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AG 18-079 RETURN TO: PW ADMIN EXT: 2700 ID#: 36 1 CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM 1. ORIGINATING DEPT/DIV: PUBLIC WORKS/ II,^ 7-7 G 2. ORIGINATING STAFF PERSON: 'ThS I �� 1I (� EXT: 1( 1 1 1 1 3. DATE REQ.BY: 5'3/I 3. TYPE OF DOCUMENT(CHECK ONE): o CONTRACTOR SELECTION DOCUMENT(E.G.,RFB,RFP,RFQ) o PUBLIC WORKS CONTRACT 0 SMALL OR LIMITED PUBLIC WORKS CONTRACT o PROFESSIONAL SERVICE AGREEMENT ❑ MAINTENANCE AGREEMENT o GOODS AND SERVICE AGREEMENT 0 HUMAN SERVICES/CDBG o REAL ESTATE DOCUMENT 0 SECURITY DOCUMENT(E.G.BOND RELATED DOCUMENTS) o ORDINANCE o RESOLUTION litliCONTRACT AMENDMENT(AG#): I (J-1 9 ❑ INTERLOCAL OTHER Q--1"v-Ewv CJ ti Or A e I- 4. PROJECT NAME: (., i-C C�t,( l�L l GLA ek (TC'L( 1 '- C C'b4� '� 4--Ec 'L �-�-of • ( '�_d� Er U 1 C E�S E� 5. NAME OF CONTRACTOR: -Tir c. -0rL l it c,--Cr-5, T TIC )�W ADDRESS: Is 1 v at .AA L I. i • • • TELEPHONE:Zc�,B(Q . 31. E-MAIL: FAX: SIGNATURE NAME: »n po et5ri TITLE: VC(SIAQY'; 6. EXHIBITS AND ATTACHMENTS:0 SCOPE,WORK OR SERVICES ❑ COMPENSATION 0 INSURANCE REQUIREMENTS/CERTIFICATE 0 ALL OTHER REFERENCED EXHIBITS�h ❑ PR OF OF AUTHORITY TO SIGN o REQUIRED LICENSES ❑ PRIORcCONTRACT/AMENDMENTS CFW LICENSE# l0 ID3 vG //BL,EXP. .112/31/tq UBI#1oI)O72 Wilt ,EXP. Fj r3 VA-9 7. TERM: COMMENCEMENT DATE: 5 I o.�J l)j COMPLETION DATE: 11✓1 12._0 8. TOTAL COMPENSATION:$ 'r*i'„�I D/IOD = 41.3 Ij011 CJ �( _ _ / ( ` (INCLUDE EXPENSES AND SALES TAX,IF ANY) (IF CALCULATED ON HOURLY LABOR CHARGE-ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES) REIMBURSABLE EXPENSE: 0 YES 0 NO IF YES,MAXIMUM DOLLAR AMOUNT: $ IS SALES TAX OWED: 0 YES 0 NO IF YES,$ PAID BY: ❑CONTRACTOR 0 CITY RETAINAGE: RETAINAGE AMOUNT: lb r�'y��jc�n RETAINAGEE64.2_ .6o • AGREEMEENT(SEE CONTRACT)OR ❑RETAINAGE BOND PROVIDED X PURCHASING: PLEASE CHARGE TO: lU - t tO . N S2- .6o '42 o 9. DOCUMENT/CONTRACT REVIEW INITIAL/DATE REVIEWED INITIAL/DATE APPROVED o PROJECT MANAGER o DIVISION MANAGER 4EPUTY DIRECTOR 7 J. -U-i— 4J f Z- ler DIRECTOR ❑ RISK MANAGEMENT (IF APPLICABLE) �/\\ ,acLAW DEPT (UIIN 60/i q 10. COUNCIL APPROVAL(IF APPLICABLE) SCHEDULED COMMITTEE DATE: , COMMITTEE APPROVAL DATE: MR / SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE: 11. CON�T CT SIGNATURE ROUTING /�SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC'D: 51'11/et o ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE,LICENSES,EXHIBITS o CREATE ELECTRONIC REMINDER/NOTIFICATION FOR I 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 E-DEPART ' .,-8- SIGNATORY(MAYOR OR DIRECTOR S 1-MI I o CITY � -� 9� � Alt �` � ASSIGNED AG# AG# �-�'� SIGNED COPY RETURNED DATE SENT: 5.03.X924 ❑ ETURN ONE ORIGINAL y� ,`bit �-K/COMMENTS; ORIGINALS 1 � U I yI,� /I�/ "'I [ICI EXECUTE"L �� 1/2018 CITY OF FEDERAL WAY CONTRACT CHANGE ORDER AGREEMENT AG 18-079 1 5/1/19 PROJECT NUMBER CHANGE ORDER NUMBER EFFECTIVE DATE On-Call Guard Rail and Concrete Barrier Services Petersen Brothers,Inc. PROJECT TITLE CONTRACTOR SUMMARY OF PROPOSED CHANGES: Scope of services is unchanged.This is an on-call,task order contract and additional compensation is needed because the original amount has been expended.This change order increases total compensation only. 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 Not-to-Exceed Compensation: INCREASE$15,100 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 $19,900 PREVIOUS CHANGE ORDERS $0 THIS CHANGE ORDER $15,100 *ADJUSTMENTS $0 CONTRACT AMOUNT $35,000 � 5-8-19 CONTRACTOR'S SIGNATURE DATE Ronald G Petersen, President 41/1e J122t1S DIRECT R'S SIGNATURE DATE �^-""1 ® DATE(MM/DD/yyYn ACOR© �✓ CERTIFICATE OF LIABILITY INSURANCE 10/24/2016 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 CONTACT Sue Martin NAME: HENTSCHELL&ASSOC INC P(pH/�ON o ) (253)272-1151FAX C No): (253)272-1225 1436 S.Union Ave. ApDRIESS: SueM@hentschell.com INSURER(S)AFFORDING COVERAGE NAIC S Tacoma WA 98405-1925 INSURER A: Charter Oak Fire Insurance 25615 INSUREDINSURER B: Travelers Indemnity Company of Connecticut 25682 Petersen Brothers,Inc. INSURER C: Travelers Property and Casualty Co of America 25674 2008 East Valley Hwy INSURER D: Great American Insurance Co 16691 INSURER E: — Sumner WA 98390 I INSURER F: COVERAGES CERTIFICATE NUMBER: 18-19 GL Auto Umb 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 ADDLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDDIYYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1'000.000 DCLAIMS-MADE X OCCUR PREM SES(EaGE 10eoccurrence) $N 300,000 X Employers Liability(Stop Gap) MED EXP(Any one person) $ 10,000 A (see below for the Limits) Y Y DT-CO-526D9518-COF-18 11/01/2018 11/01/2019 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 — POLICY X PRO PlLOC PRODUCTS-COMP/OP AGG $ 2,000,000 JECT , OTHER: CDG211 per project agg $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) _ X ANY AUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED Y Y DT-810-526D9518-TCT-18 11/01/2018 11/01/2019 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X AUTOS HIRED ONLY X AUTOS ONON-OWNENLY D PROPERTY DAMAGE (Per accident) $ $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1.000,000 C EXCESSLIAB CLAIMS-MADE Y Y CUP-OK198781-18-26 11/01/2018 11/01/2019 AGGREGATE $ 1,000,000 DED X RETENTION$ 10,000 $ WORKERS COMPENSATION X STATUTE } I ER AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 A N 11/01/2018 11/01/2019 , (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Excess Liability Policy 0 Occurrence Form TUE019246-08 11/01/2018 11/01/2019 Occurrence 5,000,000 Aggregate 5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached N more space is required) RE: On Call Guard rail and Concrete Barrier services. City of federal Way,its officers,officials,employees,volunteers and agents are included as additional insureds as required by written contract of agreement. Blanket Additional Insured-Primary and Non-Contributory basis as required by written contract or agreement as per the attached Endorsement#CGD246. Blanket Waiver of Subrogation as required by written contract or agreement per the attached Endorsement#CGD316.(18-057) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL SE DELIVERED IN City of Federal Way ACCORDANCE WITH THE POLICY PROVISIONS. 33325 8th Avenue Soouth AUTHORIZED REPRESENTATIVE � Federal Way WA 98003-6325 —"'""< � 01��7 7 L I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTORS XTEND ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART GENERAL DESCRIPTION OF COVERAGE—This endorsement broadens coverage.However,coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to this Coverage Part,and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement.The following listing is a general cover- age description only.Limitations and exclusions may apply to these coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to determine rights,duties,and what is and is not covered. A. Aircraft Chartered With Pilot H. Blanket Additional Insured — Lessors Of Leased B. Damage To Premises Rented To You Equipment C. Increased Supplementary Payments I. Blanket Additional Insured — States Or Political Subdivisions—Permits D. Incidental Medical Malpractice E. Who Is An Insured—Newly Acquired Or Formed J. Knowledge And Notice Of Occurrence Or Offense Organizations K. Unintentional Omission F. Who Is An Insured—Broadened Named Insured L. Blanket Waiver Of Subrogation —Unnamed Subsidiaries M. Amended Bodily Injury Definition G. Blanket Additional Insured— Owners, Managers N. Contractual Liability—Railroads Or Lessors Of Premises PROVISIONS INJURY AND PROPERTY DAMAGE LI- A. AIRCRAFT CHARTERED WITH PILOT ABILITY: The following is added to Exclusion 9., Aircraft, Exclusions c.and g.through n. do not apply Auto Or Watercraft,in Paragraph 2.of SECTION to "premises damage". Exclusion f.(1)(a) I —COVERAGES —COVERAGE A BODILY IN- does not apply to"premises damage"caused JURY AND PROPERTY DAMAGE LIABILITY: by: This exclusion does not apply to an aircraft that a. Fire; is: b. Explosion; (a) Chartered with a pilot to any insured; c. Lightning; (b) Not owned by any insured;and d. Smoke resulting from such fire,explosion, (c) Not being used to carry any person or prop- or lightning;or erty for a charge. e. Water; B. DAMAGE TO PREMISES RENTED TO YOU unless Exclusion f.of Section I—Coverage A 1. The first paragraph of the exceptions in Ex- —Bodily Injury And Property Damage Liability clusion j., Damage To Property, in Para- is replaced by another endorsement to this graph 2. of SECTION I — COVERAGES — Coverage Part that has Exclusion—All Pollu- COVERAGE A BODILY INJURY AND tion Injury Or Damage or Total Pollution Ex- PROPERTY DAMAGE LIABILITY is deleted. clusion in its title. 2. The following replaces the last paragraph of A separate limit of insurance applies to Paragraph 2., Exclusions, of SECTION I — "premises damage" as described in Para- COVERAGES — COVERAGE A. BODILY graph 6. of SECTION III — LIMITS OF IN- SURANCE. CG D3 16 11 11 ©2011 The Travelers Indemnity Company.All rights reserved. Page 1 of 6 COMMERCIAL GENERAL LIABILITY 3. The following replaces Paragraph 6. of SEC- C. INCREASED SUPPLEMENTARY PAYMENTS TION 111-LIMITS OF INSURANCE: 1. The following replaces Paragraph 1.b. of Subject to 5. above, the Damage To Pram- SUPPLEMENTARY PAYMENTS - COVER- ises Rented To You Limit is the most we will AGES A AND B of SECTION f - COVER- pay under Coverage A for damages because AGE: of "premises damage"to any one premises. b. Up to $2,500 for the cost of bail bonds The Damage To Premises Rented To You required because of accidents or traffic Limit will apply to all "property damage" law violations arising out of the use of any proximately caused by the same "occur- vehicle to which the Bodily Injury Liability rence", whether such damage results from: Coverage to which the a do Injury to fur- fire;explosion;explosion;lightning;smoke resulting from Coverage applies.We do not have to fur nish these bonds. such fire, explosion, or lightning; or water, or 2. The following any combination of any of these causes. replaces Paragraph 1.d. of The Damage To Premises Rented To You SUPPLEMENTARY PAYMENTS - COVER- AGES SECTION I - COVER limit will be: AGES: a. The amount shown for the Damage To d. All reasonable expenses incurred by the Premises Rented To You Limit on the insured at our request to assist us in the Declarations of this Coverage Part;or investigation or defense of the claim or b. $300,000 if no amount is shown for the "suit",including actual loss of earnings up Damage To Premises Rented To You to $500 a day because of time off from Limit on the Declarations of this Coverage work. Part. D. INCIDENTAL MEDICAL MALPRACTICE 4. The followingreplaces Para ra h a. of the 9 P .� contract" 1. The following is added to the definition of oc- definition of"insured in the DEFINI- currence"in the DEFINITIONS Section: TIONS Section: a. A contract for a lease of premises. How "Occurrence"also means an act or omission ever, that committed in providing or failing to provide portion of the contract for a "incidental medical services", first aid or lease of premises that indemnifies any "Good Samaritan services"to a person. person or organization for "premises damage"is not an"Insured contract"; 2. The following is added to Paragraph 2.241)of 5. The following is added to the DEFINITIONS SECTION 11-WHO IS AN INSURED: Section: Paragraph (1)(d) above does not apply to "bodily injury"arising out of providing or fail- "Premises damage" means "property darn- ing to provide: age"to: a. Any premises while rented to you or tern- (I) "Incidental medical services" by any of Tari! occupiedyour"employees" who is a nurse practi- po y by you with permission tioner,registered nurse,licensed practical of the owner;or nurse, nurse assistant, emergency medi- b. The contents of any premises while such cal technician or paramedic;or premises is rented to you,if you rent such (II) First aid or"Good Samaritan services"b premises for a period of seven or fewer Y consecutive days. any of your "employees" or "volunteer 6. The following replaces Paragraphworkers", other than an employed or vol- g p 4.b.(1)(b) unteer doctor. Any such "employees" or of SECTION IV-COMMERCIAL GENERAL "volunteer workers"providing or failing to LIABILITY CONDITIONS: provide first aid or"Good Samaritan ser- (b) That is insurance for"premises damage"; vices"duringtheir work hours for you will or be deemed to be acting within the scope 7. Paragraph 4.b.(1xc) of SECTION IV - of their employment by you or performing COMMERCIAL GENERAL LIABILITY CON- duties related to the conduct of your busi- DITIONS is deleted. ness. Page 2 of 6 02011 The Travelers indemnity Company.AS rights reserved. CG D3 16 11 11 COMMERCIAL GENERAL LIABILITY 3. The following is added to Paragraph 6. of 4. Any organization you newly acquire or form, SECTION III—LIMITS OF INSURANCE: other than a partnership,joint venture or lint- For the purposes of determining the applica- ited liability company, of which you are the ble Each Occurrence Limit,all related acts or sole owner or in which you maintain the ma- omissions committed in providing or failing to jority ownership interest, will qualify as a provide"incidental medical services",first aid Named Insured if there is no other insurance or"Good Samaritan services"to any one per- which provides similar coverage to that or- son will be deemed to be one"occurrence". ganization_However. 4. The following exclusion is added to Para- a. Coverage under this provision is afforded graph 2., Exclusions, of SECTION I—COV- only: ERAGES—COVERAGE A BODILY INJURY (1) Until the 180th day after you acquire or AND PROPERTY DAMAGE LIABILITY: form the organization or the end of the Sale Of Pharmaceuticals policy period, whichever is earlier, if you "Bodily injury" or "property damage" arising do not report such organization in writing out of the willful violation of a penal statute or to us within 180 days after you acquire or ordinance relating to the sale of pharmaceuti- form it;or cels committed by, or with the knowledge or (2) Until the end of the policyperiod, when consent of,the insured. that date Is later than 180 days after you 5. The following is added to the DEFINITIONS acquire or form such organization, if you Section: report such organization in writing to us "Incidental medical services"means: within 180 days after you acquire or form e. Medical,surgical,dental,laboratory,x-ray it,and we agree in writing that it will con- or nursing service or treatment,advice or tinue to be a Named Insured until the end instruction, or the related furnishing of of the policy period; food or beverages;or b. Coverage A does not apply to "bodily injury" b. The furnishing or dispensing of drugs or or "property damage" that occurred before medical, dental, or surgical supplies or You acquired or formed the organization;and appliances. c. Coverage B does not apply to "personal in- "Good Samaritan services"means any emer- jury" or"advertising injury' arising out of an gency medical services for which no compen- offense committed before you acquired or cation is demanded or received, formed the organization. 6. The following is added to Paragraph 4.b.,Ex- F. WHO IS AN INSURED—BROADENED NAMED cess Insurance, of SECTION IV — COM- INSURED—UNNAMED SUBSIDIARIES MERCIAL GENERAL LIABILITY CONDI- TIONS: The following is added to SECTION II—WHO IS The insurance is excess over any valid and AN INSURED: collectible other insurance available to the in- Any of your subsidiaries,other than a partnership, sured,whether primary,excess,contingent or joint venture or limited liability company, that is on any other basis,that is available to any of not shown as a Named Insured in the Declare- your "employees" or "volunteer workers" for tions is a Named Insured if you maintain an own- "bodily injury" that arises out of providing or ership interest of more than 50% in such subsidi- failing to provide "incidental medical ser- ary on the first day of the policy period. vices", first aid or"Good Samaritan services" No such subsidiary is an insured for"bodily injury" to any person to the extent not subject to or"property damage"that occurred, or"personal Paragraph 2.a.(1) of Section II—Who Is An injury" or "advertising Insured. 1 rY injury" caused by an of- fense committed after the date, if any, during the E. WHO IS AN INSURED — NEWLY ACQUIRED policy period, that you no longer maintain an OR FORMED ORGANIZATIONS ownership interest of more than 50%in such sub- The following replaces Paragraph 4.of SECTION sidiary. II—WHO IS AN INSURED: CG D3 16 11 11 02011 The Travelers Indemnity company.All lights reserved. Page 3 of 6 COMMERCIAL GENERAL LIABILITY G. BLANKET ADDITIONAL INSURED—OWNERS, H. BLANKET ADDITIONAL INSURED—LESSORS MANAGERS OR LESSORS OF PREMISES OF LEASED EQUIPMENT The following is added to SECTION II—WHO IS The following is added to SECTION II—WHO IS AN INSURED: AN INSURED: Any person or organization that is a premises Any person or organization that is an equipment owner, manager or lessor and that you have lessor and that you have agreed in a written con- agreed inin- a written contract or agreement to tract or agreement to include as an insured on clude as an additional insured on this Coverage g this Coverage Part is an insured, but only with re- Part is an insured,but only with respect to liability spect to liability for"bodilyu "propertydam- for bodily injury", "property damage", "personal injury", injury"or"advertising injury'that: age","personal injury"or"advertising injury"that a. Is "bodily injury" or "property a. Is "bodily injury" or "property damage" that p perty damage" that occurs, or is "personal injury" or"advertising occurs, or is"personal injury" or"advertising injury' caused•by an offense that is commit- injury' caused by an offense that is commit- ted, subsequent to the execution of that con- ted, subsequent to the execution of that con- tract or agreement;and tract or agreement;and b. Arises out of the ownership, maintenance or b. Is caused,in whole or in part, by your acts or use of that part of any premises leased to omissions in the maintenance, operation or use of equipment leased toyou such you. by equipment lessor. The insurance provided to suchremises owner, The insurance provided to such equipment lessor manager or lessor is subject to the following pro- is subject to the following g provisions: visions: a. The limits of insurance provided to such a. The limits of insurance provided to such premises owner, manager or lessor will be which you agreedlessor willo be providethei minimumtherlimitn the minimum limits which you agreed to pro- which you to in the written vide in the written contract or agreement, or contract Declarations,agreement,icvr the arelimits shown on the limits shown on the Declarations, which- ever the whichever less. are less. b. The insurance provided to such equipment b. The insurance provided to such lessor does not apply to any"bodily injury"or premises "property damage" that occurs, or "personal owner,manager or lessor does not apply to: injury"or"advertising injury"caused by an of- (1) Any "bodily injury" or"property damage" fense that is committed, after the equipment that occurs,or"personal injury"or"adver- lease expires. tising injury"caused by an offense that is c. The insurance provided to such equipment committed,after you cease to be a tenant lessor is excess over any valid and collectible in that premises;or other insurance available to such equipment (2) Structural alterations, new construction or lessor, whether primary, excess, contingent demolition operations performed by or on or on any other basis, unless you have behalf of such premises owner, lessor or agreed in the written contract or agreement manager. that this insurance must be primary to, or c. The insurance provided to such premises non-contributory with, such other insurance, owner, manager or lessor is excess over any in which case this insurance will be primary valid and collectible other insurance available to, and non-contributory with, such other in- to such premises owner, manager or lessor, surance. whether primary, excess, contingent or on I. BLANKET ADDITIONAL INSURED — STATES any other basis, unless you have agreed in OR POLITICAL SUBDIVISIONS—PERMITS the written contract or agreement that this in- The following is added to SECTION it—WHO IS surance must be primary to, or non- AN INSURED: contributory with, such other insurance, in which case this insurance will be primary to, Any state or political subdivision that has issued a and non-contributory with, such other insur- permit in connection with operations performed by ance. you or on your