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HomeMy WebLinkAboutBruch & Bruch Construction - 122021 1 00\ialj 'c4t Ni 2 t"\1 9*-1 . CONTRACT JEFFERSON COUNTY, WASHINGTON THIS AGREEMENT,made and entered into this -2 :' day of December , 20 21 ,between the COUNTY OF JEFFERSON, acting through the Jefferson County Commissioners and the Director of Public Works under and by virtue of Title 36, R.C.W, as amended and Bruch&Bruch Construction,Inc. of Port Angeles WA 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: Oil City Road - Ruby Creek Washout repair including mobilization, removal of unsuitable materials, reconstruction of the roadway embankment, and installation of a new culvert. The equipment, labor and material rates in Exhibit F will be used to compensate the Contractor for the work. for the total sum of One Hundred Fifty-Four Thousand dollars($ 154,000.00 )in accordance with and as described in the attached plans and specifications and the Standard Specifications of the Washington Department of Transportation which are by this reference incorporated herein and made a part hereof. The Contractor shall perform any alteration in or addition to the work provided in this contract and every part thereof. The Contractor shall complete the described work as follows: (with a start date of December 3,2021 and a completion date of December 20,2021 (with start and stop dates indicated for each phase of work)(within a specified amount of time after the Notice to Proceed). 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 furnish 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. Construction Contract Contract G Version 1 Risk Legal Review Date 06/17/2020 Page 1 of 10 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. 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 minimum limit per occurrence of one million dollars($1,000,000) and an aggregate of not less than two million dollars($2,000,000)for bodily injury,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 injury; 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 limit 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 herein. Construction Contract Contract G Version 1 Risk Legal Review Date 06/17/2020 Page 2 of 10 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 limit the obligations concerning indemnification. 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 herein,or any portion thereof, may be withheld from payment due,or to become due,to the Contractor until such time as the Contractor shall furnish 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 defend, indemnify and hold the County, its officers, officials,employees, agents and volunteers(and their marital communities)harmless from any and all claims, injuries,damages, losses or suits including attorney fees,arising out of or resulting from the acts, errors or omissions of the Contractor in performance of this Agreement, except for injuries and damages caused by the sole negligence of the County. Should a court of competent jurisdiction determine that this Agreement is subject to RCW 4.24.115,then,in the event of liability for damages arising out of bodily injury to persons or damages to property caused by or resulting from the concurrent negligence of the Contractor and the County, its officers, officials,employees, agents and volunteers(and their marital communities)the Contractor's liability, including the duty and cost to defend,hereunder shall be only to the extent of the Contractor's negligence. 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 infringement of any copyright,patent,trademark,trade name, or otherwise results in an unfair trade practice or an unlawful restraint of competition. Construction Contract Contract G Version 1 Risk Legal Review Date 06/17/2020 Page 3 of 10 The Contractor specifically assumes potential liability for actions brought against the County by the 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. The provisions of this section shall survive the expiration or termination of this Agreement. 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 arise 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$150,000 or less,the County and the Contractor may agree that in-lieu of the Contract Bond;the County will withhold 10%of the Contract amount in accordance with R.C.W 39.08.010. If applicable,the Contractor will indicate this option on Exhibit D. 9. The Contractor will declare a management option of the statutory retained percentage on Exhibit E, if applicable. Limited Small Works Project per RCW 39.04.155(3): Performance Bond and Retainage Waived INDEX OF EXHIBITS Exhibit A: Certification Regarding Debarment, Suspension, Ineligibility,and Voluntary Exclusion X Exhibit B: Certification of Compliance with Wage Payment Statues XExhibit C: Contract Bond,Jefferson County, Washington XExhibit D: Contractor's Declaration of Option for Contracts for Less Than$150,000 XExhibit E: Contractor's Declaration of Option for Management of Statutory Retained Percentage Construction Contract Contract G Version 1 Risk Legal Review Date 06/17/2020 Page 4 of 10 IN WITNESS WHEREOF,the Contractor has executed this instrument on the day and year first below written,and the Board of County Commissioners has caused this instnmient to be executed by and in the name of said County of Jefferson the day and year first above written. Executed by the Contractor e(1-if.,1/4kiMeAAP,20 2-1,. Contractor: Bruch&Bruch Construction,Inc. (Please print) BY: ilkiubkc•tAdiD -7-:Vv‘r-A Pv . , (please print) r R -,,,\ 1 \I `, ,',:,..„ • ' ,_ (Signature)\, State of Washington,Contractor Registration Number COUNTY OF JEFFERSON BOARD OF COMMISSIONERS —..... K e Dean,District I 6, , --r- i . e our,District 2 Greg Brotherton,District 3 Approved as to form only: • , ,..