051-22 - All Around Fence Company - ContractDocuSign Envelope ID: 1DC11DD3-A540-440C-13019-51F2101313513030
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CITY OF PORT ORCHARD SMALL WORKS UNDER 35K
CONSTRUCTION CONTRACT NO. C051-22
PUBLIC WORKS PROJECT NO. PW2022-014
THIS Agreement is made effective as of the 6"' day of April, 2022, by and between
CITY OF PORT ORCHARD, WASHINGTON ("CITY")
216 Prospect Street
Port Orchard, Washington 98366
Contact: Mayor Robert Putaansuu Phone: 360.876.4407 Fax: 360.895.9029
All Around Fence Company ("CONTRACTOR") , a Washington corporation located
13602 Pacific Ave S
Tacoma, WA 98444-4744
Contact: Ronald Dagley Phone:253.863.4895
Email: allaroundfence@allaroundfencewa.com
for the following Project:
2022 Bay St Pedestrian Pathway Fence Repair #2 ("PROJECT")
In consideration of the mutual benefits to both parties, both Parties agree to the following:
AGREEMENT:
1. Contract Documents. The Contractor shall complete the Work described in the Contract
Documents for the Project. The following documents are collectively referred to as the
"Contract Documents":
a) This Agreement signed by the City and the Contractor;
b) Division l of WSDOT Standard Specifications for Road, Bridge and Municipal
Construction, 2022 edition, together with APWA Supplement (1-99), subject to specific
provisions contained within the Public Works Terms and Conditions;
c) The attached Special Provisions, Plans and Specifications;
d) 2018 International Building Code (IBC) and 2018 Energy Code Compliance.
City of Port Orchard and All Around Fence Company
Public Works Project No. PW2022-014
Small Works Contract No. C051-22
Rev. 1BDR 4-2022
Page 1 of 31
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e) Written change orders or orders for minor changes in the Work issued after execution of
this Agreement;
f) Public Works Terms and Conditions;
g) Insurance and Bonding Requirements (unless bonding is waived);
h) The Invitation to Bid, and bid proposal submitted by the Contractor, except when
inconsistent with Contract Documents a-g;
i) City of Port Orchard Development Guidelines;
j) Appendix A: Non -Discrimination Statutes and Authorities; and
k) The bid proposal submitted by the Contractor, except when inconsistent with Contract
Documents a j.
1) IF A GRANT APPLIES TO THIS AGREEMENT, THE GRANT AGREEMENT
BETWEEN THE CITY AND THE FUNDING AGENCY SHOULD BE MADE PART
OF THE CONTRACT DOCUMENTS.
All of the above listed Contract Documents are each made exhibits to this Agreement and are
incorporated into the Agreement as if set forth in full. The intent of the Contract Documents is to
include all items necessary for the proper execution and completion of the Work by the Contractor.
These Contract Documents complement each other in describing a complete work. Any
requirement in one document binds as if stated in all. The Contractor shall provide any work or
materials clearly implied in the Contract even if the Contract does not mention it specifically.
2. Date of Commencement and Substantial Completion Date. The date of commencement
shall be April 18, 2022. The Contractor shall substantially complete the Work not later than
May 31.2022, subject to adjustment by change order.
3. The Contractor shall do all work and furnish all tools, materials, and equipment in accordance
with the above described Construction Contract Documents. The Contractor shall provide and
bear the expense of all equipment, work, and labor of any sort whatsoever that may be required
for the transfer of materials and for constructing and completing of the work provided for in
these Construction Contract Documents, except those items mentioned therein to be furnished
by the City. Contractor represents that the services furnished under this Agreement will be
performed in accordance with generally accepted professional practices in effect at the time
such services are performed.
4. Subject to additions and deductions by change order, the construction maximum payment is
the base bid amount of $2,818.45 (applicable sales tax included) (hereinafter "Contract
Sum"). The construction Contract Sum shall include all items and services necessary for the
proper execution and completion of the work. The City hereby promises and agrees with the
City of Port Orchard and All Around Fence Company
Public Works Project No. PW2022-014
Small Works Contract No. C051-22 Rev. I BDR 4-2022
Page 2 of 31
DocuSign Envelope ID: 1DC11DD3-A540-440C-13019-5F210136513030
Contractor to employ, and does employ the Contractor to provide the materials and to do and
cause to be done the work described in the Construction Contract Documents and to complete
and finish the same according to the plans and specifications and the terms and conditions
herein contained; and hereby contracts to pay for the same at the time and in the manner and
upon the conditions provided for in this Contract.
5. The Contractor agrees to comply with all state and federal laws relating to the employment of
labor and wage rates to be paid, including prevailing wage if applicable. The Contractor agrees
to furnish insurance of the types and in the amounts set forth in the Construction Contract
Documents. The Contractor warrants that it is licensed and authorized to do business under the
laws of the State of Washington and has not been suspended or debarred in the past three (3)
years.
6. The Contractor agrees to repair and replace all property of the City and all property of others
damaged by himself, his employees, and sub -contractors.
7. The Contractor for himself and for his heirs, executors, administrators, successors, and assigns,
does hereby agree to the full performance of all the covenants herein upon the part of the
Contractor.
8. It is further provided that no liability shall attach to the City of Port Orchard by reason of
entering into this Construction Contract, except as expressly provided herein.
9. Title VI.
The City of Port Orchard, in accordance with Title VI of the Civil Rights Act of 1964, 78 Stat. 252,
42 U.S.C. 2000d to 2000d-4 and Title 49, Code of Federal Regulations, Department of Transportation
subtitle A, Office of the Secretary, Part 21, nondiscrimination in federally assisted programs of the
Department of Transportation issued pursuant to such Act, must affirmatively insure that its contracts
comply with these regulations.
Also, in accordance with Title VI, the City is required to include the following clauses in every
contract subject to Title VI and its related regulations.
Therefore, during the performance of this Agreement, the Contractor, for itself, its assignees, and
successors in interest agrees as follows:
a) Compliance with Regulations. The Contractor will comply with the Acts and the
Regulations relative to Nondiscrimination in Federally -assisted programs of the U.S.
Department of Transportation, Federal Highway Administration (FHWA), as they may be
amended from time to time, which are herein incorporated by reference and made a part of
this Agreement.
b) Nondiscrimination. The Contractor, with regard to the work performed by it during this
Agreement, will not discriminate on the grounds of race, color, national origin, sex, age,
disability, income -level, or LEP in the selection and retention of subcontractors, including
procurements of materials and leases of equipment. The Contractor will not participate
City of Pori Orchard and All Around Fence Company
Public Works Project No. PW2022-014
Small Works Contract No. C051-22
Page 3 of 31
Rev, IBDR 4-2022
DocuSign Envelope ID: 1DC11DD3-A540-440C-B019-5F210136513030
directly or indirectly in the discrimination prohibited by the Acts and the Regulations as
set forth in Appendix A, attached hereto and incorporated herein by this reference,
including employment practices when this Agreement covers any activity, project, or
program set forth in Appendix B of 49 C.F.R. part 21.
c) Solicitations for Subcontracts, Including Procurements of Materials and Equipment. In all
solicitations, either by competitive bidding, or negotiation made by the Contractor for work
to be performed under a subcontract, including procurements of materials, or leases of
equipment, each potential subcontractor or supplier will be notified by the Contractor of
the Contractor's obligations under this Agreement and the Acts and the Regulations
relative to Non-discrimination on the grounds of race, color, national origin, sex, age,
disability, income -level, or LEP.
d) Information and Reports. The Contractor will provide all information and reports required
by the Acts, the Regulations and directives issued pursuant thereto and will permit access
to its books, records, accounts, other sources of information, and its facilities as may be
determined by the City or the FHWA to be pertinent to ascertain compliance with such
Acts, Regulations, and instructions. Where any information required of the Contractor is
in the exclusive possession of another who fails or refuses to furnish the information, the
Contractor will so certify to the City or the FHWA, as appropriate, and will set forth what
efforts it has made to obtain the information.
e) Sanctions for Noncompliance. In the event of the Contractor's noncompliance with the
Non- discrimination provisions of this Agreement, the City will impose such contract
sanctions as it or the FHWA may determine to be appropriate, including, but not limited
to:
1. withholding payments to the Contractor under the Agreement until the contractor
complies; and/or
2. cancelling, terminating, or suspending the Agreement, in whole or in part.
f) Incorporation of Provisions. The Contractor will include the provisions of paragraphs one
through six in every subcontract, including procurements of materials and leases of
equipment, unless exempt by the Acts, the Regulations and directives issued pursuant
thereto. The Contractor will take action with respect to any subcontract or procurement as
the City or the FHWA may direct as a means of enforcing such provisions including
sanctions for noncompliance. Provided, that if the Contractor becomes involved in, or is
threatened with litigation by a subcontractor, or supplier because of such direction, the
Contractor may request the City to enter into any litigation to protect the interests of the
City. In addition, the Contractor may request the United States to enter into the litigation
to protect the interests of the United States.
