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Home My WebLink About4505 +_________________J___________~____________________________________________+ =l=Enter Search Crit~ria, Press Esc Key to Transmit =1= =l=Press Del Key to Terminate Delete Mode =1=' =1= ' ' ~HANGE Contract Transactions =1= =1= Contract Number, 4505 =1= =1= =1= =l=Vendor Name' JAMES H ROBINSON COMPANY =1= =l=subject RENOVATION - DOWNTOWN BREMERTON LIBRARY =1= =l=Department PW&U ADMIN =1= =l=Status ,Code , CON =1= =1= Amount $397265.32 =1= =1= Begin Date 08/31/2005 =1= =1= Insurance End Date 12/31/2005 =1= =1= Type Amount Review Date 02./15/2008 =1==1= =1= GL $2000000.00 ~ AL $1000000.00 ~ =1= Insurance Total $3000000.00 =1= =1= Insurance Review Date 12/01/2005 =1= =1==1=' =1==1= Comments CHANGE ORDER #1-10/05 #2-1/06 =1= VAULT 01/01/2008 =1= =1= =1= +--------------------------------------------------------------------------+ i!G~.:{:t~~;T:~!~":~~j-I.li: 1;1 i~;:",,;,{ " - ,"1 t :[ I, 11'10 . ~- ,'" ' - "',1 I ... 'j I' I' I ~ . ~;.. - "'1 ~_ If..... I \' I _/1" ;~":) f II I' I', ' - . . ,~ ':;' I i II 1111[~~~~~~'~1L~~lj . . ... . . .. . .11 :i It L~_..:..~,:;;.~::=:;..~=~~~~~~:;;;,:-;;;;;....:;"",~-;;.c:;:::::;:::,:;;-~~=;.;;,=,~-:i~~-~;';"';;"=.o=,=~_::.:;;;;;;~~ FINANCE DEPARTMENT Finance Officer I Catherine Johnson cjohnson@ci.bremerton.wa.us April 26, 2006 Kitsap Bank East Bremerton Branch P. O. Box 2047 Bremerton, Washington 98310 RE: Release of Escrow Agreement - #0291372118 Dear Sir or Madam: Please be advised that James H. Robinson Company, Inc. has completed all work required under the contract for the Downtown Bremerton Library Renovation. Please release escrow funds in the amount of Sixteen Thousand Four Hundred Fifty Nine dollars and 20 cents ($16,459.20). Thank you for your prompt attention to this matter. ~~ Catherine JOhn& Finance Officer cc: James H. Robinson Company, Inc City Clerk PURCHASE ORDER NO. 50705E CITY OF BREMERTON 345 6TH STREET SUITE 600 BREMERTON, WA 98337-1873 PAGE NO. 1 Vl21721 I E KITSAP BANK / JAMES H ROBINSON CO ~ ESCROW #0291372118 o 619 BAY ST R L PORT ORCHARD WA 98366 ~ ~ I CITY OF BREMERTON ~ PUBLIC WORKS ADMINISTRATION 3027 OLYMPUS DR T L BREMERTON WA 98310 o ATTN: ACCTS PAY / DAN MILLER I ~ WORKS & UTILS-DAN MILLER REQ. NO.: 50586 DESC.: REO. DATE: 09/29/05 223.40 18 I 291. 00 CERTI ICA TION I, the undersigned, do hereby certify under enalty of perjury, that th materials have been furnished, the services rendered or the iabor lerformed as described her in, and that the ciaim is just, due and unpaid obligation against th City of Bremerton, and t at I am authorized to authenticate and certify to said claim. . I I I APPROVED BY I (' ':it' /1 /1L.J . '/7 U II ?t<Jr!~~ DIRtCTOR OF PURCHASING Verify Workers' Comp Premium Status - Employer Ljability Certificate Page I of I Washington State Department of Labor and Industries Employer Liability Certificate Department of Labor and Industries Employer Liability Certificate Date: 04/l 0/2006 UBI#: 181010 112 Business Name: JAMES H ROBINSON CO INC Legal Business Name: JAMES H ROBINSON CO INC Account #: 239,836-00 'Doing Business As' Name: JAMES H ROBINSON CO INC Quarterly Premium Reports: Quarter 4 of Year 2005 Workers' Comp Premium Status: Account is current. Firm has voluntarily reported and paid their premiums. Licensed Contractor? Yes Account Representative: T6 1 KHANH TRAN (360)902-4802 - E-mail: TRAK23 5@lni.wa.gov Industrial Insurance Information The information above shows the employer's industrial insurance (workers' compensation) premium status with the Department of Labor and Industries. Employers report and pay premiums each quarter based on hours of employee work already performed, and are liable for premiums found later to be due, Industrial insurance accounts have no policy periods, cancellation dates Of limitations of coverage. (See RCW 51.12.050 and 51.16.190.) https://fortress.wa.gov/lni/crpsi/ AcctInfoPrint.aspx? AccountId=23983600&AccountManag... 4/1 0/2006 - i K tt2-A- AFFIDAVIT OF PUBLICATION Account #42742/ Ad #100184935 ST ATE OF WASHINGTON COUNTY OF KITSAP f~l[ COPW I, Robin Alexander, being first duly sworn on oath, deposes and says: That she is now, and at all times embraced in the publication herein mentioned was the principal clerk of the printers and publishers of KITSAP SUN; that said newspaper has been approved as a legal newspaper by order of the Superior Court of the County of Kitsap, in which County it is published and is now and has been for more than six months prior to the date of the publication hereinafter referred to, published in the English language continually as a daily newspaper in Bremerton, Kitsap County, Washington, a weekly newspaper in Kitsap County, Wasillngton and is now and during all of said time, was printed in an office maintained in the aforesaid place of publication of said newspaper; that the following is a true text of a legal advertisement as it was published in regular issues (and not in supplement form) of said newspaper on the following dates, to wit: , January 19,2006 and that such newspaper was regularly distributed to its subscribers dUringftll~ period. That the full amount of the fee charged for the foregoing publication is the sum of-$29.86 w . h ~~h,,;:;;~nf:"1Voo cf?cL~ (Signature of Principal Clerk) Subscribed and sworn to before me this day of January 31, 2006. f:~'::::::'''::--~-:'':~~~~~ I OFFiCI/\L S~~L-=-:71 I OJ' II i . ,~VVN BLATT Ii II NOTM,Y flU)/ '(' nor' - II! ) _I " - ,') I~ Tt OF ~ (I r;",ro 0 0 II ~~~:Sion Expires July 300 2006 II ~~__Jl __I Notary Public in and for the State of Washington, Kitsap County. City of Bremerton' NOTICE OF FINAL CO.MPLETION' ~~~~~~'7:':;\'~;"-i'""~,-:,, Notice of final completion has been filed with the City of Bremerton on Monday, January 16,2006 by James H. Robinson Company, Inc., Bremerton, Washington for Contract No. 4505 - Downtown Bremerton Library - Martin Luther King Building, located at 612 Fifth Street Bremerton, Washington.- . Any parties having a claim for materials, labor or damages with reference to this contract have fOl1y five (45) days from the date of publication of tills notice to file a c1aim.- January 19,2006"#100184935- / ~ ----- ,- -. ~ Stale of Washington ~/ Dep~entofRevenue //... PO Box 47474 REVENUE Olympia WA 98504-7474 /.,fJ/aZJ //;t. --3 - /~ - ;'j~ NOTICE OF COMPLETION OF PUBLIC WORKS CONTRACT Contractor~s Registration No. (YBI No.) Date From: - --' , - N. ... a!Ji,,*'1\ddreS!JofPublicMency , ,~ ,', ~ - ..,-'" -, ,,' - - - "', - ',-, --'-- -.-' ", " -.- ' -" ,'" - ~ - " Department Use Only . '. Assigned To Date Assigned (7; / j O.J' /~li:;j!C:/Z? all /Y f (:Ll;! .J". 1;>02 7 t.,.//iJf/'U..{' i)/2JVe //!Aed!cVt-F oil /1/11 9>> 3/0 /-Illl. I)A;J jll/II t.'/L; Notice is hereby given relative to the completion of contract or project described below Description of Contract L /YZ/I/t;/ Contract Number .., ) .,..,. 111--:'AJ,~ -~.I'.;J- .r} /' . 1;'" ,.. 7 ~ / ~3 CIS"" ljVW/ /v. , /<fkt-//I L'l'w ()ll.' Contractor's Name ;/ Telephone Number 3~D - 'H<Z 'lft: <' j';? / 'j" /'?'4(' )/4P'!./ -Z//c ,. _-r _ '_ ~"4 .., ..2:. ? 7 - ClOt..::. t.o ..,.../r /IL".:'./ I~ !.Ic.;,~!/Iv. (j/'/ I..,V fr.~. Contractor's Address . , 1/904 /J.t" lrhy 7:"2, .""J ."'.~ -,- . ~~ W..... /f / v/i~ ,:::'yz.e/;.,-7-;2-/f,:/r;:)// 7g3/v Date Work Commenced , I Date Work Completed Date Work Accepted '7-/2- ~1 ~ / - /6Y -~ j /3- a~~ -,c..tJ'C)::> - Surety or Bonding Company );~/##/tP~#5/ 7.1/ ~3'" /}bd~"'-'- /~ ?~ ''>'':K '.~ ~~7/'atl? ;;. . . t:,~..t:;/\ ,/,/ ~/MVWi <....C:: Agent's Address -'~n/?l6n7/ ~/ hit ,r? C) 'ZOX ? J / :~g337 ;?,~O - ..?73-2595 ot , it:!:;'': // , .6... ~y; ..vCJ.. .......,r . 10 Reductions TOTAL , , , $ 31/./ 03~ &2- /~ 7'~j. 20 $ 3.57 "./9j. ~fj2 , Additions $ v3~ i?o.h* t?O /~ /~/D t7t:J 1S'~ 77$. a:; f $.3 2.9. /.&'~~ O(} ZIJ~ .:J(;lGj. &1- f' Amount Disbursed Contract Amount Amount Retained Sub-Total Amount of Sales Tax Paid at at> (0% (If various rates apply, please send a breakdown,) TOTAL $357: #rf,J. Bl I Signature Type or Print Name Phone Number ....,../..j Dis~ursing Officer //iP4:J5"'t," :::~a/ .."..... '. ,/ . -......... ., J' ,-; ;,r-= '''::;f-?~ / -' ..' .., -t'-/AA/ /L /-J \,.." //7.tL~ (.;~A:::-/ /2 . /7' . / .:e'/ /'" "",.u,; <? - ,,]1 7rJ / if . ".(#/../ "7. "'" ,,_.J ~ The Disbursing Officer must complete and mail THREE copies of this notice to the Department of Revenue, P.O. Box 47474, Olympia, WA 98504-7474, immediately after acceptance of the work done under this contract. NO PAYMENT SHALL BE MADE FROM RETAINED FUNDS until receipt of Department's certificate, and then only in accordance with said certificate. To inquire about the availability of this document in an alternate format for the visually impaired or a language other than English, please call (360) 753-3217. Teletype (TTY) users may call (800) 451-7985, You may also access tax information on our Internet home page at http://doLwa,gov, REV 31 0020(7-13-99) ."1.., Washington State Department of Revenue PO Box 47474 Olympia, WA 98504-747 REC;C:~VEi; APR 1 0 2006 181 010 112 DEIPT V'-; iPUBUC . \1I'InRV.e...." ~'n. 'IT'" "-f'~ ' E . CertIfk~ale dr'Paymenf-o . k'tate XClse Taxes by Public Works Contractor JAMES H ROBINSON CO INC 4904 KITSAP WAY BREMERTON WA 98312 2351 CITY OF BREMERTON PUBLIC WORKS DAN MILLER 3027 OLYMPUS DR NE BREMERTON WA 98310 4799 We hereby certify that taxes, increases and penalties due or to become due from the above-named contractor under Chapter 180, Laws of 1935, as amended, with respect to the following public works contract: CITY OF BREMERTON PUBLIC WORKS 4505, DOWNTOWN BREMERTON LIBRARY together with all other taxes, increases and penalties due from such contractor, have been paid in full or that they are, in the Department's opinion, readily collectible without recourse to the state's lien on the retained percentage. This certificate is issued pursuant to the provision of Chapter 60.28 Revised Code of Washington for the sole purpose of informing the state, county, or municipal officer charged with the duty of disbursing or authorizing the payment of public funds to said contractor that the Department of Revenue hereby releases the state's lien on the retained percentage provided by this Chapter for excise taxes due from said contractor. This certificate does not release said contractor from liability for additional tax that may be later determined to be due with respect to the above-mentioned contract or other activities. Dated 4/7 / cQ 00 {o at Olympia, Washington, / / State of Washington ~. art . ent of Revenue .vt#~ Certl ying Offic~r " To inquire about the availability of this document in an alternate format for the visually impaired or in a language other than English, please call (360) 486-2342. TTY users may call 1-800-451-7985. REV 310028 (10-01-02) ROUTING~tractor, File, Special File NT OF REvENuE WASHINGTON STATE Washington State Department of Revenue PO Box 47474 Olympia, WA 98504-7474 PUBLIC WORKS CONTRACT RECONCILlA TION OF TAXES See instructions to complete this form JAMES H ROBINSON CO INC 4904 KITSAP WAY BREMERTON WA 983122351 CITY OF BREMERTON PUBLIC WORKS 4505, DOWNTOWN BREMERTON LIBRARY DATE ASSIGNED: 03/29/2006 REGISTRATION #: POSTING PERIOD: . PWC .181 010 112 03/06 SECTION A - COMPUTATION OF TAX Tax Tax Rate Column 1 Column 2 Tax Column J Col. 4 Column S Classification Location Code Effective Dates Total Taxable Total Taxable Code ColJ =Coll. Col2 Tax ColS = Co! 4 x CoIJ Contract Amount Amount Reported Taxable Amount Due Rate Total Tax Due Manufacturing B&O 1/95 to 6/97 07 .00506 ManufacturingB&O 7/97 to Present 07 .00484 Public RdlGovt B&O 1/95 to 6/97 11 .00506 Public RdlGovt B&O 7/97 to Present . 11 .00484 Retailing B&O 7/82 to Present 329,184.00 329,184.00 02 -0- .00471 -0- .. .0 .. .0 .. .0 --- RT A(Reg Transit Auth) 4/97 to Present c"~ .004 State Retail Sales Tax 329.184.00 329.184.00 01 -0- .065 -0- State Use Tax 05 .065 Local Sales Tax . 1801 329,184.00 328,184.00 45 -0- .0 -0- Local Sales Tax . 45 .0 Local Sales Tax . 45 .0 Local Use Tax . 46 .0 Local Use. Tax . 46 .0 Local Use Tax . . 46 .0 · Enter 4 Digit Local SalesIUse ax Location Code .. Enter Tax ClasslncatlonCode TOTAL TAX DUFJPAID WITH TmS REPORT -0- SECTION B - REPORTED AMOUNT DETAIL Tax Classification (Location Code if Appl.) Re a 1 Retail etall Retail Retail 1801 1801 1801 1801 1801 REV 31 OO17m (9-30-03) MUST BE RETURNED ATTACH ANY PAYMENT DUE Period - Year Taxable Amount (Mo or Q I YR) Reported per Return 10-200 11-2005 12 - 2 005 01~2006 02-2006 , I I SUBJECT TO FIELD AUDIT VERlFICA nON ,~ ALLOW 5 .7 WORKING DAYS TO PROCESS ~ James H. Robinson Person Completing Return (Please Print) 4..;03-06 (360) 377-0066 Date Area Code & Phone Number To inquire about the availability of this document in an alternate format for the visually impaired, please call (360) 753-3217. Teletype (TTY) users may call 1-800-451-7985. You may also access tax information on our Internet home page at hup:/Idor. wa.gov. Distribution: Original - Department of Revenue Make a Copy For Your Records NT NUE Washington State Department of Revenue PO Box 47474 Olympia, WA 98504-7474 c... PUBLIC WORKS CONTRACT RECONCILIATION OF TAXES See instructions to complete this form JAMES H ROBINSON CO INC 4904 KITSAP WAY BREMERTON WA 983122351 CITY OF BREMERTON PUBLIC WORKS 4505, DOWNTOWN BREMERTON LIBRARY DATE ASSIGNED: 03/29/2006 . PWC REGISTRATION #:181 010 112 POSTING PERIOD: 03/06 SECTION A - COMPUTATION OF TAX Column 1 Column :z Tax Column J Col. 4 Column S Tax Location Code Tax Rate Total Taxable Total Taxable ColJ = Coll- Co12 Tax ColS = CoI4x CoIJ Classification Effective Dates Contract Amount Amount Reported Code Taxable Amount Due Rate Total Tax Due Manufacturing B&O 1/95 to 6/97 07 .00506 ManufacturingB&O 7/97 to Present 07 .00484 Public RdlGovt 8&0 1/95 to 6/97 11 .00506 Public Rd/Govt B&O . 11 .00484 7/97 to Present . Retailing B&O 7/82 to Present 329,184.00 329,184.00 02 -0- .00471 -0- ** .0 ** .0 . ** .0 --- RT A(Reg Transit Auth) 4/97 to Present -"89 .004 State Retail Sales Tax 329 184.00 329.184.00 01 -0- .065 -0- State Use Tax 05 .065 Local Sales Tax * 1801 329,184.00 328,184.00 45 -0- .0 -0- Local Sales Tax * 45 .0 Local Sales Tax * 45 .0 Local Use Tax * 46 .0 Local Use Tax * 46 .0 Local Use Tax * 46 .0 . * Enter 4 Digit Local SaleslUse Tax Location Code .. Enter Tax Classification Code TOTAL TAX DUFJPAID WITH TillS REPORT -0- SECTION B - REPORTED AMOUNT DETAIL Tax Classification (Location Code if Appl.) Re a 1 Retail etail R et ail Retail REV 31 OOl7m (9-30-03) 1801 1801 1801 1801 1801 MUST BE RETURNED ATTACH ANY PAYMENT DUE Period - Year Taxable Amount (Mo or Q I YR) Reported per Return 10-200 11-2005 12-2005 01-2006 02-2006 l l SUBJECT TO FIELD AuDIT VERlFICA nON ..