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HomeMy WebLinkAbout4383+Enter Search Criteria, Press Esc Key to Transmit ~Press De1 Key to Terminate Delete Mode CHANGE Contract Transactions + Contract Number 4383 + Vendor Name A M JAMES COMPANY INC Subject RESERVOIR 6 - ELEVATED TANK REPAIR/SEISMIC UPGRADE +Department PUBLIC WORKS +Status Code CON  Amount $90574.72 Begin Date 08/29/2003 + Insurance End Date 12/31/2003 + Type Amount Review Date 02/15/2006 ~ GL $2000000.00 AL $1000000.00 + + Insurance Total $3000000.00 + Insurance Review Date 12/01/2003 + ~ Comments VAULT 01/01/2006 + PURCHASE ORDER NO. 31007E CITY OF BREMERTON 239 FOURTH STREET BREMERTON, WA 98337 PAGE NO. 1 FILE COPY A.M. JAYMES COMPANt, INC I WATER RESOURCES N PO BOX 815 P D 3027 OLYMPUS DR OR L GIG HARBOR WA 98335 --J ~ ~ BREMERTONATTN: ~/~-~WA 98310 ~ ' T~SM$: NET 30 DAYS I~'O'B': IDuSc': ,TEM#t QUANTITY I UOM I DESCRIPTION I UNIT PRICE f EXTENSION ~ !.e0 ~ii:.~iii~ESERVO!R S ELEVATED TANK P~PA!~ & : ::::::::::::::::::::::::::: iii"i'i':~ii"i' - ~o, ~74. ?~ j~,~ 90,574.72 CERI FICATION I, the undersigned, do hereby ce~f'/ under ,enalty of perjury, that ti' materials have been furnished, the services rendered or the labor ~erformed as desc, dbed h~ rein, and that the claim is just, due and unpaid obligation against ti' City of Bremerlon, and hat I am authorized to authenticate and celtify to said claim. APPROVED BY v CONSENT OF SURETY For Final Payment Project Name B~m~+_©n _~p~-~ni ~- Nh_ 6 Location Br~ton ,' WA Project No. ¢~/ Contra~ No.~J Type of Contra~ Amount of Contract $90,574.72 In a~ordance with the provisions of the abovenamed contract betw~n the Owner and the Contractor, the following named surety: West~ S~ety ~y 101 S. Phillips Ave. Sious Falls, SD 57192 on the Payment Bond of the following named ~ntractor: A M J~s ~y, Inc. P.O. ~x 815 Gi~ ~r, Wa 98335 hereby approves of final payment to the ~ntra~or, and fu~her agrees ~at said final payment to the Contractor shall not relieve the Surety Company named herein of any of i~ obligations to the following named Owner: as set fo~h in said Surety company's ~nd: J227041 24 IN WITN ESS WHER EOF. the Surety Company has hereunto set its hand and seal this 22nd day of' April ~_ 2004 Western Surety Oompan¥ (Name of Surety Company) (Signature of Authorized Representative) (Affix corporate seal here) Patricia A. Winchester TITLE A f'~-c~rnc~y- Tn-F~ C.t __ Wes[ern Surety Company POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY-IN-FACT Know All Men By These Presents, T~at WESTEP.~N SURETY COMPANY, a South Dakota corporation, is a duly organized and existing corporation having its principal office in the City of Sioux Falls, and State of South Dakota, and that it does by virtue of the signature and seal herein affixed hereby make, constitme and appoint Wayne D Carlson, Ron Kessel, Bradley B Bannon Jr, Mark D Hanks, Pamela M Huppert, Patricia A Winchester, Catherine M Fleck, Individually of Tacoma, WA, its true and lawful Attomcy(s)-in-Fact with full power and authority hereby conferred to sign, seal and execute for and on its behalf bonds, undertakings and other obligatory instrmnents of similar nature - In Unlimited Amounts - and to bind it thereby as fully and to thc same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said Attumey, pursuant to the authority hereby given, are hereby ratified and confilmcd. This Power of Attorney is made and executed pursuant to and by authority of the By-Law printed on the reverse hereof, duly adopted, as indicated, by the shareholders of the corporation In Witness Whereof, WESTERN SURETY COMPANY has caused these presents to be signed by its Senior Vice President and its corporate seal to be hereto affixed on this 8th day of April, 2003. ~:~'2~, WESTERN SURETY COMPANY ~.