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4737
SERPANOK CONSTRUCTION
Harlow Drive Pedestrian Improvements
Engineering
LEG 12-1
06/27/2008
09/30/2008
02/15/2011
01/01/2011
Change Order #1-8/08 #2-10/08
PUBLIC WORKS AND UTILITIES
3027 01ympus Drive * Bremerton, WA 98310-4799 * (360) 478-5318 * FAX (360) 478-5018
MEMORANDUM
ENGINEERING DIVISION
TO:
Carol Etgen
Eduardo Aban tt'
FROM:
DATE:
January 29,2009
SUBJ:
Harlow Drive Pedestrian Improvements
Contractor - Serpanok Construction, Inc.
I have received all the releases from the State of Washington and completed the necessary
procedures for project closeout.
The following documentation is attached for your files:
Project Release signed by Contractor
Advertisement of "Notice of Final ,Completion"
Certificate of Payment of State Excise Taxes by Public Works Contractor
Department of Labor and Industries Release
Certificate of Payment from Employment Security Department
If release of retainage for this project is acceptable to you, please indicate by signing below then
return this to me. I will see that the necessary accounting paperwork is processed to release the
retainage. Please call me if you have any questions at X2317.
~cf(.e&MD
Carol Et n, City Clerk
ACCEPTANCE OF COMPENSATION & RELEASE OF ALL CLAIMS
Harlow Drive Pedestrian Improvements
Project No. 1165 - Contract No. TA-3074
Serpanok Construction, Inc. hereby indicates agreement with, and acceptance of, the
final Progress Payment of $8,610.22, the total Contract Price of $178,174.52 including
Washington State sales and/or use taxes, and the final Contract Time of 35 working
days, as full and final compensation for all Work performed in connection with Contract
Number TA-3074, and does hereby release the City of Bremerton from all claims,
liability, demands, damages and actions of any kind whatsoever, arising from
performance of that Contract.
By:
Date: J ~-~1' 08
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Title: """'''''''11,
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Certificate of Notary '~.I.'~,:\ <-i.;", .,~~
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Subscribed and sworn to beforetfu~lfjJs!\~~~W'
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dayof ~, ~c1
AFFIDAVIT OF PUBLICATION
Account # 42742 / Ad # 242733
STATE OF WASHINGTON
COUNTY OF KITSAP
I, Laura Wessels, being first duly swom 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
KITSAP 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, a weekly newspaper in Kitsap County,
Washington and is now and during all of said time, was priqted in an office maintained in the aforesaid
place of publication of said newspaper; that the following is a true text of a legal advertisement as it was
published in regular issues (and not in supplement fmID) of said newspaper on the following date, to wit:
December 15,2008 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 $31.86. The
=0=' h" not hecr, p,id m full y{J. ~
jl\ WA/la /' "
(Signature ofprincipal Clerk)
Notary Public in and for the State of Washington, Kitsap County.
NOTICE OF COMPLETION
Notice of Completion has been issued to Serpanok Construction, Inc., Contract No. T A 3074, for the
Harlow Drive Pedestrian Improvements. Any parties having a claim for material, labor or damages related
to this Contract have forty five (45) days from the date of first publication of this notice to file a claim.
Carol Etgen
City Clerk
345 6th Street
Bremerton, Washington 98337
December 15, 2008...................AD #20081057
Df:'f\utnii\'>Qt of
..venue
Washington State
Department of Revenue
PO Box 47474
Olympia, WA 98504-7474
602 249 712
Certificate of Payment of State Excise
Taxes by Public Works Contractor
SERPANOK CONSTRUCTION INC
3202 S 36TH ST
TACOMA WA 98409 5725
CITY OF BREMERTON PUBLIC WORKS
EDUARDO H ABAN
3027 OLYMPUS DR
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
TA-3074 HARLOW DR PEDESTRIAN IMPROVES
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
I ;z/Lf !fH)t)?,
at Olympia, Washington,
State of Washington
Department of Revenue
To inquire about the availability of this document in an alternate format for the visuaIJy impaired or in a language other than English, please caIJ (360) 486-2342.
