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HomeMy WebLinkAbout6026 PUBLIC WORKS AGREEMENT THIS AGREEMENT is entered into between the City of Bremerton, a Washington Municipal Corporation ("City"), and Timberline Tree Care, LLC ("Contractor"), who's mailing address is 17197 Clear Creek Rd. NW, Poulsbo, WA 98370. The parties agree as follows: 1. CONTRACTOR SERVICES. The Contractor shall perform the following services for the City: Provide all labor and equipment to remove hazardous tree limbs in trees at Evergreen Rotary Park per the estimate dated July 31, 2019 included herein as Attachment A. 2. TIME OF COMPLETION. Contractor shall complete the work within 60 calendar days from the date of issuance of the City's Notice to Proceed. 3. COMPENSATION. The City shall pay the Contractor the total amount of $13,000.00 plus any applicable Washington State Sales Tax, for the work and services contemplated in this agreement. The City shall pay the Contractor ninety percent (90%) of the Contract amount upon completion and acceptance of the work by the City, and the remainder upon fulfillment of the conditions listed below and throughout this agreement. A. No Performance Bond. Because this contract including applicable sales tax is $150,000 or less, and pursuant to Chapter 39.08 RCW, the Contractor, in lieu of providing the City a performance bond, has elected to have the City retain the final ten percent (10%) of the Contract amount for a period of thirty (30) 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. B. 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. C. Final Payment: Waiver of Claims. THE MAKING OF FINAL PAYMENT (EXCLUDING WITHHELD RETAINAGE) SHALL PRECLUDE ALL CLAIMS, EXCEPT THOSE PREVIOUSLY AND PROPERLY MADE AND IDENTIFIED BY CONTRACTOR AS UNSETTLED AT THE TIME REQUEST FOR FINAL PAYMENT IS MADE. PUBLIC WORKS AGREEMENT-Page 1 of 7 (between City of Bremerton and Timberline Tree Care,LLC) 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 shall secure at its expense, and shall be responsible for all payments of income tax, social security, state disability 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 for good cause. "Good cause" shall include, without limitation, any one or more of the following events: A. The Contractor's refusal or failure to supply a sufficient number of properly skilled workers or proper materials for completion of the Contract work. B. The Contractor's failure to complete the work within the time specified in this agreement. C. The Contractor's failure to make full and prompt payment to sub-contractors or for material or labor. D. The Contractor's persistent disregard of federal, state or local laws, rules or regulations. E. The Contractor's filing for bankruptcy or becoming adjudged bankrupt. If the City terminates this agreement for good cause, the Contractor shall not receive any further monies due under this agreement 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. The latest prevailing wage rate revision issued by the Department of Labor and Industries is attached. 7. CHANGES. The City may issue a written 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 City'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 a written work change directive or 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. PUBLIC WORKS AGREEMENT-Page 2 of 7 (between City of Bremerton and Timberline Tree Care,LLC) 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 by the Contractor. If the Contractor disagrees with anything required by a work change directive or change order, including any direction, instruction, interpretation, or determination by the City, the Contractor shall: 1. Immediately give a signed written notice of protest to the City; 2. Supplement the written protest within fourteen (14) 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 Duty 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 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 PUBLIC WORKS AGREEMENT-Page 3 of 7 (between City of Bremerton and Timberline Tree Care,LLC) protested work and accepts form the City any written 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 if) 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 City's acceptance of the Contract work. When defects are corrected, the warranty for that portion of the work shall extend for one year form 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 