~ ALLOW 5 - 7 WORKING DAYS TO PROCESS ~ James H. Robinson Person Completing Return (Please Print) 4-03-06 (360) 377-0066 Date Area Code & Phone Number To inquire about the availability of this document in an alternate format for the visually impaired, please call (360) 753-3217. Teletype (ITY) users may call 1-800-451-7985. You may also access tax information on our Internet home page at http://dor.wa.gov. Distribution: Original - Department of Revenue Make a Copy For Your Records ~PE~NT .OF NUE . WASHINGTON STATE Washington State Department of Revenue PO Box 47474 Olympia, W A 98504-7474 PUBLIC WORKS CONTRACTd.. RECONCILIATION OF TAXES See instructions to complete this form JAMES H ROBINSON CO INC 4904 KITSAP WAY BREMERTON WA 983122351 CITY OF BREMERTON PUBLIC WORKS 4505, DOWNTOWN BREMERTON LIBRARY DATE ASSIGNED: 03/29/2006 REGISTRATION #; POSTING PERIOD: . PWC 181 010 112 03/06 SECTION A - COMPUTATION OF TAX Tax Tax Rate Column I Column 2 Tax Column 3 Col. 4 Column S Classification Location Code Effective Dales Total Taxable Total Taxable Code Col3 = Coll- Col2 Tax ColS = CuI 4 x CoI3 Contract Amount Amount Reported Taxable Amount Due Rate Total Tax Due Manufacturing B&O 1/95 to 6/97 07 .00506 Manufacturing B&O 7/97 to Present 07 .00484 Public Rd/Govt 13&0 1/95 to 6/97 11 .00506 Public Rd/Govt B&O 7/97 to Present . 11 .00484 Retailing 8&0 7/82 to Present 329,184.00 329,184.00 02 -0- .00471 -0- ** .0 ** .0 ** .0 -- RTA(Reg Transit Auth) 4/97 to Present "'89 .004 State Retail Sales Tax 329.184.00 329.184.00 01 . -0- .065 -0- State Use Tax 05 .065 Local Sales Tax * 1801 329,184.00 328,184.00 45 -0- .0 -0- Local Sales Tax * 45 .0 Local Sales Tax * 45 .0 Local Use Tax * 46 .0 Local Use. Tax * 46 .0 Local Use Tax * 46 .0 * Enter 4 Digit Local SaleslUse Tax Location Code ... Enler Tax Classification Code TOTAL TAX DUFJPAID WITH TillS REPORT -0- SECTION B - REPORTED AMOUNT DETAIL Tax Classification (Location Code if Appl.) Re a 1 Retail etail Ret ail Retail 1801 1801 1801 1801 1801 REV 31 0017m (9-30-03) MUST BE RETURNED ATTACH ANY PAYMENT DUE Period - Year Taxable Amount (Mo or Q I YR) Reported per Return 10-200 11-2005 12-2005 01~2006 02-2006 I ~ SUBJECT TO FIELD AUDIT VERIFICATION ALLOW 5 - 7 WORKING DAYS TO PROCESS James H. Robinson Person Completing Return (Please Print) 4-03-06 ( 360) 377 - 00 6 6 Date Area Code & Phone Number To inquire about the availability of this document in an alternate format for the visually impaired, please call (360) 753-3217. Teletype (TrY) users may call 1-800-451-7985. You may also access tax information on our Internet home page at http://dor.wa.gov. Distribution: Original - Department of Revenue Make a Copy For Your Records :- -.c........ Employment Security Department WASHINGTON STATE PO Box 9046 · Olympia, WA 98507-9046 CONTRACTOR: James H. Robinson Co. Inc. 4904 Kitsap Way Bremerton, WA 98312 ) CERTIFICATE OF ) PAYMENT OF CONTRIBUTIONS ) PENAL TIES AND INTEREST ON ) PUBLIC WORKS CONTRACT ES Reference No. 261661:007 TO: City of Bremerton Public Works & Utilities - Attn: Dan Miller 3027 01ympus Dr. Bremerton, W A 98310 The Employment Security Department hereby certifies that contributions, penalties and interest due from the above named contractor under the Employment Security Act have been paid in full or provided for with respect to the following public works contract: 4505 The Employment Security Department hereby certifies that it has no claim pursuant to RCW 50.24.130 against the public body named above for tax attributable to service performed for said public body by the above named contractor on the above described contract. The Employment Security Department releases its lien on the retained percentage which is provided by RCW 60.28.040 for contributions, penalties and interest due from said contractor. This certificate does not release said contractor from liability for additional contributions, penalties and interest which may be later determined to be due with respect to the above mentioned contract. ., ::.' Dated~at;.Olympia, Washington on April 4, 2006. COMMISSIONER EMPLOYMENT SECURITY DEPARTMENT ByL(n 17 {,L i5~iJ Author' d Representative (360) 902-9680 Original-Disbursing Officer Duplicate-Employer Triplicate-Central Office Files EMS 84149760 R3~98J:; CC F';l~"-;"f', . rTG2 STEl j7JJ.'0': -.~,~ A\lri":;U ;,,~_'!J.,i\. p~' FT\.~L ~~;,.' ,r-'f..~:...r..~:-~ +2 .... -. I. r _.:: ~ ~',\ '", '-''': .,.-- (i,.t.C ".:J.... " ;. L.... ~ d v' ;'> .t: .-(~(_!:;"~j~r;-, ',-,~G~. ~'1)prr>',:\:j:- CONTRACTOR'S AFFIDAVIT OF PAYMENTS OF DEBTS AND CLAIMS Owner ;/ Arch itect Contractor Surety Other AIA Documents G706 TO (Owner) I ARCHITECT'S PROJECT NO: 9700-64-758-02 CONTRACT FOR: DOWNTOWN BREMERTON LIBRARY RENOVATION CITY OF BREMERTON 345 6TH STREET, STE 600 BREMERTON, WA 98337 I DOWNTOWN BREMERTON, LIBRARY (name, address) 612 FIFTH Street Bremerton, WA 98337 ~ CONTRACT DATE: 8/31/05 State of: County of: WASHINGTON KITSAP The undersigned, pursuant to Article 9 of the General Conditions of the Contract of Construction, AlA Document A201, hereby certifies that, except as listed below, he has paid in full or has otherwise satisfied all obligations for all materials and equipment furnished, for all work, labor, and services performed, and for all known indebtedness and claims against the Contractor for damages arising in any manner in connection with the performance of the Contract referenced above for which the Owner or his property might in any way be held responsible. EXCEPTIONS: (If none, write "None". If required by the, Owner, the Contractor shall furnish bond satisfactory to the Owner for each exception.) RETAINAGE SUPPORTING DOCUMENTS ATTACHED HERETO: CONTRACTOR: JAMESH ROBINSON COMPANY, INC. 1. Consent of Surety to Final Payment. Whenever Surety is involved, Consent of Surety is required, AlA DOCUMENT G707, CONSENT OF SURETY, may be used for this purpose. Indicate attachment: (yes X) (no). The following supporting documents should be. attached hereto if required by the Owner: Address: 4904 Kitsap Way Bremerton, W A 98366 1. Contractor's Release of Waiver of Liens, condi- tional upon receipt of final payment. ~ ~~~-~~\ -- 1\ Q '--"',.,. James H. Robinson, CEO ~tr?,:";,:,'7:::..~t:~I:\) ~ -;";.;l' ~ ,,\ '0;1 ~ I I ~.. fl ~'<'"\ ~ (; . ,<,:\\ .q;, ,<',' ('. \\ ~ .a(5~::-\~, 1_0"-'_ ," '-1~~><"Y-' fi >I " 1',\,), '1 "" <'. \i\ (j ~ r: :~.ft\.'-'T--r.IO (, Subscribed and sworn to be~ou~ ~e thi,~)\- I en; ~ 3rd day of April, 2006 f( ;t " I-U,s'LlC .. : , .".\" eO" ?: 'I .,,,,, ';'7 rCl " ~ ",' , ~ '. ".;: - 1 V. O,.Ji ~~ ,~(.\~,..,~_.-;;.~(:J. P" . Vl', ""',~ ,,/ Notary Public: L '. '.< ,'" ,~~:. , '- "..::",::'-' .' ~) ;y 71 oi My Commission Expires: 2. Separate Releases or Waiversof Liens from Subcontractors and materials and equipment supplies to the extent required by the Owner, accompanied by a list thereof. 3. Contractor's Affidavit of Release of Liens (AlA DOCUMENT G6706A). AlA DOCUMENT G706 . CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS. APRIL 1970 EDITION AIA@ . @1970. THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, NW, WASHINGTON, D.C. 20006 ./' . .03-27-'06 14:52 FROM-Robinson Company +3603779609 T-037 P003!003 F-075 CONSENT OF SURETY COMPANY TO FINAL PAYMENT ." Owner "./ Surely B AlA DocumeulS 0707 Architect Other Contractor PROJECT: (name, address) DOWNTOWN BREMERTON LIBRARY RENOVATION 612 FIFTH STREET BREMERTON, WA98337 TO (Owner) I ARCHITECT'S PROJECT NO: CONTRACT FOR: DOWNTOWN BREMERTON LIBRARY RENOVATION CITY OF BREMERTON 345 6TH STREET. STE 600 BReMERTON, WA 96331 CONTRACT DATE: 8131/05 CONTRACTOR: JAMeS H. ROBINSON COMPANY, INC. In accordance with the provisions of the contract between the Owner and the Contractor as indicated above, the (here insert name and address of Surety Company) TRAVELERS CASUAL TV & SURETY COMPANY HARTFORD, CONNECTICUT , SURETY COMPANY, on bond of (here insert name and address of contractor) JAMES H. ROBINSON COMPANY, INC. 4904 KITSAP WAY BREMERTON, WA98312 , ,CONTRACTOR. hereby approves the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surely Company of any of Its Obligations to (here insert name and address of Owner) CITY OF BReMERTON 345 6TH STREET BREMERTON, WA 98337 , OWNER as set forth in the said Surety Company's bond, IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 28th day 01 March, 2006 , " CaSlla 1 ty FInn Sllrf:>ty rompFlny of America ',~ Signalure of Aulhorized Representative Heidi Solem <,,-\. Anest: (Seal): < , , ~. ~ ,..(' ',.- ". .,..., Attornev in fact Tille ~"~ ~/ TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA TRAVELERS Cl\.SUALTY AND SURETY COMPANY FARMINGTON CASUALTY COMPANY Hartford, Connecticut 06183-9062 POWER OF ATTORNEY AND CERTIFICATE OF AUTHORITY OF ATTORNEY(S)-IN-FACT KNOW ALL PERSONS BY THESE PRESENTS, THAT TRAVELERS CASUALTY AND SURETY COMPANY OF AlVIERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FARlVIINGTON CASUALTY COMPANY, corporations duly organized under the laws of the State of Connecticut, and having their principal offices in the City of Hartford, County of Hartford, State of Cpnnecticut, (hereinafter the "Companies") hath made, constituted and appointed, and d9 by these presents make, constitute and appoint: James D. Ledbetter, Mark E. Helling, Carol L. Tobin, Heidi Solem, Sharon McAffee, Peggy Foote, Brian Hughes, Kimberly Coleman, Ann D. Markel, of Bremerton, Washington, their true and la\vfuIAttomey(s)- in-Fact, with full power and authority hereby conferred to sign, execute and acknowledge; at any place within the United States, the following instrument(s): by his/her sole signature and act, any and all bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional undertaking and any and all consents incident thereto and to bind the Companies, thereby as. fully and to the same extent as if the same were signed by the duly authorized officers of the Companies, and all the acts of said Attomey(s)-in-Fact, pursuant to the authority herein given, are hereby ratified and confirmed. This appointment is made under and by authority of the following Standing Resolutions of said Companies, which Resolutions are now in full force and effect: VOTED: That the Chairman:, the President, any Vice Chairman, any Executive Vice President, any Senior Vic~ President, any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys-in-Fact and Agents to act for and on behalf of the company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her. VOTED: That the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation is in writing and a copy thereof is f1led in the office of the Secretary. . . VOTED: That any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a.bond, recognizance, or conditional undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary, or (b) duly executed (under seal, if required) by one or more Attorneys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant 1.0 a written delegation of authority. This Power of Attorney. and Certificate of Authority is signed and sealed by facsimile (mechanical or printed) under and by authority of the following Standing Resolution voted by the Boards of Directors of TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS CASUALTY AND SURETY COJ\iIPANY and FARMINGTON CASUALTY COMPAl't-y, which Resolution is now in full force and effect: VOTED: That the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any power of attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys-in-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature. and facsimile seal shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which it is attached. . (05-04) Unlimited APPLICATION AND CERTIFICATES FOR PAYMENT AlA DOCUMENT G702 PAGE 1 OF3 . PROJECT: BREMERTON DOWNTOWN LIBRARY 612 5TH STREET BREMERTON, WA 98337 VIA (ARCHITECT): MILES YANICK and COMPANY 600 WINSLOW WAY E, STE #247 BAINBRIDGE ISLAND, WA 98110 CONTRACT DATE: 8/31/05 Application is made for Payment, as shown below, in connection with the Contract. Continuation Sheet., AlA Document G703, is attached. Ce . c~e' not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. AlA DOCUMENT G702. APPLICATION AND CERTIFICATE FOR PAYMENT. MAY 1983 EDITION. AlA. 1983 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, NW, WASHINGTON, D.C. 20006 TO (OWNER): CITY OF BREMERTON DEPT. OF PUBLIC WORKS & UTILITIES ADMINISTRATION DIVISION 3027 OLYMPUS DRIVE BREMERTON, WA 98310 FROM (CONTRACTOR): JAMES H. ROBINSON CO., INC. 4904 KITSAP WAY, BREMERTON, WA 98312 CONTRACT FOR: BREMERTON DOWNTOWN LIBRARY CONTRACTOR'S APPLICATION FOR PAYMENT CHANGE ORDER SUMMARY Change Orders approved in ADDITIONS DEDUCTIONS previous months by Owner $ 55,773 Approved this Month Number Date Approved PCO.2 PCO.6 ) PCO.3 PCO.7 ) $ 19,151 PCO.4C PCO.9 ) PCO.S ) PCO.SA ) $ 19,151 $ 55,773 Net change by Change Orders $ (36,622) The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and belief the Work covered by this Application for Payment has been completed In accordance which previous Certificates for Payment were Issued and payments received from Owner, and that current payment shown herein is now due JAMES H. ROBINSON COMPANY, INC. DATE4/3/06 ARCHITECT'S CERTIFICATE FOR PAYMENT In accordance with the Contract Documents, based on on-site observations and the data compris the above application, the Architect certifies to the Owner that to the best of the Architect's knowledge, information and belief the Work has progressed as indicated, the quality of the Work Is In accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED. APPLICATION NO: FINAL PERIOD TO: 4/1/06 CONTRACTOR X ARCHITECT'S PROJECT NO: 1. ORIGINAL CONTRACT SUM.......................... $ 2. Net change by Change Order............................ $ 3. CONTRACT SUM TO DATE (Line 1+2).................$ 4. TOTAL COMPLETED & STORED TO DATE........ $ 365,806 (36,622) 329,184 329,184 5. RETAINAGE: a. 5% of Completed Work 6. TOTAL RETAlNAGE $ 7. TOTAL EARNED LESS RETAINAGE................... $ 8. LESS PREVIOUS CERTIFICATES FOR PAyMENT............... ....... ...... ........... ;.:.;:'.....~t. 312,725 9. CURRENT PAYMENT DUE.................~.;~~.. D ~~. ~...'-'\~ 16,459 10. BALANCE TO FINISH, PLUS RET~N~~~:~<.:.;.;fJ~;: ~J~'/.'-:\-" 1V)"'<:...::~).. "':;?>.'- (~ ~ ., c.j ~_.,\\_)' P-.ri Y 'U) co. f ~ : r.) . '); ~. State of: WaShington(\ t.r:. PU.E~~lmt/o~ ~itsap ~, ".' () (lv. t'-- F Subsribed and sworn to before Il')e this 3r', d8y.~r:~rfI1~QO~.,.f7f' Notary Public: ~ S . '. .(~. vV :;.'J':','- '- <'.-' My Commission expires: 'it ~"-::rO.75-' AMOUNT CERTIFIED............................................. $ /' 6'~7' .k (Attach explanation if amount certified differs from the amount applied for.) M:-({! /~ 0/ /!~~.J . ~ ~. Date: ~. /(;7 . 