Loading...
12-147.00 WM Winkler: Sidewalk & Transit Stop Accessibility Ph 1Contract THIS AGREEMENT, made and entered into this 12 th day of September 2012, between the City of Spokane Valley under and by virtue of Title 35 RCW, as amended and WM Winkler Company Hereinafter called the Contractor. WITNESSETH: That in consideration of the terms and conditions contained herein and attached and made a part of this agreement, the parties hereto covenant and agree as follows: I. The Contractor shall do all work and furnish all tools, materials, and equipment for: Sidewalk and Transit Stop Accessibility Project— Phase 1 SVPW Contract 12 -024 in accordance with and as described in the project plans and specification, and the standard specification of the Washington State of Department of Transportation which are by this reference incorporated herein and made part hereof and, shall perform any changes in the work in accord with the Contract Documents. The Contractor shall provide and bear the expense of all equipment, work and labor, of any sort whatsoever that may be required for the transfer of materials and for constructing and completing the work provided for in these Contract Documents except those items mentioned therein to be furnished by the City of Spokane Valley. II. The City of Spokane Valley hereby promises and agrees with the Contractor to employ, and does employ the Contractor to provide the materials and to do and cause to be done the above described work and to complete and finish the same in accord with the project plans and specification and the terms and conditions herein contained and hereby contracts to pay for the same according to the referenced specifications and the schedule of unit or itemized prices at the time and in the manner and upon the conditions provided for in this contract. III. The Contractor for himself/herself, and for his/hers heirs, executors, administrators, successors, and assigns, does hereby agree to full performance of all covenants required of the Contractor in the contract. IV. It is further provided that no liability shall attach to the City of Spokane Valley by reason of entering onto this contract, except as provided herein. City of Spokane Valley Sidewalk and Transit Stop Accessibility Project — Phase 1 SVPW Bid No. 12 -024 V. The project was awarded for the bid amount of $173,487.77. IN WITNESS WHEREOF, the Contractor has executed this instrument, on the day and year first below written and the City of Spokane Valley has caused this instrument to be executed by and in the name of the said City of Spokane Valley the day and year first above written. Executed by Contractor 9-12 Date Tirian J. Winkler Printed Name President Title Signature City of Spokane Valley 41IIII'le- rinted Name , 2012. City of Spokane Valley Sidewalk and Transit Stop Accessibility Project — Phase 1 SVPW Bid No. 12 -024 Spokane ,,,;of Valley w BOND NO: 023021592 CONTRACTOR'S PERFORMANCE AND PAYMENT BOND TO DUAL OBLIGEES KNOW ALL MEN BY THESE PRESENTS, that Wm. Winkler Company (Contractor), as Principal, and The Ohio Casualty Insurance Company (Bonding Company), as Surety, a corporation of Ohio , whose principal office is located at Liberty Lake, WA are firmly bound unto the State of Washington and the City of Spokane Valley, a political subdivision the State of Washington, as Obligees, to fulfill the obligations of the Principal and the Surety under the Contract to which reference is hereafter made, in the amount of $ 173,487.77 (including Washington State sales tax) for payment whereof Principal and Surety bind themselves, their heirs, executors, administrators, successors and assigns jointly and severally, firmly by these presents. Similarly, the bond shall cover payment of all taxes incurred on said Contract until Title 50 and 51 Revised Code of Washington (RCW) and all taxes imposed on the Principle under Title 82 RCW. WHEREAS, Principal has by written Proposal dated 9-7-12 offered to enter into a Contract with the City of Spokane Valley for Contract No. 12 -024 pursuant to the terms and conditions set forth in the Contract Documents dated 9 -12 -12 . NOW, THEREFORE, the condition of this obligation is such that if the Principal shall faithfully perform all the provisions of the Contract on its part, and pay all laborers, mechanics, subcontractors and material suppliers, and all persons who supply such person or persons or subcontractors with provisions and supplies for the carrying on of such work, indemnify and hold harmless the Obligees from all loss, cost or damage which it may suffer by reason of the failure to do any of the foregoing, and pay all taxes pursuant to Title 50, 51, and 82 RCW, then this obligation shall be null and void; otherwise it shall remain in full force and effect. All persons who have furnished labor, materials or supplies for use in and about the work provided for in the Contract shall have a direct right of action under this bond, to the extent and in the manner set forth in RCW 39.08. The said Surety for value received hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the Contract or to the WORK to be performed thereunder or the SPECIFICATIONS accompanying the same shall in any way