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HomeMy WebLinkAbout4370+Enter Search Criteria, Press Eec Key to Transmit Press Del Key to Terminate Delete Mode CHANGE Contract Transactions Contract Number 4370 ~Vendor Name HISEY CONSTRUCTION INS +Subject PUMP STATION ~8 - CONSTRUCTION OF SDepartment ENGINEERING Status Code CON Amount $556856.92 Begin Date 06/23/2003 Insurance End Date 06/10/2004 Type Amount Review Date 02/15/2006 + G~ ~2oooooo.oo + AL ~1000000.00 + Insurance Total $3000000.00 Insurance Review Date 10/01/2004 Comments CHANGE ORDER #1 - 10/03 #2 - 4/04 VAULT 01/01/2006 + Date: J~e 10, 2004 To: Micheel Wilson, Finm~e Director CC: Project File t From: Millie Vellegas, PW&U Finance Mw ~ Subj~t: West 650 - PS #8 & 12" TM - Rel~ of Remin~e Bond All required releases from State agencies have been received and the lien advertising period has expired. Please release the reminage bond for the following project: Project Title: West 650 - PS #8 & 12" TM Contractor: Hisey Construction Inc. Project Number: 430 Purchase Order Number: 31046E Institution holding Retainage Bond: Travelers Casualty & Surety Company of America (please see attached Bond No. 104092068) Originals of the following Washington State releases and documents are attached for your records: 1. Certificate of Payment of State Excise Taxes- Department of Revenue 2. Employer Liability Certificate - Department of Labor & Industries 3. Ceffificate of Payment of Contributions - Department of Employment Security 4. Affidavit of Publication of the Lien Notice - The Sun or other publication 5. Final Waiver of Lien 6. Consent of Surety for Final Payment Washington State Department of Revenue PO Box 47474 Olympia, WA 98504-7474 601 582 005 Certificate of Payment of State Excise Taxes by Public Works Contractor HISEY CONSTRUCTION INC CITY OF BREMERTON PUBLIC WORKS 6376 NE TOLO RD DAN MILLER BAINBRIDGE ISLAND WA 98110 3475 3027 OLYMPUS DR NE BREMERTON WA 98310 4799 We hereby certify that taxes, increases and penalties due or to become due from the above-named contractor under Chapter 180, Laws of 1935, as amended, with respect to the following public works contract: CITY OF BREMERTON PUBLIC WORKS 4370, PUMP STATION #8 together with all other taxes, increases and penalties due from such contractor, have been paid in full or that they are, in the Department's opinion, readily collectible without recourse to the state's lien on the retained pementage. This certificate is issued pursuant to the provision of Chapter 60.28 Revised Code of Washington for the sole purpose of informing the state, county, or municipal officer charged with the duty of disbursing or authorizing the payment of public funds to said contractor that the Department of Revenue hereby releases the state's lien on the retained pementage provided by this Chapter for excise taxes due from said contractor. This certificate does not release said contractor from liability for additional tax that may be later determined to be due with respect to the above-mentioned contract or other activities. Dated ,.~'t~,~., ~ Odc at Olympia, Washington, State of Washington Department of Revenue Ce~ifying Officer ~ ~R~¥~N~ Olympia WA 98504-7474 Contractor's Registration No. (UBI No.) Cdr ~ - Date ~' ' - ' ~ · · ,7 - NOTICE OF COMPLETION OF PUBLIC WORKS CONTRACT From: Name & Addr~ ~ ~ Departmeat U~e Only : Assigned To ~ Date Assigned Notice is hereby given relative to the completion of contract or project described below De~on of Contract . Contract Number '/--~.,:>,- ~.,, .:, ,,/ : .- Contractor's Name _ Telephone Number ~ .-..~Y~-~ -. . ~- . ..:.- Date Work Commenced Date Work Completed ' I Date W.grk Accepted ~-'/0- '~ ~ ..... '~" ' ' Surety or Bonding Company ~-~'~' ,. ~ ~' ..~ ---~,~"' / ~ e-- ~ ,.~ ~ / -'~ /~ . I.-, ~ ~'-,~ '~/~: c,? . ,~. / / ", 7/¢"/~,~,~ -' .... ' ' '~' ' ' Contraet~o~t $ ~7:~C,' d~O, ,.::: ~o~tDisb~ed $" ~- '~ Additions d'7' ;?