0(; 329,184 G702-1983 CONTINUATION SHEET Page 2 of 3 . AlA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractor's signed Certification is attached. In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply. APPLICATION NUMBER: APPLICATION DATE: PERIOD TO: ARCHITECT'S PROJECT NO: FINAL 4/1/2006 4/1/2006 A B C E F G I I H I ITEfI! DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL % BALANCE RET AlNAGE NO. VALUE ROM PREVIOU THIS PERIOD PRESENTLY COMPLETED (G+C) TO FINISH APPLICATION STORED AND STORED (C-G) (D+E) (NOT IN TO DATE DORE) (D+E+F) 1 MOBILIZATION $ 2,640 2,640 $ 2,640 1 00% - 132 2 INSURANCE AND BONDS $ 7,121 7,121 $ 7,121 1 00% - 356 3 CLEANING,DUMP FEE, FINAL CLEANING $ 6,557 6,557 $ 6,557 1 00% - 328 4 PROJECT SUPERVISION/LABOR $ 16,400 16,400 $ 16,400 100% - 820 5 PROJECT MANAGER $ 2,520 2,520 $ 2,520 1 00% - 126 6 DEMOLITION, CONCRETE CUTTING $ 4,468 4,468 $ 4,468 1 00% - 223 7 LANDSCAPING $ 14,671 14,671 $ 14,671 1 00% - 734 8 CONCRETE $ 810 810 $ 810 1 00% - 41 9 METAL FABRICATIONS $ 38,675 38,675 $ 38,675 1 00% - 1,934 10 ROUGH CARPENTRY, DAMPPROOFING $ 7,866 7,866 $ 7,866 1 00% - 393 11 FINISH CARPENTRY, LAMINATE $ 2,077 2,077 $ 2,077 100% - 104 12 SEALANTS, CAULKING $ 270 270 $ 270 1 00% - 14 13 STEEL DOOR FRAMES, SIDELIGHTS $ 740 740 $ 740 1 00% - 37 14 WOOD DOORS $ 3,282 3,282 $ 3,282 1 00% - 164 15 WINDOWS, GLAZING $ 83,898 83,898 $ 83,898 1 00% - 4,195 16 FINISH HARDWARE $ 3,169 3,169 $ 3,169 1 00% - 158 17 GYPSUM DRYWALL $ 2,000 2,000 $ 2,000 1 00% - 100 18 ACOUSTICAL CEILING $ 7,876 7,876 $ 7,876 100% - 394 - FLOORING AND BASE $ $ 19 21,930 21,930 21,930 1 00% - 1,097 - 20 - - - ~ - - 22 - - - TOTAL $ $ $ $ 226,970 226,970 - 226,970 100% $ - 11,349 AlA DOCUMENT 0703. APPUCATION AND CERTIFICATE FOR PAYMENT. MAY 1983 EDmON. AlA' . 1983 CONTINUATION SHEET Page 3 of 3 ' AiA Document G702,APPLlCATION AND CERTIFICATE FOR PAYMENT, containing Contractor's signed Certification is attached. In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply. APPLICATION NUMBER: APPLICATION DATE: PERIOD TO: ARCHITECT'S PROJECT NO: FINAL 4/1/2006 4/1/2006 A B C 0 E F G I I H I ITErv DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE NO. VALUE ROM PREVIOU THIS PERIOD PRESENTLY COMPLETED (G+C) TO FINISH APPLICATION STORED AND STORED (C-G) (D+E) (NOT IN TO DATE DORE) (D+E+F) . 23 TOTAL FROM PREVIOUS PAGE $ 226,970 $ 226,970 $ 226,970 100% $ - $ 11,349 24 PAINTING $ 16,909 $ 16,909 $ 16,909 100% $ - $ 845 25 SIGNAGE $ 1,206 $ 1,206 $ 1,206 100% $ - $ 60 26 TOILET ACCESSORIES $ 639 $ 639 $ 639 100% $ - $ 32 27 WINDOW SHADES $ 4,375 $ 4,375 $ 4,375 100% $ - $ 219 28 MECHANICAL PLUMBING $ 4,394 $ 4,394 $ 4,394 100% $ - $ 220 29 ELECTRICAUFIRE ALARM $ 36,123 $ 36,123 $ 36,123 100% $ - $ 1,806 30 FIRE ALARM $ 38,100 $ 38,100 $ 38,100 100% $ - $ 1,905 31 TOTAL $ 328,716 $ 328,716 $ - $ 328,716 100% $ - $ 16,436 32 OVERHEAD AND PROFIT $ 37,090 $ 37,090 $ - $ 37,090 100% $ - $ 1,855 33 TOTAL $ 365,806 $ 365,806 $ - $ 365,806 100% $ - $ 18,290 34 35 C.O.1 $ (55,773) $ (55,773) $ (55,773) 100% $ - $ (2,789) 36 PCO.2 $ 8,309 $ 8,309 $ 8,309 100% $ - $ 415 37 PCO.3 $ 700 $ 700 $ 700 100% $ - $ 35 38 PCO. 4C $ 1,292 $ 1,292 $ 1,292 100% $ - $ 65 39 PCO.5 $ 3,098 $ 3,098 $ 3,098 100% $ - $ 155 40 PCO. 5A $ 918 $ 918 $ 918 100% $ - $ 46 41 PCO.6 $ 870 $ 870 $ 870 100% $ - $ 44 42 PCO.7 $ 3,791 $ 3,791 $ 3,791 100% $ - $ 190 43 PCO.9 $ 173 $ 173 $ 173 100% $ - $ 9 44 45 TOTAL $ 329,184 $ 329,184 $ - $ 329,184 100% $ - $ 16,459 AlA DOCUMENT 0703 . APPLICATION AND CERTIFICATE FOR PAYMENT. MAY 1983 EDITION. AlA' . 1983 THE AMERICAN INSTITUTE OF ARCIDTECTS, 1735 NEW YORK AVENUE, NW, W ASmNGTON, D.C. 20006 G703-1983 KITSAP BANK CONTRACTOR'S ESCROW AGREEMENT (C({J)fP"lf To: Kitsap Bank ("Bank") Branch: East Bremerton Branch Kitsap Bank Account Number: OdC;137~ 1/<6 ("Account") Account Type: ( circle one) Premium Fund Market Fund Savings Time Certificate Public Body: C i t Y 0 f B rem e r ton 0 e pt. 0 f Pub 1 i c \~ 0 r k s & Uti 1 i t lce@wner") ~~';;MJc~ h~~C8- CJ/74~J Authorized Repres91tative(s):, =J-l-El \l-€-l-l-a-g-a--s-.,-F 1 n J n c 1 J 1 11 J n J g C r J f?S-.c0-".<7;{ 't::///Z&:5;T {l/J' 7 - / J/J Address: 3027 OlYlflpus Drive Bremerton, \~A 3104799 Telephone Number: 360 473 2314 /7.J - S-27~ Contractor: James H. Robinson Company, Inc. ("Con tractor") Authorized Representative: Bruce A. Berkimer, President Address: 4904 Kitsap Way, Bremerton, WA 98312 Telephone Number: 360-377-0066 Project Name: Downtown Bremerton Library Renovation ("Project") Estimated Completion Date: 0 e c em b e r 2 1, 2005 Contract Number: #- LJ ~()5 THIS AGREEMENT is hereby made and entered into by and among Owner, Contractor and Bank. WHEREAS, this Agreement is for the investment or retention in the Account of the retained percentages of the Project in accordance with 60.28 RCW; and WHEREAS, Contractor has directed Owner to deliver to Bank warrants, checks or drafts which shall be payable to the Bank and the Contractor jointly. Such warrants, checks, or drafts are to be held or disposed of by Bank in accordance with the following instructions, and upon the terms and conditions hereinafter set f0l1h. P:pub_data\forms\fsr\contractor1 s escrow agreernenLdoc (10/31/02) Page 1 of 5 FOR AND IN CONSIDERATION of the mutual benefits contained herein, Owner, Contractor and Bank agree as follows: 1. Warrants, checks or drafts payable to Contractor and Bank, jointly, shall be endorsed by the Bank and forwarded for collection so that the proceeds thereof may be received by the Bank and deposited in the Account. The power of endorsement hereby granted to Bank by the Contractor shall be deemed a power coupled with an interest and shall be irrevocable during the, term of this Escrow Agreement. Although Bank may be a payee named in such warrants or checks as may be delivered to the Bank, the Bank's duties and responsibilities with respect to the same shall be only those duties and responsibilities which a depository bank would have, pursuant to Article 4A of the Uniform Commercial Code of the State of Washington for an item deposited with it for collections as of the date such check or warrant shall be delivered to the Bank. The proceeds from collection shall be used by the Bank to deposit funds into the Account. 2. In the event the Account is a Time Certificate, it must mature on or before the date set for completion of the Project, including extensions thereof, or 30 days following the final acceptance of the Project. The Estimated Completion Date of the Project is set forth above. The Owner shall advise the Bank, in writing, of any change in the Estimated-Completion Date. If the Estimated Completion Date is changed, the Bank is authorized to reinvest the funds held hereunder in accordance with the new Estimated Completion Date. 3. None of the funds held in the Account shall be delivered to the Contractor except in accordance with written instructions from Owner, or by order of a court of competent jurisdiction. The Owner shall inform the Bank and keep the Bank informed, in writing, of the name of the person or persons with authority to give the Bank such written instructions. Compliance with such written instructions or with a court order by the Bank shall relieve the Bank of any further liability related thereto. 4. When interest on the Account accrues and is paid, the Bank will post such interest to the Account. Interest is owned by the Contractor. Subject to the terms, conditions and penalties of the Account, the Bank will deliver the accrued interest to Contractor upon written request signed by Contractor. 5. Notwithstanding any provision of this Agreement, in the event the Owner requests the Bank in writing to withdraw the funds from the Account and return such funds, together with any other funds held by the Bank in the Account, to the Owner, the Bank shall comply with said written request of Owner within 35 days of receipt of such request. Compliance by the Bank with such written request shall relieve the Bank of any further liability related thereto. 6. The Bank may deliver the funds in the Account to persons other than the Contractor or the Owner, in accordance with a written request signed by the Owner. 7. The Contractor shall pay any fees charged by the Bank for services provided hereunder. Payment of all fees shall be the sole responsibility of the Contractor and shall not be deducted from any funds deposited in the Account, unless and until the Owner directs the release P:puD_dala\forms\Jsr\contractor's escrow agreernent.doc (10/31/02) P~np ') of ~ -"- ~b"" - ---~ -' of the funds in the Account to the Contractor whereupon the Bank shall be granted a first lien upon said funds released and shall be entitled to reimburse itself from such funds for the entire amount of the Bank's fees. In the event that the Bank is made a party to any litigation with respect to the funds in the account, or in the event that the conditions of this Agreement are not promptly fulfilled and that the Bank is required to render any service not provided for in this Agreement, or that there is any assignment of the interest of this Agreement or any modification thereof, the Bank shall be entitled to reasonable compensation for such extraordinary services from the Contractor and reimbursement from the Contractor for all costs and expenses, including attorney fees occasioned by such default, delay, controversy or litigation. 8. In the event the Bank at any time and for any reason desires to be relieved of its obligations under this Agreement, the Bank shall give written notice to the Owner and the Contractor. The Owner and the Contractor shall, within 20 days of receipt of such notice, jointly appoint a successor escrow holder, and instruct the Bank to deliver all funds held in the account to said successor escrow. In the event the Bank is not notified of the appointment of the successor escrow holder within 20 days, the Bank may deliver the funds in the Account to Owner, subject to the terms, conditions and penalties of the Account. Upon doing so, the Bank is absolved from all further charges and obligations in connection with this Agreement. 9. The Bank may consult with independent legal counsel in the event of any dispute or questions as to the construction of any of the provisions of this Agreement or the duties of the Bank hereunder. The Bank shall incur no liability and shall be fully protected and acting in accordance with the opinion and instruction of such counsel. The Bank shall have the right to file legal proceedings, including interpleader to determine the proper disposition of funds hereunder, all costs thereof constituting an expense of administration of this Agreement. 10. The Contractor agrees to indemnify, defend and hold harmless the Bank, its officers, directors, employees, agents, affiliates, predecessors and assigns (collectively "Indemnified Parties") from any and all claims, liabilities, debts, demands, damages, expenses, accounts, attorney fees, actions, causes of action, contribution actions, proceedings, agreements, contracts, judgments, executions or suits of any kind or nature suffered or incurred by the Indemnified Parties or any of them arising out of or in connection with this Agreement, except that this indemnity obligation shall not apply in the event of the gross negligence or willful misconduct of the Indemnified Parties or any of them. This Indemnity Obligation shall survive termination of this Agreement. 11. The duties and responsibilities of the Bank shall be limited to those expressly set forth in this Agreement; provided, however, that with the written consent of the Bank, the duties and responsibilities in this Agreement may be amended at any time by an instrument in writing signed by the Contractor and the Owner. With the exception of this Agreement, the Bank is not responsible for, or chargeable with knowledge of, any terms or provisions contained in either the underlying contract referred to in this Agreement or any other separate agreements and understandings between the Contractor and the Owner. The Bank shall not be liable for the accuracy of any calculations or the sufficiency of any funds for any purpose. The Bank shall not have any liability under this Agreement except to the extent of its own gross negligence or P:pub_data\fol1us\fsr\contractorJ s escrow agreemenLdoc (10/31/02) Page 3 of 5 willful misconduct. In no event shall the Bank be liable for any special, indirect or consequential damages. 12. This Agreement shall not be binding until executed by the Contractor and the Owner, and accepted by the Bank. 13. This Agreement contains the entire agreement between the Contractor, the Owner and the Bank with respect to this escrow. The Bank is not a party to nor bound by any instrument of agreement other than this Agreement. The Bank shall not be required to take notice of any default or any other matter, nor be bound by nor required to give notice or demand, nor required to take any action whatsoever, except as herein expressly provided. The Bank shall not be liable for any loss or damage not caused by the Bank's own negligence or willful misconduct. 14. This Agreement shall be binding upon the aSSIgns, successors, personal representatives and heirs of the parties hereto. The undersigned have read and hereby approve of the above Agreement and instructions as given above which govern the administration of this escrow, and do hereby execute this Agreement on the 9 t h day of S e r t e m b e r , 20 0 S CONTRACTOR: Name of Contractor: James H. Robinson Company By: .~(~A.~ (signature) --.... Print Name: Bruce A. Berkimer Title: President Date: September 9, 2005 OWNER: Name of Owner: City Of Bremerton Public Works & Utilities By l-11~ Print Name: ~~ldrcd Vcllagas fl ~jx~U ofi~ U;Pl/ (J,~f Df '1)jLf/jJ1{)t{O/J Title: Fin J n cia 1 r~ a nag e f 0 f Pub 1 1 C '..lor Ie s 8 Utilitic~ Date: t;) - /1 . c:JS / P:pub_data\forrns\fsr\contractor's escrow agreement.doc (10/31/02) Page 4 of 5 By: (signature) Print Name: Title: Date: -=.1 The above escrow instructions were received and accepted by Kitsap Bank on the ex- 8. day of SCLpterY\ b~r , 20 0 5 . KITSAP BANK: By: fY'LaJz cL~ ~ M +mDJl0 (signature) Title: [Y\CtIL\'Cc k.A x:.