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HomeMy WebLinkAboutLabor and Material Payment Bond „ r t �I Ytoltr 8tp Pct),,, ott., JACKSONVILLE, FLORIDA 32207 BOND NO. 1000-10931-018-35 Labor and Material Payment Bond THIS BOND IS ISSUED SIMULTANEOUSLY WITH PERFORMANCE BOND IN FAVOR OF THE OWNER CONDITIONED ON THE FULL AND FAITHFUL PERFORMANCE OF THE CONTRACT KNOW ALL MEN BY THESE PRESENTS: that AMDAL CONSTRUCTION CO., INC. (Here insert full name and address or legal title of Contractor) P. 0. BOX 1062 POULSBO, WASHINGTON 98370 DEPENDABLE INSURANCE COMPANY, INC. as Principal, hereinafter called Principal, and, P.O. Box 10169, Jacksonville, Florida 32207 as Surety, hereinafter called Surety, are held and firmly bound unto BOARD OF COUNTY COMMISSIONERS (Here insert full name and address or legal title of Owner) JEFFERSON COUNTY, WASHINGTON PORT TOWNSEND, WASHINGTON as Obligee, hereinafter called Owner, for the use and benefit of claimants as hereinbelow defined, in the amount of THIRTY FOUR THOUSAND, FIVE HUNDRED EIGHTY SEVEN & NO/100THS (Here insert a sum equal to at least one-half of the contract price) Dollars ($ .34,587.00 ), for the payment whereof Principal and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, Principal has by written agreement dated OCTOBER 29, 1979 , entered into a contract with Owner for (Here insert full name,address and description of project) GYMNASIUM REPAIR — PORT TOWNSEND RECREATION CENTER in accordance with Drawings and Specifications prepared by JOHNSTON ASSOCIATES (Here insert full name and address or legal title of Architect) 299 OLD BLYN HIGHWAY — SEQUIM, WASHINGTON 98382 which contract is by reference made a part hereof, and is hereinafter referred to as the Contract. 3 VOL' 5 FACE 0 23Z” LABOR AND MATERIAL PAYMENT BOND .� NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION is such that, if Principal shall promptly make payment to all claimants as hereinafter defined,for all labor and material used or reasonably required for use in the performance of the Contract, then this obligation shall be void; otherwise it shall remain in full force and effect, subject, however, to the fol- lowing conditions: 1. A claimant is defined as one having a direct con- accuracy the amount claimed and the name of the party tract with the Principal or with a Subcontractor of the to whom the materials were furnished, or for whom Principal for labor, material, or both, used or reasonably the work or labor was done or performed. Such notice required for use in the performance of the Contract, shall be served by mailing the same by registered mail labor and material being construed to include that part of or certified mail; postage prepaid, in an envelope ad- water, gas, power, light, heat, oil, gasoline, telephone dressed to the Principal, Owner or Surety, at any place service or rental of equipment directly applicable to the where an office is regularly maintained for the trans- Contract. action of business, or served in any manner in which legal process may be served in the state in which the 2. The above named Principal and Surety hereby aforesaid project is located, save that such service need jointly and severally agree with the Owner that every not be made by a public officer. claimant as herein defined, who has not been paid in b) After the expiration of one (1) year following the full before the expiration of a period of ninety (90) date on which Principal ceased Work on said Contract, days after the date on which the last of such claimant's it being understood, however, that if any limitation em- work or labor was done or performed, or materials were bodied in this bond is prohibited by any law controlling furnished bysuch claimant, maysue on this bond