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HomeMy WebLinkAbout4349+--------------------------------------------------------------------------+ Browse: Next Previous First Last Update Delete Restart X - Exit Retrieve the Next record Found: 1 Record(s) MAINTAIN Contract Transactions Contract Number 4349 endor Name AIR SYSTEMS ENGINEERING INC ubject MECHANICAL UPGRADE - GLENN JARSTAD AQUATIC CENTER epartment PARKS tatus Code CON Amount $286927.16 Begin Date 04/23/2003 Insurance End Date 08/31/2003 Type Amount Review Date 02/15/2006 GL $2000000.00 AL $1000000.00 Insurance Total $3000000.00 Insurance Review Date 02/01/2004 Comments AMENDMENT #1 4/03 VAULT 01/01/2006 +------------------------------------------------------------------- + CONTRACT MODIFICATION AGREEMENT NO. 1 BETWEEN THE CITY OF BREMERTON AND AIR SYSTEMS ENGINEERING, INC. Project No. 5922 PROJECT: Mechanical Upgrade — Glenn Jarstad Aquatic Center DATE: April 29, 2003 THIS CONTRACT MODIFICATION AGREEMENT SPECIFICALLY AMENDS THE Mechanical Upgrade Scope of Work and Lump Sum Cost AGREEMENT (the "Contract") entered into between the City of Bremerton and Contractor, Air Systems Engineering, Inc., on March 27, 2003 and as executed on April 23, 2003. All provisions in the Contract shall remain in full force and effect except as expressly modified by this document. Whereas this modification shall include the mechanical system upgrade of the aquatic center Lobby and Overlook Areas. The mechanical upgrade inclusion of the Lobby and Overlook Areas shall provide a homogeneous mechanical system throughout the facility. The Lobby and Overlook Areas were not part of the original mechanical upgrade scope of work due to budgetary constraints that included only the Natatorium and Men's and Women's Locker Rooms. The City of Bremerton Department of Parks & Recreation, desires to modify the contract as further described in Attachment A. For valuable consideration and by mutual consent of the parties, the Contract is modified as follows: 1. Section 1-1, General Provisions, Part 1-1.01(A) Scope of Work is modified as follows: See Additional Scope of Work attached as Attachment A, dated March 28, 2003 Section 1-1, General Provisions, Part 1-1.04(H) Payment, is modified as follows: The original contract amount is $263,184.11 including Washington State Sales Tax (W.S.S.T.). The City shall pay the Contractor, Air Systems Engineering, Inc. for the additional scope of work described as Attachment A, dated March 28, 2003, based on the not to exceed Lump Sum Cost of $23,743.05 including W.S.S.T. for a total amended contract amount of $286,927.16 including W.S.S.T. Section 1-2, Progress and Prosecution of Work, Part 1-2.06 Progress of Work, is not modified. The Contractor, Air Systems Engineering, Inc. shall complete the work as modified in Attachment A within the specified one hundred twenty (120) calendar days. H. The Contractor accepts all requirements of this Contract Modification No.1 by endorsing below. The Contractor further agrees that this Contract Modification No.1 constitutes full and final settlement of all Contractor claims for contract time and for all costs of any kind, including costa of delays, related to any work either covered or affected by this Contract Modification. CONTRACT MODIFICATION No. 1 1 Project No. 5920 In addition, the Contractor shall inform any Surety providing bond(s) required under this contract of this Contract Modification and shall take appropriate action to incorporate this change into the required bond(s). The parties whose names appear below warrants under penalty of perjury that they are authorized to enter into a contract modification that is binding on the parties of this contract. IN WITNESS WHEREOF, the parties have executed this Contract Modification No. 1 on the day and year first written above. CONTRACTOR By (ei,' "It' " Its-/�s!q�� DATE: G 3 APPROVED AS TO FORM: Bremerton City Attorney NOTICES TO BE SENT TO: Mr. Ted Hunt Title: Project Manager Air Systems Engineering, Inc. 3602 South Pine Street Tacoma, WA 98409 Phone/Fax: 253-572-9484/253-3836337 Dept. Head -51-51-o3 Initials a d bate By Cary Bozeman DATE: 5-a2.2- Q3 NOTICES TO BE SENT TO: Mr. Jim Spencer Title: Director City of Bremerton Dept. of Parks & Recreation Address: 680 