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Docusign Envelope ID: B1 FB1 A85-5F58-4DEC-94DC-6E0E2663011 C CITY OF BREMERTON CHANGE ORDER CONTRACT CHANGE ORDER NO: I PROJECT NAME: 2024 SEWER REHABILITATION PROJECT 5891 CONTRACTOR: SAK Construction ORIGINAL CONTRACT AMOUNT: 843,264.32 DAYS: 135 PREVIOUSLY APPROVED 0 DAYS: 0 CHANGES: THIS CHANGE: 14,610.96 DAYS: 0 REVISED CONTRACT AMOUNT: 857,875.28 DAYS: 135 This Change Order covers changes to the subject contract as described herein. The Contractor shall construct, furnish equipment and materials, and perform all work as necessary or required to complete the Change Order Items. The increase or decrease in contract price shown below includes any applicable taxes. DESCRIPTION OF CHANGES INCREASE IN (DECREASE)IN CONTRACT CONTRACT CONTRACT TIME w w AMOUNT AMOUNT EXTENSION a .)0 a a 0 ($) ($) (DAYS:) �wp �wp rya? Eta? X WCD#1, Item#1: Apply$26,960 from Bid Item A-2 0 "Minor Changes and Force Account"to pay for additional 337 LF of 24-inch sanitary sewer. This reduces Bid Item A-2 to$13,040. X WCD#1, Item#2: Apply remaining $13,040 from Bid Item A-2"Minor Changes and Force Account"to 8,380 pay for additional 595 LF of 10-inch sanitary sewer ($21,420)and increase Bid Item A-2 by$8,380 to X cover the deficit. 5,000 WCD#1, Item#3: Increase Bid Item A-2 "Minor Changes and Force Account" by$5,000(replenish) NET CHANGE IN CONTRACT AMOUNT 13,380 INCREASE OR(DECREASE) ESTIMATED SALES TAX AT CURRENT RATE (9.2%) 1,230.96 TOTAL INCLUDING SALES TAX 14,610.96 Docusign Envelope ID: B1 FB1 A85-5F58-4DEC-94DC-6E0E2663011 C CONTRACT CHANGE ORDER NO: 1 PROJECT NAME: 2024 SEWER REHABILITATION Contractor acknowledges and accepts that this Change Order constitutes final settlement of all claims of any kind or nature arising from or connected with any work either covered or affected by this Change Order, including, without limitation, claims related to contract time, on-site or home office overhead, or lost profits. Nothing in this Change Order shall limit the City's right to bring a claim for past performance. The undersigned Contractor approves the foregoing Change Order as to the changes, if any, in the contract price specified for each item, including any and all supervision costs and other miscellaneous costs relating to the change in work, and as to the extension of time allowed, if any, for completion of the entire work due to said Change Order. This document will become a supplement of the contract and all provisions will apply hereto. It is understood that this Change Order shall be effective when approved by the City of Bremerton. The parties whose names appear below warrant that they are authorized to enter into a change order that is binding on the parties of this contract. In addition, Contractor warrants that it has or will inform the surety of this change, and shall take appropriate action to modify any bonds required under the contract to address this change. [ CONTRACTOR Approved: rf-- DATE: 9/10/24 PROJECT MANAG R Recommended: _ DATE: ?frV LY DIVISION MANAGER Council action is required as project cost will exceed approved budget. ❑ Yes ■ No Council action is required as change exceeds Mayors authority per BMC 2.76.110. ❑ Yes • No ogmuy seea ev Nea�e Recommended. Ned Lever oar,0 4�0001314001 0700�°9�N°Ned _ DATE: DIRECTOR OF PUBLIC WORKS AND UTILITIES Tom Kn u c key Digitally signed by Tom Knuckey Date:2024.09.18 09:47:04-07 00' Recommended: DATE: MAYOR Signed by: Approved: 8E7Q� DATE9/23/2024 —BAF46095E8E747B... — APPROVED AS TO FORM: ATTEST: rSigned by:/ Signed by: to Qln�t�a (�bSV�V 62ACBE838-0-B94E2._ E4564FF.. Page 2 of 3 Change Order Rev. 05/2022 Docusign Envelope ID: B1 FB1 A85-5F58-4DEC-94DC-6E0E2663011 C CONTRACT CHANGE ORDER NO: 1 PROJECT NAME: 2024 SEWER REHABILITATION KYLIE. J. FINNELL, Bremerton City Attorney ANGELA HOOVER, City Clerk R:1Legal\Legal\Forms\FORMS ON COBWEB\Change Order Rev.05 2022.docx Page 3 of 3 Change Order Rev. 05/2022 Docusign Envelope ID: B1 FB1 A85-5F58-4DEC-94DC-6E0E2663011 C Project Name: 2024 C I PP CITY OF BREMERTON Project#: 5891 WORK CHANGE DIRECTIVE (WCD) Contractor: SAK Construction NTP Date: May 21 , 2024 WCD #: 01 Date: August 30, 2024 YOU ARE DIRECTED TO PROCEED PROMPTLY WITH THE FOLLOWING CHANGE(S): Item Description Cost Change to Contract Reduce Bid Item A-2"Minor Changes and For Bid Item A-11"CIPP for 21-inch Sanitary Sewer",337 LF of the 21-inch(SAK Shot#1) Force Account"by$26,960 to pay for was confirmed with an actual diameter of 24-inch. Agreed to pay for the 337 LF at a additional 337LFof24inch sanitary sewer. 1 revised unit cost of$195/LF. Cost difference between contract unit cost($115/LF)and Revised Bid Item A-2 amount is: revised unit cost($195/LF)is$80/LF. $80/LF x 337 LF=$26,960,which will be paid out of Bid Item A-2"Minor Changes and Force Account":$40,000. $40,000 $26,960=$13,040. This does not result in a contract change. Apply remaining$13,040 remaining to pay For Bid Item A-8"aPP for 8-inch Sanitary Sewer",595 IF of the 8-inch(SAK Shot#15) for additional$21,420 required for 10-inch was confirmed with an actual diameter of 10-inch. The 595 LFwill be paid at the Bid Item A-9"aPP for 10-inch Sanitary Sewer"unit cost of$87/LF. Unit cost difference pipe. This would leave a deficit of$8,380 in 2 Bid Item A-2,therefore add$8,380 to Bid between the original unit cost($51/LF)and revised unit cost($87/LF)is$36/LF. $36/LF Item A-2 to the contract via Change Order x 595 LF=$21,420,which will be paid out of(Revised)Bid Item A-2"Minor Changes and apply to payfor 10-inch pipe. This and Force Account". This will require an increase of Bid Item A-2. exhausts Bid Item A-2. Increase Bid Item A-2"Minor Changes and 3 Items#1 and#2 exhaust Bid Item A-2. Replenish with$5,000 to fund any additional Force Account"by$5,000ireplenishl via changes or differing site conditions. Change Order. Replenishment results in net balance of$5,000 for Bid Item A-2. For Bid Item A-10"aPP for 12-inch Sanitary Sewer",485 LF of the 12-inch(SAK Shot This will not result in a contract change; #14)was confirmed with an actual diameter of 8-inch. The485 LFwill be paid at the $5,335to remain in the contract. 4 the Bid Item A-8"OPP for 10-inch Sanitary Sewer"unit cost of$51/LF. Unit cost difference between the original unit cost($62/LF)and revised unit cost($51/IF)is $11/LF. $11/LFx 485 LF=$5,335,which is a credit. WCD#1 Summary:Net result of Items 1 through 4 is an increase to the contract of Total net change is a contract increase of 5 $13,380. Schedule A is subject to 9.2%tax($1,230.96). Therefore the total net change $14,610.96 to the contract is an increase of$14,610.96 ATTACHMENT(S): If a claim is made that the above change(s) have affected Contract Price or Contract Times any claim for a Change Order is based thereon will involve one or more of the following methods of determining the effect of the change(s). The Change Order will be executed in accordance with Section 1-04.4 of the WSDOT Standard Specifications, or Article 10 of the General Conditions. Method of determining change in Contract Price: Method of determining change in Contract Times: ❑ Unit Price n Contractor's Records n Lump Sum ❑ Engineer's Records n Time & Materials PAGE 1 OF 2 Docusign Envelope ID: B1 FB1 A85-5F58-4DEC-94DC-6E0E2663011 C ❑ Other: n Other: Estimated increase (decrease) in Contract Price: Estimated increase(decrease) in Contract Times: $ 14,610.96 Substantial Completion: 0 days; If the change involves an increase, the estimated Ready for final payment: 0 days; amount is not to be exceeded without further If the change involves an increase, the estimated times authorization. are not to be exceeded without further authorization. RECOMMENDED: AUTHORIZED. / ..C.44.1.- :71.1C9Law. / ( r-/ CONTRACTOR CITY OF BREMERTON By: Ryan McGraw- Project Manager By: C.iw �,Glj _ -�{; PAGE 2 OF 2 Ottak1 %1. a • �i t c,rr or BREMERTON • • 01/OR,u N1tY May 21, 2024 SAK Construction, LLC ATTN: Nathaniel Rodriguez 864 Hoff Road O'Fallon, MO 63366 Project: 2024 Sewer Rehabilitation City of Bremerton Project No. 5891 Re: Notice to Proceed Dear Nathaniel: This letter is to inform you that we are issuing the Notice to Proceed for the above- referenced project. The effective date for this notice is May 21, 2024. The contract time is 135 calendar days therefore, the current Substantial Completion Date is October 3, 2024. Please send invoices for this project to: engineeringap( ci.bremerton.wa.us. Please contact me at (360) 473-5268 or via e-mail david.Qowell(a�ci.bremerton.wa.us if you have any questions or concerns. Sincerely, Zia" David Powell, P.E. Project Manager Cc: Project File Bill Davis, Managing Engineer Noreen Bolo, Project Assistant Melinda Monroe, Contracts Administrator Public Works& Utilities 1345 6th Street Suite 100,Bremerton,WA 98337*Phone(360)473-5270*Fax(360)473-5398 Working for and with our residents to establish Bremerton as Puget Sound's most beautiful and livable waterfront city! DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 AGENDA BILL CITY OF BREMERTON 4 F CITY COUNCIL SUBJECT: Study Session Date: April 10, 2024 Contract with SAK Construction, LLC for the COUNCIL MEETING Date: April 17, 2024 2024 Sewer Rehabilitation Project Department: Public Works & Utilities Presenter: David Powell Phone: (360) 979-7682 SUMMARY: The project will rehabilitate 6986 lineal feet of sanitary sewer and 303 lineal feet of storm sewer using the cure-in-place-pipe (CIPP) method. The project also includes approximately 7000 lineal feet of cleaning and video inspection of additional pipe in support of future lining projects. The pipes range in size from 8-inch to 24-inch diameter. Two bids were submitted, which were opened on March 27, 2024. The lowest responsive, responsible bid was SAK Construction, LLC who submitted a bid in the amount of$843,264.32 including sales tax. Although SAK has not worked with the City in the past, their project manager has done work for the City on our CIPP project in 2022 when he was with another contractor. SAK provided project references for similar CIPP projects from 2019, 2021, and 2023. Based on review of their references, staff believes SAK can successfully complete this work. ATTACHMENTS: 1. Contract; 2. Location Map; and 3. Bid Tabulation FISCAL IMPACTS (Include Budgeted Amount): The budget amount in the 2023 Wastewater Capital Budget and Stormwater Capital Budget for this project is $900,000 and $250,000 respectively. STUDY SESSION AGENDA: ❑x Limited Presentation ❑ Full Presentation STUDY SESSION ACTION: ❑x Consent Agenda ❑ General Business ❑ Public Hearing RECOMMENDED MOTION: Move to award the contract for the 2024 Sewer Rehabilitation project to SAK Construction, LLC in the amount of $843,264.32, including sales tax, and authorize the Mayor to finalize and execute the agreement with substantially the same terms and conditions as presented. COUNCIL ACTION: ® Approve ❑ Deny ❑ Table ❑ Continue ❑ No Action Form Updated 01/02/2018 DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 CONTRACT (Page 1 of 3) THIS AGREEMENT is dated the 7th day of May in the year 2024 by and between City of Bremerton (hereinafter called CITY) and SAK Construction, LLC (hereinafter called CONTRACTOR). CITY and CONTRACTOR, in consideration of the mutual covenants hereinafter set forth, agree as follows: ARTICLE 1. WORK. CONTRACTOR shall complete the WORK as specified or indicated in the CITY's Contract Documents entitled 2024 Sewer Rehabilitation ARTICLE 2. CONTRACT TIMES. The WORK shall obtain Substantial Completion within 135 calendar days of the Notice to Proceed. Time is of the essence as to each and every deadline set forth in this agreement. This provision has been specifically negotiated. ARTICLE 3. LIQUIDATED DAMAGES. CITY and the CONTRACTOR recognize that time is of the essence for this Agreement and that the CITY will suffer financial loss if the WORK is not completed within the time specified in Article 2 herein, plus any extensions thereof allowed in accordance with Section 1-08.8 of the Standard Specifications which may be modified by the Special Provisions. They also recognize the delays, expense, and difficulties involved in proving in a legal proceeding the actual loss suffered by the CITY if the WORK is not completed on time. Accordingly, instead of requiring any such proof, the CONTRACTOR shall pay the CITY liquidated damages in the amount of$1200 per day after the date of Substantial Completion. ARTICLE 4. CONTRACT PRICE. CITY shall pay CONTRACTOR for completion of the WORK in accordance with the Contract Documents in the amount set forth in the Bid Proposal, which shall include sales tax as provided in Section 1-07.2 of the Special Provisions. ARTICLE 5. PAYMENT PROCEDURES. CONTRACTOR shall submit Applications for Payment in accordance with Section 1-09.9 of the Standard Speci ications which may be modified by the Special Provisions. Applications for Payment i I b processed by ENGINEER as provided in the Special Provisions Contractor I itials 2024 SEWER REHABILITA ION Final MARCH 2024 27 DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 CONTRACT (Page 2 of 3) ARTICLE 6. CONTRACT DOCUMENTS. The Contract Documents which comprise the entire agreement between CITY and CONTRACTOR concerning the WORK consist of this Contract and the following which are either attached or incorporated herein by reference: - Notice Inviting Bids, - Bidders Checklist, - Bid Proposal including the Proposal Forms, Information Required of Bidder, Bid Bond, and all required certificates and affidavits, - Performance Bond, - Payment Bond, - Standard Specifications, Amendments to the Standard Specifications, Appendices, - Special Provisions, - Contract Plans, - Addenda numbers 1 to 1 , inclusive. - Change Orders which may be delivered or issued after Effective Date of the Agreement and are not attached hereto. There are no Contract Documents other than those listed in this Article 6. The Contract Documents may only be amended by Change Order as provided in Section 1-04.4 of the Standard Specifications which may be modified by the Special Provisions. ARTICLE 7. INDEMNIFICATION. The CONTRACTOR and CITY acknowledge and agree that they have negotiated the following in accordance with the requirements of RCW 4.24.115 and the CONTRACTOR specifically waives his immunity under industrial insurance under Title 51 RCW. To the fullest extent permitted by Laws and Regulations, the CONTRACTOR shall indemnify, defend, and hold harmless the CITY, ENGINEER, their consultants, sub consultants, and the officers, directors, employees, and agents of each and any of them, against and from any and all claims, injuries, damages, losses or suits, including all legal costs and attorney fees, all claims and liability arising under, by reason of, related, or incidental to the Contract Documents or any performance of the WORK, but not from the sole negligence or willful misconduct of the CITY and/or the ENGINEER as further defined in the Contract Documents. The revisions of this section shall survive the termination of the contract. Contr star Ini ial 2024 SEWER REHABILITATI N Final MARCH 2024 28 DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 CONTRACT (Page 3 of 3) ARTICLE 8. ASSIGNMENT No assignment by a party hereto of any rights under or interests in the Contract Documents will be binding on another party hereto without the written consent of the party sought to be bound; and specifically but without limitation monies that may become due and monies that are due may not be assigned without such consent (except to the extent that the effect of this restriction may be limited by law), and unless specifically stated to the contrary in any written consent to an assignment, no assignment will release or discharge the assignor from any duty or responsibility under the Contract Documents. The CITY, in its sole discretion, may refuse to allow the CONTRACTOR to assign any or all of its duties, rights and/or responsibilities under the Agreement, except with regards to an assignment of funds for security purposes. In the case of an assignment for security purposes the CITY may condition its approval to the extent it deems necessary to assure that there will be adequate funds to complete the WORK and to pay a subcontractors and suppliers. CITY and CONTRACTOR each binds itself, its partners, successors, assigns and legal representatives to the other party hereto, its partners, successors, assigns and legal representatives in respect of all covenants, agreements and obligations contained in the Contract Documents. IN WITNESS WHEREOF, CITY and CONTRACTOR have caused this Agreement to be executed the day and year first above written. CITY : City of Bremerton CONTRACTOR SAK Slruction, LLC gqDocuSigned by: IKANtet2A, ✓`1 ti2.Cv &PrF4&0-9.E-8-E-7-4 13... (Signature) (Signature).- By Greg Wheeler. Mayor By 1 cJ 14}v. }- \I j Pre, ' (Printed name) (Printed name [CORPO AL1 -DocuSigned by: Gef Attest &lax bbvu,V' Attest • '-24ED5ED4E45C41 F... p. �sftl.