behalf and that you are required Page 4 of 6 ®2011 The Travelers Indemnity company.All rights reserved. CG D3 1611 11 COMMERCIAL GENERAL LIABILITY by any ordinance, law or building code to include (ii) A manager of any limited liability as an additional insured on this Coverage Part is company;or an insured, but only with respect to liability for (iii)An executive officer or director of "bodily injury", "property damage", "personal in- any other organization; jury"or"advertising injury"arising out of such op- that is your partner, joint ventureerations. member or manager;or The insurance provided to such state or political (b) Any "employee" authorized by such subdivision does not apply to: partnership, joint venture, limited li- a. Any "bodily injury," "property damage," "per- ability company or other organization sonal injury"or"advertising injury"arising out to give notice of an "occurrence" or of operations performed for that state or po- offense. litical subdivision;or (3) Notice to us of such"occurrence"or of an b. Any "bodily injury" or "property damage" in- offense will be deemed to be given as eluded in the"products-completed operations soon as practicable if it is given in good hazard". faith as soon as practicable to your work- J. KNOWLEDGE AND NOTICE OF OCCUR- ers' compensation insurer. This applies RENCE OR OFFENSE only if you subsequently give notice to us The following is added to Paragraph 2.,Duties In of the"occurrence"or offense as soon as The Event of Occurrence, Offense, Claim or practicable after any of the persons de- Suit, of SECTION IV — COMMERCIAL GEN- scribed in Paragraphs e. (1)or(2)above ERAL LIABILITY CONDITIONS: discovers that the"occurrence"or offense e. The following provisions apply to Paragraph may result in sums to which the insurance a. above, but only for the purposes of the in- arovided under this Coverage Part may apply. surance provided under this Coverage Part to you or any insured listed in Paragraph 1.or 2. However, if this Coverage Part includes an en of Section Il—Who Is An Insured: dorsement that provides limited coverage for (1) Notice to us of such "occurrence' or of- "bodily injury" or "property damage" or pollution fense must be given as soon as practice- capests ofa"pollutants" out of a discharge, releasequ or ent Ole only after the"occurrence"or offense cape which contains a requirement is known by you(if you are an individuate), that the discharge, release or escape of"pollut- ants" must be reported to us within a specific any of your partners or members who is number of days after Its abrupt commencement, an individual (if you are a partnership or this Paragraph e. does not affect that require- joint venture), any of your managers who ment. is an individual(if you are a limited liability company), any of your "executive offi- K. UNINTENTIONAL OMISSION cers"or directors (if you are an organize- The following is added to Paragraph 6., Repro- lion other than a partnership,joint venture septations, of SECTION IV — COMMERCIAL or limited liability company) or any "em- GENERAL LIABILITY CONDITIONS: ployee" authorized by you to give notice The unintentional omission of, or unintentional of an"occurrence"or offense, error in, any information provided by you which (2) If you are a partnership, joint venture or we relied upon in issuing this policy will not preju- limited liability company,and none of your dice your rights under this insurance. However, partners, joint venture members or man- this provision does not affect our right to collect agers are individuals, notice to us of such additional premium or to exercise our rights of "occurrence"or offense must be given as cancellation or nonrenewal in accordance with soon as practicable only after the"occur- applicable insurance laws or regulations. rence"or offense is known by: L. BLANKET WAIVER OF SUBROGATION (a) Any individual who is: The following is added to Paragraph 8., Transfer (i) A partner or member of any part- Of Rights Of Recovery Against Others To Us, nership or joint venture; of SECTION IV—COMMERCIAL GENERAL LI- ABILITY CONDITIONS: CG 03 16 11 11 0 2011 The Travelers indemnity company.All rights reseroea. Page 5 of 6 COMMERCIAL GENERAL LIABILITY if the insured has agreed in a contract or agree- 3. "Bodily injury" means bodily injury, mental ment to waive that insured's right of recovery anguish,mental injury,shock,fright,disability, against any person or organization,we waive our humiliation, sickness or disease sustained by right of recovery against such person or organize- a person, including death resulting from any tion,but only for payments we make because of: of these at any time. a. "Bodily injury' or"property damage" that oc- N. CONTRACTUAL LIABILITY—RAILROADS curs;or 1. The following replaces Paragraph c. of the b. "Personal injury" or "advertising injury" definition of"insured contract"in the DEFINI- caused by an offense that is committed; TIONS Section: subsequent to the execution of that contract or c. Any easement or license agreement; agreement. 2. Paragraph f.(1) of the definition of Insured M. AMENDED BODILY INJURY DEFINITION contract" in the DEFINITIONS Section is de- The following replaces the definition of "bodily leted. injury"in the DEFINITIONS Section: Page 6 of 6 0 2011 The Travelers Indemnity Company.NI rights reserved. CO D3 1611 11 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY BLANKET ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. WHO IS AN INSURED—(Section II) is amended c) The insurance provided to the additional in- to include any person or organization that you sured does not apply to 'bodily injury' or agree in a 'written contract requiring insurance" "property damage" caused by "your work' to include as an additional insured on this Cover- and included in the 'products-completed op- age Part,but: orations hazard' unless the 'written contract a) Only with respect to liability for"bodily injury", requiring insurance" specifically requires you "property damage"or'personal injury";and to provide such coverage for that additional insured, and then the insurance provided to b) If, and only to the extent that, the injury or the additional insured applies only to such damage is caused by acts or omissions of "bodily injury" or 'property damage" that oc- you or your subcontractor in the performance curs before the end of the period of time for of 'your work" to which the "written contract which the "written contract requiring insur- requiring insurance" applies. The person or ante' requires you to provide such coverage organization does not qualify as an additional or the end of the policy period, whichever is insured with respect to the independent acts earlier. or omissions of such person or organization. 3. The insurance provided to the additional insured 2. The insurance provided to the additional insured by this endorsement is excess over any valid and by this endorsement is limited as follows: collectible "other insurance", whether primary, a) In the event that the Limits of Insurance of excess, contingent or on any other basis, that is this Coverage Part shown in the Declarations available to the additional insured for a loss we exceed the limits of liability required by the cover under this endorsement. However, if the "written contract requiring insurance", the in- "written contract requiring insurance" specifically surance provided to the additional insured requires that this insurance apply on a primary shall be limited to the limits of liability re- basis or a primary and non-contributory basis, quired by that 'written contract requiring in- this insurance is primary to "other insurance° surance". This endorsement shall not in- available to the additional insured which covers crease the limits of insurance described in that person or organization as a named insured Section III—Limits Of Insurance. for such loss, and we will not share with that b) The insurance provided to the additional in- "other insurance'. But the insurance provided to sured does not apply t "bodily tad the additional insured by this endorsement still is pp y ry°, "prop- excess over any valid and collectible °other in- erty damage" or "personal injury" arising out surance", whether primary, excess, contingent or of the rendering of, or failure to render, any on any other basis, that is available to the addi- professional architectural, engineering or sur- tional insured when that person or organization is veying services, including: an additional insured under such "other insur- I. The preparing, approving, or failing to ance". prepare or approve, maps, shop draw- 4. As a condition of coverage provided to the ings, opinions, reports, surveys, field or- additional insured by this endorsement: ders or change orders, or the preparing, approving, or failing to prepare or ap- a) The additional insured must give us written prove,drawings and specifications;and notice as soon as practicable of an "occur- rence" or an offense which may result in a II. Supervisory, inspection, architectural or claim. To the extent possible, such notice engineering activities. should include: CG D2 46 08 05 0 2005 The St. Paul Travelers Companies, Inc. Page 1 of 2 COMMERCIAL GENERAL LIABILITY I. How, when and where the "occurrence" any provider of"other insurance"which would or offense took place; cover the additional insured for a loss we ii. The names and addresses of any injured cover under this endorsement. However, this persons and witnesses;and condition does not affect whether the insur- ance provided to the additional insured by III. The nature and location of any injury or this endorsement is primary to "other insur- damage arising out of the"occurrence"or ance" available to the additional insured offense. which covers that person or organization as a b) If a claim is made or"suit" is brought against named insured as described in paragraph 3. the additional insured, the additional insured above. must: 5. The following definition is added to SECTION V. I. Immediately record the specifics of the —DEFINITIONS: claim or"suit"and the date received;and 'Written contract requiring insurance" means ii. Notify us as soon as practicable. that part of any written contract or agreement under which you are required to include a The additional insured must see to it that we person or organization as an additional in- receive written notice of the claim or"suit"as sured on this Coverage Part, provided that soon as practicable. the "bodily injury"and 'property damage"oc- c) The additional insured must immediately curs and the"personal injury"is caused by an send us copies of all legal papers received in offense committed: connection with the claim or"suit",cooperate with us in the investigation or settlement of a. After the signing and execution of the the claim or defense against the "suit", and contract or agreement by you; otherwise comply with all policy conditions. b. While that part of the contract or d) The additional insured must tender the agreement is in effect;and de- fense and indemnity of any claim or "suit" to c. Before the end of the policy period. Page 2 of 2 ©2005 The St. Paul Travelers Companies, Inc. CG D2 46 08 05 COMMERCIAL GENERAL LIABILITY POLICY NUMBER: DT-C0-526D9518-PHX-16 ISSUE DATE:11-21-1 6 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY DESIGNATED PROJECT(S) GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Project Designated Project(s): General Aggregate(s): EACH "PROJECT" FOR WHICH YOU HAVE AGREED, GENERAL AGGREGATE IN A WRITTEN CONTRACT WHICH IS IN EFFECT LIMIT SHOWN ON THE DURING THIS POLICY PERIOD, TO PROVIDE A DECLARATIONS. SEPARATE GENERAL AGGREGATE LIMIT, PROVIDED THAT THE CONTRACT IS SIGNED AND EXECUTED BY YOU BEFORE THE "BODILY INJURY" OR "PROPERTY DAMAGE" OCCURS. A. For all sums which the insured becomes legally 3. Any payments made under COVERAGE A. obligated to pay as damages caused by "occur- for damages or under COVERAGE C. for rences" under COVERAGE A. (SECTION I), and medical expenses shall reduce the Desig- for all medical expenses caused by accidents un- nated Project General Aggregate Limit for der COVERAGE C (SECTION I), which can be that designated "project". Such payments attributed only to operations at a single desig- shall not reduce the General Aggregate Limit nated"project"shown in the Schedule above: shown in the Declarations nor shall they re- l. A separate Designated Project General Ag duce any other Designated Project General gregate Limit applies to each designated"pro- Aggregate Limit for any other designated ject", and that limit is equal to the amount of "project"shown in the Schedule above. the General Aggregate Limit shown in the 4. The limits shown in the Declarations for Each Declarations, unless separate Designated Occurrence, Damage To Premises Rented Project General Aggregate(s) are sched- To You and Medical Expense continue to uled above. apply. However, instead of being subject to 2. The Designated Project General Aggregate the General Aggregate Limit shown in the Limit is the most we will pay for the sum of all Declarations, such limits will be subject to the damages under COVERAGE A., except applicable Designated Project General Ag- damages because of "bodily injury" or"prop- gregate Limit. erty damage" included in the "products- B. For all sums which the insured becomes legally completed operations hazard", and for medi- obligated to pay as damages caused by "occur- cal expenses under COVERAGE C, regard- rences" under COVERAGE A. (SECTION I), and less of the number of: for all medical expenses caused by accidents un- a. Insureds; der COVERAGE C. (SECTION I), which cannot be attributed only to operations at a single desig- b. Claims made or"suits"brought; or nated"project"shown in the Schedule above: c. Persons or organizations making claims or bringing"suits". CG D2 11 01 04 Copyright,The Travelers Indemnity Company, 2004 Page 1 of 2 • COMMERCIAL GENERAL LIABILITY 1. Any payments made under COVERAGE A. vided, any payments for damages because of for damages or under COVERAGE C. for "bodily injury" or "property damage" included in medical expenses shall reduce the amount the "products-completed operations hazard" will available under the General Aggregate Limit reduce the Products-Completed Operations Ag- or the Products-Completed Operations Ag- gregate Limit, and not reduce the General Aggre- gregate Limit, whichever is applicable; and gate Limit nor the Designated Project General 2. Such payments shall not reduce any Desig- Aggregate Limit. nated Project General Aggregate Limit. E. For the purposes of this endorsement the Defini- C. Part 2.of SECTION III—LIMITS OF INSURANCE tions Section is amended by the addition of the is deleted and replaced by the following: following definition: 2. The General Aggregate Limit is the most we "Project" means an area away from premises willPaY for the sum of: owned by or rented to you at which you are per- forming operations pursuant to a contract or a. Damages under Coverage B; and agreement. For the purposes of determining the b. Damages from "occurrences" under applicable aggregate limit of insurance, each COVERAGE A (SECTION I) and for all "project" that includes premises involving the medical expenses caused by accidents same or connecting lots, or premises whose con- under COVERAGE C (SECTION I)which nection is interrupted only by a street, roadway, cannot be attributed only to operations at waterway or right-of-way of a railroad shall be a single designated"project"shown in the considered a single"project". SCHEDULE above. F. The provisions of SECTION III — LIMITS OF D. When coverage for liability arising out of the INSURANCE not otherwise modified by this en- "products-completed operations hazard" is pro- dorsement shall continue to apply as stipulated. 0= 0= a roluomm 0= 0= Page 2 of 2 Copyright,The Travelers Indemnity Company,2004 CG D2 11 01 04 014818 • COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY WITH OTHER INSURANCE This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi- fied by this endorsement. PROVISIONS A. The following is added to Paragraph c. in • A. 1., Who Is An Insured, of SECTION Il — B. The following is added to Paragraph 5., Other LIABILITY COVERAGE: Insurance, in B.General Conditions of SEC-TION Any person or organization who is required IV—BUSINESS AUTO CONDITIONS: under a written contract or agreement Regardless of the provisions of paragraph a. and between you and that person or organization, paragraph d. of this part 5. Other Insurance, this that is signed and executed by you before the insurance is primary to and non-contributory with "bodily injury" or "property damage" occurs applicable other insurance under which an addi- and that is in effect during the policy period, tional insured person or organization is the first to be named as an addi-tional insured is an named insured when the written contract or "insured"for Liability Cover-age, but only for dagreement between you and that person or or- damages to which this insurance applies and ganization, that is signed and executed by you only to the extent that person or or- before the "bodily injury" or "property damage" ganization qualifies as an "insured" under occurs and that is in effect during the policy pe- the Who Is An Insured provision hod, requires this insurance to be primary and contained in Section II. non-contributory. CA T4 74 02 12 ©2012 The Travelers Indemnity Company.All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office,Inc.with its permission. COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO EXTENSION ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GENERAL DESCRIPTION OF COVERAGE—This endorsement broadens coverage. However,coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to the Coverage Part,and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement.The following listing is a general cover- age description only.Limitations and exclusions may apply to these coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to determine rights,duties,and what is and is not covered. A. BROAD FORM NAMED INSURED H. HIRED AUTO PHYSICAL DAMAGE—LOSS OF B. BLANKET ADDITIONAL INSURED USE—INCREASED LIMIT C. EMPLOYEE HIRED AUTO I. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES—INCREASED LIMIT D. EMPLOYEES AS INSURED J. PERSONAL PROPERTY E. SUPPLEMENTARY PAYMENTS— INCREASED K. AIRBAGS LIMITS L NOTICE AND KNOWLEDGE OF ACCIDENT OR F. HIRED AUTO — LIMITED WORLDWIDE COV- LOSS ERAGE—INDEMNITY BASIS M. BLANKET WAIVER OF SUBROGATION G. WAIVER OF DEDUCTIBLE—GLASS N. UNINTENTIONAL ERRORS OR OMISSIONS PROVISIONS A. BROAD FORM NAMED INSURED this insurance applies and only to the extent that The following is added to Paragraph A.1.,Who Is person or organization qualities as an "insured" An Insured,of SECTION II—COVERED AUTOS under the Who Is An Insured provision contained LIABILITY COVERAGE: in Section II. Any organization you newly acquire or form dur- C. EMPLOYEE HIRED AUTO ing the policy period over which you maintain 1. The following is added to Paragraph A.1.. 50% or more ownership interest and that is not Who Is An Insured, of SECTION II— COV- separately insured for Business Auto Coverage. ERED AUTOS LIABILITY COVERAGE: Coverage under this provision is afforded only un- An "employee"of yours is an Insured" while til the 180th day after you acquire or form the or- operating an "auto" hired or rented under a ganization or the end of the policy period,which- contract or agreement In an "employee's" ever is earlier. name,with your permission,while performing B. BLANKET ADDITIONAL INSURED duties related to the conduct of your busi- ness. The following is added to Paragraph c. in Al., 2. The following replaces Paragraph b. In B.5., Who Is An Insured,of SECTION II—COVERED Other Insurance, of SECTION IV — BUSI- AUTOS LIABILITY COVERAGE: NESS AUTO CONDITIONS: Any person or organization who is required under b. For Hired Auto Physical Damage Cover- a written contract or agreement between you and age,the following are deemed to be cov- that person or organization, that is signed and erect"autos"you own: executed by you before the "bodily injury" or (1) Any covered "auto" you lease, hire, "property damage" occurs and that is in effect rent or!arrow; and during the policy period,to be named as an addi- (2) Any covered"auto"hired or rented by tional insured is an "insured" for Covered Autos your"employee" under a contract in Liability Coverage, but only for damages to which anem " ployee's" name, with your CA T3 53 0216 a 2015 The Travelers indemnity Company.All rights reserved. Page 1 of 4 Includes copyrighted material of Insurance Services Office,Inc.with its permission. COMMERCIAL AUTO permission, while performing duties (a) With respect to any claim made or"suit" related to the conduct of your buss- brought outside the United States of ness. America, the territories and possessions However, any"auto"that is leased,hired, of the United States of America, Puerto rented or borrowed with a driver Is not a Rico and Canada: covered"auto". (I) You must arrange to defend the "in- D. EMPLOYEES AS INSURED sured"against,and Investigate or set- tle any such claim or"suit"and keep The following is added to Paragraph A.1.,Who Is us advised of all proceedings and ac- An Insured,of SECTION 11—COVERED AUTOS tions. LIABILITY COVERAGE: Any"employee"of yours is an"insured"while us- ( ) Neither you nor any other involved insured will make any settlement ing a covered"auto"you don't own,hire or borrow without our consent. in your business or your personal affairs. E. SUPPLEMENTARY PAYMENTS — INCREASED (Iii)We may, at our discretion, participate LIMITS in defending the"insured"against, or in the settlement of, any claim or 1. The following replaces Paragraph A.2.a.