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AG 21-179 - CFC CONSTRUCTION, LLCRETURN TO: PW ADMIN EXT: 2700 ID #: 4046 CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM 1. ORIGINATING DEPT/DIv: PUBLIC WORKS / Deputy Director 2. ORIGINATING STAFF PERSON. Desiree Winkler EXT: 2711 3. DATE REQ. BY: 3. TYPE OF DOCUMENT (CHECK ONE): p CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ) ❑ PUBLIC WORKS CONTRACT ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT ❑ PROFESSIONAL SERVICE AGREEMENT ❑ MAINTENANCE AGREEMENT ❑ GOODS AND SERVICE AGREEMENT ❑ HUMAN SERVICES / CDBG ❑ REAL ESTATE DOCUMENT ❑ SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS) ❑ ORDINANCE ❑ RESOLUTION ❑ CONTRACT AMENDMENT (AG#): 21-1 79 ❑ INTERLOCAL m OTHER Chance Order g01 4. PROJECT NAME: Building Repair - Steel Lake Maintenance 5. NAME OF CONTRACTOR: CFC Construction LLC ADDRESS: TELEPHONE: 206.370.0327 E-MAIL: cfcl construct amal1.corn FAX: SIGNATURENAME: ChnS Currirr incis TITLE: 6. EXHIBITS AND ATTACHMENTS: ❑ SCOPE, WORK OR SERVICES ❑ COMPENSATION ❑ INSURANCE REQUIREMENTS/CERTIFICATE ❑ ALL OTHER REFERENCED EXHIBITS ❑ PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES O PRIOR CONTRACT/AMENDMENTS CFW LICENSE # BL, EXP. 12/31/� UBI #_ , EXP. / / 7. TERM: COMMENCEMENT DATE: 11 /22/21 COMPLETION DATE: 02/28/22 8. TOTAL COMPENSATION:$23,812.43(nriginal)+2,376:64(change order) = 26,189.07{new total} (INCLUDE EXPENSES AND SALES TAX, IF ANY) (IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES) REIMBURSABLE EXPENSE: ❑ YES ❑ NO IF YES, MAXIMUM DOLLAR AMOUNT: S IS SALES TAX OWED: ❑ YES O NO IF YES, $ PAID BY: ❑ CONTRACTOR ❑ CITY RETAINAGE: RETAINAGE AMOUNT: ❑ RETAINAGE AGREEMENT (SEE CONTRACT) OR ❑ RETAINAGE BOND PROVIDED ❑ PURCHASING: PLEASE CHARGE TO: Risk 9. DOCUMENT / CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL / DATE APPROVED ❑ PROJECT MANAGER ❑ DIVISION MANAGER A DEPUTY DIRECTOR DSW 1/3/22 d DIRECTOR EJW 1/6/22 ❑ RISK MANAGEMENT (IF APPLICABLE) 8 LAW DEPT MP 1.6.2022 10. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED COMMITTEE DATE: COMMITTEE APPROVAL DATE: SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE: 11. CONTRACT SIGNATURE ROUTING ❑ SENT TO VENDOR/CONTRACTOR DATE SENT: 113/22 DATE REC' D: 1 /4/22 ❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS ❑ CREATE ELECTRONIC REMINDER/NOTIFICATION FOR 1 MONTH PRIOR TO EXPIRATION DATE (INCLUDE DEPT. SUPPORT STAFF IF NECESSARY AND FEEL FREE TO SET NOTIFICATION MORE THAN A MONTH IN ADVANCE IF COUNCIL APPROVAL IS NEEDED.) INITIAL / DATE SIGNED ❑ FINANCE DEPARTMENT ❑ LAW DEPT 6 SIGNATORY (MAYOR OR DIRECTOR) ❑ CITY CLERK ❑ ASSIGNED AG # ❑ SIGNED COPY RETURNED COMMENTS: EXECUTE " " ORIGINALS 1 /10/2022 AG# 21-179A DATE SENT: 1/2020 nla PROJECT NUMBER CITY OF FEDERAL_ WAY CONTRACT CHANGE ORDER AGREEMENT AG 21-179 AGREEMENT NUMBER 1 _ CHANGE ORDER NUMBER Building Repair — Steel Lake Maintenance PROJECT TITLE SUMMARY OF PROPOSED CHANGES: This Change Order covers the work changes summarized below: Provide Steel Door and closer per attached proposal. 12/31/21 EFFECTIVE DATE CFC Construction RALLC_ CONTRACTOR- The time provided for completion in the Contract is ❑ Unchanged 2022 ® Increased to be physically completed no later than February 28, ❑ Decreased by _ Working Day(s) 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 MODIFICATIONS TO UNIT PRICES: ITEM NO. ITEM CO-1 Steel Door with Closer 10.1 % Sales Tax TOTAL NET CONTRACT: DEPARTMENT RECAP TO DATE: QTY UNIT PRICE ADD OR DELETE 1 $2,158.62 (pre tax) ADD $ 218.02 IINCREASE S DECREASE $ $2,376.64 ORIGINAL CONTRACT AMOUNT $ 23 812.43 PREVIOUS CHANGE ORDERS $ 0.00 THIS CHANGE ORDER S 2.376.64 NEW CONTRACT AMOUNT $ 26J89.07 _ 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 CHANGE ORDER AGREEMENT 1 Rev. 8/19 provisions of the standard specifications, the contract plans, and the special provisions governing the types of construction. The execution of this Change Order shall constitute full satisfaction and a waiver of any and all claims by the Contractor arising out of, or relating in any way to, the Work identified, to be performed, or deleted pursuant to Change Order except as specifically described in this Change Order. 