10. Public Records Act Chapter 42.56 RCW. Contractor understands that her/his bid response
documents, and any contract documents may be subject to release under the Public Records
Act Chapter 42.56 RCW and the City may be required to disclose such documents upon a
City of Port Orchard and All Around Fence Company
Public Works Project No. PW2022-014
Small Works Contract No. C051-22 Rev. 1BDR 4-2022
Page 4 of 31
DocuSign Envelope ID: 1DC11DD3-A540-440C-13019-51F2101313513030
request. Contractor acknowledges that s/he has been advised to mark any records believed to
be trade secrets or confidential in nature as "confidential." If records marked as "confidential"
are found to be responsive to the request for records, the City as a courtesy to the Contractor,
may elect to give notice to Contractor of the request so as to allow Contractor to seek a
protective order from a Court. Contractor acknowledges and agrees that any records deemed
responsive to a public records request may be released at the sole discretion of, and without
notice by, the City.
11. Warranty. Upon acceptance of the contract work, Contractor must provide the City a two-
year warranty bond in the amount of twenty percent (20%) of the contract price a form and
amount acceptable to the City. The Contractor shall correct all defects in workmanship and
materials within two (2) years from the date of the City's acceptance of the Contract work,
including replacing vegetation that fails to thrive. In the event any parts are repaired or
replaced, only original replacement parts shall be used —rebuilt or used parts will not be
acceptable. When defects are corrected, the warranty for that portion of the work shall extend
for one (1) additional year from the date such correction is completed and accepted by the City.
The Contractor shall begin to correct any defects within seven (7) calendar days of its receipt
of notice from the City of the defect. If the Contractor does not accomplish the corrections
within a reasonable time as determined by the City, the City may complete the corrections and
the Contractor shall pay all costs incurred by the City in order to accomplish the correction.
12. Indemnification. Contractor shall defend, indemnify, and hold the City, its officers, officials,
employees, agents, and volunteers harmless from any and all claims, injuries, damages, losses
or suits, including all legal costs and attorney fees, arising out of or in connection with the
Contractor's performance of this Agreement, except forthat portion of the injuries and damages
caused by the sole negligence of the City.
The City's inspection or acceptance of any of Contractor's work when completed shall not be
grounds to avoid any of these covenants of indemnification.
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 City, its officers, officials, employees, agents and volunteers, the Contractor's liability
hereunder shall be only to the extent of the Contractor's negligence.
IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THE
INDEMNIFICATION PROVIDED HEREIN CONSTITUTES THE CONTRACTOR'S
WAIVER OF IMMUNITY UNDER INDUSTRIAL INSURANCE, TITLE 51 RCW,
SOLELY FOR THE PURPOSES OF THIS INDEMNIFICATION. THE PARTIES
FURTHER ACKNOWLEDGE THAT THEY HAVE MUTUALLY NEGOTIATED THIS
WAIVER.
The provisions of this section shall survive the expiration or termination of this agreement.
City of Port Orchard and All Around Fence Company
Public Works Project No. PW2022-014
Small Works Contract No. C051-22
Page 5 of 31
Rev IBDR 4-2022
DocuSign Envelope ID: 1DC11DD3-A540-440C-13019-5F2101313513030
13. Miscellaneous Provisions.
a) Non -Waiver of Breach. The failure of the City to insist upon strict performance of any
of the covenants and agreements contained in this Agreement, or to exercise any option
conferred by this Agreement in one or more instances shall not be construed to be a
waiver or relinquishment ofthose covenants, agreements or options, and the same shall
be and remain in full force and effect.
b) Resolution of Disputes and Governing Law. This Agreement shall be governed by and
construed in accordance with the laws of the State of Washington. If the parties are
unable to settle any dispute, difference or claim arising from the parties' performance
of this Agreement, the exclusive means of resolving that dispute, difference or claim,
shall only be by filing suit exclusively under the venue, rules and jurisdiction of the
Kitsap County Superior Court, Kitsap County, Washington, unless the parties agree in
writing to an alternative dispute resolution process. In any claim or lawsuit for damages
arising from the parties' performance of this Agreement, each party shall pay all its
legal costs and attorney's fees incurred in defending or bringing such claim or lawsuit,
including all appeals, in addition to any other recovery or award provided by law;
provided, however, nothing in this paragraph shall be construed to limit the City's right
to indemnification under Section XII of this Agreement.
c) Written Notice. All communications regarding this Agreement shall be sent to the
parties at the addresses listed on the signature page of the Agreement, unless notified
to the contrary. Any written notice hereunder shall become effective three (3) business
days after the date of mailing by registered or certified mail, and shall be deemed
sufficiently given if sent to the addressee at the address stated in this Agreement or
such other address as may be hereafter specified in writing.
d) Assignment. Any assignment of this Agreement by either party without the written
consent of the non -assigning party shall be void. If the non -assigning party gives its
consent to any assignment, the terms of this Agreement shall continue in full force and
effect and no further assignment shall be made without additional written consent.
e) Modification. No waiver, alteration, or modification of any of the provisions of this
Agreement shall be binding unless in writing and signed by a duly authorized
representative of the City and Contractor.
f) Entire Agreement. The written provisions and terms of this Agreement, together with
any Exhibits attached hereto, shall supersede all prior verbal statements of any officer
or other representative of the City, and such statements shall not be effective or be
construed as entering into or forming a part of or altering in any manner this Agreement.
All of the above documents are hereby made a part of this Agreement. However,
should any language in any of the Exhibits to this Agreement conflict with any
language contained in this Agreement, the terms of this Agreement shall prevail.
g) Compliance with Laws. The Contractor agrees to comply with all federal, state, and
municipal laws, rules, and regulations that are now effective or in the future become
City of Port Orchard and .411 Around Fence Company
Public Works Project No. PIV2022-014
Small Works Contract No. C051-22 Rev, IBDR 4-2022
Page 6 of 31
DocuSign Envelope ID: 1DC11DD3-A540-440C-13019-5F2101313513030
applicable to Contractor's business, equipment, and personnel engaged in operations
covered by this Agreement or accruing out of the performance of those operations.
h) Counterparts. This Agreement may be executed in any number of counterparts, each
of which shall constitute an original, and all of which will together constitute this one
Agreement.
IN WITNESS WHEREOF, the parties hereto have caused this contract to be duly executed
on the date first written above.
CITY OF PORT ORCHARD
DocuSigned by:
I°otit,V�- �1alav� S1tiu
F-BQ�88�3BBE�4� ...
Robert Putannsuu, Mayor
ATTEST/AUTHENTICATE:
Lf
DocuSigned by:
VAJAJe UJaLVt,
Bran y a ace, MMC, City Clerk
APPROVED AS TO FORM:
DocuSigned by: . '^
as
C rIMe aX0%cher, City Attorney
City of Port Orchard and All Around Fence Company
Public Works Project No. PW2022-014
Small Works Contract No. C051-22
CONTRACTOR All A"v,.,.J
By: Michclz
Its: b ati, , a -'.S .l.r-A-{O r
Rev. IBDR 4-2022
Page 7 of 31
DocuSign Envelope ID: 1DC11DD3-A540-440C-13019-5F2101313513030
CERTIFICATE AS TO CORPORATE PRINCIPAL
(Corporate Officer (Not Contract Signer))
certify that I am the QRgM Vn5 (Y ang4&!!�� (Corporate Title) of the
corporation named as the Contractor in the Agreement attached hereto; that
Mi &%s—I., Va+->ldteL&—J- -- _ (Contract Signer) who signed said Agreement on behalf
of the Contractor, was then rArv& AgLft - & ; +-e,J-v.r(Corporate Title) of said corporation;
that said Agreement was duly signed for and in behalf of said corporation by authority of its
governing body, and is within the scope of its corporate powers.
