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Home My WebLink About02/17/2016 AGENDA -----. ...... I ; � , ; � � y � I I="�� CITY COUNCIL 345 6th Street, Suite 600, Bremerton, WA 98337 Cl Phone (360)473-5280 FEBRUARY 17, 2016 CITY COUNCIL MEETING AGENDA 1. BRIEFING: 5:00 to 5:30 P.M. in COUNCIL CONFERENCE ROOM 603 A. Review of Agenda B. General Council Business (As necessary...) 2. CALL TO ORDER: 5:30 P.M. in the FIRST FLOOR CHAMBERS A. Pledge of Allegiance B. Invocation 3. MAYOR'S REPORT 4. POLICE DEPARTMENT BRIEFING —Police Chief Steven Strachan 5. COMPREHENSIVE PLAN UPDATE A. Element 3 "Housing" —Allison Satter, City Planner, Department of Community Development 6. PUBLIC RECOGNITION 7. CONSENT AGENDA A. Claims & Check Register B. Minutes of Joint Planning Session —January 30, 2016 C. Minutes of Meeting — February 3, 2016 D. Minutes of Study Session — February 10, 2016 E: Confirm Re-appointment of Holly James to the Civil Service Commission F. 2016 Excess Loss Insurance with Companion Life Insurance Company for the City's Partially Self-Funded Medical Insurance Program G. Elevator Equipment Systems Services & Maintenance Contract with Otis Elevator Company H. Contract Award to SGC General Contractors for the Anderson Creek Hypochlorite Building Project I. Purchase two (2) '/2-Ton Utility Trucks from Bud Clary Chevrolet of Longview, WA for the Water Utility Maintenance Division; and a Budget Adjustment from the 2016 Water Capital Budget J. Change Orders No. 4 and 5 with RV Associates, Inc. for the Washington Avenue Community Boulevard Project � K. Resolution No. 3263 to set March 16, 2016 as a Public Hearing date to consider an ordinance authorizing the City of Bremerton to assume the rights, powers, functions, and obligations of the Bremerton Transportation Benefit District (TBD) L. Public Works Agreement with Utter Associates for the Purchase and Installation of Broadcast Equipment for Upgrades in the Meeting Chambers of the Norm Dicks Government Center; and a Budget Adjustment to increase the 2016 BKAT Capital Budget 8. GENERAL BUSINESS There are no items tonight... 9. COUNCIL MEMBER REPORTS 10. ADJOURNMENT OF CITY COUNCIL BUSINESS MEETING � Americans with Disabilities Act(ADA) accommodations provided upon request Those requiring special accommodations p/ease contact the City Clerk at(360) 473-5323 at least 24 hours prior to the Meeting. BREMERTON CITY COUNCIL MEETING SPEAKERS LIST PLEASE PRINT YOUR NAME BELOW IF YOU PLAN TO COMMENT SO YOUR NAME CAN BE INCLUDED IN THE RECORD �31� � SG�•f,a-R � REQUESTS FOR INFORMATION MUST BE SUBMITTED IN WRITING TO THE CLERK THANK YOU From: Thomas Knuckey � �� Sent: Thursday, February 18, 2016 9:07 AM To: PW_Utilities_CustomerResponse; City Council; Elaine Valencia Cc: Chal Martin; Milenka Hawkins-Bates;Tom Wolfe Subject: FW: From the City Council Meeting Lori/Christine/Elaine—this is from a gentleman that spoke at Council last night. He works at the shipyard and has a Master Degree(in Economics I think.) FYI that I talked to him during the meeting and he indicated an interest in senring as a volunteer for boards/other. Tom Wolfe—Item No. 3 is a request for enforcement, FYI First Response—please log each of these issues separately(I numbered them); we need to ensure we close the loop with this person. From: williamschnarr [mailto:williamschnarr@yahoo.com] Sent: Wednesday, February 17, 2016 7:19 PM To: Thomas Knuckey Subject: From the City Council Meeting Tom, Thank you for taking the time to talk with me. If I can help on any community initiatives, please let me know. 1. Alley paralleling Gregory Way along the base fence line should be repaired or repaved. 2. Tree roots at Gregory and Naval have pushed the road up pretty high. Huge mound. 3. Speed limit is ignored for the most part on Kitsap Way and down through Burwell. Fast driving the norm getting to and from downtown Bremerton in the morning and afternoon. 4. Alot of the sidewalks are cracked and caving downward over the water lines running to the homes. Alot of them creating trip hazards. 5. Parking garages should be built heading out of town near Kitsap Transit. Way too many outlying area people speeding through our community for their commute. 6. Burwell seems to be leaning towards the shipyard near the wheaton way intersection. 7. The two crosswalks by the police deparhnent could use blinking lights as well as the one at the top of the hill on burwell. Low visibility makes this a safety concern.'. 8. Alot of trip hazards on state Street sidewalk areas heading in to the shipyard. 9. Could hugely benefit the community with high visibility speed controls primarily on burwell. Please let me know if I can help in any way. 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Y � £ � 1 ' y o `` `�8, .*rw � • • � • � i F a . � ,� . � a ,.. l" m i4 ,�; '� Nm � � � � � � � � � � ' _ a ' > • ane�2t ,� Neighbor�iood y � �C� e < � I � DOY ♦ � � e�� ,i I Gha ton ' .en¢e •�� Lepend � Ge,xer � -Do�mm R�ianal Ce�r � : —" C"'�""� -District Cexet � -EmP�oyrt�w Ca�cer t � �l� r:�,: i i �nl�pt,b�tmod ce,eer / / � �� ■ Protect existi n� housi n� ; ; ■ Incentives to preserve structures in good repair; Upgrade � City services (sidewalks, infrastructure, bike lanes) . ■ Encoura�e new housin� - variety of types ; � � ■ Support efforts for full range housing options (students, � ! military, seniors, low income, etc.); infill � ■ Su �port affordable housin� � ; ■ Diverse housing options, disperse below rate housing, ` ■ Encourage expanded availability for incentives (eliminate ; ; unnecessary regulatory impediments, expand MFTE � � ' ■ Coordinate improve the housin� stock ; � , ' ■ Encourage financial assistance programs, � + intergovernmental/agency cooperation (HUD) � ; � ' � � � � ' www. 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I � M1 ca.Y�;.� �a' 'Sx' [� � �^�{:� /��i�� Kitsap iCu��'7�{� 22:�7�0� A}jjti;f^�, �i�Vy�.�,;'�:�.,,u� ��C� ��SILVERDALESMILES �jtSil�SLll1 Ll'�.✓i� ��ann�;-r.� a� ..._.._ o r�,.�..,�,,.x.��. PARTICIPATING CHAMBERS OF COMMERCE BAINBRIDGE ISLAND,BREMERTON,KINGSTON,NORTH MASON,POULSBO,PORT ORCHARD,SILVERDALE r � � : � � � • � • ' • r.p,i � i F^',�� HERE'S YDUR OPPORTUfVITYTO ;�� , C0�lTRIBUTE TOYOUR COMMUNITY & � THE NEW EVERGREEN BOAT LAUNCH! �., �. � �� - � � ., �� '�, '"� ; ''w .vl ' ` .:.z � --- ; '1 � S . �, �� 4. .. :' ``7�� f� {; 1�'t �.'�'.��-�`�3ir�' �+` ..� - �' �`�#i\ :�'r+� .l�r.+• 4 :,� �.�ir ;:t, .'( .*}.�''�"; � J `~ �' ' � ,.5,}�.� � � . • �.�� I � � �I � ' ' J , � . 3'• '( " � „�. � f`}� . �' • �'¢ �.� T 1�. �- ;��,; :�d �� - .; '�. � `�b �-� � ,lr' � � - �J� ' �� Tj� .� a �_ • � .1 _ . .i I � ' .. -_ ,. . ., • : , � ""- - _ , .�.:f} . %;a ,. �` y� ,�.a � I "�jc. ;�� - �� , � -- � Q \ ,;`:� _� �i �� << :+'�` . . • . • •� . • � �Y . -G , : _,—."� �� :^ON9[lC . I r:P�CE�S PCQNRO TO , � I� �yI' M1 �MNNEN� _ , � I ACCOYMOiIA(E NLl feE RAY�F : H,,I�. 75! m�. -'��T�.. ._: . :' "_ .I... _ ._ . __._..t..__.. ' i- . . ' "' ;�Q�.'e�i.�. ��-_� I I � i .'"�r ; �Gr�! .�x � �j_ � , . —c ' __ __ ''_ ' ___ _ ::.?'_-.}.'�,"f"4v',7�-.�.r— _ _ -��:� - " _ - �.�~� —'--- '--" . ; '' i t1L7'"x" �� 4 - x''_-o� I ' , — � ��i j � . Q�:'G : ' i 'J 1 '_. _��_�,_,^J.—�_�_I�. 0='-YIL� .� if- ' / , � � ' [t57WC1 i I I �!i.''l''�..>'':ih':i�:?l`.::.�,•...,. � RiQ➢E IXAOE ' ' ••F,:i•'•: . .•�r.IP O'• ; � . I"�__- � __ -PM' "— ��Typ J ]a00 7a7C PROFILE �oR s^o �m r THE EVERGREEN ROTARY PARK BOAT LAUNCH WAS LAST IMPROVED IN 1988. THIS NEW RENOVATION REPLACES ALl OF THE CONCRETE RAMP AS WELL AS PtLING AND REPLACES THE OLD 6'CONCRETE DOCK WITH A NE1N STATE-OF-TFiE-ART 8'WIDE ALUMINUM FLOATING DOCK. CONSTRUCTtON WAS STARTED BY QUtGG BROTHERS INC. IN DECEMBER AND WILL BE COMPLETE lN EARLY MARCH. VOLUNTEERS WILL MEET AT EVERGREEN ROTARY BOAT LAUNCH AREA AT 9 A.M. � RAlN OR SHINE;PLEASE DRE55 FOR THE WEATHERI ... ___._..__: ,,._�_,__._�__�.,.._.w,.:... ��---_:-:-�_-�:__..�-�=.-��•; !' ' ' JOIN US SATURDAY, FEB. 20 ' i Jf � �� ` PORT OF '; � �` 9 A.M. - NOON �; :: ,! '; � a �; ;; I: BRING: GLO�/ES, BO�TS & �:�� ------ --: �.; ,-��tr�'� ;� .�;, �� ; WORK CLOTHES ; � !I o `�N J;,l':I:';).�;� � ��r_ --`�---�=-�� iz�:::-__�__,:�-=�_:-=--::_:_.__..�._:._._� �.��_�� FOR MORE INFORMATiON,CONTACT PORT OF BREMERTON DIRECTOR OF FACILRIES AND PLANNING, CTC1/�N SDABYC AT 9FA.A19_AD1d ,� ,�� - ; ,�►,. -- .: - � :,� . ��. , , t' • � � � '' � y� �i • �� ' .r� �� .. � I ��e., ��.� �� ` �- � 1 ��-'t, R �'� � � ' __ j I f� �� - i i �, }F I : '�� I � I � '�!�' j I � � �� ,I - - -- .�,R�� _3,. ��' LS'� }� ... • ��.� I _ n � ��= �� ,,r. �''' . � �� h _ -- ' �� +'�� ' — � ' • , I � _ - i � � �� f �� . �- � �� i �� } � ' � " i � i� � �ii, �� , �� .�� i I I h' � 4 � -- i' �� i� ��:�� :" � � �_ � ,. r 7- � - � � I � � � 1 � i Y � . . . � .� . �- . k� , �� - � _.�'-�� T '� � _ ,(t, ,. i*. ,'F.,. k� . . ,. , , , _ � 4� . _ ..`��- ` � b �. . 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'. �. 1 !1 . . � t� � : 'f � � „ , _.- �' : ..� �� .: � �- _ .� _ � � . : .— ' ' . � '� � ,� � � , � � �� ' � �� . t� ;; , _ ; � �. � � � ,�, ,, �: � _� � � �� Lebo Boulevard Roadway Improvements! Please join us for a follow up mezting to further discuss design alternatives. � � � , � � . . t '�"" ;�;� Monday, February 22, 2016 �� 5:OOpm - 6:30pm ;� ._ � �,� �i � If * * *Sheridan Community Center; Lounge Room ***--- - - - , � 680 Lebo Blvd., Bremerton � �• � � � , � � � � I AGENDA BILL �� CITY OF BREMERTON CITY COUNCIL SUBJECT: Claims & Check Register Study Session Date: N/A COUNCIL MEETING Date: February 17, 2016 Department: Financial Services Presenter: Shannon Corin Phone: 473-5323 SUMMARY: Approval of the following checks and electronic fund transfers: 1) Check#'s 367163 through 367377 and EFT's 15767 through 15812 in the amount of $1,635,694.66; and 2) Regular Payroll for the pay period ending January 31, 2016 in the amount of$669,546.92. ATTACHMENTS: FISCAL IMPACTS (Include Budgeted Amount): STUDY SESSION AGENDA: 0 No Presentation ❑ Full Presentation STUDY SESSION ACTION: ❑x Consent Agenda ❑ General Business ❑ Public Hearing RECOMMENDED MOTION: Move to approve the Consent Agenda as presented. COUNCIL ACTiON: ❑ Approve ❑ Deny ❑ Table ❑ Continue ❑ No Action Form Updated 01/07/15 AGENDA BILL � B CITY OF BREMERTON CITY COUNCIL SUBJECT: Minutes of Joint Planning � Study Session Date: N/A Session - January 30, 2016 COUNCIL MEETING Date: February 17, 2016 Department: City Council Presenter: Council President Phone: (360) 473-5280 SUMMARY: Attached is a summary of the City Council Joint Planning Session on January 30, 2016. ATTACHMENTS: Meeting Minutes FISCAL IMPACTS (Include Budgeted Amount): N/A STUDY SESSION AGENDA: ❑x No Presentation ❑ Full Presentation I STUDY SESSION ACTION: ❑x Consent Agenda ❑ General Business ❑ Public Hearing RECOMMENDED MOTION: Move to approve the Consent Agenda as presented. COUNCIL ACTION: ❑ Approve ❑ Deny ❑ Table ❑ Continue ❑ No Action Form Updated 01/07/15 DIGITAL RECORDING CITY COUNCIL JOINT PLANNING SESSION MINUTES Saturday, January 30, 2016 A Joint Planning Session between the City Council, Mayor, and Department Directors of the City of Bremerton was called to order in the Mayor's Conference Room located on the 6�h Floor in the Norm Dicks Government Center located.at 345 6�h Street, Bremerton, Washington, on Saturday, January 30, 2016, at 9:00 AM, with Council President Eric Younger presiding. Council Members present were Pat Sullivan, Leslie Daugs, Jerry McDonald, Greg Wheeler, Dino Davis, and Richard Huddy. Also in attendance were Mayor Patty Lent, City Attorney Roger Lubovich, Municipal Court Administrator Dawn Nelson, Interim Parks & Recreation Director Jeff Elevado, Public Works & Utilities Director Chal Martin, Financial Services Director Cathy Johnson, Police Chief Steven Strachan, Fire Chief AI Duke, and Community Development Director Andrea Spencer. Lori Smith, Legislative Assistant was present to provide staff support: President Younqer welcomed everyone for taking the time on a Saturday afternoon to attend the Joint Planning Session; and passed out Council Retreat Ground Rules and Council Policy Role. The following is a summarized list of the subjects and key points that were discussed: AWC CITY ACTION CONFERENCE BRIEFING: Leslie Dauqs, Jerrv McDonald, Dino Davis, and Mavor Lent highlighted the issues discussed with State Legislators while attending the AWC City Legislative Action Conference earlier this week. President Younqer stated that as Goals are discussed, he will be assigning the appropriate Council Member or Committee to track its progress... REVIEW OF 2016 CITY COUNCIL GOALS: 1) Performance AuditlReview of Fire Department; and 8) Improve Financial Sustainability of City Parks Both subjects will be monitored by the Public Safety and Parks Committee... The review of the Fire Department will be provided by a separate organization, and will be done after the Parks Department review is completed. The "City of Bremerton Parks Staffing Analysis" was distributed, and it was noted that the search for a replacement Parks Director will be delayed until completion of the Parks staffing analysis. The City Auditor and Audit Committee will be asked if they can help with the Department Audit Reviews but it was clarified that this would be a "work-load analysis" versus a "performance audit"; and a timeline for completion was estir�iated to be early March. 2) Social Media • Address public records requests as newer technology is developed • Utilize Facebook and Twitter accounts for accurate reporting of crimes rather than just "posting"comments It was announced that Kelsie, Lori, and Christine will be the administrators for the City of Bremerton, but established this would not be in real time. The Police Department and Public Works will join the main City of Bremerton Facebook page once it is established with the main purpose of the page being for announcements. It was mentioned that Redmond and Auburn were examples of cities that deal really well with public records issues involved with social media. The City's Facebook page will provide information rather than be used as an open forum. Enhancements to the City's website are needed since there have been complaints by users. City Council Joint Planning Session Minutes Saturday, January 30, 2016 Page2of6 3) Repair City Roads • Secure funding is in place for future Councils , This Goal is still valid and will remain. Roger mentioned that he just completed an ordinance that he will be bringing to Council to absorb the duties of the Transportation Benefit District. Dedicating a portion of REET for roads is assigned to the Finance Department through the Finance & Investment Committee... 4) Maintain Sidewalks to ensure ADA Friendly � • Finding permanent not temporary solutions Maintaining Sidewalks is included in the Comprehensive Plan as a goal. An Ad Hoc Committee has been formed to deal with that portion. Richard said there is a lack of sidewalks (200 miles short) out of total 326 miles. Andrea stated there is a section in the Comprehensive Plan. Leslie suggested more signage to identify crosswalks at intersections. Items 4 will be assigned to Public Works Committee... 5) Increase Public Outreach It was acknowledged that improvements have been made, especially with the Kitsap Sun and Josh Farley, and his use of his Blog, Bremerton Beat and postings on Facebook. Chief Strachan gave a report on how the City's Twitter account has been successful, using the Motel 6 exp�osion as an example of how quickly the news spread with both information and photos. 6) Look at Historic Preservation It was agreed to remove this goal... This idea was reviewed by Community Development but found it to be too cumbersome for tax benefits, and any tax incentives for a property owner are already received from the State. 7) Increase Involvement in Callow Avenue Business District This specific goal will be removed so it can be replaced with a broader coverage area... even though there has been progress, every time one business opens, another one closes... 9) Improve Walkability of the Neighborhoods • More emphasis on multi-modal as part of all future projects This Item will be assigned to Public Works Committee... Recess from 10:25 to 10:35 PM... Then Council began discussion of New Proposed Topics... Lonq Term Economic Forecast & Balancinq the Citv's Budaet: Cathy distributed a "General Fund Summary Forecast" draft report to show that the projection for the Revenue vs. Expenditure amounts are not as high as projected earlier; and handouts�on the "2016 General Fund Budget—Program Support from Taxes and General Revenues" and "Sales Tax Distribution". There is potential for an increase in property, sale and utility tax revenues when new residents move into homes and apartments currently being built. Eric asked if he should get a "head nod" from Council for possible expansion of the area which would allow the "multi-family tax exemption'°. Andrea clarified that this expansion would not occur until after the Comprehensive Plan is adopted. City Council Joint Planning Session Minutes Saturday, January 30, 2016 Page3of6 There was discussion on the proposed impacts of new projects on City services and on parking. Cathy indicated that the City may contract with an advisor to review the status of parking Citywide prior to renewal of the Impark contact in June. Richard asked if new apartments come with additional parking... Andrea explained that studies have supported 1 parking space per unit... Cathy reminded everyone that the Impark contract is coming up for renewal, but to keep in mind that an RFP will probably be required because of an increase in parking issues due to the new development... Jerry added that the employment at the shipyard has increased, and will continue to increase... There is also potential for increasing sales tax revenue by drawing larger businesses like big box stores or warehouses since a new car dealer brings in about $63,750 sales tax annually... But"big box" stores bring in way more... Eric pointed out that the City cannot really implement a hiring freeze but asked for suggestions on how to restore money to the General Fund. Leslie suggested a review of service contracts (recommended to Audit Committee) and Richard suggested a review of tabor contracts (currently being negotiated). The Mayor established that the Council has provided parameters to the administration, which are being considered during labor negotiations. Dino stressed that the City has been able to meet their obligations, but the City cannot run "like a business" as in the private sector because a business needs to grow where government has to offer services regardless of the amount of revenue... and "Market solutions" cannot be applied to a Municipal Government... Leslie clarified that her suggestion to look at"contracts" did not include labor contracts, and that she never wants to "balance the budget" off the backs of employees... The projected budget shortfall is estimated to be over$700,000 and this issue will continue to be monitored by the Finance 8� Investment Committee. Members of the Council agreed that the best option the City has to mitigate the shortFall would be to increase sales tax revenue. Medical Care Services Succession Plan to Harrison Hospital: Per the Mayor, the City knew the buyout/merger was going to take place, and was initiated by CHI, a private company, and was not under Harrison Hospital's control... The CEO of CHI is not focused on the community, but rather the bottom-line and who has health coverage... Richard provided handouts that emphasized the need to retain medical services in Bremerton and believed that established hospital operators with the ability to recruit medical staff should be contacted to determine their interest in expanding to Bremerton. Discussion also included the Naval Hoapital which has discontinued emergency services; problems involved with the mentally ill or drug addicts which impacts Police and Fire resources; and whether or not to demolish buildings or parking lots... Chief Strachan presented a Power Point to address "Transients/Mental Health Crime"... and clarified that he is referring to predatory type transients, not the down-and-out people who legitimately need help. RV's and tents are a problem in Seattle, and they could move to Bremerton so laws should be on the books to address the issue now ahead of the problem. Mayor reported a recent count showed there are 500 homeless people in Bremerton...it is not just a police issue, but a social services issue. Andrea mentioned that the Planning Commission is keeping the zoning broad for the area of the current Harrison Medical Center so it is not limited to a hospital; and medical facilities are permitted in other areas of the City... A Medical Care Services Succession Plan will be added to the 2016 Goals... Recess was called for lunch from Noon to 12:35 PM... City Council Joint Planning Session Minutes Saturday, January 30, 2016 Page 4 of 6 Code Enforcement: Greg Wheeler distributed a handout on the Operation Neighborhood L.I.F.T. (Leadership and Investment Fostering Transformation). This proposal would allow the City to shift away from code enforcement as a complaint driven process to being more proactive. Andrea mentioned that the "Community Volunteers on Patrol Team" will be educated by Janet Lunceford on what Code Enforcement issues to look for when out in the field. Chief Strachan also suggested that door-hangers could be left to notify residents of code violations, and there would be follow-up prior to directing the complaint to Janet. Chal asked for leadership from the Council to establish this as a goal which would give him the leverage he needs to direct his staff to have trash bags and rakes on hand to then use 15-minutes to clean up a spot in any given City right-of-way. Mayor Lent distributed brochures "Make a Difference in your Neighborhood" and "Home Security Survey'; mentioned that Beautify Bremerton happens two times per year and at that time the City works with properties to help with overgrown grass such as for a deployed military person or a person who doesn't have a lawn mower; and suggested that the City inform the citizens about the expectations before using the door hangars. Andrea clarified that most of the complaints are resolved with a letter from the City; that a change in the process can be used to educate residents on rules that are already in place; and that this does not create new regulations. This change would allow the City to get more compliance and allow Janet to focus on more complicated complaints. Greg suggested a letter can be sent from Council to the Administration; or that Council could further discuss this issue at a Study Session to provide direction on the proposed change to Administration. Richard suggested a "welcome letter" that included tips for being a good neighbor, what is expected for living in the City, where they can find additional information, etc. and hoped changes could be made to the website to make this information available and more visible. Eric provided support for Greg's idea; believed it starts with education on the City's website; and that the public should be notified through Council Meetings, website, and social media before the program is implemented... To be discussed at a Study Session to address any concerns before moving forward. Recess for 10-minute break...1:45 PM to 1:55 PM... Annexation: Roger presented the "Annexation Mefhods" handout and summarized each type. Eric pointed out the Berk Study will be available soon which will take into consideration fiscal impacts of annexation for four specific areas. Annexation of areas served by fire districts (No. 5) might be considered in 2016 and would also involve consolidation of fire districts. Marketinq: Mayor provided an update on the "Move to Bremerton" campaign, sharing that the video has been posted on Facebook and the City's website. The intent of the video was to market Bremerton to Seattle with outreach to millennials, young families, and to attract employees of big companies like Microsoft and Amazon. Eric suggested purchasing one of the remaining domains for a website, even if it is not used right away due to limits on our staff resources; and to market Bremerton to the bigger regional real estate market. City Council Joint Planning Session Minutes Saturday, January 30, 2016 Page 5 of 6 Greg said Bremerton is both the education center and job center of Kitsap County; and also have the most affordable view property in Kitsap County. Mayor added that she is looking at how to enhance the brand of the City. Jerry suggested that funding for Google search engine optimization should be included in the next budget; and to that Bremerton National Airport and the Port of Bremerton should be included... Pat mentioned that a screen loops videos onboard the ferry is another idea for the marketing of Move to Bremerton... This issue will continued to be discussed at a Study Session when the website is up and running to consider ideas or input from the Council... Economic Development and "Economic Development 8� Planninp Committee (EDPC)": Leslie brought up the numerous empty buildings in commercial corridors along Wheaton Way, Perry Avenue and Kitsap Way...Dino suggested the formation of a Council driven "Economic Development & Planning Committee"... The Mayor believed that the property owners could be asked to come to the table within the next few months to discuss ideas and possible solutions to the empty building problem... Dino agreed that waiting until after the meeting to consider a committee (or task force)... Andrea liked the idea of Council being an advocate for Community Development but indicated that staff resources are limited. Richard provided handouts "Bremerton Commercial Corridors Big Box Retail Study— Sa/es Tax Estimate"; "Hwy 303 Commercial Corridor Big Box Retail Study—Sa/es Tax Estimate"; and "Bremerton Commercial Corridors Big Box Retail Study—Retail Development on Wheaton Way and Kitsap Way'. Richard also presented a packet of the radius required, with maps which potential ingress/egress locations, and a graph to show what it takes for a location to be a business-friendly environment. Jerry pointed out that the City could work with KEDA and KADA to develop the property around Bremerton National Airport... Mayor Lent emphasized that she will be working within the City's budget for this year but additional marketing could be discussed as part of the 2017 budget. Andrea stated that Community Development is currently focused on more residential projects with density which would allow transit routes to the ferry and �ncourage investments for commercial projects toward the street front. Greg reminded the Council Members continue to look closely at the Comprehensive Plan. Final comments: Leslie asked for the City to continue a partnership with the Bremerton School District; asked if the Council could consider updating their laptops to i-pads; could the City look at the policy regarding right-of-way to make sure the City is not giving any away; and lastly provided a handout related to "Association of Washington Cities(AWC) Member Pooling Programs" regarding the possibility of health care benefits for Council Members. Eric reiterated that increasing sales tax is the key, and finding out the reason why property owners are not developing, suggesting one-one conversations with business owners to learn first-hand, which Richard volunteered to do since he has the time and is out and around the business anyway... Leslie asked for it to be in partnership with the coordinating Council Member in their respective districts... City Council Joint Planning Session Minutes Saturday, January 30, 2016 Page6of6 With no further business, President Younqer adjourned the City Council Joint Planning Session at 3:20 PM. Prepared and Submitted by: LORI SMITH, Legislative Assistant Attest: SHANNON CORIN, City Clerk ERIC YOUNGER, City Council President EY:SC:Is:cg AGENDA BILL �C CITY OF BREMERTON CITY COUNCIL SUBJECT: Minutes of Meeting - Study Session Date: N/A February 3, 2016 COUNCIL MEETING Date: February 17, 2016 . Department: City Council Presenter: Council President Phone: (360) 473-5280 SUMMARY: Attached is a summary of the City Council Meeting on February 3, 2016. ATTACHMENTS: Meeting Minutes FISCAL IMPACTS (Include Budgeted Amount): N/A STUDY SESSION AGENDA: 0 No Presentation ❑ Full Presentation STUDY SESSION ACTION; ❑x Consent Agenda ❑ General Business ❑ Public Hearing RECOMMENDED MOTION: Move to approve the Consent Agenda as presented. COUNCIL ACTION: ❑ Approve ❑ Deny ❑ Table ❑ Continue ❑ No Action Form Updated 01/07/15 DIGITAL RECORDING CITY COUNCIL MEETING MINUTES Wednesday, February 3, 2016 The weekly meeting of the City Council of the City of Bremerton was called to order Wednesday, February 3, 2016, at 5:00 PM in Council Conference Room 603 of the NoRM DicKs GovERNMEtvT CENTER, 345 6�h Street, Bremerton, Washington, with Council President Eric Younger presiding. Council Members present were Richard Huddy, Dino Davis, Greg Wheeler, Jerry McDonald, Leslie Daugs, and Pat Sullivan. Also present were City Attorney Roger Lubovich; City Clerk Shannon Corin; Legislative Assistant Lori Smith; and Kevin Matthew, Information Services Manager. A CouNC�� BR�EF�NG was held to discuss General Council Business at 5:00 PM in the Council Conference Room. At 5:30 PM the meeting moved to the Meeting Chambers. The Pledge of Allegiance was led by Council Member Pat Sullivan followed by the invocation provided by Pastor Mark Adrian of Community of Christ at Memorial Lutheran Church. MAYOR'S REPORT— Mayor Patty Lent... • Was pieased to report that permits and fees for new development has recorded $4.9 million so far this year, which includes 20 brand new homes off of Anderson Road; • Proclaimed the Month of February 2016 as Black History Month in the City of Bremerton; • Brought forward Captain John Pavne of the City's Fire Department, to congratulate him for being the first in Kitsap County to complete a Master's Degree in Homeland Security Studies from the Naval Post Graduate School; • Encouraged participation in the American Heart Association's "National Wear Red Day"this Friday, February 5 to bring awareness on preventing heart disease; • Looked forward to First Friday Art Walk events this week, including a Reception for entries of the Annual Washington State Juried Art Competition & Show at Collective Visions Gallery; • Announced that Dravton Jackson will present"Black History and its Importance to America's Future" as part of the Kitsap Historical Society's Black History Month Program this Friday, February 5 at 6:30 PM; • Proclaimed Thursdav, Februarv 18 as School8 City Job Shadow Day, and • Hoped families would take advantage of"Try Hockey for Free Day' on Saturday, February 20 beginning at 9:30 AM at the Bremerton Ice Arena; COMPREHENSIVE PLAN UPDATE Allison Satter, City Planner, provided the "Introduction" and an overview of Element 2 on "Land Use". PUBLIC RECOGNITION Mike Walton, Community Relations Coordinator with the Kitsap Family YMCA, highlighted all of the events and activities taking place this month at the "Y"; including the next Resolution 5k Run on Saturday, February 27 with registration beginning at 9:00 AM, and snacks and water will be provided. Bernie Waldbiliq of Susanna's Antiques invited the public to attend the Grand Opening of their new location at 312 North Callow over the weekend of February 20 & 21 from 10:00 AM to 6:00 PM. Susan Battin Volunteer Coordinator of Kitsap Rescue Mission thanked Mayor Lent and the City for the use of Sheridan Park for the recent Kitsap Connect event; and Terrv Schroder, Coordinator with Kitsap Continuum of Care Coalition provided a briefing on the "Point in Time" Count of the homeless. John R. "Red" Miller submitted written letters to express his thoughts and concerns, including his belief in the need by mankind for better stewardship of the planet earth. City Council Reg. Mtg. Minutes Wednesday, February 3, 2016 Page 2 of 3 CONSENT AGENDA 6A— Claims & Check Register: Check Numbers 366949 through 367162, and EFT-15721 through EFT-15766 in the amount of $1,956,347.36; Regular Payroll for the pay period ending January 15, 2016 in the amount of$731,285.41; A Direct Deposit Refund for the pay period ending January 15, 2016 in the amount of$0.00; and Retiree Payroll for the pay period ending January 31, 2016 in the amount of$53,148.96; 66— Minutes of Meeting —January 20, 2016 6C — Minutes of Study Session —January 27, 2016 6D— Purchase of thirty-five (35) replacement Motorola Portable Radios for the Fire Department 6E— Amendment No. 6 to the Professional Services Agreement with Willis of Seattle, Inc. for Insurance Broker Services 6F— Ordinance No. 5295 amending Section 2.62.040 of the Bremerton Municipal Code (BMC) entitled "Judges Pro Tempore, Court Commissioners— Municipal Court Hearing Examiner" 6G — Amendment to Interlocal Agreement with Kitsap County for Public Access Television Funding 6H — Professional Services Agreement with the City of Poulsbo for BKAT Services 6I— Resolution No. 3262 authorizing the Sole Source Purchase of two (2) Primary Clarifier Drives; Removal of the City's current Drives; and Installation of the new Drives from OVIVO, USA LLC for the Wastewater Treatment Plant 6J — Purchase of four(4) 2016 Ford Interceptor Utility Vehicles from Columbia Ford Nissan of Longview, WA for the Police Department 6K— Purchase of one (1) 2016 Dodge 1500 4x4 Pickup from Bud Clary Chrysler podge of Longview, WA for the Water Resources Division There were no comments from the public... 