Lebo Boulevard Bremerton, WA 98310 Phone/Fax: 360-478-5305/360-478-5882 CONTRACT MODIFICATION No. 1 2 Project No. 5920 03/28/03 FRI 15:24 FAX 1 253 383 6337 AIR SYSTEMS ENG, Q002 3602 SOUTH PNE STREET • TACOMA, WA 98409 Tacoma (253) 572-9484 • Seattle (206) 628-9484 • FAX (253) 383-6337 ATTACHMENT A March 28, 2005 Department of .larks & Recreation Glemt Jarstad Aquatic Center 50 Magnuson 1);a„ Bremerton, WA 93310 Attention: Mr. Te:fElevado Reference: Jarst2;d Pool Lobby Unit Replacement Air Systems En,,ireerin& Inc. appreciates the opportunity- to provide this proposal regarding the above referenced project. Per our conversation, we have provided below the scope of work tor the replacement of the lobby unit. Our scope of work and pricing is based on doing thi> work during the main upgrade project to take advantage of the economics of scale to reduce overall costs. We have listed below our detailed scope of work and pricing: Scone of Work. • Furnish e.nd install (1) Trane 7 V2 Ton Gas/Electric Packaged Unit with power exhaust, economizer, filter rack and filter, and all safety and operating controls. Unit will bc: mounted on new concrete pad outside boiler room • Remove and dispose of existing unit • Furnish ane. install all duct and duct transitions as required to connect new unit • Furnish anc install line voltage electrical wiring for new unit; to include all conduit, wire, connections, and disconnect switch. We will pickup power from existing power panel • Furnish and. install gas piping from meter location to new packaged unit • Furnish ane. install new Direct Digital Controller; to include low voltage wiring, prograrmnhig, and tie-in to new American Auto -Matrix System • Provide :aw cut exterior duct penetrations • Perform startup and checkout • Perform ;air balancing • Provide c!uc:t cleaning of lobby system • Prevailing `Nage labor • One year pasts and labor warranty 03/28/03 FRI 15:25 FAX 1 253 383 6337 AIR SYSTEMS &YG. 0003 Total Price: $21,883.00, plui Washington State Tax Please sign beta: w to approve the above scope of work: Signature: Date: We are prepared ti•. order equipment and schedule this work upon receiving your approval. We aper-ciate your business, and look forward to working with you on this project. Please call me if you have any questions. Sincerely. / Ted Hunt Special Project .-.ccounts DATE SUBMITTED: 30 April 2003 AGENDA BILL CITY OF BREMERTON BILL #! 03-670 CITY COUNCIL ...................................... ....................................... SUBJECT: Contract Modification - Air Systems Engineering, Inc. (Mechanical Upgrade Jarstad Aquatic Center - Lobby/Overlook Areas) Committee Meeting Date: COUNCIL MEETING Date: Department: Presenter: Phone: 6 May 2003 14 May 2003 Parks and Recreation Jeff Elevado 473-5428 SUMMARY: Due to budgetary concerns at the time of the initial bid award for the upgrades to the Jarstad Aquatic Center, the mechanical systems improvements to the lobby and overlook areas were excluded from the base contract with Air Systems Engineering, Inc. As a result of the receipt of additonal CDBG money in 2003 for the lobby and overlook work, we wish to modify the Air Systems' mechanical upgrade contract in the amount of $23,743.05 (includes WSST) so that this work can be accomplished in concert with the Natatorium and Mens' and Women's Lockerooms. This modification will ensure a homogenous mechanical system throughout the entire faciltiy. ATTACHMENTS: Contract Modification Agreement No. 1 between the City of Bremerton and Air Systems Engineering, Inc. FISCAL IMPACTS (Include Budgeted Amount): None, this contract modification amount is within the overall budget for the "Jarstad Rehabilitation" project. APPROVALS: DEPARTMENT DIRECTOR: CITY ATTORNEY: MAYOR: FISCAL/BUDGET: C a nst+ Air OPERATIONS: COUNCIL PRESIDENT: RECOMMENDED MOTION: That the City Council approve Contract Modification No. 1 with Air Sytems Engineering, Inc. in the amount of $23,743.06, and authorize the Mayor to execute this contract modification subject to current City Administrative Policies and Procedures. COUNCIL ACTION: [,Z Approve ❑ Deny ❑ Postpone ❑ No Action AGENDA STATUS: +Press Esc Press Del ----- ---------------------------------------------- Key to Insert new record, Ctrl -Z to Clear form Key to