✓ti 1r.f 1.oCs Address for giving notices Address for giving notices 345 6th Street STE Ca � + I 1 n# 1D33 loo, License No. Le 03 0 4D Bremerton, WA 98 3 3 7 DocuSigned by: Appro��e as�r ti 5 B.EB48=�B. 62... Agent for service of process: (Signature) Corporation Service Company City Attorney (Title) 2024 SEWER REHABILITATION Final MARCH 2024 29 DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 CONTRACT CERTIFICATE (IF CORPORATION) STATE OF } SS: COUNTY OF I HEREBY CERTIFY that a meeting of the Board of Directors of the a corporation existing under the laws of the State of , held on 2024, the following resolution was duly passed and adopted: "RESOLVED, that , as President of the Corporation, be and is hereby authorized to execute the CONTRACT dated , 2024, by and between this Corporation and City of Bremerton and that his/her execution thereof, attested by the Secretary of the Corporation, and with the Corporate Seal affixed, shall be the official act and deed of this Corporation." I further certify that said resolution is now in full force and effect. IN WITNESS WHEREOF, I have hereunto set my hand and affixed the official seal of the corporation this day of , 2024. Secretary (SEAL) 2024 SEWER REHABILITATION Final MARCH 2024 30 DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 CONTRACT CERTIFICATE (IF PARTNERSHIP) STATE OF ) SS: COUNTY OF ) I HEREBY CERTIFY that a meeting of the Partners of the a partnership existing under the laws of the State of , held on , 2024, the following resolution was duly passed and adopted: "RESOLVED, that , as of the Partnership, be and is hereby authorized to execute the CONTRACT dated 2024, by and between this Partnership and City of Bremerton and that his/her execution thereof, attested by the shall be the official act and deed of this Partnership." I further certify that said resolution is now in full force and effect. IN WITNESS WHEREOF, I have hereunto set my hand this , day of 2024. Partner (SEAL) 2024 SEWER REHABILITATION Final MARCH 2024 31 DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 CONTRACT CERTIFICATE (IF JOINT VENTURE) STATE OF ) SS: COUNTY OF I HEREBY CERTIFY that a meeting of the Principals of the a joint venture existing under the laws of the State of held on , 2024, the following resolution was duly passed and adopted: "RESOLVED, that , as of the Joint Venture, be and is hereby authorized to execute the CONTRACT dated 2024, by and between this Joint Venture and City of Bremerton and that his/her execution thereof, attested by the shall be the official act and deed of this Joint Venture." I further certify that said resolution is now in full force and effect. IN WITNESS WHEREOF, I have hereunto set my hand this , day of 2024. Managing Partner (SEAL) 2024 SEWER REHABILITATION Final MARCH 2024 32 DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 CONTRACT CERTIFICATE (IF LIMITED LIABILITY COMPANY) STATE OF al Ss ov r.1 ) COUNTY OF Si-.Char Ies ) SS. I HEREBY CERTIFY that a meeting of the Members of the SA K Consfrvrh ovl y LLC a Limited Liability Company existing under the laws of the State of MO , held on avao July I , 2024, the following resolution was duly passed and adopted: "RESOLVED, that Jeru,o e P. 5ik4 ice; J, . , and 30\101 I-h r-1-2 as members of the Limited Liability Company, be and are hereby authorized to execute the CONTRACT dated 2024, to the City of Bremerton by this Limited Liability Company and that their execution thereof shall be the official act and deed of this Limited Liability Company." I further certify that said resolution is now in full force and effect. IN WITNESS WHEREOF, I have hereunto set my hand this 015 , day of Apr: I , 2024. SIat-K C.431-14rt..,_+i cn L,cC A Limited Liability o • piny i' 9-r v -12.1 ii. V, - By; ► 'Member Jer-ome P. h60,J0- MreSrole„4- (SEAL) 2024 SEWER REHABILITATION Final MARCH 2024 33 DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 BID FORMS ACKNOWLEDGEMENT OF BID AND ADDENDA BID TO: CITY OF BREMERTON, PUBLIC WORKS AND UTILITIES ENGINEERING DIVISION 1. The undersigned Bidder proposes and agrees, if this Bid is accepted, to enter into an Agreement with the OWNER in the form included in the Contract Documents to perform the WORK as specified or indicated in said Contract Documents titled "2024 Sewer Rehabilitation". 2. Bidder accepts all of the terms and conditions of the Contract Documents, including without limitation those in the Notice Inviting Bids and Instruction to Bidders, dealing with the disposition of Bid Security. 3. This Bid will remain open for the period stated in the "Notice Inviting Bids" unless otherwise required by law. Bidder will enter into an Agreement within the time and in the manner required in the "Notice Inviting Bids" and the "Instructions to Bidders," and will furnish the insurance certificates, Payment Bond, and Performance Bond required by the Contract Documents. 4. Bidder has examined copies of all the Contract Documents including the following addenda (receipt of all of which is hereby acknowledged). Failure to acknowledge addenda shall render the bid non-responsive and shall be cause for its rejection. Addenda Number: 1 Date: March 18, 2024 Addenda Number: Date: Addenda Number: Date: Addenda Number: Date: 5. Bidder has familiarized itself with the nature and extent of the Contract Documents, WORK, site, locality where the WORK is to be performed, the legal requirements (federal, state and local laws, ordinances, rules, and regulations), and the conditions affecting cost, progress or performance of the WORK and has made such independent investigations as Bidder deems necessary. To all the foregoing, and including all Bid Forms contained in this Bid, said Bidder further agrees to complete the WORK required under the Contract Documents within the Contract Time stipulated in said Contract Documents, and to accept in full payment therefore the Contract Price based on the Total Bid Price(s) named in the aforementioned Bid Forms. Dated: March 27, 20 T\ Bidder: SAK Construction, LLC (Company Name) By: i Title: Boyd Hirtz, Vice President (Signature) 2024 SEWER REHABILITATION Final MARCH 2024 9 DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 This form is not applicable BID FORMS BID CERTIFICATE (IF CORPORATION) STATE OF ) SS: COUNTY OF I HEREBY CERTIFY that a meeting of the Board of Directors of the a corporation existing under the laws of the State of , held on , 2024, the following resolution was duly passed and adopted: "RESOLVED, that , as President of the Corporation, be and is hereby authorized to execute the Bid dated , 2024, to the City of Bremerton by this corporation and that his execution thereof, attested by the Secretary of the Corporation, and with the Corporate Seal affixed, shall be the official act and deed of this Corporation." I further certify that said resolution is now in full force and effect. IN WITNESS WHEREOF, I have hereunto set my hand and affixed the official seal of the corporation this , day of 2024. Secretary (SEAL) 2024 SEWER REHABILITATION Final MARCH 2024 11 DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 This form is not applicable BID FORMS BID CERTIFICATE (IF PARTNERSHIP) STATE OF SS: COUNTY OF I HEREBY CERTIFY that a meeting of the Partners of the a partnership existing under the laws of the State of , held on , 2024, the following resolution was duly passed and adopted: "RESOLVED, that , as of the Partnership, be and is hereby authorized to execute the Bid dated , 2024, to the City of Bremerton by this partnership and that his/her execution thereof, attested by the shall be the official act and deed of this Partnership." I further certify that said resolution is now in full force and effect. IN WITNESS WHEREOF, I have hereunto set my hand this , day of , 2024. Partner (SEAL) 2024 SEWER REHABILITATION Final MARCH 2024 12 DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 This form is not applicable BID FORMS BID CERTIFICATE (IF JOINT VENTURE) STATE OF ) SS: COUNTY OF I HEREBY CERTIFY that a meeting of the Principals of the a joint venture existing under the laws of the State of , held on , 2024, the following resolution was duly passed and adopted: "RESOLVED, that , as of the Joint Venture, be and is hereby authorized to execute the Bid dated 2024, to the City of Bremerton by this joint venture and that his/her execution thereof, attested by the shall be the official act and deed of this Joint Venture." I further certify that said resolution is now in full force and effect. IN WITNESS WHEREOF, I have hereunto set my hand this , day of , 2024. Managing Partner • (SEAL) 2024 SEWER REHABILITATION Final MARCH 2024 13 DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 BID FORMS BID CERTIFICATE (IF LIMITED LIABILITY COMPANY) STATE OF Missouri ) SS: COUNTY OF St. Charles ) I HEREBY CERTIFY that a meeting of the Members of the SAK Construction, LLC a limited liability company existing under the laws of the State of Missouri , held on 2020 July 1 , 2024, the following resolution was duly passed and adopted: "RESOLVED, that Jerome P. Shaw, Jr. and Boyd Hirtz as members of the Limited Liability Company, be and are hereby authorized to execute the Agreement dated, July 1 2020 2024, to the City of Bremerton by this Limited Liability Company and that their execution thereof shall be the official act and deed of this Limited Liability Company." I further certify that said resolution is now in full force and effect. IN WITNESS WHEREOF, I have hereunto set my hand this 27th , day of March , 2024. 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CQ 1i CO N W m � Z Oa Co Co co m CO m m NM i DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 • BID FORMS BID BOND KNOW ALL MEN BY THESE PRESENTS, That SAK Construction, LLC, 864 Hoff Road, O'Fallon, MO 63366 as Principal,and Travelers Casualty and Surety Company of America, One Tower Square, Hartford, CT 06183 as Surety,are held and firmly bound unto City of Bremerton hereinafter called "OWNER,"in the sum of Five Percent (5%)of Amount Bid dollars, (not less than 5 percent of the total amount of the Bid) for the payment of which sum, well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors,and assigns,jointly and severally,firmly by these presents. WHEREAS, said Principal has submitted a Bid to said OWNER to perform the WORK required under the bidding schedule(s)of the OWNER's Contract Documents entitled: 2024 SEWER REHABILITATION. If the Principal is awarded the Bid and, within 10 calendar days after receipt of the Contract Document forms from the OWNER,fails to provide the OWNER with the duly executed Agreement;the duly executed Certificates of Insurance, the duly executed Performance Bond and the duly executed Payment Bond, all as specified in the Contract Documents, then the Surety shall, without condition and within 5 calendar days from written demand from the OWNER, pay to the OWNER in U.S. funds, by certified or cashier's check,the full amount of this Bid Bond.This Bond shall be irrevocable for 90 days after the bid opening, as defined in the Contract Documents. The Surety stipulates and agrees that the obligation of said Surety shall in no way be impaired or affected by an extension of the time within which the OWNER may accept such bid and Surety further waives notice of any such extension. In the event suit is brought upon this bond by said OWNER and OWNER prevails, said Principal and Surety shall pay all costs incurred by said OWNER in such suit, including reasonable attorney's fees and costs to be fixed by the court. SIGNED AND SEALED,this 27th day of March _ , 2024 oj5�R e;%,o Travelers Casualty and Surety eso /o,�;E�„ 25u!�Er� SAK Construction, LLC 11 ItIssouRl"ne(SEAL) Company of America (Principal) , / (Sure 1 HARTFono. conr,.„,))0 UC Niri :Boyd Hirtz ignatur 'ce Presi nt Andrew P.Thome,Attorney-in-Fact(Signature) (SEAL AND NOTARIAL ACKNOWLED s ENT OF SURETY) Address of Surety to which all notices shall be sent One Tower Square Hartford, CT 06183 Address for Service of Process(must be a physical address) One Tower Square Hartford, CT 06183 2024 SEWER REHABILITATION Final MARCH 2024 17 DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 ACKNOWLEDGEMENT FOR CONTRACTOR ACKNOWLEDGEMENT FOR CONTRACTOR, IF LIMITED LIABILITY COMPANY STATE OF Missouri } COUNTY OF St. Charles } ON THE 27th DAY OF March , 2024 , BEFORE ME PERSONALLY APPEARED Boyd Hirtz TO ME KNOWN AND KNOWN TO ME TO BE THE Vice President OF SAK Construction, LLC, A LIMITED LIABILITY COMPANY, DESCRIBED IN AND WHO EXECUTED THE FOREGOING INSTRUMENT AND ACKNOWLEDGED TO ME THAT(S)HE EXECUTED THE FOREGOING INSTRUMENT AND ACKNOWLEDGED TO ME THAT (S)HE EXECUTED THE SAME AS AND FOR THE ACT AND DEED OF SAID LIMITED LIABILITY COMPANY. THERESA H. MESSER Notary Public, Notary Seal 4"46t-- (If -A110 State of Missouri St. Charles County Commission# 15634377 Theresa H. Messer, Notar Public My Commission Expires 03-30-2027 DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 State of Missouri County of St. Louis On 3/27/2024, before me, a Notary Public in and for said County and State, residing therein, duly commissioned and sworn, personally appeared Andrew P. Thome known to me to be Attorney-in-Fact of TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA the corporation described in and that executed the within and foregoing instrument, and known to me to be the person who executed the said instrument in behalf of said corporation, and he duly acknowledged to me that such corporation executed the same. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal, the day and year stated in this certificate above. .4. ONE dAliAA (,t).Q0L0-\,Aisk, Shandi Lynn SwedergIca, Notary Public SHANDI LYNN SWEDERSKA Notary Public-Notary Seal STATE OF MISSOURI St.Louis County My Commission Expires:Sep. 13,2027 Commission#23080556 My Commission Expires: DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 Travelers Casualty and Surety Company of America ice. Travelers Casualty and Surety Company TRAVELERS J St. Paul Fire and Marine Insurance Company POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company are corporations duly organized under the laws of the State of Connecticut (herein collectively called the"Companies"),and that the Companies do hereby make,constitute and appoint ANDREW P THOME of CHESTERFIELD , Missouri , their true and lawful Attorney(s)-in-Fact to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. IN WITNESS WHEREOF,the Companies have caused this instrument to be signed, and their corporate seals to be hereto affixed,this 21st day of April, 2021. 4 03144. ,,IY Arya s C 01 PJ F , 49 lks r"" e OO ia 1 . Fa State of Connecticut By: City of Hartford ss. Robert L.Rane , enior Vice President On this the 21st day of April, 2021, before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior Vice President of each of the Companies, and that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of said Companies by himself as a duly authorized officer. inn IN WITNESS WHEREOF,I hereunto set my hand and official 7' M (/ I�G�� NOTARY .yi My Commission expires the 30th day of June,2026 M� = L4 rue Io r Anna P.Nowik,Notary Public '•aye . This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of each of the Companies,which resolutions are now in full force and effect,reading as follows: RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice 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;and it is FURTHER RESOLVED, 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 filed in the office of the Secretary;and it is FURTHER RESOLVED, 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 to a written delegation of authority;and it is FURTHER RESOLVED, 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 on the Company in the future with respect to any bond or understanding to which it is attached. I, Kevin E. Hughes, the undersigned, Assistant Secretary of each of the Companies, do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies,which remains in full force and effect. Dated this 27th day of March , 2024 . ERTFOR)0 01 SWY. 4,,,,,Y Ah°s : a HARFFORD. * ' carµt ot orae W CONN. on sat ` o is LE.Hugheitantcretary To verify the authenticity of this Power of Attorney,please call us at 1-800-421-3880. Please refer to the above-named Attorneys)-in-Fact and the details of the bond to which this Power of Attorney is attached. DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 • TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA HARTFORD,CONNECTICUT 06183 FINANCIAL STATEMENT AS OF DECEMBER 31,2022 CAPITAL STOCKS 6,480,000 ASSETS LIABILITIES&SURPLUS BONDS $ 4,788,996,790 LOSSES $ 1,385,257,132 STOCKS 102,639,111 LOSS ADJUSTMENT EXPENSES 133,864,803 CASH AND INVESTED CASH 2O,110,068 COMMISSIONS 55,456,724 OTHER INVESTED ASSETS 5,661,540 OTHER EXPENSES 49,033,047 SECURITIES LENDING REINVESTED COLLATERAL ASSETS 25,805,872 TAXES,LICENSES AND FEES 16,807,425 INVESTMENT INCOME DUE AND ACCRUED 42,265,766 REINSURANCE PAYABLE ON PAID LOSSES AND LOSS ADJ EXPENSES (1,738,793) PREMIUM BALANCES 308,425,453 UNEARNED PREMIUMS 1,394,161,189 REINSURANCE RECOVERABLE 57,954,515 ADVANCE PREMIUM 3,880,400 NET DEFERRED TAX ASSET 88,131,600 POLICYHOLDER DIVIDENDS 18,122,229 CURRENT FEDERAL AND FOREIGN INCOME TAXES RECOVERABLE AND INTEREST 3,250,318 CEDED REINSURANCE NET PREMIUMS PAYABLE 73,920,911 GUARANTY FUNDS RECEIVABLE OR ON DEPOSIT 1,059,482 AMOUNTS WITHHELD I RETAINED BY COMPANY FOR OTHERS 23,588,276 RECEIVABLE FROM PARENTS,SUBSIDIARIES AND AFFILIATES 14,866,600 REMITTANCES AND ITEMS NOT ALLOCATED 5,082,055 OTHER ASSETS 983,374 PROVISION FOR REINSURANCE 6,464,384 PAYABLE FOR SECURITIES LENDING 25,805,872 RETROACTIVE REINSURANCE RESERVE ASSUMED 785,441 OTHER ACCRUED EXPENSES AND LIABILITIES 188,614 TOTAL LIABILITIES $ 3,190,685,707 CAPITAL STOCK $ 6,480,000 PAID IN SURPLUS 433,803,760 OTHER SURPLUS 1,809,161,022 TOTAL SURPLUS TO POLICYHOLDERS $ 2,249,444,782 TOTAL ASSETS $ 5,440,130,489 TOTAL LIABILITIES&SURPLUS $ 5,440,130,489 STATE OF CONNECTICUT ) COUNTY OF HARTFORD )SS. CITY OF HARTFORD ) MICHAEL J.D00DY,BEING DULY SWORN,SAYS THAT HE IS VICE PRESIDENT-FINANCE,OF TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, AND THAT TO THE BEST OF HIS KNOWLEDGE AND BELIEF,THE FOREGOING IS A TRUE AND CORRECT STATEMENT OF THE FINANCIAL CONDITION OF SAID COMPANY AS OF THE 31ST DAY OF DECEMBER,2022. /fli/.,A4aeV 1300 0 VICE PRESIDENT-FINA SUBSCRIBED AND SWORN TO BEFORE ME THIS NOTARY PUBLIC 17TH DAY OF MARCH,2023 SUSAN M.WEISSLEDER Nolaiy Public My Commission Expires November 30,2027 ,o UBL4,..