for the construction hereof such limitation shall be deemed the use of such claimant, prosecute the suit to final to be amended so as to be equal to the minimum period judgment for such sum or sums as may be justly due of limitation permitted by such law. claimant, and have execution thereon. The Owner shall not be liable for the payment of any costs or expenses c) Other than in a state court of competent jurisdiction of any such suit. in and for the county or other political subdivision of the state in which the Project, or any part thereof, is 3. No suit or action shall be commenced hereunder situated, or in the United States District Court for the by any claimant: district in which the Project, or any part thereof, is sit- uated, and not elsewhere. a) Unless claimant, other than one having a direct contract with the Principal, shall have given written 4. The amount of this bond shall be reduced by and notice to any two of the following: the Principal, the to the extent of any payment or payments made in good Owner, or the Surety above named, within ninety (90) faith hereunder, inclusive of the payment by Surety of days after such claimant did or performed the last of mechanics' liens which may be filed of record against the work or labor, or furnished the last of the materials said improvement, whether or not claim for the amount for which said claim is made, stating with substantial of such lien be presented under and against this bond. Signed and sealed this 31ST day of OCTOBER 19 79 AMDAL CONSTRUCTION CO. , INC / (Principal) (Seal itness) _ � (Title) Dependable Insurance Company, Inc. (Surely) (Seal) '�. AUMANN (witness) ��— ' i _ � 1, Attorney-ir-Fact CURTIS JAMES HUFFMAI -' 4 �'�! 5 fAf,r 0 2328 % ti 3Izuurangre ter. Ot k ,1*al ofir - • :\ JACKSONVILLE, FLORIDA 32207 BOND NO. 1000-10931-018-35 Performance Bond KNOW ALL MEN BY THESE PRESENTS: that AMDAL CONSTRUCTION CO. , INC. (Here insert full name and address or legal title of Contractor) P.O.BOX 1062 POULSBO, WASHINGTON 98370 DEPENDABLE INSURANCE COMPANY, INC. as Principal, hereinafter called Contractor, and, P.O. Box 10169, Jacksonville, Florida 32207 as Surety, hereinafter called Surety, are held and firmly bound unto BOARD OF COUNTY COMMISSIONERS (Here insert full name and address or legal title of Owner) JEFFERSON COUNTY, WASHINGTON PORT TOWNSEND, WASHINGTON as Obligee, hereinafter called Owner, in the amount of THIRTY FOUR THOUSAND, FIVE HUNDRED EIGHTY SEVEN AND NO/100THS Dollars ($ 34,587.00 for the payment whereof Contractor and Surety bind themselves, their heirs, exeNtors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, Contractor has by written agreement dated OCTOBER 29, 1979 , entered into a contract with Owner for (Here insert full name,address and description of project) GYMNASIUM REPAIR — PORT TOWNSEND RECREATION CENTER. in accordance with Drawings and Specifications prepared by JOHNSTON ASSOCIATES (Here insert full name and address or legal title of Architect) 299 OLD BLYN HIGHWAY — SEQUIM, WASHINGTON 98382 which contract is by reference made a part hereof, and is hereinafter referred to as the Contract. FORM 311 1 VOL 5 FAGE 0 2321 PERFORMANCE BOND NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION is such that, if Contractor shall promptly and faithfully perform said Contract, then this obligation shall be null and void; otherwise it shall remain in full force and effect. The Surety hereby waives notice of any alteration or defaults under the contract or contracts of completion extension of time made by the Owner. ** arranged under this paragraph) sufficient funds to pay the Whenever Contractor shall be, and declared by Owner cost of completion less the balance of the contract price; but not