(2), "suit". of SECTION 11—COVERED AUTOS LIABIL- (iv)We will reimburse the "insured" for ITY COVERAGE: sums that the "insured" legally must (2) Up to $3,000 for cost of bail bonds (in- pay as damages because of "bodily eluding bonds for related traffic law viola- injury"or"property damage"to which tions) required because of an "accident" this insurance applies, that the "in- we cover. We do not have to furnish sured" pays with our consent, but these bonds. only up to the limit described in Para- 2. The following replaces Paragraph A.2.a.(4), graph C., Limits Of Insurance, of of SECTION II—COVERED AUTOS UABIL- SECTION II — COVERED AUTOS ITY COVERAGE: LIABILITY COVERAGE. (4) All reasonable expenses incurred by the (v) We will reimburse the "Insured" for "insured" at our request, including actual the reasonable expenses incurred loss of earnings up to $500 a day be- with our consent for your investiga- cause of time off from work. tion of such claims and your defense F. HIRED AUTO — LIMITED WORLDWIDE COV- of the Insured" against any such FRAISE—INDEMNITY BASIS "suit", but only up to and included within the limit described in Para- The following replaces Subparagraph(5)in Para- graph C., Limits Of Insurance, of graph B.7., Policy Period, Coverage Territory, SECTION II — COVERED AUTOS of SECTION IV — BUSINESS AUTO CONDI. LIABILITY COVERAGE, and not in TIONS: addition to such limit. Our duty to (5) Anywhere in the world,except any country or make such payments ends when we have used upthe applicable limit of jurisdiction ro while anytrade sanction, em- insurance bargo, or similar regulation imposed by the insurance in payments for damages, United States of America applies to and prosettlements or defense expenses. hibits the transaction of business with or (b) This insurance is excess over any valid within such country or jurisdiction, for Cov- and collectible other insurance available ered Autos Liability Coverage for any covered to the"insured"whether primary,excess, "auto" that you lease, hire, rent or borrow contingent or on any other basis. without a driver for a period of 30 days or less (c) This Insurance is not a substitute for l and that is not an "auto"you lease, hire, rent re- quired or compulsory insurance in any or borrow from any yourem of "employees",es" R , countryoutside the United States, is ter- partners (if you are a partnership), members i ter ritories and possessions, Puerto Rico and (if you are a limited liability company) or Canada. members of their households. Page 2 of 4 ®2015 The Travelers Indemnity Company,All rights reserved. CA T3 53 0215 Includes copyrighted material of Insurance Services Office,Inc.with Its permission. COMMERCIAL AUTO You agree to maintain all required or (2) In or on your covered"auto". compulsory insurance In any such corn- This coverage applies only in the event of a total try up to the minimum limits required by theft of your covered"auto". local law. Your failure to comply with No deductibles apply to this Personal Property compulsory insurance requirements will coverage. not invalidate the coverage afforded by AIRBAGS this policy,but we will only be liable to the K. same extent we would have been liable The following Is added to Paragraph B.S.,Exciu- t had you compiled with the compulsory in- suns, of SECTION Ml — PHYSICAL DAMAGE suranceuirements. COVERAGE: VERAGE: I (d) It is understood that we are not an admit- Exclusion 3.a. does not apply to"loss"to one or ted or authorized insurer outside the more airbags in a covered"auto"you own that in- United States of America, Its tenitortes flate due to a cause other than a cause of"loss" and possessions, Puerto Rico and Can- set forth in Paragraphs A.1.b. and A.1.c., but ads.We assume no responsibility for the only: furnishing of certificates of insurance, or a. If that"auto"is a covered"auto"for Compre- for compliance in any way with the laws hensive Coverage under this policy; 1 of other countries relating to Insurance. b. The airbags are not covered under any war- G. WAIVER OF DEDUCTIBLE—GLASS ran ;and The following is added to Paragraph D.,Deducti- c. The airbags were not Intentionally inflated. ble, of SECTION III — PHYSICAL DAMAGE We will pay up to a maximum of$1,000 for any COVERAGE: one"loss" No deductible for a covered "auto" MI apply to L. NOTICE AND KNOWLEDGE OF ACCIDENT OR glass damage if the glass is repaired rather than LOSS replaced. The following is added to Paragraph A.2.a., of H. HIRED AUTO PHYSICAL DAMAGE—LOSS OF SECTION IV—BUSINESS AUTO CONDITIONS: USE—INCREASED UMIT Your duty to give us or our authorized represents- The following replaces the last sentence of Para- thre prompt notice of the"accident"or"toss" ap- graph A.4.b., Loss Of Use Expenses, of SEC- plies only when the"accident" or"loss" is known TION III—PHYSICAL DAMAGE COVERAGE: to: However,the most we will pay for any expenses (a) You(if you are an Individual); for loss of use Is$65 per day, to a maximum of (b) A partner(if you are a partnership); $750 for any one"accident". (c) A member(if you are a limited liability com- l. PHYSICAL DAMAGE — TRANSPORTATION pany); EXPENSES—INCREASED UMIT (d) An executive officer, director or insurance The following replaces the fust sentence In Para- manager(If you are a corporation or other or- graph A.4.a., Transportation Expenses, of ganization);or SECTION III — PHYSICAL DAMAGE COVER- (e) Any"employee"authorized by you to give no- AGE: tice of the"accident"or"loss". We will pay up to $50 per day to a maximum of M. BLANKET WAIVER OF SUBROGATION $1,500 for temporary transportation expense In- The following replaces Paragraph A.5.,Transfer curred by you because of the total theft of a cov- Of Rights Of Recovery Against Others To Us, Bred"auto"of the private passenger type. of SECTION IV — BUSINESS AUTO CONDI- J. PERSONAL PROPERTY TIONS: The following is added to Paragraph A.4.,Cover- 5. Transfer Of Rights Of Recovery Against age Extensions, of SECTION III — PHYSICAL Others To Us DAMAGE COVERAGE; We waive any right of recovery we may have Personal property against any person or organization to the ex- tent required ofa you writtencontract "loss" by nt We will pay up to $400 for to wearing ap- signed and executed prior to any "accident" parel and other personal property which is: or"loss",provided that the"accident"or"loss" (1) Owned by an"insured";and arises out of operations contemplated by CA T3 53 0215 re tots The Travelers Indemnity Company.All rights reserved. Page 3 of 4 Includes copyrighted material of Insurance Services Office,Inc.with Its permission. COMMERCIAL AUTO such contract.The waiver applies only to the The unintentional omission of, or unintentional person or organization designated In such error In. any information given by you shall not cold• prejudice your rights under this insurance. How- N. UNINTENTIONAL ERRORS OR OMISSIONS ever this provision does not affect our right to col- The following is added to Paragraph B.2., Con- lett additional premium or exercise our right of cealment, Misrepresentation, Or Fraud, of cancellation or non-renewal. SECTION IV—BUSINESS AUTO CONDITIONS: Page 4 of 4 to 2015 The Travelers Indemnity Company.Ail rights reserved. CA T3 53 0215 Includes copyrighted material of Insurance Services Office,Inc.with Its permission. RETURN TO: PW ADMIN EXT: 2700 ID #: 3-3-5 CITY OF FEDERAL WAYLAW DEPARTMENT ROUTING FORM 1. ORIGINATING DEPT/DIV: PUBLIC WORKS / 6/-e"(, 2. ORIGINATING STAFF PERSON A (j i J EXT: :/] ` 1 3. DATE REQ. BY: 3. TYPE OF DOCUMENT (CHECK ONE): ❑ CONTRACTOR SELECTION DOCUMENT (E.G., RFB, ❑ PUBLIC WORKS CONTRACT ❑ PROFESSIONAL SERVICE AGREEMENT ❑ GOODS AND SERVICE AGREEMENT ❑ REAL ESTATE DOCUMENT ❑ ORDINANCE ❑ CONTRACT AMENDMENT (AG#): RFP, RFQ) LIMITED PUBLIC WORKS CONTRACT X SMALL 0 MAINTENANCE ❑ HUMAN 0 SECURITY ❑ RESOLUTION o INTERLOCAL OR AGREEMENT SERVICES / CDBG DOCUMENT (E.G. BOND RELATED DOCUMENTS) ❑ OTHER 4. PROJECT NAME-Q.a (1 fatucticek Fkil an Cnc ,ctrn.Y Servs (20 5. NAME OF C/O��N,T�,RACTOR:y.�?i^��i vt:5- 1 inc.- tc- ' I ADDRESS: 9-00S P.- A( 03 iiiY4X10_V' Lei A gSID TELEPHONEZGJ3 • 8(03' gi alp /. I E-MAIL: FAX: p SIGNATURE NAME: f.p7 1-er- os -1 TITLE:. .Q��%Q}�.„- 6. EXHIBITS AND ATTACHMENTS: o SCOPE, WORK OR SERVICES ❑ COMPENSATION 0 INSURANCE REQUIREMENTS/CERTIFICATE 0 ALL OTHER REFERENCED EXHIBITS❑ PROOF OF AUTHORITY TO SIGN 0 REQUIRED LICENSES 0 PRIOR CONTRACT/AMENDMENTS CFW LICENSE # t L03O4J BL, EXP. 122//31/ cg UBI # WO 0Ulf 74' EXP. lg //3 i/ (.(4.7. TERM: COMMENCEMENT DATE: 6 /&? LLD COMPLETION DATE: 1;.2 p I T9020 8. TOTAL COMPENSATION: $_ Ric( 00 • L0 (INCLUDE EXPENSES AND SALES TAX, IF ANY) (IF CALCULATED ON HOURLY LABOR CHARGE REIMBURSABLE EXPENSE: KYES ❑ NO IS SALES TAX OWED: ❑ YES »10 RETAINAGE: RETAINAGE AMOUNT: - ATTACH SCHEDULES IF YES, MAXIMUM IF YES, $ OF EMPLOYEES TITLES AND v HOLIDAY RATES) DOLLAR AMOUNT: $ */ DO40 . v PAID BY: ❑ CONTRACTOR ❑ CITY , RETAINAGE AGREEMENTGR/�(SEE CONTRACT) OR L RETAINAGE BOND PROVIDED 2_ so %�(� ��PURCHASING: PLEASE CHARGE TO: 1 . (. (�, 400. 240. 9. DOCUMENT / CONTRACT REVIEW PROJECT MANAGER DIVISION MANAGER DEPUTY DIRECTOR / S)DIRECTOR o RISK MANAGEMENT (IF APPLICABLE) )VLAW DEPT 10. COUNCIL APPROVAL (IF APPLICABLE) COMMITTEE 11. CONTRACT SIGNATURE ROUTING XSENTTO VENDOR/CONTRACTOR o ATTACH: SIGNATURE AUTHORITY, INSURANCE o CREATE ELECTRONIC REMINDER/NOTIFICATION (INCLUDE DEPT. SUPPORT STAFF IF NECESSARY INITIAL / DATE REVIEWED INITIAL / DATE APPROVED / }�7� -I v "---- 4' 1021 Ig �1�, r7 "/„hOnb APPROVAL DATE CERTIFICATE, FOR AND FEEL FREE TO INITIAL/ DATE: IV l A COUNCIL APPROVAL DATE: 0 /A ��+j� p SENT: �0 D DATE REC'D: 5 �' ( 8 LICENSES, EXHIBITS I MONTH PRIOR TO EXPIRATION DATE SET NOTIFICATION MORE THAN A MONTH IN ADVANCE IF COUNCIL APPROVAL IS NEEDED.) DATE SIGNED �. NICLAW DEPT X. SIGNATORY YOR R) CITY CLERK AG #AG#2rr�SIGNED COPY RETURNED 'RETURN ONE ORIGINAL COMMENTA EXECUTE 'b ORIGINALS %ni►'!T/C IOWAI WAZTAR DATE 117-11ASSIGNED 7tea LIMITED PUBLIC WORKS CONTRACT FOR ON-CALL GUARD RAIL AND CONCRETE BARRIER SERVICES This limited public works contract ("Contract") is dated effective this h-.' day of , 20L' and is made by and between the City of Federal Way, a Washington municipa corporation ("City" or "Owner"), and Petersen Brothers, Inc. a Washington corporation ("Contractor"). A. The City desires to retain an independent contractor to furnish all labor and materials necessary to perform work at various locations throughout 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: 1. 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 "On -Call Guard Rail and Concrete Barrier Services," 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 Change Order Agreement attached as Exhibit "B," Notice to Labor Unions attached as Exhibit "C," Certificate(s) of Insurance Form attached hereto as Exhibit "D," Prevailing Wage Rates attached as Exhibit "E," Title VI Assurances attached hereto as Exhibit "F," and all other Appendices attached hereto and incorporated by this reference, (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. The Work shall be completed on or before the mutually agreed upon date in the "Task Order" as described in Exhibit "A," but in no case later than ten (10) working days from the Notice to Proceed. In the event the Work is not completed within the time specified, Contractor agrees to pay to the City liquidated damages in the amount set forth in the formula included in Section 1.3 of this Contract. The Work shall not be deemed completed until the City has accepted the Work. 1.3 Liquidated Damages. Time is of the essence of the Contract. Delays inconvenience the public and cost taxpayers undue sums of money, adding time needed for administration, inspection, and supervision. It is impractical for the City to calculate the actual cost of delays. Accordingly, the Contractor agrees to pay liquidated damages calculated on the following formula for its failure to complete this Contract on time: 1 3/2017 (1) To pay (according to the following formula) liquidated damages for each working day beyond the number of working days established for completion, and (2) To authorize the City to deduct these liquidated damages from any money due or coming due to the Contractor. LIQUIDATED DAMAGES FORMULA LD = 0.15C T where: LD = Liquidated damages per working day (rounded to the nearest dollar). C = Original Contract amount. T = Original time for completion. When the Work is completed to the extent that the City has full and unrestricted use and benefit of the facilities, both from an operational and safety standpoint, the City may determine the Work is complete. Liquidated damages will not be assessed for any days for which an extension of time is granted. No deduction or payment of liquidated damages will, in any degree, release the Contractor from further obligations and liabilities to complete this entire Contract. 1.4 Performance Standard. Contractor shall perform the Work in a manner consistent with accepted practices for other properly licensed contractors, performed to the City's satisfaction, within the time period prescribed by the City. 1.5 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 permits, inspection or other fees, at its sole cost and expense. 1.6 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 "B," which shall be signed by both the Contractor and the City, shall specifically state the change of the Work, the completion date for such changed Work, and any increase or decrease in the compensation to be paid to Contractor as a result of such change in the Work. Oral change orders shall not be binding upon the City unless confirmed in writing by the City. If any change hereunder causes an increase or decrease in the Contractor's cost of, or time required for, the performance or any part of the Work under this Contract, an equitable adjustment will be made and the Contract modified in writing accordingly. If the Contractor intends to assert a claim for an equitable adjustment hereunder, it shall, within five (5) days after receipt of a written change order from the City or after giving the City 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 2 3/2017 Contractor shall supply such supporting documents and analysis for the claims as the City may require determining if the claims and costs have merit. No claim will be allowed for any costs incurred more than five (5) days before the Contractor gives written notice as required. No claim by the Contractor for an equitable adjustment hereunder will be allowed if asserted after final payment under this Contract. 1.7 Work and Materials Omitted. The Contractor shall, when directed in writing by the City, omit work, services and materials to be furnished under the Contract and the value of the omitted work and materials will be deducted from the Total Compensation and the delivery schedule will be reviewed if appropriate. The value of the omitted work, services and materials will be a lump sum or unit price, as mutually agreed upon in writing by the Contractor and the City. If the parties cannot agree on an appropriate deduction, the City reserves the right to issue a unilateral change order adjusting the price and the delivery schedule. 1.8 Utility Location. Contractor is responsible for locating any underground utilities affected by the Work and is deemed to be an excavator for purposes of Chapter 19.122 RCW, as amended. Contractor shall be responsible for compliance with Chapter 19.122 RCW, including utilization of the "one call" locator system before commencing any excavation activities. 1.9 Air Environment. Contractor shall fully cover any and all loads of loose construction materials including without limitation, sand, dirt, gravel, asphalt, excavated materials, construction debris, etc., to protect said materials from air exposure and to minimize emission of airborne particles to the ambient air environment within the City of Federal Way. 2. TERM This Contract shall commence on the effective date of this Contract and continue until the completion of the Work, which shall be no later than the 31st day of December, 2020, 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. 3 3/2017 4. COMPENSATION 4.1 Total Compensation. In consideration of the Contractor performing the Work, the City agrees to pay the Contractor an amount not to exceed Nineteen Thousand Nine Hundred and 00/100 Dollars ($19,900.00) either via negotiated lump sum payment per "Task Order," or calculated on the basis of the hourly labor charge rate schedule for Contractor's personnel attached hereto as Exhibit "G," plus Reimbursable Expenses which amount shall constitute full and complete payment by the City. (ii) Reimbursable Expenses. The actual customary and incidental expenses incurred by Contractor in performing the Services including equipment, vehicles, materials, and other reasonable costs; provided, however that such costs shall be deemed reasonable in the City's sole discretion and shall not exceed Five Thousand and 00/100 Dollars ($5,000.00). Reimbursement will be based on original invoices for materials and Blue Book rates (or equivalent) for equipment and vehicles plus 21% mark-up. 4.2 Contractor Responsible for Taxes. The Contractor shall be solely responsible for the payment of any taxes imposed by any lawful jurisdiction as a result of the performance and payment of this Contract. 4.3 Nonpayment. The City shall have the right to withhold payment to the Contractor for any of the Work not completed in a satisfactory manner, in the City's sole discretion, which shall be withheld until such time as Contractor modifies or repairs the Work so that the Work is acceptable to the City. 4.4 Method of Payment. Payment by the City for the Work will only be made after the Work has been completed, a voucher or invoice is submitted in the form specified by the City, and such invoice is approved by the appropriate City representative. Payment shall be made within thirty (30) days of receipt of such invoice or voucher unless otherwise set forth in the Bid Form. The Contractor's acceptance of such payment for the Work shall constitute full compensation for the performance of the Work. Invoices shall be submitted, in duplicate to: City of Federal Way ATTN: Accounts Payable 33325 8th Avenue South Federal Way, WA 98003-6325 Duplicate invoices shall be furnished to: City of Federal Way ATTN: Gene Greenfield 33325 8th Avenue South Federal Way, WA 98003-6325 4 3/2017 5. EQUAL OPPORTUNITY EMPLOYER In all Contractor services, programs or activities, and all Contractor hiring and employment made possible by or resulting from this Contract, there shall be no discrimination by Contractor or by Contractor's employees, agents, subcontractors or representatives against any person because of sex, age (except minimum age and retirement provisions), race, color, creed, national origin, marital status or the presence of any disability, including sensory, mental or physical handicaps, unless based upon a bona fide occupational qualification in relationship to hiring and employment. This requirement shall apply, but not be limited to the following: employment, advertising, layoff or termination, rates of pay or other forms of compensation, and selection for training, including apprenticeship. Contractor shall comply with and shall not violate any of the terms of Chapter 49.60 RCW, Title VI of the Civil Rights Act of 1964, the Americans With Disabilities Act, Section 504 of the Rehabilitation Act of 1973, 49 CFR Part 21, 21.5 and 26, or any other applicable federal, state, or local law or regulation regarding non- discrimination. Contractor shall post a notice to Labor Unions or other employment organizations, attached hereto as Exhibit "C," as required by Section 202 of Executive Order 11246. Any material violation of this provision shall be grounds for termination of this Contract by the City and, in the case of the Contractor's breach, may result in ineligibility for further City agreements. If this project involves federal funds including USDOT funds administered by WSDOT, the contractor agrees to the clauses contained in Exhibit F. 6. INDEPENDENT CONTRACTOR/CONFLICT OF INTEREST It is the intention and understanding of the Parties that the Contractor shall be an independent contractor and that the City shall be neither liable nor obligated to pay Contractor sick leave, vacation pay or any other benefit of employment, nor to pay any social security or other tax which may arise as an incident of employment. The Contractor shall pay all income and other taxes as due. Industrial or any other insurance purchased for the benefit of the City, regardless of whether such may provide a secondary or incidental benefit to the Contractor, shall not be deemed to convert this Contract to an employment contract. It is recognized that Contractor may or will be performing work during the Term for other parties; provided, however, that such performance of other work shall not conflict with or interfere with the Contractor's ability to perform the Work. Contractor agrees to resolve any such conflicts of interest in favor of the City. 7. 