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HomeMy WebLinkAboutWWP273685 (3)CITY OF RENTON COUNCIL AGENDA BILL C ` Subject/Title: Contract Award for Bid Opening on 7/1/2014 for CAG-14-089; S. 132nd St. Sewer Extension Project Meeting: REGULAR COUNCIL - 07 Jul 2014 Exhibits: Submitting Data: Dept/Div/Board: Staff Recommendation City Clerk Bid Tab (six bids) Staff Contact: Bonnie Walton, City Clerk ext. 6502 Recommended Action: Council concur Fiscal Impact: Expenditure Required: $ 213,447.44 Transfer Amendment: $ Amount Budgeted: $ Revenue Generated: $ Total Project Budget: $ 400,000 I City Share Total Project: $ SUMMARY OF ACTION: Engineer's Estimate: $254,752 In accordance with Council procedure, bids submitted at the subject bid opening met the following thr criteria: There was more than one bid, the low bid was within total project budget, and there were no major irregularities with the low bid. Therefore, staff recommends accepting the bid submitted by A Advanced Septic Services, Inc. in the amount of $213,447.44 for the S. 132nd St. Sewer Extension Project. STAFF RECOMMENDATION: Accept the low bid submitted by A Advanced Septic Services, Inc. in the amount of $213,447.44 for the S. 132nd St. Sewer Extension Project. CITY OF RENTON BID TABULATION SHEET Project: S. 132nd St. Sewer Extension CAG-14-089 Date: July 1, 2014 Page 1 of 1 FORMS Bidder Proposal L&I Bid Bid Total from Schedule of Prices Trip. Form Cert. Bond *Includes Sales Tax A Advanced Septic Services 11603 Canyon Rd. E. Puyallup, WA 98373 � Archer Construction ,y 7855 S. 206th St ZIC 774-, o$ Kent, WA 98032 Hoffman Construction PO BOX 845 Enumclaw, WA 98022 U Kar-Vel Construction PO BOX 58275 t/ ✓ ✓ 33 Z, e73 j . 17 Renton, WA 98058 � Laser Underground & Earthworks 20417 87th Ave. SE �'` v ✓'" 3 2 / 3 2—� 7s Snohomish, WA 98296 (over) CITY OF RENTON BID TABULATION SHEET Project: S. 132nd St. Sewer Extension CAG-14-089 Date: July 1, 2014 Page 1 of 2 Bidder FORMS Bid Total from Schedule of Prices *Includes Sales Tax Proposal Trip. Form L&I Cert. Bid Bond RL Alia Company 107 Williams Ave. S. Renton, WA 98057 91/ 3S Engineer's Estimate $254,752.00 Advanced CONSTRUCTION Services, Inc. South 132nd Street Sewer Extension Project ; CAG-14-089 City of Renton Mobilization Plan • Meet with homeowners • Secure a staging area • Move equipment for grubbing and clearing on site • Move equipment and materials for stream crossing on site • Remove grubbing equipment • Move trenching equipment on site • Move traffic controls on site • Remove all equipment South 132nd Sewer ACTIVITY PLAN PLAN START DURATION Mobilization 1 3 Trench SSMH 01 to SSMH02 4 3 Set SSMH 01 7 1 Set concrete blocks 7 1 Weld and coat steel casing 5 3 Install spacers and 8"PVC 8 2 Lay steel casing and pvc 10 2 Set SSMH 02 11 1 Fill trench portion between SSMH 01 and SSMH 02 12 1 Place spawls and cover soil with straw 13 1 Clear and grub tree line 13 5 Trench set SSMH 03 & 04 and lay 8" PVC side connections in field 18 6 Implement traffic control plan 24 20 Saw cut for trench 24 1 Trench set SSMH 05 and lay 8"pvc SSHIM 05 to SSMH 04 fill and compa 26 5 Trench set SSMH 06 and lay 8"pvc SSHM 06 to SSMH 04 fill and compa 31 7 Repair asphalt 37 5 Replace paint and traffic markings - 42 2 Install fence 42 4 Planting and restoration 46 6 Clean up and demobilization 51 3 e n d SewerExtension Period Highlight 1 Plan Actual . %Complete Actual South�. 3 Se e PLAN PLAN A( IIVITY START DURATION:RIODS 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 Mobilization 1 3 Trench SSMH 01 to SSMH02 4 3 Set SSMH 01 7 1 Set concrete blocks 7 1 Weld and coat steel casing 5 3 Install spacers and 8"PVC 8 2 Lay steel casing and pvc 10 2 Set SSMH 02 11 1 Fill trench portion between SSMH 01 and SSMH 02 12 1 Place spawls and cover soil with straw 13 1 Clear and grub tree line 13 5 Trench set SSMH 03 & 04 and lay 8" PVC side connections in field 18 6 Period Highlight: %Complete (beyond plan) South 132nd Sewer Extension PLAN PLAN START DURATIONIRIODS i 1 124 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 S7 58 59 60 Implement traffic control plan 24 20 I Saw cut for trench 24 1 t Trench set SSMH 05 and lay 8"pvc SSHM 05 to SSMH 04 fill and comp& 26 5 Trench set SSMH 06 and lay 8"pvc SSHM 06 to SSMH 04 fill and comps, 31 7 Repair asphalt 37 5 Replace paint and traffic markings 42 2 Install fence 42 4 Planting and restoration 46 6 Clean up and demobilization 51 3 South 132nd Street Sewer Extension Selected Sub contractors, suppiers and products Company Service, Material Contact # Contact Person Licence # Address City H.D. Fowler Company Structures, fittings and pipe 253-863-8600 Derek Hughes 1417 Thornton Avenue SW Pacific, WA 98047 Lakeridge Paving Company Asphalt Repair 206-396-0810c 206-395-0803 Jeff Sprouse, Dar Looker PO Box 8500 Covington, WA C & P Fencing Chain Link Fencing 360-802-1059 253-740-5841c Paul Pohlman CPFENPF882ME 1516 Chinook Ave Enumclaw, WA 98022 Skyline Steel Steel Sleeve 253-250-4002 253-549-6842c Dave Rayfield 30154th Ave E, Suite 100 Fife, WA 98424 Apply -A -Line Inc Striping 253-299-1200 Mike Susner #APPLYI*161RU 175 Roy Rd SW, Bldg C Pacific, WA 98047 Miles Sand and Gravel Bank Run, gravel and disposal 253-833-3705 253-569-3261c Marty Bernard PLS Inc Surveying 425-313-9378 Ben Petersen 355 NW Gilman Blvd #102 Issaquah, WA 98027 Alwest Undeground Trench Safety and signage 253-255-8482 Mike Grimm 799 Valentine Ave SE Pacific WA 98047 PRECONSTRUCTION CONFERENCE Sign -in Sheet p a City of Project Name: Airport Lift Station Replacement Location: South 132nd St Project Manager: John Hobson Contractor Name: A Advanced Septic Services, Inc. Contact Name: Please print clearly Phone Number: 253-435-9999 Name Company Contact Phone/E-Mail John Hobson City of Renton City of Renton 425-430-7279/ jhobson@rentonwa.gov 206-794-6162 / pmiller@rentonwa.gov Pat Miller Vy"'J '�60 nc n 2e) cc, 2A - c) 24R 2 z 6PK OA W e_ ZSKk Sr i z.g _ 23�p 7 5 tA Jive jv . co Sri J' �a r n e r G /-� ����- r,G3v _ i 2 ZO/C h4-rH eJ C o�� ld 2 CQ I I►n`, (ler rc �1a� 4�s-y3o-7 pCstE 4J1e,,t_J 67 tA ' ► L U G 1 V\ A ;Gel AeP` Se � � 377-3S0cl -ram 172 h �06 k!O_N im ('Jo' Name Company Contact Phone/E-Mail 4 AV is1306 dS? 5201- ; 780 cc .,, o . Go n— �-- 44c& H:\File Sys\WWP - WasteWater\WWP-27-3685 S 132nd St Sewer Extension\Construction\precon signin sheet - South 132 Sewer Extension.doc * O!. V �Y f � � '��nTc� PRECONSTRUCTION CONFERENCE PROJECT NAME: South 132nd Street Sewer Extension PROJECT NO. S-3685 DATE: Sept. 3, 2014 I. Introductions CAG# CAG-14-089 TIME: 9:00 AM II ORDER OF WORK BY CONTRACTOR (PROJECT DESCRIPTION AND PROGRESS SCHEDULE) A. Estimated Start Date / Anticipated Notice to Proceed B. Construction Schedule (45 working days) C. Work hours are weekdays, 7:00 AM to 5:00 PM. Work on Saturday by approval only and no Sundays. The normal straight time working hours for the Contract shall be any consecutive 8-hour period between 7:00 a.m. and 5:00 p.m. of a working day with a maximum 1-hour lunch break and a 5-day Work week. (1-08.0(2) Hours of Work) Any changes to work hours shall have prior approval from the City of Renton. (Alternate Schedules / four -tens) No work on Sundays or holidays. No equipment shall be started prior to 7:00 a.m. III. UTILITY COMPANIES (OUTSIDE) A. ryy - Power CrrY 146.k•-r-- B. Puget Sound Energy - Gas C. AT&T D. Century Link Telephone E. Comcast Cable DISMISS ALL DISINTERESTED PARTIES IV. CITY DEPARTMENTS/DIVISIONS A. Wastewater Utility Maintenance B. City Water and Surface Water? V. SUBCONTRACTORS AND AGENTS A. Subcontractors route correspondence via Prime Contractor B. Prime Contractor must have a representative with authority on the job at all times. C f'fnrmaLjnnfnrFl. �!�c--�- VI PERMITS AND PERMITTING AGENCIES HPA — WDFW H:\File Sys\WWP - WasteWater\WWP-27-3685 S 132nd St Sewer ExtensionWonstruction\Precon Agenda South 132nd Street Sewer Extension.doc VII. TRAFFIC CONTROL AND SAFETY A. Manual on Uniform Traffic Control Devices (M.U.T.C.D.) B. Traffic Control Plan C. Flagman — Certified by State D. Safety and health requirements - O.S.H.A./W.I.S.H.A. AND DESIGNATION OF SAFETY OFFICER. E. Staging VIII. RECORDS AND REPORTS A. Intent to pay prevailing wages (form 1&i #700-29) must be approved by department of labor and industries and received by the city prior to any pay schedule being completed by the project engineer (ALL PRIME AND SUBS) REF. RCW 39.12.040). B. "Affidavit Of Wages Paid" (FORM L&I #700-7) for prime and all subs and "release for the protection of property owners and general. IX. INSPECTION A. City Public Works: Pat Miller (public works) B. Special Inspection (Steel Casing): Stantec X. ACCESS REQUIREMENTS A. Stay within existing easement limits. XI. PROGRESS PAYMENTS A. Typically once a month. When we issue the notice to proceed, we will agree on the schedule (first pay period or second pay period of the month). Quantities from inspection reports will take precedence. Our deadline to have the pay estimate ready for signature will be the end of the working day before the cutoff day. Submittal of quantities should be by the end of the day four working days prior to cutoff. This should give us the opportunity to work out discrepancies. If they can not be worked out prior to our cutoff, we will use the City's quantities and work it out for the next pay estimate. B. ✓ Direct Deposit: If you would like to have your progress payments made by direct deposit, we can get you the paperwork to set it up. If you are on record for direct deposit from a previous project, you will continue to have future payments made by direct deposit unless you specifically stop them. If you have previous direct deposit, please confirm that your accounts have not changed. XII. FINAL ACCEPTANCE A. Final acceptance shall be after final walk through inspection and approval of as-builts ands. XIV. GENERAL CONSTRUCTION DISCUSSION A. CONTRACTOR SHALL NOTIFY FIRE AND POLICE OF CONSTRUCTION SCHEDULE. KEEP THEM UP TO DATE ON ANY ROAD CLOSURES. CALL 911 FROM A LOCAL LAND LINE ONLY. FIRE DISPATCH FROM CELL PHONE: 852-2121. B. The City may cover inspection overtime hours when determined to be beneficial to the City. C. Keep the streets clean. Truck washing and other measures as approved required for the duration of the project. Provide whatever measures necessary for cleanup and dust control during job and at night. All truck maneuvering and materials storage to be on -site only. Right of way to remain unobstructed when possible. H:\File Svs\WWP - WasteWater\WWP-27-3685 S 132nd St Sewer Extension\Construction\Precon Agenda South 132nd Street Sewer Extension.doc D. All trench lines shall be plated or cold -mix patch at end of day. Secure steel plates. Cold -mix all removed or broken sidewalk. Install filter material over existing catch basins in construction area. Clean out catch basins after completion of work. Repair all broken storm lines from construction activities. E. Haul legal loads. F. Keep a set of approved (by the City) drawings and construction documents on -site at all times. Contractors are advised to only use sets of drawings stamped and signed by the City of Renton for constructing utility improvements. The approved plans do not constitute a fill and grade permit or grant any rights to fill and/or grade outside of the right-of-way. G. All utilities must be inspected prior to backfill. H. For any field changes: If minor, submit a shop drawing or schematic through the inspector or by email Ohobson@rentonwa.gov). If major, the project engineer should submit drawings and complete justification, information and calculations as applicable to the project engineer. The City will answer by memo or schedule a meeting within two days. I. No construction vehicles on residential streets outside of the project area. J. Access for emergency vehicles (fire, medical, police) shall be maintained at all times. K. Be careful to keep the site clean of mud and dust. L. The contractor shall keep as -built drawings. Show all inverts and elevations. All changes shall be shown on as-builts. As-builts shall be per City specifications. For any field changes, if minor, give City a shop drawing (by FAX- 430-7241 or email); if major, need a day or two to review and approve. Approval for construction changes shall be provided