exceeding, including other costs and damages to be in default under the Contract, the Owner having for which the Surety may be liable hereunder, the amount performed Owner's obligations thereunder, the Surety set forth in the first paragraph hereof. The term "balance may promptly remedy the default, or shall promptly of the contract price," as used in this paragraph, shall 1) Complete the Contract in accordance with its terms mean the total amount payable by Owner to Contractor and conditions, or under the Contract and any amendments thereto, less the amount properly paid by Owner to Contractor. 2) Obtain a bid or bids for completing the Contract in Any suit under this bond must be instituted before accordance with its terms and conditions, and upon de the expiration of two (2) years from the date on which termination by Surety of the lowest responsible bidder, final payment under the Contract falls due. or, if the Owner elects, upon determination by the Owner and the Surety jointly of the lowest responsible No right of action shall accrue on this bond to or for bidder, arrange for a contract between such bidder and the use of any person or corporation other than the Owner, and make available as Work progresses (even Owner named herein or the heirs, executors, adminis- though there should be a default or a succession of trators or successors of the Owner. **Provided that any modification or change order shall not exceed ten per cent of the original contract price without first seeking the Surety's approval. Signed and sealed this 31ST day of OCTOBER 19 79 AMDAL CONSTRUCTION CO., INC. ` (Prm60 (Seal) Lt 1r f t.G�-z-✓ l) (Witness) '' , r5.d r� (Title) Dependable (Insurance Company, Inc. �` (Surety) - (seal) ) J.C.BAUMANN (Witness) ,1ej ct CURTIS JAME.gtt tlliMAN 2 VOL �z • 02330 SET TAB STOPS AT ARROWS Certificate of Insurance cror THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. NAME AND ADDRESS OF AGENCY AMENDED COMPANIES AFFORDING COVERAGES Corroon ,a Black/Dawson 8 Co. , Inc. P. 0. Box C34201 COMPANY A LETTER American Star (RKBS) Seattle, Washington 98124 COMPANY LETTER B Indiana Insurance NAME AND ADDRESS OF INSURED COMPANY C Amdal Construction Co. , Inc. LETTER P. 0. Box 1062 COMPANY D Poulsbo, Washington 98370 LETTER COMPANY E LETTER This is to certify that policies of insurance listed below have been issued to the insured named above and are in force at this time. COMPANY POLICY Limits of Liability in Thousands(000) — LETTER TYPE OF INSURANCE POLICY NUMBER EXPIRATION DATE EACH AGGREGATE OCCURRENCE GENERAL LIABILITY BODILY INJURY $ $ A X❑COMPREHENSIVE FORM ACL 042415 4/21/8 0 X❑ PREMISES-OPERATIONS , PROPERTY DAMAGE $ $ ❑ EXPLOSION AND COLLAPSE HAZARD ❑ UNDERGROUND HAZARD "- ® PRODUCTS/COMPLETED OPERATIONS HAZARD - BODILY INJURY AND ®CONTRACTUAL INSURANCE PROPERTY DAMAGE $ 500 $ 500 ® BROAD FORM PROPERTY COMBINED DAMAGE ® INDEPENDENT CONTRACTORS ® PERSONAL INJURY PERSONAL INJURY $ 500 x AUTOMOBILE LIABILITY BODILY INJURY $ (EACH PERSON) A ® COMPREHENSIVE FORM ACL 042415 4/21/8 0 BODILY INJURY $ ® OWNED (EACH OCCURRENCE) - ® HIRED PROPERTY DAMAGE $ nn BODILY INJURY AND $ 500 4M.� NON-OWNED PROPERTY DAMAGE _ COMBINED EXCESS LIABILITY B BEUMBRELLA FORM 14 018 706 7/L O 3/8 0 BODILY INJURY AND PROPERTY DAMAGE $ 1 ,000 $ 1 ,0 0 0 0 ❑ OTHER THAN UMBRELLA COMBINED FORM WORKERS'COMPENSATION — STATUTORY EMPLOYERS'and S OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES Job: Gymnasium Repair in Port Townsend Recreation Center for Jefferson County. $32 , 940 . 