----) `" DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 BID FORMS LIST OF SUBCONTRACTORS The Bidder shall provide the following information for each Subcontractor who will perform work or labor or render service to the CONTRACTOR in or about the construction of the work or improvement in an amount in excess of 10 percent of the CONTRACTOR's total bid. "Rendering service" includes a subcontractor that specially fabricates and installs a portion of the work or improvement. The Bidder agrees to submit the list of Subcontractors as part of the Bid or within one hour of the Bid. The CONTRACTOR shall list only one Subcontractor for each portion of the WORK as is defined by the CONTRACTOR in its bid. If no Subcontractor is listed, the bidder acknowledges that it does not intend to use any subcontractor whose work on the CONTRACT will exceed 10 percent of the bid price. The Bidder's attention is directed to the provisions of Supplementary Condition 6.06.A which stipulates the percent of the WORK to be performed with the Bidder's own forces. Failure to comply with this requirement may render the Bid non-responsive and may cause its rejection.Attach additional sheets if required. In accordance with RCW 39.30.060, the Contractor shall furnish the names of the subcontractors with whom the bidder, if awarded the contract,will subcontract for performance of the work of: HVAC (heating, ventilation, and air conditioning); plumbing as described in chapter 18.106 RCW; and electrical as described in chapter 19.28 RCW, or to name itself for the work; and within 48 hours after the published bid submittal time, the names of the subcontractors with whom the bidder, if awarded the contract, will subcontract for performance of the work of structure steel installation and rebar installation. The prime contract bidder shall not list more than one subcontractor for each category of work identified, unless subcontractors vary with bid alternates, in which case the prime contract bidder must indicate which subcontractor will be used for which alternate. Failure of the prime contract bidder to submit as part of the bid, or within ONE HOUR after the published bid submittal time, the names of such subcontractors or to name itself to perform such work or the naming of two or more subcontractors to perform the same work shall render the prime contract bidder's bid nonresponsive and, therefore,void. SUBCONTRACTOR Company Name: N/A Subcontractor License#: Work to be performed HVAC Address/Phone#: Bid Amount and % of Total Bid: SUBCONTRACTOR Company Name: N/A Subcontractor License#: Work to be performed: ELECTRICAL Address/Phone#: Bid Amount and % of Total Bid: SUBCONTRACTOR Company Name: N/A Subcontractor License#: Work to be performed: PLUMBING 2024 SEWER REHABILITATION Final MARCH 2024 18 DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 BID FORMS Address/Phone#: Bid Amount and %of Total Bid: SUBCONTRACTOR Company Name: Flow Technologies Subcontractor License#: FLOWTT1859MU Work to be performed: Pipeline Cleaning & CCTV Address/Phone#: 3770 Conser Rd NE, Albany, OR 97321 - 503-706-3927 Bid Amount and %of Total Bid: $ 93,596.63 - 11.09% SUBCONTRACTOR Company Name: Subcontractor License#: Work to be performed: Address/Phone#: Bid Amount and %of Total Bid: SUBCONTRACTOR Company Name: Subcontractor License#: Work to be performed: Address/Phone#: Bid Amount and %of Total Bid: SUBCONTRACTOR Company Name: Subcontractor License#: Work to be performed: Address/Phone#: Bid Amount and %of Total Bid: SUBCONTRACTOR Company Name: Subcontractor License#: Work to be performed: Address/Phone#: Bid Amount and %of Total Bid: 2024 SEWER REHABILITATION Final MARCH 2024 19 DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 BID FORMS INFORMATION REQUIRED OF BIDDER The Bidder shall furnish the following information. Additional sheets shall be attached as required. Failure to complete these items will cause the Bid to be non-responsive and will cause its rejection. In any event, no award will be made until all of the Bidder's General Information is delivered to the OWNER. Name of Contractor: SAK Construction, LLC Primary Classification: Construction Contractor(CC01) -GENERAL Address 864 Hoff Road O'Fallon, MO 63366 Telephone: 636.385.1000 Fax number: 636.385.1100 E-mail address: bidcippw@sakcon.com Name and contact information for proposed Project Manager: ! .1 Ckr Plc f v b`t I b - `1 - 1`16o fix 3Com A. so k con . c.or,) Employment Security Department Number N/A Washington State Industrial Insurance Number Active Washington State Unified Business Identification (UBI) Number 603-040-228 Washington State Contractor's Registration Number and Exp. Date SAKCOCL897BK/Expires: 05/09/25 City of Bremerton Business License number Will obtain prior to NTP *If not available, must be obtained prior to mobilization Name, address, and telephone number of Surety Company and agent who will provide the required bonds this contract: Travelers Casualty and Surety Company of America One Tower Square; Hartford, CT 06183; 314.594.2659 1 2024 SEWER REHABILITATION Final [ MARCH 2024 20 DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 BID FORMS PROJECT REFERENCES & GENERAL INFORMATION To be considered for award, the CONTRACTOR shall have completed at least three (3) projects of similar type, complexity, and comparable value to that WORK described in Notice Inviting Bids. The projects must have been completed under the bidder's name as the prime (general) contractor within the last ten (10) years. ATTACH TO THIS BID, or provide within 24 hours of Bid Opening, a list of three (3) projects minimum, completed by the CONTRACTOR, that are similar to this project in nature, value, and complexity of work. The list shall include the following information as a minimum: • Names, address, and telephone number of owner • Name of project • Location of project • Brief description of the work involved • Contract amount • Date of completion of contract • Name, address, and telephone number of architect or engineer • Name of owner's project engineer • List of major equipment used: Please see attached Major Cured-In-Place Equipment List • Years in business under current name: 18 years • Contracts now in hand, gross amount, and percent complete: Please see attached Current Projects List PROJECT 1 City of Stockton, CA; ; Rosa Alvarez-209.937.8134 Alexandria Place Sewer Trunk Line Rehab Rehabilitate approx.4,511 LF of 48"and 1,547 LF of 54"sewer trunk line. Includes traffic control, CCTV and cleaning, maintenance hole rehab and sewer bypass. $4,774,606.92 December 2019 PROJECT 2 West Valley Sanitation District-Los Gatos, CA; ;Alan Kam-408.385.3030 University Ave.ACP Sewer Rehab CIPP rehab of approx. 9,100 LF of 15"to 18"diameter Vitrified Clay Pipe(VCP)and Asbestos Cement Pipe(ACP)trunk sewer. Sanitary sewer lateral reinstatement. Rehab of 28 existing sanitary sewer manholes. $2,571,319.45 September 2019 PROJECT 3 California Department of Transportation; ; Phil Zink-530.346.7796 Placer County near Colfax/Contract 03-4F2504 CIPP rehab of approx. 2,990 linear feet of 18", 24", 30",42",48" $1,496,829.44 August 2019 2024 SEWER REHABILITATION Final MARCH 2024 21 DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 TM 636.385.1000 SAK 636.38 100 Hoff 0 fax Hoff Road 'Fallon,MO 63366 Pipeline Infrastructure.Solved.'" www.sakcon.com MAJOR CURED-IN-PLACE EQUIPMENT Boiler System Water Boiler Steam Boiler Inversion System Shooter Air Compressor A-Frame (Water Inversion) Jetter Unit Jetter Truck/Trailer Vactor Truck TV Inspection Unit CCTV Truck W/Robotic Video Camera and Cutter System Support Trucks 3/4 Ton Pickup 1 1/2 Ton Pickup Wet-Out Tube Transport Road Tractors Refrigerated Trailers By-Pass Pumps and Piping 2"-4" for Small Diameter CIPP Larger Bypass Equipment up to 12" Pumps/HDPE discharge (only when necessary) Traffic Control (Cones, Barricades, Flexible Drums, Signs, & Changeable Message Signs) Confined Space Entry Equipment DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 a) N o `U NT CC a 0 t e 4 he t 2 Q C IAZ o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 c O O O O M N V u) O O V O) N- r O) 'd' �0 O O 'a ) 0 O O 0 CO N N N N V r O 0 A- d) N N. 0) CO UO +-' a) O O O O M M M u) O O O O o) O U) U CO c i Ni O Ni O O M Ni O V C O. ino) CO N.- N r A- D) N- CO co N- Co N. O) CD 0) O) n 0) N` j o ati 0 U) 0 0 N r (D N. O O 0 0 0 O 0 CO O N I- 0 0 CO V O 0 0 U) LO 0 0 U) O O U) d) 0 M 0 N O O O O N O O N N O O N N O U) O N- r LO (O u) o) V U) c0 R N M Ni O Ni O U7 t` M 4 Co M O R n M O (O U) Ni co r V' U) CO V N CO U) CO CO (o O 00 N- V N CO U) CO CO CO CO o CO u) CO O CO O N. CO O co N CO N 0 N 0 d) CO U) D) 0) CO CO o) U) N- CO V -0 . U) CO 0 N t 05 N O N M V N` N O ,- r U) u) N co M o) o M t` u) O r O N Co N U) 0 N- o) O CO N N CO U) N N. CO Co N. V N. o) O co V CO o) CO N Q N V N N CO CO N N O `7 EA EA CO CO N CO_ N- U) CO U) N- CO') CO U) N N..EA EA EA Ea M (o M V N N. EA EA � EAEa Ea Ea (n 'd' V ffl EFT ffl Uj EA @ EA EA EA EA EA EA EA EA EA EA EA EA EA EA 1- Y C 0 U 0) ;; O O J O Q Q Q Q Q 0 ❑ ❑ ❑ 0 0 0 N N Q O Q Q > Q ❑ C 2 2 a 2 0 0 0 0 0 co ? z 2 2 2 2 2 2 ¢ Q > 2 U a Z Z Z Z U 2 L L 0) C) 0) C) C) C) O Y Y 00000 CO .D1 OS CO n a) E E CO E E 2 12 2 -Y Y •2 _„. Y 22 a a (0 4) E. E E E = O o (O C4 :° -@o -0 .� 7 7 ca •� .0 m > O o o L m Q Q _) 0 0 0 U U > > n a n Q Q m CO n 0 3 o > > > 0 o- •o 2 2 coca > .0 ((0 ID (0 (0 (0 cco .0 .c ac) ac) ac) 2 2 ,T m m aa)) 10 0 o a°i .c � r o ac) a Nb oa co H 0 0 C7 O O rY U U Y Y Y (c m H ❑ ❑ Y H I- m J U U U H Y 0 0 0 J 0 Q Q Q Q Q 0 ❑ ❑ ❑ 0 0 o NN Q O Q Q > Q ❑ .a LL 2 0 C7 O C.7 C7 U ? ? 2 2 2 2 2 ¢ ¢ > 2 0 a Z Z Z Z U g •0 d d CL O O 4. n. O O d CL 0 CL n.. d 11 d CL d d 0 d n. a d O n. d d d 0 a a a a a a a. a a a a a a a n. a a a a a a a a a a a a a a a N] 0 0 0 U 0 U U U 0 U 0 0 0 0 0 0 0 U U 0 U 0 0 U U U U U 0 C.) b a) CO M .c u) E CO N C U) ( 7 0 V 2M coLri } O -O p N C O_ "00 a CO CO 0) V m `- N Q N w E 0 ' O N Cn - N @ O EU) CO U) CO o E ) Y a) 0 (o M C N d) T O O C i Y m co U C o N- p ; >. :c Im a o co ci 0co 3 a. �ii r a co E ` o m N Na) W ac N a O >> NCOIT) OY > a) VNm J j U � U O O z rnO U E Ce c co E cc iai rc as v a o) E o E m O (moo 0 o N Z N U rn 2 o ai c W a CO a 0 U cu_ C C7 U N a M U W n Y `- o = N >2 N- N� c Y MQ N •C O N �_ J o .� 3 a a Q E) co °_ Y .. (o co O O N- U .5 0 ui i 1 co a) a o m Q COV 0 o U Q co (0 0 C) U N rn m @ O N - o a Z a U a Z °� U (� 2 n y U U U E N c a -o �? N o 3 LL CO U Oa. Q Q Q Q Q c4 X co rn ^ ❑ ❑ ❑ Y Y (0 CO C tY (0 ❑ U J O U o N (19 J M O O C7 C7 C7 O 0 O o Q > Z Q Z V V Q _ 0 N O C C C C C Cn Z Z C' C C O r.� > O U a T �' 0 Z U ❑ N A o r c) N o 0 0 0 o m o o U U U U U Q a o a c U o N Xi n a O U U U U U a)j a a 6 o y 0 0 2 N o Li co G •a C c ( g .fl .0 _a .0 O _ (a as -0 'a -o CO X X •5 a U U CO E a O c V o N CO co co CO co C C C co (o co N N J d N N J @ o Y Iv co to E N i� y - E o Y Y Y Y Y 3 3 3 c c o o r c m r = c -- ;� a) m m a) a) a) a) a) - `c) a o o O CO (o • .0 .c o •• CO .0 o .) CO CO 1 0 in (n a H ❑ ❑ ❑ ❑ ❑ 2 E E 2 2 2 Y Y (n a a a to' co a U a ❑ co m N 1; ,_ CO N CO (E') V' U) CO N 0) r 0 � U) 0 0 CO A- V e- Q U) CO CO CO CO CO CO CO CO U) r .- N CO O O f`0 a V '.t V' V d' V 4 .4 4 00 U) U) r N� N O) O) V co 00 N V r 4 r r O U) O Lai C E O O O O O O O O o O N N d' <t a CO CO CO O O o (o .- O N 't 'Q U) U) v/ CO CO CO CO CO CO CO CO CO o 0 CD CD 0 0 0 CD 0 C) O 0 0 0 0 0 0 Z 0 0 0 CD CD o 0 CD CO N. N. N N- N. N. N. N co co O) o) o) o) O N O O N N DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 O)N O N a7 a 0 O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o 0 0 0 0 0 0 0 0 0 0 0 O o 1.0 00 N 0 U) U) CO M _ 0 O O M N O CO O O CO U) O co "I- co r co 0- N P.- CC) M CO N O V 0) 0) O V V N N O CO N N 0) CO. d; Co CO U) M U) 0) N- O O U) Ci O O N- U) (O M V CO rY M 0) O 0) M O rf N r M U) U) 4 00 C) O O) t` 0) N 0) CO 0) CO CO 00 0) CO CO to CO M 00 CO 'ct N 0) 0) M 0) CO CO co O) co r 0 co O O O O O O N O C) O U) l0 O O Cr) CO O O Co O O O U) 0 O CO CO O Co h U) O O O O O O O O O U) O N N- (O O M 6- MO O O t0 O O O O st M O O 0) N O 0) O ' r r 0) r O N M N U) C) V M U) CO (O t- r N V H .L- U) O t- O U) O O U) O N t- 0) N CO �t N U) O CO 0) U) CO CO U) V CO r U) 0) 0) O • N. O coU) U) N CO 0) CA _ CO M M CO CO CO st M 0) 6-- CO C) CO .- U) U) CO t` M ct (O N- (O N C) W V• N 0) CO r CO (O CO V' 0) c0 N N r 0) 0 U) CO 0) (O 00 CO 4 t` -4 co N- (() 0) U) 0) C) CO U) V CO N r r '6J- r O Cr) O 0) CO CO O (0 M 0) 0) C) 0? I- O V 0) co U) Co CO 0) M CO O O O U) CO r (0 V M CO O CO CO U) V O U) 63 O co N M m d) U3 U) N M 00 M 63 N M b3 U) O i- 63 63 N Eft M (f) (f) b9 (f) EA Ef) (A ff) (f) Ef) U3 EH (f) (ff M CO Ef) Ef) ff) N E9- (fl 0* O 0 _j 0 0 Q 0 0 0 0 0 _) o 0 O z O _) z 0 0 nN1 0 0 0 2 2 a 2 2 a 2 2 2 2 2 Q Y 2 2 2 2 H 2 2 Q H 2 Q - 1 2 ¢ 2 2 2 c a> a> c w m C SC 0 w (n 0) 0) w (0 u) 8 c Y -)� `n C `n 0 E,_. N E N N v) c 0 ( ti LT 2 N E E U U N T0 N NN o) 2 d N N a> co a) a> W a> a) N 'O 'D N LL C -O 'D N-, a' C N U a) N O N a) O N L1J a) n N Y cn V) (n cn N co Q Q Q to -00 Q Q o) C D :5 fn C Q n 0 H H 0 'D (0 as 0) (o U •n' c a> a) m 2 m m m a) m (a aa> 2 2 E m m m aa>> 2 o 2 f6 m m o o 2 (>o 2 m N H H 0) H I- Y I- I- Y CO CO Q N CO N N H 11 CO - I- Q CO I- 0 CL CC H 0 HNH O 0 _1 0 0 Q 0 0 0 0 0 J o) 0 0 O 'z 0 J z 0 O nN1 0 0 0 2 2 a 2 2 a 2 2 2 2 2 Q Y 2 2 2 2 H 2 H 2 Q H 2 Q 2 ¢ 2 2 2 a a a a a a a a Cl. a a a a a a a a s a a a a a a a Cl. a a a 0a a s a a a a 0- a a a a a a a a a a a a n. a a a a a a a a a a a a s n. O 0 0 0 0 0 0 0 U 0 0 0 0 0 0 U U 0 U U U U U U U U U U U U 5 U d' O 0 d" o (0 Cl) U C O O O O V" c a' Y a) Y O a M :0 o N LL Ui Ui G o �i o 4 0 0 :Q o o o a `n c4- 112O O O O s- N O > > T co U �O U L - U) coM m 9 c0 r (O0 _ U) C O N ) N CO N O Cn re O p 0 OM C O ( O (No } w m ° E O rn a> 0 9 m 3 N n co a o 3 °> m c(di o 0 = ° 3 v O m 3 N rn (O rn o 0 0 �_ E 'o U (n 0 > 4 aoi a) o 0 m 2 co N 0) N N (n N 'D O d N D_ N a) ` 2 (f) O O N N CO _O C) D) d) N O- 0) 0) a N (n m m > N N Q N O N N N N C N p (O >' O N C O C.4 Q N O a C = C HO o O d m O U 0 N Q N J a) J 6-- O a •U 3 N J oi co N N d 0 J Cl)V - C r co O CO U U a> a) E w } N O W M' a) - a) U) co } O O L d ,- N p m 0 J W 0 m N a m a CO u) COm Y d ID m (' (moo U c EL5 o M N - N >• >cL u) a> o v- c N. (/) Y -I 'c * o a >, 7 Z' (o N co 00 OO ` C U Z O J a) N Q 0 J N 0 °5 a a> 7. a' CO m 4-) c 2 O o I- i- H c N U U o it) co L N Y a> N 2 m a> -c a r E co r� o U N 0 Oo 0) Y E o - - U co 3 o o 0 3 o U W 3 m 6 O • J O fn Q 0 Et m o o a> °tS Q Q m co -.E. v N U N o U (n m N U o m N o 0 N m 0 g m co U 8 o 1, (7o o N N U N Q N Q N CO O o 6 a N ,� C O O O O O N O x U .N N U U 2 O N F- z N .? ~ 2 Q En Q to 0 0 a p 0 0 0 0 (� O z o o d O o 0 0 .7 O Y O o 2 2 2 2 2 U 4 4 Y . o 0 2 H .E U o U '� J O _ U U Q 6 o 2 2 cn a) o o 2 c o c o 0 _ _ C N N Sc to co U• 0 O D m 0 O O 0) (.0 0 c Q U U = > d C N N m O N C c (n N C O C J J a c9 J 'N J J V! N 3 Q U (n J •C Q Q a a) N• a) Q Q a) 16 J y0 J N a c c ca c c c m a c c o N N c% (o 2 C c6 C N a) 0 a) co ) co a) in in in O in a in (7> m Y Y ¢ (n Q in Z Q (n in , U O --, (n (n 0 in m in N co N 'ot LO p O O O 0 0) N C) c0 N M 0) U) M O O C) M U) CO CO 4 (0 N U) co M r 0) N C.) '0 (O r N N (0 0) O N CO N CO U) U) r N C) C) V' N CO U) (0 I,- t` r CO O O O O 6- N 0 0 0 0 0 0 _o _o O_ o_ o_ o_ N- 0 0 0 0 0 0 0 0 0 N NNNN NNN NNN N N N N NNNNNNNNNNNNNNN N N N NNNN N N N NNN N N N N DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 CO M C U) 0.) co o. e 8 o '8 o e o o 0 0 0 e 0 a e c e e o o e e o o e o e e a 0 0 0 0 0 0 0 0 0 0 0 0 ( 0 0 0 0 O 01 O V' O r 0 U) 0) O O CO O CO O_ (0 0) co V• co CO m O CO N O r V' V' U) m co U) � CO O U) O 6) O O O U) N r C0 M O CO O CO. V; CO O O N O !� V; r' O V; CO (0 00 N CO 00 O N- O r O O O N V: CO V• CO O) N E` O V' r N O V• V' co V' O r N U) 0) 0) N 0) r .- 0) 0) U) 0) U) 0) r CO CO r CO CO CO 0) CO N CO 0) C0 00 O O O O O 00 U) O O O O O O O O O O O O O O O O O O O 00 O O O O O O CO U) O O N U) O O O O O O O O O U) O N O O N U) N O O O O O O CO O CO O O d' O U) N CO O N O U) U) r O O r O C) U) O 0) 00 O d• O U) t0 O (0 O) V V' O) 0) 0 0) V' 0 r 0 r CO M N V' V' NY CO V' CO O) CO N 0) 0 CO r 0 U) CO CO O O N O) O CO 0) r N M O CO co co co ,r-, 4 o0 O) N if) N U) N- CA O CO COO U) (O N (0 U) O) N V• r M O U) ct 4- O O) 0) CO N r r r V' V' (O O V' U) CO M r N O) V 05 CO r V' CO V' N CO U) (0 U) CO N CO CO d• 0) CO 0) CO r N CO N '- N CO CO V• CO r 0) r r r CO N V• r CO r d) CO CA CO CO U) 0 CO 0) r U) N N CO CO N '- CO U) N 0) CO 0) N U) 0 NI- CD N dj Uj b9 b9 Efl CD U) co b9 69 V' M V' M EA d) (. 