affect its obligation on this BOND, and it does hereby waive notice of any such change, extension of time, alteration or addition to the terms of the Contract or to the WORK or to the SPECIFICATIONS. No final settlement between the OWNER and the CONTRACTOR shall abridge the right of any beneficiary hereunder, whose claim may be unsatisfied. SIGNED AND SEALED THIS 12tbAY OF September YEAR 20 12 The Ohio " Su tv Insurance Company Wm. Winkler Company Y PR[ PAL Signature Sigt ure William H. Davis Typed Name Attorney in Fact Title (SEAL) Brian J. Winkler Typed Name Presiden Title 01v of Spoka n,2 Vallev Sideaulh and Transit Stop Acccssihility Prolect — !'hasc I SVPw Rid No 13 -027 0 CL d � N .Y d Cc C 7 i ✓a7 v � 0— d > d� O � di O '60 E L ear ayi 0 C E� W0 L 'a v ca c 0 Z THIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND. 5401345 This Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated. Certificate No. American Fire and Casualty Company Liberty Mutual Insurance Company The Ohio Casualty Insurance Company Peerless Insurance Company West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS: ThatAmerican Fire & Casualty Company and The Ohio Casualty Insurance Company are corporations duly organized under the laws of the State of Ohio, that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, that Peerless Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana (herein collectively called the "Companies "), pursuant to and by authority herein set forth, does hereby name, constitute and appoint, THOMAS V. A. DAVIS, WILLIAM H. DAVIS, GAIL A. STEVERS, MARLA J. DAVENPORT, ROBERT MCWILLIAMS . .......................................................................................................................................................................................................... ............................... all of the city of SPOKANE , state of WASHINGTON each individually if there be more than one named, its true and lawful attorney -in -fact to make, execute, seal, acknowledge and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations, in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF, this PowerofAttorney has been subscribed by an authorized officer or official ofthe Companies and the corporate seals ofthe Companies have been affixed thereto this 23rd day of MAY 2012 , American Fire and Casualty Company = �f <� ` ���" x•' ° " = „fy; r r The Ohio Casualty Insurance Company v rL ru' �F \r3 r� �� �E t Liberty Mutual Insurance Company a ' Peerless Insurance Company �r E. 'v I r �i •fi, y \�,; �_ West American Insurance Company s �•,t, By. STATE OF WASHINGTON ss Gregory W. Davenport, Assistant Secretary = COUNTY OF KING C On this 23rd day of MAY 2012 , before me personally appeared Gregory W. Davenport, who acknowledged himself to be the Assistant Secretary of American Fire and W Casualty Company, Liberty Mutual Insurance Company, The Ohio Casualty Company, Peerless Insurance Company and WestAmerican Insurance Company, and that he, as such, being = authorized so to do, execute the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. C C IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at Seattle, Washington, on the day and year first above written. Q M O 'C or By: KID Riley, Nota)4 Public 3 OE This Power ofAttorney is made and executed pursuant to and by authority of the following By -laws and A`iitf`onzations ofAmerican Fire and Casualty Company, The Ohio Casualty Insurance t o Company, Liberty Mutual Insurance Company, WestAmerican Insurance Company and Peerless Insurance Company, which resolutions are now in full force and effect reading as follows: O C ARTICLE IV– OFFICERS –Section 12. Power ofAttorney. Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman orthe President, and subject �. to such limitation as the Chairman or the President may prescribe, shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact, subject to the limitations set forth in their respective y powers of attorney, shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so > executed, such instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attorney -in -fact under a °� the provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority. cm E' ARTICLE XIII – Execution of Contracts – SECTION 5. Surety Bonds and Undertakings. Any officer of the Company authorized for that purpose in writing by the chairman or the president, J and subject to such limitations as the chairman or the president may prescribe, shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Company to make, execute, CD seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact subject to the limitations set forth in their v respective powers of attorney, shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal ofthe Company. When so F r executed such instruments shall be as binding as if signed by the president and attested by the secretary. Certificate of Designation – The President of the Company, acting pursuant to the Bylaws of the Company, authorizes Gregory W. Davenport, Assistant Secretary to appoint such attorney -in -fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Authorization – By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and