00 Cancellation: Should any of the above described policies be cancelled before the expiration date thereof, the issuing co, pany will endeavor to mail 30 days written notice to the below named certificate holder, but failure to mail such notice shall impose no obligation or liability of any kind upon the company. NAME AND ADDRESS OF CERTIFICATE HOLDER: 11 2 0-7 9 Jefferson County DATE IssuED:_ BOARD OF COMMISSIONERS LEI �D CamilleA t oRlziJaRO STATIVE von 5 I-KF 0 2331 ACORD 25 (Ed.2-77 SET TAB STOPS AT ARROWS Certificate of Insurance ccOCCJ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. NAME AND ADDRESS OF AGENCY AMENDED Corroon .8 Black/Dawson 8OMPANIES AFFORDING COVERAGES Co. ,Co. Inc. P. 0. Box C34201 COMPANY Seattle, Washington 98124 LETTER A American Star (RKBS) COMPANY LETTER Indiana Insurance NAME AND ADDRESS OF INSURED COMPANY C Amdal Construction t onstruc ion Co. , Inc. LETTER P. 0. Box 1062 COMPANY D Poulsbo, Washington 98370 LETTER COMPANY E LETTER This is to certify that policies of insurance listed below have been issued to the insured named above and are in force at this time. COMPANY POLICY Limits of Liability in Thousands(000) LETTER TYPE OF INSURANCE POLICY NUMBER EXPIRATION DATE EACH AGGREGATE OCCURRENCE GENERAL LIABILITY ACL 0424 8 15 4/21/ 0 BODILY INJURY $ $ A COMPREHENSIVE FORM El PREMISES-OPERATIONS PROPERTY DAMAGE $ $ El EXPLOSION AND COLLAPSE HAZARD UNDERGROUND HAZARD PRODUCTS/COMPLETED OPERATIONS HAZARD BODILY INJURY AND ❑x CONTRACTUAL INSURANCE PROPERTY DAMAGE $ 500 $ 500 ❑x BROAD FORM PROPERTY COMBINED DAMAGE El INDEPENDENT CONTRACTORS x❑ PERSONAL INJURY PERSONAL INJURY $ 500 AUTOMOBILE LIABILITY BODILY INJURY (EACH PERSON) $ A X❑ COMPREHENSIVE FORM ACL, 042415 4/21/8 0 BODILY INJURY $ © OWNED (EACH OCCURRENCE) PROPERTY DAMAGE $ HIRED `- ® NON-OWNED BODILY INJURY AND $ 500 PROPERTY DAMAGE COMBINED EXCESS ILITY B ji1TfflUJt:a..AIII.... •• 14 018 7 0 6 7/2 3/8 0 BODILY INJURY AND ■ PROPERTY DAMAGE $ 1,0 0 0 $ l ,0 0 0 COMBINED FORM WORKERS'COMPENSATION STATUTORY and EMPLOYERS'LIABILITY $ (EACH ACCIDENT) OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES Job: Gymnasium Repair in Port Townsend Recreation Center for Jefferson County. $32 , 940 . 00 Cancellation: Should any of the above described policies be cancelled before the expiration date thereof, the issuing com- pany will endeavor to mail 30 days written notice to the below named certificate holder, but failure to mail such notice shall impose no obligation or liability of any kind upon the company. NAME AND ADDRESS OF CERTIFICATE HOLDER: Jefferson County DATE ISSUED: 11-20-79 BOARD OF COMMISSIONERS f �.�j"mil.^(./t_-".•C„/ "' Cal.-/.�' ,.... 4.-Camille AU i-IORIZF°aco sTATIVE ACORD 25 (Ed.2-77 r--- - JOHNSTON ASSOCIATES - �� O� �' Q���� JQ� Architects Rt. 2 Box 307 SEQUIM, WASHINGTON 98382 DATE (206) 683-6055 ATTENTION JOB NO. c',E/, ,4� O/Yf=,ray?/). TO /�FP/F •� C� C/'�/1'!,,,s.S/OAr,CS 69-//.--2 ,%F/�i,,/,(-3 C'd/}/C77/©v5/� Po 7. T ccr vv,S/r.v,o 71• /L'EC � .�F.t" i I GENTLEMEN: — WE ARE SENDING YOU ❑ Attached LI Under separate cover via _the following items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications lil Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION / /%,/ /c,— /0 93/—o/1 3.(" //i=.rfoAe,=',. .67.0.0 . — /) Z97�.e/4 i /c7.9 y/)-2 -7- ACle. . 2 //,40%7 C�'.'T/A/C.97 .•• e " /.vSa/e -cam • THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval kr'For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ LI FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS /t/oT- L /%77G.e 7 �.e'DC .Ez) Gtf�7-s /61.S!/JG..6 O'' O/ /6i,tr,7 /(30"X•e7 Fr /4/Se,A—AV A/Ce fDi ,e 1 — ei7 //,2P/F'o/�L-'RP �rl.P/l2 - — Tf>/ES.E %1Z, 7;4/ / /,f/r-J C__.. /7, 7 ' �', '&r A°' /----doe T.y cs ‘Joe5 /,v-oo',e /v /`'.eoc .g60/w o4/ 4744, ' , c-,-a' ©/= .94 /,J, 7'— /v =,9/r/1 , COPY TO • � .. L ____2 SIGNED: G' FORM 240-2-Available from Ly m)Townsend,Mass.01469 If enclosures are not as noted, kindly notify us at once.