officer, 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 caused by the City's sole negligence. The City's inspection or acceptance of any of Contractor's work when completed shall not be grounds to avoid any of these covenants of indemnification. Should a court of competent jurisdiction determine that this agreement is subject to RCW 4.24.115, then, in the event of liability for damages arising out of bodily injury to persons or damages to property caused by or resulting from the concurrent negligence of the Contractor and the City, its officials, employees, agents and volunteers, the Contractor's liability hereunder shall be only to the extent of the Contractor's negligence. IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THIS INDEMNIFICATION 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. PUBLIC WORKS AGREEMENT-Page 4 of 7 (between City of Bremerton and Timberline Tree Care,LLC) 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 sub-contractors. Before beginning the work on the project described in this agreement, the Contractor shall provide a Certificate of Insurance evidencing: A. Automobile Liability insurance with limits no less than $1,000,000 combined single limit per accident for bodily injury and property damage; and B. Commercial General Liability insurance written on an occurrence basis with limits no less than $1,000,000 combined single limit per occurrence and $2,000,000 aggregate for personal injury, bodily injury and property damage. Coverage shall include but not be limited to: blanket contractual; products/completed operations/broad from property damage; explosion, collapse and underground (XCU) if applicable; and employer's liability. Any payment of deductible or self-insured retention shall be the sole responsibility of the Contractor. 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 Consultant's insurance shall be primary and non-contributory insurance as respects the City and shall contain a waiver of subrogation against the City for claims arising out of any operations, liabilities and obligations to which coverage applies. 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 6th Street, Suite 100, 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 reserves the right to receive a certified copy of all the required insurance policies. PUBLIC WORKS AGREEMENT-Page 5 of 7 (between City of Bremerton and Timberline Tree Care,LLC) 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, religion, color, sex, national origin, or the presence of any sensory, mental, physical disability, or sexual orientation discriminate against any person who is qualified and available to perform the work to which the employment relates. B. Compliance 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. Nonwaiver 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 Fees. 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 signature page of this agreement, 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. PUBLIC WORKS AGREEMENT-Page 6 of 7 (between City of Bremerton and Timberline Tree Care,LLC) J. Severability. 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. IN WITNESS WHEREOF, the parties below have executed this agreement. CONTRACTOR TH CITY OF BREMERTON - ' / * A' / . i &el Prin• ame: ,A7ML Print :me: Jeff Elevado Title: Cw Title: Parks and Recreation Director DATE 7 -sr- 17 DATE 800/�1� Notices to be sent to: Notices to be sent to: CONTRACTOR: CITY OF BREMERTON: Timberline Tree Care, LLC Steve Mutek, Park Operations Mngr. 17197 Clear Creek Rd. NW 680 Lebo Blvd. Poulsbo, WA 98370 Bremerton, WA 98310 (360) 990-4306 (360) 981-1691 (360) 473-5882 (facsimile) APPROVED AS TO FORM: .vv. Rog er A. Lubovich Bremerton City Attorney ATTEST: ( 1 l (�\_ I u ), - (# ) Angela'Woods City Clerk PUBLIC WORKS AGREEMENT-Page 7 of 7 (between City of Bremerton and Timberline Tree Care,LLC) ATTACHMENT A Timberline Tree Care LLC,#TIMBETC842JK 17197 Clear Creek Rd NW T REE Poulsbo,WA 98370 = „Mogan Stoll (360)990-4306 meganstoll@gmail.com ,Ir www.timberlinetreellc.com ADDRESS ESTIMATE# 1477 City of Bremerton Parks and DATE 07131/2019 Recreation Safety prune 19 large douglas fir and 1 Cryptomeria at Evergreen Rotary Park,per arborist report specifications. This work does not include cleanup of material, per work specifications outlined in walk-through by city representative. All tree access