Terminate Insert Mode INSERT Contract Maintenance Contract Number 4349 endor Name AIR SYSTEMS ENGINEERING INC ubject MECHANICAL UPGRADE - GLENN JARSTAD AQUATIC CENTER epartment PARKS tatus Code CON Amount $263184.11 Begin Date 04/23/2003 Insurance End Date 08/31/2003 Type Amount Review Date 08/01/2003 Press Fl for GL $2000000.00 valid insuranceAL $1000000.00 type codes Insurance Total $3000000.00 Insurance Review Date 02/01/2004 Comments +--------------------------------------------------------------------------+ CONTRACT MECHANICAL UPGRAGE This agreement, made and entered into in triplicate, this 27 th day of March .200-3 by and between the City of Bremerton, hereinafter called the City and Air Systems Engineering, Inc. hereinafter called the Contractor: Witnesseth: That in consideration of the terms and conditions contained herein and attached and made a part of this agreement, the parties hereto covenant and agree as follows: I. The Contractor shall perform all procurement, demolition, assembly, installation, and furnish all necessary labor, tools, incidental materials, parts and equipment for the complete and operational mechanical, electrical upgraded system, and Direct Digital Control system (DDC) as specified for the Mechanical Upgrade at Glenn Jarstad Aquatic Center. All work to be in accordance with and as described in the Specifications, Division 3, 15, and 16, Instructions to Bidders, General Provisions and Special Provisions, which are by this reference incorporated herein and made a part hereof, and shall perform any alterations in or additions to the work provided under this contract and every part thereof. Work shall start within ten (10) calendar days after the date of Notice to Proceed is issued to the Contractor and shall be complete and operational in one hundred twenty (120) calendar days. If said work is not completed within the time specified, the contractor agrees to pay to the City in accordance with Section 1-2.06(C) of these Contract Specifications for each calendar day said work remains incomplete after expiration of the specified time as liquidated damages. The Contractor shall provide and bear the expense for a complete and operational system, procurement, installation, equipment, tools, material and labor of any sort whatsoever that may be required for the transfer of materials and for construction and completing the work provided for in this contract and every part thereof, except such as mentioned in the Specifications to be performed by the City. II. The City hereby promises and agrees with the Contractor to employ and does employ the Contractor to provide design, engineering, procurement, installation and all necessary labor and materials and to do and cause to be done the above described work to complete and finish the same according to the performance specifications and the terms and conditions herein contained and hereby contracts to pay for the same according to the attached specifications and the approved bid as attached hereto incorporated by reference, at the time and in the manner and upon the conditions provided for in this contract. MECHANICAL UPGRADE Bidders Checklist & Forms City of Bremerton Glenn larAad Aquatic Center 2-17 CONTRACT MECHANICAL UPGRADE III. The Contractor for themselves, and for their heirs, executors, administrators, successors, and assigns, do hereby agree to fulfill the performance of all covenants herein contained upon the part of the Contractor. IV. It is further provided that no habrTtty shall attach to the City of Bremerton by reason of entering into this contract, except as expressly provided herein. V. INDEMNIFICATION: Contractor shall defend, indemnify and hold the City, its officers, officials, employees, agents, volunteers and assigns harmless from any and all claimti injuries, damages, losses or suits, including all legal costs and attorney fees, arising out oTor in connection with the performance of this contract, except for injuries and damages caused by the sole negligence of the City. The City's inspection or acceptance of any of Contractcr's work when completed shall not be grounds to avoid any of these covenants of indemnification. Should a court of competent jurisdiction determine that this contract is subject to RCW 4.24.115, then, in the