biding upon the Company with the same force and effect as though manually affixed. I, David M. Carey, the undersigned, Assistant Secretary, of American Fire and Casualty Company, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, West American Insurance Company and Peerless Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full, true and correct copy of the Power of Attorney executed by said Companies, is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the sealers of said Companies this 12 thday of September 20 12 C�ir V %vi 16 vi y � rf\ X ^kt'` / Y�P_. r „�.e { � s':7:✓ ,y�y � R By: Fti� �x David M. Carey, Assistant Secretary IQ POA -AFCC, LMIC, OCIC, PIC & WAIC LMS_12873_041012 R� CERTIFICATE OF LIABILITY INSURANCE OP ID 2J WMWIN -1 09/14/12 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Western States Ins. - Spokane HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 501 N Riverpoint Blvd, Ste 403 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Spokane WA 99202 -1649 Phone:509- 838 -3501 Fax:509 -838 -3511 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: National Fire Ins of Hartford INSURER B: Valley Forge Insurance Co. Wm. Winkler Company INSURER C: Transportation Insurance Co. PO Box 430 INSURER D: Newman Lake WA 99025 ` � INSURER E: f`f %A1M0A/ =rC 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM /DD/YYYY POLICY EXPIRATION DATE MM/DD/YYYY LIMITS ESENTAT RED REPR VE 11707 E SPRAGUE GENERAL LIABILITY SPOKANE VALLEY WA 99206 EACH OCCURRENCE $ 1 , OOO, OOO PREMISES (Ea occurence) $100,000 A X X COMMERCIAL GENERAL LIABILITY 4027027552 04/01 /12 04/01/13 MED EXP (Any one person) s5,000 CLAIMS MADE I—XI OCCUR PERSONAL & ADV INJURY $1,000,000 X Employer Liab GENERAL AGGREGATE s2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG s2,000,000 Em 1 L7 ab 1,000,000 POLICY X PRO LOC JECT B AUTOMOBILE LIABILITY ANY AUTO 4027027583 04/01/12 04/01/13 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ H AUTO ONLY: AGG EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ 5 , O OO , 000 AGGREGATE $5,000,000 C X OCCUR FCLAIMSMADE 4027027566 04/01/12 04/01/13 $ DEDUCTIBLE $ X RETENTION $10,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR /PARTNER/EXECUTIVE[:] ORY LIMITS ER T A E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ OFFICERIMEMBER EXCLUDED? U (Mandatory in NH) E.L. DISEASE - POLICY LIMIT $ If yes, describe under SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS City of Spokane Valley is added as additional insured per attached form as respects: Sidewalk and Transit Stop Accessibility Project -Phase 1 SVPW Contract 12 -024 f1colr1mr -ATr uni nco GANGtLLA I HUN ACORD 25 (2UU9 /U9) W Ivoo-Avuv Mv%Jrtl/ rv(�wf�M wn. ,,u nynw .��� •`v. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITYOFV DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. ALLEY VALLEY CITY OF SPOKANE V ESENTAT RED REPR VE 11707 E SPRAGUE SPOKANE VALLEY WA 99206 ACORD 25 (2UU9 /U9) W Ivoo-Avuv Mv%Jrtl/ rv(�wf�M wn. ,,u nynw .��� •`v. The ACORD name and logo are registered marks of ACORD IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2009/01) >n N 0 in g 0 CAAA G-14 10/10) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - WITH PRODUCTS- COMPLETED OPERATIONS COVERAGE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE (OPTIONAL) Name of Additional Insured Persons Or Organizations I (As required by "written contract" per Paragraph A. below,) Locations of Covered Operations (As per the 'written contract," provided the location is within the "coverage territory" of this Coverage Part.) A. Section II - Who Is An Insured is amended to include as an additional insured: 1. Any person or organization whom you are required by "written contract" to add as an additional insured on this Coverage Part; and 2. The particular person or organization, if any, scheduled above. B. The insurance provided to the additional insured is .limited as follows. _ 1. The person or organization is an additional insured only with respect to liabiiity for "bodily injury," "property damage," or "personal and advertising injury" caused in whole or In part by. a. Your acts or omissions; or b. The acts or omissions of those acting on your behalf in the performance of your ongoing operations specified in the "written contract", or c. "Your work" that Is specified in the "written contract' but only for "bodily injury" or "property damage' included in the "products - completed operations hazard," and only if. (1) The "written contract' requires you to provide the additional insured such coverage; and (2) This Coverage Part provides such coverage. 2. We will not provide the additional insured any broader coverage or any higher limit of insurance . than the least that is: a. Required by the "written contract"; b. Described in B.I. above; or c. Afforded to you under this policy. 3. This insurance is excess of all other insurance available to the additional. insured whether.. on -a primary, excess, contingent or any other basis. But if required by the "written contract," this insurance will be primary and non - contributory relative to insurance on which the additional insured is a Named Insured. 