00Er> Ea (. N O CO CO (. M b9 V) U) U) b9 CO b4 b9 CO U) b9 b9 CA - U) U3 2 0 2 a Y 2 I- H I- J 2 � 2 < 2 0 Y 2 2 0 2 < 2 < z 2 O Y H H 2 0 2 2 C C C C Y u) c O O O Y O O E NVE C O •N J1 N CN u) U u) co coWW Y o C` m m 7 Y a) a W Ill ` L ' mom Es O 0.)Z _ N ) a) co a a a .c 3 M > a Q z a n Q Q QZm QTo S -) -' U Q m Q Q U Q 0- m Z' Z ' CO a CO m U u) o coO Of CI) (1) 0 (f) UCL ma al ac) coo aa)) coo aa)) t. E �° �° t6 m m a m f0 s- o m :° m m o aa)) o aa)) o) �' m Y CO N Y N Y H m < H H m N ❑ m J N I- H I- CO ❑ I- ❑ CO N H CO CC O Y J Z N 0 0 W W 2 O 2 a Y 2 H H H J 2 H 2 < 2 0 Y 2 2 0 a a z 2 Y i- 2 0 2 2 CL a a a a a a a a aa. a0 aa0 n. n. O a00 0 aO CLaa a. a. a_ CL Cl a CL a a a o- C4 O Cl a. U o- IL a CL a. Cl_ o- a. CL W a Lis CL o- CL CL 0 a CL l 0 a a U U U U U U U U U U U U U U U U U U U U O U O D U U U U U U U U U C.) _ o N E Y ..cc E m d u ❑ cn aa)) H a o co co m ❑ N Zs .- U)• (o y N 2 3 c E o U m m o N r a U Q a`) Q cc m (o o c a) CO 05 ¢ a) o iu 'Co an U o `o > O .. a°)i `) o o m m W o CO D U) M v Z CO o o 23 fn m 0 D U U Ce H Y CO V' N CO M N p m CO .. N 0 S 0 O _a C �' U 0($ U co a T u) a) U 7 U) V' (V M m U) 4' O d _ N V• 'O 0 N CO 0 O C _ Il N O ?� O W V ry N N css O 3 a m CO N N U) X co a) m a) coo N m 0_ U L co , N m Q O > ( '-. . U O (n N criN it UV. 0 N = -m0 N .0 O ( O j U 7 a) o o M N a ❑ N o m O U m N ❑ i c CO a m 0 0 9 O N m a°)i co c Q o SY m U U N ~ _I - r CO 0 Mo - W N M m m o co" U aCi -o, O M o N z U) O C C Y 4 W O c N f0 N m ' O N H C N 0) 6 N 15 J O m C7 C U) N r a) O CO m O m 2 m r U O N !T m V• = COO O d' d N O U 00 N = d' L co N 3 C CO (0 M N OO w; N CO0 2 4' O CO O 'V 'C U) 3 > a) O NN O 2 U 2 N O o m m N Op o CO Z cp 0 CO cn m E i cC m o - (n 'o v M U, ,F, 0 cn C N N (0 U) ' C Y N N .�.) N O CO Y U ON M U *C N c M Q > U (n Q 2 Z w 0) NO C O O X a) Q E N ❑ > r N co s - o - a) CO 0 o a U co O U u- N N O m Y 0 a U Y a) U 2 Li' > n O) 'y O N 5 x ❑ ❑ a ❑ ❑ ch O U) o 0) ✓` U Y 5 0 i r N C2; C3 C W (A (A Q U (n I N u) -' N C o Q O N m H H o Y HZ Y Q Z o • U J o o a c () ❑ o ° O Q O O m O U O O o ._. a O Q U oo Z U O - CO U i• Q u) o IZ- COa) rn _j 2 a) 2 o a co 2 2 .� E g L' z ❑ a 0 H r a) a 2 4-' 0 ate) > U ay U a) o o u_i o c X 0 m Y v_) .0 C 0 - a E c 2 U a) C m a) a) N N m a 3 X m •5 m m 0 0 m 3 'c c c Y > > )) •c 0 rn o C) T3 '> 5 o '> m0 E N .O a) X J O 0Q 0 J J N a) J C (n m t Q N Cn N CO 0 CO CO a) O OC OI RI L .0 0 CO CO .0 Co co O CO a) .0 O CO (n CO CO 0 0 0 CO COin m H Y CO J = Y U U C7 (n U cr 0- 5 J H U U (n J 0_ U) d 5 (n Z IL W J I Y N o O O O M U) O U) r V r O ,- M 4 N O M 4 U) (O 0) O 00 CA 00 O 40) N _N N CO CO CO_ V' V' U) U) 0 0 O O O O 0 O O N N N N N N CO CO CO CO NI- NYCO U) U) U) (0 CS) O 0 0 0 0 O 0 0 0 O 0 0 0 0 O 0 O O N N N N N N N N N M CO CO M CO CO M CO M CO M M M M CO CO M CO CO M CO M M C`') CO N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N NNN DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 0 a 0 VI 0) CO a O C O O O O O 2 O O O O O O C '' O 0 0 0 C a0 C 0 0 0 0 0 0 0 c 0 0 0 0 o 0 0 0 c*' , 0 0 0 0 00 U) oo N O N CO(O V' CO V' r_ r O CO (n 0 N O r co co O M O O O 'a O O O O O) N. 00 O r CO V' O CO f� O CO O CO CO O V O O CO V O O O O O O) O (0 0) O V 4N O M N O (n O O r N- C') 'xi O(c) O O O a0 Cb O O O O co co c0 0) r O) N CO r co , N .- CO CO V' O O O 0 O 0 0 O O O 0 O O O O O O O O O O O O 0 0 O 0 0 C) O O O O O O O 0 0 0 0 0 O co N co O co co O in O O O O O O O co O 0 0 O 0 0 O O (n 0) CO M O) (n (n N- M 0) M f- O CO N- O r O O 4 (O (O (O (O n N O (n O V N. (n O (D N _CO O CO I"- CO CO O CO CO CO (O O CO N 0) CO N N� 'I"t N O) CO (O CO V' M O 0 0) (O CO a O V _M N O CO O W N-- co co N` co ` V V 0) 0 CO I _ CO O O V O O (Or. V O O N- (n (0 r V M n W( 0 C) 0) r V 0) (n d' 4 V if; O M () O N- h r CO 0) N- c') O) V co co N O) N- 0) CO (n 0) (0 CO N- h CO (0 CO (3) CO (n (n CO O CO CO (O CO O CO N CO EA CO Cr) CO 0) (A 0) CA V N 000 N 000 (n CO CO 0 N V_ 0) CO N N N (A 0 (A C9 0 O 00 (A EA EA r EA CO (A 0 0 EA d: 0 E!) O EA 0 0U ffl EA U) 69 Vj O 0 0 O Q O (/) Q Q Q z o Q o 0 O (n a z a Y O O 2 2 2 2 U 2 2 Y 2 a a U H _' 2 2 2 2 U 2 2 2 Y Q H 2 2 0 O n 2 a) c a) c a) a) a) c c a) a) m 0) 0 0) 0 O) a) 0) N O O O) O C1 @) - 'C E C q CO C CO ° CO N N C C C N 5 mmmYa) Nm N 3 N C C N o N C c. O mmEm O o (i C.)i m w mmm p ` a) ) ) ) a) a) O d w O 0 U) E a) a) o E Q Q Q Q U 0 ; Z' o n a j 0 0 o U I— Z m 0 0 0 V- co •o N m '0 (/) Cl) O (n N "0 '0 '0 N a O CO a O -o -o N N N ,N ;0 _C .0 _C C -0 C > c C N E > > C c C -0 '> m Y .> c Y E C C .0 0) > > > N O m m m m C C L m N (Ommm0 mO 0 m m 0 m mm m O mm m N N N mHmHN , YY0OH H m m m Hit- (1 z H N z co m m U' a H H 0 0 w O 0 0 o < O co < z o a 0 0 o 0) x z a Y o w N 2 2 2 2 U 2 2 Y 2 Q a Q H J 2 2 2 2 U 2 2 Y Q I-- 2 U` O 2 a a , 0 , , , , , , , a a a a a a a a a r CL th CL a a CL CL Q. a O a a a CL a a a a CL a a 0 a CL a CL CL a a CL a a a CL a a a a a a a a CL a CL a a CL CL a a a a a w a 5 0 U 0 0 0 0 0 0 (n o (0 0 0 0 0 0 0 0 0 0 0 0 0 U 0 0 U 0 0 0 0 0 m F o o m6 N NT U V >• mo a) N U xs o N a) '5a) a) o a o C w (ri o co to CO N Cl- N J Q O- d N N .0 t(6 m ?_ 0 (n 3 m 'a 1` O (rD <t V csi O O O N co J a s Cr. N _c (..) J O O (a c0 Cn J O N a) H H H _ a c a) Z a) (p co 3 p .0 N O ,,_, 7 U (i) @ m IX CO N CO N U ' N a) D E C. c c m = a c m U c o c a) r co > m Nl n o N coN coN N E m N a) (a 3 C O' ZS 0 0 m N C D) N O O co co co in -0 U m - C NZ m 0 (n a 7 .x O U N- - o 0) m ' 0 m C c C E S O 0 -) a' (00 0 C C M N N c 0 co O d CNI- Z' ,C N M o CL CC o 0 Q 0 0 0 °tS o N o 7 M o a3) aa> W I- C `t m c rn U c - d p • O O c o 0, N 0) N N� Q O O O O M M a` O c o a) Z N u) _0 > co = O N N 0 O O �' U r o,) M (n a 0 M " aCNI co o m `n a m U CC CLI CI E m aXi N m U .r- W Q C _J N N a) M a N N 'C m U O_ .. o) W = W N t a > a U ._ co C d a) >>N C) m Ri a C N H "O O a co � co cc) co C ,>', 2 a N N am' U Oo C > D O M N a0 N a C -) (n 0 O E > co • U M M M O C Cl- N 0 2 i 'C m 2 2 N O Q O U a) N C Q (() (n (n = O ' (l.. Y 0 J 0) N U x co [2 (`) O W Ur o a Q U U U Uco 2 N a a 00 C 0 a)C ' O N r 0 .0 d N z - N o o Cn (n O 0 0 2 o N 2 Y r o o H E E Y J J c Y Q Hai o YO N o 2 2 ai = aS o n ai m m g c o o N = v_ Q M U U U 0 m C c '(o a�i a�i U •� o U 0 rn in Q aci o X O a>i tO c o 0 0 (d o (/) (/) (/) j, C 4 J f30 V Y Y O (�i) O a) O >, 'c C Y c -) C U o �_ O y0 J J O U) CN (n Cn (n m o O ,c 0 0 N CO O Y O O a) m m m m N N O - O m N IX o ¢ (n (n Cn 2 2 o z 2 in 2 CC _1 (n _1 o) o _, o o = 0) Nl _J cn cn a N <} 't CO 0 ' CO V (n (O N O N C') a' (n (n (O N (n 0) O N V' (D N- N V (n (O 0) O M V (n (O co co CO CO (0 (0 I"- N- r I` N- r n r N r CO CO0 Cr) CO CO CO CO 0) O) 0) 0 0 0 0 0 0 0 0 0 0 0 C) 0 0 0 C) 0 0 0 C. 0 0 0 0 0 C) 0 0 0 C. 0 C) 0 _ M CO CO M M M CO CO M CO M CO CO CO M C) COCOCOCO C) M CO M M M M M O, M M M M N N N NNNNNINNNNNNNNNNNN NNNNNNNNNNNNN DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 CO a)`^ 0 VI m a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o 0 0 0 o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o O 0 0 0 0 0 0 0 '0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o o 0 U) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 O O O M 0 O O 0 O O 0 0 0 O O 0 O O O _ O O o co CO U) Uj M O 0 0 U) O 0 V U) .,- U) 0 U) co V M 0) o U) co 4- CO 0) c0 CO 0 U) 0 N N. CO N_ 0 0 I.-- 0 (0 CI U) O CO U) (.0 CO C,") V 0 M V I� M CO 0 CO I,- U) N NI-... CD O co 0) V' O co h I- U) U) M r r c)) N (Ni tC) N N a Oi U) N- C 1 U) h 0) I,- d' CO 0) CO 0) •ct CO N CO t` 0) D) M CO d' 69 CO •- 0 M V' N M N to I,- CM CO CO 09 M 0) d' CO tf) 69 69 4' r; b9 Ell ffl EA 05 b9 b4 (fl N (\I El) EA 69 to 69 to U> 69 b9 E9 b9 < CO O a a a > < a 0 0 X a < U 0 2 0 Y 2 2 d U 0 z 0 0 2 z 2 I- U U Cn 2 2 0 2 J C a) N ca) a) rn 0) ON N C1 y co N E N C C O C E (2 Y Y O Y Y N E (0 Y Y N N O Y @ m W m 0 CO m CO CO m m m t ) to Y a) U m U o) o N ,, -o Co d .0 .0 . C C o -o H L .0 o C L C O Z, U U as 0 0 > < 0 0 a o U o > 0 2G c 'C (n .o "O U .o "o g co c a) 'D 'O C > "C .a C N Y 0 C.) t@ C -o " o 0 "0 co L `) 0 0 0 m m (0 0 m c c) a) N CO CO Y 0 I-o a) H I-o I- 0 m CY I- I- 0D H 00 I- Cp O Z J _ W U Y 2 2 aa. U U Z U U 2 ? 2 U U w O 2 J CL a o n" a a a a a a a a a u a a a a Q. 0- a 0 a d CL CL a. a. O d 0. d 0. 0- O d CL 0- d n. O CL a. Q. w d 0 0 0 0 0 0 0 0 0 U 0 0 0 0 0 0 0 0 0 0 0 0 U N U C co 0 co > o O d m CO a) n t0 3 fl. o c C v C1 M 'O 3 0 0 00) 'E U N N o a) n c o c a m ami m o m E mP. c o c U d U o U aci o 0 0) o 'm to (.j N _c) m 'o m Ib o U o Q o CD LL d f a) 0 c d` .a aa) ) o 0 off$ J E N a c4 5 o m o E aa)i a r m (I Q E m a) a) 00 °w M m E o c U 0 cn CL p a) m `(71 CO o c o o Z. 3 U a) E U 3 a) o U) No o - 3 le" U 0 CO m Cn ti aa)) a`a)) M o 3 S U CV a) m U a c Cn c m -Oj N •C N Q) M (n N (n U in d' O CO O U) M r U C N- O CT N C cp N N 3 m O 2"-- U) N Z, 2 o to C co c i 'E m oN a 0 ui =, o o ;�° a U D ti0 W rn U oa) a < m c v Y Oo coU c . Jm E CD W ° coCn a -a o 2 a) C co >, (0 Y t j N - > m O CO Y O O La V. N N (� O M c N N v 03 m J U m N O N m a a) o > No o Da Z Q o m Y 0 tL On 2 X LL U Z N -a N m M o0 > U z H 0 U a C N N N Y 0 a a a Za ui 'E p a N O IY a o N O U ( cu.' O N .E O O J a) Y O `7 t/) O m u- o N d 7 �O a) C m C a J N Q 0 o c 0 Q N r c N Q 0 °w o Q c m N N N m 3 m •(0 N (O o "o m m m m m o ozy a) O C o a) N J O J a- U a J 1- 2 Cn E J 0) 0 0) m -)i m 2 a a 0 N M 0 o) CD M 4 U) r CO O) N M ' U) CO N CO O 0 N M V' c) N N N _N N N N N_ N CO CO (`') CM (O M M M M M M M M M (T M M M M M M M M (`') c') M M M NNNNNNNNNNNNNNNNNNNNNN N DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 BID FORMS NON-COLLUSION AFFIDAVIT STATE OF Missouri ) ss. COUNTY OF St. Charles) Boyd Hirtz , being first duly sworn, deposes and says that he or she is of the party making the foregoing bid that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sh bid. Signed: , ( Boyd 'irtz,Vice resident of K Construction, LLC Subscribed and sworn to before me this 27th day of March , 2024 /Theresa H. Messer Notary Public in and for the County of St. Charles State of Missouri SEAL THERESA H. MESSER Notary Public, Notary Seal State of Missouri St. Charles County Commission#15634377 My Commission Expires 03-30-2027 2024 SEWER REHABILITATION Final MARCH 2024 22 DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 BID FORMS CERTIFICATION BY PROPOSED CONTRACTOR REGARDING EQUAL EMPLOYMENT OPPORTUNITY PLAN In accordance with Chapter 56, Laws of 1975 1st Extraordinary Session, Certification regarding Equal Opportunity is required of bidders or prospective contractors and their proposed subcontractors prior to the award of contracts or subcontracts. Name of Prime Contractor SAK Construction, LLC Address 864 Hoff Road, O'Fallon, MO 63366 Internal Revenue Service Employer Identification No. 20-4193988 a. Contractor has participated in a previous contract Yes ✓ No or subcontract subject to the Equal Opportunity Clause. b. Compliance reports were required to be filed in Yes ✓ No connection with such contract/subcontract. c. Contractor has filed all compliance reports required by Yes V No Executive Orders 10925, 11114, 11246 or by regulations of the Equal Opportunity Commission issued pursuant to Title VII of the Civil Rights Act of 1964. d. If answer to item 'c' is"no", please explain in detail in the space below. N/A CERTIFICATION: I, the undersigned, certify that the information above is true and complete to the best of my knowledge and belief. SAK Construction, LLC Company Name Boyd Hirtz, Vice President Name and Title of Sig- - rase type or print clearly) 1, AA March 27, 2024 Signature Date 2024 SEWER REHABILITATION Final MARCH 2024 23 DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 BID FORMS CERTIFICATION OF NON-SEGREGATED FACILITIES (Applicable to federally assisted construction contracts and related subcontracts exceeding $10,000 which are not exempt from the Equal Opportunity clause.) The federally assisted construction contractor certifies that he does not maintain or provide for his employees any segregated facilities at any of his establishments, and that he does not permit his employees to perform their services at any location, under his control, where segregated facilities are maintained. The federally assisted construction contractor certified, further that he will not maintain or provide for his employees any segregated facilities at any of his establishments, and that he will not permit his employees to perform their services at any location, under his control, where segregated facilities are maintained. The federally assisted construction contractor agrees that a breach of this certification is a violation of the Equal Opportunity clause in this contract. As used in this certification, the term"segregated facilities" means any waiting rooms, work area, rest rooms and wash rooms, restaurants and other eating areas, time clocks, locker rooms and other storage or dressing areas, parking lots, drinking fountains, recreation or entertainment areas, transportation, and housing facilities provided for employees which are segregated by explicit directive or area, in fact, segregated on the basis of race, creed, color, or national origin, because of habit, local custom, or otherwise. The federally assisted construction contractor agrees that(except where he has obtained identical certifications from proposed contractors for specific time periods) he will obtain identical certifications from proposed subcontractors prior to the award of subcontracts exceeding $10,000 which are not exempt from the provisions of the Equal Opportunity clause, and that he will retain such, certification in this file. CERTIFICATION: I, the uidersigned, certify that the information above is true and complete to the best of my knowledge and belief. SAK Construction, LLC Company Name Boyd Hirtz, Vice President Name and Title of Signer(pl se t,p or print clearly) March 27, 2024 Signature Date 2024 SEWER REHABILITATION Final MARCH 2024 24 DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 BID FORMS CERTIFICATION OF FEDERAL NON-DEBARMENT AND SUSPENSION INSTRUCTIONS TO BIDDERS: THIS FORM SHALL BE EXECUTED BY THE CONTRACTOR AND SUBMITTED WITH THE BID. THE CONTRACTOR SHALL MAKE COPIES AND DISTRIBUTE THIS FORM TO ALL SUBCONTRACTORS. SUBCONTRACTORS MUST SUBMIT THIS FORM TO THE CITY PRIOR TO PERFORMING ANY WORK ON THE PROJECT. As a prospective contractor for the City of Bremerton and as a requirement of your submittal, you are required to provide debarment/suspension certification indicating that you are in compliance with the below Federal Executive Order. Debarment: Federal Executive Order(E.O.) 12549 "Debarment and Suspension" requires that all contractors receiving individual awards or using federal funds, and all sub-recipients certify that the organization and its principals are not debarred,suspended, proposed for debarment, declared ineligible, or voluntarily excluded by any Federal department or agency from doing business with the Federal Government or from receiving Federally-assisted contracts. Your signature certifies that neither you nor your principal is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any federal department or agency. If, at any time during the term of the contract, such condition occurs the Contractor will notify the City without delay. CERTIFICATION: I, the undersigned, certify that the information above is true and complete to the best of my knowledge and belief. SAK Construction, LLC Company Name Boyd Hirtz, Vice President Name and Title of Signer please type or print clearly) a r March 27, 2024 Signature --- Date 2024 SEWER REHABILITATION Final MARCH 2024 25 DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 CERTIFICATION OF COMPLIANCE WITH WAGE PAYMENT STATUTES The undersigned bidder hereby certifies that, within the three-year period immediately preceding the bid solicitation date for this Project, that the bidder is not a "willful" violator, as defined in RCW 49.48.082, of any provision of chapters 49.46, 49.48, or 49.52 RCW, as determined by a final and binding citation and notice of assessment issued by the Department of Labor and Industries or through a civil judgment entered by a court of limited or general jurisdiction. "I certify under penalty of pe ury u/rclIr the laws of the State of Washington that the foregoing is true and correct " Signature: j.../K Date: VMarch 27, 2024 a4man Print Nd itle: Location or Place executed: (City, Boyd Hirtz, Vice Preside t State) O'Fallon, MO Check One: Limited Liability Company Individual ❑ Partnership ❑ Joint Venture ❑ Corporation l( State of Incorporation, or if not a corporation, State where business entity was formed: Organized in Missouri If a co-partnership, give firm name under which business is transacted: N/A *If a corporation, proposal must be executed in the corporate name by the president or vice-president (or any other corporate officer accompanied by evidence of authority to sign). If a co-partnership, proposal must be executed by a partner. END OF BID FORMS 2024 SEWER REHABILITATION Final MARCH 2024 26 DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 City of Bremerton Project No. 5891 2024 SEWER REHABILITATION Addendum #1 Date of Issue: March 18, 2024 Interpretation Deadline: March 25, 2024, 11:00 a.m. Date of Opening: Unchanged —March 27, 2024, 11:00 a.m. Notice to All Plan holders: This Addendum No. 1, containing the following revisions, additions, deletions and/or clarifications, is