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CAG-11-008 CITY OF RENTON COMMUNITY SERVICES DEPARTMENT AGREEMENT FOR SERVICES CAG # 11-008 THIS AGREEMENT is made as of the day of� i z , 20 between the CITY OF RENTON, a municipal corporation of the State of Washington, hereinafter referred to as"CITY" and PSR HVAC& Mechanical Services. hereinafter referred to as"CONTRACTOR", to provide Mechanical Maintenance Services for Renton City Hall located at 1055 South Grady Way, Renton, Washington. The City and Contractor agree as set forth below. 1. Scope of Services. The Contractor will provide all material and labor necessary to perform all required mechanical maintenance services described in the Scope of Work which is included with this Agreement as Attachment"A". 2. Changes in Scope of Services. The City, without invalidating the Contract, may order changes in the Services consisting of additions, deletions or modifications, the Contract Sum being adjusted accordingly. Such changes in the work shall be authorized by written Change Order signed by the City and the Contractor. 3. Time of Performance. The Contractor shall perform the Services as per the time schedule itemized in the Scope of Work. The quarterly services shall be performed within three (3) months from the execution of this agreement and every three(3) months thereafter. All of the Services shall be performed at mutually agreed upon times and days that reflect the operating hours and needs of the Renton City Hall. 4. Term of Contract. The Term of this Agreement shall be for the period from 2011 , to &'a " , 2012. This Agreement may be extended for additional p riods of time upon mutual vuitten agreement of the City and the Contractor. 5. Contract Sum. In consideration of the Contractor performing the specified Services, the City agrees to pay the Contractor an amount not to exceed $19,875.00 per quarter or$79,500.00 per year. In the event the city desires additional Services other than those described in the Scope of Work, the Contractor agrees to perform such Services according to the attached Rate Schedule,Attachment"Y or for an amount negotiated by the Parties, whichever is less. per Attachment E 6. Method of Payment. Payment by the City for the Services will only be made ~"°�`"° - 4ave4wFi p@4@Fwe"and a voucher or invoice is submitted in the form specified by the City. Payment will be made thirty(30)days after receipt of such voucher or invoice. The City shall have the right to withhold �� payment to the Contractor for any work not completed in a satisfactory manner until such time as the Contractor modifies such work so that the same is satisfactory. 7. Prevailing Wages. Prevailing wages, in accordance with RCW 39.12, applies to this contract. The Contractor shall pay no less than the prevailing wage rate to all employees. 8. Warranty. The contractor warrants for itself and all of its employees that they have the requisite training, skill and experience necessary to provide the Services specified in the Scope of Work and are appropriately accredited and licensed by all applicable agencies and governmental entities. 9. Independent Contractor. The Contractor and City agree that the Contractor is an independent contractor with respect to the services provided under this Agreement. Neither the Contractor nor any employee of the Contractor shall be entitled to any benefits accorded City employees by virtue of the services provided under this agreement. The Contractor shall be responsible for paying all applicable taxes including income and business taxes. 10. Assignment and Subcontract. The Contractor shall not assign or subcontract any portion of this Contract without express written consent of the City of Renton. 11. Record Keeping and Reporting. The Contractor shall maintain accounts and records which properly reflect all direct and indirect costs expended and services provided in the performance of this Agreement. The Contractor agrees to provide access to any records required by the City. 12. Hold Harmless. The Contractor shall indemnify, defend and hold harmless the City, its officers, agents,employees and volunteers,from and against any and all claims, including claims from third parties, losses or liability,or any portion thereof, including attorneys fees and costs, arising from injury or death to persons, including injuries, sickness, disease or death to Contractor's own employees, or damage to property occasioned by a negligent act, omission or failure of the Contractor. 13. Dispute Resolution. Any dispute or disagreement arising between the Parties in connection with this Agreement shall first be attempted to be settled by the authorized representatives of each Party. The representative for the City is the Building Maintenance Manager or his designee. The authorized representative for the Contractor is Ken xoving, VP of Business Development (name and title). Unresolved disputes can be submitted to the Community Services Administrator whose decision shall be final. 14. Termination. Prior to the expiration of the Term, this Agreement may be terminated without cause by either Party. The City may cancel this Agreement upon thirty (30)days written notice to the Contractor. The Contractor may cancel this Agreement only upon thirty(30)days prior written notice to the City. 15. Renton Business License. Prior to signing a contract, the Contractor agrees to purchase a City of Renton Business License and maintain the license in full force and effect throughout the work of the project. License may be purchased from the Finance Department located in the City of Renton Municipal Building, 1055 South Grady Way, Renton, WA. 16. Insurance. The Contractor shall maintain throughout the duration of this contract the following insurance requirements: General Liability insurance in the amount of$1,000,000 per occurrence/$2,000,000 aggregate; Professional Liability insurance in the amount of$1,000,000 per claim; Automobile Liability in the amount of$1,000,000 per accident; and proof of Workers' Compensation coverage. The City of Renton will be name as a Primary and Non-Contributory Additional Insured on the insurance policy and an endorsement stating such shall be provided. 17. Bonding. The Contractor shall secure and maintain in force throughout the duration of this contract t ##e-gityfeGillfy.ate Employee Theft insurance�.�policy with a $2,000,000 limit to include` an Employee Dishonesty/Third-Party Liability coverage 18. Compliance with Laws. The 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. 19. Exhibits to Agreement. The following exhibits are attached to this contract and incorporated herein by this reference: Attachment A: Scope of Work Attachment B: City of Renton Insurance Requirements Attachment C: Contractor's Certificate of Insurance Attachment D: Contractor's Rate Schedule Attachment E: Contractor's Addendum A This Agreement is entered into as of the day and year written above. CONTRACTOR CITY OF 7NTON Signature gnature AV4 ki F w_pk 94o; cVt'h'� Denis Law, Mayor Printed Name and Title Printed Name and Title PSR HVAC&Mechanical Services 65-y�v Business Name Attest P.O. Box 27073 (3132 NE 133rd St) Bonnie I.Walton,City Clerk Mailing Address Printed Name and Title Seattle, WA 98125 city State Zip 206-367-2500 Telephone IV tr —s s V roar "fir,.■ HVAC&Mechanical Services CITY OF RENTON Mechanical Maintenance for Renton City Hall December 2010 Page 15 ATTACHMENT A SECTION 8 - SCOPE OF WORK FOR RENTON CITY HALL The contractor will furnish all labor, materials and equipment to perform all general preventive and corrective maintenance for the HVAC Systems, including Direct Digital Controls, and the Domestic Cold and Hot Water Systems for the facility.The only exception will be warranty provided labor and materials. Mechanical Scope: The scope for a full service preventive maintenance contract includes the following: 1. Preventive-Maintenance The preventive maintenance of the mechanical equipment involved with the HVAC systems and the domestic water system, which includes Hot water boilers, circulation pumps and Heat tape. HVAC system includes Air filter replacement every four months, inspection of Air Handlers, Condensers Evaporators, Heat Pumps, Air Compressors, Exhaust Fans and Unit Heaters.The contractor shall provide an equipment log on each piece of mechanical equipment to track when preventive maintenance is performed. See attached equipment lists and floor plans for location of equipment. 2. Semi-Annual Maintenance Twice yearly maintenance inspections performed covering all mechanical equipment. See detailed scope of work for specifics. 3. Emergency Service Provide for emergency calls and cover complete cost of all parts and labor. Response to emergency call should be within two hours of the call for service. 