~e ' Paul ~Bmflat, S~ior Vice President State of South Dakota ~ ss CounW of Minnehaha ) On this 8th day of April, 2003, before me personally came Paul T, Bruflat, tu me ~o~, who, being by me duly sworn, did depose and say: that he resides in the CiW of Sioux Falls, State of South Dakota; that he is ~e Senior Vice President of WESTE~ SU~TY COMPANY described in and which executed the above ins~ument; that he knows the seal of said co~oration; that the seal affixed to the said instrument is such co¢orate seal; that it was so affixed pursuit to authority given by the Bo~d of Direc~rs of said co¢orafion ~d that he si~ed his name th~eto pursuit to like authority, and ac~owledges same to be the act and deed of said co~oration. · D. KRELL * November 30, 2006 /'~SOUTH Public CERTIFICATE I, L. Nelson, Assistant Secretary of WESTEKN SURETY COMPANY do hereby ceffLify that the Power of Attorney hereinabove set forth is still in force, and further certify that the By-Law of the corporation printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said corporation this 22nd day of April 2004 ~,. WESTERN SURETY COMPANY ~ L. Nelson, Assistant Secretary Washington State Department of Revenue PO Box 47474 Olympia, WA 98504-7474 601 287 180 Certificate of Payment of State Excise Taxes by Public Works Contractor A M JY~MES COMPANY INC CITY OF BREMERTON PUBLIC WORKS PO BOX 815 DAN MILLER GIG HARBOR WA 98335 0815 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 4383,RESERVOIR 6 ELEVATED TANK REPAIR/SEISMIC UPGRADE 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 percentage. 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 percentage 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 ,~/]7/~ at Olympia, Washington, State of Washington RECEIVED DepartTnt °f Relenue mR 3 2oo , 771 DEPT OF PUBLIC Certifyihg Ol~icer " ' " To in~/i~l~r~hC~l~b~nTslg~me.'t i. an a,ternate forum, for the visually ,mpa/red or ina language other dmn English, please call (360)753-3217. TTY users may call 1-800-451-7985. REV 31 0028 (10-01-02) ROUTiN . ]Si~bu~si~ ~c~r, Contractor, File, Special File Contractor's Registration No. (UBI No.) NOTICE OF COMPLETION OF PUBLIC WORKS CONTRACT From: Na~ae & Ad~h~ ~t'l~tblle Agn~aey l~lm~t Uae ~si~ed To No~ce ~ hereby given relative to the completion of contract or p~ject described below Date Work Commenced " Date Work Completed Date Work Accept~ Agent's Ad,ss Con,ct ~o~t $ ~ ~o~t Disb~ $ Additions Amo~t R~in~ Reductions TOT~ $ Sub-Total $ ~o~t of Sales T~ Paid at % (lf vario~ rates apply, ple~e se~ a brea~o~., TOT~ $ D~bu~g O~r ] Silage . . T~e or Phnt N~e Phone N~ber ~ ~' -~ ~e Disb~sing O~cer must complete ~d mail THeE copies of~is notice to ~e Dep~ment of Rev~ue, P.O. Box 47474, Olympia, WA 98504-7474, immediately a~ acc~t~ce of the work done ~d~ this contact. NO PAYMENT SHALL BE M~E FROM RETA~ED F~DS ~til receipt of Dep~ment's ce~ificate, ~d ~en only in accord~ce with said ce~ificate. To inquire about the availability of this document in ~ alternate lo,at for the visually impaired or a lang~ge other than English, please call (360) 753-3217. Teletype (TTY) users may call (800) 451-7985. You may also access tax info~ation on our lntemet home page at http://dor.wa,gov. STATE OF WASHINGTON EMPLOYMENT SECURITY DEPARTMENT PO Box 9046 · Olympia, WA 98507-9046 CONTRACTOR: A.M. James Company, Inc. ) CERTIFICATE OF P.O. Box 815 ) PAYMENT OF CONTRIBUTIONS Gig Harbor, WA 98335 ) PENALTIES AND INTEREST ON ) PUBLIC WORKS CONTRACT ES Reference No. 865180-019 TO: City of Bremerton Public Works & Utilities - Aim: Dan Miller 3027 Olympus Dr. Bremerton, WA 98310-4799 The Employment Security Department hereby certifies that 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: 4383 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 January 7, 2004. COMMISSIONER EMPLOYMENT SECURITY DEPARTMENT By ~ ~/~ ~.