+IY\CtJ\ 'V l'~~ Pr'~0\'ct ~V\+ Print Name: P:pub_data\formslfsr\contraclor's escrow agreemenLdoc (10/31/02) Page 5 of 5 NEW ACCOUNT INFORMATION Deposit Contract ACCOUNT # 0291372118 DATE 09/23/2005 -, :----i '---' TEMPORARY REPLACEMENT TITLE OF ACCOUNT Refer to Account Owner Name(s) and Type of Account SectIons Words, numbers or phrases preceded by a n are applicable only if the [XJ is marked. ACCOUNT OWNER NAME(S) James H Robinson Co Inc City of Bremerton Public Works Retainage PRIMARY ACCOUNT OWNER INFORMATION PRIMARY ACCOUNT OWNER NAME AND ADDRESS James H Robinson Co Inc 4904 Kitsap Way Bremerton WA 98312-2351 (Mailing Address) 4904 Kitsap Way Bremerton WA 98312-2351 EMPLOYER NAME ANO ADDRESS N/A BUSINESS PHONE (360) 377-0066 DRIVER'S LICENSE U D.O.B. UNIQUE IDENTIFIERS E-MAIL ADDRESS HOMEPHON~360)377-0066 T AXPA YER IDENTIFICATION NUMBER CERTIFICATION D Under penalties of perjury, I certify that 11) the number provided on this farm is my corr~ct . taxpayer identification number (TIN). and that (2) I am not subject to backup withholding because la) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service fiRS) that J am subject to backup withholding as a result of failure to repon all interest or dividends. or (el the IRS has notified me that I am no longer subject to backup withholding, and that (3) I am a U.S. person (including a U.S. resident alien). (Note: You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return.) D Applied for TIN. Under penalties of perjury, I certify that a TIN has not been issued to me and J have applied or intend to apply for a TIN. I understand that if I do not provide a certified TIN to this institution within 60 days, the institution is required by federal regulation to withhold 31 percent of any interest payments made to me until I provide the certified TIN to the institution. D Exe~Ption. Under penalties of perjury, I certify that I qualify for exemption from withholding on Interest and dividends under one or more definitions of "Payees Exempt From Backup Withholding" or "Payments Exempt From Backup Withholding" as set forth in the "Instructions for the Requestor of Form W-9". D Foreign.Recipient. I have provided this institution with the appropriate Form W-8 certification. If a IOlnt account, each joint account owner has provided the appropriate Form W-B certification. If anyone of the joint account owners has not established foreign status. that joint account owner has provided this institution with a certified TIN. Taxpayer Identili"tion Number: 91-0750036 DATE r t @ Copyright Compliance Syswms, Inc. 19a9. 1994. 1995. 1996. 1997. 199a. 1999.2000.2001.2002.2003 ITEM 4341411103041 1595WAJ 166311 Page 1012 AMOUNT OF DEPOSIT Account Open Date: 9/23/2005 FINANCIAL INSTITUTION NAME AND ADDRESS Kitsap Bank 619 Bay Street Port Orchard, W A 98366 BRANCH U 0000002 OPENED BY Joann 00302 TYPE OF ACCOUNT OWNERSHIP TYPE Corporation PRODUCT NAME MarketFund Account SERVICE TYPE Refer to Additional Terms and Information. ACKNOWLEDGMENT By signing this document the undersigned has opened the type of account designated above and acknDwledge(s) receipt of the Deposit Account Agreement. If the type of account is a checking or NOW account, the undersigned acknowledge(s) receipt of a copy of this institution's Funds Availability Policy. If the account is designated as a consumer account, the undersigned acknowledge(s) receipt of an Account Disclosure. If the account is in the name of a business entity, the undersigned is (are) acting on behalf of the business entity. If this account is designated as a joint account, the undersigned acknowledge they have received and read the terms related to joint accounts in the Deposit Account Agreement. Further, the undersigned authorize this institution to make inquiries about their individual credit, such as a credit report. U OF SIGNATURES REQUIRED [1] D FACSIMILE ALLOWED D Authorized Signer Only Title: // Signature James H Robinson Co lnc .05 Title: Signature Date D Authorized Signer Only Title: Signature Date II Compliance Systems, Inc. 800.968.8522 Fax 616.956.186B AUTHORIZED SIGNER IACCOUNT OWNER INFORMATION James H Robinson 3013 Rocky Point Road Bremerton, W A 98312-1918 ID Type: UJCLs h. D i- Issue Date: -7 -/5 -D Lf ID Issued by: UJJ-sV- - .;;;;.-I-'~t t:.. ID Type: Issue Date: ID Issu ed bI: HOME PHONE (360)373-7688 Occupation: EMPLOYER NAME AND ADDRESS James H Robinson Co Ine IDNo:P.D~2A13 N70~Mru Expiration: 7- /5 -0 5 ACCOUNT OWNER NAME AND ADDRESS ID No: Expiration: BUSINESS PHONE (360) 377-0066 UNIQUE IDENTifiERS Contractor D.O.B. 07/15/1930 SOC.SEC.# 534-24-5752 DRIVER'S LICENSE # ROBINJH702MN AUTHORIZED SIGNER IACCOUNT OWNER INFORMATION BUSINESS PHONE UNIQUE IDENTifiERS ID Type: Issue Date: ID Issued by: ID Type: Issue Date: ID Issued by: HOME PHONE Occupation: EMPLOYER NAME AND ADDRESS IDNo: Expiration: ACCOUNT OWNER NAME AND ADDRESS ID No: Expiration: D.O.B. SOC.SEC.# DRIVER'S LICENSE # AUTHORIZED SIGNER IACCOUNT OWNER INFORMATION BUSINESS PHONE UNIQUE IDENTifiERS ID Type: Issue Date: ID Issued by: ID Type: Issue Date: ID Issue by: HOME PHONE Occupation: EMPLOYER NAME AND ADDRESS IDNo: Expiration: ACCOUNT OWNER NAME AND ADDRESS ID No: Expiration: D.O.B. SOC.SEC.# DRIVER'S LICENSE # TYPE OF ACCOUNT CONTINUED Agency Account Designation: If an agem will be appointed to transact business on the account, provide name: Will agem have power to transact business on this account aher your disability/incompetency? DYes ONO (initials) Beneficiary Information - For POD Accounts Only Beneficiary Name Address Phone DOB SSN Birthplace Employer N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A ADDITIONAL TERMS AND INFORMATION Account Numbers Account Type Date Opened Date Closed FOR BUSINESS ACCOUNTS ONLY: Incorporated State: Business Since: Incorporated ou: Legal Name: James H Robinson Company Inc Business or Trade Name: James h Robinson Comoany Ine Federal Tax 10 # 91-0750036 Nature of Business: Construction DRetai' o Service o Wholesale OOthe, o Manufacturing Do you sell money orders? DYes El No Do you sell lottery tickets? DYes KJ No Do you accept Visa/Mastercard? DYes ~NO ADDITIONAL COMMENTS OPENED WITH: $ Account Opened with a zero balance: This is a Retainage CASH/CHECK: / Account CHECK(SJ FROM: CLEft.RANCE CODE: Existing CusiOrl1er OPENtU BY: J oann 00302 I DATE 09/23/2005 I UPOATED BY: I DATE @ Copyrighl Compl;ance SYSlems, Inc. 1989,1994,1995,1996,1997,1998,1999,2000,2001, 2002, 2003 ITEM 43414L2 (0304) 1595WA1I6631j Page 2 012 Compliance Systems, Inc. 800.968.8522 f" 616.956.1868 RESOLUTION OF CORPORATION Authority to Open Account(s}, to Deposit and Withdraw Funds, and to Open and Have Access to Safe Deposit Box(es) 0291372118 TO: {NAME I ADDRESS Of fiNANCIAL INSTITUTION; Kitsap Bank 619 Bav Street Port Orchard, WA 98366 FROM: (NAME I ADDRESS OF CORPOAATlON) James n Robinson Co Ine City of Bremerton Public Works Retainage 0000002 Ea5t 3~erne=tor. 4904 Kitsap Way Bremerton WA 98312-2351 Words or phrases preceded by a D are applicable only if the ~ is marked. I certify that I am the duly elected and qualified Secretary and keeper of the records of the Corporation named above, that the following is a true and complete copy of a Resolution duly adopted at a meeting of the Board of Directors of said Corporation held on the date shown below in accordance with law and the by-laws of said Corporation, and that my delivery of this Resolution to Financial Institution certifies to Financial Institution that such Resolution is still in full force and effect. "IT IS RESOLVED THAT: The following described officers, employees or agents of Corporation, whose names and signatures appear below, are authorized, for and on behalf of the Corporation, to open and maintain a depository account or accounts of the Corporation with Financial Institution, to endorse and deposit with said Financial Institution negotiable instruments or other orders for the payment of money, which endorsements may be made in writing or by stamp and without the designation of the person endorsing, and to open and have access to a safe deposit box or safe deposit boxes, subject to the terms and conditions specified in the applicable Lease(s); All officers, employees or agents named whose signatures appear below are authorized for and on behalf of the Corporation to sign checks and orders for the placement of money withdrawing funds from a depository account or accounts regardless of whether such action will create or increase an overdraft of the involved account (payment or nonpayment of an item which would create an overdraft of the involved account shall be at the sole discretion of the Financial Institution); All officers, employees or agents named whose signatures appear below can endorse for negotiation, negotiate, and receive the proceeds of any negotiable instruments or orders for the payment of money payable to or belonging to the Corporation, can approve, endorse, guarantee and identify the endorsement of any payee or any endorser of any checks or drafts whether drawn by the Corporation or anyone else and can guarantee the payment of any checks or drafts, and can delegate to others the authority to identify, endorse, approve and guarantee the endorsement of any payee or endorser on any such checks or drafts and to guarantee the payment of any such checks or drafts; Financial Institution is requested, authorized and directed to honor checks, drafts and other orders for the payment of money drawn in the Corporation's name, including those drawn to the individual order of any person or persons whose name or names appear on the checks, drafts or other orders, as signer or signers of the checks, drafts or other orders, when bearing or purporting to bear the signature of all officers, employees or agents named whose signatures appear below; and Unless specifically designated, each officer, employee or agent named whose signature appears below may sign without the other(s). D The Financial Institution is authorized to honor facsimile and other non-manual signatures and may honor and charge the Corporation for all negotiable instruments, checks, drafts, and other orders for payment of money drawn in the name of the Corporation, on its regular accounts, including an order for electronic debit, whether by electronic tape or otherwise, regardless of by whom or by what means the facsimile signature or other non-manual signature may have been affixed, or electronically communicated, if such facsimile signature resembles the specimen attached to this Resolution or filed with the Financial Institution, regardless of whether any misuse of a specimen or non-manual signature is with or without the negligence of the Corporation. The Specimen Facsimile Signature Exhibit attached is incorporated into and is an integral part of this Resolution. Corporation indemnifies the Financial Institution for all claims, expenses, and losses resulting from the honoring of any signature certified or refusing to honor any signature not so certified; Further, this Resolution is continued on Page 2 of this document, and all of the power and authority granted are incorporated in this Resolution." THIS RESOLUTION APPLIES TO: D ALL ACCOUNTS (Check all that applyl [R] SPECIFIC ACCOUNT NUMBER(S): DATE OF RESOLUTION: 09/23/2005 D SAFE DEPOSIT BOX NUMBER: NAME AND TITLE NO. OF NECESSARY COUNTER SIGNATURES James H Robinson CEO 1 x x x X SIGNATURE CERTIFICATION I further certify that the foregoing are titles, names, and genuine signatures of the present officers. employees and agents of the Corporation authurized by the above Resuiulion. '~S WHCREOC. '"";"';;' "" ".000 ., Som'.., "I,"', e...,....""" "" '"" ,.." ,"OW" O"'"w. DATE laJl-' loa, laae; laaJ:l ?nnn ?nn? ITCU r;r;'HllIl 1 /n,) 1 ,)lo\I\ l.4na-,\ P"m, 1 nf ') rn....nl;"n,.." l:......"....... In,. Jlnn_O~J:l.nJ;,)? t:". ~lg.0r;g.lJlgn ofT \'S FURTHER RESOLVED, that the Corporation certifies to the above named Financial Institution that: All items deposited with prior endorsements are guaranteed by the Corporation; All items not clearly endorsed by the Corporation may be returned to the Corporation by the Financial Institution or, alternatively, the Financial Institution is granted a power of anorney in relation to any such item to endorse any such item on behalf of the Corporation in order to facilitate collection; Financial Institution shall have no liability for any delay in the presentment or return of any negotiable instrument or other order for the payment of money which is not properly endorsed; Financial Institution is directed and authorized to act upon and honor any withdrawal instructions issued and to honor, pay and charge to an'y depository account or accounts of the Corporation, all checks or orders for the payment of money so drawn when signed consistent with this Resolution without inquiring as to the disposition of the proceeds or the circumstances surrounding the issuance of the check or the order for the payment of the money involved, whether such checks or orders for the payment of money are payable to the order of, or endorsed or negotiated by any below named officer, employee or agent signing them or any officer, employee or agent in their individual capacities or not, and whether they are deposited to the individual credit of or tendered in payment of the individual obligation of any officer, employee or agent signing them or of any other officer, employee or agent or not; Financial Institution shall be indemnified for any claims, expenses or losses resulting from the honoring of any signature certified or refusing to honor any signature not so certified; and Notwithstanding any modification or termination of the power of any officer, employee or agent or other person to represent the Corporation, this Resolution shall remain in full force and bind the Corporation and its legal representatives, heirs, and the Corporation's successors or assigns until wrinen notice to the contrary signed by, or on behalf of, the Corporation shall have been received by the Financial Institution, and that receipt of such notice shall not affect any action taken by the Financial Institution prior to receipt of such notice in reliance on this Resolution," Additional comments or instructions: By initialing, I acknowledge this is page 2 of 2 of the Resolution of Corporation, ~ Vlnitials Initials Initials Initials C9 Copyright Compliance SYSlllffis,lnc 19ti/. 199J, 1995. 1998. 2000. 