroom Wall 5- South Bathroom Wall Joint Compound Friable Surfacing Material 8- Kitchen Wall Asbestos Containing 11- Den Wall 14- NE Bedroom Wall Texture 4- SE Bedroom Wall Friable Surfacing Material Asbestos Containing 7- South Hall Wall Non -Friable Miscellaneous Wood Pattern Sheet Vinyl 6- South Bathroom Floor Material 9- Kitchen Wall Texture Friable Surfacing Material 12- Den Wall 15- North Bathroom Wall Non -Friable Miscellaneous Layered Vinyl 10- Kitchen Floor Material Layered Vinyl Non -Friable Asbestos Containing � 13- Den Floor Miscellaneous Material Mastic Non -Friable Miscellaneous Beige Sheet Vinyl 16- North Bathroom Floor Material Non -Friable Miscellaneous Fiberboard 17- Under Siding Material Non -Friable Miscellaneous Asphaltic Shingle 18- Roof Material ASBESTOS NORTHWEST LLC SURVEY REPORT A S l' E S n ' -) S N 0 R T H WEST 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 4. Asbestos Containing Material A homogenous material is considered ACM (Asbestos Containing Material) if one or more samples of the material are found to have greater than 1 % asbestos. Analysis can result in both positive and negative conclusions in materials containing less than 10% asbestos, or materials that have very fine asbestos fibers, have been hand mixed, or have asbestos fibers tightly bound in the matrix-, therefore, EPA recommends a minimum of three samples be analyzed by PLM for these types of materials. All materials that were sampled during the inspection were analyzed under PLM, EPA Method 600/R-93/116. Laboratory results show that nine of the samples taken contained asbestos. Description and Asbestos Type Sheet Vinyl 65% Chrysotile Asbestos Joint Compound 2% Chrysotile Asbestos Texture 2% Chrysotile Asbestos Mastic 2% Chrysotile Asbestos Material Type and Estimated Quantity Non -Friable Miscellaneous Material 15ft2 Friable Surfacing Material See Conclusions Friable Surfacing Material See Conclusions Non -Friable Miscellaneous Material -350ft2 7 Locations 2- Entrance Floor 3- SW Bedroom Wall 5- South Bathroom Wall 8- Kitchen Wall 11- Den Wall 14- NE Bedroom Wall 4- SE Bedroom Wall 7- South Hall Wall 13- Den Floor ASBESTOS NORTHWEST LLC SURVEY REPORT 5. Conclusions NQRT�HWEST 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 The sheet vinyl in the entrance area of the home was found to contain asbestos. This was a single layer of flooring and was only found in the entrance area below the wood plank. It was in good condition at the time of the inspection. All five samples of joint compound taken were found to contain asbestos. These samples came from throughout the building. All joint compound within this building should be treated as asbestos containing. This material was in good condition with no outstanding damage. Two of the five samples of texture taken were found to contain asbestos. These samples came from the SE bedroom and the south hallway. There was no visual distinction between these sample locations and the remaining texture samples from within this building. All finished drywall within the home itself should be treated as having this asbestos containing material in place. This material was in good condition with no outstanding damage. The den floor had a layer of asbestos containing mastic in place. This material was only found in this room, and was not present elsewhere in the house. None of the other materials sampled during the inspection process were found to contain asbestos. Materials in use within the building were generally simple and were consistent with a residential structure. The building had been through some alterations in the past, which did result in a mix of materials in use. There was no clear distinction between different eras of work. The outbuildings were all of simple construction and lacked suspect building materials entirely. These structures had entirely unfinished interiors, no mechanical or electrical systems, and no asphaltic roofing or vapor barrier materials in place. Further materials may be identified during the demolition process that would warrant testing. Any identified asbestos containing material must be abated before demolition can continue. A Certified Asbestos Abatement Contractor must carry out abatement. Different materials require different abatement processes depending on the friability, type of asbestos, and amount of asbestos present. It is important that materials are treated by a Certified Asbestos Abatement Contractor. ASBESTOS NORTHWEST LLC SURVEY REPORT Appendix A — Certifications 5SES` OS NORTHWEST ` ' 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 ASBESTOS NORTHWEST LLC SURVEY REPORT ASBESTO NORTHWESTSAi" 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 21905 64th Ave W, #100 Mountlake Terrace, WA 98043 jo Warracan (206)285-3373 This certifies that Sean T. Butler has satisfactorily completed 4 hours of online refresher traininq as an AHERA Building Inspector to comply with the training requirements of TSCA Title II, 40 CFR 763 (AHERA) _ �.� fi 1..�,.• - EPA Provider # 1085 Instructor Tracy Dockla Date: Apr 25, 2023 Expires in 1 year. Cart. Num: 189109 10 ASBESTOS NORTHWEST LLC SURVEY REPORT ASBESTC]5 '� NORTHWEST 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 Appendix B — Building Layout .19 I� • p.5�G5�o5 £aY►�trz►n+"� Sv-rr+Q�� cGc��"►A►r, 11 1-7 ASBESTOS NORTHWEST LLC SURVEY REPORT Living Room Kitchen 12 ASBESTO NORTHWESTSA" 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 ASBESTOS NORTHWEST LLC SURVEY REPORT Den ice. Y • � ��y'1 Roof 10 ASBESTOS, NORTHWESTA�" 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 f •� Y _ •y� rw__ _ Yin t- ..� � . �..� - •-t�i.Xt �' `+S �-� . 13 ASBESTOS NORTHWEST LLC SURVEY REPORT Shed Exterior Shed Interior 14 ASIBEST0 NORTHWESTSA" 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 ASBESTOS NORTHWEST LLC SURVEY REPORT Appendix C — Laboratory Report NORBHWE�ST 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 NORTBHWE�ST " Asbestos NW Batch# 202410021 30620 Pacific Hwy S. #103, Federal Way, WA 98003 (253) 941-4343 NVLAP Lab Code: 200993-0 Bulk Samples Chain of Custody (EPA 600/R-93/116) Name/Company, City of Federal Way _ _ Date: 1/3/2024 Address: Phone: 253 261 3749 E-mail: tarred.larsfln0citvnffederalway.com Project Manager, Jarred Larson Project # Project Location: 31014 28th Ave S Federal Way WA 98003 Number of Samples' 18 Turn Armand times' 79 # Sample ID Description Location/Comments 1 1 Fibrous Ceilin2 Tile Entrance Ceiling 2 2 Green Sheet Vinyl Entrance Floor 3 3 Joint Compound SW Bedroom Wall 4 4 Texture SE Bedroom Wall 5 5 Joint Com ound South Bathroom Wall 6 6 1 Wood Pattern Sheet Vinyl South Bathroom Floor 7 7 Texture South Hall Wall 8 8 Joint Compound Kitchen Wall 9 9 Texture Kitchen Wall 10 10 Layered Vinyl Kitchen Floor 11 1 11 Joint Com ound Den Wall 121 12 Texture Den Wall 13 13 Tan Sheet Vinyl Den Floor 14 14 Joint Compound NE Bedroom Wall 15 15 Texture North Bathroom Wall 16 16 Beige Sheet Vinyl North Bathroom Floor 17 17 Fiberboard Under Siding 18 18 Asphaltic Shingle Roof 19 20 21 22 23 24 25 26 27 28 29 30 Print L:OM132rlV Uaie I lme Sampled by- Sean Butler: Asbestos Northwest 1/3/2024 9 OOAM Relinquished by: Delivered by: Sean Butl Asbestos Northwest 1/3/2024 12:1 OPM Accepted by: Dan Lafley Asbestos Northwest 111201,4 12:10PM Analyzed by: �� ,,,Asbestos Northwest 1'.� � I/ ' V 0 15 ASBESTOS NORTHWEST LLC SURVEY REPORT NQRT�HWE�ST 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 ASBESTOS Kv jN,? NORTHWEST `I W TESTING Asbestos Northwest. 