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HomeMy WebLinkAbout031416_ca03Department of Public Works O Consent Agenda Page 1 of 1 Jefferson County Board of Commissioners Agenda Request To: Board of Commissioners Philip Morley, County Administrator From: Monte Reinders, P.E., Public Works Director/County Engineer Agenda Date: March 14, 2016 Subject: Emergency Construction Contract w/ Seton Construction Inc. Upper Hoh Road MP 9.8 (Spruce Creek), County Project No. X01988 Statement of Issue: Execution of an emergency road reconstruction contract with Seton Construction Inc. for a washout at Upper Hoh Road mile post 9.8. Analysis/Strategic Goals/Pro's Et Con's: Flows on the Hoh River reached 32,500 cfs on January 28th - the fourth storm of the season to exceed the 2 -Year recurrence flood flow of 32,000 cfs. The Hoh River is a dynamic river which changes its channel location regularly during high flow events. This event washed out the road prism at Upper Road mile post 9.8 threatening access for residents and the Olympic National Park Hoh Rainforest visitor center. This washout also threatens the new, concrete, three -sided box culvert installed at Spruce Creek in 2012. Fiscal Impact/Cost Benefit Analysis: Contract amount is $115,000. Emergency relief funding has been secured from the Federal Highway Administration at 100% for temporary/ emergency repair and 86.5% for permanent repair. Recommendation: Public Works recommends that the Board execute all three originals of the contract with Seton Construction and return two (2) originals to Public Works for further processing. Department Contact: Mark Thurston P.E., Project Manager, 385-9160 Reviewed By: Date CONTRACT JEFFERSON COUNTY, WASHINGTON THIS AGREEMENT, made and entered into this day of , 2016, between the COUNTY OF JEFFERSON, acting through the Jefferson County Commissioners and the Director of Public Works under and by virtue of Title 36, RCW, as amended and Seton Construction of Port Townsend, Washington 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 1 The Contractor agrees to furnish all labor and equipment and do certain work, to -wit That the Contractor herein will undertake and complete the following described work Haul and place np rap and other work at the Upper Hoh Road MP 9 8 (Spruce Creek) road washout site as directed by the County Engineer and his designee(s) in accordance with the terms and conditions of this Agreement including Quoted rates - Attachment C for the total sum not to exceed One hundred fifteen thousand dollars ($115,00 00) Work is to be directed by the County Engineer and his designee(s) and will be in accordance with any relevant plans and specifications developed for the project and specifically transmitted to the Contractor which include the Washington State Department of Transportation Standard Specifications most current version The Contractor shall complete the described work as follows Work to proceed immediately followingverbal authorization by the County Engineer and to be pursued at the direction of the County Engineer and his designee(s) until work is complete or otherwise terminated by the County 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 this contract and every part thereof 2 The County of Jefferson hereby promises and agrees with the Contractor to employ, and does employ the Contractor to furnish the goods and equipment described and to fi=sh the same according to the attached specifications and the terms and conditions herein contained, and hereby contracts to pay for the same according to the attached specifications and the schedule of unit or itemized prices hereto attached, at the time and in the manner and upon the condition provided for in this contract The County further agrees to employ the Contractor to perform any alterations in or additions to the work provided for in this contract that may be ordered and to pay for the same under the terms of this contract and the attached specifications at the time and in the manner and upon the conditions provided for in this contract 3 The Contractor for himself, and for his heirs, executor, administrators, successors, and assigns, does hereby agree to the full performance of all the covenants herein contained upon the part of the Contractor 4 Prior to commencing work, the Contractor shall obtain at its own cost and expense the following insurance from companies licensed in the State with a Best's rating of no less than A VII The Contractor shall provide to the County Risk Manager certificates of insurance with original endorsements affecting insurance required by this clause prior to the commencement of work to be performed The insurance policies required shall provide that thirty (30) days prior to cancellation, suspension, reduction or material change in the policy, notice of same shall be given to the County Risk Manager by registered mail, return receipt requested, for all of the following stated insurance policies Upper Hoh Road