by either the field inspector or the project manager. The construction inspector, at their discretion, may defer the decision to the project manager. HAFile Sys\WWP - WasteWater\WWP-27-3685 S 132nd St Sewer Extension\Construction\Precon Aeenda South 132nd Street Sewer Extension.doc DCry eORM Contract Number: (assigned by City Clerk) Select Type: ® Contract/Agr. ❑ Permit ❑ Lease ❑ Adden/Change Order Contract Type: (assigned by City Clerk) Staff Name: John Hobson Extension: 7279 Department/Division: public Works / Utility Svstems EDEN Queue: Addenda/CO #: to City Clerk's CAG #: 14-089 (if applicable) Expiration Date: July 31, 2015 Contract Class: ❑ Receivable ® Payable ❑ Grant ❑ Misc. (no $) Contract Solicitation Method: Contractor Name: A Advanced Septic Services, Inc. Formal Call for Bid (CFB) Advertised via City Clerk Short Description: Snirth 139nd Street Sewer Fxtensinn Full or Additional Installation of 785 linear feet of 8" sanitary sewer main, 5-Manholes and 131 linear feet of 18" steel Description: casing in the Earlington area. ® Legal Review (attach memorandum from City Attorney) ® Risk Management review for insurance (attach memorandum from Risk Management) ® Insurance certificate and/or policy (attach original) �,✓ ❑ Response to legal or Risk Management concerns (explain, in writing, how concerns have been met) ® Performance bond and verification memo from staff (for Public Works type of contracts $35k & over only) ® Federal excluded parties list verification (Attach printout of search results from Website: www.sam.gov/portal/public/SAM) ® Active business license and Accounts payable W-9 vendor form? (obtain if not already on file with Finance Dept.) ® Yes ❑ No Submitted contracts are signed by contractor? If "No", provide explanation here: Fiscal Impact to City: ® Expenditure OR ❑ Revenue Amount Budgeted: (line item; see below ):$ 400,000 Amount of Attached (including tax) $ 213,447.44 per year for years = Total Amount of Attached $ 213,447.44 Prior Council approval via agenda bill process required if: (see policy 250-02) ® Contract or addendum is $100k or over (non -Public Works) or $150k or over (Public Works). ❑ Budget adjustment or fund transfer is necessary. ❑ Interlocal Agreement (most Interlocal Agreements require Resolutions) Date of Council Approval: Resolution Number: NOTE: Mayor signs for the City, except that the Department Head may sign contracts: Under $35,000 when for non -Public Works & Small Public Works Roster (SWR); (if applicable) (if applicable) Under $40,000 when for Public Works single craft non-SWR; and Under $6S,000 when for Public Works multi -craft non SWR EXCEPT: Change Orders to PW contracts in any amount can be signed by Project Mgr IF July 7, 2014 N/A within budget AND under Administrator's authorization. _11Key words for City Clerk's electronic card file: South 132nd Street Sewer Extension Special Assessment District, South 132nd Street Sewer Extension SAD Print Form . Revised 10/25/2013 PUBLIC WORKS DEPARTMENT City of 0 M E M O R A N D U M DATE: July 31, 2014 TO: Jason Seth FROM: John Hobson )*1- SUBJECT: CAG-14-089 Construction Bond Verification At 10:50 am today, I spoke with a representative of Bannon, Carlson & Kessel, Inc. and she confirmed that they issued Bond No. SUR40001SS3 in the amount of $213,447.44 for A Advanced Septic Services, Inc. for the South 132" d Street Sewer Extension project. h:\file sys\wwp - wastewater\wwp-27-3685 s 132nd st sewer extension\award info\bond verification - south 132nd street sewer extension.doc Coverage Is Provided In. Policy Number: Liberty Ohio Security Insurance Company BKS (15) 54 72 79 36 Mutual. Policy Period: INSURANCE From 04/13/2014 To 04/13/2015 Common Policy Declarations 12.01 am Standard Time at Insured Mailing Location Named Insured & Mailing Address Agent Mailing Address & Phone No. A ADVANCED SEPTIC SERVICES INC (253) 565-3500 11603 CANYON RD E BANNON CARLSON & KESSEL INC PUYALLUP, WA 98373 2121 70TH AVE W STE B UNIVERSITY PL, WA 98466-7668 Named Insured Is: CORPORATION Named Insured Business Is: SEPTIC INSTALLATION AND REPAIR 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. SUMMARY OF COVERAGE PARTS AND CHARGES - CUSTOM PROTECTOR This policy consists of this Common Policy Declarations page, Common Policy Conditions, Coverage Parts (which consist of coverage forms and other applicable forms and endorsements, if any, issued to form a part of them) and any other forms and endorsements issued to be part of this policy. COVERAGE PART CHARGES Commercial Property $726.00 Commercial Inland Marine $6, 726.00 Commercial General Liability $12 ,115.00 Total Charges for all of the above coverage parts: $19,567.00 Certified Acts of Terrorists Coverage: $338.00 (Included) Note: This is not a bill IMPORTANT MESSAGES . This policy is auditable. Please refer to the conditions of the policy for details or contact your agent. Servicing Office Western Washington and Issue Date 03/28/14 Authorized Representative ro report a claim, call your Agent or 1-800-362-0000 DS 70 21 01 08 03/28/14 54727936 N0108648 235 NCAOPPNO INSURED COPY 000662 PAGE 27 OF 250 Liberty Mutual. INSURANCE Coverage Is Provided In. Ohio Security Insurance Company Common Policy Declarations Named Insured Agent A ADVANCED SEPTIC SERVICES INC SUMMARY OF LOCATIONS Policy Number: BKS 115) 54 72 79 36 Policy Period: From 04/13/2014 To 04/13/2015 12.01 am Standard Time at Insured Mailing Location (253) 565-3500 BANNON CARLSON & KESSEL INC This policy provides coverage for the following under one or more coverage parts. Please refer to the individual Coverage Declarations Schedules, or, the individual Coverage Forms for locations or territory definition for that specific Coverage Part. 0001 11603 Canyon Rd E. Puyallup, WA 98373-4361 POLICY FORMS AND ENDORSEMENTS This section lists the Fonns and Endorsements for your policy. Refer to these documents as needed for detailed information concerning your coverage. FORM NUMBER TITLE CG 00 01 04 13 Commercial General Liability Coverage Form - Occurrence CG 01 81 05 08 Washington Changes CG 01 97 12 07 Washington Changes - Employment -Related Practices Exclusion CG 04 42 11 03 Stop Gap - Employers Liability Coverage Endorsement - Washington CG 04 50 05 08 Washington Changes - Who Is An Insured CG 21 7001 08 Cap on Losses From Certified Acts of Terrorism CG 21 7601 08 Exclusion of Punitive Damages Related to a Certified Act of Terrorism CG 21 86 1204 Exclusion - Exterior Insulation and Finish Systems CG 21 96 03 05 Silica or Silica -Related Dust Exclusion CG 22 7904 13 Exclusion - Contractors - Professional Liability CG 24 2604 13 Amendment of Insured Contract Definition CG 26 77 12 04 Washington - Fungi or Bacteria Exclusion CG 32 21 01 07 Washington Conditional Exclusion of Terrorism Involving Nuclear, Biological or Chemical Terrorism (Relating to Disposition of Federal Terrorism Risk Insurance Act) CG 84 94 12 08 Exclusion - Consolidated Insurance Programs Wrap -Up In witness whereof, we have caused this policy to be signed by our authorized officers. Dexter Legg Paul Condrin Secretary President To report a claim, call your Agent or 1-800-362-0000 DS 70 21 01 08 03/28/14 54727936 N0108648 235 NCAOPPNO INSURED COPY 000662 PAGE 28 OF 250 Coverage Is Provided In. Policy Number: Liberty Ohio Security Insurance Company BKS (15) 54727936 Mutual. Policy Period: INSURANCE From 04/13/2014 To 04/13IM5 Common Policy Declarations 12.01 am Standard Time at Insured Mailing Location Named Insured Agent A ADVANCED SEPTIC SERVICES INC (253) 565-3500 BANNON CARLSON & KESSEL INC POLICY FORMS AND ENDORSEMENTS - CONTINUED This section lists all of the Fors and Endorsements for your policy. Refer to these documents as needed for detailed information concerning your coverage. FORM NUMBER TITLE CG 84 99 08 09 Non -Cumulation Liability Limits Same Occurrence CG 88 10 04 13 Commercial General Liability Extension CG 88 60 1208 Each Location General Aggregate Limit CG 88 65 1208 Voluntary Property Damage Extension CG 88 67 1208 Property Damage - Borrowed Equipment - $100,000 Limit CG 88 70 1208 Construction Project(s)-General Aggregate Limit (Per Project) CG 88 72 1208 Off Premises Property Damage Including Care, Custody or Control CG 88 77 1208 Medical Expense At Your Request Endorsement CG 88 80 1208 Property Damage - Customers' Goods ($100,000 Limit) CG 89 27 1009 Washington Exclusion - Asbestos CG 89 58 09 10 Cyber Liability -Amendment of Coverage B--Personal Injury and Advertising Injury CL 01 03 03 10 Common Policy Conditions - Washington CL 04 65 01 01 Loss Payable Endorsement - Washington CL 06 00 01 08 Certified Terrorism Loss CL 07 00 10 06 Virus or Bacteria Exclusion CL 16 50 08 06 Conditional NBC Terrorism Exclusion- Exclusion Conditional Exclusion of Terrorism Involving Nuclear, Biological or Chemical Terrorism (Relating to Disposition of Federal Terrorism Risk Insurance Act) CM 00 01 09 04 Commercial Inland Marine Conditions CM 01 07 0108 Washington Changes CM 76 13 07 13 Waiver of Theft Deductible CM 88 02 04 08 Commercial Computer Coverage For CM 88 12 08 10 Washington Replacement Cost Endorsement CP 00 10 04 02 Building and Personal Property Coverage For CP 00 50 04 02 Extra Expense Coverage For CP 00 90 07 88 Commercial Property Conditions CP 01 26 01 08 Washington Changes CP 01 40 07 06 Exclusion of Loss Due to Virus or Bacteria CP 01 60 12 98 Washington Changes - Domestic Abuse CP 10 30 04 02 Causes of Loss - Special For CP 12 18 08 88 Loss Payable Provisions - Washington To report a claim, call yoor Agent or 1-800-362-0000 DS 70 21 01 08 03/28/14 54727936 N0108648 235 NCAOPPNO INSURED COPY 000662 PAGE 29 OF 250 10�Coverage Is Provided In. Policy Number: Liberty Ohio Security Insurance Company BKS (15) 54 72 79 36 Mutual. Policy Period: INSURANCE From 04/13/2014 To 04/13/2015 Common Policy Declarations 12:01 am Standard Time at Insured Mailing Location Named Insured Agent A ADVANCED SEPTIC SERVICES INC (253) 565-3500 BANNON CARLSON & KESSEL INC POLICY FORMS AND ENDORSEMENTS - CONTINUED This section lists all of the Forms and Endorsements for your policy. Refer to these documents as needed for detailed information concerning your coverage. FORM NUMBER TITLE CP 72 97 04 02 Equipment Breakdown Enhancement Endorsement - Special Form CP 91 00 11 09 Contractors Custom Protector Endorsement CP 91 32 11 08 Identity Theft Expense Coverage CP 91 42 It 09 Custom Protector Plus Endorsement IL 01 46 08 10 Washington Common Policy Conditions IL 01 57 07 02 Washington Changes - Actual Cash Value IL Ot 73 07 02 Washington Changes - Excluded Causes of Loss IL 01 98 09 08 Nuclear Energy Liability Exclusion Endorsement (Broad Form) IL 09 35 07 02 Exclusion of Certain Computer -Related Losses IL 09 52 03 08 Cap on Losses From Certified Acts of Terrorism IL 09 96 Ot 07 Conditional Exclusion of Terrorism Involving Nuclear, Biological or Chemical Terrorism (Relating to Dispostion of Federal Terrorism Risk Insurance Act) IM 20 97 04 04 Amendatory Endorsement - Washington IM 70 00 04 04 Contractors' Equipment Coverage IM 70 34 06 04 Tools Endorsement IM 71 00 06 04 Installation Floater Coverage IM 78 54 04 04 Loss Payable Options IM 79 02 05 04 Loss Payable Schedule OC 70 35 06 93 Removal Permit To report a claim, call your Agent or 1-800-362-0000 DS 70 21 0108 03/28/14 54727936 N0108648 235 NCAOPPNO INSURED COPY 000662 PAGE 30 OF 250 Coverage Is Provided In. Policy Number: Liberty Ohio Security Insurance Company BKS (15) 54 72 79 36 Mutual. Policy Period: INSURANCE From 04/13/2014 To 04A3/2015 Commercial Property 12:01 am Standard Time Declarations at Insured Mailing Location Named Insured Agent A ADVANCED SEPTIC SERVICES INC SUMMARY OF CHARGES (253) 565-3500 BANNON CARLSON & KESSEL INC Explanation of DESCRIPTION PREMIUM Charges Property Schedule Totals S706.00 Certified Acts of Terrorism Coverage S20.00 Total Advance Charges: $726.00 Note: This is not a bill To report a claim, call your Agent or 1-800-362-0000 DS 70 22 01 08 03/28/14 54727936 N0108648 235 NCAOPPNO INSURED COPY 000662 PAGE 31 OF 250 Coverage Is Provided In: Policy Number: _ Liberty Ohio Security Insurance Company BKS (15) 54727936 Mutual. Policy Period: INSURANCE From 04/13/2014 To 04/13/2015 Commercial Property 12:01 am Standard Time Declarations Schedule at Insured Mailing Location Named Insured Agent A ADVANCED SEPTIC SERVICES INC (253) 565-3500 BANNON CARLSON & KESSEL INC SUMMARY OF PROPERTY COVERAGES - BY LOCATION Insurance at the described premises applies only for coverages for which a limit of insurance is shown. Optional coverages apply only when entries are made in this schedule. 