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Home My WebLink AboutSWP273223 RECEIVED DEC 1 7 2010 CITY OF REN TON UTILITY SYSTEMS King Conservation District 1107 SW Grady Way,Suite 130 •Renton,WA 98057•Phone(425)282-1897•Fax(425)282-1898•E-mail district®kingcd.org December 16,2010 Allen Quynn City of Renton 1055 S Grady Way Renton,WA 98055 Dear Allen, Enclosed,for your records,is a signed copy of the Member jurisdiction Grant Agreement Close Out form for the 34th Street Culvert Replacement project. This signed document officially closes your grant agreement with the District.The project file will be archived by the District and any project documents will be placed in the District library. Thank you for your assistance in closing out this grant agreement.Please send me a few photos of the newly planted areas once that is completed. Sincerely, ?ssica Saavedra Member Jurisdiction&WRIA Forum Grant Program Lead Enclosures (2) kcd ref 10-150 renton-34th street culvert replacement close out letter Member Jurisdiction & WRIA Forum Grant Program King Conservation District Grant Agreement Close Out Grant Summary Information Recipient: City of Renton - - --------------------- ---------- -- Project Title: SW 34th Street Culvert Replacement Project --------------------------------- ---------------------------------------------------- Project Description: Replaced four undersized corrugated metal culverts with a new box culvert including stream by-pass, placement of spawning gravel in the bottom of the culvert, placement of woody debris on the sides of the channel, and planting of riparian trees and shrubs along channel bank on Springbrook Creek at SW 34th Street in Renton. --------------------------------- --------------------- Funding Source and Year: Renton Allocation 2002-2005 Funds --------------------------I---------------------------------- ------------------------------------------------ Start Date:4/05 End Date: Fall 07 Date Contracted: 2117106 Grant Budget Summary Returned Funds: Payment Summary Award $55,084.85 Amount $0 Initial Payment: $55,084.85 Amount: Returmed: Date: 1/31/06 ---------------- ---- ------ --------------- - ------ -------------------------------------- ----- Amount $55,084.85 Date N/A Final Payment: $N/A Spent: Returned: Date: N/A Copies of Work Product (check box or describe below) ❑ Study/Report (Title: none submitted) ---- - - ------------------------------------------ - - - - ----------------------- ❑ Designs/Plans ❑ Brochures/Publications ❑ Curricula ------- - --- ------------ ------------------------ Photos ❑ Video ❑ Sign Mock-Ups __------ ---------------------------------------------------------------------------------------------------------- ❑ Deed or ether acquisition documentation: N/A Other: Planting Plan Project Activities and Measurable Results Summary: - ----------------------------------------- --------- - - - ----------------------------------------------------- Scope of Work Completed as approved Yes: ® No: ❑ N otes K"D Acknowledgement: Grantee states in application that KCD will be acknowledged through newspaper articles, websites or other information released during the project implementation. Site Visit Date: 10/29/10 1 N/A: ❑ Description: Grant staff visited the site with City of Renton representative, Allen Quynn. Very large box culvert replaced four undersized corrugated metal pipes. Riparian planting and the placement of .rood occurred on the west bank on either side of the culvert. The eastern banks were not planted for unknown reasons. Scouler willow and Red Osier Dogwood performed best. Sitka willows planted on the lower portion of the bank slope did not survive on both sides of the culvert due to reasons unknown. Grant staff recommended planting at higher densities to achieve lower mortality such as ( 2 feet on center instead of 4) and trying the scouler's willow and dogwood which seems to prefer the site conditions. Nootka rose and Doug Fir was planted on the upper banks and most of them appear to be thriving. KCD Staff offered assistance to Renton staff In acquiring plant material to fill in the bare spots. Overall, the planting has done very well for a site where plant monitoring and maintenance was not required.At first glance, the plants growing or, the west bank appeared to be blackberry, however, upon closer inspection it was dogwood and willows. Blackberry and ivy encroachment from adjacent non-City owned properties will be a long term maintenance challenge, however, if planted with native plants that are doing well in the existing site conditions, the project could continue to ward off encroaching weeds. The very large box culvert appears to be meeting the objective of stormwater conveyance. - ------------------------------------------------—--- --- ------------ --------------—------- Planting Projects: Maintenance/Monitoring Needs to be tracked: ❑ Ongoing until:_--__ Completed: ❑ N/A: ❑ Reporting Summary: Yes No Notes: Progress Reports: ® ❑ 11/07, 5/07, 11/06, 5/06 ---------------------------------------------------------------- ------------------- ---------------------- Expense Reports: ❑ ❑ 11/07, 5/07, 11/06, 5/06 ------------------------------------------------------------------ ------ Final Reports ® ❑ Cu,.mpletion of the project greatly improved he conveyance Version date 1/4/08 --------------- ------------------------------------------------- - - -------- capacity of the culvert crossing of SW 34th Street and Springbrook Creek. Removed blackberries and other weeds along the creek embankment upstream and downstrem of the culvert and replaced with native riparian habitat plant species including willows and conifers, large woody debris was anchored along the creek channel to improve fish passage and 18"of spawning gravel was placed along the creek bottom and under the culvert. Increased conveyance capacity provided by the properly sized box culvert will help reduce flooding in the Renton Valley, benefiting commuters and businesses. Riparian habitat provided will help improve water quality in the creek benefiting salmon and other aquatic species that utilize the creek. Overall, the project went very smoothly. In-stream construction had to be finished up at the end of the summer before the Fisheries HPA permit window expired. Relocating some of the utilities proved to be more of a challenge than anticipated. Fiber optic conduits could not be located under the culvert as planned and had to be temporarily relocated around the construction site and across the creek using overhead poles, which slowed the progress of the contractor during excavation and dewatering for the culvert. Amendment Request Summary: Yes N/A Notes: Scope of Work ❑ -Revision:-- --------------------------------------------------------------------------------------------------------- Budget Revision: ❑ ------------------------------------------------------------------------------------------------------- Completion Date ❑ Extension: I certify that the project has been completed, I certify that the project has been completed, all all expenditures have been paid, and the final expenditures have been reported, and the final report has been received by the District. report has been completed and submitted to the District. 4 P District Representative Grant Reci Vent Name: ,'��,��' T- Date: I n �' C (; Title:5,,; Date: �5 t� Denis Law - City o r, eC)'tMay or Public Works Department-Gregg Zimmerman,P.E.,Administrator November 8, 2010 Ms.Jessica Saavedra Member Jurisdiction &WRIA Forum Grant Program Lead King Conservation District 1107 SW Grady Way, Suite 130 Renton, WA 98057 RE: SW 34"' STREET CULVERT REPLACMENT PROJECT GRANT AGREEMENT CLOSOUT Dear Ms. Saavedra: Enclosed is a signed Grant Agreement Closeout Form for the SW 34th Street Culvert Replacement Project. Please have the form approved and signed by the grant subcommittee and return a signed copy to me. Thank you for your assistance in working with me on obtaining the King Conservation grant for this project and I look forward to working with you on existing and future grants as they become available. Sincerely, r Allen Quynry;P. Project Mlhager Surface W/ater Utility Engineer Attachment cc: File H:\File Sys\SWA-Surface Water Section Administration\SWA 11-Interagency Coope ratio n\King Conservation District\SW 34th Street Reports\grant close out memo.doc/AQah Renton City Hall • 1055 South Grady Way• Renton,Washington 98057 • rentonwa.gov Page 5 of 5 ATTENDANCE LIST - PRECONSTRUCTION MEETING SW 34th Street Culvert Replacment Project May 16, 2007 - 10:00 a.m. - City Hall, Room 511 Name Company Phone#/ FAX# Allen Quynn Renton Surface Water Utility (425) 430-7247 FAX (425) 430-7241 /� aZo6 gy9 - lg31 -220-e v��Jtacit C-t_I`Gnfroi4%.A U.5 Z�b 776 7 HAFile Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (CIP)\27-3223 SW 34th St Culvert Replacement Project\Construction\City Correspondence\Precon Agenda.doc Page 1 of 5 I l�� PRECONSTRUCTION MEETING SW 34th Street Culvert Replacement Project May 16, 2007- 10:00 a.m. - City Hall, Room 511tf�� Location: SW 34th Street and Springbrook Creek, Renton, Washington City Project Manager: Allen Quynn Office: 425-430-7247 Fax: 425-430-7241 Email: aquynn@ci.renton.wa.us City Inspector: Ron Mcfee Mobile # 206-999-1832 Mobile # 206-999-1831 R.L. Alia