„ December 9,2021 Philip C.Hunsucker Date Chief Civil Deputy Prosecutor ' ate, • • Public Works Director/County Engineer Construction Contract Contract 0 Verson 1 Risk 1.egal Review One 06/17/21320 Page 5 of 10 EXHIBIT A 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 commission 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 commission 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. Bruch&Bruch Construction,Inc. Name of Contractor(Please print) Name and Title of Authorized Representative(Please print) Suture o`\Authorize Representative 1 1 I am unable to certify to the above statement. An explanation is attached. Construction Contract Contract G Version 1 Risk Legal Review Date 06/17/2020 Page 6 of 10 EXHIBIT B CERTIFICATION OF COMPLIANCE WITH WAGE PAYMENT STATUTES I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. The undersigned bidder hereby certifies that,within the three-year period immediately preceding the bid solicitation date December 2,2021 ,the bidder is not a"willful"violator,as defined in RCW 49.48.082, or any of the provisions of chapters 49.46,49.48,or 49.52 RCW as determined by a final and binding citation and notice of assessment issued by the Department of Labor and Industries or through a civil judgment entered by a court of limited or general jurisdiction. Bruch&Bruch Construction,Inc. Bidder's Business Name .�A/V1 Signature o€Authorized Official* cID Printed Name 1Veftska Title Date City State Check One: Sole Proprietorship [J Partnership Q Joint Venture Corporation State of Incorporation,or if not a corporation,State where business entity was formed: \J GG61AA\ g If a co-partnership,give firm name under which business is transacted: *If a corporation,proposal must be executed in the corporate name by the president or vice- president(or any other corporate officer accompanied by evidence of authority to sign). If a co- partnership,proposal must be executed by a partner. Construction Contract Contract G Version 1 Risk Legal Review Date 06/172020 Page 7 of 10 EXHIBIT C CONTRACT BOND Bond No. 107540508 JEFFERSON COUNTY,WASHINGTON KNOW ALL MEN BY THESE PRESENTS: That Bruch&Bruch Construction,Inc. ,of Port Angeles WA ,as Principal,and Travelers Casualty and SuretyCryaAmerica as Surety,are jointly and severally held and bound unto the COUNTY OF JEFFERSON,the penal sum of One Hundred Fifty-four Thousand and No/100 Dollars ($154,000.00 ),for the payment of which we jointly and severally bind ourselves,or heirs,executors,administrators,and assigns,and successors and assigns,fnudy by these presents. The condition of this bond is such that WHEREAS,on the day of December,A.D.,2021 ,the said Bruch&Bruch Construction,Inc. Principal herein,executed a certain contract with the County of Jefferson,by the terms,conditions and provisions of which contract the said Bruch&Bruch 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: Oil City Road-Ruby Creek Washout repair including mobilization,removal of unsuitable materials, reconstruction of the roadway embankment,and installation of a new culvert.The equipment,labor and material rates in Exhibit F will be used to compensate the contractor for the work. 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 wart,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. t„prmrappr, WITNESS our hands this 13th day of December ,2021 ,,� Pc�O.5� FT y s Bruch&Bruch Construction,Inc. Travelers Casualty and S i Company of.b s America = ° HP-P -c'Oari PRINCIPAL SURETY Alta s v It CONN 0 /'�d..sj C-✓'..0 Y'-'^^� "` PI�J.�C:.C"'_r� r'y(,rty,j * .�,i w+,ar►1 C%—z-- By: Holli Albers "'»�,��_,�wo Attorney-in-fact Address of local office and agent of surety company: Propel Insurance 1201 Pacific Avenue,Suite 1000,Tacoma,WA 98402 Travelers Casualty and Surety Company of America 1501 Fourth Ave..Suite 1000.Seattle.WA 98101 Construction Contract Contract G Version t Risk Legal Review Date 06/17/2020 Page 8 of 10 EXHIBIT D CONTRACTOR'S DECLARATION OF OPTION FOR CONTRACTS FOR LESS THAN$150,000 A. A Contract Bond will be provided as required. Date Signed B. In lieu of providing a Contract Bond,the County will withhold 10%of the Contract amount. Date Signed Construction Contract Contract G Version 1 Risk Legal Review Date 06/17/2020 Page 9 of 10 EXHIBIT E 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 kAlt.©1 Signed 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 time 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 Signed D. I hereby elect to provide a Retainage Bond in accordance with R.C.W 60.28.011. Date Signed Construction Contract Contract G Version 1 Risk Legal Review Date 06/17/2020 Page 10 of 10 EXHIBIT F BRUCH & BRUCH CONSTRUCTION, INC. EQUIPMENT, LABOR AND MATERIAL RATES (Attached five pages) 2021-2022 Equipment Rates(Until June 1st,2022) BRUCH&BRUCH CONSTRUCTION E.# Stmt.htTime #9Lowboy(7/8 axles) $ 175 00 #9 Lowboy w/Jeep(10 axles) $ 198 00 Solo Dump #10,#74,#75 3500 gallon Water Irk $ $ 125 00 Truck&Trailer/Sidedump $ 145.00 #4 Solo(5 axle) $ 130 00 ' #4 Transfer Transfer $ 150.00 #17 Shop Truck $ 150.00 ,,,,,. #20-Cat 321CL Excavator $�1IIIIIII 65.00 r #20 with Mower $ #21-Hitachi Mini $ 140.00 #22-Cat 330DL Excavator #23-Cat 315 DL Excavator $ 150.00 /! / „ ,,x , #23 w/Breaker Attachment $ #24-Cat 330L Excavator $ 175.00 ,• 7 L , #25-Cat 330BL Excavator $ 175.00 . ,'x'fiy:. #25P-Cat 330 w/Processor $ 215 00 Y , / / , #28-Cat 34513I Excavator $ 205 00 R #29-Hitachi 200 Long Reach $ 205.00 ," j c%ai .. ,11': #220-Cat 330BL Excavator $ 175.00 -' sf1/,`y„_: #221-Cat 320E Excavator $ 165.00 , F , ,; #222-Cat 316F Excavator $ 150.00 ; /, rf /, 1t,% -111.1111111111<T yr ✓„. r #30-Terex Loader $ 150.00 4' #31-L125 Michigan $ 132.00 ' r yq rip%, , #32-JD544 Loader $ 135.00 #34-Cat 966 Loader $ 135.00 r ,, ,,// #35-Cat 980 Loader $ #36-Cat 966H Loader $ 155,00 ' #38-JD 310 Backhoe $ 130.00 rs h r `s ,'✓. #39-Cat 446B Backhoe $ 140.00 i » ;/X€j' #41-JD550 Dozer $ 138.00 - y,' , 1,,;: ;„5,-• #45-JD850 Dozer $ 165.00 ? :,_ _i ,'..:, #46-JD700 LGP Dozer $ 160.00 #47-Cat D-H5 Tack Skidder $ 150.00 ° °7,1 r #48-Cat D8L Dozer $ 190.00 9 „ ! 