1-LC NVLA� LAB CODE 30110"18 30620 Pacific Hwy S. 1103, federal Wa\•. WA 98003 Ph: (253►9-41-434') Batch Number: 202410021 PLM Analysis by EPA Method 600/M4-82-020 and 600/R-93/116 This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the U S. Government. Attn: Jarred Larson Date Received: 1/3/2024 City of Federal Way Date Analyzed: 1/8/2024 Samples Received: 18 Samples Analyzed: 18 Location: 31014 28th Ave S Federal Way WA 98003 Client Sample ID Lah Sample ID La}1cr Description Matrix % Von -Asbestos Fibers % Asbestos Fibers and Type I White powder material with paint Binder/filler. Paint 21n, _ o Cellulose None Detected 90°10 Cellulose '_ Brim it fibrous material Filler None Detected 2 _ 1 Green sheet vim I Vinvl/binder None Detected None Detected 2 Beige Fibrous material with mastic Filler. Mastic/binder i% Cellulose 65% Chrysotile 3 3 1 White powder} material tlith paint and paper Binder/filler. Paint 10%Cellulose 2%r Chr}sotile Filler/binder. G� tsunt 21 Cellulose. Glass fibers 2 White chalky material with crier None Detected 3 4 1 White powdery material %%ith Paint _ _ Binderlfillcr. _ Paint_ ' 21% Cellulose 2% Chrysolile White chalk} material %%ith paper Filler/hinder. G� sum 25'%Cellulose. Glass fibers None Detected 5 5 1 White pow dery material with paint Binder./tiller. Paint ,n 2 0 Cellulose u None Detected While powdery ntalerial with F'illeribinder 10% Cellulose 2% Chrysotile _ paper _ ' Filler/hinder. Gv sum 3 White chalk% material with taper 25%Cellulose. Glass fibers None Detected 6 6 1 Wood pattern sheet %in),l Viml/binder Note Detected None Detected 75°u Cellulose. Glass filters None Detected Gray fibrous material %%ith mastic Filler. Mastic/binder 3 N'ellow Inastic Mastic/binder 29.0 Cellulose None Detected Analyzed by: Dan Lafley r , Report Pa_e I 16 ASBESTOS NORTHWEST LLC SURVEY REPORT ASBESTD5 "� NORTHWEST 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 ASBESTOS KA (�, NORTHWEST LrJe�I�J Asbestos Northwest. LLC TesnNc NVIA� FAO CODE lDP74;l� 30620 Pacific Hwy S, 4103, Federal Way, WA 98003 Ph: (253) 9414343 Batch Number: 202410021 FILM Analysis by EPA Method 600/M4-82-020 and 600/R-93/116 This report must not be used by the client to claim product certification, approval, or endorsement by NVLAG, NIST, or any agency of the U.S. Government. Attn: Jarred Larson Date Received: 1/3/2024 City of Federal Way Date Analyzed: 1/8/2024 Samples Received: 18 Samples Analyzed: 18 Location: 31014 28th Ave S Federal Way WA 98003 Client Sample Lab Sample Layer Description llalrix % Non -Asbestos % Asbestos Fibers ID ID Fibers and Type 7 7 I White powdery material with Binder/tiller. 2U !� _ Cellulose None Dciccicd paint Paint _ White powdery material with Binder.!filler. i TV. Cellulose 2% Chrysolile paint Paint _ White chalky material will Filler/binder, '_5% Cellulose. 3 paper Gvisum Glass fibers None Detected White powdery material with Binder,!liller. 8 8 I /n Cellulose D 2 /� Chrysotile ^ lutirit _ _ Paint lBinder!Filler, White owde material with p 2 10%Cellulose 2%Chrysolite Paint Pain[ White chalky material with Filler/binder. 25% Cellulose. 3 paper Gvpsum Glass fibers None Detected White chalky material with Filler/binder, 25%Cellulose. 9 9 1 None Detected Paint and paper GyPSUITI. Paint Glass Fibers 10 10 1 Beige sheet vinyl Vinyl/binder None Detected None Detected Gray fibrous material with Filler. I 60%Ce111,110se None Detected mastic Mastic/binder 3 White sheet vinyl Vimlibinder None Detected None Detected Gray fibrous material with Filler, 55%Cellulose. 4 None Detected mastic Mastic/binder Glass fibers 5 BrBrownw Woodood None Detected None Detected A "crgates White powdcn material with Binder/filler. I I I I I Paint and paper Paint a 10%Cellulose N 2 /o Chrysotile While chalky material with Filler/binder. 259,E Cellulose. ` None Detected paper Gvpsunt Glass fibers Analyzed by: Dan Lafley Report Page _1 17 ASBESTOS NORTHWEST LLC SURVEY REPORT NASEST ORTHWEST SA" 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 ASBESTOS NORTHWEST G j Asbestos Northwest. LLC lt NVIAP tABOODE CD"f 1aLvi7.1 O 30620 Pacific Hwy S, 9103. Federal Way. WA 98003 Ph: (253) 941-4343 Batch Number: 202410021 PLM Analysis by EPA Method 600/M4-82-020 and 600/R-93/116 This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the U.S. Government. Attn: Jarred Larson Date Received: 1/3/2024 City of Federal Way Date Analyzed: 1/8/2024 Samples Received: 18 Samples Analyzed: 18 Location: 31014 28th Ave S Federal Way WA 98003 Client Sample ID Lab Sample ID Layer Description Matrix "% Non -Asbestos Fibers "% Asbestos Fibers and Type 12 12 1 White chalky material with paint and paper Filler/binder. Gysum. Paint 25% Cellulose, Glass fibers None Detected 13 13 I Yellow and brown sheet Vim] Vinyllhinder None Detected None Detected 7i%Cellulose 2 Tan fibrous material with mastic Filler. Mastic/binder None Detected White tile _ None Detected 3 Vinyl/binder. Mineral -,rains None Detected Mastic/binder 2% Cellulose 2% Chrysotile 4 YelloNN mastic 14 14 I White powdery material with paint and pa. Binder/tiller, Paint 10 /" Cellulose " 2% Chrysotile " 2 White chalky material with paper Filler/binder. Gypsum 25% Cellulose. Glass fibers None Detected IS IS I White chalky material with paint and paper Filleribinder. G\psunl. Paint 25% Cellulose. Glass fibers None Detected 16 16 1 Beige sheet vinyl Vinyl%binder None Detected None Detected 85% Synthetic fibers .. Gray fibrous material with mastic Filler. Masticibinder None Detected 17 17 1 Brown fiberboard Binder/filler 95%Cellulose None Detected I8 18 I Black asphaltic material w sand Asphalt/binder. Sand 3"ith , ro Cellulose None Detected Black asphaltic material with sand Asphalt/binder. sand 10% Cellulose. Glass fibers None Detected Black asphaltic fibrous material Asphalt/binder 30%Cellulose, Glass Fibers None [)elected Analyzed by: Dan Lafley r' ' Report Page 3 18 ASBESTOS NORTHWEST LLC SURVEY REPORT ASBESTOS NORTHWERA" 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 Asbestos Northwest, LLC - Survey Report 30620 Pacific Hwy S, #103, Federal Way, WA 98003 253.941.4343 Survey Location: 31016 28th Ave S Federal Way WA Prepared for: City of Federal Way Date: January 3rd 2024 Asbestos Northwest Batch Number: 202410022 Inspector: Sean Butler (#18-9109) E-mail: seanb@asbestosnw.com <:: �f- � Za,— � � ASBESTOS NORTHWEST LLC SURVEY REPORT ASBESTOS. ~ NORTHWEST 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 Contents 1. Background Information and Scope of Work............................................................................3 2. Main Building Description.........................................................................................................4 StructuralSystem.....................................................................................................................................4 FinishingMaterials...................................................................................................................................4 Mechanicalsystem..................................................................................................................... .....4 Electricalsystem.......................................................................................................................................4 Insulation... .................................................................................................................................................. 4 Roofing....................................................................................................................................................... 4 Outbuildings............................................................................................................................................... 4 3. Material Sampling Information..................................................................................................5 Definitions................................................................................................................................................... 5 SurveyMethodology................................................................................................................................ 5 4. Asbestos Containing Material .............................................. ..................................................... 7 5. Conclusions ..................................... ....... ......... ..........--...... ............................................. 8 AppendixA — Certifications............................................................................................................. 