TTY users may caIJ 1-800-451-7985. .
REV 310028 (10-01-02) ROUTING: Disbursing Officer, Contractor, File, Special File
Verify Workers' Comp Premium Status - Employer Liability Certificate
Page 1 of 1
Washington State Department of
Labor and Industries
Employer Liability
Certificate
Department of Labor and Industries
Employer Liability Certificate
Date: 12/16/2008
UBI #: 602249712
Legal Business Name: SERP ANOK CONSTRUCTION INC
Account #: 955,104-02
'Doing Business As' Name: SERP ANOK CONSTRUCTION INC
Estimated Workers Reported: Quarter 3 of Year 2008 "11 to 20 Workers"
(See Description Below)
Workers' Comp Premium Status: Account is current. Firm has voluntarily reported and
paid their premiums.
Licensed Contractor? Yes
License: SERP ACI984QO
Expire Date: 12/1/2010
Account Representative: TW / COLLEEN NELSON (360)902-4715 - Email:
NELS235@lni.wa.gov
What does "Estimated Workers Reported" mean?
Estimated workers reported represents the number of full time position requiring at least 480
hours of work per calendar quarter. A single 480 hour position may be filled by one person, or
several part time workers.
Industrial Insurance Information
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, limitations of coverage or waiver of subrogation (See RCW
51.12.050 and 51.16.190).
httm:' 1 Ifortre~~ W::l pov 11n1 1 ~rn~l 1 A ~~t Info Pnnt 11l:ny? A p.('onnt T c1=Q~" 1 O.d.O? J& A ('('onntM l1nl1 O"pt=TW +0;" 'J-f
1 ? /1 h/?OOR
.::;r- Employment Security Department
- WASHINGTON STATE
po. Box 9046 · Olympia WA 98507-9046
CONTRACTOR: SERPANOK CONST INC
3202 S 36TH ST
TACOMA, WA 98409
) CERTIFICATE OF
) PAYMENT OF CONTRIBUTIONS
) PENALTIES AND INTEREST ON
) PUBLIC WORKS CONTRACT
ES Reference No.
210166-002
TO: CITY OF BREMERTON
3027 OLYMPUS DR
BREMERTON, W A 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:
T A 3074
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 November 4, 2008.
Original-Disbursing Officer
Duplicate-Em ployer
Triplicate-Central Office Files
EMS 8449 760 R3-98
~"
o
Contract Number:
Vendor:
Subject:
Department:
File Class:
Begin Date:
End Date:
Review Date:
Vault Date:
Comments:
4737
SERPANOK CONSTRUCTION
Harlow Drive Pedestrian Improvements
Engineering
LEG 12-1
06/27/2008
09/30/2008
09/01/2008
Change Order #1-8/08 #2-10/08
CITY OF BREMERTON
CHANGE ORDER
PROJECT NAME:
CONTRACT CHANGE ORDER NO: 2
Harlow Drive Pedestrian Improvements
PROJECT NO:
1165
CONTRACTOR: Serpanok Construction
$163,435.30 DAYS: 30
$6,695.00 DAYS: 5
$8,610.22 DAYS: 0
$178,740.52 DAYS: 35
ORIGINAL CONTRACT AMOUNT:
PREVIOUSLY APPROVED CHANGES:
THIS CHANGE:
REVISED CONTRACT AMOUNT:
This Change Order covers changes to the subject contract as described herein. The Contractor shall construct, furnish
equipment and materials, and perform all work as necessary or required to complete the Change Order Items. The
increase or decrease in contract price shown below includes any applicable taxes.
DESCRIPTION OF CHANGES
INCREASE IN
CONTRACT
AMOUNT
($)
(DECREASE) IN
CONTRACT
AMOUNT
($)
CONTRACT
TIME
EXTENSION
(DAYS:)
o ......
I'- I'-
...... ......