4. The insurance provided to the additional insured does not apply to "bodily injury," "property damage," or "personal and advertising injury arising out of a. The rendering of, or the failure to render, any professional architectural, engineering, or surveying services, including: (1) The preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or . drawings and specifications; and (2) Supervisory, inspection, architectural or engineering activities; or G- 140331 -C Includes copyrighted material of insurance services Office, Inc., with Its permission Page 1 of 2 (Ed. 10110) b. Any premises or work for which the additional insured is specificaliy listed as an additional insured on another endorsement attached to this Coverage Part. C. SECTION W — .COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows: 1. The Duties in The Event of Occurrence, Offense, Claim or Suit condition is amended to add the following additional conditions applicable to the additional insured: An additional insured under this endorsement will as soon as practicable: (1) Give us written notice of an "occurrence" or an offense which may result in a claim or "suit" under this insurance, and of any claim or "suit" that does result; (2) Except as provided in Paragraph B.3 of this endorsement, agree to make available any other insurance the additional insured has for a loss we cover under this Coverage Part; (3) Send us copies of all legal papers received, and otherwise cooperate with us in the investigation, defense, or settlement of the claim or "suit"; and (4) Tender the defense and indemnity of any claim or "suit" to any other insurer or self insurer whose policy or program applies to a loss we cover under. this Coverage Park But if the "written contract' requires this insurance to be primary and non - contributory, this provision (4) does not apply to insurance on which the additional insured is a Named Insured. G- 140331 -C (Ed. 10/10) We have no duty to defend or indemnify an additional insured under this endorsement until we receive from the additional insured written notice of a claim or "suit." 2. With respect only to the insurance provided by this endorsement, the first sentence of Paragraph 4.a. of the Other Insurance Condition is deleted and replaced with the following: 4. Other Insurance a. Primary Insurance This insurance Is primary and non- contributory except when rendered excess by endorsement G- 140331 -C, or when Paragraph b. below applies. D. Only for the purpose of the insurance provided by this endorsement, SECTION V — DEFINITIONS is amended to add the following definition: "Written contract" means a written contract or written agreement that requires you to • make a person or organization an additional Insured on this Coverage Part, provided the contract or agreement: 1. Is currently in effect or becomes effective during the term of this policy; and 2. Was executed priorto: a. The "bodily injury" or "property damage "; or b The offense that caused the "personal and advertising injury" for which the additional insured seeks coverage under this Coverage Part. G- 140331 -C Includes copyrighted material of Insurance Services Office, Inc., with its permission Page 2 of 2 (Ed. 10/10) szirE e�� T t � y O STATE OF WASHINGTON Domestic Profit Corporation WM. WINKLER COMPANY 5516 N STARR RD NEWMAN LAKE WA 99025 TAX REGISTRATION INDUSTRIAL INSURANCE UNEMPLOYMENT INSURANCE BUSINESS LICENSE CITY LICENSES /REGISTRATIONS: WEST RICHLAND GENERAL BUSINESS LIBERTY LAKE GENERAL BUSINESS SPOKANE VALLEY GENERAL BUSINESS RICHLAND SERVICES BUSINESS Unified Business ID #: Business ID #: Location: Expires: LICENSING RESTRICTIONS: Not licensed to hire persons under age 18 at this location. REGISTERED TRADE NAMES! WILLIAM WINKLER CO WILLIAM WINKLER COMPANY 602 703 784 1 1 03 -31 -2013 T'hi6 0daocurnrent lisu, 'the revgis radu s, endorsements,, and 1Pcens =es authorized dor the business narr;edi a`•avc, By accepting This dreumiv nt,. the licensee cer+i'ies, the irforinatior, rxn the applicatix vvas complete, true, :nil acs:ig,. -ate to 'ohe be< of his or he. I,noc ✓ledge, and thai business will _4e �- condu<�ted in compiianc_ sn,.40 rIf al'- plica;ie Washingtna; state, rowity, anri city re"Pl.klations. re tor, Department of Revenue 0154 - Sidewalk & Transit Stop Accessibility All Activity as of Oct 12012 EXPENDITURES Project Prior Prior Years 2011 Actual Life Life To Date JFund 303 Original Adjusted Years 2011 2012 To Date Available REVENUES Bud et Bud et Actual Actual Actual Actual Encumbered Funds Federal Transit Administration 178,790.00 0.00 0.00 26,842.89 26,842.89 0.00 151,947.11 Transfer from: Special Capital Projects 44,698.00 0.00 9,499.71 6,710.73 16,210.44 0.00 28,487.56 Total Revenue 0.00 223,488.00 0.00 9,499.71 33,553.62 43,053.33 0.00 180,434.67 EXPENDITURES Original Bud et Adjusted Budget Prior Years 2011 Actual 2012 Actual Life To Date Encumbered Available Funds Preliminary Engineering Salaries & Wages 17,000.00 0.00 6,292.38 10,344.87 16,637.25 0.00 362.75 Overtime 0.00 0.00 0.00 1,030.18 1,030.18 0.00 - 1,030.18 Employee Benefits 5,950.00 0.00 1,628.09 3,738.72 5,366.81 0.00 583.19 FICA /401AOT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Medicare OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 