'S STATURE I DATE /10/2022 €RUC WORKS DIRECTOR DATE CHANGE ORDER AGREEMENT Rev. 8/ 19 1/5/22, 9:57 AM Corporations and Charities System BUSINESS INFORMATION Business Name: CFC CONSTRUCTION LLC UBI Number: 603 199 204 Business Type: WA LIMITED LIABILITY COMPANY Business Status: ACTIVE Principal Office Street Address: 20233 SE 192ND ST, RENTON, WA, 98058-0271, UNITED STATES Principal Office Mailing Address: 20233 SE 192ND ST, RENTON, WA, 98058-0271, UNITED STATES Expiration Date: 04/30/2022 Jurisdiction: UNITED STATES, WASHINGTON Formation/ Registration Date: 04/17/2012 Period of Duration: PERPETUAL Inactive Date: Nature of Business: CONSTRUCTION REGISTERED AGENT INFORMATION Registered Agent Name: CHRIS CUMMINGS Street Address: 20233 SE 192ND ST, RENTON, WA, 98058-0271, UNITED STATES Mailing Address: GOVERNORS Title GOVERNOR Governors Type INDIVIDUAL Entity Name First Name CHRIS Last Name CUMMINGS https:Hccfs.sos.wa.gov/#/BusinessSearch/Businesslnformation 1 /1 1/5/22, 9:59 AM Washington State Department of Revenue Washington State Depa� tmz-nnt of Revenue < Business Lookup License Information: New search Back to results Entity name: CFC CONSTRUCTION LLC Business CFC CONSTRUCTION LLC name: Entity type: Limited Liability Company UBI #: 603-199-204 Business ID: 001 Location ID: 0001 Location: Active Location address: 20233 SE 192ND ST RENTON WA 98058-0271 Mailing address: 20233 SE 192ND ST RENTON WA 98058-0271 Excise tax and reseller permit status: Click here Secretary of State status: Click here Endorsements Endorsements held a License # Count Details Status Expiratiot First issua hftps://secure.dor.wa.gov/gteunauth/—/#3 1/2 1 /5/22, 9:59 AM Washington State Department of Revenue Endorsements held a License # Count Federal Way General Business - Non -Resident Details Status Expiration First issua Oct-31-2( Oct-27-2( Governing People May include governing people not registered with Secretary of State Governing people Title CUMMINGS, CHRIS The Business Lookup information is updated nightly. Search date and time: 1/5/2022 9:59:19 AM Contact us How are we doing? Take our survey! Don't see what you expected? Check if your browser is supported hftps://secure.dor.wa.gov/gteunauth/-/#3 2/2 RETURN TO: PW ADMIN EXT: 2700 ID #: 4007 CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM 1. ORIGINATING DEPT/DIV: PUBLIC WORKS / Deputy Director 2. ORIGINATING STAFF PERSON: Desiree Winkler EXT: 2711 3. DATE REQ. BY: 11/1 /21 3. TYPE OF DOCUMENT (CHECK ONE): p CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ) ❑ PUBLIC WORKS CONTRACT © SMALL OR LIMITED PUBLIC WORKS CONTRACT ❑ PROFESSIONAL SERVICE AGREEMENT ❑ MAINTENANCE AGREEMENT ❑ GOODS AND SERVICE AGREEMENT ❑ HUMAN SERVICES / CDBG ❑ REAL ESTATE DOCUMENT ❑ SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS) ❑ ORDINANCE ❑ RESOLUTION ❑ CONTRACT AMENDMENT (AG#): ❑ INTERLOCAL ❑ OTHER 4. PROJECTNAME: Buildinq Repair - Steel Lake Maintenance 5. NAME OF CONTRACTOR: CFC Construction LLC ADDRESS: TELEPHONE: 206.370.0327 E-MAIL: Cfc1 con stru ct5a mai1.com FAX: SIGNATURE NAME: Chris Cummings TITLE: 6. EXHIBITS AND ATTACHMENTS: ❑ SCOPE, WORK OR SERVICES ❑ COMPENSATION ❑ INSURANCE REQUIREMENTS/CERTIFICATE 0 ALL OTHER REFERENCED EXHIBITS ❑ PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS CFW LICENSE # BL, EXP. 12/31/ UBI # , EXP. 7. TERM: COMMENCEMENT DATE: TBD h I % 2 12\ COMPLETION DATE: 12/31/21 8. TOTAL COMPENSATION: $ 23,812.43 (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 ❑ NO IF YES, $ PAID BY: ❑ CONTRACTOR ❑ CITY RETAINAGE: RETAINAGE AMOUNT: ❑ RETAINAGE AGREEMENT (SEE CONTRACT) OR ❑ RETAINAGE BOND PROVIDED ❑ PURCHASING: PLEASE CHARGE TO: Paid by Risk 9. DOCUMENT / CONTRACT REVIEW INITIAL / DATE REVIEWED ❑ PROJECT MANAGER ❑ DIVISION MANAGER A DEPUTY DIRECTOR DSW 10/26/21 A DIRECTOR EJW 10127/2021 ❑ RISK MANAGEMENT (IF APPLICABLE) 8 LAW DEPT KVA 10/27/2021 10. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED COMMITTEE DATE: n/a SCHEDULED COUNCIL DATE: 10/19/2021 11. CONTRACT SIGNATURE ROUTING INITIAL / DATE APPROVED COMMITTEE APPROVAL DATE: We COUNCIL APPROVAL DATE: 10/19/2021 ❑ SENT TO VENDOR/CONTRACTOR DATE SENT: 11/02/21 DATE REC' D: 11/10/21 ❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS ❑ CREATE ELECTRONIC REMINDER/NOTIFICATION FOR 1 MONTH PRIOR TO EXPIRATION DATE (INCLUDE DEPT. SUPPORT STAFF IF NECESSARY AND FEEL FREE TO SET NOTIFICATION MORE THAN A MONTH IN ADVANCE IF COUNCIL APPROVAL IS NEEDED.) INITIAL / DATE SIGNED ❑ FINANCE DEPARTMENT A LAW DEPT II SIGNATORY (iVI1AYOR OR DIRECTOR) d CITY CLERK ❑ ASSIGNED AG # ❑ SIGNED COPY RETURNED k& /i f AG# DATE SENT: COMMENTS: EXECUTE" " ORIGINALS RUSH - Would like to have this back by Nov 1 (or earlier) to give to the contractor to sign. They would like to get started by Nov 8. 1/2020 LIMITED PUBLIC WORKS CONTRACT FOR BUILDING REPAIR — STEEL LAKE MAINTENANCE This limited public works contract ("Contract") is dated effective thisrAday of Noyenn Xm, 2021 and is made by and between the City of Federal Way, a Washington municipal corporation ("City" or "Owner"), and CFC Construction LLC, a Washington Limited Liability Corporation ("Contractor"). A. The City desires to retain an independent contractor to furnish all labor and materials necessary to perform work at Steel Lake Maintenance Facility, 31130 28th Avenue South, Federal Way, Washington ("Property"); and B. The Contractor has the requisite skill and necessary experience to perform such NOW, THEREFORE, the Parties ("Parties") agree to the following terms and conditions: SERVICES BY CONTRACTOR 1.1 Description of Work. Contractor shall perform all work and furnish all tools, materials, supplies, equipment, labor and other items incidental thereto necessary for the construction and completion of the work, more particularly described as the Building Repair — Steel Lake Maintenance Facility project, in Exhibit "A" attached hereto and incorporated by this reference, ("Work"), and in accordance with and as described in the Contract Documents, which include without limitation, this Contract, Contract 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 31 st day of December, 2021. 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 traveling public, obstruct traffic, interfere with and delay commerce, and increase risk to Highway users. Delays also cost tax payers undue sums of money, adding time needed for administration, engineering, inspection, and supervision. 7/2021 Accordingly, the Contractor agrees: 1. To pay liquidated damages in the amount of $200.00 for each working day beyond the date established for Physical Completion in Section 1.2, and 2. To authorize the Engineer to deduct these liquidated damages from any money due or coming due to the Contractor. When the Contract Work has progressed to the extent that the Contracting Agency has full use and benefit of the facilities, both from the operational and safety standpoint, all the initial plantings are completed and only minor incidental Work, replacement of temporary substitute facilities, plant establishment periods, or correction or repair remains to physically complete the total Contract, the Engineer may determine the Contract Work is substantially complete. The Engineer will notify the Contractor in writing of the Substantial Completion Date. For overruns in Contract time occurring after the date so established, liquidated damages shown above will not apply. For overruns in Contract time occurring after the Substantial Completion Date, liquidated damages shall be assessed on the basis of direct engineering and related costs assignable to the project until the actual Physical Completion Date of all the Contract Work. The Contractor shall complete the remaining Work as promptly as possible. Upon request by the Engineer, the Contractor shall furnish a written schedule for completing the physical Work on the Contract. Liquidated damages will not be assessed for any days for which an extension of time is granted. No deduction or payment of liquidated damages will, in any degree, release the Contractor from further obligations and liabilities to complete the entire Contract. 