2002 ITCU C:;l:;')C 41 ') In') 1 7W\ l.dnO"1\ P"n.. '} nl, Compliance Systems, Jne. ACCOUNT SERVICING AGREEMENT - AUTHORIZED AGENTS James H Robinson Co, Inc/City of Bremerton Dept of Public Works Retainage Account Contract # 4505 (Account Title) Agent Name/ Phone Number Name Cathy J ol1nson Phone 360-473-5296 Signature Account Number(s) 0291372118 Authorized Functions/ Maximum Amount 3&4 $ N/A Access Word Pepper Namc Phone Namc $ Phooc $ Namc Phonc $ Name Phone $ AUTHORIZED FUNCTIONS: 1 = Place stop payment request 2 = Release stop payment request 3 = Request research 4 = Request account information 5 = Telephone transfers Customer hereby represents and warrants to Bank that the names of the Authorized Agents, the account numbers, functions, and the maximum amounts for telephone transfers they are authorized to perform, are correctly stated above. If at any time Customer wishes to add or delete Authorized Agents, change account numbers for Authorized Agents, or change the authorized functions or telephone transfer maximum amounts for Authorized Agents, Customer will submit a new Account Servicing Agreement form to Bank. Each Account Servicing Agreement form will supersede all Account Servicing Agreement forms, so any change will require a new form with all current Authorized Agents listed. Kitsap and Olympic Bank Name Chief Executive Officer By By Title Title Title Signers must be authorized to execute this agreement between Company and Bank. P :\pll b _data \forllls\clIstserv\accountservicingagents. doc 04/02/03 AFFIDAVIT OF PUBLICATION ~0- ~ Account #42742/ Ad #100184935 STATE OF WASHINGTON COUNTY OF KITSAP I, Robin Alexander, being first duly sworn on oath, deposes and says: That she is now, and at all times embraced in the publication herein mentioned was the principal clerk of the printers and publishers of KITSAP SUN; that said newspaper has been approved as a legal newspaper by order of the Superior Court of the County of Kitsap, in which County it is published and is now and has been for more than six months prior to the date of the publication hereinafter referred to, published in the English language continually as a daily newspaper in Bremerton, Kitsap County, Washington, a weekly newspaper in Kitsap County, Washington and is now and during all of said time, was printed in an office maintained in the aforesaid place of publication of said newspaper; that the following is a true text of a legal advertisement as it was published in regular issues (and not in supplement form) of said newspaper on the following dates, to wit: , January 19,2006 and that such newspaper was regularly distributed to its subscribers during all of said period. That the full amount of the fee charged for the foregoing publication is the sum of $29.86 which amount has not been paid in full. ~~ (Signature of Principal Clerk) Subscribed and sworn to before me this day of January 31, 2006. OFFICIAL SEAL DAWN BLATT NOTARY PUBLIC - STATE OF WASHINGTON My Commission Expires July 30, 2006 'j Notary Public in and for the State of Washington, Kitsap County. Ci ty of Bremerton' NOTICE OF FINAL COMPLETION' Notice of final completion has been filed with the City of Bremerton on Monday, January 16,2006 by James H. Robinson Company, Inc., Bremerton, Washington for Contract No. 4505 - Downtown Bremerton Library - Martin Luther King Building, located at 612 Fifth StreefBremerton, Washmgton.- Any parties having a claim for materials, labor or damages with reference to this contract have forty five (45) days from the date of publication of this notice to file a claim.- January 19, 2006"#10018493Y !. CITY OF B'REMERTON CHANG'e ORD,ER PROJECT NAME: PROJECT NO: CONTRACT CHANGE ORDER NO: 02 DOWNTOWN BREMERTON LIBRARY - Contract No. 4505 594.7283 CONTRACTOR: JAMES H. ROBINSON COMPANY"INC. ORIGINAL CONTRACT AMOUNT: $397,265.32 CAL. DAYS: 100 PREVIOUSLY APPROVED CHANGES: <$60,569.48> CAL. DAYS: o THIS CHANGE: $20,797.99 CAL. DAYS: 11 REVISED CONTRACT AMOUNT: $357,493.83 CAL. DAYS: 111 This Change Order covers changes to the subject contract as described herein. The Contractor shall construct, furnish equipment and materials, and perform all work as necessary or required to complete the Change Order Items. The increase in contract price shown below includes any applicable taxes. R INCREASE IN (DECREASE) IN CONTRACT ..- "- DESCRIPTION OF CHANGES CONTRACT CONTRACT TIME ..... ..- AMOUNT AMOUNT EXTENSION ~ ~ ::l ($) ($) (CAL. DAYS:) 0:: 0::: X I. ADA Restroom 12A - Sanitary & Domestic Water: A. Concrete cut and excavate a trench in the existing concrete floor slab along side of th~ known sanitary line that runs from the existing Toilet Room 13 diagonally across Reading Room 11 to the Closet Room 10 in order to adequately install and connect a new ~anitary line and water line to serve the proposed ADA Restroom; B. Provide and install a new 10 gallon hot water heater in the new ADA restroom; above ceiling in the northeast corner of the ceiling wI drip pan; C, Room 14 Staff Room: Provide and install future plumbing "rough-in" for hot and cold water lines, waste and vent; and D. Room 12 Blind Services: Provide and install layer of 5/8" GWB tape and smooth wall finish, over all existing acoustic tiled walls per attached PC0#02....... ............ ,........... .............................. ....................... $9,023.57 11 X II. Provide and install Blue Ridge Broadloom - Blue Ridge "Field" 12 foot wide goods, #2074 "Cordova" in lieu of the specified carpet tile. The specified carpet tile was discontinued per attached PC0#03. ........ $760.20 0 X III. Provide and install vinyl composition tile (VCT) and 4' high rubber wall base in Rooms 13, 14, & 15 per attached PCO#04C....... ............. $1,403.11 0 X IV. Provide and install a second exterior paint coat of accent color PT-2 - Torchlight where indicated on the Drawings A-4, A-5, and A-6 per $4,361.38 attached PC0#05. ............................................. ..,.................. .., 0 X V. Provide and install replacement glass in the Rotunda Skylight per attached PC0#06...............~......................................................, $944.82 0 X VI. Remove and relocate miscellaneous electrical conduits, light fixtures, etc, per attached PCO#07............... ,.........., ...... on ............. $-4, 117.03 0 -- 1, CONTRACT CHANGE ORDER NO: 02 PROJECT NAME:' DOWNTOWN BREMERTON LIBRARY " .. X VII. Provide and install a light fixture to the underside of the exterior entry canopy to illuminate "LIBRARY" signage per attached PCO#09.... $187.88 0 NET CHANGE IN CONTRACT AMOUNT (INCREASE) , $20,797.99 11 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 p'ast 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. Th~ parties whose names appear below warrant that they are authorized to enter into a change order that is binding on the parties of this contract. In addition, Contractor warrants that it has or 'will inform the surety of this change,' and shall take appropriate action to modify any bonds required under the contract to address this change. , RECOMMENDED: ~. PROJECT MA ER RECOMMENDE~~~~ DIRECTOR OF PUBLIC WORKS -- / · 5.,6 {, Date 1- ,t, -0110 Date. ACCEPTED: " APPROVED: TRACtOR: James H. Robinson C mpany, Inc. MAYOR ~ , -6 .e;~ Date /-~--&f' Date Page 2 of3 CONTRACT CHANGE ORDER NO: 02 PROJECT NAME: DOWNTOWN BREMERTON LIBRARY APPROVED AS TO FORM: ~~ Bfemert n City Att~ /( Ci Page 3 of3 FROM JAMES H. ROB I NSON, I Ne. t./'. ,I /. , , I, (THU) 12 1 2005 16: 03/ST. 16: 02lNO. 5510562472 P 2 CITY OF BREMERTON PROPOSED CHANGE ORDER Project: Downtown BtBmerton Ubrary Date: October 12. ,2005 Contrador: James H. Robinson Company,lnc. , Subcontractor; NlA Contract No.: 4505 Request No.: ,PCO-02 Drawing Reference: Varies Repty Requested By.: Dan MUler Scope of Change: Provide all materials, equipment and labor associated with the ,proposed change(s) from the original Scope of WOI1( 8S 'foHows: ' 1. ADA ~estroom 12A - Sanitary & Domestic Water: A. COncrete cut, and excavate a trvnch in,~e existing concrete floor slab lIong s~e of tho known sanitary line that runs from the exl6ting Toilet Room 13 diagonally across Reading Room 11 to the Closet Room 10 In order to adequately InstaU and connect 8 new sanitary IIno that wfn serve the proposed ADA Restroom. B. Provide and install a new cold water S1Jpply line from Closet Room 10 to the proposed ADA Restroom ' 12A In the same open trench. C. Provide and Instill the specified rough-In InstaUatlon of the new sanitary line to serve the ADA water closet and weter line to seNe the ADA lavatory in the proposed ADA Restroom 12A. D. Pfovtde and Install' a new 10 gallon hot water heater In the new AOA restroom. Roor mount In the south west comer o( the. room or ~verhe8d.. Confinn location with the City Project Manager prior to Installation. Connect the hot and cold water lines to the ADA lavatory. 2. Room 14: Provide and Install neW hot and cold water lines, waste and vent nrough,lnnln room 14. Locate where shown on the Itt8ched drawing. Verify location In the field with the City Project Manager. 3. Room 12 Blind SeNlce room: provide and Install layer of 5/8n GWB taped and finished, smooth wall, over all area sit existing acoustic tile. J / ~ "~~2--.' J: 31-r 7AK(!6~); // 02I ~ -r '//#ci:- X.L7~~~;(j~: /1- ~~f7v" (~.(~?t t ()~) Reason for Change: r~h8ngec:l Condition I FRO M JAM E S H. ROB INS O'N, I N C. (THU)12 1 2005 16:03/ST.16:02lNO. 5510562472 P 3 J'AMES H. ROBiNSON CO. INC. CHANGE ORDER DETAIL SHEET CONTRACT NAME: Bremerton Library Renovations PROPOSAL REQUEST: PCO,2 DATE OF REQUEST: December 1. 2005 DESCRIPTION OF CHANGE ,Per peo # 2 1. DIRECT LABOR COSTS: Carpenter Laborer $53.70 $47.83 x 61 HRS. = HRS. = = $3,275.70 $0.00 , SO.OO $3,275.70 $480.00 $50.00 $146.00 S89.00 $125.00 $33.00 $923.00 LABOR SUBTOTAL 2. DIRECT MATERIAL COSTS: Sawcuttlng Tools Concrete Framing M,aterials Access Door DI~p08al MATERIAL SUB'TOT AL 3. CONSTRUCTION EQUIPMENT COSTS: CONSTRUCTION EQUIPMENT SUBTOTAL $0.00 $380.00 $200.00 $2,565.00 4. SUBCONTR~CTORS SUBTOTAL: Gypsum W.llbOlJld EIfU:tr/c81 Plumbing SUBCONTRACTOR SUBTOTAL SUMMARY: LABOR SUBTOTAL MATERIAL SUBTOTAL CONSTRUCTION EQUIP. SUBTOTAL SUBCONTRACT SUBTOTAL SUBCONTRACT INSURANCE PREMIUM 1.0% $3,145.00 $3,275.70 $923.00 , $0.00 $3,145.00 $31.45 OVERHEAD & PROFIT ON LABOR, MATERIALS. EQUIPMENT 11 % OVERHEAD & PROFIT ON SUBCONTRACT WORK 11 % BONDING 1.5% TOTAL S461.86 _ $349.41 $122.80 $8,309 TIME EXTENSION ADQED BY THIS CHANGE REQUEST IS _,,_ WORKDAYS (RevlSfJd Connel Complellon Date 10 be January 6, 2006) SUBMITTED BY:_Brllce Berkimer DATE:_12101/05_ . 11'-- -. ,- -, i CITY OF BREMERTON PROPOSED CHANGE ORDER Project: Downtown Bremerton Library Date: October 13, 2005 Contractor: James H. Robinson Company, Inc. Subcontractor: N/A Contract No.: 4505 Request No.: PCO-03 Spec. & Drwg. Reference: 09681 & A-7, A-8 Reply Requested By: Dan Miller Scope of Change: Provide all materials, equipment and labor associated with the proposed change from the original Scope of Work as follows: The carpet manufacturer for the specified carpet, Blue Ridge Carpet Tile; Blue Ridge "Field" 24" x 24" #2074 "Cordova" has been discontinued. As a result, an alternate carpet is selected by the Architect, Miles Yanick & Company as follows: Blue Ridge Broadloom - Blue Ridge "Field" 12 foot wide goods, #2074 "Cordova" A. Fiber Content: 1005 Zeftron Solure Nylon with stain protector and soil repellent B. Face Construction: Textured Pattern Loop C. Gage: 1/12:' ends per inch (4.72 rows/em) D. Stitches: 10 per inch (3. 94 stitches/em E. Pile Height: .118 inches approx. (3.0mm) F. Surface Pile Weight: 28 ozJsq.yd. (949 g/sq. m) including weight of backings G. Total Weight: 152 ozJsq. yd. (5153 g/sq.m) including, weight of backings H. Primary Backing: 100% Synthetic I. Secondary Backing: "Powerlock" High Performance J. Critical Radiant Flux Classification: Class I (greater than 0.45 per sq. em) per ASTM E-648 Maximum Specific Optical Density of 450 or less per NBS Smoke Chamber (NFPA 258). Reason for Change: Changed Condition Differing Site Condition Owner Request X Contractor Request Cost Estimate (attach necessary supporting documentation): Letter attached from Miles Yanick & Company, dated October 12, 2005. c-pv;".J : .Jt 7t/~- ~ -r ?/I-x (d~ c:,;:)' --~Zci-~;c:;~ Schedule Impact (attach analysis if necessary): None Chapge Order Type: Lump Sum X Time and Material Requested By: Daniel J. Miller Project M8;nager Date: 10/13/05 FROM JAMES H. ROB I NSON, INC. (THU)11 17 2005 13:52/ST.13:51/NO. 5510562450 P 2 JAMES H. ROBiNSON CO. INC. CHANGE ORDER DETAIL SHEET CONTRACT NAME: Bremerton Library Renovations PROPOSAL REQUEST: . P.c.o. #3 DATE OF REQUEST: November 7, 2005 DESCRIPTION OF CHANGE Change from Carpet Tile To Blue Ridge Broadloom. -install new oak base shoe and reinstall pieces of base as a result of sbstemtHIt ,. DIRECT LABOR COSTS: Carpenter Laborer x 22 HRS. = HRS. = $53.70 $47.83 = LABOR SUBTOTAL 2. DIRECT MATERIAL COSTS: Oak Ba88 MATERIAL SUBTOTAL 3. CONSTRUCTION EQUIPMENT COSTS: x !-:IRS. CONSTRUCTION EQUIPMENT SUBTOTAL 4. SUBCONTRACTORS'SUBTOTAL: Rubenstelns Carpet change A+ Coatings SIlI/n trim Rubensfelns FICOI' prep skim OWl' existing glue SUBCONTRACTOR SUBTOTAL SUMMARV: LABOR' IUSTOT A'- MATERIAL SUBTOTAL CONSTRUCTION EQUIP. SUBTOTAL SUBCONTRACT SUBTOTAL SUBCONTRACT INSURANCe PREMIUM 1.0% OVERHEAD & PROFIT ON LABOR, MATERIALS, EQUIPMENT 11 % BONDING 1.5% TOTAL TIME EXTENSION ADDEO BY THIS CHANGE REQUEST IS _ WORKDAYS SUBMITIED BY:_Bruce Berklmer DATE:_'0/11/0S_ $1,181.40 $0.00 $0.00 $1.181.40 ' $561.00 $561.00 $0.00 $0.00 ($3,182.00) $350.00 $1.600.00 ($1,232.00) $1,181.40 $561.00 $0.00 ($1,232.00) ($12.32) $191.68 $10.35 $700 Oct . 2 5. 2005 9 : 5 I AM . No.4486 p. 1 Rubenstein's 711 S Capitol ,Way, Ste 705 Olympia, WA 98501 (360) 75$.9156 Fax 360-753-3723 www.rubensteins.com bemie@rubensteins,com To: Bruce @ Robinson Co From; Bernie Friedman F.x: 36Q...3n-9609 1 Pages Ph: 360-377-0066 Date:' 10/25/05 .. Bremerton Ubrary ..... Urgent For bvIew Please Comment PIe8se Reply PI... Recycle After our vial yesterday at the JobaIte: The credit for changing from Carpet Tiles to Broadloom carpet Is $3,182.00. deducting that from the original contract of S21,030~OO leaves ~,'new contlact,amount of $11,848.00. This'neludes the change from CPT 1LE to CPT BRDUI (note that broadloom has a ~ waste factor). I also Includes the chan9es we spoke about to add carpet to the BInd SeMce area and the room leading to it. The job visit yesterday was to insped: the fOOsting flooring conditions to see If we could instal tbe new carpet O\fer the exISting. Although the hard 8Urfa~ tile seems to be well adhered we found it to be loose in sev~ areas. There 18 a risk to Installing the new BroadloOm carpet over the existing flooring. We would reconvnend the removal of,that existing hard sl,Irface floor and then a skim coat. of the concrete su~ with Ardex Feather Finish. Or, the owner could provide us with a Nleaee of I'88ponsibiJily. If you have any further questions can me. I plan on ordering materiallc)day. ".".. Nov.15. 