MP 9 8 (Spruce Creek) Washout Repair Revised 2/21/14 Page l of 8 If any of the insurance requirements are not complied with at the renewal date of the insurance policy, payments to the Contractor shall be withheld until all such requirements have been met, or at the option of the County, the County may pay the renewal premium and withhold such payments from the moneys due The Contractor All notices shall name the Contractor and identify the agreement by contract number or some other form of identification necessary to inform the County of the particular contract affected A Workers Compensation and Employers Liability Insurance The Contractor shall procure and maintain for the life of the contract, Workers Compensation Insurance, including Employers Liability Coverage, in accordance with the laws of the State of Washington B General Liability(1) - with a mnumum lint per occurrence of one million dollars ($1,000,000) and an aggregate of not less than two million dollars ($2,000,000) for bodily mjury, death and property damage unless otherwise specified in the contract specifications This insurance coverage shall contain no limitations on the scope of the protection provided and indicate on the certificate of insurance the following coverage 1 Broad Form Property Damage with no employee exclusion, 2 Personal Injury Liability, including extended bodily mjury, 3 Broad Form Contractual/Commercial Liability including completed operations (contractors only), 4 Premises - Operations Liability (M&C), 5 Independent Contractors and Subcontractors, and 6 Blanket Contractual Liability (1)Note The County shall be named as an additional insured party under this policy C Automobile (2) - with a minimum lmut per occurrence of $1,000,000 for bodily injury, death and property damage unless otherwise specified in the contract specifications This insurance shall indicate on the certificate of insurance the following coverage 1 Owned automobiles, 2 Hired automobiles, and, 3 Non -owned automobiles (2) Note The County shall be named as an additional insured party under this policy Any deductibles or self-insured retention shall be declared to and approved by the County prior to the approval of the contract by the County At the option of the County, the insurer shall reduce or eliminate deductibles or self-insured retention or The Contractor shall procure a bond guaranteeing payment of losses and related investigations, claim administration and defense expenses The Contractor shall include all subcontractors as insured under its insurance policies or shall furnish separate certificates and endorsements for each subcontractor All insurance provisions for subcontractors shall be subject to all of the requirements stated herem Failure of The Contractor to take out and/or maintain any required insurance shall not relieve The Contractor from any liability under the Agreement, nor shall the insurance requirements be construed to conflict with or otherwise linut the obligations concerning indemnification Upper Hoh Road MP 9 8 (Spruce Creek) Washout Repair Revised 2/21/14 Page 2 of 8 It is agreed by the parties that insurers shall have no right of recovery or subrogation against the County (including its employees and other agents and agencies), it being the intention of the parties that the insurance policies so affected shall protect both parties and be primary coverage for any and all losses covered by the above described insurance It is further agreed by the parties that insurance companies issuing the policy or policies shall have no recourse against the County (including its employees and other agents and agencies) for payment of any premiums or for assessments under any form of policy It is further agreed by the parties that any and all deductibles in the above described insurance policies shall be assumed by and be at the sole risk of The Contractor It is agreed by the parties that judgments for which the County may be liable, in excess of insured amounts provided herem, or any portion thereof, may be withheld from payment due, or to become due, to The Contractor until such tune as The Contractor shall famish additional security covering such judgment as may be determined by the County The County reserves the right to request additional insurance on an individual basis for extra hazardous contracts and specific service agreements Any coverage for third party liability claims provided to the County by a "Risk Pool" created pursuant to Ch 48 62 RCW shall be non-contributory with respect to any policy of insurance the Contractor must provide in order to comply with this Agreement If the proof of insurance or certificate of coverage indicating the County is an "additional insured" to a policy obtained by the Contractor refers to an endorsement (by number or name) but does not provide the full text of that endorsement, then it shall be the obligation of the Contractor to obtain the full text of that endorsement and forward that