4. Equipment List See Equipment Schedules—Sections: 10& 12 5. Detailed Scope of Work 1.GENERAL SCOPE OF WORK Contractor shall provide full coverage on the HVAC equipment in EQUIPMENT SCHEDULES.This shall include Customer's computer hardware and software that monitor the HVAC equipment. The Contractor shall have a computer that will belong to the HVAC Contractor, but will be used to expedite speedy troubleshooting in servicing and repairing. All VAV boxes, thermostats and related pneumatic and electrical equipment, tubing, and electrical lines are included.Also including all equipment, labor, materials, and subcontracted services to maintain all HVAC equipment identified in EQUIPMENT SCHEDULES in optimum operating condition.Contractor shall perform all services to keep the HVAC equipment operating within the manufacturer's design parameters, including air balance if necessary to keep room temperature and humidity as per the Customer's request. www.psrhvae.com NWW MVAC&Mechanical Service CITY OF RENTON Mechanical Maintenance for Renton City Hall December 2010 Page 16 2. ITEMS TO BE FURNISHED BY CONTRACTOR A. Contractor shall provide all materials required to perform the work of this Agreement, including, but not limited to, replacement parts, assemblies, materials, oil, and refrigerant. Contractor shall provide all tools, refrigerant cylinders, pumps, storage cabinets, and other equipment required to perform the work specified in this Agreement. B. Contractor shall provide all labor, including supervision, support staff, and subcontracted services required to perform the work of this Agreement. C. Contractor shall have the following equipment on-site or in a location that guarantees delivery to Customer's site in less than four(4) hours: 1. Two high-pressure recovery systems capable or recovering refrigerant in the largest air conditioning system in less than 8 hours. 2. Contractor shall provide equipment name, model number, serial number, and date certified to EPA. 3. Separate storage tanks that will hold refrigerant from the largest volume HVAC system and will not exceed 80% of total volume-liquid weight. 4. All required safety equipment. 3.SERVICES TO BE PERFORMED BY CONTRACTOR A. Contractor shall provide a complete program of planned and corrective maintenance for all equipment listed in EQUIPMENT SCHEDULES. B. The planned maintenance program shall meet the manufacturer's requirements to properly maintain and service the equipment, and shall include the procedures listed in Attachment 1. C. Factory trained technicians shall perform all planned and corrective maintenance tasks in accordance with service manuals issued by the equipment manufacturers. D.The following services shall be performed on all equipment listed in EQUIPMENT SCHEDULES. 1) Contractor shall perform a minimum of: Filter Service—Every Four Months January May September Note: VAT units that were fitted with filters, filters have been removed and are not part of this requirement, our experience has shown that consistent filter changes on the MAH unit are more than adequate and that the VAT filters have a minimal effect on air quality and system performance. www,psrhvac.com ..� 1W7 A NVAC&Mechanical Services Raw CITY OF RENTON Mechanical Maintenance for Renton City Hall December 2010 Page 17 Semiannual Test and Inspection— January July Annual Preventive Maintenance— January 2) Contractor shall provide pleated filters which are 100% synthetic media with and ASHRAE standard of 62.1, average atmospheric efficiency of 30%, and average resistance exceeding 90% by weight. The 2"filter handles up to 625 FPM.The filter pack shall be enclosed in a heavy duty, moisture resistant,die-cut frame that will not warp, crack, or distort. These filters are to be the same size that is presently in the units now or the manufacturer's specifications;whichever is considered the highest industrial standard. 3) Contractor shall replace all belts annually during the Annual Preventive Maintenance and at any other time the belts have cracked or have areas that are worn out. 4)Contractor shall perform annual oil analysis.The oil analysis shall be performed during the Annual Preventive Maintenance. If the analysis shows high moisture or acid content, all filter driers shall be replaced and another test taken within thirty(30)days.This shall continue until it is acceptable. 5) Contractor shall perform a megohm reading on all air conditioning compressors. The megohm will be recorded and plotted for each compressor. This will be during the Annual Preventive Maintenance, each time a compressor is changed out, and anytime a unit has lost refrigerant and was in a vacuum. If the megohm readings are 20% lower than the reading taken on the annual maintenance, or below 150 megohm at 70 degrees, or lower that 300 megohm at 60 degrees, the dryers shall be replaced and another megohm reading taken within thirty (30) days or after 40 hour of running time. Continue replacing dryers or complete other maintenance until the megohm reading is within acceptable limits. 6) Contractor shall perform vacuum testing whenever a compressor has been disassembled, moisture has been found within the refrigerant circuit, refrigerant has been lost, or any repairs made in which vacuum is required. Contractor shall evacuate the system to a minimum of 2 millimeters of mercury, and then secure the system for a minimum of 12 hours. If the system vacuum does not increase more than 1 millimeter of mercury in 12 hours,the system can be considered tight.The service technician must note this in the service record. 7) Contractor shall calibrate and test all thermometers and gauges during the Annual Maintenance that are needed along with instruments necessary to log equipment that is covered under this Agreement. 8) Contractor shall provide all necessary equipment, labor, materials, and subcontracted services to maintain all equipment in prime operating condition, consistent with manufacturer's service recommendations. This includes repairing any failure of any magnitude, using OEM procedures and guidelines, OEM parts, OEM recommended oils, gaskets, supplies, etc.All call outs, overtime, and holiday labor required are included in the Agreement price. www.psrhvac.com 140W HVAC&Mechanical Services CITY OF RENTON Mechanical Maintenance for Renton City Hall December 2010 Page 18 9) Contractor shall provide all necessary equipment, labor, materials, and subcontracted services to perform regularly scheduled planned, corrective, and predictive maintenance tasks, using equipment history, operating hours, OEM requirements, and procedures on a day-to-day basis. 10) All failures shall be corrected without delay. HVAC equipment shall be returned to operation as soon as possible. Sufficient manpower shall be available so that planned maintenance tasks are not neglected or postponed. 11) Contractor shall make planned repairs and replacements based on data derived from oil analysis, megohm reading, operation logs, service reports, vibration analysis (if needed), and other inspections or testing. 12) Contractor shall maintain the highest standards of safety for people, premises, and equipment. 4. RESPONSE TIME A. Contractor shall provide twenty-four(24) hour per day, seven (7)day per week service. B. Contractor shall respond to a routine service request received before 12:00 noon local time on the same day of the request. C. Contractor shall respond to a routine service request received after 12:00 noon local time on the same day of the request when possible, but never later than 9:00 a.m. the day following the request. D. Contractor shall respond to an emergency service request from Customer in less than two (2) hours after receiving the request. E.Contractor will be considered to have responded to requests upon commencing work at Customer's premises. F. Customer shall have sole authority to decide the nature or and set the priorities for all service requests. 5.APPROVALS REQUIRED A. Customer shall provide reasonable access to all equipment. Contractor shall: 1) Obtain Customer's permission before shutting down any equipment. 2) Notify Customer prior to shutting down any equipment. Contractor shall tag and lock out all electrical disconnects while work is being done. 3) Notify Customer prior to welding or lighting any fires (torches, etc.). 4) Contractor shall stop work immediately if Customer reports any unsafe practices, procedures, or conditions. Contractor shall remedy the problem and with Customer's approval, continue work. 5) Notify Customer immediately upon starting any equipment. 