Corporate Seal
Corp. officer signature (not contract signer)
VR.Vi►r1 i 1'd QtAte,
Printed
Title
State of )
County of )
/./e / wcw (corporate officer (not contract signer)) being
duly sworn, depos s and says that he/she is e"� (Corporate Title)
Of A/�,%plf�p s�� r Co , , r�(Nanze of Corporation)
._
Subscribed and sworn to before me this day of r.I , 20 ZZ
I3� Otte
Notary Public
State of Washington
My APP'�M Expires 05/1212023
CORMnIY/lon Number 207OW
City of Port Orchard and All Around Fence Company
Public Works Project No. PW2022-014
Small Works Contract No. C051-22
Page 8 of 31
Noti7y Public ( ature)
Notary Public (Print)
My commission expires OS / 2 � 3
Rev IBDR 4-2022
DocuSign Envelope ID: 1DC11DD3-A540-440C-13019-51F2101313513030
CITY OF PORT ORCHARD
PUBLIC WORK PROJECT TERMS AND CONDITIONS
The following terms and conditions shall be used in conjunction with the Standard Specifications
for Road, Bridge and Municipal Construction, 2022 edition, together with the APWA Supplement
(Section 1-99), as issued by the Washington State Department of Transportation and American
Public Works Association, Washington State Chapter, hereinafter referred to as the "standard
specifications". The standard specifications, except as they may be modified or superseded by
these provisions, shall govern all phases of work under this Contract, and they are by reference
made an integral part of these specifications and Contract as if herein fully set forth.
When the provisions of the standard specification conflict with the terms and conditions as
contained herein, the terms and conditions shall prevail.
1. BID PRICE: The bid price(s) shall include all necessary permits, fees and items of labor,
material, equipment, tools, overhead and compensation, supplies, taxes, utilities and other
incidentals necessary to complete the work in a fully functional and operational state. All
prices including bid prices are in US funds.
2. DEFINITIONS: The term "City" means Port Orchard, Washington, "successful bidder"
means the apparent lowest and best responsible bidder to whom an award is made, and
"Contractor" means the successful bidder who has satisfied the requirements for the award
and who receives a contract executed by the City. "Bidder" means the person, firm or
corporation that has made an offer in response to the invitation to bid. "Work" means the
construction and services required by the Contract Documents, whether completed or
partially completed, and includes all other labor, materials, equipment and services
provided or to be provided by the Contractor to fulfill the Contractor's obligations.
3. LICENSING AND REGISTRATION: The Contractor must have a Washington State
certificate of registration per chapter 18.27 RC W; a current state unified business identifier
number; and if applicable, industrial insurance coverage for the bidder's employees
working in Washington, an Employment Security Department number, and a state excise
tax registration number. In addition, the bidder must not be disqualified from bidding on
any public works contracts under RCW 39.06.010 or 39.12.065(3).
4. PUBLIC WORK REQUIREMENTS: This project constitutes a public work under state
law. Bidders are warned to take into consideration statutory legal requirements,
particularly, the payment of prevailing wages and fringe benefits, payment and
performance bonds (unless waived) and sales tax implications in making their bids. It is
the sole responsibility of the bidder to insure that the appropriate labor classification(s) are
identified and that the applicable wage and benefit rates are taken into consideration when
preparing their bid according to these specifications. The Contractor shall complete and
file State of Washington, Department of Labor & Industries, Statement of Intent to Pay
Prevailing Wages and Affidavit of Wages Paid forms and shall familiarize itself with their
requirements. The Contractor shall also be responsible for and pay all costs pertaining to
the processing of these forms.
City of Port Orchard and All Around Fence Company
Public Works Project No. PW2022-014
Small Works Contract No. C051-22
Rev IBDR 4-2022
Page 9 of 31
DocuSign Envelope ID: 1DC11DD3-A540-440C-13019-5F2101313513030
PREVAILING WAGES: The Contractor shall pay prevailing wages as required and shall
comply with Chapters 39.12 and 49.28 RCW. Prior to beginning work under this Contract,
the Contractor shall submit -- on behalf of itself and each and every Sub -Contractor — a
"Statement of Intent to Pay Prevailing Wages," which must be approved by the Department
of Labor and Industries (See link below.) Following the final acceptance of the project, the
Contractor must submit -- on behalf of itself and every Sub -Contractor -- an "Affidavit of
Wages Paid" for final payment. Final payments shall be made in accordance with the
requirements of Chapter 39.12 RCW.
Refer to litt s:llfoils-ess.►va.!4ov/lrii/Wal,�elooku 1 t'VWa,—,elookLl.as x for Washington State
Prevailing Wage rates.
6. INSURANCE REQUIREMENT: The successful bidder will furnish insurance as
stipulated in the Attachment entitled "Insurance Requirements."
7. RECEIPT OF ADDENDA: All official clarifications or interpretations of the bid
documents will be by written addenda only.
8. PROJECT COMPLIANCE: In compliance with the request for quotation, Bidder hereby
proposes to perform all work for this project in strict accordance with the Contract
Documents, at the Contract Sum, and within the time set forth herein with the
understanding that time is of the essence in the perfonnance of this Contract.
9. TAXES: Proposals shall include all applicable taxes except sales tax which is a separate
bid item. It shall be the Bidder's responsibility to furnish Federal Excise Tax Exemption
Certificate, when applicable.
10. ERROR IN EXTENSION: Unit price, when used, shall govern in case of extension error.
11. PERMITS AND FEES: The Contractor shall furnish all permits, inspection fees, and fees
required in the performance of this Contract, including those charged under RCW
39.12.070 by the Department of Labor and Industries for the approval of statements of
intent to pay prevailing wages and the certification of affidavits of wages paid, etc. The
Department may also charge fees to persons or organizations requesting the arbitration of
disputes under RCW 39.12.060. The Contractor is responsible for all fees resulting from
these statutes.
12. CONTRACT: The Contract, when properly signed, will be the only form that will be
recognized by the City as an award. The executed Contract supersedes all previous
communications and negotiations, except as referenced herein, and constitutes the entire
agreement between the City and Contractor (parties), except as provided herein. The
Contractor shall not make any changes, alterations, or variations in the terms of the
Contract without the written consent of the City. No terms stated by the Bidder in its
proposal shall be binding on the City unless accepted in writing by the City. The successful
bidder may not assign the Contract resulting from this invitation to bid without the City's
prior written consent. No waiver by the City of a breach of any provision of the terms and
City of Port Orchard and All Around Fence Company
Public Works Project No. PW2022-01 4
Small Works Contract No. C051-22 Rev, IBDR 4-2022
Page 10 of 31
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conditions outlined in the invitation to bid shall constitute a waiver of any other breach of
such provision or of any other provisions.
13. CHANGES: The City may issue a written change order for any change in the Contract
work during the performance of this Agreement. If the Contractor determines, for any
reason, that a change order is necessary, Contractor must submit a written change order
request to the person listed in the Notice provision section of this Agreement, within
fourteen (14) calendar days of the date Contractor knew or should have known of the facts
and events giving rise to the requested change. If the City determines that the change
increases or decreases the Contractor's costs or time for performance, the City will make
an equitable adjustment. The City will attempt, in good faith, to reach agreement with the
Contractor on all equitable adjustments. However, if the parties are unable to agree, the
City will determine the equitable adjustment as it deems appropriate. The Contractor shall
proceed with the change order work upon receiving either a written change order from the
City or an oral order from the City before actually receiving the written change order. If
the Contractor fails to require a change order within the time specified in this paragraph,
the Contractor waives its right to make any claim or submit subsequent change order
requests for that portion of the contract work. If the Contractor disagrees with the equitable
adjustment, the Contractor must complete the change order work; however, the Contractor
may elect to protest the adjustment as provided in subsections A through E of Section 13
entitled, "Claims," below.
The Contractor accepts all requirements of a change order by: (1) endorsing it, (2) writing
a separate acceptance, or (3) not protesting in the way this section provides. A change
order that is accepted by Contractor as provided in this section shall constitute full payment
and final settlement of all claims for contract time and for direct, indirect, and consequential
costs, including costs of delays related to any work, either covered or affected by the
change.
14. CLAIMS: If the Contractor disagrees with anything required by a change order, another
written order, or an oral order from the City, including any direction, instruction,
interpretation, or determination by the City, the Contractor may file a claim as provided in
this section. The Contractor shall give written notice to the City of all claims within
fourteen (14) calendar days of the occurrence of the events giving rise to the claims, or
within fourteen (14) calendar days of the date the Contractor knew or should have known
of the facts or events giving rise to the claim, whichever occurs first. Any claim for
damages, additional payment for any reason, or extension of time, whether under this
Agreement or otherwise, shall be conclusively deemed to have been waived by the
Contractor unless a timely written claim is made in strict accordance with the applicable
provisions of this Agreement.
At a minimum, a Contractor's written claim shall include the information set forth in
subsections A, items I through 5 below.