L &I OT 0.00 0.00 0.00 27.14 27.14 0.00 -27.14 PERS OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Engineering & Architectural 0.00 0.00 1,579.24 5,445.37 7,024.61 2,554.63 - 9,579.24 Prof. Svcs - Survey 9,000.00 0.00 0.00 8,091.46 8,091.46 818.54 90.00 Prof. Svcs. - Geotech 0.00 0.00 0.00 549.59 549.59 450.41 - 1,000.00 Advertising 550.00 0.00 0.00 155.60 155.60 0.00 394.40 Printing & Binding 1,000.00 0.00 0.00 40.50 40.50 0.00 959.50 Miscellaneous Services 500.00 0.00 0.00 0.00 0.00 0.00 500.00 PE Contingency 5,000.00 0.00 0.00 0.00 0.00 0.00 5,000.00 Total Prelim. Engineering 0.00 39,000.00 0.00 9,499.71 29,423.43 38,923.14 3,823.58 - 3,746.72 Right of Way Salaries & Wages 0.00 0.00 0.00 28.77 28.77 0.00 -28.77 Employee Benefits 0.00 0.00 0.00 11.36 11.36 0.00 -11.36 FICA /401A OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Medicare OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 L &I OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 PERS OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Professional Services 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ROW Acquisition 0.00 0.00 0.00 0.00 0.00 0.00 0.00 RW - Land Improvements 0.00 0.00 0.00 0.00 0.00 0.00 0.00 RW Contingency 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total Right of Way 0.00 0.00 0.00 0.00 40.13 40.13 0.00 -40.13 Construction Salaries & Wages 5,000.00 0.00 0.00 276.27 276.27 0.00 4,723.73 Employee Benefits 1,750.00 0.00 0.00 46.69 46.69 0.00 1,703.31 FICA /401A OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Medicare OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 L &I OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 PERS OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Professional Services 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Prof. Svcs. Mat. Testing 10,000.00 0.00 0.00 0.00 0.00 0.00 10,000.00 Prof. Svcs. - Consulting 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Advertising 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Printing & Binding 2,000.00 0.00 0.00 0.00 0.00 0.00 2,000.00 Construction 165,738.00 0.00 0.00 0.00 0.00 0.00 165,738.00 CN Contingency 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total Construction 0.00 184,488.00 0.00 0.00 322.96 322.96 0.00 184,165.04 Total Expenditures 0.001 223,488.00 0.00 9,499.71 29,786.52 39,28 .23 3,823.58 180,378.19 Verify Workers' Comp Premium Status - Employer Liability Certificate https:// fortress. wa. gov/ lni/ crpsi /AcctlnfoPrint.aspx ?AccountId= 0399.. Washington State Department of Labor and Industries Department of Labor and Industries Employer Liability Certificate Date: 10/10/2012 UBI #: 602 703 784 Business Name: WINKLER BRIAN J Legal Business Name: WM WINKLER COMPANY Account #: 039,956 -01 'Doing Business As' Name: WM WINKLER COMPANY Employer Liability Certificate Estimated Workers Reported: Quarter 2 of Year 2012 "51 to 75 Workers" (See Description Below) Workers' Comp Premium Status: Account is current. Firm has voluntarily reported and paid their premiums. Licensed Contractor? License: Expire Date: Yes WMWINC *935LA 3/23/2013 Account Representative: T2 / GARY HONC (360)902 -4825 - Email: HONC235 @lni.wa.gov What does "Estimated Workers Reported" mean? Estimated workers reported represents the number of full time position requiring at least 480 hours of work per calendar quarter. A single 480 hour position may be filled by one person, or several part time workers. Industrial Insurance Information Employers report and pay premiums each quarter based on hours of employee work already performed, and are liable for premiums found later to be due. Industrial insurance accounts have no policy periods, cancellation dates, limitations of coverage or waiver of subrogation (See RCW 51.12.050 and 51.16.190). 1 of 1 10/10/2012 1:46 PM V ti ...... �' WMWINKL-01 JKRUSE A`P°D CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 3/26/2013 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(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the poly,.ceriain.p.Dlicies.A]I2yiequire an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endbrsement(s). RECEIVED PRODUCER NAME: NAME: PayneWest Insurance,Inc.,Washington PHONE (406)721-1000 AX (406)327-6410 P.O.Box 4386 (A/C,No—E41: (FAIC,No): Missoula,MT 59808 APR 01 2013 E-MAIL ADDRE56: INSURER(S)AFFORDING COVERAGE NAIC# Spokane Valley PermlitCerenA:National Fire Ins of Hartford INSURED —*Islam Valley Forge Insurance Co Wm.Winkler Company INSURER C:Transportation Insurance Co. PO Box 430 INSURER D: Newman Lake,WA 99025 INSURER E: INSURER F: --- COVERAGES 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. INSR R TYPE OF INSURANCE I S POLICY EFF POLICY EXP NSR WVD POLICY NUMBER T /Y LIMITS (MMIDDYYYI (MMIDDIYYYY) GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY X 4027027552 4/1/2013 4/1/2014 DAMAGE TO RENTED 100,000 PREMISES(Ea occurrence) $ CLAIMS-MADE X OCCUR MED EXP(Any one person) $ 5,000, X Employers Liab PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000, 7 POLICY X ECr LOC Employers Liab $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1000000/ (Ea accident) $ , , B X ANY AUTO 4027027583 4/1/2013 4/1/2014 