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 5 3/2017 representatives, arising from, resulting from, or connected with this Contract to the extent caused by the negligent acts, errors or omissions of the Contractor, its partners, shareholders, agents, employees, or by the Contractor's breach of this Contract. Contractor waives any immunity that may be granted to it under the Washington State Industrial Insurance Act, Title 51 RCW. Contractor's indemnification shall not be limited in any way by any limitation on the amount of damages, compensation or benefits payable to or by any third party under workers' compensation acts, disability benefit acts or any other benefits acts or programs. 8.2 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. 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 $1,000,000 for bodily injury, including personal injury or death and property damage. (4) If any structures are involved in the Contract, the Contractor shall maintain an "All Risk Builder's Risk 2 form at all times in an amount no less than the value of the structure until final acceptance of the project by the City. 9.2 Endorsements. Each insurance policy shall contain, or be endorsed to contain, the following provisions: (1) The City, its officers, officials, employees, volunteers and agents shall each be named as additional insured. 6 3/2017 (2) Coverage may not be terminated or reduced in limits except after thirty (30) days prior written notice by certified mail, return receipt requested, to the City. (3) Coverage shall be primary insurance as respects the City, its officials, employees and volunteers. Any insurance or self-insurance maintained by the City, its officials, employees or volunteers shall be in excess of Contractor's insurance. (4) Coverage shall apply to each insured separately against whom claim is made or suit is brought. (5) Coverage shall be written on an "occurrence" form as opposed to a "claims made" or "claims paid" form. 9.3 Verification. Contractor shall furnish the City with certificates of insurance evidencing the coverage required by this Section, attached hereto as Exhibit "D" and incorporated by this reference. The City reserves the right to require complete certified copies of all required insurance policies, at any time. 9.4 Subcontractors. Contractors shall include all subcontractors as additional insured under its policies or shall furnish separate certificates for each subcontractor. All coverage for subcontractors shall be subject to all of the requirements stated herein. 9.5 Deductibles and 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. 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 7 3/2017 Health Standards for Construction Work (Chapter 296-155 WAC), General Safety and Health Standards (Chapter 296-24 WAC), and General Occupational Health Standards (Chapter 296-62 WAC). Contractor shall erect and properly maintain, at all times, all necessary guards, barricades, signals and other safeguards at all unsafe places at or near the Work for the protection of its employees and the public, safe passageways at all road crossings, crosswalks, street intersections, post danger signs warning against known or unusual hazards and do all other things necessary to prevent accident or loss of any kind. Contractor shall protect from damage all water, sewer, gas, steam or other pipes or conduits, and all hydrants and all other property that is likely to become displaced or damaged by the execution of the Work. The Contractor shall, at its own expense, secure and maintain a safe storage place for its materials and equipment and is solely responsible for the same. 11. PREVAILING WAGES 11.1 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, workpersons and/or mechanics, Contractor shall not pay less than the "prevailing rate of wage" for an hour's work in the same trade or occupation in the locality within the State of Washington where such labor is performed, as determined by the Industrial Statistician of the Department of Labor and Industries of the State of Washington, which "prevailing rates of wage" are attached hereto as Exhibit "E" and incorporated herein by this reference. Prevailing wages paid pursuant to this Agreement shall be the prevailing wage rates, which are in effect on the date when the bids, proposals, or quotes were required to be submitted to the City. 11.2 Exemptions to Prevailing Wage. The prevailing wage requirements of Chapter 39.12 RCW, and as required in this Contract do not apply to: (1) Sole owners and their spouses; (2) Any partner who owns at least 30% of a partnership; and (3) The President, Vice President and Treasurer of a corporation if each one owns at least 30% of the corporation. 11.3 Reporting Requirements. Contractor shall comply with all reporting requirements of the Department of Labor and Industries of the State of Washington. Upon the execution of this Contract, Contractor shall complete and file a Statement of Intent to Pay Prevailing Wages with the Department of Labor and Industries. Upon completion of the Work, Contractor shall complete and file an Affidavit of Wages Paid with the Department of Labor and Industries. Contractor shall deliver copies of both the Statement of Intent to Pay Prevailing Wages and the Affidavit of Wages Paid, certified by the Department of Labor and Industries, to the City. 11.4 Disputes. In the event any dispute arises as to what are the prevailing rates of wages for work of a similar nature and such dispute cannot be resolved by the City and the 8 3/2017 Contractor, the matter shall be referred for arbitration to the Director of the Department of Labor and Industries of the State of Washington and the decision therein shall be final and conclusive and binding on all parties involved in the dispute. 12. FAILURE TO PAY 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. 13. 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. 14. 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. 15. BOOKS AND RECORDS The Contractor agrees to maintain books, records, and documents which sufficiently and properly reflect all direct and indirect costs related to the performance of this Contract and such accounting procedures and practices as may be deemed necessary by the City to assure proper accounting of all funds paid pursuant to this Contract. These records shall be subject at all reasonable times to inspection, review or audit by the City, its authorized representative, the State Auditor, or other governmental officials authorized by law to monitor this Contract. 16. CLEAN UP At any time ordered by the City and immediately after completion of the Work, the Contractor shall, at its own expense, clean up and remove all refuse and unused materials of any kind resulting from the Work. In the event the Contractor fails to perform the necessary clean up, the City may, but in no event is it obligated to, perform the necessary clean up and the costs thereof shall be immediately paid by the Contractor to the City and/or the City may deduct its costs from any remaining payments due to the Contractor. 9 3/2017 17. CONTRACTOR AND SUBCONTRACTOR RESPONSIBILITY: 17.1 Contractor Verification. The Contractor verifies that it has a certificate of registration with the State of Washington; has a current state unified business identifier number; is not disqualified from bidding on any public works contract under RCW 39.06.010 or 39.12.065 (3); has industrial insurance as required by Title 51 RCW, if applicable; has an employment security department number as required in Title 50 RCW, if applicable; has a state excise tax registration number as required in Title 82 RCW, if applicable; possesses a valid electrical contractor license as required by chapter 19.28 RCW, if applicable; and possesses an elevator contractor license as required by chapter 70.87 RCW, if applicable. 17.2 Subcontractor Contracts. The Contractor shall include the language of this section in each of its first tier subcontracts, and shall require each of its subcontractors to include the same language of this section in each of their subcontracts, adjusting only as necessary the terms used for the contracting parties. Upon request of the Owner, the Contractor shall promptly provide documentation to the Owner demonstrating that the subcontractor meets the subcontractor responsibility criteria below. The requirements of this section apply to all subcontractors regardless of tier. 17.3 Subcontractor 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. 18. GENERAL PROVISIONS 18.1 Entire Contract. The Contract Documents contain all of the agreements of the Parties with respect to any matter covered or mentioned in this Contract and no prior agreements or understandings pertaining to any such matters shall be effective for any purpose. 18.2 Modification. No provisions of this Contract, including this provision, may be amended or added to except by agreement in writing signed by the Parties or their respective successors in interest. 18.3 Full Force and Effect. Any provision of this Contract, which is declared invalid, void or illegal, shall in no way affect, impair, or invalidate any other provision hereof and such other provisions shall remain in full force and effect. 10 3/2017 18.4 Assignment. The Contractor shall not transfer or assign, in whole or in part, any or all of its obligations and rights hereunder without the prior written consent of the City. In the event the City consents to any such assignment or transfer, such consent shall in no way release the Contractor from any of its obligations or liabilities under this Contract. 18.5 Successors In Interest. Subject to the preceding Subsection, this Contract shall be binding upon and inure to the benefit of the Parties' successors in interest, heirs and assigns. 18.6 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. 18.7 No Waiver. Failure of the City to declare any breach or default immediately upon occurrence thereof, or delay in taking any action in connection with, shall not waive such breach or default. Failure of the City to declare one breach or default does not act as a waiver of the City's right to declare another breach or default. 18.8 Governing Law. This Contract shall be made in and shall be governed by and interpreted in accordance with the laws of the State of Washington. 18.9 Authority. Each individual executing this Contract on behalf of the City and Contractor represents and warrants that such individuals are duly authorized to execute and deliver this Contract on behalf of the Contractor or City. 18.10 Notices. Any notices required to be given by the City to Contractor or by the Contractor to the City shall be delivered to the Parties at the addresses set forth below. Any notices may be delivered personally to the addressee of the notice or may be deposited in the United States mail, postage prepaid, to the address set forth herein. Any notice so posted in the United States mail shall be deemed received three (3) days after the date of mailing. 18.11 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. 18.12 Performance. Time is of the essence of this Contract and each and all of its provisions in which performance is a factor. Adherence to completion dates is essential to the Contractor's performance of this Contract. 18.13 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. 11 3/2017 18.14 Conflicting Provisions. In the event of a conflict between the terms and provisions of any of the Contract Documents, the Mayor or his or her designee shall issue an interpretation of the controlling document, which interpretation shall be final and binding. DATED the day and year set forth above. [signature page follows] 12 3/2017 APPROVED AS TO FORM: iB-/ J. Ryan Call, City Attorney STATE OF WASHINGTON ) ) ss. COUNTY OF Pierce ) CITY OF FEDERAL WAY: if Ferrell, Mayor 33325 8th Avenue South Federal Way, WA 98003-6325 ATTEST: t h. ie Courtney, CMC,ty Clerk PETERSEN BROTHERS ' C.: By: Ron Petersen, President 2008 E Valley Hwy Sumner, WA 98390 (253) 863-8136 On this day personally appeared before me Ron Petersen, to me known to be the President of Petersen Brothers, Inc. that executed the foregoing instrument, and acknowledged the said instrument to be the free and voluntary act and deed of said corporation, for the uses and purposes therein mentioned, and on oath stated that he/she was authorized to execute said instrument and that the seal affixed, if any, is the corporate seal of said corporation. GIVEN my hand and official seal this 15th day of , 2018. - PUBLIC I (typed/printed name of notary) Notary Public in and for the State of Washington. My commission expires 1-1-22 13 3/2017 EXHIBIT A SCOPE OF WORK 1) Petersen Brothers, Inc. ("Contractor") shall provide on-call guard rail and concrete barrier services "Services" as requested by the City of Federal Way ("City"). These services may be requested in various project locations throughout the City. Upon identification of a project by the City, the City and Contractor will negotiate scope, schedule, and budget for the specific project which will be included in a "Task Order." The "Task Order" form is attached as "Exhibit A.1." The City is not obligated to assign any specific number of tasks to the Contractor and the City and Contractor's obligations hereunder are limited to the tasks assigned in written "Task Orders." 2) Typical guard rail and concrete barrier services that may be requested under this Agreement include, but are not limited to the following: a) Replace / reset damaged guard rail or concrete barrier. b) Reset / raise guard rail. c) Construct new guard rail and/or concrete barrier. 14 3/2017 EXHIBIT A.1 TASK ORDER FORM TASK ORDER No. Date: Contract Name: Contract Number: Description of work: Estimated Costs: Original Contract Value: Total Task Costs To Date: This Task Order Estimate Cost: Contract Remaining Agreed Upon: Name: Petersen Brothers, Inc. Date 15 Name: City of Federal Way Date 3/2017 PROJECT NUMBER EXHIBIT B CONTRACT CHANGE ORDER AGREEMENT 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? If "Yes" Will the Policies Be Extended? El Yes ElNo ❑ Yes _ No PRICE CHANGE LUMP SUM: INCREASE $ DECREASE $ UNIT PRICE: THE ITEMS ARE APPROXIMATE OR ESTIMATED QUANTITIES INVOLVED IN THIS CHANGE ITEM NO. ITEM TOTAL NET CONTRACT: QTY. UNIT PRICE ADD OR DELETE 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 16 3/2017 ADJUSTMENTS CHANGE ORDER ESTIMATE IS HEREBY ❑ INCREASED $ ❑ DECREASED $ PAY THIS ADJUSTED AMOUNT: $ DIRECTOR'S SIGNATURE DATE 17 3/2017 EXHIBIT C NOTICE TO LABOR UNIONS OR OTHER EMPLOYMENT ORGANIZATIONS NONDISCRIMINATION IN EMPLOYMENT TO: WA and N Idaho District Candi of Laborers (Name of Union or Organization) The undersigned currently holds contract(s) with City of FederalWay 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. Fttersai brothers, Inc. 5-15-18 Date 18 3/2017 EXHIBIT D CERTIFICATE OF INSURANCE (SEE ATTACHED). 19 3/2017 1 ® AO RD CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 05/15/2018 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 HENTSCHELL & ASSOC INC 1436 S. Union Ave. Tacoma WA 98405-1925INSURER CONTACT Sue Martin NAME: (�PqH/�O�NNc ExtI: (253) 272-1151 FAX No): (253) 272-1225 E4W1-s: SueM@hentschell.com ADDRE INSURER(S) AFFORDING COVERAGE NAIC B A : Charter Oak Fire Insurance 25615 INSUREDINSURER Petersen Brothers, Inc.INSURER 2008 East Valley HwyINSURER Sumner WA 98390 B : Travelers Indemnity Company of Connecticut DT-CO-526D9518-COF-17 C : Travelers Property and Casualty Co of America 11/01/2018PERSONAL D : Great American Insurance Co $ 1'000'000 INSURER E : $ 300,000 INSURER F : GES CERTIFICATE NUMBER: 17-18 GL Auto Umbrella REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUER VD POLICY NUMBER POLICY EFF (MDDIYYYY) POLICY EXP (MM/DD/YYYY) LIMBS A X COMMERCIAL GENERAL LIABILITYEACH Y Y DT-CO-526D9518-COF-17 11/01/2017 11/01/2018PERSONAL OCCURRENCE $ 1'000'000 PREM SESD(Ea occccu DAMAGE RED $ 300,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 10,000 X Employers Liability (Stop Gap) 8 ADV INJURY $ 1,000,000 (see below for the Limits) GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE POLICY X OTHER CDG211 LIMIT APPLIES ROT per project PER: LOC aggret PRODUCTS - COMP/OP AGG $ 000020 $ B AUTOMOBILE X X LIABILITY ANY AUTO OWNED AUTOS ONLY HIRETOS D ONLY AU X SCHEDULED AUTOS 06°SWNONLY ED Y Y DT -810 -526D9518 -TCT -17 11/01/2017 11/01/2018 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ C X UMBRELLA LIAB EXCESSLIABCLAIMS-MADEY X OCCUR Y CUP-OK198781-17-26 11/01/2017 11/01/2018 EACH OCCURRENCE E 1,000,000 AGGREGATE $ 1'000'000 $ DED X RETENTION $ 10,000 A ANY WORKERS COMPENSATION AND EMPLOYERS' UABIUTY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N 1 A DT-CO-52609518-COF-17 11/01/2017 11/01/2018 X STATUTE ETH - E.L. EACH ACCIDENT $ 1 ,, El, DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 D Excess Liability Policy Occurrence Form TUE019246-07 11/01/2017 11/01/2018 Occurrence Aggregate 5,000,000 5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: On Call Guard rail and Concrete Barrier services. City of federal Way, its officers, officials, employees, volunteers and agents are included as additional insureds as required by written contract of agreement. Blanket Additional Insured - Primary and Non -Contributory basis as required by written contract or agreement as per the attached Endorsement #CGD246. Blanket Waiver of Subrogation as required by written contract or agreement per the attached Endorsement #CGD316. D CANCELLATION City of Federal Way 33325 8th Avenue Soouth Federal Way I WA 98003-6325 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 +xy ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTORS XTEND ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART GENERAL DESCRIPTION OF COVERAGE — This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to this Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. Aircraft Chartered With Pilot B. Damage To Premises Rented To You C. Increased Supplementary Payments D. Incidental Medical Malpractice E. Who Is An Insured — Newly Acquired Or Formed Organizations F. Who Is An Insured — Broadened Named Insured — Unnamed Subsidiaries G. Blanket Additional Insured — Owners, Managers Or Lessors Of Premises PROVISIONS A. AIRCRAFT CHARTERED WITH PILOT The following is added to Exclusion g., Aircraft, Auto Or Watercraft, in Paragraph 2. of SECTION I — COVERAGES — COVERAGE A BODILY IN- JURY AND PROPERTY DAMAGE LIABILITY: This exclusion does not apply to an aircraft that is: (a) Chartered with a pilot to any insured; (b) Not owned by any insured; and (c) Not being used to carry any person or prop- erty for a charge. B. DAMAGE TO PREMISES RENTED TO YOU 1. The first paragraph of the exceptions in Ex- clusion j., Damage To Property, in Para- graph 2. of SECTION I — COVERAGES — COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY is deleted. 