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Page 1 / 1 U A 1 CITY OF RENTON + " + 1055 S. GRADY WAY DATE: Po NUMBER ✓��,INV RENTON, WA 98055 C O 12/11/2006 18/0001366 VENDOR: 031906 SHIP TO: HDR ENGINEERING INC PO BOX 3480 OMAHA, NE 68103-0480 FOB Point: Terms: net temp Req. Del. Date: Special Inst: Quantity Unit Descri CAG-06-197, Well 5A Water Treatment lmprgvements, Phase2 Pyre Desi BILL TO Req. No.: Dept.: PLNG/BLDG/PUB WKS UTILITY SYS Contact: DAY, MELISSA Pre -Assigned PO#?: No nit Price Ext. Price 234,292.00 SUBTOTAL TAX FREIGHT TOTAL mffimp. 234,292.00 0.00 0.00 234,292.00 Account Number Work Order Function Number Amount E 425.000500.018.5960.0034.65.055565 5565/5160 234,292.00 Authorized Signature Authorized Signature Invoice ONE COMPANY FUR ��I Many Solutions'" Please send remittance with copy of invoice to P.O. Box 3480 HDR Engineering, Inc. Omaha, NE 68103-0480 500 108th Avenue N.E., Suite 1200 Bellevue, WA 98004-5549 Phone: (425) 453-1523 i.�.?" ;;'r';i; t-+ S Invoice No. M=218622 City of Renton Invoice Date March 12, 2007 1055 South Grady Way Period Ending March 3, 2007 Renton, WA 98055 Project No. 000000000051403 $8,112.15 Attn: J. D. Wilson KennedylJenks 000000000054000 $12,038.63 Zipper Zeman 000000000054001 $6,980.35 EsM 000000000054002 $0.00 $27,131.13' For Professional Services performed from February 4, 2007 through March 3, 2007 regarding Renton Well 5A Water Treatment Improvements - Phase 2, Pre -Design cAI �G CONTRACT SUMMARY Amount Current Authorized Previously Billed Total Billed Authorized Fee Task Fee Billed Amount To Date Remaining 2-100 Project Mgmt & QA/QC $25,229.00 $5,035.55 $2,957.58 $7,993.13 $17,235.87 2-150 Surveying $5,889.00 $0.00 $0.00 $0.00 $5,889.00 2-200 Geotechnical Services $15,160.00 $0.00 $7,119.96 $7,119.96 $8,040.04 2-300 Trtmnt, Hydraulic & Ops $46,270.00 $4,845.28 $9,366.20 $14,211.48 $32,058.52 2-400 Architectural & Structural $33,192.00 $0.00 $0.00 $0.00 $33,192.00 2-500 Electrical & I&C $26,589.00 $468.09 $1,327.02 $1,795.11 $24,793.89 2-600 Site/Civil $13,823.00 $238.70 $0.00 $238.70 $13,584.30 2-700 Pre -design Develop WS $17,852.00 $3,271.99 $6,133.84 $9,405.83 $8,446.17 2-800 Pre -design Report $34,045.00 $0.00 $0.00 $0.00 $34,045.00 2-900 Permit & Approval Asst $8,774.00 $0.00 $0.00 $0.00 $8,774.00 Expenses - HDR & Subs $7,469.00 $444.86 $226.53 $671.39 $6,797.61 . HDR Engineering, Inc. certifies that these services and expenses are in accordance with the terms of the contract. CliYARTOF ER LAWS E TIIF OF I THE UNDERSIGNED DO HEREBY CERTIFY UNDER PENALTY & PERJURY THAT THE MATERIALS HAVE BEEN FURNISHED THE SERVICES RENDERED OR THE LABOR PERFORMED AS DESCRIBED HEREIN, AND THAT THE CLAM IS A JUST, DUE AND UNPAID OBLIGATION AGAINST THE CITY OF RENTON, AND THAT I AM AUTHORIZED TO AUTHENTICATE, AND CERTIFY TO SAID CLAIM. � s1kGNED_ -- - Amount Due This Invoice .•$27,131.13 __.. CONCURRENCE DATE > � 3 ' L�� D Invoice No. M-218622 Period Ending 03/03/07 Project No. 000000000051403 TASK 2-100 - PROJECT MANAGEMENT & QA/QC LABOR COSTS: Hours Rate Cost Pfeiffer, Gail Project Controller 3.25 $108.11 $351.36 Pierson, Greg Project Manager 3.00 $178.64 $535.92 Schreffler, Sarah Admin. Support 0.25 $62.68 $15.67 Short, Leslie Project Controller 0.25 $58.52 $14.63 TOTAL DIRECT LABOR: 6.75 $917.58 DIRECT EXPENSES: Postage / Express Mail $28.48 Subconsultants: Kennedy/Jenks $2,000.00 Zipper Zeman $0.00 ESM $0.00 Subconsultant Admin Fee @ 2% $40.00 TOTAL DIRECT EXPENSES: 2,040.00 TOTAL TASK 2-100: $2,957.58 TASK 2-100 SUMMARY Task Budget $25,229.00 4mount Previously Invoiced $5,035.55 current Invoice $2,957.58 3udget Remaining $17,235.87 Invoice No. M-218622 Period Ending 03-Mar-07 Project No. 000000000051403 TASK 2-150 - SURVEYING LABOR COSTS: None This Period TOTAL DIRECT LABOR: DIRECT EXPENSES: None This Period Subconsultants: Kennedy/Jenks Zipper Zeman ESM Subconsultant Admin Fee @ 2% TOTAL DIRECT EXPENSES: Hours 0.00 Rate Cost $0.00 $0.00 $0.00 $0.00 0.00 0.00 TOTAL TASK 2-150: $0.00 TASK 2-150 SUMMARY Task Budget $5,889.00 Amount Previously Invoiced $0.00 Current Invoice $0.00 Budget Remaining $5,889.00 Invoice No. M-218622 Period Ending 03/03/07 Project No. 000000000051403 TASK 2-200 - GEOTECHNICAL SERVICES LABOR COSTS: None This Period TOTAL DIRECT LABOR: DIRECT EXPENSES: None This Period Subconsultants: Kennedy/Jenks Zipper Zeman ESM Subconsultant Admin Fee @ 2% TOTAL DIRECT EXPENSES: Hours 0.00 Rate Cost $0.00 $6,980.35 $0.00 $139.61 0.00 7,119.96 TOTAL TASK 2-200: $7,119.96 TASK 2-200 SUMMARY Task Budget $15,160.00 Amount Previously Invoiced $0.00 Current Invoice $7,119.96 Budget Remaining $8,040.04 Invoice No. M-218622 Period Ending 03/03/07 Project No. 000000000051403 TASK 2-300 - TREATMENT, HYDRAULICS, OPERATIONS LABOR COSTS: Hours Rate Cost None This Period Hill, Andy Project Engineer 16.50 $110.88 $1,829.52 Pierson, Greg Project Manager 2.00 $178.64 $357.28 TOTAL DIRECT LABOR: 18.50 2,186.80 DIRECT EXPENSES: None This Period Subconsultants: Kennedy/Jenks $7,038.63 Zipper Zeman $0.00 ESM $0.00 SubconsultantAdmin Fee @ 2% $140.77 TOTAL DIRECT EXPENSES: 7,179.40 TOTAL TASK 2-300: $9,366.20 TASK 2-300 SUMMARY Task Budget $46,270.00 kmount Previously Invoiced $4,845.28 ;urrent Invoice $9,366.20 3udget Remaining $32,058.52 Invoice No. M-218622 Period Ending 03/03/07 Project No. 000000000051403 TASK 2-400 - ARCHITECTURAL & STRUCTURAL LABOR COSTS: Hours None This Period TOTAL DIRECT LABOR: 0.00 DIRECT EXPENSES: None This Period Subconsultants: Kennedy/Jenks Zipper Zeman ESM Subconsultant Admin Fee @ 2% TOTAL DIRECT EXPENSES: TASK 2-400 SUMMARY Task Budget $33,192.00 Amount Previously Invoiced $0.00 Current Invoice $0.00 Budget Remaining $33,192.00 Rate Cost $0.00 $0.00 $0.00 $0.00 0.00 0.00 TOTAL TASK 2-400: $0.00 Invoice No. M-218622 Period Ending 03/03/07 Project No. 000000000051403 TASK 2-500 - ELECTRICAL & I&C LABOR COSTS: Hours Rate Cost Hauck, Jeff Electrical Engineer 3.00 $130.28 $390.84 Swanson, Ernie Sr. Electrical Engir 6.00 $156.03 $936.18 TOTAL DIRECT LABOR: 9.00 1,327.02 DIRECT EXPENSES: None This Period Subconsultants: Kennedy/Jenks $0.00 Zipper Zeman $0.00 ESM $0.00 Subconsultant Admin Fee Q 2% $0.00 TOTAL DIRECT EXPENSES: 0.00 TOTAL TASK 2-500: $1,327.02 TASK 2-500 SUMMARY Task Budget $26,589.00 Amount Previously Invoiced $468.09 Current Invoice $1,327.02 Budget Remaining $24,793.89 Invoice No. M-218622 Period Ending 03/03/07 Project No. 000000000051403 TASK 2-600 - SITE / CIVIL LABOR COSTS: Manwiller, Paul CAD Designer TOTAL DIRECT LABOR: DIRECT EXPENSES: None This Period Subconsultants: Kennedy/Jenks Zipper Zeman ESM Subconsultant Admin Fee @ 2% TOTAL DIRECT EXPENSES: Hours 0.00 0.00 Rate Cost $95.48 $0.00 $0.00 $0.00 $0.00 $0.00 0.00 0.00 TOTAL TASK2-600: $0.00 TASK 2-600 SUMMARY Task Budget $13,823.00 Amount Previously Invoiced $238.70 Current Invoice $0.00 Budget Remaining $13,584.30 Invoice No. M-218622 Period Ending 03/03/07 Project No. 000000000051403 TASK 2-700 - PRE -DESIGN WORKSHOPS LABOR COSTS: Hill, Andy Project Engineer Pierson, Greg Project Manager TOTAL DIRECT LABOR: DIRECT EXPENSES: None This Period Subconsultants: Kennedy/Jenks Zipper Zeman ESM Subconsultant Admin Fee @ 2% TOTAL DIRECT EXPENSES: Hours Rate Cost 10.00 $110.88 $1,108.80 11.00 $178.64 $1,965.04 21.00 $3,073.84 $3,000.00 $0.00 $0.00 $60.00 3,060.00 TOTAL TASK 2-700: $6,133.84 TASK 2-700 SUMMARY Task Budget $17,852.00 Amount Previously Invoiced $3,271.99 Current Invoice $6,133.84 