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• CAG-13-147 COMMUNITY SERVICES-PARKS PLANNING AND NATURAL RESOURCES LANDSCAPING AGREEMENT THIS AGaEEMENT("Agreement") is made as of the /O' day of July, 2013, (the "Effective Date") by and between the City of Renton, a noncharter code city under RCW 35A, and a municipal corporation under the laws of the State of Washington ( "Renton"), through its Community Services Department and Green River Landscaping, ("Contractor"), who are collectively referred to as the "Parties", to acquire and install wood chip mulch, remove invasive plants and plant Renton-supplied plants at the May Creek Trail, 4260 Lake Washington Boulevard, Renton, WA 98055. Renton and Contractor agree as set forth below. 1. Scope of Services: Contractor will provide all material and labor necessary to perform all work described in the Proposal which is attached and fully incorporated into this Agreement by reference as Attachment "A." 2. Changes in Scope of Services: Renton, without invalidating this Agreement, may order changes to the Scope of Services consisting of additions, deletions or modifications, the Agreement Sum being adjusted accordingly by Parties mutual agreement. Such changes in the work shall be authorized by written Change Order signed by the Parties. 3. Time of Performance: Contractor shall commence performance of the Agreement no later than ten (10) calendar days after the Agreement's Effective Date, and shall complete the full performance of the Agreement not later than August 1,2013. 4. Term of Agreement: The Term of this Agreement shall end at completion of the Scope of Services. This Agreement may be extended to accomplish change orders, if required, upon mutual written agreement of Renton and Contractor. S. Agreement Sum: The total amount of this Agreement is the sum of $45,881.00 which includes Washington State Sales Tax. This amount may be adjusted to a mutually agreed amount based on changes to the Scope of Services. 6. Consideration: In exchange for Contractor's performance of the items and responsibilities identified in the Scope of Services, Renton agrees to make payment of the amount identified as the Agreement Sum. 7. Method of Payment: Payment by Renton for the Services will only be made after the Services have been performed and a voucher or invoice is submitted in a form acceptable to Renton. Payment of the initial 95% will be made in-the, next pay cycle of the Renton Finance Department after receipt of such voucher or invoice (pay cycles are bi-weekly). The remaining 5% will be retained for the purpose of completion of the project and fulfillment of claims and liens. Renton shall have the right to withhold • • payment to Contractor for any work not completed in a satisfactory manner until such time as Contractor modifies such work so that the same is satisfactory. 8. Conditions of Access: Subject to the terms of this Agreement, Contractor may have access to the May Creek Trail, at or in the vicinity of 4260 Lake Washington Boulevard, Renton,as long as: a. It is for the purpose of installing wood chip mulch. b. It is for the purpose of removing invasive plants. C. It is for the purpose of planting Renton-supplied plants, trees, scrubs, etc. d. It is for the purpose of relocating plants, trees, scrubs, etc. at Renton's request or as needed or required. e. Contractor shall be solely responsible for repairing any damage caused by Contractor, and Contractor's employees, agents, representatives, and volunteers to any portion of the shoreline at or near the May Creek Trail. 9. Hold Harmless: Contractor shall indemnify, defend and hold harmless Renton, its elected officials, officers, agents, employees and volunteers, from and against any and all claims, losses or liability, or any portion of the same, including but not limited to reasonable attorneys' fees, legal expenses and litigation costs, arising from injury or death to persons, including injuries, sickness, disease or death of Contractor's own employees, agents and volunteers, or damage to property caused by Contractor's negligent act or omission, except for those acts caused by or resulting from a negligent act or omission by Renton and its officers, agents, employees and volunteers. Should a court of competent jurisdiction determine that this agreement is subject to RCW 4.24.115, (Validity of agreement to indemnify against liability for negligence relative to construction, alteration, improvement, etc., of structure or improvement attached to real estate...) then, in the event of liability for damages arising out of bodily injury to persons or damages to property caused by or resulting from the concurrent negligence of the contractor and Renton, its officers, officials, employees and volunteers, Contractor's liability shall be only to the extent of Contractor's negligence. It is further specifically and expressly understood that the indemnification provided in this Agreement constitute Contractor's waiver of immunity under the Industrial Insurance Act, RCW Title 51, solely for the purposes of this indemnification. The Parties have mutually negotiated and agreed to this waiver. The provisions of this section shall survive the expiration or termination of this Agreement. 10. Insurance: Contractor shall secure and maintain: a. Commercial general liability insurance in. the .minim,um .amounts of $1,000,000 for each occurrence/$2,000,000 aggregate br the Term-of t-kris-Agre-ernerit. b. Professional liability insurance, in'the minimum amount of$1,000,000 for each occurrence, shall also be secured for any professional services being provided to Renton that are excluded in the commercial general liability insurance. • • C. Workers' compensation coverage, as required by the Industrial Insurance laws of the State of Washington, shall also be secured. d. It is agreed that on Contractor's commercial general liability policy, the City of Renton will be named as an Additional Insured on a non-contributory primary basis. Renton's insurance policies shall not be a source for payment of any Contractor liability. e. Subject to Renton's review and acceptance, a certificate of insurance showing the proper endorsements, shall be delivered to Renton before executing the work of this Agreement. f. Contractor shall provide Renton with written notice of any policy cancellation, within two (2) business days of their receipt of such notice. 11. Discrimination Prohibited: Except to the extent permitted by a bona fide occupational qualification, the Contractor agrees as follows: a. Contractor, and Contractor's agents, employees, representatives, and' volunteers with regard to the services performed or to be performed under this Agreement, shall not discriminate on the basis of race, color, sex, religion, nationality, creed, marital status, sexual orien tation or preference, a g e (except minimum age e and retirement provisions), honorably discharged veteran or military status, or the presence of any sensory, mental or physical handicap, unless based upon a bona fide occupational qualification in relationship to hiring and employment, in employment or application for employment, the administration of the delivery of services or any other benefits under this Agreement, or procurement of materials or supplies. b. The Contractor will take affirmative action to insure that applicants are employed and that employees are treated during employment without regard to their race, creed, color, national origin, sex, age, sexual orientation, physical, sensory or mental handicaps, or marital status. Such action shall include, but not be limited to the following employment, upgrading, demotion or transfer, recruitment or recruitment advertising, layoff or termination, rates of pay or other forms of compensation and selection for training. C. If Contractor fails to comply with any of this Agreement's non- discrimination provisions, Renton shall have the right, at its option, to cancel the Agreement in whole or in part. d. Contractor is responsible to be aware of and in compliance with all federal, state and local laws and regulations that may affect the satisfactory completion of the project, which includes but is not limited to fair labor laws and worker's compensation. 12. Independent Contractor: The Parties intend and agree to create an Independent Contractor-Employer Relationship. Contractor's employees, while engaged in the performance of any of Contractor's services under this Agreement, shall be considered employees of the Contractor and not employees, agents, representatives of Renton and as a result, shall not be entitled to any coverage or benefits from the City of Renton.. Contractor's relation to Renton shall be at all times as an independent contractor. • Contractor has the ability to control and direct the performance and details of its work, Renton being interested only in the results obtained under this Agreement. Any and all Workman's Compensation Act claims on behalf of Contractor employees, and any and all claims made by a third-party as a consequence of any negligent act or omission on the part of Contractor's employees, while engaged in services provided to be rendered under this Agreement, shall be the solely Contractor's obligation and responsibility. Contractor has the ability to control and direct the performance and details of its work, Renton being interested only in the results obtained under this Agreement. 13. Prevailing Wage Rates: Contractor must comply with the State of Washington prevailing wage requirements. Contractor must file a Statement of Intent To Pay Prevailing Wage at the beginning of the project and an Affidavit of Wages Paid at the end of the project with the Washington State Department of Labor and Industries, http://www.Ini.wa.gov/TradesLicensing/PrevWage/defauIt.asp. Contractor shall pay prevailing wages in effect on the date the bid is accepted or executed by Contractor, and comply with RCW 39.12 (Prevailing wages on public works), as well as any other applicable prevailing wage rate provisions. 