1 #50-850 Grader $ 155.00 ° #55-160 Cat Grader $ 155.00 ?: , r #53-Track Truck $ 105.00 ' ' ;' Roller-84" $ #65-Bomag 3t Roller $ 110.00 S x #67-Cat 618E Scraper $ 145.00 :,"5-,;',,, ?/' a';. rr / '1 ,,1 .:� Volvo 30-ton Truck y $ 160.00 pi 1'a,,, #91-Powerscreen $ 9000 ,:11-1 1x .'s`r „,i,',/ #91J-Pegson Jaw Crusher $ 210.00 7 ' i ✓ %x Drill DrillPil/Misa $ $ 115.00 Y /. r /£ Labor $ Shop Labor 75 00r 7-f" $ 5700 H/Y s 'F - Grade Hop $ Pipe layer Flagger $ 77,00 j r $ TCS w/Pickup r $ 80.00 ,, ''W.A.,' Rental OP 5 47 00 f ' Foreman-with truck $ 14000 , sf/ s' Materials-(novice+18% Rental Equipment Invoice+29% Bond/B&O if required-5.-0% Overtime after 8 hours and Saturdays Double time after 12 hours and 6pm Saturday thru 6 am mondays Travel time-one way from shop for trucks.Unless discussed on larger projects. Mob for equipment both ways unless discussed BLACK DIAMOND QUARRY Quarry Address:4346 Black Diamond Road Port Angeles,WA 98363 State Certified Pit-Q72-Certified Weed Free Office: (360)417-2192 Fax: (360)452-5433 Hours:M-F 7am-4pm Winter Hours: M-F 7:30am-3:30pm PRICE LIST January 2021 FOB /Ton MATERIAL Contractor Retail 1/4"Minus Sand $ 12.50 $ 13.50 5/8" Clean $ 16.00 $ 17.30 5/8"Minus CSTC $ 13.50 $ 14.60 1"Clean $ 15.00 $ 16.20 1 1/4" Clean $ 15.00 $ 16.20 1 1/4"Minus CSBC $ 12.50 $ 13.50 3" Clean $ 13.50 $ 14.60 Jaw Run(3"Minus) $ 9.00 $ 9.80 Quarry Spalls 6 1/2"-2 1/2" $ 16.00 $ 17.30 Rip Rap $ 27.00 $ 29.20 Quarry Run $ 10.00 $ 10.80 Reject $ 7.75 $ 8.40 Overburden-Screened $ 5.00 $ 5.40 2 1/2"WSDOT Ballast* Inquire for pricing DELIVERY AVAILABLE ***PLEASE CALL FOR SCHEDULING AND PRICING*** Solo Truck Delivery Truck&Trailer Delivery (Solo Truck:10-12 Cubic Yards/12-15 Tons) (Truck&'trailer:18-20 Cubic Yards/27-30 Tons) (1.35 Tons per Cubic Yard/Truck Measure) $40.00 Minimum per load ***PLEASE CALL FOR QUOTES ON VOLUME DISCOUNTS or SPECIAL DELIVERIES *** RESOURCES,Li.0 P.O.Box 428 Port Angeles,WA 98362 Office: (360)417-2192 Fax: (360) 452-5433 BEAVER FALLS QUARRY 2021 Burnt Mountain Road Beaver, WA 98305 (MP 2.0 SRl 13) 1-800-246-5388 (360)452-5388 FAX: (360) 452-5433 State Pit No. Q-40 PRICE LIST January 1,2021 FOB MATERIAL BFQ 3" Jawrun $ 8.50 Ton 3"-6"Quarry Spalls $ 12.50 Ton 6"-18"Rip Rap $ 18.00Ton Rip Rap $25.00 Ton Volumes of less than 500 tons per day could result in loading charges **PLEASE CALL FOR QUOTES ON VOLUME DISCOUNTS or SPECIAL DELIVERIES** 1.35 Tons per Cubic Yard (Truck Measure) Solo Truck: 10-12 Cubic Yards/ 12-15 tons Truck&Trailer: 18-20 Cubic Yards/27-30 tons SNIDER QUARRY 213 East Snider Road Beaver, WA 98305 (MP 213 SR101)) 1-800-246-5388 (360)452-5388 FAX: (360)452-5433 #70-013215 WSDOT PIT#Q240 PRICE LIST January 4,2021 MATERIAL FOB #4 Minus Sand $ 9.50 Ton** Y2"to#4 Chips $ 30.00 Ton** 5/8"Minus $ 13.00 Ton 1 '/" Minus $ 11.50 Ton 1 '/"Clean $ 15.00 Ton 2"Clean $ 15.00 Ton** 2 Y2"Minus $ 9.00 Ton 2"-6"Quarry Spalls $ 15.00 Ton 4"Jaw Run $ 9.00 Ton** RIP RAP 1-5' $ POR TRUCK DELIVERY RATES PER REQUEST Volumes of le s than 400 tons ner day could es result in loading cha. **PLEASE CALL FOR QUOTES ON VOLUME DISCOUNTS or SPECIAL DELIVERIES** Approximate conversion- 1.4 Tons per Cubic Yard (Truck Measure) Solo Truck: 10-12 Cubic Yards/ 14-16 tons Truck& Trailer: 19-21 Cubic Yards/27-30 tons Not all products available all the time. As more materials become available-will update price sheet-THANK YOU. **When available CtNTECH Order Acknowledgement Page#1/1 ENGINEERED SOLUTIONS A QWKRETEe COMPANY Contech Order#: 9619411 Customer PO#:2165 Order Date I12/3/2021 (Bill To# 1437331 Reply-To Contech Rep. Anna Maggio Sold To 5420831 Project 96"/36" Address 2201 W.Royal Lane,Suite 260, Bruch&Bruch Construction Name Irving,TX,75063 1706 W Highway 101,Port Angeles,WA,98363 Sold To Contact Sean Coleman Project# Phone (214)272-0142 Sold To Phone (360)460-1435 Ship To 582757 Fax 972-212-7359 Oil City Road,MP 177.33 Hwy 101,Forks,WA,98331 Freight Terms Prepaid&Add(PPA) Ship From Arlington,WA-5165 Email Anna.Maggio@conteches.com A valid tax exempt certificate must be on file or issued to Contech Engineered Solutions or sales tax will be added. Seq# Description Part# Pieces Quantity Unit Extended Unit Unit Total price 10 H/C PIPE 5 x 1 AL T2 LS 12GA 96"- Length HP5AZL12096 1.00 70.00 FT $174.00 $12,180.00 :20 20 CMP BULKHEAD 36" CFBKH036 1.00 1.00 EA $250.00 $250.00 30 CSP BD 10-C RVTD AL T2 16GA 96" PB10-CAZ160962 1.00 1.00 EA $590.00 $590.00 2PC 40 CSP BD 24"DIMPLE AL T2 16GA 96" PBD-24AZ160962 1.00 1.00 EA $590.00 $590.00 2PC 50 BAND ACC FLAT GASKET 96" 24"WIDE BAFG09624 2.00 2.00 EA $240.00 $480.00 Total $5,390.00 Disc.Amt. $0.00 Freight $1,800.00 FSC $0.00 (Tax not included) Net Total $15,890.00 Standard Notes 1.One or more of the products quoted herein is nonstandard and not returnable. A down payment equal to 1/3 of the item(s)total is required and must be received prior to commencement of any performance by Contech. 2.StormGate pricing is valid only if all products shown are Ordered. Contact Contech directly for standalone StormGate pricing. 