Budget Remaining $8,446.17 Invoice No. M-218622 Period Ending 03/03/07 Project No. 000000000051403 TASK 2-800 - PRE -DESIGN REPORT LABOR COSTS: None This Period TOTAL DIRECT LABOR: DIRECT EXPENSES: None This Period Subconsultants: Kennedy/Jenks Zipper Zeman ESM Subconsultant Admin Fee @ 2% TOTAL DIRECT EXPENSES: Hours 0.00 TASK 2-800 SUMMARY Task Budget $34,045.00 Amount Previously Invoiced $0.00 Current Invoice $0.00 Budget Remaining $34,045.00 Rate Cost $0.00 $0.00 $0.00 $0.00 0.00 0.00 TOTAL TASK 2-800: $0.00 Invoice No. M-218622 Period Ending 03/03/07 Project No. 000000000051403 TASK 2-900 - PERMITTING / PROJECT APPLICATIONS LABOR COSTS: Hours Rate Cost None This Period TOTAL DIRECT LABOR: 0.00 0.00 DIRECT EXPENSES: None This Period Subconsultants: Kennedy/Jenks $0.00 Zipper Zeman $0.00 ESM $0.00 Subconsultant Admin Fee Q 2% $0.00 TOTAL DIRECT EXPENSES: 0.00 TOTAL TASK 2-900: $0.00 TASK 2-900 SUMMARY Task Budget $8,774.00 Amount Previously Invoiced $0.00 Current Invoice $0.00 Budget Remaining $8,774.00 Invoice No. M-218622 Period Ending 03/03/07 Project No. 000000000051403 EXPENSES - HDR & SUB -CONSULTANTS LABOR COSTS: None This Period TOTAL DIRECT LABOR: DIRECT EXPENSES: Technology Charge ($4.104abor hour) Subconsultants: Kennedy/Jenks Zipper Zeman ESM Subconsultant Admin Fee @ 2% TOTAL DIRECT EXPENSES: Hours Rate Cost 0.00 0.00 Hours this Invoice : 55.25 $226.53 $0.00 $0.00 $0.00 $0.00 226.53 TOTAL EXPENSES: $226.53 EXPENSE SUMMARY Task Budget $7,469.00 Amount Previously Invoiced $444.86 Current Invoice $226.53 Budget Remaining $6,797.61 Kennedy/Jenks Consultants 16 February 2007 Project Status Report No. 1 (through 26 January 2007) To: Greg Pierson From: Milt Larsen Project: Renton Well 5A Phase 2 Pre -Design HDR Project No. 51403 K/J 06970005*01 WORK PERFORMED DURING THE PERIOD Task 2-100 Project Management & QA/QC • Kennedy/Jenks prepared a project memorandum for K/J project staff and setup the project in Kennedy/Jenks' accounting system • Assisted HDR in planning Kickoff Meeting Task 2-300 Treatment, Hydraulics, Operations • Reviewed pilot report and water quality data • Reviewed site constraints and developed preliminary building layout in concert with HDR Task 2-700 Pre -Design Workshops • Attended the Kickoff Meeting with HDR and City staff cAdocuments and settings\gpiersoMlocal settings\temporary internet files\oW\project status rpt I doc HDR Engineering, Inc. 500 108th Ave NE Suite 1200 Bellevue WA 98004 Attention: Greg Pierson Kennedy/Jenks Consultants Engineers & Scientists 622 Folsom Street San Francisco, CA 94107 Phonc:415-243-2150 Fax:415-543-8061 Invoice # : 22684 Invoice Date: 2/9/2007 Project : 0697005*01 Project Name: HDR Well 5A Phase 2 For Professional Services Rendered through: 1/26/2007 Engineering and architectural services for the Phase 2 - Pre -Design of the Renton Well 5A Water Treatment Improvements (HDR Project No.51403) in accordance with Attachment B - Scope of Services for Kennedy/Jenks Consultants dated December 12, 2006 and Subconsultant Agreement dated 12 January 2007. Current Billings Phase: PHASE2 -- Pre -Design Phase 2 Labor 112687.99 Phase Total 11,687.99 ------------------ Current Invoice 11,687.99 Fee : 107,660.00 Prior Billings : 0.00 Current Billings : 11,687.99 Total Billings : 11,687.99 Billing Amount 11,687.99 Communications Charge 350.64 Total Current Invoice 12,038.63 Amount Due This Invoice: 12,03&63 Amount GL Unit GL Account Project ID �3� aop Activ 10 rorAts �"- APPROVALS: Project Manager Department Mar/Acct _ ,� Project: 0697005*01 -- HDR Well 5A Phase 2 Pre -Design Phase: PHASE2 -- Pre -Design Phase 2 Task: 100 -- Project Management & QA/QC Class / Employee Name Hours Administrative Assistant _ Cosgrove, Sandra L. (H) 3.00 Engineer/Scientist/Specialist 7 Malady, John E 0.50 Engineer/Scientist/Specialist 8 Larsen, Milton D 11.50 Project Administrator West, Karen A. (H) 1.00 Total: Labor Total Task: 100 -- Project Management & QA/QC Task: 300 -- Treatment Process Hydraulic/Operati Class / Employee Name Hours Engineer/Scientist/Specialist 6 _ Kelsey, Christopher W. 43.00 Engineer/Scientist/Specialist 8 Larsen, Milton D 16.50 Total: Labor Invoice # :22684 Cost Multiplier 17.50 3.20 51.35 3.20 52.50 3.20 23.25 3.20 Cost Multiplier 39.81 3.20 52.50 3.20 Total Task: 300 -- Treatment Process Hydraulic/Operati Task: 700 -- Pre -Design Development Workshops Class / Employee Name Hours Engineer/Scientist/Specialist 6 Kelsey, Christopher W. 4.00 3! Engineer/Scientist/Specialist 8 Larsen, Milton D 4.00 5: Total: Labor Total Task: 700 -- Pre -Design Development Workshops Total Phase: PHASE2 -- Pre -Design Phase 2 Total This Invoice Cost Multiplier 1.81 3.20 '.50 3.20 168.00 82.16 1,932.00 74.40 5,477.86 2,772.00 8,249.86 8,249.86 Amount 509.57 672.00 1,181.57 1,181.57 11,687.99 11,687.99 Page 1 zza MalZipper Zenian Associates, Inc. (itOM1141CA]afid LFIVIraffitlent3lLansuinng A Zr adttnt f',i'nntylrrr 18905 33rd Ave. West, Ste. 117 Lynnwood, WA 98036 accounting@zipperzeman.com 425-771-3304 Greg Pierson HDR Engineering Inc 500 108th Ave NE, Suite 1200 Bellevue WA 98004 INVOICE RE: Proposed Water Well 5ATreatment Facility Geotechnical Services Renton WA Invoice Number: 8101202 Zipper Zeman Associates, Inc. PO Box 931277 Kansas City MO 64193-1277 Federal E.I.N. 91-1920121 Project Number: 81065250 Invoice Date: 2/12/2007 Customer PO: Project Manager: Thompson, James B. For Period: From 9/1/2006 to 1/27/2007 Quantity I Description I Unit Price I Total 8.00 hours Principal $160.00/Hour $1,280.00 20.75 hours Staff Engineer $90.00 / Hour $1,867.50 3.75 hours Technician $65.00 / Hour $243.75 Subtotal $3,391.25 45.00 miles Mileage $0.52 / Mile $23.40 145.00 miles Mileage $0.56 / Mile $81.20 Environmental Drilling Inc $3,484.50 Subtotal $3,589.10 Total $6,980.35 109 tnt O%�IL Unit GL///r7��A/y/mmuu�t Project ID/ Act 1-9'y zff �rrrrr/w wr.+�.rw.r v ID .w+.r..wwAl► �MMrw�w.MM TOTALS Aft -all, wd PROVAM Project Manager Oepartment Mgr/Acd' We accept MasterCard, VISA and Discover. Please call (800) 593-7777, option 12, with your credit card information. TERMS: DUE UPON PRESENTATION OF INVOICE Progress Report faq- Project: To: John D. Wilson, P.E. From: Gregory L. Pierson, P.E. 1055 South Grady Way HDR Engineering, Inc. Renton, WA 98055 500 108th Ave NE, Suite 1200 Bellevue, WA 98004-5549 cc: Phone: 425-450-6200 (main) 425-450-6243 (direct) 425-453-7107 (FAX) E-mail: Greg. Pierson@hdrinc.com Period Covered: February 4, 2007 through March 3, 2007 Work Completed During the Period Task 2-100 — Project Management & QA/QC • Project management and coordination. Task 2-150 — Surveying • Survey completed, but costs not included in this invoice. Task 2-200 — Geotechnical Services • Site borings completed by Zipper Zeman in January; costs included in this invoice. Task 2-300 — Treatment, Hydraulics & Operations • Finalized chlorination methods technical memorandum. • Developed preliminary building layout. • Evaluated and prepared memo on retention/replacement of the existing wellhouse. • Began development of hydraulic profile. • Established number and sizing of treatment vessels. Task 2-400 — Architectural & Structural • None February 2007 Progress Report 1 Renton Well 5A WTP Improvements 3/9/2007 Phase 11 Pre -design Task 2-500 — Electrical and I&C • Evaluated portable standby generator enclosure requirements. • Began work on preliminary P&IDs. Task 2-600 — Site / Civil • None. Task 2-700 — Pre -design