2. The following replaces the last paragraph of Paragraph 2., Exclusions, of SECTION I — COVERAGES — COVERAGE A. BODILY CG D3 16 11 11 H. Blanket Additional Insured — Lessors Of Leased Equipment I. Blanket Additional Insured — States Or Political Subdivisions — Permits J. Knowledge And Notice Of Occurrence Or Offense K. Unintentional Omission L. Blanket Waiver Of Subrogation M. Amended Bodily Injury Definition N. Contractual Liability — Railroads INJURY AND PROPERTY DAMAGE LI- ABILITY: Exclusions c. and g. through n. do not apply to "premises damage". Exclusion f.(1)(a) does not apply to "premises damage" caused by: a. Fire; b. Explosion; c. Lightning; d. Smoke resulting from such fire, explosion, or lightning; or e. Water; unless Exclusion f. of Section I — Coverage A — Bodily Injury And Property Damage Liability is replaced by another endorsement to this Coverage Part that has Exclusion — All Pollu- tion Injury Or Damage or Total Pollution Ex- clusion in its title. A separate limit of insurance applies to "premises damage" as described in Para- graph 6. of SECTION III — LIMITS OF IN- SURANCE. 0 2011 The Travelers Indemnity Company. All rights reserved, Page 1 of 6 COMMERCIAL GENERAL LIABILITY 3. The following replaces Paragraph 6. of SEC- TION III — LIMITS OF INSURANCE: Subject to S. above, the Damage To Prem- ises Rented To You Limit is the most we will pay under Coverage A for damages because of "premises damage" to any one premises. The Damage To Premises Rented To You Limit will apply to all "property damage" proximately caused by the same "occur- rence", whether such damage results from: fire; explosion; lightning; smoke resulting from such fire, explosion, or lightning; or water, or any combination of any of these causes. The Damage To Premises Rented To You Limit will be: a. The amount shown for the Damage To Premises Rented To You Limit on the Declarations of this Coverage Part; or b. $300,000 if no amount is shown for the Damage To Premises Rented To You Limit on the Declarations of this Coverage Part. 4. The following replaces Paragraph a. of the definition of "insured contract" in the DEFINI- TIONS Section: a. A contract for a lease of premises. How- ever, that portion of the contract for a lease of premises that indemnifies any person or organization for "premises damage" is not an "insured contract"; 5. The following is added to the DEFINITIONS Section: "Premises damage" means "property dam- age" to: a. Any premises while rented to you or tem- porarily occupied by you with permission of the owner; or b. The contents of any premises while such premises is rented to you, if you rent such premises for a period of seven or fewer consecutive days. 6. The following replaces Paragraph 4.b.(1)(b) of SECTION IV — COMMERCIAL GENERAL UABIUTY CONDITIONS: (b) That is insurance for "premises damage"; or 7. Paragraph 4.b.(1)(c) of SECTION IV — COMMERCIAL GENERAL LIABILITY CON- DITIONS is deleted. Page 2 of 6 C. INCREASED SUPPLEMENTARY PAYMENTS 1. The following replaces Paragraph 1.b. of SUPPLEMENTARY PAYMENTS — COVER- AGES A AND B of SECTION I — COVER- AGE: b. Up to $2,500 for the cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to fur- nish these bonds. 2. The following replaces Paragraph 1.d. of SUPPLEMENTARY PAYMENTS — COVER- AGES A AND B of SECTION I — COVER- AGES: d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or "suit", including actual loss of earnings up to $500 a day because of time off from work. D. INCIDENTAL MEDICAL MALPRACTICE 1. The following is added to the definition of "oc- currence" in the DEFINITIONS Section: "Occurrence" also means an act or omission committed in providing or failing to provide "incidental medical services", first aid or "Good Samaritan services" to a person. 2. The following is added to Paragraph 2.a.(1) of SECTION II — WHO IS AN INSURED: Paragraph (1xd) above does not apply to "bodily injury" arising out of providing or fail- ing to provide: (I) "Incidental medical services" by any of your "employees" who is a nurse practi- tioner, registered nurse, licensed practical nurse, nurse assistant, emergency medi- cal technician or paramedic; or (II) First aid or "Good Samaritan services" by any of your "employees" or "volunteer workers", other than an employed or vol- unteer doctor. Any such "employees" or "volunteer workers" providing or failing to provide first aid or "Good Samaritan ser- vices" during their work hours for you will be deemed to be acting within the scope of their employment by you or performing duties related to the conduct of your busi- ness. ® 2011 The Travelers Indemnfly Company. All rights reserved. CG D3 16 11 11 3. The following is added to Paragraph 6. of SECTION III - LIMITS OF INSURANCE: For the purposes of determining the applica- ble Each Occurrence Limit, all related acts or omissions committed in providing or failing to provide "incidental medical services", first aid or "Good Samaritan services" to any one per- son will be deemed to be one "occurrence". 4. The following exclusion is added to Para- graph 2., Exclusions, of SECTION I - COV- ERAGES - COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY: Sale Of Pharmaceuticals "Bodily injury" or "property damage" arising out of the willful violation of a penal statute or ordinance relating to the sale of pharmaceuti- cals committed by, or with the knowledge or consent of, the insured. 5. The following is added to the DEFINITIONS Section: "Incidental medical services" means: a. Medical, surgical, dental, laboratory, x-ray or nursing service or treatment, advice or instruction, or the related furnishing of food or beverages; or b. The furnishing or dispensing of drugs or medical, dental, or surgical supplies or appliances. 'Good Samaritan services" means any emer- gency medical services for which no compen- sation is demanded or received. 6. The following is added to Paragraph 4.b., Ex- cess Insurance, of SECTION IV - COM- MERCIAL GENERAL LIABILITY CONDI- TIONS: The insurance is excess over any valid and collectible other insurance available to the in- sured, whether primary, excess, contingent or on any other basis, that is available to any of your "employees" or "volunteer workers" for "bodily injury" that arises out of providing or failing to provide "incidental medical ser- vices", first aid or "Good Samaritan services" to any person to the extent not subject to Paragraph 2.a.(1) of Section II - Who Is An Insured. E. WHO IS AN INSURED - NEWLY ACQUIRED OR FORMED ORGANIZATIONS The following replaces Paragraph 4. of SECTION II - WHO IS AN INSURED: COMMERCIAL GENERAL LIABILITY 4. Any organization you newly acquire or form, other than a partnership, joint venture or lim- ited liability company, of which you are the sole owner or in which you maintain the ma- jority ownership interest, will qualify as a Named Insured if there is no other insurance which provides similar coverage to that or- ganization. However. a. Coverage under this provision is afforded only: (1) Until the 180th day after you acquire or form the organization or the end of the policy period, whichever is earlier, if you do not report such organization in writing to us within 180 days after you acquire or form it; or (2) Until the end of the policy period, when that date is later than 180 days after you acquire or form such organization, if you report such organization in writing to us within 180 days after you acquire or form it, and we agree in writing that it will con- tinue to be a Named Insured until the end of the policy period; b. Coverage A does not apply to "bodily injury" or "property damage" that occurred before you acquired or formed the organization; and c. Coverage B does not apply to "personal in- jury" or "advertising injury" arising out of an offense committed before you acquired or formed the organization. F. WHO IS AN INSURED - BROADENED NAMED INSURED - UNNAMED SUBSIDIARIES The following is added to SECTION II - WHO IS AN INSURED: Any of your subsidiaries, other than a partnership, joint venture or limited liability company, that is not shown as a Named Insured in the Declara- tions is a Named Insured if you maintain an own- ership interest of more than 50% in such subsidi- ary on the first day of the policy period. No such subsidiary is an insured for "bodily injury" or "property damage" that occurred, or "personal injury" or "advertising injury" caused by an of- fense committed after the date, if any, during the policy period, that you no longer maintain an ownership interest of more than 50% in such sub- sidiary. CG D3 16 11 11 c 2011 The Travelers Indemnity Company All rights reserved. Page 3 of 6 COMMERCIAL GENERAL LIABILITY G. BLANKET ADDITIONAL INSURED — OWNERS, MANAGERS OR LESSORS OF PREMISES The following is added to SECTION II — WHO IS AN INSURED: Any person or organization that is a premises owner, manager or lessor and that you have agreed in a written contract or agreement to in- clude as an additional insured on this Coverage Part is an insured, but only with respect to liability for "bodily injury", "property damage", "personal injury" or "advertising injury" that: a. Is "bodily injury" or "property damage" that occurs, or is "personal injury" or "advertising injury" caused by an offense that is commit- ted, subsequent to the execution of that con- tract or agreement; and b. Arises out of the ownership, maintenance or use of that part of any premises leased to you. The insurance provided to such premises owner, manager or lessor is subject to the following pro- visions: a. The limits of insurance provided to such premises owner, manager or lessor will be the minimum limits which you agreed to pro- vide in the written contract or agreement, or the limits shown on the Declarations, which- ever are less. b. The insurance provided to such premises owner, manager or lessor does not apply to: (1) Any "bodily injury" or "property damage" that occurs, or "personal injury" or "adver- tising injury" caused by an offense that is committed, after you cease to be a tenant in that premises; or (2) Structural alterations, new construction or demolition operations performed by or on behalf of such premises owner, lessor or manager. c. The insurance provided to such premises owner, manager or lessor is excess over any valid and collectible other insurance available to such premises owner, manager or lessor, whether primary, excess, contingent or on any other basis, unless you have agreed in the written contract or agreement that this in- surance must be primary to, or non- contributory with, such other insurance, in which case this insurance will be primary to, and non-contributory with, such other insur- ance. Page 4 of 6 H. BLANKET ADDITIONAL INSURED — LESSORS OF LEASED EQUIPMENT The following is added to SECTION II — WHO IS AN INSURED: Any person or organization that is an equipment lessor and that you have agreed in a written con- tract or agreement to include as an insured on this Coverage Part is an insured, but only with re- spect to liability for "bodily injury", "property dam- age", "personal injury" or "advertising injury" that: a. Is "bodily injury" or "property damage" that occurs, or is "personal injury" or "advertising injury" caused by an offense that is commit- ted, subsequent to the execution of that con- tract or agreement; and b. Is caused, in whole or in part, by your acts or omissions in the maintenance, operation or use of equipment leased to you by such equipment lessor. The insurance provided to such equipment lessor is subject to the following provisions: a. The limits of insurance provided to such equipment lessor will be the minimum limits which you agreed to provide in the written contract or agreement, or the limits shown on the Declarations, whichever are less. b. The insurance provided to such equipment lessor does not apply to any "bodily injury" or "property damage" that occurs, or "personal injury" or "advertising injury" caused by an of- fense that is committed, after the equipment lease expires. c. The insurance provided to such equipment lessor is excess over any valid and collectible other insurance available to such equipment lessor, whether primary, excess, contingent or on any other basis, unless you have agreed in the written contract or agreement that this insurance must be primary to, or non-contributory with, such other insurance, in which case this insurance will be primary to, and non-contributory with, such other in- surance. I. BLANKET ADDITIONAL INSURED — STATES OR POLITICAL SUBDIVISIONS — PERMITS The following is added to SECTION II — WHO IS AN INSURED: Any state or political subdivision that has issued a permit in connection with operations performed by you or on your behalf and that you are required 0 2011 The Travelers Indemnity Company. All rights reserved. CG D3 16 11 11 by any ordinance, law or building code to include as an additional insured on this Coverage Pert is an insured, but only with respect to liability for "bodily injury", "property damage", "personal in- jury" or "advertising injury" arising out of such op- erations. The insurance provided to such state or political subdivision does not apply to: a. Any "bodily injury," "property damage," "per- sonal injury" or "advertising injury" arising out of operations performed for that state or po- litical subdivision; or b. Any "bodily injury" or "property damage" in- cluded in the "products -completed operations hazard". J. KNOWLEDGE AND NOTICE OF OCCUR- RENCE OR OFFENSE The following is added to Paragraph 2., Duties In The Event of Occurrence, Offense, Claim or Suit, of SECTION IV — COMMERCIAL GEN- ERAL LIABILITY CONDITIONS: e. The following provisions apply to Paragraph a. above, but only for the purposes of the in- surance provided under this Coverage Part to you or any insured listed in Paragraph 1. or 2. of Section II — Who Is An Insured: (1) Notice to us of such "occurrence' or of- fense must be given as soon as practica- ble only after the "occurrence" or offense is known by you (if you are an individual), any of your partners or members who is an individual (if you are a partnership or joint venture), any of your managers who is an individual (if you are a limited liability company), any of your "executive offi- cers" or directors (if you are an organiza- tion other than a partnership, joint venture or limited liability company) or any "em- ployee" authorized by you to give notice of an "occurrence" or offense. (2) If you are a partnership, joint venture or limited liability company, and none of your partners, joint venture members or man- agers are individuals, notice to us of such "occurrence" or offense must be given as soon as practicable only after the "occur- rence" or offense is known by: (a) Any individual who is: (i) A partner or member of any part- nership or joint venture; CG D3 16 11 11 (3) COMMERCIAL GENERAL LIABILITY (ii) A manager of any limited liability company; or (iii) An executive officer or director of any other organization; that is your partner, joint venture member or manager; or (b) Any "employee" authorized by such partnership, joint venture, limited li- ability company or other organization to give notice of an "occurrence" or offense. Notice to us of such "occurrence" or of an offense will be deemed to be given as soon as practicable if it is given in good faith as soon as practicable to your work- ers' compensation insurer. This applies only if you subsequently give notice to us of the "occurrence" or offense as soon as practicable after any of the persons de- scribed in Paragraphs e. (1) or (2) above discovers that the "occurrence" or offense may result in sums to which the insurance provided under this Coverage Part may apply. However, if this Coverage Part includes an en- dorsement that provides limited coverage for "bodily injury" or "property damage" or pollution costs arising out of a discharge, release or es- cape of "pollutants" which contains a requirement that the discharge, release or escape of "pollut- ants" must be reported to us within a specific number of days after its abrupt commencement, this Paragraph e. does not affect that require- ment. K. UNINTENTIONAL OMISSION The following is added to Paragraph 6., Repre- sentations, of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: The unintentional omission of, or unintentional error in, any information provided by you which we relied upon in issuing this policy will not preju- dice your rights under this insurance. However, this provision does not affect our right to collect additional premium or to exercise our rights of cancellation or nonrenewal in accordance with applicable insurance laws or regulations. L. BLANKET WAIVER OF SUBROGATION The following is added to Paragraph 8., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV — COMMERCIAL GENERAL LI- ABILITY CONDITIONS: 0 2011 The Travelers Indemnity Company. All rights reserved. Page 5 of 6 COMMERCIAL GENERAL LIABILITY If the insured has agreed in a contract or agree- ment to waive that insured's right of recovery against any person or organization, we waive our right of recovery against such person or organiza- tion, but only for payments we make because of: a. "Bodily injury' or "property damage" that oc- curs; or b. "Personal injury" or "advertising injury" caused by an offense that is committed; subsequent to the execution of that contract or agreement. M. AMENDED BODILY INJURY DEFINITION The following replaces the definition of "bodily injury" in the DEFINITIONS Section: 3. "Bodily injury" means bodily injury, mental anguish, mental injury, shock, fright, disability, humiliation, sickness or disease sustained by a person, including death resulting from any of these at any time. N. CONTRACTUAL LIABILITY — RAILROADS 1. The following replaces Paragraph c. of the definition of "insured contract" in the DEFINI- TIONS Section: c. Any easement or license agreement; 2. Paragraph f.(1) of the definition of "insured contract" in the DEFINITIONS Section is de- leted. Page 6 of 6 ® 2011 The Travelers Indemnity Company. All rights reserved. CG D3 16 11 11 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY BLANKET ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. WHO IS AN INSURED — (Section II) is amended c) to include any person or organization that you agree in a "written contract requiring insurance" to include as an additional insured on this Cover- age Part, but: a) Only with respect to liability for "bodily injury", "property damage" or "personal injury"; and b) If, and only to the extent that, the injury or damage is caused by acts or omissions of you or your subcontractor in the performance of "your work" to which the "written contract requiring insurance" applies. The person or organization does not qualify as an additional insured with respect to the independent acts or omissions of such person or organization. 2. The insurance provided to the additional insured by this endorsement is limited as follows: a) In the event that the Limits of Insurance of this Coverage Part shown in the Declarations exceed the limits of liability required by the "written contract requiring insurance", the in- surance provided to the additional insured shall be limited to the limits of liability re- quired by that "written contract requiring in- surance". This endorsement shall not in- crease the limits of insurance described in Section III — Limits Of Insurance. b) The insurance provided to the additional in- sured does not apply to "bodily injury", "prop- erty damage" or "personal injury" arising out of the rendering of, or failure to render, any professional architectural, engineering or sur- veying services, including: I. The preparing, approving, or failing to prepare or approve, maps, shop draw- ings, opinions, reports, surveys, field or- ders or change orders, or the preparing, approving, or failing to prepare or ap- prove, drawings and specifications; and Ii. Supervisory, inspection, architectural or engineering activities. CGD2460805 The insurance provided to the additional in- sured does not apply to 'bodily injury" or ' property damage' caused by "your work' and included in the 'products -completed op- erations hazard" unless the "written contract requiring insurance" specifically requires you to provide such coverage for that additional insured, and then the insurance provided to the additional insured applies only to such ' bodily injury" or "property damage" that oc- curs before the end of the period of time for which the "written contract requiring insur- ance" requires you to provide such coverage or the end of the policy period, whichever is earlier. 