~/ ~ Amo~tRe~n~/ .f.,~z: ,~f! ~ ,/~ Reductions ., ~: ~ TOT~ $ Sub-Total $ .~o~-. ~3y ,,~ ~o~t ofSales T~ Paid m ~' 2% ,~.,~",, ~ ~,~ (~vario~ rates apply, ple~e send a b~ea~o~.) ~,.~ , = .... Phone Nmber :: /. - ~e Disb~ing Officer must complete ~d mail THREE copies of~is notice to the Dep~m~t of Revenue, P.O. Box 47474, Ol~pia, WA 98504-7474, immediately a~ accept~ce of the work done ~d~ ~is contract. NO PA~ENT S~LL BE MADE FROM RETAINED F~DS until r~eipt of Depa~m~t's ce~ificate, ~d th~ only in accordmce with said ceaificate. To inquire about the availability oFthis document in an alternate fo~at for the vis~lly impaired or a language other th~ English, please call (360) 753-3217. Teletype (TTY) users may call (800) 451-7985. You may also access tax info~ation on our Interact home page at http:lldor, wa.gov. Verify Premium Status - L&I - Washington Department of Labor and Industries Page 1 of 1 Verify Premium Status Of your contractor or other employer Employer Liability Certificate Check to see if this business is reaistered as a contractor with LNI. Review ExPerience Factor History for this business. Department of Labor & Industries Employer Liability Certificate Date: 6/7/2004 UBI Number 601 582 005 Legal Business Name HISEY CONSTRUCT[ON INC Firm Account Number 877,226-00 "Ooing Business As" (DBA) Name HISEY CONSTRUCTION (~uarterly Premium Reports Quarter :1 of Year 2004 Received ThrouBh Account is Current Employsr Industrial Firm has voluntarily reported and paid Insurance Statue their premiums. Account Manager T6 / DIANA SISSON (360)902-4822 The information above shows the employer's industrial insurance (workers' compensation) premium status with the Department of Labor and Industries. Employers report and pay premiums each quarter based on hours of employee work already performed and are liable for premiums found later to be due. Industrial insurance accounts have no policy periods, cancellation dates or limitations of coverage. (See RCW51.12.050 and 51.16.190.) Note: Under Washington State law*, you may be liable for the unpaid industrial insurance (workers' compensation) premiums of anyone you contract with. (*See RCW 51:12 O7O ) T~ a new Search I LEI Home I Claims & Insurance I How to Verify Premium Status Use of this Web site, its applications and connections subject to L&I Web Usage Polio, including Access Aoreement. Privacy E Security Statement, Intended Use/External Content Policy Copygght © 1995 - 2003 Washington State Department of Labor and Industries - All Rights Reserved https://wws2 .wa.gov/lni/cruaYcrua 1 .asp?AcctId=87722600 6/7/2004 EMPL©Y~v~ENT SECURITY Box 9046 · Olym£ia, ~VA CONTRACTOR: HISEY CONSTRUCTION INC ) CERTIFICATE OF 6376 NE TOLO ROAD ) PAYMENT OF CONTRIBUTIONS BAINBRIDGE ISLAND, WA 98110 ) PENALTIES AND INTEREST ON ) PUBLIC WORKS CONTRACT ES Reference No. 816926-00 2 TO: CITY OF BREMERTON PUBLIC WORKS 3027 OLYMPUS DR BREMERTON, WA 98310 The Employment Security Department hereby certifies those contributions, penalties and interest due from the above named contractor under the Employment Security Act have been paid in full or provided for with respect to the following public works contract: 4370 The Employment Security Department hereby certifies that it has no claim pursuant to RCW 50.24.130 against the public body named above for tax attributable to service performed for said public body by the above named contractor on the above described contract. The Employment Security Department releases its lien on the retained percentage, which is provided by RCW 60.28.040 for contributions, penalties and interest due from said contractor. This certificate does not release said contractor from liability for additional contributions, penalties and interest which may be later determined to be due with respect to the above mentioned contract. Dated at Olympia, Washington on May 10, 