Development Workshops • Prepared for and conducted Workshop #2. Task 2-800 — Pre -design Report • None Task 2-900 — Permit and Approval Assistance • Reviewed existing stream study reports and investigated stream study requirements. Work in Progress or Planned Task 2-100 — Project Management & QA/QC • Project management and coordination. Task 2-150 — Surveying • Prepare base map of site. Task 2-200 — Geotechnical Services • Develop foundation design requirements. Task 2-300 — Treatment, Hydraulics & Operations • Initial sizing of major treatment equipment. Establish key hydraulic requirements. Task 2-400 — Architectural & Structural • Code review and major structural and architectural requirements identified. Task 2-500 — Electrical and I&C • Prepare preliminary power supply and one -line diagram drawings. • Complete preliminary P&IDs and operations control narrative. Task 2-600 — Site / Civil February 2007 Progress Report 2 Renton Well 5A WTP Improvements 3/9/2007 Phase 11 Pre -design • Prepare preliminary site plan • Prepare preliminary stormwater plan. Task 2-700 — Pre -design Develop Workshop • Workshop #3 in early April. Task 2-800 — Pre -design Report • Prepare draft report. Task 2-900 — Permit and Approval Assistance • Prepare a tech memo to address the stream protection requirements, utilizing the existing stream studies provided by the City. Scope/ Budget/ Schedule • No issues. Project Cost: Budget Summa Percent Complete: 6% Original Budget: $234,292.00 Current Invoice: $0.00 Invoice to Date: $14,304.47 Budget Remaining: $219,987.53 February 2007 Progress Report 3 Renton Well 5A WTP Improvements 3/912007 Phase 11 Pre -design Invoice L I ONE COMPANY 1 �J Many Solutions'" HDR Engineering, Inc. 500 108th Avenue N.E., Suite 1200 Bellevue, WA 98004-5549 Phone: (425) 453-1523 To J. D. Wilson City of Renton 1055 South Grady Way Renton, WA 98055 Please send remittance with copy of invoice to P.O. Box 3480 HDR Invoice No Invoice Date Period Ending Project No. Amount Due: Omaha, NE 68103-0480 M-218622 3/12/2007 3/3/2007 000000000051403 $27,131.13 CITY OF RENTON 1055 S. GRADY WAY RENTON, WA 98055 VENDOR: 031906 HDR ENGINEERING INC PO BOX 3480 OMAHA, NE 68103-0480 FOB Point: Terms: net term Req. Del. Date: Special Inst: BILL TO: Page 1 / 1 12/11 /2006 18/0001366 r; SHIP TO: Req. No.: Dept: PLNG/BLDG/PUB WKS UTILITY SYS Contact: DAY, MELISSA Pre -Assigned PO#?: NO E 425.000500.018.5960.0034.65.055565 5565/5160 234,292.00 Authorized Signature Authorized Signature ONE COMPANY Invoice .` Many Solutions" Please send remittance with copy of invoice to P.O. Box 3480 HDR Engineering, Inc. RECEIVED Omaha, NE 68103-0480 500 108th Avenue N.E., Suite 1200 Bellevue, WA 98004-5549 F E B 1. 9220Q Phone: (425) 453-1523 CITY QF RENTON UTILITY SYSTEMS Invoice No. IVI=213400 City of Renton Invoice Date February 14, i6pi, 1055 South Grady Way Period Ending ' February 3, 2007 Renton, WA 98055 Project No. 000000000051403 $9,902.51 Attn: J. D. Wilson Kennedy/Jenks 000000000064000 $0.00 Zipper Zeman 000000000064001 $0.00 ESM 000000000054002 $0.00 $9,902.6 ` For Professional Services performed from December 31, 2006 through February 3, 2007 regarding Renton Well 5A Water Treatment Improvements - Phase 2, Pre -Design CAS , 06, o 4-5, Task 2-100 Project Mgmt & QA/QC 2-150 Surveying 2-200 Geotechnical Services 2-300 Trtmnt, Hydraulic & Ops 2-400 Architectural & Structural 2-500 Electrical & I&C 2-600 Site/Civil 2-700 Pre -design Develop WS 2-800 Pre -design Report 2-900 Permit & Approval Asst Expenses - HDR & Subs CONTRACT SUMMARY Amount Current Authorized Previously Billed Total Billed Authorized Fee Fee Billed Amount To Date Remaining $25,229.00 $1,001.84 $4,033.71 $5,035.55 $20,193.45 $5,889.00 $0.00 $0.00 $0.00 $5,889.00 $15,160.00 $0.00 $0.00 $0.00 $15,160.00 $46,270.00 $0.00 $4,845.28 $4,845.28 $41,424.72 $33,192.00 $0.00 $0.00 $0.00 $33,192.00 $26,589.00 $0.00 $468.09 $468.09 $26,120.91 $13,823.00 $0.00 $238.70 $238.70 $13,584.30 $17,852.00 $3,271.99 $0.00 $3,271.99 $14,580.01 $34,045.00 $0.00 $0.00 $0.00 $34,045.00 $8,774.00 $0.00 $0.00 $0.00 $8,774.00 $7,469.00 $128.13 $316.73 $444.86 $7,024.14 219,987.53 234,292.00 $4,401.96 $9,902.51 $14,304.47 HDR Engineering, Inc. certifies that these services and expenses are in accordance with the terms of the contract. CONCURRENCE DATE OR � NAME I I • t OtERCI OF RNTNCT F ATION I, THE UNDERSIGNED DO HEREBY CERTIFY UNDER PENALTY OF PERJURY THAT THE MATERIALS HAVE BEEN FURNISHED THE SERVICES RENDERED OR THE LABOR PERFORMED AS DESCRIBED HEREIN, AND THAT THE CLAIM IS AJUST, DUE AND UNPAID OBLIGATION AGAINST THE CITY OF RENTON, AND THAT I AM AUTHORIZED TOAUTHENTICATE,AND CERTIFY TO SAID CLAIM ZNIED.._L �liQlL�— Invoice No. M-213400 Period Ending 02/03/07 Project No. 000000000051403 TASK 2-100 - PROJECT MANAGEMENT & LABOR COSTS: Hours Rate Cost Fiechtner, Chris QA/QC Prog Coc 1.00 $89.78 $89.78 Peters, Dave Dept Manager 0.50 $256.26 $128.13 Pfeiffer, Gail Project Controllei 7.00 $108.11 $756.77 Pierson, Greg Project Manager 15.50 $178.64 $2,768.92 Schreffler, Sarah Admin. Support 2.00 $59.14 06 $118.28 Schreffler, Sarah Admin. Support 2.25 $62.68 07 $141.03 Stenerson, Kara Doc Control Mgr 0.50 $61.60 $30.80 TOTAL DIRECT LABOR: 28.75 $4,033.71 DIRECT EXPENSES: None This Period Subconsultants: Kennedy/Jenks $0.00 Zipper Zeman $0.00 ESM $0.00 Subconsultant Admin Fee @ 2% $0.00 TOTAL DIRECT EXPENSES: $0.00 TOTAL TASK 2-100: $4,033.71 TASK 2-100 SUMMARY Task Budget $25,229.00 Amount Previously Invoiced $1,001.84 Current Invoice $4,033.71 Budget Remaining $20,193.45 Invoice No. M-213400 Period Ending 03-Feb-07 Project No. 000000000051403 TASK 2-150 -SURVEYING LABOR COSTS: Hours Rate Cost None This Period TOTAL DIRECT LABOR: 0.00 $0.00 DIRECT EXPENSES: None This Period Subconsultants: Kennedy/Jenks $0.00 Zipper Zeman $0.00 ESM $0.00 Subconsultant Admin Fee @ 2% $0.00 TOTAL DIRECT EXPENSES: $0.00 TOTAL TASK 2-150: $0.00 TASK 2-150 SUMMARY Task Budget $5,889.00 Amount Previously Invoiced $0.00 Current Invoice $0.00 Budget Remaining $5,889.00 Invoice No. M-213400 Period Ending 02/03/07 Project No. 000000000051403 TASK 2-200 - GEOTECHNICAL SERVICES LABOR COSTS: Hours Rate Cost None This Period TOTAL DIRECT LABOR: 0.00 $0.00 DIRECT EXPENSES: None This Period Subconsultants: Kennedy/Jenks $0.00 Zipper Zeman $0.00 ESM $0.00 Subconsultant Admin Fee @ 2% $0.00 TOTAL DIRECT EXPENSES: $0.00 TOTAL TASK 2-200: $0.00 TASK 2-200 SUMMARY Task Budget $15,160.00 Amount Previously Invoiced $0.00 Current Invoice $0.00 Budget Remaining $15,160.00 Invoice No. M-213400 Period Ending 02/03/07 Project No. 000000000051403 TASK 2-300 - TREATMENT. HYDRAULICS, OPERATIONS LABOR COSTS: Hours Hill, Andy Project Engineer 41.00 Koreny, John Wtr Resources P 2.00 TOTAL DIRECT LABOR: 43.00 DIRECT EXPENSES: None This Period Subconsultants: Kennedy/Jenks Zipper Zeman ESM Subconsultant Admin Fee @ 2% TOTAL DIRECT EXPENSES: Rate Cost $110.88 $4,546.08 $149.60 $299.20 $0.00 $0.00 $0.00 $0.00 $4,845.28 $0.00 TOTAL TASK 2-300: $4,845.28 TASK 2-300 SUMMARY Task Budget $46,270.00 Amount Previously Invoiced $0.00 Current Invoice $4,845.28 Budget Remaining $41,424.72 Invoice No. M-213400 Period Ending 02/03/07 Project No. 000000000051403 TASK 2-400 - ARCHITECTURAL & STRUCTURAL LABOR COSTS: Hours Rate Cost None This Period TOTAL DIRECT LABOR: 0.00 $0.00 DIRECT EXPENSES: None This Period Subconsultants: Kennedy/Jenks $0.00 Zipper Zeman $0.00 ESM $0.00 Subconsultant Admin Fee @ 2% $0.00 TOTAL DIRECT EXPENSES: $0.00 TOTAL TASK 2-400: $0.00 TASK 2-400 SUMMARY Task Budget $33,192.00 Amount Previously Invoiced $0.00 Current Invoice $0.00 Budget Remaining $33,192.00 Invoice No. M-213400 Period Ending 02/03/07 Project No. 000000000051403 TASK 2-600 - ELECTRICAL & I&C LABOR COSTS: Hours Rate Cost Swanson, Ernie Sr. Electrical Eng 3.00 $156.03 $468.09 TOTAL DIRECT LABOR: 3.00 $468.09 DIRECT EXPENSES: None This Period Subconsultants: Kennedy/Jenks $0.00 Zipper Zeman $0.00 ESM $0.00 SubconsultantAdmin Fee @ 2% $0.00 TOTAL DIRECT EXPENSES: $0.00 TOTAL TASK 2-500: $468.09 TASK 2-500 SUMMARY Task Budget $26,589.00 Amount Previously Invoiced $0.00 Current Invoice $468.09 Budget Remaining $26,120.91 Invoice No. M-213400 Period Ending 02/03/07 Project No. 000000000051403 TASK 2-600 - SITE / CIVIL LABOR COSTS: Manwiller, Paul CAD Designer TOTAL DIRECT LABOR: DIRECT EXPENSES: None This Period Subconsultants: Kennedy/Jenks Zipper Zeman ESM Subconsultant Admin Fee @ 2% TOTAL DIRECT EXPENSES: Hours 2.50 2.60 Rate Cost $95.48 $238.70 $0.00 $0.00 $0.00 $0.00 $238.70 $0.00 TOTAL TASK2-600: $238.70 TASK 2-600 SUMMARY Task Budget $13,823.00 Amount Previously Invoiced $0.00 Current Invoice $238.70 Budget Remaining $13,584.30 Invoice No. M-213400 Period Ending 02/03/07 Project No. 000000000051403 TASK 2-700 - PRE -DESIGN WORKSHOPS LABOR COSTS: Hours None This Period TOTAL DIRECT LABOR: 0.00 DIRECT EXPENSES: None This Period Subconsultants: Kennedy/Jenks Zipper Zeman ESM Subconsultant Admin Fee @ 2% TOTAL DIRECT EXPENSES: Rate Cost $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL TASK 2-700: $0.00 TASK 2-700 SUMMARY Task Budget $17,852.00 Amount Previously Invoiced $3,271.99 Current Invoice $0.00 Budget Remaining $14,580.01 Invoice No. M-213400 Period Ending 02/03/07 Project No. 000000000051403 TASK 2-800 - PRE -DESIGN REPORT LABOR COSTS: Hours Rate Cost None This Period TOTAL DIRECT LABOR: 0.00 $0.00 DIRECT EXPENSES: None This Period Subconsultants: Kennedy/Jenks $0.00 Zipper Zeman $0.00 ESM $0.00 SubconsultantAdmin Fee @ 2% $0.00 TOTAL DIRECT EXPENSES: $0.00 TOTAL TASK 2-800: $0.00 TASK 2-800 SUMMARY Task Budget $34,045.00 Amount Previously Invoiced $0.00 Current Invoice $0.00 Budget Remaining $34,045.00 Invoice No. M-213400 Period Ending 02/03/07 Project No. 000000000051403 TASK 2-900 - PERMITTING / PROJECT APPLICATIONS LABOR COSTS: Hours Rate Cost None This Period TOTAL DIRECT LABOR: 0.00 $0.00 DIRECT EXPENSES: None This Period Subconsultants: Kennedy/Jenks $0.00 Zipper Zeman $0.00 ESM $0.00 Subconsultant Admin Fee @ 2% $0.00 TOTAL DIRECT EXPENSES: $0.00 TOTAL TASK 2-900: $0.00 TASK 2-900 SUMMARY Task Budget $8,774.00 Amount Previously Invoiced $0.00 Current Invoice $0.00 Budget Remaining $8,774.00 Invoice No. M-213400 Period Ending 02/03/07 Project No. 000000000051403 EXPENSES - HDR & SUB -CONSULTANTS LABOR COSTS: Hours Rate Cost None This Period TOTAL DIRECT LABOR: 0.00 $0.00 DIRECT EXPENSES Technology Charge ($4.10/labor hour) Hours this Invoice 77.25 $316.73 Subconsultants: Kennedy/Jenks $0.00 Zipper Zeman $0.00 ESM $0.00 Subconsultant Admin Fee @ 2% $0.00 TOTAL DIRECT EXPENSES: $316.73 TOTAL EXPENSES: $316.73 EXPENSE SUMMARY Task Budget $7,469.00 Amount Previously Invoiced $128.13 Current Invoice $316.73 Budget Remaining $7,024.14 ONE COMPANY . ` Many Solutions'" Invoice Please send remittance with copy of invoice to HDR Engineering, Inc. 500 108th Avenue N.E., Suite 1200 Bellevue, WA 98004-5549 Phone: (425) 453-1523 To J. D. Wilson City of Renton 1055 South Grady Way Renton, WA 98055 P.O. Box 3480 Omaha, NE 68103-0480 HDR Invoice No. Invoice Date Period Ending Project No. Amount Due: M-213400 2/14/2007 2/3/2007 000000000051403 $9,902.51 Progress Report ��! Project: Well 5A WTP Improvements Phase II Pre -Design Purchase Order No. Date: February 14, 2007 HDR Project No.: 51403 To: John D. Wilson, P.E. From: Gregory L. Pierson, P.E. 1055 South Grady Way HDR Engineering, Inc. Renton, WA 98055 500 108th Ave NE, Suite 1200 Bellevue, WA 98004-5549 cc: Phone: 425-450-6200 (main) 425-450-6243 (direct) 425-453-7107 (FAX) E-mail: Greg.Pierson@hdrinc.com Period Covered: December 31, 2006 through February 3, 2007 Work Completed During the Period Task 2-100 — Project Management & QA/QC • Project management and coordination. Task 2-150 — Surveying • Survey completed, but costs not included in this invoice. Task 2-200 — Geotechnical Services • Site borings completed,.but costs not included in this invoice. Task 2-300 — Treatment, Hydraulics & Operations • Prepared chlorination methods technical memorandum. Investigated possible need for well pumping test. Task 2-400 — Architectural & Structural • None Task 2-500 — Electrical and I&C • Investigated portable standby generator options. Task 2-600 — Site / Civil January 2007 Progress Report 1 Renton Well 5A WTP Improvements 2/14/2007 Phase 11 Pre -design • Prepared concept -level site layout sketches. Identified options for the existing wellhouse. Task 2-700 — Pre -design Develop Workshop • None Task 2-800 — Pre -design Report • None Task 2-900 — Permit and Approval Assistance • None Work in Progress or Planned Task 2-100 — Project Management & QA/QC • Project management and coordination. Task 2-150 — Surveying • Prepare base map of site. Task 2-200 — Geotechnical Services • Preliminary evaluation of soils borings data. Task 2-300 — Treatment, Hydraulics & Operations • Initial sizing of major treatment equipment. Establish key hydraulic requirements. Task 2-400 — Architectural & Structural • Code review and major structural and architectural requirements identified. Task 2-500 — Electrical and I&C • Power requirements identified. Preliminary P&IDs started. Task 2-600 — Site / Civil • Stormwater requirements identified. Task 2-700 — Pre -design Develop Workshop • Workshop #2 in mid -February. January 2007 Progress Report 2 Renton Well 5A WTP Improvements 2/14/2007 Phase 11 Pre -design Task 2-800 — Pre -design Report • Outline of report. Task 2-900 — Permit and Approval Assistance • Determination of whether a special stream study is needed. If so, this would need to be added to the scope of work. Scope/ Budget/Schedule • ' The schedule and budget could be impacted if a stream study is needed. Project Cost: Budoet Summary Percent Complete: 6% Original Budget: $234,292.00 Current Invoice: $9,902.51 Invoice to Date: $14,304.47 Budget Remaining: $219,987.53 January 2007 Progress Report 3 Renton Well 5A WTP Improvements 2/14/2007 Phase 11 Pre -design Y Ore CITY OF RENTON J , + + 1055 S. GRADY WAY RENTON, WA 98055 C O Py VENDOR: 031906 HDR ENGINEERING INC PO BOX 3480 OMAHA, NE 68103-0480 FOB Point: Terms: net term Req. Del. Date: Special Inst: BILL. TO: CAG-06-197. Well 5A Water Treatment Page 1 / 1 12/11 /2006 18/0001366 SHIP TO: Req. No.: Dept.: PLNG/BLDG/PUB WKS UTILITY SYS Contact: DAY, MELISSA Pre -Assigned PO#?: NO SUBTOTAL TAX FREIGHT TOTAL 0.00 0.00 234,292.00 Authorized Signature Authorized Signature v t y 1 %to ONE COMPANY LTI� IMany Invoice Solutions" 'S Please send remittance with copy of invoice to P.O. Box 3480 HDR Engineering, Inc. Omaha, NE 68103-0480 500 108th Avenue N.E., Suite 1200 - Bellevue, WA 98004-5549 Phone: (425) 453-1523 CHARTER 116 LAWS OF 1965 Invoice No. M-209893 City of Renton CITY OF RENTON CERTIFICATION Invoice Date January, 17., 2007 1055 South Grady Way ���SSRIALS HAVE BED DO HEREBY CERTIFY EN FURNISHED R PENALTY Period Ending December 30, 2006 Renton, WA 