Company 107 Williams Ave. S., Renton, WA 98057 Office: 425-226-8100 Project Manager: Rick Alia Office: 425-226-8100 FAX: 425-226-8649 Cell: )()�- 14z3- 35-z/6 aU� - ygz - 7G7f Email: gjpank@rlalia.com Project Foreman: EMERGENCY NUMBERS If you use a cellular phone call (253) 852-2121 to get the Valley 911 Dispatcher (cellular calls to 911 go to State dispatcher in Bellevue, doesn't cover notifying about work in the City ROW) Puget Sound Energy - Emergency # 1 888 Calls PSE (1-888 225-5773) PRIVATE UTILITIES: Olympic Pipe Line - n Wil�( S°,,' 425-235-7767 425-271-5320 Qwest Communications - Ken Kobes 206-345-3488 Fax: 1-253-372- Or Melanie Wheeler 206-345-4055 5176 Puget Sound Energy - Kathy Johnson 425-462-3381(office) 425-462-3355 206-240-2482 (cell) Gas (Pilchuck) - Jeramiah Crabb 425-250-1541 206-571-2954 (cell) Power (Patelco) - Tracy Coleman 253-476-6428 Comcast - Jerry Steele 206-391-1763 (cell) 253-288-7500 253-288-7532 King Co Transp. Div - Steve Wilson 206-296-8144 206-296-8198 H:\File Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (CIP)\27-3223 SW 34th St Culvert Replacement Project\Construction\City Correspondence\Precon Agenda.doc Page 2 of 5 Metro Bus Routes — Richard Garcia 206-684-2732 206-684-2686 Renton School District Transp 425-204-4455 425-204-4465 - Kevin Oleson Waste Management Rainier —Steve Aiton 206-505-9171 1-866-284-1337 GENERAL: 1 . CALL FOR CITY INSPECTION AT LEAST 24 HOURS BEFORE YOU START WORK (Inspection Line Recorder (425)-430-7203). 2. Call ONE CALL 1-800-424-5555 at least 3 WORKING DAYS before you dig to locate Utilities. 3. Keep a set of approved drawings on-site at all times (the ones with the City stamp and signatures). 4. Overtime for City inspectors takes special authorization. Pay schedule is $75 per hour for overtime. 5. Keep the streets clean. Cleanup any loads that spill immediately, rather than at the end of the day. 6. Haul legal loads only. 7. All utilities must be inspected prior to backfill. 8. If Private Property will be used for stockpiling or staging a Temporary Use Permit from the City is required (may take 2 to 3 weeks to issue). 0or4l^ c)(- wrfrkin5 Vq'/ WORK HOURS: 1. Standard work hours are 7 a.m. to 5 p.m. Monday thru Friday. Al2,1 2. Machinery shall not be started before 7 a.m. (residential area) 3. Truck hauling is limited to 8:30 a.m. to 3:30 p.m. on arterial streets. ROAD CLOSURE: The City Council has authorized SW 34`h Street to be closed from June 151h to September 301h within the limits shown on the drawings. FIRE PREVENTION: 1. Call (253) 852-2121 at least 24 hours in advance to notify Fire Dept. of any work in the right-of-way. 2. Maintain access at all times for emergency equipment. HAFile Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (CIP)\27-3223 SW 34th St Culvert Replacement Project\Construction\City Correspondence\Precon Agenda.doc Page 3 of 5 Fire vehicles must be able to reach any home in the project area. 3 Have steel plates on site, ready to use to span the excavation if emergency access is needed. Any shoring and temporary steel plating must be able to support weight of emergency equipment (Fire Trucks) in all types of weather. 4. Do not block access to fire hydrants. 5. Any temporary on-site fuel supplies must be permitted through Fire Prevention. (Does not apply to refueling from fuel tanks on trucks). TRANSPORTATION: 1. Traffic Control Plan needs to be submitted for approval by the City Transportation Dept. WATER: 1 . During business hours (7 am to 3:30 pm) call the City of Renton Maintenance Department (425) 430-7400 if a water main needs to be shut off. Inform and coordinate with City Inspector. For after hours, emergency only, call 911 (if using cell phone call (253) 852-2121) if a water main needs to be shut off. 2. If you need to use City water during construction you need to get a Hydrant Meter. Fill out an application at the 6th Floor, City Hall, pay a deposit, and get the meter from the City Shops. Call the 6th floor Service Counter to get details on obtaining a meter ( Rick Kokko 430-7266). " ,by P(55 assj Y/ My Pno ��.( a�kfi SANITARY SEWER: P e_eP ti ydaa, fi dp4 / 1 . Coordinate with City inspector. 2. Connection to existing manhole — core drill with sand collar or Kor—n-seal boot. 3. Construction sequence GSc d vItIl f "4011 1 5►ed G•+o1►•x3 4. Critical to maintain vertical control due to shallow slope. SURVEYING: 1. Provide City Inspector and Project Manager a copy of the survey and staking info. STORM: 1 . Submittal for box culvert is needed ASAP. Approval required before culvert can be manufactured. CONSTRUCTION ITEMS: HAFile Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (CIP)\27-3223 SW 34th St Culvert Replacement Project\Construction\City Correspondence\Precon Agenda.doc Page 4 of 5 1 . Keep the existing storm system functioning until the new storm system is ready to accept flow. Get approval by City Construction Inspector before switching flow to the new storm system. 2. Contractor must be familiar with the HPA conditions for the project. HPA must be posted in a visable location on the project site. 3. The City will prepare Pay Estimates monthly unless the contractor prefers every two weeks. It usually takes about four weeks after a pay estimate due date for the Contractor to receive a check. The Contractor does not need to submit a formal pay request. Pay estimates are based on City's observation of work progress (CB's installed, LF of pipe installed), and material tickets for bid items (gravel, backfill, asphalt, etc.) that Contractor hands in to City Inspector. The Contractor shall give City Inspector material tickets for bid items the day the material is delivered. 4. Cold patch at end of work day. Hot patch after two weeks. H:\File Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (CIP)\27-3223 SW 34th St Culvert Replacement Project\Construction\City Correspondence\Precon Agenda.doc CONTRACT CHECKLIST(revised March 2005) STAFF NAME&EXTENSION NUMBER: !-1 I I{v1 C?Q�v,n taj+ - 7�-q 7 DIVISION/DEPARTMENT: p e P!J — (11`61 fits CONTRACT NUMBER: (Assigned by City Clerk Division.) 7 )_7 TASK ORDER NUMBER: (I£applicable.) CONTRACTOR: PURPOSE OF CONTRACT: (Vi`1 NJCi..) '5 K 6fix Cam,1V'J ® 1. LEGAL REVIEW: (Attach memo from City Attorney.) Sec 4VbVAW S/31117 17-11,.-0 © 2. RISK MANAGEMENT REVIEW FOR INSURANCE: (Attach memo from HRRM Administrator.) 5re- Ct*4,/ SI P'(n -M,?m d (� 3. RESPONSE TO LEGAL OR RISK MGMT COI�jCERNS: (Explain in writing how concerns have been met.) te.i",,f lowit.",r h,#s de,, ci.� c( a.$ re. c u�°� b9 C4" '1ffVr'r`J' 4. INSURANCE CERTIFICATE AND/OR POLICY: Attach original.) 5. CITY BUSINESS LICENSE NUMBER: Q L.001 673 (Call Finance Department.) ❑ 6. ACCOUNTS PAYABLE W-9 VENDOR FORM: (If not already on file with the Finance Department, make sure the contractor completes the form and submits it to the Finance Department.) "4 1 A 7. PERFORMANCE BOND VERIFICATION IF PUBLIC WORK CONTRACT: (Attach memo.) ❑ 8. MEMO TO MAYOR IF COUNCIL APPROVAL NOT REQUIRED: (Explain contract purpose, budget source,work program fit, and scope of work.) NI 9. CHECK FEDERAL EXCLUDED PARTIES LIST (DEBARRED BIDDERS): (Access web site through RentonNet-Useful Links-Excluded Parties List System - Attach printout of search results; debarred contractors cannot be used.) 4?"14 10. ATTACHED CONTRACTS ARE SIGNED BY CONTRACTOR/CONSULTANT: (If not,provide explanation.) 11. FISCAL IMPACT: (see 12.13.) A. AMOUNT BUDGETED: (LINE ITEM) I 1 $ "l 000 B. EXPENDITURE REQUIRED: 11 ;701 J 7/ 12. COUNCIL APPROVAL REQUIRED IF: (Prepare Agenda Bill;see Policy&Procedure 250-02.) A. CONTRACT OR TASK ORDER IS $50,000 OR OVER. (Refer to Council committee for initial contract approval; place subsequent task orders on Council agenda for concurrence.) B. FUND TRANSFER REQUIRED IF CONTRACT EXPENDITURE EXCEEDS AMOUNT BUDGETED. (Refer to Council committee.) C. SOLE SOURCE CONTRACT IS $20,000 OR OVER. (Refer to Council committee.) D. INTERLOCAL AGREEMENT. (Requires resolution.) 13. DATE OF COUNCIL APPROVAL: (If applicable.) I 101 14. RESOLUTION NUMBER: (If applicable.) 