14. Record Keeping and Reporting: Contractor shall maintain accounts and records which properly reflect all direct and indirect costs expended and services provided in the performance of this Agreement. Contractor agrees to provide access to any records required by Renton. 15. Other Provisions: a. Administration and Notices. Each individual executing this Agreement on behalf of Renton and Contractor represents and warrants that such individuals are duly authorized to execute and deliver this Agreement on behalf of Renton or Contractor. Any notices required to be given by the Parties shall be delivered at the addresses set forth below. Any notices may be delivered personally to the addressee of the notice or may be deposited in the United States mail, postage prepaid, to the address set forth below. Any notice so posted in the United States mail shall be deemed received three (3) calendar days after the date of mailing. This Agreement shall be administered by and any notices should be sent to the undersigned individuals or their designees. b. Amendment and Modification. This Agreement may be amended only by an instrument in writing, duly executed by both Parties. C. Assignment and Subcontract. Contractor shall not assign or subcontract any portion of this Agreement without the City of Renton's prior express written consent. . d. Compliance with Laws. Contractor and all of the Contractor's employees shall perform the services in accordance with all applicable federal, state, county and city laws, codes and ordinances. A copy of this language must be made a part of any contractor or subcontractor agreement. e. Conflicts. In the event of any inconsistencies between contractor proposals and this contract, the terms of this contract shall prevail. f. Governing Law. This Agreement shall be made in and shall be governed by and interpreted in accordance with the laws of the State of Washington. g. Joint Drafting Effort. This Agreement shall be considered for all purposes as prepared by the joint efforts of the Parties and shall not be construed against one party or the other as a result of the preparation, substitution, submission or other event of negotiation, drafting or execution. h. Jurisdiction and Venue. Any lawsuit or legal action brought by any party to enforce or interpret this Agreement or any of its terms or covenants shall be brought in the King County Superior Court for the State of Washington at the Maleng Regional Justice Center in Kent, King County, Washington, or its replacement or successor. i. Recyclable Materials. Renton recommends that its contractors and consultants use recycled and recyclable products whenever practicable. j. Resolution of Disputes and Governing Law. If the Parties are unable to settle any dispute, difference or claim arising from the Parties' performance of this Agreement, the exclusive means of resolving that dispute, difference or claim, shall only be by filing suit exclusively under the venue, rules and jurisdiction of the King County Superior Court, King County, Washington, unless the Parties agree in writing to an alternative dispute resolution process. In any claim or lawsuit for damages arising from the Parties' performance of this Agreement, each party shall pay all its legal costs and attorneys' fees incurred in defending or bringing such claim or lawsuit, including all appeals, in addition to any other recovery or award provided by law; provided, however, nothing in this paragraph shall be construed to limit Renton's right to indemnification under Section 9 (Hold Harmless) of this Agreement. k. Severability. A court of competent jurisdiction's determination that any provision or part of this Agreement is illegal or unenforceable shall not cancel or invalidate the remainder of this Agreement, which shall remain in full force and effect. I. Sole and Entire Agreement. This Agreement contains the entire agreement of the Parties and any representations or understandings, whether oral or written, not incorporated are excluded. M. Third-Party Beneficiaries. Nothing in this Agreement is intended to, nor shall be construed to give any rights or benefits in the Agreement to anyone other than the Parties, and all duties and responsibilities undertaken pursuant to this Agreement will be for the sole and exclusive benefit of the Parties and no one else. n. Waivers. All waivers shall be in writing and signed by the waiving party. Either party's failure to enforce any provision of this Agreement shall not be a waiver and shall not prevent either Renton or Contractor from enforcing that provision or any other provision of this Agreement in the future. Waiver of breach of any provision of this Agreement shall not be deemed to be a waiver of any prior or subsequent breach unless it is expressly waived in writing. IN WITNESS WHEREOF, the Parties have voluntarily entered into this Agreement as of Effective Date. CITY OF RENTON GREEN RIVER LANDSCAPING Denis Law, Mayor 1055 South Grady Way Renton, Washington 98057 rp 3 _<3 --13 Date Date Attest Approved as to Legal Form Lawrence J. Warren Bonnie I. Walton Renton City Attorney Renton City Clerk '7-/40- "!-/0-OW/3 Date Date L.: f 4. ATTACHMENT A • Green River Landscaping Inc P. o Box 6456 Kent WA. 98064 Tel : (253) 217-8102 Cell: (206) 255-5527 UBI # 602-710-177 /Fax: (253) 854-3313 GREENRIVER918DP Date: Friday, April 12, 2013 Proposal for MAY CREEK Address: 4260 Lake Washington Boulevard RENTON,WA 98055 Scope of Work: Installation of 900 yards of hog fuel Chips size # 2 and plant installation. The plants not planted by the volunteers in the area where the chips will be dropped , will be planted by Green River Landscape after the rest of the chips are installed. The chips will be distribute by wheel barrow and spread by hand, the thickness of the how much depth the chips must go will be determine by project manager. ESTIMATED TIME TO COMPLETE WORK WILL BE 10 DAYS FROM STARTING DATE. Additional Comments QUOTE GOOD FOR 30 DAYS. Labor, material and equipment needed to complete job to be provided by Green River landscaping mc. Price (including tax) Fourty thousand four hundred dollars $ 40,400.00 Propos Alf nso /Rodrigo Leos Date Proposal Accepted By: Date • ATTACHMENT A Green River Landscaping Inc. P. o Box 6456 Kent WA. 98064 Tel : (253) 217-8102 Cell: (206) 255-5527 UBI # 602-710-177 /Fax: (253) 854-3313 GREENRIVER918DP Date: Friday April 12, 2013 Proposal for MAY CREEK Address: 4260 Lake Washington Boulevard RENTON WA 98055 Scope of Work: Removal of black berry bushes with the root system. The section of black berry sticker bushes to be removed all by hand and also removing the roots as well. Haul all debrie off site and dispose by Green River Landscape Inc. Additional Comments QUOTE GOOD FOR 30 DAYS. Labor, material and equipment needed to complete job to be provided by Green River landscaping inc. Price (including tax) One thousand five hundred dollars $ 1,500.00 Propos Byi,Al / Rodrigo Leos Date /��6v ` .3 Proposal Accepted By: Date FINAL PAYMENT FOLDER VENDOR# CAG# ` ��7 RETAINAGE# CONTRACTOR AMOUNT: Z6 ti.ssIJ- 00 ADDRESS. 0X CITY: f'! PHONE: J CONTACT PERSON. y MRO VENIENT: L DATE ACCOUNT# AMOUNT RETAINAGE CHECK# I-I cons ruction Contract CAG: Project Name: G Prime Contractor. Prime Contractor&Subcontractors Date Received Date Received Intent to Pay Affidavit of Prevailing Wge Wages Paid t System for Award Management Page 1 of 1 Search Results Current Search Terms:green*river*landscape* No records found for current search. SAM I System for Award Managenert 1.0 IBM v1.1149.2 130801-1829 Note to all Users:This is a Federal Government computer system.Use of this Vil-m system constitutes consent to monitoring at all times. https://www.sam.gov/portal/public/SAM/?portaI:componentld=7cbf863... 08/27/2013 Verification of Documents Green River Landscape Council Approval n/a L&I Release 01/13/2014 WA DOR Release 03/19/2014 Employment Security Release 11/04/2013 Affidavit of Intent to pay Wages Paid Prevailing Wage Prime Contractor: Green River Landscape 10/14/2013 08/30/2013 Subcontractors: Retainage Release file reviewed by K i Roller 03/26/2014 Check Request"gr Non Vendor Refund or Reifibursement This form is to be used only for one time vendors. Please contact Accounts Payable if you have any questions regarding one time vendors. Check will be included in the next scheduled A/P check ruff and mailed after Council approval Check Request Info: Date of request: 3-25-14 Requestor's name: Requestor's department/division: Requestor's ext. #: Natalie Wissbrod Finance x6919 Payable to: Green River Landscape - V# 031488 Mail address for check: PO Box 6456, Kent Check amount: Account number(s) to charge: Amount per account #: $2,095.03 316.000000.000.223.40.00.000 Reason for refund or reimbursement: Retaina a release on CAG 13-147, May Creek Trail - Project Complete Check handling request: Mail to Vendor Approval Signature: Requestor's Department Administrator, D-iv�ision Director or designee: Signature: type name of signer on above line Date: The person approving this check request must be an authorized signer. \\renton\data\Pia \DATA Center\Forms\Finance\2007_Check Request for Non Vendor Refund or Reimbursement(online typeable).doc Online Typeable Fom,July 2007 SCATF .r U WW Y2 b� rneb" STATE OF WASHINGTON DEPARTMENT OF LABOR AND INDUSTRIES CITY OF RENTON ATTN : NATALIE WISSBROD, ACCOUNTING ASSISTANT 1055 SOUTH GRADY WAY RENTON WA 98057 Certificate of Release of the State ' s Lien on Public Works Contracts With this letter , the Washington State Department of Labor & Industries approves of your release or payment of the contract amount retained from the following contractor --- GREEN RIVER LANDSCAPE 037,233-01 602 710 177 4411 CALIFORNIA AVE SW SEATTLE WA 98116-4108 --- related to the following public works contract : MAY CREEK TRAILWOOD CHIP PROJECT CAG 13-147 This approval is for workers ' compensation insurance premiums only. L&I ' s prevailing wage section separately requires all contractors on the project file an affidavit of wages paid . These affidavits must be approved before retainage can be released . In our opinion , all workers ' compensation insurance premiums , increases , and penalties due to L&I from this contractor have been paid in full or are readily collectible without recourse to the state ' s lien on the retained percentage . ** This letter ' s sole purpose is to communicate our release of the state ' s lien to the public official responsible for paying or authorizing the payment of public funds to the contractor named above . If we later determine that the contractor owes additional premiums related to the above-mentioned contract or other activities , the contractor is still liable for payment . Dated January 13, 2014 at Olympia , Washington : `C ��T � Contract Release Specialist JAN 212014 GREGORY TAYLOR 360-902-5385 or TAYG235@LNI .WA. GOV BY;�--- ** Title 51 RCW authorizes L&I to collect workers ' compensation insurance premiums , increases , and penalties . Chapter 60 . 