FAILURE TO PROVIDE A COMPLETE, WRITTEN NOTIFICATION OF CLAIM
WITHIN THE TIME ALLOWED SHALL BE AN ABSOLUTE WAIVER OF ANY
City of Port Orchard and All Around Fence Company
Public Works Project No. PW2022-014
Small Works Contract No. C051-22 Rev IBDR4-2022
Page 1 1 of 31
DocuSign Envelope ID: 1DC11DD3-A540-440C-13019-5F2101313513030
CLAIMS ARISING IN ANY WAY FROM THE FACTS OR EVENTS SURROUNDING
THAT CLAIM OR CAUSED BY THAT DELAY.
A. Notice of Claim. Provide a signed written notice of claim that provides the
following information:
1. The date of the Contractor's claim;
2. The nature and circumstances that caused the claim;
The provisions in this Agreement that support the claim;
4. The estimated dollar cost, if any, of the claimed work and how that
estimate was determined; and
5. An analysis of the progress schedule showing the schedule change
or disruption if the Contractor is asserting a schedule change or disruption.
B. Records. The Contractor shall keep complete records of extra costs and time
incurred as a result of the asserted events giving rise to the claim. The City shall have
access to any of the Contractor's records needed for evaluating the protest.
The City will evaluate all claims, provided the procedures in this section are followed. If
the City determines that a claim is valid, the City will adjust payment for work or time by
an equitable adjustment. No adjustment will be made for an invalid protest.
C. Contractor's Duty to Complete Protested Work. In spite of any claim, the
Contractor shall proceed promptly to provide the goods, materials and services required by
the City under this Agreement.
D. Failure to Protest Constitutes Waiver. By not protesting as this section
provides, the Contractor also waives any additional entitlement and accepts from the City
any written or oral order (including directions, instructions, interpretations, and
determination).
E. Failure to Follow Procedures Constitutes Waiver. By failing to follow the
procedures of this section, the Contractor completely waives any claims for protested work
and accepts from the City any written or oral order (including directions, instructions,
interpretations, and determination).
15. LIMITATION OF ACTIONS: CONTRACTOR MUST, IN ANY EVENT, FILE ANY
LAWSUIT ARISING FROM OR CONNECTED WITH THIS AGREEMENT WITHIN
120 CALENDAR DAYS FROM THE DATE THE CONTRACT WORK IS COMPLETE
OR CONTRACTOR'S ABILITY TO FILE THAT CLAIM OR SUIT SHALL BE
FOREVER BARRED. THIS SECTION FURTHER LIMITS ANY APPLICABLE
STATUTORY LIMITATIONS PERIOD.
City of Port Orchard and All Around Fence Company
Public Works Project No. PW2022-014
Small Works Contract No. C051-22 Rev. 1BDR4-2022
Page 12 of 31
DocuSign Envelope ID: 1DC11DD3-A540-440C-13019-5F210136513030
16. WORK PERFORMED AT CONTRACTOR'S RISK: Contractor shall take all necessary
precautions and shall be responsible for the safety of its employees, agents, and
subcontractors in the performance of the contract work and shall utilize all protection
necessary for that purpose. All work shall be done at Contractor's own risk, and Contractor
shall be responsible for any loss of or damage to materials, tools, or other articles used or
held for use in connection with the work.
17. COMPLIANCE WITH LAWS AND REGULATIONS: The Contractor warrants full
compliance with all applicable local, state or federal laws and regulations and agrees to
indemnify and defend the City against any loss, cost, liability or damage, including
reasonable attorney's fees, by reason of successful bidder's violation of this paragraph.
18. EMPLOYMENT OF STATE RETIREES: The City is a "DRS-covered employer" which
is an organization that employs one or more members of any retirement system
administered by the Washington State Department of Retirement Systems (DRS). Pursuant
to RCW 41.50.139(1) and WAC 415-02-325(l), the City is required to elicit on a written
form if any of the Contractor's employees providing services to the City retired using the
2008 Early Retirement Factors (ERFs), or if the Contractor is owned by an individual who
retired using the 2008 ERFs, and whether the nature of the service and compensation would
result in a retirement benefit being suspended. Failure to make this determination exposes
the City to significant liability for pension overpayments. As a result, before commencing
work under this Agreement, Contractor shall determine whether any of its employees
providing services to the City or any of the Contractor's owners retired using the 2008
ERFs, and shall immediately notify the City and shall promptly complete the form provided
by the City after this notification is made. This notification to DRS could impact the
payment of retirement benefits to employees and owners of Contractor. Contractor shall
indemnify, defend, and hold harmless the City from any and all claims, damages, or other
liability, including attorneys' fees and costs, relating to a claim by DRS of a pension
overpayment caused by or resulting from Contractor's failure to comply with the terms of
this provision. This provision shall survive termination of this Agreement.
19. TERMINATION: This Contract may be terminated in whole or in part, without penalty,
under the following conditions: 1) by mutual written agreement; 2) by the City for breach
by the Contractor of any of the obligations or requirements set forth in the Contract
Documents which would, at the option of the City, require the Contractor to assume
liability for any and all damages, including the excess of re -procuring similar products or
services; 3) for convenience of the City; or 4) by the City for non -appropriation of funds.
a) Termination for Cause. The City may, upon 7 days written notice to Contractor and
to its surety, terminate (without prejudice to any right or remedy of the City) the
contract, or any part of it, for cause upon the occurrence of any one or more of the
following events: Contractor fails to complete the work or any portion thereof with
sufficient diligence to ensure substantial completion of the work within the contract
time; Contractor is adjudged bankrupt, makes a general assignment for the benefit
of its creditors, or a receiver is appointed on account of its insolvency; Contractor
fails in a material way to replace or correct work not in conformance with the
City of Port Orchard and All Around Fence Company
Public Works Project No. PW2022-01 4
Small Works Contract No. C051-22 Rev IBDR4-2022
Page 13 of 31
DocuSign Envelope ID: 1DC11DD3-A540-440C-13019-5F2101313513030
Contract Documents, Contractor repeatedly fails to supply skilled workers or proper
materials or equipment; Contractor materially disregards or fails to comply with
laws, ordinances, rules, regulations, or orders of any public authority having
jurisdiction; or Contractor is otherwise in material breach of any provision of the
contract. Upon termination, the City may, at its option, take possession of or use all
documents, materials, equipment, tools, and construction equipment and machinery
thereon owned by Contractor to maintain the orderly progress of, and to finish, the
work, and finish the work by whatever other reasonable method it deems expedient.
b) Termination for Convenience. The City may, upon written notice, terminate
(without prejudice to any right or remedy of the City) the contract, or any part of it,
for the convenience of the City.
c) Settlement of Costs. If the City terminates for convenience, Contractor shall be
entitled to make a request for an equitable adjustment for its reasonable direct costs
incurred prior to the effective date of the termination, plus a reasonable allowance
for overhead and profit on work performed prior to termination, plus the reasonable
administrative costs of the termination, but shall not be entitled to any other costs or
damages, whatsoever, provided however, the total sum payable upon termination
shall not exceed the Contract Sum reduced by prior payments.
20. COMPLIANCE WITH TERMS: The City may at any time insist upon strict compliance
with these terms and conditions, notwithstanding any previous custom, practice, or course
of dealing to the contrary.
21. PAYMENT: Contractor shall maintain time and expense records and provide them to the
City along with monthly invoices in a format acceptable to the City for work performed to
the date of the invoice. All invoices shall be paid by the City within 45 days of receipt of a
proper invoice. if the services rendered to not meet the requirements of the Contract,
Contractor will correct or modify the work to comply with the Contract. City may withhold
payment for such work until the work meets the requirements of the Contract.
22. RETAINAGE: Unless the City waives the retainage requirement in accordance with RCW
39.04.155(2)(f), the City shall, pursuant to the requirements of RCW 60.28.011, retain five
percent (5%) of the monies earned under this Contract, which shall be maintained by the
City according to the Contractor's requested method.
23. BONDING: The City may waive the requirement of a performance bond in accordance
with RCW 39.08.100 upon request of the Contractor. If the City agrees to waive the
performance bond, then in such case, the Retainage shall be increased to ten (10) percent.