1.4 Performance Standard. Contractor shall perform the Work in a manner consistent with accepted practices for other properly licensed contractors, performed to the City's satisfaction, within the time period prescribed by the City. 1.5 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. 2 7/2021 If the Contractor intends to assert a claim for an equitable adjustment hereunder, it shall, within five (5) days after receipt of a written change order from the City or after giving the City the written notice required above, as the case may be, submit to the City a written statement setting forth the general nature and monetary extent of such claim; provided the City, in its sole discretion, may extend such five (5) day submittal period upon request by the Contractor. The Contractor shall supply such supporting documents and analysis for the claims as the City may require 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 2021, 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. 7/2021 3.2 Defective Work. The Contractor shall, at its sole cost and expense, correct all Work which the City deems to have defects in workmanship and material discovered within one (1) year after the City's final acceptance of the Work. 4. COMPENSATION 4.1 Total Compensation. In consideration of the Contractor performing the Work, the City agrees to pay the Contractor a fixed fee equal to Twenty -One Thousand Six Hundred Twenty -Eight and 00/100 Dollars ($21,628.00), and Washington State sales tax equal to Two Thousand One Hundred Eighty -Four and 43/100 Dollars ($2,184.43), for a total amount not to exceed Twenty -Three Thousand Eight Hundred Twelve and 43/100 Dollars ($23 8, 12.43], which amount shall constitute full and complete payment by the City. 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 Pa ment. 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: Desiree Winkler PW-Admin@cityoffederalway.com 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 4 7/2021 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 1 1246. 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 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 Indemniflcation. The City agrees to indemnify, defend and hold the Contractor, its officers, directors, shareholders, partners, employees, and agents harmless from 5 7/2021 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) 1f any structures are involved in the Contract, the Contractor shall maintain an "All Risk Builder's Risk 2 form at all times in an amount no less than the value of the structure until final acceptance of the project by the City. 9.2 Endorsements. Each insurance policy shall contain, or be endorsed to contain, the following provisions: (1) The City, its officers, officials, employees, volunteers and agents shall each be named as additional insured. (2) Coverage may not be terminated or reduced in limits except after thirty (30) days prior written notice by certified mail, return receipt requested, to the City. (3) Coverage shall be primary insurance as respects the City, its officials, employees and volunteers. Any insurance or self-insurance maintained by the City, its officials, employees or volunteers shall be in excess of Contractor's insurance. (4) Coverage shall apply to each insured separately against whom claim is made or suit is brought. 6 7/2021 (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/WTSHA requirements, Safety and Health Standards for Construction Work (Chapter 296-155 WAC), General Safety and Health Standards (Chapter 296-24 WAC), and General Occupational Health Standards (Chapter 296-62 WAC). Contractor shall erect and properly maintain, at all times, all necessary guards, barricades, signals and other safeguards at all unsafe places at or near the Work for the protection of its employees and the public, safe passageways at all road crossings, crosswalks, street intersections, post danger signs warning against known or unusual hazards and do all other things necessary to prevent accident or loss of any kind. Contractor shall protect from damage all