9091 11603 Canyon Rd E, Puyallup, WA 98373-4361 Property Description: Characteristics Your Business Personal Property Coverage Extra Expense Coverage Construction: Frame Occupancy: Septic Tank Systems - Installation, Servicing Or Repair - Contractors Storage Including Office Occupancies Limit of Insurance - Replacement Cost $50, 000 Coinsurance 100 ti Inflation Guard - Annual Increase 2% Covered Causes of Loss Special Form - Including Theft Deductible $1, 000 Premium $274.00 Description Limit of Insurance $51, 000 Limits on Loss Payment 40%-80%-100% Covered Causes of Loss Special Form - Including Theft Premium $359.00 To report a claim, call your Agent or 1-800-362-0000 DS 70 23 01 08 03/28/14 54727936 N0108648 235 NCAOPPNO INSURED COPY 000662 PAGE 32 OF 250 Coverage Is Provided In. Liberty Ohio Security Insurance Company Policy Number: BKS 54 72 79 ft (15) 36 Mutual. Policy Period: INSURANCE Commercial Property From 04/13/2014 To 04/13/2015 12.01 am Standard Time Declarations Schedule at Insured Mailing Location Named Insured Agent A ADVANCED SEPTIC SERVICES INC SUMMARY OF PROPERTY COVERAGES - BY LOCATION (253) 565-3500 BANNON CARLSON & KESSEL INC Continuation of 11603 Canyon Rd E, Puyallup, WA 98373-4361 Equipment This Equipment Breakdown insurance applies to the coverages shown for this Breakdown location. The Equipment Breakdown limit(s) of insurance and deductible are Coverage included in, and not in addition to, the limits and deductible shown for the Building, Your Business Personal Property, Your Business Personal Property of Others, Tenants Improvements and Betterments, Business Income and Extra Expense, Business Income Without Extra Expense, and Extra Expense coverages. Premium $12.00 SUMMARY OF OTHER PROPERTY COVERAGES Property Extension Endorsement Property Extension Endorsement Description Custom Protector Plus Endorsement $11.00 Premium $11.00 Description Contractors Custom Protector Endorsement $50.00 Commercial Property Schedule Total: To report a claim, call your Agent or 1-800-362-0000 Premium $50.00 $706.00 DS 70 23 01 08 03/28/14 54727936 N0108648 235 NCAOPPNO INSURED COPY 000662 PAGE 33 OF 250 This page intentionally left blank. Liberty Mutual. INSURANCE Named Insured Coverage Is Provided In: Ohio Security Insurance Company Commercial Inland Marine Declarations Agent Policy Number: BKS (15) 54 72 79 36 Policy Period: From 04/13/2014 To 04/13/2015 12:01 am Standard Time at Insured Mailing Location A ADVANCED SEPTIC SERVICES INC (253) 565-3500 BANNON CARLSON & KESSEL INC SUMMARY OF CHARGES Explanation of DESCRIPTION PREMIUM Charges Commercial Inland Marine Schedule Totals $6.480.00 Certified Acts of Terrorism Coverage $246.00 Total Advance Charges: $6, 726.00 Note: This is not a bill To report a claim, call your Agent or 1-800-362-MM DS 70 22 01 08 03/28/14 54727936 N0108648 235 NCAOPPNO INSURED COPY 000662 PAGE 35 OF 250 AtUS INI 7005 01 12 PAGE I OF 2 SCHEDULE OF COVERAGES CONTRACTORS' EQUIPMENT (The entries required to complete this schedule will be shown below or on the "schedule of coverages".) PROPERTY COVERED (check one) 9N/oo Scheduled Equipment (Refer to Equipment Schedule) ° %o Schedule On File "LIMIT' Catastrophe Limit -- The most "we" pay for loss in any one occurrence is: $ 616,148 COVERAGE EXTENSIONS Additional Debris Removal Expenses $ 5,000 SUPPLEMENTAL COVERAGES Employee Tools $ 5,000 Equipment Leased or Rented Form Others $ 75,000 Newly Purchased Equipment (check one) 9P/oo Percentage of Catastrophe Limit 30 % ° %o Dollar Limit $ Pollutant Cleanup and Removal $ 25,000 Rental Reimbursement -- Reimbursement Limit $ 5,000 --Waiting Period 72 Hours Spare Parts and Fuel $ 5,000 BKS (15) 54 72 79 36 Copyright, American Association of Insurance Services, Inc., 2012 03/28/14 54727936 P40108648 235 NCAOPPNO INSURED COPY 000662 PAGE 36 OF 250 03/28/14 AAIS IM 7005 01 12 PAGE 2 OF 2 COINSURANCE (check one) ° %0 80% ° %0 90% °IP/oo 100% ° %o OTHER % REPORTING CONDITIONS (check if applicable) 9(%o Equipment Leased or Rented From Others - Reporting Rate $ -- Deposit Premium $ - Minimum Premium $ VALUATION (check if applicable) ° %0 Actual Cash Value ° %o Replacement Cost ° %o Indicated on Equipment Schedule DEDUCTIBLE (check one) 9N/oo Flat Deductible Amount $ ° %o Percentage Deductible Maximum Deductible Amount $ Minimum Deductible Amount $ ADDITIONAL INFORMATION IM 7005 01 12 2 50 Copyright, American Association of Insurance Services, Inc., 2012 54727936 N0108648 235 NCAOPPNO INSURED COPY 000662 PAGE 37 OF 250 AAIS IM 7031 01 12 BKS (15) 54 72 79 36 EQUIPMENT SCHEDULE CONTRACTORS' EQUIPMENT VALUATION BASIS (The entries required to complete this schedule will be shown below or on the "schedule of coverages".) SCHEDULED EQUIPMENT AA = Agreed Amount ACV = Actual Cash Value RP = Replacement Cost Item No. Valuation Description of Equipment "Limit" 1 ACV 2000 Terralift Machine #1 S#3040698 $ 17,850 2 ACV 2007 Kubota Mini Excavator S#U1543700 $ 15,000 3 ACV 2007 Terex Backhoe S#SMFH44TR07BFM1313 $ 40,000 4 ACV 2010 Kubota #3 S#71577 $ 40,000 5 ACV Laser $ 2,500 6 ACV Pipe Camera $ 7,500 7 ACV Pipe Camera $ 7,500 8 ACV 2011 Kubota #4 S#15101 $ 31,910 IM 7031 01 12 Copyright, American Association of Insurance Services, Inc., 2012 03/28/14 54727936 N0108648 235 NCAOPPNO INSURED COPY 000662 PAGE 38 OF 250 Liberty Mutual. INSURANCE Coverage Is Provided In. Ohio Security Insurance Company Commercial Inland Marine Declarations Schedule Policy Number: BKS (15) 54 72 79 36 Policy Period: From 04/13/2014 To 04/13/2015 12.01 am Standard Time at Insured Mailing Location Named Insured Agent A ADVANCED SEPTIC SERVICES INC (253) 565-3500 BANNON CARLSON & KESSEL INC COMMERCIAL COMPUTER COVERAGE COVERED PREMISES Prem. No. PREMISES 0001 11603 Capon Rd E Puyallup, WA 98373 PREMISES LIMITS EQUIPMENT Valuation: Replacement Cost Limit 0001 Prem. No. $ 50.0Q4 All Covered Property in Any One Occurrence $ 50.000 SOFTWARE All Covered Property in Any One Occurrence $ EXTRA EXPENSE 0001 Prem. No. $ 50,000 All Covered Property in Any One Occurrence $ 5 -10-0 DEDUCTIBLE $ 504 WIIIIII To report a claim, call your Agent or 1-800-362-0000 CM88110310 03/28/14 54727936 N0108648 235 NCAOPPNO INSURED COPY 000662 PAGE 39 OF 250 10�Coverage Is Provided In. Policy Number: Liberty Ohio Security Insurance Company BKS (15) 54 72 79 36 Mutual. Policy Period: INSURANCE From 04/13/2014 To 04/13/2015 Commercial Inland Marine 12:01 am Standard Time Declarations Schedule at Insured Mailing Location Named Insured Agent A ADVANCED SEPTIC SERVICES INC (253) 565-3500 BANNON CARLSON & KESSEL INC INSTALLATION FLOATER COVERAGE PROPERTY COVERED (X) Blanket Coverage Jobsite Limit -- The most "we" pay for loss to any one "jobsite" is: Catastrophe Limit -- The most "we" pay for loss to any one occurrence is: () Scheduled Locations Coverage Loc . No. Location Limit $ 250.000 $ 25.000 Limit Catastrophe Limit -- The most "we" pay for loss to any one occurrence is: $ _ COVERAGE EXTENSIONS Additional Debris Removal Expenses $ 5,000 Emergency Removal 10 days Limited Fungus Coverage $ 15. 000 SUPPLEMENTAL COVERAGES Contract Penalty $ _ 5,000 Pollutant Cleanup and Removal $ 10'000 Sewer Backup Coverage $ 5,000 Storage Locations $ 5,000 Testing $ _ 5,000 Transit $ 5,000 To report a claim, call your Agent or 1-800-362-0000 IM 71 05 04 04 03/28/14 54727936 N0108648 235 NCAOPPNO INSURED COPY 000662 PAGE 40 OF 250 Liberty Mutual. INSURANCE Coverage Is Provided lo. Ohio Security Insurance Company Commercial Inland Marine Declarations Schedule Policy Number: BKS (15) 54 72 79 36 Policy Period: From 04/13/2014 To 04/13/2015 12:01 am Standard Time at Insured Mailing Location Named Insured Agent A ADVANCED SEPTIC SERVICES INC (253) 565-3500 BANNON CARLSON & KESSEL INC SUPPLEMENTAL COVERAGES (cont) Earthquake Coverage (X) Coverage Not Provided ( ) Coverage Provided, as described below: Earthquake Limit -- The most "we" pay for loss to any one building or structure is: Earthquake Catastrophe Limit -- The most "we" pay for loss in any one occurrence is: Flood Coverage (X) Coverage Not Provided ( ) Coverage Provided, as described below: Flood Limit -- The most "we" pay for loss to any one building or structure is: Flood Catastrophe Limit -- The most "we" pay for loss in any one occurrence is: DEDUCTIBLE Deductible Amount () Earthquake Coverage () Flood Coverage () Sewer Backup Coverage COINSURANCE ( ) Not Applicable ()80% ()90% (X) 100% ( ) Other To report a claim, call your Agent or 1-W0-362-0000 EM 71 05 04 04 $ 5 Deductible Amount 03/28/14 54727936 N0108648 235 NCAOPPNO INSURED COPY 000662 PAGE 41 OF 250 This page intentionally left blank. ft Liberty Mutual. INSURANCE Coverage Is Provided In: Ohio Security Insurance Company Commercial General Liability Declarations Basis: Occurrence Policy Number: BKS (15) 54 72 79 36 Policy Period: From 04/1312014 To 04/13/2015 12:01 am Standard Time at Insured Mailing Location Named Insured Agent A ADVANCED SEPTIC SERVICES INC (253) 565-3500 BANNON CARLSON & KESSEL INC SUMMARY OF LIMITS AND CHARGES Commercial DESCRIPTION LIMIT General Each Occurrence Limit 1,000,000 Liability Damage To Premises Rented To You Limit (Any One Premises) 1,000,000 Limits of Insurance Medical Expense Limit (Any One Person) 15,000 Personal and Advertising Injury Limit 1,000,000 General Aggregate Limit (Other than Products - Completed Operations) 2,000,000 Products - Completed Operations Aggregate Limit 2,000,000 Explanation of DESCRIPTION PREMIUM Charges General Liability Schedule Totals 12, 043.00 Certified Acts of Terrorism Coverage 72.00 Total Advance Charges: $12,115.00 Note: This is not a bill To report a claim, call your Agent or 1-800-362-0000 DS 70 22 01 08 03/28/14 54727936 N0108648 235 NCAOPPNO INSURED COPY 000662 PAGE 43 OF 250 Liberty Mutual. INSURANCE Policy Number: BKS (15) 54 72 79 36 Policy Period: Commercial General Liability From 04/13/2014 To 04/13/2015 Declarations Schedule 12:01 am Standard Time at Insured Mailing Location Coverage Is Provided In. - Ohio Security Insurance Company Named Insured Agent A ADVANCED SEPTIC SERVICES INC (253) 565-3500 BANNON CARLSON & KESSEL INC SUMMARY OF CLASSIFICATIONS - BY LOCATION 0001 11603 Canyon Rd E, Puyallup, WA 98373-4361 Insured: A ADVANCED SEPTIC SERVICES INC CLASSIFICATION - 98806 Septic Tank Systems - Installation, Servicing Or Repair RATED / PER COVERAGE DESCRIPTION PREMIUM BASED ON - Executive Officers 1,000 PREMIUM Premise/Operations 35,600 Dollars Of Payroll 8.027 $286.00 Total: $286.00 Products/Completed Operations 17.254 $614.00 Total: $614.00 CLASSIFICATION - 98806 Septic Tank Systems - Installation, Servicing Or Repair RATED / PER COVERAGE DESCRIPTION PREMIUM BASED ON - Employees Payroll 1,000 PREMIUM Premise/Operations 400,000 Dollars Of Payroll 8.027 $3, 211.00 Total: $3,211.00 Products/Completed Operations 17.254 $6,902.00 Total. $6, 902.00 To report a claim, call your Agent or 1-800-362-0000 IDS 70 23 01 08 03/28/14 54727936 N0108648 235 NCAOPPNO INSURED COPY 000662 PAGE 44 OF 250 Coverage Is Provided In: I.1berLy Ohio Security Insurance Company Policy Number: BKS (15) 54727936 Mutual. Policy Period: INSURANCE Commercial General Liability From 04/13/2014 To 04/13/2015 Declarations Schedule 12.01 am Standard Time at Insured Mailing Location Named Insured Agent A ADVANCED SEPTIC SERVICES INC (253) 565-3500 BANNON CARLSON & KESSEL INC SUMMARY OF CLASSIFICATIONS - BY LOCATION CLASSIFICATION - 91581 Contractors - Subcontracted Work - In Connection With Construction, Reconstruction, Erection or Repair - Not Buildings RATED / PER COVERAGE DESCRIPTION PREMIUM BASED ON - 1,000 PREMIUM Premise/Operations 60,000 Dollars Of Total Cost 3.723 $223.00 Total. $223.00 Products/Completed Operations 2.751 $165.00 Total: $165.00 CLASSIFICATION - 91585 Contractors - Subcontracted Work - In Connection With Construction, Reconstruction, Repair or Erection Of Buildings NOC RATED / PER COVERAGE DESCRIPTION PREMIUM BASED ON - 1,000 PREMIUM Premise/Operations Dollars Of Total Cost - if any 2.330 Total: Products/Completed Operations 1.298 Total. To report a claim, call your Agent or 1-800-362-MM DS 70 23 01 08 03/28/14 54727936 N0108648 235 NCAOPPNO INSURED COPY 000662 PAGE 45 OF 250 10�Coverage Is Provided In. Policy Number: Liberty Ohio Security Insurance Company BKS (15) 54727936 Mutual. Policy Period: INSURANCE Commercial General Liability From 04/13/2014 To 04/13/2015 D12.01 am Standard Time Declarations Schedule at Insured Mailing Location Named Insured Agent A ADVANCED SEPTIC SERVICES INC (253) 565-3500 BANNON CARLSON & KESSEL INC SUMMARY OF OTHER COVERAGE COVERAGE DESCRIPTION PREMIUM Contractors Custom Protector Coverages See Policy Fonns and Endorsements List $570.00 RATED / PER CLASSIFICATION - 92400 PREMIUM BASED ON - 1,000 Stop Gap - Employers Liability Stop Gap Employers' Liability - WA 260,000 Dollars of Payroll 145 $38.00 Minimum Premium Adjustment $34.00 Commercial General Liability Schedule Total $12,043.00 To report a claim, call your Agent or 1-800-36247000 DS 70 23 01 08 03/28/14 54727936 N0108648 235 NCAOPPNO INSURED COPY 000662 PAGE 46 OF 250 v 'O�Liberty Mutual. INSURANCE Coverage Is Provided In: Ohio Security Insurance Company Common Policy Declarations Policy Number: BAS (15) 54 72 79 36 Policy Period: From 04/13/2014 To 04/13/2015 12:01 am Standard Time at Insured Mailing Location Named Insured & Mailing Address Agent Mailing Address & Phone No. A ADVANCED SEPTIC SERVICES INC (253) 565-3500 11603 CANYON RD E BANNON CARLSON & KESSEL INC PUYALLUP, WA 98373 2121 70TH AVE W STE B UNIVERSITY PL, WA 98466-7668 Named Insured Is: CORPORATION Named Insured Business Is: SEPTIC INSTALLATION AND REPAIR 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. SUMMARY OF COVERAGE PARTS AND CHARGES This policy consists of this Common Policy Declarations page, Common Policy Conditions, Coverage Parts (which consist of coverage forms and other applicable fortes and endorsements, if any, issued to form a part of them) and any other forms and endorsements issued to be part of this policy. COVERAGE PART Business Auto IMPORTANT MESSAGES Servicing Office Western Washington and Issue Date 03/28/14 CHARGES $33,750.00 Total Charges for all of the above coverage parts: $33, 750.00 Coverage for Terrorism resulting from Nuclear, Biological or Chemical Acts is Excluded To report a claim, call your Agent or 1-800-362-0000 Note: This is not a bill Authorized Representative DS 70 42 01 08 03/28/14 54727936 N0108648 235 NCAOPPNO INSURED COPY 000664 PAGE 11 OF 76 10kCoverage Is Provided In: Policy Number: Liberty Ohio Security Insurance Company BAS (15) 54 72 79 36 Mutual. Policy Period: INSURANCE From W13/2014 To 04/13/2015 Common Policy Declarations 12:01 am Standard Time at Insured Mailing Location Named Insured Agent A ADVANCED SEPTIC SERVICES INC (253) 565-3500 BANNON CARLSON & KESSEL INC POLICY FORMS AND ENDORSEMENTS This section lists the Forms and Endorsements for your policy. Refer to these documents as needed for detailed information concerning your coverage. FORM NUMBER TITLE CA 00 01 03 06 Business Auto Coverage Form CA 01 35 01 08 Washington Changes CA 21 3401 08 Washington Underinsured Motorists Coverage CA 23 9301 06 Washington Exclusion of Terrorism Involving Nuclear, Biological or Chemical Terrorism CA 85 47 12 93 Temporary Substitute Auto - Physical Damage Insurance CA 85 53 12 93 Recreational Trailers and Boat Trailers CA 88 1001 10 Business Auto Coverage Enhancement Endorsement CA 99 03 03 06 Auto Medical Payments Coverage CA 99 54 07 97 Covered Auto Designation Symbol CA 99 89 05 01 Washington Loss Payable Form Reg-335 IL 01 46 08 10 Washington Common Policy Conditions IL 01 98 09 08 Nuclear Energy Liability Exclusion Endorsement (Broad Form) In witness whereof, we have caused this policy to be signed by our authorized officers. Dexter Legg Paul Condrin Secretary President To report a claim, call your Agent or 1-800-362-0000 DS 70 21 O1 08 03/28/14 54727936 N0108648 235 NCAOPPNO INSURED COPY 000664 PAGE 12 OF 76 - Liberty Mutual. INSURANCE Coverage Is Provided In: Ohio Security Insurance Company Business Automobile Policy Declarations ITEM ONE: Named Insured Agent Policy Number: BAS (15) 54 72 79 36 Policy Period: From 04/13/2014 To 04/13/2(115 12.01 am Standard Time at Insured Mailing Location A ADVANCED SEPTIC SERVICES INC (253) 565-3500 BANNON CARLSON & KESSEL INC 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 AUTO Section of the Business Auto Coverage Form next to the name of the coverage. *See Business Auto Coverage Form CA 00 01 for Covered Auto Symbol Descriptions COVERAGES LIMIT PREMIUM Liability Insurance $1,000,000 each accident $25, 749.00 Covered Auto Symbol(s) 01, 10* Medical Payments $5,000 per person $1,054.00 Covered Auto Symbol(s) 02, 10* Underinsured Motorist Coverage Limit $2, 085.00 Washington Underinsured Motorists Bodily Injury and Property Darna&%1,000,000 each accident Covered Auto Symbol(s) 02, 10* Physical Damage Comprehensive $1, 476.00 Covered Auto Symbol(s) 07, 08* Collision $2, 838.00 Covered Auto Symbol(s) 07, 08* Miscellaneous Coverages Business Auto Enhancement Endorsement $548.00 Terrorism Coverage Included To report a claim, call your Agent or 1-800-362-0000 DS 70 43 01 08 03/28/14 54727936 N0108648 235 NCAOPPNO INSURED COPY 000664 PAGE 13 OF 76 Liberty Mutual. Named Insured Coverage Is Provided In: Ohio Security Insurance Company Business Automobile Policy Declarations A ADVANCED SEPTIC SERVICES INC Agent Policy Number: BAS (15) 54727936 Policy Period: From 04/13/2014 To 04/13/2015 12:01 am Standard Time at Insured Mailing Location (253) 565-3500 BANNON CARLSON & KESSEL INC ITEM TWO: SCHEDULE OF COVERAGES AND COVERED AUTOS - continued Total Provisional Charges: $33,750.00 Note: This is not a bill SUMMARY OF COVERED VEHICLES UNIT YEAR MAKE/MODEL YIN TERR ST CLASS ZIP SYM/COST 001 1996 International4700 IHTSLAAM6TH300349 005 46 31489 98373 $41,600 002 2000 Freightliner C1206 IFUYSZYB6YPF25215 005 46 50489 98373 $88,500 003 2006 PJ Trailer 4PSDT122961081893 005 46 68489 98373 $6,000 004 2007 TNT Trailer IT9FS22267R506415 005 46 68489 98373 $7,000 005 1994 International 8100 1 HSHBAZN8RH555236 005 46 36479 98373 $76,098 006 2007 Contrell Trailer 4KNFC192XXI63900 005 46 68489 98373 $9,000 007 2011 DODGE 1500 1 D7RV I CT5BS578290 005 46 01489 98373 $41,585 008 2007 Dodge 3500 ST 3D6WH46A57G764811 005 46 21489 98373 $24,285 009 2003 Freightliner CL120 IFUJA6CG23LL02138 005 46 50489 98373 $94,75t 010 2006 DODGE 1500 ID7HA16N86J205812 005 46 01489 98373 $21,585 Off 2007 Freightliner M2 10 IFVACWDC87DY45625 005 46 21489 98373 $74,921 012 1988 GMC/CHEVY C71)042 IGDP7DIYOJV528028 005 46 33489 98373 $32,395 Ot3 2012 EAGLE BLACK H 7X20 184BU2027CCOI1377 005 46 68489 98373 $5,000 014 2012 DODGE RAM 1500 3C6JD6DT8CG254207 005 46 01489 98373 $24,070 015 2012 Nissan NV2500 SV I N6AFOLX8CN 105563 005 46 01489 98373 $30,490 016 2005 Freightliner M2 10 IFVACVDD25DV 16354 005 46 21489 98373 $71,092 To report a claim, call your Agent or 1-80o-362-o000 DS 70 43 OI 08 03/28/14 54727936 N0108648 235 NCAOPPNO INSURED COPY 000664 PAGE 14 OF 76 Coverage Is Provided In: Liberty Ohio Security Insurance Company Policy Number: BAS (15) 54 72 79 36 Mutual. Policy Period: INSURANCE Business Automobile From 04/13/2014 To 04/13/2015 12:01 am Standard Time Policy Declarations at Insured Mailing Location Named Insured Agent A ADVANCED SEPTIC SERVICES INC (253) 565-3500 BANNON CARLSON & KESSEL INC SUMMARY OF COVERED VEHICLES, continued UNIT YEAR MAKE/MODEL YIN TERR ST CLASS ZIP SYM/COST 017 1997 FREIGHTLINER FLD12 018 2006 Yamaha R66/AT 019 2007 COACHMEN LEGE 40FT 020 1999 STERLING PUMP TRUC 021 2014 HAULMARK PASSPORT 022 2013 DODGE RAM 3500 023 1995 GMC 2500 To report a claim, call your Agent or 1-600-362-0000 DS 70 43 01 08 1FV4FSYB1VP698607 005 46 50489 98373 $50,800 5Y4AM04Y96A024252 005 46 7996 98373 $9,199 4UZACHCY27CZ27632 005 46 7996 98373 $189,305 2FWYHWEB8XAF40611 005 46 50489 98373 $75,000 575GB2026EU087960 005 46 68489 98373 $7,500 3C63R3ML4DG544616 005 46 21489 98373 $56,030 IGTFK24KXSZ522421 005 46 01489 98373 $19,868 03/28/14 54727936 N0108648 235 NCAOPPNO INSURED COPY 000664 PAGE 15 OF 76 10�Coverage Is Provided In: Policy Number: Liberty Ohio Security Insurance Company BAS (15) 54 72 79 36 Mutual. Policy Period: INSURANCE Business Automobile From 04/13/2014 To 04/13/2015 12:01 am Standard Time Policy Declarations at Insured Mailing Location Named Insured Agent A ADVANCED SEPTIC SERVICES INC (253) 565-3500 BANNON CARLSON & KESSEL INC ITEM THREE: COVERED VEHICLES AND PREMIUM DETAIL UNIT 001 1996 International 470OLP VIN: 1 HTSLAAM6TH300349 Rating CLASS SYM/COST TERRITORY RISK STATE RATING ZIP TOWN CODE Factors 31489 $41,600 005 WA 98373 0217 DESCRIPTION PREMIUM Physical Damage Comprehensive - Actual Cash Value Less $1000 Deductible $51.00 Total Premium $51.00 UNIT 002 2000 Freightliner C12064T VIN: 1 FUYSZYB6YPF25215 Rating CLASS SYM/COST TERRITORY RISK STATE RATING ZIP TOWN CODE Factors 50489 $88,500 005 WA Loss Payee Puget Sound Leasing Company Inc PO Box 1295 ISSAQUAH, WA 98027 98373 0217 DESCRIPTION PREMIUM Liability Insurance $2,937.00 Medical Payments $64.00 Underinsured Motorist Bodily Injury and Property Damage $139.00 Physical Damage Comprehensive - Actual Cash Value Less $1000 Deductible $77.00 Collision - Actual Cash Value Less $1000 Deductible $208.00 Total Premium $3,425.00 To report a claim, call your Agent or 1-800-362-0000 DS 70 43 Ol 08 03/28/14 54727936 N0108648 235 NCAOPPNO INSURED COPY 000664 PAGE 16 OF 76 Coverage Is Provided In. tft Liberty Ohio Security Insurance Company Policy Number: BAS (15) 54 72 79 36 Mutual. Policy Period: INSURANCE Business Automobile 4/1 From 03/2014 To 04/13/2015 12.01 am Standard Time Policy Declarations at Insured Mailing Location Named Insured Agent A ADVANCED SEPTIC SERVICES INC (253) 565-3500 BANNON CARLSON & KESSEL INC ITEM THREE: COVERED VEHICLES AND PREMIUM DETAIL - continued UNIT 003 2006 PJ Trailer VIN: 4PSOT122961081893 Rating CLASS SYM/COST TERRITORY RISK STATE RATING ZIP TOWN CODE Factors 68489 $6,000 005 WA 98373 0217 DESCRIPTION PREMIUM Liability Insurance $108.00 Medical Payments $6.00 Physical Damage Comprehensive - Actual Cash Value Less $1000 Deductible $18.00 Collision - Actual Cash Value Less $1000 Deductible $13.00 Total Premium $145.00 UNIT 004 2007 TNT Trailer VIN: 1T9FS22267R506415 Rating CLASS SYM/COST TERRITORY RISK STATE RATING ZIP TOWN CODE Factors 68489 $7,000 005 WA 98373 0217 DESCRIPTION PREMIUM Liability Insurance $108.00 Medical Payments $6.00 Physical Damage Comprehensive - Actual Cash Value Less $1000 Deductible $22.00 Collision - Actual Cash Value Less $1000 Deductible $17.00 Total Premium $153.90 To report a claim, call your Agent or 1-800-362-0000 DS 70 43 Ol 08 03/28/14 54727936 N0108648 235 NCAOPPNO INSURED COPY 000664 PAGE 17 OF 76 Coverage Is Provided In: Policy Number: _ Liberty Ohio Security Insurance Company BAS (15) 54727936 Mutual. Policy Period: INSURANCE Business Automobile From 04/13/2014 To 04/13/2015 12:01 am Standard Time Policy Declarations at Insured Mailing Location Named Insured Agent A ADVANCED SEPTIC SERVICES INC (253) 565-3500 BANNON CARLSON & KESSEL INC ITEM THREE: COVERED VEHICLES AND PREMIUM DETAIL - continued UNIT 005 1994 International 8100 VIN: 1 HSHBAZN8RH555236 Rating CLASS SYM/COST TERRITORY RISK STATE RATING ZIP TOWN CODE Factors 36479 $76,098 005 WA 98373 0217 Loss Payee HERITAGE BANK 10318 GRAVELLY LAKE DR SW LAKEWOOD, WA 98499 DESCRIPTION PREMIUM Liability Insurance $1, 995.00 medical Payments $64.00 Underinsured Motorist Bodily Injury and Property Damage $139.00 Physical Damage Comprehensive - Actual Cash Value Less $1000 Deductible $60.00 Collision - Actual Cash Value Less $1000 Deductible $164.00 Total Premium $2,422.90 UNIT 006 2007 Contrell Trailer VIN: 4KNFC192X7063900 Rating CLASS SYM/COST TERRITORY RISK STATE RATING ZIP TOWN CODE Factors 68489 $9,000 005 WA 98373 0217 DESCRIPTION PREMIUM Liability Insurance $108.00 Medical Payments $6.00 Physical Damage Comprehensive - Actual Cash Value Less $1000 Deductible $25.00 Collision - Actual Cash Value Less $1000 Deductible $30.00 Total Premium $169.90 To report a claim, call your Agent or 1-899-362-11000 DS 70 43 01 08 03/28/14 54727936 N0108648 235 NCAOPPNO INSURED COPY 000664 PAGE 18 OF 76 Coverage Is Provided