2004. COMMISSIONER EMPLOYMENT SECURITY DEPARTMENT B~~R~epres~e~ Original--Disbursing Officer Duplicate--Employer Triplicate--Central Office Files EMS 8449 760 R3-98 AFFIDAVIT OF PUBLICATION No. Ad # 100102580 STATE OF WASHINGTON COUNTY OF KITSAP I, Valerie Zoller, being first duly sworn on oath, deposes and says: That she is now, and at all times embraced in the publication herein mentioned was the principal clerk of the printers and publishers of THE SUN; that said newspaper has been approved as a legal newspaper by order of the Superior Court of the County of Kitsap, in which County it is published and is now and has been for more than six months prior to the date of the publication hereinafter referred to, published in the English language continually as a daily newspaper in Bremerton, Kitsap County, Washington, and is now and during all of said time, was printed in an office maintained in the aforesaid place of publication of said newspaper; April 27, 2004 and that such newspaper was regularly distributed to its subscribers during all of said period. That the full amount of the fee charged for the foregoing publication is the sum of $36.42 which amount has not been paid in full. (Signature of Principal Clerk) Subscribed and sworn to before me this day of May 6, 2004. Notary Public in and for the State of Washington, K~tsap County. ~' '-~.Y:.~.' O' o~ x NOTICE OF FINAL COMPLETION' Notice of final completion has been filed with the City of Bremerton on Wednesday, April 7, 2004 by Hisey Construction, Inc., Bainbridge Island, Washington for Contract 4370 - West 650 Pressure Zone Improvements - Pump Station No. 8 located at 7300 Werner Road, Bremerton, Washington.- Any parties having a claim for materials, labor or damages with refenced to this contract have thirty (30) days from the date of first publication of this notice to file a claim.- Bill Eley- Purchasing Manager- 239 4th Street- Bremerton, WA 98337- April 27, 2004°.#100102580- FINAL WAIVER OF LIEN To All Whom It May Concern: WH ER EAS. the undersigned has been employed by (A) C to furnish labor and materials for (B). PO ?w p work, under a contract {C) for the improvement of the premises described as (D}. inthe ~ ¢-. ~,~E:~-C 0f.J (Citv_V.~ of County of State oL of which. ~ ~ O~ is the Owner. UbW, THEREFORE, this ~ day of. ~t~ 20~ , for and in consideration of the sum of (E) ~ ,~. oO Dollars paid simultaneously herewith, the receipt whereof is hereby acknowledged by ~e undersigned, the u~n~oes herebywaive and release any lien rights to. or claim of lien with respe~ to and on said abov~describ~.premises, a~d t~e impr~- merits thereon, and on the monies or other considerations due or to ~come due from ~e owner~ on account o~r. so.ices. material, fixtures, apparatus or machinery heretofore or which may hereafter be furnished by the undersigned to or for the above- described premises by vi~ue of said co~tra~. (Name of ~le ~nershi~ co.ration 0r pa~nership) (Affix corporate ' (Sl9~f ~ Represem.tive)' seal here) oriz~ (SEAL) TITLE: INSTRUCTIONS FOR FINAL WAIVER (A) Person or firm with whom you agre~ to furnish either labor, or ser~ces, or materials, or both. (8) Fill in nature and e~ent of work; strike the word labor o~the word materials if not in your contract. (C) If you ha~ more than one contract on the same premises, describe the contra~ by number if available, date and extent of work. (D) Furnish an accurate enough description of the improvement and lo.lion of the premises ~ that it ~n be distinguished from any other prope~y. (E) Amount shown should be the amount actually received and equal to total amount of contra~ as adjusted. (F) If wai~er is for a corporation, corporate name should be used, corporate seal affixed and title of officer signing waiver should be set forth; if waiver is for a partnership, the pa~nership qume should be used. pa~ner should sign and designate hi.elf