event of liability for damages arising out of bodily injury to persons or damages to property caused by or resulting from the concurrent negligence of the Contractor and the City, its officers, officials, employees, agents and vohmteers, the Contractor's liability hereunder shall be only to the extent of the Contractor's negligence. IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THE INDEMNIFICATION PROVIDED HEREIN CONS71TUTES THE CONTRACTOR'S WAIVER OF IMMUNITY UNDER INDUSTRIAL INSURANCE, TITLE 51 RCW, SOLELY FOR THE PURPOSES OF THIS INDEMNIFICATION. THE PARTIES FURTHER ACKNOWLEDGE THAT THEY HAVE MUTUALLY NEGOTIATED THIS WAIVER. The provisions of this section shall survive the expiration or termination of this contract. VI. INSURANCE: The Contractor shall procure and maintain, during the term of construction and throughout the specified term of maintenance, insurance of the types and in the amounts described below against claims for injuries to persons or damage to property which may arise from or in connection with the performance of the work hereunder by the Contractor, its agents, representatives, employees, sub-consuhants and/or subcontractors. MECHANICAL UPGRADE Bkkkn Checklist & 17 n City of Branerton Glenn Jarstad Aquatic Center 2.18 CONTRACT MECHANICAL UPGRADE Before beginning work on the project described in this contract, the Contractor shall provide a Certificate of Insurance evidencing: 1. Automobile Liability insurance with limits no less than $1,000,000 combined single limit per accident for bodily injury and property damage; and 2. Commercial General LiabLtty insurance written on an occurrence basis with limits no less than $1,000,000 combined single limit per occurrence and general aggregate for personal mjury, bodily injury and property damage. Coverage shall include but not be limited to: blanket contractual; products/completed operations(broad form property damage; explosion, collapse and underground (XCU); and employer's liability. 3. Excess Liability insurance with limits not less than $1,000,000 per occurrence and aggregate. The insurance must refer to the project name, project location and contain a brief description of the project. Any payment of deductible or self insured retention shall be the sole responsibility of the Contractor. The City, its officers, officials, employees, agents and volunteers shall be named as an additional insured on the insurance policy, as respects work performed by or on behalf of the Contractor and a copy of the endorsement naming the City as additional insured shall be attached to the Certificate of Insurance. The Contractor's insurance shall contain a clause stating that coverage shall apply separately to each insured against whom claim is made or suit is brought, except with respects to the limits of the insurer's liability. The Contractor's insurance shall be primary insurance as respects the City, and the City shall be given thirty (30) calendar days prior written notice by certified mail, return receipt requested, of any cancellation, suspension or material change in coverage. The City also reserves its unqualified right to require, at any time and for any reason, proof of coverage in the form of a duplicate of the insurance policy with all endorsements as evidence of coverage. Proof of coverage shall be provided to the City in the form of a Certificate of Insurance and shall include additional insured endorsements as evidence of coverage. The City also reserves its unqualified right to require, at any time and for any reason, proof of coverage MECHANICAL UPGRADE Bidden Checklist & Fors City of Bremerton Gleet Jarsnd Aquatic Cella 2.19 CONTRACT MECHANICAL UPGRADE in the form of a duplicate of the insurance policy with all endorsements as evidence of coverage. Approval of required insurance is a condition precedent to the execution of this contract. In witness whereofthe parties hereto have caused this agreement to be executed the day and year first hereinabove written Approved: City Attorney MECHANICAL UPGRADE City of Bremerton Glenn Jarstsd Aquatic Center 2-20 Contractor Air Systems Engineering,�I� By cle, �: Curtis M. Anderson, President Date March 27, 2003 Bidders Checklist & Forms PERFORMANCE BOND/PAYWNT BOND Know all men bytlm°presents: Bond No. 