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS JPER ACCIDENT) X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000', C EXCESS LIAB CLAIMS-MADE 4027027566 4/1/2013 4/1/2014 AGGREGATE $ 5,000,000' cop X RETENTION$ 10,000 $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE�- E.L.EACH $ I OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE$ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) City of Spokane Valley is added as additional insured per attached form as respects: Sidewalk and Transit Stop Accessibility Project-Phase 1 SVPW Contract 12-024 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE VALLEY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF SPOKANE 11707E SPRAGUE VALLEY ACCORDANCE WITH THE POLICY PROVISIONS. #106 SPOKANE VALLEY,WA 99206 AUTHORIZED REPRESENTATIVE Prl ic_4414.-----" ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Co t2-i` 17 G140331C 1010 Page 1 oft CANA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED- OWNERS, LESSEES OR CONTRACTORS - UNITE PRODUCTS-COMPLETED OPERATIONS COVERAGE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE(OPTIONAL) Name of Additional insured Persons Or Organizations (As required by"written contract" per Paragraph A. below.) Locations of Covered Operations (As per the"written contract,"provided the location is within the"coverage territory" of this Coverage Part.) A. Section it-Who Is An insured is amended to include as an additional insured: 1. Any person or organization whom you are required by "written contract'to add as an additional insured on this Coverage Part; and 2. The particular person or organization, if any, scheduled above. B. The insurance provided to the additional insured is limited as follows: 1. The person or organization is an additional insured only with respect to liability for"bodily injury,""property damage," or"personal and advertising injury"caused in whole or in part by: a. Your acts or omissions; or b. The acts or omissions of those acting on your behalf in the performance of your ongoing operations specified in the"written contract"; or c. "Your work"that is specified in the "written contract" but only for"bodily injury" or "property damage" included in the"products-completed operations hazard,"and only if: (1) The"written contract" requires you to provide the additional insured such coverage; and (2) This Coverage Part provides such coverage. 2. We will not provide the additional insured any broader coverage or any higher limit of insurance than the least that is: a. Required by the"written contract"; b. Described in B.1.above; or c. Afforded to you under this policy. 3. This insurance is excess of all other insurance available to the additional insured whether on a primary, excess, contingent or any other basis. But if required by the "written contract," this insurance will be primary and non-contributory relative to insurance on which the additional insured is a Named Insured. 4. The insurance provided to the additional insured does not apply to "bodily injury," "property damage," or "personal and advertising injury arising out of: a. The rendering of, or the failure to render, any professional architectural, engineering, or surveying mhtml:file://C:\Docwnents and Settingsljkiuse\Local Settings\Temp181BlanketA.mht 6/15/2011 G140331C 1010 Page 2 of 2 r � services, including: (1) The preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports,surveys, field orders, change orders or drawings and specifications; and (2) Supervisory, inspection, architectural or engineering activities; or b. Any premises or work for which the additional insured is specifically listed as an additional insured on another endorsement attached to this Coverage Part. C. SECTION IV—COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows: 1. The Duties In The Event of Occurrence, Offense, Claim or Suit condition is amended to add the following additional conditions applicable to the additional insured: An additional insured under this endorsement will as soon as practicable: (1) Give us written notice of an "occurrence"or an offense which may result in a claim or"suit" under this insurance, and of any claim or"suit'that does result; (2) Except as provided in Paragraph B.3 of this endorsement, agree to make available any other insurance the additional insured has for a loss we cover under this Coverage Part; (3) Send us copies of all legal papers received, and otherwise cooperate with us in the investigation, defense, or settlement of the claim or"suit'; and (4) Tender the defense and indemnity of any claim or "suit" to any other insurer or self insurer whose policy or program applies to a loss we cover under this Coverage Part But if the "written contract" requires this insurance to be primary and non-contributory, this provision (4) does not apply to insurance on which the additional insured is a Named Insured. We have no duty to defend or indemnify an additional insured under this endorsement until we receive from the additional insured written notice of a claim or"suit" 2. With respect only to the insurance provided by this endorsement, the first sentence of Paragraph 4.a. of the Other Insurance Condition is deleted and replaced