will be performed according to ISA industry standard methods,without the use of climbing spikes on live trees. This work will include removing large dead limbs that may become dislodged; already broken limbs tangled in canopies; any live limbs with compromised structure;some end-weight reduction on long limbs to reduce risk of individual limb failure. This work is bid based on what is visible from the ground and specified in the arborist report. Additional work discovered upon canopy inspection is not included in this bid. Work around the play structures will be prioritized,as there are currently visible broken hanging limbs in some of these trees that, if dislodged by the wind,would pose a significant hazard and risk to public safety. 6-8 hour day rate for bucket truck and operator at prevailing 2 1,500.00 3,000.00T wages or higher 6-8 hour day rate for climbing crew at prevailing wages or 3 2,000.00 6,000.00T higher Additional administrative charges 1 500.00 500.00T Dead Elm Remove crown of dead elm to a pole. This work will require 1 2,000.00 2,000.00T notifying neighbor, locating all underground utilities in area, and blocking off parking in cul-de-sac. Location of underground utilities may increase this bid if extensive rigging is necessary. This price does not include chipping limbs. Fell trunk of dead elm and haul wood from site 1 500.00 500.00T Chip limbs from elm tree 1 1,000.00 1,000.00T Additional work specifications: This is a public works bid, and the requirement to pay prevailing wages has been factored into this bid. All employees and owner-operator contractors will make prevailing wage or greater on this project for labor hours worked. These wage rates are based on 7/31/2019 Kitsap County Power Line Clearance Tree Work rates published on the L&I lookup tool at https://fortress.wa.gov/Ini/wagelookup/prvWagelookup.aspx We will not be doing power line clearance tree trimming, but this is the closest category to the type of work we will be performing at Evergreen Park. SUBTOTAL 13,000.00 TAX (9%) 1,170.00 TOTAL $14,170.00 Accepted By Accepted Date ACcRD® DATE(MMIDD/YYYY) AC� CERTIFICATE OF LIABILITY INSURANCE 09/04/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: E FAX Poulsbo Junction Insurance,Inc. (AICNNO,Ext): (A/C,No): 19735 10th Ave NE,Suite N204 A-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Poulsbo WA 98370 INSURER A: Northfield Insurance Company 27987 INSURED INSURER B Timberline Tree Care LLC INSURER C: 17197 Clear Creek Road NW INSURER D: r • 1.3 ` '"r L INSURER E: Poulsbo J WA 98370 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS • X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000, 90 CLAIMS-MADE X OCCUR 4' DAMAGE TO RENTED PREMISES(Ea occurrence) $ 100,000 MED EXP(Any one person) $ 5,000 A Y Y WS276138 08/16/2019 08/16/2020 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO- JECT LOC PRODUCTS-COMP/OPAGG $ 2,000;600 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) _ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ _ AUTOS (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Bremerton ACCORDANCE WITH THE POLICY PROVISIONS. 345 6th Street Suite#100 AUTHORIZED REPRESENTATIVE Bremerton WA 98337f1r b0-(167.©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD e A R0 VEHICLE OR EQUIPMENT CERTIFICATE OF INSURANCE DATE III ) 09/05/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. This form is used to report coverages provided to a single specific vehicle or equipment.Do not use this form to report liability coverage provided to multiple vehicles under a single policy.Use ACORD 25 for that purpose. PRODUCER PROOUCarm NCON AME' LYNN COADY KEN HALL STATE FARM INSURANCE PHONE Q PO BOX 965 rll ENC-No.EMI: (360)692-2900 j raw.): 36 tA/C. t: ( 0)698-3319 9576 RIDGE TOP BLVD NW &MrOMER lyCDady.niclrc_statefarm.com SILVERDALE 1DS- WA 983830965 — INSURED INSURERS)AFFORDING COVERAGE NAC I MEGAN STOLL IusuRER A. State Farm Mutual Automobile Insurance Company 25178 INSURER B 17197 (CLEAR CREEK RD NW U POULSBO i INSURER D: _ WA 983707225 arsultER E DESCRIPTION OF VEHICLE OR EQUIPMENT YEAR MAKE/MANUFACTURER MODEL BOOV TYPE VEHICLE IDE/ITWIC/LT1OH NUMBER 1991 DODGE D350 PICKUP 1B7ME36CXMS354785 DESCRIPTION _ VENIO ECUPNENT VALUE SERIAL NUMBER S COVERAGES CERTIFICATE NUMBER: REVISN NUMBER: TPERIOD(S)INDICATED.NOTWITHSTANDING ANY HIS IS TO CERTIFY THAT THE POLICY{IES)OF INSURANCE