24. DISPUTE RESOLUTION: In the event there is a dispute between the parties, the parties
agree to resolve that dispute in the following manner: (a) The parties shall attempt in good
faith to resolve any dispute promptly through negotiation. Either party may give the other
party written notice that a dispute exists (a "Notice of Dispute"). The Notice of Dispute
shall include a statement of such party's position. Within ten (10) days of the delivery of
the Notice of Dispute, the parties shall meet at a mutually acceptable time and place and
City of Port Orchard and A11 Around Fence Company
Public Works Project No. PW2022-01 d
Small Works Contract No. C051-22 Rev. IBDR4-2022
Page 14 of 31
DocuSign Envelope ID: 1DC11DD3-A540-440C-13019-5F2101313513030
attempt to resolve the dispute; (b) If the parties are unable to resolve the dispute, they may
elect to submit the dispute to mediation. The cost of the mediation shall be borne equally
by the parties. The mediator shall be selected by the mutual agreement of the parties; (c) If
the mediation does not result in a settlement of the dispute, the dispute shall be settled by
binding arbitration by the Judicial Arbitration and Mediation Services ("JAMS") in
accordance with the then operative construction rules of JAMS. The parties may select an
arbitrator by mutual agreement, or if unable to agree, the arbitrator will be selected pursuant
to the rules of JAMS. The parties shall be bound by the decision of such arbitrator. The
arbitration shall be conducted in Kitsap County, Washington; provided, if JAMS is unable
to conduct the arbitration in Kitsap County, then the arbitration shall be held in such
location as the parties may agree after consulting with JAMS.
City of Port Orchard and All Around Fence Company
Public Works Project No. PW2022-01 4
Small Works Contract No. C051-22
Page 15 of 31
Rev. IBDR 4-2022
DocuSign Envelope ID: 1DC11DD3-A540-440C-13019-5F2101313513030
CITY OF PORT ORCHARD
INSURANCE REQUIREMENTS
The Contractor shall procure and maintain for the duration of the Contract with the City, insurance
against claims for injuries to persons or damage to property which may arise from or in connection
with the performance of the work hereunder by the Contractor, their agents, representatives,
employees and subcontractors.
No Limitation. The Contractor's maintenance of insurance, its scope of coverage and limits as
required herein shall not be construed to limit the liability of the Contractor to the coverage
provided by such insurance, or otherwise limit the City's recourse to any remedy available at law
or in equity.
Minimum Scope Of Insurance. The Contractor shall obtain insurance of the types described below:
• Automobile Liability insurance covering all owned, non -owned, hired and leased vehicles.
Coverage shall be written on Insurance Services Office (ISO) form CA 00 01 or a substitute
form providing equivalent liability coverage. If necessary, the policy shall be endorsed to
provide contractual liability coverage.
• Commercial General Liability insurance shall be written on ISO occurrence form CG 00
01 and shall cover liability arising from premises, operations, stop gap liability,
independent contractors, products -completed operations, personal injury and advertising
injury and liability assumed under an insured contract. The Commercial General Liability
insurance shall be endorsed to provide the Aggregate Per Project Endorsement ISO form
CG 25 03 11 85 or an equivalent endorsement. There shall be no endorsement or
modification of the Commercial General Liability Insurance for liability arising from
explosion, collapse or underground property damage. The City shall be named by
endorsement as an additional insured under the Contractor's Commercial General Liability
insurance policy with respect to the work performed for the City using ISO Additional
Insured endorsement CG or substitute endorsements providing equivalent coverage.
• Workers' Compensation coverage as required by the Industrial Insurance laws of the State
of Washington.
• Builders Risk insurance covering interests of the City, the Contractor, Subcontractors, and
Sub -subcontractors in the work. Builders Risk insurance shall be on an all-risk policy form
and shall insure against the perils of fire and extended coverage and physical loss or
damage including flood, earthquake, theft, vandalism, malicious mischief, collapse,
temporary buildings and debris removal. The Builders Risk insurance covering the work
will have a deductible of $5,000 for each occurrence, which will be the responsibility of
the Contractor. Higher deductibles for flood and earthquake perils may be accepted by the
City upon written request by the Contractor and written acceptance by the City. Any
increased deductibles accepted by the City will remain the responsibility of the Contractor.
The Builders Risk insurance shall be maintained until final acceptance of the work by the
City.
City of Port Orchard and All Around Fence Company
Public Works Project No. PW2022-014
Small Works Contract No. C051-22 Rev IBDR 4-2022
Page 16 of 31
DocuSign Envelope ID: 1DC11DD3-A540-440C-13019-51F2101313513030
Employer's Liability insurance limit of $1,000,000 each accident, Employer's Liability
Disease each employee $1,000,000 and Employer's Liability Disease — Policy limit
$1,000.000.
Minimum Amounts of Insurance. The Contractor shall maintain the following insurance limits:
• Automobile Liability insurance with a minimum combined single limit for bodily injury
and property damage of $1,000.000 per accident.
• Commercial General Liability insurance shall be written with limits no less than
$1,000,000 each occurrence, $2,000,000 general aggregate and a $2,000,000 products -
completed operations aggregate limit.
• Builders Risk insurance shall be written in the amount of the completed value of the project
with no coinsurance provisions.
• Workers' Compensation insurance as required by the State of Washington.
• Employer's Liability insurance with Washington Stop Gap Employers' Liability minimum
limits of $1,000,000 each accident, $1,000,000 disease - each employee, $1,000,000
disease - policy limit.
The City will not be responsible for payment of industrial insurance premiums or for any other
claim or benefit for this Contractor or any sub -Contractor or employee of the Contractor which
might arise under the industrial insurance laws during the performance of duties and services under
this contract. If the Department of Labor and Industries, upon audit, determines that industrial
insurance payments are due and owing as a result of work performed under this contract, those
payments shall be made by the Contractor; the Contractor shall indemnify the City and guarantee
payment of such amounts.
Public Entity Full Availability of Contractor Limits. If the Contractor maintains higher insurance
limits than the minimums shown above, the Public Entity shall be insured for the full available
limits of Commercial General and Excess or Umbrella liability maintained by the Contractor,
irrespective of whether such limits maintained by the Contractor are greater than those required
by this contract or whether any certificate of insurance furnished to the Public Entity evidences
limits of liability lower than those maintained by the Contractor.
Other Insurance Provisions. The Contractor's Automobile Liability, Commercial General Liability
and Builders Risk insurance policies are to contain or be endorsed to contain that they shall be
primary insurance as respects the City. Any insurance, self-insurance or insurance pool coverage
maintained by the City shall be excess of the Contractor's insurance and shall not contribute with
it. If any coverage is written on a "claims made" basis, then a minimum of three (3) year extended
reporting period shall be included with the claims made policy, and proof of this extended reporting
period provided by the City.
City of Porl Orchard and All Around Fence Company
Public Works Projecl No. PW2022-014
Small Works Contract No. C051-22 Rev. [BDR4-2022
Page 17 of 31
DocuSign Envelope ID: 1DC11DD3-A540-440C-13019-5F210136513030
Contractor's Insurance for Other Losses. The Contractor shall assume full responsibility for all
loss or damage from any cause whatsoever to any tools, including but not limited to the
Contractor's employee -owned tools, machinery, equipment or motor vehicles owned or rented by
the Contractor, or the Contractor's agents, suppliers or contractors as well as any temporary
structures, scaffolding and protective fences.
Waiver of Subrogation. The Contractor waives all rights against the City, any of its Subcontractors,
Sub -subcontractors, agents and employees, for damages caused by fire or other perils to the extent
covered by Builders Risk insurance or other property insurance obtained pursuant to this Insurance
Requirements Section of the Contract or other property insurance applicable to the work. The
Contractor's insurance shall be endorsed to waive the right of subrogation against the City, or any
self-insurance, or insurance pool coverage maintained by the City. The City will not waive its
right to subrogation against the Contractor. The Contractor's insurance shall be endorsed
acknowledging that the City will not waive its right to subrogation.
Acceptability of Insurers. Insurance is to be placed with insurers with a current A.M. Best rating
of not less than ANII.
Verification of Coverage. The Contractor shall furnish the City with original certificates and a
copy of the amendatory endorsements, including but not necessarily limited to the additional
insured endorsement, evidencing the Automobile Liability and Commercial General Liability
insurance of the Contractor before commencement of the work. Before any exposure to loss may
occur, the Contractor shall file with the City a copy of the Builders Risk insurance policy that
includes all applicable conditions, exclusions, definitions, terms and endorsements related to this
project.
Subcontractors. The Contractor shall have sole responsibility for determining the insurance
coverage and limits required, if any, to be obtained by subcontractors, which determination shall
be made in accordance with reasonable and prudent business practices.
Notice of Cancellation. The Contractor's insurance shall be endorsed to state that coverage shall
not be cancelled by either party, except after thirty (30) days prior written notice by certified mail,
return receipt requested, has been given to the City. The Contractor shall provide the City and all
Additional Insureds for this work with written notice of any policy cancellation, within two
business days of their receipt of such notice.