6) Contractor shall not duplicate the keys. www.l)srhvac.com r WdL HVAC&Mechanical Services CITY OF RENTON Mechanical Maintenance for Renton City Hall December 2010 Page 19 6. REFRIGERANT REPORTS A. Contractor shall provide Customer with a separate service report designed and used for refrigerant transactions only.The report shall be submitted the day of the transaction and shall include: 1) Date. 2)Service Representative's printed name and refrigerant usage certification number. 3)Chiller name using Customer's naming nomenclature. 4) Description of refrigerant leaks, recovery, replacement, additions, and any unintentional venting. 5)Amount of refrigerant removed. 6)Amount of refrigerant added. 7) Repairs needed. 8) Refrigeration Certification. 9)Signature of Service Representative. 7. REFRIGERANT CONSERVATION PROGRAM A.Contractor shall comply with Section 608 of the Clean AirAct of 1990,including the final regulations published on May 14, 1993 or any later statutes or regulations that supersede or amend the Clean AirAct.Contractor shall comply with ASHRAE 15 guidelines and all federal, state, county, and local codes. Contractor shall comply with the most stringent of these guidelines, codes, and statutes. B. Contractor shall provide one (1) annual refrigerant leak test and as many additional leak tests as required for optimal operation. High-pressure machines shall be pressurized to a minimum of 300 psi. Contractor shall provide dry nitrogen as the pressurization source. C.To test for leaks the Contractor shall: 1) Perform leak testing with an electronic leak detector. 2) Use soap bubbles to confirm the size and leak rate. 3)Schedule with Customer an immediate shut down if leak rate exceeds 10%of the total system charge per year. A. Contractor shall repair any refrigerant leaks identified during the annual leak test or other service work. Contractor shall perform repairs expeditiously to minimize further refrigerant loss. B. Contractor shall provide a written report documenting each refrigerant transaction. Refrigerant transactions include the removal and subsequent recharge of a machine, the addition of new refrigerant to a machine, and the removal and reclaim of refrigerant from a machine.The report shall be written on a form designed solely for refrigerant transactions. www.psrhvac.com INGINEW90OPW ��� mow HVAC&Mechanical Services CITY OF RENTON Mechanical Maintenance for Renton City Hall December 2010 Page 20 C. Contractor shall provide certified reclaim and storage equipment for all refrigerants that are removed,stored, and recharged. Work shall be performed with technicians trained and certified for refrigerant handling. D. Contractor shall be entirely responsible for the transfer, transportation, and all other arrangements with a reclaim service when refrigerant is reclaimed to current standards. E. Contractor shall be entirely responsible for the transfer,transportation,and consignment of any refrigerant or oil that requires disposal. Contractor shall indemnify and hold the Customer from any penalties, assessments, or moneys assessed Customer as a result of any hazardous waste cleanup required for said items disposed of by Contractor. Contractor shall dispose of the refrigerant or oil according to the standards and regulations of local, state, and federal agencies and shall be responsible for all bills of lading and all record keeping involved with the disposal. F. Contractor shall implement a computer based refrigerant management program to track all refrigerant transactions. Contractor shall furnish Customer annual reports generated from the computer program. The reports shall comply with the record keeping requirements of Section 608 or the Clean Air Act of 1990, including the final regulations published on May 14, 1993. 8. SERVICE REPORTS G.Contractor shall provide Customer with a separate service report for each HVAC equipment repair that shall include: 1) Date. 2) Service Representative's printed name. 3) Equipment name using Customer's naming nomenclature. 4) Detailed description of the problem. 5) Detailed summary of work accomplished to solve the problem. 6) Parts used. 7)A statement that the problem was or was not resolved. 8)Work left to be done. 9) Man-hours used. 10) Refrigerant Certification. 11) Signature of Service Representative. A. Contractor shall provide Customer with a refrigerant report with the service tickets if refrigerant is used, and a complete report in the annual maintenance report of how much refrigerant was used for that year per air conditioning system. B.After the Service Representative completes the service work, they will enter the following information in the master log book: date, equipment, a brief description of service, and note any items that will aid other service personnel in the master log book. C. Contractor shall provide Customer with additional reports as requested. www.psrlivac.coni rW A HVAC&Mechanical Services CITY OF RENTON Mechanical Maintenance for Renton City Hall December 2010 Page 21 9.OPERATION INSPECTION A. Suction pressure. G.Volts—system running. B. Discharge pressure. H.Amperes of compressors and supply fans. C. Liquid line temperature. I. Superheat if applicable. D. Discharge temperature of compressor. J.Ambient temperature. E. Inlet air temperature. K. Date. F. Outlet air temperature. L. Signature of Service Representative. 10. CONFERENCES Additional conferences may be convened as needed to enhance communications between Contractor and Customer. Either party shall request additional conferences at least twenty-four(24) hours prior to conference by letter, fax, telephone, or personal request.All parties shall make every reasonable effort to accommodate the requests. 11. SEMIANNUAL MAINTENANCE INCLUDING OPERATION LOG Contractor will perform all of the indicated maintenance procedures at the intervals scheduled.This will prolong the life of the unit and reduce the possibility of equipment failure.Contractor shall provide all materials and labor to perform maintenance listed below, including, but not limited to: A. Check the condition of the refrigerant as indicated by the liquid line sight glass/moisture indicator(s). B. Check the compressor oil level. C. Check unit suction and discharge pressures. D. Generally inspect the unit for unusual conditions such as a noisy compressor, loose access panels, leaking pipe connections, etc. Replace all retaining screws in the access panels and condenser grilles. E. Check the unit wiring to be sure all connections are secure. F. Check the drain pans and condensate piping to be sure they are free of obstacles. Check cooling coils,wash out and clean the inside condensate pans and flush lines, and remove algae or any restriction that might cause water to back up in the coil. G.Test for excessive vibration. H. Check refrigerant charge. I. Check crankcase heaters and controls. J. Check oil level. K. Check all operating controls and set to manufacturer's specifications. L.Adjust belt tension. M. Check the extended fan bearing lines to be sure they are installed properly and are tight to the bearings. Lubricate the bearings as discussed in the Maintenance Procedures section. N. Check the bearing set-screws to be sure the shaft is held securely. Make sure that all bearing braces are tight. O. Check all refrigerant piping and fittings for leaks. www.psrhvac.com mom HVAC&Mechanical Services CITY OF RENTON Mechanical Maintenance for Renton City Hall December 2010 Page 22 12.ANNUAL MAINTENANCE INCLUDING SEMIANNUAL MAINTENANCE AND OPERATION LOG A. Manually rotate the condenser fans to check for proper operation. Inspect the fan mounting hardware for tightness. B. Inspect the evaporator and condenser coils for dirt or debris and clean. C. Inspect the exterior of the unit. Remove any corrosion and repaint. Check the condition of the gasket around the control panel door. It must fit correctly and be in good condition to prevent leakage. D. Perform a megohm reading on all air conditioning compressors. E. Show ambient temperature vs. megohm reading. F. Show graph and report on each compressor. G. Inspect the supply air fan. H. Lubricate the motors of the supply fans. I. Perform an oil analysis to determine the acidity of the compressor oil and record the results. J. Check all safety controls and set to manufacturer's specifications. K. Inspect control panels and compressor junction box for tightness of terminals and connections. Insulation on the wiring must be intact. L. Check all control settings for accuracy. M. Inspect all control panel wiring to be sure that all connections are tight and that the wiring insulation is intact. N. Lubricate the supply and optional exhaust fan bearings. Make sure the bearing braces are tight and that the fan shafts are held securely. O. Check the fan limit safety switches; adjust or replace as required. P. Check all other safety controls. Q. Check all operating controls. R. Complete Operation Inspection Log. Contractor shall provide a checklist for the use of Service