In. Policy Number: 'O�Ube Ohio Security Insurance Company BAS (15) 54 72 79 36 Mutual. Policy Period: INSURANCE From 04/13/2014 To 04/13/2015 Business Automobile 12:01 am Standard Time Policy Declarations at Insured Mailing Location Named Insured Agent A ADVANCED SEPTIC SERVICES INC (253) 565-3500 BANNON CARLSON & KESSEL INC ITEM THREE: COVERED VEHICLES AND PREMIUM DETAIL - continued UNIT 007 2011 DODGE 1500 VIN: 1 D7RV1 CT5BS578290 Rating CLASS SYM/COST TERRITORY RISK STATE RATING ZIP TOWN CODE Factors 01489 $41,585 005 WA 98373 0217 Loss Payee HERITAGE BANK 10318 GRAVELLY LAKE DR SW LAKEWOOD, WA 98499 DESCRIPTION PREMIUM Liability Insurance $1, 010.00 Medical Payments $64.00 Underinsured Motorist Bodily Injury and Property Damage $139.00 Physical Damage Comprehensive - Actual Cash Value Less $1000 Deductible $132.00 Collision - Actual Cash Value Less $1000 Deductible $283.00 Total Premium $1,628.90 UNIT 008 2007 Dodge 3500 ST VIN: 306WH46A57G764811 Rating CLASS SYM/COST TERRITORY RISK STATE RATING ZIP TOWN CODE Factors 21489 $24,285 005 WA 98373 0217 Loss Payee HERITAGE BANK 10318 GRAVELLY LAKE DR SW LAKEWOOD, WA 98499 DESCRIPTION PREMIUM Liability Insurance $1, 063.00 Medical Payments $64.00 To report a claim, call your Agent or 1-800-362-0000 DS 70 43 01 08 03/28/14 54727936 N0108648 235 NCAOPPNO INSURED COPY 000664 PAGE 19 OF 76 Coverage Is Provided In. Policy Number: _ Liberty Ohio Security Insurance Company BAS (15) 54 72 79 36 Mutual. Policy Period: INSURANCE Business Automobile From 04/13/2014 To 04/13/2015 12.01 am Standard Time Policy Declarations at Insured Mailing Location Named Insured Agent A ADVANCED SEPTIC SERVICES INC (253) 565-3500 BANNON CARLSON & KESSEL INC ITEM THREE: COVERED VEHICLES AND PREMIUM DETAIL - continued Underinsured Motorist Bodily Injury and Property Damage $139.00 Physical Damage Comprehensive - Actual Cash Value Less $1000 Deductible Collision - Actual Cash Value Less $1000 Deductible $51.00 $75.00 Total Premium $1,392.00 UNIT 009 2003 Freightliner CL120T VIN: 1 FUJA6CG23LL02138 Rating CLASS SYM/COST TERRITORY RISK STATE RATING ZIP TOWN CODE Factors 50489 $94,751 005 WA 98373 Loss Payee Summit Leasing Inc. P.O. Box 7 Yakima, WA 98907 0217 DESCRIPTION PREMIUM Liability Insurance $2, 937.00 Medical Payments $64.00 Underinsured Motorist Bodily Ir_jury and Property Damage $139.00 Physical Damage Comprehensive - Actual Cash Value Less $1000 Deductible Collision - Actual Cash Value Less $1000 Deductible $79.00 $275.00 Total Premium $3,494.00 UNIT 010 2006 DODGE 1500 VIN: 1 D7HA16N86J205812 Rating CLASS SYM/COST TERRITORY RISK STATE RATING ZIP TOWN CODE Factors 01489 $21,585 005 WA 98373 0217 DESCRIPTION PREMIUM Liability Insurance $1 , 010.00 To report a claim, call your Agent or 1-809-362-0000 DS 70 43 Of 08 03/28/14 54727936 N0108648 235 NCAOPPNO INSURED COPY 000664 PAGE 20 OF 76 VpCoverage Is Provided In. Policy Number: Liberty Ohio Security Insurance Company BAS (15) 54 72 79 36 Mutual. Policy Period: INSURANCE From 04/13/2014 To 04/13/2015 Business Automobile 12.01 am Standard Time Policy Declarations at Insured Mailing Location Named Insured Agent A ADVANCED SEPTIC SERVICES INC (253) 565-3500 BANNON CARLSON & KESSEL INC ITEM THREE: COVERED VEHICLES AND PREMIUM DETAIL - continued Medical Payments $64.00 Underinsured Motorist Bodily Injury and Property Damage $139.00 Physical Damage Comprehensive - Actual Cash Value Less $1000 Deductible $69.00 Collision - Actual Cash Value Less $1000 Deductible $94.00 Total Premium $1,376.90 UNIT 011 2007 Freightliner M2106 VIN: 1 FVACWDC87DY45625 Rating CLASS SYM/COST TERRITORY RISK STATE RATING ZIP TOWN CODE Factors 21489 $74,921 005 WA 98373 0217 Loss Payee Summit Leasing Inc. P.O. Box 7 Yakima, WA 98907 DESCRIPTION PREMIUM Liability Insurance $1, 063.00 Medical Payments $64.00 Underinsured Motorist Bodily Injury and Property Damage $139.00 Physical Damage Comprehensive - Actual Cash Value Less $1000 Deductible $85.00 Collision - Actual Cash Value Less $1000 Deductible $199.00 Total Premium $1,550.00 To report a claim, call your Agent or 1-800-362-0000 DS 70 43 01 08 03/28/14 54727936 N0108648 235 NCAOPPNO INSURED COPY 000664 PAGE 21 OF 76 Coverage Is Provided In: _ Liberty Ohio Security Insurance Company Policy Number: BAS (15) 54 72 79 36, Mutual. Policy Period: INSURANCE Business Automobile From 04/13/2014 To 04/13/2015 12:01 am Standard Time Policy Declarations at Insured Mailing Location Named Insured Agent A ADVANCED SEPTIC SERVICES INC (253) 565-3500 BANNON CARLSON & KESSEL INC ITEM THREE: COVERED VEHICLES AND PREMIUM DETAIL - continued UNIT 012 1988 GMC/CHEVY C70042 VIN: 1 GOP701 YOJV528028 Rating CLASS SYM/COST TERRITORY RISK STATE RATING ZIP TOWN CODE Factors 33489 $32,395 005 WA 98373 0217 DESCRIPTION PREMIUM Physical Damage Comprehensive - Actual Cash Value Less $1000 Deductible $48.00 Total Premium $48.00 UNIT 013 2012 EAGLE BLACK H 7X20 TRAILER VIN: 184BU2027CCO11377 Rating CLASS SYM/COST TERRITORY RISK STATE RATING ZIP TOWN CODE Factors 68489 $5,000 005 WA 98373 0217 Loss Payee HERITAGE BANK 10318 GRAVELLY LAKE DR SW LAKEWOOD, WA 98499 DESCRIPTION PREMIUM Liability Insurance $108.00 Medical Payments $6.00 Physical Damage Comprehensive - Actual Cash Value Less $1000 Deductible $25.00 Collision - Actual Cash Value Less $1000 Deductible $22.00 Total Premium $161.00 To report a claim, call your Agent or 1-809-362-0000 DS 70 43 01 OK 03/28/14 54727936 N0108648 235 NCAOPPNO INSURED COPY 000664 PAGE 22 OF 76 Coverage Is Provided In. Policy Number: Liberty Ohio Security Insurance Company BAS (15) 54 72 79 36 Mutual. Policy Period: INSURANCE From 04/13/2014 To 04/13/2015 Business Automobile 12:01 am Standard Time Policy Declarations at Insured Mailing Location Named Insured Agent A ADVANCED SEPTIC SERVICES INC (253) 565-3500 BANNON CARLSON & KESSEL INC ITEM THREE: COVERED VEHICLES AND PREMIUM DETAIL - continued UNIT 014 2012 DODGE RAM 1500 VIN: 3C6JD6DT8CG254207 Rating CLASS SYM/COST TERRITORY RISK STATE RATING ZIP TOWN CODE Factors 01489 $24,070 005 WA 98373 0217 Loss Payee Ally Financial PO Box 8105 COCKEYSVILLE, MD 21030 DESCRIPTION PREMIUM Liability Insurance $1, 010.00 Medical Payments $64.00 Underinsured Motorist Bodily Injury and Property Damage $139.00 Physical Damage Comprehensive - Actual Cash Value Less $1000 Deductible $93.00 Collision - Actual Cash Value Less $1000 Deductible $157.00 Total Premium $1,40.00 UNIT 015 2012 Nissan NV2500 SV VIN: 1 N6AFOLX8CN105563 Rating CLASS SYM/COST TERRITORY RISK STATE RATING ZIP TOWN CODE Factors 01489 $30,490 005 WA Loss Payee Nissan Motor Acceptance Corp PO Box 660672 DALLAS, TX 75266 98373 0217 DESCRIPTION PREMIUM Liability Insurance $1, 010.00 Medical Payments $64.00 To report a claim, call your Agent or 1-800-362-0000 DS 70 43 Ol 08 03/28/14 54727936 N0108648 235 NCAOPPNO INSURED COPY 000664 PAGE 23 Of 76 Coverage Is Provided In: Policy Number: _ Liberty Ohio Security Insurance Company BAS (15) 5472 79 36 Mutual. Policy Period: INSURANCE Business Automobile From 04/13/2014 To 04/13/2015 12:01 am Standard Time Policy Declarations at Insured Mailing Location ' Named Insured Agent A ADVANCED SEPTIC SERVICES INC (253) 565-3500 BANNON CARLSON & KESSEL INC ITEM THREE: COVERED VEHICLES AND PREMIUM DETAIL - continued Underinsured Motorist Bodily Injury and Property Damage $139.00 Physical Damage Comprehensive - Actual Cash Value Less $1000 Deductible $115.00 Collision - Actual Cash Value Less $1000 Deductible $206.00 Total Premium $1,534.00 UNIT 016 2005 Freightliner M2106 VIN: 1 FVACVD0250V16354 Rating CLASS SYM/COST TERRITORY RISK STATE RATING ZIP TOWN CODE Factors 21489 $71,092 005 WA 98373 0217 Loss Payee Summit Leasing Inc. P.O. Box 7 Yakima, WA 98907 DESCRIPTION PREMIUM Liability Insurance $1, 063.00 Medical Payments $64.00 Underinsured Motorist Bodily Injury and Property Damage $139.00 Physical Damage Comprehensive - Actual Cash Value Less $1000 Deductible $79.00 Collision - Actual Cash Value Less $1000 Deductible $168.00 Total Premium $1,513.00 To report a claim, call your Agent or 1-800-362-0000 DS 70 43 Ol 08 03/28/14 54727936 N0108648 235 NCAOPPNO INSURED COPY 000664 PAGE 24 OF 76 Coverage Is Provided In: Policy Number: Liberty Ohio Security Insurance Company BAS (15) 54 72 79 36 Mutual. Policy Period: INSURANCE From 04/13/2014 To 04/13/2015 Business Automobile 12:01 am Standard Time Policy Declarations at Insured Mailing Location Named Insured Agent A ADVANCED SEPTIC SERVICES INC (253) 565-3500 BANNON CARLSON & KESSEL INC ITEM THREE: COVERED VEHICLES AND PREMIUM DETAIL - continued UNIT 017 1997 FREIGHTLINER FLO120 DUMP T VIN: 1 FV4FSYB1 VP698607 Rating CLASS SYM/COST TERRITORY RISK STATE RATING ZIP TOWN CODE Factors 50489 $50,800 005 WA 98373 0217 Loss Payee Summit Leasing Inc. P.O. Box 7 Yakima, WA 98907 DESCRIPTION PREMIUM Liability Insurance $2,937.00 Medical Payments $64.00 Underinsured Motorist Bodily Injury and Property Damage $139.00 Physical Damage Comprehensive - Actual Cash Value Less $1000 Deductible $69.00 Collision - Actual Cash Value Less $1000 Deductible $149.00 Total Premium $3,358.00 UNIT 018 2006 Yamaha R66/AT VIN: 5Y4AMO4Y96A024252 Rating CLASS SYM/COST TERRITORY RISK STATE RATING ZIP TOWN CODE Factors 7996 $9,199 005 WA 98373 0217 DESCRIPTION PREMIUM Liability Insurance $979.00 Medical Payments $64.00 Underinsured Motorist Bodily Injury and Property Damage Included Physical Damage Comprehensive - Actual Cash Value Less $1000 Deductible $45.00 Collision - Actual Cash Value Less $1000 Deductible $42.00 Total Premium $1,130.00 To report a claim, call your Agent or 1-800-362-0000 DS 70 43 01 08 03/28/14 54727936 N0108648 235 NCAOPPNO INSURED COPY 000664 PAGE 25 OF 76 10� Coverage Is Provided In. Policy Number: Liberty Ohio Security Insurance Company BAS (15) 54 72 79 36 Mutua l. Policy Period: INSURANCE From 04/13/2014 To 04/13/2015 Business Automobile 12:01 am Standard Time Policy Declarations at Insured Mailing Location Named Insured Agent A ADVANCED SEPTIC SERVICES INC (253) 565-3500 BANNON CARLSON & KESSEL INC ITEM THREE: COVERED VEHICLES AND PREMIUM DETAIL - continued UNIT 019 2007 COACHMEN LEGE 40FT MOTORHO VIN: 4UZACHCY27CZ27632 Rating CLASS SYM/COST TERRITORY RISK STATE RATING ZIP TOWN CODE Factors 7996 $189,305 005 WA 98373 0217 Loss Payee Harborstone Credit Union PO Box 4207 TACOMA, WA 98438 DESCRIPTION PREMIUM Liability Insurance $979.00 Medical Payments $64.00 Underinsured Motorist $139.00 Physical Damage Comprehensive - Actual Cash Value Less $1000 Deductible $100.00 Collision - Actual Cash Value Less $1000 Deductible $257.00 Total Premium $1,539.00 UNIT 020 1999 STERLING PUMP TRUCK TRACTO VIN: 2FWYHWEB8XAF40611 Rating CLASS SYM/COST TERRITORY RISK STATE RATING ZIP TOWN CODE Factors. 