as pa~ner. CONSENT OF SURETY For Final Payment Pro]ectName '~'J~w~O ~I'¢~T~O~.J ~ Project No. ~ ~ O Contract No. ~ ~ q O Type of Contract ~o~ %~ ~ ~ ~ ~O ~ In accordance with the provisions of the above-named contract between the Owner and the Contractor, the following named surety: Travelers Casualty and Surety Company of America on the Payment Bond of the following named Contractor: hereby approves of final payment to the Contractor, and further agrees that said final payment to the Contractor shall not relieve the Surety Company named herein of any of its obligations to the following named Owner: as set forth in said Surety company's bond: City of Bremerton 239 4th Street Bremerton, WA 98337 lNWITNESSWHEREOF,theSuretyCompanyhashereuntosetitshandandsaalthis 29th dayof April ~o04 Travelers Casualty and Surety Company of America (Name of Surety Company) By: / C~'~Si9 nat -r~ o~ A~ ~r~z ed~ee p r~se n t a tive ) (Affix corporate seal here) Darlene Jakielski TITLE Attorney-In-Fact TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA TRAVELERS CASUALTY AND SURETY COMPANY 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 Ci~ 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: Darlene Jakielski, Julie M. Glover, M. J. Cotton, Mike Amundsen, Nancy J. Osborne, S. M. Scott, Steven K. Bush, Michael A. Murphy, Jim W. Doyle, Lawrence J. Newton, Andy D. Prill, Roxana Palacios, Jim S. Kuich, John C. Beeson, Viki Baum, of Bothell, Washington, their true and lawful At~omey(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, recogmZance or condilinnal 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- Fact, pursuant to the authority herein given, are hereby ratified and confmned. fhis 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, conffacts 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 Attorneys-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 Attorneys-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~)0 Standard) IN WITNESS ~HEREOF, TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FARMINGTON CASUALTY COMPANY have caused this instnunent to be signed by their Senior Vice President and theh' corporate seals to be hereto affixed this 6th day of January, 2004. STATE OF CONNECTICUT TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA TRAVELERS CASUALTY AND SURETY COMPANY } SS. Hartford FARMINGTON CASUALTY COMPANY COUNTY OF HARTFORD George W. Thompson Senior Vice President On this 6th day of Janus, 2004 before me personally came GEORGE W. THOMPSON to me kno~% who, being by me duly sworn, did depose and say: that he/she is Senior Vice President of TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FARMINGTON CASUALTY COMPANY, the corporations described in and which executed the above instrument; that he/she knows the seals of said corporations; that the seals affixed to the said instxttment are such corporate seals; and that he/she executed the said instrument on behalf of the corporations by authority of his/her office under the Standing Resolutions thereof. My commission expires June 30, 2006 Notary Public Marie C. Tetraault CERTIFICATE I, the undersigned, Assistant Secretary of TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FARMINGTON CASUALTY COMPANY, stock corporations of the State of Connecticut, DO HEREBY CERTIFY that the foregoing and attached Power of Attorney and Certificate of Authority remains in full force and has not been revoked; and furthermore, that the Standing Resolutions of the Boards of Directors, as set forth in the Certificate of Authority, are now in force. Signed and Scaled at the Home Office of the Company, in the City of Hartford, State of Connecticut. Dated this 29 t:h ,day of April ,20 0r Kori M. Johanson Assistant Secretary, Bond +Enter Search Criteria, Press Esc Key to Transmit SPress Del Key to Terminate Delete Mode CHANGE Contract Transactions Contract Number 