3.This material will be manufactured for this particular project and is not subject to cancellation. See Section 16 of the Contech COS. Client#:57170 BRUCBRUC1 ACORD,T, CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/14/2021 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 have ADDITIONAL INSURED provisions or 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER NCAOMEACT Diane Harding Propel Insurance PHONE FAX (A/C,No,Ext):800 499-0933 (ac,No): 866 577-1326 Longview Commercial Insurance oess, diane.harding@propelinsurance.com P.O.Box 9 Longview,WA 98632 INSURER(S)AFFORDING COVERAGE NAIL# INSURER A:Travelers Indemnity Company of America 25666 INSURED INSURER B:Travelers Property Casualty Insurance C 36161 Bruch&Bruch Construction,Inc. INSURER C Great American E&S Insurance 37532 P.O.Box 250 Charter Oak Fire Insurance Company 25615 Port Angeles,WA 98362 INSURER D: p y 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER LIMITS (MM/DD/VYYY) (MMIDD/YYYY) A X COMMERCIAL GENERAL LIABILITY 4TCO8F33788AIND21 05/14/2021 05/14/2022 EACH OCCURRENCE $1,000,000 CLAIMS-MADE X OCCUR PREMIC'SES(UpEaENourrDence) $300,000 X PD Ded:2,500 MED EXP(Any one person) $5,000 X Loggers BFPD PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY X JECT I LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ D AUTOMOBILE LIABILITY 8109M788254212SG 05/14/2021 05/14/2022(Ee aBcideDtSINGLE LIMIT $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ X AUTOS ONLY X NON-OWNED PROPERTY DAMAGE _ AUTOS ONLY (Per accident) $ X Drive Oth Car $ B X UMBRELLA LIAB X OCCUR CUPOL730935212S 05/14/2021 05/14/2022 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED X RETENTION$10000 $ A WORKERS COMPENSATION 4TCO8F33788AIND21 05/14/2021 05/14/2022 AND EMPLOYERS'LIABILITY Y/N STATUTE OTH- ER OFFICER/MEMBER EXCLUDED?ECUTIVE N N/A WA Stop Gap E.L.EACH ACCIDENT $1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 C Contractors CPBE44548502 05/14/2021 05/14/2022 $2,000,000 occ Pollution Liab $2,000,000 agg DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Re:Oil City Road-Ruby Creek Washout repair Additional Insured Status applies per attached form(s). CERTIFICATE HOLDER CANCELLATION Jefferson County Department of SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Public Works ACCORDANCE WITH THE POLICY PROVISIONS. 623 Sheridan St. Port Townsend,WA 98368 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S4926424/M4615777 DXHOO COMMERCIAL GENERAL LIABILITY POLICY NUMBER: ISSUE DATE: - - THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY DESIGNATED PROJECT(S) GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDUL E Designated Project Designated Project(s): General Aggregate(s): EACH "PROJECT" FOR WHICH YOU HAVE AGREED, GENERAL AGGREGATE LIMIT IN A WRITTEN CONTRACT WHICH IS IN EFFECT SHOWN ON THE DECLARATIONS DURING THIS POLICY PERIOD, TO PROVIDE A SEPARATE GENERAL AGGREGATE LIMIT, PROVIDED THAT THE CONTRACT IS SIGNED AND EXECUTED BY YOU BEFORE THE "BODILY INJURY" OR "PROPERTY DAMAGE" OCCURS. A. For all sums which the insured becomes legally 3. Any payments made under COVERAGE A. obligated to pay as damages caused by "occur- for damages or under COVERAGE C. for rences" under COVERAGE A. (SECTION I), and medical expenses shall reduce the Desig- for all medical expenses caused by accidents un- nated Project General Aggregate Limit for der COVERAGE C (SECTION I), which can be that designated "project". Such payments attributed only to operations at a single desig- shall not reduce the General Aggregate Limit nated "project"shown in the Schedule above: shown in the Declarations nor shall they re- 1. A separate Designated Project General Ag- duce any other Designated Project General gregate Limit applies to each designated "pro- Aggregate Limit for any other designated ject", and that limit is equal to the amount of "project"shown in the Schedule above. the General Aggregate Limit shown in the 4. The limits shown in the Declarations for Each Declarations, unless separate Designated Occurrence, Damage To Premises Rented Project General Aggregate(s) are sched- To You and Medical Expense continue to uled above. apply. However, instead of being subject to 2. The Designated Project General Aggregate the General Aggregate Limit shown in the Limit is the most we will pay for the sum of all Declarations, such limits will be subject to the damages under COVERAGE A., except applicable Designated Project General Ag- damages because of "bodily injury" or"prop- gregate Limit. erty damage" included in the "products- B. For all sums which the insured becomes legally completed operations hazard", and for medi- obligated to pay as damages caused by "occur- cal expenses under COVERAGE C, regard- rences" under COVERAGE A. (SECTION I), and less of the number of: for all medical expenses caused by accidents un- a. Insureds, der COVERAGE C. (SECTION I), which cannot be attributed only to operations at a single desig- b. Claims made or"suits"brought; or nated "project"shown in the Schedule above: c. Persons or organizations making claims or bringing "suits". CG D2 11 01 04 Copyright,The Travelers Indemnity Company, 2004 Page 1 of 2 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY BLANKET ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. WHO IS AN INSURED—(Section II) is amended c) The insurance provided to the additional in- to include any person or organization that you sured does not apply to "bodily injury" or agree in a "written contract requiring insurance" "property damage" caused by "your work" to include as an additional insured on this Cover- and included in the "products-completed op- age Part, but: erations hazard' unless the "written contract a) Only with respect to liability for"bodily injury", requiring insurance" specifically requires you "property damage"or"personal injury";and to provide such coverage for that additional insured, and then the insurance provided to b) If, and only to the extent that, the injury or the additional insured applies only to such damage is caused by acts or omissions of "bodily injury" or "properly damage" that oc- you or your subcontractor in the performance curs before the end of the period of time for of "your work" to which the "written contract which the 'written contract requiring insur- requiring insurance" applies. The person or ance" requires you to provide such coverage organization does not qualify as an additional or the end of the policy period, whichever is insured with respect to the independent acts earlier. or omissions of such person or organization. 