2005 12:33PM . No.5109 p. 1 Rubenstein's 711 S Capitol Way, Ste 705 Olympia, WA 98501 (360) 753-9156 Fax 360-753-3723 WWIN.rubensteins.com bemie@rubensteins.aom To: Bruce @ Robinson Co Flvm: Bernie Friedman Fax: 1 Pages Ph: Da_ 11/14105 Re: Bremerton Library Floor Prep Elnait: Ullgent For ~ PI... COm.....t Please Reply P..... R~ To add a skim COlt to the 8Ub-ftoor to encapsulate the existing adhesive 80 Ulat the new Carpet adhesive wll have a compatible surface for performance. ' ADD $1600.00 8M... MILES YANICK & COMPANY ARCHITECTURE 0 LAND PLANNING 0 INTERIORS 0 LANDSCAPE DESIGN IM'EMOI OWNER City of 8remerton ARCHITECT Miles Yanick PROJECT: Downtown 8remerton Ubrary CONTRACTOR: Robinson Co. ARCHITECT'S PROJEcr/ALE NU,M8ER: 04-499/ file 5-8 DATE:October 12,2005 RE: Downtown Library Carpet Alternatives Sauare Footaae Estimates: ' A) Carpet Areas other ,than vestibule: 3,920 sf + 196 (5% extra) = 4,116 sf = 457 sy 8) Vestibule (Walk Off) Area: 102 sf + 1 sf (+5%) = 13 sy (Does not include !;lase or transition strips) Camet As specified: Blue Ridge Carpet Tile Blue Ridge "field" 24"x24" #2074 "Cordova" A. Fiber Content: 100% Zeftron Solure Nylon with stain protector and soil repellent 8. Face Construction: Textured Pattern Loop C. Gage: 1/12" ends per ineh (4.72 rows/em). D. Stitches: 10 per inch (3.94 stitchesjcm). E. Pile Height: .118 inches approx. (3.0 mm) for finished carpet tile per ASTM D 418. F. Surface Pile Weight: 26 oZ.jsq. yd. (882 g/sq. m) excluding weight of backing~ G. Total Weight: 152 Ol.jSq. yd, (5153 gjsq. m) including weight of backings H. Primary Backing: 100% Synthetic 1. Secondary Backing: "EnviroFlex" Performance Engineered Backing with recycled content J. Critical Radiant Flux Classification: Class I (greater than 0.45 per sq. cm) per ASTM E-648 Maximum Specific Optical Density of 450 or less per N8S Smoke Chamber (NFDA 258). Approximate Installation Cost: per manufacturer's rep (Brian Spitzer) should install for $36 sy A) Carpet Areas: Instal/435 sy X $36 = $15,660 + sales tax Page 10f2 Carpet Alternate Prooosed 10 October 2005: Blue Ridge Broadloam Blue Ridge "Field" 12 ft. wide goods, #2074 "Cordova" A. Fiber Content: 100% Zeftron Solure Nylon with stain protector and soil repellent B. Face Construction: Textured Pattern Loop C. Gage: 1/12" ends per inch (4.72 rows/em). D. Stitches: 10 per inch (3.94 ~tches/cm). E. Pile Height: .118 inches approx. (3.0 mm) F. Surface Pile Weight: 28 oz./sq. yd. (949 g/sq. m) excluding weight of backings G. Total Weight: 152 oz.jsq. yd. (5153 g/sq. m) including weight of backings H. Primary Backing: 100% Synthetic 1. Secondary Backing: "powerlock" High Performance J. Critical Radiant Flux Classification: Class I (greater than 0.45 per sq. cm) per ASTM E-648 Maximum Specific Optical Density of 450 or less per NBS Smoke Chamber (NFDA 258). Aooroximate Installation Cost: Should install for $27 sy per Brian Spitzer, 7 /26/05 (Produ~ $6 less per sy to contractor) S' Instal1435 sy x $27 = $11,745 + sales tax Vestibule As 5oecified: Van Dijk Contract Modular Series "Diagonal TIle", 19 11/16 sq. (SO em) #17 Beige Contact: Architectural Directions, Marc Lapsley (800) 450-0990 Fiber Content: Blend of 12-160 DPF Solution Dyed'UV Stabilized ASarA Polypropylene Face Construction: Non-woven Diagonal Rib Total Height: .313 inch approx. for finished carpet tile Surface Pile Height: .213 inch (variable) Total Weight: 126 oz./sq. yd. Primary Backing: 100% Synthetic Secondary Backing: "EnviroAex" Performance Engineered Backing with recyded content Critical Radiant Aux Classification: Class II (ASTM-E-648) Aooroxlmate Installation Cost: B) Walk Off Areas: 13 sy x $45 = $585 (approximate) MEMO BY Amy L. Duerr Day Page 2 of2 Btue Ridge Carpet ield Construction PHe Fiber Yarn Ply Tufted Yarn Weight Machine Gauge Stitches Per,lnch Finished Pile Thickness > Density Fact<1~ Width Primary Backing Secondary Backing Flammability CRllO'door Air Quality Carpet Testing 'Program Page 1 of 1 ~~ l-~(;I: Textured Pattern Loop 100% Zeftron Solure Nylon Contains Recycled Content. Treated with a Stain Protector and Soil Repellent. 3 Ply 28 Ounces Per Sq. Yd, (949 g!m) 1!12" (4,72 Rows/em) 1 0 t).94 Stitches/em) ,1181nch Approx. (3,0 mm) 8452 12' (3.66 m) 100% Synthetic Power Lock@ High Performance Backing Flooring Radiant Panel Test ASTM E-648 - Passes - Has an Average Critical Radiant Flux of Greater than .45 Watts per Square Centimeter. Class I. NBS Smoke Chamber (NFDA 258). Has a Maximum Specific Optical Density of 450 or less, ' Passes - Certification No, 16654078 -;:;x.~;~(..:. ;'~F71::l -~"?tr~ ;;'\-=:;;~5 ~.c"'rr,fi:--:r:-~1i'r;: hnp: i iww"W. b I uen dgecarpet. com/products/gall ery lfi el d. html 10/1212005 rm~'1 i! i !! , i I. c ;! i I ! l! '-' . " I 1', . ~. j' ; JI :1 CITY OF BREMERTON PROPOSED CHANGE ORDER Project: Downtown Bremerton Library Date: November 22,2005 Contractor: James H. Robinson Company, Inc. Subcontractor: N/A Contract No.: 4505 Request No.: PCO-04C Spec. & Drwg. Reference: 09681 & A-7, A-8 Reply Requested By: Dan Miller Scope of Change: Provide all materials, equipment and labor associated with the proposed change from the original Scope of Work as follows: Revision to PCO-04B as follows: Requesting a revised cost estimate to provide and install vinyl composition tile (VCT) with 4-inch RB-1 in Rooms 13, 14 & 15. Architect: to select color and pattern of the VCT arid, RB-1. Reason for Change: Changed Condition Differing Site Condition Owner Request X Contractor Request Cost Estimate (attach necessary supporting do.cumentation): Yc!O "":/ ~ /. 2/2_020 r ?;#. a: ~,?;) ~ g/; /,~.? /1 Schedule Impact '(attach analysis if necessary): None Change Order Type: Lump Sum X Time and Material- Requested By: Daniel J. ~iIIer Project Manager Date: 11/22/05 FROM JAMES H. ROB I NSON, INC. (WED) 11 23 2005 13: 1 O/ST. 13: ag/NO. 5510562455 P 4 JAMES H. ROBiNSON CO. INC. CHANGE ORDER DETAIL SHEET CONTRACT NAME: Bremerton Library Renovations PROPOSAL REQUEST: P.C.O. #4C ' , DATE OF REQUEST: November 23, 2!l05 DESCRIPTION OF CHANGE Provide New veT from Subcontractor excess warehouse In Rooms. 14, 15, 16 & new rubber base. ' Robinson ComfJany Floor Prep with A,dex. 1. DIRECT LABOR COSTS: Carpenter Laborer $53.70 $47.83 x 4 HRS. = HAS. = = $214.80 $0.00 $0.00 $~14.80 $115.12 LABOR SUBTOTAL 2. DIRECT MATERIAL COSTS: 4bags Ardex 28.78 ea MATERIAL SUBTOTAL $115.12 3. CONSTRUCTION EQUIPMENT COSTS: x HRS. $0.00 CONSTRUCTION EQUIPMENT SUBTOTAL $0.00 $800.00 4. SUBCONTRACTORS SUBTOTAL: Rubenstelns SUBCONTRACTOR SUBTOTAL SUMMARY: LABOR SUBTOTAL MATERIAL SUBTOTAL CONSTRUCTION EQUIP. SUBTOTAL SUBCONTRACT SUBTOTAL SUBCONTRACT INSURANCE PREMIUM 1.0% $890.00 $214.80 $11,5.12 $0.00 $800.00 $8.00' OVERHEAD & PROFIT ON LABOR, MATERIALS, EQUIPMENT 11% OVERHEAD & PROFIT ON SUBCONTRACTORS- 11% BONDING 1.5% TOTAL $36.29 $100.66 $17.61 $1,292 TIME EXTENSION ADDED BY THIS CHANGE REQUEST IS _ WORKDAYS SUBMITTED BY:_Bruce Berklmor DATE:_ 11/17/05_ !:m.~ ;1 i fI ~ i ! :_;: , 'I ')J L " 1 It' I; ;.. I CITY OF BREMERTON PROPOSED CHANGE ORDER Project: Downtown Bremerton Library Date: November 16, 2005 Contractor: James H. Robinson Company, Inc. Subcontractor: N/A Contract No.: 4505 Request No.: PCO-05 Spec. & Drwg. Reference: 09910 & A-4, 5, & 6 Reply Requested By: Dan Miller Scope of Change: Provide all materials, equipment and labor associated with the proposed change from the original Scope of Work as follows: Requesting, a cost estimate to provide and install a second coat of" PT-2 - Torchlight" where indicated on Exterior Elevations Paint Plan; Drawings A-4, A-5, and A-6. Reason for Reauest: The one (1) coat over primer according to Specification Section 09910, Part 3.3A3 is not adequately covering the primer ~nd therefore creating shadows as a result. Note: This request is pending the Architect's review during the Thursday. Noyember 17th 9:00 A.M. site visit. Reason for Change: Changed Condition Differing Site Condition Owner Request X' Contractor Request Architect's Request Cost Estimate (attach necessary supporting documentation):. . /.<-, ' tI( d .-- ..., __I' I'f,/ 7 ~;4" 5': ~ J, tJ,7 8. .c.o ~ f'/:!~_,~c? r 771:;( ( d< :.' ./';'::: -.e 7'. j ~ /. ...~ , ------- Schedule Impact (attach analysis if necessary): None Change Order Type: Lump Sum X Time and Material Requested By: Daniel J. Miller Project Manager Date: 11/16/05 FROM JAMES H. ROB I NSON, INC. (THU) 11 17 2005 13: 53/8T, 13: 51 INO. 5510562450 P 4 JAMES H. ROBINSON CO. INC. CHANGE ORDER DETAIL SHEET CONTRACT NAME: Bremerton Library Renovations PROPOSAL REQUEST: P.C.O. #5 DATE OF REQUEST: Novembe, 17, 2006 DESCRIPTION OF CHANGE Add Second Coat of Paint to PT-2 at all exter/.or surfaces 1. DIRECT LABOR COSTS: Carpenter Laborer HRS. = HRS. = = $0.00 $0.00 $0.00 SO.OO $53.70 $47.83 x LABOR SUBTOTAL 2. DIRECT MATERIAL COSTS: 3. CONSTRUCTION EQUIPMENT COSTS: MATERIAL SUBTOTAL $0.00 x HRS. $0.00 $0.00 CONSTRUCTION EQUIPMENT SUBTOTAL 4. SUBCONTRACTORS SUBTOTAL: A+ Profssslonal Coarlngs $2,729.00 SUBCONTRACTOR SUBTOTAL $2,729.00 $0.00 $0.00 $0.00 , $2,729.00 $27.29 SUMMARY: LABOR SUBTOTAL MATERIAL S.UBTOTAL CONSTRUCTION EQUIP. SUBTOTAL SUBCONTRACT SUBTOTAL SUBCONTRACT INSURANCE PREMIUM 1.0% OVERHEAD & PROFIT ON LABOR, MATERIALS, EQUIPMENT 11 % OVERHEAD .. PROFIT ON SUCONTRACTORS 11 % BONDING 1.5% TOTAL $0.00 $300.19 $41'.34 $3,098 TIME EXTENSION ADDED BY THIS CHANGE REQUEST IS _ WORKDAYS SUBMITIED BY:_Bruce Berkimer DATE:_11/17/0S_ FROM JAMES H.ROBINSON, INC. (THU)ll 172005 13:521ST.13:51/NO.5510562450 P 3 . FR01 : A+PROFESSION~L_CrnTINGs.INC. FAX NO. : 253+8471r Nov. 17 2005 11 : 52AM P21: .~ /' A+PROFESSIONALCOATINGSa~~. ..' ~ 'Rasidentiall Commercia V Industrial , /' CHANGE ORDER 0359 (,r~~ 9602 415th S1reet f:ast' DATi .lOa NO. In..t..~ Eatonville. WA 98328, 1- 7, a ~ -:,) (360) 832-44G1 · FAX (360) 832-4461 ",: TO I?,,~; IoL ~ ~'n C~.' / Iv t:- ~ '" WE ARE SENDING YOU 0 .uoahod o Under sc:p.rA.t.c Go"'er yi~ tho followlno [tams; o Shop DrawingS , Deopy of Icllor o Prln'.. ~"tI. Onl~~ OPlllna o S."'plc~1I o SpoolRG.Uunl o PLEASE F1ND BELOW THE COST OF THE ABOVE REFERENCED CHANGE ORDER: $ $ $ $ $ $ $ S $ '$ $ , ITEM"' LABOR SUPERVISION ADMINISTRATIOli I MATERIAL TYPE GALLONS SMALL. TOOLS EQUIPMENT TRUCK COST PER ITEM SUBTOTAL PROFIT &. OVERHEAD SUBTOTAL INSURANCE COST TOTAL COST OF CHANGE ORDER NO._ s CONmACTCOMPLETION DATE: ( )NOCHANGE( )INCREASE ()DECREASeOF () CALENDAR DAYS If lJ"ct03~.~ ./e ,..,1 "DflJd. It, COpy TO: FROM JAMES H. ROB I NSON, INC. . (THU)11 172005 13:53/Sl13:51/NO. 5510562450 P 6 JAMES H. ROBINSON CO. INC. CHANGE ORDER DETAIL SHEET CONTRACT NAME: Bremerton Library Renovallons P.C.O.I/IJ:~ DATE OF REQUEST: November 17, 2005 PROPOSAL REQUEST: DESCRIPTION OF CHANGE Field change inferior paint scheme per 11/03105 memo involved sefera' coats of repainting -red- color 1. DIRECT LABOR COSTS: Carpenter Laborer $53.70 $47.83 x HRS, = HAS. = = $0.00 $0.00 $0.00 $0.00 LABOR SUBTOTAL 2. DIRECT MATERIAL COSTS: MATERIAL SUBTOTAL $0.00 3. CONSTRUCTION EQUIPMENT COSTS: x HRS. $0.00 , CONSTRUCTION EQUIPMENT SUBTOTAL $0.00 4. SUBCONTRACTORS SUBTOTAL: A+ Professlona' COIItlnl1B $808.87 SUBCONTRACTOR SUBTOTAL SUMMARY: LABOR SUBTOTAL MATERIAL SUBTOTAL CONSTRUCTION EQUIP. SUBTOTAL SUBCONTRACT SUBTOTAL SUBCONTRACT INSURANCE PREMIUM 1.0% $808.87 OVERHEAD Ie PROFIT ON LABOR, MATERIALS, EQUIPMENT 11 % OVERHEAD & PROFIT ON S,UBCONTRACTORS 11% BONDING 1.5% TOTAL $0.00 $0.00 $0.00 $808.87 $8.09 $0.00 $88.98 $12.25 $918 TIME EXTENSION ADDED BY THIS CHANGE REOUEST IS _ WORKDAYS SUBMITIED BY:_Bruce Berkimer DAIE:_11117105_ FROM JAMES H. ROB I NSON, INC. . (THU)ll 17 2005 13:53/ST.13:51/NO. 5510562450 P 5 FROM : A-+-PROFESSIONAL_COATINGS, INC. FAX NO. 253+8471043 "- Nov. 17 2SeS 11:S3AM. P3 f:.+ P~OFESSIONAL COATINGS Z~..;, Reslderrtiall CommerciaV Industrial (J.'" 9602 41 5th street East {~~ Eatonville, WA 98328 - ----.:) (360) 832-4461 · FAX (~60) 832-4461 CHANGE ORDER 0358 DAT' . 1/" 17- ~ JOI foIO. ATTENTlOi1 n . TO ~~~IN~~""; CO I.";~ ~~ we ARE SENDING YOU 'DAtI.chell, ., . o Under lop.r~. coyer 'Wlo (h~ fa'lOwln, Items: o SpocUlcaUon.. o CopY of letler o Pr'nlll (d'thangc Order O'llIInl o S.rnplc15 OShOPD~' o PLEASE FlND BELOW THE COST OF THE ABOVe'AEFERENCED CH~NGe ORDER: .. COST PER 'ITEM $ $ $ e~V,~ $ l/.1 $ $ $ $ $ $ $ '. SUBTOTAL PROFIT. OVERHEAD SUBTOTAL INSURANce COST TOTAL COST Of CHANGE ORDER NO.' CONTRACT COMPLETION DATE: ( NO CHAN'GE ( ) INCREASE () OECREASE OF ( ) CALENDAR DAYS , copY TO: CITY OF BREMERTON PROPOSED CHANGE ORDER Project: Downtown Bremerton Library Date: November 18, 2005 Contractor: James H. Robinson Company, Inc. Subcontractor: N/A Contract No.: 4505 Request No.: PCO-06 Spec. & Drwg. A-8, Ceiling & Skylight of Rotunda. Reply Requested By: Dan Miller Scope of Change: Provide all materials, equipment and labor associated with the proposed change from the original Scope of,Work as follows: ' Rotunda Skylight: Requesting i;I cost estimate to provide and install 8 each, 1/4 - inch white plexiglass or 7/32 _ inch white diffUsed laminated glass lenses in the Rotunda Skylight. The replacement lenses are approximately 10" x 48" (Contractor to field verify exact measurement) that radials from center skylight."Star" medallion in the North, South, East & West directions. Reason for Estimate: Replacement of existing cracked or sheared skylight glass lenses that otherwise cannot be restored and presents a.safety hazard to the public and a 'safety liability for the City. Reason for C~ange: Changed Condition Differing Site Condition Owner Request Contractor Reql,lest Architect Reauest X Cost Estimate (attach necessary supporting documentation): ~ -.% . J ??o. 4:) -r "TAX ( J'. (,.,7.) - vi 9 (!' 1'2.- Schedule Impact (attach analysis if necessary): None Change Order Type: Lump Sum X Time and Material Req~ested By: Daniel J. Miller Project Manager [>.ate: 11/18/05 FROM JAMES H. ROB I NSON, I Ne. .. I ,(THU)12 1 2005 16:03/ST.16:02lNO. 5510562472 P 5 JAMES H. ROBINsON CO. INC. CHANGE ORDER OEiAIL SHEET CONTRACT NAME: Bremerton Library Renovations PROPOSAL REQUEST: PCO #fJ DATE OF REQUEST: December 7,J005 DESCRIPTION OF CHANGE Clean Glass In Rotunda and rop/ace damaged .1. DIRECT LABOR COSTS: Carpenter Laborer LABOR SUBTOTAL $537.00 $0.00 $0.00 $537.00 $53.70 $47.83 x 10 HRS. = HRS. = = 2. DIRECT MATERIAL COSTS: Glazing 1/4 White plexlglass or 7132" diffused white laminated glass $235,00 MATERIAL SUBTOTAL $235.00 3. CONSTRUCTION EQUIPMENT COSTS: x HRS. so.oo CONSTRUCTION EQUIPMENT SUBTOTAL $0.00 4. SUBCONTRACTORS SUBTOTAL: SUMMARY: LABOR SUBTOTAL MATERIAL SUBTOTAL CONSTRUCTION EQUIP. SUBTOTAL SUBCONTRACT SUBTOTAL SUBCONTRACT INSURANCE PREMIUM 1.0% SO.OO $537.00 $235.00 $0.00 $0.00 , $0.00 SUBCONTRACTOR SUBTOTAL OVERHEAD & PROFIT ON LABOR, MATERIALS. EQUIPMENT 11 % OVERHEAD & PROFIT ON SUBCONTRACT WORK 11% ~~~ 1$ TOTAL $84.92 $0.00 $12.85 $870 TIME EXTENSION ADDED BY THIS CHANGE REQUEST IS _ WORKDAYS SUBMITTED BY:_Btuce Berkimer DATE:_10111/05_ .\ CITY OF BREMERTON PRo.POSED CHANGE ORDER Project: Downtown Bremerton Library Date: December 1, 2005 Contractor. James H. Robinson Company,lnc. Subcontractor: N/A Contract No.: 4505 Request No.: PCO-07 Spec. & Drwg. N/A ' Reply Requested By: Dan Miller Scope of Change: Provide all materials, equipment and labor associated with the proposed change from the original Scope of Work as follows: Provide and install the following according to the November 30th on-site meeting: 1. Toilet Room 13: Provide and install fiberglass wainscot in this room; 2. Remove conduit(s) located on the west side of elltry doors in the Rotunda area as discussed in the field and modify conduit to run thn.i floor to bottom feed the 4-gang' receptacle located on the northeast wall of the Seminar Room 6; 3. Paint the emergency lighting unit including lamp hoods located and mounted on the west wall in the northwest corner of the Rotunda to match the dominant color of the wall (PT -3); 4. Modify length of pendants that support light fixtures, F2 and F4, in Rooms 3, 4, 12 & 14; approx. 