- ~ Z~/~ (A~thorized Representative) Original--Disbursing Officer Duplicate--Employer Triplicate--Central Office Files EMS 8449 760 R3-98 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_ rep_istered as a contractor with LNI. Review Exoerience Factor History for this business. Department of Labor & Industries Employer Liability Certificate Date: 5/5/2004 UBI Number 601 287 180 Legal Business Name A M JAMES COMPANY Firm Account Number 902,195-01 "Doing Business As" (DBA) Name A M JAMES COMPANY INC quarterly Premium Reports Quarter I of Year 2004 Received Through Account is Current Employer Industrial Firm has voluntarily reported and paid Insurance Status their premiums. Account Hanager TO / KARLA BOWMAN (360)902-5535 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 51.12.070.) Try a new Search I L&I 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 Policy, including Access Aqreement, Privacy _&_Security Statement, Intended Use/Externa~l _C~ontent Policy Copyright © 1995 - 2003 Washington State Oepa r~ment of Labor and Industries -All Rights Resewed https://wws2.wa.gov/lni/crua/crua 1. asp?AcctId--90219501 5/5/2004 AFFIDAVIT OF PUBLICATION County of Kitsap, State of Washington No. 100084267 I, Peggy SzumJesz, 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 th~ 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; that the following is a true text ora legal advertisement as it was published in regular issues (and not in suppleraent form) of said newspaper on the following dates, to wit: December 2, 2003 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 $37.63 amount has not been paid in full. ,,x ~1// f ~ q..-" ~V"..? ~ --- "~': 'x ~' ;? *: ~- (Signature of Principal Clerk) Subsct~Ia~rl'.t.t.t.t.t.t.t.t.~w~jxaxf'6 i~,~fl>~ me this day of December 5, 2003 Notary Public in and for the State of Washington, Kitsap County. CITY OF BREMERTON' NOTICE OF FINAL COMPLETION' Notice of Final Completion has been filed with the City of Bremerton on Friday, November 21, 2003 by A.M. James Company, Inc., Gig Harbor, Washington, for Contract 4383 for the repair and seismic upgrade of the elevated Reservoir No. 6 located at 5144 Frances Street, B remerton, Washington. Any parties having a claim for matorials, labor or damages with reference to this contract have thirty (30) days _from the date of publication of this notice to file a claim. William Eley Purchasing Manager- 239 4th Street Bremerton. WA 98337 December 2, 2003. - #100084267- Contract 4383 for the repair and seismic upgrade of the elevated Reservoir No.6 located at 5144 Frances Street, Bremerton, Washington. Any parties having a claim for materials, labor or damages with reference to this contract have thirty (30) days from the date of publication of this notice to file a claim. :Browse: Next Previous First Last Update Delete Restart X - Exit =Retrieve the Next record ·Found: 1 Record(s) MAINTAIN Contract Transactions Contract Number 4383 Vendor Name A M JAMES COMPANY INC =Subject RESERVOIR 6 - ELEVATED TANK REPAIR/SEISMIC UPGRADE IDepartment PUBLIC WORKS Status Code CON Amount $90574.72 Begin Date 08/29/2003 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 12/01/2003 Comments VAULT 01/01/2006 + + CONTRACT RESERVOIR No. 6 ELEVATED TANK REPAIR & SEISMIC UPGRADE (Page 1 of 4) This agreement, made and entered into in triplicate, this [[ day of , 20 6-~ ., by and between the City of Bremerton, hereioa~er Contractor: That in consideration of tbe terms and conditions contained herein and 0J~acbed and made a part of this agreement, tbe pm'ties hereto covenant and a~ree as follows: I. The Contractor shall perform all work and furnish all labor, tools, materials and equipment for the Reservoir No. 6, Elevated Tank Repair & Seismic U ~pgra~ de. All parties agree that the State of Washington shall be and is hereby, named *ts an expressed third-party beneficiary of this Contract, with full rights as suck All work to be in accordance with and as described in the attached Plans, General Provisions, Specifications, and the 2002 Standard Specifications for Road, Bridge and Municipal Construction (English), which are by this reference incmporated herein and made a part hereot~ and shall perform any alterations in or additions to the work provided under this Contract and every part thereo£ Contractor shall begin the work within ten (10) calendar days after the date that written NOTICE TO PROCEED is issued to the