15. KEY WORDS FOR CITY CLERK'S ELECTRONIC INDEX: / D . L- !1 �l�G� I 5 LJ ->Y lli Sf tze f- (-O ye✓I— �r�I G ce w I �i _�l{1 r 1 ��4'Li� (ey—ek DC/forms/city/contracts/cklist.doc/CoR Rev:3/05 CITY OF RENTON RECEIVED of the City Attorney Kathy Keolker,Mayor CEIVED Lawrence J.Warren N� MAY 0 4 20047 Senior Assistant City Attorneys Mark Barber CITY OF RENTON Zanetta L.Fontes UTILITY SYS7,-3,9S Assistant City Attorneys Ann S.Nielsen Garmon Newsom II MEMORANDUM Shawn E. Arthur To: Allen Quynn, Surface Water Utility Engineer From: Lawrence J. Warren, City Attorney Date: May 3, 2007 Subject: SW 34th Street Culvert Replacement Project Contract Document The contract Section 5 needs some additions. After the words "additional insured" in the second paragraph, first line, should be added"on a noncontributory primary basis". At the end of Section 5 should be added: "It is further, specifically and expressly understood that the indemnification provided herein constitutes the contractor's waiver of immunity under Industrial Insurance, Title 51 RCW, solely for the purposes of this indemnification. This waiver has been mutually negotiated between the parties. The provisions of this section shall survive the expiration or termination of this contract." With these minor changes,the contract is approved as to legal form. a-� Lawrence J. Warren LJW:tmj cc: Gregg Zimmerman, PE Mike Webby Jay Covington Post Office Box 626-Renton,Washington 98057-(425)255-8678/FAX(425)255-5474 R E N T O N ® AHEAD OF THE CURVE %This paper contains 50 recycled material,30%post consumer Y O� HUMAN RESOURCES/ ti A ♦ RISK MANAGEMENT DEPARTMENT WU M E M O R A N D U M DATE: May 1 2007 TO: len uynn, CEIII, PBPW/LJtility Systems ECEIVE FROM: Webby, Administrator MAY Q 4 2007 CITY OF RENTON SUBJECT: Insurance Review/R.L. Alia Company r„ SW 34`h Street Culvert Replacement Project�7 MS I have reviewed the certificate of insurance and supporting policy documents for the above- mentioned contract. The insurance coverage,provided for this contract,meets the City's risk management requirements. "Please remember to forward all originals to the City Clerk's office,if on file there" iArisk documents\certificates of insurance\contract okay.doc CITY OF RENTON MEMORANDUM DATE: May 8, 2007 TO: Bonnie Walton, City Clerk FROM: Allen Quynn SUBJECT: Bond for R.L.Alia Company. SW 34`h Street Culvert Replacement Project,CAG-07-027 I called Parker, Smith & Feek (425-709-3600), and spoke with Deanna Meyer on May 8, 2007. She confirmed that Hartford Fire Insurance Company had issued Bond #52BCSEI984 to R.L. Alia Co.and the City of Renton for the SW 34 h Street Culvert Replacement Project. HAFile Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-3223 SW 34th St Culvert Replacement Project\Construction\Bid Award\City Clerk Bond.doc Excluded Parties List System Page 1 of 1 Excluded Parties List Systemi y _ WtN s � Search-Current Exclusions EPLS Search Resources Results >Search Help >Advanced Search Search Results for Parties >Public User's Manual >Multiple Names Excluded by >FAQ >Exact Name and SSN/TIN Partial Name:"R.L.Alia Company" >Acronyms >MyEPLS Save to MyEPLS >Privacy Act Provisions >News View Cause and Treatment Code Your search returned no results. 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"' .11 L , L I L .. , I . . .. - - ---': --1- - - - .. .1 .... L _ _ L . I I I Glientlt: btU taurat,vmr ACORD,. CERTIFICATE OF LIABILITY INSURANCE 4/19/07/°Dmw> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Parker Smith & Feek, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Bellevue Office ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 2233 112th Avenue NE Bellevue, WA 98004 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Zurich American Insurance Co. R. L.Alia Company INSURER B: American Guarantee& Liab 107 Williams Ave.S. INSURER C: Renton,WA 98055 INSURER D: INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR D' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR NSR DATE MMIDD/YY DATE MM/DD/YY A X GENERAL LIABILITY CP0286246704 10/01/06 10/01/07 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED $300 000 P X COMMERCIAL GENERAL LIABILITY EMIS occurrence) CLAIMS MADE 5XI OCCUR MED EXP(Any one person) $1 0 000 PERSONAL&ADV INJURY $1,000,000 GENERALAGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY X PRO LOC JECT B AUTOMOBILE LIABILITY CP0286246704 10/01/06 10/01/07 COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) $1,000,000 ALL OWNED AUTOS BODILY INJURY (Per person) $ - SCHEDULED AUTOS X HIRED AUTOS BODILY INJURY (Per accident) $ X NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ B EXCESS/UMBRELLA LIABILITY AUC930134805 10/01/06 10/01/07 EACH OCCURRENCE $SEE BELOW X OCCUR 1-1 CLAIMS MADE AGGREGATE $SEE BELOW RDEDUCTIBLE $ X RETENTION $O $ A WORKERS COMPENSATION AND CP0286246704 10/01/06 10/01/07 WC ER EMPLOYERS' X OTH- EMPLOYERS'LIABILITY WA STOP GAP E.L.EACH ACCIDENT $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS SW 34th Street Culvert Replacement Project. City of Renton,their elected or appointed officers, officials, employees,subconsultants, and volunteers are included as Additional Insureds and coverage is Primary and Non Contributory as set forth in the terms and conditions of Endorsement U (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION Ten Day Notice for Non-Payment of Premium SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITY OF RENTON DATE THEREOF,THE ISSUING INSURER WILL RMXMRRQgt MAIL 4_ DAYS WRITTEN P.O. Box 1055 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,"XX* K Renton, WA 98057 )NSPIPltECll9ilQf�X7t4tDC7CRXKU6RJdXX�FXWXXRV70XEPJQKRK4Cl�f€K9�Uz1tJAlGROC647�E�CXx RR}R�R�WR$CX AUTHORIZED REPRESENTATIVE ACORD 25(2001/08)1 of 3 #M71112 KMG00 0 ACORD CORPORATION 1988 � s�x Pip GL 1175-ACW, Edition Date 09/03 attached.Waiver of Subrogation is included per form CG2404, Edition Date 10/93 attached. Severability of Interest applies. UMBRELLA LIMIT IS AS FOLLOW: $1,000,000 (Occ)$1,000,000 (Agg). . � .. •.: ., .: n��[`,��,�C.: ,r �i ., n«�, "�ors,.. fi5.. �T1;. AMS 25.3(2001/08) 3 of 3 #M71112 Additional Insured-Automatic - Owners, Lessees Or Contractors Broad Form ZURICH Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff.Date of End. Producer AddT Prem Return Prem. CPO286246704 1 10/01/2006 10/O1/2007 10/01/2006 73791000 $N/A $N/A THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A- WHO IS AN INSURED(Section II)is amended to include as an insured any person or organization whom you are required to add as an additional insured on this policy under a written contract or written agreement. B. The insurance provided to additional insureds applies only to"bodily injury", "property damage"or"personal and advertis- ing injury" covered under Section I, Coverage A, BODILY INJURY AND PROPERTY DAMAGE LIABILITY and Coverage B, PERSONAL AND ADVERTISING INJURY LIABILITY,but only if: 1. The"bodily injury"or "property damage"results from your negligence;and 2. The"bodily injury", "property damage" or"personal and advertising injury"results directly from: a. Your ongoing operations;or b. "Your work"completed as included in the"products-completed operations hazard", performed for the additional insured,which is the subject of the written contract or written agreement C. However,regardless of the provisions of paragraphs A.and B.above: I. We will not extend any insurance coverage to any additional insured person or organization: a. That is not provided to you in this policy;or b. That is any broader coverage than you are required to provide to the additional insured person or organization in the written contract or written agreement;and 2. We will not provide Limits of Insurance to any additional insured person or organization that exceed the lower of.. a. The Limits of Insurance provided to you in this policy;or b. The Limits of Insurance you are required to provide in the written contractor written agreement. D. The insurance provided to the additional insured person or organization does not apply to: 1. "Bodily injury", "property damage"or"personal and advertising injury"that results solely from negligence of the addi- tional insured;or u-CL-I17s-A CW(9/03) Includes copyrighted material of Insurance Services Office,Inc.with its permission. Pagc 1 of2 -Revised 2. "Bodily injury", `proper. image" or"personal and advertising injury" Ing out of the rendering or failure to render any professional architectural,engineering or surveying services including: a. The preparing,approving,or failing to prepare or approve maps,shop drawings,opinions,reports,surveys,field orders,change orders or drawings and specifications;and b. Supervisory,inspection,architectural or engineering activities. E. The additional insured must see to it that 1. We are notified as soon as practicable of an"occurrence"or offense that may result in a claim: 2. We receive written notice of claim or"suit"as soon as practicable;and 3. A request for defense and indemnity of the claim or"suit'will promptly be brought against any policy issued by an- other insurer under which the additional insured also has rights as an insured or additional insured. F. The insurance provided by this endorsement is primary insurance and we will not seek contribution from any other in- surance available to any additional insured person or organization unless the other insurance is provided by a contractor other than you for the same operations and job location. Then we will share with that other insurance by the method de- scribed in paragraph 4.c.of SECTION IN-COMMERCIAL GENERAL LIABIZI'TY CONDITIONS. Any provisions in this Coverage Part not changed by the terms and conditions of this endorsement continue to apply as writ- ten. U-GL-1175-ACW(9/03) Page 2 of 2 -Revised POLICY NUMBER: CPO 286246704 COMMERCIAL GENERAL LIABILITY CG 24 04 10 93 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE Name of Person or Organization: AS REQUIRED BY WRITTEN CONTRACT (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition(Section IV-COMMERCIAL GENERAL LIABILITY CONDITIONS) is amended by the addition of the following: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or"your work"done under a contract with that person or organization and included in the"products-completed operations hazard".This waiver applies only to the person or organization shown in the Schedule above. NAMED INSURED: R. L. ALIA COMPANY CG 24 0410 93 Copyright, Insurance Services Office, Inc. 1992 COMMIERCIAL INSURANCE COMMON POLICY DECLARATIONS Policy'Number;CPO 2862467-04 Renewal of Number CPO 2862467-03 Qs � Named Insured and Mailing Address Producer and Mailing Address R `L sAIkGOMPANY PARKER, SMITH & FEEK, INC. ( SS �aENDOREMENT U—GU-621—ACW) 2233 112TH AVE NE 107 WILLIAMS AVE. S. BELLEVUE WA 98004-2936 RENTON WA 98055 Producer Code 73791-000 Policy Period: Cneae beglis_ "10. 