Failure to Maintain Insurance. The insurance required by this Section will not be canceled,
materially changed or altered without forty-five (45) days prior written notice submitted to the
City. Failure on the part of the Contractor to maintain insurance as required shall constitute a
material breach of contract, upon which the City may, after giving five business days' notice to
the Contractor to correct the breach, immediately terminate the Contract, or, at its discretion,
procure or renew such insurance and pay any and all premiums in connection therewith, with any
sums so expended to be repaid to the City on demand, or at the sole discretion of the City, offset
against funds due the Contractor from the City.
City of Port Orchard and All Around Fence Company
Public Works Project No. PW2022-014
Small Works Contract No. C051-22 Rev. IBDR4-2022
Page 18 of 31
DocuSign Envelope ID: 1DC11DD3-A540-440C-13019-5F210136513030
CITY OF PORT ORCHARD
DECLARATION OF OPTION FOR PERFORMANCE AND PAYMENT
BOND OR ADDITIONAL RETAINAGE
(APPLICABLE TO CONTRACTS OF S1.50,000 OR LESS — RCW 39.08.010)
Note 1: This form must be submitted at the time the Contractor executes the Contract. The
Contractor shall designate the option, where applicable, desired by checking the appropriate
space.
Note 2: Regardless of choice under Section 2 of this form, the Contractor will be required to
provide a warranty/maintenance bond effective at project close out prior to either release of the
performance bond or release of the 10% retainage.
The Contractor shall provide 5% retainage, pursuant to RCW 60.28.01 l (])(a).
2. The Contractor elects to (select one):
(1) Furnish a performance and payment bond in the amount of the total
contract sum. An executed performance and payment bond on the required form is
included w' the executed contract documents.
(2) I -lave the City retain, in lieu of the performance and payment bonds,
ten percent (10%) of the total contract amount for a period of thirty days after date
of final acceptance, or until receipt of all necessary releases from the department of
revenue and the department of labor and industries and settlement of any liens filed
under chapter 60.28 RCW, whichever is later. RCW 39.08.010.
In choosing option 2, the Contractor agrees that if the Contractor, its heirs,
executors, administrators, successors, or assigns, shall in all things stand to and
abide by, and well and truly keep and perform the covenants, conditions and
agreements in the Contract, and shall faithfully perform all the provisions of such
Contract and shall also well and truly perform and fulfill all the undertakings,
covenants, terms, conditions and agreements of any and all duly authorized
modifications of the Contract that may hereafter be made, at the time and in the
manner therein specified, and shall pay all laborers, mechanics, subcontractors, and
materialmen, and all persons who shall supply such person or persons, or
subcontractors, with provisions and supplies for the carrying on of such work, on
his or her part, and shall defend, indemnify, and save harmless the City of Port
Orchard, Washington, its officers and agents from any claim for such payment, then
the funds retained in lieu of a performance bond shall be released at the time
provided in said option 2; otherwise, the funds shall be retained until the Contractor
fulfills the said obligations.
Contractor Signature, Date
Bond No. 6I6 72 SF
City of Port Orchard and All Around Fence Company
Public Works Project No. PW2022-01 4
Small Works Contract No. C051-22 Rev. IBDR 4-2022
Page 19 of 31
DocuSign Envelope ID: 1DC11DD3-A540-440C-13019-5F2101313513030
PERFORMANCE AND PAYMENT BOND
CITY OF PORT ORCHARD
2022 BAY ST PEDESTRIAN PATHWAY FENCE REPAIR #2
CONTRACT NO. C051-22
Bond to City of Port Orchard, Washington
Bond No.
We, and
(Principal) (Surety)
a Corporation, and as a surety corporation authorized to
become a surety upon Bonds of Contractors with municipal corporations in Washington State, are
jointly and severally bound to the City of Port Orchard, Washington ("Owner"), in the penal sum
of Dollars
($ ), the payment of which sum, on demand, we bind ourselves and our
successors, heirs, administrators, executors, or personal representatives, as the case may be. This
Performance Bond is provided to secure the performance of Principal in connection with a contract
dated , 20 between Principal and Owner for a project entitled 2022 Bay St
Pedestrian Pathwav Fence Repair 92 Contract No. C051-22 ("Contract"). The initial penal sum
shall equal 100 percent of the Total Bid Price, including sales tax, as specified in the Proposal
submitted by Principal.
NOW, THEREFORE, this Performance and Payment Bond shall be satisfied and released only
upon the condition that Principal, its heirs, executors, administrators, successors, or assigns:
Faithfully performs all provisions of the Contract and changes authorized by Owner in
the manner and within the time specified as may be extended under the Contract;
• Pays all laborers, mechanics, subcontractors, lower tier subcontractors, material
persons, and all other persons or agents who supply labor, equipment, or materials to
the Project;
• Pays the taxes, increases and penalties incurred on the Project under Titles 50, 51 and
82 RCW on: (A) Projects referred to in RCW 60.28.011(1)(b); and/or (B) Projects for
which the bond is conditioned on the payment of such taxes, increases and penalties;
and
• Posts a two-year warranty/maintenance bond to secure the project. Such bond shall be
in the amount of twenty percent (20%) of the project costs.
Provided, further that this bond shall remain in full force and effect until released in writing by the
City at the request of the Surety or Principal.
The Surety shall indemnify, defend, and protect the Owner against any claim of direct or indirect
loss resulting from the failure:
• Of the Principal (or any of the employees, subcontractors, or lower tier subcontractors
of the Principal) to faithfully perform the contract; or
City of Port Orchard and All Around Fence Company
Public Works Project No. PW2022-014
Small Works Contract No. C05 1-22 Rev 1BDR 4-2022
Page 20 of 31
DocuSign Envelope ID: 1DC11DD3-A540-440C-13019-51F2101313513030
• Of the Principal (or any subcontractor or lower tier subcontractor of the Principal) to
pay all laborers, mechanics, subcontractors, lower tier subcontractors, material person,
or any other person who provides supplies or provisions for carrying out the work.
The liability of Surety shall be limited to the penal sum of this Performance and Payment Bond.
Principle and Surety agree that if the Owner is required to engage the services of an attorney in
connection with enforcement of this bond each shall pay the Owner reasonable attorney's fees,
whether or not suit is commenced, in addition to the penal sum.
No change, extension of time, alteration, or addition to the terms of the Contract or to the Work to
be performed under the Contract shall in any way affect Surety's obligation on the Performance
Bond. Surety hereby waives notice of any change, extension of time, alteration, or addition to the
terms of the Contract or the Work, with the exception that Surety shall be notified if the Contract
time is extended by more than twenty percent (20%).
If any modification or change increases the total amount to be paid under the Contract, Surety's
obligation under this Performance and Payment Bond shall automatically increase in a like
amount. Any such increase shall not exceed twenty-five percent (25%) of the original amount of
the Performance and Payment Bond without the prior written consent of Surety.
This Performance and Payment Bond shall be governed and construed by the laws of the State of
Washington, and venue shall be in Kitsap County, Washington.
IN WITNESS WHEREOF, the parties have executed this instrument in two (2) identical
counterparts this day of , 20
Principal
Signature of Authorized Official
By
Printed Name and Title
Name and address of local office of
Agent and/or Surety Company:
Surety
Signature of Authorized Official
By
Attorney in Fact (Attach Power of Attorney)
Surety companies executing bonds must appear on the current Authorized Insurance List in the
State of Washington per Section 1-02.7 of the Standard Specifications.
City of Port Orchard and All Around Fence Company
Public Works Project No. PW2022-014
Small Works Contract No. C051-22
Rev. IBDR 4-2022
Page 21 of 31
DocuSign Envelope ID: 1DC11DD3-A540-440C-13019-5F2101313513030
ACKNOWLEDGEMENT
Corporation, Partnership, or Individual
STATE OF y
)ss.
COUNTY OF /lel? )
On this � day of /i , 20 ,before me, the undersigned, a Notary Public in and
for the State of Washington, duly commissioned and sworn, personally
appeared /-)0 / ,C2�� , tome known to,bbee the (check one of the following boxes):
corporation,
n
partnership,
of
the
❑ individual,
that executed the 4he7
rig instrument to be the free and voluntary act and deed of said
corporation, ❑ pap, ❑ individual for the uses and purposes therein mentioned, and on
oath stated that he was authorized to execute said instrument.
WITNESS my hand and official seal hereto affixed the day and year first above written.