3. The insurance provided to the additional insured by this endorsement is excess over any valid and collectible "other insurance", whether primary, excess, contingent or on any other basis, that is available to the additional insured for a loss we cover under this endorsement. However, if the "written contract requiring insurance" specifically requires that this insurance apply on a primary basis or a primary and non-contributory basis, this insurance is primary to "other insurance" available to the additional insured which covers that person or organization as a named insured for such loss, and we will not share with that "other insurance". But the insurance provided to the additional insured by this endorsement still is excess over any valid and collectible "other in- surance", whether primary, excess, contingent or on any other basis, that is available to the addi- tional insured when that person or organization is an additional insured under such "other insur- ance". 4. As a condition of coverage provided to the additional insured by this endorsement: a) The additional insured must give us written notice as soon as practicable of an "occur- rence" or an offense which may result in a claim. To the extent possible, such notice should include: © 2005 The St. Paul Travelers Companies, Inc. Page 1 of 2 COMMERCIAL GENERAL LIABILITY f. How, when and where the "occurrence" or offense took place; ii. The names and addresses of any injured persons and witnesses; and III. The nature and location of any injury or damage arising out of the "occurrence" or offense. b) If a claim is made or "suit" is brought against the additional insured, the additional insured must: I. Immediately record the specifics of the claim or "suit" and the date received; and Ii. Notify us as soon as practicable. The additional insured must see to it that we receive written notice of the claim or "suit" as soon as practicable. c) The additional insured must immediately send us copies of all legal papers received in connection with the claim or "suit", cooperate with us in the investigation or settlement of the claim or defense against the "suit", and otherwise comply with all policy conditions. d) The additional insured must tender the de- fense and indemnity of any claim or "suit" to Page 2 of 2 any provider of "other insurance" which would cover the additional insured for a loss we cover under this endorsement. However, this condition does not affect whether the insur- ance provided to the additional insured by this endorsement is primary to "other insur- ance" available to the additional insured which covers that person or organization as a named insured as described in paragraph 3. above. 5. The following definition is added to SECTION V. — DEFINITIONS: 'Written contract requiring insurance" means that part of any written contract or agreement under which you are required to include a person or organization as an additional in- sured on this Coverage Part, provided that the "bodily injury" and "property damage" oc- curs and the "personal injury" is caused by an offense committed: a. After the signing and execution of the contract or agreement by you; b. While that part of the contract or agreement is in effect; and c. Before the end of the policy period. © 2005 The St. Paul Travelers Companies, Inc. CG D2 46 08 05 POLICY NUMBER: DT -C0 -526D951 8-PHX-1 6 COMMERCIAL GENERAL LIABILITY ISSUE DATE:1 1 -21 -16 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY DESIGNATED PROJECT(S) GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Project(s): EACH "PROJECT" FOR WHICH YOU HAVE AGREED, IN A WRITTEN CONTRACT WHICH IS IN EFFECT DURING THIS POLICY PERIOD, TO PROVIDE A SEPARATE GENERAL AGGREGATE LIMIT, PROVIDED THAT THE CONTRACT IS SIGNED AND EXECUTED BY YOU BEFORE THE "BODILY INJURY" OR "PROPERTY DAMAGE" OCCURS. A. For all sums which the insured becomes legally obligated to pay as damages caused by "occur- rences" under COVERAGE A. (SECTION I), and for all medical expenses caused by accidents un- der COVERAGE C (SECTION 1), which can be attributed only to operations at a single desig- nated "project" shown in the Schedule above: 1. A separate Designated Project General Ag- gregate Limit applies to each designated "pro- ject", and that limit is equal to the amount of the General Aggregate Limit shown in the Declarations, unless separate Designated Project General Aggregate(s) are sched- uled above. 2. The Designated Project General Aggregate Limit is the most we will pay for the sum of all damages under COVERAGE A., except damages because of "bodily injury" or "prop- erty damage" included in the "products - completed operations hazard", and for medi- cal expenses under COVERAGE C, regard- less of the number of: a. Insureds; b. Claims made or "suits" brought; or c. Persons or organizations making claims or bringing "suits". CG D2 11 01 04 Designated Project General Aggregate(s): GENERAL AGGREGATE LIMIT SHOWN ON THE DECLARATIONS. 3. Any payments made under COVERAGE A. for damages or under COVERAGE C. for medical expenses shall reduce the Desig- nated Project General Aggregate Limit for that designated "project". Such payments shall not reduce the General Aggregate Limit shown in the Declarations nor shall they re- duce any other Designated Project General Aggregate Limit for any other designated "project" shown in the Schedule above. 4. The limits shown in the Declarations for Each Occurrence, Damage To Premises Rented To You and Medical Expense continue to apply. However, instead of being subject to the General Aggregate Limit shown in the Declarations, such limits will be subject to the applicable Designated Project General Ag- gregate Limit. B. For all sums which the insured becomes legally obligated to pay as damages caused by "occur- rences" under COVERAGE A. (SECTION I), and for all medical expenses caused by accidents un- der COVERAGE C. (SECTION I), which cannot be attributed only to operations at a single desig- nated "project" shown in the Schedule above: Copyright, The Travelers Indemnity Company, 2004 Page 1 of 2 COMMERCIAL GENERAL LIABILITY 1. Any payments made under COVERAGE A. for damages or under COVERAGE C. for medical expenses shall reduce the amount available under the General Aggregate Limit or the Products -Completed Operations Ag- gregate Limit, whichever is applicable; and 2. Such payments shall not reduce any Desig- nated Project General Aggregate Limit. C. Part 2. of SECTION III — LIMITS OF INSURANCE is deleted and replaced by the following: 2. The General Aggregate Limit is the most we will pay for the sum of: a. Damages under Coverage B; and b. Damages from "occurrences" under COVERAGE A (SECTION I) and for all medical expenses caused by accidents under COVERAGE C (SECTION I) which cannot be attributed only to operations at a single designated "project" shown in the SCHEDULE above. D. When coverage for liability arising out of the "products -completed operations hazard" is pro - MINIMIMm U= Page 2 of 2 014818 vided, any payments for damages because of "bodily injury" or "property damage" included in the "products -completed operations hazard" will reduce the Products -Completed Operations Ag- gregate Limit, and not reduce the General Aggre- gate Limit nor the Designated Project General Aggregate Limit. E. For the purposes of this endorsement the Defini- tions Section is amended by the addition of the following definition: "Project" means an area away from premises owned by or rented to you at which you are per- forming operations pursuant to a contract or agreement. For the purposes of determining the applicable aggregate limit of insurance, each "project" that includes premises involving the same or connecting lots, or premises whose con- nection is interrupted only by a street, roadway, waterway or right-of-way of a railroad shall be considered a single "project". F. The provisions of SECTION III — LIMITS OF INSURANCE not otherwise modified by this en- dorsement shall continue to apply as stipulated. Copyright, The Travelers Indemnity Company, 2004 CG D2 11 01 04 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY WITH OTHER INSURANCE This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi- fied by this endorsement. PROVISIONS A. The following is added to Paragraph c. in A. 1., Who Is An Insured, of SECTION II — LIABILITY COVERAGE: Any person or organization who is required under a written contract or agreement between you and that person or organization, that is signed and executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, to be named as an addi- tional insured is an "insured" for Liability Cover- age, but only for damages to which this insurance applies and only to the extent that person or or- ganization qualifies as an "insured" under the Who Is An Insured provision contained in Section II. CA T4 74 02 12 B. The following is added to Paragraph 5., Other Insurance, in B. General Conditions of SEC- TION IV — BUSINESS AUTO CONDITIONS: Regardless of the provisions of paragraph a. and paragraph d. of this part 5. Other Insurance, this insurance is primary to and non-contributory with applicable other insurance under which an addi- tional insured person or organization is the first named insured when the written contract or agreement between you and that person or or- ganization, that is signed and executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy pe- riod, requires this insurance to be primary and non-contributory. © 2012 The Travelers Indemnity Company. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc. with its permission. COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO EXTENSION ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GENERAL DESCRIPTION OF COVERAGE — This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be exduded or limited by another endorsement to the Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing Is a general cover- age description only. Limitations and exclusions may apply to these coverages. Read air the provisions of this en- dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. BROAD FORM NAMED INSURED B. BLANKET ADDITIONAL INSURED C. EMPLOYEE HIRED AUTO D. EMPLOYEES AS INSURED E. SUPPLEMENTARY PAYMENTS — INCREASED LIMITS F. HIRED AUTO — LIMITED WORLDWIDE COV- ERAGE — INDEMNITY BASIS G. WAIVER OF DEDUCTIBLE — GLASS PROVISIONS A. BROAD FORM NAMED INSURED The following is added to Paragraph A.1., Who Is An Insured, of SECTION II — COVERED AUTOS LIABILITY COVERAGE: Any organization you newly acquire or form dur- ing the policy period over which you maintain 50% or more ownership interest and that is not separately insured for Business Auto Coverage. Coverage under this provision is afforded only un- til the 100th day after you acquire or form the or- ganization or the end of the policy period, which- ever is earlier. B. BLANKET ADDITIONAL INSURED The following is added to Paragraph c. in A.1., Who Is An Insured, of SECTION II — COVERED AUTOS LIABILITY COVERAGE: Any person or organization who is required under a written contract or agreement between you and that person or organization, that is signed and executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, to be named as an addi- tional insured is an "insured" for Covered Autos Liability Coverage, but only for damages to which CA T3 59 021 5 H. I. J. K. L. M. N. HIRED AUTO PHYSICAL DAMAGE — LOSS OF USE — INCREASED LIMIT PHYSICAL DAMAGE — TRANSPORTATION EXPENSES — INCREASED LIMIT PERSONAL PROPERTY AIRBAGS NOTICE AND KNOWLEDGE OF ACCIDENT OR LOSS BLANKET WAIVER OF SUBROGATION UNINTENTIONAL ERRORS OR OMISSIONS this insurance applies and only to the extent that person or organization qualifies as an "insured" under the Who is An Insured provision contained in Section II. C. EMPLOYEE HIRED AUTO 1. The following is added to Paragraph A.1., Who Is An Insured, of SECTION II — COV- ERED AUTOS LIABILITY COVERAGE: An "employee" of yours is an "insured" while operating an "auto" hired or rented under a contract or agreement In an "employee's" name, with your permission, while performing duties related to the conduct of your busi- ness. 2. The following replaces Paragraph b. In 8.6., Other Insurance, of SECTION IV — BUSI- NESS AUTO CONDITIONS: b. For Hired Auto Physical Damage Cover- age, the following are deemed to be cov- ered "autos" you own: (1) Any covered "auto" you lease, hire, rent or borrow, and (2) Any covered "auto" hired or rented by your "employee" under a contract in an "employee's" name, with your C 2015 The Travelers Indemnity Company. All rights reserved. Page 1 of 4 Includes copyrighted materiel of Insurance Services Office, Inc. wth its permission. COMMERCIAL AUTO permission, while performing duties related to the conduct of your busi- ness. However, any "auto" that is leased, hired, rented or borrowed with a driver Is not a covered "auto". D. EMPLOYEES AS INSURED The following is added to Paragraph A.1., Who Is An Insured, of SECTION II — COVERED AUTOS LIABILITY COVERAGE: Any "employee" of yours is an Insured" while us- ing a covered "auto" you don't own, hire or borrow in your business or your personal affairs. E. SUPPLEMENTARY PAYMENTS — INCREASED UMITS 1. The following replaces Paragraph A.2.a.(2), of SECTION II — COVERED AUTOS LIABIL- ITY COVERAGE: (2) Up to $3,000 for cast of bail bonds (in- cluding bonds for related traffic law viola- tions) required because of an "accident" we cover. We do not have to furnish these bonds. 2. The following replaces Paragraph A.2.a.(4), of SECTION II — COVERED AUTOS LIABIL- ITY COVERAGE: (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day be- cause of time off from work. F. HIRED AUTO — LIMITED WORLDWIDE COV- ERAGE — INDEMNITY BASIS The following replaces Subparagraph (5) in Para- graph B.7., Policy Period, Coverage Territory, of SECTION IV — BUSINESS AUTO CONDI- TIONS: (5) Anywhere in the world, except any country or jurisdiction while any trade sanction, em- bargo, or similar regulation imposed by the United States of America applies to and pro- hibits the transaction of business with or within such country or jurisdiction, for Cov- ered Autos Liability Coverage for any covered "auto" that you lease, hire, rent or borrow without a driver for a period of 30 days or less and that is not an "auto" you lease, hire, rent or borrow from any of your "employees", partners (if you are a partnership), members (if you are a limited liability company) or members of their households. (a) With respect to any claim made or "suit" brought outside the United States of America, the territories and possessions of the United States of America, Puerto Rico and Canada: (I) You must arrange to defend the "in- sured" against, and investigate or set- tle any such claim or "suit" and keep us advised of alt proceedings and ac- tions. (ii) Neither you nor any other involved "insured" will make any settlement without our consent. (iii) We may, at our discretion, participate in defending the "insured" against, or in the settlement of, any claim or "suit". (iv) We will reimburse the "insured" for sums that the "insured" legally must pay as damages because of "bodily injury" or "property damage" to which this insurance applies, that the "in- sured" pays with our consent, but only up to the limit described in Para- graph C., Limits Of Insurance, of SECTION II — COVERED AUTOS LIABILITY COVERAGE. (v) We will reimburse the "insured" for the reasonable expenses incurred with our consent for your investiga- tion of such claims and your defense of the "insured" against any such "suit", but only up to and included within the limit described in Para- graph C., Limits Of Insurance, of SECTION II — COVERED AUTOS LIABILITY COVERAGE, and not in addition to such limit. Our duty to make such payments ends when we have used up the applicable limit of insurance in payments for damages, settlements or defense expenses. (b) This insurance is excess over any valid and collectible other insurance available to the "insured" whether primary, excess, contingent or on any other basis. (c) This Insurance is not a substitute for re- quired or compulsory insurance in any country outside the United States, its ter- ritories and possessions, Puerto Rico and Canada. Page 2 of 4 02015 The Travelers Indemnity Company. All rlgtts reserved. CA T3 53 0215 Includes copyrighted material or Insurance Services Office, Inc. wth Its permission. You agree to maintain all required or compulsory insurance In any such coun- try up to the minimum limits required by local law. Your failure to comply with compulsory insurance requirements will not invalidate the coverage afforded by this policy, but we will only be liable to the same extent we would have been liable had you complied with the compulsory In- surance requirements. (d) It is understood that we are not an admit- ted or authorized insurer outside the United States of America, its territories and possessions, Puerto Rico and Can- ada. We assume no responsibility for the furnishing of certificates of Insurance, or for compliance in any way with the laws of other countries relating to Insurance. G. WAIVER OF DEDUCTIBLE — GLASS The following is added to Paragraph D., Deducti- ble, of SECTION III — PHYSICAL DAMAGE COVERAGE: No deductible for a covered "auto" will apply to glass damage if the glass is repaired rather than replaced. H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF USE — INCREASED LIMIT The following replaces the last sentence of Para- graph A.4.b., Loss Of Use Expenses, of SEC- TION III - PHYSICAL DAMAGE COVERAGE: However, the most we will pay for any expenses for loss of use is $85 per day, to a maximum of $750 for any one "accident". PHYSICAL DAMAGE — TRANSPORTATION EXPENSES — INCREASED LIMIT The following replaces the first sentence In Para- graph A.4.a., Transportation Expenses, of SECTION III — PHYSICAL DAMAGE COVER- AGE: We will pay up to $50 per day to a maximum of $1,500 for temporary transportation expense in- curred by you because of the total theft of a cov- ered "auto" of the private passenger type. J. PERSONAL PROPERTY The following is added to Paragraph A.4., Cover- age Extensions, of SECTION III — PHYSICAL DAMAGE COVERAGE: Personal Property We will pay up to $400 for "loss" to wearing ap- parel and other personal property which is: (1) Owned by an "insured"; and COMMERCIAL AUTO (2) In or on your covered "auto". This coverage applies only in the event of a total theft of your covered "auto". No deductibles apply to this Personal Property coverage. K. AIRBAGS The following Is added to Paragraph B.3., Exclu- sions, of SECTION III — PHYSICAL DAMAGE COVERAGE: Exclusion 3.a. does not apply to "loss" to one or more airbags in a covered "auto" you own that in- flate due to a cause other than a cause of loss" set forth in Paragraphs A.1.b. and A.1.c., but only: a. If that "auto" is a covered "auto" for Compre- hensive Coverage under this policy; b. The airbags are not covered under any war- ranty; and c. The airbags were not intentionally inflated. We will pay up to a maximum of $1,000 for any one "loss". L. NOTICE AND KNOWLEDGE OF ACCIDENT OR LOSS The following is added to Paragraph A.2.a., of SECTION IV — BUSINESS AUTO CONDITIONS: Your duty to give us or our authorized representa- tive prompt notice of the "accident" or "toss" ap- plies only when the "accident" or "loss" is known to: (a) You (if you are an individual); (b) A partner (it you are a partnership); (c) A member (if you are a limited liability com- pany); (d) An executive officer, director or insurance manager (if you are a corporation or other or- ganization); or (a) Any "employee" authorized by you to give no- tice of the "accident" or loss". M. BLANKET WAIVER OF SUBROGATION The following replaces Paragraph A.5., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV — BUSINESS AUTO CONDI- TIONS: 5. Transfer Of Rights Of Recovery Against Others To Us We waive any right of recovery we may have against any person or organization to the ex- tent required of you by a written contract signed and executed prior to any "accident" or "loss", provided that the "agent" or loss° arises out of operations contemplated by CA T3 53 0215 02015 The Travelers Indemnity Company. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc. with Its permission. Page 3 of 4 COMMERCIAL AUTO such contract. The waiver applies only to the person or organization designated In such contract. N. UNINTENTIONAL ERRORS OR OMISSIONS The following is added to Paragraph B.2., Con- cealment, Misrepresentation, Or Fraud, of SECTION IV — BUSINESS AUTO CONDITIONS: The unintentional omission of, or unintentional error In, any information given by you shall not prejudice your rights under this insurance. How- ever this provision does not affect our right to col- lect additional premium or exercise our right of cancellation or non -renewal. Page 4 of 4 ® 2015 The Travelers Indemnity Company. All rights reserved. CA T3 53 02 15 Includes copyrighted material of Insurance Services Office, Inc. with Its permission. EXHIBIT E PREVAILING RATE OF WAGE (SEE ATTACHED). 