12-pendants e~ch. Modify pendants so that bottom of light fIXtures is 8-feet AFF; Q. Install the existing light fixtures removed in the Blind Servo Room 12 and ADA Alcove 12A and install these fixtures in place of the existing ceiling fixtures in the OffICe & Work Room 15; and ~. Remove and dispose of the 8-each fluorescent 2 x 4 lamp fixtures in the Rotunda Area and patch and paint as needed. ' Reason for Change: Changed Condition X Differing Site Condition Owner Request X Contractor Request Architect Request X Cost Estimate (attach necessary supporting'documentation): ~&~/ : ~.3" '79 /. ~ ,7A-K if fJ'.) < #" //7. ~3 Schedule Impact (attach analysis if necessary): None Change Order Type: Lump Sum X Time and Material Requested By: Daniel J. Miller Project Manager Date: 12/1/05 FROM JAMES H. ROB I NSON, I NC, '(THU) 12 22 2005 14: 21/ST, 14: la/NO, 5510562523 P 2 JAMES H. ROBINSON CO. INC. CHANGE ORDER OETAIL SHEET CONTRACT NAME: Bremerton Library Renovations PROPOSAL REQUEST: pea #7 DATE OF REQUEST:' December 79, 2005 DeSCRIPTION OF CHANG'E Various items per f9quest 1. PIRECT LABOR COSTS: Carpenter Laborer $53.70 $47.83 x 17 HRS. = HRS. ~ "" $912.90 $0.00 $0.00 $912.90 ,LABOR SUBTOTAL 2.' DIRECT MATERIAL COSTS: FRP, mise materials for bathroom repair Paint Materials Disposal $97.00 $20.00 $25.00 MATERIAL SUBTOTAL 3. CONSTRUCTION EQUIPMENT COSTS: $142.00 x HAS. $0.00 4. SUBCONTRACTORS SUBTOTAL: Bainbridge Electric A+ Prof9sslonal Coatings CONSTRUCTION EQUIPMENT SUBlOT AL $0.00 $2,168.00 $119.42 SUBCONTRACTOR SUBTOTAL $2,287.42 $912.90 $14.2.00 $0.00 $2,287.42 $22;87 SUMMARY: LABOR SUBTOTAL MATERIAL SUBTOTAl CONSTRUCTION EQUIP. SUBTOTAL SUBCONTRACT SUBTOTAL SUBCONTRACT INSURANCE PREMIUM 1.0% OVERHEAD & PROFIT ON LABOR, MATERIALS, EQUIPMENT 110(~ OVERHEAD & PROFIT ON SUBCONTRACT WORK 11% BONDING 1.5% TOTAL $116.04 $254.13 $56.03 $3,791 TIME EXTENSION ADDED BY THIS CHANGE REQUEST IS _ WORKDAYS SUBMiTTED BY:_Bruce Berkimar DA TE:_10/11/05_ FROM JAMES H. ROB I NSON, I NC, (THU)12 22 2005 14:21/ST,14:18/NO, 5510562523 P 3 m CITY OF BREMERTON PROPOSED CHANGE ORDER Project: Downtown Sremerton library Date: December 1, 2005 Contractor: James H. Robinson Company, Inc. Subcontractor: N/A Contract No.: 4505 Request No.: PCO-07 Spec. & Drwg. N/A Reply Requested By: Dan Miller Scope of Chang!'!: Provide all materials, equipment and labor associated with the proposed change from the original Scope of Work as follows; , , Provide and install the following according to the November 30th on.site meeting: 1. Toilet Room 13: Provide and install fiberglass wainscot in this room; 2. Remove conduit(s) located on the wast sIde of entry doors in the Rotunda area as discussed In the field and modify conduit to run tJiru floor to bottom feed the 4-gan9 receptacle located on the northeast wall of tho Seminar Room 6; 3. Paint ~e emergency lighting unit Including lamp' hoods located and mounted on the west wall in the northwest corner of the Rotunda to match the dominant color of the wall (PT-3); 4. Modify length of pendants that support light fixtures, F2 and F4, In Rooms 3, 4, 12 & 14; approx. , 2-pendants each. Modify pendants so that bottom of light fixtures Is 8-feet AFF; , ~. Install the existing light fixtures removed in the ~Iind SaN. Room 12 and ADA Alcove 12A and install these fixtures In place of the existing ceiling fixtures In the Office & Work Room 15; and ' fi. Remove and dispose of the B-each fluorescent 2 x 4 lamp fixtures in the Rotunda Area and patch and paint as needed. ' Reason for Change: . Changed ConditIon X Differing Site Condition Owner Request X Contractor Request Architect ReQuest X Cost Estimate (attach necessary supporting documentation): Schedule Impact (attach IInalY$ls If necessary): None Change Order lype: Lump Sum X Time'and Material Requested By: Daniel J. Miller Project Manager Date: 12/1/05 FROM JAMES H,ROBINSON, I'NC, (THU) 12 22 2005 14: 21 /ST, 14: 18/NO, 5510562523 P 4 BAINBRIDGE ISLAND ELECTRIC P.O. BOX 10066 Bainbridge IGland. W/J. 98f10 Info@bainbrfdgQi~electric,oom Construction T 9chnolOQX www.bainbrldgeislandelctr1c.com Request for Additional Worl< Date 121712005 To: Robinson Co~pany ~nc Re: City Bremerton Library We have been instructed 10 perform electrical work that is not on the prints end/or is an addition to the contract docufTlSnts. We request additional oompensation and will proceed with the work upon written approval. Please forward for, approval as soon as ,possible, as this additional wor1< may affect the completion date of the project. Scope of work: Install 20 amp 120 volt dedicated circuit for,fire alarm panel Additional cost $ 342.00' -~~-:5Z Su:m~ b~ Ron lubovlch Sainbridge Island Electric 206-842-4200 voice 206-842-1486 Fax Accepted by: For. 110 Bjune Dr. S.E. Bainbridge Island, Wa, 98110 IndustriaUCommerciallRes'dontlal Est. 1975 E"d 99~I2~8902r ~j~~~I3 PU~(~I ~~pt~qUteA a/C:/T en In ~~n FfWM JAMES H. ROBINSON, INC. (THU) 12 22 2005 14: 21 1ST, 14: 18/NO, 5510562523 P 5 BAINBRIDGE ISLAND ELECTRIC Construction Technology WW'III.bainbridBoislandBlciric, com P.O. BOX 1001.i6 Bainbridge lalMd, W.. 98110 info@l:lalnbrldgelslsncleledric.com Request for A,dditional Work Date 121712005 To: Robinson 'Company Inc Re: '~ily Bremerton Library We have been instructed to perform electTical worK that is not on the prints and/or is an addition to the contract documents. we request additional compensatlon and will proceed with the work upon written approval. Please forward for approval as sOon as possible, as this additional work may affect the completion date of the project. , Scope of work: Remove existing surface conduit and refeed receptacle circuit from basement Additional cost $ 314.00 ~~/ Slibm by: Ron lubovlch Bainbridge Isl~nd Electric 206-842-4.200 voice 206:842-1486 Fax ~ Accepted by: For: 110 Bjune Dr. S.E. Baltbidge Island. Wa. 98110 IndustriallCommerclallRGtSidentlaJ Est. 1975 2'd 99~12~B902t ~J~~aI1 p~elSi a~Pi~QUI~A dQC~~l ~n In ~~n , FRDM JAMES H. ROB I NSON, INC. (THU)12 22 2005 14:21/ST,14:18/NO, 5510562523 P 6 BAINBRIDGE ISLAND ELECTRIC Constroction T echnoloqy www.belnbridgelsIBndelctrlc.com P.O. BOX 10068 Bllinbridga Island. We. 98110 in~balnbridgeislan<1electlic.l:Ol'l\ Request fr?r Additional Work Date 1212012005 To: Robinson Co. Inc. Re: Bremerton Library We have 'been instructed'to perfonn electrical work that is not on the prints and/or is an addition to the contract documents. We request additional compensation and will proceed with the work upon written approval Please forward for approval as soon as possible. as this additional work may affect the oompletion date of the project. Scope of work: Remove and alter approximately lwelve existing light fixtures and reinstall. Remove three existing Ught fixtures and replace with three customer supplied Ilgh~ ftxlures. Additional cost $ 875.00 Submitted by: Ron luboVich 'Bainbridge Island Electric 200-842-4200 ygicll 206-842-1486 Fax Accepted by: For: 110 Bjune Dr, S.E. Bainbridge Itland, Wa. 98110 Industrial/CommercIal/Residential Esl1975 I - ci 99pI2~89021 t~~~al~ pueiSi ~~DiJaUigR p~n"'n ~n n? ~~n . I F~OM JAMES H,ROBINSON,INC, (THU)12 22 2005 14:221ST,14:18/NO, 5510562523 P 7 BAINBRIDGE 'ISLAND ELECTRIC P.O. BOX 10066 'Bslnbridge Island, We. 98110 infoCbainbridgeislandelecttic.com Construction Technoloqy www.bairtJridgeislandelctric.com Request for Additional Work Date 121712005 To: Robinson Company Inc Re: City Bremerton library We have been,instrvcb9d to perform electrical worlc that is not on the prints and/or is an addition to the contract dOCuments. We request additional compensation and will Proceed with the wort< upon written approval. Please forward for approvel as SOOn as possible, as this additional work may a~t the completion date of the project. Scope of work: Install 20 amp 12.0 volt dedicated circuit for and connect water heater Additional cost $ 637.00 Submitted by: Ron Lubovich Bainbl1dge Island Electric 206-342-4200 voice 206-842.1466 ~ilx -. Accepted by: For: 110 Bjune Dr. S.E. Bainbridglt Island. Wa. 98110 'ndustl'laUCommerclallRe9ldentJa' Est. 1975 T 'd 99~12~BSO?1 l~~~~T~ PU~TST a~DIJDut~Q ~Oi"""'T roo", ,,'" . ,FRO~ JAMES H. ROB I NSON, I NC, (THU) 12 22 2005 14: 22/3T, 14: 18/NO. 5510562523 P 8 FROM : A+PROFESSIONAL_COATINGS,INC, FAX NO. 253+8471043 Dec. 15 2~05 12:19PM P2 A+ PROFESSIONAL COATINGS 7l~ ReSidential f CommerclaV IndustrIal J .., 9602 415th Street East ?....t,~ Eatonvllle, WA 98328 -,,:) (360) 832-4461 · FAX (360) 832-4461 CHANGE ORDER 0363 DATi ~DB NO.. ,\ l"reNn0f4 Al!:s ~ - L r"S rt'f.". iT TO R"..sf JJ. ~"hI' en I 41 ~ WE ARE SENDING YOU 0 AUllctlcd O-Undct SDp..,o.llIl COVllr "ill 'he: following Iloms: DcClPY a' Iou., o Prl,.,. DCI\anga Ordlrf' o Pla"a D Sa,mp'olli o Spvcllfl:"Uof)$ o Shop 0nIWings 0' PLEASE AND BELOW THE COST OF THE A.BOVE REFERENCED CHANGE ORDER: ITEM LABOR SUPEtRVISION ADMINISTRA TlOI>( MA. TEFU 4L TYPE GAL.LONS SMALL TOOLS EQUIPMENT TRUCK COST 'peR ITEM TOTAL J~ $ $ $ S $ $ $ /0 SUBTOTAL PROFIT" OVERHEAO SUBToTAL. INSURANCE COST S $ $ $ TOTAL COST OF CHANGE. ORDER NO.n $ / CONTRACT COMPLETION DATE: ( )NO ~HANGE ( ) INCftEASE () DECREASE OF ( ) CALENDAR DAYS If ..nclo."'O,s .,. nor nfllad. kind. " IT COpy TO: . t, CITY OF BREMERTON PROPOSED CHANGE ORDER Project: Downtown Bremerton Library Date: December 29, 2005 Contractor: James H. Robinson Company, Inc. Subcontractor: N/A Contract No.: 4505 Request No.: PCO-09 Drawing. A-9, Lighting Plan Reply Requested By: Dan Miller This modification is a result of the "LIBRARY" exterior building signage change condition as shown on Drawing A-6, Canopy Detail. Scope of Modification: Delete installation of the light fixture F11 as indicated on Drawing A-9 and install one (1) Mono-Point Light Fixture on the underside of the exterior canopy to illuminate the "LIBRARY" signage now located above the transom window and tI,le front entry doors. The conduit feed for the new Mono-Point Light Fixture should be liquid-tight and f8ed through the south exterior wall, just above the top of the existing canopy elevation, and down through an installed pre-fabricated watertight conduit sleeve that ,is approx. 5-inches above top of canopy elevation to feed the Mono-Point Light Fixture mounted to the underside of the canopy. This modification is anticiDated to have no additional cost to the City. Please advise if otherwise Drior to Droceeding with the above stated modification. Reason for Change: Changed Condition Differing Site Condition Owner Request X Contractor Request Architect Request X Cost Estimate (attach necessary supporting documentation): ~'''9 : .;( / ?.1 r- 771-~ (R. Go ?) .. ~ //, ?Z- - Schedule Impact (attach analysis if necessary): None Change Order Type: Lump Sum X Time and Material Requested By: Daniel J. Miller Project Manager Date: 12/29/05 FROM JAMES H. ROB I NSON, INC. (FRI)12 30 2005 12:25/ST.12:24/NO. 5510562540 P 2 . " ii JAMES H. ROBINSON CO. INC. CHANGE ORDER DETAIL SHEE:T CONTRACT NAME: Bremerton Library Renovation. PROPOSAL REQUEST: P.C.O. #9 DATE OF REQUEST: December 30,2005 DESCRIPTION OF CHANG~ Revise 8ntl}' I;ghti'!y 1. DIRECT LABOR COSTS: Carpenter Laborer $53.70 $47.83 x HRS. = HRS. = $0.00 $0.00 $0.00 $0.00 = 2. DIRECT MATERIAL COSTS:' LABOR SUBTOTAL 3. CONSTRUCTION EQUIPMENT COSTS: MATERIAL SUBTOTAL $0.00 x HRS. $0.00 4. SUBCONTRACTORS SUBTOTAL: Bainbridge Electric CONSTRUCTION EQUIPMENT SUBTOTAL $0.00 $152.00 SUBCONTRACTOR SUBTOTAL SUMMARY: LABOR SUBTOT~ MATERIAL SUBTOTAL CONSTRUCTION 'EQUIP. SUBTOTAL $UBCONTRACTSUBTOTAL SUBCONrRACT INSURANCE PREMIUM 1.0% OVERHEAD & PROFIT ON LABOR, MATERIALS, EQUIPMENT' 11% OVERHEAD & PROFIT ON SUCONTRACTORS 11% BONDING 1.5% TOTAL $152.00 $0.00 SO.OO $0.00 $152.00 $1.52 $0.00 $'6.72 $2.30 $173 TIME EXTENSION ADDED BY THIS CHANGE REQUEST IS _ WORKDAYS SUBMITTED BY:_Bruce Berkimer DATE:_ FROM JAMES H. ROB I NSON, INC. (FRI)12 30 2005 12:25/ST.12:24/NO. 5510562540 P 3 , " . BAINBRIDGE ISLAND ELECTRIC P.O. IiOX 10061 Bainllricf8e 1s1Md. Wa. 91110 InfoOIluinbridgei51llnde......com CqnstruotJon Technolooll 1INIW."lnb_ei8l.nde~com Request for Additional Wane Date 12130105 To: Robinson Company Inc. Re: Brernerton Library We have been.instructed to perfonn electrical work Ulat is not on the prints and/or is an ICICIltIon to the contract documents. We request additional oompensation arld.wln proceed with the work upon wrilt8n ~. Please folWlVd for approval ilS soon as possible. . this additional work may affeet the c:omplelkm date or the project. Scope gf wortc: Supply and insIaU one mana point light ~xture per request PCO-OS AddItional COlt S 162.00 <=~ Subm' : Ron Lubovlch BaInbridge Island Electric 20& a.U2CO wMm 2D808I2.1. ,.. Accqn~d by: For: 110 Bjune Dr. S,~. BlinbridgeliNnd, We. (8110 Ind.....lICommercialtRHldentla I Est 1975 tB 39t'd 0313ON~1SI39aI~gNlt'a 9'3vt~t>89Blt tt>:tt SBB~/Lt/Zt +-------~------------------------------------------------------------------+ =l=Enter Search Criteria, Press Esc Key to Transmit =1= =l=Press Del Key to Terminate Delete Mode =1= =1= CHANGE Contract Transactions + =1= Contract Number 4505 =1= =1= =1= =l=Vendor Name JAMES H ROBINSON COMPANY =1= =l=subject RENOVATION - DOWNTOWN BREMERTON LIBRARY =1= =l=Department PW&U ADMIN =1= =l=Status Code CON =1= =1= Amount $397265.32 =1= =1= Begin Date 08/31/2005 =1= =1= Insurance End Date 12/31/2005 =1= =1= Type Amount Review Date 12/01/2005 =1= =1= GL $2000000.00 =1= =1= AL $1000000.00 =1= =1= =1= =1= Insurance Total $3000000.00 =1= =1= Insurance Review Date 12/01/2005 =1= =1= =1= =1= Comments CHANGE ORDER #1 - 10/05 =1= =1= =1= =1= =1= +--------------------------------------------------------------------------+ , CITY OF BREMERTON CHANGE ORDER CONTRACT CHANGE ORDER NO: 01 PROJECT NAME: DOWNTOWN BREMERTON LIBRARY - Contract No. 4505 PROJECT NO: 594.7283 CONTRACTOR: JAMES H. ROBINSON COMPANY, INC. I ORIGINAL CONTRACT AMOUNT: $397,265.32 CAL. DAYS: 100 PREViOUSLY APPROVED CHANGES: 0.00 CAL. DAYS: 0 THIS CHANGE: <$60,569.48> CAL. DAYS: 0 REVISED CONTRACT AMOUNT: $336,695.84 CAL. DAYS: 100 This Change Order covers changes to the subject contract as described herein. The Contractor shall construct, furnish equipment and materials, and perform all work as necessary or required to complete the Change Order Items. The decrease in contract price shown below includes any applicable taxes. - INCREASE IN (DECREASE) IN CONTRACT DESCRIPTION OF CHANGES o ...... CONTRACT CONTRACT TIME ..... r-- AMOUNT AMOUNT EXTENSION .... .... <Il <Il ($) ($) (CAL. DAYS:) "S "'5 a:: 0::: -- X 1. Delete - Landscaping $14,671.00 0 X 2. Delete - Demolition of Existing Exterior Handrails $1,042.00 0 X 3. Delete - Exterior Galvanized Handrails $38,675.00 0 X 4. Delete - Ten (10) Voice/Data Receptacles and Associated Wiring $1,110.00 0 X 5. Delete - Special Coating @ Exterior Entry and Stairs $275.00 0 6. Credit - Washington State Sales Tax @ 8.6% $4,796.48 Attached Cost Breakdown from Contractor, James H. Robinson Company, in response to the Proposed Change Order, dated September 16, 2005. NET CHANGE IN CONTRACT AMOUNT <$60,569.48> (DECREASE) 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: 01 PROJECT NAME: DOWNTOWN BREMERTON LIBRARY 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, ~nd shall take appropriate action to modify any bonds required under the contract to address this cha e. RECOMMENDED: /G) #' /~" ~S- NAGER Date RECOMMENDED: 1tJl~ / tJ -/'1-0 r DIRECTOR OF PUBLIC WORKS Date ACCEPTED: It) ./~. 