9f,71'V- - --5 - O
Print or type name
NOTARY PUBLIC,
in and for the State of Washington
Residing at
My Commission expires: 4s / 2 ZOz3
Brett Otto
Notary Public
State of W80kK ton
Wll Appointment 08N2MM
Commlaelon Number 207M
Notary Seal with Ink Stamp
City of Port Orchard and All Around Fence Company
Public Works Project No. PW2022-014
Small Works Contract No. C051-22
Page 22 of 31
Rev IBDR 4-2022
DocuSign Envelope ID: 1DC11DD3-A540-440C-13019-5F2101313513030
SURETY ACKNOWLEDGEMENT
STATE OF )
)SS.
COUNTY OF
On this day of , 20 , before me, the undersigned, a Notary Public
in and for the State of Washington, duly commissioned and sworn, personally
appeared to me known to be the
of , the corporation that executed the foregoing instrument,
and acknowledged the said instrument to be the free and voluntary act and deed of said corporation,
for the uses and purposes therein mentioned, and on oath stated that ❑ he ❑ she was authorized
to execute said instrument.
WITNESS my hand and official seal hereto affixed the day and year first above written.
Print or type name
NOTARY PUBLIC,
in and for the State of Washington
Residing
at:
My Commission expires:
Notary Seal with Ink Stamp
City of Port Orchard and All Around Fence Company
Public Works Project No. PW2022-014
Small Works Contract No. C051-22
Rev. IBDR 4-2022
Page 23 of 31
DocuSign Envelope ID: 1DC11DD3-A540-440C-13019-5F2101313513030
CITY OF PORT ORCHARD
MAINTENANCEIWARRANTY BOND
Note: Before the Performance Bond (or the retainage when the performance bond is waived) can be
released, the City must receive the two years Maintenance/Warranty Bond
PROJECT #, PERMIT
CONTRACT#
SURETY BOND #:
DATE POSTED:
EXPIRATION
DATE:
RE: Project Name:
Owner/Developer/Contractor:
Project Address:
KNOW ALL PERSONS BY THESE PRESENTS: That we,
(hereinafter called the "Principal"), and , a corporation organized under
the laws of the State of , and authorized to transact surety business in
the State of Washington (1ereinafter called the "Surety"), are held and firmly bound unto the City of
Port Orchard, Washington, in the sum of
dollars ($ ) 20% Total Contract Amount, lawful money of the United States of America,
for the payment of which sum we and each of us bind ourselves, our heirs, executors, administrators,
successors and assigns, jointly and severally, by these presents. THE CONDITIONS of the above
obligation are such that:
WHEREAS, the above -named Principal has constructed and installed certain improvements
on public property in connection with a project as described above within the City of Port Orchard;
and
WHEREAS, the Principal is required to post a bond for the twenty-four (24) months following
written and final acceptance of the project in order to provide security for the obligation of the
Principal to repair and/or replace said improvements against defects in workmanship, materials or
installation during the twenty-four (24) months after written and final approval/acceptance of the
same by the City;
NOW, THEREFORE, this Maintenance Bond has been secured and is hereby submitted to
the City. It is understood and agreed that this obligation shall continue in effect until released in
writing by the City, but only after the Principal has performed and satisfied the following conditions:
A. The work or improvements installed by the Principal and subject to the terms and conditions
of this Bond are as follows: (insert complete description of work here)
City of Pori. Orchard and All Around Fence Company
Public Works Project No. PW2022-01 4
Small Works Contract No. C05 1-22 Rev. IBDR 4-2022
Page 24 of 31
DocuSign Envelope ID: 1DC11DD3-A540-440C-13019-5F210136513030
B. The Principal and Surety agree that the work and improvements installed in the above -
referenced project shall remain free from defects in material, workmanship and installation (or, in the
case of landscaping, shall survive,) for a period of twenty-four (24) months after written and final
acceptance of the same and approval by the City. Maintenance is defined as acts carried out to prevent
a decline, lapse or cessation of the state of the project or improvements as accepted by the City during
the twenty-four (24) month period after final and written acceptance, and includes, but is not limited
to, repair or replacement of defective workmanship, materials or installations.
C. The Principal shall, at its sole cost and expense, carefully replace and/or repair any damage
or defects in workmanship, materials or installation to the City -owned real property on which
improvements have been installed, and shall leave the same in as good condition as it was before
commencement of the work.
D. The Principal and the Surety agree that in the event any of the improvements or restoration
work installed or completed by the Principal as described herein, fail to remain free from defects in
materials, workmanship or installation (or in the case of landscaping, fail to survive), for a period of
twenty-four (24) months from the date of approval/acceptance of the work by the City, the Principal
shall repair and/replace the same within ten (10) days of demand by the City, and if the Principal
should fail to do so, then the Surety shall:
1. Within twenty (20) days of demand of the City, make written commitment to the City
that it will either:
a). remedy the default itself with reasonable diligence pursuant to a time schedule
acceptable to the City; or
b). tender to the City within an additional ten (10) days the amount necessary, as
determined by the City, for the City to remedy the default, up to the total bond
amount.
Upon completion of the Surety's duties under either of the options above, the Surety
shall then have fulfilled its obligations under this bond. If the Surety elects to fulfill
its obligation pursuant to the requirements of subsection 1)(1)(b), the City shall notify
the Surety of the actual cost of the remedy, upon completion of the remedy. The City
shall return, without interest, any overpayment made by the Surety, and the Surety
shall pay to the City any actual costs which exceeded the City estimate, limited to the
bond amount.
2. In the event the Principal fails to make repairs or provide maintenance within the time
period requested by the City, then the City, its employees and agents shall have the
right at the City's sole election to enter onto said property described above for the
purpose of repairing or maintaining the improvements. This provision shall not be
construed as creating an obligation on the part of the City or its representatives to
repair or maintain such improvements
City of Port Orchard and All Around Fence Company
Public Works Project No. PW2022-014
Small Works Contract No. C051-22 Rev [BDR 4-2022
Page 25 of 31
DocuSign Envelope ID: 1DC11DD3-A540-440C-13019-5F2101313513030
E. Corrections. Any corrections required by the City shall be commenced within ten (10) days
of notification by the City and completed within thirty (30) days of the date of notification. If
the work is not performed in a timely manner, the City shall have the right, without recourse
to legal action, to take such action under this bond as described in Section D above.
F. Extensions and Change . No change, extension of time, alteration or addition to the work to
be performed by the Principal shall affect the obligation of the Principal or Surety on this
bond, unless the City specifically agrees, in writing, to such alteration, addition, extension or
change. The Surety waives notice of any such change, extension, alteration or addition
thereunder.
G. Enforcement. It is specifically agreed by and between the parties that in the event any legal
action must be taken to enforce the provisions of this bond or to collect said bond, the
prevailing party shall be entitled to collect its costs and reasonable attorney fees as a part of
the reasonable costs of securing the obligation hereunder. In the event of settlement or
resolution of these issues prior to the filing of any suit, the actual costs incurred by the City,
including reasonable attorney fees, shall be considered a part of the obligation hereunder
secured. Said costs and reasonable legal fees shall be recoverable by the prevailing party, not
only from the proceeds of this bond, but also over and above said bond as a part of any
recovery (including recovery on the bond) in any judicial proceeding. The Surety hereby
agrees that this bond shall be governed by the laws of the State of Washington. Venue of any
litigation arising out of this bond shall be in Kitsap County Superior Court.
H. Bond Expiration. This bond shall remain in full force and effect until the obligations secured
hereby have been fully performed and until released in writing by the City at the request of
the Surety or Principal.
DATED this day of , 20 .
SURETY COMPANY DEVELOPER/OWNER
(Signature must be notarized) (Signature must be notarized)
By:
Its
Business Name:
Business Address:
City/State/Zip Code:
Telephone Number:
CITY OF PORT ORCHARD
By
Its
Business Name:
Business Address:
City/State/Zip Code:
Telephone Number:
City of Port Orchard and All Around Fence Company
Public Works Project No. PW2022-014
Small Works Contract No. C051-22
Page 26 of 31
Rev, IBDR 4-2022
DocuSign Envelope ID: 1DC11DD3-A540-440C-13019-51F2101313513030
Date:
Its: Public Works Director/City Engineer
CHECK FOR ATTACHED NOTARY SIGNATURE
Individual (Form P-1)
Corporation (Form P-2)
Surety Company (Form P-2)
City of Port Orchard and All Around Fence Company
Public Works Project No. PW2022-014
Small Works Contract No. C051-22
Page 27 of 31
Rev. IBDR 4-2022
DocuSign Envelope ID: 1DC11DD3-A540-440C-13019-51F2101313513030
FORM P-1 / NOTARY BLOCK
(Use For Individual/Sole Proprietor Only)
STATE OF WASHINGTON ]
] ss.