98055 THE SERVICES RENDERED OR THE LABOR PERFORMED AS DESCRIBED HEREIN, AND THAT THE CLAIM IS A JUST, DUE AND Project No. 000000000051403 $4,401.96 Attn: J. D. Wilson UNPAID OBLIGATION AGAINST THE CITY OF RENTON, AND THAT 1 AM AUTHORIZED TO AUTHENTICATE, A ERTIFY TO Kennedy/Jenks 000000000064000 $0.00 SAID C Zipper Zeman 000000000054001 $0.00 1 C ESM 000000000064002 $0.00 SIGNED ! � $4,401.96 For Professional Services performed from December 8, 2006 through December 30, 2006 regarding Renton Well 5A Water Treatment Improvements - Phase 2, Pre -Design CAA _ 6 #-+5 1 q 7 W-_Qo 63 Task 2-100 Project Mgmt & QA/QC 2-150 Surveying 2-200 Geotechnical Services 2-300 Trtmnt, Hydraulic & Cps 2-400 Architectural & Structural 2-500 Electrical & I&C 2-600 Site/Civil 2-700 Pre -design Develop WS 2-800 Pre -design Report 2-900 Permit & Approval Asst Expenses - HDR & Subs CONTRACT SUMMARY Amount Current Authorized Previously Billed Total Billed Authorized Fee Fee Billed Amount To Date Remaining $25,229.00 $0.00 $1,001.84 $1,001.84 $24,227.16 $5,889.00 $0.00 $0.00 $0.00 $5,889.00 $15,160.00 $0.00 $0.00 $0.00 $15,160.00 $46,270.00 $0.00 $0.00 $0.00 $46,270.00 $33,192.00 $0.00 $0.00 $0.00 $33,192.00 $26,589.00 $0.00 $0.00 $0.00 $26,589.00 $13,823.00 $0.00 $0.00 $0.00 $13,823.00 $17,852.00 $0.00 $3,271.99 $3,271.99 $14,580.01 $34,045.00 $0.00 $0.00 $0.00 $34,045.00 $8,774.00 $0.00 $0.00 $0.00 $8,774.00 $7,469.00 $0.00 $128.13 $128.13 $7,340.87 234,292.00 $0.00 $4,401.96 $4,401.96 $229,890.04 HDR Engineering, Inc. certifies that these services and expenses are in accordance with the terms of the contract. CONCURRENCE 1 DATE i i `� : Icq I Amount Due This Invoice $4,401.96 Invoice No. M-209893 Period Ending 12/30/06 Project No. 000000000051403 TASK 2-100 - PROJECT MANAGEMENT & LABOR COSTS: Hours Rate Cost Buhlman, Monica Project Controllei 1.00 $93.94 $93.94 Pfeiffer, Gail Project Controllei 2.25 $98.25 $221.06 Pierson, Greg Project Manager 4.00 $171.71 $686.84 TOTAL DIRECT LABOR: 7.25 $1,001.84 DIRECT EXPENSES: None This Period Subconsultants: Kennedy/Jenks $0.00 Zipper Zeman $0.00 ESM $0.00 Subconsultant Admin Fee @ 2% $0.00 TOTAL DIRECT EXPENSES: $0.00 TOTAL TASK 2-100: $1,001.84 fASK 2-100 SUMMARY cask Budget $25,229.00 \mount Previously Invoiced $0.00 current Invoice $1,001.84 3udget Remaining $24,227.16 Invoice No. M-209893 Period Ending 30-Dec-06 Project No. 000000000051403 TASK 2-150 - SURVEYING LABOR COSTS: None This Period TOTAL DIRECT LABOR: DIRECT EXPENSES: None This Period Subconsultants: Kennedy/Jenks Zipper Zeman ESM Subconsultant Admin Fee @ 2% TOTAL DIRECT EXPENSES: Hours 0.00 TASK 2-150 SUMMARY Task Budget $5,889.00 4mount Previously Invoiced $0.00 current Invoice $0.00 3udget Remaining $5,889.00 Rate Cost $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL TASK 2-1 SO: $0.00 Invoice No. M-209893 Period Ending 12/30/06 Project No. 000000000051403 TASK 2-200 - GEOTECHNICAL SERVICES LABOR COSTS: Hours Rate Cost None This Period TOTAL DIRECT LABOR: 0.00 $0.00 DIRECT EXPENSES: None This Period Subconsultants: Kennedy/Jenks $0.00 Zipper Zeman $0.00 ESM $0.00 Subconsultant Admin Fee @ 2% $0.00 TOTAL DIRECT EXPENSES: $0.00 TOTAL TASK 2-200: $0.00 TASK 2-200 SUMMARY Task Budget $15,160.00 Amount Previously Invoiced $0.00 Current Invoice $0.00 Budget Remaining $15,160.00 Invoice No. M-209893 Period Ending 12/30/06 Project No. 000000000051403 TASK 2-300 -TREATMENT, HYDRAULICS, OPERATIONS LABOR COSTS: None This Period TOTAL DIRECT LABOR: DIRECT EXPENSES: None This Period Subconsultants: Kennedy/Jenks Zipper Zeman ESM Subconsultant Admin Fee @ 2% TOTAL DIRECT EXPENSES: Hours 0.00 TASK 2-300 SUMMARY Task Budget $46,270.00 Amount Previously Invoiced $0.00 Current Invoice $0.00 Budget Remaining $46,270.00 Rate Cost $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL TASK 2-300: $0.00 Invoice No. M-209893 Period Ending 12/30/06 Project No. 000000000051403 TASK 2-400 - ARCHITECTURAL & STRUCTURAL LABOR COSTS: Hours Rate Cost None This Period TOTAL DIRECT LABOR: 0.00 $0.00 DIRECT EXPENSES: None This Period Subconsultants: Kennedy/Jenks $0.00 Zipper Zeman $0.00 ESM $0.00 Subconsultant Admin Fee @ 2% $0.00 TOTAL DIRECT EXPENSES: $0.00 TOTAL TASK 2-400: $0.00 TASK 2-400 SUMMARY Task Budget $33,192.00 Amount Previously Invoiced $0.00 Current Invoice $0.00 Budget Remaining $33,192.00 Invoice No. M-209893 Period Ending 12/30/06 Project No. 000000000051403 TASK 2-500 - ELECTRICAL & I&C LABOR COSTS: None This Period TOTAL DIRECT LABOR: DIRECT EXPENSES: None This Period Subconsultants: Kennedy/Jenks Zipper Zeman ESM Subconsultant Admin Fee @ 2% TOTAL DIRECT EXPENSES: Hours 0.00 TASK 2-500 SUMMARY Task Budget $26,589.00 Amount Previously Invoiced $0.00 Current Invoice $0.00 Budget Remaining $26,589.00 Rate Cost $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL TASK 2-600: $0.00 Invoice No. M-209893 Period Ending 12/30/06 Project No. 000000000051403 TASK 2-600 - SITE / CIVIL LABOR COSTS: None This Period TOTAL DIRECT LABOR: DIRECT EXPENSES: None This Period Subconsultants: Kennedy/Jenks Zipper Zeman ESM Subconsultant Admin Fee @ 2% TOTAL DIRECT EXPENSES: Hours Rate Cost 0.00 $0.00 -ASK 2-600 SUMMARY -ask Budget $13,823.00 \mount Previously Invoiced $0.00 ;urrent Invoice $0.00 3udget Remaining $13,823.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL TASK2-600: $0.00 Invoice No. M-209893 Period Ending 12/30/06 Project No. 000000000051403 TASK 2-700 - PRE -DESIGN WORKSHOPS LABOR COSTS: Hours Rate Cost Geist, Randy Control Engineer 3.00 $151.54 $454.62 Hauck, Jeff Electrical Engine, 4.00 $125.88 $503.52 Hill, Andy Project Engineer 8.00 $104.72 $837.76 Pierson, Greg Project Manager 6.00 $171.71 $1,030.26 Swanson, Ernie Sr. Electrical Eng 3.00 $148.61 $445.83 TOTAL DIRECT LABOR: 24.00 $3,271.99 DIRECT EXPENSES: None This Period Subconsultants: Kennedy/Jenks $0.00 Zipper Zeman $0.00 ESM $0.00 Subconsultant Admin Fee @ 2% $0.00 TOTAL DIRECT EXPENSES: $0.00 TOTAL TASK 2-700: $3,271.99 TASK 2-700 SUMMARY Task Budget $17,852.00 Amount Previously Invoiced $0.00 current Invoice $3,271.99 Budget Remaining $14,580.01 Invoice No. M-209893 Period Ending 12/30/06 Project No. 000000000051403 TASK 2-800 - PRE -DESIGN REPORT LABOR COSTS: Hours Rate Cost None This Period TOTAL DIRECT LABOR: 0.00 $0.00 DIRECT EXPENSES: None This Period Subconsultants: Kennedy/Jenks $0.00 Zipper Zeman $0.00 ESM $0.00 Subconsultant Admin Fee @ 2% $0.00 TOTAL DIRECT EXPENSES: $0.00 TOTAL TASK 2-800: $0.00 TASK 2-800 SUMMARY Task Budget $34,045.00 Amount Previously Invoiced $0.00 Current Invoice $0.00 Budget Remaining $34,045.00 Invoice No. M-209893 Period Ending 12/30/06 Project No. 000000000051403 TASK 2-900 - PERMITTING / PROJECT APPLICATIONS LABOR COSTS: Hours None This Period TOTAL DIRECT LABOR: 0.00 DIRECT EXPENSES: None This Period Subconsultants: Kennedy/Jenks Zipper Zeman ESM Subconsultant Admin Fee @ 2% TOTAL DIRECT EXPENSES: TASK 2-900 SUMMARY Task Budget $8,774.00 Amount Previously Invoiced $0.00 Current Invoice $0.00 Budget Remaining $8,774.00 Rate Cost $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL TASK 2-900: $0.00 Invoice No. M-209893 Period Ending 12/30/06 Project No. 000000000051403 EXPENSES - HDR & SUB -CONSULTANTS LABOR COSTS: Hours Rate Cost None This Period TOTAL DIRECT LABOR: 0.00 $0.00 DIRECT EXPENSES: Technology Charge ($4.10/labor hour) Hours this Invoice 31.25 $128.13 Subconsuitants: Kennedy/Jenks $0.00 Zipper Zeman $0.00 ESM $0.00 Subconsultant