4370 Vendor Name HISEY CONSTRUCTION INC +Subject PUMP STATION #8 - CONSTRUCTION OF +Department ENGINEERING +Status Code CON Amount $556856.92 Begin Date 06/23/2003 Insurance End Date 12/31/2003 Type Amount Review Date 02/15/2006 GL $2000000.00 AL $1000000.00 Insurance Total $3000000.00 Insurance Review Date 10/01/2004 + Comments CHANGE ORDER #1 - 10/03 #2 - 4/04 $ VAULT 01/01/2006 CITY OF BREMERTON CHANGE ORDER CONTRACT CHANGE ORDER NO: 02 PROJECT NAME: West 650 Pressure Zone Improvements - Pump Station No. 8 PROJECT NO: 430 CONTRACTOR: Hisey Construction, Inc. ORIGINAL CONTRACT AMOUNT: $575,375.50 CAb-DAYS: 180 PREVIOUSLY APPROVED CHANGES: $26,556.92 CAL.-DAYS: 1 THIS CHANGE: $3,773.98 CAb-DAYS: 0 REVISED CONTRACT AMOUNT: $605,706.40 CAL-DAYS: 181 This Change Order covers changes to the subject contract as described herein. The Contractor shalt construct, furnish equipment and materials, and per[orm all work as necessary or required to complete the Change Order Items. The increase or decrease in contract price shown below includes any applicable taxes. INCREASE IN (DECREASE) IN CONTRACT C r,- ~. CONTRACT CONTRACT TIME '- DESCRIPTION OF CHANGES AMOUNT AMOUNT EXTENSION -~ ~ ($) ($) (CAL.-DAYS): rr n, X Modify the 8-inch PRV Control Valve & add Flow Switch on Surge Valve incl. GC Systems modification to valve; add 4-inch saddle for Flow Switch; and telemetry tie-tn of flow switch to PLC 0NCD#8) ................................................................ $3,773.98 NET CHANGE IN CONTRACT AMOUNT (Increase) $3,773.98 $0.00 0 Contractor acknowledges and accepts that this Change Order constitutes final settlement of all claims of any kind or nature arising from or connected with any work either covered or affected by this Change Order, including, without limitation, claims related to contract time, on-site or home office overhead, or lost profits. Nothing in this Change Order shall limit the City's right to bdng a claim for past performance. The undersigned Contractor approves the foregoing Change Order as to the changes, if any, in the contract price specified for each item, including any and all supervision costs and other miscellaneous costs relating to the change in work, and as to the extension of time allowed, if any, for completion of the entire work due to said Change Order. This document will become a supplement of the contract and all provisions will apply hereto. It is understood that this Change Order shall be effective when approved by the City of Bremerton. The parties whose names appear below warrant that they are authorized to enter into a change order that is binding on the parties of this contract, in addition, Contractor warrants that it has or will inform the surety of this change, and shall take aDDrooriate action to modifv anv bonds reauired under the contract to address this chanae. CONTRACT CHANGE ORDER NO: 02 PROJECT NAME: West 650 Pressure Zone - Pump Station No. 8 Date DrR'ECTOR 'OF PUBLfC WORKS & UTILITIES Date CITY ENGINEER Date ACCEPTED: \~"' ,_ z~-- Z~::~ ---0 OR: Hisey Construction, Inc. Date APP.OVE. ASTOrO..: A~E~ fl/ C~ i~"Cte~k/,~'-- Page 2 of 2 :Enter Search Criteria, Press Esc Key to Transmit ~Press Del Key to Terminate Delete Mode CHANGE Contract Transactions Contract Number 4370 Vendor Name HISEY CONSTRUCTION INC :Subject PUMP STATION #8 - CONSTRUCTION OF :Department ENGINEERING :Status Code CON Amount $556856.92 Begin Date 06/23/2003 Insurance End Date 12/31/2003 Type Amount Review Date 12/01/2003 GL $2000000.00 AL $1000000.00 Insurance Total $3000000.00 Insurance Review Date 10/01/2003 Comments CHANGE ORDER #1 - 10/28/03 + CITY OF BREMERTON CHANGE ORDER CONTRACT CHANGE ORDER NO: 01 PROJECT NAME: West 650 Pressure Zone Improvements Pump Station No. 8 PROJECT NO: 430 CONTRACTOR: Hisey Construction, Inc. ORIGINAL CONTRACT AMOUNT: $575,375.50 CAE-DAYS: 180 PREVIOUSLY APPROVED CHANGES: 0.00 CAL.