Q) Q)
"5 "5
0:: 0::
X 1. Bid Item Quantity Increases
Description
Below are the bid items in the contract where the quantities have
increased:
1.1. Item #4, Sawcut
1210 If@ $1 per If $1,210.00\
1.2. Item #5, Removing Cement Concrete Sidewalk
22.4 sy@ $10 per sy $224.00
1.3. Item #6, Removing Cement Concrete Curb and Gutter
21.5lf@ $15 per If $322.50
1.4. Item #7, Removing Asphalt Concrete Pavement
169.1 sy@ $10 per sy $1,691.00
1.5. Item #9, Embankment Compaction
61 cy@ $15 per cy $915.00
1.6. Item # 1 0, Gravel Borrow Inel Haul
181 cy@$17percy $3,077.00,'
1.7. Item # 11, Catch Basin Type I
1 each @ $600 per each $600.00
1.8. Item #12, Steel Corrugated Culv. Pipe 12-in Diam.
4lf@ $40 per If $160.00
1.9. Item #14, Crushed Surfacing Top Course
26.62 ton @ $33.60 per ton $894.43
1.10. Item #15, HMA Cl W', PG 64-22
4.81 ton @ $115.60 per ton $556.04
1.11. Item #21, Raised Pavement Marker Type I
1.35 hood @ $450 per hood $607.50
1.12. Item #22, Raised Pavement Marker Type II
0.28 hood @ $1250 per hood $350.00
1.13. Item #32, Cement Conc. Driveway Entrance
25.4 sy @ $45 per sy $1,143.00
1.14. Item #34, Water Meter Box
1 each @ $250 per each $250.00
1.15. Item #39, Quarry Spans
12.83 ton @ $100 per ton $1,283.00
CONTRACT CHANGE ORDER NO: 2
PROJECT NAME: Harlow Drive Pedestrian Improvements
Measurement and Payment
The contract bid items above shall be full pay for all labor,
materials, tools and equipment required to perform the
work, in accordance with the Standard Specifications and
the Special Provisions.
X 2. Bid Item Quantity Reductions
Description
Below are the bid items in the contract where the quantities have
decreased:
2.1. Item #13, Structure Excavation Class B Inc!. Haul
188.9 cy@ $10 per cy ($1,889.00)
2.2. Item #16, Fine Compost
15 cy@ $22 per cy ($330.00)
2.3. Item #17, Seeding and Fertilizing
931 sy @ $0.55 per sy ($512.05)
2.4. Item #18, Bark Milich
7 cy @ $26 per cy ($182.00)
2.5. Item #23, Paint Line
l84lf@$0.55 per If ($101.20)
2.6. Item #24, Plastic Crosswalk Line
116 sf@ $4 per sf ($464.00)
2.7. Item #27, Mailbox Support Type 2
1 each @ $100 per each ($100.00)
2.8. Item #29, Monolithic Cement Cone. Curb and Sidewalk
21.1 sy @ $40 per sy ($844.00)
2.9. Item #33, Adjust Valve Box
1 each @ $250 per each ($250.00)
2.10. Item #36, Minor Changes ($1.00)
NET CHANGE IN CONTRACT AMOUNT $13,283.47 ($4,673.25)
INCREASE OR (DECREASE)
Page 2 of3
CONTRACT CHANGE ORDER NO: 2
PROJECT NAME: Harlow Drive Pedestrian Improvements
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 modify any bonds required under the contract to address this change.
RECOMMENDED:
~~,
PROJECT ENGINEER
V9'/tS-) D.f!
Date
RECOMMENDED:
CTOR OF PUBLIC WORKS
tJ1ft16y
Date
- J'1-ocf
Date
ACCEPTED:
APPROVED:
RM:/
ATTEST:
~
; ~ r.lAL)
Cny Clerk ~
Page 3 of3
Contract Number:
Vendor:
Subject:
Department:
File Class:
Begin Date:
End Date:
Review Date:
Vault Date:
Comments:
4737
SERPANOK CONSTRUCTION
Harlow Drive Pedestrian Improvements
Engineering
LEG 12-1
06/27/2008
08/16/2008
09/01/2008
Change Order #1-8/08
CITY OF BREMERTON
CHANGE ORDER
CONTRACT CHANGE ORDER NO: 1
Harlow Drive Pedestrian Improvements
PROJECT NAME:
PROJECT NO: 1165
CONTRACTOR: Serpanok Construction
$163,435.30 DAYS: 30
$0.00 DAYS: 0
$6,695.00 DAYS: 5
$170,130.30 DAYS: 35
ORIGINAL CONTRACT AMOUNT:
PREVIOUSLY APPROVED CHANGES:
THIS CHANGE:
REVISED CONTRACT AMOUNT:
This Change Order covers changes to the subject contract as described herein. The Contractor shall construct, furnish
equipment and materials, and perform all work as necessary or required to complete the Change Order Items. The
increase or decrease in contract price shown below includes any applicable taxes.