9 AppendixB - Building Layout...................................................................................I....-- ............11 LivingRoom .................................................. ................................................................... ............. 12 Kitchen............ ........................................................................................................................... —12 Bathroom......................................................................................................................................13 Bedroom.........................................................................................................----.....---•.----.--.........13 GarageExterior...........................................................................................•---..............................14 GarageInterior........................................................................••.........---..---.--•- ......................... .... 14 Appendix C — Laboratory Report ............................................................. ..................................... 15 ra ASBESTOS NORTHWEST LLC SURVEY REPORT NORT�HWEOST SA" 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 1. Background Information and Scope of Work On January 31d 2024 Asbestos Northwest, LLC conducted an AHERA survey of the single family residence located at 31016 28th Ave S in Federal Way WA. AHERA-certified building inspector Sean Butler (#18-9109) conducted the survey to determine the presence of Asbestos Containing Materials (ACM's) prior to the demolition of the building as part of a reconfiguration of the property. The home was vacant at the time of the inspection and appeared to have been occupied until relatively recently. The building had been entirely emptied of personal property and was in good condition. It appeared to have been reasonably well maintained and had been updated since its original construction. This was a small home, with a single bedroom and bathroom in a compact footprint. There was a garage to the rear of the home that was in poor condition and open to the elements. This was a simple wooden structure that likely dated to the same era as the home itself and contained no suspect building materials beyond the asphaltic roofing shingles. Two houses directly north of this residence were also accessed at this time and are covered under their own inspection reports. The building appeared to have been through some alterations in the past, most evident in the kitchen and bathroom areas. There was no clear distinction between different eras of work or types of materials in use. For the purposes of this inspection the structure was considered to bea. single homogenous area. Samples were taken from the interior and exterior of the building. The inspector had access to all areas of the structure as well as the detached garage. See the attached layout drawing with sample locations in Appendix B. Materials were located and sampled following AHERA protocol in 40 CFR 763.86, then analyzed in-house at Asbestos Northwest per 40 CFR 763.86. See section 3 for detailed sampling information. ASBESTOS NORTHWEST LLC SURVEY REPORT /, S B E C T O '� N ORTHWEST 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 2. Main Building Description County records indicate that the building was originally constructed in 1963 and had a total finished area of roughly 700ft2 over a single floor. It had a single bedroom and bathroom, in a compact and original layout. The home was vacant at the time of the inspection and was generally in good condition. It will be demolished to make way for a redevelopment project. Structural System The building was of wood -framed construction, on a concrete foundation with a crawl space below. The overall structure appeared to be unaltered from its original form. Finishing Materials The interior walls and ceilings were finished drywall throughout the home. Popcorn texture material was applied to almost all ceilings, with the exceptions of the bathroom and laundry room. No plaster was encountered. Flooring was vinyl and fiberboard, covered with carpeting in the living room and bedroom areas. The exterior was clad in wood siding, while the window units were relatively modern vinyl framed versions lacking suspect glazing materials. Mechanical system The home lacked a forced air heating system, and had wall mounted electric heaters. No fireplace or wood stove was present. No suspect tape or heat barrier materials were encountered. Electrical system The electrical system was disabled at the time of the inspection. Visible wiring was rubber insulated. The electrical panel contained breakers and had no suspect backing materials visible. Insulation The home had some fiberglass insulation. No vermiculite was encountered. Roofing The home has a pitched roof of asphaltic shingles. Outbuildings A wooden garage was located to the rear of the home, this was a simple structure on a concrete slab that lacked suspect materials beyond the asphaltic shingle roofing products. It had an entirely unfinished interior and no mechanical or electrical systems. ASBESTOS NORTHWEST LLC SURVEY REPORT ASBESTO NORTHWESTSA" 30620 Pacific Hwy 5 Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 3. Material Sampling Information Asbestos survey work performed by Asbestos Northwest meets inspection regulatory requirements enforced by federal, state, and local agencies, including Asbestos Hazard Emergency Response Act (AHERA), WAC 296-62-077 (WISHA) and 40 CFR Part 61 (NESHAP) and 29 CFR Part 1926.1101 (OSHA) Definitions Homogenous — Materials with the same appearance, texture, color, and which were applied during the same general construction period. Surfacing Material — Material that has been sprayed -on, troweled -on or otherwise applied to surfaces, such as acoustical plaster, texture and joint compound, and fireproofing materials on structural members. Thermal System Insulation — Material applied to pipes, fittings, boilers, breaching, ducts, and other interior structural components to prevent heat loss or gain. Miscellaneous Material — Building materials such as structural components, structural members or fixtures not included in surfacing and thermal insulation. Survey Methodology Before sampling began, inspectors documented the total surveyed area. A sketch of each space was created, and total square footage was roughly measured. The inspectors then determined the extent of each visible homogenous material throughout the survey area. Materials were classified as surfacing, thermal insulation, or miscellaneous material, and friability was assessed according to AHERA specifications. Materials were sampled according to 40 CFR 763.86. Depending on homogeneity, square footage, and material type, the proper number of samples needed to accurately assess the location and extent of asbestos was determined and collected. At the point of collection, samples were placed in an appropriate container and labeled. Location was noted on the building floor plan, and a description of the material was recorded with the label number. Sampling tools were then wiped clean to prevent contamination between samples. Any suspect debris was sealed. The samples were then counted, and their label numbers were recorded on a chain of custody form. The inspector then signed and released the form to the laboratory with the samples. Samples were analyzed in-house at Asbestos Northwest. Below is a list of all materials sampled. Appendix C contains the laboratory report and analytical results for each sample. ASBESTOS NORTHWEST LLC SURVEY REPORT A S BE: 5 T 0S NORTHWEST,_: _t 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 Description Material Type Sample Numbers and Locations 1- Living Room Ceiling Popcorn Friable Surfacing Material 2- Kitchen Ceiling Asbestos Containing 3- Bedroom Ceiling 4- Living Room Wall Joint Compound 10- Bathroom Wall Asbestos Containing Friable Surfacing Material 