06:16:10 M/S/C/U (Huddy/Daugs) Move to approve the CoNSENT A�EN�a, as presented. GENERAL BUSINESS— There were no General8usiness items tonight... COUNCIL MEMBER REPORTS Pat Sullivan encouraged volunteers to help pull weeds during the next Monthly Work Party at Lions Park on Saturday, February 13 from 10:00 AM to Noon. Leslie Dauas reiterated that youth ages 4 to 9 will have an opportunity to "Try Hockey for Free" at an event hosted by the Bremerton Ice Arena on Saturday, February 20 starting at 9:30 AM,; thanked Council President Younger for allowing her and fellow Council Members Davis and McDonald to attend the City Action Conference hosted by the Association of Washington Cities in Olympia last week; and reminded citizens to please vote. Jerrv McDonald announced that the Hot Java Cafe would be closed for about a week longer while they finish their expansion and remodel; and that the West Sound Group, which recently purchased the Roxy Theater, is looking for volunteers with a particular expertise in fundraising to serve on the 501 c(3) Board. Greq Wheeler invited the community to attend the "Warren Avenue Bridge Improvements Project" Community Meeting tomorrow at the Oyster Bay Public Works Facility from 5:00 to 6:30 PM. City Council Reg. Mtg. Minutes Wednesday, February 3, 2016 Page 3 of 3 Dino Davis also appreciated the opportunity to represent the City of Bremerton and to meet with legislatures in Olympia at the annual AWC City Action Conference; and commented that he went to high school with the father of Olympic Team USA hockey player TJ Oshie, adding that he believes Bremerton could also be a great hockey town. Richard Huddv expressed his condolences to family and friends of Doyle Edward Green who was struck and killed Tuesday morning on Kitsap Way, and also offered sympathy to the driver and his family since it was an accident and was not his fault; announced that a Kitsap Transit Board of Commissioners Special Meeting would be held on Tuesday, February 16 at 8:00 AM in the Harborside Building to discuss the Passenger Only Ferry; and invited gardeners to help cadets from the Washington Youth Academy identify the difference between weeds and flowers at the Shoreline Weeding Work Party on Friday, February 19 at Lions Park from 9:00 AM to Noon and again from 1:00 to 3:30 PM, with a bag lunch from Noon to 1:00 PM. Eric Younqer thanked the Mayor and Department Directors for participating in the Joint Planning Session held last Saturday, January 30 in the Mayor's Conference Room where a lot of good ideas about Council's 2016 Goals were shared and expressed. He also welcomed a boy scout in the audience from Troop 1580. President Younger announced that the Council would convene for a 25-Minute Executive Session to discuss a "Rea!Estate Acquisition"under RCW 42.30.110(1)(b)with no action taken; and that following adjournment of the Council Meeting, the Bremerton Transportation Benefit District (TBD) Board will meet following a brief recess. With no further business, President Younger adjourned the Council Meeting at 6:52 PM. Prepared and Submitted by: � f L RI SMITH Legislative Assistant Attest: SHANNON CORIN, City Clerk ERIC YOUNGER, City Council President EY:SC:Is:cg AGENDA BILL � D CITY OF BREMERTON CITY COUNCIL SUBJECT: Minutes of Study Session - Study Session Date: N/A February 10, 2016 COUNCIL MEETING Date: February 17, 2016 Department: City Council Presenter: Council President Phone: (360) 473-5280 SUMMARY: Attached is a summary of the City Council Study Session on February 10, 2016. ATTACHMENTS: Meeting Minutes FISCAL IMPACTS (Include Budgeted Amount): N/A STUDY SESSION AGENDA: ❑x No Presentation ❑ Full Presentation STUDY SESSION ACTION: � Consent Agenda ❑ General Business ❑ Public Hearing RECOMMENDED MOTION: Move to approve the Consent Agenda as presented. COUNCIL ACTION: ❑ Approve ❑ Deny ❑ Table ❑ Continue ❑ No Action Form Updated 01/07/15 DIGITAL RECORDING � CITY COUNCIL STUDY SESSION MINUTES Wednesday, February 10, 2016 A Study Session of the City Council of the City of Bremerton was called to order in the Council Conference Room of the NORM DicKs GOVERNMENT CENTER, 345 6th Street, Bremerton, Washington, Wednesday, February 10, 2016, at 5:00 PM, with Council President Eric Younger presiding. Council Members present were Richard Huddy, Dino Davis, Greg Wheeler, Jerry McDonald, Leslie Daugs and Pat Sullivan. Lori Smith, Legislative Assistant, was present to provide staff support. President Younqer emphasized that the Study Session was open to the public but there would be no opportunities for input or participation; and announced that approved items by Council will be placed on the February 17, 2016 Council Meeting Agenda; or as indicated. A. NO PRESENTATION PLANNED — The following items are budgeted items or subjects that have been raised with the appropriate Council Committee Members... 1. Confirm Re-appointment of Holly James to the Civil Service Commission Consent Agenda 2. 2016 Excess Loss Insurance with Companion Life Insurance Company for the City's Partially Self-Funded Medical Insurance Program Consent Agenda 3. Elevator Equipment Systems Services & Maintenance Contract with Otis Elevator Company Consent Agenda 4. Contract Award to SGC General Contractors for the Anderson Creek Hypochlorite Building Project Consent Agenda 5. Purchase two (2) %Z-Ton Utility Trucks from Bud Clary Chevrolet of Longview, WA for the Water Utility Maintenance Division; and a Budget Adjustment from the 2016 Water Capital Budget Consenf Agenda 6. Change Orders No. 4 and 5 with RV Associates, Inc. for the Washington Avenue Community Boulevard Project Consent Agenda 7. Resolution to set March 16, 2016 as a Public Hearing date to consider an ordinance authorizing the City of Bremerton to assume the rights, powers, functions, and obligations of the Bremerton Transportation Benefit District (TBD) Consent Agenda B. BRIEFINGS 8� FULL PRESENTATIONS 8. Public Works Agreement with Utter Associates for the Purchase and Installation of Broadcast Equipment for Upgrades in the Meeting Chambers of the Norm Dicks Government Center; and a Budget Adjustment to increase the 2016 BKAT Capital Budget Consent Agenda C. EXECUTIVE SESSION — 30 minutes to Consider a Minimum Price of a Real Estate Transaction under RCW 42.30.110(1)(b) 06:25 M/S/C (Huddy/McDonald) Move to approve the sale of the former CenCom and EMS property on Warren Avenue to Olympic College for$115,000 plus closing costs subject to a retention of an easement to access Lower Roto Vista Park; and authorize the Mayor to negotiate, finalize, and execute the agreement and related documents for the sale as presented. Voted in favor of Motion: Sullivan, McDonald, Wheeler, Huddy, Younger Voted opposed to Motion: Daugs, Davis Motion carried: 5-Yes; 2-No City Council Study Session Minutes Wednesday, February 10, 2016 Page 2 of 2 D. GENERAL COUNCIL BUSINESS o Public Works Committee Briefing (2/02/16 Meeting) — Chair Greg Wheeler o Audit Committee Briefing (2/04/16 Special Meeting)—2015 Chair Leslie Daugs o Public Safety and Parks Committee Briefing (2/10/16 Meeting) —Chair Leslie Daugs o Joint Planning Session Briefing (9/30/96 Meeting)— Council President Eric Younger The final list of 2016 City Council Goals from the Joint Planning Session were presented. o Other General Council Business was briefly discussed. With no further business, President Younqer adjourned the Council Study Session at 7:00 PM. Pre red and Submitted by: � < LORI SMITH Legislative Assistant Attest: SHANNON CORIN, City Clerk ERIC YOUNGER, City Council President EY:SC:Is:cg AGENDA BILL 7 E CITY OF BREMERTON � CITY COUNCIL SUBJECT: Confirm Re-appointment of Study Session Date: February 10, 2016 Holly James to the Civil Service Commission COUNCIL MEETING Date: February 17, 2016 Department: Executive Presenter: Mayor Patty Lent Phone: (360) 473-5266 SUMMARY: Holly James' position on the Civil Service Commission is expiring and it is recommended she be reappointed to another term. ATTACHMENTS: Holly James' application for reappointment is available in the Mayor's office FISCAL IMPACTS (Include Budgeted Amount): No fiscal impacts. STUDY SESSION AGENDA: ❑x No Presentation ❑ Full Presentation STUDY SESSION ACTION: ❑x Consent Agenda ❑ General Business ❑ Public Hearing RECOMMENDED MOTION: Move to confirm the re-appointment of Holly James to the Civil Service Commission. ' COUNCIL ACTION: ❑ Approve ❑ Deny ❑ Table ❑ Continue ❑ No Action � Form Updated 01/07/15 AGENDA BILL CITY OF BREMERTON CITY COUNCIL SUBJECT: 2016 Excess Loss Insurance for Study Session Date: February 10, 2016 the City's partially self-funded medical COUNCIL MEETING Date: February 17, 2016 insurance program Department: City Attorney's Office— Human Resources Presenter: Charlotte Belmore Phone: (360) 473-5926 SUMMARY: The City's excess loss insurance has expired and new coverage needs to be obtained for calendar year 2016. Working through the City's broker Liberty Benefits Group (LBG) requests for proposals were sent to various providers and Companion Life Insurance Company by and through Montgomery Management, our current provider, provided the most cost efficient renewal option for coverage. The premium is based on the number employees insured. Based on current employee coverage the annual premium is estimated to be $209,387. ATTACHMENTS: Application to Companion Life Insurance Company for Aggregate and Specific Excess Loss Insurance FISCAL IMPACTS (Include Budgeted Amount): Adequate funds for this insurance renewal have been included in the 2016 budget. STUDY SESSION AGENDA: � No Presentation ❑ Full Presentation STUDY SESSION ACTION: � Consent Agenda ❑ General Business O Public Hearing RECOMMENDED MOTION: Move to approve the 2016 excess loss insurance with Companion Life Insurance Company by and through Montgomery Management for the City's partially self-funded medical plan as bound for the City of Bremerton; and to authorize the Mayor to finalize and execute the contract, in substantially the same form as presented. COUNCIL ACTION: ❑ Approve ❑ Deny ❑ Table ❑ Continue ❑ No Action Form Updated 01/07l15 APPLJCATION TO COMPANiOId LIFE INSURAPICE COMPANY COLUMBIA,SC 28223 FOR � AGGREGATE AND SPECIFIC EXCESS LOSS INSURANCE Application is hereby made to the Companion Life Insurance Company ("Company'� for Excess Loss Insurance. Thls Appqcation must be accepted and approved by the Company or Its authorized representative prior to any Contract being in existence. 1. uil Legal Name of Appllcant: - City of Bremerton 2. ress: Clty: Bremerton State: WA Zip Code: 98337 3. I employee ben plans of su s iary or afflllat comparnes companles un er common control through stodc ownership, contract, or otherwise)are to be included, Ifst tegal name and addresses of such companies. - . nter e name o your Emp oyee eneflt Plan s - A copy of auch Empioyee Beneflt Plan(s) must be attached.) The employee benefit plan document for City of Bremerton. 5. ame an a ress o Designated Thi Perty Administrator: Cypress Benefit Administrators-5560 W Grande Market Dr-Appleton�WI 64813 6. Effect ve Date: 01/0712016 , 7. Est�mated nitial Enrollment I e used as the Num er o Covere n ts u ng t e irst Contra Month}: 72 Singles, and 189 Famflies(or) 0 Composite 8. GENERAL SCHEDULE OPT ONS: (a) Disabled Persons [X]are d are not covered. Retired Employees [X]are p are not covered. (b) Aggregate Benefit [X]Yes No Aggregete Contract Basis: Employee Benefit Plan Expenses must be Incurred from 01/09/2016 through 72/39/�016, and Paid from 07/0112016 through 12/51/2016. Claims IncuRed prlor to the Contract Effective Date are limited to$Not Anallcable. CLXLAPP -1- Applicant Initials,_ 8. OENERAL SCHEDULE OP110NS: (Continued) � � Aggregate eligible expenses include: [X] Medical [X] Prescription Cerd Servtce j] Dental p Weekly(Disabliity)income p Vision Care p Other- Aggregate Monthly Factor per singfe Employee: $ 704.73 Family: $ 1,842.72 Aggregate Payable Percentage(excess of Deduc�ble): 100 °i6 . Maximum Eligible Claim Expense Per Covered Person: $ 176.000.00 Minimum Aggregate Deductible: $ 4,648�767.00 Maximum Aggregate Benefit(excess of DeducGble): $ 1�000,000.00 (c) Monthfy Aggregate Accommodatlon [X]Yes�d No (d) Terminal Liability 0 Yes(Xj No � (e) Spec(flc Benefit [X]Yes[] No Specific Contract Basls: Ernployee Benefit Plan expenses must be Incurred from 01/01/Z016 through 12/311201g. Pald from 01 /2�rough 06/3012077. Claims Incurred prior to the ConVact Effective Date are limlted $ 0.00 to: Speciflc Eligible Expense: Medical and Rx � �� ble(per pereon): $ 176,000.00 t*"'see terms below""�' $ 480,000.00 Aggregate Spec(flc Deductible $ 62�661.00 Speclfic Payable Percentage(excess of Deductible): $ 1009�6 Meximum Specfflc Beneflt(per pereon In excesa of Specific Deductible): • $ Unllmlted 9. PREMIUMS: (a) Aggregate Premium ' s. Premium Per Month Per Unit: 1 • $ 93.15 Minimum Annual Aggregate Premium: $ 41.186.00 Monthly Aggregate Accommodation Premium Per Month Per Unit: $ 1.43 Annual Premlum In Advance: $ lnclude n Annual Aggregate P�emium Terminai Ltebility Premlum Per Month Per Unit: $ 0.00 Annual Premiurn In Advance: $ Not Applicable (b) Speciflc Premfum Premium Per Month Per Single Employee: $ 34.37 Family: $ 79.61 Minimum Annual Specific Premium: $ 168�207.00 CLXLAPP =2- Appilcant Initials_ 10. SPECIAL RISK LIMITATIONS: Contract wlll be based upon the current employee benefits as defined ln the Employee Beneflt Plan by reference or by attachment,except as noted befow: SpeC�C: If the arow were to terminete mld-conhaG.minlmum oremlum reaulremenfa are BO'�of the estlmeted annuel anedflc premium end 10096 of the esHmeted annuel aaareaete oremlum.This contract Is�sed uoon tha eurtent olan of b�ls. Arn claiment who!s dlsdosed ea iarmineled ea of the eNecllve date�excluded from covereae and wlil be eublect tg medlcel undetwc111�Hthev r�oln the oien.Thia coMrect easumes lhe utfli�lion of Ftrst Choloe PPO MehNorlc If his nelwork chanaea.we ieserve lha daM to recelculele Ihe ratea and factore.If lhe orlor veer nlen dacumenl indudea �ctenalon of benefita wordh►n.clelms ellaible under ihis extenalon wtll not 6e covered under the ston-lose nolic,y.ln�� event ot a leser.gny clelma 6etween lhe aroun aoeciflc deduclible and ihe lesered soeciflc deductlbie are nol soolicable under the aaareoete wveraae.Arn dalment who hes oraviousM met or ex�eeded the arouo's II(edme mexl um musl be dleclosed to Mantoomerv Maneaement dudna the imderwrillna oroceae In order to be conaldered etlamle Tor cxivarane under the atoatosa In the event that the orouo's SPD confalns thewordi�`The Plan Administrator has the flnel deolsion to delermlrre Beneflte'for slmller lannuaael the atoo-loss cvntrecl w111 awersede the 3PD and Ireal Ihe dedslon es en e�dre�ornredual dedelon Coveraoe le not bound untll binder cremlum Is recehred end ell flnel undeiwrlHno metartels are teoeived and anornved bv the underwriter Premlum Is due on!he flrst dey of covera�month The minlmum efleohment oolnl Is 9596 of 1he eatlmated annual atlachment ooiM.Traditlonal etoo-loss: -Rx edminlstrative fees chemed by the TPA as well as PPO ecceas teea and Rx rebates ere not cavered under thla poBcv unlesa otherwiae eoecifled -LCM fees are flmlted to 31251hour -Clalma neootlellon feea Tor non-nelwork clelms are Iimited to 2696 of sevinas -If e u zea e O r PPO savin a ees a excluded r e o e da -Cc aaeum II o teid cbe ere e a a re etin a cifla dedu e o 2 68 AggreBate: 11. IT IS UNDERSTOOD AND AGREED� AS CONDITIONS PRECEDENT TO 7HE APPROVAL OF THIS APPLICATION�THAT: (a) All documentation requested by the Company must be submitted prior to any approval of this Applicatfon and must be recelved by the Company withln ninety (90) days of the requested Effective Date. (b) If the Schedule shows disebled persons are not covered, no beneflts wili be paid under the Contract for expenses Incurred or Paid under the Employee Benefit Plan for a disabled person until: (1) if an employee, he or she returns to active, full-time employment for at least one (1) full working day;or (2) if a dependent or Continuation Beneflclary, he or she is able to perform the norrnal functlons of a persan of Iike sex and age. (c) Issuance of the Contract is in reliance upon the infarmatlon provided by the Applicant or its Agent. Should subsequent information become known which, if known prior to issuance of the Contract,would have affected the rates, deductibles,te�ms or conditions for coverage, the Company wfil have the right to revise the rates, deductibles, terms or conditions as of the Effective Date of issuence, by providing written notice to the Insured. (d) The Contract, if issued, may be vold, if whether before or after a claifn or loss, eny material fact or circumstance was concealed or misrepresented on behalf of the Applicent, or if the Appllcant or its Agent,committed fraud. (e) Receipt of a premlum and its deposit in connection with the Application shall not constitute an acceptance of Ilability. In the event that Companion Life Insurance Company disapproves this Application,its sole obligation shall be to retund such sum to the Applicant. (fl If a Contract is issued and leter rescinded,the sum of all benefds paid will be deducted from the sum of all premiums paid. If the result is positive, such amount will be paidby the Company to the Applicant. If the resuft ls negative,such amount wili be paid by the Ap'�icant to the Company. (g) The initial premium will be paid on or before the Effective Date, and subsequent�remlums are due no later than the first day of each calendar month during the Contract Period. CLXLAPP =3- Appilcant Initials_ 71. IT IS UNDERSTOOD AND A(3REED� A3 CONDITIONS PRECEDENT TO THE APPROVAL OF THI3 APPLICATION�THAT: (Cor�tinued) • (h) Applicant acknowledges that the Contract which is the subject of this ApQllcation is a reimbursement Contract. Applicant must first pay clafms bafore submitt�ng them for reimbursement. (I) Oral Statements not expressly tncorporated herein are not part of this Contrac�t. Only the Pres(dent or Executive Officer of the Company may make changes to the Contract Form or Addenda on behalf of the Compeny. All changes to thfs Contract must be in writing and attached to this Contract. (p NEITHER TH1S APPUCATION NOR THE TERMS OF THIS APPLICATION MAY BE AITERED. In making this Appiication, the Applicant represents that, to the best of its knowledge and belief, such information eccurately reflects the true facts and that the undersigned has authority to bind the Applicant to the proposed Con�ract Accordingly, this Application will be a part of the Contract if accepted by the Company or its authorized representative. Dated at this day of , 2016. Wltness: Applicant:Citv Of Bremerton Signature of Lic nse Resldent Agent Tax ID#: ey: (O ceNPartner Title: Licensed Resident Agent: ,� �G�- d��-- ype or Pr n • Address: �(I DO ►qK r`' �� ► St�'�� City: �khW� state: w zip: ��3� Soclal Security or Tax ID# 12,o��3�3Z ACCEPTANCE BY MONTGOMERY MANAGEMENT: Accepted on behalf of the Company,this day of ,2018 , By: . Title: i Contract No.: CLI71494 Effective Date:01/01/2016 CLXLAPP -4- Applicant Initfais_ SPECIFIC ADVANCEMENT RIDER In consideration of the Speciftc Advancement Premium paid, as shown in the Schedule, this Rider is attached to and made a part of Contract Number CL171484 and is effective 01/01/2016 . This rider is intended to prepay ce�tain benefits otherwise payable after clalms have already been pald by the Contracthoider�and thus aid the cash-flow of the Contractholder. Section Ii. BENEFITS, Item 2. Specific is defeted In Its entlrety and replaced with the following: 2. Speciflc The Specific Benefit with regard to each Covered Person,is the total of the Efigible Claim Payments, on a Incurred and / or Paid basis as shown in the Specific Contract Basis of the Schedule; A. less the Specific Deductible; and B. less amounts recovered from other sources; C. multlplied by the Spec3fic Payable Percentage. The Company will advance Specific Beneflts to the Contractholder for all EIIg(ble Ciaim Payments submitted during the Contract Period which exceed the Speciflc Deductible prlor to actual payment by the Contracthoider. In order to recelve these advanced Speciflc Benefits, the Contractholder must have actually Paid the full amount of the Speciflc Deductible end•all premiuma listed in the Schedule must be pald current to date. The Contractholder shail only be ent(tled to an advanced Specific Benefit up to the amount submitted by Cor�tractholder over and above the Speciflc Deductible. • If this Contract should terminate prtor to the end of the Contract Period, the Company shali not be Ilable for Specific Benefits for expenses Incurred or Paid by the ConVactholder after the termination dete. In no event will the Speclfic Benefit with regard to any Covered Person exceed the Maximum Specific Benefit shown in the Schedule. Except as stated fn the Rider, nothing contained herein shall be deemed to alter or affect . any of the provisions of the Contract. ��+�' Trescott N.Hinton President COMPANION LIFE INSURANCE COMPANY 7909 PARKLANE ROAD, SUITE 200 COLUMBIA, SC 29223 CLAMEND-RIDER AMENDMENT To be attached to and made a pert of Coritract Number CLI71494 . The Contract is amended as of 01/01/2016,so that Sectlon 1.Deflnitions—°Maximum Spec(flc Benefit"is deleted in its entirety and is replaced with the below deflnttion: . Maximum Speciflc Beneflt means the amount set forth In the Poiicy Schedule that is the maximum total Spec'�'ic Benefit payable unde�the terms, conditions and Iimitations of thls Contract for cla(ms incur�ed under the Employee Beneflt Plan during this Policy perlod and Pald prior to the Paid Date specifled in the Policy Schedule. � The Maximum Specific Benefit is further limited to the Employee 8enefit Plan annual Ilmit minus the Speciflc Deductlble. In the context of the definiUon of Maximum Specific Beneflt, references to Employee Benefit Piah"Include all predecessors and successors of the particular plan in effect on the Cont�act's Effective Date. Except as stated in this Amendment,nothing contained herein shali be deemed to alter or affect any of the provisions of the Contract. �� Trescott N.Hinton�Jr. President � � COMPANION LIFE INSURANCE COMPANY 7909 PARKLANE ROAD,SUITE 200 COLUMBIA,SC 29223 MONTHLY ACiGREOATE ACCOMMODATION RIDER In consideration of the Monthly Aggregate Accommoda�on Premium Paid, as shown in the Schedule, this Rider is attached to and made a part of Contract Number CLI71494 and is effective 01/01/2016. This Rider is intended to prepay certain benefits otherwise payable after the end of the Contract Period,and thus aid the cash-flow of the Contracthoider. REPAYMENT BY THE CONTRACTHOLDER TO THE COMPANY MAY BE REQUIRED. ARTICLE I-DEFINITIONS As used in this Rider,the following deflnitions shall be applicable. 1. "Accumulated Aggregate Deducdble" shall be deflned, for the coverage period from the beglnnlng of the Contract Period to the current date, as the summation of the Aggregate Deductible Per Month for each month of the coverege period. 2. "Minlmum Aggregate Deductlble Per Month" shall be defined as the prorata po�tion of the Minimum Aggregate Deductible which Is set forth In the Schedule. 3. "Accumulated Minimum Aggregate Deductibie" shall be deflned for the coverage pe�lod from the beglnning of the Contract Period to the cuRent date, as the summaUon of the Minimum Aggregate Deductible Per Month in each mo�th of the coverage perlod. ARTICLE II-OPERATION9 1. Accommodation Provlsion. Accommodation shall be provided for only those eligibie claims that are in excess of the monthly or annual claims fund amount.The claims fund amount Is calculated using the factors found in section 7c of the schedule: (single factor X single monthly enrollment) + (ES factor X ES monthly enrollment) + (EC factor X EC monthly enrollment) + (fam(ly factor X famfly monthly enrollment OR (single factor X singte annual enroliment) + (ES factor X ES annual enroliment� + (EC factor X EC annual enrollment) + (family factor X family annual enrollment). Campany shall determine during each month af coverage under the Contract whether the cumulative total of clalms paid to date by the Contractholder, for which reimbursement is provided under terms of the Contract, exceeds the Accumulated Aggregate Deductible or the Accumulated Minimum Aggregate Deductible, whichever is greater, by a minimum of[ $2,000.00]. If so, Company shall pay to the Contractholder the difference by which the cumulative total of paid claims exceeds the Accumulated Aggregate Deductible or the Accumulated Minfmum Aggregate Deductible, whichever is greater, multiplied by the Aggregate Payable Percentage, as an AccommodaGon. The total amount of Accommodatlon mede shall never be more than the Maximum Aggregate Benefit as stated in the Schedule. Accommodetlon shall be repald to Company as provided below. COMPANION LIFE INSURANCE COMPANY 7909 PARKLANE ROAD, SUITE 200 COLUMBIA,SC 29223 1 CLAAR � � 2. Repayment of Accommodation. Repayrnent of the Accommodation shali be made as follows: The total amount of outstanding Accommodation is immediately due and to be repaid within fifteen �15) days. Failure of the Contractholder to repay an Accommodation as provided in this paragraph within fifteen (1� days from the date the amount that Repayment of Accommodatlon is determined in accordance with this Rider, shall result in the assessment of a penalty of 2% per month (Minimum $100.00 per month)computed on the total amount of the Accommodation to be repaid. 