water, sewer, gas, steam or other pipes or conduits, and all hydrants and all other property that is likely to become displaced or damaged by the execution of the Work. The Contractor shall, at its 7 7/2021 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 Employee . This Contract is subject to the minimum wage requirements of Chapter 39.12 of the Revised Code of Washington, as now existing or hereafter amended or supplemented. In the payment of hourly wages and fringe benefits to be paid to any of Contractor's laborers, work persons and/or mechanics, Contractor shall not pay less than the "prevailing rate of wage" for an hour's work in the same trade or occupation in the locality within the State of Washington where such labor is performed, as determined by the Industrial Statistician of the Department of Labor and Industries of the State of Washington, which "prevailing rates of wage" are attached hereto as Exhibit "E" and incorporated herein by this reference. Prevailing wages paid pursuant to this Agreement shall be the prevailing wage rates, which are in effect on the date when the bids, proposals, or quotes were required to be submitted to the City. 11.2 Exemptions to Prevailing Wage. The prevailing wage requirements of Chapter 39.12 RCW, and as required in this Contract do not apply to: (1) Sole owners and their spouses; (2) Any partner who owns at least 30% of a partnership; and (3) The President, Vice President and Treasurer of a corporation if each one owns at least 30% of the corporation. 11.3 Reporting Requirements. Contractor shall comply with all reporting requirements of the Department of Labor and Industries of the State of Washington. Upon the execution of this Contract, Contractor shall complete and file a Statement of Intent to Pay Prevailing Wages with the Department of Labor and Industries. Upon completion of the Work, Contractor shall complete and file an Affidavit of Wages Paid with the Department of Labor and Industries. Contractor shall deliver copies of both the Statement of Intent to Pay Prevailing Wages and the Affidavit of Wages Paid, certified by the Department of Labor and Industries, to the City. 11.4 Disputes. In the event any dispute arises as to what are the prevailing rates of wages for work of a similar nature and such dispute cannot be resolved by the City and the Contractor, the matter shall be referred for arbitration to the Director of the Department of Labor and Industries of the State of Washington and the decision therein shall be final and conclusive and binding on all parties involved in the dispute. 12. FAILURE TO PAY 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 7/2021 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. 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. 9 7/2021 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. 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 10 7/2021 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. 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. [SIGNATURES TO FOLLOW] 7/2021 CITY -OF FEDERAL WAY: Ferrell, Mayor 3325 8th Avenue South Federal Way, WA 98003-6325 APP OVED AS TO F RM: ATTEST: of-AhAli ldl, V J Ryan Call, City Attorneyph nie Courtney, CMC, C lerk CFC CO S 'RUCTION LLC: By: Its: 0 U) A) EK, 20233 SE 192nd Street Renton. WA 98058 206.370.0327 STATE OF WASHINGTON ) ss. COUNTY OF On this day personally appeared before me Q tome known to be the Ow lnev of OR, (Nrsn�k,41 CVN L C 0- that executed the foregoing instrument, and acknowledged the said instrument to be the free and voluntary act and deed of said limited liability company, for the uses and purposes therein mentioned, and on oath stated that he/she was authorized to execute said instrument. GIVEN my hand and official seal this -- day of % bsaY 20 U Naa����uiiCx MIS or ''•. �� y (typed/printed name of notary) W� = Notary Public in and for the State of Washington. 4� My commission expires 03 /pqi ,Q3 h 11.23r; 12 7/2021 EXHIBIT A SCOPE OF WORK Complete permanent repairs to the Steel Lake Maintenance Building as detailed in the attached structural engineering report and are summarized as follows: 1) Remove exterior wall sheathing. 