Admin Fee @ 2% $0.00 TOTAL DIRECT EXPENSES: $128.13 TOTAL EXPENSES: $128.13 EXPENSE SUMMARY Task Budget $7,469.00 Amount Previously Invoiced $0.00 Current Invoice $128.13 Budget Remaining $7,340.87 ONE COMPANY . ` Many Solutions" Invoice Please send remittance with copy of invoice to HDR Engineering, Inc. 500 108th Avenue N.E., Suite 1200 Bellevue, WA 98004-5549 Phone: (425) 453-1523 To J. D. Wilson City of Renton 1055 South Grady Way Renton, WA 98055 P.O. Box 3480 Omaha, NE 68103-0480 HDR Invoice No. M-209893 Invoice Date Period Ending Project No. Amount Due: 1/17/2007 12/30/2006 000000000051403 $4,401.96 Progress Report �- Project: Well 5A WTP Improvements Phase II Pre -Design Purchase Order No. Date: January 12, 2007 HDR Project No.: 51403 To: John D. Wilson, P.E. From: Gregory L. Pierson, P.E. 1055 South Grady Way HDR Engineering, Inc. Renton, WA 98055 500 108th Ave NE, Suite 1200 Bellevue, WA 98004-5549 cc: Phone: 425-450-6200 (main) 425-450-6243 (direct) 425-453-7107 (FAX) E-mail: Greg. Pierson@hdrinc.com Period Covered: December 8, 2006 through December 30, 2006 Work Completed During the Period Task 2-100 — Project Management & QA/QC • Project management and coordination. Task 2-150 — Surveying • None Task 2-200 — Geotechnical Services • None Task 2-300 — Treatment, Hydraulics & Operations • None Task 2-400 — Architectural & Structural • None Task 2-500 — Electrical and I&C • None Task 2-600 — Site / Civil • None December 2006 Progress Report 1 Renton Well 5A WTP Improvements 1/19/2007 Phase 11 Pre -design Task 2-700 — Pre -design Develop Workshop 0 Prepared for and attended Workshop #1. Task 2-800 — Pre -design Report • None Task 2-900 — Permit and Approval Assistance • None Work in Progress or Planned Task 2-100 — Project Management & QA/QC • Project management and coordination. Task 2-150 — Surveying • Site survey. Task 2-200 — Geotechnical Services • Soils exploration was done on Jan. 2. Task 2-300 — Treatment, Hydraulics & Operations • Initial sizing of major treatment equipment. Task 2-400 — Architectural & Structural • Code review and major structural and architectural requirements identified. Task 2-500 — Electrical and I&C • Power requirements identified. Preliminary P&IDs started. Task 2-600 — Site / Civil • Concept -level site layouts prepared. Stormwater requirements identified. Task 2-700 — Pre -design Develop Workshop • Next workshop planned for mid -February. Task 2-800 — Pre -design Report • Outline of report. December 2006 Progress Report 2 Renton Well 5A WTP Improvements 1/1912007 Phase 11 Pre -design Task 2-900 — Permit and Approval Assistance • Investigation of permitting requirements. If a stream study is needed, this would need to be added to the scope of work. Scope/ Budget/Schedule • The schedule could be impacted if: 1) a stream study is needed, and 2) if the City needs additional time to make decisions on the existing wellhouse and the enclosure for the standby generator. Project Cost: et Summ Percent Complete: 2% Original Budget: $234,292.00 Current Invoice: $4,401.96 Invoice to Date: $4,401.96 Budget Remaining: $229,890.04 December 2006 Progress Report 3 Renton Well 5A WTP Improvements 1/19/2007 Phase 11 Pre -design DRAFT PLANNING/BUILDING/ ♦ r- , PUBLIC WORKS DEPARTMENT M E M O R A N D U M DATE: October 18, 2006 TO: Larry Warren, City Attorney FROM: Abdoul Gafour, Water Utility Engineering Supervisor (ext. 7210) SUBJECT: Request for Revisions to City's Standard Consultant Contract by HDR, Engineering, Inc. The Water Utility has selected HDR Engineering, Inc. (HDR) to design water quality improvements for Well 5A. As part of HDR's review of the City's standard contract, HDR requested the City to add language related to professional services standard of care in Section I, Scope of Work. Attached is a sample of the City of Tacoma's standard contract, which includes language on professional services standard of care. Could you review it and let us know if we can add similar language to our contract with HDR? If not, could you provide us with revised language on standard of care for professional engineering services? Thank you for your assistance on this matter. Enclosures HAFile Sys\WTR - Drinking Water Utility\WTR-27 - Water Project Files\WTR-27-3321 - Well 5A Water Treatment Improvements\Phase 2 - Design\memo-to-City-Attorney- 10- 1 8-06.doc\AG iwtt 3. Independent Contractor. The services shall be furnished by the CONSULTANT as an independent contractor, and nothing herein contained shall be construed to create a relationship of employer/employee or master/servant. No payroll or employment taxes of any kind shall be withheld or paid by the CITY with respect to payments to CONSULTANT. The payroll or employment taxes that are the subject of this paragraph include, but are not limited to, FICA, FUTA, federal income tax, state personal income tax, state disability insurance tax and state unemployment insurance tax. By reason of CONSULTANTs status as an independent contractor hereunder, no workers' compensation insurance has been or will be obtained by the CITY on account of CONSULTANT. CONSULTANT may be required to provide the CITY proof of payment of these said taxes and benefits. 4: Professional Services Standard of Care (a) In the performance of services under this Agreement, the CONSULTANT and its employees agree to exercise the degree of skill and care required by customarily accepted good practices and procedures followed by T' consultants rendering the same or similar type of service. (b) If the CONSULTANT intends to rely on information or data supplied by the CITY, City contractors or other generally reputable sources without independent verification, such intent shall be brought to the attention of the CITY. (c) The CONSULTANT shall correct deficiencies due its services or resulting documents without additional compensation except to the extent such action is directly attributable to deficiencies in the CITY -furnished information, including information furnished by CITY contractors or other generally reputable sources. 5. Indemnification The CONSULTANT assumes the risk of all damages, loss, cost and expense and agrees to indemnify and hold harmless the CITY, its officers and employees, Consultant Agreement, HDR Engineering, Inc. and Tacoma Water, May 2006 - 2 Y CITY OF RENTON + 1055 S. GRADY WAY RENTON, WA 98055 ry VENDOR: 031906 HDR ENGINEERING INC PO BOX 3480 OMAHA, NE 68103-0480 FOB Point: Terms: net term Req. Del. Date: Special Inst: Page 1 / 1 ATE - PO NUMBER Qom' 3/23/2006 H18/0001164 SHIP TO: Copy Req. No.: Dept.: PLNG/BLDG/PUB WKS UTILITY SYS Contact: PARKER, LIBBY Pre -Assigned PO#?: NO -� - ..!.s�.r.;.... - w 1. 1- r � � �• 1�11� imp s �0Wice• aw"w"Now lag M". 