3. The insurance provided to the additional insured 2. The insurance provided to the additional insured by this endorsement is excess over any valid and by this endorsement is limited as follows: collectible "other insurance", whether primary, a) In the event that the Limits of Insurance of excess, contingent or on any other basis, that is this Coverage Part shown in the Declarations available to the additional insured for a loss we exceed the limits of liability required by the cover under this endorsement. However, if the "written contract requiring insurance", the in- "written contract requiring insurance" specifically surance provided to the additional insured requires that this insurance apply on a primary shall be limited to the limits of liability re- basis or a primary and non-contributory basis, quired by that "written contract requiring in- this insurance is primary to "other insurance" surance". This endorsement shall not in- available to the additional insured which covers crease the limits of insurance described in that person or organization as a named insured Section III—Limits Of Insurance. for such loss, and we will not share with that b) The insurance provided to the additional in- "other insurance". But the insurance provided to sured does not apply " the additional insured by this endorsement still is pp y bodily injury", "prop- excess over any valid and collectible "other in- erty damage" or "personal injury" arising out surance", whether primary, excess, contingent or of the rendering of, or failure to render, any on any other basis, that is available to the addi- professional architectural, engineering or sur- tional insured when that person or organization is veying services,including: an additional insured under such "other insur- i. The preparing, approving, or failing to ance". prepare or approve, maps, shop draw- 4. As a condition of coverage provided to the ings, opinions, reports, surveys, field or- additional insured by this endorsement: ders or change orders, or the preparing, approving, or failing to prepare or ap- a) The additional insured must give us written prove,drawings and specifications;and notice as soon as practicable of an "occur- rence"fi. Supervisory, inspection, architectural or or an offense which may result in a engineering activities. claim. To the extent possible, such notice should include: CG D2 46 08 05 ®2005 The St. Paul Travelers Companies, Inc. Page 1 of 2 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTORS XTEND ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART GENERAL DESCRIPTION OF COVERAGE—This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to this Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. Aircraft Chartered With Pilot H. Blanket Additional Insured — Lessors Of Leased B. Damage To Premises Rented To You Equipment C. Increased Supplementary Payments I. Blanket Additional Insured — States Or Political Subdivisions—Permits D. Incidental Medical Malpractice. J. Knowledge And Notice Of Occurrence Or Offense E. Who Is An Insured — Newly Acquired Or Formed Organizations K. Unintentional Omission F. Who Is An Insured — Broadened Named Insured L. Blanket Waiver Of Subrogation —Unnamed Subsidiaries M. Amended Bodily Injury Definition G. Blanket Additional Insured — Owners, Managers N. Contractual Liability—Railroads Or Lessors Of Premises PROVISIONS INJURY AND PROPERTY DAMAGE LI- A. AIRCRAFT CHARTERED WITH PILOT ABILITY: The following is added to Exclusion g., Aircraft, Exclusions c. and g. through n. do not apply Auto Or Watercraft, in Paragraph 2.of SECTION to "premises damage". Exclusion f.(1)(a) I — COVERAGES — COVERAGE A BODILY IN- does not apply to "premises damage" caused JURY AND PROPERTY DAMAGE LIABILITY: by: This exclusion does not apply to an aircraft that a. Fire; is: b. Explosion; (a) Chartered with a pilot to any insured; c. Lightning; (b) Not owned by any insured; and d. Smoke resulting from such fire, explosion, (c) Not being used to carry any person or prop- or lightning; or erty for a charge. e. Water; B. DAMAGE TO PREMISES RENTED TO YOU unless Exclusion f. of Section I—Coverage A 1. The first paragraph of the exceptions in Ex- — Bodily Injury And Property Damage Liability clusion j., Damage To Property, in Para- is replaced by another endorsement to this graph 2. of SECTION I — COVERAGES — Coverage Part that has Exclusion —All Pollu- COVERAGE A BODILY INJURY AND tion Injury Or Damage or Total Pollution Ex- PROPERTY DAMAGE LIABILITY is deleted. clusion in its title. 2. The following replaces the last paragraph of A separate limit of insurance applies to Paragraph 2., Exclusions, of SECTION I — "premises damage" as described in Para- COVERAGES — COVERAGE A. BODILY graph 6. of SECTION III — LIMITS OF IN- SURANCE. CG D3 16 11 11 ©2011 The Travelers Indemnity Company.All rights reserved. Page 1 of 6 COMMERCIAL GENERAL LIABILITY 3. The following is added to Paragraph 5. of 4. Any organization you newly acquire or form, SECTION III—LIMITS OF INSURANCE: other than a partnership, joint venture or lim- For the purposes of determining the applica- ited liability company, of which you are the ble Each Occurrence Limit, all related acts or sole owner or in which you maintain the ma- omissions committed in providing or failing to jority ownership interest, will qualify as a provide "incidental medical services", first aid Named Insured if there is no other insurance or"Good Samaritan services"to any one per- which provides similar coverage to that or- son will be deemed to be one"occurrence". ganization. However: 4. The following exclusion is added to Para- a. Coverage under this provision is afforded graph 2., Exclusions, of SECTION I — COV- only: ERAGES — COVERAGE A BODILY INJURY (1) Until the 180th day after you acquire or AND