2) Jack up corner of building. Provide temporary bracing. 3) Cut existing post. Install new post and plate bracing. 4) Replace damaged 2x stud framing. 5) Replace steel door. Coordinate with city's lock contractor. 6) Install new T-111 exterior sheeting. 7) Restore lower roof eves, gutter, and down spouts. 8) Paint to match. Only new materials need to be painted. Contractor to supply all labor, equipment, tools, and materials (minus the steel man door) required to complete the work as outlined in the attached structural report. Substantial Completion will be granted once all scope of work items (minus painting) is completed. Contract time will be extended if weather conditions prevent completing painting. 13 7/2021 EXHIBIT B CONTRACT CHANGE ORDER AGREEMENT PROJECT NUMBER CHANGE ORDER NUMBER EFFECTIVE DATE PROJECT TITLE SUMMARY OF PROPOSED CHANGES: CONTRACTOR 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? PRICE CHANGE LUMP SUM: INCREASE $ UNIT PRICE: ❑ Yes ❑ No ❑ Yes ❑ No DECREASE $ THE ITEMS ARE APPROXIMATE OR ESTIMATED QUANTITIES INVOLVED IN THIS CHANGE ITEM NO. ITEM QTY. UNIT PRICE ADD OR DELETE TOTAL NET CONTRACT: INCREASE $ DECREASE $ STATEMENT: Payment for the above work will be in accordance with applicable portions of the standard specifications, and with the understanding that all materials, workmanship and measurements shall be in accordance with the provisions of the standard specifications, the contract plans, and the special provisions governing the types of construction. DEPARTMENT RECAP TO DATE: ORIGINAL CONTRACT AMOUNT PREVIOUS CHANGE ORDERS THIS CHANGE ORDER *ADJUSTMENTS NEW CONTRACT AMOUNT CONTRACTOR'S SIGNATURE DATE DIRECTOR'S SIGNATURE DATE 14 7/2021 ADJUSTMENTS CHANGE ORDER ESTIMATE IS HEREBY []INCREASED []DECREASED PAY THIS ADJUSTED AMOUNT: DIRECTOR'S SIGNATURE DATE 15 7/2021 TO: EXHIBIT C NOTICE TO LABOR UNIONS OR OTHER EMPLOYMENT ORGANIZATIONS NONDISCRIMINATION IN EMPLOYMENT (Name of Union or Organization) The undersigned currently holds contract(s) with involving funds or credit of the City of Federal Way, Washington, or (a) subcontract(s) with a prime contractor holding such contract(s). You are advised that, under the provisions of the above contract(s) or subcontract(s) and in accordance with Section 202 of Executive Order 11246 dated September 24, 1965, the undersigned is obliged not to discriminate against any employee or applicant of employment because of race, color, creed or national origin. This obligation not to discriminate in employment includes, but is not limited to, the following: EMPLOYMENT, UPGRADING, TRANSFER OR DEMOTION RECRUITMENT AND ADVERTISING RATES OF PAY OR OTHER FORMS OF COMPENSATION SELECTION FOR TRAINING INCLUDING APPRENTICESHIP, LAYOFF OR TERMINATION This notice is furnished to you pursuant to the provisions of the above contract(s) or subcontractor(s) and Executive Order 11246. Copies of this Notice will be posted by the undersigned in conspicuous places available to employees or applicants for employment. (Contractor or subcontractor) Date 16 7/2021 EXHIBIT D CERTIFICATE OF INSURANCE (SEE ATTACHED). 17 7/2021 EXHIBIT E PREVAILING RATE OF WAGE (SEE ATTACHED). 18 7/2021 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. 19 7/2021 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 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. 20 7/2021 EXHIBIT E WA LABOR AND INDUSTRIES PREVAILING WAGES PRINTED 10-20-21 County Trade Job Classification Wage Holiday Overtime King Carpenters Carpenter $64.94 7A 4C ACCIIIR ' CERTIFICATE OF LIABILITY INSURANCE �� FDATE(MMIDDIYYYY) 11/4/2021 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 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 NAME: Trina Maher Kuresman Insurance 9321 Bayshore Dr. NW PHONE t (360) 692-6131 �C Nq. (360)692-6167 MPQ E-MAIL,trinam@kuresmanins.com STE 111 INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:OHIO SECURITY 24082 Silverdale WA 98383-8350 INSURED INSURER B: OHIO CASUALTY GROUP OF CO 24074 INSURERC: C£c Construction LLC INSURER D: 20233 