14- Laundry Wall 16- Bedroom Wall 5- Living Room Wall 8- Kitchen Wall Texture Friable Surfacing Material 11- Bathroom Wall Asbestos Containing 15- Laundry Wall 17- Bedroom Wall Non -Friable Miscellaneous 6- Living Room Floor White Fiberboard Flooring Material 18- Bedroom Floor Joint Compound Friable Surfacing Material 7- Kitchen Wall Tan Sheet Vinyl Non -Friable Miscellaneous 9- Kitchen Floor Material Beige Sheet Vinyl Non -Friable Miscellaneous 12- Bathroom Floor Material Dark Sheet Vinyl Non -Friable Miscellaneous 13- Hall Floor Material Tar Paper Non -Friable Miscellaneous 19- Under Siding Material Non -Friable Miscellaneous 20- Roof Asphaltic Shingle Material 21- House Roof ASBESTOS NORTHWEST LLC SURVEY REPORT ASBESTOS NORTHWESTA" 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 4. Asbestos Containing Material A homogenous material is considered ACM (Asbestos Containing Material) if one or more samples of the material are found to have greater than 1 % asbestos. Analysis can result in both positive and negative conclusions in materials containing less than 10% asbestos, or materials that have very fine asbestos fibers, have been hand mixed, or have asbestos fibers tightly bound in the matrix; therefore, EPA recommends a minimum of three samples be analyzed by PLM for these types of materials. All materials that were sampled during the inspection were analyzed under PLM, EPA Method 600/R-93/116. Laboratory results show that twelve of the samples taken contained asbestos. Description and Asbestos Type Popcorn 6% Chrysotile Asbestos Joint Compound 2% Chrysotile Asbestos Texture 2% Chrysotile Asbestos Material Type and Locations Estimated Quantity Friable Surfacing 1- Living Room Ceiling Material 2- Kitchen Ceiling -600ft2 3- Bedroom Ceiling 4- Living Room Wall Friable Surfacing 10- Bathroom Wall Material 14- Laundry Wall See Conclusions 16- Bedroom Wall 5- Living Room Wall Friable Surfacing 8- Kitchen Wall Material 11- Bathroom Wall See Conclusions 15- Laundry Wall 17- Bedroom Wall rA ASBESTOS NORTHWEST LLC SURVEY REPORT 5. Conclusions NORT�HWEOST SA" 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 The popcorn ceiling texture material was found to contain asbestos. This material has been applied to all ceilings within the home with the exception of the laundry room and the bathroom areas. The popcorn material was in good condition at the time of the inspection. Four of the five samples of joint compound taken were found to contain asbestos. These samples came from throughout the building. All joint compound within this building should be treated as asbestos containing. This material was in good condition with no outstanding damage. All five samples of texture taken were found to contain asbestos. These samples came from throughout the building. All texture within this building should be treated as asbestos containing. This material was in good condition with no outstanding damage. None of the other materials sampled during the inspection process were found to contain asbestos. Materials in use within the building were generally simple and were consistent with a residential structure. The building had been through some alterations in the past, which did result in a mix of materials in use. There was no clear distinction between different eras of work. The garage was of simple wooden construction on a concrete slab and contained no suspect building materials beyond the roofing. This roofing material was found to be asbestos free. Further materials may be identified during the demolition process that would warrant testing. Any identified asbestos containing material must be abated before demolition can continue. A Certified Asbestos Abatement Contractor must carry out abatement. Different materials require different abatement processes depending on the friability, type of asbestos, and amount of asbestos present. It is important that materials are treated by a Certified Asbestos Abatement Contractor. s ASBESTOS NORTHWEST LLC SURVEY REPORT Appendix A — Certifications NORT�HWEOST SA" 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 n L N o w .. o o � LO y Q of N U p 0 N T N �.._ 0 0 C/) 0 U 0 O IN i, 0 c a O m o-0 L U m .. a C� M a� i `�° 0cao1 U ao •rA �yE Q m Qz) U N C N v a: N lL •i U it o o oO ., J CL Z 0 o a W m� �. 0 C 4-1a rA m� C rz ux (Zc�0) ran �c0i° G� a L > rn j� maw r cn N v z � ro•� cm� a c c oQ o O .H m m N N Z N m O O ,O 9 i $ m o AL � o W 0 m ASBESTOS NORTHWEST LLC SURVEY REPORT ASBESTOS A"f NORTH► EST 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 21905 64th Ave W. #100 Mountlake Terrace, WA 98043 lOrracon (206) 285-3373 im This certifies that Sean T. Butler has satisfactorily completed 4 hours of online refresher training as an AHERA Building Inspector to comply with the training requirements of TSCA Title II, 40 CFR 763 (AHERA) EPA Provider # 1085 Instructor- Tracy Bockla Date: Apr 25, 2023 Expires in 1 year, Cart Num: 189109 10 ASBESTOS NORTHWEST LLC SURVEY REPORT Appendix B — Building Layout t. 4 0 �0 13 [q • • '7 1ps .q �2 ASBESTO; N ORTHWESTS 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 4. � Ue� 1�S�iQS C,O�►r1�"a.r►i'�y �a'�'��1 � l a Cr.-� •v-r . aslbesa 05 �Y-w s o�.VVT 1 e tocoAtuv-\ 11 ASBESTOS NORTHWEST LLC SURVEY REPORT Living Room Kitchen 12 ASBESTOS ' NORTHWEST . 4, Y,, 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 ASBESTOS NORTHWEST LLC SURVEY REPORT Bathroom Bedroom 13 ?*44 r ASBESTOS � NORTHWEST 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 ASBESTOS NORTHWEST LLC SURVEY REPORT Garage Exterior Garage Interior 14 ASBESiOS.- N Or THWEST 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 ASBESTOS NORTHWEST LLC SURVEY REPORT Appendix C — Laboratory Report ASBESTOS NORTHWEST 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 NORTHOST WEAid Asbestos NW Batch# 202410022 30620 Pacific Hwy S. #103, Federal Way, WA 98003 (253) 941-4343 NVLAP Lab Code: 200993-0 Bulk Samples Chain of Custody (EPA 600/R-93/116) Name/Company�City of Federal Way Date. 1/3/2024 Address: Phone 253 261 3749 E-mail',arred.larson u�ci1 affederalvra .com — — — - - — — --- Project Manager_Jarred Larson _ Project # Project Location: 31016 28th Ave S Federal Way WA 98003 Number of Samples 21 # 1 Sample ID 1 Description Popcorn V Location/Comments LivingRoom Ceiling 2 2 opcorn Kitchen Ceilinq 3 3 Popcorn Bedroom Ceilin 4 4 Joint Compound Living Room Wall 5 5 Texture Living Room Wall 6 6 White Fiberboard Flooring Living Room Floor 7 7 Joint Compound Kitchen Wall 8 8 Texture Kitchen Wall 9 9 Tan Sheet Vinyl Kitchen Floor 10 10 Joint Compound Bathroom Wall 11 11 Texture Bathroom Wall 12 12 Beige Sheet Vinyl Bathroom Floor 13 13 Dark Sheet Vinyl Hall Floor 14 14 Joint Compound Laundry Wall 15 15 Texture Laundry Wall 16 16 Joint Compound Bedroom Wall 17 17 Texture Bedroom Wall 18 18 White Fiberboard Floorinq Bedroom Floor 19 1 19 Tar Paper Under Siding 20 20 Asphaltic Shingle Roof 21 21 Asphaltic Shingle Gara a Roof 22 23 24 25 26 27 28 29 30 Print Iron Cmmnanv nntc Ti— Sampled by: Sean Butler �'-L� Asbestos Northwest 1/3/2024 10:OOAM Relinquished by: Delivered by: Sean Butte - Asbestos Northwest 1/3/2024 12:10PM Accepted by: Dan Laney I Asbestos Northwest 1!3/2024 12:10PM Analyzed by Asbestos Northwest (4 ^ �-J V U 15 ASBESTOS NORTHWEST LLC SURVEY REPORT NORTHWEST 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 NORTBHWEOSTOA RVUf Asbestos Northwest. LLC rts:nw \. tr.7 t:$ CU6C 5,169Fa•0 30620 Pacific Ilwy S. 4103. Federal Way. WA 98003 Ph: (23 3) 941-4 3d3 13atch Number: 202410022 PLM Analysis by EPA Method 600/M 1-82-020 and 600/R-93/116 This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the U.S. Government Attn: Jarred Larson Cih of Federal Way Location: 31016 28th Ave S Federal Way WA 98003 Date Received: 1/3/2024 Date Analyzed: 1/4/2024 Samples Received: 21 Samples Analyzed: 21 Client Sample Lab Sample %, Non -Asbestos % Asbestos Fibers ID ID Layer Description Matrix Fibers and Type White sort/lumpy material Filler/binder. I l with paint paint 3% Cellulose 6%Chrysolite White soft/lum y material Filler/binder- 2 with wish pauTt Paint 3"l° Cellulose 6% Chrysotile White soft/lump} material Filler/binder. 