28 RCW establishes L&I ' s priority regarding this lien . Chapter 39 . 12 RCW addresses L&I ' s requirement for affidavits of wages paid . Employment Secdrfty Department WASHINGTON ST�If P.O. Box 9046 Olympia, WA 98507-90461 Fax 360-902-9287 CERTIFICATE OF CITY OF RENTON )PAYMENT OF CONTRIBUTlt_?N'S Attn: NATALIE WISSBROD )PENALTIES AND INTEREST ON 1055 S GRADY WAY )PUBLIC WORKS CONTRAC! RENTON, WA 98057 ES Reference#: 36405600 0 UBI No: 602710177 CONTRACTOR: GREEN RIVER LANDSCAPE INC 4411 CALIFORNIA AVE SW SEATTLE, WA 98116-4108 The Employment Security Department hereby certifies those contributions,penalties and mtere,t due from the above named contractor under the Employment Security Act have been paid in ful l or provided for with respect to the following public works contract: Description: MAY CREEK TRAIL WOOD CHIP PROJECT. Contract number: CAG 13-147 The Employment Security Department hereby certifies that it has no claim pursuant to RC W 50.24.130 against the public body named above for tax attributable to service performed for sai,.l public body by the above named contractor on the above described contract. The Employment Security Department releases its lien on the retained percentage which is provided by RCW 60.28.040 for contributions, penalties and interest due from said contractor. This certificate doe-s not release said contractor from liability for additional contributions, penalties and interest which may be later determined to be due with respect to the above mentioned contract. Dated at Olympia, Washington on November 4, 2013. EMPLOYMENT SECURITY DEPARTMENT By '�t7� _y Robyn R. Wells RECENEE) Authorized Representative 6 RECD® Original- Disbursing Officer City of Renton Duplicate -Employer Amounts PaY� Triplicate - Central Office Files Washington State rReDepartment of Revenue`0o WW age.nL,, W Box 47474 Olympia,WA 98504-7474 602 710 177 Certificate of Payment of State Excise Taxes by Public Works Contractor RECEIVED GREEN RIVER LANDSCAPE INC CITY OF RENTON 4411 CALIFORNIA AVE SW NATALIE WISSBROD MAR 2 4 2014 SEATTLE WA 98116 4108 1055 S GRADY WAY RENTON WA 98057 BY: We hereby certify that taxes, increases and penalties due or to become due from the above-named contractor under Chapter 180, Laws of 1935, as amended, with respect to the following public works contract: CITY OF RENTON CAG 13-147, MAY CREEK TRAIL WOOD CHIP PROJ together with all other taxes, increases and penalties due from such contractor, have been paid in full or that they are, in the Department's opinion, readily collectible without recourse to the state's lien on the retained percentage. This certificate is issued pursuant to the provision of Chapter 60.28 Revised Code of Washington for the sole purpose of informing the state, county, or municipal officer charged with the duty of disbursing or authorizing the payment of public funds to said contractor that the Department of Revenue hereby releases the state's lien on the retained percentage provided by this Chapter for excise taxes due from said contractor. This certificate does not release said contractor from liability for additional tax that may be later determined to be due with respect to the above-mentioned contract or other activities. Dated I���{L/ at Olympia, Washington, State of Washington Depai t of Revenue C>qt�,,A�L� ) Certifying Officer For tax assistance,visit dor.wa.gov or call 1-800-647-7706. To inquire about the availability of this document in an alternate format for the visually impaired, please call(360)705-6715.Teletype(TTY)users may call 1-800-451-7985. REV 31 0028(10-01-02) Natalie Wissbrod ,, From: Hardin, Frank(DOR) [FrankH @DOR.WA.GOV] Sent: Wednesday, March 05, 2014 11:19 AM To: Natalie Wissbrod Subject: FW: Notice of Completion -Green River Landscaping, CAG 13-147 Attachments: Green River Landscape CAG 13-147.xls Hi Natalie, We sent Green River Landscape our reconciliation form to fill out and return to us on 11/05/13.They have not returned this form to us.We cannot sign off on our release letter until this is done. Because this has taken so long, this has now been assigned to me. I will be contacting the contractor shortly to give them a deadline to get this to me or I will have to file retainage lien with you. Frank Hardin Excise Tax Examiner/ Public Works Section Wa State Department of Revenue (360)725-7555/mailto:frankh @dor.wa.gov Public Works Section PO Box 47464/Olympia, WA 98504 7464 (360) 725-7588/(360) 664-4159 f/mailto:pwc @dor.wa.gov From: DOR PWC Sent: Wednesday, March 05, 2014 10:54 AM To: Hardin, Frank(DOR) Subject: FW: Notice of Completion - Green River Landscaping, CAG 13-147 Frank,this status request is assigned to you for recon or lien.Thanks LR From: Natalie Wissbrod [mailto:NWissbrod(d)Rentonwa.gov] Sent: Wednesday, March 05, 2014 10:51 AM To: DOR PWC Subject: FW: Notice of Completion - Green River Landscaping, CAG 13-147 Just following up on this Notice of Completion since it's been awhile. Thanks- Natalie From: Natalie Wissbrod Sent: Friday, November 01, 2013 12:01 PM To: 'pwc @dor.wa.gov'; 'LNI RE Contract Release'; 'publicworks @esd.wa.gov' Subject: Notice of Completion - Green River Landscaping, CAG 13-147 Please process the attached notice of completion of public works contract for Green River Landscaping, CAG 13-147 Thanks- Natalie 1 9TATjg NOTICE OF COMPLETION OF PUBLIC WORKS CONTRACT Contractor's UBI Number: 602710177 Date: 11/01/2013 Name&Address of Public Agency Department Use Only City of Renton Assigned to: 1055 South Grady Way Renton, WA 98057 Date Assigned: UBI Number: 177000094 Notice is hereby given relative to the completion of contract or project described below Project Name Contract Number Job Order Contracting May Creek Trail Wood Chip Project CAG 13-147 ❑ Yes El No Description of Work Done/Include Jobsite Address(es) Provide and install approximately 900 yards of#2 hog fuel on an area 1 acre in size and planted with native trees and shrubs. Site address is: 4260 Lake Washington Boulevard N.Renton,WA 98055. Federally funded road transportation project? ❑ Yes No Contractor's Name Telephone Number Affidavit ID* Green River Landscaping, Incorporated 1253-217-8102 476260 Contractor Address P.O.Box 6456.Kent, WA 98064 If Retainage is Bonded,List Surety's Name(or attach a copy) Integrity Surety Surety Agent's Address 17544 Midvalue Avenue N. Suite 300, Seattle, WA 98133 Date Contract Awarded Date Work Commenced Date Work Completed Date Work Accepted July 10,2013 July 16, 2013 August 1, 2013 August 1, 2013 Contract Amount $ 41,900.46 Additions (+) $ 0.00 Liquidated Damages $ 0.00 Reductions (-) $ 0.00 Amount Disbursed $ 43,785.97 Sub-Total $ 41,900.46 Amount Retained $ 2,095.03 Amount of Sales Tax Paid at 9.500% (If various rates apply,please send a breakdown) $ 3,980.54 TOTAL $ 45,881.00 TOTAL $ 45,881.00 NOTE: These two totals must be equal Please List all Subcontractors and Sub-tiers Below: Subcontractor's Name: UBI Number: (Required) Affidavit ID* N/A F215-038-000 07-2012 REV 310020e(07/06/12) Continued on page 2 W� O, � • a rt: kEE,� STA WWI NOTICE OF COMPLETION OF PUBLIC WORKS CONTRACT Contractor's UBI Number: Date: Name&Address of Public Agency Department Use Only City of Renton Assigned to: 1055 South Grady Way Renton, WA 98057 Date Assigned: UBI Number: 177000094 Notice is hereby given relative to the completion of contract or project described below Project Name Contract Number Job Order Contracting May Creek Trail Wood Chip Project I CAG-13-147 ❑ Yes El No Description of Work Done/Include Jobsite Address(es) Provide and install approximately 900 yards of 92 hog fuel on an area 1 acre in size and planted with native trees and shrubs. Site address is: 4260 Lake Washington Boulevard N. Renton,WA 98055. Federally funded road transportation project? ❑ Yes D No Contractor's Name Telephone Number Affidavit ID* Green River Landscaping, Incorporated 253-217-8102 476260 (Approved 10/14/2013) Contractor Address P.O.Box 6456 Kent, WA 98064 If Retainage is Bonded,List Surety's Name(or attach a copy) Integrity Surety Surety Agent's Address 17544 Midvalue Avenue N. Suite 300, Seattle, WA 98133 Date Contract Awarded Date Work Commenced Date Work Completed Date Work Accepted July 10, 2013 July 16,2013 August 1, 2013 August 1, 2013 Contract Amount $ 41,900.46 Additions (+) $ Liquidated Damages $ Reductions (-) $ Amount Disbursed $ 43,785.97 Sub-Total $ 41,900.46 Amount Retained $ 2,095.03 Amount of Sales Tax Paid at 9.500% (If various rates apply,please send a breakdown) $ 3,980.! TOTAL $ 45,881. 15,881.00 NOTE: These twc Please List all Subcontractors and Sub-tiers Below: Subcontractor's Name: SS rod F215-038-000 07-2012 REV 310020.(07/06/12) ..