-DAYS: 0 THIS CHANGE: 26,556.92 CAL.-DAYS: 1 REVISED CONTRACT AMOUNT: $601,932.42 CAL-DAYS: 181 This Change Order covers changes to the subject contract as described herein. The Contractor shall construct, furnish equipment and materials, and perform all work as necessary or required to complete the Change Order Items. The increase or decrease in contract pdce shown below includes any applicable taxes. INCREASE IN (DECREASE) IN CONTRACT CONTRACT CONTRACT TIME DESCRIPTION OF CHANGES AMOUNT AMOUNT EXTENSION ($) ($) (CAL.-DAYS) Chanoes oar Work Chanee Directives R/VCD) Provide and install one (1) Link-Seal Kit at wall penetration of the 8-inch diameter zone ieter-fle pipe (WCD~I) ......................................................... $0.00 $0.00 0 Provide and install metal pump void forms (WCD#2) ..................................... $1,444.58 1 construct additional shallow floor trench for gage piping & instrumeofaUon (WCD~3) ...................................................................................................... $1,671.20 0 Provide and install 12-inch magnetic flow meter (~NCD#4) .................................. $1,503.79 0 Delete fiber opSc cable, 2-inch phoee conduit, and 2-inch spare conduit to generator; and Add 2-inch underground conduit, extend PSE conduit to nearest power pole, and re-locate transformer per PSE drawing (WCD~5) ................................... $0.00 $0.00 O Revise Reservoir No. 8 inlet piping as shown on Detail 6/C-2 (WCD~6) .............................................................................................. $2,606.60 0 Provide 300 psi "BHP' seriss valves on discharge side of pumps in lieu of specified 250 psi "BRS' series val~ms (WCD~7) ........................................... $8,700.87 0 Chanees eer Field Meefino N(~t~ Changes to interior paint schedule ............................................................ $0.00 $0.00 0 Add two (2) bollards at PSE transformer; and Delete portion of concrete gutter north of PS Building .................................... $0.00 $0.00 0 Install Smith Blair 8, 10 & 12-inch Uni-Flange couplings in lieu of the Omni Mdl. 441 couplers ......................................................................................... $200.00 0 Replace roof gutter with 6-inch w~le metal gutter, paint to match roof color ......... $460.00 0 Provide and install roof drain pipe to 6-inch underground drain line in lieu of specified splash block ..............................................................................$174.21 0 Provide and install replacement pump pipe spools ......................................... $2,475.56 0 Provide replacement generator receptacle to City that was inadvertently omitted from the specifications ..................................................................................... $1,619.14 0 Raise two (2) valve boxes to its modified finish grade elevation ....................... $277.55 0 CONTRACT CHANGE ORDER NO: 01 PROJECT NAME: West 650 Pressure Zone Improvements Pump Station No. 8 Excavate stormwater/overflow detention pond, finish contour grading, provide quarry spalls, hydroseeding, and 12-inch flapper gate .................................... $3,742.92 Subtotals ............................................................................................. $24,676.42 <$200.00> WASHINGTON STATE SALES TAX @ 8.5% .............................................. $2,080.50 NET CHANGE IN CONTRACT AMOUNT (INCREASE) $26,586.92 1 Contractor acknowledges and accepts that this Change Order constitutes final settlement of all claims of any kind or nature arising from or connected with any work either covered or affected by this Change Order, including, without limitation, claims related to contract time, on-site or home office overhead, or lost profits. Nothing in this Change Order shall limit the City's right to bring a claim for