3 1 with paint Paint ago Cellulose 6% Chrysotile 4 White powden material with Binder filler, ! paint Paint 3% Cellulose None Detected White powden material w ith Filler/binder I 5°in Cellulose 29/r Chrysolite paper White chalky material with Filler/binder, paper Gypsum 25%Cellulose None Detected White powder\material with Binderrlillcr. 5 I paint and paper Paint 12%Cellulose 2%, Chrvsolile White chalky material w ith Diller/binder. paper Gypsum _15% Cellulose None Detected 6 1 Brown cork wood with paint Filler. Paint 90%Cellulose None Detected Filler, 85% Synthetic Gray fibrous material with mastic Mastic/binder fibers None Defected 7 White powder material with Binder/filler. 1 paint and paper Paint 10%Cellulose None Detected White chalky material with Filler/binder. paper Gypsum 25% Cellulose None Detected I �•1 Analyzed by: Dan Lafley Report Page I 16 ASBESTOS NORTHWEST LLC SURVEY REPORT ASBESTOS NORTHWESTAA" 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 NOR TBH W EIS T RiviUm?o, Asbestos Northwest, LLC 'rs NvtaP uCODE coor:aoanv 30620 Pacific Hwy S, 9103. Federal Way, WA 98003 Ph: (253) 941-4343 Batch Number: 202410022 PLM Analysis by EPA Method 600/M4-82-020 and 600/R-93/116 This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the U. S. Government. Attn: Jarred Larson Date Received: 1/3/2024 City of Federal Way Date Analyzed: 1/4/2024 Samples Received: 21 Samples Analyzed: 21 Location: 31016 28th Ave S Federal Way WA 98003 Client Sample Lab Sample % Non -Asbestos % Asbestos Fibers ID ID Layer Description Matrix Fibers and Type White powdery material with Binder/filler, 8 I 3% Cellulose 2% Chrvsotile paint Paint White chalky material with Filler/binder. 25% Cellulose None Detected paper Gypsun, 9 I Tan sheet vinyl Vinyl/binder None Detected None Detected Tan woven librous material ~~ Filler, 2 with mastic M14astic/binder 85%C'ellulose None Detected 10 Whitt powdery material with Binder/filler, I paint and paper Paint 12% Cellulose 2% Chrvsotile White chalky material with Filler/binder. paper Gypsum 25% Cellulose None Detected White powdery material with Binder/filler. 11 t Paint Paint 3% Cellulose 2% Chrvsotile White chalky material with Filler/hinder. paper GN psum '5% Cellulose - None Detected 12 Gray sheet vinyl VinyUbinder None Detected None Detected ran woven fibrous material Filler, 2 with mastic Mastic/binder 85%Cellulose None Detected 13 1 Brown sheet vinyl Vinyl/binder None Detected None Detected Green fibrous material with Filler. - mastic Mastic/binder 90% Cellulose None Detected - f I Analyzed by: Dan Lafley r �l Report Page 2 17 ASBESTOS NORTHWEST LLC SURVEY REPORT ASBESTOS NORTHWEST Asbestos Northwest. LLC 30620 Pacific Hwy S. d 103, Federal Way, WA 98003 Ph: (253) 941-4343 ASBESTOS • .,� NORTHWEST 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 rt^s:ur, NVIAP LAB CODE :W J73 D Batch Number: 202410022 PLM Analysis by EPA Method 600/M4-82-020 and 600/R-93/116 This report must not be used by the client to claim product certification, approval, or endorsement by NVIAP, NIST, or any agency of the U.S. Government. Attn:.Jarred Larson City of Federal Way Location: 31016 28th Ave S Federal Way WA 98003 Date Received: 1/3/2024 Date Analyzed: 1/4/2024 Samples Received: 21 Samples Analyzed: 21 Client Sample Lab Sample Layer Description Matrix % Non -Asbestos % Asbestos Fibers ID ID Fibers and Type 14 White powdery material with Binder/filler. ° paint and paper Paint Pa 12 �° Cellulose 2% Chrysotile White chalky material with Filler/binder. Gypsum 25% Cellulose - None Detected paper 15 White powdery material with Binder/filler. I paint Paint 3%Cellulose 2%Chrvsotile White chalk) material with Filler/binder- Y paper Gypsum -15% Cellulose - None Detected 16 1 White powdery material with Binder/filler. paint and paper Paint 12% Cellulose 2% Chrysotile White chalky material with Filler/binder, paper Gypsum 25% Cellulose None Detected 17 1 White powdery material witli Binder/filler. paint Paint 3%Cellulose 2%Chrysotile Filler/binder. White chalky material with paper Gypsum 25%Cellulose None Detected 18 1 Brown cork wood with paint Filler. Paint 90% Cellulose None Detected 85% Synthetic Gray fibrous material with Filler. - mastic Mastic/binder fibers None Detected 19 Black asphaltic fibrous I material Asphalt/binder 70% Cellulose None Detected r ! I Analyzed by: Dan Lafley `--• Report Page 3 18 ASBESTOS NORTHWEST LLC SURVEY REPORT ASBESTOS, NORTHWEST 30620 Pacific Hwy S Suite 103 Federal Way, WA 98003 Tel: 253 9414343 Fax: 253 9414175 N O R TBH W EIS T�i rU'\ngA1a " Asbestos Northwest, LLC TES IING N': UIP lA0 CODEoDE :.°C7?3C 30620 Pacific Hwy S, 9103, Federal Way. WA 98003 Ph: (253) 941-4343 Batch Number: 202410022 PLM Analysis by EPA Method 600/M4-82-020 and 600/R-93/116 This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the U.S. Government_ Attn: Jarred Larson Date Received: 1/3/2024 City of Federal Way Date Analyzed: 1/4/2024 Samples Received: 21 Samples Analyzed: 21 Location: 31016 28th Ave S Federal Way WA 98003 Client Sample Lab Sample Non -Asbestos % Asbestos Fibers ID ID Layer I Description Matrix% Fibers and Type 20 I Black asphaltic material with P As halt/binder. P 3°/n Cellulose None Detected sand Sand Black asphaltic fibrous 250/n Cellulose. material Asphalt,/binder Glass Fibers None Detected 21 Black asphaltic material with Asphalt/binder. 1 sand Sand 3% Cellulose None Detected Black asphaltic fibrous z 25% Cellulose. material Asphalt!bindcr Glass Fibers None Detected Analyzed by: Dan Lafley - � i Report Page d 19 EXHIBIT "B" TASK ORDER FORM crrr os Federal Way Contrail Name: Contrail Number: TASK ORDER No. TASK ORDER Name: Date: Description of work: Estimated Costs: Contrail Value: Total Task Costs To Date: This Task Order Estimate Cost: Contrail Remaining: Task Order Summary Task Order No. Task Order Name: Amount S S 5 S S Total Contracted to date $ Agreed Upon: [Contractors Name]: City of Federal Way: By: _ Task Manager:____ Name: _ Date: Name: Date: Contract Manager: Name: Date: Rev 4/23 - 15 - EXHIBIT "C" 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 Rev 4/23 — 16 — ADJUSTMENTS CHANGE ORDER ESTIMATE IS HEREBY ❑ INCREASED ❑ DECREASED PAY THIS ADJUSTED AMOUNT: DIRECTOR'S SIGNATURE DATE Rev 4/23 — 17 — EXHIBIT "D" CONTRACTOR'S RETAINAGE OPTION IDENTIFICATION AND DESCRIPTION Project Title: On -Call Asbestos Abatement RFB No: n/a Contractor: Kanway Abatement and- Demolition, LLC GENERAL REQUIREMENTS In accordance with applicable State Statutes, a contract retainage not to exceed five percent of the moneys earned by the contractor will be reserved by the City. All investments selected are subject to City approval. The final disposition of the contract retainage will be made in accordance with applicable State Statutes. CONTRACTOR'S INSTRUCTIONS Pursuant to RCW 60.28.011 I hereby notify the City of Federal Way of my instructions for the retainage withheld under the terms of this contract: 0 Option 1: Retained in a fund by the City of Federal Way. No interest will be paid to the contractor. 0 Option 2: Deposited in an interest -bearing account in a bank, mutual savings bank, or savings and loan association. Interest paid to the contractor. Contractor shall have the bank (or other) execute a separate "City of Federal Way Retainage Bank Acceptance Agreement" upon contract award. The City will provide the agreement to the Contractor if this option is selected. 0 Option 3: Placed in escrow with a bank or trust company. Contractor shall execute, and have escrow account holder execute a separate "City of Federal Way Construction Retainage Escrow Agreement" upon contract award. The City will provide the agreement to the Contractor if this option is selected. All investments are subject to City approval. The cost of the investment program, and risk thereof, is to be borne entirely by the contractor. 