619181MI 6"1 OEM SUBTOTAL • • 1 11 TO: off FREIGHT1 11 • • 1 11 E 425.000500.018.5960.0034.65.055565 5565/5160 59,540.00 Authorized Signature Authorized Signature Ck&' o6 -64 s ONE COMPANY Many solar:ons' HDR Engineering, Inc. 500 108th Avenue N„E., Suite-120& ; Bellevue, WA 98004-5549 Phone: (425) 453-1523 City of Renton 1055 South Grady Way Renton, WA 98055 Attn: J. D. Wilson • DATE RE. EIVD invoice Please send remittance with copy of invoice to P.O. Box 3480 Omaha, NE 68103-0480 J1.)1- 2 6 2006 RE. EIVD invoice Please send remittance with copy of invoice to P.O. Box 3480 Omaha, NE 68103-0480 J1.)1- 2 6 2006 CITY OF RENTON Invoice I,%TIL ITY SYS-I-EMS M-175780 W- i Invoice Date July 20, 2006 `WJ Period Ending July 1, 2006 Project No. 000000000034769 $4,348.00 KennedylJanks 000000000043258 $0.00 $4,348.00 For Professional Services performed from May 28, 2006 through July 1, 2006 regarding Renton Well 5A Water Treatment Improvements - Phase 1, Bench Scale & Pilot Plant Study CONTRACT SUMMARY Amount Current Authorized Previously Billed Total Billed Authorized Fee Task Fee Billed Amount To Date Remaining 1 Project Mgmt & QA/QC $12,424.00 $4,284.40 $0.00 $4,284.40 $8,139.60 2 Bench Scale Testing $10,082.00 $9,478.53 $0.00 $9,478.53 $603.47 3 Pilot Scale Testing $37,034.00 $41,429.07 $4,348.00 $45,777.07 ($8,743.07) $59,540.00 $55,192.00 $4,348.00 $59,540.00 $0.00 HDR Engineering, Inc. certifies that these services and expenses are in accordance with the terms of the contract. Amount Due This Invoice $4,348:00 CHARTER 11 CITY OF RENTS THAT I AM AUTHORILtU ! V AW I MF= i t lvnl t rintl ut!m v it 1 1 v SAID CLAIM SIGNED: Invoice No. M-175780 Period Ending 07/01/06 Project No. 000000000034769 TASK 1 - PROJECT MANAGEMENT & QA/QC LABOR COSTS: Hours Rate None This Period TOTAL DIRECT LABOR: 0.00 DIRECT EXPENSES: None This Period TOTAL DIRECT EXPENSES: TOTAL TASK 1: Cost 0.00 0.00 $0.00 TASK 1 SUMMARY Task Budget $12,424.00 Amount Previously Invoiced $4,284.40 Current Invoice $0.00 Budget Remaining $8,139.60 Invoice No. M-175780 Period Ending 07/01/06 Project No. 000000000034769 TASK 3 - PILOT SCALE TESTING LABOR COSTS: None This Period TOTAL DIRECT LABOR: DIRECT EXPENSES: Three Rivers Contract Services Miscellaneous - Pilot Plant Supplies Travel - Mileage @ $.445/mi Travel - Meals TOTAL DIRECT EXPENSES: Hours 0.00 Rate Cost $3,390.57 $495.82 $353.33 $108.28 0.00 4,348.00 TOTAL TASK 3: $4,348.00 TASK 3 SUMMARY Task Budget $37,034.00 Amount Previously Invoiced $41,429.07 Current Invoice $4,348.00 Budget Remaining (8,743.07) Progress Report Project: Well 5A WTP Improvements Date: July 24, 2006 Purchase Order No. HDR Project No.: 34769 To: John D. Wilson, P.E. From: Michael D. Britton, P.E. 1055 South Grady Way HDR Engineering, Inc. Renton, WA 98055 500 108th Ave NE, Suite 1200 Bellevue, WA 98004-5549 cc: Gregory Pierson, P.E. Phone: 425-450-6200 (main) 425-450-6354 (direct) 425-453-7107 (FAX) E-mail: Michael. Britton@hdrinc.com Period Covered: May 28, 2006 through July 1, 2006 Work Completed During the Period Task 1-100 — Project Management & QA/QC • Routine Project Management. Task 1-200 — Bench Scale Testing • Completed previously. Task 1-300 — Pilot Scale Testing • The draft pilot test report has been developed. Work in Progress or Planned Task 1— Project Management & QA/QC • Routine Project Management. Task 2 — Bench Scale Testing • Completed previously. Task 3 — Pilot Scale Testing • The draft piloting test report will be delivered to the City for review. June 2006 Progress Report 1 City of Renton July 24, 2006 Well 5A WTP Improvements Scope/Budget/Schedule • None. Project Cost: Summa Percent Complete: 95% Original Budget: $59,540.00 Current Invoice: $4,348.00 Invoice to Date: $59,540.00 Budget Remaining_ $0.00 June 2006 Progress Report 2 City of Renton July 24, 2006 Well 5A WTP Improvements Reid Instruments 6824 St. Andrews Drive Mukilteo, Wa 98275 Bill To: C ity of Renton Aft. JD Wilson 1055 S. Grady Way Renton, Wa 98055 CEIVED �_-17Y OF RENTON UTfUTY sys' ;:%N, Ship To: Invoice Number: 131 ' Date: July 31', 200& C ity of Renton Aft. JD Wilson 1055 S. Grady Way Renton, Wa 98055 PO Number Terms Sales Rep Sales Territory Ship Via Code 30 Days T Reid Description Quantity Price Tax 1 Amount Well 5 Predesign meeting on July 17 Labor and travel 1 5.001 105.001 1 525.00 Chargeline OOW • 05s565 W 05unction # s 515-s-5 � 5 1,60 Instrumentation and Controls Design, Installation, Tech Support Phone 425-349-3882 FAX 425-349-3884 CON9C DATE RE NAME I AL/DATE A46 Ott $ Q s DUE AND ON, AND ATIFY TO Sub -Total $525.00 State Tax 8.90% on 0.00 0.00 Total $525001 s"; , e*ly; CITY OF RENTON 1055 S. GRADY WAY RENTON.VVAQ8O55 vsmoon: 086450 RE|D|NSTRUMENTG 6824STANDREVVSOR &1UK|LTEO.VVAyG275 ( \ ' Page 1/1 —/ � DATE PO NUMBER SHIP TO: Copy FOB Point: nov.wu: Terms: due in3Odays oevt.:PLNG/BLDG/PUBVVK8UTILITY GYS Req. Del. Date: Contact: PHELAN.TERESA Pre -Assigned Po#?:No Special Inst: Quantity Unit . . ... ..... Description Unit Price Ext. Price Labor and Trav4bbld& Ole- SUBTOTAL BILL TO: TAX FREIGHT TOTAL 525.00 0.00 0.00 525.00 Account Number 1W jft�W prk Order Function Number Amount Authorized Signature Authorized Signature JUL 0 6 CITY OF RENTON 4a,_ HUMAN RESOURCES/ �7""Y�`'Z"r RISK MANAGEMENT DEPARTMENT M E M O R A N D U M DATE: July 2, 2007 TO: JD 1, ison, Utility/GIS Engineer, PBPW/Utility Systems FROM: Nl�wg Webby, Administrator SUBJECT: Insurance Review /HDR Engineering, Inc. Renton Well 5A Water Treatment Improvements - Phase II; Pre -design I have reviewed the Certificate of Insurance and supporting policy documents for the above -mentioned event. The insurance coverage, provided for this event, 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 cif Renton ACORD. CERTIFICATE OF LIABILITY INSURANCE 06/01/ DAT/3iM%7) PRODUCER LOCKTON COMPANIES, LLC 1 KANSAS CITY THIS CERTIFICATE IS ISSUED AS A R F INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 444 W. 47th Street, Suite 900 HOLDER. THIS CERTIFICATE DOES NOT RMEN©, EXTEND OR Kansas City Mo 64112-1906 ALTER THE COVERAGE AFFORDEQRQY XMRQAMES BELOW, (816) 960-9000 INSURERS AFFORDING COVERAGE INSURED HDR ENGINEERING, INC. 1013472 8404 INDIAN HILLS DRIVE OMAHA NE 68114-4049 A: INSURER E THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING rnvFRe�Fc NTIRIN(11 cIA 1011DCD/C1 A1171.1nD17Cn DCDDCCChITATl1/C no oonnllrCo Akin TUIZ r`CDYlCI!`ATC Uni nCD 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE T POLICY EXPIRATION DATE MWDD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY GL03504583 06/01/2007 06/01/2008 CLAIMS MADE FX I OCCUR MED EXP (Any oneperson) $ 10,000 PERSONAL & ADV INJURY $ 1 000 000 X Contractual Liab. GENERAL AGGREGATE $ 2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2 000 000 PRO- P LI V X JECT X LOC B AUTOMOBILE LIABILITY ANY AUTO BAP3504584 06/01/2007 06/01/2008 COMBINED SINGLE LIMIT (Ea accident) $ 2,000,000 X BODILY INJURY (Per person) g XXXXXXX ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) S XXXXXXX HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ XXXXXXX -- GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ XXXXXXX OTHER THAN EA ACC $ XXXXXXX ANY AUTO NOT APPLICABLE $ XXXXXXX AUTO ONLY: AGG EXCESS LIABILITY EACH OCCURRENCE $ 1,000,000 B X OCCUR CLAIMS MADE AUC3808400 06/01/2007 06/01/2008 AGGREGATE $ 1,000,000 $ XXXXXXX UMBRELLA(EXCLUDES PROF. LIAB) XXXXXXX X DEDUCTIBLE FORM $ XXXXXXX RETENTION S C WORKERS COMPENSATION AND 90-14910-01 06/01/2007 06/01/2008 OTH- X WC S LIMIj ER E.L. EACH ACCIDENT $ 1 000000 C EMPLOYERS LIABILITY 90-14910-02 06/01/2007 06/01/2008 E.L. DISEASE - EA EMPLOYEE $ 1 000 000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 A OTHER EOC9260026-00 06/01/2007 06/01/2008 PER CLAIM: $1,000,000. AGG: $1,000,000. ARCHS & ENGS PROFESSIONAL LIABILMY DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: CLIENT# 007270: RENTON WELL 5A WATER TREATMENT IMPROVEMENTS, PHASE 2 PRE -DESIGN CON0019683. CITY OF RENTON, ITS OFFICIALS, OFFICERS, EMPLOYEES AND AGENTS ARE NAMED AS ADDITIONAL INSUREDS AS RESPECTS GENERAL AND AUTOMOBILE LIABILITY, WHICH IS ON A PRIMARY, NON-CONTRIBUTORY BASIS, AS PER WRITTEN CONTRACT. 