01=06 :;at 12:01 A.M.; Coverage ends" J� 7 Q' _ at,12:01 A.M. The named insured is ❑ Individual ❑ Partnership 0 Corporation ❑ Other: This insurance is provided by one or more of the stock insurance companies which are members of the Zurich-American Insurance Group. The company that provides coverage is designated on each Coverage Part Common Declarations. The company or companies providing this insurance may be referred to in this policy as'The Company",we,us,or our. The address of the companies of the Zurich-American Insurance Group are provided on the next page. THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE(S): PROPERTY COVERAGE PREMIUM $ issued by ZURICH AMERICAN INSURANCE COMPANY GENERAL LIABILITY COVERAGE PREMIUM $ issued by ZURICH AMERICAN INSURANCE COMPANY CRIME AND FIDELITY COVERAGE PREMIUM $ issued by ZURICH AMERICAN INSURANCE COMPANY INLAND MARINE COVERAGE PREMIUM $ issued by ZURICH AMERICAN INSURANCE COMPANY BUSINESS AUTOMOBILE PREMIUM $ issued by AMERICAN GUARANTEE AND LIABILITY INSURANCE COMPANY THIS PREMIUM MAY BE SUBJECT TO AUDIT. TOTAL $ This premium does not include Taxes and Surcharges. SEE INSTALLMhrt r D,_ . .jULE Taxes and Surcharges TOTAL $ The Form(s) and Endorsement(s) made a part of this policy at the time of issue are listed on the SCHEDULE of FORMS and ENDORSEMENTS. Countersigned this day of Authorized Representative THESE DECLARATIONS TOGETHER WITH THE COMMON POLICY CONDITIONS,COVERAGE PART DECLARATIONS,COVERAGE PART FORM(S), FORMS AND ENDORSEMENTS, IF ANY,ISSUED TO FORM A PART THEREOF,COMPLETE THE ABOVE NUMBERED POLICY. U-GU-D-310-A(01/93) AGENT COPY Page 1 of 1 COMMERCIAL GENERAL LIABILITY COVERAGE PART DECLARATIONS Policy Number: CPO 2862467-04 ZURICH AMERICAN INSURANCE COMPANY Named Insured R.L. ALIA COMPANY Policy Period: Coverage begins 10-01-06 at 12:01 A.M.; Coverage ends 10-01-07 at 12:01 A.M. Producer Name: PARKER, SMITH & FEEK, INC. Producer No. 73791-000 Item 1. Business Description: WATER & SEWER CONTRACTOR Item 2. Limits of Insurance GIKIERSAGGREGATE LIMIT $ �;,fl00 000 RRQDUCTS CQ'MPLET:ED�QPERATIONSAGGREGATE LIMIT EwfC- D, N ,.VM PREMISES RENTED TO YOU LIMIT $ 300 -D00 Any;one premises, ME©IGA t EXP.ENSE'LlMIT $ _ 10,E 00 t7,,.;; Apy one person PEl�SQNALAND DV A y , T ERTIS1NG INJURY'LIM'IT $ 1 ,000;000 :` Any:;one person or organization Item 3. Retroactive Date (CG 00 02 ONLY) This insurance does not apply to "bodily injury", "property damage' or "personal and advertising injury" offense which occurs before the Retroactive Date, if any, shown here: NONE (Enter Date or"None`if no Retroactive Date applies) Item 4. Form of Business and Location Premises Form of Business: CORPORATION Location of All Premises You Own, Rent or Occupy: See Schedule of Locations Item 5. Schedule of Forms and Endorsements Form(s) and Endorsements) made a part of this Policy at time of issue: See Schedule of Forms and Endorsements Item 6. Premiums Coverage Part Premium: $ Other Premium: Total Premium: $ AGENT COPY U-GL-D-1115-B CW(9/04) Stopgap Employer Liability Coverage ZURICH Various provisions in this policy restrict coverage. Read the entire policy carefully to determine rights, duties and what is and is not covered. Throughout this policy the words "you" and "your" refer to the Named Insured shown in the Declarations. The words "we" and 'bur" refer to the Company providing this insurance. The word "insured" means any person or organization qualifying as such under SECTION II -WHO IS AN INSURED. Other words and phrases that appear in bold face have special meaning. Refer to SECTION V-DEFINITIONS. SCHEDULE State(s) ALL MONOPOLISTIC STATES Location(s) ALL OF YOUR WORKPLACE LOCATIONS Limits of Liability: Bodily Injury by Accident—Each Accident: $ 1,000,000 Bodily Injury by Disease - Policy Limit: $ 1,000,000 Bodily Injury by Disease - Each Employee: $ 1,000,000 Deposit Premium: $ INCLUDED Minimum Premium:$ INCLUDED U-GL-274-C MU (0512006) Page 1 of 1 COMMERCIAL AUTO AMERICAN GUARANTEE AND LIABILITY INSURANCE COMPANY 1400 American Lane Schaumburg, Illinois 60196-1056 1-800-382-2150 BUSINESS AUTO DECLARATIONS POLICY NO.: CPO 2862467-04 Producer PARKER, SMITH & FEEK, INC. ITEM ONE NAMEDINSURED: R.L. ALIA COMPANY (SEE ENDORSEMENT U—GU-621—ACW) MAILING ADDRESS: 107 WILLIAMS AVE. S. RENTON WA 98055 POLICY PERIOD: From 10-01-06 to 10-01-07 at 12:01 A.M. Standard Time at your mailing address shown above. PREVIOUS POLICY NUMBER: CPO 2862467-03 FORM OF BUSINESS: 0 CORPORATION LIMITED LIABILITY COMPANY INDIVIDUAL PARTNERSHIP OTHER IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. Premium shown is payable at inception: $ AUDIT PERIOD (IF APPLICABLE) IX JANNUALLY I JSEMI- QUARTERLY MONTHLY ANNUALLY ENDORSEMENTS ATTACHED TO THIS POLICY: IL 00 17—Common Policy Conditions (IL 01 46 in Washington) IL 00 21 —Broad Form Nuclear Exclusion (Not Applicable in New York) SEE SCHEDULE OF FORMS AND ENDORSEMENTS COUNTERSIGNED BY (Date) (Authorized Representative) NOTE OFFICERS' FACSIMILE SIGNATURES MAY BE INSERTED HERE, ON THE POLICY COVER OR ELSEWHERE AT THE COMPANY'S OPTION. UCAD 600A 08/06 Page 1 AGENT COPY ITEM TWO SCHEDULE OF COVERAGES AND COVERED AUTOS This policy provides only those coverages where a charge is shown in the premium column below. Each of these coverages will apply only to those "autos" shown as covered "autos". "Autos" are shown as covered "autos" for a particular coverage by the entry of one or more of the symbols from the Covered Autos Section of the Business Auto Coverage Form next to the name of the coverage. COVERED AUTOS (Entry of one or more of the symbols from COVERAGES the Covered Autos LIMIT PREMIUM Section of the Business Auto THE MOST WE WILL PAY FOR ANY Coverage Form ONE ACCIDENT OR LOSS shows which autos are covered autos. LIABILITY 1 $1,000,000 $ PERSONAL INJURY SEPARATELY STATED IN EACH P.I.P. PROTECTION(or equivalent ENDORSEMENT MINUS No-fault Coverage) DEDUCTIBLE. ADDED PERSONAL INJURY SEPARATELY STATED IN EACH ADDED P.I.P. PROTECTION(or equivalent ENDORSEMENT. Added No-fault Coverage) PROPERTY PROTECTION SEPARATELY STATED IN THE P.P.I. INSURANCE(Michigan only) ENDORSEMENT MINUS DEDUCTIBLE FOR EACH ACCIDENT. AUTO MEDICAL PAYMENTS 7 $ 5,000 $ MEDICAL EXPENSE AND SEPARATELY STATED IN EACH MEDICAL INCOME LOSS BENEFITS EXPENSE AND INCOME LOSS BENEFITS (Virginia only) ENDORSEMENT. UNINSURED MOTORISTS 2 $ 1,000, 000 UNDERINSURED MOTORISTS (When not included in Uninsured 2 $ 1,000,000 $ Motorists Coverage) PHYSICAL DAMAGE ACTUAL CASH VALUE OR COST OF REPAIR, COMPREHENSIVE COVERAGE WHICHEVER IS LESS, MINUS SEE SCHEDULE 7 , 8 DEDUCTIBLE.FOR EACH COVERED AUTO,BUT $ NO DEDUCTIBLE APPLIES TO LOSS CAUSED BY FIRE OR LIGHTNING. See ITEM FOUR For Hired Or Borrowed"Autos". PHYSICAL DAMAGE ACTUAL CASH VALUE OR COST OF REPAIR, SPECIFIED CAUSES OF LOSS WHICHEVER IS LESS, MINUS COVERAGE DEDUCTIBLE.FOR EACH COVERED AUTO FOR LOSS CAUSED BY MISCHIEF OR VANDALISM. See ITEM FOUR For Hired Or Borrowed"Autos". PHYSICAL DAMAGE ACTUAL CASH VALUE OR COST OF REPAIR, COLLISION COVERAGE 7 , 8 WHICHEVER IS LESS, MINUS SEE SCHEDULE $ DEDUCTIBLE,FOR EACH COVERED AUTO. See ITEM FOUR For Hired Or Borrowed"Autos". PHYSICAL DAMAGE TOWING FOR EACH DISABLEMENT OF AND LABOR A PRIVATE PASSENGER"AUTO". TAX/SURCHARGE/FEE PREMIUM FOR ENDORSEMENTS $ I *ESTIMATED TOTAL PREMIUM $ For Scheduled Autos You Own — See ITEM THREE *This policy may be subject to final audit. UCAD 600A 08/06 Page 2 AGENT COPY Commercial Umbrella Liabili Policy Y Declarations Z i RI C H Insurance is provided by the company below. American Guarantee& Liability Insurance Company Policy Numi�er_` CiG{930Y348"05 Renewal of Number: AUC 9301348 04 1. Named Insured: R. L. ALIA COMPANY Producer: PARKER,SMITH& FEEK, INC. 2. Mailing Address: 107 WILLIAMS AVE. S. 2233 112TH AVE NE RENTON,WA 98055 BELLEVUE,WA 98004-2936 3. Policy Period: FRO3, IOLQ;1720Q " C�zOlOil200? x at 12:01 A.M. Standard Time at the address of the Named Insured. 4. % f of°In`surance: A. $10000;000 Occurrence B. $i000,ODO Other Aggregate C. $10j000000 Products/Completed Operations Aggregate 5. Re5t ie Limit �v Q,Occurrence 6. Policy Premium: Advance Premium Policy Minimum Earned Premium 7. Schedule of Underlying Insurance: See attached Schedule of Underlying Insurance 8. Endorsements Attached: See attached Schedule of Forms and Endorsements Signed by: Authorized Representative Date U-UMB-D-101-B CW (07/2003) Page 1 of I Y o� CITY OF RENTON BUSINESS LICENSEEx piation Date Licensing Division 6/29/2007 1055 South Grady Way � NTO Renton, WA N055 Issued Date: License# (425)430-6851 6130/2006 i3L.001673. BUS%/less Location Billing Code: bl_a 107 WIILLIAMS,AVE S`- ., _~ Licensee has made application for City of RENTONWA 98055 Renton business license in accordance with the. ptoisions o Title e V, usiness-Regulations.B Chapter;1, Codd of General:Oitlinances of the City of Renton and agrees to comply with all the R L ALIA C0 requirements of said ordinance. Licensee shall 107 WILLIAMS AVE S. further comply with all other City Code - RENTON, WA 98055, Ordinances, State Laws and Regulations applicable to the business activity licensed,Post'. this License at place of business. City of Renton Received MAY 0 1 2007 Y O� PLANNING/BUILDING/ HRisk managementan Resources & * , PUBLIC WORKS DEPARTMENT M E M O R A N D U M DATE: May 1, 2007 TO: Mike Webby, HR&Risk Management Administrator FROM: Allen Quynn, Surface Water Utility Engineer(ext. 7247) SUBJECT: SW 34th Street Culvert Replacement Project Insurance Review Please review and approve the attached insurance certificate and insurance information form submitted by the contractor for the SW 34th Street Culvert Replacement Project. The contract awarded amount is $1,270,871. Please let me know if you need additional information. It would be greatly appreciated if you would complete your review by Monday, May 7. 