103770359 That we, Air stems EnRineering Inc. prmCiple, andTrayelersers Cly and Surety Comuanv of Amer as edstimg under the laws of the state of W '£Corporation organized and ama�gton, as a surety corporatio qualify under the laws of Washington to become surety upon bonds of contractors with rporations, 'as surety, are Jointly and severalty held and firmly bound to City of Bremerton, Washington as owner in the penal SUM of $ 263,184.11 for payment of which sum on demand we bind ourselves and our successors, heirs, administrators or personal representatives, as the case may be. The obligation is entered into in pursuance of the statutes of the State of Washiogt n, and Kitsap -- —_ County, and Ordinances of the City of Bremerton, Washington. o Dated at Tacoma_- WAthis 27th dayof March 20 03 Nevertheless, the conditions of the above obligation are such that: Whereas, the owner bas let or is about to let the said above bonded said contract being nuMberedAB03-037 Peri* a certain contract, the Jarstaatic Center ding �r Mechanical Upgrade at Glenn herein and made a PNt hereof as though attached heretolwhich Conte is referred to or is about to acoepl; the said cotrhact, and undertake to � whereas, the said principal has accepter manner and within the •time set forth perform the work therein provided for in the Now, therefore, if the said principal shall 1�rm all of the manner and within the -the therein set forth, or within such "tensions of said contract in the said contract, and slalE pay all laborers,extensions of as may be grantalled under who shall supply sail mechanics, subcontractors and material me%and persons said work, a� shall he said d owner harmless from with Provisions and supplies for the carrying on of Property by reason ll h care to � occasioned to an rry lesme.Rs or or e ° Y person or in the performs of .aid work,negLgerrce on the part of said pnrciple, or any sub -contractor and shall ' loss, or expemse by reason of failure of nxienuafy and hold the owner harmless from any damage, aPPearnrg orO specified m said contract or defects from within a period devef rx! year in the material c workmanship Provided or performed under said contract Obligation shall be vo;InE;b after its acceptance thereof by the owner then and in that event this kl otherwise it shall be and remain in full farce and effect. A&CHAHICAL UPGJUDE City ofBMrWb ,t 01e J.1t d AquaticCwter Z_Zl Bidden CMckliat&Fomw PERFORMANCE BOND/pAyMFNT BOND Air Systems Engineering, Inc. Owner Contractor .B4rt1 Curtis M. Andes.), �1r)e Pr dent Title Travolar Cas ualty and Suretv Company of �Cotnpeny America -- By _ Karen Swanson, Attorney-inrFact Bratrud Middleton Insurance NaZoi��� Local Agtcy P. 0. Box 2940 Tarnma_ X 9$401 Address of Local Agency 12531759-2200 Pbone Number of Local Ag,,, 103770359 Bond Number AffiCHANIC.IL UPGRADE CIh of BMW= Gleam 7anhd Aquatic Cmter 2-22 Bidden Checklist & Fame Travels L.__. IMPORTANT DISCLOSURE NOTICE OF TERRORISM INSURANCE COVERAGE On November 26, 2002, President Bush signed into law the Terrorism Risk Insurance Act of 2002 (the "Act'). The Act establishes a short-term program under which the Federal Government will share in the payment of covered losses caused by certain acts of international terrorism. We are providing you with this notice to inform you of the key features of the Act, and to let you know what effect, if any, the Act will have on your premium. Under the Act, insurers are required to provide coverage for certain losses caused by international acts of terrorism as defined in the Act. The Act further provides that the Federal Government will pay a share of such losses. Specifically, the Federal Government will pay 90% of the amount of covered losses caused by certain acts of terrorism which is in excess of Travelers' statutorily established deductible for that year. The Act also caps the amount of terrorism -related losses for which the Federal Government or an insurer can be responsible at $100,000,000,000.00, provided that the insurer has met its deductible. Please note that passage of the Act does not result in any change in coverage under the attached policy or bond (or the policy or bond being quoted). Please also note that no separate additional premium charge has been made for the terrorism coverage