hereby made part of the Plan and Contract Documents for the above-named project. Bidders shall take this Addendum into consideration when preparing and submitting their Bids and it shall be attached to the Contract Documents. Bidders shall acknowledge receipt of this Addendum #1 in the place provided on the Bid Form (Acknowledgement of Bid and Addenda). Failure to do so may disqualify the Bidder from consideration of its Bid. Contents: This addendum contains revisions to the Specifications and/or the Contract Drawings and response to bidder questions. Revisions to the Specifications are made by reissuing entire sections, reissuing specific pages of sections, OR by directing a change in writing, herein. Revisions to the Drawings are made by re-issuing a drawing, issuing a revision to a specific detail from a drawing, OR by directing a change in writing, herein. Bidders are cautioned to check the addendum contents carefully for the presence of all listed revisions. Distribution: This addendum is distributed to all plan holders of record. All questions regarding this addendum shall be addressed to David Powell, Project Manager for the City of Bremerton, at (360) 979-7682 or david.poweMci.bremerton.wa.us The technical material and data contained in Addenda #1 for the City of Bremerton project titled 2024 SEWER REHABILITATION, were yc') V WA,gy' ofJ prepared under the supervision and direction &w ` ac of the licensed Engineer, whose seal is , TL O' affixed. City of Bremerton 2024 SEJI7ER REHABILITATION Addendum No. 1 Page 1 of 3 DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 Modifications to the Contract Documents The following modifications are hereby made to the contract documents: MODIFICATION #A1-1 Project Specifications: Section 7-21.2(4) Resin Replace Heat cured, Paragraph B with the following: "The resin shall be a chemically resistant thixotropic vinyl ester resin that is compatible with the installation process. The resin should be able to cure both in the presence and without the presence of water and the initiation temperature for cure should be less than 180 degrees Fahrenheit. When properly cured, the liner system shall meet the structural and chemical resistance requirements of ASTM F1216 and/or ASTM F1743." MODIFICATION #A1-2 Pre-Bid Meeting Notes Attendees: (City of Bremerton) David Powell, Noreen Bolo, William Davis Contractors: Insta-Pipe, Hertz Rentals, Irish Brothers, LLC Important features in the specifications were highlighted including: • Added a provision for"Mobilization" in the Bid Schedule for this year • Duration: 135 days, NTP early May 2024. • Traffic control plans. See illustrations for acceptable formats • Reviewed the scope of CIPP lining and Video inspection (lengths of pipe) • The City is allowing styrene impermeable polymer coating products for the control of styrene vapor emissions. This is a change from last year, when the City would not allow products containing styrene. • Spill Prevention, Control and Countermeasures Plan (SPCC) is required. • Early submission of cleaning/inspection schedule, and separately, early submission of CIPP lining schedule, in order to plan and schedule City crews where needed and alert the public to where crews will be working. • Bid opening March 27, 2024. MODIFICATION #A1-3 Project Specifications: Section 7-21.1 Description Add the following language - Any use of masking agents, aerosols, or chemicals to cover or hide the smell of styrene is not allowed. ALL OTHER REQUIREMENTS OF THE CONTRACT DOCUMENTS REMAIN IN EFFECT. General Clarifications The following clarifications are provided for informational purposes only and do not modify the plans or contract documents. In the event of a discrepancy between these clarifications and the plans or contract documents, the plans and contract documents (including official modifications per issued addenda) will prevail. The intent of these City of Bremerton 2024 SEWER REHABILITATION Addendum No. 1 Page 2 of 3 DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 clarifications is to ensure all Bidder's are aware of questions received and responses provided. No other questions have been received by the City as of the date of this addendum. END OF ADDENDUM NO. 1 City of Bremerton 2024 SEWER REHABILITATION Addendum No. 1 Page 3 of 3 DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 636.385.10001 ftel a SAK 864 H ff Road fax 864 Hoff Road O'Fallon,MO 63366 Pipeline Infrastructure.Solved.'" www.sakcon.com January 3, 2024 To Whom It May Concern: Joe Feuerborn,Vice President and General Manager of our CIPP Division is hereby authorized to sign bids, extend offers, submit proposals,and execute contracts on behalf of SAK Construction, LLC. Boyd Hirtz,Vice President is hereby authorized to sign bids, extend offers, submit proposals, and execute contracts on behalf of SAK Construction, LLC. rome P. Shaw,Jr. President SAK Construction, LLC State of Missouri) County of St. Charles) On this 3rd day of January, in the year 2024, before me,Theresa H. Messer, a notary public, personally appeared,Jerome P.Shaw,Jr. proved on the basis of satisfactory evidence to be the person whose name is subscribed to this instrument, and acknowledged he executed the same. Witness my hand and official seal. THERESA H. MESSES y J� �,a4a • Notary Public, Notary Seal "'ww State of Missouri NOTARY PU LIC St.Charles County Commission#16634377 My Commission Expires 03-30-2027 SEAL DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 UNANIMOUS WRITTEN CONSENT OF THE SOLE MANAGER OF SAK CONSTRUCTION,LLC Pursuant to Section 5.3 of the Operating Agreement of SAK Construction, LLC, a Missouri limited liability company (the "Company"), the undersigned, being the sole manager of the Company, hereby adopts the following resolutions for the Company and consents to the taking of the actions therein described, such consent to have the same force and effect as a unanimous vote of the managers of the Company at a meeting duly held on the date hereof: RESOLVED, that the following individuals are hereby elected as officers of the Company, to hold the offices set forth opposite their respective names below for the ensuing year or until their successors are duly elected and shall have qualified, unless sooner removed by the Manager: Thomas Kalishman Chairman and Chief Executive Officer Jerome P.Shaw,Jr. President Boyd Hirtz President-Tunneling Division Joe Feuerborn Vice President Roger Archibald Chief Financial Officer, Secretary and Treasurer Steve Stulce Assistant Secretary and Assistant Treasurer RESOLVED FURTHER, that any and all action heretofore taken, and any and all things heretofore done, by any director of the Company in connection with, or with respect to, the matters referred to in the foregoing Resolutions be and hereby are confirmed as authorized and valid acts taken on behalf of the Company. RESOLVED FURTHER,that the foregoing resolutions shall replace and supersede any and all prior resolutions appointing officers of the Company. Dated as of July 1, 2020. -- f r cr.°. me P. Shaw,Jr. [ BEING THE SOLE MANAGER OF THE COMPANY ..... ..... DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 'r SAK CONSTRUCTION,LLC 2550-1 864 HOFF RD 0 FALLON MO 63366-1922 DETACH BEFORE POSTNG it;:i rt_` . _ _ _ - ___-__ _-__ _ _ __- ,r, _:rt-s-n_____ _ __ -___a j(,46 BUSINESS LICENSE • f, f Issue Date:Feb 03,2023 ' STATE OF cc: WASHINGTON Unified Business ID#:603040228 • rr Limited Liability CompanyIci Business ID#:001 1 Location:0002 ;/; SAK CONSTRUCTION,LLC i. 864 HOFF RD A 0 FALLON MO 63366-1922 E' a,; UNEMPLOYMENT INSURANCE-ACTIVE INDUSTRIAL INSURANCE-ACTIVE ; ' 'A TAX REGISTRATION-ACTIVE i Gz 1 LICENSING RESTRICTIONS: Not licensed to hire minors without a Minor Work Permit. l Si i REGISTERED TRADE NAMES: 1 SAK CONSTRUCTION,LLC JJ f t, (11# P Iii la • i `9 q• 4 _ 7'�. Rf This document lists the registrations,endorsements,and licenses authorized for the business / %C(/ ' ' named above.By accepting this document the licensee certifies the Information on the application v was complete,true,and accurate to the best of his or her knowledge,and that business will be conducted in compliance with all applicable Washington state,county,and city regulations. Director,Department of Revenue P . ::i :.=c.."-.id,_,-ti,,—•2;.-710,U -04 v-.:vT iia.,:.- ... ._ems ---__" • �..sT-. STATE OF InfASHINGTON UBI:603040228 001 0002 ' SAK CONSTRUCTION,LLC o UNEMPLOYMENT INSURANCE- - 864 HOFF RD `ACTIVE • O FALLON MO 63366-1922 INDUSTRIAL INSURANCE-ACTIVE TAX REGISTRATION-ACTIVE • • • eaL0002 �� DETACH THIS SECTIQN FOR YOUR WALLET Director,Department of Revenue DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 Department of Labor and Industries SAK CONSTRUCTION LLC PO Box 44450 Olympia, WA 98504-4450 Reg: CC SAKCOCL897BK UBI: 603-040-228 Registered as provided by L:w as: Construction Contractor (CCO 1) - GENERAL 856 SAK CONSTRUCTION LLC Effective Date: 5/9/2011 864 HOFF ROAD Expiration Date: 5/9/2025 O FALLON MO 63366 DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 ir1111111row ;a,; 11 �� STATES OF `4t 1`� o. i1 M. ,e STATi;0 14 ` 1 Ije _.) tate , : motnaton y y• �'Z say'1° Secretary of state I, SAM REED, Secretary of State of the State of Washington and custodian of its seal, hereby issue this CERTIFICATE OF REGISTRATION to SAK CONSTRUCTION, LLC a/an MO Limited Liability Company. Charter documents are effective on the date indicated below. Date: 7/30/2010 UBI Number: 603-040-228 APPID: 1773186 STATA, ,-s's:-14-1-1 rJ,A, Given under my hand and the Seal of the State 4- -# « ;•,4M_ of Washington at Olympia, the State Capital 0 yl Sam Reed, Secretary of State DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 SAK TM *11, Pipeline Infrastructure. Solved.TM SEALED BID FOR: 2024 Sewer Rehabilitation )R1313 ul0 3H1 AO 3OId3O /a+/t�J 44 P1 hZOZ c Z �J 03n13gs`Received By: City of Bremerton Norm Dicks Government Center Council Chamber- 1st Floor 345 6th Street Bremerton, WA 98337 Bid Submitted By: SAK Construction, LLC 864 Hoff Road O'Fallon, MO 63366 Contractor License No.: SAKCOCL897BK Class: General Expires: 05/09/25 Project Name: 2024 Sewer Rehabilitation Bid Due Date: 03/27/24 Time: 11:00 AM PT DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 Bond No. 108024020 PERFORMANCE BOND (Page 1 of 2) KNOW ALL MEN BY THESE PRESENTS, That SAK Construction, LLC as CONTRACTOR, and Travelers Casualty and Surety Company of America as Surety, are held and firmly bound unto City of Bremerton hereinafter called "OWNER," in the sum of $843,264.32 Eight Hundred Forty Three Thousand Two Hundre xty & 32/100's dollars, for the payment of which sum, well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors, and assigns,jointly and severally, firmly by these presents. THE CONDITIONS OF THIS OBLIGATION ARE SUCH, that said CONTRACTOR has been awarded and is about to enter into the annexed Agreement with said OWNER to perform the WORK as specified or indicated in the Contract Documents entitled "City of Bremerton, Department of Public Works and Utilities, Bremerton, Washington, 2024 Sewer Rehabilitation"; now, therefore, In the event CONTRACTOR fails to timely or properly perform any of the requirements of the Contract Documents at the times and in the manner contained therein, the Surety shall be liable under this bond up to the amount of the bond for the full amount of the OWNERS's expenses to construct or repair all work as well as all loss, cost, expense or damage suffered by the OWNER in excess of the Contract amount due to the CONTRACTOR'S failure to comply with any contract or permit conditions or other applicable laws and regulations. The Surety agrees that within 30 calendar days of receiving notice that the OWNER has declared a CONTRACTOR default and formally terminated the CONTRACTOR'S right to complete the Contract pursuant to its terms and conditions and that the CONTRACTOR has defaulted on all or part of the terms guaranteed by this bond, the Surety shall either: 1. Notify the OWNER in writing of its intent to cure the default itself within a reasonable period of time acceptable to the OWNER. The OWNER agrees to pay the balance of the Contract price to the Surety in accordance with the terms of the Contract, or 2. Tender to the OWNER the demanded sum, up to the amount of the bond. However, if the amount necessary for the OWNER to cure the default is less than the amount tendered, the OWNER will return, without interest, any overpayment to the Surety. PROVIDED, that any alterations in the WORK to be done or the materials to be furnished, or changes in the time of completion, which may be made pursuant to the terms of said Contract Documents, shall not in any way release said CONTRACTOR or said Surety hereunder, nor shall any extensions of time granted under the provisions of said Contract Documents, release either said CONTRACTOR or said Surety, and notice of such alterations or extensions of the Agreement is hereby waived by said Surety. 2024 SEWER REHABILITATION Final MARCH 2024 35 DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 PERFORMANCE BOND (Page 2 of 2) The obligation of the Surety shall include reimbursing the City for all costs and expenses, (including, but not limited to fees and charges of engineers, architects, attorneys, and other professionals, and court costs if litigation is commenced) incurred by the OWNER in enforcing the provisions of this Bond. The CONTRACTOR hereby agrees that the CONTRACTOR'S obligation to perform the required work is not limited to the amount of funds held by the Surety. This bond is irrevocable and cannot be canceled by the Surety or the CONTRACTOR. This bond shall remain in full force and effect for a period of one (1)year following final acceptance of the project by the City, and until the bond is released in writing by the OWNER at the written request of the Surety or CONTRACTOR. IN WITNESS WHEREOF, we have hereunder set our hands and seals this 23 day of April , 2024. SAK Construction, LLC (SEAL) Travelers Casualty and Surety (SEAL) of America SEAL) 864 Hoff Road, O'Fal h 7 63366 One Tower Square, Hartford, CT 06183 (CONT` s —TOR) (Sur- : By: . ALA By: A . HAFTFOno, ( gna ure fin• ") (Si s 'e a'd SEAL) ': cON Rol 1 f Z �' v�c2 f 1 S� ul n�' Andrew P. Thorne, A�torney-in-Fact '�, �� (SEAL AND NOTARIAL ACKNO El EMENT OF SURETY) Address of Surety to which all notices shall be sent: Travelers, Attn: Surety Claim Dept. One Tower Square 2S1A Hartford, CT 06183 Travelers Casualty and Surety Address of Surety for service of process: Company of America (must be a physical address) One Tower S[tuare, t[artFord, CT 06183 2024 SEWER REHABILITATION Final MARCH 2024 36 DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 Bond No. 108024020 PAYMENT BOND (Page 1 of 2) KNOW ALL MEN BY THESE PRESENTS, That SAK Construction, LLC as CONTRACTOR, and Travelers Casualty and Surety Company of America as Surety, are held and firmly bound unto City of Bremerton hereinafter called "OWNER," in the sum of $843,264.32 Eight Hundred Forty Three Thousand Two Hundred Sixty Fou & 32/100's dollars, for the payment of which sum,well and truly to be made,we bind ourselves,our heirs,executors, administrators, successors, and assigns,jointly and severally, firmly by these presents. THE CONDITIONS OF THIS OBLIGATION ARE SUCH, that said CONTRACTOR has been awarded and is about to enter into the annexed CONTRACT with said OWNER to perform the WORK as specified or indicated in the Contract Documents entitled "City of Bremerton, Department of Public Works and Utilities, Bremerton, Washington, 2024 Sewer Rehabilitation"; now, therefore, If said CONTRACTOR, or subcontractor, fails to pay for any materials, equipment, or other supplies, or for rental of same, used in connection with the performance of work contracted to be done, or for amounts due under applicable State law for any work or labor thereon, said Surety will pay for the same in an amount not exceeding the sum specified above, and, in the event suit is brought upon this bond, reasonable attorney's fees to be fixed by the court. This bond shall inure to the benefit of any persons, companies, or corporations entitled to file claims under applicable State law so as to give a right of action to them or their assigns in any suit brought upon this bond. PROVIDED, that any alterations in the WORK to be done or the materials to be furnished, or changes in the time of completion, which may be made pursuant to the terms of said Contract Documents, shall not in any way release said CONTRACTOR or said Surety thereunder, nor shall any extensions of time granted under the provisions of said Contract Documents release either said CONTRACTOR or said Surety, and notice of such alterations or extensions of the CONTRACT is hereby waived by said Surety. The obligation of the Surety shall include reimbursing the City of all costs and expenses, (including, but not limited to fee and charges of engineers, architects, attorneys, and other professionals, and court costs if litigation is commenced) incurred by the OWNER in enforcing the provisions of this Bond. 2024 SEWER REHABILITATION Final MARCH 2024 37 DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 PAYMENT BOND (Page 2 of 2) IN WITNESS WHEREOF, we have hereunder set our hands and seals this 23 day of April , 2024. Travelers Casualty and Surety SAK Construction, LLC Company of America 864 Hoff Road O'Fallo 63366 One Tower Square, Hartford, CT 06183 (CONTRACTOR) (S - By: By: ,� (Signature an • E (Si•ature nd SEAL) HAHTC..n� ice.](: I•'I�r-Fz 4(e 17.e S ,: .,."fr � Andrew P. Thome, A torney-in-Fact ' COhH. c (SEAL AND NOTARIAL ACKNOWLED EMENT OF SURETY) Address of Surety to which all notices shall be sent:Travelers, Attn: Surety Claim Dept. One Tower Square 2S1A Hartford, CT 06183 Travelers Casualty and Surety Address of Surety for service of process: Company of America (must be a physical address) One Tower Square, Hartford, CT 06183 END OF CONTRACT FORMS 2024 SEWER REHABILITATION Final MARCH 2024 38 DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 ACKNOWLEDGEMENT FOR CONTRACTOR ACKNOWLEDGEMENT FOR CONTRACTOR, IF LIMITED LIABILITY COMPANY STATE OF Missouri } COUNTY OF St.Charles} ON THE ,P 3 DAY OF "p in I 20d4 ,BEFORE ME PERSONALLY APPEARED 0� I-k,•+z TO ME KNOWN AND KNOWN TO ME TO BE THE '1% OF SAK Construction,LLC, A LIMITED LIABILITY COMPANY,DESCRIBED IN AND WHO EXECUTED THE FOREGOING INSTRUMENT AND ACKNOWLEDGED TO ME THAT HE EXECUTED THE FOREGOING INSTRUMENT AND ACKNOWLEDGED TO ME THAT HE EXECUTED THE SAME AS AND FOR THE ACT AND DEED OF SAID LIMITED LIABILITY COMPANY. I �AIL■-ec Notary Public BARBARA MARLER Notary Public-Notary Seal Stale of Missouri Commissioned for St.Charier County My Commission Expires:December 19,20126 Commission Number:14126252 DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 State of Missouri County of St. Louis On 4/23/2024 before me, a Notary Public in and for said County and State, residing therein, duly commissioned and sworn, personally appeared Andrew P.Thome known to me to be Attorney-in-Fact of Travelers Casualty and Surety Company of America the corporation described in and that executed the within and foregoing instrument, and known to me to be the person who executed the said instrument in behalf of said corporation, and he duly acknowledged to me that such corporation executed the same. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal, the day and year stated in this certi cate above. Brea McCarthy•Notary Public ANDREA MCCARTHY Notary Public-Notary Seal STATE OF MISSOURI SI.Louis County My Commission Expires:,Jul.30,2027 Commission#15636518 My Commission Expires: DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 Travelers Casualty and Surety Company of America Travelers Casualty and Surety Company TRAVELERS St. Paul Fire and Marine Insurance Company POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company are corporations duly organized under the laws of the State of Connecticut (herein collectively called the'Companies"),and that the Companies do hereby make,constitute and appoint ANDREW P THOME of CHESTERFIELD , Missouri , their true and lawful Attorney(s)-in-Fact to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. IN WITNESS WHEREOF,the Companies have caused this instrument to be signed,and their corporate seals to be hereto affixed,this 21st day of April, 2021 �lr[rJr��tly V■,yd ,�� (1: °PD4:0 �CONN. n ��� A� State of Connecticut By: City of Hartford ss. Robert L.Rane , enior Vice President On this the 21st day of April, 2021, before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior Vice President of each of the Companies, and that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of said Companies by himself as a duly authorized officer. A*ND' IN WITNESS WHEREOF,I hereunto set my hand and official seal, to '` My Commission expires the 30th day of June,2026 Nos n ru'lri Anna P.Nowik,Notary Public This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of each of the Companies,which resolutions are now in full force and effect,reading as follows: RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice 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;and it is FURTHER RESOLVED, 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 filed in the office of the Secretary;and it is FURTHER RESOLVED, 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 to a written delegation of authority;and it is FURTHER RESOLVED, 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 on the Company in the future with respect to any bond or understanding to which it is attached. I, Kevin E. Hughes, the undersigned, Assistant Secretary of each of the Companies, do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies,which remains in full force and effect. Dated this 23rd day of April , 2024 • VII ' m"ERTJ HARTFORD t CONN. S 4nEHuheistantsecretary To verify the authenticity of this Power of Attorney,please call us at 1-800-421-3880. Please refer to the above-named Attorney(s)-in-Fact and the details of the bond to which this Power of Attorney is attached. DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA HARTFORD,CONNECTICUT 06183 FINANCIAL STATEMENT AS OF DECEMBER 31,2023 CAPITAL STOCK$6,480,000 ASSETS LIABILITIES&SURPLUS BONDS $ 5.104.395,801 LOSSES S 1,495,036,900 STOCKS 119,333,643 LOSS ADJUSTMENT EXPENSES 146,791,770 CASH AND INVESTED CASH 30,541,608 COMMISSIONS 55,734,579 OTHER INVESTED ASSETS 8,355,939 OTHER EXPENSES 55,546,499 SECURITIES LENDING REINVESTED COLLATERAL ASSETS 13,350,613 TAXES,LICENSES AND FEES 15,857,431 INVESTMENT INCOME DUE AND ACCRUED 43,617,243 CURRENT FEDERAL AND FOREIGN INCOME TAXES 5,300,838 PREMIUM BALANCES 325,304,977 UNEARNED PREMIUMS 1,515,112,686 REINSURANCE RECOVERABLE 27,997,684 ADVANCE PREMIUM 4,091,249 NET DEFERRED TAX ASSET 72.421,341 POLICYHOLDER DIVIDENDS 21,388,522 GUARANTY FUNDS RECEIVABLE OR ON DEPOSIT 1,798,901 CEDED REINSURANCE NET PREMIUMS PAYABLE 62,914,516 OTHER ASSETS 818,309 AMOUNTS WITHHELD I RETAINED BY COMPANY FOR OTHERS 21.072,858 REMITTANCES AND ITEMS NOT ALLOCATED 7,201,721 PROVISION FOR REINSURANCE 9,891.783 PAYABLE FOR SECURITIES LENDING 13,350,613 OTHER ACCRUED EXPENSES AND LIABILITIES 409,380 TOTAL LIABILITIES S 3,429,701,342 CAPITAL STOCK S 6.480.000 PAID IN SURPLUS 433,803,760 OTHER SURPLUS 1,877,950,956 TOTAL SURPLUS TO POLICYHOLDERS S 2,318.234,716 TOTAL ASSE fS $ 5.747,936,058 TOTAL LIABILITIES&SURPLUS S 5,747,936,058 STATE OF CONNECTICUT COUNTY OF HARTFORD )SS, CITY OF HARTFORD MICHAEL J.D00DY,BEING DULY SWORN,SAYS THAT HE IS VICE PRESIDENT—FINANCE,OF TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, AND THAT TO THE BEST OF HIS KNOWLEDGE AND BELIEF.THE FOREGOING IS A TRUE AND CORRECT STATEMENT OF THE FINANCIAL CONDITION OF SAID COMPANY AS OF THE 31ST DAY OF DECEMBER,2023, 74/1.Z.17.," (421:1).4 VICE.pRESIDE Te,+� SUBSCRIBED AND SWORN TO BEFORE ME THIS NOTARY PUBLIC�_ F�� 15TH DAY OF MARCI I,2024 SUSAN M.WI ISSI.EDF.R NoIwy Public My Commission Expires November 30,2027 • • `,,,�' ss� y= rt."' gym= .*, •UBLtC,*= DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 A`E o DATE(MM/DD/YYYY)° CERTIFICATE OF LIABILITY INSURANCE 4/25/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Diane Stiehl, CISR Marsh &McLennan Agency LLC PHONE FAX Company St. Louis (A/C,No,Ext): 314-594-2719 (A/C,No):888-307-1561 825 Maryville Centre Drive, Suite 200 ADODRESS: diane.stiehl@marshmma.com Chesterfield MO 63017 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:Amerisure Mutual Insurance Company 23396 INSURED SAKCONST INSURER B: Starr Indemnity& Liability Company 38318 SAK Construction, LLC 864 Hoff Rd. INSURER C: Continental Casualty Company 20443 O'Fallon, MO 63366 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:2123537125 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS (MM/DD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY CPP20635771402 8/2/2023 8/2/2024 EACH OCCURRENCE $2,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $1,000,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY X jECT X LOC PRODUCTS-COMP/OP AGG $4,000,000 OTHER: $ A AUTOMOBILE LIABILITY CA20635761402 8/2/2023 8/2/2024 COMBINED SINGLE LIMIT $2,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED x NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) B UMBRELLA LIAB X OCCUR 1000585238231 8/2/2023 8/2/2024 EACH OCCURRENCE $5,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED X RETENTION$n $ A WORKERS COMPENSATION WC20635781502 8/2/2023 8/2/2024 X PER OTH- AND EMPLOYERS LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 C Leased/Rented Equipment 5086483224 8/2/2023 8/2/2024 Per Item/Occurrence 1,000,000 $5,000 Deductible DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:2024 Sewer Rehabilitation City of Bremerton PW&U,the Contracting Agency,the State,the Governor,the Commission,the Secretary,the Department,all officers and employees of the State,and their respective members,directors,officers,employees,agents and consultants are included as Additional Insured(s)for General Liability, including completed operations,Automobile Liability and Excess Liability with respect to work performed by the Named Insured,if required by written contract,agreement or permit and subject to the provisions and limitations of the policy. General Liability,Automobile Liability and Excess Liability coverage is considered primary and non-contributory, if required by written contract,agreement or permit and subject to the provisions and limitations of the policy. See Attached... CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Bremerton PW&U ACCORDANCE WITH THE POLICY PROVISIONS. Engineering Division Attn: Noreen Bolo AUTHORIZED REPRESENTATIVE 345 Sixth Street, Suite 100 Bremerton WA 98337 C`4 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 AGENCY CUSTOMER ID: SAKCONST LOC#: 8 A`ORO ADDITIONAL REMARKS SCHEDULE Page 1 of AGENCY NAMED INSURED Marsh&McLennan Agency LLC SAK Construction, LLC 864 Hoff Rd. POLICY NUMBER O'Fallon, MO 63366 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE A waiver of subrogation is granted for General Liability,Automobile Liability,Worker's Compensation and Excess Liability coverage where permitted by law and if required by written contract,agreement or permit and subject to the provisions and limitations of the policy. A 30 day notice of cancellation will be given to the named Certificate Holder,for reasons other than non-payment of premium or Insured's request. This 30 day notice of cancellation only applies to Excess Liability. A 60 day notice of cancellation will be given to the named Certificate Holder,for reasons other than non-payment of premium or Insured's request. This 60 day notice of cancellation only applies to General Liability,Automobile Liability and Worker's Compensation . ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTORS GENERAL LIABILITY EXTENSION ENDORSEMENT TABLE OF CONTENTS Page 1. Additional Definitions 9 2. Aggregate Limits Per Location 7 3. Aggregate Limits Per Project 7 4. Blanket Contractual Liability—Railroads 3 5. Broadened Bodily Injury Coverage 11 6. Broadened Knowledge Of Occurrence 8 7. Broadened Legal Liability Coverage For Landlord's Business Personal Property 8 8. Broadened Liability Coverage For Damage To Your Product And Your Work 10 9. Broadened Who Is An Insured 3 10. Co-Employee Bodily Injury Coverage for Managers, Supervisors, Directors or Officers 4 [see provision 9, Broadened Who Is An Insured, paragraph 2.a.(1)] 11. Contractual Liability—Personal And Advertising Injury 3 12. Damage To Premises Rented To You—Specific Perils and Increased Limit 7 13. Designated Completed Projects—Amended Limits of Insurance 11 14. Extended Notice Of Cancellation And Nonrenewal 9 15. Incidental Malpractice Liability 7 16. Increased Medical Payments Limit And Reporting Period 7 17. Mobile Equipment Redefined 9 18. Nonowned Watercraft And Nonowned Aircraft(Hired, Rented Or Loaned With Paid Crew) 3 19. Product Recall Expense 2 20. Property Damage Liability—Alienated Premises 2 21. Property Damage Liability—Elevators And Sidetrack Agreements 2 22. Property Damage Liability—Property Loaned To The Insured Or Personal Property In The Care, 2 Custody And Control Of The Insured 23. Reasonable Force—Bodily Injury or Property Damage 10 24. Supplementary Payments 3 25. Transfer Of Rights(Blanket Waiver Of Subrogation) 9 26. Unintentional Failure To Disclose Hazards 8 Includes copyrighted material of Insurance Services Office, Inc. CG 70 49 04 17 Page 1 of 11 DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM Under SECTION I—COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY, paragraph 2. EXCLUSIONS, provisions 1. through 6. of this endorsement are excess over any valid and collectible insurance (including any deductible) available to the insured, whether primary, excess or contingent(SECTION IV— COMMERCIAL GENERAL LIABILITY CONDITIONS, paragraph 4. Other Insurance is changed accordingly). Provisions 1.through 6. of this endorsement amend the policy as follows: 1. PROPERTY DAMAGE LIABILITY—ALIENATED PREMISES A. Exclusion j. Damage to Property, paragraph (2)is deleted. B. The following paragraph is also deleted from Exclusion j. Damage to Property: Paragraph (2) of this exclusion does not apply if the premises are"your work"and were never occupied, rented or held for rental by you. 2. PROPERTY DAMAGE LIABILITY—ELEVATORS AND SIDETRACK AGREEMENTS A. Exclusion j. Damage to Property, paragraphs (3), (4), and (6)do not apply to the use of elevators. B. Exclusion k. Damage to Your Product does not apply to: 1. The use of elevators; or 2. Liability assumed under a sidetrack agreement. 3. PROPERTY DAMAGE LIABILITY—PROPERTY LOANED TO THE INSURED OR PERSONAL PROPERTY IN THE CARE,CUSTODY AND CONTROL OF THE INSURED A. Exclusion j. Damage to Property, paragraphs(3) and (4) are deleted. B. Coverage under this provision 3. does not apply to"property damage"that exceeds$25,000 per occurrence or$25,000 annual aggregate. 4. PRODUCT RECALL EXPENSE A. Exclusion n. Recall Of Products,Work Or Impaired Property does not apply to"product recall expenses"that you incur for the"covered recall"of"your product". This exception to the exclusion does not apply to"product recall expenses"resulting from: 1. Failure of any products to accomplish their intended purpose; 2. Breach of warranties of fitness, quality, durability or performance; 3. Loss of customer approval or any cost incurred to regain customer approval; 4. Redistribution or replacement of"your product",which has been recalled, by like products or substitutes; 5. Caprice or whim of the insured; 6. A condition likely to cause loss, about which any insured knew or had reason to know at the inception of this insurance; 7. Asbestos, including loss, damage or clean up resulting from asbestos or asbestos containing materials; 8. Recall of"your product(s)"that have no known or suspected defect solely because a known or suspected defect in another of"your product(s)"has been found. B. Under SECTION III—LIMITS OF INSURANCE, paragraph 3. is replaced in its entirety as follows and paragraph 8. is added: 3. The Products-Completed Operations Aggregate Limit is the most we will pay for the sum of: Includes copyrighted material of Insurance Services Office, Inc. Page 2 of 11 CG70490417 DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 a. Damages under COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY because of"bodily injury"and"property damage"included in the"products-completed operations hazard"and b. "Product recall expenses". 8. Subject to paragraph 5. above [of the CGL Coverage Form], $25,000 is the most we will pay for all "product recall expenses"arising out of the same defect or deficiency. 5. NONOWNED WATERCRAFT AND NONOWNED AIRCRAFT(HIRED, RENTED OR LOANED WITH PAID CREW) Exclusion g.Aircraft,Auto or Watercraft, paragraph (2) is deleted and replaced with the following: [This exclusion does not apply to:] (2) A watercraft you do not own that is: (a) Less than 75 feet long; and (b) Not being used to carry any person or property for a charge; Exclusion g.Aircraft,Auto or Watercraft, paragraph (6) is added as follows: [This exclusion does not apply to:] (6) An aircraft you do not own, provided that: (a) The pilot in command holds a currently effective certificate issued by the duly constituted authority of the United States of America or Canada, designating that person as a commercial or airline transport pilot; (b) The aircraft is rented to you with a trained, paid crew; and (c) The aircraft is not being used to carry any person or property for a charge. 6. BLANKET CONTRACTUAL LIABILITY—RAILROADS Under SECTION V—DEFINITIONS, paragraph c. of"Insured Contract"is deleted and replaced by the following: c. Any easement or license agreement; 'Under SECTION V—DEFINITIONS, paragraph f.(1)of"Insured Contract"is deleted. 7. CONTRACTUAL LIABILITY—PERSONAL AND ADVERTISING INJURY Under SECTION I—COVERAGE B., paragraph 2. Exclusions, paragraph e. Contractual Liability is deleted. 