++ Continued on page 2 Please List all Subcontractors and Sub-tiers Below: Subcontractor's Name: UBI Number: (Required) Affidavit ID* Comments: Contact Name: Natalie Wissbrod Title: Accounting Assistant Email Address: nwissbrod @rentonwa.gov Phone Number: 425-430-6919 Note:The Disbursing Officer must submit this completed notice immediately after acceptance of the work done under this contract. NO PAYMENT SHALL BE MADE FROM RETAINED FUNDS until receipt of all release certificates. Affidavit ID*-Provide known ones at this time.No LNI release will be granted until all affidavits are completed. Submitting Form:Please submit the completed form to all three agencies below.For a faster response,please submit by e-mail. Washington State A g Washington State Washington State CDepartment of Revenue (*05 Department of Labor and Industries Employment Security Department Public Works Section Contract Release Registration,Inquiry,Standards 8 PO Box 47474 PO Box 44274 Coordination Unit Olympia WA 98504-7474 Olympia,WA 98504-4272 PO Box 9046 (360)725-7588 (360)902-5772 Olympia WA 98507-9046 FAX(360)664-4159 FAX(360)902-6897 (360)902-9450 PWC @dor.wa.gov ContractRelease @lni.wa.gov Fax(360)902-9287 publicworks@esd.wa.gov For tax assistance or to request this document in- alternate format,visit http://dor.wa.gov or call '00-647-7706. Teletype(TTY)users may call(360)705-6718.vr.,o ��✓ F213-038-000 07-2012 REV 31 0020e(07/06/12) fir+ Certification for Release of Contract Retainage CAG#: CAG-13-147 Project Title: May Creek Trail Wood Chip Project I hereby certify, as Project Manager representing the City of Renton, that: 1. All work required by the above cited contract was completed on August 1, 2013. 2. Acceptance by the City Council was granted on . If City Council acceptance is not required (contracts less than$150,000), see acceptance by Mayor or Department Head below. (Reference Renton Policy and Procedure 250-02.) 3. No liens have been received within 30 days of completion date from any persons, subcontractors, or material men, who have performed or provided any work or material on subject contract. 4. All Intents to Pay Prevailing Wages and all Affidavits of Wages Paid (including all subcontractors)have been verified and copies have been forwarded to Finance. (see attached) Project Manage Date 1-7 [ 13 Department Head Level Acceptance Date (Small Works Roster Under$35,000) (Single Craft/Trade Under $40,000) (Multiple Craft/Trade Under$65,000) Mayor Level Acceptance Date (Small Works Roster between $35,000 - $150,000) (Single Craft/Trade between $40,000 - $150,000) (Multiple Craft Trade between $65,000 - $150,000) Page 1 of 3 vwof State of Washington Department of Labor & Industries Prevailing Wage Section - Telephone 360-902-5335 PO Box 44540, Olympia, WA 98504-4540 Affidavit of Wages Paid Document 10/10/2013 Intent 587963 Affidavit 476260 Affidavit Approved on Received Id Id Status 10/14/2013 Date Your Company Information Name GREEN RIVER LANDSCAPE INC Address PO BOX 6456 KENT,WA,98064 WA UBI no. 602710177 Contractor Registration no. GREENRL918DP Industrial Insurance Account Id 037,233-01 Email Address greenrivertandscaping @hotmail.com Filed By LEOS,RODRIGO Project Information Awarding agency: RENTON, CITY OF 1055 S GRADY WAY RENTON, WA - 98055 Awarding agency contact: Terry Flatley Awarding agency contact phone number: 425-891-2625 Project Details Project name May Creek County where work was performed King City where work was performed Renton Job site address/directions: May Creek Trail 4260 Lake Washington Boulevard Renton, WA 98055 Prime contractor name GREEN RIVER LANDSCAPE INC Prime contractor registration no. GREENRL918DP Contract no. Prime contractor Phone Number 253-850-3340 Prime contractor Intent form Id# for this 587963 project https://fortress.wa.gov/lni/wagelookup/AffidavitDetails.aspx 10/16/2013 Page 2 of 3 `✓ Iwo Dollar amount of your contract: $ 45,881.00 Bid due date 4/30/2013 Contract award date 6/3/2013 Intent filed date 8/15/2013 Job start date:MM-DD-YYYY 7/17/2013 Date work completed:MM-DD-YYYY 8/7/2013 Project Completion Did your subcontractors perform all work No on this project? Did your company hire any subcontractors? No Did your company have employees perform Yes work on this project? Did this project utilize American Recovery No and Reinvestment Act (ARRA) funds? Specifically, did this project utilize any No weatherization or energy efficiency upgrade funds (ARRA or otherwise)? Is the prime contract at a cost of over one No million dollars ($1,000,000)? Company Owner Information How many owner/operators performed 2 work on the project that own 30% or more of the company? First Name` Last Name Rodrigo Leos Alfonso Leos Affidavit Subcontractor(s) No subcontractor is selected for this affidavit. Journeylevel Wages County Trade Occupation Wages Fringes # # Workers Hours King Landscape Landscaping or 17.87 0.96 8 542.67 Construction Planting Laborers Apprentice Wages Public Notes https:H fortress.wa.gov/lni/wagelookup/AffidavitDetails.aspx 10/16/2013 a Page 3 of 3 n Show/Hide Existing Notes -- On 10/10/2013:-- -- On 8/22/2013:-- We used a bobcat machine to fill up wheel barrels with materials. Also metal rakes and shovels to distribute the wood chips. We installed the chips 6 inches thick. We also did a little bit of black berry removal. https://fortress.wa.gov/lni/wagelookup/AffidavitDetails.aspx 10/16/2013 Page 1 of 3 vow State of Washington Department of Labor & Industries Prevailing Wage Section - Telephone 360-902-5335 PO Box 44540, Olympia, WA 98504-4540 Statement of Intent to Pay Prevailing Wage Document Received Date: Intent ID: Affidavit ID: 476260 Status: Approved On 8/15/2013 587963 8/30/2013 Company Details Company Name: GREEN RIVER LANDSCAPE INC Address: PO BOX 6456 KENT, WA, 98064 Contractor Registration No. GREENRL918DP WA UBI Number 602710177 Phone Number 253-850-3340 Industrial Insurance Account ID 037,233-01 Email Address greenrivertandscaping @hotmai1.com Filed By LEOS, RODRIGO Prime Contractor - Company Name GREEN RIVER LANDSCAPE INC Contractor Registration No. GREENRL918DP WA UBI Number 602710177 Phone Number 253-850-3340 Project Information Awarding Agency RENTON, CITY OF 1055 S GRADY WAY RENTON, WA - 98055 Awarding Agency Contact Terry Flatley Awarding Agency Contact Phone Number 425-891-2625 Contract Number Project Name May Creek Contract Amount $45,881.00 Bid due date 4/30/2013 Award Date 6/3/2013 https://fortress.wa.gov/lni/wagelookup/IntentDetails.aspx 10/16/2013 Page 2 of 3 NW move Project Site Address or Directions May Creek Trail 4260 Lake Washington Boulevard Renton, WA 98055 Payment Details Check Number: Transaction Id: 104032343 Intent Details Expected project start date: (MM-DD-YYYY) 7/17/2013 In what county (or counties) will the work be King performed? In what city (or nearest city) will the work be Renton performed? What is the estimated contract amount? OR is this a $45,881.00 time and materials estimate? Will this project utilize American Recovery and No Reinvestment Act (ARRA) funds? Specifically, will this project utilize any No weatherization or energy efficiency upgrade funds (ARRA or otherwise)? Does your company intend to hire ANY No subcontractors? Does your company intend to hire subcontractors to No perform ALL work? Will your company have employees perform work on Yes this project? Do you intend to use any apprentices? (Apprentices No are considered employees.) How many owner/operators performing work on the 2 project own 30% or more of the company? Journey Level Wages County Trade Occupation Wage Fringe # Workers King Landscape Construction Landscaping or Planting Laborers $17.87 $0.96 8 Public Notes H Show/Hide Existing Notes -- On 8/22/2013:-- We used a bobcat machine to fill up wheel barrels with materials. Also metal rakes and shovels https://fortress.wa.gov/lni/wagelookup/IntentDetails.aspx 10/16/2013 Page 3 of 3 to distribute the wood chips. We installed the chips 6 inches thick. We also did a little bit of black berry removal. https://fortress.wa.gov/lni/wagelookup/intentDetails.aspx 10/16/2013 Cam"of Renton Finance Department `'■" PAYMENT TO CONTRACTOR DATE: August 26, 2013 TO: Natalie Wissbrod, Finance/Accounts Payable FROM: Terry Flatley, Comm Srvcs-Urban Forestry and Natural Resources Manager CONTRACTOR: Green River Landscape, Inc. PROJECT NAME: May Creek Trail / Landscape Agreement -Acquire and install wood chip mulch, remove invasive plants and plant Renton-supplied plants. CONTRACT NO.: CAG-13-147 ESTIMATE NO. 1 1. CONTRACTOR EARNINGS THIS ESTIMATE $41,900.46 2. SALES TAX @ 9.5% $3,980.54.,/ 3. TOTAL CONTRACT AMOUNT THIS ESTIMATE $45,881.00 V 4. EARNINGS PREVIOUSLY PAID CONTRACTOR $0.00 5. * EARNINGS DUE CONTRACTOR THIS ESTIMATE $39,805.43 6. SUBTOTAL - CONTRACTOR PAYMENT $39,805.43 7. RETAINAGE ON PREVIOUS EARNINGS $0.00 8. ** RETAINAGE ON EARNINGS THIS ESTIMATE $2,095.03 9. SUBTOTAL - RETAINAGE $2,095.03 10. SALES TAX PREVIOUSLY PAID $0.00 11. SALES TAX DUE THIS ESTIMATE $3,980.54 12. SUBTOTAL $3,980.54 * (95% x Line 1) - -**-(RETAI NAG E-@-5%)— --- -- - GRAND TOTAL $45,881.00 FINANCE DEPARTMENT ACTION PAYMENT TO CONTRACTOR (LINES 5 AND 11) No. 1 $43,785.97 Account 316.332020.020.594.76.61.000 RETAINED AMOUNT LINE 8 No. 1 $2,095.03,` Account 316.332020.020.594.76.61.000 / TOTAL THIS ESTIMATE: $45,881.00 r/ CHARTER 116, LAWS OF 1965 I,THE UNDERSIGNED DO HEREBY CERTIFY UNDER PENALTY OF PERJURY,THAT THE MATERIALS HAVE RSCE , BEEN FURNISHED,THE SERVICES RENDERED OR THE LABOR PERFORMED AS DESCRIBED HEREIN, C AND THAT THE C IS A JUST,DUE AND UNPAID OBLIGATION AGAINST THE CITY OF RENTON,AND THAT I AM AUT RI D TO AUTH TICATE AND CE SAID CLAIM. �G 2 SIGNED: aYable *slow X 04 0 0 g- 0 U — 0 2 W a V m % 0 0 4) 0 C14 P z W — 4; E a 0 0 04 0 td 0 U3 8FTT1 Mi 1 1 r- 2 ,52 b —� u i5 Z U p 42 t OE 42 O= P! r or- N O 0,-,. 1 1 2 �O < 10 v 4 E 0, 0 C> -0 42 -ti to) 0 v 0 000 > 0 13 ID 2 -i� 5 1-1 0 7 E U 0 u � 2 Zs Q cn Ln 0 o w V OP: E 4� 0. a E 0 W Qa 0 > Sd w 0 ca 0 < 0 0 2 -- to m a E rU r si ti) -a 0 A z On:3 C3 0 0 U u ZO U u Im C2 V2), <CIO - CL ca vS It 0 E V:l C; te, 'ri 40 U .2- C, col� CD C` C) C� 0111� 00 C� C Ci, QC O0 C• t1l; O -0 U. z ull 0 U 3 > L> LU 0 4) -a.t -2 1.3 w > CL= 2 — — 0 V .5 :35 U > 0 > 0 0 0-0 E LL CL Ole LL Li. 0 0�O 0 C> E ca 0 .6 WC.E r- z 0 0 W z Ld LL 0) .2 c.,4 w 0 ui 2�.2 LU .0 t CL cu (u-a o 0 w � 0 E C) uj -t-C5 0 IQ 0' cr) [L 0 tjj 0 z JU-3- CL cu w < < x ru 4� uj Z 4.) C) U- W 7r, z > O cd 0 0 N C) cc Lu --�e Z O\ 0) 0 — 40, LLJ .0 0' deb �c 0 Z u u C3 a m 0 < w E :,.- .-I m C) J 0 mo IV) z < Om w 0— E bn< r-"o < (VA -a 7 W.