full text to the County within 30 days of the execution of this Agreement The County may, upon the Contractor's failure to comply with all provisions of this contract relating to insurance, withhold payment or compensation that would otherwise be due to the Contractor 5 The Contractor shall comply with all Federal, State, and local laws and ordinances applicable to the work to be done under this Agreement This Agreement shall be interpreted and construed in accord with the laws of the State of Washington and venue shall be in Jefferson County, WA The Contractor shall indemnify and hold the County, and its officers, employees, and agents harmless from and shall process and defend at its own expense, including all costs, attorney fees and expenses relating thereto, all claims, demands, or suits at law or equity arising in whole or in part, directly or indirectly, from the Contractor's negligence or breach of any of its obligations under this Agreement, provided that nothing herein shall require a Contractor to indemnify the County against and hold harmless the County from claims, demands or suits based solely upon the conduct of the County, its officers, employees and agents, and, provided further that if the claims or suits are caused by or result from the concurrent negligence of (a) the Contractor's agents or employees, and, (b) the County, its officers, employees and agents, this indemnity provision with respect to claims or suits based upon such negligence, and/or the costs to the County of defending such claims and suits, etc , shall be valid and enforceable only to the extent of the Contractor's negligence, or the negligence of the Contractor's agents or employees Claims against the County shall include, but not be limited to assertions that the use and transfer of any software, book, document, report, film, tape, or sound reproduction of material of any kind, delivered hereunder, constitutes an infi-ingement of any copyright, patent, trademark, trade name, or otherwise results in an unfair trade practice or an unlawful restraint of competition Upper Hoh Road MP 9 8 (Spruce Creek) Washout Repair Revised 2/21/14 Page 3 of 8 The Contractor specifically assumes potential liability for actions brought against the County by Contractor's employees, including all other persons engaged in the performance of any work or service required of the Contractor under this Agreement and, solely for the purpose of this indemnification and defense, the Contractor specifically waives any immunity under the state industrial insurance law, Title 51 R C W The Contractor recognizes that this waiver was specifically entered into pursuant to provisions of R C W 4 24 115 and was subject of mutual negotiation 6 The Contractor's relation to the County shall be at all times as an independent Contractor, and nothing herein contained shall be construed to create a relationship of employer-employee or master-servant, and any and all employees of the Contractor or other persons engaged in the performance of any work or service required of the Contractor under this Agreement shall be considered employees of the Contractor only and any claims that may anse on behalf of or against said employees shall be the sole obligation and responsibility of the Contractor 7 The Contractor shall not sublet or assign any of the services covered by this contract without the express written consent of the County or its authorized representative Assignment does not include printing or other customary reimbursable expenses that may be provided in an agreement 8 Nothing in the foregoing clause shall prevent the County, at its option, from additionally requesting that the Contractor deliver to the County an executed bond as security for the faithful performance of this contract and for payment of all obligations of The Contractor For contracts of $35,000 or less, the County and the Contractor may agree that m-lieu of the Bond, the County will withhold 50% of the Contract amount in accordance with RCW 39 08 010 The Contractor will indicate this option on Exhibit A 9 The Contractor will declare management option of the statutory retained percentage on Exhibit B Upper Hoh Road MP 9 8 (Spruce Creek) Washout Repair Page 4 of 8 Revised 2/21/14 IN WITNESS WHEREOF, the Contractor has executed this instrument on the day and year first below written, and the Board of County Comnussioners has caused this instrument to be executed by and in the name of said County of Jefferson the day and year fust above written Executed by the Contractor r'1 W N 1--* , 20 K, Contractor Seton Construction, Inc (Please print) By 13kutc 9 Sryto 1 UK (Please print) 4'� X (Signature) SE-rul.! cz► b5 0A State of Washington, Contractor Registration Number Upper Hoh Road MP 9 8 (Spruce Creek) Washout Repair Page 5 of 8 COUNTY OF JEFFERSON BOARD OF COMMISSIONERS Kathleen Kler, Chair Phil Johnson, Member David W Sullivan, Member Approved as to form only David Alvarez Date Deputy Prosecuting