Representatives when completing the.maintenance, including yes or no questions,recorded readings,and comments where appropriate,to be signed by the Service Representative. wwvr.psrhvac.com HVAC&Mechanical Services CITY OF RENTON Mechanical Maintenance for Renton City Hall December 2010 ATTACHMENT C Page 23 SAMPLE CERTIFICATE OF INSURANCE co^ied CERTIFICATE OF LIABILITY INSURANCA 010 of l 312--W2010 PRODUCER LOCKTON COMPANIES,LLC-1 KANSAS CITY CA - THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION CA Licenre#0554167 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 444 W.47th Street,Suite 900 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Kenner City 64112-1906 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. (8 16)960-9000 INSURERS AFFORDING COVERAGE NAIC all INSURED PUGET SOUND REFRIGERATION,INC INSURER A.'Zurich American Inrare°ce Comlany 16535 1306828 dbe PSR-HVAC&MECHANICAL SERVICE 3132 NE 133RD STREET INSURER B: Great AmeriCBD InSUrSBCe Company 16691 SEATTLE WA 98125 INSURER C: INSURER D: INSURER E: COVERAGES MBCSE01 XP 1TSr LTaTPIGTE OF rlruwwxcE SDSS nDT CBNrmVTEACONIwwcTBETWrENnBlE G HeuREw a wunww¢m wvwSNrwTNE DR PROeueeR wm 111a oaTwru THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTRR NE OF INSUIWiCE POLICY NUMBER LSdITS GENERAL LIABILITY A X COMMERCUIL GENERAL LIAsarrY OL04986497-00 4/1/2010 4/ ] �E O .D $ 300 00 CLAIMS MADE aX DccUR yeprP i 10 DNALaADV eTJtIRY S 1000.000 GENERAL AGGREGATE $ 2,000,000 OEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO S 2000000 POLICY X .1CO- LOC AUTOMOBILE LIABILITY A X ANYAUTO BAP4886499-00 /2010 411/2011 COE. INOLE LIMIT $ 2,000,000 ALL OWNED AUTOS X SCHEDULED AUTOS IPK P-INJURY $ ICKXXXXX X HIRED AUTOS X NON-OWNED AUTOS 'OD0. 0 INJURY $ ��� II'.r coda. DAMAGE = XJOOQOOC GARAGE LIABILITY AUTO ONLY- EA ACCIDENT i XJOCJ000C ANY AUTO PLICAH - 1 RAACC $ - XJ0.J00L AUTO O NLY: AGO S h1EX CESS/UMs 11 EACH OCCURRENCE i 3,000,000 B OC CUR CLAIMS MADE 018926700 4/1/2010 4/1/2011 AGGREGATE = 00Q000"A 4 DEDUCTIBLE PO RETENTION 10 wORKERf COMPERSATN)N W BTATU- OTH- A AND EMPLOYER:•uASnm YIN WC 4886501-00 4/12010 4/12011 ANY PROPRIETORIPARTNENIXECUTIVE El EACH ACCIDENT S- 1000000 OFFICEwry in ER EXCLUDED? E.L.DISEASE-EA EMPLOYE S 1.000 000 OdandSNry M NH) SPECINy AL PROVISIONS EL DISEASE-POLICY LIMIT S 1,000,000 AI.PROVISIONS h.low OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONa THE CITY OF RENTON IS ADDITIONAL INSURED AS REQUIRED BY WRITTEN CONTRACT SUBJECT TO POLICY TERMS AND CONDITIONS. CERTIFICATE HOLDER CANCELLATION 10673635 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION MAPLEWOOD CLUBHOUSE DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN ATTN:KELLY BEYMER NOTICE TO THE CERTIRCATE HOLDER NAME°TO THE LEFT,BUT FAILURE TO DO SO SMALL 4050 MAPLE VALLEY HWY IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER.ITS AGENTS OR RENTON WA 98056 REPRESENTATIVES. AUTN SEMATTIE ACORD 25(2009/01) m 1988-204IF-AdURD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Fer y...—Mg—eW IN.v..pnul.,eenwl N. bw r.IM M N.roww,..r..etl.....v..nd y..ft aw m.4/.. WECaEOV. www.psrhvac.com ,a Ag� AUM HVAC&Mechanical Services CITY OF RENTON Mechanical Maintenance for Renton City Hall December 2010 Page 24 ATTACHMENT D CONTRACTOR'S RATE SCHEDULE Agreement Customer Rates Regular Time $130/hr Overtime $190/hr Double Time (Holidays) $210/hr Vehicle Charge $50 Environmental Fee $10 Unless a technician is already on site, all "Spot" calls will have a 2-hour minimum billing. www.psrhvac.com ar A NVAC&Mechanical Services CITY OF RENTON Mechanical Maintenance for Renton City Hall December 2010 • ATTACHMENT E Page 25 CONTRACTOR'S LICENSES CERTIFICATE OF COVERAGE t�= ��EB*•rf EMPLOYER: This official certificate of industrial insurance coverage is in lieu of a policy. It remains in effect until your account is officially closed.There is no limitation of benefits. You are required by law to post both this certificate and copies of the posters listed below. You will soon be receiving 1 copy of each. If you require additional copies, call Labor Insurance Services Division and Industries at'360-902-4817. Employer Services *Job Safety and Health Protection (available in Spanish) *Your Rights as a Worker/Family Care Department of Labor& Industries o Notice to Employees FO Box 44144 Olympia WA 98504-4144 WORKER: The employer named below is an insured policyholder with www.LNI.wa.gov the Washington State Industrial Insurance Trust Fund. UBh: Polio Eff:ctive Date — Location i Employer *Your Unified Business Identifier is the only number you need to discuss your business account with the Washington state departments of Revenue,Licensing,Employment Security,Labor and Industries and the Office of the Secretary of State.Other state licenses or registrations may be required for proper licensing of your business. !!11-141-0004M) www.psrhvar-.com AP�[PnA=W HVAC&Mechanical Services CITY OF RENTON Mechanical Maintenance for Renton City Hall December 2010 Page 26 Business License CityOf''= ^Y. Expiration Date �4nnua� D o O x/3112011 : . � . 1055 South Grady Wipy Renton WA 98057 (425)430 6851 Business Location issued Date License# 3132 NE 13-3RD ST 2/1/2010 BL.OD9096 SEAT Ti E;WA;96125 442 Licensee fia' applied:for a:City ofRenton'business license m accbrdatce with:Renton Municipal Code PSR HVAG&MECHANICAL,SERVICES (the:Code);:Title V Business Chapter 5;$usines's FO.BOX 27073 `: Licenses The Licensee agrees fo=comply With'all SEATTL(=`WA 96165 1473 `' requirements"of the,Code, as well:as State;;laws,;arid:.. regulations apphcable to tlie.buSine§s,activity licensed.- Post thiAieense at the piece of biisiness. The City, �f Seattle = Department of Planning and 17eve1opment Licensing'Program 700 Fifth Avenue Suite 2000 BgX'.34019 1 Seattle,'WA 98124 4019' Refrigeration Contractor Class A Limitation: o ne PUGET SOUND REFRIGERATION �132._NE 133R.DST Expires 0613012011 , SEATTLE;WA 98325 Customer No 10509_ Signature of license holder -•r-�°��t!szoa+at.°e��.�-�+_*+eacsra.�-•�•name�xa+eei¢�maartai�xaeax.. +" www.psrhvac.com 4M 0 W"—•4I.5 Ilk HVAC&Mechanical Services CITY OF RENTON Mechanical Maintenance for Renton City Hall December 2010 Page 27 } . - ,r''1� �• y-9', i'sa�''('�`"k f,'�','�{' y¢ry-i.. �;�yr. •x•95 £ .'' Unitied''Busihe'ss ID'-#. 602811 `195 Foreign Profit Corporation Busihess ID #: 1 Location: 1 Expires: 04-30-2011 PUGET SOUND REFRIGERATION, INC. PSR-HVAC & MECHANICAL SERVICES 3132 NE 133RD ST SEATTLE WA 98125 4423 TAX REGISTRATION INDUSTRIAL INSURANCE UNEMPLOYMENT INSURANCE CITY LICENSES/REGISTRATIONS: BELLEVUE GENERAL BUSINESS •86253 PORT ORCHARD GENERAL BUSINESS (EXPIRES 03-31-2011) SHORELINE GENERAL BUSINESS MARYSVILLE GENERAL BUSINESS (EXPIRES 03-31-2011) ISSAQUAH GENERAL BUSINESS (EXPIRES 03-31-2011) SAMMAMISH GENERAL BUSINESS (EXPIRES 03-31-2011) LICENSING RESTRICTIONS: Not authorized to hire persons under age 18 at this location. REGISTERED TRADE NAMES: PSR PSR MECHANICAL PSR-HVAC & MECHANICAL SERVICES f 1 i �y !'IF .�'�,y�4-•thy+'#. .yx"' _ �e J � -. - � �'f�elfcegs�enar�ed�;a`bo�� '�'•, e�'+,,.��.F,>'�"� ha;r �, � 4, www.psrhvac.com ilkMMIRW 1410mmodmon� � HVAC&Mechanical Services CITY OF RENTON Mechanical Maintenance for Renton City Hall December 2010 Page 28 DEPARTMENT OF LABOR AND INDUSTRIES REGISTERED AS PROVIDED BY LAW AS CONST CONTR GENERAL REGIST.# EXP.DATE CC01 HRHVMS924JT 4/302012 EFFECTIVE DATE 4/3012008 PSR-HVAC&MECHANICAL SERVICES PO BOX 27073 SEATTLE WA 98165 1 I F625-052-000(8/97) i DEPARTMENT OF LABOR;AND INDUSTRIES LICENSED AS PROVIDED BY LAW AS ELEC CONTR MAINTENANCE i LICENSE# EXP.DATE E007 PSRHVMS9225J 4212012 EFFECTIVE DATE 4/21/2008 PSR-HVAC&MECHANICAL SERVICES PO BOX 27073 SEATTLE WA 98165 F625-052-000(8/97) DEPARTMENT OF LABOR AND INDUSTRIES LICENSED AS PROVIDED BY LAW AS ELEC CONTR LTD ENERGY LICENSE# EXP.DATE EC066A PSRHVMS922NJ 4212012 EFFECTIVE DATE 4212008 PSR-HVAC&MECHANICAL SERVICES PO BOX 27073 SEATTLE WA 98165 F625-052-000(8/97) www.psrhvac.com HVAC&Mechanical Services CITY OF RENTON Mechanical Maintenance for Renton City Hall December 2010 ATTACHMENT F Page 29 PSR ORGANIZATIONAL CHART m — L C) m q u V o °t - a N YNaO a �oE .0 N N U f6 N ` m nmE O m W U Y a a� R>U y O a m(m o 2 C N O ° y O C „ O TToi@ �°Z Nm >o m�tn S o Y'-cE :92 m° ¢ E_ d Qo - �n � z m a` T d c o 0 w�.