06 Date APPROVED: /~ - /)~t)J Date APPROVED AS TO FORM: ZK6-Atto~ Page 2 of2 . FROM JAMES H. ROBINSON, INC. (TUE)10 42005 14:27/ST. 14:26/NO. 5510562320 P 2 SEP-15-2005<THU) 10: ae PW&U ADMIN (FAX)3&O d73 5018 P.002/003 ~~~ . crTY OF BReMI!RTON PROPOSED CHANGE ORDER . F"I reo Project. Downtown BremertDn Ubrary Contract No.: Oata: September 16, 2005 Reqwst No,: PCO-01 COntractor. James H. Robinson Company, Inc. Or.:lwlng Referen~: Varies SUbcontractor. N1A Reply Requested By: Dan Miller r pq- Scope or Change: Pl'OIIide all matlrials, equipment and labor assoclated with the proposed ~~ns from the Scope of Work as roU~ The Indicated costs ant talcen from the Contractor, James H. Robinson. Inc. 's Schedule of Values. If costes) are nat Indicated, the City Is hereby requestlng the cost(s) from the Contractor. OescrtDtion S&it Delete - Lanc:ts.ccJplng ... ... ... t'.. .,. '.. .., ... ." ..... ... ,_,... ... ... .t. ..,4 ..... .... ... ..... ... ... .... $14.671.00 QIII1I- Demo of aisting Exterior HandraUs .n.... ..... n.... ... ......... ... .."...... $ I,~.oo ~ .. Mltar Fabrications. Exterior Galvanized Handrails only... ... ......... _ 538,675.00 QII!1! - Ten (10) of the specified twMty four (24) data/cabte . reeeptac:les and aslCClated wiring ...... h"" ...... ............ ...... ......... S ',110. CO Oelete -Painting & Special Coating of &tenor Entry & Stairs .................... $ 275.00 Subtotal ... ... .... .., ........ .... .._... .... ...... ... ....... ... ... ... ... ... ,.. ..... S SS-, "73 Ie:(:) WilShingtan Stale Sales Tax @ 8.6% ...... .............................. ............... $ 41 ?C!6. 4Ife Total Lump Sl.m Cost (Decrease) .................. ...... ...... .... s~ t ~ . ~ Reason for Change: i I ! Changed Condition Differing Site Condition Owner Request X Contractor Request I ~ 1 _ Cost Estimate (allach neceaary SU~portJng documentation): . .. I[ f'" Schedule Impact (attach analysis if necessary): None Change Order Type: Lump Sum X Time and Material - ~ I Requested: . . / /. ~ ---' Date: 1. /.J: "s- OJ ger 'FROM JAMES H. ROBINSON, INC. (TUE)10 4 2005 14:27/ST. 14:26/NO. 5510562320 P 3 FROM: A+PROFESSIONAL_CORTINGS.INC. FAX NO. : 253+8471043 Sep. 27 2005 11:12AM Pi Pc.o..OI A+ PROFESSIONAL 'COATINGS,'INC. Commercial..lndustrjal Painting & Wallcovering '9602 415th Street East 'Ea.tonville, WA 98328 (360) 832-4461/(253)847-1043 fax ....#-.. ~~ ........,~ v--.--~l"l ..........- r ~_~~~ _- ~ _ '-#0 n....................... Seat via fu (360) 377.9609 Total Page~: 1 September 27, 2005 James K Robinson Comp8llY, (nc. Atm: Bru.ce' l\e: Breme:rtoD Library'Renovations Delete Section 09910 3.3C Deduct , $ 27S.00 Feel free to QODtact us with any 'questions you may have. Sincet'eIYt Jack R. Besaw, Sr. Estimator - . , 'FROM JAMES H, ROB I NSON, I NC, (TUE)10 42005 14:27/ST, 14:26/NO. 5510562320 P 4 Ft.D.. ~( BAINBRIDGE ISLAND ELECTRIC Constryctlon Technoloav P.o. BOx 10066 www.balnbrldoaoiHI"de~.wm Bainbridge ....net. WI. a8110 infoQbllinbridgeisandelectrk.CGITI Request for Additional Worle Oete 101312006 To: Robinson ComP'ln)' Inc.. Re: Bremetton Ubrary w. have been inlwcted to perform electrical worK that is not on the prints and/or 1$ an addition to the contract document$. We request additionalcompensaUan arid will proceed With the work upon written approval. PI..se forwaro for approval as soon as pos !alble. as this additional work may affec;t the completion date of the project. Scope of work: Delete ten data runs. Cn!ldit $ 1,110.00 ~ ./' -- ~ ---. Submitted by: Accepted by: Ron Lubovich Bainbridge .sland Electric For: 2M '''~vuim ~-1466 Fu 110 Bjun. Dr. S,E. a.lnbrldge.~ W.. 9~110 'ndultrllllCommet'CllltResldential Est 1975 'tB :3~d ~3'3a~SI3eaI~gNI~a 99li'tZ;~89BZ;'t S't:Lt S0ac;/Ee/Bl ~ I -------- I BREMERTON LIBRARY BUILDING RENOVATION I SOURCES & USES OF FUNDS I SOURCES OF FUNDS City - CDBG $ 100,000 Gates Foundation (Grant # 34014) $ 100,000 City - General Fund $ 100,000 Kitsap County - General Fund $ 100,000 TOTAL SOURCES OF FUNDS $ 400,000 USES OF FUNDS CDBG ($100K) Est. Cost Exterior Paint $ 10,000 Entry Sign "L1BRARY"(Stainless Stl. Letters 1" ht.) $ 1,000 Site Sign "DOWNTOWN BREMERTON LIBRARy" $ 1,000 Refinish Entry Doors & Add Closures & Hardware $ 3,000 Replace Glazing $ 1,500 Replace Exterior Windows $ 80,000 Window Coverings (s, E & W wdws. only) $ 3,500 Total CDBG Funds: $ 100,000 Gates Foundation ($100k) Est. Cost Automatic Door Operators & Hardware $ 4,500 New (N) ADA "Fire Exit Door" @ Stack Room $ 9,000 Remove Acoustical Tiles & Repair Walls & Ceiling $ 7,000 Replace Fluorescent Fixt.wl Period Lighting $ 25,000 ADA Restroom $ 24,500 Install New (N) Tel. & V/Data Wiring - Install 10 of 24 specified $ 6,000 Main Fir. Carpet Tile - No removal of old tile $ 17,000 (N) Emerg. Lighting. Syst. & Exit Lights $ 7,000 Total Gates Foundation Funds: $ 100,000 City ($100K) & County ($100K) Est. Cost Entry Stair Paint/Surface Coating $ 275 delete-funding shortfall Demo (E) & Install (N) Galv. &t. Handra;/s $ 39,717 de/ete- funding shortfall Landscaping $ 14,671 delete - funding shortfall Install Fire Alarm SYSt.-per NFPA 72 & City Fire Marshal $ 38,100 Clean & Restore Rotunda Skylight & New Lighting $ 23,973 Pendant Fixtures in Vestibule $ 21,943 Upgrade Interior Lighting w/ (N) Lighting Fixtures $ 26,017 Sub-Total City & County Funds: $ 110,033 CDBG I Gates I City I County: $ 310,033 W.S.S.T @ 8,6% $ 26,663 SUBTOTAL $336,696 Ancillarv Costs: Print Plans & Spec's (actual) $ 1,525 Advertise for Bids (actual) $ 655 Consultant: Miles Yanick + Co. (actual) $ 53,000 Permits & Fees (actual) $ 4,981 Contingency $ 3,143 $ 63,304 TOTAL SOURCES & USES OF FUNDS $ 400,000 Revised 10/12/05 Prepared by Dan Miller, PW +--------------------------------------------------------------------------+ =l=Press Esc Key to Insert new record, Ctrl-Z to Clear form - - tPress Del Key to Terminate Insert Mode - - - - INSERT Contract Maintenance - - - - Contract Number 4505 -- =f= -- =l=Vendor Name JAMES H ROBINSON COMPANY - - =l=Subject RENOVATION - DOWNTOWN BREMERTON LIBRARY =1= =l=Department PW&U ADMIN - - =l=status Code CON -- =1= Amount $397265.32 .. - - Begin Date 08/31/2005 .. -- Insurance End Date 12/31/2005 .. - - Type Amount Review Date 12/01/2005 .. =1= Press F1 for GL $2000000.00 - - =1= valid insuranceAL $1000000.00 =f= "' type codes =1= -.. Insurance Total $3000000.00 =1= =1= Insurance Review Date 12/01/2005 =1= -- - - - - Comments - - =1= "t" =1= =1= +--------------------------------------------------------------------------+ Revised June 29, 2005 CONTRACT DOWNTOWN BREMERTON LIBRARY (Page 1 of 4) This agreement, made and entered into ill triplicate, this 3 1 s t day of August ,2005 , by and between the City of Bremerton, hereinafter called the City, and JAr<1ES H. ROBINSON COrl]PANY, INC. , hereinafter called the Contractor: Wi1nesseth: That in consideration of the terms and canditions contained herein and attached and made a part .of this agreement, the parties hereto covenant and agree as fallows: 1. The Cantractor shall perfarm all work and furnish all labor, tools, materials and equipment for the DOWNTOWN BREMERTON LIBRARY. The Contractar and hislher Subcantractars agree ta meet the Federal Standards Provisions Davis-Bacon Wage laws as explained in farm HUD-401O in Sectian 00130, Attachment A in its entirety. The Contractar agrees ta perfarm all work ta be in accardance with and as described in the attac::hed Plans, General Provisians, SpecificatiDns, and the. 2004 Standard Specificatians far RDad, Bridge and Municipal CDnstructian (English), which are by this reference incarporated herein and made a part hereof, and shall perfDrm any alteratiDns in or ~dditians ta the wDrk pravided under this Contract and every part thereaf. The ContractDr shall begin .the wDrk within ten (10) calendar days after the date that written NOTICE TO PROCEED is issued to the ContractDr. The Can tractor shall camplete the wark nD later than .one hundred (100) calendar dayS after th~ date that NOTICE TO PROCEED is issued. If said wark is n.ot campleted within the time specified, the Contractor agrees tD pay tD the City an amDunt in accordance with SectiDn 00100, Part 1-2.06(E) .of these Contract . Dacuments fDr each calendar day said wDrk remains incomplete after expiratian .of the specified times as liquidated <hunages. . . The Cantractor shall provide and bear the expense .of all equipment, tools, material and labar .of any SDrt whatsoever that may be required fDr the transfer .of materials and fDr cDnstructiDn and cDmpleting the work prDvided for in this Contract and every part thereof, except such as are mentiDned in the specificatiDns to be furnished by the City. DOWNTOWN BREMERTON LIBRARY Aclclp.nrlnm No 1 Tn"" ')Q ')()()<; Bidders Checklist & Bid/Contract Forms Revised June 29,2005 CONTRACT (Page 2 of 4) ll. The City hereby promises and agrees with the ContractDr tD employ and dDes employ the ContractDr ta provide the materials and tD dD and cause tD be dDne the abave described wDrk ta complete and finish the same according tD the attached plans and specificatiDns and the terms and cDnditiDns herein cDntained and hereby contracts ta pay fDr the same according tD the attached specifications and the approved bid as attached heretD incDrporated by reference, at the time and in the manner. and upon the conditions prDvided fDr in this CDntract. ill. The Contractar fDr himseHlherself" and fDr his/her heirs, executDfS, administratDrs, succeSSDrs, and assigns, dDes hereby agree ta fulfill the perfDrmance .of all CDvenants herein cDntained upon the part .of the CDntractar. IV. It is further provided that no liability shall attach tD the City .of Bremerton by re3;S.on .of entering intD this CDntract, except as expressly provided herein. V. INDE1vlNIFICATION CDntractor shall defend, indemnify and 'hDld the City, its .officers, .officials, emplDyees, agents, vDlunteers and assigns hannless frDm any and all claims, injuries, damages, IDses .or suits, including all legal casts and attDmeY fees, arising .out .of Dr in cDnnectiDn with the peif.ormance .of this cDntract, except fDr injuries' and damages caused by the sole negligence .of the City. The City's inspectian Dr acceptance of any .of Contractor's wark when. completed shall nDt be grDunds tD aVDid any .of these CDvenants .of indemnificatian. ShDuld a court .of cDmpetent jurisdicti.on determine that this contract is subject t.o RCW 4.24.115, then, in the event Dfliability far damages arising out DfbDdily injury tD persDns Dr damages tD property caused by or resulting from the concurrent negligence of the C.ontractor and the City, its .officers, .officials, emplDyees, agents and vDlunteers, the CDntractor's liability hereunder shall be .only to the extent of the CDntractor's negligence. IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THE INOEMNIFICATION PROVIDED HEREIN CONSTITUTES THE CON1RACTOR'S WAIVER OF IMMUNITY UNDER INDUSTRIAL INSURANCE, TITIE 51 RCW, SOLELY FOR TIffi PURPOSES OF THIS INDEMNIFICATION. TIffi PARTIES FURTHER ACKNOWLEDGE THAT THEY HA VB MU1UAIL Y NEGOTIATED TIllS WAIVER. The provisions of this sectiDn shall survive the expiratiDn or termination of this cDntract. VI. lNSURANCE The CDntractar shall procure and maintain, during the term .of construction and throughout the specified term .of maintenance, insurance of the types and in the amDunts DOWNTOWN BREMERTON LIBRARY Addendum No. 1 June 29, 2005 Bidders Checklist & Bid/Contract Forms l> A n.l:;' ()()-:! nn 1 0 Revised June 29, 2005 CONTRACT (Page 3 of 4) described belDw against claims for injuries tD persons or damage tD property that may arisefrDm or inconnectiDn with the performance .of the wDrk hereunder by the Cantractor, its agents, representatives, emplDyees, Stib-cDnsultants and/Dr subcDntractDrs. Before beginning wDrk on the prDject described in this cDntract, the CDntractDr shall provide a Certificate .of Insurance evidencing: 1. AutDmDbile Liability insurance with limits nD less than $1,000,000 cDmbined single limit per accident fDr bodily injury and prDperty damage; and 2. CDmmercial General Liability insurance written .on an occurrence basis with limits nD less than $1,000,000 combined single limit per .occurrence and general aggregate fDr persDnal injury, bDdily injury and property damage. CDverage shall include but nDt be limited tD: blanket cDntractual; products/completed DperatiDnslbroad form property damage; explosiDll,collapse and undergrDund (XCV); and employer's liability. 3. Excess Liability insurance with limits not less than $1,000,000 per .occurrence and aggregate. The insurance must refer to the project name, project IDcation and cDntain a brief descriptiDn .of the project Any payment .of deductible Dr self insured retentiDn shall be the sole responsibility of the ContractDr. The City, its .officers, .officials,emplDyees, agents and vDlunteers shall be named as and additi.onal insured .onthe insurance policy, as respects wDrk perfarmed by Dr .on behalf .of the CDntract.or and a CDPy of the endDrsement naming the City as additiDnal insured shall be attached to the Certificate .of Insurance. The CDntractDr's insurance shall cantain a clause stating that cDverage shall apply separately tD each insured against whDm claim is made Dr suit is brought, except with respects to the limits .of the insurer's liability. The CDntractor's insurance shall be primary insurance as respects the City, and the City shall be given thirty (30) calendar days priDr written n.otice by certified mail, return receipt requested, .of any cancellatiDll, suspensi.on Dr material change in coverage. The City also reserves its unqualified right to require, at any time and fDr any reasDll, proDf .of cDverage in the fDrm .of a duplicate .of the insurance. pDlicy with all endDrsements as.evidence .of coverage. Proof .of coverage shall be prDvided to the City in the form .of a Certificate .of Insurance and shall include additiDnal insured endDrsements as evidence .of coverage. The City alsa reserves its unqualified right tD require,. at any time and for any reasDn, proDf .of cDverage DOWNTOWN BREMERTON LIBRARY Bidders Checklist & Bid/Contract Forms Revised June 29, 2005 CONTRACT (Page 4 of 4) in the fDrm .of a duplicate .of the insurance policy with all endDrsements as evidence .of cDverage. Approval .of required insurance is a cDnditiDn precedent to the executiDn .of this contract. In witness whereof the parties heretD have caused this agreement tD be executed the day and year ^ first herein abDve written. CON1RACTOR JAr~ES H. ROBINSON COr~PANY, INC. ~'-//-~;:z/~ James H. Robinson Title: CEO Date: September 6, 2005 ATlliST: APPROVED: ~ DOWNTOWN BREMERTON LIBRARY Bidders Checklist & Bid/Contract Forms