3. Treatment of Accommodatton. The Accommodatlon provlded under this Rider shall be an obllgation of the Contractholder for which no interest shall be charged and sheil be repaid as provided here(n. The Accommodation is neither a loan nor an advance on any paymerits to be made pursuant to the Contract.Any Accommodatlon shall at all t(mes be consldered funds of the Company for which the use by the Contracthalder of such funds � is provided In this Rider. Company shail have preference over all other claimants for the retum of an Accommodation made under this Rider. The Contractholder shall be liable for all costs and expenses, including reasonable attorney's fees, incurred in the collectton of any amount of Accommodation outstanding. Except as stated in this Rider, nothing car�tained herein shall be deemed to alter or affect any of the provisions of the Contract ,•l�it� COMPANION LIFE INSURANCE COMPANY 7909 PARKLAPIE ROAD,SUITE 200 COLUMBIA,SC 29223 2, � � CLAAR I Companion Life Insurance Company, Columbla, South Carofina agrees to pay Excess Loss insurance benefits under the provisions of this Cor�tract to the Contractholder listed in the Schedule of Excess Loss Insurance. READ YOUR CONTRACT CAREFULLY This Contract is legally binding between the Contractholder and Companion Life Insurance Company ("Company"). The consideration for this Contraat includes, but is not limited to, the Appiication and the payment of premiums es provlded herelnafter. AGREEMENT The Company wlll pay the[Aggregate and Spec�c Benefits]provided In this Contract. Payment is subject to the conditlons, limitations end exceptions of this Contract. . The Contractholder agrees to pay premiuma when due and to comply with the Contrect provislons. This Contrect takes effect on the Effective Date shown in the Schedule,which will be the date of issue, and termi�ates on the end of the Contract Period shown in the Schedule unless It (s renewed. All periods indicated in the Contract begin and end at 12:01 A.M. standard time at the Contracthalder's oifice. This Contract Form Is governed by the laws of the state of Washington. The sectlons set forth on the following pages are a part of this Corrtract and take effect on the Effective Date. IN WITNESS WHEREOF Companfon Life Insurance Company has caused this Contract to be executed by its President at Columbia, South Carolina. �y� Trescott N.Hinton President Policy Provfding Excess Loss Insurance Nonparticipating COMPAIdION LIFE INSURANCE 7909 PARKLANE ROAD, SUITE 200 COLUMBIA,SC 29223 CLXLPOL �=1= COMPANION LIFE INSURANCE COMPANY - SCHEDUL.E OF EXCESS LOSS INSURAIdCE 1. Contract Number. CLJ71494 2. Contractholder: � City of Bremerton 3. Address: City: Bremerton State: WA Zip Code:98337 , 4. Subsidiary or a�liated companies (companfea under common control through stock ownership, contract, or otherwise)to be included(list le8al name end addresses): 5. Name and address of Designated Third Party Administrator. ; Cypress Beneflt Administrators-8860 W Grande Market Dr-Appleton,WI 54913 8. Effective Date: � ' 07/01/2076 7. GENERAL SCHEDULE OPTIONS: (a) Contract Perfad 07/01/2016 to 12IS1/Z076 (b) Disabled Persons [X]are []are not covered. Retired Employees [X]are �are not covered. (c) Aggregate Beneflt [X]Yes 0 No Aggregate Contract Basis: Empioyee Benefit Plan Expenses must be Incurred irom 01101/2016 through 12I31/2016.and Pald from 01i0712016 through 12/3112016. Clairns IncuRed prior to the Contract Effective Date ere limited to$Not Avo�icable. Aggregate eligible expenses include: [x] NAedical [X] Prescrlption Card Senrlce p Dental Care []Weekly(Disabflfly)Income p Vision Care p Other CLXLPOL -2- 7. GENERAL OPTIONB:(Continued) Aggregete Monthly Fector per aingle Employee: $ 704.73 Famlly. $ 1,842.72 Aggregete Peyable Percentage(excess of Deductible): 700 96 M1Neximum Elig(ble Claim E�ense Per Covered Person: $ 176,000.00 Minfmum Aggrega�B Deductible: $ 4,648�787.00 Ma�dmum Aggregate Beneflt(excess of DeducUble): $ 7,000,000.00 (d) Monthy Aggregate AccomrnodeUon [X�Yea Q No (e) Tertninel Llabfllty p Yea (X]No (fl Specific BeneSt [X]Yes []No Speciflc Contrect Basis:Employee Beneflt Plen expenses must be Incurred from 01/01/x018 through 72/31/2076. Pald from O !0 /2078 through 0613012017. Claims Incurred prior to the Contract Effective Dete ere Lim(ted to: $ 0.00 Speclflc EUgible E�ense: Medical and Rx S eclflc Deductible(per person): $ 176,000.00 "*see teRns belo�N"'° $ 460 000.00 ggregate peciflc Deductible $ 62 661.0 SpeciBc Peyeble Percentage(eoroeas of Deductlble): O Meximum Speciflc Beneflt(per peraon in exceas of Specific Deductible): $ UNL M ED 8. PREMIUM8: la) A88regete Premium Premium Per MoMh Per Unit $ 73.16 Minimum Mnual AggregaDa Premlum: $ 41,186.00 Monthlyq�gre8ete Accommodatlon T�remium Per Month Per Unl� $ 1 A3 Annual Premlum in Advance: $ Included n nnual Aggregate Premlum Tertninel Llabllity Premfum Per Month Per Unit $ 0.00 Annual Premium In Advance: $ NotApplicable (b) Specific Premium Premium Per Month Per Singte Employee: S 34.37 FemBy. $ 78.6 Minimum Mnual�eclftc Premlum: $ 68,201.00 8. SPECIAL WSK LIMITATIONS: Contract will be based upon the current employee beneNts as defined in the Employee Benefit Plan by reference or by attechmeM,exce es noted below: &pec[flc: ° 0 e c e aa Aesree■�: CLXLPOL =3- I. DEFINITIOtdS As used In this Contract,the foflowing deflnitions shail be applicabie: Agent, when referring to the Contractholder, means the Contractholder's representative, inctuding but not Iimited to ib Designated Agent,Broker,or Third Party Adm(nistrator. Aggregate Beneflt means the amount that the Company agrees to pay the Contracthoider after the end of the Contract Period for ellgible dafms Pafd by the Contractholder as set forth in the Schedule and pursuent to the terms,condttlons and Iimftations of the Contract. Aggregate Contract Basia(denfrties the dates during which Employee Benefit Plan expenses must be Incurred and must be Pald to be consfde�ed eligible for reimbursement es Aggregate Benefits. Aggregate Deductible Per Month means the Aggregate Monthly Factor shown in the Schedule multiplied by the Number of Covered Units. Aggregate Deductlble means the sum of each Aggregate Deductible Per Mo�h for each month during the Contract Perlod or fraotion thereof. Mlnlmum Aggregate Deductlble means the lowest possible Aggregate Deductible applicable to the Contract Perlod or fraction thereof. This emount is set forth in the Schedule. Continuatlon Beneficiary is a Covered Unit which elects to extend its group health coverage under the Employee Benefit Plan entitled under the Consolidated Omnibus Budget Reconciliation Act of 1985(COBRA). Contract means the entire agreement between the Contractholder and the Company, specifically including the Contract Application,the Contract Form,the Contract Addenda(if any), and a copy of the Contractholder's Employee Beneflt Plan. Contract Month means a period measured from the Effective Date of this Contract, while thls Contract(s in force. Each new Cor�tract Month will begin on a day which corresponds to the Effective Date. If there is no such day in any applicable month,then the last day of the month will be used. Contract Perlod is stated in the Schedule. Contractholder is named in the Schedule. Covered Person refers to each person, individually, who is a Covered Unit, or, fn the case of a dependent, a member of a Cuvered Unit. In no event will coverege for a dependent become effective before the Effectfve Date of Coverage of the plan participant under the Employee Benefit Plan. Covered Unit,for purposes of calculetion of the premiums end the Aggregate Deductlble Per Month, means a plan participant, a plan participant with dependents, or such other deflned unit as agreed upon between the Company and the Contractholder, provided such plan patticipant, dependents or such other defined unit is covered under the Employee Benefit Plan. Dependent means e person who is defined as a dependent under the Employee Beneflt Plan. CLXLPOL =4- , I. DEFlAlIT10NS(Continued) , Disabied Perscn is a plan partic(pant not adively at work or, in the case of a dependent or Continuation Beneflciary, is by disabllity unable to perform his or her normal functions of a person of Iike sex and age on the Effective Date of this Contract or the date such pe�son becomes eligible for coverage under the Employee Benefit Plan. Eligible Clalms Payments means expenses of the Employee Beneftt Plan qualifying for coverage under the terms and conditlons of this Contract. F�nployee means a person who is defined as an employee under the Employee Benefit Plan. Employee Beneflt Plan means the master plan document of the Contractholder to provlde medical expense benefits to the Contractholder's covered plan partiapants and dependents of such plan • participants in effect on the Effective Date of this Contract,a copy of which ts attached t�and made a pa�t of thls Contract. _ incurred �efers to the date on whlch a covered medical senrtce was rendered� the date disability beneflt payments become due, or a covered medicai purchase was made for a Covered Person under the Employee Beneflt Plan. Maximum Aggregate Benefit means the amount set forth in the Schedule as the maximum total Aggregate Beneflt payable under the terms, conditions and limitations of this Contrect durfng the Contract Period. Maximum Eligible Clalm Expense Per Person, as it relates to eggregate coverage, means the maximum dollar value of cla(ms Peid on any one Covered Person that can apply toward satisfaction of an l�ggregate Deductible, or that can apply toward the calcula8on of the Aggregate Benefft for a Contract Perlod. Maximum Specific Benefit means the amount set forth in the Schedule that is the maximum total Specffic Beneflt payable under the terms,conditions and Ilmitations of this Contract during the period � an individual is a Covered Person under the Employee Benefit Plan, regardless of the number of years the Covered Person Is eilgible under the Employee Beneflt Plan and re.gardless of whether expenses for this Covered Person were Incurred and/or Paid during this Contract Perlod. In the context of the deflnttlon of Maximum Speciflc Beneftt,references to"Employee Benefit Plan"include all predecessors and successors of the particular plan in effeat on the ContracYs Effe�tive Date. Number o�Covered Units means the total number of Covered Units existing in eny Contract Month. Paid means that funds are actually disbursed by the Contrectholder or his Agent. Payment of a claim Is the uncondRional and direct paymsnt of a claim to a Covered Person or their health care providers. Payment will be deemed made on the date that both (1)the payor directly tendars payment by meiling (or othenrvise delivering)a draft or check, and(2)the account upon which the payment is drawn contains,and continues to contain,sufficient funds to permit the check or draft to be honored. Should the account upon which payment is drawn not contafn sufficlent funds to cover all outstanding checks and drafts on the eccount,then the Company mey consider,in its sole discretion, any particular checks or drafts as not having been paid, but only to the total amount representing the difference between the funds in the account and the total of outstanding checks and drafts. I: DEFINITIONS(Contlnued) CLXLPOL -5= Paysble Percentage means the percentage payable as shown in the Schedule. The calculation of Speciflc Beneflts may be subJect to a different Payable Percentage than the calculation of Aggregate Beneflts. Plan Particlpant means an employee, e dependent or any other person who Is eligible and who Is covered under the Employee Beneflt Plan. No plan participant may be covered by this conVact prior to the date his or her coverege is effective under the Employee Benefit Pian or after the date his or her coverage under the Employee Benefit Plan Ends. Proof of Loss is the forrn authorized by the Company to be used far the submission of claims as well as the supporting documentation reasonably necessary for the Company's independent evaluation of the 1e81timacy and extent of the claim. Claims for expenses not speciflcally identified in previously submitted Proofs of Loss must be axompanied by separate Proofs of Loss. Schedule means the Schedule of Exceas Loss Insurance. Speciflc Benefit means the amount the Company will pay to the Contractholder for eligible ciaims Pa(d by the Contractholder over and above the Contractholder's Spec�ic Deductible Per Person, and pursuant to the terms, conditions and limltations of the Contract. Speciflc Contract Basls identffles the dates during which Employee Benefit Plan expenses must be incurred and must be Paid to be cons(dered eligible for reimbursement as Specfflc Beneflts. 9peciflc Deductlble means the per Covered Peraon deductible as shown in the Schedute. CLXLPOL =6- I II. BENEFITS The Company wlll pay,subject to the terms,conditions and limita�ons of the Contract,the following beneflts, If shown in the Schedufe,to the Contractholder wfthin a reasonable tlme upon receipt of a fully executed Proof of Loss: 1. Aggregate The Aggregate Benefit for the Contract Period, or fractlon thereof, is the total of the Eligible Claim Payments, on an Incurred end/or Pa(d basis es shown (n the Aggregate Contract Basis of the Schedule: a. less the Aggregate Deductible or Minimum Aggregate Deductible,whichever is greater;end b. less the amount of the clalms Paid by the Contractholder in excess of the Maximum Eligible Clalm Expense Per Pe�son as shown in the Schedule;and c. less amounts recovered from other sources; d. multlpUed by the Aggregate Payable Percentage. Aggregate Benefits are not payable unttl after the end of the Paid basis shown in the Aggregate Contract Basis of the Schedule. If this Contrect should terminete prior to the end of the Contract Per(od,the Company shall not be Ilable for Aggregate Benefits for expenses Incurred or Paid by the Contractholder after the termination date. In no event will the Aggregate Benefit exceed the Maximum Aggregate Beneflt shown in the Schedule. 2. Speclflc The Specific Benefit with regard to each Covered Person, is the total of the EUgible Claim Payments, on e Incurred and/or Pafd basis es shown in the Specific Contract Basis of the Schedule; a. less the Speciflc Deduatible;and b. less amounts recovered from other sources; c, mu�iplied by the Specif[c Payable Percentage. The Contracthoider shall not be entltied to any Speciflc Beneflt unless and until the Contractholder has actualiy Paid the full amount of the Specif(c Deductible as set forth in the Schedule for the ' Covered Person(s) for which the Specific Beneflt is sought. The Contractholder shall only be entitled to a Specific Ben�t up to the amourrt actually Paid by Contractholder over and above the Speciflc Deductible. If thls Contract should terminate prior to the end of the Contract Period,the Company shall not be Ilable for Speciflc Beneftts for expenses Incurred or Paid by the Contradholder after the termination date. In no event will the Specific Benefit with regard to any Covered Pe�son exceed the Maximum Specific Benefit shown in the Schedule. CLXLPOL -7- ! III. LIMITATIONS 1. This Contract will not pay the Contractholder for any loss or expense caused by or resulting from any of the following: a.Expenses incurred while the Employee Benefit Plan is not in force with respect to the Covered Person. b. Expenses resulting from weekly (disability) income, dental, vision or any prescription card service, unless shown in the Schedule. c. L(ability assumed by the Contractholder under any contract or service sgreement other than the Employee Benefit Plan. d. Expenses as the result of extre-contractual damages; compensatory damages; or punitroe damages. . e. Expenses resulting from senrices which are billed in excess of the eeneral level of charges being made by other providers of services in the locality where the service is rendered. f. Expenses for benefits for accidental bodily in)ury or sickness arlsing out of or in the course of any occupatlon for wage or profit, or for which the Covered Person would be entitled to benefits under any Worker's Compensatlon, U. S. Longshoremen and Harbor Worker's or other occupatlonal dlsease legisletion or policy, whether or not such policy is actually In � force. g. Expenses which(1)are not accepted as standard medical treatment for the Illness,disease or inJury be(ng treated by physicians practicfng the suftable medical speclalty; (2) are the subject of sclentiflc or medical research or study to determine the item's effectiveness and safety;(3)have not been grented,at the time services were rendered,any required approval by a federal or state governmental agency, including without Iimitation, the Federal Department of Health end Human Services, Food and Drug Administration, or any comparable state governmental agency, and the Federal Health Care Finance Adminlstration as approved for reimbursement under Medicare Title XVIII; or (4) are performed subject to the Covered Person's informed consent under a treatment protoc�l that explains the treatment or procedure as being conducted under a human subject study or experiment " h. Cost of the administration of claim payments or expense of Iitlgation wlth individual claimants. I. Expenses for benefits to any Covered Person with coverage under any other plan, including Medicare,which,when combined with the beneflts payable by such other plan,would cause the total to exceed 100%oi the Covered Person's actual expenses. j. Payments under the Employee Beneflt Plan arising out of ar caused by or contributed to or in consequence of war,hostitities(whether war be decla�ed or not), invasion or civil war. ' CLXLPOL -8- III. LIMITATIONS(Contlnued) 2. If the Schedule shows disabled persons are not covered, no benefits wlil be pald under the Contract for expenses IncuRed or Paid under the Employee Beneflt Plan for a Dlsabled Person until: a. if a plan participant, he or she retums to active, full-time employment for at least one (1)fuli working dey;or b. if a dependent or Continuation Beneflciery, he or she is able to pertorm the normal funct(ons of a pe�son of Iike sex and age. 3. Newborn chlidren of plan participants who have previously enrolled and continue to cover their eligible dependents unde�the Employee Benefit Plan wfll be eligible under the Contract on the date of the chfld's birth. Employees who have not previously enrolled for dependent coverage will be eligible for newborn child coverage as deftned within the Employee Benefit Plan. 4. Retired plan participants and their depende�rts,who are efigible under the Empioyee Beneflt Plan,will be eligible for coverage under the Cor�tract only if so indicated In the�5chedule. CLXLPOL •9- � N. CLAIMS PROVISIONS 1. Payment of Clalm: All benefits as they become payable under this Contract will be paid to the Contractholder. All expenses as they become payable under the Employee Benefit Plan shali be Paid by the Contractholder. The Company shall pay claim within a�easonable time after receiving fully executed Proofs of Loss and the documentation reasonably necessary to eveluate ihe eligibility and extent of the claim. • 2. Warranty: Upon presentation of Proof of Loss to the Company for Aggregate or Speciflc Benefits, the Contractholder warrants that ail rnonles necessary to pay for services and supplies have been paid to the respective providers of inedical services or supplies to which the claim for reimbursement relates. 3. Notice of Claim: The Contractholder shall give written notice of claims to the Company on the Company's customary notice(Proof of Loss form),within thirty(30)days of the date the Contractholder becames aware of the existenc�of facts which would reascnably suggest the possibillty that benefits w(II be incurred which are covered by this Contract and which are equa)to or excsed flfty percent(50°�)of the Speclflc Deductlble. In addition,the Contractholder shall noti(y the Company immedlately of the expenses of any Covered Person which meet any of the following criteria: a. continuous hospitallzation for more than[one]month, or b. a clafm for any one of the following disabllitles: [mental disorder requiring hospftalization, braln injury, apinal inJury resulting In real or suspected paralysis oi the limbs,serious bums Involving ten percent(104�0)or more of the body with third degree burns o�thirty percent(30%) or more of the body with second degree bums, multiple or seriaus fractures, crushing or massive internal injuries, premature births, Acquired Immune Deficiency Syndrome(AIDS). ` The Contractholder shall submit on a timely basis proofs,reports,and supporting documents including, but not limited to, a monthly summary of a{I Eligfble Claims Payments processed by the Contractholder. CLXLPOL -10- ' V. CONTRACT TERMINATION The Contract and all benefits hereunder will terminate upon the earllest of the following dates: 1. The terminatlon date specified in writing by the Contrectholder provided that the Company is notifled not less than 31 days in advance of the termination date. 2. The end of any period for which premiums were paid and subsequent premiums are not paid. 3. The end of the Contract Period. 4. The date of termination of the Employee Benefit Plan. 5. The date of cancellatlon of the administrative agreement between the Contractholder and the Designated Third Party Administrator, unless the Company has, prior to such canceilation, consented in writing to the Contractholders designatlon of a successor Third Perty Administretor. 6. Thls Contract wili automaticaily terminate If the Contractholder does not pay claims or make available funds to pay claims as required by the Contrect. CLXLPOL -11- i ; VI. MISCELLANEOUS PROVISIONS � 1. Liability: The Compeny will have neither the rlght nor the obtlgation under this Contract to directiy pay any Cavered Person [or provider of professlonal or medicai servicesJ for any benefit which the Contracthoider has agreed to provide under the terms of the Employee Benefit Plan. The Company's sole liability hereunder is to the Contrectholder�subJe�t to the terms, conditions and limitations of this Contract. Nothing in this Contract shall be construed to permit a Covered Person to have a direct rfght of action against the Comparry. 2. Payment of Premiums: Each Premium for this Contract is payable on or before its due date as set forth in the Schedule to the Company or to th(s authorized representative. Payment of a premium wlll not maintain this Contract in force beyond the period for which such premium is paid,except as otherwise stated in the Grace Period. If the Effective Date of this Contract is other than the flrst day of a calendar month,premiums payable under this Contract are due and payabie on the first of each calendar month. 3. Grace Period: A Grace Perlod of thirty(30) days will be allowed for the payment of each premium after the first premium. Should a premlum otherwise due not be paid during the Grace Period, this Contract will terminate without further notice retroactive to the date for which premiums were last paid. The Ilabillty of the Company will be limited to clalms Paid by the ConVacthofder prfor to the date of termination. There will be no refund of any premfum shown in the Schedule. 4. Entire Contract: This Contract Form as issued ta the Contractholder, together with the � Contractholder's Application, Contract Addenda(ff any), and e copy of the Contractholder's Employee Beneflt Plan, constitute the entire contract. The Company has relied upon the underwriting Information provided by the Contraotholder or the Contractholder's Agent,in the Issuance of this Contract. Shouid subsequent information become known which, if known prlor to issuance of this Contract,would affect the rates,deductibles,terms or conditions for coverage hereunder,the Company will hava the right to revise the retes,deductibles,terms � � or conditions es of the Effective Date of issuance, by providing written notice to the Contractholder. 5. Concealment,Fraud: This entire Contract wlll be vold if,whether before or after a claim or loss, the Contractholder or its Agent has concealed or mtsrepresented any material fact or circumstance concerning this Contract or the subJect thereof,including any claim thereunder or In eny case of fraud by the Contractholder or its Agent retating thereto. B. Clerical Error: Clerical error,whether by the Contractholder or by the Company, in keeping any records pertaining to the coverage,will not invalidate coverage otherwise validly in force nor continue coverage otherwise validly terminated. CLXLPOL -12- VI. MISCELLANEOUS PROVISIONS(Continued) 7. Audits: The Company will have the right:(1)to inspect and audit all records and procedures of the Contractholder and Designated Third Party Administrator; and (2) to require, upon request, proof of records satisfactory to the Company that payment has been made to the Covered Pe�son or the provider of such servlces or benefits which are the basis for any claim by the Cor�tractholder hereunder. 8. Notice of Appeal: Any objection, natice of legal action, or complaint received on a claim process by the Contractholder or the Third Party Administrator, and on which It reasonably appears a benefit will be payable to the Contracthoider under this Contrect shall be brought to the immedlate attention of the claims departrnent of the Company. 9. Changes: Only the President or Executive Officer of the Company have the authority to alte� this Contract, or to wafve any of the Company's rights and then only in writing. No such alteration of this Contract shall be valid unless endorsed on or attached to this Contract. No Agent,Broker,or Third Party Administrator has the euthority to alter this Contract or to walve any of its provisions. 10. Notice: For the purpose of any notice requlred from the Company under the provisions of this Contrect, notice to the Contractholders Designated Third Party AdrninisVator shell be considered notice to the Contractholder. 11. Amendments to the Employee Benefit Plan: The Employee Beneflt Plan shall not be changed while this Contract (s in force without the prior written consent of the Company. Notice of any amendment to the Employee Benefit Plan must be given to the Company or its authorized representative at least [thirty (30)J days prior to the Effective Date of the amendment. The Company will have the sote option to accept the amendment to the Employee Beneflt Plan,and if accepted,the Company reserves the right to revise the rates, deductibles,terms or condltions of the Contract as of the Effective Date of the amendment. If such amendment is not agreed to in writing,the Company wlli be liable to pay benefits as if the Employee Senefit Plan was not changed. 12. Responalbilitles of the Contractholder's Designated Thlyd Party Administrator: Without waiving any of its rights under thfs Contract, and without making the Designated Third Party Adminlstrator a party to this Corrtract, the Company agrees to recognize the Designated Third Party Administrator as respects the normal administration of the Contractholders Pian subJect to: a. The Third Party Administretor being responsible on behalf of the Contrectholder for auditing,calculeting and processing all claims eligible underthe Employee Beneflt Plan within a reasoneble period of time, preparing periodic reports as required by the Company and matntaining and making available to the Company at all times such information as the Company may reasonably requfre for proof of payment of the clalms(s)by the Contractholde�; CLXLPOL -13- ' VI. MISCELLANEOUS PROVISIONS(Continued) b. The Third Party Adminlstrator pertorming such other duties as may be reasonably � required by the Company, including but not limited to, malntaining an accurate record of eligible Covered Persons of the Contractholder; c. The Company will not be responsible for any compensation due the Desfgnated Third Party Administrator for functions performed in relation to this Cont�act;and d. This Contract will not be deemed to make the Company a party to any agreement between the Contractholder and the Destgnated Third Party Administrator. 13. Hold Harmless: a. The Contractholder agrees to indemnify and hoid the Company harmless for any legai expenses incurred, reasonable settlements made,or Judgment(s)awarded,arising out of any dispute involving a plan participant or former plan paficipant of the Contractholde�'s Employee Benefd Plan provided such legal expenses,settiements,or judgments were not incurred as a result of the sole negligence or intentionel wrongful acts of the Company. The Company, following any notiflcation of its being, or likely to be, named as a defendant on any action concerning the aforementioned dispute will, within a reasonable time, in wrlting, notify the Contractholder of the dispute. The Company wlll cooperate with the Contractholder in matters pertafning to the dispute, however, such cooperation with the Contractholder wfll not waive the right of the Company to solely defend or settle any action (n a manner it deems prudent. b. The Contractholder shali be responsible for any State premlum taxes lncurred with �espect to funds paid to or by the Contractholder under the Employee Benefit Pian. Taxes incurred with respect to premlums paid for the Contract wlll be the responsiblllty of the Company. 14, Offset: The Company will be e�rtitled to offset claim reimbursements to the Contractholder against premiums due and unpaid by the Contractholder. 15. Assignments: The Contractholder shall not assign any of its rights under this Contract without the prior written consent of the Company. and any essignment without prlor written consent shall be void. 16. Subrogation: The Contractholder shall prosecute eny and all valld clalms thet the Contractholder may have against third pa�tiea a�ising out of any occurrence resulting in a _ loss payment by the Contractholder and to account for any amounts recovered. Should the Contractholder fail to prosecute any valid claims against third parties and the Company thereupon becomes Ilable to make payments to the Contractholder under the terms and conditfons of this Contract,then the Company shall assume all the Contractholder's ri�hts to prosecute any valid claims against third partles, and the Contractholder wfll be responsible for any reasonable legal expenses incurred In the course of the prosecutlon. CLXLPOL • -14- VI. MISCELLANEOUS PROVISIONS(Continued) 17. Recoveries: The Company shell be entitled to recover flrst up to its full share of reimbursed claims before the Contractholder shares in any amount so recovered whether by way of - subrogation or otherwise. 