50489 $75,000 005 WA 98373 0217 DESCRIPTION PREMIUM Liability Insurance $2,937.00 Medical Payments $64.00 Underinsured Motorist Bodily Injury and Property Damage $139.00 Physical Damage Comprehensive - Actual Cash Value Less $1000 Deductible $77.00 Collision - Actual Cash Value Less $1000 Deductible $208.00 Total Premium $3,425.09 To report a claim, call your Agent or 1-800-362-0090 DS 70 43 01 08 03/28/14 54727936 N0108648 235 NCAOPPNO INSURED COPY 000664 PAGE 26 OF 76 Coverage Is Provided In. Policy Number: ft Liberty Ohio Security Insurance Company BAS (15) 54 72 79 36 Mutual. Policy Period: INSURANCE From 04/1312014 To 04/13=15 Business Automobile 12:01 am Standard Time Policy Declarations at Insured Mailing Location Named Insured Agent A ADVANCED SEPTIC SERVICES INC (253) 565-3500 BANNON CARLSON & KESSEL INC ITEM THREE: COVERED VEHICLES AND PREMIUM DETAIL - continued UNIT 021 2014 HAULMARK PASSPORT TRAILER VIN: 575GB2026EU087960 Rating CLASS SYM/COST TERRITORY RISK STATE RATING ZIP TOWN CODE Factors 68489 $7,500 005 WA 98373 0217 DESCRIPTION PREMIUM Liability Insurance $108.00 Medical Payments $6.00 Physical Damage Comprehensive - Actual Cash Value Less $1000 Deductible $29.00 Collision - Actual Cash Value Less $1000 Deductible $26.00 Total Premium $169.L70 UNIT 022 2013 DODGE RAM 3500 VIN: 3C63R3ML4DG544616 Rating CLASS SYM/COST TERRITORY RISK STATE RATING ZIP TOWN CODE Factors 21489 $56,030 005 WA 98373 0217 Loss Payee Chrysler Financial Co LLC PO Box 9001921 LOUISVILLE, KY 40290 DESCRIPTION PREMIUM Liability Insurance $1, 063.00 Medical Payments $64.00 Underinsured Motorist Bodily Injury and Property Damage $139.00 Physical Damage Comprehensive - Actual Cash Value Less $1000 Deductible $102.00 Collision - Actual Cash Value Less $1000 Deductible $220.00 Total Premium $1,588.90 To report a claim, call your Agent or 1-800-362-D000 DS 70 43 01 08 03/28/14 54727936 N0108648 235 NCAOPPNO INSURED COPY 000664 PAGE 27 Of 76 Coverage Is Provided In: Policy Number: = Ube' ' Ohio Security Insurance Company BAS (15) 54727936 Mutual, Policy Period: INSURANCE Business Automobile From 04/13/2014 To 04/13/2015 12.01 am Standard Time Policy Declarations at Insured Mailing Location Named Insured Agent A ADVANCED SEPTIC SERVICES INC (253) 565-3500 BANNON CARLSON & KESSEL INC ITEM THREE: COVERED VEHICLES AND PREMIUM DETAIL - continued UNIT 023 1995 GMC 2500 VIN: 1 GTFK24KXSZ522421 Rating CLASS SYM/COST TERRITORY RISK STATE RATING ZIP TOWN CODE Factors 01489 $19,868 005 WA 98373 0217 DESCRIPTION PREMIUM Liability Insurance $1, 010.00 Medical Payments $64.00 Underinsured Motorist Bodily Injury and Property Damage $139.00 Total Premium $1,213.09 ITEM FOUR: HIRED AUTO COVERAGE Estimated Annual Rate Per Each Cost of Hire $100 Annual Cost of Hire Liability If Any 1.021 $78.00 Comprehensive If Any .660 $25.00 Actual Cash Value or Cost of Repairs, whichever is less, minus $0 Ded. for each covered auto, but no deductible applies to loss caused by fire or lightning. Collision If Any .835 $25.00 Actual Cash Value or Cost of Repairs, whichever is less, minus $1000 Ded. for each covered auto. Cost of Hire means the total amount you incur for the hire of "autos" you don't own (not including "autos" you borrow or rent from your partners or employees or their family or their family members). Cost of hire does not Include charges for services performed by motor carriers of property or passengers. To report a claim, call your Agent or 1-800-362-0000 DS 70 43 01 08 03/28/14 54727936 N0108648 235 NCAOPPNO INSURED COPY 000664 PAGE 28 OF 76 Coverage Is Provided In. Liberty Ohio Security Insurance Company Policy Number: BAS 54 72 79 36 (15) Mutual. Policy Period: INSURANCE Business Automobile From 04/13/=4 To 04/13/2015 12:01 am Standard Time Policy Declarations at Insured Mailing Location Named Insured Agent A ADVANCED SEPTIC SERVICES INC (253) 565-3500 BANNON CARLSON & KESSEL INC ITEM FIVE: NON -OWNERSHIP LIABILITY COVERAGE Named Insnred's Raciness Rating Rasis Numhe. Preminm Other than Garage Service Number of Employees 9 $128.00 Operations and Other Than Social Service Agencies (Not Applicable in CA) MISCELLANEOUS COVERAGES RATING TERRITORY RISK RATING TOWN FACTORS STATE _ ZIP CODE 0000 WA 98373 0217 Business Auto Enhancement Endorsement $548.00 To report a claim, call your Agent or 1-800-362-0000 DS 70 43 01 08 03/28/14 54727936 N0108648 235 NCAOPPNO INSURED COPY 000664 PAGE 29 OF 76 Coverage Is Provided In. Policy Number: Liberty The Ohio Casualty Insurance Company USO (15) 54 72 79 36 Mutual. INSURANCE Commercial Umbrella Policy Declarations Basis: Occurrence (ITEM 1) NAMED INSURED & MAILING ADDRESS AGENT MAILING ADDRESS & PHONE NO. A ADVANCED SEPTIC SERVICES INC 11603 CANYON RD E PUYALLUP, WA 98373-4361 Named Insured Is: CORPORATION (253) 565-3500 BANNON CARLSON & KESSEL INC 2121 70TH AVE W STE B UNIVERSITY PL, WA 98466-7668 Named Insured Business Is: SEPTIC INSTALLATION AND REPAIR (ITEM 2) POLICY PERIOD From 04/13/2014 TO 04/13/2015 12:01 AM Standard Time at Insured Mailing Location (ITEM 3) PREMIUM CHARGES Explanation of DESCRIPTION PREMIUM Charges Commercial umbrella $7,707-00 Certified Acts of Terrorism Coverage $76 _ nn (Inc1 ndpd) Total Advance Charges BASIS OF PREMIUM: NON-AUDITABLE( X) AUDITABLE( ) $7, 707.00 Note: This is not a bill IN THE EVENT OF CANCELLATION BY THE NAMED INSURED, THE COMPANY WILL RECEIVE AND RETAIN NO LESS THAN (0% ) OF THE POLICY PREMIUM AS THE MINIMUM RETAINED PREMIUM PLUS CERTIFIED ACTS OF TERRORISM COVERAGE AND ANY APPLICABLE TAXES AND SURCHARGES. (ITEM 4) LIMITS OF INSURANCE DESCRIPTION EACH OCCURRENCE AGGREGATE (WHERE APPLICABLE) PRODUCTS -COMPLETED OPERATIONS AGGREGATE SELF -INSURED RETENTION Servicing Office Western Washington and Issue Date 03/28/14 Authorized Representative To report a claim, call your Agent or 1-i300-362-ML70 LIMIT $2,000,000 $2,000,000 $2,000,000 $10,000 DS 70 22 01 08 03/28/14 54727936 N0108648 235 NCAOPPNO INSURED COPY 000660 PAGE 9 OF 54 Coverage Is Provided In. Policy Number: Liberty The Ohio Casualty Insurance Company USO (15) 54 72 79 36 Mutual. INSURANCE (ITEM 5) SCHEDULE OF UNDERLYING INSURANCE: CARRIER, POLICY NUMBER AND PERIOD TYPE OF COVERAGE LIMITS OF INSURANCE OHIO SECURITY INSURANCE GENERAL $1,000,000 EACH OCCURRENCE COMPANY LIABILITY LIMIT $1,000,000 PERSONAL AND BKS(15)54727936 ADVERTISING INJURY 04/ 13/2014 - 04/ 13/2015 LIMIT $2,000,000 GENERAL AGGREGATE LIMIT $2,000,000 PRODUCTS - COMPLETED OPERATIONS AGGREGATE LIMIT OHIO SECURITY INSURANCE OWNED AND HIRED $1,000,000 COMBINED SINGLE COMPANY AND/OR NONOWNED LIMIT AUTO LIABILITY BAS(15)54727936 04/13/2014 - 04/13/2015 OHIO SECURITY INSURANCE STOP GAP $1,000,000 BODILY INJURY EACH COMPANY I LIABILITY ACCIDENT LIMIT i $1,000,000 BODILY INJURY BY BKS(15)54727936 DISEASE AGGREGATE I 04/ 13/2014 - 04/ 13/2015 LIMIT $1,000,000 BODILY INJURY BY DISEASE EACH EMPLOYEE LIMIT To report a claim, call your Agent or 1-800-362-0000 DS 70 23 01 08 03/28/14 54727936 N0108648 235 NCAOPPNO INSURED COPY 000660 PAGE 10 OF 54 Liberty Mutual. INSURANCE Coverage Is Provided In: Policy Number: The Ohio Casualty Insurance Company I USO (15) 54727936 POLICY FORMS AND ENDORSEMENTS This section lists all the Forms and Endorsements for your policy. Refer to these documents as needed for detailed information concerning your coverage. FORM NUMBER TITLE CU 60 02 06 97 Commercial Umbrella Coverage Form CU 60 39 01 08 Cap on Losses from Certified Acts of Terrorism CU 60 40 01 08 Underlying Coverage Requirement for Certified Acts of Terrorism CU 61 06 06 97 Auto Liability - Following Form CU 61 50 11 06 Contractors Limitation Endorsement CU 61 90 08 10 Washington Changes - Cancellation and Nonrenewal CU 63 44 06 97 Foreign Liability - Following Form CU 6400 1204 Exterior Insulation and Finish System - Exclusion CU 6430 1204 Washington - Fungi or Bacteria Exclusion CU 64 32 03 99 Washington Asbestos Exclusion CU 64 79 05 09 Exclusion - Recording and Distribution of Material or Information in Violation of the Law CU 64 82 11 04 Amendment to Definition of Property Damage CU 64 87 10 05 Economic or Trade Sanctions Condition Endorsement CU 64 92 01 07 Mobile Equipment - Following Form CU 65 08 01 09 Exclusion of Punitive Damages Related to Certified Acts of Terrorism CU 88 01 12 02 War Liability Exclusion CU 88 02 05 09 Non -Cumulation of Liability (Same Occurrence) CU 88 27 12 07 Washington Employment Related Practices Exclusion CU 88 31 0509 Personal and Advertising Injury - Following Form CU 88 39 02 10 Amendment of Definition of Insured CU 88 41 02 10 Amendment of Pollution Exclusion CU 89 31 01 07 Washington Conditional Exclusion Of Terrorism Involving Nuclear, Biological Or Chemical Terrorism (Relating To Disposition Of Federal Terrorism Risk Insurance Act) In witness whereof, we have caused this policy to be signed by our authorized officers. D I'X* g. �, I Dexter Legg Paul Condrin Secretary President To report a claim, call your Agent or 1-500-362-0000 DS 70 23 01 08 03/28/14 54727936 N0108648 235 NCAOPPNO INSURED COPY 000660 PAGE 11 Of 54 Denis Law - i Cly O� Y o Mayor , Public Works Department - Gregg Zimmerman, R E., Administrator July 9, 2014 J. Andrew Gunia A Advanced Septic Services, Inc. 11603 Canyon Rd -E. Puyallup, WA 98373 RE: BID AWARD — SOUTH 132ND STREET SEWER EXTENSION Dear Mr. Gunia: At the Renton City Council meeting on July 7, 2014, Council accepted A Advanced Septic Services, Inc.'s bid of $21.3,447.44 for the South 132"d Street Sewer Extension project. You should be receiving a letter from the City Clerk with the official bid award. For execution of the contract, please submit the following information as soon as possible so we can prepare the contract documents for review and signature by the Mayor: 1. A list of names, addresses, phone numbers, and emergency phone numbers for: Responsible Officer, Job Foreman, and Bonding Agent. 2. Documentation of those parties authorized to sign the contract on behalf of the company and samples of their signatures. 3. Photocopy of your current State Contractor's License (not master license). 4. Photocopy of your current City of Renton Business License. To obtain a City Business License, please contact Linda Weldon at 425-430-6851, or visit our website at www.rentonwa.gov. 5. Two signed.contract bonds on City of Renton forms (enclosed), UNDATED. The date will be filled in when signed by the Mayor. 6. One City of Renton Fair Practices Affidavit of Compliance (enclosed). 7. Two signed contracts, also UNDATED (enclosed). 8. One Certificate of Insurance for 2014 in accordance with Section 1-07.18 of the Special Provisions. Please add the City of Renton as additional insured. 9. The insurance policy declaration ,pages of all required insurance policies. obtained from the insurance carrier. Renton City Hall • 1055 South Grady Way • Renton, Washington 98057 • rentonwa.gov Mr. Gunia Page 2 of 2 July 9, 2014 After the contract information is submitted, we will need the following information to review and approve before construction.can start. 1. Provide material submittals as required for the work involved with this job. This will include, but not be limited to, information on the proposed source and specifications of all materials that will be used in the project (e.g.; structures, pipe, imported aggregate materials, etc.), showing that the proposed material meets the project specifications, per Standard Specifications and Special Provisions Section 1- 06.1. Provide any shop drawings and submittals needed for the project per Standard Specifications and Special Provisions Section 1-06. 2. Work Plan. Include the following items: 1. Proposed construction sequencing and schedule for the project 2. Mobilization Plan 3. Temporary Erosion and Sediment Control Plan 4. Traffic Control Plan for South 132"d Street 5. Street Cleaning and Sweeping Plan 6. Trench Excavation Safety Systems Plan 7. Disposal Site 3. Construction Surveying. Identify the surveying firm/surveyor and a letter showing that the surveyor is licensed in the State of Washington. Please let me know when you would like to have the pre -construction conference. We will need to notify the private utilities and City Inspector, so there should be a lead-time of at least one week before the conference. Please contact me at 425-430-7279 or ihobson@rentonwa.gov, if you have any questions. Sincerely, Roln Hobson, Project Manager Wastewater Utility Enclosures H:\fi!e Sys\WWP - WasteWater\1AIWP-27-3685 S 132nd St Sewer Extension\A.ward Info\Award Letter -.A Advanced Septic Services - South 132nd Street Sewer Extension.doc\JDHad Denis Law C11y Of �} Mayor .. City Clerk -Bonnie I.Walton July 8, 2014 J. Andrew Gunia A Advanced Septic Services 11603 Canyon Rd. E. Puyallup, WA 98373 RE: S. 132nd St. Sewer Extension Project; CAG-14-089 Dear Mr. Gunia: RECEIVED JUL 0 9 2014 CITY OF RENTON UTILITY SYSTEMS At its regular meeting of July 7, 2014 the Renton City Council accepted your bid for the above - referenced project in the amount of $213,447.44. Please contact John Hobson, Civil Engineer at 425-430-7279, for submission of required documents to complete the contract. These may include proof of City and State business licenses, performance bond,.and insurance certificates. Si erely, i• ason A. Seth Deputy City Clerk cc: John Hobson, Project Manager Linda Weldon, Accounting Assistant Natalie Wissbrod, Accounting Assistant IV 1055 South Grady Way • Renton, Washington 98057 • (425) 430-6510 / Fax (425) 430-6516 • rentonwa.gov DenisLawCity Of _} Mayor Aft City Clerk - Bonnie I. Walton July 8, 2014 Allyson Gregersen Archer Construction 7855 S. 206th St. Kent, WA 98032 RE: S. 132nd St. Sewer Extension Project; CAG-14-089 Dear Ms. Gregersen: At its regular meeting on July 7, 2014 the Renton City Council accepted the lowest. responsive bid submitted by A Advanced Septic Services for the above -referenced project in the amount of $213,447.44. If you would like. your bid bond document' returned, please email your request to jseth@rentonwa.gov: Thank you for your interest and your bid. Sincerely, Jas n A. Seth Deputy City Clerk cc:- John Hobson, Project Manager .1055 South Grady Way Renton, Washington 98057 • (425) 430-6510 / Fax (425) 430-6516 • rentonwa.gov Denis Law City Of Mayor N 1 r � u • City Clerk -Bonnie I. Walton July 8, 2014 Brad Hoffman Hoffman Construction PO BOX .845 Enumclaw, WA 98022 RE: S. 132nd St. Sewer Extension Project; CAG-14-089. Dear Mr. Hoffman: At its regular meeting on July 7, 2014 the. Renton City. Council accepted the lowest responsive bid submitted by A Advanced Septic Services for the above -referenced project in the amount of $213,441.44. If you would like your bid bond document. returned, please email your request to jseth@rentonwa.gov. Thank you for your interest and your bid. Sincerely, son A. Seth Deputy City Clerk cc: John Hobson, Project Manager Denis Law rr City CI `� p City Clerk - Bonnie I. Walton July 8, 2014 Mike Waldner Kar-Vel Construction PO BOX 58275 Renton, WA 98058 RE: S. 132nd St. Sewer Extension Project; CAG-14-089 Dear Mr. Waldner: At its regular meeting on July 7, 2014 the Renton City Council accepted the lowest responsive bid submitted by A Advanced Septic Services for the above -referenced project in the amount. of $213,447.44. If you would. like your bid bond document returned, please email your request to jseth@rentonwa.gov. Thank you for your interest and your bid. Since ely, Jason A. Seth Deputy City Clerk cc: John Hobson, Project Manager 1055 South Grady Way • Renton, Washington 98057 • (425) 430-6510 / Fax (425) 430-6516 • rentonwa.gov Denis Law City of/� Mayorso It ) E / •, e City Clerk - Bonnie I. Walton July 8, 2014 Bret Lane Laser Underground & Earthworks 20417 87th Ave. SE Snohomish, WA 98296 RE: S. 132nd St. Sewer Extension Project; CAG-14-089 Dear Mr. Lane: At its regular meeting on July 7, 2014 the Renton City Council accepted the lowest responsive bid submitted by A Advanced Septic Services for the above -referenced . project in the amount of $213,447.44. If you would like your bid bond document returned, please.errlail your request to jseth@rentonwa.gov. Thank.you for your interest and your bid. Sincerely; 4eputy eth ity Clerk cc: John Hobson, Project.Manager . 1055 South Grady Way • Renton; Washington 98057 • (425) 430-6510 / Fax (425) 430-6516 • rentonwa.gov Denis Law Cl Of . Mayor � __ � ♦`fit �� AN E '_ City Clerk - Bonnie I.Walton July 8, 2014 Richard L. Alia RL Alia Company 107 Williams Ave. S. Renton, WA 98057 RE: S. 132nd St. Sewer Extension Project; CAG-14-089 Dear Mr. Alia: At its regular meeting on July 7, 2014 the Renton City Council accepted the lowest responsive bid submitted by A Advanced Septic Services for the above -referenced project in the amount. of $213,447.44. If you would; like your bid bond document returned, please email your request to jseth@rentonwa.gov. Thank you for your interest and your bid: Sincerely, n AJason.Seth City Clerk cc: John Hobson, Project Manager 1055 South Grady Way • Renton, Washington 98057 • (425) 430-6510 / Faz (425) 430-6516 • rentonwa.gov PUBLIC WORKS DEPARTMENT � ^C+�.�f�O� M E M O R A N D U M DATE: July 2, 2014 TO: Bonnie Walton, City Clerk FROM: John Hobson, Wastewater Utility, x7279 SUBJECT: Bid Award for the South 132nd Street Sewer Extension Project The Public Works Department has reviewed the bids that were submitted for the South 132"d Street Sewer Extension project and we recommend that the bid be awarded to A Advanced Septic Services, Inc. We are requesting that an agenda bill for "Council Concur" be prepared for the July 7, 2014, Council Meeting. The bid opening was on Tuesday, July 1, 2014. There were seven bids received. There were minor errors on the low bid. These errors did not change the ranking of the bids. The low bidder's (A Advanced Septic Services, Inc.) bid of $210,874.20 had a couple of math errors that resulted in a corrected bid of $213,447.44 The engineer's estimate was $254,752.00. The project budget amount for the South 132nd Street Sewer Extension project (426.465500) is $400,000. The low bid for the South 132nd Street Sewer Extension project is within the amount approved in the 2014 budget for this project. The project will extend an 8" diameter sewer main north, from the City's existing Earlington Interceptor, to South 132"d Street. Attached for your reference, is the bid tabulation showing the engineer's estimate, the low bid, and the other bids submitted. If you have any questions, please contact me at 425-430-7279 or by email at jhobson@rentonwa.gov. Attachments cc: Gregg Zimmerman, PW Administrator Lys Hornsby, Utility Systems Director Dave Christensen, Wastewater Utility Supervisor H:\File Sys\WWP - WasteWater\WWP-27-3685 S 132nd St Sewer Extension\Award Info\Award-Clerk-South 132nd Street Sewer Extension.doc/JDHad Project : South 132nd Street Sewer Extension city of Renton A,Advanced`'Septic. Services Archer Construction BID DATE: July 01, 2014 Engineers Estimate Item Unit Est. Unit Bid V. Unit, Bid Unit Bid No. Description Quantity Price Amount 1 ,Price .' Amount Price Amount 1 Mobilization Lump Sum 1 21,150.00 21,150.00 3750.W- 3,750:Q0i 20,000.00 20,000.00 2 Trench Excavation Safety Systems Lump Sum 1 3,000.00 3,000.00 I' :4 687.`20 4,687 20+ 4,000.00 4,000.00 3 Construction Surveying, Staking, and As-Builts Lump Sum 1 5,500.00 5,500.00 y' 3 210 4Q 3;21.0.401 3,000.00 3,000.00 4 Traffic Control Lump Sum 1 10,000.00 10,000.00 j' _ ' 1'261:20" :6 1'1 ,=261:204' 12,000.00 12,000.00 5 Temporary Erosion/Sedimentation Controls Lump Sum 1 5,000.00 5,000.00 } 13;418.49 3;4,18.491 4,000.00 4,000.00 6 Site Clearing and Grubbing Lump Sum 1 10,000.00 10,000.00 j _ 9r9A'S.00 9;91'5.001 4,500.00 4,500.00 7 Furnish and Install 8-inch PVC Sewer Pipe Linear Foot 785 100.00 78,500.00 36:87 28;942:95i 80.00 62,800.00 8 Furnish and Install 6-inch PVC Side Sewer Pipe Linear Foot 60 80.00 4,800.00 ; :• 34.27 ,2;Q56.20i 135.00 8,100.00 9 Furnish and Install 18-Inch Steel Casing with Anchor Blocks Lump Sum 1 25,000.00 25,000.00 4.. -32680:00 32,680,00i 19,000.00 19,000.00 10 Furnish and Install 54-inch Diam. Sanitary Sewer Manhole Each 1 5,000.00 5,000.00 ( 4;042 60 - 4 042 ;60i 3,500.00 3,500.00 11 Furnish and Install 48-inch Diam. Sanitary Sewer Manhole Each 4 4,000.00 16,000.00 4 847;65 19'390.60( 3,500.00 14,000.00 12 Furnish and Install 48-inch Diam. Saddle Manhole Each 1 4,500.00 4,500.00 3733`.78" `31733.78i 6,000.00 6,000.00 13 Removal and Replacement of Unsuitable Foundation Material Ton 15 25.00 375.00 (. 6W'00•' .': ,900:ooi 54.00 810.00 14 Bank Run Gravel for Trench Backfill Sewer Ton 1,150 18.00 20,700.00 �' i29:50- 33,925 001 25.00 28,750.00 15 Asphalt Patch including CSTC Square Yard 425 25.00 10,625.00 132Z3, 13;867J5� 45.00 19,125.00 16 Replace Pavement Markings and Traffic Buttons Lump Sum 1 1,000.00 1,000.00 ,�5,620:00 5;620.00: 2,500.00 2,500.00 17 Chain Link Fence Lump Sum 1 1,500.00 1,500.00 i -.•,31820;00 3,820'm0' 1,800.00 1,800.00 18 Landscape Restoration Lump Sum 1 10,000.00 10,000.00 ; -" 4,70&00 ., .417081001 6,000.00 6,000.00 Subtotal 232,650.00 1 ' 194,9291,7) 219,885.00 Tax 9.5% 22,101.75 1'8$' 8271 20,889.08 Total 254,751.75 i 213 4'47•44( 240,774.08 r' ' Project : South 132nd Street Sewer Extension BID DATE: July 01, 2014 Item No. Description 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Mobilization Trench Excavation Safety Systems Construction Surveying, Staking, and As-Builts Traffic Control Temporary Erosion/Sedimentation Controls Site Clearing and Grubbing Furnish and Install 8-inch PVC Sewer Pipe Furnish and Install 6-inch PVC Side Sewer Pipe Furnish and Install 18-Inch Steel Casing with Anchor Blocks Furnish and Install 54-inch Diam. Sanitary Sewer Manhole Furnish and Install 48-inch Diam. Sanitary Sewer Manhole Furnish and Install 48-inch Diam. Saddle Manhole Removal and Replacement of Unsuitable Foundation Material Bank Run Gravel for Trench Backfill Sewer Asphalt Patch including CSTC Replace Pavement Markings and Traffic Buttons Chain Link Fence Landscape Restoration Unit Lump sum Lump Sum Lump Sum Lump Sum Lump Sum Lump Sum Linear Foot Linear Foot Lump Sum Each Each Each Ton Ton Square Yard Lump Sum Lump Sum Lump Sum Est. Quanti 1 1 1 1 1 1 785 60 1 1 4 1 15 1,150 425 1 1 1 Hoffman Construction Unit Bid Price Amount 19,000.00 19,000.00 2,500.00 2,500.00 2,775.00 2,775.00 9,550.00 9,550.00 4,250.00 4,250.00 4,000.00 4,000.00 65.50 51,417.50 77.00 4,620.00 32,450.00 32,450.00 5,050.00 5,050.00 5,050.00 20,200.00 7,550.00 7,550.00 40.00 600.00 20.25 23,287.50 61.00 25,925.00 1,800.00 1,800.00 2,000.00 2,000.00 5,000.00 5,000.00 221,975.00 21,087.63 243,062.63 R.L. Alia Unit Price 30, 000.00 500.00 5,000.00 20, 000.00 2,000.00 5,000.00 188.00 90.00 20,000.00 5,000.00 4,000.00 5,000.00 30.00 1.00 50.00 2,000.00 2,000.00 2,000.00 Bid Amount 30, 000.00 500.00 5,000.00 20, 000.00 2,000.00 5,000.00 147,580.00 5,400.00 20,000.00 5,000.00 16, 000.00 5,000.00 450.00 1,150.00 21,250.00 2,000.00 2,000.00 2,000.00 290,330.00 27,581.35 317,911.35 Laser Underground Unit Bid Price Amount 25,000.00 25,000.00 20,000.00 20,000.00 8,000.00 8,000.00 15,000.00 15,000.00 7,000.00 7,000.00 20,000.00 20,000.00 100.00 78,500.00 80.00 4,800.00 35,000.00 35,000.00 6,000.00 6,000.00 5,000.00 20,000.00 5,000.00 5,000.00 40.00 600.00 7.00 8,050.00 60.00 25,500.00 3,000.00 3,000.00 7,000.00 7,000.00 5,000.00 5,000.00 293,450.00 27, 877.75 321,327.75 Project : South 132nd Street Sewer Extension BID DATE: July 01, 2014 Item No. Description Unit Est. Quantity Kar-Vel Construction Unit Price 26,000.00 Bid Amount 26,000.00 Average Unit Price 20,625.00 Bid Bid Amount 20,625.00 1 Mobilization Lump Sum 1 2 Trench Excavation Safety Systems Lump Sum 1 20,000.00 20,000.00 8,614.53 8,614.53 3 Construction Surveying, Staking, and As-Builts Lump Sum 1 7,000.00 7,000.00 4,830.90 4,830.90 4 Traffic Control Lump Sum 1 5,000.00 5,000.00 12,968.53 12,968.53 5 Temporary Erosion/Sedimentation Controls Lump Sum 1 1,500.00 1,500.00 3,694.75 3,694.75 6 Site Clearing and Grubbing Lump Sum 1 4,000.00 4,000.00 7,902.50 7,902.50 7 Furnish and Install 8-inch PVC Sewer Pipe Linear Foot 785 130.00 102,050.00 100.06 78,548.41 8 Furnish and Install 6-inch PVC Side Sewer Pipe Linear Foot 60 110.00 6,600.00 87.71 5,262.70 9 Furnish and Install 18-Inch Steel Casing with Anchor Blocks Lump Sum 1 40,000.00 40,000.00 29,855.00 29,855.00 10 Furnish and Install 54-inch Diam. Sanitary Sewer Manhole Each 1 5,400.00 5,400.60 4,832.10 4,832.10 11 Furnish and Install 48-inch Diam. Sanitary Sewer Manhole Each 4 5,500.00 22,000.00 4,649.61 18,598.43 12 Furnish and Install 48-inch Diam. Saddle Manhole Each 1 6,000.00 6,000.00 5,547.30 5,547.30 13 Removal and Replacement of Unsuitable Foundation Material Ton 15 20.00 300.00 40.67 610.00 14 Bank Run Gravel for Trench Backfill Sewer Ton 1,150 10.00 11,500.00 15.46 17,777.08 15 Asphalt Patch including CSTC Square Yard 425 75.00 31,875.00 53.94 22,923.79 16 Replace Pavement Markings and Traffic Buttons Lump Sum 1 3,000.00 3,000.00 2,986.67 2,986.67 17 Chain Link Fence Lump Sum 1 3,000.00 3,000.00 3,270.00 3,270.00 18 Landscape Restoration Lump Sum 1 8,000.00 8,000.00 5,118.00 5,118.00 303,225.00 $253,965.70 28, 806.38 $24,126.74 332,031.38 278,092.44 Denis Law Cl� Of Mayor { �.. _ 1, Y Qt, 1r 'l & l P'n o Public Works Department - Gregg Zimmerman, P. E., Administrator September 10, 2014 Mr. and Mrs. James & Sandra Dolge 8216 S. 134th St Renton, WA 98178 RE: SOUTH 132ND STREET SEWER EXTENSION PROJECT CONSTRUCTION Dear Mr. and Mrs. Dolge: This letter is to inform residents that the City of Renton will have a contractor performing sanitary sewer installation work within your neighborhood beginning on or about the week of September 15, 2014. The work being performed includes the installation of a new sewer main that will extend from an existing City sewer main through easements across private property and into the right-of-way of South 132nd Street (see attached map). The contractor will utilize portions of the existing gravel road off of 84th Avenue South (those portions that are within the City's existing easements) to access the project area that is located on the south side of the existing