� �yg o�u �a N c m a 2 c • T d E E m of yz a c Nm,g d U LLym mNd m„13 ` Co m =m NN _ mrnc - V c d n w c ¢p w a` cE 0 V xm',3 ggm ogy °W° ` o t�W a m www.psrhvae.com 'ML Ap�p '�N—w7w ,...r qabwmvdw M lkk HVAC&Mechanical Services CITY OF RENTON Mechanical Maintenance for Renton City Hall December 2010 Page 30 ATTACHMENT G MECHANICAL EQUIPMENT INVENTORY TAG/TYPE EQUIP TYPE MANUFACTUER MODEL# SERIAL# BELT# FILTER LOCATION BLR#1 Boiler Lochinvar CHN0500 L963728 N/A N/A P2 North Corner Garage BLR#2 Boiler Lochinvar CHN0500 D975571 N/A N/A P2 North Corner Garage BLR#3 Boiler Lochinvar CHN0501 B992840 N/A NIA P2 North Corner Garage AHU#1 Air Handler Unit PACE 8B/63B M1 98-80822-02 1 AP36 2 24x24x2 P2 Mid E Wall AHU#2 Air Handler Unit PACE 9B/97B M1 98-80822-1 (1)AP42 (1)24x24x2 P2 Mid W Wall (1)24x20x2 AHU#3 Air Handler Unit PACE 7B/63B M1 98-80822-03 (1)A32 (2)24x20x2 P2 SW Corner Jail AHU#4 Air Handler Unit PACE 8A/63A M1 98-80822-04 (1)A33 (1)24x20x2 P2 NW Wall Jail EF#1 Exhaust Fan CENTREX N/A N/A (1)4L 480 0 P2 Mid W Wall EF#2 Exhaust Fan N/A N/A N/A DID 0 P2 NW Wall EF#3 Exhaust Fan Zephyr Z-14RArFD N/A DID 0 P2 Mid W Wall EF#4 Exhaust Fan Magnatek JEZH047N 16KZ6686R DID 0 P2 Mid W Wall EF#5A Exhaust Fan Zephyr LBWE360A N/A (1)A64 0 P2 S Wall EF#5B Exhaust Fan Zephyr LBWE360A N/A (1)A64 0 Mid S Wall EF#6 Exhaust Fan Zephyr Z125TDA 36K-30673A DID City Clerk Mid N C Clerk Store Room Strg EF#7 Exhaust Fan N/A N/A N/A DID 0 Mid N EF#8 Exhaust Fan N/A N/A N/A DID 0 P2 East EF#9 Exhaust Fan N/A N/A N/A DID P-2 Electrical P2 Mp Rm Room EF#10 Exhaust Fan Greenleek SWB-210-4-CCW- OIJ13401 (1)AP30 0 P2 NE TH-X EF#17 Exhaust Fan Jenn-Air 7251-18WEE8 N/A (2)B78 0 P1 Level EF#18 Exhaust Fan Jenn-Air 7251-18WEE8 N/A (2)B78 0 P1 Level AC135 Air Conditioner Trane TWE060A400CA 2432TB45H (1)A-44 (1)16x20x1 1st Fir.IS Room AC136 Air Conditioner Trane TW06OA400CA 2442NJ05H (1)A-44 (1)16x20x1 1st Fir.IS Room CU135 Condenser Unit Trane 2TTA006OA4000A 2393M8X3F DID N/A P2 East A CU136 Condenser Unit Trane 2TTA006OA4000A 23730T63F DID N/A P2 East A Split#3 Mitsubishi MUYD36NA 8001474T DID Washable P2 Tel Comm Room CU#3 Condenser Unit Mitsubishi MSYD36NA 8001474T DID N/A P2 East WIC#1 Vollrath PR100M 13803-1 DID NIA P2 East WIF#2 Vollrath PR150L 13808-9 DID N/A P2 East EVAP#1 Russell(409A) AL28-104 M85 R17113 DID N/A Jail EVAP#2 Bohn 408A LET0651V D001367 DID N/A Jail www.psrhvac.com .L jw- arm HVAC&Mechanical Services CITY OF RENTON Mechanical Maintenance for Renton City Hall December 2010 Page 31 TAG/TYPE EQUIP TYPE MANUFACTUER MODEL# SERIAL# BELT# FILTER LOCATION Crcpmp#1 Baldor 84Z00027 35D15W99FS D/D N/A P2 Boiler Room CrcPmp#2 Armstrong 816366-041 301 D/D N/A P2 Boiler Room CrcPmp#3 Armstrong H41AB Oct-97 D/D N/A P2 Boiler Room CrcPmp#4 Bell&Gossett 186863 M10 D/D N/A P2 Boiler Room CrcPmp#5 TACO 006-64 N/A D/D N/A P2 Boiler Room HX1 Heat Exchange Bell&Gossett GPX151-007 711726-01 D/D N/A P2 Boiler Room HX2 Heat Exchange Bell&Gossett GPX151 711726-02 N/A N/A P2 Boiler Room AC#1 Air Conditioner Mammoth CBER-2553-PH 20857-01-01 10 5VX1320 55 20x2Ox4 Roof To CT#1 Cooling Tower Eva pro LSWA41 B 872890 (2)B-74 N/A Roof To (3)B-83 CP#1 Cooling Pump Mueller Pump 2.5K 075856-2 D/D N/A 7th Fir.Pump Room CP#2 Cooling Pump Mueller Pump 2.5K 075856-1 D/D N/A 7th Fir.Pump Room EF#11 Exhaust Fan Jenn-Air N/A N/A (2)A-39 N/A JRoofTop EF#12 Exhaust Fan Carnes VEBK12R1GIUA20 298081-001 (1)46220 N/A Roof Top SPC1 EF#13 Exhaust Fan Carnes VEBK18V1GIUA20 298081-002 (1)A-24 N/A Roof Top SPC1 EF#14 Exhaust Fan Chelsea ABR98 N/A (I)B-58 N/A Roof To EF#15 Exhaust Fan Jenn-Air 16 115GO111 D/D 4 24x24x2 Roof To EF#16 Exhaust Fan No Access N/A N/A N/A N/A 7th Fir.Pump Room VAT701 Oil 2 Ports Buensod B-300 N/A D/D N/A 7th Flr.NE VAT702 No Lube Titus DT-QP N/A D/D (1)16x20x1 7th Fir.NE Comer, VAT703 Oil 2 Ports Buensod B-300 N/A D/D N/A 7th Fir.E VAT704 Oil 2 Ports Buensod B-300 N/A D/D N/A 7th Fir.Mid East VAT705 Oil 2 Ports Buensod B-300 N/A D/D N/A 7th Fir.Mid East VAT706 No Lube Titus DT-QP N/A D/D 1 16x20x1 Mayor's Office VAT707 Oil 2 Ports Buensod B-300 N/A D/D N/A 7th Fir.Mid West VAT708 Oil 2 Ports Buensod B-300 N/A D/D N/A Outside Office 715 VAT709 Oil 2 Ports Buensod B-300 N/A D/D N/A Hallway by restrooms VAT710 No Lube Titus DT-QP N/A D/D (1)16x20x1 Conference Rm.726 VAT711 No Lube Titus DT-QP N/A D/D (1)16x20x1 Conference Rm.726 www.psrhvac.com 1 NOW 411111.s M111111111! HVAC&Mechanical Services CITY OF RENTON Mechanical Maintenance for Renton City Hall December 2010 Page 32 TAG/TYPE EQUIP TYPE MANUFACTUER MODEL# SERIAL# BELT# FILTER LOCATION VAT712 No Lube Titus DT-QP N/A DID (1)16x20x1 Conference Rm.727 VAT713 Oil 2 Ports Titus DT-QP N/A DID N/A Office 729 VAT714 No Lube Buensod B-300 N/A N/A 1 16x2Oxl Room 728 VAT715 Oil Ports Buensod B-300 N/A DID N/A Room 730 VAT716 Oil 2 Ports Buensod B-300 N/A DID N/A Room 739 VAT717 Oil 2 Ports Titus DT-QP N/A DID N/A Room 732 VAT718 No Lube Titus DT-QP N/A N/A 1)16x2Oxl Room 734 VAT719 No Lube Buensod B-300 N/A N/A 1)16x2Ox1 Room 734 VAT720 Oil 2 Ports Buensod B-300 N/A DID N/A Room 735 VAT721 Oil 2 Ports Buensod B-300 N/A DID N/A W.Corner Room 734 VAT722 Oil 2 Ports Buensod B-300 N/A DID N/A Room 736 VAT723 Oil 2 Ports Buensod B-300 N/A DID N/A Room 737 VAT724 Oil Ports Buensod B-300 N/A DID N/A Room 737 VAT725 No Lube Titus DT-QP N/A N/A (1)16x2Oxl Hallway 701 VAT726 No Lube Titus DT-QP N/A N/A 1 16x20x1 Room 740 VAT727 No Lube Titus DT-QP N/A N/A (1)16x2Oxl West Side VAT728 No Lube Titus DT-QP N/A N/A 1 16x20x1 Room 744 VAT729 No Lube Titus DT-QP N/A N/A 1 16x2Oxl Room 702 VAT730 No Lube Titus DT-QP N/A N/A (1)16x2Oxl Room 702 VAT731 Oil 2 Ports Tuttle&Bailey 5.0-TFHQ 791398 DID 16x20x1 Council Chambers VAT732 Oil 2 Ports Valley 5RM1 C-728026 DID N/A Room 709 VAT733 No Lube Tuttle&Bailey 4.OTFHQ 791399 0 1 16x20x1 Room 705 HP701 MCQua N/A N/A DID 1)17x26xl Room 726 HP702 Oil 2 Ports McQuay CCH/HWHO09CM 78CO889308 DID (1)10x24x1 7th Floor Mid WS South VAT601 Oil 2 Ports Buensod B-300 N/A DID N/A 6th Fir.NW Side VAT602 Oil 2 Ports Buensod B-300 N/A DID N/A Conference Rm.605 VAT603 Oil 2 Ports Buensod B-300 N/A DID N/A Room 606 VAT604 Oil 2 Ports Buensod B-300 N/A DID N/A Room 607 VAT605 Oil Ports Buensod B-300 N/A N/A N/A Room 609 VAT606 Oil Ports Buensod B-300 N/A N/A N/A Room 606 VAT607 No Lube Titus DT-QP N/A N/A 1)16x20x1 Room 613 VAV608 Oil 2 Ports Buensod N/A N/A N/A N/A Room 606 VAV609 No Lube Titus DESV N/A N/A N/A Room 611 VAV610 Oil 2 Ports Buensod N/A N/A N/A N/A Hallway by restrooms VAV611 No Lube N/A N/A N/A N/A N/A Room 613 VAV612 jOil 2 Ports Buensod B-300 N/A N/A N/A Room 613 VAV613 Oil 2 Ports Buensod N/A N/A N/A N/A Room 613 Unocc. VAT614 Oil 2 Ports Buensod B-300 N/A N/A N/A Room 613 VAT615 Oil 2 Ports Buensod B-300 N/A N/A N/A Room 613 VAV616 Oil Ports Buensod B-300 N/A N/A N/A Room 613 VAT617 Oil Ports Buensod B-300 N/A N/A N/A Room 613 VAV618 Oil 2 Ports Buensod B-300 N/A N/A N/A Room 613 VAV619 Oil 2 Ports Buensod N/A N/A N/A N/A Copy Room 614 VAT621 Oil 2 Ports Buensod B-300 N/A N/A I N/A lOffice 615 VAT622 Oil 2 Ports Buensod B-300 N/A N/A N/A Office 615 VAT623 Oil Ports 113uensod I B-300 I N/A N/A N/A Room 616 www.psrhvac.com now ice , HVAC&Mechanical Services CITY OF RENTON Mechanical Maintenance for Renton City Hall December 2010 Page 33 TAG/TYPE EQUIP TYPE MANUFACTUER MODEL# SERIAL# BELT# FILTER LOCATION VAT624 Oil 2 Ports Buensod B-300 N/A N/A N/A Room 617 VAT625 Oil 2 Ports Buensod B-300 N/A N/A N/A Room 618 VAT626 Oil Ports Buensod B-300 N/A N/A N/A Office 615 VAV627 No Lube Titus DESV N/A N/A N/A Office 615 VAV628 No Lube Titus DESV N/A N/A N/A Conference Rm.620 VAT629 Oil Ports Buensod B-300 N/A N/A N/A Room 621 VAV630 No Lube Titus DESV N/A N/A N/A Room 622 VAT631 Oil Ports Buensod B-300 N/A N/A N/A 601 Lobby VAV632 No Lube Titus DESV N/A N/A N/A Room 602 VAV633 Oil Ports Buensod N/A N/A N/A N/A Lobby 601 VAV634 No Lube Titus DESV N/A N/A N/A Office#603 VAT635 Oil 2 Ports Buensod B-300 N/A N/A N/A Office 603 VAT636 Oil Ports Buensod B-300 N/A N/A N/A Room 603 VAT637 Oil Ports Buensod B-300 N/A N/A N/A Room 604 VAV638 Oil 2 Ports Buensod N/A N/A N/A N/A Room 603 HP601 No Lube McQuay CCH/HW024CMN 78C1451408 D/D 17 1/8x26 6th Fir.E.Side S 318x1 Exact HP602 No Lube McQuay N/A N/A N/A (1)10x24xl 6th Fir.E.Side VAT501 No Lube Titus DT-QP N/A D/D 1 16x20xl Room 504 VAT502 Oil Ports Buensod B-300 N/A D/D N/A Room 504 VAV503 Oil 2 Ports Buensod N/A N/A D/D N/A Room 503 VAT504 10if 2 Ports Buensod B-300 N/A D/D N/A Room 505 VAT505 No Lube Titus DT-QP N/A N/A 1 16x20x1 Room 506 VAV506 No Lube Titus DESV N/A N/A N/A Room 507 VAT507 No Lube Titus DT-QP N/A N/A 1)16x20x1 Room 509 VAV508 Oil 2 Ports Buensod N/A N/A N/A N/A Room 509 VAT509 No Lube Titus DT-QP N/A N/A 1 16x20x1 Room 509 VAT510 No Lube Titus DT-QP N/A N/A 1 16x20xl Room 509 VAV512 Oil 2 Ports Buensod N/A N/A N/A N/A Room 511 VAT514 Oil 2 Ports Buensod B-300 N/A N/A N/A Room 512 VAV515 Oil 2 Ports Buensod N/A N/A N/A N/A Room 527 VAV516 No Lube Temp Master N/A N/A N/A N/A Room 514 VAT517 No Lube Titus DT-QP N/A N/A (1)16x20x1 Room 515 VAV518 No Lube Titus DT-QP N/A N/A N/A Room 515 VAT519 No Lube Titus N/A N/A N/A N/A Room 515 VAT520 Oil 2 Ports Buensod B-300 N/A N/A N/A Room 516 VAT521 Oil 2 Ports Buensod B-300 N/A N/A N/A Room 517 VAV522 Oil 2 Ports Buensod B-300 N/A N/A N/A Room 518 VAT523 Oil Ports Buensod