required by the Act. The premium charge that is allocable to such coverage is inseparable from and imbedded in your overall premium, and is no more than one percent of your premium. TRAVELE I7ASUALTY AND SURETY COMPANY OFA RICA TRAY ELERS CASUALTY AND SURETY COMPAN r FARMINGTON CASUALTY COMPANY Hartford, Connecticut 06183-9062 POWER OF ATTORNEY AND CERTIFICATE OF AUTHORITY OF ATTORNEY(S)-IN-FACT KNOW ALL PERSONS BY THESE PRESENTS, THAT TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FARMINGTON CASUALTY COMPANY, corporations duly organized under the laws of the State of Connecticut, and having their principal offices in the City of Hartford, County of Hartford, State of Connecticut, (hereinafter the "Companies") hath made, constituted and appointed, and do by these presents make, constitute and appoint: Brad Roberts, Eric Zimmerman, Jack P. Sutton, Joanne Reinkensmeyer, Karen Swanson, Kip W. Vandeventer, Randolph J. Carr, Robert E. Heilesen, Stacy Cutbirth, Tracey L. McKinley, Holli Lagerquist, Michelle R Post, Lisa Kerstetter, of Tacoma, Washington, their true and lawful Attorney(s)-in-Fact, with full power and authority hereby conferred to sign, execute and acknowledge, at any place within the United States, the following instrument(s): by his/her sole signature and act, any and all bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional undertaking and any and all consents incident thereto and to bind the Companies, thereby as fully and to the same extent as if the same were signed by the duly authorized officers of the Companies, and all the acts of said Attorney(s)-in-Fad, pursuant to the authority herein given, are hereby ratified and confirmed. This appointment is made under and by authority of the following Standing Resolutions of said Companies, which Resolutions are now in full force and effect: VOTED: That the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys -in -Fact and Agents to act for and on behalf of the company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her. VOTED: That the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation is in writing and a copy thereof is filed in the office of the Secretary. VOTED: That any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary, or (b) duly executed (under seal, if required) by one or more Attomeys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority. This Power of Attorney and Certificate of Authority is signed and sealed by facsimile (mechanical or printed) under and by authority of the following Standing Resolution voted by the Boards of Directors of TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FARMINGTON CASUALTY COMPANY, which Resolution is now in full force and effect: VOTED: That the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any power of attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attomeys-in-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which it is attached. (11-00 Standard) CONTRACTOR'S DECLARATION OF OPTION FOR MANAGEMENT OF STATUTORY RETAINED PERCETAGE RCW 60.28 A. I hereby elect to have the retained percentage of this Contract hel in a the Owner unti l(30) days following final acc a oft work fiin Date: Z/ 16 i Signed: B. I herby elect to have the Owner deposit the retained percentage of this Contract in an interest bearing account, not subject to withdrawal until final acceptance of the work. Date: y . C. I herby elect to have the Owner invest the retained percentage of this Contract from time to time as such retained percentage accrues. I hereby designate for the escrow of said fiords. the repository I choose option (B) or (C) I hereby agree to be fiully responsible for payment of all costs or fees incurred as a result of placing said retained percentage in escrow and investing it as authorized by statute. The Owner shall not be liable in any way for any costs or fees in connection therewith Release of retained percentage will be made within forty five (45) days following the Completion Date as authorized by statute providing the following conditions are met: 1. No claims, as provided by law, have been filed against the retained percentage. 