20 3/2017 5/21/2018 about:blank State of Washington Department of Labor & Industries Prevailing Wage Section - Telephone 360-902-5335 PO Box 44540, Olympia, WA 98504-4540 Washington State Prevailing Wage The PREVAILING WAGES listed here include both the hourly wage rate and the hourly rate of fringe benefits. On public works projects, worker's wage and benefit rates must add to not less than this total. A brief description of overtime calculation requirements are provided on the Benefit Code Key. Journey Level Prevailing Wage Rates for the Effective Date: 5/21/2018 County Trade King Asbestos Abatement Workers King Boilermakers King Brick Mason King Brick Mason King Building Service Employees King Building Service Employees King Building Service Employees King Building Service Employees King Cabinet Makers (In Shop) King Carpenters King Carpenters King Carpenters King Carpenters King Carpenters King Carpenters King Carpenters King Carpenters King Cement Masons King Divers i* Tenders King Divers a Tenders King Divers it Tenders King Divers a Tenders King Divers a Tenders King Divers if Tenders King Divers a Tenders King Divers Et Tenders King Divers a Tenders King Dredge Workers King Dredge Workers about:blank Job Classification Journey Level Journey Levet Journey Level Pointer -Caulker -Cleaner Janitor Traveling Waxer/Shampooer Window Cleaner (Non -Scaffold) Window Cleaner (Scaffold) Journey Level Acoustical Worker Bridge, Dock And Wharf Carpenters Carpenter Carpenters on Stationary Tools Creosoted Material Floor Finisher Floor Layer Scaffold Erector Journey Level Bell/Vehicle or Submersible Operator (Not Under Pressure) Dive Supervisor/Master Diver Diver On Standby Diver Tender Manifold Operator Manifold Operator Mixed Gas Remote Operated Vehicle Operator/Technician Remote Operated Vehicle Tender Assistant Engineer Assistant Mate (Deckhand) Wage Holiday Overtime Note $46.57 $66.54 $55.82 $55.82 $23.73 $24.18 $27.23 $28.13 $22.74 $57.18 $57.18 $57.18 $57.31 $57.28 $57.18 $57.18 $57.18 $57.21 $110.54 $72.97 $110.54 $67.97 $61.65 $61.65 $66.65 $61.65 $57.43 $56.44 $56.00 5D 1H 5N 1C 5A 1M 5A 1M 5S 2F 55 2F 5S 2F 5S 2F 1 5D 4C 5D 4C 5D 4C 5D 4C 5D 4C 5D 4C 5D 4C 5D 4C 7A 1M 5D 4C 5D 4C 5D 4C 8V 5D 4C 5D 4C 5D 4C 5D 4C 5D 4C 5A 4C 5D 3F 5D 3F 1/16 5/21/2018 King King King King King King King King King King King King King King King King King King King King King King King King King King King King King King King King King King King King King Dredge Workers Dredge Workers Dredge Workers Dredge Workers Dredge Workers Drywall Applicator Drywall Tapers Electrical Fixture Maintenance Workers Electricians - Inside Electricians - Inside Electricians - Inside Electricians - Inside Electricians - Inside Electricians - Inside Electricians - Inside Electricians - Motor Shop Electricians - Motor Shop Electricians - Powerline Construction Electricians - Powerline Construction Electricians - Powerline Construction Electricians - Powerline Construction Electricians - Powerline Construction Electricians - Powerline Construction Electricians - Powerline Construction Electricians - Powerline Construction Electricians - Powerline Construction Electronic Technicians Elevator Constructors Elevator Constructors Fabricated Precast Concrete Products Fence Erectors Flaggers Glaziers Heat & Frost Insulators And Asbestos Workers Heating Equipment Mechanics Hod Carriers & Mason Tenders Industrial Power Vacuum Cleaner about:blank Boatmen Engineer Welder Leverman, Hydraulic Mates Oiler Journey Level Journey Level Journey Level Cable Splicer Cable Splicer (tunnel) Certified Welder Certified Welder (tunnel) Construction Stock Person Journey Level Journey Level (tunnel) Craftsman Journey Level Cable Splicer Certified Line Welder $56.44 5D 3F $57.51 5D 3F $58.67 5D 3F $56.44 5D 3F $56.00 5D 3F $56.78 5D 1 H $57.43 5P 1E $28.99 5L 1 E $76.96 7C 4E $82.24 7C 4E $74.38 7C 4E $79.80 7C 4E $39.69 7C 4E $71.80 7C 4E $76.96 7C 4E $15.37 1 $14.69 1 $79.43 5A 4D $69.75 5A 4D Groundperson $46.28 5A 4D Heavy Line Equipment Operator $69.75 5A 4D Journey Level Lineperson Line Equipment Operator Meter Installer Pole Sprayer Powderperson Journey Level Mechanic Mechanic In Charge All Classifications - In -Factory Work Only Fence Erector Journey Level Journey Level Journeyman Journey Level Journey Level Journey Level $69.75 5A 4D $59.01 5A 4D $46.28 5A 4D 8W $69.75 5A 4D $52.20 5A 4D $31.00 1 $91.24 7D 4A $98.51 7D 4A $17.72 5B 1R $15.18 1 $39.48 7A 31 $61.81 7L 1Y $67.93 5J 41-1 $78.17 7F 1E $48.02 7A 31 $11.50 1 about:blank 2/16 5/21/2018 King King King King King King King King King King King King King King King King King King King King King King King King King King King King King King King King King King King King King Inland Boatmen Inland Boatmen Inland Boatmen Inland Boatmen Inland Boatmen Inland Boatmen Inspection/Cleaning/Sealing Of Sewer Et Water Systems By Remote Control Inspection/Cleaning/Sealing Of Sewer Et Water Systems By Remote Control Inspection/Cleaning/Seating Of Sewer Et Water Systems By Remote Control Inspection/Cleaning/Sealing Of Sewer Et Water Systems By Remote Control Inspection/Cleaning/Sealing Of Sewer Et Water Systems By Remote Control Insulation Applicators Ironworkers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers Laborers about:blank Boat Operator Cook Deckhand Deckhand Engineer Launch Operator Mate Cleaner Operator, Foamer Operator Grout Truck Operator Head Operator Technician Tv Truck Operator Journey Level Journeyman Air, Gas Or Electric Vibrating Screed Airtrac Drill Operator Ballast Regular Machine Batch Weighman Brick Pavers Brush Cutter Brush Hog Feeder Burner Caisson Worker Carpenter Tender Caulker Cement Dumper -paving Cement Finisher Tender Change House Or Dry Shack Chipping Gun (under 30 Lbs.) Chipping Gun(30 Lbs. And Over) Choker Setter Chuck Tender Clary Power Spreader Clean-up Laborer Concrete Dumper/chute Operator Concrete Form Stripper Concrete Placement Crew Concrete Saw Operator/core Driller $61.41 5B 1K $56.48 5B 1K $57.48 5B 1K $58.81 5B 1K $58.89 5B 1K $57.31 5B 1K $31.49 1 $11.50 1 $24.91 $19.33 1 $20.45 1 $57.18 5D 4C $67.88 7N 10 $46.57 7A 31 $48.02 7A 31 $46.57 7A 31 $39.48 7A 31 $46.57 7A 31 $46.57 7A 31 $46.57 7A 31 $46.57 7A 31 $48.02 7A 31 $46.57 7A 31 $46.57 7A 31 $47.44 7A 31 $46.57 7A 31 $46.57 7A 31 $46.57 7A 31 $47.44 7A 31 $46.57 7A 31 $46.57 7A 31 $47.44 7A 31 $46.57 7A 31 $47.44 7A 31 $46.57 7A 31 $47.44 7A 31 $47.44 7A 31 aboutblank 3/16 5/21/2018 about:blank King Laborers Crusher Feeder $39.48 7A 31 King Laborers Curing Laborer $46.57 7A 31 King Laborers Demolition: Wrecking a Moving $46.57 7A 31 (incl. Charred Material) King Laborers Ditch Digger $46.57 7A 31 King Laborers Diver $48.02 7A 31 King Laborers Drill Operator $47.44 7A 31 (hydraulic,diamond) King Laborers Dry Stack Walls $46.57 7A 31 King Laborers Dump Person $46.57 7A 31 King Laborers Epoxy Technician $46.57 7A 31 King Laborers Erosion Control Worker $46.57 7A 31 King Laborers Faller a Bucker Chain Saw $47.44 7A 31 King Laborers Fine Graders $46.57 7A 31 King Laborers Firewatch $39.48 7A 31 King Laborers Form Setter $46.57 7A 31 King Laborers Gabian Basket Builders $46.57 7A 31 King Laborers General Laborer $46.57 7A 31 King Laborers Grade Checker a Transit Person $48.02 7A 31 King Laborers Grinders $46.57 7A 31 King Laborers Grout Machine Tender $46.57 7A 31 King Laborers Groutmen (pressure)including $47.44 7A 31 Post Tension Beams King Laborers Guardrail Erector $46.57 7A 31 King Laborers Hazardous Waste Worker (levet A) $48.02 7A 31 King Laborers Hazardous Waste Worker (level B) $47.44 7A 31 King Laborers Hazardous Waste Worker (level C) $46.57 7A 31 King Laborers High Scaler $48.02 7A 31 King Laborers Jackhammer $47.44 7A 31 King Laborers Laserbeam Operator $47.44 7A 31 King Laborers Maintenance Person $46.57 7A 31 King Laborers Manhole Builder-mudman $47.44 7A 31 King Laborers Material Yard Person $46.57 7A 31 King Laborers Motorman-dinky Locomotive $47.44 7A 31 King Laborers Nozzleman (concrete Pump, $47.44 7A 31 Green Cutter When Using Combination Of High Pressure Air Et Water On Concrete Et Rock, Sandblast, Gunite, Shotcrete, Water Bla King Laborers Pavement Breaker $47.44 7A 31 King Laborers Pilot Car $39.48 7A 31 King Laborers Pipe Layer Lead $48.02 7A 31 King Laborers Pipe Layer/tailor $47.44 7A 31 King Laborers Pipe Pot Tender $47.44 7A 31 King Laborers Pipe Reliner $47.44 7A 31 King Laborers Pipe Wrapper $47.44 7A 31 King Laborers Pot Tender $46.57 7A 31 J about:blank 4/16 5/21/2018 about:blank King Laborers Powderman $48.02 7A 31 King Laborers Powderman's Helper $46.57 7A 31 King Laborers Power Jacks $47.44 7A 31 King Laborers Railroad Spike Puller - Power $47.44 7A 31 King Laborers Raker - Asphalt $48.02 7A 31 King Laborers Re-timberman $48.02 7A 31 King Laborers Remote Equipment Operator $47.44 7A 31 King Laborers Rigger/signal Person $47.44 7A 31 King Laborers Rip Rap Person $46.57 7A 31 King Laborers Rivet Buster $47.44 7A 31 King Laborers Rodder $47.44 7A 31 King Laborers Scaffold Erector $46.57 7A 31 King Laborers Scale Person $46.57 7A 31 King Laborers Sloper (over 20") $47.44 7A 31 King Laborers Sloper Sprayer $46.57 7A 31 iKing Laborers Spreader (concrete) $47.44 7A 31 King Laborers Stake Hopper $46.57 7A 31 King Laborers Stock Piler $46.57 7A 31 King Laborers Tamper Et Similar Electric, Air Et $47.44 7A 31 Gas Operated Tools King Laborers Tamper (multiple Et Self- $47.44 7A 31 propelled) King Laborers Timber Person - Sewer (tagger, $47.44 7A 31 Shorer Et Cribber) King Laborers Toolroom Person (at Jobsite) $46.57 7A 31 King Laborers Topper $46.57 7A 31 King Laborers Track Laborer $46.57 7A 31 King Laborers Track Liner (power) $47.44 7A 31 King Laborers Traffic Control Laborer $42.22 7A 31 8R King Laborers Traffic Control Supervisor $42.22 7A 31 8R King Laborers Truck Spotter $46.57 7A 31 King Laborers Tugger Operator $47.44 7A 31 King Laborers Tunnel Work -Compressed Air $92.60 7A 31 8Q Worker 0-30 psi King Laborers Tunnel Work -Compressed Air $97.63 7A 31 8Q Worker 30.01-44.00 psi King Laborers Tunnel Work -Compressed Air $101.31 7A 31 8Q Worker 44.01-54.00 psi King Laborers Tunnel Work -Compressed Air $107.01 7A 31 8Q Worker 54.01-60.00 psi King Laborers Tunnel Work -Compressed Air $109.13 7A 31 8Q Worker 60.01-64.00 psi King Laborers Tunnel Work -Compressed Air $114.23 7A 31 8Q Worker 64.01-68.00 psi King Laborers Tunnel Work -Compressed Air $116.13 7A 31 8Q Worker 68.01-70.00 psi King Laborers Tunnel Work -Compressed Air $118.13 7A 31 8Q Worker 70.01-72.00 psi King Laborers Tunnel Work -Compressed Air $120.13 7A 31 8Q about:blank 5/16 5/21/2018 about:blank King Laborers King Laborers King Laborers King Laborers King Laborers King Laborers King Laborers King Laborers King Laborers - Underground Sewer Et Water King Laborers - Underground Sewer tt Water King Landscape Construction King Landscape Construction King Landscape Construction King Lathers King Marble Setters King Metal Fabrication (In Shop) King Metal Fabrication (In Shop), King Metal Fabrication (In Shop) King Metal Fabrication (In Shop) King Metal Fabrication (In Shop) King Millwright King Modular Buildings King Modular Buildings King Modular Buildings King Modular Buildings King Modular Buildings King Modular Buildings King Modular Buildings King Modular Buildings King Painters King Pile Driver King Pile Driver King Pile Driver King Pile Driver King Pile Driver King Pile Driver King Pile Driver Worker 72.01-74.00 psi Tunnel Work-Guage and Lock Tender Tunnel Work -Miner Vibrator Vinyl Seamer Watchman Welder Well Point Laborer Window Washer/cleaner General Laborer >:t Topman Pipe Layer Irrigation Or Lawn Sprinkler Installers Landscape Equipment Operators Or Truck Drivers Landscaping or Planting Laborers Journey Level Journey Level Fitter Laborer Machine Operator Painter Welder Journey Level Cabinet Assembly Electrician Equipment Maintenance Plumber Production Worker Tool Maintenance Utility Person Welder Journey Level Crew Tender Hyperbaric Worker - Compressed Air Worker 0-30.00 PSI Hyperbaric Worker - Compressed Air Worker 30.01 - 44.00 PSI Hyperbaric Worker - Compressed Air Worker 44.01 - 54.00 PSI Hyperbaric Worker - Compressed Air Worker 54.01 - 60.00 PSI Hyperbaric Worker - Compressed Air Worker 60.01 - 64.00 PSI Hyperbaric Worker - Compressed Air Worker 64.01 - 68.00 PSI $48.12 7A 31 8Q $48.12 7A 31 8Q $47.44 7A 31 $46.57 7A 31 $35.88 7A 31 $47.44 7A 31 $47.44 7A 31 $35.88 7A 31 $46.57 7A 31 $47.44 7A 31 $13.56 1 $28.17 1 $17.87 1 $56.78 5D 1H $55.82 5A 1M $15.86 1 $11.50 1 $13.04 1 $11.50 1 $15.48 1 $58.68 5D 4C $11.56 1 $11.56 1 $11.56 1 $11.56 1 $11.50 1 $11.56 1 $11.56 1 $11.56 1 $41.60 6Z 2B $52.37 5D 4C $71.35 5D 4C $76.35 5D 4C $80.35 5D 4C $85.35 5D 4C $87.85 5D 4C $92.85 5D 4C about:blank 6/16 5/21/2018 King King King King King King King King King King King King King King King King King King King King King King King King King King King King King King about:blank Pile Driver Pile Driver Pile Driver Pile Driver Plasterers Playground Et Park Equipment Installers Plumbers Et Pipefitters Power Equipment Operators Power Equipment Operators Power Equipment Operators Power Equipment Operators Power Equipment Operators Power Equipment Operators Power Equipment Operators Power Equipment Operators Power Equipment Operators Power Equipment Operators Power Equipment Operators Power Equipment Operators Power Equipment Operators Power Equipment Operators Power Equipment Operators Power Equipment Operators Power Equipment Operators Power Equipment Operators Power Equipment Operators Power Equipment Operators Power Equipment Operators Power Equipment Operators Power Equipment Operators about:blank Hyperbaric Worker - Compressed Air Worker 68.01 - 70.00 PSI Hyperbaric Worker - Compressed Air Worker 70.01 - 72.00 PSI Hyperbaric Worker - Compressed Air Worker 72.01 - 74.00 PSI Journey Level Journey Level Journey Level Journey Level Asphalt Plant Operators Assistant Engineer Barrier Machine (zipper) Batch Plant Operator, Concrete Bobcat Brokk - Remote Demolition Equipment Brooms Bump Cutter Cableways Chipper Compressor Concrete Pump: Truck Mount With Boom Attachment Over 42 M Concrete Finish Machine -laser Screed Concrete Pump - Mounted Or Trailer High Pressure Line Pump, Pump High Pressure. Concrete Pump: Truck Mount With Boom Attachment Up To 42m Conveyors Cranes Friction: 200 tons and over Cranes: 20 Tons Through 44 Tons With Attachments Cranes: 100 Tons Through 199 Tons, Or 150' Of Boom (Including Jib With Attachments) Cranes: 200 tons- 299 tons, or 250' of boom including jib with attachments Cranes: 300 tons and over or 300' of boom including jib with attachments Cranes: 45 Tons Through 99 Tons, Under 150' Of Boom (including Jib With Attachments) Cranes: A -frame - 10 Tons And Under $94.85 5D 4C $96.85 5D 4C $98.85 5D 4C $57.43 5D 4C $54.89 7Q 1R $11.50 1 $81.69 6Z 1G $60.49 7A 3C 8P $56.90 7A 3C 8P $59.96 7A 3C 8P $59.96 7A 3C 8P $56.90 7A 3C 8P $56.90 7A 3C 8P $56.90 7A 3C 8P $59.96 7A 3C 8P $60.49 7A 3C 8P $59.96 7A 3C 8P $56.90 7A 3C 8P $60.49 7A 3C 8P $56.90 7A 3C 8P $59.49 7A 3C 8P $59.96 7A 3C 8P $59.49 7A 3C 8P $62.33 7A 3C 8P $59.96 7A 3C 8P $61.10 7A 3C 8P $61.72 7A 3C 8P $62.33 7A 3C 8P $60.49 7A 3C 8P $56.90 7A 3C 8P 7/16 5/21/2018 King Power Equipment Operators King Power Equipment Operators King Power Equipment Operators King Power Equipment Operators King Power Equipment Operators King Power Equipment Operators King Power Equipment Operators King Power Equipment Operators King Power Equipment Operators King Power Equipment Operators King Power Equipment Operators King Power Equipment Operators King Power Equipment Operators King Power Equipment Operators King Power Equipment Operators King Power Equipment Operators King Power Equipment Operators King Power Equipment Operators King Power Equipment Operators King Power Equipment Operators King Power Equipment Operators King Power Equipment Operators King Power Equipment Operators King Power Equipment Operators King Power Equipment Operators King Power Equipment Operators King Power Equipment Operators King Power Equipment Operators King Power Equipment Operators King Power Equipment Operators about:blank about:blank Cranes: Friction cranes through 199 tons Cranes: Through 19 Tons With Attachments A -frame Over 10 Tons Crusher Deck Engineer/deck Winches (power) Derricks, On Building Work Dozers D-9 Et Under Drill Oilers: Auger Type, Truck Or Crane Mount Drilling Machine Elevator And Man -lift: Permanent And Shaft Type Finishing Machine, Bidwell And Gamaco & Similar Equipment Forklift: 3000 Lbs And Over With Attachments Forklifts: Under 3000 Lbs. With Attachments Grade Engineer: Using Blue Prints, Cut Sheets, Etc Gradechecker/stakeman Guardrail Punch Hard Tail End Dump Articulating Off- Road Equipment 45 Yards. & Over Hard Tail End Dump Articulating Off-road Equipment Under 45 Yards Horizontal/directional Drill Locator Horizontal/directional Drill Operator Hydralifts/boom Trucks Over 10 Tons Hydralifts/boom Trucks, 10 Tons And Under Loader, Overhead 8 Yards. & Over Loader, Overhead, 6 Yards. But Not Including 8 Yards Loaders, Overhead Under 6 Yards Loaders, Plant Feed Loaders: Elevating Type Belt Locomotives, All Material Transfer Device Mechanics, All (leadmen - $0.50 Per Hour Over Mechanic) Motor Patrol Graders $61.72 7A 3C 8P $59.49 7A 3C 8P $59.96 7A 3C 8P $59.96 7A 3C 8P $60.49 7A 3C 8P $59.49 7A 3C 8P $59.49 7A 3C 8P $61.10 7A 3C 8P $56.90 7A 3C 8P $59.96 7A 3C 8P $59.49 7A 3C 8P $56.90 7A 3C 8P $59.96 7A 3C 8P $56.90 7A 3C 8P $59.96 7A 3C 8P $60.49 7A 3C 8P $59.96 7A 3C 8P $59.49 7A 3C 8P $59.96 7A 3C 8P $59.49 7A 3C 8P $56.90 7A 3C 8P $61.10 7A 3C 8P $60.49 7A 3C 8P $59.96 7A 3C 8P $59.96 7A 3C 8P $59.49 7A 3C 8P $59.96 7A 3C 8P $59.96 7A 3C 8P $61.10 7A 3C 8P $60.49 7A 3C 8P 8/16 5/21/2018 King King King King King King King King King King King King King King King Power Equipment Operators Power Equipment Operators Power Equipment Operators Power Equipment Operators Power Equipment Operators Power Equipment Operators Power Equipment Operators Power Equipment Operators Power Equipment Operators Power Equipment Operators Power Equipment Operators Power Equipment Operators Power Equipment Operators Power Equipment Operators Power Equipment Operators King Power Equipment Operators King Power Equipment Operators King King King King King King Power Equipment Operators Power Equipment Operators Power Equipment Operators Power Equipment Operators Power Equipment Operators Power Equipment Operators King Power Equipment Operators King Power Equipment Operators King King King Power Equipment Operators Power Equipment Operators Power Equipment Operators King Power Equipment Operators King Power Equipment Operators King Power Equipment Operators about:blank Mucking Machine, Mole, Tunnel Drill, Boring, Road Header And/or Shield Oil Distributors, Blower Distribution Et Mulch Seeding Operator Outside Hoists (elevators And Manlifts), Air Tuggers,strato Overhead, Bridge Type Crane: 20 Tons Through 44 Tons Overhead, Bridge Type: 100 Tons And Over Overhead, Bridge Type: 45 Tons Through 99 Tons Pavement Breaker Pile Driver (other Than Crane Mount) Plant Oiler - Asphalt, Crusher Posthole Digger, Mechanical Power Plant Pumps - Water Quad 9, Hd 41, D10 And Over Quick Tower - No Cab, Under 100 Feet In Height Based To Boom Remote Control Operator On Rubber Tired Earth Moving Equipment Rigger And Bellman Rigger/Signal Person, Bellman (Certified) Rollagon Roller, Other Than Plant Mix Roller, Plant Mix Or Multi -lift Materials Roto -mill, Roto -grinder Saws - Concrete Scraper, Self Propelled Under 45 Yards Scrapers - Concrete ft Carry All Scrapers, Self-propelled: 45 Yards And Over Service Engineers - Equipment Shotcrete/gunite Equipment Shovel , Excavator, Backhoe, Tractors Under 15 Metric Tons. Shovel, Excavator, Backhoe: Over 30 Metric Tons To 50 Metric Tons Shovel, Excavator, Backhoes, Tractors: 15 To 30 Metric Tons Shovel, Excavator, Backhoes: Over 50 Metric Tons To 90 Metric $60.49 7A 3C 8P $56.90 7A 3C 8P $59.49 7A 3C 8P $59.96 7A 3C 8P $61.10 7A 3C 8P $60.49 7A 3C 8P $56.90 7A 3C 8P $59.96 7A 3C 8P $59.49 7A 3C 8P $56.90 7A 3C $56.90 7A 3C $56.90 7A 3C $60.49 7A 3C $56.90 7A 3C $60.49 7A 3C 8P $56.90 7A 3C 8P $59.49 7A 3C 8P $60.49 7A 3C 8P $56.90 7A 3C 8P $59.49 7A 3C 8P $59.96 7A 3C 8P $59.49 7A 3C 8P $59.96 7A 3C 8P $59.49 7A 3C 8P $60.49 7A 3C 8P $59.49 7A 3C 8P $56.90 7A 3C 8P $59.49 7A 3C 8P $60.49 7A 3C 8P $59.96 7A 3C 8P $61.10 7A 3C 8P 8P 8P 8P 8P about:blank 9/16 5/21/2018 