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"- f - 6:i4. :T-'w`�, - :'3r." .:,�"..£.'"'".' _.a„c - X:FS%ar�e'i=r:rro �'i:r,{;:;?: S,v i ^'^.'aa'.<::,')."„ <x�.. 5.. .s�a'.r iCn'e^'_.n.Y^:F':%ti X:i:S....,v,..,. x'.5� "°;�'J,,. ^y f,,.- ,f.. _, INSUR-AN i�fihe W—Y OF�MtENT(7N Sat 7 0 4�a hall abtaui co res of`the "olrcias andlo3=s ecific ` f :SR/:a^�.+'.,syt.. :_=;�%t::t?'..D Yrr..,_,..;..41„- -�. ,y'p. .r, .,_=.d.<P.. .':-• P: •._ _P.. _ ..y ,,t;•,.:� - _J<" .:[<„fir ��{ "�3)..y.:ra"`:-'�'"-'',':. :'`5,".eiu.t". :4... _r=*'.2i•' ^its+`..-, , •, at. .: '?: .,s.4 r"'..�Zat ;.sx� S :u� :�.: _'- declarahan a es:FRO a ar ed:Iirdder `e ec x c `.>---a--, Y�-. union ofcontra t .:.:r�:"xsaN, - . '�,, r<a,• _ .'vc <e, •'<a.; „ w�< ._,>< �ti �f"sr.,;:^�+'Fa•:`a;_:>, �!a ,.,;s:ri-:.tg:F;,,_ c:b'�� _,;.;,. = -$ �:v .,:;,;a.n.,,•y.,.t.:t '>.7:: rLL -sti_r�.',... ,�a.r.�C_. v1..: n.:z: I+ ^,xF= - _ 7 '+�Y:"w L,F" S c`tt�a :..k"a<: rcC+' '=C >. yr .,,• r.i, .r....,+-Y''-"• ,..,z .tv,..:j.... ,.... S.> ..n. : ..,...:,. ,v -i-'�. 'y,sea4_«w i+<f; `y':: Wit',^_? ':h' r ~'"rye ��`'k;, _ .2s..h �C rY':<"�-'4� T 4 ::St: ..°-�„<.�..r�>ia,.-, .: - <,. J•aw ,,... <..t.,<?F`-y _nrtaa9.ai,-;ir--�z ..''s`k t 7.,q - ✓.1'� - ,_a.. S.}...:t..,;; .y.,;a.c .r. t N ._.,,..rr.:.=J• <'f3:`. 4syrt, ':yr-, t; rr_ ..: s �: r; 6m letedB M'e orP t erne _.,,.,-, C P- tTYP . _ y11 r`:k�U :!i'...;iN', „r e. Address �r t :"'= CotnpletedBy(Sagnatnre) �} r ter. F [^75 ..-:. .ro,n.,...r. Xyt 4 " �� r =Name;of person to contacts TelephoneNumber NOTE THI` _ -S. . ..E.L41701yN,4fRE 'MUST BE COMPLETED FOR EACH LINE OF COYERfIGE AND: ATTACHED TO CERTIFICtITE OFINSURlNCE �, - - Gllenttf: b1U ALIAGUIVIV DATE ACORD,. CERTIFICATE OF LIABILITY INSURANCE 4/19/07/DD/YYYY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Parker Smith & Feek, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Bellevue Office ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 2233 112th Avenue NE Bellevue, WA 98004 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Zurich American Insurance CO. R. L.Alia Company INSURER B: American Guarantee& Liab 107 Williams Ave.S. INSURER C: Renton, WA 98055 INSURER D: INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' POLICY EFFECTIVE POLICY EXPIRATION LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MM/DD/YY LIMITS A X GENERAL LIABILITY CP0286246704 10/01/06 10/01/07 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES 000 PREMISES Ea occurrence) CLAIMS MADE FX1 OCCUR MED EXP(Anyone person) $10 000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY JECT X PRO LOC B AUTOMOBILE LIABILITY CP0286246704 10/01/06 10/01/07 COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) $1,000,000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ X HIRED AUTOS BODILY INJURY (Per accident) $ X NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ B EXCESS/UMBRELLA LIABILITY AUC930134805 10/01/06 10/01/07 EACH OCCURRENCE $SEE BELOW X1 OCCUR CLAIMS MADE AGGREGATE $SEE BELOW DEDUCTIBLE $ X RETENTION $O $ A WORKERS COMPENSATION AND CP0286246704 10/01/06 10/01/07 TWO C STATT- X O R EMPLOYERS'LIABILITY WA STOP GAP E.L.EACH ACCIDENT $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS SW 34th Street Culvert Replacement Project. City of Renton,their elected or appointed officers,officials, employees,subconsultants, and volunteers are included as Additional Insureds and coverage is Primary and Non Contributory as set forth in the terms and conditions of Endorsement U (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION Ten Day Notice for Non-Payment of Premium SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITY OF RENTON DATE THEREOF,THE ISSUING INSURER WILL RWMRRX§t MAIL A_ DAYS WRITTEN P.O. Box 1055 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,XXXX* K Renton,WA 98057 r+<>�xxxswr�x�axotr�RxKvaixXx�Dcvaxxxvlox�e,axxK�co >rte�cxrt�ar�Rorasxx�cxx R{i�6KDCDP3[R>lEiGX AUTHORIZED REPRESENTATIVE 4r.,.Pr+... PSI• ��w�_-di/.� ACORD 25(2001/08)1 of 3 #M71112 KMG00 © ACORD CORPORATION 1988 DESCRIPTIONS (Continued from Page 1) GL 1175-ACW, Edition Date 09/03 attached.Waiver of Subrogation is included perform CG2404, Edition Date 10/93 attached. Severability of Interest applies. UMBRELLA LIMIT IS AS FOLLOW: $1,000,000 (Occ) $1,000,000 (Agg). AMS 25.3(2001/08) 3 of 3 #M71112 Additional Insured-Automatic - Owners, Lessees Or Contractors Broad Form ZURICH Policy No. Eff. Date of Pal. Exp. Date of Pal. Eff.Date of End. Producer Add'].Prem Return Prem. CP0286246704 10/01/2006 10/01/2007 10/01/2006 73791000 $N/A $N/A THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A- WHO IS AN INSURED(Section II)is amended to include as an insured any person or organization whom you are required to add as an additional insured on this policy under a written contract or written agreement. B. The insurance provided to additional insureds applies only to"bodily injury", "property damage"or"personal and advertis- ing injury" covered under Section I, Coverage A, BODILY INJURY AND PROPERTY DAMAGE LIABILITY and Coverage B, PERSONAL AND ADVERTISING INJURY LIABILITY,but only if: 1. The"bodily injury"or `property damage"results from your negligence;and 2. The"bodily injury", "property damage" or"personal and advertising injury"results directly from: a. Your ongoing operations;or b. "Your work"completed as included in the"products-completed operations hazard", performed for the additional insured,which is the subject of the written contract or written agreement C. However,regardless of the provisions of paragraphs A.and B.above: 1. We wi11 not extend any insurance coverage to any additional insured person or organization: a. That is not provided to you in this policy;or b. That is any broader coverage than you are required to provide to the additional insured person or organization in the written contract or written agreement;and 2. We will not provide Limits of Insurance to any additional insured person or organization that exceed the lower of a. The Limits of Insurance provided to you in this policy;or b. The Limits of Insurance you are required to provide in the written contract or written agreement D. The insurance provided to the additional insured person or organization does not apply to: 1. `Bodily injury", "property damage"or"personal and advertising injury"that results solely from negligence of the addi- tional insured;or U-GL-1175-A CW(9/03) Includes copyrighted material of Insurance Services Office,Inc,with its permission. Pagc 1 of2 -Revised 2. "Bodily injury", "proper. image" or"personal and advertising injury" Ing out of the rendering or failure to render any professional architectural,engineering or surveying services including: a. The preparing,approving,or failing to prepare or approve maps,shop drawings,opinions,reports,surveys,field orders,change orders or drawings and specifications;and b. Supervisory,inspection,architectural or engineering activities. E. The additional insured must see to it that 1. We are notified as soon as practicable of an"occurrence"or offense that may result in a claim: 2. We receive written notice of claim or"suit"as soon as practicable;and 3. A request for defense and indemnity of the claim or"suit"will promptly be brought against any policy issued by an- other insurer under which the additional insured also has rights as an insured or additional insured. F. The insurance provided by this endorsement is primary insurance and we will not seek contribution from any other in- surance available to any additional insured person or organization unless the other insurance is provided by a contractor other than you for the same operations and job location. Then we will share with that other insurance by the method de- scribed in paragraph 4.c.of SECTION IV-COMi1ERCIAL GENERAL LIABILITY CONAITIONS. Any provisions in this Coverage Part not changed by the terms and conditions of this endorsement continue to apply as writ- ten. U-GL-1 175-A CW(9/03) Page 2 of 2 -Revised POLICY NUMBER: CPO 286246704 COMMERCIAL GENERAL LIABILITY CG 24 04 10 93 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE Name of Person or Organization: AS REQUIRED BY WRITTEN CONTRACT (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition(Section IV-COMMERCIAL GENERAL LIABILITY CONDITIONS) is amended by the addition of the following: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or"your work"done under a contract with that person or organization and included in the"products-completed operations hazard".This waiver applies only to the person or organization shown in the Schedule above. NAMED INSURED: R. L. ALIA COMPANY CG 24 0410 93 Copyright, Insurance Services Office, Inc. 1992 COMMERCIAL INSURANCE COMMON POLICY DECLARATIONS Policy NurnberCPO 28624-67-04 Renewal of Number CPO 2 8 6 2 4 6 7—0 3 Named Insured and Mailing Address Producer and Mailing Address R.L AIrI� COMPANY > PARKER, SMITH & FEEK, INC. ( SEE :ENDORSEMENT U—GU-621—ACW) 2233 112TH AVE NE 107 WILLIAMS AVE. S. BELLEVUE WA 98004-2936 RENTON WA 98055 Producer Code 73791-000 Policy Period: Coverage begins' 10-01 : 6'`. 