0 Option 4: Contractor shall submit a "Retainage Bond" on City -provided form (Exhibit D of this Agreement). DOW. a dD B.-Biakway ////�� ^/ If//�`� orr c=us B=ea�,m�a$xa�..vav��m OL/LL/L OL� Brandon Brockway_mw�^� � 2 R I am appra Ims I. -I O 10$4 @ ]2 ii J9 JBUB W Contractor Signature Date Rev 4/23 - 18 - TO: EXHIBIT "E" 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. Complaints may be submitted to: City of Federal Way 33325 8"' Avenue South Federal Way, WA 98003 (Contractor or subcontractor) Date Rev 4/23 — 19 - KANWAY ABATEMENT & DEMOLITION, LLC: LN Its: STATE OF WASHINGTON ) ) ss. COUNTY OF ) (Address) (Phone) On this day personally appeared before me , to me known to be the of Kanway Abatement & Demolition, LLC that executed the within and 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 or she was authorized to execute said instrument. GIVEN under my hand and official seal this day of , 2024. Notary's signature Notary's printed name Notary Public in and Washington. My commission expires_ Rev 4/23 - 13 •- for the State of EXHIBIT "F" CERTIFICATE OF INSURANCE Rev 4/23 — 20 — KANWABA-01 E B U SS ACaROT ^— 1 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY)2/23120, 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CON ACT Emily Buss Hub International Northwest LLC PHONE Ems); (360 748-0052 A c,Nol:(350) 237-0365 PO Box 3018 Eit Bothell, WA 98041 , emil .buss hubinternational.com INSURER(SI AFFORDING COVERAGE NAIC it INSURER A: Nauvius insurance L om an INSURED INSURERS: Great Divide Insurance Company Kanway Abatement & Demolition LLC INSURER c , 3021 69th Ave W #F INSURERD: University Place, WA 98466 INsuRER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTRTYPE OF INSURANCE ADDL SUBR INSDPOLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR X X IECP203921811 12/17/2023 12/17/2024 EACH OCCURRENCE $ 1,000,000 DAMAGETORENTED 100,000 MEDEXP LAny one erson $ 10,000 X CorltractorPollution X EL -Stop Gap (WA) PERSONAL & ADV INJURY $ 1,000,000 EN`I-AGGREGATE LIMIT APPLIES PER: X POLICY X TERET LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 Deductible $ 5,000 OTHER: B AUTOMOBILE LIABILITY COMBINEDSINGLE LIMIT aWdadl $ 1,000,000 BODILY INJURY Per person)$ ANY AUTO X X BAP203921711 12/17/2023 12/17/2024 BRODILY Per accident $ OWNED SCHEDULED A�U��T��OQQS ONLY AUUTyyOS X �INyJURY &0PoEca'denl MAGE $ qq ALITpSONLY NOV&KIY N A UMBRELLA LIAB X OCCUR EA H OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 X EXCESS LIAB CLAIMS -MADE X X FFX203921911 2/23/2024 12/17/2024 DED I I RETENTION$ $ A WORKERS COMPENSATION AN PROPRIEMPLOYTOR/p RTNEY yy++�� ANYPR�OyPREIETOR/PARTNER/EXECUTIVE � ailtlqury In NH)CLUDED? N 1 A X IECP203921811 12/17/2023 12/17/2024 PER X OTH- EL. EACH ACCIDENT 1,000,000 $ E.LDI -EA EMPLOYE $ 1,d00,I)00 E.L. DISEASE - POLICY LIMIT 1,000,000 $ If yes, describe under PE$CRJPTION OF OPERATION$ below A Contractor Pollution IECP203921811 12117/2023 12117/2024 Limit $1M/Ded $51k 1,000,000 A Professional Liab IECP203921811 12/17/2023 12/17/2024 Limit $1M/Ded $5k 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) IREF: On call contract City of Federal Way is named as an Additional Insured for ongoing and completed operations on a primary and non-contributory basis as required by written contract, as per attached endorsements. Waiver of subrogation applies, as per attached endorsement. CERTIFICATE BOLDER City of Federal Way Public Works Department 33325 8th Ave S 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 llr � ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD EXHIBIT "G" Bond No. 100339187 CITY OF FEDERAL WAY PERFORMANCE/PAYMENT BOND KNOW ALL PEOPLE BY THESE PRESENTS: We, the undersigned Kanway Abatement and Demolition, LLC, ("Principal") and Merchants National Bonding, Inc., the undersigned corporation organized and existing under the laws of the State of Iowa and legally doing business in the State of Washington as a surety ("Surety"), are held and firmly bonded unto the City of Federal Way, a Washington municipal corporation ("City") in the penal sum of Three Hundred Fifty Thousand Dollars and no/100 ($350,000.00) for the payment of which we firmly bind ourselves and our legal representatives, heirs, successors and assigns, jointly and severally. This obligation is entered into pursuant to the statutes of the State of Washington and the ordinances, regulations, standards and policies of the City, as now existing or hereafter amended or adopted. The Principal has entered into an Agreement with the City dated i� CL . 20 24 for on -call asbestos abatement NOW, THEREFORE, if the Principal shall perform all the provisions of the Agreement in the manner and within the time period prescribed by the City, or within such extensions of time as may be granted under the Agreement, and shall pay all laborers, mechanics, subcontractors and material men or women, and all persons who shall supply the Principal or subcontractors with provisions and supplies for the carrying on of said work, and shall hold the City, their officials, agents, employees and volunteers harmless from any loss or damage occasioned to any person or property by reason of any carelessness or negligence on the part of the Principal, or any subcontractor in the performance of said work, and shall indemnify and hold the City harmless from any damage or expense by reason of failure of performance as specified in the Agreement within a period of one (1) year after its final acceptance thereof by the City, then and in the event this obligation shall be void; but otherwise, it shall be and remain in full force and effect. And the Surety, for value received, hereby further stipulates and agrees that no change, extension of time, alteration or addition to the terms of the Agreement or to the work to be performed thereunder or the specifications accompanying the same shall in any way affect its obligation on this bond, and it does hereby waive notice of any change, extension of time, alterations or additions to the terms of the Agreement or to the Work. The Surety hereby agrees that modifications and changes may be made in terms and provisions of the Agreement without notice to Surety, and any such modifications or changes increasing the total amount to be paid the Principal shall automatically increase the obligation of the Surety on this Performance Bond in a like amount, such increase, however, not to exceed twenty-five percent (25%) of the original amount of this bond without the consent of the Surety. Rev 4/23 — 21 — Within forty-five (45) days of receiving notice that the Principal has defaulted on all or part of the terms of the Agreement, the Surety shall make a written commitment to the City that it will either: (a) cure the default itself within a reasonable time period, or (b) tender to the city, the amount necessary for the City to remedy the default, including legal fees incurred by the City, or (c) in the event that Surety's evaluation of the dispute is not complete or in the event the Surety disputes the City's claim of default, the Surety shall notify the City of its finding and its intent, if any, to interplead. The Surety shall then fulfill its obligations under this bond, according to the option it has elected. Should Surety elect option (a) to cure the default, the penal sum of the Bond shall be reduced in an amount equal to the costs actually incurred by the Surety in curing the default. If the Surety elects option (b), then upon completion of the necessary work, the City shall notify the Surety of its actual costs. The City shall return, without interest, any overpayment made by the Surety and the Surety shall pay to the City any actual costs which exceed the City estimate, limited to the bond amount. Should the Surety elect option (c), the Parties shall first complete participation in mediation, described in the below paragraph, prior to any interplead action. In the event a dispute should arise between the Parties to this Bond with respect to the City's declaration of default by the Principal, the Parties agree to participate in at least four hours of