2. Affidavit of Wages Paid is on file with the Contracting Agency for the Contractor and all Subcontractors regardless of tier. Date: March 27, 2003 The Contractor is herby advised that by signature of this proposal he/she is deemed to have acknowledged all requirements and signed all certificates contained herein. MECHANICAL UPGRADE Bidders Chxklist & Forms City ofBrcmrton Glenn Jarstad Aquatic Cmter 2-23 CERTIFICATE OF LIABILITY INSURANCE rATE (M /DD/YYYY) 10/22/2018 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 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 USI Southwest 9811 Katy Freeway, Suite 500(AIC, CONTACT NAME: PHONE FAX A/c No Ext): 713-490-4600 AIC No): ADDARESS: COMfOrt-SYStems@usi.com Houston TX 77024 INSURERS AFFORDING COVERAGE NAIC 11 Y INSURER A: Catlin Specialty Insurance Com an 15989 11/1/2018 INSURED COMFOSYS Air Systems Engineering 3602 South Pine Street INSURER B: Travelers Property Cas. Co. of America 25674 INSURER C: Travelers Property Casualty Company of America 25615 INSURER D: Zurich American Insurance Company of IL 27855 Tacoma, WA 98409 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 571649319 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. ILTR TYPE OF INSURANCE AIN D WV R POLICY NUMBER EFF MBR M DDY/YYYY I POLICY EXP MM/DD/Y Y LIMITS B X COMMERCIAL GENERAL LIABILITY Y Y VTC2JCO4E995410TIL18 11/1/2018 11/1/2019 EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE � OCCUR DAMAGE (RENTED ccurrence)$50,000 PREMISES Ea. occurrence) MED EXP (Any one person) $ 5,000 X Contractual Liab X XCU Included PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY jE LOC PRODUCTS - COMP/OP AGG $ 4,000,000 $ OTHER: B AUTOMOBILE LIABILITY Y Y VTC2JCAP4E995422TIL18 11/1/2018 11/1/2019 COMBINED SINGLE LIMIT Ea accident $ 2,000,000 BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE $ Per accident B X UMBRELLA LIAB X OCCUR Y Y VTSMJCUP4E995434TIL18 11/1/2018 11/1/2019 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 EXCESS LIAB CLAIMS -MADE DED X RETENTION $ $ C B WORKERS COMPENSATIONY AND EMPLOYERS' LIABILITY YIN UB9K6966331825K UB1L33970A1825R 11/1/2018 11/1/2018 11/1/2019 11/1/2019 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 OFFICER/IMANY RIE TOR EXCLUDED?EXECUTIVE � N / A E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under — — -- DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 D Installation/Builders Risk CPP017374605 11/1/2018 11/1/2019 7,500,000/5,000,000 A Proff/Pollution CE0744642001 11/1/2018 11/1/2019 10,000,000 Per Claim/Agg DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder is included as Additional Insured (except as respects coverage afforded by the Workers Compensation and Professional policies) and is granted a Waiver of Subrogation as required by written contract, but only for liability arising out of the Operations of the Named Insured. This insurance certified herein will apply as Primary and Non- Contributory as required by written contract. No policy will permit cancellation or modification without thirty (30) days prior written notice to the Certificate Holder. Umbrella is Follow Form. RE: Glenn Jarstad Aquatic Center, Mechanical Upgrade (#AB03-037) The City of Bremerton, its officers, officials, employees, agents and volunteers are included as an additional insured (except as respects all coverage afforded by the Worker's Compensation Policy) and are granted a waiver of subrogation as See Attached... CERTIFICATE HOLDER CANCELLATION ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Bremerton ACCORDANCE WITH THE POLICY PROVISIONS. Public Works & Utilities AUTHORIZED REPRESENTATIVE 3027 Olympus Drive Bremerton, WA 98310 f ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: COMFOSYS LOC #: A� oRo® ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED USI Southwest Air Systems Engineering 3602 South Pine Street Tacoma, WA 98409 POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE (required by written contract, but only for liability arising out of the operations of the named insured. This insurance certified here in will apply as primary & non-contributory as required by written contract. M -Wm✓ IV I icuU01V 1) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD USI INSURANCE SERVICES CERTIFICATE RETURN MAIL PROCESSING P.O. BOX 629035 EL DORADO HILLS CA 95762-9035 CITY OF BREMERTON PUBLIC WORKS & UTILITIES 3027 OLYMPUS DR NE BREMERTON WA 98310-4620 R