Contractor. The Contractor shall complete the work no later than one hundred (100) calendar days after the date that NOTICE TO PROCEED is issued. If said work is not completed within the time specified, the Contractor agrees to pay to the City an amount in accordance with Section 00100, Part t-2.06(E) of these Contract Documents for each calendar day said work remains incomplete after expiration of the specified times as liquidated damages. The Contractor shall provide and bear the expense of all 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 are mentioned in the specifications to be furnished by the City. 421-BREMERTON-RESERVOIR No. 6 Bidders Checkg. st & Bid/Contract Forms Elevated Tank Repair & Seismic Upgrade 00300-17 CONTRACT (Page 2 of 4) II. The City hereby promises and agrees with the Contractor to employ and does employ the Contractor to provide the materials and to do and cause to be done the above described work to complete and finish the same according to the attached plans and 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. IIl. ~ Contractor for himself; and for his heirs, executom, administrators, successors, and ass~s, does hereby agree to fulfill the performance of all covenants herein containext upon the part of the Contractor. IV. It is further provided that no liability 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, agems, volunteers and assigns harmless from any and all claims, injuries, damages, losses or suits, including all legal costs and attorney fees, arising out of or 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 Contractor's work when completed shall not he grounds to avoid any of these covenants ofindemnification~ 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 ofhodily injux7 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 volunteem, 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 CONSTITUTES 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 421-BREMERTON-RESERVOIR No. 6 Elevated Tank Repair & Seismic Upgrade Bidders Check#st & Bid/Contract Forms 00300-18 CONTRACT (Page 3 of 4) Throughout the specified term of maintenance, insurance of the types and in the amounts Desen'bcd below against claims for injuries to persons or damage to property that may arise from or in connection with the performance of the work hereunder by the Contractor, its agents, representatives, employees, sub-consultants and/or subcontractors. Before beginning work on the project descn'bed in this contract, the Contractor shall provide a Certificate of Insuranee 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 Liability insurance written on an occurrence basis with limits no less than $t,000,000 combined single limit per occurrence and general aggregate for personal injury, 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 liab'flity. 3. Excess .Liab'flity 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 respons~ility 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 chase 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 liab'dity. 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 unqnalifiexl right to require, at anytime and for any reason, proof of coverage in the form of a duplicate of the imttrance policy with all endorsements as evidence of coverage. Proofofcoverage shall be provided to the City in the form of a Certificate of Insurance and 421-BREMERTON-RESERVOIR No. 6 Bidders CheckJst & Bid/Contract Forms Elevated Tank Repair & Seismic Upgrade 00300-19 CONTRACT (Page 4 of 4) 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 in the form of a duplicate of the insurance policy with all endorsements as evidence of coverage. Approval of required insurance is a condition precedem to the execution of this contract. In witness whereofthe parties hereto have caused this agreement to be executed the day and year first herein above written. CONTRACTOR Title: Date: City Attorney 421-BREMERTON-RESERVOIR No. 6 Bidders Checklist & Bid/Contract Forms Elevated Tank Repair & Seismic Upgrade 00300-20