2718789 CITY OF RENTON RISK MANAGEMENT ATTN: PAULIE SULKY 200 MILLS AVE S RENTON, WA 98055 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION V �J� DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TOO 606 Y-KINDUPONTIIE INSURER, ITS I AUTHORIZED REPRESENTATIVE Arnan �s_S r7/47t For questions regardingthis certificate, contact the number listed inthe Producei section above and specitYthecIientcode HDHINOt ¢1 A -n C0nP0RATION 1988 Additional Insured -Scheduled - Owners, Lessees or Contractors - Broad Form ZURICH Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer GL03504583 6/I/07 6/1/08 6/l/07 37-385-000 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies the insurance provided under the: Commercial General Liability Coverage Part SCHEDULE Name of Person or Organization: "ANY PERSON OR ORGANIZATION REQUIRED BY WRITTEN CONTRACT TO BE AN ADDITIONAL INSURED ON A PRIMARY BASIS." (If no entry alppears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. WHO IS AN INSURED (Section II)is amended to include as an insured the person or organization shown in the SCHEDULE above 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 the additional insured applies only to "bodily injury","property damage" or "personal and advertising 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 will not extend any insurance coverage to the 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 the additional insured person or organization that exceed the lower of: U-GL-1175-A CW (9/03) Page I of 2 Includes copyrighted material of Insurance Services Office, Inc. with its permission. Certificate ID : 2718789 Misc Attachment : M5509 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 does not apply to: 1. "Bodily injury", "property damage " or "personal and advertising injury" that results solely from negligence of the additional insured; or 2. "Bodily injury", "property damage " or "personal and advertising injury" arising 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 a 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 another 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 insurance available to the person or organization shown in the Schedule 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 described in paragraph 4.c. of SECTION IV -COMMERCIAL GENERAL LIABILITY CONDITIONS. Any provisions in this Coverage Part not changed by the terms and conditions of this endorsement continue to apply as written. U-GL-1175-A CW (9/03) Page 2 of 2 POLICY NUMBER: BAP3504584 COMMERCIAL AUTO CA 20 48 02 99 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s)or organization(s)who are "insureds" under the Who Is An Insured Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception. date of the policy unless another date is indicated below. Endorsement Effective: 6/1/07 SCHEDULE AS PER WRITTEN CONTRACT (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section II of the Coverage Form. CA 983 (2-99) CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 Certificate ID : 2718789 Misc Attachment: M6986 City of Renton Human Resources & Risk Management Department Insurance Information Form FOR: Well 5A Water Treatment Improvements, Phase 2 - Pre -Design PROJECT NUMBER: WTR-27-3321 STAFF CONTACT: J.D. Wilson Certificate of Insurance indicates the coverages/limits specified in ® Yes ❑ No contract? Are the following coverages and/or conditions in effect? ® Yes ❑ No The Commercial General Liability policy form is an ISO 1993 ® Yes ❑ No Occurrence Form or Equivalent? (If no, attach a copy of the policy with required coverages clearly identified) CG 0043 Amendatory Endorsement provided?* ❑ Yes Z No General Aggregate provided on a "per project basis (CG2503)?* ® Yes ❑ No Additional Insured wording provided?* ® Yes ❑ No Coverage on a primary basis and noncontributing basis?* ® Yes ❑ No Waiver of Subrogation Clause applies?* ® Yes ❑ No Severability of Interest Clause (Cross Liability) applies? ® Yes ❑ No Notice of Cancel lation/Non-Renewal amended to 45 days?* ® Yes ❑ No *To be shown on certificate of insurance* AM BEST'S RATING FOR CARRIER GL AXV Auto AXV Umb AXV Professional AXV This Questionnaire is issued as a matter of information. This questionnaire is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies indicated on the attached CERTIFICATE OF INSURANCE. The CITY OF RENTON, at its option, shall obtain copies of the policies and/or specific declaration pages FROM awarded bidder prior to execution of contract. Lockton Companies Ro�ckton Agency/Broker k76 leted By (T pe or Print Name) 444 W. 47th Kansas City, MO 64112 Address I Comp eted K (Signature) Tom Cannon Name of person to contact 816-960-9158 Telephone Number NOTE: THIS QUESTIONNAIRE MUST BE COMPLETED FOR EACH LINE OF COVERAGE AND ATTACHED TO CERTIFICATE OF INSURANCE ENDORSEMENT 1 In consideration of the premium charged, it is hereby agreed and understood that Policy Number GL03504583 issued by Zurich Insurance Company, is amended to include the following terms and conditions as respects Contract Number issued by the (OWNER). ADDITIONAL INSURED. The OWNER their elected or appointed officers, officials, employees, subconsultants, and volunteers are included as additionally insured with regard to damages and defense of claims arising from: (a) activities performed by or on behalf of the NAMED INSURED; or (b) products and completed operations of the NAMED INSURED, or (c) premises owned, leased or used by the NAMED INSURED. CONTRIBUTION NOT REQUIRED. As respects: (a) work performed by the NAMED INSURED for or on behalf of the OWNER; or (b) products sold by the NAMED INSURED to the OWNER; or (c) premises leased by the NAMED INSURED from the OWNER, the insurance afforded by this policy shall be primary insurance as respects the OWNER, or any other insured, its eiected or appointed officers, officials, employees, subconsultants or volunteers; or stand in an unbroken chain of coverage excess of the NAMED INSURED'S scheduled underlying primary coverage. In either event, any other insurance maintained by the OWNER, or any other insured, its elected or appointed officers, officials, employees, subconsultants or volunteers shall be in excess of this insurance and shall not contribute with it. SEVERABILITY OF INTEREST. The inclusion of more than one Insured under this policy shall not affect the rights of any Insured as respects any claim, suit or judgment made or brought by or for any other Insured or by or for any employee of any other Insured. This policy shall protect each Insured in the same manner as through a separate policy had been issued to each, except that nothing herein shall operate to increase the company's liability beyond the amount or amounts for which the company would have been liable had only one insured been named. 4. CANCELLATION NOTICE. The insurance afforded by this policy shall not be suspended, voided, canceled, reduced in coverage or in limits except after FORTY-FIVE (45) days' prior written notice by certified mail return receipt requested has been given to the OWNER. Such notice shall be addressed to (a) the OWNER and (b) the CONTRACTOR. 5. CLAIM REPORTING. The OWNER has no obligation to report occurrences unless a claim has been filed with the OWNER. AGGREGATE LIMIT. The General Aggregate Limit under Limits of Insurance applies separately to the above named contract for the above named OWNER. 6/ 11 /07 Date Ron �ockton Authorized Representative ignature City of Renton.doc\