B-300 N/A N/A N/A Room 515 VAV524 Oil Ports Buensod N/A N/A N/A N/A Room 515 VAV525 No Lube Titus N/A N/A N/A N/A Room 519 VAT526 Oil 2 Ports Buensod B-300 N/A N/A N/A Room 520 VAT527 Oil 2 Ports Buensod N/A N/A N/A 1 16x20xl Room 522 VAV528 No Lube Titus N/A N/A N/A N/A Room 523 VAT529 Oil 2 Ports Buensod B-300 N/A N/A N/A Room 502 VAV530 Oil 2 Ports Buensod N/A N/A N/A N/A Room 502 VAV531 No Lube Titus N/A N/A N/A N/A Room 503 HP501 No Lube N/A N/A N/A N/A (1)17x26 Room 529 1/2x1 HP502 Lube x2 McQuay CCH/HWH009CM 7800889008 N/A (1)10x24xl Room 513 NS HP503 Lube x2 Trane GEHBO1201HOl l W02M60521 N/A (1)15x20x1 Traffic Room OLRDO www.psrhvac.com Now HVAC&Mechanical Services CITY OF RENTON Mechanical Maintenance for Renton City Hall December 2010 Page 34 TAG/TYPE EQUIP TYPE MANUFACTUER MODEL# SERIAL# BELT# FILTER LOCATION HP504 Lube x2 Trane GEHB01511H011 W02M60522 N/A (1)15x20xl Traffic Room OLRD01 HP505 Lube x2 Trane GHB006001 HOl l W02M60523 N/A (1)15x20xl Traffic Room OLRDO1 VAT401 No Lube Valley Z.54M1 C-72852 N/A N/A NE Comer VAT402 Valley 6RM1 C-728011 N/A N/A NE Comer VAT403 Oil 2 Ports Buensod B-300-612 N/A N/A N/A East Side VAT404 Oil 2 Ports Buensod B-300-612 N/A N/A N/A SE Corner VAT405 Oil 2 Ports Buensod B-300 N/A N/A N/A S VAT406 Oil 2 Ports Buensod B-300 N/A N/A N/A SW Corner VAT407 N/A N/A N/A NIA N/A SW Corner VAT408 Oil 2 Ports Buensod B-300 N/A N/A N/A West Side VAT409 Oil 2 Ports Buensod B-300 N/A N/A N/A NW Side VAT410 Oil 2 Ports Buensod B-300 N/A N/A N/A NW Corner VAT411 Oil 2 Ports Buensod B-300 N/A N/A N/A N.End VAV412 N/A N/A N/A N/A N/A NE Side VAV413 N/A N/A N/A N/A N/A East Side VAV414 N/A N/A N/A N/A N/A ISE Side VAV415 N/A N/A NIA N/A N/A IS Side VAV416 N/A N/A N/A NIA N/A SW Side VAV417 N/A N/A N/A N/A N/A West Side VAV418 N/A N/A N/A N/A N/A NW Side VAV419 N/A N/A NIA N/A N/A N.Side VAT421 N/A N/A N/A N/A N/A S.Side VAT422 Air Devices 2.5ARMI 8-000086 N/A N/A W.Side VAT423 Air Devices 4ARMI H000087 N/A N/A W.Side VAV424 N/A N/A N/A N/A N/A W.Side VAV425 N/A N/A N/A N/A N/A W.Side HP401 McQuay CCH/HWH024CM 78C1453808 N/A (1)17x26xl SE Side NS HP402 McQuay CCH/HWH009CM 7800888908 N/A (1)10x24xl Not Connected NS VAT301 Oil 2 Ports Buensod B-299 N/A N/A N/A NE Comer VAT302 Oil 2 Ports Buensod B-300 N/A N/A N/A NE Side VAT303 Oil 2 Ports Buensod B-300 N/A N/A N/A NE Side VAT304 2 Lube Ports Buensod B-300 NIA N/A N/A East Side VAT305 Oil 2 Ports Buensod B-301 N/A N/A N/A SE Side VAT306 2 Lube Ports Buensod B-300 N/A N/A N/A NE Corner VAV307 2 Lube Ports Temp Master VAU5-7 N/A N/A N/A NE Comer VAV308 Oil 2 Ports Buensod M/M N/A N/A N/A NE Side VAT309 No Lube Environtech WFER-11-9306 N/A N/A N/A East Side VAV310 Tuttle&Bailey 524089 NIA N/A NIA West Side VAV311 N/A N/A N/A N/A N/A East Side VAV312 Titus DESV N/A N/A N/A East Side VAV313 Oil 2 Ports Buensod M/M N/A N/A N/A jEast Side VAV314 Temp Master VAU5-7 N/A N/A N/A N.Center VAT315 2 Lube Ports Buensod B-300 N/A N/A N/A NW Side VAV316 Titus DESV N/A N/A N/A N.Center VAV317 Titus DESV N/A N/A N/A West Side VAT318 No Lube Titus DT-QP N/A N/A (1)16x20xl NW Side VAV319 Oil 2 Ports Buensod M/M N/A N/A N/A West Side VAV320 Oil 2 Ports Buensod M/M N/A N/A I N/A IWest Side VAV321 Titus N/A N/A N/A N/A West Side VAT322 Oil 2 Ports Buensod 2771-24-ALMUZ I NIA N/A I N/A lWest Side VAT323 Lube x2 Tuttle&Bailey N/A N/A N/A I N/A INWSide www.psrhvac.cam arrw HVAC&Mechanical Services CITY OF RENTON Mechanical Maintenance for Renton City Hall December 2010 Page 35 TAGITYPE EQUIP TYPE MANUFACTUER MODEL# SERIAL# BELT# FILTER ILOCATION VAT324 Buensod N/A N/A N/A 1 16x20x1 West Side VAV325 Titus N/A N/A N/A N/A South End VAT326 Lube x2 Buensod B-300 N/A N/A N/A SE Side VAT327 Lube x2 Buensod B-300 N/A N/A N/A South Side VAV328 Buensod N/A N/A N/A N/A South End VAV329 Temp Master VAU5-7 N/A N/A N/A South End VAT330 Lube x2 Buensod B-300 N/A N/A I N/A South End VAT331 Lube x2 Buensod B-300 N/A N/A N/A SW Side VAT332 Lube x2 Buensod B-300 N/A N/A N/A SW Side VAT333 Lube x2 Buensod B-300 N/A N/A N/A SW Corner HP301 McQuay CCH/HWH024CM 78C1450208 N/A (1)17x26x1 West Side NS HP302 McQuay CCH/HWH009CM 7800888808 D/D (1)10x24x1 South End NS VAT201 Oil 2 Ports Buensod B-300 N/A N/A N/A NW Comer Rm 220 VAT202 Oil Ports Buensod B-300 N/A N/A N/A Room 221 VAT203 10il 2 Ports Buensod B-300 N/A N/A N/A Room 223 VAT204 Lube x2 Buensod B-300 N/A N/A N/A Conf.223 VAT205 Lube x2 Buensod B-300 N/A N/A N/A Room 219 VAT206 Lube x2 Buensod B-300 N/A N/A N/A Room 216 VAT207 Lube x2 Buensod B-300 N/A N/A N/A Room 261 VAT208 Lube x2 Buensod B-300 N/A N/A I N/A Room 213 VAT209 Lube x2 Buensod B-300 N/A N/A N/A Room 226 VAT210 Lube x2 Buensod B-300 N/A N/A N/A Room 228 VAV211 Lube x2 Buensod N/A N/A N/A N/A Crime Prevention 232 VAT212 Lube x2 Buensod B-300 N/A N/A N/A VAT213 Lube x2 Buensod B-300 N/A N/A N/A Tech.Room 233 VAT214 Lube x2 Buensod B-300 N/A N/A N/A DARE Storage VAT215 Lube x2 Buensod B-300 N/A N/A N/A DARE Storage VAV216 Lube x2 Buensod N/A N/A N/A N/A Room 210 VAT217 Lube x2 Buensod B-300 N/A N/A N/A Traffic Room 210 VAT218 Lube x2 Buensod B-300 N/A N/A N/A Area 252 VAT219 Lube x2 Buensod B-300 N/A N/A N/A Area 252 VAT220 Lube x2 Buensod B-300 N/A N/A N/A Juvenille Room 257 VAV221 Lube x2 Buensod Buensod N/A N/A N/A Room 207 VAT222 Lube x2 Buensod B-300 N/A N/A N/A Room 206 VAT223 Lube x2 Buensod B-300 N/A N/A N/A Room 254 VAT224 Lube x2 Buensod B-300 N/A N/A N/A Room 255 VAT225 Lube x2 Buensod B-300 N/A N/A N/A Room 247 VAT226 Lube x2 Buensod B-300 N/A N/A N/A Room 239 HP201 McQuay CCH/HWH042CM 78C1027609 D/D (1)17x35xl Room 247 TS HP202 McQuay CCH/HWH024CM 78C1450608 D/D (1)17 1/8x26 Room 249 NS I 5/8x1 Exact HP203 McQuay CCH/HWH030CM 78AO536508 D/D (1)17 1/8x26 Room 249 TS 518x1 Exact HP204 McQuay CCH/HWH009CM 78CO889108 N/A (1)10x24x1 Room 252 NS www.psrhvac.com �w 4 HVAC&Mechanical Services bill CITY OF RENTON Mechanical Maintenance for Renton City Hall December 2010 Page 36 TAG/TYPE EQUIP TYPE MANUFACTUER MODEL# SERIAL# BELT# FILTER LOCATION HP205 McQuay CCH/HWH009CM 7800889208 D/D (1)10x24x1 Room 251 NS HP206 McQuay CCH/HWH009CM 78CO889408 D/D (1)10x24x1 Room 255 NS HP207 McQuay CCHIHWHO30CM 78AO537208 D/D (1)17 1/8x26 Room 267 TSE 5/8x1 Exact HP208 McQuay CCH/HWH009CM N/A N/A (1)10x24x1 Room 235 NS HP101 Mammoth N/A N/A 0 (1)17 1/8x26 NW Corner 5/8x1 HP102 Water Furnace N/A N/A N/A (1)10x24x1 NW Comer HP104 McQuay CCH/HWH024CM 78CI450508 N/A (1)17 1/8x26 N.End NS 5/8x1 HP103 McQuay CCH/HWH812CM 7860898308 N/A (1)10x24x1 N.End NS HP105 McQuay CCH/HWH17009C 7800889908 N/A (1)10x24x1 N.End MNS HP106 McQuay N/A N/A N/A (1)17 1/8x26 N.End 5/8x1 HP107 McQuay CCH/HWH020MTS 7840537808 N/A (1)17 1/8x26 NE Corner E 5/8x1 HP108 McQuay NIA N/A N/A (1)17 1/8x26 Stair Well 5/8x1 HP109 McQuay CCH/HWH009CM 7800800608 N/A (1)10x24x1 Conference NS 107 HP110 McQuay CCH/HWH007CM 7900119508 N/A (1)10x24x1 NE Side NS HP111 McQuay N/A N/A N/A (1)17 1/8x26 Conference 5/8x1 110 HP112 McQuay CCH/HWH009CM 7800890008 N/A (1)10x24x1 Office Area NS 111 HP113 McQuay CCHIHWHO30CM 78AO537608 N/A (1)17 1/8x26 Mid Area 111 TSE 5/8x1 HP114 Water Furnace N/A NIA N/A (1)20x2Oxl W Area 111 HP115 Mammoth G043HHF1 90E153985 N/A (1)17 Mid S.Area 1/2x24x1 1111 HP116 McQuay N/A N/A N/A (1)17 1/8x26 S.End Area 5/8x1 111 HP117 McQuay N/A N/A NIA (1)10x24x1 Area 112 HP118 Water Furnace WSND25A2205 CA1400 N/A (1)20x2Oxl Area 113 Swat Room HP119 McQuay N/A N/A N/A (1)10x24x1 N.Hallway Police HP120 McQuay N/A N/A N/A (1)10x24x1 Room 119 HP121 Trane WPH001971000A W93FO6837 N/A 1)15x24x1 Room 115 HP122 Water Furnace WF8025A2205 CA1401 N/A (1)20x2Oxl NE Area 125 HP123 McQuay CCH/HWH03DMN 78AO537908 N/A (1)17 1/8x26 Area 124 TS 5/8x1 HP124 McQuay CCH/HWH024CM 7801451308 N/A (1)17 1/8x26 SW Corner NS 5/8x1 lArea 125 HP125 McQuay CCH/HWH030CM 78AO536808 N/A (1)17 1/8x26 Mid SW Area TSE 5/8x1 125 HP126 McQuay CCH/HWH007CM 7900119408 N/A (1)10x24x1 NE Corner NS Area 125 www,psrhvac.coni 4"-44 �i - HVAC&Mechanical Services CITY OF RENTON Mechanical Maintenance for Renton City Hall December 2010 Page 37 TAG/TYPE EQUIP TYPE MANUFACTUER MODEL# SERIAL# BELT# FILTER LOCATION HP127 McQuay N/A N/A N/A (1)17 1/8x26 Area 126 5/8x1 HP128 McQuay N/A N/A N/A (1)10x24x1 Control Room 129 HP129 Water Furnace WSH025A22DS CA1409 N/A (1)20x20x1 Control Room 129 HP130 Water Furnace WSH041A2405 CB1126 N/A M 20x20x1 Police Lobby HP131 McQuay N/A N/A N/A (1)171/8x26 Outside Area 5/8x1 128 HP132 Water Furnace N/A N/A N/A (1)16x20x1 Mid S.Area 102 HP133 McQuay CCH/HWH024CM 78C1457108 N/A (1)17 1/8x26 Mid S.Area NS 5/8x1 102 HP134 McQuay N/A N/A N/A (1)171/8x26 E.Wall Area 5/8x1 102 HP#1 Heat Pump McQuay FCV024BMNL 79AO521504 DID (1)20x24x2 Mid W.Jail (P2) HP#2 Heat Pump McQuay FCV019BMNR 79AO519604 DID (1)20x16 Mid W.Jail 1/2x2 (P2) HP#3 Heat Pump McQuay FCV0488MTR 79AO426104 DID (1)18 1/2x26 Mid W.Jail 1/2x2 (P2) (1)19 112x26 1/2x2 HP#4 Heat Pump McQuay FCV036BMTL 78HO544504 DID (1)29x24x2 Mid W.Jail (P2) HP#5 Heat Pump McQuay FCV0488MTR 79/0526204 DID (1)18 1/2x26 SW Corner Jail 1/2x2 (P2) (1)19 1/2x26 1/2x2 HP#6 Heat Pump McQuay FCV036BMTR 79AO522504 DID (1)29 1/2x23 W.Wall Jail 1/2x2 (P2) HP#7 Heat Pump McQuay 9685325030 79AO526004 (1)26 1/2x19 Jail Property. 