mediation to resolve said dispute. The Parties shall proportionately share in the cost of the mediation. The mediation shall be administered by Judicial Dispute Resolution, LLC, 1425 Fourth Avenue, Suite 300, Seattle, Washington 98101. The Surety shall not interplead prior to completion of the mediation. DATED this � day of A 20 24. CORPORATE SEAL OF PRINCIPAL: PRINCIPAL: By: �. Its: 3021 69th Ave W #F (Address) University Place, WA 98466 (253)722-7679 (Phone) Rev 4/23 — 22 — CERTIFICATE AS TO CORPORATE SEAL I hereby certify that I am the (Assistant) Secretary of the Corporation named as Principal in the within bond; that , who signed the said bond on behalf of the Principal, was of the said Corporation; that I know his or her signature thereto is genuine, and that said bond was duly signed, sealed, and attested for and in behalf of said Corporation by authority of its governing body. VA l N Secretary of Assistant Secretary CORPORATE SEAL OF SURETY: SURETY y Attorney -in -Fact (Attach Power of Attorney) Theresa A. Lamb, Attomey-in-Fact (Name of Person Executing Bond) 3120 139th Ave. SE, Suite 500 (Address) Bellevue. WA 98005 (708)935-2101 (Phone) AP ROVED AS TO FORM: Ryan Call, City rney Rev 4123 - 23 - MERCHANT BONDING COMPANY. POWER OF ATTORNEY Know All Persons By These Presents, that MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., both being corporations of the State of Iowa, d/b/a Merchants National Indemnity Company (in California only) (herein collectively called the "Companies") do hereby make, constitute and appoint, individually, Adam Howard; Amanda Ivey; Andy D Prill; Annette Troseth; Carol Lowell; Chad M Epple; Dana Brown; Daniel Keen; Dean R Young; Emma C Doleshel; Heather L Allen; Jennifer Schultz; Jim S Kuich; Jim W Doyle; Michael A Murphy; Natalie C Chau; S M Scott; Steve Wagner; Ted Baran; Theresa A Lamb their true and lawful Attomey(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. This Power-of-Attomey is granted and is signed and sealed by facsimile under and by authority of the following By -Laws adopted by the Board of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors of Merchants National Bonding, Inc., on October 16, 2015. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attomeys-in-Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof." "The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company, and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and aut hority hereby given to the Attorney -in -Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given to the Attorney -in -Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner - Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation. In Witness Whereof, the Companies have caused this instrument to be signed and sealed this 2nd day of January 2024 . •�_■`" ''•.• •`•"•• .• MERCHANTS BONDING COMPANY (MUTUAL) �[10N �0� .0041, MERCHANTS NATIONAL BONDING, INC. y•QFIP0z 4o�d�LPO/ti9�y�: d/b!a MERCHANTS NATIONAL INDEMNITY COMPANY y 2003 o -- y 1933 : c: By ' k •..._....•: �`,=- •.•a'!y. •.. •. : • President STATE OF IOWA '•.,, tr`C .+•' '•. • .- COUNTY OF DALLAS ss.*"'""� �� • On this 2nd day of January 2024 before me appeared Lary Taylor, to me personally known, who being by me duly sworn did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies; and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. tv-l�'c s Kim Lee a q commiss rn Number 702737 —°" 7 sty Commissun Expeespies April 14, 2024 Notary Public (Expiration of notary's commission does not invalidate this instrument) I. William Warner, Jr„ Secretary of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., do hereby certify that a'above and foregoing is a true and correct copy of the POWER -OF -ATTORNEY executed by said Companies, which is still in full force,attd�M"Cl+'apd has not been amended or revoked. of, h eave hereunto set my hand and affixed the seal of the Companies on this day of ��+� : �� " ,•`p l D Nq� ••.� . • O\0 Cps•. y • t;. ' x 2003 :� :❑ : ¢ 1933 : e' Secretary ._- ter: ... =., ;� - - � :d,• , •� . ��. .yam. (10122) EXHIBIT "H" PREVAILING RATE OF WAGE (SEE ATTACHED). Rev 4/23 - 24 - EXHIBIT "H" PREVAILING WAGES County Trade Job Classification Wage Holiday Overtime Notes King Asbestos Abatement Workers .Journey Level $59.07 5D 1H King Laborers Air, Gas Or Electric Vibrating Screed $59.07 15J 11P 8Y King Laborers Airtrac Drill Operator $60.90 15J 11P 8Y King I Laborers Ballast Regular Machine $59.07 15J 11P 8Y King Laborers Batch Weighman $50.07 15J 11P 8Y King Laborers Brick Pavers $59.07 15J i1P 8Y King Laborers Brush Cutter $59.07 15J 11P 8Y King Laborers Brush Hog Feeder $59.07 15J 11P 8Y King Laborers Burner $59.07 15J 11P 8Y King I Laborers Caisson Worker $60.90 15J 11P SY King Laborers Carpenter Tender $59.07 15J Ilip 8Y King Laborers Cement Dumper -paving $60.15 15J 11P 8Y King Laborers Cement Finisher Tender $59.07 15J 11P 8Y King Laborers Change House Or Dry Shack $59.07 15J 11P 8Y King Laborers Chipping Gun (30 Lbs. And Over) $60.15 15J 11P 8Y King Laborers Chipping Gun (Under 30 Lbs.) $59.07 15J Ilip 8Y King Laborers Choker Setter $59.07 15J Ilip SY King Laborers Chuck Tender $59.07 15J Ilip 8Y King Laborers Clary Power Spreader $60.15 15J 11P 8Y King Laborers Clean-up Laborer $59.07 15J 11P 8Y King Laborers Concrete Dumper/Chute Operator $60.15 15J 11P 8Y King Laborers Concrete Form Stripper $59.07 15J 11P 8Y King Laborers Concrete Placement Crew $60.15 15J 11P 8Y King lLaborers Concrete Saw Operator/Core Driller $60.15 15J 11P 8Y King Laborers Crusher Feeder $50.07 15J jilp 8Y King Laborers Curing Laborer $59.07 15J Illp 8Y King Laborers Demolition: Wrecking & Moving (Incl. Charred Material) $59.07 15J 11P 8Y King Laborers Ditch Digger $59.07 15J 11P 8Y King Laborers Diver $60.90 15J 11P 8Y King Laborers Drill Operator (Hydraulic, Diamond) $60.15 15J 11P 8Y King Laborers Dry Stack Walls $59.07 15J 11P 8Y King Laborers Dump Person $59.07 15J S1P 8Y King Laborers Epoxy Technician $59.07 15J 11P 8Y (King Laborers Erosion Control Worker $59.07 15J 11P 8Y King Laborers Faller & Bucker Chain Saw $60.15 15J 11P 8Y (King Laborers Fine Graders $59.07 15J 11P 8Y King Laborers Firewatch $50.07 15J 11P 8Y King Laborers Form Setter $60.15 15J 11P 8Y King I Laborers lGabian Basket Builders $59.0.7 15J Illp 8Y King Laborers lGeneral Laborer $59.07 15J Ilip 8Y King Laborers Grade Checker & Transit Person $62.49 15J jilp 8Y King Laborers Grinders $59.07 15J Ilip 8Y King Laborers Grout Machine Tender $59.07 15J 11P 8Y King Laborers Groutmen (Pressure) Including Post Tension Beams $60.15 15J 11P 8Y King Laborers Guardrail Erector $59.07 15J 11P 8Y King Laborers Hazardous Waste Worker (Level A) $60.90 15J 11P 8Y King ILaborers Hazardous Waste Worker (Level B) $60.15 15J 11P 8Y King Laborers Hazardous Waste Worker (Level C) $59.07 15J 11P 8Y King Laborers High Scaler $60.90 15J 11P 8Y King Laborers Jackhammer $60.15 15J 11P 8Y King Laborers Laserbeam Operator $60.15 15J 11P 8Y King Laborers Maintenance Person $59.07 15J 11P 8Y King Laborers Manhole Builder-Mudman $60.15 15J 11P 8Y King I Laborers Material Yard Person $59.07 1 15J 11P 8Y King I Laborers Mold Abatement Worker 1 $59.07 j 15J Ilip 8Y County Trade Job Classification Wage Holiday Overtime Notes King Laborers Motorman -Dinky Locomotive $62.59 15J 11P 8Y King Laborers nozzleman (concrete pump, green cutter when using co $62.49 15J 11P BY King Laborers Pavement Breaker $60.15 15J i1P 8Y King Laborers Pilot Car $50.07 15J 11P 8Y King 1 Laborers Pipe Layer (Lead) $62.49 15J Illp 8Y King Laborers Pipe Layer/Tailor $60.15 15J 11P 8Y King Laborers Pipe Pot Tender $60.15 15J 11P 8Y King Laborers Pipe Reliner $60.15 15J 11P 8Y King Laborers Pipe Wrapper $60.15 15J 11P 8Y King Laborers Pot Tender $59.07 15J 11P 8Y King I Laborers Powderman $60.90 15J 11P 8Y King Laborers Powderman's Helper $59.07 15J 11P 8Y King Laborers Power Jacks $60.15 15J 11P 8Y King Laborers Railroad Spike Puller - Power $60.15 15J 11P 8Y King Laborers Raker -Asphalt $62.49 15J Illp 8Y King Laborers Re-timberman $60.90 15J 