Attorney V"' l Mo ers, E Date Public Works Director/County Engineer Revised 2/21/14 CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY, AND VOLUNTARY EXCLUSION The Contractor certifies to the best of its knowledge and belief, that it and its principals (1) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal department or agency, (2) Have not within a 3 -year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or contract under a public transaction, violation of Federal or State antitrust statutes or comnnssion of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property, (3) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State, or local) with comnmission of any of the offenses enumerated in paragraph (2) of this certification, and (4) Have not within a 3 -year period preceding this contract had one or more public transactions (Federal, State, or local) terminated for cause or default Where the Contractor is unable to certify to any of the statements in this certification, such Contractor shall attach an explanation SETUtJ C o►Js�UcTl o►J a �N e . Name of Contractor (Please print) iS. SE-r-ur�j. -jW pia�s� Oe�'i' Name and Title of Authorized Representative (Please print) Signature of Authorize Representative I am unable to certify to the above statement An explanation is attached Upper Hoh Road MP 9 8 (Spruce Creek) Washout Repair Page 6 of 8 Revised 2/21/14 CONTRACT BOND JEFFERSON COUNTY, WASHINGTON Bond No 2208523 KNOW ALL MEN BY THESE PRESENTS That Seton Construction, Inc , of Port Townsend, WA , as Principal, and North American Specialty Insurance Companx as Surety, arejointly and severally held and bound unto the COUNTY OF JEFFERSON, the penal sum of One Hundred Fifteen Thousand & 00/100--- Dollars ($ 115,000 00 ), for the payment of which we jointly and severally bind ourselves, or heirs, executors, administrators, and assigns, and successors and assigns, firmly by these presents The condition of flus bond is such that WHEREAS, on the 1 st day of March , A.D , 201 the said Seton Construction Inc , Principal herein, executed a certain contract with the County of Jefferson, by the terms, conditions and provisions of which contract the said Seton Construction, Inc , Principal herewith, agrees to furnish all materials and do certain work, to -wit That the said Principal herein will undertake and complete the following described work Haul and place np rap and other work at the Upper Hoh Road MP 9 8 (Spruce Creek) road washout site in Jefferson County, Washington, as per maps, plans and specifications made a part of said contract, which contract as so executed, is hereunto attached, and is now referred to and by this reference is incorporated herein and made a part hereof as full for all purposes as if here set forth at length NOW THEREFORE, if the Principal herein shall faithfully and truly observe and comply with the terms, conditions and provisions of said contract, in all respects and shall well and truly and fully do and perform all matters and things by the said Principal undertaken to be performed under said contract, upon the terms proposed therein, and within the time prescribed therein, and until the same is accepted, and shall pay all laborers, mechanics, subcontractors and materialmen, and all persons who shall supply such contractor or subcontractor with provisions and supplies for the carrying on of such work, and shall in all respects faithfully perform said contract according to law, then this obligation to be void, otherwise to remain in full force and effect WITNESS our hands tlus 1st day of March , 2016 Seton Construction, Inc PRINCIPAL //ll By 'S • x44 North American Specialty Insurance Company SURETY COMPANY By By Joanne Remkensmeyer Attorney -m -fact Address of local office and agent of surety company Hentschell & Associates, Inc 1436 S Union Ave Tacoma, WA 98405 Upper Hoh Road W 9 8 (Spruce Creek) Washout Reptur Revised 2/2I/14 Page 7 of 9 NAS SURETY GROUP NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS. THAT North American Specialty Insurance Company. a corporation duly organized and existing tinder laws of the State of New Hampshire, and having its principal office in the City of Manchester. New Hampshire, and Washington International Insurance Company, a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Schaumburg, Illinois, each does hereby make, constitute and appoint THOMAS P HENTSCHELL. BRADLEY k ROBERTS 1LLIE. A CRAKER. KAREN J SMITH and JOANNE REINKENSMEYER JonMY OR SEVERALLY Its true and lawful Attomey(s)-in-Fact, to make, execute. seal and deliver for and on its behalf and as its act and deed, bonds or other wnttitgs obligatory in the nature of a bond on behalf of each of said Companies as surety, on contracts of suretyship as are or may be required or permitted by law, regulation. contract or otherwise, provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of FIFTY MILLION ($SO 000.000 00) DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and