< 0, C, ' 0 r- w ,t 0 W tf� �2— 0 Z CL 0 z x �. - C: + ce CO P 0 4, r- 0 z m z .0 -L 1.00 1,00 "0 w 00 m 0 m 0 0 r- 0 V) a) I-- 4,un (U r- -3 It r .2 WC 0 < Cu) r— 4) z r- I Z P— = 3: cu E V) -EE m 0. 0 0 0 u z 2 uj 3 3 C.) 0 U u CL 0 0 la. 03 0 0 �4 C� cf; kr; %6 r-: 06 0� 6 C8 4. � FLO mow+' GREEN RIVER LANDSCAPE INC. 5037 Invoice P.0 BOX 6456 KENT,WA 98064 CELL(253)217-8102 FAX(253)854-3313 Invoice Number: 50371775 Issue Date: 08/25/2013 RODRIGO LEOS Due Date: 09/24/2013 Sales Person: RODRIGO LEOS Ship By: USPS MAY CREEK PARK 4260 LAKE WASINGTONG BOULEVARD RENTON,WA 98055 Qty Description Unit price Total 1 HOG FUEL CHIPS INSTALLATION AND BLACK BERRY REMOVAL $41,900.46 $41,900.46 PER CONTRACT CAG 13-147 1 5% RETAINAGE WITHHELD -$2,095.03 -$2,095.03 Subtotal $39,805.43 Sales Tax $3,980.54 Total Amt $43,785.97 Balance Due $43,785.97 please feel free to contact us regarding any questions abou your billing info. (253)217-8102 RODRIGO LEOS Thank you for your business. GREEN RIVER LANDSCAPE INC Review Statement of Intent *wool Page 1 of 2 Washington Stag Department of Labor & Industries Intent Details for Intent Id: 587963 Document Received Date:8/15/2013 Intent Id:587963 Affidavit Id: Status:Submitted On 8/1 S/2013 Company Details GREEN RIVER LANDSCAPE INC UBI#: 602 71 01 77 PO BOX 6456 Reg#:GREENRL918DP KENT,WA 98064 E-mail: greenriverlandscaping @hotmaii.com 253-850-3340 Industrial Insurance Account Id: Filed By LEOS, RODRIGO Prime Contractor Company Name GREEN RIVER LANDSCAPE INC Contractor Registration No. GREENRL918DP WA UBI Number 6027101 77 Phone Number 253-850-3340 Project Information Awarding Agency RENTON,CITY OF 1055 S GRADY WAY RENTON,WA-9805 S Awarding Agency Contact Terry Flatley Awarding Agency Contact Phone Number 425-891-2625 Contract Number Project Name May Creek Bid due date 4/30/2013 Award Date 6/3/2013 Project Site Address or Directions May Creek Trail 4260 Lake Washington Boulevard Renton,WA 98055 Intent Details Does your company intend to hire subcontractors to perform all work? No Does your company intend to hire any subcontractors? No Will your company have employees perform work on this project? Yes Do you intend to use any apprentices?(apprentices are considered No employees.) Will this project utilize American Recovery and Reinvestment Act No (ARRA)funds? Specifically,will this project utilize any weatherization or energy No efficiency upgrade funds(ARRA or otherwise)? 2 z https://secureaccess.wa.gov/lni/pwiaNiewlntent.aspx 8/15/2013 Review Statement of Intent �..+ Page 2 of 2 How many owner/operators performing work on the project own 30% or more of the company? What is the estimated contract amount?Or is this a time and materials $45,881.00 estimate? Expected project start date: (MI DD-YYYY) 7/17/2013 In what county(or counties)will the project be done? King In what city(or nearest city)will the project be done? Renton Journey Level Wages County Trade Occupation Wage Fringe #Workers King I Landscape Construction Landscaping or Planting Laborers I$17.87 1$0.96 8 l.1 ShoAZHide Existing Notes No note exists Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. Access: https://secureaccess.wa.gov/lni/pwia/Viewlntent.aspx 8/15/2013 Page 1 of 1 State of Washington Department of Labor & Industries Prevailing Wage Section - Telephone 360-902-5335 PO Box 44540, Olympia, WA 98504-4540 ............ _.. ._. . _. _......, Payment Receipt Your payment has been processed and your form has been submitted. Transaction 8/15/2013 Date Transaction Id 104032343 Project Name May Creek Form Filed Intent Form id 587963 Payment Type VISA ************7598 Amount Billed $40.00 https://secureaccess.wa.gov/Ini/pwia/PaymentReecipt.aspx 8/15/2013 ow CAG-13-147 COMMUNITY SERVICES—PARKS PLANNING AND NATURAL RESOURCES LANDSCAPING AGREEMENT THIS AGREEMENT("Agreement") is made.as of the /01*day of July, 2013, (the "Effective Date") by and between the City of Renton, a noncharter code city under RCW 35A, and a municipal corporation under the laws of the State of Washington ( "Renton"), through its Community Services Department and Green River Landscaping, ("Contractor"); who are collectively referred to as the "Parties", to acquire and install wood chip mulch, remove invasive plants and plant Renton-supplied plants at the May Creek Trail, 4260 Lake Washington Boulevard, Renton, WA 98055. Renton and Contractor agree as set forth below. 1. Scope of Services: Contractor will provide all material and labor necessary to perform all work described in the Proposal which is attached and fully incorporated into this Agreement by reference as Attachment "A." 2. Changes in Scope of Services: ' Renton, without invalidating this Agreement, may order changes to the Scope of Services consisting of additions, deletions or modifications, the Agreement Sum being adjusted accordingly by'Parties mutual agreement. Such changes in the work shall be authorized by written Change Order signed by the Parties. 3. Time of Performance: Contractor shall commence performance of the Agreement no later than ten (10) calendar days after the Agreement's Effective Date, and shall complete the full performance of the Agreement not later than August'l,2013. 4. Term of Agreement:The Term of this Agreement shall end at completion of the Scope of Services. This Agreement may be extended to accomplish change;orders, if required, upon mutual written agreement of Renton and Contractor. 5. Agreement Sum: The total amount of this Agreement is the sum of $45,881.00 which includes Washington State Sales Tax. This amount may be adjusted to a mutually agreed amount based on changes to the Scope of Services. 71 6. Consideration: In exchange for Contractor's performance of the items'and responsibilities identified in the Scope of Services, Renton agrees to make payment of the amount identified as the Agreement Sum. 7. Method of Payment: Payment by Renton for the Services will only be made after the Services have been performed and a voucher or invoice is submitted in a form acceptable to Renton. Payment of the initial 95% will be made i4-the.next pay cycle of the Renton Finance Department after receipt of such voucher or invoice (pay cycles are bi-weekly). The remaining 5% will be retained for the purpose of completion of the project and fulfillment of claims and liens. Renton shall have the right to withhold ti.rr payment to Contractor for any work not completed in a satisfactory manner until such time as Contractor modifies such work so that the same is satisfactory. 8. Conditions of Access: Subject to the terms of this Agreement, Contractor may have access to the May Creek Trail, at or in the vicinity'of 4260 Lake Washington Boulevard, Renton, as long as: a. It is for the purpose of installing wood chip mulch. b. It is for the purpose of removing invasive plants. C. It is for the purpose of planting Renton-supplied plants, trees, scrubs, etc. d. It is for the purpose of relocating plants, trees, scrubs, etc. at Renton's request or as needed or required. e. Contractor shall be solely responsible for repairing any damage caused by Contractor, and Contractor's employees, agents, representatives, and volunteers to any portion of the shoreline at or near the May Creek Trail. 9. Hold Harmless: Contractor shall indemnify, defend and hold harmless Renton, its elected officials, officers, agents, employees and volunteers,from and against any and all claims, losses or liability, or any portion of the same, including but not limited to reasonable attorneys' fees, legal expenses and litigation costs, arising from injury or death to persons, including injuries, sickness, disease or death of Contractor's own employees, agents and volunteers, or damage to property caused by Contractor's negligent act or omission, except for those acts caused by or resulting from a negligent act or omission by Renton and its officers, agents, employees and volunteers. Should a court of competent jurisdiction determine that this agreement is subject to RCW 4.24.115, (Validity of agreement to indemnify against liability for negligence relative to construction, alteration, improvement, etc., of structure or improvement attached to real estate...) then, in the event of liability for damages arising out of bodily injury to persons or damages to property caused by or resulting from the concurrent negligence of the contractor and Renton, its officers, officials, employees and volunteers, Contractor's liability shall be only to the extent of Contractor's negligence. It is further specifically and expressly understood that the indemnification provided in this Agreement constitute Contractor's waiver of immunity under the Industrial Insurance Act, RCW Title 51, solely for the purposes of this indemnification. The Parties have mutually negotiated and agreed to this waiver. The provisions of this section shall survive the expiration or termination of this Agreement. 10. Insurance: Contractor shall secure and maintain: a. Commercial general liability insurance in .minimum _amounts of $1,000,000 for each occurrence/$2,000,000 aggregate-far the Term-of tUs-Agri€me-rit. b. Professional liability insurance, in'the minimum amount of$1,000,000 for each occurrence, shall also be secured for any professional services being provided to Renton that are excluded in the commercial general liability insurance. q *mot *"01 C. Workers' compensation coverage, as required by the Industrial Insurance laws of the State of Washington, shall also be secured. d. It is agreed that on Contractor's commercial general liability policy, the City of Renton will be named as an Additional Insured on a non-contributory primary basis. Renton's insurance policies shall not be a source for payment of any Contractor liability. e. Subject to Renton's review and acceptance, a certificate of insurance showing the proper endorsements, shall be delivered to Renton before executing the work of this Agreement. f. Contractor shall provide Renton with written notice of any policy cancellation, within two,(2) business days of their receipt of such notice. 