with the following: 4. Other Insurance a. Primary Insurance This insurance is primary and non-contributory except when rendered excess by endorsement G- 140331-C, or when Paragraph b. below applies. D. Only for the purpose of the insurance provided by this endorsement, SECTION V — DEFINITIONS is amended to add the following definition: 'Written contract" means a written contract or written agreement that requires you to make a person or organization an additional insured on this Coverage Part, provided the contract or agreement 1. Is currently in effect or becomes effective during the term of this policy;and 2. Was executed prior to: a. The"bodily injury"or"property damage"; or b The offense that caused the"personal and advertising injury" • for which the additional insured seeks coverage under this Coverage Part. mhtml:file://C:1Documeuts and Settingsljkruse\Local Settings\Temp181BlanketA.mht 6/15/2011 SUPERIOR COURT OF WASHINGTON FOR SPOKANE COUNTY In the Matter of: ADVERTISEMENT FOR BIDS No. Public Works Department Bid # 12 -024 Sidewalk & Transit Stop Accessibility ) Project - Phase 1 ) AFFIDAVIT OF PUBLISHING City of Spokane Valley NOTICE STATE OF WASHINGTON ) )SS. County of Spokane ) MICHAEL HUFFMAN . being first duly sworn on oath deposes and says that he is the EDTTOR . of The Spokane Valley News Herald, a weeklynewspaper. Thatsaid newspaper is a legalnewspaper and itis now andhasbeen for more than six months prior to the date of the publication hereinafter referred to, published in the English language continually as a weekly newspaper in Spokane County, Washington, and it is now and during all of said time was printed in an office maintained at the aforesaid place of publication of said newspaper, which said newspaper had been approved as a legal newspaper by order of the Superior Court of the State of Washington in and for Spokane County. That the following is a true copy of a public notice as published in regular issues commencing on the 17th day of August, 2012 and ending the 24th d f Au t 2 2 inclusive, and that such newspaper was regularly distributed to its subscribers during all of sq, ADVERTISEMENT FOR BIDS CRY OF SPOKANE VALLEY p - TAI d PUBLIC WORKS DEPARTMENT `-- -D SCRbE SWORN to before me SIDEWALK AND TRANSIT STOP this 24th day Of August, 2012. ACCESSIBILITY PROJECT— PHASE 1 Notice Is hereby given that the City of Spokane State of Washington Valley, Spokane County, Washington will accept 11"x' I sealed bids for the Sidewalk end Transit Stop \ \1 Uo� County of Spokane Accessibility Project — Phase 1. The project I RAC consists of installation of sidewalk anticurb, ` G storm drainage improvements, hot mix asphalt ` // I certify that l know or have satisfactory evidence that patching, and striping. $$IOPI f 2 / Copies of the bid - packet including specifies- ! � :• J, Michael Huffman is the person who appeared before lions and plans maybe obtained in PDF format O� 'PF; r me, and said person acknowledged that he signed by downloading from the Spokane Valley FTP N this instrument and acknowledged it to be his free site. Contact Darla Arnold, Spokane Valley NOTARY Public Works, at 509- 720-5003 or by email at : Viand voluntary act for the uses and purposes men - darnold ®spokanevalley.org, Monday through Friday from 8:00 a.m. to 5:00 p.m. for instuwc- PUBLIC : Z =tioned in the instrument. ;ions and to be added to the Planholder's list. : O i If a potential bidder is unable to reproduce ` the packet from the F-fP she, a hard copy with :• 5 •i \ _J I', half -size plans maybe obtained from the City \ ••• S•16A for a non - refundable fee of $50. Any addenda' ..... • \� to this project II be sent Dnly to those on the ��/ C� �� Olen ae Nentzli, Planholders list - OP rYA"� \\ I All bids must be'atxompanred by a-blddeposit �� \ \ Titl Notabn the tormnf asurdty bond postal money Drder, II 1 t M oint expires: 5 -16 -15 cash, cashier's check, or certified check in an amount equal to five percent (5 %) of the amount of the bid proposed. Failure to furnish a bid bond I to Xl in compliance with the City's bid deposit surety Uv bond form shall make the idnon- responsiveand cause the bid to be rejected. Bids must be submitted in sealed envelopes addressed to the City Clerk of the City of Spo- kane Valley, 11707 E. Sprague Avenue, Suite 106, Spokane Valley, Washington, 99206, and received not later than 10:01 e.ro.P-SI, Friday, September 7,1012. Bid openings will be held immediately thereafterand read aloud in the City Council Chambers, Suite 101.. The City of Spokane Valley reserves the right to waive any Irregularities or informalities and to reject any or all bids. No bidder may withdraw his bid after the time announced for the bid opening, or before the award and execution of the contract, unless the award is delayed for a period exceeding sixty (60) days. The City of Spokane Valley, in accordance with Title VI of the Civil Rights Act of 1964, 78 Stat. 252, 42 U.S.C. 2000d to 2000 -4 and Title 49, Code of Federal Regulations, Department of Transportation, Subtitle A, Office of the Secretary, Pad 21, non- discrimination in Federally assisted programs of the Department of Transportation issued pursuant to such Act, hereby