11P 8Y King Laborers Remote Equipment Operator $60.15 15J 11P 18Y King I Laborers Rigger/Signal Person $60.15 15J 11P 18Y King ILaborers Rip Rap Person $59.07 15J 11P 8Y King Laborers Rivet Buster $60.15 15J 11P 8Y King Laborers Rodder $60.15 15J Ilip 8Y King Laborers Scaffold Erector $59.07 15J Ilip 8Y King Laborers Scale Person $59.07 15J 11P 8Y King Laborers Sloper (Over 20)" $60.15 15J 11P 8Y King Laborers Sloper Sprayer $59.07 15J 11P 8Y King Laborers Spreader (Concrete) $60.15 15J 11P 8Y King Laborers Stake Hopper $59.07 15J 11P 8Y King Laborers Stock Piler $59.07 15J 11P BY King Laborers Swinging Stage/Boatswain Chair $50.07 115J S1P 8Y King Laborers Tamper & Similar Electric, Air & Gas Operated Tools $60.15 15J 11P 8Y King Laborers Tamper (Multiple & Self-propelled) $60.15 15J 11P 8Y King Laborers Timber Person - Sewer (Lagger, Shorer & Cribber) $60.15 15J 11P 8Y King Laborers Toolroom Person (atJobsite) $59.07 15J 11P 8Y King Laborers Topper $59.07 15J 11P 8Y King Laborers 'Track Laborer $59.07 15J 11P 8Y King Laborers Track Liner (Power) $60.15 15J SSP SY King Laborers Traffic Control Laborer $53.54 15J 11P 9C King Laborers Traffic Control Supervisor $56.73 15J 11P 9C King Laborers Truck Spotter $59.07 15J 11P 8Y King Laborers Tugger Operator $60.15 15J 11P BY King Laborers Tunnel Work -Compressed Air Worker 0-30 psi $175.79 15J 11P 9B King Laborers Tunnel Work -Compressed Air Worker 30.01-44.00 psi $180.82 15J 11P 9B King Laborers Tunnel Work -Compressed Air Worker 44.01-54.00 psi $184.50 15J 11P 9B King Laborers Tunnel Work -Compressed Air Worker 54.01-60.00 psi $190.20 15J 11P 9B King Laborers Tunnel Work -Compressed Air Worker 60.01-64.00 psi $192.32 115J 11P 19B King Laborers Tunnel Work -Compressed Air Worker 64.01-68.00 psi $197.42 15J 11P 9B King Laborers Tunnel Work -Compressed Air Worker 68.01-70.00 psi $199.32 15J Ilip 9B King Laborers Tunnel Work -Compressed Air Worker 70.01-72.00 psi $201.32 151 11P 9B King Laborers Tunnel Work -Compressed Air Worker 72.01-74.00 psi $203.32 15J 11P 9B King Laborers Tunnel Work-Guage and Lock Tender $62.59 151 11P 8Y King Laborers Tunnel Work -Miner $62.59 15J 11P BY King Laborers Vibrator $60.15 15J 11P SY King I Laborers Vinyl Seamer $59.07 15J 111P SY King Laborers Watchman $45.51 15J 11P SY King Laborers Welder $60.15 15J 11P 8Y 18Y King Laborers Well Point Laborer $60.15 15J Ilip King Laborers Window Washer/Cleaner $45.51 15J Illp 8Y King Truck Drivers Asphalt Mix Over 16 Yards $74.95 15J 11M SL King Truck Drivers Asphalt Mix To 16 Yards $74.02 15J 111M SL County Trade Job Classification Wage Holiday Overtime Notes King Truck Drivers Dump Truck $74.02 15J 11M 81- King Truck Drivers Dump Truck & Trailer $74.95 15J 111M 8L King Truck Drivers Other Trucks $74.95 15J I 11M 81- EXHIBIT "I" 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 Rev 4/23 - 25 - 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. Rev 4/23 — 26 — 2/8/24, 11:50 AM Corporations and Charities System BUSINESS INFORMATION Business Name: KANWAY ABATEMENT & DEMOLITION, LLC UBI Number: 604 673 559 Business Type: WA LIMITED LIABILITY COMPANY Business Status: ACTIVE Principal Office Street Address: 3021 69TH AVE W STE F, UNIVERSITY PLACE, WA, 98466, UNITED STATES Principal Office Mailing Address: 3021 69TH AVE W STE F, UNIVERSITY PLACE, WA, 98466, UNITED STATES Expiration Date: 11/30/2024 Jurisdiction: UNITED STATES, WASHINGTON Formation/ Registration Date: 11/17/2020 Period of Duration: PERPETUAL Inactive Date: Nature of Business: CONSTRUCTION REGISTERED AGENT INFORMATION Registered Agent Name: WASHINGTON REGISTERED AGENT, LLC. Street Address: 100 N HOWARD ST STE W, SPOKANE, WA, 99201, UNITED STATES Mailing Address: 100 N HOWARD ST STE W, SPOKANE, WA, 99201, UNITED STATES GOVERNORS Title GOVERNOR GOVERNOR GOVERNOR Governors Type INDIVIDUAL INDIVIDUAL INDIVIDUAL Entity Name First Name BRANDON JASON MATAINA Last Name BROCKWAY KANAR BROCKWAY https://ccfs.sos.wa.gov/?_gl=1*10uor29*_ga*MjAwOTk2NTkzOC4xNjgyNT150DE3*_ga_7B08VE04WV*MTcwNDMwNzg5My4zOC4xLjE3M DQzMDg... 1 /1 BUSINESS LICENSE STATE Of WASHINGTON Limited Liability Company KANJ@WAY ABATEMENT & DEMOLITION, LLC STE F 302169TH AVE W UNIVERSITY PLACE WA 98466-5297 UNEMPLOYMENT INSURANCE - ACTIVE TAX REGISTRATION - ACTIVE CITY/COUNTY ENDORSEMENTS: i Issue Dade: Feb 23, 2024 � Unified Business ID #- 604673559 ; Business ID ;>k: 001 Locaillon: 0001 E> : Nov 30. W24 r1 INDUSTRIAL INSURANCE - ACTIVE UNIVERSITY PLACE GENERAL BUSINESS - ACTIVE FEDERAL WAY GENERAL BUSINESS - NON-RESIDENT (EXPIRES 2MWA25) - ACTIVE LICENSING RESTRICTIONS: Not licensed to hies minus without a Minor Work Permit REGISTERED TRADE NAMES: KANWAY LLC 1 { 111e4 d.xukiwnf Ikh f1w tet r<trati. r+.. rn.LlrKrltnyii•. and ticenvL% authumeof kw :MIN, imocri -is ., It.#Iw%l At-n.. 9Y .II-1 opholr, Sit. - ", GttH•r1t, I tr lit "V r [Y Ili fk III0. HlIII rnhOM to wt thr.tfvpl it anon — tacydtie, IrUe, And j<v-wme to the bell of It.. no 1w Innw6fte, and Iluf F.,n.nA-%, %.ifl fw + conducted in compliance with ad applicable Vi.t-16" tl..,, 0.0e. culmt, and r,r• teg{ PIAPGtl.. t.,r,•. e.w, ai...,_ - •� «..i ire-- Ltii � � �ie� � - -� '-• sS� - — 4 - � -�.T�s i -�-ter G�� ^ �. � • - �!•si." UBL 604673559 0010001 KANWAY ABATEMENT & DEMOUTKK LLC STE F 3021 BSTN AVE W UNIVERMY PLACE WA 9a466-5m STATE OF WASH*iGTOH UNEMPLOYMENT INSURANCE - INDUSTRIAL INSURANCE - ACTIVE TAX REGSTRATION -ACTIVE UNIVFRSI7Y PLACE GENERAL BUSINESS -ACTIVE FEDERAL WAY GENEIZAL BUSMSS Expires: Nov 30, 2024 1/30/24, 1:30 PM KANWAYABATEMENT/DEMOLITIN LLC Yn>Ai.pr yy,OM�+�Nd Labor & tndusWes.(https://Ini.wa.go2v/) Contractors KANWAY ABATEMENTMEMOLITIN LLC Owner or tradesperson Principals Brockway, Brandon Robert, PARTNER/MEMBER Doing business as KANWAYABATEMENT/DEMOLITIN LLC WA UBI No. 604 673 559 License 3021 69th Ave W Ste F UNIVERSITY PLACE, WA 98466 253-"2-6999 PIERCE County Business type Limited Liability Company Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Construction Contractor Active Meets current requirements. License specialties GENERAL License no. KANWAAL806R8 Effective — expiration 12/28/2020-12/28/2024 Bond Lexon Ins Co $12,000.00 Bond account no 9831877 Received by L&I Effective date 12/28/2020 12/17/2020 Expiration date Until Canceled Insurance Nautilus Ins Co $1,000,000.00 Policy no ECP203921811 Received by L&I Effective date 12/16/2023 12/17/2023 Expiration date 12/17/2024 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period, but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Certifications & Endorsements Asbestos Certification https://secure.ini.wa.gov/verify/Detail. aspx?UBI=604673559&LIC=KAN WAAL806R8&SAW= 1 /2 1/30/24, 1:30 PM KANWAYABATEMENT/DEMOLITIN LLC ACTIVE Expiration: 12/28/2024 Certification Number: ABCN00001720 OMWBE Certifications ........................._.......................... No active certifications exist for this business. Apprentice Training Agent No active Washington registered apprentices exist for this business. Washington allows the use of apprentices registered with Oregon or Montana. Contact the Oregon Bureau of Labor & Industries or Montana Department of Labor & Industry to verify if this business has apprentices. Workers' Comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. L&I Account ID Account is current. 099,147-00 Doing business as KANWAY ABATEMENT & DEMOLITION Estimated workers reported Pending current quarter filing L&I account contact T2 I CHARLEY GREGORY (360) 902-4685 - Email: GOHA236@lni.wa.gov Public Works Requirements Verify the contractor is eligible to perform work on public works projects Required Training— Effective July 1, 2019. Exempt from this requirement. Completed the training on 2/13/2021 Contractor Strikes No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. Workplace Safety & Health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 11/20/2023 No violations Inspection no 317976335 Location 3021 69th Ave W Ste F University Place, WA 984665297 https://secure.Ini.wa.gov/verify/Detail.aspx?UB1=604673559&LIC=KANWAAL806R8&SAW= 2/2