11. Discrimination Prohibited: Except to the extent permitted by a bona fide occupational qualification,the Contractor agrees as follows: a. Contractor, and Contractor's agents, employees, representatives, and' volunteers with regard to the services performed or to be performed under this Agreement, shall not discriminate on the basis of race, color, sex, religion, nationality, creed, marital status, sexual orientation or preference, age (except minimum age and retirement provisions), honorably discharged veteran or military status, or the presence of any sensory, mental or physical handicap, unless based upon a bona fide occupational qualification in relationship to hiring and employment, in employment or application for employment, the administration of the delivery of services or any other benefits under this Agreement,or procurement of materials or supplies. b. The Contractor will take affirmative action to insure that applicants are employed and that employees are treated during employment without regard to their race, creed, color, national origin, sex, age, sexual orientation, physical, sensory or mental handicaps, or marital status. Such action shall include, but not be limited to the following employment, upgrading, demotion or transfer, recruitment or recruitment advertising, layoff or termination, rates of pay or other forms of compensation and selection for training. C. If Contractor fails to comply with any of this Agreement's non- discrimination provisions, Renton shall have the right, at its option, to cancel the Agreement in whole or in part. d. Contractor is responsible to be aware of and in compliance with all federal, state and local laws and regulations that may affect the satisfactory completion of the project, which includes but is not limited to fair labor laws and worker's compensation. 12. Independent Contractor: The Parties intend and agree to create an Independent Contractor-Employer Relationship. Contractor's employees, while engaged in the performance of any of Contractor's services under this Agreement, shall be considered employees of the Contractor and not employees, agents, representatives of Renton and as a result, shall not be entitled to any coverage.or benefits from the City of Renton.. Contractor's relation to Renton shall be at all times as an independent contractor. t Contractor has the ability to control and direct the performance and details of its work, Renton being interested only in the results obtained under this Agreement. Any and all Workman's Compensation Act claims on behalf of Contractor employees, and any and all claims made by a third-party as a consequence of any negligent act or omission on the part of Contractor's employees,while engaged in services provided to be rendered under this Agreement, shall be the solely Contractor's obligation and responsibility. Contractor has the ability to control and direct the performance and details of its work, Renton being interested only in the results obtained under this Agreement. 13. Prevailing Wage Rates: Contractor must comply with the State of Washington prevailing wage requirements. Contractor must file a Statement of Intent To Pay Prevailing Wage at the beginning of the project and an Affidavit of Wages Paid at the end of the project with the Washington State Department of Labor and Industries, http://www..I.r)i.wa.gov/TradesLicensing/PrevWage/default.asp. Contractor .shall pay prevailing wages in effect on the date the bid is accepted or executed by Contractor, and comply with RCW 39.12 (Prevailing wages on public works), as well as any other applicable prevailing wage rate provisions. 14. Record Keeping and Reporting: Contractor shall maintain accounts and records which properly reflect all direct and indirect costs expended and services provided in the performance of this Agreement. Contractor agrees to provide access to any records required by Renton. 15. Other Provisions: a. Administration and Notices. Each individual executing this Agreement on behalf of Renton and Contractor represents and warrants that such individuals are duly authorized to execute and deliver this Agreement on behalf of Renton or Contractor. Any notices required to be given by the Parties shall be delivered at the addresses set forth below. Any notices may be delivered personally to the addressee of the notice or may be deposited in the United States mail, postage prepaid, to the address set forth below. Any notice so posted in the United States mail shall be deemed received three (3) calendar days after the date of mailing. This Agreement shall be administered by and any notices should be sent to the undersigned individuals or their designees. b. Amendment and Modification. This Agreement may be amended only by an instrument in writing, duly executed by both Parties. c. Assignment and Subcontract. Contractor shall not assign or subcontract any portion of this Agreement without the City of Renton's prior express written consent. d. Compliance with Laws. Contractor and all of the Contractor's employees shall perform the services in accordance with all applicable federal, state, county and city laws, codes and ordinances. A copy of this language must be made a part of any contractor or subcontractor agreement. e. Conflicts. In the event of any inconsistencies between contractor proposals and this contract,the terms of this contract shall prevail. f. Governing Law. This Agreement shall be made in and shall be governed by and interpreted in accordance with the laws of the State of Washington. g. Joint Drafting Effort. This Agreement shall be considered for all purposes as prepared by the joint efforts of the Parties and shall not be construed against one party or the other as a result of the preparation, substitution, submission or other event of negotiation, drafting or execution. h. Jurisdiction and Venue. Any lawsuit or legal action brought by any party to enforce or interpret this Agreement or any of its terms or covenants shall be brought in the King County Superior Court for the State of Washington at the Maleng Regional Justice Center in Kent, King County, Washington, or its replacement or successor. i. Recyclable Materials. Renton recommends that its contractors and consultants use recycled and recyclable products whenever practicable. j. Resolution of Disputes and Governing Law. If the Parties are unable to settle any dispute, difference or claim arising from the Parties' performance of this Agreement, the exclusive means of resolving that dispute,"difference or claim, shall only be by filing suit exclusively under the venue, rules and jurisdiction of the King County Superior Court, King County, Washington, unless the Parties agree in writing to an alternative dispute resolution process. In any claim or lawsuit for damages arising from the Parties' performance of this Agreement, each party shall pay all its legal costs and attorneys' fees incurred in defending or bringing such claim or lawsuit, including all appeals, in addition to any other recovery or award provided by law; provided, however, nothing in this paragraph shall be construed to limit Renton's right to indemnification under Section 9 (Hold Harmless) of this Agreement. k. Severability. A court of competent jurisdiction's determination that any provision or part of this Agreement is illegal or unenforceable shall not cancel or invalidate the remainder of this Agreement, which shall remain in full force and effect. I: Sole and Entire Agreement. This Agreement contains the entire agreement of the Parties and any representations or understandings, whether oral or written, not incorporated are excluded. M. Third-Party Beneficiaries. Nothing in this Agreement is intended to, nor shall be construed to give any rights or benefits in the Agreement to anyone other than the Parties, and all duties and responsibilities undertaken pursuant to this Agreement will be for the sole and exclusive benefit of the Parties and no one else. n. Waivers. All waivers shall be in writing and signed by the waiving party. Either party's failure to enforce any provision of this.Agreement shall not be a waiver and shall not prevent either Renton or Contractor from enforcing that provision or any other provision of this Agreement in the future. Waiver of breach of any provision of this Agreement shall not be deemed to be a waiver of any prior or subsequent breach unless it is expressly waived in writing. IN WITNESS WHEREOF, the Parties have voluntarily entered into this Agreement as of Effective Date. CITY OF RENTON GREEN RIVER LANDSCAPING Denis Law, Mayor 1055 South Grady Way Renton,Washington 98057 Date Date Attest Approved as to Legal Form Lawrence J. Warren Bonnie I. Walton Renton City Attorney Renton City Clerk DNS Date Date ATTACHMENT A Green River Landscaping Inc P. o Box 6456 Kent WA. 98064 Tel : (253) 217-8102 Cell: (206) 255-5527 UBI# 602-710-177 /Fax: (253) 854-3313 GREENRIVER918DP Date: Friday,April 12 2013 Proposal for MAY CREEK Address: 4260 Lake Washington Boulevard RENTON WA 98055 Scope of Work: Installation of 900 yards of hog fuel Chips size#2 and plant installation. The plants not planted by the volunteers in the area where the chips will be dropped , will be planted by Green River Landscape after the rest of the chips are installed. The chips will be distribute by wheel barrow and spread by hand, the thickness of the how much depth the chips must go will be determine by project manager. ESTIMATED TIME TO C STARTING DATE. OMPLETE WORK WILL BE 10 DAYS FROM Additional Comments QUOTE GOOD FOR 30 DAYS. Labor, material and equipment needed to complete job to be provided by Green River landscaping inc. Price (including tax) Fourty thousand four hundred dollars $ 40,400 00 Propos B . Alf nso /Rodrigo Leos Date Proposal Accepted By: Date ATTACHMENT A Green River Landscaping Inc P. o Box 6456 Kent WA. 98064 Tel : (253) 217-8102 Cell: (206) 255-5527 UBI# 602-710-177 /Fax: (253) 854-3313 GREENRIVER918DP Date: Fridav,April 12 2013 Proposal for MAY CREEK Address: .4260 Lake Washington Boulevard RENTON WA 98055 Scope of Work: Removal of black berry bushes with the root system. The section of black berry sticker bushes to be removed all by hand and