'at 12:01 A.M.; Coverage ends 10-01-07 at 12:01 A.M. The named insured is ❑ Individual ❑ Partnership 0 Corporation ❑ Other: This insurance is provided by one or more of the stock insurance companies which are members of the Zurich-American Insurance Group. The company that provides coverage is designated on each Coverage Part Common Declarations. The company or companies providing this insurance may be referred to in this policy as'The Company',we,us,or our. The address of the companies of the Zurich-American Insurance Group are provided on the next page. THIS POLICY CONSISTS OF THE FOLLOWING COYERAGE(S): PROPERTY COVERAGE PREMIUM $ issued by ZURICH AMERICAN INSURANCE COMPANY GENERAL LIABILITY COVERAGE PREMIUM $ issued by ZURICH AMERICAN INSURANCE COMPANY CRIME AND FIDELITY COVERAGE PREMIUM $ issued by ZURICH AMERICAN INSURANCE COMPANY INLAND MARINE COVERAGE PREMIUM $ issued by ZURICH AMERICAN INSURANCE COMPANY BUSINESS AUTOMOBILE PREMIUM $ issued by AMERICAN GUARANTEE AND LIABILITY INSURANCE COMPANY THIS PREMIUM MAY BE SUBJECT TO AUDIT. TOTAL $ This premium does not include Taxes and Surcharges. SEE INSTALLMJ;N l Dom_ . L)ULE Taxes and Surcharges TOTAL $ The Form(s) and Endorsement(s) made a part of this policy at the time of issue are listed on the SCHEDULE of FORMS and ENDORSEMENTS. Countersigned this day of Authorized Representative THESE DECLARATIONS TOGETHER WITH THE COMMON POLICY CONDITIONS,COVERAGE PART DECLARATIONS,COVERAGE PART FORM(S), FORMS AND ENDORSEMENTS, IF ANY, ISSUED TO FORM A PART THEREOF, COMPLETE THE ABOVE NUMBERED POLICY. U-GU-D-310-A(01/93) AGENT COPY Page 1 of 1 COMMERCIAL GENERAL LIABILITY COVERAGE PART DECLARATIONS Policy Number: CPO 2862467-04 ZURICH AMERICAN INSURANCE COMPANY Named Insured R.L. ALIA COMPANY Policy Period: Coverage begins 10-01-06 at 12:01 A.M.; Coverage ends 10-01-07 at 12:01 A.M. Producer Name: PARKER, SMITH & FEEK, INC. Producer No. 73791-000 Item 1. Business Description: WATER & SEWER CONTRACTOR Item 2. Limits of Insurance GE�NERAU,, GREGATE LIMIT $ 2`,000_ 000 PRODUCTS=COMPLETED OPERATIONSAGGREGATE LIMIT $ 42 =:00.0; :000 .- EACH`OCCURRENCE LIMIT $ DAMAGE TO PREMISES RENTED TO YOU LIMIT $ 30,0:;'`000 Any one premises MEDICAL=EXP-ENSE`LIMIT $ _ 10 -000_. Anyone,p rson PERSONAL AND ADVERTISING INJURY LIMIT $ 1,000 0'00 An one erson or . Y. P. organization Item 3. Retroactive Date (CG 00 02 ONLY) This insurance does not apply to"bodily injury", "property damage" or "personal and advertising injury" offense which occurs before the Retroactive Date, if any, shown here: NONE (Enter Date or"None"if no Retroactive Date applies) Item 4. Form of Business and Location Premises Form of Business: CORPORATION Location of All Premises You Own, Rent or Occupy: See Schedule of Locations Item 5. Schedule of Forms and Endorsements Form(s) and Endorsement(s) made a part of this Policy at time of issue: See Schedule of Forms and Endorsements Item 6. Premiums Coverage Part Premium: Other Premium: Total Premium: $ AGENT COPY U-GL-D-1 1 15-B CW(9/04) 0 Stopgap Employer Liability Coverage ZURICH Various provisions in this policy restrict coverage. Read the entire policy carefully to determine rights, duties and what is and is not covered. Throughout this policy the words "you" and "your" refer to the Named Insured shown in the Declarations. The words "we" and 'bur" refer to the Company providing this insurance. The word "insured" means any person or organization qualifying as such under SECTION II -WHO IS AN INSURED. Other words and phrases that appear in bold face have special meaning. Refer to SECTION V-DEFINITIONS. SCHEDULE State(s) ALL MONOPOLISTIC STATES Location(s) ALL OF YOUR WORKPLACE LOCATIONS Limits of Liability: Bodily Injury by Accident—Each Accident: $ 1,000,000 Bodily Injury by Disease - Policy Limit: $ 1,000,000 Bodily Injury by Disease - Each Employee: $ 1.000.000 Deposit Premium: $ INCLUDED Minimum Premium:$ INCLUDED U-GL-274-C MU(05/2006) Page 1 of 1 COMMERCIAL AUTO AMERICAN GUARANTEE AND LIABILITY INSURANCE COMPANY 1400 American Lane Schaumburg, Illinois 60196-1056 1-800-382-2150 BUSINESS AUTO DECLARATIONS POLICY NO.: CPO 2862467-04 Producer PARKER, SMITH & FEEK, INC. ITEM ONE NAMEDINSURED: R.L. ALIA COMPANY ( SEE ENDORSEMENT U—GU-621—ACW) MAILING ADDRESS: 107 WILLIAMS AVE. S. RENTON WA 98055 POLICY PERIOD: From 10-01-06 to 10-01-07 at 12:01 A.M. Standard Time at your mailing address shown above. PREVIOUS POLICY NUMBER: CPO 2862467-03 FORM OF BUSINESS: CORPORATION LIMITED LIABILITY COMPANY INDIVIDUAL PARTNERSHIP 7 OTHER IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. Premium shown is payable at inception: $ AUDIT PERIOD (IF APPLICABLE) I X I ANNUALLY I JSEMI- QUARTERLY MONTHLY ANNUALLY ENDORSEMENTS ATTACHED TO THIS POLICY: IL 00 17—Common Policy Conditions (IL 01 46 in Washington) IL 00 21 —Broad Form Nuclear Exclusion (Not Applicable in New York) SEE SCHEDULE OF FORMS AND ENDORSEMENTS COUNTERSIGNED BY (Date) (Authorized Representative) NOTE OFFICERS' FACSIMILE SIGNATURES MAY BE INSERTED HERE, ON THE POLICY COVER OR ELSEWHERE AT THE COMPANY'S OPTION. UCAD 600A 08/06 Page 1 AGENT COPY ITEM TWO SCHEDULE OF COVERAGES AND COVERED AUTOS This policy provides only those coverages where a charge is shown in the premium column below. Each of these coverages will apply only to those "autos" shown as covered "autos". "Autos" are shown as covered "autos" for a particular coverage by the entry of one or more of the symbols from the Covered Autos Section of the Business Auto Coverage Form next to the name of the coverage. COVERED AUTOS (Entry of one or more of the symbols from COVERAGES the Covered Autos LIMIT PREMIUM Section of the Business Auto THE MOST WE WILL PAY FOR ANY Coverage Form ONE ACCIDENT OR LOSS shows which autos are covered autos. LIABILITY 1 $1 ,000, 000 $ PERSONAL INJURY SEPARATELY STATED IN EACH P.I.P. PROTECTION(or equivalent ENDORSEMENT MINUS No-fault Coverage) DEDUCTIBLE. ADDED PERSONAL INJURY SEPARATELY STATED IN EACH ADDED P.I.P. PROTECTION(or equivalent ENDORSEMENT. Added No-fault Coverage) PROPERTY PROTECTION SEPARATELY STATED IN THE P.P.I. INSURANCE(Michigan only) ENDORSEMENT MINUS DEDUCTIBLE FOR EACH ACCIDENT. AUTO MEDICAL PAYMENTS 7 $ 5 , 000 $ MEDICAL EXPENSE AND SEPARATELY STATED IN EACH MEDICAL INCOME LOSS BENEFITS EXPENSE AND INCOME LOSS BENEFITS (Virginia only) ENDORSEMENT. UNINSURED MOTORISTS 2 $ 1, 000, 000 UNDERINSURED MOTORISTS (When not included in Uninsured 2 $ 1,000, 000 $ Motorists Coverage) PHYSICAL DAMAGE ACTUAL CASH VALUE OR COST OF REPAIR, COMPREHENSIVE COVERAGE WHICHEVER IS LESS, MINUS SEE SCHEDULE 7 , 8 DEDUCTIBLE.FOR EACH COVERED AUTO,BUT $ NO DEDUCTIBLE APPLIES TO LOSS CAUSED BY FIRE OR LIGHTNING. See ITEM FOUR For Hired Or Borrowed"Autos". PHYSICAL DAMAGE ACTUAL CASH VALUE OR COST OF REPAIR, SPECIFIED CAUSES OF LOSS WHICHEVER IS LESS, MINUS COVERAGE DEDUCTIBLE.FOR EACH COVERED AUTO FOR LOSS CAUSED BY MISCHIEF OR VANDALISM. See ITEM FOUR For Hired Or Borrowed"Autos". PHYSICAL DAMAGE ACTUAL CASH VALUE OR COST OF REPAIR, COLLISION COVERAGE 7 , 8 WHICHEVER IS LESS, MINUS SEE SCHEDULE $ DEDUCTIBLE,FOR EACH COVERED AUTO. See ITEM FOUR For Hired Or Borrowed"Autos". PHYSICAL DAMAGE TOWING FOR EACH DISABLEMENT OF AND LABOR A PRIVATE PASSENGER"AUTO". TAX/SURCHARGE/FEE PREMIUM FOR ENDORSEMENTS $ I *ESTIMATED TOTAL PREMIUM $ For Scheduled Autos You Own — See ITEM THREE *This policy maybe subject to final audit. UCAD 600A 08/06 Page 2 AGENT COPY Commercial Umbrella LiabilityPolicy Y Declarations ZURICH Insurance is provided by the company below. American Guarantee& Liability Insurance Company Poluy Ni%mber ,AL)C-9301348 05 `` Renewal of Number: AUC 9301348 04 1. Named Insured: R. L. ALIA COMPANY Producer: PARKER,SMITH &FEEK, INC. 2. Mailing Address: 107 WILLIAMS AVE. S. 2233 112TH AVE NE RENTON, WA 98055 BELLEVUE,WA 98004-2936 3. Policy Period: FRO""j.'/2006= `TO y`QlQIf2007 at 12:01 A.M. Standard Time at the address of the Named Insured. 