hold on the 9`a of May, 2012 "RESOLVED, that any two of the Presidents, any Managing Director, any Senior Vice President, any Vice President, any Assistant Vice Prosident ES the Secretary or any Assistant Secretary be, and each or any of them hereby Is authorized to execute a Power of Attorney quahfjrng the attorney named in the given Power of Attorney to execute on behalf of the Company bonds, undertakings and all contracts of surety, and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company. and it is FURTHER RESOLVED, that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto bywhen facsimile, affi affixed and n the futurey such Power of Attorney or with regard to any bontd,bundertaking og such r connttract of surety to facsimile hi h ites attachedsad shall be " binding upon the Company -mewl BY �� Stew P Aadarea. Senior Vier Predd®t of Waw �SEAL F M A Stator Mer PtedAmt orlMa�! AmQI®8(>edr14' Lr�° �' tt� By 1a II Mk mi A. Iir dt Sealer via proddmt of %oath Amrrmo syedal* lmutroee Com7oeY IN WITNESS WHEREOF, North American Specialty Insurance Company and Washington International Insurance Company have caused their official seals to be hereunto affixed, and these presents to be signed by their authorized officers this Is 1st day of 20 May . North American SpeeialtY Insurance Company Washington International Insurance Company state of Illinois ss County of Cook 201 S , before me, a Notary Public personally appeared m , Senor Vice President of On this 1st day of May Insurance Company and Michael A. ho . Washington International Insurance Company and Senior Vice President d North American Spec ty Senior Vice President of Washington Intern'stlo al Insurance Company and Senior Vice President thabove pow" Attorney ann�� of and Company, personally known to me, who being by me duly sworn. acknowledged that they signed acknowledged said Instrument to be the voluntary act and deed of their respective companies OFFI ^ SFAl MIS NOTANRWY BUC, 1 M Kenny. Nctsry Public NIR=1110 i • -- _ e of North American specialty Insurance company and Washington r.,,tAhrra _the duly elected le tit of a power of Attorney given by said North International Insurance Company. do hereby certify that the above and foregoing C a true and correct copy American Specialty Insurance Company and Washington International Insurance Company. which is still to full force and ef%t IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies flus �S day of , 20 X"fGaldbffSVkopp 1dtAe VAWStaoioYof wah on ktemiawd boom0r CaMpwW di tenth Amann syeddq T>SaM CamSmY EXHIBIT B CONTRACTOR'S DECLARATION OF OPTION FOR MANAGEMENT OF STATUTORY RETAINED PERCENTAGE A I hereby elect to have the retained percentage of this contract held in a fund by the Owner until (30) days following final acceptance of the work Date 3 I 116 Signed./ /f Id B I hereby elect to have the Owner deposit the retained percentage of this contract in an interest bearing account, not subject to withdrawal until after final acceptance of the work Date Signed C I hereby elect to have the Owner invest the retained percentage of this contract from time to tune as such retained percentage accrues I hereby designate as the repository for the escrow of said funds I hereby further agree to be fully responsible for payment of all costs or fees incurred as a result of placing said retained percentage in escrow and investing it as authorized by statute The Owner shall not be liable in any way for any costs or fees in connection therewith Date Upper Hoh Road MP 9 8 (Spruce Creek) Washout Repair Signed Page 8 of 8 Revised 2/21/14 EMERGENCY PAY RATE SCHEDULE for Seton Construction, Inc_ (COMPANY) 2014-2015 Equipment (w/ Operator) Description State Rate Federal Rate Regular Overtime Regular Overtime 330 Class Excavator (w/ Thumb) 19800 23500 19800 23500 320 Class Excavator (w/ Thumb) 16300 18500 16300 18500 315 Class Excavator (w/ Thumb) 16300 18500 16300 18500 10 CY Dump Truck 11000 12500 11000 12500 Dump Truk with Pup 12000 13500 12000 13500 D-5 Class Dozer 153 00 17500 15300 17500 Low Say for Mobilization 12300 14000 12300 14000 Backhoe 10300 125 00 10300 12500 Regular Overtime Labor Regular Overtime Laborer (inc pickups and common small tools) 6600 9255 6600 9255 Flagger (inc pickups and traffic control devices) 6000 8900 6000 8900 Materials (FOB 0 Pit/Quarry) FOB Price 3 to Oman Rock CANYON CREEK QUARRY 24 001TON Location SHINE QUARRY 24 00/TON Location. PENNY CREEK QUARRY 24 00/TON Heavy Loose Rip Rap CANYON CREEK QUARRY 18 00frON Location SHINE QUARRY 17 00/TON Location PENNY CREEK QUARRY 17 00/TON Clean Pit Run CANYON CREEK QUARRY 6 50/TON Location SHINE QUARRY 5 50fTON Location PENNY CREEK QUARRY 5 50/TON . Crushed Surfacing CANYON CREEK QUARRY 11 50/TON Location SHINE QUARRY 11 50/TON Location. PENNY CREEK QUARRY 11 50rrON Quarry Spalls CANYON CREEK QUARRY 12 50/TON Location. SHINE QUARRY 12 50/TON Location PENNY CREEK QUARRY 12 50/TON ,aTraCH ADOMONAL SHEETS AS NEEDED List Permitted