notifies all bidders that it will affirmatively insure that in any contract entered into pursuant to this advertise- ment disadvantaged business enterprises as defined at 49 CFR Part 26 will be afforded full opportunity to submit bids in response to this invitation and will not be discriminated against on the grounds of race, color or national origin, or sex in consideration for an award. Christine Bainbridge, MMC Spokane Valley City Clerk 8117.8/24 ADVERTISEMENT FOR BIDS CITY OF SPOKANE VALLEY PUBLIC WORKS DEPARTMENT BID 012 -024 SIDEWALKAND TRANSIT STOP ACCESSIBILITY PROJECT - PHASE 1 Notice is hereby given that the City of Spokane Valley, Spokane County, Washington will accept sealed bids for the Sidewalk and Transit Stop Accessibility Project - Phase 1. The project consists of installation of sidewalk and curb, storm drainage improvements, hot mix asphalt patching, and striping. Copies of the bid packet including specifications and plans may be obtained in PDF format by downloading from the Spokane Valley FTP site. Contact Darla Arnold, Spokane Valley Public Works, at 509 - 720 -5003 or by email at darnold @spoka nevalley.org, Monday through Friday from 8:00 a.m. to 5:00 p.m. for Instructions and to be added to the Planholder's list. If a potential bidder is unable to reproduce the packet from the FTP site, a hard copy with half -size plans may be obtained from the City for non- refundable fee of $50. Any addenda to this project will be sent only to those on the Planholder's list. All bids must be accompanied by a bid deposit in the form of a surety bond, postal money order, cash, cashier's check, or certified check in an amount equal to five percent (5 %) of the amount of the. bid proposed. Failure to furnish a bid bond in compliance with the City's bid deposit surety bond form shall make the bid non- responsive and cause.the bid to be rejected. Bids must be submitted in sealed envelopes addressed to the City Clerk of the City of Spokane Valley, 11707 E. Sprague Avenue, Suite 106, Spokane Valley, Washington, 99206, and received not later than 10:00 a.m. PST, Friday. September 7, 2012. Bid openings will be held immediately . thereafter and read aloud in the City Council Chambers, Suite 101. The City of Spokane Valley reserves the right to waive any irregularities or informalities and to reject any or all bids. No bidder may withdraw his bid after the time announced for the bid opening, or before the award and execution of the contract, unless the award is delayed for a period exceeding sixty (60) days. The City of Spokane Valley, in accordance with Title VI of the Civil Rights Act of 1964, 78 Stat. 252, 42 U.S.C. 20004 to 2000 -4 and Title 49, Code of Federal Regulations, Department of Transportation, Subtitle A, Office of the Secretary, Part 21, non- discrimination in Federally assisted programs of the Department of Transportation issued pursuant to such Act, hereby notifies all bidders that it will affirmatively insure that in any contract entered into pursuant to this advertisement, disadvantaged business enter- prises as defined at 49 CFR Part 26 will be afforded full opportunity to submit bids in response to this invitation and will not be discriminated . against on the grounds of race, color or national origin, or sex in consideration for an award. PUBLISH: August 17th and August 24th, 2012 Christine Bainbridge, MMC . Spokane Valley City Clerk SR24924 *Federal Tax ID No. 68- 0617327 M�i•r_��rr<•»1��:3�ra_�r�•�� STATE OF WASHINGTON County of Spokane) ss Name: City of Spokane Valley Client ID: PO No. SR24924 No. Lines: Total Cost: $249.38 / Order No. 42365 101 96893 I, Ruth Sullivan do solemnly swear that I am the Principal Clerk of The Spokesman- Review, a newspaper established and regularly published, once each day in the English language, in and of general circulation in the City of Spokane County, Washington; and in the City of Coeur d'Alene, Kootenai County, Idaho; that said newspaper has been so established and regularly published and has had said general circulation continuously for more than six (6) months prior to the 23rd day of July, 1941; that said newspaper is printed in an office maintained at its place of publication in the City of Spokane, Washington; that said newspaper was approved and designated as a legal newspaper by order of the Superior Court of the State of Washington for Spokane County on the 23rd day of July, 1941, and that said order has not been revoked and is in full force and effect; that the notice attached hereto and which is a part of the proof of publication, was published in said newspaper two time(s), the publication having been made once each time on the following dates: August 16 & 23, 2012 That said notice was published in the regular and entire issue of every number of the paper during the period of time of publication, and that the notice was published in the newspaper proper and not in a supplement. Subscribed and sworn to before me at the City of Spokane, this 23rd day of August , 2012. r1� 1 VINC� ,Q SION FAA 2� OQr i F U NOTARY 9N N D HU[3LIC er '9 �� ,`�•<� ary Public in and for the State of Washington, ER residing at Spokane County, Washington OFWASN� Notary Stamp Paper Affidavits