about:blank King Power Equipment Operators King Power Equipment Operators King Power Equipment Operators King Power Equipment Operators King Power Equipment Operators King Power Equipment Operators King Power Equipment Operators King Power Equipment Operators King Power Equipment Operators King Power Equipment Operators King Power Equipment Operators King Power Equipment Operators King Power Equipment Operators King Power Equipment Operators King Power Equipment Operators King Power Equipment Operators King Power Equipment Operators - Underground Sewer Et Water King Power Equipment Operators - Underground Sewer Et Water King Power Equipment Operators - Underground Sewer Et Water King Power Equipment Operators - Underground Sewer a Water King Power Equipment Operators - Underground Sewer Et Water King Power Equipment Operators - Underground Sewer a Water King Power Equipment Operators - Underground Sewer Et Water King Power Equipment Operators - Underground Sewer & Water King Power Equipment Operators - Underground Sewer a Water King Power Equipment Operators - Underground Sewer Et Water King Power Equipment Operators - Underground Sewer Et Water King Power Equipment Operators - Underground Sewer a Water King Power Equipment Operators - Underground Sewer a Water King Power Equipment Operators- about:blank Tons Shovel, Excavator, Backhoes: Over 90 Metric Tons Slipform Pavers Spreader, Topsider a Screedman Subgrader Trimmer Tower Bucket Elevators Tower Crane Up To 175' In Height Base To Boom Tower Crane: over 175' through 250' in height, base to boom Tower Cranes: over 250' in height from base to boom Transporters, All Track Or Truck Type Trenching Machines Truck Crane Oiler/driver - 100 Tons And Over Truck Crane Oiler/driver Under 100 Tons Truck Mount Portable Conveyor Welder Wheel Tractors, Farmall Type Yo Yo Pay Dozer Asphalt Plant Operators Assistant Engineer Barrier Machine (zipper) Batch Plant Operator, Concrete Bobcat Brokk - Remote Demolition Equipment Brooms Bump Cutter Cableways Chipper Compressor Concrete Pump: Truck Mount With Boom Attachment Over 42 M Concrete Finish Machine -laser Screed Concrete Pump - Mounted Or $61.72 7A 3C 8P $60.49 7A 3C 8P $60.49 7A 3C 8P $59.96 7A 3C 8P $59.49 7A 3C $61.10 7A 3C $61.72 7A 3C 8P $62.33 7A 3C 8P $60.49 7A 3C 8P $59.49 7A 3C 8P $59.96 7A 3C 8P $59.49 7A 3C 8P 8P 8P $59.96 7A 3C 8P $60.49 7A 3C 8P 1 $56.90 7A 3C $59.96 7A 3C 8P $60.49 7A 3C 8P $56.90 7A 3C 8P $59.96 7A 3C 8P $59.96 7A 3C 8P $56.90 7A 3C 8P $56.90 7A 3C 8P $56.90 7A 3C 8P $59.96 7A 3C 8P $60.49 7A 3C 8P $59.96 7A 3C 8P $56.90 7A 3C 8P $60.49 7A 3C 8P $56.90 7A 3C 8P $59.49 7A 3C 8P 10/16 5/21/2018 Underground Sewer Et Water King Power Equipment Operators - Underground Sewer & Water King Power Equipment Operators - Underground Sewer & Water King Power Equipment Operators - Underground Sewer a Water King Power Equipment Operators - Underground Sewer a Water King Power Equipment Operators - Underground Sewer & Water King Power Equipment Operators - Underground Sewer & Water King Power Equipment Operators - Underground Sewer & Water King Power Equipment Operators - Underground Sewer a Water King Power Equipment Operators - Underground Sewer a Water King Power Equipment Operators - Underground Sewer a Water King Power Equipment Operators - Underground Sewer & Water King Power Equipment Operators - Underground Sewer & Water King Power Equipment Operators - Underground Sewer & Water King Power Equipment Operators - Underground Sewer & Water King Power Equipment Operators - Underground Sewer & Water King Power Equipment Operators - Underground Sewer & Water King Power Equipment Operators - Underground Sewer & Water King Power Equipment Operators - Underground Sewer & Water King Power Equipment Operators - Underground Sewer & Water King Power Equipment Operators - Underground Sewer a Water King Power Equipment Operators - Underground Sewer a Water King Power Equipment Operators - Underground Sewer & Water King Power Equipment Operators - Underground Sewer & Water about:blank about:blank Trailer High Pressure Line Pump, Pump High Pressure. Concrete Pump: Truck Mount With Boom Attachment Up To 42m Conveyors Cranes Friction: 200 tons and over Cranes: 20 Tons Through 44 Tons With Attachments Cranes: 100 Tons Through 199 Tons, Or 150' Of Boom (Including Jib With Attachments) Cranes: 200 tons- 299 tons, or 250' of boom including jib with attachments Cranes: 300 tons and over or 300' of boom including jib with attachments Cranes: 45 Tons Through 99 Tons, Under 150' Of Boom (including Jib With Attachments) Cranes: A -frame - 10 Tons And Under Cranes: Friction cranes through 199 tons Cranes: Through 19 Tons With Attachments A -frame Over 10 Tons Crusher Deck Engineer/deck Winches (power) Derricks, On Building Work Dozers D-9 & Under Drill Oilers: Auger Type, Truck Or Crane Mount Drilling Machine Elevator And Man -lift: Permanent And Shaft Type Finishing Machine, Bidwell And Gamaco & Similar Equipment Forklift: 3000 Lbs And Over With Attachments Forklifts: Under 3000 Lbs. With Attachments Grade Engineer: Using Blue Prints, Cut Sheets, Etc Gradechecker/stakeman $59.96 7A 3C 8P $59.49 7A 3C 8P $62.33 7A 3C 8P $59.96 7A 3C 8P $61.10 7A 3C 8P $61.72 7A 3C 8P $62.33 7A 3C 8P $60.49 7A 3C 8P $56.90 7A 3C 8P $61.72 7A 3C 8P $59.49 7A 3C 8P $59.96 7A 3C 8P $59.96 7A 3C 8P $60.49 7A 3C 8P $59.49 7A 3C 8P $59.49 7A 3C 8P $61.10 7A 3C 8P $56.90 7A 3C 8P $59.96 7A 3C 8P $59.49 7A 3C 8P $56.90 7A 3C 8P $59.96 7A 3C 8P $56.90 7A 3C 8P 11/16 5/21/2018 King Power Equipment Operators - Underground Sewer E Water King Power Equipment Operators - Underground Sewer & Water King Power Equipment Operators - Underground Sewer & Water King Power Equipment Operators - Underground Sewer a Water King Power Equipment Operators - Underground Sewer Et Water King Power Equipment Operators - King King King King King King King King King King King King King King King King King King King about:blank Underground Sewer Et Water Power Equipment Operators - Underground Sewer Et Water Power Equipment Operators - Underground Sewer a Water Power Equipment Operators - Underground Sewer a Water Power Equipment Operators - Underground Sewer Et Water Power Equipment Operators - Underground Sewer & Water Power Equipment Operators - Underground Sewer a Water Power Equipment Operators - Underground Sewer & Water Power Equipment Operators - Underground Sewer & Water Power Equipment Operators - Underground Sewer & Water Power Equipment Operators - Underground Sewer a Water Power Equipment Operators - Underground Sewer & Water Power Equipment Operators - Underground Sewer & Water Power Equipment Operators - Underground Sewer a Water Power Equipment Operators - Underground Sewer & Water Power Equipment Operators - Underground Sewer a Water Power Equipment Operators - Underground Sewer & Water Power Equipment Operators - Underground Sewer & Water Power Equipment Operators - Underground Sewer & Water Power Equipment Operators- about:blank Guardrail Punch Hard Tail End Dump Articulating Off- Road Equipment 45 Yards. & Over Hard Tail End Dump Articulating Off-road Equipment Under 45 Yards Horizontal/directional Drill Locator Horizontal/directional Drill Operator Hydralifts/boom Trucks Over 10 Tons Hydralifts/boom Trucks, 10 Tons And Under Loader, Overhead 8 Yards. Et Over Loader, Overhead, 6 Yards. But Not Including 8 Yards Loaders, Overhead Under 6 Yards Loaders, Plant Feed Loaders: Elevating Type Belt Locomotives, All Material Transfer Device Mechanics, All (leadmen - $0.50 Per Hour Over Mechanic) Motor Patrol Graders Mucking Machine, Mole, Tunnel Drill, Boring, Road Header And/or Shield Oil Distributors, Blower Distribution & Mulch Seeding Operator Outside Hoists (elevators And Manlifts), Air Tuggers,strato Overhead, Bridge Type Crane: 20 Tons Through 44 Tons Overhead, Bridge Type: 100 Tons And Over Overhead, Bridge Type: 45 Tons Through 99 Tons Pavement Breaker Pile Driver (other Than Crane Mount) Plant Oiler - Asphalt, Crusher $59.49 7A 3C 8P $59.96 7A 3C 8P $60.49 7A 3C 8P $59.96 7A 3C 8P $59.49 7A 3C 8P $59.96 7A 3C 8P $59.49 7A 3C 8P $56.90 7A 3C 8P $61.10 7A 3C 8P $60.49 7A 3C 8P $59.96 7A 3C 8P $59.96 7A 3C 8P $59.49 7A 3C 8P $59.96 7A 3C 8P $59.96 7A 3C 8P $61.10 7A 3C 8P $60.49 7A 3C 8P $60.49 7A 3C 8P $56.90 7A 3C 8P $59.49 7A 3C 8P $59.96 7A 3C 8P $61.10 7A 3C 8P $60.49 7A 3C 8P $56.90 7A 3C 8P $59.96 7A 3C 8P 12/16 5/21/2018 King King King King King King King King King King King King King King King King King King King King King King King King King about:blank Underground Sewer Et Water Power Equipment Operators - Underground Sewer a Water Power Equipment Operators - Underground Sewer a Water Power Equipment Operators - Underground Sewer a Water Power Equipment Operators - Underground Sewer a Water Power Equipment Operators - Underground Sewer a Water Power Equipment Operators - Underground Sewer a Water Power Equipment Operators - Underground Sewer a Water Power Equipment Operators - Underground Sewer a Water Power Equipment Operators - Underground Sewer a Water Power Equipment Operators - Underground Sewer a Water Power Equipment Operators - Underground Sewer a Water Power Equipment Operators - Underground Sewer a Water Power Equipment Operators - Underground Sewer a Water Power Equipment Operators - Underground Sewer a Water Power Equipment Operators - Underground Sewer a Water Power Equipment Operators - Underground Sewer a Water Power Equipment Operators - Underground Sewer Et Water Power Equipment Operators - Underground Sewer a Water Power Equipment Operators - Underground Sewer a Water Power Equipment Operators - Underground Sewer a Water Power Equipment Operators - Underground Sewer a Water Power Equipment Operators - Underground Sewer a Water Power Equipment Operators - Underground Sewer a Water Power Equipment Operators - Underground Sewer a Water Power Equipment Operators - Underground Sewer a Water about:blank Posthole Digger, Mechanical $56.90 7A 3C 8P Power Plant $56.90 7A 3C 8P Pumps - Water $56.90 7A 3C 8P Quad 9, Hd 41, D10 And Over $60.49 7A 3C 8P Quick Tower - No Cab, Under 100 $56.90 7A 3C 8P Feet In Height Based To Boom Remote Control Operator On $60.49 7A 3C 8P Rubber Tired Earth Moving Equipment Rigger And Bellman $56.90 7A 3C 8P Rigger/Signal Person, Bellman $59.49 7A 3C 8P (Certified) Rollagon $60.49 7A 3C 8P Roller, Other Than Plant Mix $56.90 7A 3C 8P Roller, Plant Mix Or Multi -lift $59.49 7A 3C 8P Materials Roto -mill, Roto -grinder $59.96 7A 3C 8P Saws - Concrete $59.49 7A 3C 8P Scraper, Self Propelled Under 45 $59.96 7A 3C 8P Yards Scrapers - Concrete Et Carry All $59.49 7A 3C 8P Scrapers, Self-propelled: 45 Yards $60.49 7A 3C 8P And Over Service Engineers - Equipment $59.49 7A 3C 8P Shotcrete/gunite Equipment $56.90 7A 3C 8P Shovel , Excavator, Backhoe, $59.49 7A 3C 8P Tractors Under 15 Metric Tons. Shovel, Excavator, Backhoe: Over $60.49 7A 3C 8P 30 Metric Tons To 50 Metric Tons Shovel, Excavator, Backhoes, $59.96 7A 3C 8P Tractors: 15 To 30 Metric Tons Shovel, Excavator, Backhoes: $61.10 7A 3C 8P Over 50 Metric Tons To 90 Metric Tons Shovel, Excavator, Backhoes: $61.72 7A 3C 8P Over 90 Metric Tons Slipform Pavers $60.49 7A 3C 8P Spreader, Topsider & Screedman $60.49 7A 3C 8P 13/16 5/21/2018 King King King King King King King King King King King King King King King King 0 King King King King King King King King King King King King King King King King about:blank Power Equipment Operators - Underground Sewer & Water Power Equipment Operators - Underground Sewer a Water Power Equipment Operators - Underground Sewer & Water Power Equipment Operators - Underground Sewer & Water Power Equipment Operators - Underground Sewer a Water Power Equipment Operators - Underground Sewer & Water Power Equipment Operators - Underground Sewer & Water Power Equipment Operators - Underground Sewer Et Water Power Equipment Operators - Underground Sewer & Water Power Equipment Operators - Underground Sewer & Water Power Equipment Operators - Underground Sewer & Water Power Equipment Operators - Underground Sewer & Water Power Equipment Operators - Underground Sewer Et Water Power Line Clearance Tree Trimmers Power Line Clearance Tree Trimmers Power Line Clearance Tree Trimmers Power Line Clearance Tree Trimmers Power Line Clearance Tree Trimmers Refrigeration Et Air Conditioning Mechanics Residential Brick Mason Residential Carpenters Residential Cement Masons Residential Drywall Applicators Residential Drywall Tapers Residential Electricians Residential Glaziers Residential Insulation Applicators Residential Laborers Residential Marble Setters Residential Painters Residential Plumbers & Pipefitters Residential Refrigeration Et Air about:blank Subgrader Trimmer Tower Bucket Elevators Tower Crane Up To 175' In Height Base To Boom Tower Crane: over 175' through 250' in height, base to boom Tower Cranes: over 250' in height from base to boom Transporters, All Track Or Truck Type Trenching Machines Truck Crane Oiler/driver - 100 Tons And Over Truck Crane Oiler/driver Under 100 Tons Truck Mount Portable Conveyor Welder Wheel Tractors, Farmall Type Yo Yo Pay Dozer Journey Level In Charge Spray Person Tree Equipment Operator Tree Trimmer Tree Trimmer Groundperson Journey Level Journey Level Journey Level Journey Level Journey Level Journey Level Journey Level Journey Level Journey Level Journey Level Journey Level Journey Level Journey Level Journey Level $59.96 7A 3C $59.49 7A 3C $61.10 7A 3C $61.72 7A 3C $62.33 7A 3C $60.49 7A 3C $59.49 7A 3C $59.96 7A 3C $59.49 7A 3C $59.96 7A 3C $60.49 7A 3C $56.90 7A 3C $59.96 7A 3C $50.02 5A 4A $47.43 5A 4A $50.02 5A 4A $44.64 5A 4A $33.67 5A 4A $77.86 6Z 1G $55.82 5A 1M $28.20 1 $22.64 1 $42.86 5D 4C $57.43 5P 1 E $30.44 1 $41.05 7L 11-1 $26.28 1 $23.03 1 $24.09 1 $24.46 1 $34.69 1 $77.86 6Z 1G 8P 8P 8P 8P 8P 8P 8P 8P 8P 8P 8P 8P 8P 14/16 5/21/2018 about:blank Conditioning Mechanics King Residential Sheet Metal Workers Journey Level (Field or Shop) $44.56 7F 1R King Residential Soft Floor Layers Journey Level $47.61 5A 3J King Residential Sprinkler Fitters (Fire Journey Level $46.58 5C 2R Protection) King Residential Stone Masons Journey Level $55.82 5A 1M King Residential Terrazzo Workers Journey Level $51.36 5A 1M King Residential Terrazzo/Tile Journey Level $21.46 1 Finishers King Residential Tile Setters Journey Level $20.00 1 King Roofers Journey Level $51.02 5A 3H King Roofers Using Irritable Bituminous $54.02 5A 3H Materials King Sheet Metal Workers Journey Level (Field or Shop) $78.17 7F 1E King Shipbuilding a Ship Repair Boilermaker $43.31 7M 1H King Shipbuilding & Ship Repair Carpenter $41.06 7T 2B King Shipbuilding & Ship Repair Electrician $42.07 7T 4B King Shipbuilding & Ship Repair Heat & Frost Insulator $67.93 5J 41-1 King Shipbuilding & Ship Repair Laborer $41.99 7T 4B King Shipbuilding a Ship Repair Machinist $42.00 7T 4B King Shipbuilding & Ship Repair Operator $41.95 7T 4B King Shipbuilding & Ship Repair Painter $42.00 7T 4B King Shipbuilding & Ship Repair Pipefitter $41.96 7T 4B King Shipbuilding & Ship Repair Rigger $42.05 7T 4B King Shipbuilding & Ship Repair Sheet Metal $41.98 7T 4B King Shipbuilding & Ship Repair Shipfitter $42.05 7T 4B King Shipbuilding & Ship Repair Trucker $41.91 7T 4B King Shipbuilding a Ship Repair Warehouse $41.94 7T 4B King Shipbuilding & Ship Repair Welder/Burner $42.05 7T 4B King Sign Makers & Installers Sign Installer $22.92 1 .(Electrical) King Sign Makers & Installers Sign Maker $21.36 1 (Electrical) King Sign Makers a Installers (Non- Sign Installer $27.28 1 Electrical) King Sign Makers & Installers (Non- Sign Maker $33.25 1 Electrical) King Soft Floor Layers Journey Level $47.61 5A 3J King Solar Controls For Windows Journey Level $12.44 1 King Sprinkler Fitters (Fire Protection) Journey Level $75.64 5C 1X King Stage Rigging Mechanics (Non Journey Level $13.23 1 Structural) King Stone Masons Journey Level $55.82 5A 1M King Street And Parking Lot Sweeper Journey Level $19.09 1 Workers King Surveyors Assistant Construction Site $59.49 7A 3C 8P Surveyor King Surveyors Chainman $58.93 7A 3C 8P King Surveyors Construction Site Surveyor $60.49 7A 3C 8P about:blank 15/16 5/21/2018 King King King King King King King King King King King King King King King King King King King King King King King King King King King Telecommunication Technicians Telephone Line Construction Outside Telephone Line Construction Outside Telephone Line Construction Outside Telephone Line Construction - Outside Telephone Line Construction - Outside Telephone Line Construction - Outside Telephone Line Construction - Outside Telephone Line Construction - Outside Telephone Line Construction - Outside Telephone Line Construction - Outside Telephone Line Construction - Outside Telephone Line Construction - Outside Telephone Line Construction - Outside Terrazzo Workers Tile Setters Tile, Marble Et Terrazzo Finishers Traffic Control Stripers Truck Drivers Truck Drivers Truck Drivers Truck Drivers Truck Drivers Truck Drivers Well Drillers & Irrigation Pump Installers Well Drillers & Irrigation Pump Installers Well Drillers & Irrigation Pump Installers about:blank Journey Level Cable Splicer Hole Digger/Ground Person Installer (Repairer) Special Aparatus Installer I Special Apparatus Installer II Telephone Equipment Operator (Heavy) Telephone Equipment Operator (Light) Telephone Lineperson Television Groundperson Television Lineperson/Installer Television System Technician Television Technician Tree Trimmer Journey Level Journey Level Finisher Journey Level Asphalt Mix Over 16 Yards (W. WA -Joint Council 28) Asphalt Mix To 16 Yards (W. WA - Joint Council 28) Dump Truck & Trailer Dump Truck (W. WA -Joint Council 28) Other Trucks (W. WA -Joint Council 28) Transit Mixer Irrigation Pump Installer Oiler Well Driller $22.76 $40.52 5A 2B $22.78 5A 2B $38.87 5A 2B $40.52 5A 2B $39.73 5A 2B $40.52 5A 2B $37.74 5A 2B $37.74 5A 2B $21.60 5A 2B $28.68 5A 2B $34.10 5A 2B $30.69 5A 2B $37.74 5A 2B $51.36 5A 1M $51.36 5A 1M $42.19 5A 1B $45.43 7A 1K $52.70 5D 3A $51.86 5D 3A $52.70 5D 3A $51.86 5D 3A $52.70 5D 3A $43.23 1 $17.71 1 $12.97 1 $18.00 1 8L 8L 8L 8L 8L about:blank 16/16 EXHIBIT F TITLE VI ASSURANCES During the performance of this contract, the contractor/consultant, for itself, its assignees and successors in interest (hereinafter referred to as the "contractor") agrees as follows: 1. Compliance with Regulations The contractor shall comply with the Regulations relative to non-discrimination in federally assisted programs of United States Department of Transportation (USDOT), Title 49, Code of Federal Regulations, part 21, as they may be amended from time to time, (hereinafter referred to as the Regulations), which are herein incorporated by reference and made a part of this contract. 2. Non-discrimination The contractor, with regard to the work performed by it during the contract, shall not discriminate on the grounds of race, color, sex, or national origin in the selection and retention of sub -contractors, including procurement of materials and leases of equipment. The contractor shall not participate either directly or indirectly in the discrimination prohibited by Section 21.5 of the Regulations, including employment practices when the contract covers a program set forth in Appendix B of the Regulations. 3. Solicitations for Sub -contracts, Including Procurement of Materials and Equipment In all solicitations either by competitive bidding or negotiations made by the contractor for work to be performed under a sub -contract, including procurement of materials or leases of equipment, each potential sub -contractor or supplier shall be notified by the contractor of the contractor's obligations under this contract and the Regulations relative to non-discrimination on the grounds of race, color, sex, or national origin. 4. Information and Reports The contractor shall provide all information and reports required by the Regulations or directives issued pursuant thereto, and shall permit access to its books, records, accounts, other sources of information, and its facilities as may be determined by the contracting agency or the appropriate federal agency to be pertinent to ascertain compliance with such Regulations, orders and instructions. Where any information required of a contractor is in the exclusive possession of another who fails or refuses to furnish this information, the contractor shall so certify to WSDOT or the USDOT as appropriate, and shall set forth what efforts it has made to obtain the information. 5. Sanctions for Non-compliance 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 21 3/2017 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. 22 3/2017