SE 192nd St INSURER E: Renton WA 98058-0271 INSURER F: COVERAGES CERTIFICATE NUMBER:CL216810421 REVISION NUMBER: THIS 1S 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 MR LTA TYPE OF INSURANCE ADDL S POLICY NUMBER POLICY EFF M DaIYYYY POLICY EXP MIO LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE D OCCUR X Y I BKS61783915 7/28/2021 7/28/2022 EACH OCCURRENCE $ 1,000,000 PREMISES Ea accu cn S 1,000,000 MED EXP (Any one person) $ 15,000 PERSONAL & ADV INJURY $ 1,000,000 GENIAGGREGATE LIMITAPPLIES PER: X POLICY JJEECT LOC OTHER GENERALAGGREGATE S 2,000,000 PRODUCTS -COMPIOP AGG S 2,000,000 BCPCO $ AUTOMOBILE LIABILITY ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS COM 0 1 N D Si LE LIMIT Ea aondmIl $ BODILY INJURY (Per person) S $ (Per accident ( ) BODILY INJURY P PROPERTY DAMAGE Per accident $ B x UMBRELLA LIAB EXCESS LIAB HCLAIMS-MADE OCCUR US061783915 7/28/2021 7/28/2022 EACH OCCURRENCE $ 2;000,000 AGGREGATE S 2,000,000 DEC) X RETENTION $ 10,000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETORIPARTNERIEXECUTIVE ❑NIA OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below BKS61783915 7/28/2021 7/28/2022 PER OTH- ATUTE ER EL EACH ACCIDENT $ 1,000,000 E L DISEASE - EA EMPLOYEE $ 11000,000 E L DISEASE - POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED FOR GENERAL LIABILITY BY WRITTEN AGREEMENT PER CG8810. CERTIFICATE HOLDER CANCELLATION CITY OF FEDERAL WAY 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 JOHN CRISS/TM © 1988-2014 ACORD N_ All rinhts rocnninri ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401) 10/26/21, 4:18 PM Corporations and Charities System +-o?ss�irct�and Charities Filing System BUSINESS INFORMATION CFC CONSTRUCTION LLC WA LIMITED LIABILITY COMPANY ACTIVE 20233 SE 192ND ST, RENTON, WA, 98058-0271, UNITED STATES 20233 SE 192ND ST, RENTON, WA, 98058-0271, UNITED STATES 04/30/2022 UNITED STATES, WASHINGTON 04/17/2012 PERPETUAL CONSTRUCTION REGISTERED AGENT INFORMATION https://ccfs.sos.wa.gov/#/BusinessSearch/Businessinformation Business Name: UBI Number: Business Type: Business Status: Principal Office Street Address: Principal Office Mailing Address: Expiration Date: jurisdiction: Formation/ Registration Date: Period of Duration: Inactive Date: Nature of Business: 1/2 10/26/21, 4:18 PM Corporations and Charities System CHRIS CUMMINGS 20233 SE 192ND ST, RENTON, WA, 98058-0271, UNITED STATES GOVERNORS Title GOVERNOR Back Governors Type INDIVIDUAL Entity Name Filing History Name History First Name CHRIS Registered Agent Name: Street Address: Mailing Address: Last Name CUMMINGS Print Return to Business Search https://ccfs.sos.wa.gov/#/BusinessSearch/BusinessInformation 2/2 11/10/21, 10:50 AM Washington State Department of Revenue ,/ashingtoIn Stag Department of Revenue < Business Lookup License Information: Entity name: CFC CONSTRUCTION LLC Business CFC CONSTRUCTION LLC name: Entity type: Limited Liability Company UBI #: 603-199-204 Business ID: 001 Location ID: 0001 Location: Active Location address: 20233 SE 192ND ST RENTON WA 98058-0271 Mailing address: 20233 SE 192ND ST RENTON WA 98058-0271 Excise tax and reseller permit status: Click here Secretary of State status: Click here Endorsements Endorsements held a License # Count Details :?7 New search Back to results Status Expiratioi First issua u hftps://secure.dor.wa.gov/gteunauth/­/#3 1/2 11/10/21, 10:50 AM Washington State Department of Revenue Endorsements held a License # Count Details Status Expiratioi First issua Federal Way General Business - Non -Resident Active Oct-31-2( Oct-27-2( Governing People May include governing people not registered with Secretary of State Governing people Title CUMMINGS, CHRIS The Business Lookup information is updated nightly. Search date and time: 11/10/2021 10:49:53 AM Contact us How are we doing? Take our survey! Don't see what you expected? Check if your browser is supported hftps://secure.dor.wa.gov/gteunauth/­/#3 2/2 SITE VISIT REPORT Project Name: Maintenance Yard Tower Accident Repair Project No: 238.02n Date Prepared: July 9, 2021 Prepared for: EJ Walsh, City of Federal Way — Public