past performance. The undersigned Contractor approves the foregoing Change Order as to the changes, if any, in the contract price specified for each item, including any and all supervision costs and other miscellaneous costs relating to the change in work, and as to the extension of time allowed, if any, for completion of the entire work due to said Change Order. This document will become a supplement of the contract and all provisions will apply hereto. It is understood that this Change Order shall be effective when approved by the City of Bremerton. The parties whose names appear below warrant that they are authorized to enter into a change order that is binding on the parties of this contract. In addition, Contractor warrants that it has or will inform the surety of this change, and shall take appropriate action to .~,~ any bonds required under the contract to address this change. ~'OO ECT N"AGER Date DIRECTOR OF PUBLIC WORKS & UTILITIES / Datb ~! Date ACCEPTED: ~ _,J(///" JO- ~..~-O Hisey Construction, Inc. Date APPROVED: -~--- ~ ~ -- .~-~'~-z~>> MAYOR Date Page 2 of 2 ~Press Esc Key to Insert new record, Ctrl-Z to Clear form ~Press De1 Key to Terminate Insert Mode INSERT Contract Maintenance ~ Contract Number 4370 + ~Vendor Name HISEY CONSTRUCTION INC ~Subject PUMP STATION ~8 - CONSTRUCTION OF Department ENGINEERING Status Code CON Amount $575375.50 ~ Begin Date 06/23/2003 + Insurance End Date 12/31/2003 ~ Type Amount Review Date 12/01/2003 Press F1 for GL $2000000.00 valid insuranceAL $1000000.00 type codes ~ Insurance Total $3000000.00 ~ Insurance Review Date 10/01/2003 + + SECTION 00500 - AGREEMENT THIS AGREEMENT is dated the ~ day of ~ in the year 20~O,~ by and between City of Bremerton (hereinafter called CITY~ and Hisey Construction, Inc. (hereinafter called CONTRACTOR). CITY and CONTRACTOR, in consideration of the mutual qovenants hereinafter set forth, agree as follows: ARTICLE 1. WORK. CONTRACTOR shall complete the WORK as specified or indicated in the CITY's Contract Documents entitled West 650 Pressure Zone Improvements - Pump Station No. 8. ARTICLE 2. CONTRACT TIMES. The WORK shall be completed, to Substantial Completion within 150 Calendar Days after the CITY issues Notice to Proceed, and to Final Completion within 180 Calendar Days after the CITY issues Notice to Proceed. In addition, the WORK shall be completed in Phases and within the times or by the Dates Certain defined in Section 01313 of the Specifications. Time is of the essence as to each and every deadline set forth in this agreement. This provision has been specifically negotiated. ARTICLE 3. LIQUIDATED DAMAGES. CITY and the CONTRACTOR recognize that time is of the essence of this Agreement and that the CITY will suffer financial loss if the WORK is not completed within the times and Phases specified in Article 2 herein, plus any extensions thereof allowed in accordance with the General Conditions & Supplementary Conditions. The CITY and the CONTRACTOR also recognize the delays, expense, and difficulties involved in proving in a legal proceeding the actual loss suffered by the CITY if the WORK is not completed on time. Accordingly, instead of requiring any such proof, the CONTRACTOR shall pay the CITY $1,000 as liquidated damages for each day that expires after the dates or times specified in Article 2 herein for Substantial Completion and Final Completion of the WORK in accordance with the General Conditions and Supplementary Conditions. ARTICLE 4. CONTRACT PRICE. CITY shall pay CONTRACTOR for completion of the WORK in accordance with the Contract Documents in the amount set forth in the Bid Proposal, which shall include sales tax as provided in Section 00100 of the Specifications. ARTICLE 5. PAYMENT PROCEDURES. CONTRACTOR shall submit Applications for Payment in accordance with the General Conditions & Supple ;ntary Conditions. Applications for Payment will be processed by the OWNER as prov' .