1/2x2 Room (1)181/2x26 1/2x2 HP#8 Heat Pump McQuay FCV060BMTR 79AO526904 DID (1)26 1/2x19 File Storage 1/2x2 Room (1)26 1/2x18 1/2x2 www.psrhvac.com ATTACHMENT B: City of Renton Insurance Requirements Ci insurance Reguireements For Cit ton The City of Renton requires the industry standard: • $1,000,000 Commercial General Liability,with$2,000,000 in the aggregate • $1,000,000 Auto Liability(Needed if a vehicle will be used in performance of work. This would include delivery of products to worksite) • $1,000,000 Excess Liability(if required in contract;can be in tandem with CGL) • Proof of Workers'Compensation coverage(provide the number) • $1,000,000 Professional Liability(if required in contract) Requirements unique to the City of Renton: o Name the City of Renton as a Primary and Non-contributory Additional Insured on the policy(Only applies to Commercial General Liability) o Due to a statement found at the upper right of the ACORD form, please rp ovide. the endorsement page(s)from the policy(ies),evidencing Primary&Non- contributory coverage O The cancellation clause may state: 30 or 45 days written notice(lower . right corner of certificate) o Put descriptive text of the project in the "Description of Operations" box o The certificate holder should read: City of Renton ATTN: {enter your City contact's name here and Department} 1055 South Grady Way Renton,WA.98057 Direct any questions, comments or concerns to: Colleen Shannon— 425.430.7658 425.430.7650/main 425.430.7665/fax cshannon @rentonwa.gov AC®RD CERTIFICAT OF MABIFLITY INSURANCE' Date Producer: THIS CERTIFICATE IS ISSUED AS AMATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Phone: Fax: INSURERS AFFORDING COVERAGE Insured INSURER A INSURER B INSURER C INSURER D INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR Policy Effective Policy Expiration Limits Ltr Type of Insurance Policy Number Date D/YY) Date D/YY) General Liability Each Occurrence $ 1000 000 A ® Commercial General Liability Fire Damage(any one fire) $ 50,000 ❑ ❑ Claims Made ®Occur Med Exp(any one person) $ 5,000 ❑ Personal&adv Injury $ 1,000,000 ❑ General Aggregate $ 2,000,000 Gen'l Aggregate Applies Per Products—Comp/Op Agg $ 1,000,000 ❑ Polic ❑ Project ❑Loc Automobile Liability Combined Single Limit ® Any Auto (Ea accident) $ 1,000,000 ❑ All Owned Autos Bodily Injury(Per person) $ ❑ Scheduled Autos Bodily Injury(Per accident) $ ❑ Hired Autos Property Damage $ ❑ Non-Owned Autos (Per accident) Garage Liability Auto Only—Ea Accident $ ❑ Any Auto N/A Other than Each Accident $ ❑ Auto Only Aggregate $ ❑ $ Excess Liability Each Occurrence $ ❑ Occur ❑ Claims Made Aggregate $ ❑ Deductible ❑ Retention Workers Compensation and ❑ WC Statu- ❑I Oth- Employers Liability toly limits er EL Each Accident $ EL Disease—EA Employee $ EL Disease—Policy Limit $ Other DESCRIPTION OF OPERATIONS/LOCATRIONS/VEHICLES/SPECIAL ITEMS City of Renton is named as a Primary&Non-contributory Additional Insured. CERTIFICATE HOLDER: I x I Additional Insured;Insurer Letter A CANCELLATION: Should any of the above described policies be cancelled before the expiration date City of Renton thereot the issuing insurer will mail 45 days written notice to the certificate Attn: holder named to the left. 1055 South Grady Way Renton WA 98057 Authorized Representative \\renton\Data\Piazza\DATA Center\Forms\City\Contracts\ACORD.doc ACORD.DOT 11/99 bh CITY OF RENTON CONSTRUCTION CONTRACTS INSURANCE AND RELATED REQUIREMENTS MINIMUM INSURANCE COVERAGES AND REQUIREAUNTS The(CONTRACTOR)shall obtain and maintain the minimum insurance coverages set forth below. By requiring such minimum insurance, CITY OF RENTON shall not be deemed or construed to have assessed the risks that may be applicable to the(CONTRACTOR)under Contract Number . The(CONTRACTOR)shall assess its own risks and if it deems appropriate and/or prudent,maintain higher limits and/or broader coverages. Coverages (1) Commercial General Liability-ISO 1993 Form or equivalent. Coverage to include: O Premises and Operations o Explosion,Collapse and Underground Hazards o Products/Completed Operations © Contractual Liability (including Amendatory Endorsement CG 0043 which includes defense coverage assumed under contract) e Broad Form Property Damage o Independent Contractors © Personal/Advertising Injury o Stop Gap Liability (2) Automobile Liability including all © Owned Vehicles o Non-Owned Vehicles o Hired Vehicles (3) Workers'Compensation a Statutory Benefits(Coverage A)-Show WA L&I Number (4) Umbrella Liability o Excess of Commercial General Liability and Automobile Liability. Coverage should be as broad as primary. (5) Professional Liability - (whenever the work under this Contract includes Professional Liability, including Advertising activities) the (CONTRACTOR) shall maintain professional liability covering wrongful acts,errors and/or omissions of the(CONTRACTOR)for damage sustained by reason of or in the course of operations under this Contract. (6) Pollution Liability - the City may require this coverage whenever work under this Contract involves pollution risk to the environment. This coverage is to include sudden and gradual coverage for third party liability including defense costs and completed operations. Insurancepk\ LIMITS REQUIRED The(CONTRACTOR)shall carry the following limits of liability as required below: Commercial General Liability General Aggregate* $ 2,000,000 Products/Completed Operations Aggregate $ 2,000,000 Each Occurrence Limit $ 1,000,000 Personal/Advertising Injury $ 1,000,000 Fire Damage(Any One Fire) $ 50,000 Medical Payments(Any One Person) $ 5,000 Stop Gap Liability $ 1,000,000 *General Aggregate to apply per project(ISO Form CG2503 or equivalent) Automobile Liability Bodily Injury/Property Damage $ 1,000,000 (Each Accident) Workers'Compensation Coverage A(Workers'Compensation)-Show WA L&I Number Umbrella Liability Each Occurrence Limit $ 1,000,000 General Aggregate Limit $ 1,000,000 Products/Completed Operations Aggregate $ 1,000,000 Professional Liability(If required) Each Occurrence/Incident/Claim $ 1,000,000 Aggregate $ 2,000,000 (The City may require the CONTRACTOR keep this policy in effect for up to two(2)years after completion of the project) Pollution Liability(If required) To apply on a per proj ect basis Per Loss $ 1,000,000 Aggregate $ 1,000,000 Insurancepk\ too ADDITIONAL REQUIREMENTS (CONTRACTOR) shall Name CITY OF RENTON, and its officers, officials, agents, employees and volunteers as Additional Insureds(ISO Form CG 2010 or equivalent). (CONTRACTOR)shall provide CITY OF RENTON Certificates of Insurance and copies of policies, if requested, prior to commencement of work. Further, all policies of insurance described above shall: 1) Be on a primary basis nor contributory with any other insurance coverages and/or self-insurance carried by CITY OF RENTON. 2) Include a Waiver of Subrogation Clause. 3) Severability of Interest Clause(Cross Liability) 4) Policy may not be non-renewed, cancelled or materially changed or altered unless forty-five (45) days prior written notice is provided to CITY OF RENTON. Notification shall be provided to CITY OF RENTON by certified mail. The (CONTRACTOR) shall promptly advise the CITY OF RENTON in the event any general aggregates are reduced for any reason,and shall reinstate the aggregate and the(CONTRACTOR'S)expense to comply with the minimum limits and requirements as stated above and shall famish to the CITY OF RENTON a new certificate of insurance showing such coverage is in force. The CITY OF RENTON may require the CONTRACTOR to keep Professional Liability coverage in effect for two(2)years after completion of the project. Insurancepk\ �Y City of . on o� o� 4 Human Resources & Risk Management Department � N2o� Insurance Information Form FOR: PROJECT NUMBER: 'STAFF CONTACT: Certificate of Insurance indicates the coverages/limits specified in ❑ Yes ❑ No contract? Are the following coverages and/or conditions in effect? ❑ Yes ❑ No The Commercial General Liability policy form is an ISO 1993 ❑ Yes ❑ No Occurrence Form or Equivalent? (If no,attach a copy of.the policy with required coverages clearly identified) CG 0043 Amendatory Endorsement provided?* ❑ Yes ❑ No General Aggregate provided on a"per project basis(CG2503)?* ❑ Yes ❑ No Additional Insured wording provided?* ❑ Yes ❑ No Coverage on a primary basis and non-contributing basis?* ❑ Yes ❑ No Waiver of Subrogation Clause applies?