DESCRIPTION OF CHANGES
INCREASE IN
CONTRACT
AMOUNT
($)
(DECREASE) IN
CONTRACT
AMOUNT
($)
CONTRACT
TIME
EXTENSION
(DAYS:)
o ......
r-- r--
...... ......
Q) Q)
"3 "3
Il:: Il::
X 1. Monolithic Cement Concrete Sidewalk & Curb Extension 5
Description
Extend the new monolithic cement concrete sidewalk and curb
from ST A. 11+60 to ST A. 13+90. Below is the estimate on the
breakdown of changes:
1.1 Increase #29, Monolithic Cement Conc. Curb & Sidewalk
111 square yards @ $40 per square yard $4,440.00
1.2 Increase #32, Cement Conc. Driveway Entrance
29 square yard @ $45 per square yard i $1,305.00
1.3 Increase #27, Mailbox Support Type 2
1 each @ $100 per each $100.00
1.4 Increase #28, Mailbox Support Type 1
1 each @ $150 per each $150.00
Construction
This revision shall be constructed as stated in the work
change directive dated July 2,2008. All materials
incorporated into the project by this change order shall be
approved by the Engineer.
Measurement and Payment
This sidewalk revision and all related work shall be full pay
for al11abor, materials, tools and equipment required to
perform the work, in accordance with the Specifications and
as described in this change order.
X 2. Quarry Spalls
Description
The quarry spalls will be used as riprap material around the inlet
(STA. 20+45) and outlet (STA. 20+85) of culvert. Pay item #39
shall be added and the estimated change is shown below:
2.1 Add #39, Quarry Spalls
3 tons @ $100 per ton $300.00
PROJECT NAME:
CONTRACT CHANGE ORDER NO:
Harlow Drive Pedestrian Improvements
1
Construction
The material shall be placed around the inlet and outlet end of
the culvert for erosion control and flow energy dissipation..
Measurement and Payment
The placement of the quarry spalls and all related work shall
be full pay for all labor, materials, tools and equipment
required to perform the work, in accordance with the
Specifications and as described in this change order.
X 3. Property Drain Extension
Description
Extend private property drain line each for two properties, one at
ST A. 2+32 and the other at ST A. 10+50, to the new face of curb.
Pay item #40 shall be added and the estimated change is shown
below:
3.1 Add #40, Property Drain Line Extension $400.00
1 lump sum @ $400 per lump sum
Construction
This revision shall be constructed as stated in the work
change directive dated July 2, 2008.
Measurement and Payment
The extension of the drain lines of2 private properties and all
related work shall be full pay for all labor, materials, tools
and equipment required to perform the work, in accordance
with the Specifications and as described in this change order.
NET GHANGE IN CONTRACT AMOUNT $6,695.00 '5
INCREASE OR (DECREASE)
Page 2 of3
CONTRACT CHANGE ORDER NO: 1
PROJECT NAME: Harlow Drive Pedestrian Improvements
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 Gity'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 sur~ty of this change, and shall
take appropriate action to modify any bonds required under the contract to address this change.
RECOMMENDED:
~
...... ~ ....~,,...
.~.
PROJECT ENGINEER
.~ ~A'~
CITY ENG NEER / DIRECTOR OF PUBLIC WORKS
07/Z;!DJ"/
Date
RECOMMENDED:
ACCEPTED:
APPROVED:
1/1~1
APPROVED AS TO FORM:
ATTEST:
{kfd~
City Clerk .