creek. The road will be used for access only and there will be no work taking place that would block access to residents. Work in this area of the project is anticipated to take between 2 to 3 weeks. There are a total of 45 working days for the project. Most of this work will take place in or near South 132"d Street. If you have any questions, please contact me at 425-430-7279 or by email at jhobson@ci.renton.wa.us. Sincere , John Hobson Wastewater Utility Engineer Attachment H:\rile Sys\WWP - WasteWater\WWP-27-3685 S 132nd St Sewer Extension\Construction\Public Notices\Construction Notification - Dolge.doc\JHad Renton City Hall • 1055 South Grady Way • Renton, Washington 98057 • rentonwa.gov nis Della Mayor City Of sty v A G(At„y %Nry _Y Public Works Department -Gregg Zimmerman, P. E.,Administrator September 10, 2014 Ms. Sandra Dolge 13239 84th Ave S Renton, WA 98178 RE: SOUTH 132ND STREET SEWER EXTENSION PROJECT CONSTRUCTION Dear Ms. Dolge: This letter is to inform residents that the City of Renton will have a contractor performing sanitary sewer installation work within your neighborhood beginning on or about the week of September 15, 2014. The work being performed includes the installation of a new sewer main that will extend from an existing City sewer main through easements across private property and into the right-of-way of South 132nd Street (see attached map). The contractor will utilize portions of the existing gravel road off of 84th Avenue South (those portions that are within the City's existing easements) to access the project area that is located on the south side of the existing creek. The road will be used for access only and there will be no work taking place that would block access to residents. Work in this area of the project is anticipated to take between 2 to 3 weeks. There are a total of 45 working days for the project. Most of this work will take place in or near South 132nd Street. If you have any questions, please contact me at 425-430-7279 or by email at hobsonPci.renton.wa.us. Sincerely, JoAnHobson Wastewater Utility Engineer Attachment H:\File Sys\WWP - WasteWater\WWP-27-3685 S 132nd St Sewer Extension\Construction\Public Notices\Construction Notification- Ms Dolge.doc\1Had Renton City Hall • 1055 South Grady Way • Renton, Washington 98057 • rentonwa.gov Denis Law Clty Of Mayor 1 Y O Public Works Department - Gregg Zimmerman, P. E., Administrator September 10, 2014 Ms. Carolyn Hasbrook 8210 S. 134th St Renton, WA 98178 RE: SOUTH 132ND STREET SEWER EXTENSION PROJECT CONSTRUCTION Dear Ms. Hasbrook: This letter is to inform residents that the City of Renton will have a contractor performing sanitary sewer installation work within your neighborhood beginning on or about the week of September 15, 2014. The work being performed includes the installation of a new sewer main that will extend from an existing City sewer main through easements across private property and into the right-of-way of South 132nd Street (see attached map). The contractor will utilize portions of the existing gravel road off of 841h Avenue South (those portions that are within the City's existing easements) to access the project area that is located on the south side of the existing creek. The road will be used for access only and there will be no work taking place that would block access to residents. Work in this area of the project is anticipated to take between 2 to 3 weeks. There are a total of 45 working days for the project. Most of this work will take place in or near South 132nd Street. If you have any questions, please contact me at 425-430-7279 or by email at ihobson @ci.renton.wa.us. Sincerely, John Hobson Wastewater Utility Engineer Attachment H:\File Sys\WWP - WasteWater\WWP-27-3685 S 132nd St Sewer Extension\Construction\Public Notices\Construction Notification - Hasbrook.doc\JHad Renton City Hall • 1055 South Grady Way • Renton, Washington 98057 • rentonwa.gov Denis Law Clty Of Mayot �� U da +� Public Works Department - Gregg Zimmerman, P. E., Administrator September 10, 2014 Mr. Robert Brockmeyer 8234 S. 134th St Renton, WA 98178 RE: SOUTH 132N0 STREET SEWER EXTENSION PROJECT CONSTRUCTION Dear Mr. Brockmeyer: This letter is to inform residents that the City of Renton will have a contractor performing sanitary sewer installation work within your neighborhood beginning on or about the week of September 15, 2014. The work being performed includes the installation of a new sewer main that will extend from an existing City sewer main through easements across private property and into the right-of-way of South 132nd Street (see attached map). The contractor will utilize portions of the existing gravel road off of 84th Avenue South (those portions that are within the City's existing easements) to access the project area that is located on the south side of the existing creek. The road will be used for access only and there will be no work taking place that would block access to residents. Work in this area of the project is anticipated to take between 2 to 3 weeks. There are a total of 45 working days for the project. Most of this work will take place in or near South 132nd Street. If you have any questions, please contact me at 425-430-7279 or by email at jhobson@ci.renton.wa.us. Sincerely, 'e J hn Hobson Wastewater Utility Engineer Attachment H:\File Sys\WWP - WasteWater\WWP-27-3685 S 132nd St Sewer Extension\Construction\Public Notices\Construction Notification - Brockmeyer.doc\JHad Renton City Hall • 1055 South Grady Way • Renton, Washington 98057 • rentonwa.gov Denis Law Clty y Mayor ti Y O Public Works Department - Gregg Zimmerman, P. E., Administrator September 10, 2014 Mr. Craig Cole 8238 S. 134th St Renton, WA 98178 RE: SOUTH 132ND STREET SEWER EXTENSION PROJECT CONSTRUCTION Dear Mr. Cole: This letter is to inform residents that the City of Renton will have a contractor performing sanitary sewer installation work within your neighborhood beginning on or about the week of September 15, 2014. The work being performed includes the installation of a new sewer main that will extend from an existing City sewer main through easements across private property and into the right-of-way of South 132nd Street (see attached map). The contractor will utilize portions of the existing gravel road off of 841h Avenue South (those portions that are within the City's existing easements) to access the project area that is located on the south side of the existing creek. The road will be used for access only and there will be no work taking place that would block access to residents. Work in this area of the project is anticipated to take between 2 to 3 weeks. There are a total of 45 working days for the project. Most of this work will take place in or near South 132nd Street. If you have any questions, please contact me at 425-430-7279 or by email at jhobson@ci.renton.wa.us. Sincerely, *Ae John Hobson Wastewater Utility Engineer Attachment H:\File Sys\WWP - WasteWater\WWP-27-3685 S 132nd St Sewer Extension\Construction\Public Notices\Construction Notification - Cole.doc\JHad Renton City Hall • 1055 South Grady Way • Renton, Washington 98057 • rentonwa.gov Denis Law City of y o Mayor � Public Works Department - Gregg Zimmerman, P. E., Administrator September 10, 2014 Mr. Steve Brozozowski P.O. Box 7022 Bellevue, WA 98008 RE: SOUTH 132ND STREET SEWER EXTENSION PROJECT CONSTRUCTION Dear Mr. Brozozowski: This letter is to inform residents that the City of Renton will have a contractor performing sanitary sewer installation work within your neighborhood beginning on or about the week of September 15, 2014, The work being performed includes the installation of a new sewer main that will extend from an existing City sewer main through easements across private property and into the right-of-way of South 132nd Street (see attached map). The contractor will utilize portions of the existing gravel road off of 84th Avenue South (those portions that are within the City's existing easements) to access the project area that is located on the south side of the existing creek. The road will be used for access only and there will be no work taking place that would block access to residents. Work in this area of the project is anticipated to take between 2 to 3 weeks. There are a total of 45 working days for the project. Most of this work will take place in or near South 132nd Street. If you have any questions, please contact me at 425-430-7279 or by email at jhobson@ci.renton.wa.us. Sincer , John Hobson Wastewater Utility Engineer Attachment H:\File Sys\WWP - Wastewater\W WP-27-3685 S 132nd St Sewer Extension\Construction\Public Notices\Construction Notification - Brozozowski.doc\J H ad Renton City Hall • 1055 South Grady Way • Renton, Washington 98057 • rentonwa.gov Legend City and County Boundary Other �� City of Renton C. -- Addresses Parcels 8043 8205 822,1 ❑ 1st Floor ❑ 1st Floor 8223 ❑ 2nd Floor ❑ 1st Floor ❑ Other Buildings 8215 Buildings Sites Other 8207 Municipal Government Facility 8211 13223 Community / Recreation Center Library Museum Fire Station / EMS Station Airport Runway /Airfield A Park Openspace 8050 Golf Course Greenhouse / Nursery 1 rUndeveloped Park A 13249 ■ Parking Lot Structure / Garage ` Lift Station It Clean Outs ^� ® Manholes 80- 0 Casings 8072 — Pressurized Mains 8026 Gravity Mains Q KC Metro Manholes i 8060 A Notes S. 132nd St Sewer Extension Project 8200 8210 8216 13269 O 8228 8234 1.3273 + City of John Hobson This map is a user generated static output from an Internet mapping site and is for Data layers that appear on this map may or may not be 128 0 64 128 Feet reference only nt�--- eon - - accurate, current, or otherwise reliable WGS_1984_Web_Mercator_Auxiliary_Sphere 09/05/2014 THIS MAP IS NOT TO BE USED FOR NAVIGATION Finance & IT Division Denis Law Mayor September 10, 2014 Mr. Craig Cole 8238 S. 134th St Renton, WA 98178 City of eF, Public Works Department - Gregg Zimmerman, P. E., Administrator RE: SOUTH 132No STREET SEWER EXTENSION PROJECT CONSTRUCTION Dear Mr. Cole: This letter is to inform residents that the City of Renton will have a contractor performing sanitary sewer installation work within your neighborhood beginning on or about the week of September 15, 2014. The work being performed includes the installation of a new sewer main that will extend from an existing City sewer main through easements across private property and into the right-of-way of South 132nd Street (see attached map). The contractor will utilize portions of the existing gravel road off of 84th Avenue South (those portions that are within the City's existing easements) to access the project area that is located on the south side of the existing creek. The road will be used for access only and there will be no work taking place that would block access to residents. Work in this area of the project is anticipated to take between 2 to 3 weeks. There are a total of 45 working days for the project. Most of this work will take place in or near South 132nd Street. If you have any questions, please contact me at 425-430-7279 or by email at ihobson(@ci.renton.wa.us. Sincerely, *//Z John Hobson Wastewater Utility Engineer Attachment H:\File Sys\WWP - WasteWater\W WP-27-3685 s 132nd St Sewer Extension\Construction\Public Notices\Construction Notification - Cole.doc\JHad Renton City Hall • 1055 South Grady Way • Renton, Washington 98057 • rentonwa.gov 128 0 64 128 Feet WGS_1984_Web_Mercator Auxiliary_Sphere John Hobson 09/05/2014 Legend City and County Boundary Other City of Renton lw Addresses Parcels [j 1st Floor 1st Floor C] 2nd Floor 1st Floor Other Buildings Buildings Sites Other Municipal Government Facility Community / Recreation Center Library Museum ■ Fire Station / EMS Station Airport Runway / Airfield Park Openspace Goff Course Greenhouse / Nursery Undeveloped Park 1 Parking Lot Structure / Garage Lift Station t♦ Clean Outs Manholes Casings Pressurized Mains Gravity Mains ( KC Metro Manholes Notes S. 132nd St. Sewer Extension Project 19 This map is a user generated static output from an Internet mapping site and is for reference only. Data layers that appear on this map may or may not be City of ■■ accurate, current, or otherwise reliable. - Re - on r'. ',- THIS MAP IS NOT TO BE USED FOR NAVIGATION Finance & IT Division