PROPERTY DAMAGE LIABILITY: form the organization or the end of the Sale Of Pharmaceuticals policy period, whichever is earlier, if you "Bodily injury" or "property damage" arising do not report such organization in writing out of the willful violation of a penal statute or to us within 180 days after you acquire or ordinance relating to the sale of pharmaceuti- form it; or cals committed by, or with the knowledge or (2) Until the end of the policy period, when consent of, the insured. that date is later than 180 days after you 5. The following is added to the DEFINITIONS acquire or form such organization, if you Section: report such organization in writing to us "Incidental medical services"means: within 180 days after you acquire or form a. Medical, surgical, dental, laboratory, x-ray it, and we agree in writing that it will con- or nursing service or treatment, advice or tinue to be a Named Insured until the end instruction, or the related furnishing of of the policy period; food or beverages; or b. Coverage A does not apply to "bodily injury" b. The furnishing or dispensing of drugs or or "property damage" that occurred before medical, dental, or surgical supplies or you acquired or formed the organization; and appliances. c. Coverage B does not apply to "personal in- "Good Samaritan services" means any emer- jury" or "advertising injury" arising out of an gency medical services for which no compen- offense committed before you acquired or sation is demanded or received. formed the organization. 6. The following is added to Paragraph 4.b., Ex- F. WHO IS AN INSURED — BROADENED NAMED cess Insurance, of SECTION IV — COM- INSURED—UNNAMED SUBSIDIARIES MERCIAL GENERAL LIABILITY CONDI- TIONS: The following is added to SECTION II —WHO IS AN INSURED: The insurance is excess over any valid and collectible other insurance available to the in- Any of your subsidiaries, other than a partnership, sured, whether primary, excess, contingent or joint venture or limited liability company, that is on any other basis, that is available to any of not shown as a Named Insured in the Declara- your "employees" or "volunteer workers" for tions is a Named Insured if you maintain an own- "bodily injury" that arises out of providing or ership interest of more than 50% in such subsidi- failing to provide "incidental medical ser- ary on the first day of the policy period. vices", first aid or "Good Samaritan services" No such subsidiary is an insured for"bodily injury" to any person to the extent not subject to or "property damage" that occurred, or "personal Paragraph 2.a.(1) of Section II — Who Is An injury" or "advertising injury" caused by an of- Insured. fense committed after the date, if any, during the E. WHO IS AN INSURED — NEWLY ACQUIRED policy period, that you no longer maintain an OR FORMED ORGANIZATIONS ownership interest of more than 50% in such sub- The following replaces Paragraph 4. of SECTION sidiary. II—WHO IS AN INSURED: CG D3 16 11 11 ©2011 The Travelers Indemnity Company.All rights reserved. Page 3 of 6 COMMERCIAL GENERAL LIABILITY by any ordinance, law or building code to include (ii) A manager of any limited liability as an additional insured on this Coverage Part is company; or an insured, but only with respect to liability for (iii)An executive officer or director of "bodily injury", "property damage", "personal in- any other organization; jury" or"advertising injury" arising out of such op- that is your partner, joint venture erations. member or manager; or The insurance provided to such state or political (b) Any "employee" authorized by such subdivision does not apply to: partnership, joint venture, limited li- a. Any "bodily injury," "property damage," "per- ability company or other organization sonal injury" or"advertising injury" arising out to give notice of an "occurrence" or of operations performed for that state or po- offense. litical subdivision; or (3) Notice to us of such "occurrence"or of an b. Any "bodily injury" or "property damage" in- offense will be deemed to be given as cluded in the "products-completed operations soon as practicable if it is given in good hazard". faith as soon as practicable to your work- J. KNOWLEDGE AND NOTICE OF OCCUR- ers' compensation insurer. This applies RENCE OR OFFENSE only if you subsequently give notice to us The following is added to Paragraph 2., Duties In of the "occurrence" or offense as soon as The Event of Occurrence, Offense, Claim or practicable after any of the persons de- Suit, of SECTION IV — COMMERCIAL GEN- scribed in Paragraphs e. (1) or (2) above ERAL LIABILITY CONDITIONS: discovers that the"occurrence"or offense may result in sums to which the insurance e. The following provisions apply to Paragraph provided under this Coverage Part may a. above, but only for the purposes of the in- apply. surance provided under this Coverage Part to you or any insured listed in Paragraph 1. or 2. However, if this Coverage Part includes an en- of Section II—Who Is An Insured: dorsement that provides limited coverage for "bodily injury" or "property damage" or pollution (1) Notice to us of such "occurrence" or of- costs arising out of a discharge, release or es- fense must be given as soon as practica- cape of"pollutants" which contains a requirement ble only after the "occurrence" or offense that the discharge, release or escape of "pollut- is known by you (if you are an individual), ants" must be reported to us within a specific any of your partners or members who is number of days after its abrupt commencement, an individual (if you are a partnership or this Paragraph e. does not affect that require- joint venture), any of your managers who ment. is an individual (if you are a limited liability K. UNINTENTIONAL OMISSION company), any of your "executive offi- cers" or directors (if you are an organiza- The following is added to Paragraph 