~ 'ein. Contracto itials D:\Pu \00500.doc AGREEMENT City ofq~emer PAGE 00500 - 1 Pump Sta'"fl~/~ 8 Construction Pro ~ct No. 430 ARTICLE 6. CONTRACT DOCUMENTS. The Contract Documents which comprise the entire agreement between CITY and CONTRACTOR concerning the WORK consist of this Contract (pages Contract-1 to Contract-3, inclusive) and the following attachments to this Contract: o Notice Inviting Bids, o Bidders Checklist, o Bid Proposal including the Proposal Forms, Information Required of Bidder, Bid Bond, and all required certificates and affidavits, o Performance Bond, o Payment Bond, o General Conditions, o Supplementary Conditions, o Economic Development Administration Supplemental General Conditions, o Contract Drawings, o Addenda numbers I to ~ , inclusive. o Change Orders which may be delivered or issued after Effective Date of the Agreement and are not attached hereto. There are no Contract Documents other than those listed in this Article 6. The Contract Documents may only be amended by Change Order as provided in the General Conditions & Supplementary Conditions. ARTICLE 7. INDEMNIFICATION. The CONTRACTOR and CITY acknowledge and agree that they have negotiated the following in accordance with the requirements of RCW 4.24.115 and the CONTRACTOR specifically waives his immunity under industrial insurance under Title 51 RCW. To the fullest extent permitted by Laws and Regulations, the CONTRACTOR shall indemnify, defend, and hold harmless the CITY, ENGINEER, and DESIGN ENGINEER, their consultants, subconsultants, and the officers, directors, employees, and agents of each and any of them, against and from any and all claims, injuries, damages, losses or suits, including all legal costs and attorney fees, all claims and liability arising under, by reason of, related, or incidental to the Contract Documents or any performance of the WORK, as set forth in Article SC - 6.20 of the Supplementary Conditions. Co Is D:\P/~h~p Stau~n a~00500.doc AGREEMENT Cily~f Brem~'ton PAGE 00500 - 2 Pump""3t'af~n No. 8 Construction Project No. 430 ARTICLE 8. ASSIGNMENT No assignment by a party hereto of any rights under or interests in the Contract Documents will be binding on another party hereto without the written consent of the party sought to be bound; and specifically but without limitation monies that may become due and monies that are due may not be assigned without such consent (except to the extent that the effect of this restriction may be limited by law), and unless specifically stated to the contrary in any written consent to an assignment, no assignment will release or discharge the assignor from any duty or responsibility under the Contract Documents. The CITY, in its sole discretion, may refuse to allow the CONTRACTOR to assign any or all of its duties, rights and/or responsibilities under the Agreement, except with regards to an assignment of funds for security purposes. In the case of an assignment for security purposes the CITY may condition its approval to the extent it deems necessary to assure that there will be adequate funds to complete the WORK and to pay a subcontractors and suppliers. CITY and CONTRACTOR each binds itself, its partners, successors, assigns and legal representatives to the other party hereto, its partners, successors, assigns and legal representatives in respect of all covenants, agreements and obligations contained in the Contract Documents. IN WITNESS WHEREOF, CITY and CONTRACTOR have caused this Agreement to be executed the day and year first above written. CITY: CJJ~ Bremert~,--"-3 / CONTRACTOR:. Hisey Construction, Inc. Attest _ . _ _ Attest~ Address for giving notices A..~dress foEgiving notices Appro~ Agent for service of process: (Signature) D:\Pump Station 8\00500.doc AGREEMENT City of Bremerton PAGE 00500 - 3 Pump S~tion No. 8 Construction Project No. 430