18. Arbitration: Any controversy or claim arising out of or relating to this Conhact,or the breach thereof,shall be settled by Arbitration in accordance with the rules of the American Arbltretfon Association,with the express stipulation that the arbltrator(s)sheil strictly abide by the terms of this Contract and shall strictly apply rules of law appiicable thereto. Afl matters shall be decided by a panel of three (3) arbitrators. Judgment upon the award rendered by the arb(tretors may be entered in any court having jurisdiction. This provision shall survive the termination or expiration of thls Contract. The perties hereto may alter any of the terms of this�rovision only by express written agreement,although such alteration may be before or after any�Ights or obllgations arise under this provisfon. 19. Insolvency: The insolvency, bankruptcy,financlal impairmerrt, receivership,voluntary plan of arrangement with creditors, or dissolution of the Contractholder or the Contractholder's Designated Thfrd Party Administrator shall not impose upon the Company any Ilabllity other than the Ifabllity defined in this Contract, In particular,the insolvency of the Contractholder shall not make the Company liable to the creditors of the Contractholder, including Covered Persons. 20. Severabliity Clause: Any clause deemed vold, voldable, invalid, or otherwise uner�forceable,whether ar not such a provlsion Is contrary to public poUcy, shall not render any of the remaining provlsions of the Contract invalid. 21. Renewal: Renewal is not autometic but is available if permitted by the Company. Renewal may be subject to new premium rates, new underwriting terms,and new Contrect terms. 22. Group Speciflcatlons - Changes: The Company reserves the right to revise rates, deductibles,terms or con�itions of the Contract on any of the following dates: 1. When the Contractholder adds or defetes a subsidiery or affiliate; 2. When there is e change In the geographical area in which the Contractholder is located; 3. When there is a change in the nature of business in which the Contractholde� is engaged; 4. When there is an increase or decrease In the number of Covered Units which exceeds [10%]in arry one month or[209�6]over any period of three consecutive months, ; � � CLXLPOL � -�b- I Companion Life Insurance Company Approved Clinical Trials Amendmer�t To be attached to and made paR of Contrecl Number CL 7 94.The Contrect is emended as of 01/01R018 so that Article 111,1,Item g,is amended to include the following: The Cantract wlll relmburse Eligble Cletm Payments, In excesa of the Specific Deductlble,for Patient Cere Services fumiahed in connedlon with participatlon In Approved Clinical T�lals as deflned by thls Arnendment � Approved Clinical Trials—Definition An Approved Clinical Trie1 is deflned as a clinical hial that meets all the following cond(tlons: 1. The clinical trial Is conductsd for tha preventlon,detection,or treatment of cancer or another disease or condition likely to lead to death unless the couree of the disease or condltlon is Intenupted and 2. The clintcal trial has been peer revlewed and Is epproved by et least one of the folfowing: a. The United Stetes Nationel Ins�tutes of Health The Centers for Disease Control and Prevention. 7he Agency for Health Care Resea�ch end Quality. The Centers for Medicare&Mediceid Servicea. b. A cooperffiive group or center of the NaUonal Instftutes of Health, c. A qualtffed nongovemmentel research entity identified in guidelines iesued by the Nationel Institutes of Health for center support grants, d. The UnRed Statea Food end Drug Administration pu�suant to an Investigational new drug exemptlon, e. The United Stetea Departments of Defense,Department oi Energy or Veterana Affai�s, f. ts federslly funded,or ia either: I.Conducted under an investigetlonal new drug epplication(IfVD) reviewed by the Food and Drug Administratlon,or ii.A drug trlal that is exempt from the IND applicetion requiremente. 3. The facility and personnel canducting the clinical trial are capable of doing so by vUtue of thelr experfence end training and treat a sufficient volume of petients to meintein that expeRise,and 4. The Covered Perscn meeta the patient selection crfteria enunciated In the study protocol for participatlon in the clinical trial,and 5. The Covered Person has provlded infortr�ed consent for participetion in the clinical Mel In e manner thet is consletent with current legal end ethlcal standards,and 6. The clinicai trial must have e therapeutic intent and must,to some extent,esseas the effect ot the fntervention on the Covered Person. Pattent Care Services—Deflnitlon Patient Cere Services are defined es health cere items or services that are furnished to the Cave�ed Person in en Approved Clinical Triel,which is consistent with the usual and customary standard of care for someone wfth the Covered Person's dfagnosls,Is consistent with the etudy protocol for the clinical trial,and would be covered if the Covered Person did not pa�tcipate In the Approved Clinical Trial. Petient Cere Servicea must be detertnined to be eligible under the CoMractholders Employee Benefit Plan. � ,, ; i Companlon Life Insurance Compeny Approved Cllnlcal Trials Amendment Patlent Care 5ervlces do . not Include any of the fallowing: 1. An FDA approved drug or device shall be a Patient Care Servlce only to the extent that the drug or device is not pafd for by the menufecturer,the distributor or the provider of the dru8 of device,or 2. Non-health cere services that the Covered Person mey be required to recefve es a result of being enrolled In fhe Approved Clinical Trial,or 3. Coate associated wlth managing the research esaoclated with the Approved Clinical Trial, or 4. Costs that would not be covered for non-Investigetlonal treatmente,or 5. Any item,service or cost that Is reimbursed or otherwise fumished by the sponsor of the Approved Cllnical Trial,or 6. The cosis of seNices,which are not provided as part of the Approved Clinlc�l Tria1's stated protocol or other similariy,intended guideltnes. Additional Provislons The Company mey requfre a copy of the Approved Clinical Trial's study protocol before determining If any benefits are payebfe under thls Amendment. Contract banefits paid under this Amendment will be included in the Mexfmum Spec(fic Beneflt. Contract beneflts paid under this Amendment ahall not create any legat presumption that the Company has recommended,directed,endorsed or requlred any Covered Person's part(cipation in the Approved Clinicei Trlal. Contrect beneflts paid under this Amendment shall be aubJect to all terms and conditlons of the Contrectholders Empbyee Benefit Plan. Payment of premlum on or after the effective dete of the Amendment shell constitute acceptance bythe Contractholder of the modifications contefned herein. � Except as atated in this Amendment, nothing containad hereln shell be deemed to elter or effect any of the ! provisions of the Contract. �.ww�,��E`� Trescott N.HIMon.Jr. COMPANION LIFE INSURANCE COMPANY 7809 PARKLANE ROAD,SUITE 200 COLUMBIA,SC 29223 Independent Review Organization Extension Amendment This Extenslon Amendrnent applles for certaln Independent External Review procedures(IER). The Pald Through Date,as speclfled In the Schedule of Excess Loss Insurence,may be extended for clalms incurred under the Contractholders Employee Benefit Plan during the Contract Perlod for which incurred clalms were denied by the Cantractholder or its designated Third Party Administrator. This extensfon Is based on the following terms: 1. The extensfon shall apply to Incurred clalms that have exceeded the Speclflc Deductible under the Specific Benefit and the portion of the clalm that accrues towards the Aggregate Deductible. 2. A state ar federally authorized Independent Review Organizetion has performed an Independent External Revlew,under whlch pracess has been found to be acceptable under the Patlent Protection and Affordable Care Ad of 2010,and it's implementing regulations. 3. This extenslon applies only to those IER decisions which are binding on the Employee Benefft Plan. 4. The Contractholder or its destgnated TPA has notffled the Company or Its designated Managing General Underwrlter(MGU)that a claim has breached the Specific Deductfble,but Is being denled by the Contrectholder. 5. The Contractholder or Its designated TPA notlfles the Company or Its MGU of any decislon by the employee or dependent to pursue the IER process. 6. The Independent Revlew Organlzatlons overturns the origlnal denfal and the decislon to overturn Is not due to an error made by the Contractholder or Its designated Third Party Administrator. 7. This amendment wll!be null and vold if the Excess of Loss Policy Is terminated for any reason prior to the natural expiration as deflned by the Contract Perlod in the 5chedule af Excess of Loss Insurance. Thls Amendment does not waive any policy exclusions or Ilmltatlons or other defenses or pollry rlghts provided Company under the Policy to whlch it Is attached. This Amendment does not waive any rights afforded the Company by any state or federal law. �,z� Treseott N.Hinton President I I � asslst americep Service Certificate for Stop Loss Companion Life lnsurance Company(hereinafter°COMPANION')hae en agreement with Asslat Ame�ice, Inc.,202 CarneBie Center,Suite 302A,Princeton, NJ 08540,(hereinafter"AAI")to meke availeble upon the terma and conditlons set forth hereln the Asslat America servtces described below. Effective as of 01/01/201H, individuals under the provlsfons of coverage provided by COMPANION offered through Montgomery Management Corporation and provided by COMPANION,Policy#CLI71484 are aligfble for services described in thls Certiflcate and such indivlduals are hereinafter referred to as°Participenls.' AAI will provide Particlpants the Assiat America servlces descr(bed below under Servlce membership#01- AA-CSL-091151. All services are subject to certain conditions and exclusions as set forth in this Certiflcete and are provided by AAI when a Participant is traveling 100 mllea or more from hlslher prfinery legal residence or in enother country that is not hielher country of residence and has not been away from such residence for more than 90 deys. A Participant meetlng auch requirements is hereinafter referred to as an °Elieible Particlpent.° All servicas muat be arranged by AAI. No claims for retrnbursement are eccepted. The following beneffts are available to Participants through Assist Americe: M�icet ConsuRetron,Evaluation and Referrals: Telephone eccess to operations center staffed twenty-four(24)hours e day,every dey of the year,with multilingual,medical tralned personnel for medical consultatton,evaluetlon and referral to Westem-treined physiclens. Emergency Medical Evacuatlon: When an adequate medlcel facilRy is not available proximate to the Eligible Participant,as determined by the AAI physicien end the ettending physiclan, evacuatlon under approprlate medical supervision,by the mode of trensport necessery,to the nearest medical facllity capable of provlding required cere. � Medical Repatriatlon: When medicelly necessary,as determined by the AAI physlclen and the attanding physicien,repatrietion under medical supervision to the Eligible Participant's residence or to a medical or rehabllitatlon facility near Eligibfe ParticipanYs residence,at such time ea the Eligible Participant is medically cleared for travel by commercial carrler. If the time perlod to recelve medical clearance to trevel by common carrier exceads fourteen(14)days from the date of discharge from the hospital,en alternative,approprlete mode of transportetion may be errenged,such as an eir embulance. Medicel or non-medicel escorts may be provided as neceasary. � Hospltal Admission Asslatence: Issue a prompt finanGel guarentee to facilltete admittance to a foreign(non-U.S.)medical facility and/or walldate EIlgible Pa�IclpanYs medical Insurence; provided thet the Eligibla Participant must repay all funds advanced for hospital admittance within forty-five(45)deys of the date advenced. Medlcal Monitoring: Medicel personnel will monitor Eligible ParticipenYs conditlon and wili(i)stay In regular communication with the attending physician endlor hospttal and(fi)relay necessary and � legally permtaslble tnformetlon to fami(y part(cfpants. I Prescription Asalstence: If an Eligible Participant needs replacement prescription medicine while tr�veling,AAI helps wfth replacing prescription,when possfble end legelly permissible end upon consulting with the attending physicien;the Eligible Participent is responsible for the cost of the preacription. Emergency Measage Transmisslon: Upon request by an EI(gible Participent,AAI will transmit and receive legalty permitted emergency messages to and from family members or employer. i Compessfonate Visit: When an Elfgible Perticipant is traveling alone and wlll be hospitelized for more than seven(n consecutive dayrs,AAI will provfde economy,round-trip,cornmon carrier transportation to the maJor airport closest to the place of hospitalfaation to e designated family perticlpant or peraonal friend. It fs the responalblllty of the famlly pert�ipent or the fiend to meet all vlsa and document requiremer�ts,If applicable. Care of Mfnor Child(ren): One-way economy common carrier transportation,wfth attendente if requlred,will be provlded to the place of residence of minor child(ren)when they are left unettended as a result of inedical emergency or death of an Elfg�le Participant. Return of Mortal Rernains: In the case of an Eligible ParticipenYs death,the return of mortel remeins will be errenged and pald for. AAi will render eny assfatenca necessary In the trensport including locating a local,licensed funeraf home,mortuary or direct dispositlon facility to prepare the body tor trensport,completing all documentatbn,acquire all legal clearances,procu�ing consular serv(ces(for death overseas),obtaining death certiflcatea,purchasing the minimally necessary ceaket or eir transport container,ea we11 as transporting the remafns,including retrieval from site of death end delivery to recelving tuneral home. Emergency Trauma Counseling: Provide E1lgible Participe�with Initiel telephone-based counseling end follow-up referrals to qualifled couneelors as needed or requested. Return of Vehicle: Arrenge for the return of Eliglble ParticipanYs fully opereble, non-commerciel vehicle when neceasary due to Ellgible ParticipanYs medical condition. AAI will errange for the vehicle to be return to the Eligtble ParticipanYs place of residence. � Interpreter and Legal Referrals: Upon request by en Eligible Participant,AAI will arrenge for referrels to interpreters,counselo�s or legel personnel will be provided. Lost Luggage or pocument Aasistence: AAI helps Eligible Participant locate lost luggege, document,personal belongings or essist wlth the replacement cf travel tickets Ball Bond Coorcllnatlon: AAI will asslst In coordinating ball bond,wherever legally pertnissible,es requlred for Eligible Participants,provided that Eligible Participant Is the source of,or coordinates the sou�ce of tha funds. Flnergency Cash Coordinetfon: AAI wili asslet in coordinetfng the trensfer of emergency cesh to an Eligible Participant,provided Eligibie Participant has a verifiable trevel emergancy and is circumstantially without other financfal meana. The source of the funda is tha responelbility of the Eliglble PaRicipant. Pre-trip InformeY�on: AAI offers Perticipants web-besad country pr�les thet Include visa requirements,immunization anJ inoculation recommendetfons,embassy and consulate information,country-speciBc deteils end security advisories as well as oiher pertinent fniormatbn for travel deatinetlone. FuIfillmenUCommunicatlon Meterial: AAI will meke aveilable tdentiflcetion cerds for Participants with the telephone numbers necessary to contact the Operatlons Center. Policyholder hereby acknowledges that AAI's obligetion to provide or contrect for the above services is subJect to the following Conditfons and Excluslone: AAI wlll not evecuate or repatrlate an Eliglble PanicipanL �Without medical euthorization I � �With mfld leslons,simple inJuries such as sprafns,simple frectures,or mild sickness which can be treated by local doctors and do not prevent the Participent from conttnuing hisfier trip or retuming home �With a pregnancy over six months OWlth meMel or nervous disorders unless hospitalized AAI does not guarantee the proviston of services ta an otherwise Eligible Pe�ticipant who does not possess velid worldwide health insurance coverege. Notwithstanding this provlsion,AAI shall use its best reasoneble efforts to provide service fn euch circumstences. AAI will not provide services In the following instances: �Trevel underteken specifically for aecuring medical treatrnent ❑Injuries resuiting from participation in acts of war or inaurrection ❑Commisslon of en unlawtul ad(s) �Attempt et sulclde ❑Inc(dents involving the use of druga unless prescribed by a physiclan ❑Transfer of EUgible Participant from one medtcel fecility to another medical facility of similar capabititles which prov(dea e similar level of cere �Tripe exceeding 90 days from primary legal residence wlthout the purchase of Expatriate Coverege. Eligible Participants may purchase Expatriete Coverage for Vips exceeding 90 deys. Legal actiona arising hereunder shell be barred unlesa wri�en noUce thereof is recelved by AAI within one (1)year from the date oi event giving rise to such legal action. Whlie assistance servlces are available worldwide,transportatlon response time is directly related to the IocatioNJurisdiction where an event occurs. I4AI le not reaponsibla for feiling to prvvlde servicas or for deleys tn the delivery of services caused by strlkes or condfdons beyond Ita control,Including by way of example end not by limitation,weather conditions,avallability of airporte,flight conditions,eveilability of hyperbaric chembers,communicatlona systems,or where rendering of servlce Is Ilmited or prohibited by local law or edict. Atl consulting physiclans and attorneys are Independent contractors end not under the control of AAI. AAI Is not responsible or lieble for any melpractice committed by professionals rendering servicea to a Participant. COMPANI�N must reimburse AAI for eny serolce rendered upon the COMPANION's speclfic request that is beyond the acope of this Certificete. COMPANION is responsibib for(ssuing Identiftcation Cards(as described above)to Participants. COMPANION's fallure to maintein in-force the fnsurance policy cfted above will invalidate the described program as to the Participant and AAI will have no obligation to provide any service to the Participant. AA1 is not a�liated with the underwriter of COMPANION's group insurance cited above,end auch underwrlter ahall not be held Ilable or responafble for any scts or omissions by AAI In connectlon wfth or arising under the rendering of sendces described herein. assiat america�Is a registered service mark of Assiet America, Inc. AGENDA BILL � CITY OF BREMERTON CITY COUNCIL SUBJECT: Award of Contract for Elevator Study Session Date: February 10, 2016 Equipment Systems Services and COUNCIL MEETING Date: February 17, 2016 Maintenance to Otis Elevator Company of Department: Public Works & Utilities Seattle, WA Presenter: Wayne Hamilton Phone: (360) 473-5207 SUMMARY: Call-for-Bids was prepared, advertised, distributed and received in accordance with City of Bremerton bid procedures. Four bids were requested, one bid was received, read and � recorded. The bidder was Otis Elevator Company, Seattle, Washington for five (5) years from March 1, 2016 to March 1, 2021. The department requests approval of the Elevator Equipment Systems Services and Maintenance contract. ATTACHMENTS: 1) Otis Elevator Maintenance Contract; 2) Exhibit "B" City Building and Elevator Listing; 3) Exhibit "C" Bid Proposal form from Otis Elevator Company FISCAL IMPACTS (Include Budgeted Amount): Funds are budgeted for the current budget year and would be budgeted for the remaining term of the contract. Amount not to exceed $30,000.00 for the year. STUDY SESSION AGENDA: � No Presentation ❑ Full Presentation STUDY SESSION ACTION: � Consent Agenda ❑ General Business ❑ Public Hearing RECOMMENDED MOTION: Move to approve the award of Elevator Equipment Systems Services and Maintenance contract for City Facilities with Otis Elevator Company of Seattle, WA; and authorize the Mayor to finalize and execute the agreement with substantially the same terms and conditions as presented. COUNCIL ACTION: ❑ Approve ❑ Deny ❑ Table ❑ Continue ❑ No Action Form Updated 01/07/15 • , � � DATE: January 22,2016 TO: FROM: � City of Bremerton Otis Elevator Compsny 100 Oyster Bay Ave 3315 South 1]6�'Street,Suite 149 Bremerton,WA 98312 Seattle,WA 98168 , EQUIPMENT LOCATION: JeffStull Various Phone:206-378-6112 Fax:206-248-6401 PROPOSAL NUMBER: AFL372 EQUIPMENT DESCRIPTION: Number of Units Type of Units Manufacturer Customer Mach6ne Numbers Designation 3 Hydraulic 01TS Elevator 1,1,1 ACQ435,ACG�436, Company ACQ431 1 Hydrualic Sc6indler 1 ACQ434 5 Hydraulic ThyssenKrupp 1,1,1,2,3 ACQ432,ACQ433, ACQ437,ACQ438, ACQ439 OTIS MAINTENANCE. We propose to furnish Otis Maintenance on the equipment ("Units") described above. Otis Maintenance is a full preventive mai�enance service and repair intended to protect your investrnent,extend equipment life,and provide a high level of performance and reliab9lity. OTIS MAINTENANCE AAANAGEMENT SYSTEMs� We will use the Otis Maintenance Management SystemSM preventive maintenance pro�am to deliver service tailored to your specific building needs. Equipment type,component life,equipment usage,and building environment will be taken into account by the OMMS�scheduling system,which will be used to plan maintenance activities in advance. The Units will be provided with devices to monitor equipment usage. We will use OMMS� standard work processes developed and continuously improved by Otis. Under thu Contract,we will maintain the Units on the follawing terms and corlditions: PERFORMANCE MAINTENANCE We will maintain the Units using trained personnel directly employed and supervised by us. The maintenance will include inspection, lubrication, adjustment,and, if conditions or usage warrant, repair or replacement of the following parts: ■ Controller parts, selectors and dispatching equipment, relays, solid-state oomponents, transducers, resistors, condensers,power amplifiers,transformers,contacts,leads,dashpots,riming devices,computer and microcomputer m OTIS ELEVATOR COMPANY,2011 All Rights Reserved LiNX Fom►MNT-OM(01/30/13)Proposal#:AEH2O8 Page 1 of 9 devices, steel selector tepes, mechanical and electrical driving equipment, signal lamps, and position indicating � equipment. ■ Door operators, car door hangers,car door contects,door protective devices, load weighing equipment,car frames, car safety mechanisms,platforms,car and counterweight guide shoes including rollers and gibs,and emergency car lighting. ■ Hoistway door interlocks and hangers,bottom door guides,and auxiliary door closing devices. ■ Machines, worms, gears, thrust bearings, drive sheaves, drive sheave shaft bearings, brake pulleys, brake coils, � contacts,linings,and component parts. ■ Motors,brush holders,and bearings. ■ Governor components, govemor sheaves and shaft assemblies, bearings, contacts, governor jaws, deflector or secondary sheaves,car and counterweight buffers,car and counterweight guide rails,car and coutrterweight sheave assemblies, Wp and bottom limit switches, governor tension sheave assemblies, and compensating sheave ► assemblies. ■ Pumps, pump motors, operating valves, valve motors, leveling valves, plunger packings, exposed piping, above ground plungers and cylinders,and hydraulic fluid tanks. ■ Escaletor handrails, handrail drive chains, handrail brush guards, handrail guide rollers, alignment devices, steps, step treads,step wheels,step chains,step axle bushings,comb plates,floor plates,tracks,extemal gearing,and dtive chains. ■ Escalator upper drives, upper drive bearings, tension sprocket bearings, upper newel bearings and lower newel bearings,demarcation lights,and comb lights. RELIABlLITY PARTS COVERAGE If necessary,due to normal usage and wear,Otis will repair or replace any of the parts specified above at their sole discretion,unless specifically excluded elsewhere in the contract.Any parts under this Contract requiring replacement will be replaced with parts selected by Otis. PARTS INVENTORY We will during the term of this Contract mairrtain a supply of frequently used replacement parts and lubricants selected by Otis to meet the specific routine requirements of the Units.Any replacement parts stored in the machine room temain our property until installed in the Units.We fiuther agree to maintain a supply of routine replacement parts available for express delivery in case of emergencies. QUALITY CONTROL We will periodically conduct field audits of our personnel and the Units to maintain quality standards. Otis field engineers will provide technical assistance, technical information, and Code consultation to support our maintenance organiTallon. RESPONSIVENESS 24-HOUR DISPATCHING We will,at your request,provide you with access to eService and our OT'ISLIIVE 24-hour,year-round dispatching service.In the event a Unit malfunction occurs between regular examinations,you will be able to place a service call on eService or through an OTISLINE customer service representative,who will,at your request,dispatch an examiner to perform service.In the event Otis receives an emergency call from the phone in the elevator and a passenger indicates a need for assistance,Otis shall attempt to contact a building represernative for an assessment of the situation and authorization to respond to the call.If Otis is unable to reach a building representative,Otis shell respond W the emergency call from the phone in the elevator.The visit will be treated as a Callback.It is your responsibility to:(a)have a representative available to receive and respond to OTISLINE calls;and(b)maintain working telephone equipment. �OTIS ELEVATOR COMPANY,2011 All Rights Reserved LiNX Fortn MNT-OM(01/30/13)Proposal#:AEH2O8 Page 2 of 9 COMMLlNICATION � CUSTOMER REPRESENTATIVE As a service to you,and at your request an Otis representative will be available to discuss with you your elevator needs in the areas of moderni7ation,�c handling ability,recommendations and requirements of Code authorities,proper use and care of the Units,and the OMMS�program. There is no additional charge for this consulting service,but by making this service available to you,Otis does not assumes any duty to warn. REPORTS—e"SERVICE • We will use the OMMS�program to record completion of maintenance procedures. We will,at your request,provide you access to e'"Service via Otis.com. You will be able to access twelve(12)months of repair,completed maintenance procedure and service call history for the Unit(s). You will be responsible for obtaining Intemet access to use e•Service. SAFETY AND ENVIRONMENT � SAFETY TESTS—HYDRAULIC ELEVATORS We will conduct an aonual no load test and annual pressure relief valve test. FIREFIGHTERS'SERVICE TEST If the equipment has firefighter's service,you assume responsibility for performing and keeping a record of any Code required tests and for the maintenance and functioning and testing of the smoke and/or heat detectots. SAFETY TRAINING We will instruct our personnel to use appropriate personal protection equipment and follow safe work practices. ENVIRONMENTAL PROTECTION Otis endeavors to reduce generation of waste materials,to minimize risks to the environment, customers,the general public and Otis employees�and to comply with all federal and state environmental laws and regulations. Material Safety Data Sheet(MSDS)ManuaLs are available for review at your request. You assume responsibility for removal of wastes,including but not limited to hydraulic oil,asbestos,etc.,as it is not part of this Contisct.Otis can provide this service at added cost to cuswmer. MAINLINE DISCONNECTS You agee to engage a qualified electrician to service at least once annually the elevator mainline disco�ectc located in the elevator equipment room. WORK SCHEDULE NORMAL HOURS All maintenance procedures and repairs will be performed during our regular working hours of our regular working days for the examiners who petform the service. All Iamp and signal replacements will be performed dwing regular examinations. For purposes of this Contract,a Callback is a response by Otis to a request for service or assistance made(a)by the customer or customer representative,(b)by the building or building representative;(c)by emergency petsonnel;(d) through the ADA phone line,and/or(e)through REM�monitoring system,for service or assistance,on an as needed basis,excluding regularly scheduled maintenance. Regular working hows:8:00 AM—4:30 PM. Regular working days:Monday—Friday excluding holidays. OVERTIME On Callbacks outside of regular working hours,Otis will absorb the worked hours at straight time rates and you will be charged for the overtime premium portion only,including for travel time. OWNERSHIP AND LICENSES WIRING DIAGRAMS You agree to pmvide us with current wiring diagams reflecting all previously made changes for Units covered by this Contisct to facilitate proper maintenance of the equipment.We shall maintain the wiring diagrams so that they properly reflect any changes made by Otis to the equipment. These diagrams wip remain your properiy. �OTIS ELEVATOR COMPANY,2011 All Rights Resenred LiNX Fortn MNT-OM(01/30/13)Proposal#:AEH2O8 Page 3 of 9 OTIS SERVICE EQUIPMENT � Any counters, meters,tools, remote monitoring devices,or oommunication