Dumpsite Locations (if any) Bruce B Seton, Jr , President Seton Construction, Inc Authorized Company Representative Date 1 of 1 12/5/13 TERMS FOR EMERGENCY RATES 1 The Agency assumes rates are as stated for a period of 6 months or until modified in writing by the Contractor Rates will be fixed prior to initiating work and will remain firm for the duration of any contract 2 Operated equipment rates listed shall be full compensation for all work accomplished with said equipment and shall include (but not be limited to) operators, fuel, maintenance, and all costs incidental to furnishing and operating the equipment including overhead, profit, B&O tax, premiums on insurance policies, etc 3 By virtue of WAC 458-20-171, retail sales tax does not apply to charges made for the construction or repair of County roads On such projects, the contractor shalt pay sales/use tax on materials and supplies used or consumed in the performance of the work 4 Rates for trucks apply from an agreed upon point of departure and return each day 5 Rates for equipment will be paid only when the equipment is operated or when an operator is on site ready to operate the equipment No payment will be made for equipment parked at the site When an operator is responsible for operating more than one piece of equipment, the equipment time will be split to reflect the actual time operated and the cumulative equipment time shall not exceed the operator's time on site for the day 6 All equipment provided shall be in good working condition No compensation will be provided for maintenance of equipment before, during, or after projects Payment will cease immediately for any equipment that is broken down and for any other equipment that is idled as a result of the breakdown 7 Mobilization costs apply only to the transporting vehicle and not to the equipment being transported 8 Materials prices listed are FOB at the pit/quarry and do not include sales tax Sales tax will be added to any invoice 9 Cost for Contractor -provided pickups, traffic control devices, and common small tools shall be incidental to the rates for laborers, flaggers, and equipment Updated 2/15/2013 A4C�p�® l `/ I` CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 3/1/2016 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 pollcy(les) must be endorsed If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) PRODUCER Kuresman Insurance, LLC 9321 Bayshore Dr NW STE 111 Silverdale WA 98383-8350 NAMEA`T Mark W Maberry PHON o (360) 692-6131 A No (360)692-6187 ADDRESSmarkm@kuresmanins com INSURERS AFFORDING COVERAGE NAIC M INSURER A.Liberty Northwest Insurance Co INSURED Seton Construction, Inc 4640 Discovery Rd Port Townsend WA 98368 INSURER B INSURER INSURER INSURER E INSURER F COVERAGES CERTIFICATE NUMBERCL15101504107 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 (NSR LTR TYPE OF INSURANCE ADDL UBR POLICY NUMBER POLICY EFF MM/DD EXP LIMITS % COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE a OCCUR DAMAGE TO RENTED Eaoccurrence $ 100,000 PREMISES(E....".) MED EXP (Any one person) $ 5,000 % LOGGERS BROAD FORM % Y C12 16-16-02 10/30/2015 10/30/2016 PERSONAL BADV INJURY $ 1,000,000 GEN L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY 1K jE LOC PRODUCTS -COMP/OP AGG $ 2,000,000 Employee Benefits $ 1,000,000 OTHER AUTOMOBILE LIABILITY COEaMBINED accident SINGLE LIMIT $ 1, 000 , 000 BODILY INJURY (Per person) $ A % ANY AUTO ALL OWNED SCHEDULED AUTOS OS C12 16-16-02 10/30/2015 10/30/2016 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident)$ NO -OWNED % HIRED AUTOS % AUTOS Undennsured motonst $ 1, 000 , 000 UMBRELLA UAB % OCCUR EACH OCCURRENCE $ 5 000 000 AGGREGATE $ 5,000,000 A % EXCESS LIAB CLAIMS -MADE DED I I RETENTION$ 0 $ C12 16-16-02 10/30/2015 10/30/2016 WORKERS COMPENSATION AND EMPLOYERS LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE STATUTE I % ER E L EACH ACCIDENT $ 1,000,000 A OFFICER/MEMBER EXCLUDED (Mandatory in NH) NIA C12 16-16-02 10/30/2015 10/30/2016E L DISEASE EA EMPLOYE $ 1 f000,000 I E L DISEASE -POLICY LIMIT 1 $ 2,000,000 IFyes describe under DESCRIPTION OF OPERATIONS below A RENTED/BORROWED EQUIPMENT C12 16-16-02 10/30/2015 10/30/2016 $1000 DEDUCTIBLE $500,000 INLAND MARINE DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) RE UPPER HOK ROAD MP 9 8 CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED PER CG8416 INSURANCE IS PRIMARY AND NON CONTRIBUTORY WITH WAIVER OF SUBROGATION PER CG8416 CERTIFICATE HOLDER CANCELLATION ACORD 25 (2014/01) INS025 on14nit ©1988-2014 ACORD CORPORATION All rights reserved The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE JEFFERSON COUNTY DEPARTMENT OF PUBLIC WOR THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 623 SHERIDAN STREET ACCORDANCE WITH THE POLICY PROVISIONS PORT TOWNSEND, WA 98368 AUTHORIZED REPRESENTATIVE Mark Maberry/MWM ACORD 25 (2014/01) INS025 on14nit ©1988-2014 ACORD CORPORATION All rights reserved The ACORD name and logo are registered marks of ACORD