6., Repre- tion other than a partnership,joint venture sentations, of SECTION IV — COMMERCIAL or limited liability company) or any "em- GENERAL LIABILITY CONDITIONS: ployee" authorized by you to give notice The unintentional omission of, or unintentional of an "occurrence"or offense. error in, any information provided by you which (2) If you are a partnership, joint venture or we relied upon in issuing this policy will not preju- limited liability company, and none of your dice your rights under this insurance. However, partners, joint venture members or man- this provision does not affect our right to collect agers are individuals, notice to us of such additional premium or to exercise our rights of "occurrence" or offense must be given as cancellation or nonrenewal in accordance with soon as practicable only after the "occur- applicable insurance laws or regulations. rence"or offense is known by: L. BLANKET WAIVER OF SUBROGATION (a) Any individual who is: The following is added to Paragraph 8., Transfer (i) A partner or member of any part- Of Rights Of Recovery Against Others To Us, nership or joint venture; of SECTION IV — COMMERCIAL GENERAL LI- ABILITY CONDITIONS: CG D3 16 11 11 ©2011 The Travelers Indemnity Company.All rights reserved. Page 5 of 6 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO EXTENSION ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi- fied by the endorsement. GENERAL DESCRIPTION OF COVERAGE—This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to the Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. BROAD FORM NAMED INSURED H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF USE—INCREASED LIMIT B. BLANKET ADDITIONAL INSURED I. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES—INCREASED LIMIT C. EMPLOYEE HIRED AUTO J. PERSONAL EFFECTS D. EMPLOYEES AS INSURED K. AIRBAGS E. SUPPLEMENTARY PAYMENTS — INCREASED L. NOTICE AND KNOWLEDGE OF ACCIDENT LIMITS OR LOSS F. HIRED AUTO — LIMITED WORLDWIDE M. BLANKET WAIVER OF SUBROGATION COVERAGE—INDEMNITY BASIS G. WAIVER OF DEDUCTIBLE—GLASS N. UNINTENTIONAL ERRORS OR OMISSIONS PROVISIONS A. BROAD FORM NAMED INSURED executed by you before the "bodily injury" or The following is added to Paragraph A.1., Who Is "property damage" occurs and that is in effect An Insured, of SECTION II — LIABILITY COV- during the policy period, to be named as an addi- ERAGE: tional insured is an "insured" for Liability Cover- age, but only for damages to which this insurance Any organization you newly acquire or form dur- applies and only to the extent that person or or- ing the policy period over which you maintain ganization 50% or more ownership interest and that is not qualifies as an "insured" under the Who Is An Insured provision contained in Section separately insured for Business Auto Coverage. II Coverage under this provision is afforded only un- til the 180th day after you acquire or form the or- C. EMPLOYEE HIRED AUTO ganization or the end of the policy period, which- 1. The following is added to Paragraph A.1., ever is earlier. Who Is An Insured, of SECTION II — LI- B. BLANKET ADDITIONAL INSURED ABILITY COVERAGE: The following is added to Paragraph c. in A.1., An "employee" of yours is an "insured" while Who Is An Insured, of SECTION II — LIABILITY operating an "auto" hired or rented under a COVERAGE: contract or agreement in that "employee's" name, with your permission, while performing Any person or organization who is required under duties related to the conduct of your busi- a written contract or agreement between you and ness. that person or organization, that is signed and CA T3 53 03 10 ©2010 The Travelers Indemnity Company. Page 1 of 4 Includes copyrighted material of Insurance Services Office,Inc.with its permission. COMMERCIAL AUTO to the "insured" whether primary, excess J. PERSONAL EFFECTS contingent or on any other basis. The following is added to Paragraph A.4., Cover- (c) This insurance is not a substitute for re- age Extensions, of SECTION III — PHYSICAL quired or compulsory insurance in any DAMAGE COVERAGE: country outside the United States, its ter- Personal Effects ritories and possessions, Puerto Rico and Canada. We will pay up to $400 for "loss" to wearing ap- You agree to maintain all required or parel and other personal effects which are: compulsory insurance in any such coun- (1) Owned by an"insured"; and try up to the minimum limits required by (2) In or on your covered "auto". local law. Your failure to comply with compulsory insurance requirements will This coverage applies only in the event of a total not invalidate the coverage afforded by theft of your covered "auto". this policy, but we will only be liable to the No deductibles apply to this Personal Effects same extent we would have been liable coverage. had you complied with the compulsory in- K. AIRBAGS surance requirements. The following is added to Paragraph B.3., Exclu- (d) It is understood that we are not an admit- sions, of SECTION III — PHYSICAL DAMAGE ted or authorized insurer outside the COVERAGE: United States of America, its territories and possessions, Puerto Rico and Can- Exclusion 3.a. does not apply to "loss" to one or more airbags in a covered "auto"you own that in- ada. We assume no responsibility for the flate due to a cause other than a cause of "loss" furnishing of certificates of insurance, or set forth in Paragraphs A.1.b. and A.1.c., but for compliance in any way with the laws of other countries relating to insurance. only: G. WAIVER OF DEDUCTIBLE—GLASS a. If that "auto" is a covered "auto" for Compre- hensive Coverage under this policy; The following is added to Paragraph D., Deducti- ble, of SECTION III — PHYSICAL DAMAGE b. The airbags are not covered under any war- COVERAGE: ranty; and No deductible for a covered "auto" will apply to c. The airbags were not intentionally inflated. glass damage