devices which we may use or install under this Conuact remain our property,solely for the use of Otis employees. Such service equipment is not considered a part of the Units. You grant us the right w sWre or install such service equipment in your building and to electrically connect it to the Units. You wil� restrict access to the service equipment to authorized Otis personnel. You agree to keep the software resideM in the service equipment in confidence as a trade secret for Otis. You will not permit others to use, access,examine,copy,disclose or disassemble the service equipment or the software resident in the service equipment � for any purpose whatsoever. If the service is terminated for any reason,we will be given access to your premises to remove the service equipment,including the resident software,at our expense. OTIS SOFTWARE Software owned by Otis may be embedded in parts or otherwise provided by Otis as part of this maintenance agreement. You have the right to use this software only for operation of the units for which the part was provided.You may also make a backup or archival copy of the software,provided you reproduce the copyright notice and any other legend of � owneiship on the copy. You may not otherwise copy,display,adapt,modify,distribute,reverse assemble,reverse compile,or otherwise translate the software. You will not transfer possession of the software except as part of a transfer of ownership of the Units and the assumption of the rights and obligations under this agreement by the transferee. NON-0TIS SOFTWARE You retain your rightc to any software not provided by Otis contained in the Units and agree to allow Otis to make one backup or archival copy for you. SERVICE TOOLS You are responsible to secure our right to use any special service tools required to maintain your non-Otis equipment. These tools must be provided prior to us beginning maintenance on such equipment. THE UNITS It is ageed that we do not assume possession or control of the Units,thai such Units remain yours solely as owner�d operator,lessee,or agent of the owner or lessee,and that you are solely responsible for ell requirements imposed by any applicable law,code,ordinance or regulation. CLARIFICATIONS This Contiact does not cover car enclosures(including,but not limited to,wall panels,door panels,car gates,plenum chambers,hung ceilings,lighting,light diffusers,light tubes and bulbs�handrails,mirrors and floor coverings),rail alignment,hoistway enclosures,hoistway gates,hoistway inserts and brackets,mainline disconnect switches,doors,door frames,sills,swing door hinges and closing devices,below ground or unexposed 6ydraulic cylinders and plungers, buried or unexposed piping,escalator balustrades,escalator lighting or wedge guards.Without affecting our obligation to provide service under this Contract�you agree to permit us W train o�petsonnel on the Units.This ConUact does not cover computer and microcomputer devices,such as terminal keyboards and display units that are not exclusively dedicated to the elevator system.This Contract does not cover telephones installed by others,intercoms,heat sensors, smoke sensors,communications equipment,or safety signaling equipment,or instructions or warnings in connection with use by passengers. We will not be required:(i)to make any tests other than that as specifically set forth herein;(ii)to make any replacements with parts of a different design or type;(iii)to make any changes in the existing design of the Units;(iv)to alter,update,modernize or install new attachments to any Units,whether recommended or directed by governmental suthorities or by any third party;(v)to make repairs or replacements necessitated by failures detected during or due to testing of the Units or buried or unexposed hydraulic cylinders or piping end(vi)to replace or repair any component or system utilizing obsolete or discontinued parts,including parts for which the original design is no longer manufactured by the origina!equipment manufactuners,or parts where the original item has been replaced by an item of different design or is replaceable only by fabrication;(vii)to provide reconditioned or used parts;(viii)to make any replecemems, renewals,or repairs necessitated by reason of any cause beyond our control including,but not limited to,fire,explosion, theft,floods,water,weather,earthquake,vandalism,misuse,abuse,mischief,or repairs by others. You assume responsibility for the cost of cotrecting all Elevator Code violations existing on the date we enter into this Conbract. If such Code violations or other outstanding safety violations are not corrected in accordance with this Contract,Otis may with respect to the equipment not meeting Code requirements cancel this Cont�act without penalty by providing thirty(30)days written notice. Pro sal#.AEH2O8 Pa e 4 of 9 �OTIS ELEVATOR COMPANY,2011 All Rights Resenred�NX Fortn MNT-OM(01J30/13) po g Neither party shall be liable for any loss,damage or delay due to any cause beyond our reasonable control including,but � not limited to,acts of government,strikes,lockouts,other labor disputes,fire,explosion,theft,floods,water,weather, earthquake,riot,civil commotion,war,vandalism,misuse,abuse,mischief,or acts of God. We agree that we shall be liable for accidents and injuries W person or property to the extent it is caused by the negligence or willful misconduct of Otis or our employees.In all other instances,Customer shall indemnify,defend and hold us harmless against all claims,damages,losses,costs,and expenses(including attomey's fees and other litiga6on � costs)arising out of or connected with the use,repair,maintenance,operation or condition of the Equiprnent.We shall maintain worker's compensation and employers'liability insurance covering ow liability for injury or death sustained by our employees.You shall insiue that all risk insurance upon the full value of the Work and maintain at no cost to us. The Consultant shall procure and maintain for the duration of the Agreement, insurance 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 Consultant,iu agents,representatives,employees,sub-consultants or sub-Consultants. ' Before beginning work on the project described in this Agreement,the Consultant shall pmvide a Certificate of Insurance evidencing: 1. Automobile Liabilitv insurance with limits no less than $1.000,000 combined single limit per accideM for bodily injury and property damage;and 2. Commercial General Liabiliri insurance written on an occurrence basis with limits no less than$1,000,000 combined single limit per oxun�ence and general aggegate 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 (XCi� if applicable; and employer's liability;and 3. Eacess Liability insurance with limits not less than 1,000,000 limit per occurrence and aggregate. 4. Professional Lisbiliri insurance with limits no less than$1,000,000 limit per occwrence/claim. 5. Risk Insurance in a sufficient amount to cover,until installed and accepted by Gtistomer,all materials owned by Contractor but stored in Gtistomer's building. Any payment of deductible or self-insured retention shall be the sole responsibility of the Consultant. All required policies shall be provided on an "occurrence" basis except professional liability insurance (if required)�which may be provided on a"claims-made"basis. The Consultant's insurance shall be primary insurance as respects the City and it shall be an affirmative obligation upon Consultant to advise the City's Risk Manager by fax at (360) 473-5161, or by certified mail, return receipt requested to City of Bremerton,attn:Risk Management,345 6'"Street,Suite 600,Bremerton,WA 98337 within two days of the cancellation,suspension or substantive change of any insurance policy set out herein,and failure to do so shall be construed to be a breach of this Agreement. The City aLso reserves its unqualified right to require at any time and for any reason,proof of wverage in the form of a duplicate of the insurance policy with all endorsements es evidence of coverage. Notwithstanding any other agreement or provision to the contrary,under no circumstances will either party be liable for any indirect,special or consequential damages of any kind including,but not limited to,fines or penalties,loss of profits, loss of rents,loss of good will,loss of business opportunity,additional financing costs,or loss of use of any equipment or property,whether in contract,Wrt,wananty or otherwise. You agree to provide us unrestricted ready and safe access to all areas of the building in which any part of the Units are located,W keep all machine moms and pit areas&ee from water,stoc+ed materials,and debris,to provide a safe work place for our personnel,to remove and remediate any weste or hazardous materials in accordance wit3�applicable laws and regulations,and to provide a grounded,3-prong electrical system and proper lighting in the machine moms and pits. We shall not be obliged to perform until such unsafe condition has been remedied. If any Unit is malfunctioning or is in a dangemus condition,you agrec to notify us as soon as possible using the 24-hour 07TSLINEe service. Until the problem is corrected,you agree to remove the Unit from service arid take all necessary precauHons to prevent access or use. �OTIS ELEVATOR COMPANY,2011 All Righb Reserved LiNX Form MNT-OM(01/30/13)Proposal#.AEH2O8 Psge 5 of 9 You will provide written notice within twenty-four hours after oc�urrence of any accident in or about the eievator(s)to � us and if required by law,to any local suthorities. You further agree to preserve replaced parts. Escalator Units are designed only for transporting passengers.For escalator Units,you agree to talce all necessary measures to prevent other items from being wnveyed,so that features designed to protect passengers and prevent property damage are not damaged.When stationary,escalators are to be properly barricaded and not W be used as steps. You agree to properly post,maintain,end preserve any and all instructions or warnings to passengers in connection with ► the use of any Units. In the event of an entrapment,Customer will call Otis and wait for a trained and licensed elevator mechanic to arrive, except for a medical emergency situation where it may be appropriate W summon a ptofessional first responder such as police or firemen.Customer agrees that its agents,contractors,employees or representatives shall not attempt to extricate any passengers from an elevator that becomes stalled within the hoistway. ► Otis will not be required to make renewals or repairs necessitated by fluctuations in the building AC power systems, adverse hoistway or machine room conditions(including temperature variations below 60 degrees and above 90 degrees Fahrenheit),excessive humidity,adverse environmental conditions,water damage,rust,6re,explosion,acts of God, misuse,or vandalism. If this Agreement is ternunated prematurely for any reason,other than our own default,you agree to pay as liquidated damages,and not as a penalty,one-half(50%)of the remaining amount due under this Agreement Should this Agreement be accepted by you in the form of a purchase order,the terms and conditions of this Agreement will take precedence over those of the purchase order. We will not be liable for any claim,injury,delay,death or loss or property resulting from telephone equipment failure, false alarms,interrupdon of telephone service,or"no voice calls",i.e.calls from inside the equipment to Otisline where there is no verbal response to the Otisline operator. ALTERATIONS You will not allow others to make alterations,additions,adjustments,or repairs to the equipment. SPECIAL PROVISIONS Notwithstanding eny other provision herein to the contrary,the following provisions shall be applicable and govern in the event of conflict: This program meets or exceeds all requirements of ASME A 17.1-2010 Code,Section 8.6 and 8.11. CONTRACT PRICE AND TERM CONTRACT PRICE Two thousand one hundred flve dollars ($ 2,105.00 ) per month, payable Annually PRICE ADJUSTMENT The Contract Price will be adjusted on the effective date of any Iabor rate adjustment under Otis's contract with the Intemationel Union of Elevator Constcuctors(IiJEC Contract)to reflect increases or decreases in material and labor costs. A.Materiel T�vo huudred ten dollars and fif�y cents($210.50)of the original Contract Price will be increased or decreased by the percent increase or decrease shovm by the index of"Producer Commodity Prices for Metals and Metal Products"published by the U.S.Department of Labor,Bureat�of Statistics for the price adjustment month compared with the index on 07/01/2015 which was 200.500. B.I.sbor �OTIS ELEVATOR COMPANY,2011 All Rights Resenred LiNX Fortn MNT-OM(01/30/13)Proposat#:AEH2O8 Page 6 of 9 One thousand eight handred ninety-four dollars and fifty cents($1,894.50)ofthe originai � Contract Price will be increased or decreased by the percent increase or decrease in the straight time hourly labor cost under the NEC contract on Ol/0112015 which was 83.796.The phrase"straight time hourly Iabor cost"means the sum of the straight time hourly labor rate plus the hourly cost of fringe benefits paid to elevator exeminers in the locality where the equipment is to be maintained. TERAA . The Commencement Date will be 3/1/2016. • The Term of this Contract unless modified under the extended term below,will be for five(5)years beginning on the Commencement Date. An additional five year term may be agreed upon by parties in advance of expiitation date of the initial five year term. . PAYMENTS Beginning on the Effective Date,paymenu will be due and payable on or before the first day of the oontract year in which services are rendered beginning on the Commencement Date. The method of payment will be by checic. 1fie work shall be performed for the agreed price plus any applicable sales,excise or similar taxes as required by law.In addition to the agreed price,you shall pay to us any future applicable tax imposed on us,our suppliers or you in connection with the performance of the work described. You agree to pay a late charge from the date such sums be�ome due of one and one-half percent(1.5%)per month,or the highest legally permitted rate,whichever is less,on any balance past due for more than thirty(30)days,together with all costs(including,but not limited to,attorneys'fees)incurred by us to wllect overdue amounts. Failure to pay any sum due by you within sixty(60)days will be a material breach.We may at our option declare all sums due or to become due for the unexpired term immediately due and payable as 1 iquidated damages,and until the same are paid be discharged from further obligations under the contract. �OTIS ELEVATOR COMPANY,2011 All Rights Reserved LiNX Form MNT-OM(01/30/13)Proposal#:AEH2O8 Page 7 of 9 ACCEPTANCE � This proposal,when accepte�by you below and approved by our suthorized representative,will constitute the entire and exclusive wntract between us for the services to be provided and your suthori7ation to perform as outlined herein. All prior or contemporaneous oral or written representations or agreements not incorpo�ated herein, except all terms contained in the City's bid solicitation form,will be superseded. Any purchase order issued by you in connection with the services to be pmvided will be deemed to be issued for your administrative or billing identification purposes only, and the parties hereto intend that the terms and condidons contained herein will exclusively govem the services to be � provided. We do not give up rights under any existing coAtract until this proposal is fully executed. This Contract may not be changed,modified,revised or amended unless in writing signed by you and an authorized representative of Otis. Further.any manual changes to this form will not be effective as to Otis unless initialed in the margin by an authorized representative of Otis. THIS�UOTATION is valid for ninety(90)days from the proposal date. ► Submitted by: Jeff Stull Title: Account Manager E-Mail: jeff.stull@otis.com Accepted in Duplicate CUSTOMER OTIS ELEVATOR COMPANY Approved by Authorized Representative Approved by Authorized Representstive Date: Date: Signed: Signed: Print Name: Print Name: Joseph Armas Title: Title: General Manager �mail: Name of Company: � Principal,Owner or Authorized Representative of Principal or Owner O Agent (Name of Principal or Ovmer) BILL TO INFORMATION Company Name: Address: Address 2: City: �OTIS ELEVATOR COMPANY,2011 Ail Rights Reserved LiNX Form MNT-OM(01/30/13)Proposal#:AEH2O8 Page 8 of 9 State: � Zip Code: , � ACCOUNTS EAYABLE CONTACT Name: Phone Number: Fax Number: ► E-mail: TAX STATUS Are you tax exempt7 Yes No If yes,please provide tax exempt certificate Do you require a Purchase Order be iisted on yow invoices?Yes No If yes,please provide contact info for PO renewal: Name: Fax: Phone: E-Mail: Would you like Otis to automatically debit your bank account for your maintenance invoices?Yes No If yes,please provide blank check for bank routing and account information. 0 OTIS ELEVATOR COMPANY,2011 All Rights Reserved LiNX Form MNT-OM(01/30/13)Proposal#:AEH2O8 Page 9 of 9 :I Exhibft"B" . � • . � Bid Proposal . . � � Building Locations and Etevator Listing � x) Conference'Center/Harborside Facil6tv 100 Washineton Avenue a) Passenger Elevator#i,Conveyance#17230 i) Conveyance 4ype:PRH 11� Number af Landi�gs:6 ifi) Manufacturer.Thyssen IGrupp iv) AAodel#TAC 20 v) Serial#ER-2&49 vi) Year Installed 2004 • ' " b) Passenger Elevator#2,Conveyartce�#17231 � � i) Conveyance type:PRH . ti) Number of Landings:6 iil):Manufacturer.Thyssen Krupp . ivj Model#TAC 20 • v� Serial#ER-2850 . ' . vi) Year Installed 2004 � c) Freight Etevator#3,Conveyance#17225 , i) Conveyance type:PH � i1) Number of Landings:6 111) Manufacturer:Thyssen Krupp Nr) Model#TAC-20 v) Se�ia!#ER-8629 . vi) Year Installed 2004 2� Munidoat Courts Buttdin�.550 Park Avenue � � a} Passenger El�vator#i,Conveyar�ce H10642 � f) Conveyance type:PH � li) Number of landings:2 iii) Ma�ufacturer:Otfs iv) Mode)li 5620 v) Serial l�22204 , viy Yea�Installed 1995 Page 1 of 3 � 3) o to Par t 40 as in a venue a� Passen�er Elevato�#i,Conveyance#�01267 . i) Ccnveyancs type:PH il) Number of landings:5 lii) Manufacturer'fhyssen Krupp hr) Model�TAt-22 v) Serial#iFV�228 � vi} Year Installed 2006 4) Idaval Museum/Fountain Room Facilit�r 251 First Street . a) Passen�er Elevator#i,C�nveyance�20225 � i) Conveyance type:PH 1i) Number of tandings:3 ili) Manufactu�er:Thyssen Krupp h►� Madel#TAG20 v) Serial#EW-1762 . vi) Year Installed 2006 ' 5) Padc,�vertue Plaza Garase a) �Passenge�Elevator#i,Conveyance#109673 i)` � Conveyance type:PH ii) Num6er of Landings:3 iii) Manufatturer:Schindler Elevator Corporation iv) Model#QB 217 v) Se�ial#SMG1136697 vij Year installed 2011 6) �lice Station.1025 Burw I!Street a) Passen�er Ele�ator�1,Conveyance#Q5652 i) Conveyance type:PH , ii) Number of Landings:3 iii) Manufacturer:Otis tv) Model�LRV3-250Q v) Se�ial#273695 vi) Year InstaNed 1984 � Page 2 of 3 7) Waste Water Treatment Plant. 600 Ovster Bav Avenue 5 . a) Passenger Elevator#1,Conveyance.�5517 i) Conveyante type:PH� . N} Number af landir�gs:3 lii) Manuf�cturer.Otis iv� Model fi 334 vj Se�i�l#270858 vi) Year Instailed 1983 Page 3 of 3 r'- ' • - - 1 {• �� :a '' EXHIBR"C" . - -.;;::: - . .��:�..� �� BID PROPOSAL _ ELEVAI'OR EQUIPMENT SYSTEMS SERVICES AND MAINTENANCE CIiY OF BREMERTON . NOTE:�ue to the varied City Departments and funds lncluded within the elevator Servkes proposal�each location will be bid separately,cost oer vear. SERVICE/MAINTENANCE COST PER EA�H LOCATION LISTED,TOTALS WILL BE CONSIDERED IN LOWEST B10 DETERMINATIONS. . 1. Cor�fe�ence Center/Harborside Facility.......................................................$9.780.00 2. Munktpal Courts Building........................................... ,�2.580.00 .................................. _� 3. Downtawn Parking Facility............................................................................�.580.00 � 4. Naval Museum/Fountatn Raom facility...............:.......................................$2,580.00 5. Pa�k Avenue Parking Garege.................................. .......................................$2,580.00 6. Polke Station............................................................ .............. $2 580.00 .... ................... . 7. Waste WaterTreatment Plant.......................................................................$Z,S80.00 AGENDA BILL 7 H CITY OF BREMERTC CITY COUNCIL SUBJECT: Award of Contract for the Study Session Date: February 10, 2016 Anderson Creek Hypochlorite Building COUNCIL MEETING Date: February 17, 2016 Project to SGC General Contractors Department: Engineering Presenter: Ned Lever Phone: (360) 473-2398 SUMMARY: The work under this contract includes construction of site piping, cast-in-place retaining wall and a new masonry wall building that will house sodium hypochlorite and dosing equipment, complete with standing seam metal roof, associated lighting and electrical equipment,fire suppression sprinkler system, heating and cooling system, safety shower with eye wash and tankless water heater. The project was advertised on January 13, 2016 and there were nine (9) bids received on February 3, 2016. The apparent low, responsive, responsible bidder was Scherer Trucking & Excavation, Inc., DBA SGC General Contractors for $367,322.95 (which includes sales tax). The engineer's estimate for this project is $320,000 to$350,000. ATTACHMENTS: 1. Council Summary; 2. Contract; 3. Bid Tabulation; 4. Detailed Bid Tabulation FISCAL IMPACTS (Include Budgeted Amount): The project is fully funded for$500,000 in the2016 Water fund budget. STUDY SESSION AGENDA: ❑x No Presentation ❑ Full Presentation STUDY SESSION ACTION: Ox Consent Agenda ❑ General Business ❑ Public Hearing RECOMMENDED MOTION: Move to approve the bid for the Anderson Creek Disinfection to Hypochlorite Building Project from SGC General Contractors in the amount of$367,322.95; and authorize the Mayor to finalize and execute the agreement with substantially the same terms and conditions as presented. COUNCIL ACTION: ❑ Approve ❑ Deny ❑ Table ❑ Continue ❑ No Action Form Updated 01/07/15 COUNCIL SUMMARY AWARD OF THE ANDERSON CREEK HYPOCHLORITE BUILDING PROJECT Proiect Overview In the past, the use of gas chlorine for drinking water disinfection was the industry standard due to its low cost and effectiveness; however, due to safety concerns this is no longer the case. For approximately the last 10-years, the City has been eliminating gas chlorine and moving to a liquid hypochlorite solution which serves the same purpose. Anderson Creek Pump Station 2 is the last installation of gas chlorine equipment to be eliminated. This project will provide a building to house the hypochlorite storage tanks and associated metering equipment. With the completion of this project, the City will no longer have any gas chlorine stored in any of its facilities. Description The project includes construction of site piping, cast-in-place retaining wall and a new masonry building that will house sodium hypochlorite storage and dosing equipment in the future, complete with standing seam metal roof, associated lighting and electrical equipment, fire suppression sprinkler system, heating and cooling system, safety shower with eye wash and tankless water heater. Following construction of the building by a contractor, the City's Water Resources Division will install the various process equipment that is required for a complete system, and finally remove the existing gas chlorine at this location. Bids were opened on February 3, 2016 at 1:OOpm. There were nine (9) bids submitted. The initial apparent low, responsive, responsible bidder had miscalculations in their total bid price which put them as 2"d lowest; and the third low bidder had the same issue but remains the third low bidder. As a result of the miscalculations, the Bid Tab has been corrected and SGC General Contractors is the apparent low, responsive, responsible bidder in the amount of $367,322.95 (which includes sales tax). Fiscal Summarv $500,000 has been budgeted in the 2016 Water Fund Budget for construction of this Water Resources Improvement project. U °- - .� _ -;� , � -_ � _ -- � -- ; . . 1 � . _;� �----1_ � �"� ' � `` 1 ` � J '` , ? l � �� . . � � � Q �___ � . � � � ; � � i �: ; _, - �, ;-- �. • • • • � • • • ��. � , _ __ , __- �__ y _ �� _'__�-� � � �� 1�� , �� ; � -�„ �, � �� ^ —� �� ` � : � � � ; .� �� f � ' � :� � � __-_ _ : , �;., =s � � ,�� _�. � � .� � , — � � �; ; I .� , .= j '� "� . ` � '�� ! , , `c � � _� ;`--� -'- -, , � �I� �' �h` ,. `; ,/3 !j ~� �-� ' �'� �j , - _. , � ,�� !�� .,�p r\ ( -� .a � I �_ -�- f t�. ' C C i �/ ;� �� ll; o- ` _ �. � � .,� Sy �� }�'';� � ( F ` � I �, _ � , •� - �-"� //�j,G:� ,... �. . i' � ..-' or-��.;. . '.'; ��.�.= � 1�:` �� , � • =��- - � � �,�. � 7 �, �"• -� � �. , , � , F p , �� `ti� ^;� '��., � .`�` ' '• � � - I/I I.� +, ;;-,�,.a �1', _ ._ � � ��'� � �_ �' r7;'n � � �'� � !_- �—> - � • • • • • • � . • • • AGREEMENT SECTION 00521 THIS AGREEMENT is dated the day of in the year 2016 by and between City of Bremerton (hereinafter called OWNER)and (hereinafter called CONTRACTOR). OWNER and CONTRACTOR, in consideration of the mutual covenants hereinafter set forth, agree as follows: ARTICLE 1. WORK. CONTRACTOR shall complete the WORK as specified or indicated in the OWNER's Contract Documents entitled Anderson Creek Hypochlorite Building Project. ARTICLE 2. CONTRACT TIMES. Substantial Completion for the WORK must be achieved not later than 160 calendar davs from the date of Notice to Proceed. Final Completion and Acceptance of the Work must be achieved not later than 30 calendar days after Substantial Completion. ARTICLE 3. LIQUIDATED DAMAGES. OWNER and the CONTRACTOR recognize that time is of the essence of this Agreement and that the OWNER will suffer financial loss if the WORK is not completed within the time specified in Article 2 herein, plus any extensions thereof allowed in accordance with Article 12 of the General Conditions and Supplementary Conditions. They also recognize the delays, expense, and difficulties involved in proving in a legal proceeding the actual loss suffered by the OWNER if the WORK is not completed on time. Accordingly, instead of requiring any such proof, the OWNER and the CONTRACTOR agree that as liquidated damages for delay (but not as a penalty) the CONTRACTOR shall pay the OWNER $1000 for each day that expires after the time specified in Article 2. ARTICLE 4. CONTRACT PRICE. OWNER shall pay CONTRACTOR for completion of the WORK in accordance with the Contract Documents in current funds the amount set forth in the Bid Schedule(s). (Contractor Initials) ANDERSON CREEK HYPOCHLORITE BUILDING PROJECT AGREEMENT JANUARY 2016 00521-1 ARTICLE 5. PAYMENT PROCEDURES. CONTRACTOR shall submit Applications for Payment in accordance with Article 14 of the General Conditions. Applications for Payment will be processed by ENGINEER as provided in the General Conditions. ARTICLE 6. CONTRACT DOCUMENTS. The Contract Documents which comprise the entire agreement between OWNER and CONTRACTOR concerning the WORK consist of this Agreement (Section 00521) and the following attachments to this Agreement: • Notice Inviting Bids (Section 00116). • Instructions to Bidders (Section 00213). • Bid Forms including the Bid, Bid Schedule(s), Information Required of Bidder, Bid Bond, and all required certificates and affidavits (Section 00410). • Performance Bond (Section 00611). • Payment Bond (Section 00616). • General Conditions (Section 00700). • Supplementary Conditions (Section 00731). • Technical Specifications as listed in the Table of Contents, including appendices. • Drawings as listed in the List of Drawings. • Addenda numbers to , inclusive. • 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 Paragraph 3.04 of the General Conditions. ARTICLE 7. WAIVER OF IMMUNITY. The CONTRACTOR and OWNER 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. The CONTRACTOR and OWNER acknowledge and agree to the requirements for indemnification in Section 00731 SC-6.20. The provisions of this article shall survive the termination or expiration of this agreement. (Contractor Initials) ANDERSON CREEK HYPOCHLORITE BUILDING PROJECT AGREEMENT JANUARY 2016 00521-2 ARTICLE 8. SUSPENSION OF WORK AND TERMINATION The Contractor agrees to the right of the OWNER to suspend work or terminate this agreement as indicated in Article 15 of Section 00700 (Standard General Conditions) and Section 00731 (Supplementary Conditions). ARTICLE 9. 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 OWNER, 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 OWNER 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. OWNER 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, OWNER and CONTRACTOR have caused this Agreement to be executed the day and year first above written. OWNER : Citv of Bremerton CONTRACTOR By By [CORPORATE SEAL] Attest Attest Address for giving notices Address for giving notices License No. Approved as to Form: Agent for service of process: (Signature) (Title) ANDERSON CREEK HYPOCHLORITE BUILDING PROJECT AGREEMENT JANUARY 2016 00521-3 CITY OF BREMERTON BID TABULATION B�D E: Anderson Creek Hypochlorite Building Project BY ENED Ned Lever DATE y3/16 TIME 1:00 p.m. RECORDED Shannon Corin OPENED: OPENED: BY: NAME OF BIDDER BOND BASE BID . SALES TAX TOTAL I�vcn t�`� s v�� . � �s � 5�a ��vv.vU � �/ �.� ��T y��_ S G C.e�.e✓�i v��Fr�c��.rs ,Es J� 337 9�3,lr�v �� 31�' 3s �` 3�� 3��.� � � ¢ � � 9��'� �' �f��'-,.� � � �� /o� w� f_ «;�Q� � .�on,S rK . �S l� �C�r�h�-uz� ��i► uc�Sa� /rr. y�s � 3�S �70, �— �33,7% . `j= � � �C�1�= � � 33 � Cx.�� l�40,o0o A�lo ��, � � 31�, �35� �L�r�;lou> �'�►�sf7�c�� s �,�� G�'Gi s�� C'r�� h� . �� 3 7� �c�, ' `�' �Z D'!, ' � �0 %OT � � �� /�L�� ah�r�c " �� 5/� �.� � � 7�,� �S � 3�� l�p rl/��^ n �r-h-� .s � 1.