Page 3 of3
Contract Number:
Vendor:
Subject:
Department:
File Class:
Begin Date:
End Date:
Review Date:
Vault Date:
Comments:
4737
SERPANOK CONSTRUCTION
Harlow Drive Pedestrian Improvements
Engineering
LEG 12-1
06/27/2008
08/11/2008
08/01/2008
CONTRACT
CITY OF BREMERTON, KITSAP COUNTY, W ASIDNGTON
THIS AGREEMENT, made and entered into this ~ day of , 2001,
between the City of Bremerton under and by virtue of Title 35 RCW (cities as amended, and
Serpanok Construction
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:
1. The Contractor shall do all work and furnish all tools, materials and equipment for the
Harlow Drive Pedestrian Improvements, in accordance with and as described in the attached
Plans and Specifications, and the 2008 Standard Specifications of the Washington State
Department of Transportation which are by this reference incorporated herein and made part
hereof and shall perform any changes in the work in accord with the Contract Documents.
The Contractor shall provide and bear the expense of all equipment, work, and labor, of any sort
whatsoever that may be required for the transfer of materials and for constructing and completing
the work provided for in these Contract Documents except those items mentioned therein to be
furnished by the City of Bremerton.
ll. The City of Bremerton hereby contracts with Contractor and Contractor hereby agrees
to provide the materials and to do and cause to be done the above described work and to complete
and finish the same in accord with 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 schedule of unit or itemized prices at the time and in the manner and upon
the conditions provided for in this Contract.
III. The Contractor is and shall be at all times acting as an independent contractor and
not as an employee of the City. The Contractor shall secure at its expense, and shall be
responsible for all payments of income tax, social security, state industrial insurance
compensation, unemployment compensation, and all other payroll deductions for the Contractor,
officer, agents, employees and sub-contractors. The Contractor shall also secure all applicable
business licenses, if required, in connection with the contract services, including all required
licenses for Contractor's officers, agents, employees and subcontractors.
IV. The Contractor for himself/herself, and for his/her heirs, executors, administrators,
successors, assigns, does hereby agree to the full performance of all the covenants herein
contained upon the part of the Contractor.
v. It is further provided that no liability shall attach to the City of Bremerton by reason
of entering into this Contract, except as provided herein.
City of Bremerton
Harlow Drive Pedestrian Improvements
LD-14
Februmy 2008
VI. INDEMNIFICATION. Contractor shall defend, indemnify and hold the City, its
officers, officials, employees, agents and volunteers harmless from any and all claims, injuries,
damages, losses or suits including all legal cost and attorney fees, arising out of or in connection
with the performance of this agreement, except for injuries and damages solely caused by the
City's negligence.
The City's inspection or acceptance of any of Contractor'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 agreement 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 officials, employees, agents and volunteers, the Contractor's liability
hereunder shall be only to the extent of the Contractor's negligence.
IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THIS
INDEMNIFICATION CONSITUTES THE CONTRACTOR'S WAIVER OF IMMUNITY
UNDER INDUSTRIAL INSURANCE. TITLE 51 RCW, SOLELY FOR THE PURPOSE OF
THIS INDEMNIFICATION. THE PARTIES ACKNOWLEDGE THAT THEY HAVE
MUTUALLY NEGOTIATED THIS WAIVER.
The provisions of this section shall survive the expiration of termination of this agreement.
IN WITNESS WHEREOF, the Contractor has executed this instrument, on the day and year first
below written and the Local Agency Approving Authority has caused this instrument to be executed
by and in the name of said City ofBremerton the day and year first above written.
f.A .../
E;xecuted by the Contractor this ~ day of ~1"L--. , 20 ()~
~/.<.
(-::''-- ..
\.
Serpanok Construction
Contractor
Executed by the Local Agency this did:J..J day of
Carfir 8ozemajJ. l1a'fior
City Bremerton Approving Au ority
(SEAL)
City of Breme
City of Bremerton
Harlow Drive Pedestrian Improvements
LD- I 5
Februmy 2008