Works Director Prepared By: Ade Bright, PE, SE On June 24, 2021, I visited the site at the request of EJ Walsh to review and structurally evaluate the Tower at the Maintenance Building located on 31132 281h Ave S. The Tower is located on the southeast corner of the Maintenance Building but is not connected to the Maintenance Building. The rectangular structure measures approximately 6'-0" x 9'-0" x 35'-0" tall and is comprised of 2x wood studs spaced at 18 inches, 6x6 corner columns, and T-I I I panel exterior sheathing. The interior of the Tower is open and the studs are sheathed with plywood for housekeeping purposes. It is our understanding that the Tower was damaged by motor vehicle collision on June 17, 2021, directly impacting the south wall of the tower and severing the southeast corner column (Photos 1 to 3). It was reported that due to the severed corner column, the southeast corner of the Tower dropped causing the Tower to lean. The southeast corner/east header wall was jacked up to effect the repairs and the door opening that leads into the shop was closed off. Temporary repairs were completed at the time of our visit (Photos 4 to 9). Observations- 1. Temporary repairs consisted of: a. Replacement of stud wall framing along the south and east walls (Photos 5 to 8). b. Installation of built-up 2x stud post under the trimmed 6x6 southeast post that was severed (Photos 5 and 6) c. Replacement of the wall sheathing at the lower tier (Tier 1) of the south and east walls (Photo 9). 2. Pull out or pull through of fasteners connecting the sheathing to the studs (Photo 2 and 9). 1809 Th Avenue, Suite 1100 1 Seattle, WA 98101-1381 1 phone: 206.625.3777 1 fax: 206.625.1851 1 info@brighteng.com Maintenance Yard Tower Accident Repair Site Visit Report Recommendations: BEI# 238.02n Prepared By: Ade Bright Date Prepared: July 9, 2021 Based on our field observations, review of photographs of the damage, and evaluation of the Tower Structure, it is our opinion that the Tower would require more permanent repairs in order to maintain its structural integrity. Such repairs would consist of (See conceptual sketch SK-1): 1. Remove exterior wall sheathing in Tiers 1 and 2. 2. Incrementally jack up the southeast building corner column until the lower header beams or horizontal plates on the south and east walls are close to level. Provide temporary shoring and/or bracing for the Tower as required. 3. Cut existing southeast corner post as indicated in SK-01. Install new post and plate bracing along the south and east wall before unloading the jack. 4. Replace damaged 2x stud framing as required. 5. Install new T-111 exterior sheathing. 6. Restore lower roof eaves, gutter, downspouts, and other appurtenances as required. 7. Paint Tower with coating to match existing Maintenance Building. Bright Engineering, Inc. Page 2 Maintenance Yard Tower Accident Repair Site Visit Report PHOTOS Photo 1— Tower South Wall Photo 2 — Tower at Southeast Corner BEI# 238.02n Prepared By: Ade Bright Date Prepared: July 9, 2021 Bright Engineering, Inc. Page 3 Maintenance Yard Tower Accident Repair Site Visit Report BEI# 238.02n Prepared By: Ade Bright Date Prepared: July 9, 2021 PHOTOS Photo 3 — Southeast Corner Column Built-up stud post Photo 4 — Temporary Repair Bright Engineering, Inc. Page 4 Maintenance Yard Tower Accident Repair Site Visit Report PHOTOS Photo 5 — Temporary Repair Photo 6 — Temporary Repair BEI# 238.02n Prepared By: Ade Bright Date Prepared: July 9, 2021 Bright Engineering, Inc. Page 5 Maintenance Yard Tower Accident Repair Site Visit Report PHOTOS Photo 7 — Temporary Repair Photo 8 —Temporary Repair BEI# 238.02n Prepared By: Ade Bright Date Prepared: July 9, 2021 Bright Engineering, Inc. Page 6 Maintenance Yard Tower Accident Repair Site Visit Report PHOTOS Photo 9 — Tower Looking Northwest BEI# 238.02n Prepared By: Ade Bright Date Prepared: July 9, 2021 Maintenance Building ;teners pull out or I through sheathing rnporary repairs Bright Engineering, Inc. Page 7 I (0. � E2. / Q } \L� U) � / \ } ƒ q§ <\/ < I n ; § M F / z F § k\c jk LUnco c\ kx \} }LLr < _ )EL«