4. L><Intts_oflnsurance: A. $100OO,OU6Occurrence L` B. $1000000 Other Aggregate C. $10000000 Products/Completed Operations Aggregate 5. Retained Limit �y$O.Occurrence 6. Policy Premium: Advance Premium Policy Minimum Earned Premium 7. Schedule of Underlying Insurance: See attached Schedule of Underlying Insurance 8. Endorsements Attached: See attached Schedule of Forms and Endorsements Signed by: Authorized Representative Date U-UMB-D-101-B CW (07/22003) Page 1 of 1 ��Y o� CITY OF RENTON BUSINESS LICENSE Expiration date �- + Licensing Division 6/29/2007 1055 South Grady Way Renton, WA 08055 Issued Date: License # (425) 430-6851 6/30/2006 BL.001673 Business Location Billing Code: bl a 107 .WILLIAMS AVE S RENTON,WA 98055 Licensee has made application for a City.of Renton business-license in accordance with the: provisions of Title V,Business Regulations Chapter 1, Code of General Ordinances of the City of Renton and agrees to comply with all the R L ALIA CO requirements of said ordinance. Licensee shall 107 WILLIAMS AVE S. further comply with all other City Code RENTON, WA 98055, Ordinances, State Laws and Regulations applicable to the business activity licensed. Post this License at place.o,f business. f-!AY-03-2007 14:06 Warren Barber Fontes P.01/02 Y O CITY OF RENTON CONFIDENTIAL PRIVILEGED ♦ ♦ Office Of the City Attorney �O Kathy Knolker,Mayor Lawrence J.Warren N Senior Assistant City Attorneys Mark Barber Zanetta L.Fontes n Assistant City Attorneys MAY Ann S.Nielsen CITY OF RENTON Garmon Newsom II Shawn E. Arthur UTILITY S``FACSIMILE TRANSMITTAL This fax contains confidential,privileged information intended only for the addressee. Do not read,copy or disseminate it unless you arc the addressee- If you have received this fax in error,please call (collect) immediatcly at (425) 255-8675 and mail the on naI fax to P.O.Box E;Z6 Renton Washington 98057-062Ei.1. FAX NO.: 4,:2,o FROM: f kok-n[k ,�- U 3c4*- ST UA.U-e,� 1 am enclosing the following document(s): ( ) FOR YOUR INFORMATION ( ) PER YOUR REQUEST W-kR OUR CONVERSATION ( ) HARD COFY TO FOLLOW ( ) FOR REVIEW AND COMMENT ( ) PER OUR AGREEMENT ( ) FOR NECESSARY ACTION ( ) FOR YOUR FILES This transmission consists of pages,including this cover ago, lf,for some reason,you do not receive all of the pages,or it is not legible,ple.%se contact L2 at (425) 255-8678. Remarks: Post Office Box 626-Renton, Washington 98057-(425)255-8678/FAX(425)255-5474 R E N T O N MAY-03-2007 14:06 Warren Barber & Fontes P.02/02 CITY OF RENTON •r1��T "n Office of the City Attorney � .r Ka[hy Keolker,Mayor LawretlCe d.Warten j�yrr Senior Assistant City Attorneys Mark Barber Zanetta L.Fontes Assistant City Attorneys Ann S.Nielsen Garmon Newsom 11 MEMORANDUM Shawn E. Arthur To. Allen Quynn, Surface Water Utility Engineer From: Lawrence J. Warren, City Attorney Date: May 3, 2007 Subject: SW 34 h Street Culvert Replacement Project Contract Document The contract Section 5 needs some additions. After the words "additional insured" in the second Paragraph, first line, should be added"on a noncontributory primary basis". At the end of Section 5 should be added: "It is further, specifically and expressly understood that the indemnification provided herein constitutes the contractor's waiver of immui ity under Industrial Insurance, Title 51 RCW, solely for the purposes of this indemnification. This waiver has been mutually negotiated between the parties. The provisions of this section shall survive the expiration.or termination of this contract." With these minor changes,the contract is approved as to legal form. � � 1 Lawrence J. Warren LJW:tmj cc.- Gregg Zimmerman, PE Mike Webby Jay Covington Post Office BOX 626-Renton_Warhinvfnn o5znj;7_(d741 o</v /r AV (A^C% R F 1 V T O N TOTAL P.02 Allen Quynn -Contracts Other Than Federal-Aid FHWA Approval/Revision Page 1 From: Teresa Phelan To: Benoit, Michael; Carey, Daniel; Christensen, David; Gafour, Abdoul; Hobson, John; Lee, Steve; Malphrus, Thomas; Quynn, Allen; Straka, Ronald; Wilson, J.D. Date: 5/1/2007 7:21:57 AM Subject: Contracts Other Than Federal-Aid FHWA Approval/Revision The City Attorney approved as to legal form the Contracts Other Than Federal-Aid FHWA contract, with the following language added to Section 5, second paragraph, after the words "additional insured" add "on a primary noncontributory basis." (Attached is a copy of the approval letter.) Beth Haglund will be updating the online version of the contract in the next week or so. Thanks, Teresa CC: Day, Melissa; Hornsby, Lys; Phelan, Teresa R. c> . Aha Company GENERAL CONTRACTORS PUMPING STATIONS 107 WILLIAMS AVENUE SOUTH ROAD CONSTRUCTION RENTON, WA98055 E-MAILADDRESS: GJPANK@RLALIA.COM CONCRETE STRUCTURES (425) 226-8100 OFFICE UNDERGROUND UTILITIES (425) 226-8649 FAX LARGE DEWATERING EQUIPMENT April 24, 2007 City of Renton 1055 South Grady Way Renton, WA 98057 Re: SW 34T" Street Culvert Replacement Project Emergency Contact List Following is our list of emergency contacts for this project: Richard L. Alia 206.423.3590 Cell 206.982.7624 Pager 425.430.9870 Home Robert Waddilove 206.679.5075 Bill Brunelle 206.870.2291 Home 206.794.3810 Cell Tom Douglass 425.379.0976 Home 425.328.4707 Cell Bonding Agent Carl Newman c/o Parker, Smith & Feek 2233 112T" Ave NE Bellevue, WA 98004 425.709.3600 CONTRACTOR'S LICENSE NUMBER RL-AL-IC' 104PT Statement of Intent to Pay Prevailing Wages Page 1 of 2 Prevailing Wage Section F Department of Labor& Statement of Intent to Pay Industries Prevailing Wage PO Box 44540 Olympia, WA 98504-4540 (360) 902-5335 Received: Intent Id: Status: 04/24/2007 147311 Approved on 04/24/2007 COMPANY Company R L ALIA COMPANY Information: RLALIC*104PT 600 149 378 License History 107 WILLIAMS AVE S Search for Industrial RENTON, WA 980552149 Insurance Premium Status(2 -4968 (0-5-) Z26 'Y/00 Payment Type: Electronic Company Electronic Signature: PROJECT Public Agency: RENTON, CITY OF 1055 S GRADY WAY RENTON, WA 98055 County: KING Multiple Counties? No City: Southcenter Project Name: SW 34th ST. Culvert Replacement Project Contract Number. CAG-07-027 Bid Due Date: 04/03/2007 Award Date: 04/10/2007 Prime Contractor: R L ALIA COMPANY RLALIC*104PT Does Your Company Intend To Hire Subcontractors To Perform All Work? No Does Your Company Intend To Hire Any Subcontractors? Yes Apprentices? No $Amount: $1,270,871.00 Time and Materials No Number of Owners 1 Filed by: Gary Pankiewicz EMPLOYEES' WAGES Journey Level Trades/Occupations County Trade Occupation Wage Fringe # Workers KING LABORERS PIPELAYER& CAULKER $26.74 $8.21 3 KING POWER EQUIPMENT BACKHOES, (75 HP & $31.34 $11.50 4 OPERATORS UNDER) https://fortress.wa.gov/lni/pwiapub/IntentPrint.asp?ID=147311 04/24/07 Statement of Intent to Pay Prevailing Wages Page 2 of 2 KING TRUCK DRIVERS DUMP TRUCK $27.64 $11.98 3 KING CARPENTERS CARPENTER $30.34 $10.99 1 KING LABORERS GENERAL LABORER $26.26 $8.21 2 KING FLAGGERS JOURNEY LEVEL $21.58 $8.21 3 https://fortress.wa.gov/lni/pwiapub/IntentPrint.asp?1D=147311 04/24/07 ti�Y Q� CITY OF -.RVNTON ♦ '} ♦ Planning/Building/PublicWorks.Department O Kathy Keolker,Mayor Gregg Zimmerman P.E.,Administrator NT April 10,2007 Gary Pankiewicz APR 11 ? 07 R.L:Alia Company 107 Williams Ave. S. Renton,WA 98057 SUBJECT: SW 34TH STREET CULVERT REPLACEMENT PROJECT Dear Mr.Pankiewicz: The Surface Water Utility has reviewed your low bid of$1,270,871 for the project and recommended it be placed on the;consent agenda for the City Council to award the bid to your firm. The City Council approved the recommendation to award the contract at their regularly scheduled Council Meeting held on April 9.2007. The City Clerk will send you a letter with the offcal bid award. For Contract Please submit the following information,as soon as possible so I can prepare the contract documents for signature by you and the Mayor: L A list of names, addresses, phone numbers,and emergency phone numbers for: Responsible: Officer, Job Foreman,and.Bonding Agent. ,%2. Corporation letter or Resolution giving names of those authorized to sign the contract and samples.of:their signatures. 3. Five photocopies;of your current State Contractor's License(not master license). 4. Five photocopies of current City of Renton Business License. 5. Two signed contract bonds on City of Renton forms(included). The date will be filled in when signed by the Mayor. v 6. One Affidavit of Compliance(included). / 7. Two signed contracts,also UNDATED (included).;'; 8. One Insurance Information Form and one Endorsement form(included). 9. One Certificate of Insurance for 2007. Please add the City of Renton as`additional'insured. 10. The insurance policy declaration pages of all required.insurance policies obtained from the insurance carrier. 