if the glass is repaired rather than We will pay up to a maximum of $1,000 for any replaced. one"loss". H. HIRED AUTO PHYSICAL DAMAGE— LOSS OF L. NOTICE AND KNOWLEDGE OF ACCIDENT OR USE—INCREASED LIMIT LOSS The following replaces the last sentence of Para- The following is added to Paragraph A.2.a., of graph A.4.b., Loss Of Use Expenses, of SEC- SECTION IV—BUSINESS AUTO CONDITIONS: TION III—PHYSICAL DAMAGE COVERAGE: Your duty to give us or our authorized representa- However, the most we will pay for any expenses tive prompt notice of the "accident" or "loss" ap- for loss of use is $65 per day, to a maximum of plies only when the "accident" or "loss" is known $750 for any one "accident". to: I. PHYSICAL DAMAGE — TRANSPORTATION (a) You (if you are an individual); EXPENSES—INCREASED LIMIT (b) A partner(if you are a partnership); The following replaces the first sentence in Para- (c) A member (if you are a limited liability corn- graph A.4.a., Transportation Expenses, of pany); SECTION III — PHYSICAL DAMAGE COVER- AGE: (d) An executive officer, director or insurance manager(if you are a corporation or other or- We will pay up to $50 per day to a maximum of ganization); or $1,500 for temporary transportation expense in- (e) Any"employee" no- curred by you because of the total theft of a coy- ( ) authorized b y you to give ered "auto"of the private passenger type. tice of the "accident"or"loss". CA T3 53 03 10 ©2010 The Travelers Indemnity Company. Page 3 of 4 Includes copyrighted material of Insurance Services Office,Inc.with its permission. UMBRELLA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY(UMBRELLA) INSURANCE The following is added to Paragraph 11., OUR RIGHT a. "Bodily injury"or"property damage" caused by an TO RECOVER FROM OTHERS., of SECTION IV — "occurrence"that takes place; or CONDITIONS.: b. "Personal injury" or"advertising injury" caused by If the insured has agreed in a contract or agreement an "offense"that is committed; to waive that insured's right of recovery against any subsequent to the execution of the contract or agree- person or organization, we waive our right of recovery 9 against such person or organization, but only for ment. payments we make because of: UM 04 88 07 08 ©2008 The Travelers Companies,Inc. Page 1 of 1 Includes the copyrighted material of Insurance Services Office,Inc.with its permission. Department of Public Works O Consent Agenda Page 1 of 1 Jefferson County Board of Commissioners Agenda Request To: Board of Commissioners Mark McCauley, Interim County Administrator From: Monte Reinders, P.E., Public Works Director/County Engineer Agenda Date: December 20, 2021 Subject: Execution of Contract with Bruch 8 Bruch Construction, Inc. for Oil City Road - Ruby Creek Washout, Project No. 18021020 Statement of Issue: Execution of Contract with Bruch &t Bruch Construction, Inc. for the Oil City Road - Ruby Creek Washout Culvert Replacement project, County Project No. 18021020. Analysis/Strategic Goals/Pro's &t Con's: This project is for the repair of Oil City Road following a washout at Ruby Creek that closed the road on December 1, 2021. Although a state of emergency was not declared for this event, it was necessary to immediately restore access to homes and stranded residents. The emergency repair work was completed by Bruch &t Bruch Construction, Inc. based on previously submitted equipment and labor rates for emergency work. Competitive bidding was not used for this contract to allow the repair to be completed on an accelerated schedule. In anticipation of emergency work that could follow fall/winter storm events, Public Works requested emergency rates from contractors in early November, 2021. Two contractors with competitive labor and equipment rates were contacted to respond to this event. Bruch E. Bruch Construction was selected because they had the equipment and workforce available to allow for a timely response. Fiscal Impact/Cost Benefit Analysis: The estimated contract amount is $154,000. Construction will be funded at 100% by County Road Funds. Recommendation: Public Works recommends that the Board execute all three (3) originals of the Contract with Bruch Et Bruch Construction, Inc. and return two (2) originals to Public Works for further processing. Department Contact: Bruce Patterson, P.E., Project Manager, 385-9169. Reviewed By: •��'G 2 ! 0./g-/ Mark McCauley terim County Admin trat r Date CONTRACT REVIEW FORM (INSTRUCTIONS ARE'ON THE NEXT PAGE) CONTRACT WITH: Bruch&Bruch Construction, Inc Contract No: Contract For: Oil City Road Ruby Creek Washout Term: December 31, 2020 COUNTY DEPARTMENT: Public Works Contact Person: Eric Kuzma Contact Phone: 360-385-9167 Contact email: ekuzma@co.jefferson.wa,us AMOUNT: estimated$154,000 PROCESS: 1111 Exempt from Bid Process Revenue: 180000010.31110.00 Cooperative Purchase Expenditure: 180000010.54500.48.00 _ Competitive Sealed Bid Matching Funds Required: _ Small Works Roster Sources(s)of Matching Funds Vendor List Bid Fund# RFP or RFQ Munis Org/Obj Other: APPROVAL STEPS: STEP 1: DEPARTMENT CERTIFIES COMPLIANCE WITH JCC 3.55.080 AND CHAPTER 42.23 RCW. CERTIFIED: 1 N/A:® 7/ CiG r,L . /2/7/2.1 Signature Date STEP 2: DEPARTMENT CERTIFIES THE PERSON PROPOSED FOR CONTRACTING WITH THE COUNTY (CONTRACTOR) HAS NOT BEEN DEBARRED BY ANY FEDERAL, STATE, OR LOCAL AGENCY. CERTIFIED: El N/A: 1 1 ZY A h ;_ /2/7/2/ Signature Date STEP 3:RISK MANAGEMENT REVIEW(will be added electronically through Laserfiche): /Electronically approved by Risk Management on 12/8/2021. STEP 4: PROSECUTING ATTORNEY REVIEW(will be added electronically through Laserfiche): Electronically approved as to form by PAO on 12/9/2021. Standard County construction contract. STEP 5: DEPARTMENT MAKES REVISIONS & RESUBMITS TO RISK MANAGEMENT AND PROSECUTING ATTORNEY(IF REQUIRED). STEP 6: CONTRACTOR SIGNS STEP 7: SUBMIT TO BOCC FOR APPROVAL 1