8. SUPPLEMENTARY PAYMENTS Under SECTION I—SUPPLEMENTARY PAYMENTS—COVERAGES A AND B, paragraphs 1.b.and 1.d. are deleted and replaced with the following: b. Up to $5,000 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or"suit", including actual loss of earnings up to$1,000 a day because of time off from work. 9. BROADENED WHO IS AN INSURED SECTION II—WHO IS AN INSURED is deleted and replaced with the following: 1. If you are designated in the Declarations as: a. An individual,you and your spouse are insureds, but only with respect to the conduct of a business of which you are the sole owner. Includes copyrighted material of Insurance Services Office, Inc. CG70490417 Page 3 of 11 DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 b. A partnership or joint venture,you are an insured. Your members,your partners, and their spouses are also insureds, but only with respect to the conduct of your business. c. A limited liability company,you are an insured. Your members are also insureds, but only with respect to the conduct of your business. Your managers are insureds, but only with respect to their duties as your managers. d. An organization other than a partnership,joint venture or limited liability company,you are an insured. Your"executive officers"and directors are insureds, but only with respect to their duties as your officers or directors. Your stockholders are also insureds, but only with respect to their liability as stockholders. e. A trust,you are an insured. Your trustees are also insureds, but only with respect to their duties as trustees. 2. Each of the following is also an insured: a. Your"volunteer workers"only while performing duties related to the conduct of your business, or your"employees,"other than either your"executive officers," (if you are an organization other than a partnership,joint venture or limited liability company) or your managers (if you are a limited liability company), but only for acts within the scope of their employment by you or while performing duties related to the conduct of your business. However, none of these"employees"or"volunteer workers" are insured for: (1) "Bodily injury"or"personal and advertising injury": (a) To you,to your partners or members(if you are a partnership or joint venture),to your members (if you are a limited liability company),to a co-"employee"while in the course of his or her employment or performing duties related to the conduct of your business, or to your other`volunteer workers"while performing duties related to the conduct of your business; (b) To the spouse, child, parent, brother or sister of that co-"employee"or"volunteer worker" as a consequence of paragraph (1)(a)above; (c) For which there is any obligation to share damages with or repay someone else who must pay damages because of the injury described in paragraphs (1)(a)or(b) above; or (d) Arising out of his or her providing or failing to provide professional health care services except as provided in provision 10. of this endorsement. Paragraphs (1)(a), (1)(b) and (1)(c)above do not apply to your"employees"who are: (i) Managers; (ii) Supervisors; (iii) Directors; or (iv) Officers; with respect to"bodily injury"to a co-"employee". (2) "Property damage"to property: (a) Owned, occupied or used by; (b) Rented to, in the care, custody or control of, or over which physical control is being exercised for any purpose by you, any of your"employees,""volunteer workers", any partner or member(if you are a partnership or joint venture), or any member(if you are a limited liability company). b. Any person (other than your"employee"or`volunteer worker"), or any organization while acting as your real estate manager. c. Any person or organization having proper temporary custody of your property if you die, but only; Includes copyrighted material of Insurance Services Office, Inc. Page 4 of 11 CG70490417 DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 (1) With respect to liability arising out of the maintenance or use of that property; and (2) Until your legal representative has been appointed. d. Your legal representative if you die, but only with respect to duties as such. That representative will have all your rights and duties under this Coverage Form. e. Your subsidiaries if: (1) They are legally incorporated entities; and (2) You own more than 50% of the voting stock in such subsidiaries as of the effective date of this policy. If such subsidiaries are not shown in the Declarations,you must report them to us within 180 days of the inception of your original policy. f. Any person or organization, including any manager, owner, lessor, mortgagee,assignee or receiver of premises, to whom you are obligated under a written contract to provide insurance such as is afforded by this policy, but only with respect to liability arising out of the ownership, maintenance or use of that part of any premises or land leased to you, including common or public areas about such premises or land if so required in the contract. However, no such person or organization is an insured with respect to: (1) Any'occurrence"that takes place after you cease to occupy or lease that premises or land; or (2) Structural alterations, new construction or demolition operations performed by or on behalf of such person or organization. g. Any state or political subdivision but only as respects legal liability incurred by the state or political subdivision solely because it has issued a permit with respect to operations performed by you or on your behalf. However, no state or political subdivision is an insured with respect to: (1) "Bodily injury", "property damage", and "personal and advertising injury"arising out of operations performed for the state or municipality; or (2) "Bodily injury"or"property damage" included within the "products-completed operations hazard." h. Any person or organization who is the lessor of equipment leased to you to whom you are obligated under a written contact to provide insurance such as is afforded by this policy, but only with respect to their liability arising out of the maintenance, operation or use of such equipment by you or a subcontractor on your behalf with your permission and under your supervision. However, no such person or organization is an insured with respect to any"occurrence"that takes place after the equipment lease expires. i. Any architect, engineer, or surveyor engaged by you under a written contract but only with respect to liability arising out of your premises or"your work." However, no architect, engineer, or surveyor is an insured with respect to"bodily injury,""property damage,"or"personal and advertising injury" arising out of the rendering of or the failure to render any professional services by or for you, including: (1) The preparing, approving, or failing to prepare or approve maps, drawings, opinions, reports, surveys, change orders, designs or specifications; or (2) Supervisory, inspection, or engineering services. This paragraph i. does not apply if a separate Additional Insured endorsement providing liability coverage for architects, engineers, or surveyors engaged by you is attached to the policy. If the written contract, written agreement, or certificate of insurance requires primary and non-contributory coverage, the insurance provided by paragraphs f. through i. above will be primary and non-contributory Includes copyrighted material of Insurance Services Office, Inc. CG70490417 Page 5 of 11 DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 relative to other insurance available to the additional insured which covers that person or organization as a Named Insured, and we will not share with that other insurance. 3. Any organization you newly acquire or form, other than a partnership,joint venture or limited liability company and over which you maintain ownership or majority interest,will qualify as a Named Insured if there is no other similar insurance available to that organization. However: a. Coverage under this provision is afforded until the end of the policy period. b. Coverage A does not apply to "bodily injury"or"property damage"that occurred before you acquired or formed the organization. c. Coverage B does not apply to"personal and advertising injury"arising out of an offense committed before you acquired or formed the organization. d. Coverage A does not apply to"product recall expense"arising out of any withdrawal or recall that occurred before you acquired or formed the organization. 4. Any person or organization (referred to below as vendor)with whom you agreed under a written contract to provide insurance is an insured, but only with respect to "bodily injury"or"property damage"arising out of"your products"that are distributed or sold in the regular course of the vendor's business. However, no such person or organization is an insured with respect to: a. "Bodily injury"or"property damage"for which the vendor is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages that the vendor would have in the absence of the contract or agreement. b. Any express warranty unauthorized by you; c. Any physical or chemical change in"your product"made intentionally by the vendor; d. Repackaging, except when unpacked solely for the purpose of inspection, demonstration, testing, or the substitution of parts under instructions from the manufacturer, and then repackaged in the original container; e. Any failure to make such inspections, adjustments,tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of"your products"; f. Demonstration, installation, servicing or repair operations, except such operations performed at the vendor's premises in connection with the sale of"your product"; g. "Your products"which, after distribution or sale by you, have been labeled or relabeled or used as a container, part or ingredient of any other thing or substance by or for the vendor. h. "Bodily injury"or"property damage"arising out of the sole negligence of the vendor for its own acts or omissions or those of its employees or anyone else acting on its behalf. However,this exclusion does not apply to: (1) The exceptions contained in subparagraphs d. or f.; or (2) Such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products. This paragraph 4.does not apply to any insured person or organization from which you have acquired "your product", or any ingredient, part, or container, entering into, accompanying or containing"your product". This paragraph 4. also does not apply if a separate Additional Insured endorsement, providing liability coverage for"bodily injury"or"property damage"arising out of"your product"that is distributed or sold in the regular course of a vendor's business, is attached to the policy. No person or organization is an insured with respect to the conduct of any current or past partnership,joint venture or limited liability company that is not shown as a Named Insured in the Declarations. Includes copyrighted material of Insurance Services Office, Inc. Page 6 of 11 CG 70 49 04 17 DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 10. INCIDENTAL MALPRACTICE LIABILITY As respects provision 9., SECTION II—WHO IS AN INSURED, paragraph 2.a.(1)(d)does not apply to any nurse, emergency medical technician or paramedic employed by you to provide medical or paramedical services, provided that you are not engaged in the business or occupation of providing such services,and your"employee"does not have any other insurance that would also cover claims arising under this provision, whether the other insurance is primary, excess, contingent or on any other basis. Under SECTION II—LIMITS OF INSURANCE, provisions 11.through 14. of this endorsement amend the policy as follows: 11. AGGREGATE LIMITS PER PROJECT The General Aggregate Limit applies separately to each of your construction projects away from premises owned by or rented to you. 12. AGGREGATE LIMITS PER LOCATION The General Aggregate Limit applies separately to each of your locations, but only when required by written contract,written agreement or certificate of insurance. As respects this provision 12.,your locations are premises you own, rent or use involving the same or connecting lots or premises whose connection is interrupted only by a street, roadway,waterway or right-of-way of a railroad. However,your locations do not include any premises where you, or others acting on your behalf, are performing construction operations. 13. INCREASED MEDICAL PAYMENTS LIMIT A. SECTION III—LIMITS OF INSURANCE, paragraph 7., the Medical Expense Limit, is subject to all of the terms of SECTION III—LIMITS OF INSURANCE and is the greater of: 1. $10,000; or 2. The amount shown in the Declarations for Medical Expense Limit. B. This provision 13. does not apply if COVERAGE C MEDICAL PAYMENTS is excluded either by the provisions of the Coverage Form or by endorsement. 14. DAMAGE TO PREMISES RENTED TO YOU—SPECIFIC PERILS AND INCREASED LIMIT A. The word fire is changed to"specific perils"where it appears in: 1. The last paragraph of SECTION I—COVERAGE A, paragraph 2. Exclusions; 2. SECTION IV, paragraph 4.b. Excess Insurance. B. The Limits of Insurance shown in the Declarations will apply to all damage proximately caused by the same event,whether such damage results from a "specific peril"or any combination of"specific perils." C. The Damage To Premises Rented To You Limit described in SECTION III—LIMITS OF INSURANCE, paragraph 6., is replaced by a new limit, which is the greater of: 1. $1,000,000; or 2. The amount shown in the Declarations for Damage To Premises Rented To You Limit. D. This provision 14. does not apply if the Damage To Premises Rented To You Limit of SECTION!— COVERAGE A is excluded either by the provisions of the Coverage Form or by endorsement. E. "Specific Perils"means fire; lightning;explosion; windstorm or hail; smoke; aircraft or vehicles; riot or civil commotion; vandalism; leakage from fire extinguishing equipment; weight of snow, ice or sleet; or"water damage". "Water damage"means accidental discharge or leakage of water or steam as the direct result of the breaking or cracking of any part of a system or appliance containing water or steam. 15. BROADENED LEGAL LIABILITY COVERAGE FOR LANDLORD'S BUSINESS PERSONAL PROPERTY Under SECTION I—COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Includes copyrighted material of Insurance Services Office, Inc. CG 70 49 04 17 Page 7 of 11 DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 Exclusions,j. Damage to Property,the first paragraph following paragraph (6) is deleted and replaced with the following: Paragraphs(1), (3)and (4) of this exclusion do not apply to"property damage"(other than damage by fire)to a landlord's business personal property that is subject to, or part of, a premises lease or rental agreement with that landlord. The most we will pay for damages under this provision 15. is$10,000. A$250 deductible applies. Under SECTION IV—COMMERCIAL GENERAL LIABILITY CONDITIONS, provisions 16.through 18. of this endorsement amend the policy as follows: 16. BROADENED KNOWLEDGE OF OCCURRENCE Under 2. Duties In The Event Of Occurrence, Offense,Claim, Or Suit, paragraph a. is deleted and replaced and paragraphs e. and f. are added as follows: a. You must see to it that we are notified as soon as practicable of an "occurrence"or an offense, regardless of the amount,which may result in a claim. Knowledge of an "occurrence"or an offense by your"employee(s)"shall not, in itself, constitute knowledge to you unless one of your partners, members, "executive officers", directors, or managers has knowledge of the"occurrence"or offense. To the extent possible, notice should include: (1) How, when and where the"occurrence"or offense took place; (2) The names and addresses of any injured persons and witnesses; and (3) The nature and location of any injury or damage arising out of the"occurrence"or offense. e. If you report an"occurrence"to your workers compensation carrier that develops into a liability claim for which coverage is provided by this Coverage Form,failure to report such an"occurrence"to us at the time of the "occurrence"shall not be deemed a violation of paragraphs a., b., and c. above. However, you shall give written notice of this"occurrence"to us as soon you become aware that this"occurrence" may be a liability claim rather than a workers compensation claim. f. You must see to it that the following are done in the event of an actual or anticipated"covered recall"that may result in"product recall expense": (1) Give us prompt notice of any discovery or notification that"your product"must be withdrawn or recalled. Include a description of"your product"and the reason for the withdrawal or recall; (2) Cease any further release, shipment, consignment or any other method of distribution of like or similar products until it has been determined that all such products are free from defects that could be a cause of loss under the insurance. 17. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS Paragraph 6. Representations is deleted and replaced with the following: 6. Representations By accepting this policy,you agree: a. The statements in the Declarations are accurate and complete; b. Those statements are based upon representations you made to us; e. We have issued this policy in reliance upon your representations; and d. This policy is void in any case of fraud by you as it relates to this policy or any claim under this policy. We will not deny coverage under this Coverage Form if you unintentionally fail to disclose all hazards existing as of the inception date of this policy. You must report to us any knowledge of an error or omission in the description of any premises or operations intended to be covered by this Coverage Form as soon as practicable after its discovery. However, this provision does not affect our right to collect additional premium or exercise our right of cancellation or nonrenewal. Includes copyrighted material of Insurance Services Office, Inc. Page 8 of 11 CG70490417 DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 18. TRANSFER OF RIGHTS (BLANKET WAIVER OF SUBROGATION) Paragraph 8. Transfer of Rights Of Recovery Against Others To Us is deleted and replaced with the following: 8. If the insured has rights to recover all or part of any payment we have made under this Coverage Form, those rights are transferred to us. The insured must do nothing after loss to impair them. At our request, the insured will bring "suit"or transfer those rights to us and help us enforce them. However, if the insured has waived rights to recover through a written contract, or if"your work"was commenced under a letter of intent or work order, subject to a subsequent reduction to writing with customers whose customary contracts require a waiver, we waive any right of recovery we may have under this Coverage Form. 19. EXTENDED NOTICE OF CANCELLATION AND NONRENEWAL Paragraph 2.b. of A. Cancellation of the COMMON POLICY CONDITIONS is deleted and replaced with the following: b. 60 days before the effective date of the cancellation if we cancel for any other reason. Under SECTION IV—COMMERCIAL GENERAL LIABILITY CONDITIONS, Paragraph 9.When We Do Not Renew is deleted and replaced with the following: 9. When We Do Not Renew If we decide not to renew this Coverage Part,we will mail or deliver to the first Named Insured shown in the Declarations written notice of the nonrenewal not less than 60 days before the expiration date. If notice is mailed, proof of mailing will be sufficient proof of notice. 20. MOBILE EQUIPMENT REDEFINED Under SECTION V—DEFINITIONS, paragraph 12. "Mobile equipment", paragraph f. (1) does not apply to self-propelled vehicles of less than 1,000 pounds gross vehicle weight. 21. ADDITIONAL DEFINITIONS 1. SECTION V—DEFINITIONS, paragraph 4. "Coverage territory"is replaced by the following definition: "Coverage territory"means anywhere in the world with respect to liability arising out of"bodily injury," "property damage,"or"personal and advertising injury,"including"personal and advertising injury" offenses that take place through the Internet or similar electronic means of communication provided the insured's responsibility to pay damages is determined in a settlement to which we agree or in a"suit"on the merits, in the United States of America (including its territories and possessions), Puerto Rico and Canada. 2. SECTION V—DEFINITIONS is amended by the addition of the following definitions: "Covered recall"means a recall made necessary because you or a government body has determined that a known or suspected defect, deficiency, inadequacy, or dangerous condition in"your product"has resulted or will result in"bodily injury"or"property damage". "Product Recall expenses" mean only reasonable and necessary extra costs, which result from or are related to the recall or withdrawal of"your product"for: a. Telephone and telegraphic communication, radio or television announcements, computer time and newspaper advertising; b. Stationery, envelopes, production of announcements and postage or facsimiles; c. Remuneration paid to regular employees for necessary overtime or authorized travel expense; d. Temporary hiring by you or by agents designated by you of persons, other than your regular employees, to perform necessary tasks; e. Rental of necessary additional warehouse or storage space; Includes copyrighted material of Insurance Services Office, Inc. CG70490417 Page 9 of 11 DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 f. Packaging of or transportation or shipping of defective products to the location you designate; and g. Disposal of"your products"that cannot be reused. Disposal expenses do not include: (1) Expenses that exceed the original cost of the materials incurred to manufacture or process such product; and (2) Expenses that exceed the cost of normal trash discarding or disposal, except as are necessary to avoid"bodily injury"or"property damage". 22. REASONABLE FORCE—BODILY INJURY OR PROPERTY DAMAGE Under SECTION I—COVERAGE A., paragraph 2. Exclusions, subparagraph a. Expected Or Intended Injury is deleted and replaced with the following: [This insurance does not apply to:] a. Expected Or Intended Injury "Bodily injury"or"property damage"expected or intended from the standpoint of the insured. This exclusion does not apply to"bodily injury"or"property damage"resulting from the use of reasonable force to protect persons or property. 23. BROADENED LIABILITY COVERAGE FOR DAMAGE TO YOUR PRODUCT AND YOUR WORK A. Under SECTION I—COVERAGE A., paragraph 2. Exclusions, exclusion k. Damage to Your Product and exclusion I. Damage to Your Work are deleted and replaced with the following: [This insurance does not apply to:] k. Damage to Your Product "Property damage"to"your product"arising out of it or any part of it, except when caused by or resulting from: (1) Fire; (2) Smoke: (3) "Collapse"; or (4) Explosion. For purposes of exclusion k. above,"collapse"means an abrupt falling down or caving in of a building or any part of a building with the result that the building or part of the building cannot be occupied for its intended purpose. I. Damage to Your Work "Property damage"to"your work"arising out of it or any part of it and included in the "products-completed operations hazard". This exclusion does not apply: (1) If the damaged work or the work out of which the damage arises was performed on your behalf by a subcontractor; or (2) If the cause of loss to the damaged work arises as a result of: (a) Fire; (b) Smoke; (c) "Collapse"; or (d) Explosion. For purposes of exclusion I. above, "collapse" means an abrupt falling down or caving in of a building or any part of a building with the result that the building or part of the building cannot be occupied for its intended purpose. B. The following paragraph is added to SECTION III—LIMITS OF INSURANCE: Includes copyrighted material of Insurance Services Office, Inc. Page 10 of 11 CG 70 49 04 17 DocuSign Envelope ID: E40742B1-6264-4852-A28E-08013E38CBC1 Subject to 5.above[of the CGL Coverage Form], $100,000 is the most we will pay under Coverage A for the sum of damages arising out of any one"occurrence"because of"property damage"to"your product" and"your work"that is caused by fire, smoke, collapse or explosion and is included within the "product-completed operations hazard". This sublimit does not apply to"property damage"to"your work" if the damaged work, or the work out of which the damage arises, was performed on your behalf by a subcontractor. 24. BROADENED BODILY INJURY COVERAGE Under SECTION V—DEFINITIONS, the definition of"bodily injury"is deleted and replaced with the following: 3. "Bodily injury" a. Means physical: (1) Injury; (2) Disability; (3) Sickness; or (4) Disease; sustained by a person, including death resulting from any of these at any time. b. Includes mental: (5) Anguish; (6) Injury; (7) Humiliation; (8) Fright; or (9) Shock; directly resulting from any"bodily injury"described in paragraph 3.a. c. All "bodily injury"described in paragraph 3.b. shall be deemed to have occurred at the time the "bodily injury"described in paragraph 3.a. occurred. 25. DESIGNATED COMPLETED PROJECTS—AMENDED LIMITS OF INSURANCE When a written contract or written agreement between you and another party requires project-specific limits of insurance exceeding the limits of this policy; A. for"bodily injury"or"property damage"that occurs within any policy period for which we provided coverage; and B. for"your work"performed within the"products-completed operation hazard"; and C. for which we previously issued Amendment Of Limits Of Insurance (Designated Project Or Premises) CG 71 94 either during this policy term or a prior policy term; and D. that designated project is now complete; the limits of insurance shown in the CG 71 94 schedule will replace the limits of insurance of this policy for the designated project and will continue to apply for the amount of time the written contract or written agreement requires, subject to the state statute of repose for the project location. These limits are inclusive of and not in addition to the replaced limits. Includes copyrighted material of Insurance Services Office, Inc. CG 70 49 04 17 Page 11 of 11 BOND IN LIEU OF RETAINAGE Bond Number: 108033773 KNOW ALL MEN BY THESE PRESENTS,that we SAK Construction, LLC 864 Hoff Road, O'Fallon, MO 63366 as principal (the"Principal"), • and Travelers Casualty and Surety Company of America as surety(the"Surety'), are held and tirmiy bound unto City of Bremerton, 100 Oyster Bay Avenue N. Bremerton,WA 98312 , as obligee(the"Obligee"), in the penal sum of Forty Two Thousand One Hundred Sixty Three and 22l fi50 Dollars($42,163.22 ), such sum representing 5 %of the final contract cost of the Contract, as defined herein,for the payment of which sum well and truly to be made, the Principal and the Surety, bind ourselves, our heirs, executors, administrators, successors and assigns,jointly and severally,firmly by these presents. WHEREAS,the Principal has by written agreement dated the 17th day of April 20 24 entered into a contract(the"Contract'')with the Obligee for Cityof Bremerton Department of Public Works and Utilities, Bremerton, Washington,2024 Sewer Rehabiliion and WHEREAS,the Contract permits Obligee to withhold from Principal the sum of$42,163.22 or 5 %from estimates earned during construction ("Retention") and Obligee has agreed to accept this Bond either in lieu of withholding Retention or in exchange for the release of Retention prior to the time stated in the.Contract for such release;and NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that if the Principal shall indemnify and save harmless the.Obligee from any and all loss,costs,charges or expenses which the Obligee may sustain or incur pursuant to the Contract by reason of either having waived its right to withhold Retention or from having released Retention prior to the date set forth in the Contract for such release, then this obligation shall be void, otherwise it shall to remain in full force and effect until the date upon which Obligee would be required to release Retention pursuant to the Contract terms. DATED as of this 22 day of May , 20 24 WITNESS!ATTEST SAK Construction, LLC -{ficipal) y, BY: 4 (Seal) ame: (30 ,I-k,rl-i Title: Vice Pres)ol Travelers Casualt and Sure om any of America cz2(. e ) ne To Sq re, Hartford, CT 06183 By: _ (Seal). Attorney-in-Fact Andrew P. Thome, Attorney-in-Fact ,``PNC S......•,, a�(HARTFORD_-.co = ' CONN. 10-E �6�'•- Via: ACKNOWLEDGEMENT FOR CONTRACTOR ACKNOWLEDGEMENT FOR CONTRACTOR, IF LIMITED LIABILITY COMPANY STATE OF Missouri } COUNTY OF St. Charles } ON THE a DAY OF m4.1 20 c)y , BEFORE ME PERSONALLY APPEARED Po.ic,i 1-1i r4 z TO ME KNOWN AND KNOWN TO ME TO BE THE V i t Pres ; OF SAK Construction, LLC, A LIMITED LIABILITY COMPANY, DESCRIBED IN AND WHO EXECUTED THE FOREGOING INSTRUMENT AND ACKNOWLEDGED TO ME THAT HE EXECUTED THE FOREGOING INSTRUMENT AND ACKNOWLEDGED TO ME THAT HE EXECUTED THE SAME AS AND FOR THE ACT AND DEED OF SAID LIMITED LIABILITY COMPANY. Notary Public BARBARA MARLER Notary Public-Notary Seal State of Missouri Commissioned for St.Charles County My Commission Expires:December 19,2026 Commission Number:14126252 State of Missouri County of St.Louis On 5/22/2024 before me, a Notary Public in and for said County and State, residing therein, duly commissioned and sworn, personally appeared Andrew P.Thome known to me to be Attorney-in-Fact of Travelers Casualty and Surety Company of America the corporation described in and that executed the within and foregoing instrument, and known to me to be the person who executed the said instrument in behalf of said corporation, and he duly acknowledged to me that such corporation executed the same. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal, the day and year stated in this certificate above. CIAMOMDA M Amanda L.Williams,Notary Public AMANDA L.WILLIAMS Notary Public-Notary Seal STATE OF MISSOURI St.Louis County My Commission Expires:Jul,24,2025 My Commission Expires: _ Commission#13507257 Travelers Casualty and Surety Company of America AINIIk Travelers Casualty and Surety Company 1.TRAVELERS _1 _ St. Paul Fire and Marine Insurance Company POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company are corporations duly organized under the laws of the State of Connecticut (herein collectively called the"Companies"),and that the Companies do hereby make,constitute and appoint ANDREW P THOME of CHESTERFIELD , Missouri , their true and lawful Attomey(s)-in-Fact to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. IN WITNESS WHEREOF,the Companies have caused this instrument to be signed,and their corporate seals to be hereto affixed,this 21st day of April, 2021. '404Z ;PNTr Ap�'` 4/("/'.11KRTFORDbA (ID% i * I State of Connecticut By: City of Hartford ss. Robert L.RaneAenior Vice President On this the 21st day of April, 2021, before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior Vice President of each of the Companies, and that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of said Companies by himself as�a duly authorized officer IN WITNESS WHEREOF,I hereunto set my hand and official seal. FJ►cOWT( / i�Lu+r�C My Commission expires the 30th day of June,2026 � *� p� PUv,jo 1 Anna P.Nowik,Notary Public x' This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of each of the Companies,which resolutions are now in full force and effect,reading as follows: RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice 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;and it is FURTHER RESOLVED, 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 filed in the office of the Secretary;and it is FURTHER RESOLVED, 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 to a written delegation of authority;and it is FURTHER RESOLVED, 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 on the Company in the future with respect to any bond or understanding to which it is attached. I, Kevin E. Hughes, the undersigned, Assistant Secretary of each of the Companies, do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies,which remains in full force and effect. Dated this 22nd day of May . 2024 • fePtaitsitA 0 Ry e. /1Y Arypa 49 t �P- i kr,,.. 1/41••' Faaae 4j le.— (C.—./ .1-0.--- £mE.HughestantSecretary To verify the authenticity of this Power of Attorney,please call us at 1-800-421-3880. Please refer to the above-named Attorney(s)-in-Fact and the details of the bond to which this Power of Attorney is attached. TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA HARTFORD,CONNECTICUT 06183 FINANCIAL STATEMENT AS OF DECEMBER 31,2023 CAPITAL STOCK$6.480,000 ASSETS LIABILITIES&SURPLUS BONDS $ 5.104,395,801 LOSSES $ 1,495,036.900 STOCKS 119,333,643 LOSS ADJUSTMENT EXPENSES 146,791,770 CASH AND INVESTED CASH 30,541,608 COMMISSIONS 55,734,579 OTHER INVESTED ASSETS 8,355,939 OTHER EXPENSES 55,546,499 SECURITIES LENDING REINVESTED COLLATERAL ASSETS 13,350,613 TAXES,LICENSES AND FEES 15,857,431 INVESTMENT INCOME DUE AND ACCRUED 43,617,243 CURRENT FEDERAL AND FOREIGN INCOME TAXES 5,300,838 PREMIUM BALANCES 325,304,977 UNEARNED PREMIUMS 1,515,112,686 REINSURANCE RECOVERABLE 27,997,684 ADVANCE PREMIUM 4,091,249 NET DEFERRED TAX ASSET 72,421,341 POLICYHOLDER DIVIDENDS 21,388,522 GUARANTY FUNDS RECEIVABLE OR ON DEPOSIT 1,798,901 CEDED REINSURANCE NET PREMIUMS PAYABLE 62,914,516 OTHER ASSETS 818,309 AMOUNTS WITHHELD/RETAINED BY COMPANY FOR OTHERS 21,072.858 REMITTANCES AND ITEMS NOT ALLOCATED 7,201,721 PROVISION FOR REINSURANCE 9,891,783 PAYABLE FOR SECURITIES LENDING 13,350,613 OTHER ACCRUED EXPENSES AND LIABILITIES 409,380 TOTAL LIABILITIES $ 3,429,701,342 CAPITAL STOCK $ 6.480,000 PAID IN SURPLUS 433,803,760 OTHER SURPLUS 1,877,950,956 TOTAL SURPLUS TO POLICYHOLDERS $ 2,318,234.716 TOTAL ASSETS $ 5,747,935.058 TOTAL LIABILITIES&SURPLUS $ 5,747,936,058 STATE OF CONNECTICUT COUNTY OF HARTFORD )SS. CITY OF HARTFORD MICHAEL J.DOODY,BEING DULY SWORN,SAYS THAT HE IS VICE PRESIDENT—FINANCE,OF TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, AND THAT TO THE BEST OF HIS KNOWLEDGE AND BELIEF,THE FOREGOING IS A TRUE AND CORRECT STATEMENT OF THE FINANCIAL CONDITION OF SAID COMPANY AS OF THE 31ST DAY OF DECEMBER,2023. cr adLd I parr- VICE PRESIDE —FINA eJ SUBSCRIBED AND SWORN TO BEFORE ME THIS NOTARY PUBLIC a � 15TH DAY OF MARCH,2024 SUSAN M.WEISSLEDER Notary Public My Commission Expires November 30,2027 I "'1VITE'"'�• _? OTA Icle ,z cn= �-* UBL1G 864 Hoff Road �, � O'Fallon, MO 63366 �� 636-385-1000 Flpeiine Infrastructure,Served 636-385-1100 Fax LETTER OF TRANSMITTAL FROM: SAK CONSTRUCTION, LLC DATE: 5/28/2024 JOB NAME: 2024 Sewer Rehabilitation TO: City of Bremerton-Engineering Division 345 6th Street, Suite 100 Bremerton, WA 98337 SAK#24054 SHIPPED VIA: ATTN.: Noreen Bolo Email 360-473-2323 By Hand X Express Shipper WE TRANSMIT THE FOLLOWING: Fax DRAWINGS PLANS LETTER COPY PAY REQUEST CONTRACT SPECS SAMPLE RECEIVED X OTHER Submittal MAY 3 0 2024 FOR YOUR: X USE APPROVAL FINAL APPROVAL EXECNEERING DIVISION SIGNATURE REVIEW/COMMENT DISTRIBUTION NO COPIES DATE DESCRIPTION -FROM 1 Bond in Lieu of Retainage 17-0714Wartier4 REMARKS: Please let me know if you have any questions. Thank you. COPIES TO: SINCERELY, SAK CONSTRUCTION, LLC &q/,tr- Y Y ( X Barb Marler Contract Manager