1055 South Grady Way-Renton,Washington 98057 RENT ® l`� AHEAD OF THE CURVE O This papercontains 50%recycled material,30%post consumer, R cX, Aha Company GENERAL CONTRACTORS PUMPING STATIONS 107 WILLIAMS AVENUE SOUTH ROAD CONSTRUCTION RENTON,WA98055 E-MAILADDRESS: GJPANK@RLALIA.COM CONCRETE STRUCTURES (425) 226-8100 OFFICE UNDERGROUND UTILITIES (425) 226-8649 FAX LARGE DEWATERING EQUIPMENT April 26, 2007 REr�'4A City of Renton APR 2 7 ?i!'7 1055 South Grady Way CITY OF RENTON Renton, WA 98057 UTILITY SYSTEMS Re: SW 34TH Street Culvert Replacement Project ATTN: Allen Quynn Allen, Please find the following documents included herewith in response to your request dated April 10, 2007 for Contract— SW 34TH Street Culvert Replacement Project: 1) Emergency contacts 2) Corporate Resolution 3) Five copies of current State Contractor's License 4) Five copies of current City of Renton Business License 5) Two signed contract bonds 6) One Affidavit of Compliance 7) Two signed contracts 8) Insurance Information Form 9) Certificate of Insurance 10)Declaration pages 11)Statement of Intent to Pay Prevailing Wages from R. L. Alia Company Call with any questions. Thank you, R. L. Alia Company Gary J Pankiewicz, Office Manager CONTRACTOR'S LICENSE NUMBER RL-AL-IC` 104PT -Y O� PLANNINGBUILDING/ a , PUBLIC WORKS DEPARTMENT N o� M E M O R A N D U M DATE: May 1, 2007 TO: Larry Warren, City Attorney �gQ FROM: Allen Quynn, Surface Water Utility Engineer(ext. 7247) / 1( SUBJECT: SW 341h Street Culvert Replacement Project Contract Document Please review and approve as to legal form the enclosed contract document for the SW 34'h Street Culvert Replacement Project. It would be greatly appreciated if you would complete your review by next Monday, May 7. Please return the bid document with your review memo. Enclosures HAFile Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-3223 SW 34th St Culvert Replacement Project\Construction\Contract Document\attorney review.doc\AQtp Y O PLANNING/BUILDING/ U PUBLIC WORKS DEPARTMENT N O� M E M O R A N D U M DATE: May 1, 2007 TO: Mike Webby, HR&Risk Management Administrator Af FROM: Allen Quynn, Surface Water Utility Engineer(ext. 7247) SUBJECT: SW 34th Street Culvert Replacement Project Insurance Review Please review and approve the attached insurance certificate and insurance information form submitted by the contractor for the SW 34th Street Culvert Replacement Project. The contract awarded amount is $1,270,871. Please let me know if you need additional information. It would be greatly appreciated if you would complete your review by Monday, May 7. Enclosures HAFile Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-3223 SW 34th St Culvert Replacement Project\Construction\Contract Document\risk management review.doc\AQtp Y O� HUMAN RESOURCES/ 9"',+ RM ♦ RISK MANAGEMENT DEPARTMENT M E M O R A N D U M DATE: October 12, 2007 TO: Allen ynn, Civil Engineer III, PBPW/Utility Systems RECEIVED FROM: ebby, Administrator ICT 2 5 2007 SUBJECT: Insurance Review/R.L. Alia Company CITY OF RENTpN CAG-07-027 «RYSYSTEMS SW 341h Street Culvert Replacement I have reviewed the Certificate of Insurance and supporting policy documents for the above-mentioned contract. The insurance coverage, provided for this contract, meets the City's risk management requirements. "Please remember to forward all originals to the City Clerk's office,if on file there" iArisk documents\certificates of insurance\contract okay.doc Client#: 570 ALIACOMP AC,ORDTM CERTIFICATE OF LIABILITY INSURANCE DATE( MI Duerr) 07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Parker Smith & Feek, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE vI t of Renton HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Bellevue Office of ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 2233 112th Avenue NE Bellevue,WA 98004 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Alaska National Ins.Co. R. L.Alia Company INSURER B: Alaska National Ins. Co. 107 Williams Ave.S. Human Resources t4 Risk Management INSURER aGreat American Ins. Co. Renton,WA 98055 INSURER D: Alaska National Ins. Co. INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR NSR DATE MM/DD/YY DATE MM/DD/YY A X GENERAL LIABILITY 07JPS31945 10/01/07 10/01/08 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DDAMIAGE TO RENTED ES(Ea n $300 000 CLAIMS MADE F XI OCCUR MED EXP(Any one person) 1$10,000 PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE $2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY FX PRECT O LOC J B AUTOMOBILE LIABILITY 07JAS31945 10/01/07 10/01/08 COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) $1,000,000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) $ RPROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ C EXCESS/UMBRELLA LIABILITY TUU279164500 10/01/07 10/01/08 EACH OCCURRENCE $SEE LIMITS X OCCUR 1-1 CLAIMS MADE AGGREGATE $BELOW DEDUCTIBLE $ X RETENTION $10 000 $ D WORKERS COMPENSATION AND 07JPS31945 10/01/07 10/01/08 TWO C STATU- X OTH- EMPLOYERS'LIABILITY WA STOP GAP E.L.EACH ACCIDENT $1,000,000 ANY PROPRIETOR/PARTNEWEXECUTiVE OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS SW 34th Street Culvert Replacement Project. City of Renton,their elected or appointed officers, officials, employees, subconsultants, and volunteers are included as Additional Insureds per Endorsement ANIC GL 703, Edition Date 07/01 attached and coverage is Primary and Non- (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION Ten Day Notice for Non-Payment of Premium SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITY OF RENTON DATE THEREOF,THE ISSUING INSURER WILL R "RRgt MAIL 45 DAYS WRITTEN 1055 South Grady Way NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,R7(JtRga K Renton,WA 98057 JMPX�1tRR9t74f6lO1GIt71RR1QRX1[UaKJiX7QRXUIXXINQXIFk1tXN4(E €Dt9Gi(�CRR7676R0006�ACXX R XKk1 R1VRRX r' AUTH RIZED REPRESENTATIVE RD 25(2001/08)1 of 3 #M79064 SS000 © ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-S(2001/08) 2 of 3 #M79064 DESCRIPTIONS (Continued from Page 1) Contributory per policy coverage form.Waiver of Subrogation is included per Endorsement ANIC GL 702, Edition Date 05/95 attached. Severability of Interest applies. UMBRELLA LIMIT IS AS FOLLOW: $1,000,000 (Occ) $1,000,000 (Agg)• AMS 25.3(2001/08) 3 of 3 #M79064 .%VAlaska National INSURANCE COMPANY BLANKET ADDITIONAL INSURED ENDORSEMENT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART WHO IS AN INSURED(Section II)is amended to include as an 2. The insurance provided to the additional insured insured any person or organization (herein referred to as an does not apply to"bodily injury","property damage",or additional insured), but only if you are required to add that "personal and advertising injury"arising out of an person or organization as an insured to this policy by a written architect's, engineer's, or surveyor's rendering of or contract that is in effect prior to the "bodily injury", "property failure to render any professional services including: damage",or"personal and advertising injury". The insurance provided to the additional insured is limited as a. the preparing, approving, or failing to prepare or approve maps, drawings, opinions, reports, follows: surveys, change orders, design or 1. That person or organization is only an additional insured for specifications; and its vicarious liability for your acts or omissions in the performance of"your work". b. supervisory, inspection, or engineering services. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. The information below is required only when this endorsement is issued subsequent to preparation of the policy. Endorsement Effective 10/01/2007 -2008 Policy No. 07JPS31945 Insured: R.L. Alia Company Endorsement No. Countersigned By ANIC GL 703 07 01 ALIAC0MPICERT07(BLKT Al) Alaska National INSURANCE COMPANY BLANKET WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART We waive any right of recovery we may have against The waiver applies only to the person or organization any person or organization because of payments we you contracted with and then only if the contract make for injury or damage arising out of "your work" requires you to obtain this agreement from us. done under a written contract with that person or organization. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. The information below is required only when this endorsement is issued subsequent to preparation of the policy. Endorsement Effective 10/01/2007 Policy No. 07JPS31945 Insured R.L.Alia Company Endorsement No. Countersigned by ANIC GL 702 05 95 Producer Copy ALIACOMP\CERT07(BLKT WAIVER) Pauletta Sulky- RL Alia Page 1 From: Pauletta Sulky To: Allen Quynn Date: 10/11/2007 5:02:42 PM Subject: RL Alia Are you still using the services of RL Alia in reference to the SW 34th Street Culvert Replacement Program? I have received the renewable documents and need to know if they need to be reviewed... thanks - Pauli �Y Hartford Bond Hartford Plaza Hartford,CT 06115 Bond Status Inquiry THE HARTFORD City of Renton Date 1055 South Grady Way January 28, 2008 Renton, WA 98055 Bond No. 5213CSEI1984 Your No. Contractor Addrecg R. L. Alia Company 107 Williams Ave. S. Renton, WA 98055 Description of Contract SW 34th STreet Culvert Replacement Contract Price Bond(s) Effective Date $1,270,871 Perf. 100% Pay't 100% 4/19/2007 Without prejudicing your right or affecting our liablity under our bond(s)described above,we would appreciate the following information Yours very truly, Hartford Casualty Insurance Company Name of Surety try,c�, ; Gary W.Stumper If Contract Completed,Please state: :I Senior Vice President 4" Approximate complete date Approximate acceptance date Final Contract Price If Contract Uncompleted,Please State: Approximate amountompJeted(%of$amount) Paid to Date 1 1)3�1 17Retainage t�l y` 1 6a��36. ?g Are there any claims,assignments or liens on file? ❑ Yes A No It is understood that the information contained herein is furnished as a matter of courtesy for the confidential use of the surety and is merely an expression of opinion.It is also agreed that in furnishing this information,no guaranty or warranty of accuracy or correctness is made and no responsibility is assumed as a resuit of reliance by the Surety,whethar such information is furnished by the owner or by an architect or engineer as the agent of the owner. Remarks: Date 3//7/y f Owner Phone Return this inquiry in the enclosed By Please Fax to 1-866-643-6214 Title Pro C R er NO COVER SHEET NEEDED Form S-3488-8 Printed in the U.S.A. This form is acceptable to The Surety Association of America.