also removing the roots as well. Haul all debrie off site and dispose by Green River Landscape Inc. Additional Comments QUOTE GOOD FOR 30 DAYS. Labor, material and equipment needed to complete job to be provided by Green River landscaping me. Price (including tax) One thousand five hundred dollars $ 1,500.00 Propos B • Al /Rodrigo Leos /� Date al /13 Proposal Accepted By: Date BOND TO THE CITY OF RENTON Bond#61738616 KNOWALL MEN BY THESE PRESENTS: That we,the undersigned Green River Landscape Inc as principal, and Western Suretv Companv corporation organized and existing under the laws of the State of South Dakota as a surety corporation, and qualified under the laws of the State of Washington to become surety upon bonds of contractors with municipal corporations, as surety are jointly and severally held and firmly bound.to the City of Renton in the penal sum of$45.881.00 for the payment of which sum on demand we-bind ourselves and our successors, heirs, administrators or person representatives, as the case may be This obligation is entered into ;l purl san;_Of the st€; utw of the Qtote of Washington,the Ordi i a ice o,ti e Ci ty -- -- - - of Renton. Dated at Seattle Washington,this 17th day of_lulu 2013 Nevertheless,the condi ti ons of the above obligation are such that: WHEREAS, under and pursuant to City of Renton Contract Agreement CAG- providing for i nstal I ati on of M ay Creek Trai I Wood Chi D Proi ect (Prcied name) the pri nci pat is requi red to f urnish a bond for the faithful performance of the contract; and WHEREAS,the principal has accepted, or is about to accept, the contract and undertake to therei n provided for in the manner and withi n the ti me set forth; perform the work NOW, THEREFORE, if the principal shall faithfully perform all of the provisions of said contract in the manner and within the time therein set forth, or within such extensions of time as may be granted under said contract, and shall pay all laborers mechanics, subcontractors and materialmen, and ail persons who shall supply said principal or subcontractors with provisionsand suppliesfor thecarrying on of.said work, and shall hold said City of Renton harmless from any loss or damage occasioned to any person or property by reason of any carelessness or negligence on the part of said principal, or any subcontractor in the work, and shall indemnify and hold the City of Renton harmless from an d performance of said f�lure Of . � _ .-M�--_-.,. •„� :1 .� � Y damage or expense by reason of ..O,n^.5 iw a:GPS f l U �-1 a n?comiiract or f ror��de eds appeari rig or devel opi ng i n the maten ai or workmanship provided or performed under the contract within a period of one year after its acceptance thereof by the City of Renton, then and i n that event thi s obl i gati on shat I be voi d; but otherwi se it shat I be and remai n i n ful I force and effect. Green River Landscape Inc We$ern Surety C mpany Pri nci y Signature �Si gnature Title Cameron Huntsucker,Attorney-in-Fact Title H/forms/oontrar#yBOND.DOC/MAB/bh Approved by Lary Warren 2/14/92 Western Surety Company POWER OF ATTORNEY-CERTIFIED COPY Bond No. 61738616 Know All Men By These Presents, that WESTERN SURETY COMPANY, a corporation duly organized and existing under the laws of the State of South Dakota,and having its principal office in Sioux Falls,South Dakota(the"Company"),does by these presents make,constitute and appoint Cameron Huntsucker its true and lawful attorney(s)-in-fact,with full power and authority hereby conferred, to execute,acknowledge and deliver for and on its behalf as Surety,bonds for: - ----- ----Principal:—Green—River-Landscape--Inc Obligee: City of Renton Amount: $500,000.00' and to bind the Company thereby as fully and to the same extent as if such bonds were signed by the Senior Vice President, sealed with the corporate seal of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said attorney(s)-in-fact may do within the above stated limitations. Said appointment is made under and by authority of the following bylaw of Western Surety Company which remains in full force and effect. "Section 7.. All bonds,policies, undertakings, Powers of Attorney or other obligations of the corporation shall be executed in the corporate name of the Company by the President, Secretary, any Assistant Secretary, Treasurer, or any Vice President or by such other officers as the Board of Directors may authorize. The President,any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint Attorneys in Fact or agents who shall have authority to issue bonds, policies, or undertakings in the name of the Company. The corporate seal is not necessary for the validity of any bonds, policies, undertakings,Powers of Attorney or other obligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile." All authority hereby conferred shall expire and terminate,without notice,unless used before midnight of November 13th 2013 ,but until such time shall be irrevocable and in full force and effect. In Witness Whereof,Western Surety Company has caused these presents to be signed by its Vice President,Paul T.Bruflat, and its corporate seal to be affixed this 3rd day of July 2013 eay WES SUR Y COMPANY Paul T ruflat,Vice President A �!.I ',FCC' r ss COUNT �( `) N HAHA JI On this 3 rd day of July in the year 2013 before me,a notary public,personally appeared Paul T. Bruflat, who being to me duly sworn, acknowledged that he signed the above Power of Attorney as the aforesaid officer of WESTEVySU4E Y COMPANY and acknowledged said instrument to be the voluntary act and deed o said corp tion. S S. PETRIK S s s s s s AL NOTARY PUBLIC s f�SOUTH ] AKOTA�s No Public-South Dakota t55y55h55h55y�,hsyh5�555y t My Commission Expires August 11,2016 I the undersigned officer of Western Surety Company,a stock corporation of the State of South Dakota,do hereby certify that the attached Power of Attorney is in full force and effect and is irrevocable,and furthermore,that Section 7 of the bylaws of the Company as set forth in the Power of Attorney is now in force. In testimony whereof,I have hereunto set my hand and seal of-Western Surety Company this 3rd day of July 2013 WES R SURE Y COMPANY Form F5306-8-2012 Paul T. ruflat,Vice President w✓ vow STATE OF_Washington ACKNOWLEDGMENT OF SURETY COUNTY OF ss (Attorney-in-Fact) Bond No. 61738616 On this Fv—� day of a0 and for said County,personally appeared Ca ron Huntsucker (3 before me,a notary public in to me personally known and being by me duly sworn, did say, that he is the Attorney-in-Fact of WESTERN SURETY COMPANY, a corporation of Sioux Falls, South Dakota, created, organized and existing under and by virtue of the laws of the State of South Dakota, that the said instrument was executed on behalf of the said corporation by authority of its Board of Directors and that the said Cameron Huntsucker acknowledges said instrument to be the free act and deed of said corporation and that he has authority to sign said instrument without affixing the corporate seal of said corporation. IN WITNEa"S WHEREOF,I have hereunto subscribed my name and affixed my official seal at G�C the day and year last above written. My commission expires J LA-c Form 106-4-2000 0®®®® ��4� Notary Public -��OKEV, h s EXPIgF ll 11 O d ®QJ P[y U� • ! Z% ®W' d® r,l 1ro, �® 1 06 CORRESPONDENCE SECTION BOND TO THE CITY OF RENTON Bond#61738616 KNOWALL MEN BY THESE PRESENTS That we,the undersigned Green River Landscape Inc as principal, and Western Surety Company corporation organized and existing under the laws of the State of South Dakota as a surety corporation, and qualified under the laws of the State of Washington to become surety upon bonds of contractors with municipal corporations, as surety are jointly and severally held and firmly bound to the City of Renton in the penal sum of$45.881.00 for the payment of which sum on demand we bind ourselves and our successors, heirs, administrators or person representati ves,as the case may be Thi s obl i gati on i s entered i nto i n pi-.rs►±ance of the stMute`of.he State of Washi;Vgton,the Ordi na ice of the City of Renton. Dated at Seattle .Washington, this 17th day of July 2013 Nevertheless,the condi ti ons of the above obl i gati on are such that: WHEREAS, under and pursuant to City of Renton Contract Agreen-at CAG providing for i nstal Iation of M ay Creek Trai I Wood Chip Proi ect (pooled nave) the pri ncipal is required to furnish a bond for the faithful performance of the contract; and WHEREAS, the princi pal has accepted, or is about to accept, the contract, and undertake to perform the work therein provided for in the manner and within the time set forth; NOW, THEREFORE, if the principal shall faithfully perform all of the provisions of said contract in the manner and within the time therein set forth, or within such extensions of time as may be granted under said contract, and shall pay all laborers, mechanics, subcontractors and materialmen, and all persons who shall supply said principal or subcontractors with provisions and supplies for the carrying on of said work, and shall hold sad City of Renton harmless from any loss or damage occasioned to any person or property by reason of any carelessness or negligence on the part of said pri nci pal, or any subcontractor in the performance of said work, and shall indemnify and hold the City of Renton harmless from any damage or expense by reason of failure of pe*f orm cs as apedfied in�the comb-act or from defects appearing or devei opi ng in the material or workmanship provided or performed under the contract within a period of one year after its acceptance thereof by the City of Renton, then and in that event this obligation shall be voi d; but otherwi se it shall be and remai n i n fLA I force and effect. Green River Landscape Inc We ern Surety C mpany Pried rvnd Y Signature Signature - 0 41W Cameron Huntsucker,Attorney-in-Fact Title Title H/famsfeontractslBOND.DOC/MABIbh Approved by Larry Warren 2114/92 *00 *4060` Company este rn Surety POWER OF ATTORNEY- CERTIFIED COPY Bond No. 61738616 Know All Men By These Presents, that WESTERN SURETY