�, �s � �/� Va�, 3`' 1�35�71� �= � `�f�(�'rz.o� �iC I�i�K �nSt�'uC�f'�� rc. !�S � 3�'(0, G�'z�,�� '�2� �'� �� ' SUMMARY ENGINEER ESTIMATE (INC SALES TAX) $ ��(�(X� APPARENT�OW BIDOER y��L�� $ 3�� '� /ncor�ect Bid Ca/cu/ations $369,580.00 SE OND LOW BIDDER s�� c �,�n-L C�� -�s $ �7 ��2.�� THIRD LOW BIDDER $ �� d1 �i /ncorrect Bid Ca/cv/ations $421,212.SO ��l�i� c RE`=�i �r,alsT. � CITY OF BREMERTON BID OPENING DATE: 2/3/16 ANDERSON CREEK HYPOCHLORITE BUILDING PROJECT BID TABULATION BID SCHEDULE SCG General COntractors A�Penglow Pacific Crest Construction (INCORRERLY CALCULATED BID) (INCORRECTLY CALCULATED BID) Bid Item General Location Description Unit AQ�x Total Cost Unit Cost Total Cost Unit Cost Total Cost Unit Cost Total Cost 1 MOBILIZATION LS 1 108 $ 22,300.00 $ 18,000.00 $ 18,000.00 $ - $ - $ 15,000.00 $ 15,000.00 2 FORCE ACCOUNT FA 1 $ 30,000.00 $ 30,000.00 $ 30,000.00 $ 30,000.00 $ 30,000.00 $ 30,000.00 5 30,000.00 3 TRENCH EXCAVATION SAFEN LS 1 lOB S 15 000.00 $ 1 120.00 $ 1,120.00 $ 5,000.00 $ 5,000.00 S 2 500.00 $ 2,500.00 4 ANDERSON CREEK HYPOCHLRITE BUILDING LS 1 JOB $ 222,750.00 $ 288,803.60 $ 288,803.60 $ 305,000.00 $ 305,000.00 $ 340,000.00 $ 340,000.00 $ - $ - 5 - $ - $ $ SUBTOTAL $ 290,050.00 $ 337,923.60 $ 340000.00 $ 387,500.00 SALES TAX @ 8.7% $ 25,234.35 5 29,39935 $ 29,580.00 5 33,712.50 Contin en 10°� $ 31,258.00 BID TOTALS 346 542.35 367 322.95 369 580.00 421 212.50 TOTAL BID PRICE PER SUBMITTED BID PACKET: 367,322.95 361,535.00 404,907.50 DIFFERENCE: 0.00 8,045.00 16,305.00 AGENDA BILL �� CITY OF BREMERTON CITY COUNCIL SUBJECT: Purchase two '/Z Ton Utility Study Session Date: February 10, 2016 Trucks from Bud Clary Chevrolet of COUNCIL MEETING Date: February 17, 2016 Longview, WA and Adjust 2016 Water Department: PWU Capital Budget for Purchase Presenter: Jim Orton Phone: (360) 473-5207 SUMMARY: The Water Utility has requested two '/z ton utility trucks to pertorm maintenance. This purchase will enable the department to complete the meter change out program in the next four years and will also allow a vehicle for fire hydrant maintenance. Without the addition of these two utility trucks the department will be relying on the use of a one ton dump truck and a five ton dump truck which is not economical or environmentally efficient. Once these vehicles are purchased, they will be transferred to the Fund, 510, ER&R. ATTACHMENTS: 1) Vehicle Quote (2016-1-77) for State Contract No. 03813; 2) Vehicle Quote (2016-1-76) for State Contract No. 03813 FISCAL IMPACTS (Include Budgeted Amount): A budget adjustment of$61,000 will be needed for this purchase from the 2016 Water Capital budget. Funds are available. STUDY SESSION AGENDA: x❑ No Presentation ❑ Full Presentation STUDY SESSION ACTION: � Consent Agenda ❑ General Business ❑ Public Hearing RECOMMENDED MOTION: Approve purchase of two 'h ton utility trucks from Bud Clary Chevrolet of Longview, WA; and authorize a budget adjustment of$61,000 with the 2016 Water Capital Budget. COUNCIL ACTION: ❑ Approve ❑ Deny ❑ Table ❑ Continue ❑ No Action Form Updated 01/07/15 Milenka Hawkins-Bates From: NOREPLY(c�des.wa.gov Sent Wednesday,January 06,2016 2:29 PM To:� Robert Zurbrugg Cc Steve.Hatfield@des.wa.gov Subject Vehicle Quote-2016-1-77-BREMERTON,QTY OF-21801 Vehide Quote Number: 201&1-77 Create Purchase Re4uest View organiiatlonpurchase reauests This is a quota only. You must create a purchase request to order this vehicle(s) co�aa�De�rorto�matlon Conhact�:0.�13 Deal�:Bud C1ary fhevrolet(W262) Dealer Contac� Bedcy Davls Dealer Phone:(360)4?3-1700 Organ�a6lon L�nnatlon � Organizatfon: BRB�I9t1UN,C[TY OF-21801 � 6nail:rob�tua'brugg�d.bremerton.wa.us Color Optl�s SUMMIT VYHITE-1 � ITax Daempt:N � Vehfde Optlons 1 Order Code Optlon Dasaiptlon Q!y Unit Peiae E�t Pe1ce �2016-823-001 2016 Che�rolet Sllverado 1/2 Ton Pickup(4WD),Ex6ended t:ab 1 �27,252.22 $27,252.?2 2016-8?3-004 Nberr�adve Gas Engirms:5.3L V8,Gas FFV 3.08 Rear A�de(L83) 1 $1,095.00 $1,095.00 I 2016-823-006 Bedlir►�,Spray On(Ov�tt�e Rails and Taflgabe)(DLR) 1 $390.00 �390.00 I2Qi6-8T3-009 Dlffenentlal,Uml6ed Slip(G80) 1 �3395.00 $395.00 I2Q16-823-010 Nar�ds Free,Blueboth,radlo(lob) 1 $270.00 ;270.00 2016-823-018 Sea�,doth trim Insbead of vimrl(FIR) i �0.00 �0.00 2016-823-020 �dd Plabe(Del�e)(Dedud)(fV� 1 ($100.00) ($100.00) I 2016-823-026 Tow Hooks,Fror�t(V76) 1 $48.00 $48.00 QuoEe Totals Total Y�fides: 1 Sub TOisl:$29,350.22 8.3%SRIeS Tesc �2,436.07 � Quobe To�al:$31,786.29 1 Milenka Hawkins-Bates From: NOREPLYC�des.wa.gov Sent Wednesday,January 06,2016 213 PM To: Robert Zurt�rugg Cc Steve.Hatfield@des.wa.gov Subjec� Vehicle Quote-2016-1-76- BREMERTON,QTY OF-21801 Vehide Quobe Number. 2016-i-76 Create Purchase Request View organiza4on purchase requests This is a quote only. You must create a purchase request to order tliis vehide(s) oo�aact a D�I�Lnbnneno� Contract#:03613 Dealer. Bud Qary Chevrolet(W262) Dealer Con�Bedry Davis Dealer Phone:(360)423-1700 OtgeN�tlon L�Ponnatlon Organizatlon: BRB�IERTON,QTY OF-21801 I � 6na11:robert.zt�brugg�d.brerner'bon.wa.tts Color Optlons Summit White-1 ` Tax Ex�npt:N Vehlde Optlons i Order Oode Optlon Desarlptlon Qhl Unit Peioe Ext P+iae I2315-820-001 2015�SIM�ado i/2 Ton Wdap(2WD),bctended Cab 1 $21,363.00 521,363.00 2315-820-004 NOemative Gas Engines:5.3L Y8,Gas F�V 3.�Rear A�de(L83) 1 �975.00 #975.00 2315-820-006 BedUner,Spray On(Over tt�e Rails and Tatlgatie)(DLR) 1 $390.00 �390.00 2315-820-010 �tlaf,Llmibed Sllp(G80) 1 $350.00 $350.00 �2315�820-017 Seat,doti�trim Instead of virryl(HR) . i $0.00 ;0.00 2315-820-024 Tow Hooks,Front(V76) 1 $48.00 #�48.00 2315-820-028 UPG'RADED RADIO DVQUDES BLUETbORH(I04) 1 $270.00 $270.00 Quobe Tatals Tofa1 Velddea: 1 I Sub To�al:$23,396.00 I83 96 Seles T�c $1.941.87 � Quobe Total:$25,337.87 1 AGENDA BILL � CITY OF BREMERTON CITY COUNCIL SUBJECT: Change Orders No. 4 & 5 for Study Session Date: February 10, 2016 the Washington Avenue Community COUNCIL MEETING Date: February 17, 2016 Boulevard Project Department: PW&U Presenter: Tom Knuckey Phone: (360) 473-2376 SUMMARY: The City executed a contract with RV Associates, Inc., to construct the Washington Avenue Community Boulevard project. The initial contract amount was $2,852,704.84, and was modified via change orders 1 — 3 to a current contract amount of$3,037,239.41. The proposed Change Orders 4 and 5 increase the contract amount to $3,219,150.30. A final change order is anticipated that will be within.the Mayor's authority to reconcile quantities and address an additional $27,500 in project costs. The final project cost will be within the budget established by the City Council at its April 1, 2015 meeting, and is presented in the attached Council Summary. ATTACHMENTS: 1) Council Summary; and 2) Change Orders 4 and 5 FISCAL IMPACTS (Include Budgeted Amount): None—final costs are within budget. STUDY SESSION AGENDA: � No Presentation � ❑ Full Presentation STUDY SESSION ACTION: ❑x Consent Agenda ❑ General Business ❑ Public Hearing RECOMMENDED MOTIOIV: Move to approve Change Orders 4 and 5 with RV Associates, Inc., for the Washington Avenue Community Boulevard Project; and authorize the Mayor to finalize and execute the agreement with substantially the same terms and conditions as presented. COUNCIL ACTION: ❑ Approve ❑ Deny ❑ Table ❑ Continue ❑ No Action Form Updated 01/07/15 ; Washington Avenue Community Blvd-Council Summary �� Total Street Parks Water 1NW Stormwater # ,� BUDGET(Est.at the April 1,2015 Council Mtg) 4,500,000 2,087,123 191,307 571,470 1,Z15,360 434,740 � PROJECTED REVENUE 4,468,328 2,055,451 191,307 571,470 1,215,360 434,740 � PROJECTED FINAL EXPENSE 4,170,988 1,995,151 176,698 545,560 1,046,517 407,062 � � Amount Under Budget $329,012 $91,972 $14,609 $25,910 $168,843 $27,678 � _ � P . � a .� „ t � � ,� I , f � k G �� .'1 � � � 7 � .j � i :� � :t i ; � # ; � 'k � - 1 �. � � � .� � � CITY OF BREMERTON CHANGE ORDER CONTRACT CHANGE ORDER NO: O4 PROJECT NAME: Washington Avenue Community Boulevard PROJECT N0: 6900 CONTRACTOR: RV Associates, Inc. ORIGINAL CONTRACT AMOUNT: $2,852,704.84 DAYS: 143 PREVIOUSLY APPROVED $184,534.57 DAYS: 5 CHANGES: THIS CHANGE: $129,751.40 DAYS: 21 REVISED CONTRACT AMOUNT: $3,166,990.81 DAYS: 169 This Change Order covers changes to the subject contract as described herein. The Contractor shall construct, furnish equipment and materials, and perform all work as necessary or required to complete the Change Order Items. The increase or decrease in contract price shown below includes any applicable taxes. DESCRIPTION OF CHANGES INCREASE IN (DECREASE) CONTRA o � CONTRACT IN CONTRACT CT TIME � � AMOUNT AMOUN7 EXTENSI m m (S) ($) ON �' � (DAYS:) X X This change order comprises additional work made up from Schedules A 21 through E. The major contract modification is due to the following: • Additionel Flaggers and Spotters Hours . Completion of most of Schedule A roadway work. $126,753.04 • Additional grinding for grade break between 61h St and the Manette Bridge. • Schedule 74 work at the 4'"St J03 vault • Evergreen Park redesign changes. Please see the attached documents for description and details. NET CHANGE IN CONTRACT AMOUNT $126,753.04 INCREASE OR (DECREASE) REVISED CONTRACT AMOUNT $3,163,992.45 ESTIMATED SALES TAX AT 8.7% (Sum of Bid Items C—H) 2,998.36 TOTAL INCLUDING SALES TAX $3,166,990.81 169 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 CONTRACT CHANGE ORDER NO: O4 PROJECT NAME: Washington Avenue Community Boulevard 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. CONTRACTOR � A roved: DATE: l %s"- / P ECT MANAG � � R men d: DATE: � �� CITY ENGINEER Council action is required as project cost will exceed approved budget. ■ Yes ❑No Council action is required as change exceeds Mayors authority per BMC 2.76.110. ❑ Yes ■ No Recommended: � DATE: DIRECTOR OF PUBLIC WORKS AND UTILITIES Recommended: DATE: MAYOR Approved: DATE: APPROVED AS TO FORM: ATTEST: Bremerton City Attorney City Clerk ' Page 2 of 2 Change Ordar ilD4 i — - - � I � � SUMMARY -See Attached Schedule Details PUBLIC WORKS 8�Utflitles Engineering Division CHANGE ORDER#04 � =- Proiect Name:Washinnton Avenue Communitv Boulevard 5-Jan-16 Contractor: RV Associates,Inc. 8900 8CHEDULE A T� TOTAL ORIGINAL CONTRACT AMOUNT (N!A for Schedule A) 51,660,305.66 30.00 $1,660,305.66 SCHEDULE A CURRENT MODIFICAT10N9 APPROVED IN (N/A for Schedule A) �N7RACT PREVIOUS APPUCATIONS AMOUNT $208,195.54 $O.OD $1.888.50120 SCHEDULE A NET CHAN(iE THIS TAX CONTRACT AMOUNT AFTER PERCENT CURRENT CONTRACT AMOUNT PERIOD SUBTOTAL �NIA tor Schedule A) THIS CHANGE ORDER CHANOE $1,869,501.20 S8B,964.58 51.957,465.78 WA $1,957,46b.78 '17.9% SCHEDULE B T� TOTAL ORIGINAL CONTRACT AMOUNT (NIA(or Schedulc B) 5176,214.8Q 30.00 $175,214.8D lAODIFlCATIONB APPROVED IN T� CONTRACT PREVIOUS APPLICATIONS (N/A tor Schedule B� �� $4,981.81 30.00 $170.232.99 SCHEDULE B NET CHANGE THIS TAX CONTRACT AMOUNT AFTER PERCENT CURRENT CONTRACT AMOUNT PERIOD SUBTOTAL (NIA for Schedule B) THIS CHANGE ORDER CHANGE $170,232.99 a3,324.54 5773,557.53 N/A $173.557.53 -0.9% SCHEDULE C TAX(8.7%) TOTAL ORIGINAL CONTRACT AIIIOUNT 3373,998.00 $32,537.83 S�W6,535.83 SCHEDULE C CURRENT MODIFlCATIONS APPROYm IN TAX(8.796) CONTRACT PREVIOUS APPUCATiON8 AMOUNT ($15,687 36 ($1,364 BO) a389,483.87 SCHEDULE C NET CH/WGE THIS SUBTOTAL TAX(8.7�) CONTRACT AMOUNT AFTER PERCENT CURRENT CONTRACT AMOUNT PERIOD THIS CHANGE ORDER CHANGE �389,483.87 $2,493 63 $3H6,990.04 $276.95 �386.773.09 -4 9% SCHEDULE D TAX(8.796) TOTAL ORIGINAL CONTRACT AMOUNT $250,728.30 321,813.36 $272.541.68 9CHEDULE D CURRENT MODIFICATION8 APPROVED IN TAX�8.7a;) CONTRACT PREVIOUB APPLICATIONS AMOUNT ($35,660.43 ($3,702.46) 3233,776.77 SCHEDULE 0 NET CHANGE THIS gUBTOTAL TAX(8.7'K) CONTRACT AMOUNT AFTER PERCENT CURRENT CONTRACT AMOUNT PERIOD THIS CHANGE ORDER CHANGE 5233,ne.n $0.00 $233,778.77 �D.00 E233.778.77 -14.2% 1/15/2016 Pege 1 Change Order t104 , • i, i' � � SUMMARY -See Attached Schedule Detalls PUBLIC WORKS 8 Uttltties Engineering Divislon ' '� � CHANGE ORDER#04 Proiect Name:Washinpton Avenue Communitv Boulevard 5-Jan-18 Contractor. RV Associates,Inc. 8900 SCHEDULE E TAX(8.T96) TOTAL ORIGINAL CONTRACT AMOUNT $54,023.OU 54,700.00 558.723.00 SCHEDULE E CURRENT MODIFICATIONS APPROVED IN TAX(8.796) CONTRACT PRENIOUS APPLICATIONS AMOUNT 56,474.87 3583.31 $65,761.18 SCHEDULE E NET CHANGE TNIS SUBTOTAL TAX(8,796) CONTRACT AMOUNT AFTER PERCENT CURRENT CONTRACT AMOUNT PERIOD THIS CHANGE ORDER CHANGE $65 761.18 528,717.40 $94,478.58 E2,498.41 $96,977.00 65.1°% SCHEDULE F TAX(8.7�) TOTAL ORIGINAL CONTRACT AMOUNT $79,677.00 $6.931.90 386,808.90 SCHEDULE F CURRENT MODIFICAT10N3 APPROVED IN TAX(8.796� CONTRACT PREVIOUS APPLICATIONS AMOUNT $27,6B8.7B 52.408.92 3116,706,60 SCHEDULE F NET CNANGE THIS SUBTOTAL TAX(B.7%) CONTRACT AMOUNT AFTER PERCENT CURRENT CONTRACT AMOUNT PERIOD THIS CHANGE ORDER CHANGE $116,706.60 54,178.14) $112.528.46 5363 50 3112,164.96 29.5% 9CHEDULE G TAX(8.796) TOTAL ORIGINAL CONTRACT AMOUNT $146,345.90 572,73209 $159,U77.99 SCHEDULE(i CURRENT MODIFICATIONS APPROVED IN TAX(8.7%y CONTRACT PREVIOUS APPLICATIONS AAAOUNT $U.00 50.00 $159,077.99 SCHEDULE G NET CHANGE THIS gUBTOTAL TAX(8.7%) CONTRACT AMOUNT AFTER PERCENT CURRENT CONTRACT AMOUNT PERIOD THIS CHANGE ORDER CHANGE $159.077.99 512,418.29 $171,498.28 51,OBD.39 5172,576.67 8% SCHEOULE H TAX(8.T!�) TOTAL ORIGINAL CONTRACT AMOUNT $31,000.00 32,697.00 333,697.00 SCHEDULE H CURRENT MODIFICATIONS APPROVED IN TAX(8.7°;) CONTRACT PREVIOUS APPLICATIONS AMOUNT $p.p0 SO.OD S33,B97.00 SCHEDULE li NET CHANGE THIB gUBTOTAL TAX(8.796} CONTRACT AMOUNT AFTER PERCENT CURRENT CONTRACT AMOUNIT PERIOD THIS CHANGE ORDER CHANGE $33,697.00 50.00 533,697.00 $0.00 $33,697.00 0% 1H5/2016 Page 2 Change Order#04 �--� � E � ! "' SUMMARY -See Attached Schedule Detalls � ___ PUBLIC WORKS&UtiNtles Engineering Division ��,�,°�� CHANGE ORDER#04 �� ' � Project Name:Washinqton Avenue Community Boulevard S�Jan•16 Contractor. RV Associates, Inc. 6900 OTAL TAX TOTAL TOTAL ORIGINAL.CONTRACT AMOUNT $2.771.292.66 $81,412.18 $2,852.704.84 TOTAL "CURRENT MODIFICATiONB AP.PROVED IN TAX(8.7%) CONTRACT PREhOU3 MPlJCATION8 AfdOUNT $186,029.59 ($1,495.02) $3,037,239.41 TOTAL NET CHANGE THIS ' CONTRACT AMOUNT AFTER.� PERCENT • CURRENT CONTRACT AMOUNT pE�pp SUBTOTAL S�o�f C-H ��g.��QE ORDER CHANGE $3.037,239.41 S126,763.04 $3,163,992.45 52,998•38 $3,166,990.81 11.396 Da -..Ori inel ConUact ; 143 Da :-.Modiflcatlons•'A rovedi(n.Prevlous, - tiqdons. � 5 Da =ModificaGon:. roved�This,P..eriod � 21 -- - - --- - -- -- - ........ .- -- ..._ _._, Da -'Totel� roved I 169 All work,materials and measurements to be in accordance wilh lhe provisions ot lhe original contract andlor the standard specificetions and special provisions for the type of construclion inwlved. The payments and/or addiUonal time spec�ed and agreed to in lhis order include every claim by Ihe Contractor for any extra payment or exfension of Gme with respect to the work described herein,including delays lo the overall project. , .P.R VED BY: - - _ SIGNATIIRE: �DATE: - OWNERS REPRESENTATIVE �r . CONTRACTOR ,� .l.�-. ��lf/,6 � CITY APPROVAL - CITY COUNCIL APPROVAL DATE� - - - �- 1/.15i2016 Page 3 Cherpe Order k0A � �......�.... ............ PUBUG WORK6 8 Utllitles Englneering Divlslon ,,�,' CHANGE ORDER•SCHEDULE A Pm1Bc1 Name:Weshinaton Avenue CartvnuNN Boulevard oe�e 5Jao-16 Contredor.RV l�ssaiates.Inc. co�mac�No;8900 DESCRIPTION OF CHpNGE You ere hereb uested to com I wiih fhe followin ehan es hom the contract Plans end adfiea9ons: Such wark wlll be compereated by:eheek one or mora ol the following as applicable(X]Inaease ar[]�eaease in bid Items;[X]For�e Account; N otieled PAee: The desaibed work eftects the wdaUn contreci items andlor edds end/or deletes bid items as tollows: IdRam Wserl m n5 Flapgers and Sporiers-More hours ware neaded tn complele fhis tesk.This hes Increased this bid Ilem fiom 1,880 l0 2,800 HR tor e d�ange ot 570,500. nie Crushed SurTadng Top Couise•Thls bitl Item has decreased hom 1,558 TN to 1,035.48 TN or-S15,674.60. nt9 Crushed Surfedng Bese Caurse-This bid item hes decreased from 1,4D8 TN l01,241.08 TN or-S4,o06.08. a2o 2 In.Commerclal HMA Walkway-TNs bld Item has Increasetl hom 64 TN to 73 TN w t3,192.00. n2� 8 In.Psphall Wedge Curb-This bld Item hes decreased from 56 LF to 0 LF or-5784.00, � HMA CL 1l2 In PG�84-22•.Thia bld item hes Inereesed from 7,137 to 1,200 TN tor an edm6nnef f8,512.80. a26 Remove ExlsUng Catch Basin-This bid Item has decreased from 17 to 0 EA or-555,00. n3t PSIPE Camus X Ruteen 3 In:Caliper.Additlonel plartls needed to complele Mis tasic. Thls has Inaeased Ihis dd Item from 3 EA to 6 EA for an fnaease ot i1,840. n4� Bark Mulrh.Thls bid Itam hes deereesed from 15 to 70 CY or-5t75,00. a�2 Flne Composl-This bid Hem hes increased hom 16 W 16 CY(or an additlonel f4b.00 A43 Topsoll Type At.This bld item haq deaeased from 85 l0 1 CY or-$3,572.00. n45 Cemenl Conc.Pedestrian Curb.This btd Item I�as decre�;ed(rom 18210 44 LF or•54,140. A46 CemeN Gonc Curb and GuUer,This dd Item has deaeased from 2,823 to 2,809 LF or-5350.D6 �47 Cement Conc.Curb Type 2.Th�Gd Item hes detreased irom 78 to 0 LF or=51,975.00. A49 Cement Conc.Drlveway Entranee-TNs bld Item hes Increesed from 218 to 37259 SY for an edditlonal$10,178.35. n5o Ralsed Pavemerrt Merker Type 1.Thls bid item has decreased irom B to 5.27 HUND or-E858.95. a5i Refsed Pavement Marker Type 2.Thle bld Item has decreased from 2 to.B7 HUND or•$384.20. � Cement Concrete 9idewalk with Scoring-AddiUonel toncrele ddewafk wes needed ta complete this tesk This has Inaeased thls bid Item hom 779 squere yards(51�to 781.28 SY fot en InCrease 01 i908.72. a5a Detectable Waming SuAace-Thls hld ttem has Inaeased irom 30 to 134 SF for en etlmUonel i1,OB2 n55 PlasUe Shartow Symbnl-This bld Item has Inereased from 12 EA to 13 EA lor an addlUonal y257. n55 Palnted Wide Lane Llne•This bid Item has increased from 5.118 EA to 6,117 LF for an addillonal S•50• n6e Plestic Stop L1ne-Thls bid Ilem hes Increased fmm 130 LF tn 153 LF lor an eddWonel f276. A69 Plasllc Crosswatk Lina-Thls Wd Item has decreased from 1,524 SF to 1,S1B 3F or-$54,00. A74 Temporary Pavement Marklnp-This bid Ilem has decreesed hom 3,735 LF l0 3,890 LF or-8789.00. A76 Relocate Mellboz-Thls bld Item has deereased from 1 EA ta 0 EA or-5370.00. �B Foise Aeeount: WCD 024. PSE rapafrad gas Ilne In the area of Ihe Manefle Brldge on lhe west Wde o(Washinpton Ave for a lotel ot 51.52205. Please see atleched Work Chenge Dlrective Por delelis. � Faree AccounL' WCD 027. AdOltlonal grinding(or grede break beM�een Blh Street and the Manetfe Bridge for a lotal ot 312,500. Please see etlaehed Work Chenge Directive for delells. �� COPNB: WCD 028 Addlional mobillraGon tor eastside HMA sltlewelk for Blect�erty Fesdvel for a totel oi 52.243.00, Pieese see eUached Wo�k Change Dlreclive tor delalls insno�s �BpO! cna�o oww aoe n9z Foree Aceount: WCD 028. Instell driveway pad for Eagles per FO#21 for a total oi S9B8.87. Please see attached Work Change Dlrective for dalalls. �� Fotce Account: WCD 039. Caulk aacks In Ne cenler watlldivitler on WaShinpton Ave far a lolel of 53,802.91. Please see ettaehed Wark ChangB Dlrec�ive tor detells. �9e COPp6: WCD 033. AddUonel drelns to eolled end divert weter aeross sidewelk for e tutel of 58.083.97. Please eae etfeched Work Chenge Dlreelfve(or deteils. �um w oenpum Fowwco M oM. un t rm v.u�n t cm �f em� M o.r. 1 AS FleggBrs Bnd Spotters � • �� HR E75.00 5739 500.00!___--� Rev. 2.800 HR E76.00 5210 000.00 S70 500.00 0 2 At8 CrushedSurfadngTopCourse � • 1.558 TN 530.00 740.0 C__..._] Rev. 1.035.48 TN 30.0 31 084.4D S15 B75.60 0 3 A1B Crushed SuAedng Base Course Od 1,408 TN 24.00 782.00 �_.� Rev. 1,241.OB TN 24.00 S28 785.8 54.006 08 0 4 A20 2 In.Cortunarclel HMA Walkway 0� • `� TN 5188.00 S9 072.00 f_--_-_l Rev. 73 TN 5788.00 512 264.00 3182.00 0 5 A21 8 In.Asphalt Wedge Curb Ori . 56 LF S14.D0 5784.00 f=--7 Rev. 0.00 LF 314.00 30.00 S7B4 00 0 6 A22 HMA CL 112 In.PG 8442 Ori . 1137 TN 5103.38 5717 543.08 __-_.1 L. -� Rev. 7200 TN 5103.38 5124 058.00 8 512.84 0 7 A28 Remove ExlsGnp Cetch Basin Ori . 17 EA �6.00 Eb5.00 Rev. 0 EA 55.00 50.00 S55 00 0 B A31 PSIPE Camus X Rulcan 31n.Callper Orl . 3 EA SBZ0.00 S2 480.00 Rev. 5 EA 3820.00 .1D0.00 51840.D0 0 9 A41 Bark Mulch Ori . 16 CY E35.00 5525.00 C-1, Rev. 10 CY 5.00 5350.OD 5175 00 0 10 A42 Flrre Composl OM . 15 CY 345.00 75.00��r-- -- i Rev. 18 CY 5.00 7ZO.OD .00 0 17 A43 TopsoilTypaA1 OA B5 CY 53800 53810.00r----- ' �r�'y7 Rev. 1 CY 9.00 538.00 53.572.00 0 12 A45 Cement Conc.Pedestrfan Curb Ori 782 LF .00 S5 480.00, n Rev. 44 LF D.00 S7 320.00 34 140 00 0 13 A46 Cemenl Conc.Tra(fic Curb and Gutler � • 2823 LF 525.OD S85 575.00�� /�J- Rev. 2809 LF - 525.00- t85 225.00 5350.00 ' i 0 �� p" - 79 LF 525.00 5197500 /� � 14 A47 Cement Conc.Curb,Type 2 ' � Rev. 0 lF 5.00 EO•00 51.975.00 0 �� 75 A48 Cemenl Cont.Driveway Entrance Ori . 218 SY 5.00, _S14 040.OD Rev. 372.58 SY .00 524 21B 35 10 1TB.35 0 18 A50 Relsed Pavement Marker Type 7 � • 8 HUND 5316.00 S2 620.00-__-1�� Rev. 6 27 HUND 315.00 S7 880 05 3859.95 D 77 A57 Relsed Pavament Merkar Type 2 � • Z HUND 5340.00 5680.00 L�-: __-1 I____- Rev. O.B7 HUND .00 285.80 5384 20 D 20 A58 Cemenl Conpete Sidewelk with Scoring � • 778.00 SY 74.00 67 848.00�'- � Rev. 787.26 SY 574.00 S5B,554.72 5908.72 D 22 A6B Deleeleble Waming Surtaee � • �•� SF 521.00 E830.00 R v. 2. SF 21.00 1 722.OD 7 08200 0 23 A85 Plestic Shartow Symbol � • ��•� � 257.D0 OB4 00�_:.--�L-.� Rev. 73.00 EA 3257.00 S3 341.00 5257.00 0 24 A86 Palnled Wlde Lane Line � • 5118.0� LF SObO 558.00�:_-.-:-7 Rev. 5117.00 LF 0.50 558.60 E0.50 0 25 A88 PlasUc Siop Llne � 130.00 LF 572.00 S1 580 00� � Rev. 163.00 LF E12.00 S7 838.00 5278.00 0 28 A89 PlasUc Crnsswalk Llne � • 1524.00 SF 59.00 513 718.00 Rev. 1518.00 SF 9.00 13682.00 55400 0 27 A74 Temporary Pavemenl Marking • LF 20 16 BB7.00 �--� Rev. .00 LF 20 S754B8.00 5189.D0 0 28 A79 Relocate Mailbox � . 1.� � 70.00 5370.00' �-- - Rev. 0.00 EA 3370.00 i0.00 5370 00 0 29 AB8 � 8�ine erea o WCD 024 � 0.00 FA 50.00 50.00 L--'I Menetla Brid e on the west slde o1 R v. 7 A 1 522.05 7 522.05 1 522.D5 Additlonal rinding orgrade break FA .00 C-_.-�C ' - --- 90 A90 belween 8th Slreet end fhe MeneBe WCD 027 Rev. 1.00 FA 0 J Bdd . S72 600.00 572 500.00 12 5D0.00 31 A91 � o on or eas e yyCD 02B 0.00 .00 C�._---� eldewalk for Blackbe FesUval R v. 7. P 2 43. .0 2 243.00 32 A92 Instal Nveway p or g es per WCD 028 FA .0 �---7 -- ! FOk27 1. . 7 899. 7 . 7�~ u orac n center wa h er on 0. F .00 .00 f___J�_=J 33 A93 yy�� ton Ave. WCD 030 R v. F 8D2.B1 .81 3.802. 1 0 34 A94 ona ns o eo ect an ve WCD 033 � .OD . r_---��---� water across sldewelk. R v. 1.00 COPB B OB3.87 .B7 OB3.97 . 0 BCNEDULE A T� �� RIGIWIL CONTRACT AMOUNT 51.68D 305.88 WA S1 88D.305.88 SCHEDULE A T� CURRENT CONTRACT MODIflCAT10N8 APPROVED IN PREVIOUS APPUCA710N3 AMOUNT 5208,185.54 WA 51.868501.20 SCNEDULE A NET CHANOE 1H18 gUBTOTAI. TAX AFTER THIS CHMH3E CURRENTCONTAACTAMOUNT PEWOD ORDER i1 BBB 501.20 388,9&1.SB 51 857,485.78 WA St 857,485.78 111512016 Pege 5 Cheipe Ordx p04 a - catlore In . ous k:a or�a 3 on s 0 �nsno�s Pepa6 Charye Order tlW r--.-._.__.; Q �{ ..�...,..._..._.......M..�....... � I PUBLIC WORKS 8 Utllitlas Enginaerine Dlvislon .. � CHAN6E ORDER-BCHEDULE B �� Proled Name:Washtn�lon Avenue Community Boulavard oe�e.5-Jarr18 Confractor:RV Asaooates,Inc� cono-aa Ha:esoo DESCRIP110N OF GHANGE ' You are here uested to com wlth the fo0owl ch es from the contraet Plans end ecNicellons: Such work will be compensated by.check one or more of the following as applipbla[]Increase or[j Dacrease In bid Rems;[X]For�e Account; oHeted Priee: Trie described work aftects the exlsti contrad ilems end/or adds end/a deletes bid Rems as(ollows: Bltl Msm Dsac n B�� Force Account: WCD 025..Pape excavated amund new manhole to Invealfgate excassfve water for a totaf o(5758.27. Pleese see etlaehed Work Chenge Direetive or details B18 Forca Account: WCD 032. AddKionel diffuser tee costs per WDFW requlrements for e lotal of 52,060 D7. Pleese see etteehed Work Chanpe DlreclNe for detalls. �,rm. ocsrbmn FOWwwr �--J on wn sumperumi �um Nnsem+ �a an 1 B77 Eaple Manhole Excevadon WCD 025 Ori . D FA 50.00 .00�� Rev. 1 FA • 758.27 758.27 758.27 0 2 B18 A Itional d ser lee costa per WDFW wCD 032 0�i . 0 FA 0.00 .00 ulremenls. Rev. 1 FA 2 588.27 2 568.27 2 588.27 0 ' ' ,324.54 3,324:54 p SCNEDULE B TA)( TOTAL ORIOINAL CONTRACT AMOUNT 5175 214.80 WA 5178,214.90 SCHEDULE 8 T� CURRENT CONTRACT lAODIFICATION9 APP.ROVED IN P.REVIOU8 APPL•ICATIONS AMOUNT 54,9B1.81 WA 5170.232.99 SCHEDULE B NET CHANbE SUBTOTAL TAX ; AFTER THI8 CHANGE CURRENT CONTRACT AMOUM TH18 PERIOD R R $170,232.99. 53 324 54 $173,557.53 WA 3173 557.53 -.Mod ons m in' re a ons 0 on s .e 0 1/152016 Pape 7 Change Orderl�4 6 ....._.�__....�.�.__.... PUBLIC WORKS 8�UtllNles Enpineering Divislon ,'� CHANGE ORDER•SCHEDULE C Prolecl Neme:Washinpton Avenue Communllv Bnulevard oere•5-Jan-16 Contraclnr.RV A9soclates,Inc. Corarac�No.:6900 DESCRIPTION OF CHANGE You are here r uested to com with the folbwl cha es from the conUact Phans and eGficaUons: Such work will be compensated by:check orre or more of the fallawing as appllcable(X�Increase or[]Deaease In bid items;[]For�e Accounk Ne otiated Price: The described work aHecls the ealatln contract 11ems and/or adds and/or deletes bid Items as toilows: Bld Itam DeaeA tlon C25 Electrical Panel Upgrade-This bid Item has increased from$40,000 EsUmated to 344,000 Est.for en addWonel 54,000. Please see aUaehed Work Chenge DlrecUve for detalis. C3� Landscape Repalr-This bid Item hes decreased from$45,000 to$38,506.37 for a credit of-$6,493.63. INml�b .._ . .. . . De��cilpdon FOMIWCD/ �I Oy UMI iCoqWrUMI tCetl lI�t3COY Adl.Wp ' L I 1 C25 ElecVical Panel Upgredes WCD 036 Orl . 1 EST sao 000.00 S40 OOD.00 i---1[�— ' Rev. 1 EST 344 000.00 S44 000.00 34 D00.00 0 2 C37 Lendscepe Reatoration WCD 031 Rev. 1 EST $45 000.00 S45 OOO.OD, 538 508.37 $38 508.37 $6 493.63 0 , . ($2,493.fi3) 0 SCHEDULE�C TN((8.796) TOTAL ORIGINAL CONTRACT AMOUNT 5373,998.00 532,537.83 5406 535.63 SCHEDUL•E C � CURRENT CONTNACT (YIODIFICA710N3 APPROVED IN.PREVIOUS TAX %►PP.LICATIONS �� $15,687.36 $1,364.80 389483.87 8CHEOULE C NET CHANGE i i CURRENT CONTRACTAMOUNT THI8.PERI00 ' ��TAL TAX(8.7%) AFTER THIS CHANGE - ORDER $389 483.67 52,493.63 5386 99D.04 $216.95 $386 773.09 a - ns� rove 'e vbus Icetlons 0 i tlon �. is'Period 0 1/15I2016 Pege B Che�e 0��q04 r—`.—�? � i ........�........... ..._......... � PUBLIC WORKS 8 UtilRles Enginee►Ing DMslon . •�. I CHANGE ORDER-SCHEDULE D Prolect Name:Washinpton Avenue Communllv Boulevard Dece:5-Jen-16 ConVacror.RV Assoclates,Inc. Contrea rm.:8900 DESCRIPTION OF CHANOE You are hereb uested to com with ihe followin chan es from lhe contract Plans end s eclflcatlons: Such work will be compensated by:check one or more of the follow)ng as appl�able(]Increase or[ ]Decrease In bid kems;[]Force Accounx Ne otiated Prke� The described work affecfs the existln contract Items and/or edds and/or deletes bid Items as follows: Bld Item Deaul tlon IbmNo. DeecnPtlm � FOilWCOII 1 __-1 pry Unll SCe�IPerUNI {Coal WIiCoY /W�dy� L� 1 � • 50.00. �� Rev. 0.00 0.00 0 - -. - - - 0.0 - 0.00. 0 . SCHEDULE D TAX(8J96) TOTAL ORIGINAL CONTRACT�AMOUHT � $250 728.30 521 813.36 3272,541.86 ` SCHEDULE D CURRENT CONTRACT ' MODIFICATIONS AP.PROVED IN PREVIOUS TAX ��M , '- 14PPLICA710NS $35,660.43 53,102.46 3233,776.77 ' SCHEDUI:E D NET CHANGE �BTOTAL TAX(8.T%) AFTER THIS CNANGE. ; CURRENT CONTRACTAIMOUNT TMIS PERIOD ORDEIt --.-..-.--- - -... . ._$233,778.77 50.00 3233 778.77 50.00 5233.77B.77i a - tlons rov In .revloua katlons 0 �-.ModNicatlon' ed?hls'P.erfod 0 r 1/15I2016 Pepe 9 Chenge Order pp4 i � � �..r......��..�..�.,......�... O � �,I PUBLIC WORKS 8 UtIlHies Engineering Dhlslon • • CHANGEORDER-SCHEDULEE �- Prolect Neme:Washlnpton Avenue CommunlN Boulevard oete:5-Jan-18 ConUeCtor.RV A860Ciates,InC. Contracl No.:6900 DESCRIPTION OF CHANGE You ere hereb r uested to com with the follawin ehan es from the contract Plans end s edBcetions: Such work wlll be compensated by:check one or more of the following as appUcable�X)Increase or[ ]Oecrease In bid ilems;[]Force Account; Ne otlated Price; The described work effects the exlsUn contract items endlor adds end/or daletes b6d Items as follows: Bld Imm Cescri tlon E4 Install PSE Conduil-Thls bld item hes Increased from 1.276 to 1,463 LF or 53,827.00. EB Force AcoounC WCD 034. Schedule 74 excevate end placa conduit on veult on 4ih St end Weshington Ave for a total of;24,790.40. Pieese see attached Work Chenge Dlrective for detells. Also adJust contract schedule lo include 6 edditlonai days. i�xn rb oexdourn Fo�rmco� ` on. u�u �coa v.r un�i s cea ne�e reu �ol.ww 1 E4 InstallPSEConduRTrench Ori . 1,276 LF 521.00 526796.OD C=� Rev. 1 463 LF 521.00 530 723.00 S3 927.00 0 3 E8 Schedule 74-4th Street J03 Work WCD 034 Orl . 0 LS ED.00 0.00 � Rev. 1 LS S24 790.40 E24 790.4D 324 790.40 6 • SSS13.4D 528,7 . 6 ' � , _ . . SCHEDULE E TAX(8.796) ! TOTAL ORIGINAL CONTRACT AMOUNT S54 023.00 4 700.00 $58 723.00 SCNEDULE�E CURRENT CONTRACT MODIFICA710N3 APPROVED IN PREVIOUS TAX ��M. APPL•ICATIONS � , $6,474.87 5563.31 $85 761.18 SCHEOULE E NET CHANGE � g�BTOTAL TAX(8J%) AFTER 7HIS CHANGE � CURRENT CONTRACT AMOUNT THI8 PERIOD RDER $65,781.1 B S28.717.40 $B4 478.58 $ 488.41 $98 977.00 D =Mod1 tions roved:ln .revbus �atlons 2 De .- od tlon� roved Thls P.erbd 6 • 1/1512otfi Pepe 10 Chenge Order�04 � ......��....�..�......��............ PUBLIC WORKS 8 UtI11Ues Engineering DlNslon � CHANGE ORDER-SCHEDULE F Proiect Name:Washinpton Avenue Communlly Boulevard Daie:5-Jan-18 Contrector.RV Asaoclates,Inc. Comract Na:890D DESCRIPTION OF CHANGE You are hereb uested to com I wlth Ihe followi chan es from the contraat Plens and s eclficatlons: Such work will be compenseted by:chedc one or more of the following es applicable� ]Increase or[]Decrease in bid Itema;[]Foroe Account; Ne oUated Price: The described work affects the exisUn contrect items and/or adds andlor deletes bid Items as tollows: Bld Itam Desa 8on F6 Removed Beach DebrLs-Thls bid Item has decreased from 300 tons(TN)to 282.44 TN for the amount of-$158.76, F7 Crushed Surface Top Course-This bid Uem hes been Incraesed From 50 tons(TN)to 70 TN(or the amount of S9b4.80. Fe Chenge Neme ot F8 from Pertneable Ballast to Guahed Surfacs Base Course(CSBC). This bid item has deaeased irom 270 tons(TN)to 79 TN for the amount Of-54.584,00, F77 WCD 049. Treated Wood Guerdrall-Thls 6id ttem hes been decreased from 99 Ilnear teet(LF)ta 0 LF or-55,544. F18 Streambed Sediment-This bid ttem has been Increased from 116 tons(TN)to 126.71 TN(or the amount of 5396Z7. F20 wCD 035. Install CDF Inslead of permeable Bellest Into ihe Evergreen Park Pump Stetion for e lotal of 54,757.55._Please see eltached Wo�c Change Directive fOf f�Bhdl�9. INm No. OexApYm+ FO/I�NCD� I I ON. UNI �GY Per UnN i Gan Nal i Cetl Idj Oey� l-J 1 FB Remove Beach Debris Ori . 300 TN 21.00 6 300.00 �L=7 Rev. 282.44 TN 521.00 8141.24 $158.76 0 7 F7 Cr�hed Surfacing Tap Course Ori . 50 TN 55.00 52 750.00�._.-;L=_.=� Rev. 67.36 TN 555.00 53 704.80 5954.80 0 1 F8 CSBC Orl . 270 TN 24.00 SB 480.00 �� Rev. 79 TN 524.00 1 896.00 84.584.00 0 2 F17 Treated Wood Guardrell WCD 049 Orl . 99 LF 558.00 55 544.00 r�� Rev. 0 LF 356.00 50.00 SS 544.00 0 3 F78 Streambed Sediment Orl . 116 TON E37.00 $4 292.00 _ f.-� Rev. 126.71 TON 37.00 $4 688.27 3396.27 0 4 F20 Insfell CDF per Fleld Order 020/020A 1�R� Orl . 0 LS 0.00 50.00. _ . 020WFOA Rev. 1 LS S4 757.55 34 75T.S5 34 757.55 0 �� - .�- 1,1 . ($4.178.14) 0 SCHEDULE F TN((8.776) TOTAL ORIGINAL CONTRACT AMOUNT $79 877.00 36 931.9D 588.808.90 BCHEDUL'E F CURRENT CONTRACT MODIFICATiONB APPROVED IN PREVIOU8 T� AMpUM APPLICA7�NS $27.see.�e 52.40B.92 8116,706.80 $CHEDULE F NET CHANGE �B�T� TAX(8.7.76) AF�ER 7HI5 CHANGE CURRENT'CflN7RACT AMOUNT THIS PERIOD ORDER $11B.708.80 54.178.14 5112,528.48 $363 50 $112164.86 -Mod tions roved in revious Ik:atlons 0 e :-'AAod Uon' mved Thls , riod 0 111512D16 Papa 11 Chanpa OrEn p04 � ..�.......�......�....«...... PUBLIC WORKS 8 UUpties Engineering Divlslon � CHANGE ORDER-SCHEDULE G r �+Prolect Name:Washlnsiton Avenue CommunlN Boulevard Deie:5-Jan-16 Cantractor.RV Associales.Inc. CoMree�No.;6900 DESCRIPTION OF LHANGE . You are hereb re uested to com with the followl chan es imm lhe contract Plans and s ec�icaUons: 5uch work wlll be compensated by:check one or more ot the fallowing as appllcable�]Increase or� ]Decrease in bid kems;[]Force Accourt� Ne oUated Price: The described work affects the exlsUn contrad items endlor adds andlor deletes bid Rems as follows: 81d Item Descrl on G21 PSIPE Gaultherie Shallon Selel-This bid kem increesed from 8U eech l0110 EA for en Increeae of iZ4U• G23 PSIPE Symphoricarpos Albus Srrowberry-This bid flem increased hom 140 eech to 143 EA for an Increase af i27.00. G23A New Item-Yaku Jlma-Thls has Increased thls bld Rem from 0 to 40 EA for an Increase of i480. G28 opsoll Type A2-Thfs has Increased this bid Item from 318 CY to 425 EA for an Increase oi a3,074.00 diUonel 16 Deys ere 6eing edded to the contracl(or the ebove chenges. IMnNo Dexrlptlon FWANCD� Oy llnll iCoalPaiUnll {Ceu lNltCotl AAJ�aye 8� EA • 1 �� 1 G21 PSIPE Gaultherla Shallon Selal 020/020A, Rev. 110 EA 0 Cpp qg 38.00 $BB0.00 5240.00 2 G23 PSIPE Symphor7carpasAl6us 0 140 EA 9.OD 1.260.OD L_]�—� Snowbe Rev. 143 EA 0 _._. ._. - O 0 0 0.00 � O.OD C_ ---� 3 G23A New Yaku Jima 020/020A, Rev. 40 EA 0 COP 4B $12.00 5480.00 $480.00 4 G28 Topsoil Type A2 0 319 CY 29.00 9,251.00��__._:. . Rev. 425 CY 2 . 3,0 . 0 5 G33 Upgrade clock for irtigetlon syslem WCD 026 Rev. 1 LS 0.00 0.00�`t 0 6 Add Days to Contract COP 4B .00��'__-=7" 0.00 15 , . 12. 8.29 15 SCHEDULE G TAX(8.7%) TOTAL ORIGINAL CONTRACT AlMOUNT $146,345.90 512.732.09 5159 077.99 SCHEDULE G CURRENT CONTRACT MODIFICA710NS AFPROVED IN PREVIOUS T� AMOUNT APPLICA710NS 50.00 $0.00 St59,077.99 �HEDULE G NET CHANGE g�BTOTAL TAX(8.7°K) AFTER 7HIS CHMIGE CURRENT CONTRACT AMOUNT THIS PERIOD �p� 5159077.99 $12,418.29 $171,496.28 S1.OB0.39 5172.576.67 s-: I catlona A rov In Previous A ons 0 on mv Is .e od_ . 15 1115f201fi Pege 12 Cherqe Order R04 � � .......�....................�.........�.. � � PUBLIC WORKS 8 Utllltles Englneering DMslon CHANGE ORDER-SCHEDULE H ��Name:Weshinaton Avenue CommunlN Bouleverd Defe:SJan-16 Contractor.RV Associates.Inc. • Comraa Nc.:6900 DESCRIPTION OF CHANGE You are herab re uested to cam wifh the followin chen es irom the contrad Plans and s cifiratlons: Such work wlll be compensated by:check one or more of the following as appliceble[J Increase or[ J Decrease In bld Items;[J Force Account N Ueted Price: The described work affecls ihe exisdn conVecl Items endlor edds andlor deletes bid Rems as foibws: Bld Item Deserl tlan �1nm ryo, peectlpyon FO/lYYCO/ � O.y UNI f Ccu Px UnM f Cml Nel3 CoY Al�.D�p f� . . L__._.__� Rev. 0.00 .00 O.OD 0 , . . . -- — . . ._ . _ . 0.00 �. . 0 BCHEDULE H TAX(B.7%) TOTAI. ORIGINAL CONTRACT/1MOUNT $31000.D0 S2 697.00 $33 697.00 � CURRENT CONTRACT N{OOIFICATIONS APPROVED IN PREVIGUS TAX q�OlJP1T APP.UCATIONS 0.00 0.00 33 897.00 SCHEDULE H ' NET CHANOE g�BTOTAL TAX(8.79L) AF1'ER THIS CNANGE CURRENT CONTRACT AMOUNT THIS PERIOD 0�� ' S33 697.00 SO.OU 333 697.00 SU.00 $33 697.00 a - Uons mved:ln �revbus atlona 0 Da -Modiflcetlon roved,ThisP.erlod 0 . 111Yt016 Page 13 I CITY OF BREMERTON CHANGE ORDER CONTRACT CHANGE ORDER NO: O5 PROJECT NAME: Washington Avenue Comrnunity Boulevard PROJECT NO: 6900 CONTRACTOR: RV Associates, Inc. ORIGINAL CONTRACT AMOUNT: $2,852,704.84 DAYS: 143 PREVIOUSLY APPROVED $314,285.97 DAYS: 26 CHANGES: THIS CHANGE: $52,159.49 DAYS: 0 REVISED CONTRACT AMOUNT: $3,219,150.30 DAYS: 169 This Change Order covers changes to the subject contract as described herein. The Contractor shall construct, furnish equipment and materials, and perform all work as necessary or required to complete the Change Order Items. The increase or decrease in contract price shown below includes any applicable taxes. . DESCRIPTION OF CHANGES INCREASE IN (DECREASE) CONTRA o � CONTRACT IN CONTRACT CT TIME � � AMOUNT AMOUNT EXTENSI �' � ($> ��, DAYS:) X X This change order comprlses addltlonal work made up from Schedules A � through G. The major contract modification is due to the following: • Schedule 74 HMA replacement for sidewalk damage. • Schedule G Evergreen Park redesign. $48,273.05 . Please see the attached documents for descriptlon and details. NET CHANGE IN CONTRACT AMOUNT $48,273.05 INCREASE OR (DECREASE) REVISED CONTRACT AMOUNT $3,215,263.86 ESTIMATED SALES TAX AT 8.7% (Sum of Bid Items C—H) $3,886.44 TOTAL INCLUDING SALES TAX $3,219,150.30 169 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. CONTRACT CHANGE ORDER NO: O5 PROJECT NAME: Washington Avenue Community Boulevard The undersigned Contractor approves the foregoing Change Order as to the changes, if any, in the contract price speci�ed 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. CONTRACTOR � D E• A roved. � , vu�.� AT . / lt PROJECT MANA R ��/i me d: DATE: ��° C TY ENGINEER Council action is required as project cost will exceed approved budget. ■ Yes ❑No Council action is required as change exceeds Mayors authority per BMC 2.76.110. ❑ Yes ■ No Recommended: DATE: DIRECTOR OF PUBLIC WORKS AND UTILITIES Recommended: DATE: MAYOR A �� roved: DATE:; APPROVED AS TO FORM: ATTEST: Bremerton City Attorney City Clerk Page 2 of 2 Change Order if05 1 I � i � SUMMARY -See Attached Schedule Details �. _____ _ .__ PUBLIC WORKS&Udlfties Engineering Dfvision I' � " CHANGE ORDER#05 I:� . . . � . Project Neme:Washinpion Avenue Community Boulevard 14-Jan-16 Contractor. RV Associates, Inc. 8900 SCHEDULE A TAX TOTAL ORIGINAL CONTRACT AMOUNT (NIA Tor Schedule A) 31,660,305.66 30.OD 51.660,305.66 SCHEDULE A CURRENT MODIFICATION6 APPROVED IN T� CONTRACT PREVIOUS APPUCATIONS (N/A for Schedule A) qMOUNT 3297,160.12 50.00 $1.957,485.7B SCHEDULE A NET CHANGE THIS TAX COIiFTRACT AMOUNT AFTER PERCENT CURRENT CONTRACT AMOUNT PERIOD $UBTOTAL (NIA for Schedule A) THIS CHANOE ORDER CHANGE $1,967,465.78 $3.601.35 $1.961,067.13 WA 31.981.067.13 18.1% SCHEDULE B TAX TOTAL ORIGINAL CONTRACT AMOUNT (NIA for Schedule B) �175.214.80 30.00 � 5175,214.B0 MODIFICATIONS APPROVED IN T� CONTRACT PREVIOUS APPUCA770NS (NIA for Schedule B) p�OUNT 51,657.27) E0.00 $173,557.53 SCHEDULE B NET CHANGE THIS SUBTOTAL T� CONTRACT AMOUNT AFTER PERCENT CURRENT CONTRACT AMOUNT PERIOD (NIA for Schedule e� THI8 CHANGE ORDER CHANGE $173,557.53 50.00 3173,557.53 WA E173,557.53 -0.9% 8CHEDULE C TAX�8.79L) TOTAL ORIGINAL CONTRACT AMOUNT b373,99B.00 532,537.83 b406,535.83 SCHEDULE C CURRENT MODIFICATIONS APPROVED IN TAX(8.77b) CONTRACT PREVIOU8 APPUCATIONS AAAOUNT $18,180.99 (51,581.75) $386.773.09 BCHEDULE C NET CHANGE THIS SUBTOTAL TAX(8.7%) CONTRACT AMOUHT AFTER PERCENT CURRENT CONTRACT AMOUNT PERIOD THIS CNANGE ORDER CHANGE $386,773.09 $679.68 $387.452.77 559.13 3387.511.90 -4.7°io SCHEDULE D TAX(8.7%) TOTAL ORIGINAL CONTRACT AMOUNT $250.728.30 521.813.36 5272,541.66 SCHEDULE D CURRENT MODIFICATIONS APPROVED IN TAX(8.796) CONTRACT PREVIOUS APPUCATIONS AMOUNT ($35,660.431 (a3,102.46) 5233,T78.77 SCHEDUIE 0 NET CHANGE TNIB SUBTOTAL TAX(8.7?�) CONTRACT AMOUNT AFTER PERCENT CURRENT CONTRACT AMOUNT PERIOD THIS CHANGE ORDER CHANGE 5233,778.T1 30.00 $233,778.77 a0.00 5233,T78.77 -14.2°io 1/15/2016 Paga 1 Change Order p05 � a"/' SUMMARY -See Attached Schedule Detalls PUBLIC WORKS&Util(Ues Eneineering Divislon � ' CHANGE ORDER#05 i :, Proiect Name:Washinqton Avenue Communitv Boulevard 14-Jan•16 Contractor:RV Associates,Inc. s9oo SCHEDULE E TAX(0.75E) TOTAL ORIGINAL CONTRACT AMOUNT $54,023.00 $4,700.00 $58,723.00 3CHEDULE E CURRENT MODIFICATIONS APPROVED IN TAX(B.796) CONTRACT PREVIOUS APPLICATIONS AMOUNT $35,192.27 33,061.73 $96,977.00 SCFIEDULE E NET CHANGE THIS gUBTOTAL Tpx�g,�y6) CONTRACT AMOUN7 AFTER PERCENT CURRENT CONTRACT AMOUNT PERIOD THIS CHANGE ORDER CHANGE $98,977.00 5281.74 $97,258.74 324.51 397,283.25 65.796 SCHEDULE F TAX(8.7+}4.) TOTAL ORIGINAL CONTRACT AMOUNT a79.677.OD SB,931.90 586,608.90 SCHEDULE F CURRENT NODIFICATIONS APPROVED IN TAX(8.7=�) CONTRACT PREVIOUS APPLICATIONB AMOUNT $23,510.84 S2,D45.43 $112,164.86 SCHEDULE F NET CHANGE THIS SUBfOTAL TAX(6 79G) CONTRACT AMOUNT AFTER PERCENT CURRENT CONTRACT AMOUNT PER10D THIS CHANf3E ORDER CHANGE 5112,164.96 $0.00 $112,164.96 a0.00 $112,164.96 29.596 SCHEDULE G TAX(8.795) TOTAL ORIGINAL CONTRACT AMOUNT 5146,345.80 $12.732.09 $159,OTl.99 SCHEDULE G CURRENT d10DIFICAT10N6 APPROVED IN TAX(B.796) CONTRACT PREVIOUS APPUCATIONS AMOUNT $12,418.29 31,080.39 3172,578.67 8CHEDULE G NET CHANGE THIS SUBTOTAL TAX(8.7!�) CONTRACT AMOUNT AFTER PERCENT CURRENT CONTRACT AMOUNT PERIOD TIiIS CHANGE ORDER CHANGE 3172,576.67 543.710.28 $218,288.85 53,802.79 5220,089.75 3B% SCHEDULE H TAX(8.9%) TOTAL ORIGINAL CONTRACT AMOUNT $31,000.00 32,697.00 533,697.00 SCHEDULE H CURRENT MODIFICATIONS APPROVED IN TAX(8.7a�) CONTRACT PREVIOUS APPLICATIONS AMOUNT 50.00 $0.00 $33,697.00 SCHEDULE H NET CHANOE THIS SUBTOTAL TAX(8.7y,� CONTRACT AMOUNT AFTER PERCENT CURRENT CONTRACT AMOUNT PERIOD THIS CHANGE ORDER CHANGE $33,697.00 $0.00 E33,697.00 $0.00 333,697.00 096 1 H 5/2016 Page 2 Change Order#05 i�:----I i I '� �:� SUMMARY -See Attached Schedule Details ; �j PUBLIC WORKS 8 UtlUtles Engineering Division � �0�O0 � CHANGE ORDER#05 ;��: Proiect Name:Washington Avenue Community Boulevard 14Jan•16 Contractor:RV Associates, Inc. 6900 TAL . _ - _ - TAX TOTAL TOTAL ORl(iINAL CONTRACT AAAOUNT 82,771.292.66 $81.41218 $2,852,704.84 TOTAL CURRENT � aIODIFlCAT10N8 APP.ROYED IN TAX(8.7%) CONTRACT PREVI0118 APPLICATIONS AMOUNT $312,782.63 51,503.3 $3,166,990.81 OTAL NET CHANQE THIS ' CONTRACT AMOUNT AFTER. P,ERCENT SUB70TAL Sum of C-H CURRENT CONTRACT AMOUNT PERIOD �� THIS CHANGE ORDER CHANGE: $3,166,990.81 $48.273.05 $3,216,263.86 $3,886.44 $3.219,150.30 13.09b --- •----- - ------ - - . .. _. - ---. ... ._. Da ;Ori Inal;Contract 143 Da -Modifications,A roved,in:Previous�Pi lications _ 26 Da -Modficadon, roved.•Tihis;Period 0 _. . . ...., Days�-Total:Approved,(Does,not�lnclude rain'days a 'roved;,see�statement of•.workin da's. • 169 All work,malerials and measurements to be fn accordance with ihe provlsions of lhe original corriract and/or the standard specifications and speaal provislons for the type of construcllon involved. The payments andlor addlUonal time speclfied and agreed to in this order include every claim by the Contractor for any exlra payment or exlenslon of time with respect to the wo�k described herein;induding delays to lhe overall proJecl: APP • Y: SIG TURE: :DATE OWNERS REPRESENTATIVE � � � CONTRACTOR /� � �-r �6 CITY APPROVAL ' � CITY COUNCIL APPROVAL DATE: F 1/15/2016 Page 3 Chenpe Oidm Y.05 � �........ »...... PUBLIC WORKS 8 Utllitles Engineering DMslon �,• ,. I CHANGE ORDER-SCHEDULE A i Pmlect Name:Washinplon Avanua CommunlN Boulevard oe�a.14,1en-1B COnlrectar:RV h55oClaleS.Ir1C.. Contreet No.:8900 DESCRIPTION OF CHANGE You are hereb re uasled to com with lhe iollowl cha es hom tl�e contract Plens end s edlicauons� Such work wlll be compensated by:chedc one or more of the PoOowing�eppliceble[X J Increese or�]Decrease in bid Ilems;[)Force Axourri; Ne oUated PAce: The described woAc a(ieds tl�e e�dsUn contract Items andlw adds end/or deletes bld items as folimve: Id pam wrl AB5 Force Accounl:WCD 037. HMA Sltlewalk was damaged by Potelco during the Sfiedule 74 work for a totel 0153,268•34• Pleese see atlached Work Change Dlrective for delEils. aes Force Accounl: W CD 039. Metm boxes on 6lh Streel had lo be rslsed tor a lWel oI 5335.01. Please see¢tlached Work Chenge DirecUva tor deleils., Men Ilo DuohRb� FG/IWtD� . OIY IN11 {Caf Pi Ur11 �Cat �613Cuf Aq Dry� 1 AB5 HMA Sldewalk Demage by PotelrA. yyCD U37 OA . 0 LS .00 50.00 Schedul 74 Rev. 1 LS 3 288.34 S3 288.34 S3 88.34 D 2 ABB Relse meter boz between rocicery WCD 038 ��: � FA 533501 5335.01 335.01 0 , • � . 0 SCHEDULE A T� .�� ORIGINAL CONTRACT AMOUNT S7 BBD.305.88 WA 57 B6D 305.86 SCNEDULEA T� CURRENFCONfRACT MODIFICAl10NS APPROVED IN PREVIOUS APPUCATIONS AMOUNT �29718D.12 WA 51957,495.78 SCHEDULE A NE7 CHAN�E 7HI8 SUBTOTAL TAX AF7ER THIS CHANfiE CURRENTCONTRACTAMOUNi PERIOD .ORDER E1 867,485.78 S3 601.35 S1 987 087.13 rUA 51.981 087.13 ore n Nous, ca ore 3 on s 0 tlt5f2D76 P°0°4 ChenBe ONu IROS t _.-� i � � � ..�....�......�..........�.......�.... _._J PUBLIC WORKS 6 Utllitles Englnearing Divblon , ., ,� CHANGE ORDER-SCHEDULE B � � � Prolect Name:Weshin�ton Avenue Communitv Boulevard Dete.14,1ao-16 Cantraclor:RV Assodetes,Inc. contrac�Na.;8900 DESCRIPTION OF GHnNGE You ere here uested lo eom wlth lha►ollowin ehen es from the corttrad Plans end eaUone: Such work wlil be compeneated by.check one or more of ihe(ollowing as aDD��able�]Increase or(]Decrease In bid kema:[J Forrs Accounk otlated Prlce• The descdbad work aHects the existln santraq Nems end/or adds and/or deletes bid ilems es foliows: � B10 hem Dascrl on lenNo. Daciblon FOWIGD� � Oy WYt fCosPmUWt 7Ceu NmSCmI I10J Wya �M . � �.�� .�0�� R6V. 0 - .�0 .�0 .�� 0 Ori . 0 .00 00 -- - r—� Rev. D D.00 .00 .DO 0 ' .00 0.00 0 SCHEDULE B TAX TOTAL ORIGINAL CONTRACT AMOUNT $176,214.80 WA 5175 214.80 SCHEDULE B T� CURREN7 CONTRACT MODIFICATIONS APPROVEO IN PREYIOU8'APPUCAT10N3 � AMOUNT $1.657.27 WA $173 557.53 SCHEDULE B �NET CHANOE gUBTOTAL TAX AFTER�THIS CHANOE CURRENT CONTRACT MAOUNT THIS PERIOD 5173 557.53 50.00 $173 557.53 WA 5173,557.53 rov in P_ e ons . ' 0 qon ved- IS ,erbd 0 tl75/t076 Paga 5 Change OrderpD5 � r...��.....�..e..�...�.........�... _ __.. PUBLIC WORKS 8�Utllkles Englneering Divlslon ... CHANGE ORDER-SCHEDULE C Prolect Name:Washinqton Avenue Community Boulevard De�e:14Jan-16 ConUactor.RV Assoclates,Inc. Conu�aa No.:6800 OESCRIPTION OF CHANGE You ere hereb r uested to com I with the followin chen es from the contract Plans end s eGflcelions: Such work will be compensated by.check one or more of the foflowing as applicable[X]Increase or[]Deaease In bld Items;j ]Force Account; Ne oUated Price: The described work affects the existin contract ftems andlor adds endlor deleles bld Items es follows: Bld Ilam Descrl tlon C39 Fwce Accounl WCD 038. Install oi concrete ecology block at Deet's residence for a total of$288.77. Please see atlached Work Change Directive for details. C4o Force Accounf: WCD 039. Install three Vaftic rated Iids at 3 residence for a total of$379.91. Please see attached Work Change Directive for detalls. INmlb. Gralptlon FWlWCO/ Ory UNI SCoYW�UrJI SCo�I NsISCon Ad�.Wp Install of Ecology block at DeePs Ori . 0 . FA 0.00 0.00 1 C39 Residence �NCD 039 Rev. 1 FA 2BB.77 52BB.77 E2B9.77 0 2 � Install traflic rated Ilds at House 62B/626 WCD 040 �� ' 0 FA EO.DO S0.00: � and 622 Rev. 1 FA S37g.g1 8378.91 5379.97. 0 . . � $ . 79. 0 SCHEDULE C Tqx(g;7%� TOTAL ORIGWAL COMRACT AMOUNT 5373.998.00 $32 537.83 3406,535.93 SCHEDUL'E C CURRENT CONTRACT IMODIFICA710N8 APPROVED IN PREVIOU6 TAX �V� AP,PUCATIONS _ $18,180.99 $1,581.75 386,773.08 SCHEDULE C NET CHANGE g�BTOTAL TAX(8:7%) AFTER�THIS CHANGE CURRENT CONTRACT AAAOUNT THIS PERIOD �� $386 773.09 5679.68 5387 452.77 359.13 ' 387 511.90 -Mcd etlons' rove In.P.revbus icatlona 0 . a - tlon" roved� is'.erbd 0 tl162016 PeBe 8 Charree Order q05 r..�_--^-.---� � � ..�........�.......�...�..�..... I PUBLIC WORKS 8 UUlkles EnglneeAng DMslon , � � CHANGE ORDER-SCHEDULE D Prolecl Name:Weshinqton Avenue CommunlN Bouleverd Deie:14Jen-18 Contractor.RV Assoclates.Inc. Convset No:6800 DESCRIPTION OF CHANGE You are hereb re uealed to com with the followin chen es From ihe contracl Plans end s Iflcetlons: Such work will be compenseted by:check orte or more of ihe following as appiicable[]Inorease or[ ]Decreese In bid Rems;[]Force Acwunk N otlated Price: The descAbed work aHects the exlstln contract items and/or edds and/or deletes bld ftems as follows: Bld Item Desal 8on INmfb DeetriPdon FONYC01 I Oh UNI tCouPolWi1 iCotl• Nsl{CoY 'Ad�.Dey1 o� . so.00 � Rev. SO.OD .00 0 O.OD 0.0 0 . � SCHEDUL'E D TAX(BJ96) TOTAL ORIGINAL CONTRACT AMOUNT $250 728.30 S27 813.36 5272 541.66 SCMED.ULE D . . � _ _ _ . .... � CURRENT CONTRACT MODIFICATION9 APPROVED IN PREVIOU9 TAX ��M 14PPL�CATIONS. . $35,660.43 53,102.46 5233 778.77 SCHEDULE D �T C�aE g�gTpTp� TAX(&T.l6) AFTER THIS CHANOE � CURRENT CONTRACT AAAOUNT THIS PERIOD '' 0�� 5233 778.77 $0.00 $233,778.77 SO.DO 5233 778.77� D cetlons rovedlln.Prevlous' k.aUons 0 Da- -.ModM�edon vedThlsP.eriod__ : 0 r 1/1520t6 Paga 7 Chanpe Order i105 � I ..�....�...�...�..r.......a....... PUBLIC WORKS&UUlkles Englnee►ing Dlvisbn ,'� CHANGE ORDER-SCHEDULE E � Profect Neme:Washinpton Avenue Community Boulevard Dsca.14Jam16 Contractor.RV Nssoclates.Inc. Contraa No.:6900 DESCRIPTION OF CHANGE You are hereb uested to com I with the followin chan es from the contract Plans and s ecificetions: Such work wlll be compensated by:check one or more of ihe(ollowing as appli�eble[X]Increase or�J Decrease In bid Ilems;�]Force Accounfi N otiated Price: The described work aBects ihe existin conUact Items andlor adds andlor deletes bid Rems as follows: 6�a�tem oescn non EB Foroe AccounC WCD 041. Schedule 74 relay of bricks efter vaull work on 4th St end Washinglon Ave for e lotel of;281.74. Please see atleched Work Chanpe Dlrective for detells. IbmHo, Omenptlon FOnlWCD� � � Ory 11Mt SCwIP�rUNt SCoY Nel{CeN Ad�Dnys 1 E9 �hedule 74-4ih Street J03 Work to wCp�� Orl . 0 LS 50.00 30.00 rela bricks efter vault work Rev. 1 LS 3281.74 281.74 5281.74 . . 0 8CHEOULE E 7AX(8:796) TOTAL ORIGINAL CON7RACT AAAOUNT S54 023.00 34.700.00 558 723.00 SCHEDULE E AAODIFICA710N8 APPROVED IN�PREVIOUS TAX CURRENT CONTRACT 14PPLICATIONS �UM 53519227. $3 061.73 $96 977.00 SCHEDULE E NET CFIANGE �gTOTAL TAX(8.7°K) AFTER TNIS CHANGE CURRENT CONTRACT NNOUNT TFIIS PERIOD R� 596,977.00 a281.74 597 258.74 $24.51 S97 283.25 � e •- tlons rov in.. vloua t�etlons 8 tlon' rov � Is . 0 0 1/15@O18 Page 8 Charge Order p05 � 0 �..___�! PUBLIC WORKS 8 UdlRles Engineering Dlvlsion �• �r.�.• �L byN^ .. CHANGE ORDER•SCHEDULE F Prolecl Name:Washinpton Avenue Communitv Bouleverd ne�e.14Jan-18 Contractor.RV Aasoclales.Inc. Camr�ct No�6800 DESCRIPTION OF CWINGE Yau are hereb re uested to com I with Ihe followin chan es from Iha conirect Plens end s cMicallons: Such work wlll be compensated by:check one or more ot the following as applicable�X]Increase or[]Decreasa in bid Items;[]Force Account; Ne otlated Price: The described work effecls the existln contract kems and/or adds andfor deletes bid items as foibwa: Bld hem Deacrl Uon IbmNo Da�etlptlen FWMICD� �_1 Ory. UNI SCeMVwUnN SCaY Ns75CoY AdJ Wye - Q� . y �.� RB�. ao.00 so.00 0 o� . a.o�. �_, Re�. ao.00 $o.ao 0 - " Ori . 50.00�-�� Rev. $0.00 $0.00 0 D. 0 8CHEDULE F TAX(B.7X) TOTAL ORIGMAL COIiITRACT AMOUNT $79 677.00 $8 931.90 $88,80B.SD BCHEDULE'F CURRENT CONTRACT MODIFICATIONS APPROVED M PREVIOU9 TAX APP.LICATION9 �U� $23,510.64 52,045.43 $112,184.98 SCHEDULE F � NET CHANGE g�gTOTAL TAX(8.7%) �AFTER TNIS CNANGE CURRENT•CONTRACTAMOUNT THIS�PERIOD � ORDER $112,164.96 30.00 3112.164.98 $0.00 $112.164.98 I tlons rov .In revloua I�aUona U a -Mod tbn rcved Is .erlod 0 1/152016 Pege 9 Cnarge Order NOS r— i i � 'I ....�.........�....��.....�... L�! PUBLIC WORK9 8 Utilllles Enginearing Dlvlsion �� CHANGE ORDER-SCHEDULE G . Proleal Name:Weshlnptnn Avenue Community Bouleverd oefe.14-Jan-16 ContraGar:RV As,oGales,Inc. CmtreaNc.:8900 DESCRIP7IDN OF CMANGE You ere hereb r uested to com I with lhe lolbwin cha es fram lhe contrad Plens end s eclficaUons: Such work wlll be compenseted by.chedc ane or more of tha followin0 es epplicable[X]Inaeese or[ ]Decrease In bld ilems;[]Force Account Ne otfeted Prfce• The desaibed woric aHects Ihe exlsti contract Items andla adda andlor deletes bld Items as lolbws: Bld Mem Oe tlon - ' � G3 Fleld Order 020l020ARemovel of Strtutures and Obstructlons•New Lump Sum unll price. Thls hae Inaeesed lhls bld Item trom 5,900 to 11,868 for a chanpe o( 55,788.48. Please see etteched Work Change Directive for delails. �B Roadway Excavation Inc.Haul-New Unil Price Irnxease. Due lo using flll irom the sfle we are r�noving fhis bld Item hom 229 CY lo D CY. For a aedil of-54,809. Please see ettached Work Change Directive for detalls. G9 Gravel Bortow Inc.Haui-Thls bld Item has been deaeased hom 2,898 CY to 850 CY or-517,984. Pleasa see atteched Work Change DtrectNe for deteils. G14 d�st Cetch Besin-Thl9 bid Item hes been decreased from 2 to 0 EA or-St,10D. Please eee etteched Wark Chanpe DlrecWe far deteils. G14A New Item-Reconneclion and New Storm-This lump eum(LS)Item has tnaeased thls bid ttem hom 0 to 1 LS for en Increase of 573,000.Please sae ettached Work Cha e Dlrective tor detei�. G148 New Item-New Type 2 Cet�Besln-Thfs Rem hea increesed Ihis bid ftem from 0 to 1 EA for en inuease of 58,767.51. Plaase sea atleched Work Chenpe Dlrective or detaiis. Hydmseed-New UnR Price Increase. This hes inrxxeased this bld Item hom 53,675.00 Lump Sum(L )to 11,6D0.00 LS(or an Increase of 7,925.Due lo increased G1B SF and InstaQetlon of Bonded fiber metrix and teckNer increase trom 296 to 10%to aaount for weather eondRlons(wlnter stablletlon). Please see attached Work Cha e Dlractive for dehails. G1BA New Item-Permea Tex Eroslon Contrd Blenket- Thls has irraeesed this hid item(rom D to 1 Lump Sum(LS)tor an Invease of f7.279. Please see ariached Work Chenpe Dlrective for deteils. �� Irtigatian ystem-New Unit Price Increase. This hes Inaeased this bid ftem m 1 , . Lump m LS)to 1,440.00 L r an Increase o ,BO . IeBse see atlached Work Chan e Dlrective f�deteils. G30A New Item-Concrete Pad. Thls lump sum(L5)sem hes Increased Ihls bld item from 0 to 1 L5 for an Increase of S8,D28.70. Please see ettached Work Changa Dlredive for detalb. �� New Item-Excevedon and FN. Thls bld Item colrbldes with bid Rem G8 and G9,by using fill from the road sewer work it gave the D�1�a credK and e new bld ftem s aeated for the efforts to heul and mbc the flll et the park fa an Increase of 575,114. Please see atleched Work Change Directive(or detalls. G35 Force AccouM: WCD OSO. Replace the 917 memorial tlme capsule In conarete pad for a total of S81B.87 Please see attashed Work ChanOe Dlrective for det8118. Rm No Dec�fon F011NYCDM �� Oy. UN S Cof Pm UnN f CaY IM/Cosl IW�Daya 1 G3 RemovalolSWdureslObstructlons WCD043 � �S 5.900.00 5,900. [—..—,�.—� Rev. 1 LS 11.�8.46 11.6BB.46 .788.48 0 2 GB Roadway Excavallon Incl.Heui WCD 042 � ZZB Y �_ �_._� Rev. 0 CY .00 .DO ,809.00) 0 3 GB Gravel Bortow and Heul WCD 042 � ' �� CY 23, .0 r-- - - __—� Rev. 65D CY 5 1517,984 00 0 4 G14 AdJust Catch Basin WCD 044 ' 2 � ' ' —� Rev. 0 EA 5550.00 SO.OD (51.100.001 0 5 G14A New Item-Reconnecilon and New W�o� O . 0 - .0 0.00 =� Stcrtn Rev. 7 LS 13, 13, 13,ODO.W 0 8 G14B New Item-New Type 2 Ceteh besin WCD 044 ' � --- R v. 1 EA 6 .51 0 J 7 G18 Hydroseed W C0 045 ' � �5 .675.00 3,875.00' -� Rev. t LS 11.�0.00 , 0.00 , 5.00`0 ew ertnea ex rosion ntro Or 0 - • • L.-_---I:-_-� 8 G78A Blanket W��8 Rev. 7 LS 1,279.00 1.279.00 1,2 9.00 D 9 G27 Irtigetlon System WCD 047 � � Z, 0.0 . .00 '—'___ Rev. t LS 1. .00 1,440.00 p I 10 G30A New Ilem-Concrele Pad WCD 048 � - --''-J�—' Rev. t LS ,0 . 8,029.70 0 11 G34 Excavatelon and flll WCD 042 Or 0 - 0.00 .0 C—__-_-.!'---� Rev. 7 LS . 1 . 0 15,114. 7 ,114.00 p 12 G35 Force AccouM-911 Memorial time yyCD O50 O 0 - . • L--.—..`-� q le re lacemerrt Rev. 7 LS 878.61 19.61 7 . 0 . . � . 0 9CHEDUIcE 0 TAX(8:7%) TOTAL ORIGINAL CONTRACT AMOUNT 5148 345.90 $12,732.09 5159 077.89 SCHEDULE G T� CURRENT CONiRACT MODIFIC/►TIONB APP.ROVED.IN PREYIOUB APPLICATIONS AMOUNT 51 41829 3�OB0.39 5772 576.6 1115rz016 Pege 7D Chenge OMer p05 SCHEDULE 0 NET CHANIiE THIS' 8UBT07AL TA%�(B_776) �%1FTER TFUB.CHANGE CURRENT CONTRACT IUAOLINT PERIOD .. RDER i172 576.87 S43 710.26 5218 288.95 S3 802.79 5220 089.75 D -M tlons 'in P.►evious' ona � 15 : s . p. 1l152016 Page 11 Charga Order if05 � ..�,�.....�.�........�......��.� � PUBLIC WORKS 8 Utilfties EnglneeNng DNlslon CHANGE ORDER•SCHEDULE H � Prolect Name:Washinpion Avenue Communftv Boulevard Dete:14Jan=1 B Contreclnr.RV Assoclates.Ino. Contraa No.:6800 DESCRIPTION OF CHANQE You are hereb uested to com I with the followin chan ea from the contract Plans and s ficaUons: Such work wlll ba compensated by:check one or more of the followinp as applicabla[ ]Increase or[J Decrease In bid kems;[]Foree Accoun� N otiated Price: The desaibed work aHects the existin conUact Items and/or adds endior deletes bld ilems as folbws: Bld Icem Deserl tlon - - ' - '- �-- - �-- -. _._. .. __ . _._...- --— � Ilem No Dnol,itlen FO!lWfA� � Oly UNI f tod W r UNI S CoY H�t i Go�l Al�.My� "' ' ' ' '_ �11 . . �l Q Rev. .00 0. 