LISTED BELOW HAS/HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY ECT WHICH THIS CERTIFICATE MAY BE ISSUEDCONDITION TERM OR OR MAY PERTAIN THE INSSURAN EAFFORDED BY THE OLLIICY(ES)DESCRIBE D HEREIN ISARE RESP UBJECTOTO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICY(IES)- IMSR ADpt LTR IanTYPE OF INSURANCE POLICY NUMBER POUCY EFFECTIVE POLCY EXPIRATION DATE MMIDO(WYY) DATE(MMfDQryYTY) LIMITS VEHICLE LIABILITY COMBINED SINGLE LIMIT S • 406 6968-F12-47 06/12/2019 12/12/2019 BODILY INJURY;f'erosason) $ 25004•, BDCAt.Y INJURY W e-er•idont) S 50000' GENERAL L IANUTY 1 PRCf ERTY DAMAGE $ 25 ~_OCCURRENCE I EACH CCCl1REtJCC S GF NERAL AGGREGATE: $ CLAS LIS MADE NSR LOW S LTR PAYEE TYPE OF INSURANCE POLICYPOLICY EFFECTIVE POLICY EJPMATION X RUMMER DATE(EONDplYYYY) DATE tMe►oorrrrr) LIMITS,DEDUCTIBLE VtH COLLISION LOSS 406 6968-F12-47 06/12/2019 ✓�12/12/201g O ACV ❑AGREED AMT S LIMIT X VEH COMP I VEH OTC ❑ 0 STA ILD AUT S 500 '� DED 06 6968-F12-47 06/12/2019 ,..i '12/12/2019 CI ACV ❑AGREED AMTS s ;�UWT EouiPmENT CI STATEL,AMT S 500 DED q5,,.- QRCAD 0 0 ACS! ❑AGREED ANT ST'ECIAu..`yS LIMIT kC 0 fATEO AM DEO U1 REMARKS INCLUDING SPECIAL CONDITIONS/OTHER COVERAGES)(Attach ACORD tet,AddiVonal Remarks Schedule.If aura space is requlrad) ADDITIONAL INTEREST Select one of the following: CANCELLATION _ The oX6tonal mores!ieocroei beim has Demn Idled to the SHOAL E ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED I) DCt�CYI�M.i +�+o nen by icy r,,,,,L+eri� i BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE k'�� ras teen r.,Gnrttee to aa]the a0�,lipyyl i�taezt Drx-�eea Debw the rules'ns> DELIVERED IN ACCORDANCE I. q herein cylen nwnp rlslWITH THE POUCY PROVISIONS. VEHICLE 1 EQUIPMENT NTEREST�. ,LEASED 0 FINANCED _ DESCRIPTION OF THE AO'ORWNAL INTEREST NAME AND ADDRESS OF ADDITIONAL INTEREST ..— CITY OF BREMERTON X ADDITIONAL INSURED LOSS PAYEE 345 6TH ST STE 100 LENDER'S cross PAYEE L LOAN 1 = UMBER ATTN:STEVE MUTEK BREMERTON WA 98310 A RPRE ATIVEi" ACORD 23 2016!03 V ID 1997-201 ACO Rs Z ION.All rights reserved. ( ) The ACORD name and logo are registered marks of ACORD 9(0.4361 147967 3 01.?6-Za1d POLICY NUMBER: WS276138 COMMERCIAL GENERAL LIABILITY CG 20 12 06 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - STATE OR GOVERNMENTAL - AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS OR AUTHORIZATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Governmental Agency or Subdivision or Political Subdivision: City of Bremerton, 345 6th Street Suite #100, Bremerton, WA 98337 Information required to complete this Schedule, if not shown above,will be shown in the Declarations. Section II -Who Is An Insured is amended to include as 2. This insurance does not apply to: an insured any state or governmental agency or subdivision or political subdivision shown in the Schedule, a. "Bodily injury", "property damage"or"personal and subject to the following provisions: advertising injury" arising out of operations performed for the federal government, state or 1. This insurance applies only with respect to operations municipality; or performed by you or on your behalf for which the state or governmental agency or subdivision or political b. "Bodily injury"or"property damage"included within subdivision has issued a permit or authorization. the"products-completed operations hazard". CO 20 12 06 09 Copyright, Insurance Services Office,Inc.,2008 Page 1 of 1 COMMERCIAL GENERAL LIABILITY CG 20 01 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition (2) You have agreed in writing in a contract or and supersedes any provision to the contrary: agreement that this insurance would be primary and would not seek contribution from Primary And Noncontributory Insurance any other insurance available to the additional insured. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance;and Co 20 01 04 13 ®Insurance Services Office, Inc.,2012 Page 1 of 1 POLICY NUMBER: WS276138 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 l/ WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: City of Bremerton, 680 Lebo Blvd, Bremerton, WA 98310 Information required to complete this Schedule, if not shown above,will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV- Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products-completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 Copyright, Insurance Services Office, Inc., 2008 Page 1 of 1