* ❑ Yes ❑ No Severability of Interest Clause(Cross Liability)applies? ❑ Yes ❑ No Notice of Cancellation/Non-Renewal ❑ Yes ❑ No amended to 45 days per RCW 48.18.290?* *To be shown on certificate of insurance* AM BEST'S RATING FOR CARRIER GL Auto Umb Professional This Questionnaire is issued as a matter of information. This questionnaire is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies indicated on the attached CERTIFICATE OF INSURANCE. The CITY OF RENTON, at its option, shall obtain copies of the policies and/or specific declaration pages FROM awarded bidder prior to execution of contract. Agency/Broker Completed By(Type or Print Name) Address Completed By(Signature) Name of person to contact Telephone Number NOTE: THIS QUESTIONNAIRE MUST BE COMPLETED FOR EACH LINE OF COVERAGE AND ATTACHED TO CERTIFICATE OFINSURANCE HVAC&Mechanical Services low CITY OF RENTON Mechanical Maintenance for Renton City Hall December 2010 ATTACHMENT C Page 23 SAMPLE CERTIFICATE OF INSURANCE A` CERTIFICATE OF LIABILITY INSURANCE, 3""0. PRODUCER 2011 !15/201 30 PRODUCER LOCKTON COMPANIES,LLC-I KANSAS CITY CA THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION CA License#0554167 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE. 444 W.47th Street,Suite 900 HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND.OR Kansas City 64112-1906 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. (816)960-9000 INSURERS AFFORDING COVERAGE NAIC# INSURED PUGET SOUND REFRIGERATION,INC .INSURER A:Zurich American Insurance Company 16535 1306828 dba pSR-HVAC&MECHANICAL SERVICE .INSURER B:Gmat American Insurance Company 16691 3132 NE 133RD STREET 'W SURER O SEATTLE WA 98125 INSURER D: INSURER E: COVERAGES MECSE01 XP waeRlgeRAUTNOR IDRZPR6 MATKONPRODUCEIAAND THE-FICATEHOL M 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1NSR oo• POLICY NUMBER POLICY EFFECTIVE POLICY EXP GN LTR NSR TYPE OF INSURANCE DATE MM/DD DATE M LIMITS GENERAL LIABILITY EAC R No E 1.000 000 GCU R 'A - X COMMERCIAL GENERAL LIABILITY 'GL04886497-00 41112010 d/ 13 PRA MII ET Ee occurrence) $ 300,000 CLAIMS MADE oX OCCUR XP An om Person) $ 10,000 ONAL 8 ADV INJURY $!$ 2 ,000,000 GENERAL AGGREGATE ,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO ,000,000 FOUCY :X jECT LOC A X ANYAUTO BAP4886499-00 /2010 4/1/2011 (smedd.D;INGLE LIMIT ,000,000 O eeeldenl ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS '(Per Person) S ) CCXXXX X HIRED AUTOS BODILY INJURY X NON-OWNEDAUTOS (Per accident) 'S PROPERTY..(Pereccid 1)AMAGE S (X GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S 3DCKX[XX ANYAUTO 1 PLICAB OTHER THAN EA ACC $ XXXXX X AUTO ONLY: AGO $ )OODO= EXCESS I UMBREL ILITY EACH OCCURRENCE -F N B X OCCUR CLAIMS MADE 018926700 411/2010 4/1/2011 AGGREGATE S' 5,000,000 LLA S DEDUCTIBLE F. S'7( R ON S 10 0 d WORKERS COMPEN3At1ON WCSTATU- 0TH-.A 'AND EMPLOYERS'LIABILITY YIN WC4886501-00 4/1/2010 4/12011 O MI s ANY PROPRIETOR/PARTNERISXECUTFVE EL EACH ACCIDENT S -OFFICEIVMEMBER EXCLUDED? �N Island t albs under E.L.DISEASE-EA EMPLOYE S 1000,000 SPELIIAL PROVISIONS below E.L DISEASE-POLICY LIMIT -S 1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS THE CITY OF RENTON IS ADDITIONAL INSURED AS REQUIRED BY WRITTEN CONTRACT SUBJECT TO POLICY TERMS AND CONDITIONS. CERTIFICATE HOLDER CANCELLATION 10673635 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION MAPLEWOOD CLUBHOUSE DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN ATTN:KELLY BEITMER NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 4050 MAPLE VALLEY HWY IMPOSE NO OBLIGATION OR LIABILITY OF ANY HIND UPON THE INSURER,ITS AGENTS OR RENTON WA 98058 REPRESENTATIVES. -AUTHOR RESENTATA/E ACORD 25(2009101) 0 1988-20WACPDRD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Ferqueellene wpwdlna We evrllaede,een 1 the number aelod M Ihe'Prudue cecaon eb end ep.*the dlerd eede'MECSEei'. www.psrhvac.com Lt�f'S now t/VAC&Mechanical Services CITY OF RENTON Mechanical Maintenance for Renton City Hall December 2010 Page 24 ATTACHMENT D CONTRACTOR'S RATE SCHEDULE Agreement Customer Rates Regular Time $130/hr Overtime $190/hr Double Time (Holidays) $210/hr Vehicle Charge $50 Environmental Fee $10 Unless a technician is already on site, all"Spot' calls will have a 2-hour minimum billing. www.psi-hvac.com ATTACHMENT E CONTRACTOR'S ADDENDUM A 1. This agreement is payable, not to exceed, $19,875.00 per quarter in advance beginning January 1, 2011. 2. City shall be responsible for all taxes applicable to the services and/or materials hereunder. 3. Excluded from this Agreement, unless otherwise stated herein, are repairs or replacement of items not normally mechanically maintainable such as, but not limited to, ductwork, boiler shell and tubes, cabinets, main power service, electrical disconnects, conduit and wiring, piping, tube bundles, valve bodies, coils, structural supports, storage tanks, casings, fixtures, grillage and tower fill. 4. Services (labor and/or materials) provided under this Agreement involving services not included within the scope of this Agreement will become an extra charge and invoiced separately from the sum stated in this Agreement. 5. Contractor will not be required to move, replace or alter any part of the building structure in the performance of this Agreement. 6. This Agreement does not include responsibility for operation of the system, design of the system, obsolescence, safety testing directed or required by any agency/company/person or organization, internal devices within the duct systems, ductwork insulation, cleaning the interior of ductwork, fire/smoke dampers, removal and reinstallation of valve bodies and dampers, repair or replacement necessitated by freezing weather, electrical power failure, low voltage/inadequate power, burned-out main or branch fuses, low water pressure, water condition, vandalism, misuse or abuse of the system(s), selection of domestic hot water temperatures, electrolysis, negligence of others (including City), failure of City to properly operate the system(s), requirements of governmental, regulatory or insurance agencies, or other causes beyond control of Contractor unless specifically stated otherwise herein. 7. Contractor expressly disclaims any and all responsibility and liability for the indoor air quality of the City's facility. 8. City shall permit only Contractor's personnel or agent to perform the work included in the scope of this Agreement. Should anyone other than Contractor's personnel perform such work, Contractor may, at its option, cancel this Agreement, eliminate the involved item of equipment from inclusion on this Agreement, or charge City for any related service work. 9. Contractor shall not be liable for any delay, loss, damage or detention caused by unavailability of machinery, equipment or materials, delay of carriers, strikes, including those by Contractor's employees, lockouts, civil or military authority, priority regulations, insurrection or riot, action of the elements, forces of nature, or during a period of the City being on credit hold or by any cause beyond its control. 10. City shall make available to Contractor's personnel all pertinent Material Safety Data Sheets (MSDS) pursuant to OSHA's Hazard Communication Standard Regulations. 11. Contractor's obligation under this proposal and any subsequent contract does not include the identification, abatement or removal of any asbestos products or any other toxic or hazardous wastes or materials, or any fungus(es) or spore(s); substance, vapor or gas produced by or arising out of any fungus(es) or spore(s); or any material, product, building component or structure that contains, harbors, nurtures or acts as a medium for any fungus(es) or spore(s). In the event such substances, wastes and materials are encountered, Contractor's sole obligation will be to notify the Owner of their existence. Contractor shall have the right thereafter to suspend its work until such substances, wastes or materials and the resultant hazards are removed. The time for completion of the work shall be extended to the extent caused by the suspension and the contract price equitably adjusted. 12. To the fullest extent permitted by law, City and Contractor shall mutually indemnify and hold each other harmless, its agent and employees from and against all claims, damages, losses and expenses (including but not limited to attorney's fees) arising out of, or resulting from the performance of work hereunder, provided that such claim, damage, loss or expense is caused in whole or in part by an active or passive act or omission of either City or Contractor, anyone directly or indirectly employed by City or Contractor, or anyone for whose acts City or Contractor may be liable, regardless of whether it is caused in part by the negligence of either City or Contractor. A-- INT CITY INT CONTRACTOR