0 , . .. _ _ � . SCHEGULE H TAX(8.796) TOT1LL ORIGINAL CONTRACT MAOUNT $31,000.00 52,897.00 333 897.00 MODIFICA710NS APPROVED M PREVIOUS Tpx CURRENT CONTRACT APP.UCA110NS_.. AMOUNT 50.00 0.00 S33 697.00 SCHEDULE H , NET CHANGE g�gTOT/LL TAX(8:7%) AFiER TNIS CHANGE CURRENT CONTRACT AMOUNT THIS PER10D , ORDER ' $33 897.00 50.00 S33 897.00 SU.00 $33 697.00 enonsa mvea .revlous o� o` D �:Mod tlon roved' Ie Pe - 0 1115I2016 Page 12 Resolution � � AGENDA BILL CITY OF BREMERTON CITY COUNCIL SUBJECT: Resolution No. 3263 Study Session Date: February 10, 2016 establishing March 16, 2016 as a public COUNCIL MEETING Date: February 17, 2016 hearing date to consider an ordinance to Department: City Attorney's Office authorize the City to assume the rights, Presenter: Roger Lubovich powers, functions, and obligations of the City Phone: (360) 473-2345 of Bremerton Transportation District SUMMARY: Chapter 36.74 RCW authorizes a city to assume the rights, powers, functions, and obligations of a transportation benefit district established by a city. The City passed Ordinance No. 5076, amended by Ordinance No. 5245, establishing the Bremerton Transportation Benefit District. In order to assume the rights, powers, functions, and obligations of a transportation benefit district, the City Council must adopt an ordinance or resolution indicating its intention to conduct a hearing concerning the assumption of such rights, powers, functions, and obligations. The proposed resolution sets a hearing date of March 16, 2016, to consider assumption of the rights, powers, functions, and obligations of the Bremerton Transportation Benefit District. ATTACHMENTS: Resolution No. 3263 FISCAL IMPACTS (Include Budgeted Amount): STUDY SESSION AGENDA: � No Presentation ❑ Full Presentation STUDY SESSION ACTION: � Consent Agenda ❑ General Business ❑ Public Hearing RECOMMENDED MOTION: Move to pass Resolution No. 3263 establishing a hearing date of March 16, 2016, to consider an ordinance to authorize the City to assume the rights, powers, functions, and obligations of the City of Bremerton Transportation District. COUNCIL ACTION: ❑ Approve ❑ Deny ❑ Table ❑;Continue ❑ No Action Form Updated 01/07/15 , RESOLUTION NO. 3263 A RESOLUTION of the City Council of the City of Bremerton, Washington, establishing a hearing date to consider an ordinance to authorize the City to assume the rights, powers, functions, and obligations of the City of Bremerton Transportation Benefit District. WHEREAS, Chapter 36.73 RCW and RCW 35.21.225 authorize cities to establish a transportation benefit district within the city's jurisdiction for the purpose of acquiring, constructing, improving, providing, and funding transportation improvements within the district that are consistent with existing state, regional, and local transportation plans and necessitated by existing or reasonably foreseeable congestion levels; and WHEREAS, the City Council of the City of Bremerton passed Ordinance No. 5076, amended by Ordinance No. 5245, establishing a Transportation Benefit District as authorized by RCW 35.21.225 and subject to the provisions of RCW 36.73; and WHEREAS, the Transportation Benefit District includes the entire City of Bremerton as the boundaries currently exist or as are expanded upon annexation; and WHEREAS, pursuant to RCW 36.73.030(3), the members of the City Council, acting ex officio and independently, constitute the governing body of the Transportation Benefit District; and WHEREAS, the State Legislature passed Second Engrossed Substitute Bi115987, Chapter 44, Laws of 2015 ("Senate Bill 5987"), effective July 15, 2015, now codified as Chapter 36.74 RCW, which authorizes a city to assume the rights, powers, functions, and obligations of a transportation benefit district established by a city; and WHEREAS, in order to assume the rights, powers, functions, and obligations of a transportation benefit district established by a city, the city legislative authority must adopt an ordinance or resolution indicating its intention to conduct a hearing concerning the assumption of such rights, powers, functions, and obligations; and WHEREAS, If the city legislative authority adopts such an ordinance or a resolution of intention, the ordinance or resolution must set a time and place at which the city authority will consider the proposed assumption of the rights, powers, functions, and obligations of the transportation benefit district, and must state that all persons interested may appear and be heard; and WHEREAS, the ordinance or resolution of intention rnust be published at least t►vo times datring the t►vo weeks preceding the scheduled hearing in newspapers of daily general circulation printed or published in the city in which the transportation benefit district is to be located; and Hearing for Proposed Assumption of TBD—Resolution WHEREAS, as authorized by RCW 36.74.020, the City Council desires to schedule a hearing to consider an ordinance authorizing the City to assume the rights, powers, functions, and obligations of the Bremerton Transportation Benefit; NOW THEREFORE, THE CITY COUNCIL OF THE CITY OF BREMERTON, WASHINGTON, DOES HEREBY RESOLVE AS FOLLOWS: SECTIONI. A public heaxing will be held on March 16, 2016, at 5:30 p.m. or later in the City Council Chambers at the Norm Dicks Government Center, First Floor, 345 Sixth Street, Bremerton, Washington, to consider and take public testimony on the proposed ordinance to authorize the City to assume the rights, powers, functions, and obligations of the City of Bremerton Transportation Benefit District pursuant to Chapter 36.74 RCW, and that all persons interested may appear and be heard at the hearing. SECTION2. Severabilitv. If any one or more sections, subsections, or sentences of this Resolution are held to be unconstitutional or invalid, such decision shall not affect the validity of the remaining portion of this Resolution and the same shall remain in full force and effect. SECTION 3. �fective Date. This Resolution shall take effect and be in force immediately upon its passage. PASSED by the City Council of the City of Bremerton, Washington this 17`" day of February, 2016. ERIC YOUNGER, Council President APPROVED AS TO FORM: ATTEST: ROGER A. LUBOVICH, City Attorney SHANNON CORIN, City Clerk R:\Legal\Legal\Files\Current Actrve Files\Transportation Benetit Uistnct\Ordmance-Assumption of TBD-2016�2016 Resolution-liearing to Assume'I'BD.doc Hearing for Proposed Assumption of TBD—Resolution � AGENDA BILL � � CITY OF BREMERTON CITY COUNCIL SUBJECT: Public Works Study Session Date: February 10, 2016 Agreement with Utter Associates COUNCIL MEETING Date: February 17, 2016 for Broadcast Equipment Upgrades Department: Finance in the Norm Dicks Government Presenter: Char Burnette Center Phone: (360)473-5011 SUMMARY: The plan is to upgrade and lower three cameras, add a fourth camera and upgrade broadcast equipment in the control room. Requests for bids were sent to 5 businesses on November 13,2015. There was a walk through with potential bidders held Friday, November 20. Bid opening was on December 3. The one bid received was from Utter Associates, Seattle, WA. ATTACHMENTS: Public Works Contract, Exhibit A Scope of Work (as contained in the Notice Inviting Bids), Exhibit B Project Labor plan FISCAL IMPACTS (Include Budgeted Amount): This upgrade is funded through P.E.G. funds that are earmarked for capital purchases. $100,000.00 was budgeted in the BKAT 2015 annual budget. The money was not spent in 2015. We are requesting $130,000.00 of available P.E.G. funds be added to the 2016 BKAT Capital Budget. This amount plus the budgeted amount of $30,000.00 will cover the entire cost of this project. Total cost: $142,778.60 (plus tax) STUDY SESSION AGENDA: ❑ No Presentation o Full Presentation STUDY SESSION ACTION: oConsentAgenda ❑ GeneralBusiness ❑ PublicHearing RECOMMENDED MOTION: Move to approve Public Works Agreement with Utter Associates inthe amount of$142,778.60 (plus tax) for the purchase and installation of Broadcast EquipmentUpgrades in the Norm Dicks Government Center and authorize the Mayor to finalize and execute the agreement with substantially the same terms and conditions as presented; and to increase the 2016 BKAT Capital Budget by $130,000.00 for this purpose. COUNCIL ACTION: ❑ Approve ❑ Deny ❑ Table ❑ Continue ❑ No Action Form Updated 01/07/15 PUBLIC WORKS AGREEMENT " THIS AGREEMENT,is entered into between the City of Bremerton,a Washington Municipal Corporation ("City"),and Utter Associates ("Contractor"),who's mailing address is 1008 Western Ave. Suite 201 Seattle.WA 98104 The parties agree as follows: 1. CONTRACTOR SERVICES. The Contractor shall procure, install, integrate, test, and train staff on new broadcast equipment at the Council Chambers of the Norm Dicks Government Center,as set forth in Exhibit A"Scope of Work." 2. TIME OF COMPLETION AND LIQUIDATED DAMAGES. Contractor shall complete the work within 90 calendar days from the date of issuance of the City's Notice to Proceed. For each calendar day after the date fixed for completion that the work remains incomplete, the Contractor shall pay the City the sum of$500 per calendar day,as fixed agreed liquidated damage. 3. COMPENSATION. The City shall pay the Contractor the total amount of _$142,778.60 ,plus any applicable Washington State Sales Tax,for the work and services contemplated in this agreement. The Contractor shall invoice the City monthly. The City will pay for the portion of the work described in the invoice that has been completed by the Contractor and approved by the City. The City payment shall not constitute a waiver of the City's right to final inspection and acceptance of the project. A. Performance Bond. Pursuant to Chapter 39.08 RCW,the Contractor,shall provide the City a performance bond for the full contract amount to be in effect until sixty(60) days after the date of final acceptance,or until receipt of all necessary releases from the State Department of Revenue and the State Department of Labor and Industries and until settlement of any liens filed under Chapter 60.28 RCW,whichever is later. B. Retaina�e. The City shall hold back a retainage in the amount of five percent (5%) of any and all payments made to contractor for a period of sixty (60) days after the date of final acceptance, or until receipt of all necessary releases from the State Department of Revenue and the State Department of Labor & Industries and until settlement of any liens filed under Chapter 60.28 RCW,whichever is later. C. Defective or Unauthorized Work. The City reserves its right to withhold payment from Contractor for any defective or unauthorized work. Defective or unauthorized work includes, without limitation: work and materials that do not conform to the requirements of this agreement; and extra work and materials furnished without the City's written approval. If Contractor is unable, for any reason, to satisfactorily complete any portion of the work, the City may complete the work by contract or otherwise, and Contractor shall be liable to the City for any additional costs incurred by the City. "Additional costs" shall mean all reasonable costs, including legal costs and attorney fees, incurred by the City beyond the maximum Contract price specified above. The City further reserves its right to deduct the cost to complete the Contract work, including any Additional Costs, from any and all amounts due or to become due the Contractor. D. Final Payment: Waiver of Claims. THE ACCEPTANCE OF FINAL PAYMENT (EXCLUDING WITHHELD RETAINAGE) SHALL CONSTITUTE A WAIVER OF CLAIMS, EXCEPT THOSE PREVIOUSLY AND PROPERLY MADE AND IDENTIFIED BY CONTRACTOR AS UNSETTLED AT THE TIME REQUEST FOR FINAL PAYMENT IS MADE. 4. INDEPENDENT CONTRACTOR. Contractor is and shall be at all times acting as an independent contractor and not as an employee of the City. The Contractor shatl 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 sub-contractors. 5. TERMINATION. The City may terminate this agreement without notice for good cause. "Good cause" shall include,without limitation,any one or more of the following events: A. The Contractor's failure to supply sufficient skilled workers or suitable materials or eyuipment. B. The Contractor's failure to execute the work with such diligence as will ensure its physical completion within the original physical completion time specified in this Agreement and any extensions of time which may have been granted to the Contractor by change order or otherwise. C. The Contractor's failure to make full and prompt payment to subcontractors or for material or labor. D. The Contractor's disregard of federal,state or local laws, rules or regulations. E. The Contractor's filing for bankruptcy or becoming adjudged bankrupt. F. The Contractor disregards the authoriry of the City. G. The Contractor performs work which deviates from the Contract, and neglects or refuses to correct rejected work. H. The Contractor's failure to provide continuous competent supervision. I. The Contractor otherwise violates in any material way any provisions or requirements of the contract. If the Ciry terminates this agreement for good cause,the Contractor shall not receive any monies due under this agreement,if any,until the Contract work is completed. 6. PREVAILING WAGES. Contractor shall file a"Statement of Intent to Pay Prevailing Wages,"with the State of Washington Department of Labor&Industries prior to commencing the Contract work. Contractor shall pay prevailing wages and comply with Chapter 39.12 of the Revised Code of Washington,as well as any other applicable prevailing wage rate provisions. Professional or support personnel such as engineers,clerical staff or security guards are not subject to prevailing wages. Certified pay rolls shall be submitted as requested by the Owner. 7. CI-IANGES. The City may issue a written or oral work change directive for any change in the Contract work during the performance of this agreement. If the Contractor determines,for any reason,that a change order is necessary,Contractor must submit a written change order request to the Ciry's project manager within two (2) business days of the date the Contractor knew or should have known of the facts and events giving rise to the requested change. If the City determines that the change increases or decreases the Contractor's costs or time for performance,the City will make an equitable adjustment. The City will attempt,in good faith,to reach agreement with the Contractor on all equitable adjustments. However,if the parties are unable to agree,the City will determine the equitable adjustment as it deems appropriate. The Contractor shall proceed with the change order work upon receiving either a written or oral work change directive from the City or a change order from the City. If the Contractor fails to require a change order within the time allowed,the Contractor waives its right to make any claim or submit subsequent change order requests for that portion of the contract work. If the Contractor disagrees with the equitable adjustment the Contractor must complete the change order work; however,the Contractor may elect to protest the adjustment as provided below: A. Procedure and Protest bv the Contractor. If the Contractor disagrees with anything required by a written work change directive, oral work change directive or change order,including any direction,instruction, - interpretation,or determination by the City,the Contractor shall: 1. Give a signed written notice of protest to the City within one business day; 2. Supplement the written protest within five (5) calendar days with a written statement that provides the following information: a. The date of the Contract's protest. b. The nature and circumstances that caused the protest. c. The provisions in this agreement that support the protest. d. The estimated dollar cost,if any,of the protested work and how that estimate was determined. e. An analysis of the progress schedule showing the schedule change or disruption if the Contractor is asserting a schedule change or disruption. The Contractor shall keep complete records of extra costs and time incurred as a result of the protested work. The City shall have access to any of the Contractor's records needed for evaluating the protest. 3. The City will evaluate all protests,provided the procedures in this section are followed. If the City determines that a protest is valid, the City will adjust payment for work or time by an equitable adjustment. No adjustment will be made for an invalid protest. B. Contractor's DutX to Complete Protested Work. In spite of any protest,the Contractor shall proceed promptly with the work as the City has ordered. C. Contractor's Acceptance of Changes. The Contractor accepts all requirements of a change order by: (1) endorsing it, (2)writing a separate acceptance,or(3) not protesting in the way this section provides. A change order that is accepted by Contractor as provided in this section shall constitute full payment and final settlement of all claims for contract time and for direct,indirect and consequential costs,including costs of delays related to any work,either covered or affected by the change. D. Failure to Protest Constitutes Waiver. By not protesting as this section provides,the Contractor also waives any additional entitlement and accepts from the City any written or oral order (including directions,instructions, interpretations,and determination). E. Failure to Follow Procedures Constitutes Waiver. By failing to follow the procedures of this section,the Contractor completely waives any claims for protested work and accepts form the Ciry any written or oral order (including directions,instructions, interpretations,and determination). 8. CLAIMS. The Contractor shall give written notice to the City of all claims other than change orders within fourteen (14) calendar days of the occurrence of the events giving rise to the claims. Any claim for damages,additional payment for any reason,or extension of time,whether under this agreement or otherwise,shall be conclusively deemed to have been waived by the Contractor unless a timely written claim is made in strict accordance with the applicable provisions of this agreement; or,if(and only i� no such provision is applicable,unless that claim is set forth in detail in writing and received by the City within seven (7) calendar days from the date Contractor knew, or should have known, of the facts giving rise to the claim. At a minimum,a Contractor's written claim must include the information set forth regarding protests in Section 7.A.2.a.e. FAILURE TO PROVIDE A COMPLETE,WRITTEN NOTIFICATION OF CLAIM WITHIN THE TIME ALLOWED SHALL BE AN ABSOLUTE WAIVER OF ANY CLAIMS ARISING IN ANY WAY FROM THE FACTS OR EVENTS SURROUNDING THAT CLAIM OR CAUSED BY THAT DELAY. Contractor must, in any event,file any claim or bring any suit arising from or connected with this agreement within 120 calendar days from the date the contract work is complete. 9. WARRANTY. The Contractor shall correct all defects in workmanship and materials within one year from the date of the Contractor's acceptance of the City's final payment under this contract. When defects are corrected,the warranty for that portion of the work shall extend for one year from the date such correction is completed and accepted by the City. The Contractor shall begin to correct any defects within seven (7) calendar days of its receipt of notice from the City of the defect. If the Contractor does not accomplish the corrections within a reasonable time,the City may complete the corrections and the Contractor shall pay all costs incurred by the City in order to accomplish the correction. 10. 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 costs 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 liabiliry hereunder shall be only to the extent of the Contractor's negligence. IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THIS INDEMNIFICATION CONSTITUTES 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 or termination of this agreement. 11. INSURANCE. The Contractor shall procure and maintain for the duration of this agreement,insurance against claims for injuries to persons or damage to property that may arise from or in connection with the performance of the Contract work by the Contractor, its agents,representatives,employees or subcontractors. Before beginning the work on the project described in this agreement,the Contractor shall provide a Certificate of Insurance evidencing: Commercial General Liabilitv insurance written on an occurrence basis with limits no less than$1,000,000 combined single limit per occurrence and$1,000,000 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) if applicable;Worker's Compensation within statutory limits and employer's liability insurance with limits of not less than $1,000,000.00. Any payment of deductible or self insured retention shall be the sole responsibility of the Contractor. The City reserves the right to receive a certified copy of all the required insurance policies. The City,its 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. 12. MISCELLANEOUS. A. Nondiscrimination. In the hiring of employees for the performance of work under this Agreement or any sub-contract hereunder,the Contractor,its sub-contractors,or any person acting on behalf of such Contractor or sub- contractor shall not,by reason of race, color,sexual orientation,sex,national origin,or the presence of any sensory,mental,or physical disability, discriminate against any person who is qualified and available to perform the work to which the employment relates. B. Com�liance with Laws. Contractor shall comply with all federal,state and local laws,rules and regulations throughout every aspect in the performance of this agreement. C. Work Performed at Contractor's Risk. Contractor shall take all precautions necessary and shall be responsible for the safety of its employees,agents, and subcontractors in the performance of this agreement. All work shall be done at Contractor's own risk,and Contractor shall be responsible for any loss of or damage to materials, tools, or other articles used or held for use in connection with the work. D. Non-waiver of Breach. The failure of the City to insist upon strict performance of any of the terms and rights contained herein,or to exercise any option herein conferred in one or more instances,shall not be constructed to be a waiver or relinquishment of those terms and rights and they shall remain in full force and effect E. Governing Law. This agreement shall be governed and construed in accordance with the laws of the State of Washington. If any dispute arises between the City and Contractor under any of the provisions of this agreement, resolution of that dispute shall be available only through the jurisdiction,venue and rules of the Kitsap County Superior Court, Kitsap County,Washington. F. Attorney's Eees. To the extent not inconsistent with RCW 39.04.240,in any claim or lawsuit for damages arising from the parties' performance of this agreement,each party shall be responsible for payment of its own legal costs and attorney's fees incurred in defending or bringing such claim or lawsuit; however,nothing in this subsection shall limit the City's right to indemnification under Section 10 of this agreement. G. Written Notice. All communications regarding this agreement shall be sent to the parties at the addresses listed on the bottom of this page,unless � otherwise notified. Any written notice shall become effective upon delivery, but in any event three (3) calendar days after the date of mailing by registered or certified mail,and shall be deemed sufficiently given if sent to the addressee at the address stated on this agreement. H. Assignment. Any assignment of this agreement by the Contractor without the written consent of the City shall be void. I. Modification. No waiver,alteration,or modification of any of the provisions of this agreement shall be binding unless in writing and signed by a duly authorized representative of the City and Contractor. J. Severabilitv. If any one or more sections, sub-sections,or sentences of this agreement are held to be unconstitutional or invalid,that decision shall not affect the validity of the remaining portion of this agreement and the remainder shall remain in full force and effect. K. Entire Agreement. The written provisions and terms of this agreement, together with any attached Exhibits,supersede all prior verbal statements by any representative of the City,and those statements shall not be construed as forming a part of or altering in any manner this agreement. This agreement and any attached Exhibits contain the entire agreement between the parties. Should any language in any Exhibit to this agreement conflict with any language contained in this agreement,the terms of this agreement shall prevail. Notices to be sent to: Notices to be sent to: CONTRACTOR: CITY OF BREMERTON: Erik Utter Shannon Corin President—Utter Associates Ci lerk 1008 Western Ave Ste. 201 345 6th Street.Ste.600 Seattle.WA 98104 Bremerton WA 98337 206-829-8171 �360� 473-5323 erikC�a utterassociates.com Shannon.CorinC�ci.bremerton.wa.us IN WITNESS WHEREOF,the parties below have executed this agreement. CONTRACTOR THE CITY OF BREMERTON Print Name: Erik Utter Print Name: Title: President Title: DATE DATE APPROVED AS TO FORM: ATTEST: Bremerton City Attorney Bremerton City Clerk i=--._._:._..,,....,i ' � 1 � ! � ::_. ,. � CITY OF BREMERTON NOTICE INVITING BIDS Broadcast Equipment Upgrade for the Council Chambers at the Norm Dicks Government Center Projett Scope: The City of Bremerton is accepting proposals from qualified vendors/installers for the procurement and installation of broadcast equipment in the Council Chambers located on the first floor of the Norm Dicks Government Center(NDGC). Background: Opened in 2004,the NDGC at 345 Sixth Street in Bremerton is home to the offices of the City of Bremerton. The "Condo" concept building also houses; Kitsap Health District, Housing Kitsap, Washington State University Cooperative Extension, and many smaller Government offices including Derek Kilmer's staff. The City Council and other government boards meet in the Chambers on the first floor of the Government Center. The existing broadcast equipment has reached its useful life and will be removed and replaced with new equipment. Scope of Work: The existing broadcast system in the Council Chambers, which consists of three cameras, shall be removed and replaced with new cameras and associated wiring, supports, and connectors. A fourth camera shall be purchased and installed at a location in the back of the room as directed by the City of Bremerton representative (Owner). The new cameras shall be installed at a lower height than the existing cameras as directed by the Owner. The new cameras shall installed, connected, integrated, and tested for use in LIVE and recorded meetings/events prior to acceptance by the City. All equipment, cables, supports, and any other items purchased and installed for the project shall be new and unused. Additionally, designated staff shall be trained on the use of equipment (2 hour minimum). Below is a list of equipment needed for the project; equipment used must be the same or better quality as those listed. Minimum Specifications: AW-HE130KPJ Panasonic- 3MOS PT Cam 3G-SDI, Black 4 1 NB-AVCB-W NigelB White Finish Anti-Vibration Multi-Camera Bracket 3 NB-AVCB Nigel B- Black Finish Anti Vibration Camera Shelf 1 560849 Intellinet Network Solutions 16-Port Fast Ethernet PoE+Switch 1 VC-1-SC Roland Systems Group - Up/Down/Cross Scan Converter 1 to/from SDI/HDMI with Frame Sync MICA BroadcastPix- HD switcher with 8 HD/SD SDI inputs, 1 SDI key 1 cut input, 2 channels clips, 2 channels animations, 4 channels graphics. Outputs 6 HD/SD SDI, 2 DVI, with program, preview, clean feed, PowerAuxA and B. Comes standard with 3 keyers witth option to upgrade to six keyers. Each keyer has a DVE for PiP. 250G6 Clip store holds up to 30 hours of H.264, ProRes and DNxHD clips. Harris GS CG. Fluent-View monitoring is customizable on 2 monitors with all inputs,file libraries, keys, 4 outputs, clocks and touch-screen enabled. Fluent-Macros automate effects with switcher and file recalls.Virtual Sets with easy set creation. Network file-based workflow with Fluent Watchfolders. 3 panel licenses for physical and SoftPanels. Device control of AJA recorders and Blackmagic HyperDeck Studios and ViewCast Streamers. Minimal constant system delay.Version 4 .0 software with ClearKey chromakeyer. Mica is 4RU. Ships with keyboard, mouse, owners manual. Monitors not included. 1000 Panel Broadcast Pix- 1000- 1000 Control Panel 1 802 Broadcast Pix- Panasonic Camera Control, Control up to 9 1 Panasonic cameras, software only. 601 Broadcast Pix- On site Training 1 MG12XU YAMAHA 12-input, 4-bus mixer with SPX effects, 4 channels of 1 single-knob compression 8 D-PRE mic inputs, 4 stereo inputs, and USB audio interface. Includes Cubase AI. HS5-CA Yamaha Powered monitor speakers, Black finish. 2 Z860 1000 PRIMACOUSTIC Iso Wedge Isolation Kit- Monitor Speaker 1 2 997-7346 Planar- PXL2430MW 24" Class Widescreen LED Backlit 2 Multi-Touch Monitor- 1080p, 1920 x 1080, 1000:1 Native, 60Hz, 5ms, HDMI, DVI,VGA, USB IE-9112-5-14-F Innovative 9112-5 Articulating LCD Monitor Arm Mount 3 BMD-CONVMAAS2 BlackMagic Design - Mini Converter—Analog to SDI 2 Embeder 1 BMD-CONVMSDI... BMD-CONVMSDIDA Mini Converter—SDI Distribution* 1 BMD-CONVMASA Blackmagic Design - Mini Converter-SDI to Analog(PS Incl.) 1 Custom Console Custom Video Console 1 LN22D450 Samsung- 22" LCD HDN (with RF Input and tuner) 1 " INTEGRATION Design, documentation, and Integration services per attached scope of work and materials for integration Tentative Schedule: RFP Issued: November 13, 2015 Pre Proposal Meeting: November 20, 2015 1pm Proposals Due: December 1, 2015 2pm Decision to Award December 9, 2015 Estimated Contract Award December 16, 2015 Work shall be completed in entirety, including procurement, installation, integration, testing, and cleanup, no later than 90 days after contract award. Training shall be completed no later than 120 days after contract award. Pre-Proposal Meeting: Will take place at 1pm on Monday, November 23 in the meeting chambers of the Norm Dicks Government Center. The purpose of the meeting will be to allow interested parties the opportunity to look over the space and allow for questions and answers. Questions Regarding this RFP: All questions must be submitted in writing(email will suffice)to the RFP Coordinator. Questions and answers will be forwarded to all proposing suppliers who 3 provide contact information. No questions submitted after November 26 will receive a response. RFP Coordinator: Jon Rauch, Production Administrator City of Bremerton Phone: 360-473-5012 e-mail: ion.rauch@ci.bremerton.wa.us Submissions of Proposals: A sealed proposal package must be submitted by no later than 2:00 pm on Tuesday, December 1, 2015. The sealed package should contain an original and three (3) printed copies of the proposal. Proposals received after the deadline will be returned to the supplier unopened. Proposals shall be mailed to the following address or may be dropped off at the City Clerk's office on the 6th floor of the NDGC. City of Bremerton Shannon Corin, City Clerk 345 Sixth St. Suite 600 Bremerton, WA 98337 Contents of proposal: At a minimum: Total cost for purchase of all equipment; installation, integration, and testing of al equipment;training.—including tax and training, etc Proposed schedule. The schedule shall demonstrate completion of work by the deadline given in the RFP. At a minimum, include dates for equipment delivery, installation, integration,testing, and training. Complete statement of qualifications and a list of three (3) references. References should be for work done on the supplier's most recent projects with a similar scope. Manufacturer's technical data sheets for all equipment to be installed. Criteria for Selection The lowest responsive, responsible bidder will be chosen. , 4 i Project Labor Plan � Week WK3 WK2 WK3 WK4 WKS WK6 WK7 WK8 Week Beginning Monday 22-Feb 29-Feb 7-Mar 14-Mar 21-Mar 28-Mar 4-Apr 11-Apr Total Week Ending Friday 26-Feb 4-Mar 11-Mar 18-Mar 25-Mar 1-Apr 8-Apr 15-Apr Hours p�y��ty INITIAL CD 100 DELIVERY DELIVERY INSTALL COMM GO LIVE CLOSE- Type DESIGN PROCURE F&E F&E TRAIN OUT Project Administration Senior Project Manager-Sam Atkinson 20 15 4 2 20 20 32 20 133 Inventory Control-Sam Atkinson 4 4 $ Administration-Amanda Kay Helmick 4 10 2 2 2 2 4 30 36 Projct Admin Total Hours 24 25 6 8 26 22 36 30 177 Engineering Sr Consulting Engineer-Erik Utter 40 30 8 �$ EngineeringTotalHours 40 30 0 0 8 0 0 0 78 0 Systems Integretion Install Supervisor-Dave Williams 50 30 80 Install 1-Sal Cende�as 50 30 80 Install 2-Sam Atkinson 30 20 50 Integration total hours 0 0 0 0 80 50 0 0 130 Systems Test&Gommission Sr Consulting Engineer-Enk Utter 30 24 10 64 Test&Commission Total Hours 0 0 0 0 0 30 24 30 64 Treining Sr Consultmg Engineer-Erik Utter 10 10 Training Total Hours 0 0 0 0 0 30 0 0 30