COMPANY, a corporation duly organized and existing under the laws of the State of South Dakota,and having its principal office in Sioux Falls, South Dakota(the"Company"), does by these presents make,constitute and appoint Cameron Huntsucker its true and lawful attorney(s)-in-fact,with full power and authority hereby conferred, to execute, acknowledge and deliver for and on its behalf as Surety,bonds for: Principal: Green River Landscape Inc Obligee: City of Renton Amount: $500, 000.00 and to bind the Company thereby as fully and to the same extent as if such bonds were signed by the Senior Vice President, sealed with the corporate seal of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said attorney(s)-in-fact may do within the above stated limitations. Said appointment is made under and by authority of the following bylaw of Western Surety Company which remains in full force and effect. "Section 7. All bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation shall be executed in the corporate name of the Company by the President, Secretary, any Assistant Secretary, Treasurer, or any Vice President or by such other officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint Attorneys in Fact or agents who shall have authority to issue bonds, policies, or undertakings in the name of the Company. The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile." All authority hereby conferred shall expire and terminate,without notice,unless used before midnight of November 13th 2013 ,but until such time shall be irrevocable and in full force and effect. In Witness Whereof,Western Surety Company has caused these presents to be signed by its Vice President,Paul T. Bruflat, and its corporatjifffilto be affixed this 3rd day of July 2013 ,ok' —'N °°„°„°„° WES SUR Y COMPANY Paul T ruflat,Vice President S1� �nLTT�• I'A CO r AHA On this 3rd day of July in the year 2013 before me,a notary public,personally appeared Paul T. Bruflat, who being to me duly sworn, acknowledged that he signed the above Power of Attorney as the aforesaid officer of WESTEV�SURETY h4COMPANY and`acknowledged said instrument to be the voluntary act and deed o said corporytion. s S. PETRIK s EAS L NOTARY PUBLIC SEAL r SOUTH DAKOTA t Notary Public-South Dakota 'x'44444444444444444444444 f' My Commission Expires August 11,2016 I the undersigned officer of Western Surety Company, a stock corporation of the State of South Dakota, do hereby certify that the attached Power of Attorney is in full force and effect and is irrevocable, and furthermore,that Section 7 of the bylaws of the Company as set forth in the Power of Attorney is now in force. In testimony whereof,I have hereunto set my hand and seal of Western Surety Company this 3rd day of July 2013 WES R SURE Y COMPANY Form F5306-8-2012 Paul T ruflat,Vice President ACKNOWLEDGMENT OF SURETY STATE OF Washington ,` SS (Attorney-in-Fact) Bond No. 61738616 COUNTY OF I On this day of ���`'lr before me,a notary public in and for said County,personally appeared CanQron Huntsucker to me personally known and being by me duly sworn, did say, that he is the Attorney-in-Fact of WESTERN SURETY COMPANY, a corporation of Sioux Falls, South Dakota, created, organized and existing under and by virtue of the laws of the State of South Dakota, that the said instrument was executed on behalf of the said corporation by authority of its Board of Directors and that the said Cameron Huntsucker acknowledges said instrument to be the free act and deed of said corporation and that he has authority to sign said instrument without affixing the corporate seal of said corporation. IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my official seal at cm�pp-ftu— > Llolq— ,the day and year last above written. My commission expires �u n`n lla ?i0 ll� Notary Public Form 106-4-2000 .��pKE Y ir = \�N FJCPIgFS�1 O�I J 00 LLJ . PV 6�_ ,r. City of ADMINISTRATIVE SERVICES DEPT. Q �O� City Clerk Office M E M O R A N D U M DATE: July 12, 2013 TO: Terry Flatley, CS- Parks FROM: indy Moya, Records Management Specialist SUBJECT / CAG-13-147—Green River Landscaping P g The attached document has been fully executed and is being returned to you. Please transmit the original to the contractor and retain a copy for your file.The City Clerk has retained an original for the file. Thank you! hArecords specialist\correspondence &memos - cindy\contract - fully executed.doc AJLS - City Clem City Clerk Number Checklist [;-/Yl —_ Select One: Q Contract ❑ Permit ❑ Lease ❑ Agreement Contract Type (assigned by City Clerk) Staff Name: Terry Flatley Extension: 6601 Department/Division: EDEN Community Services/Parks Planning & Natural Resources Div. Approval Queue: 10/010p Addendum Number: to City Clerk Number: CAG- (if applicable). Contract Class: ❑ Receivable ❑X Payable ❑ Grant F_� Misc. (no$) Expiration Date: 08/1/2013 Contractor Name: Green River Landscaping, Inc. Short Description: Add wood chip mulch, remove blackberry bushes and plant natives at May Creek Trail Full or Additional Description: Landscaping Agreement CITY OF RENTON Q Legal Review(attach memorandum from City Attorney) � JUL 10 2013 Q Risk Management review for insurance (attach memorandum from Risk Management) RECEIVED Q Insurance certificate and/or policy (attach original) CITY CLERK'S OFFICE 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 contracts only) Federal excluded parties list verification (Website: www.epls.gov; attach printout of search results) ❑ City business license number: On File Check EDEN or ask Finance Department. ❑X Accounts payable W-9 vendor form (obtain if not already on file with Finance Dept.) Submitted contracts are signed by contractor: ❑X Yes ❑ No If not, provide explanation below. Fiscal Impact: ❑X Expenditure or ❑ Revenue Amount Budgeted: Amount: $ 45,881 (line item;see below"): $ 45,881 Prior Council approval via agenda bill process required if: (see policies 250-02 and 800-12) OX Contract or addendum is$20,000 or over(non-Public Works)or$30,000 or over(Public Works). ❑ *Contract expenditure amount exceeds budgeted amount; fund transfer needed. ❑ Addendum is for the second and additional time extensions. ❑ Interlocal Agreement (most Interlocal Agreements require Resolutions) Date of Council Approval: Resolution Number: Contractor determined via: ❑X Phone Bid/Written Quote CFB Ad (if applicable) (if applicable) Consultant Roster RFP/SOQ Ad ❑ Application ❑ Sole Source Key words for City Clerk's electronic card file: Green River Landscaping, May Creek Trail Print Fdrm Revised 07123/2008 4+ `r✓ tr�)), r CITY ATTORNEY M E M O R A N D UM DATE: June 4, 2013 TO: Terrence J. Flatley, Urban Forestry and Natural Resources Manager FROM: Garmon Newsom II, Senior Assistant City Attorney SUBJECT: Green River Landscaping Agreement Good Morning Terry, For the foreseeable future, this form is approved as to legal form. Garmon Newsom II 'w✓ rr✓ HUMAN RESOURCES of AND RISK MANAGEMENT �Dim M E M O R A N D U M DATE: June 24, 2013 TO: Terry Flatley Urban Forestry& Natural Resources Manager ISA Certified Arborist Municipal Specialist FROM: Gary B. Lamb, Risk Manager SUBJECT: Insurance Review/Green River Landscape, Inc. Adding wood mulch, clearing some blackberry and planting some plants at the May Creek Trail. I have reviewed the certificate of insurance for the above-mentioned entity. The insurance certificate meets the city's risk management requirements. c:\users\tflatley\appdata\local\microsoft\windows\temporary internet files\content.outlook\fmdh6txg\green river landscape_flatley 2013.doc From:Joe Cowden Fax:253-395-4884 To: Terry Flatley Fax: +1 (425 430-6603 Page 2 of 2 612012013 1:35- ^ ruiwy wunlwvl. OV41.1L7J�f' UULU Entered: 06/20/2013 ,a► ° CERTIFI \TE OF LIABILITY INS •ANCE 6/20/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 'RODUCER CONTACT Mike R. Johnson Insurance Agency PHONE Fax 21620 84th Ave. S. Suite 1 ac No Ext: (253)872-7366 ac No: (253)395-4884 ADDREADORE SS:Mike @Johnson-ins.com Kent, WA 98032 INSURER(S)AFFORDING COVERAGE NAIC# INSuRERA:M:.d-Century Insurance Company 4SURED Green River Landscape Inc INSURERB: Alfonso G Leos INSURERC: PO Box 6456 INSURERD: Kent, WA 98064 INSURERE: INSURERF: ;OVERAGES CERTIFICATE NUMBER: REVISION NUMBER THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I TYPE OF INSURANCE POLICYEFF OLICYEXP LIMITS TR D POLICY NUMBER MIWDD/YYY MMDD/YW GENERAL LIABILITY EACH OCCURRENCE s2,000,000 COMMERCIAL GENERAL LIABILITY X X 604829357 5/19/2013 /19/2014 PREMISES Eaoccurrence $100,000 CLAIMS-MADE X OCCUR MED EXP(Arty one person) $5,000 PERSONAL&ADV INJURY $2,000,000 GENERAL AGGREGATE $4,000,000 GENT AGGREGATE LIMITAPPLIES PER: PRODUCTS-COMP/OP AGG $4,000,000 POLICY IX JE° LOC $ AUTOMOBILE LIABILITY N SINGLE LIMIT Ea accident $2,000,000 L ANY AUTO X X 605035078 8/02/2012 8/02/2013 BODILY INJURY(Per person) $ ALL(yUVNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS AUTOS Peracddent) $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESSLIAB CLAIMS-MADE AGGREGATE $ DED I RETENTION$ $ WORKERS COMPENSATION WC STATLL OTH- AND EMPLOYERS'LIABILITY ---TT-W LIMIT S ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y❑ N/A X 604829357 /19/2013 /19/2019 E.L.EACH ACCIDENT $500,000 O anclad IMEMBEREXCLLIDED? y E.L.DISEASE-EA EMPLOYEE $500,000 (Mandatory in NH) Ifyes;describeunder DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 IESCRIPTION OF OPERATIONS/LOCATIONS/VEHCLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required( ay Creek Trail Wood Chip Project ertificate Holder is named as an additional insured with respect to work performed by the named insured, nsurance is Primary and Non-Contributory. :ERTIFICATE HOLDER CANCELLATION City of Renton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE VVILL BE DELIVERED IN ATTN: Terry Flatley - Community Services Dept. ACCORDANCE WITH THE POLICY PROVISIONS. 1055 South Grady Way Renton, WA 98057 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. kCORD 25(2010/05) The ACORD name and logo are registered marks of ACORD ,duced using Forms Boss Plus software.wv\w FormsBoss.com.Impressive Publishing 800-208-1977