COUNTY OF KITSAP }
I certify that I know or have satisfactory evidence that is the person
who appeared before me, and said person acknowledged that (he/she) signed this instrument and
acknowledged it to be (his/her) free and voluntary act for the uses and purposes mentioned in the
instrument.
Dated:
City of Port Orchard and All Around Fence Company
Public Works Project No. PW2022-014
Small Works Contract No. C051-22
Page 28 of 31
(print or type name)
NOTARY PUBLIC in and for the
State of Washington, residing
at:
My Commission expires:
Rev. IBDR 4-2022
DocuSign Envelope ID: 1DC11DD3-A540-440C-13019-5F2101313513030
FORM P-2 / NOTARY BLOCK
(Use For Partnership or Corporation Only)
(Developer/Owner)
STATE OF WASHINGTON )
ss.
COUNTY OF )
I certify that I know or have satisfactory evidence that
who appeared before me, and said
person
is the person
acknowledged as the
of that (he/she)
signed this instrument, on oath stated that (he/she) was authorized to execute the instrument and
acknowledged it to be (his/her) free and voluntary act for the uses and purposes mentioned in the
instrument.
Dated:
(print or type name)
NOTARY PUBLIC in and for the
State of Washington, residing
at:
My Commission expires:
City of Port Orchard and All Around Fence Company
Public Works Project No. PW2022-014
Small Works Contract No. C051-22
Rev. IBDR 4-2022
Page 29 of 31
DocuSign Envelope ID: 1DC11DD3-A540-440C-13019-5F2101313513030
(Surety Company)
STATE OF WASHINGTON )
ss.
COUNTY OF )
I certify that I know or have satisfactory evidence that
who appeared before me, and said
person
is the person
acknowledged as the
of that (he/she)
signed this instrument, on oath stated that (he/she) was authorized to execute the instrument and
acknowledged it to be (his/her) free and voluntary act for the uses and purposes mentioned in the
instrument.
Dated:
(print or type name)
NOTARY PUBLIC in and for the
State of Washington, residing
at:
My Commission expires:
City of Port Orchard and All Around Fence Company
Public Works Project No. PW2022-014
Small Works Contract No. C051-22
Page 30 of 31
Rev. IBDR 4-2022
DocuSign Envelope ID: 1DC11DD3-A540-440C-13019-5F2101313513030
APPENDIX A
During the performance of this Agreement, the Contractor, for itself, its assignees, and successors
in interest agrees to comply with the following non-discrimination statutes and authorities;
including but not limited to:
Pertinent Non -Discrimination Authorities:
• Title V1 of the Civil Rights Act of 1964 (42 U S.C. § 2000d et seq., 78 stat. 252),
(prohibits discrimination on the basis of race, color, national origin); and 49 C.F.R. Part
21.
• The Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970,
(42 U.S.C. § 4601), (prohibits unfair treatment of persons displaced or whose property
has been acquired because of Federal or Federal -aid programs and projects);
• Federal -Aid Highway Act of 1973, (23 U.S.C. § 324 et seq.), (prohibits discrimination on
the basis of sex);
• Section 504 of the Rehabilitation Act of 1973, (29 U.S.C. § 794 et seq.), as amended,
(prohibits discrimination on the basis of disability); and 49 C.F.R. Part 27;
• The Age Discrimination Act of 1975, as amended, (42 U S.C. § 6101 et seq.), (prohibits
discrimination on the basis of age);
• Airport and Airway Improvement Act of 1982, (49 USC§ 471, Section 4 7123), as
amended, (prohibits discrimination based on race, creed, color, national origin, or sex);
• The Civil Rights Restoration Act of 1987, (PL 100-209), (Broadened the scope, coverage
and applicability of Title VI of the Civil Rights Act of 1964, The Age Discrimination Act
of 1975 and Section 504 of the Rehabilitation Act of 1973, by expanding the definition of
the terms "programs or activities" to include all of the programs or activities of the
Federal -aid recipients, sub- recipients and contractors, whether such programs or
activities are Federally funded or not);
• Titles II and III of the Americans with Disabilities Act, which prohibit discrimination on
the basis of disability in the operation of public entities, public and private transportation
systems, places of public accommodation, and certain testing entities (42 U.S.C. §§
12131-12189) as implemented by Department of Transportation regulations at 49 C.P.R.
parts 37 and 38;
• The Federal Aviation Administration's Non-discrimination statute (49 U.S.C. § 47123)
(prohibits discrimination on the basis of race, color, national origin, and sex);
• Executive Order 12898, Federal Actions to Address Environmental Justice in Minority
Populations and Low -Income Populations, which ensures discrimination against minority
populations by discouraging programs, policies, and activities with disproportionately
high and adverse human health or environmental effects on minority and low-income
populations;
• Executive Order 13166, Improving Access to Services for Persons with Limited English
Proficiency, and resulting agency guidance, national origin discrimination includes
discrimination because of limited English proficiency (LEP). To ensure compliance with
Title VI, you must take reasonable steps to -ensure that LEP persons have meaningful
access to your programs (70 Fed. Reg. at 74087 to 74100);
• Title IX of the Education Amendments of 1972, as amended, which prohibits you from
discriminating because of sex in education programs or activities (20 U.S.C. 1681 et seq).
City of Port Orchard and All Around Fence Company
Public Works Project No. PW2022-014
Small Works Contract No. C051-22 Rev. IBDR 4-2022
Page 31 of 31
L� fP 1 f i I VA rr, 11) (Irt-P 4::l
DocuSign Envelope ID: IDC11DD3-A540-440C-B019-51`210B6513030
r
_ All Around Fence Co. (AAFCO)
AR°fir • Licensed, bonded, and insured.
_. PO Box 98909, Lakewood WA 98496
FENCE CO. Office: 253-863-4895 Fax: 253-863-0704
allarouncifence@allaroundfencewa.com
1 ' -L r -
On -site
estimate date:
me of
estimate:
Phone/Em it g1uotedate.-
�[ �'- C ��
Esti.lnator`s name: 1 V ii
Revised date:
Revised date:
office use
M/o:
Job name: �—� r
PROPOSAL/CONTRACT LIC#ALLARAF839KS
Contact person:
Mgmt Co. :
Phone #1: 3 Q2 d _ 15- ..
Phone #2:
jog s to
Billing Address if dill:
Email: 1- \
Billing email if diff-
i�
Black, White
F Jy Tan Orna-—
Woo Chain Clay mental Other
link Vinyl Iron
—70J
j
_
I
Footage
Height
L(
POSTS
I
T
I
I
Terminal
'L'71 7
Line
L-3
Gate
11�
,,'
�1
—
Material specs
Z•.� •
Top rail
Middle rail
I
Bottom rail
Tension wire
Wood styles:
y
Notes: 3 ��
>2� � �. � z _ if , cL. �c� Z3/p S (LLl.)1J
�o I ��� I� f �(� • f f �r
A
- f
G: ✓Lys' �<=�l:J[�3/1 („� 1:+�� �r- C+.
Price. '
Tax to be added upon job completion.
Standard Estate ❑
Full Panel ❑
Picture Frame ❑
-
*ONCE YOU RETURN YOUR SIGNED CONTRACT TO US, YOU ARE AGREEING U ARE
RESPONSIBLE FOR THE FULL PAYMENT (INCLUDES LABOR AND MATERIALS) EVEN IF YOU CANCEL THE JOB.
*We propose hereby to furnish materials and labor -complete in accordance with the above specifications.
*We have a $600.00 minimum plus materials. Ifyou change your job and the price falls below that cost, you may be required
to pay the $600.00 minimum plus materials price.
*One year warranty on workmanship & materials supplied by AAFCO. We do not warranty wood gates over 10' wide, no
exceptions. We do not stain or paint fences.
*This estimate is just an estimate and may be withdrawn by AAFCO if not accepted within 30 days.
*Most of our correspondence is done by email. Payment is due upon receipt of invoice. We accept checks & money orders. For a
fee, we also accept debit and credit cards. Tax will be added to your job upon job completion.
*THE CUSTOMER IS RESPONSIBLE FOR MARKING THEIR PRIVATE UTILITY LOCATIONS AND FENCE LINES.
AAFCO IS NOT RESPONSIBLE FOR UTILITY/SPRINKLER LINES.
Estimator's Authorization:
Kirkland ❑
Rambler ❑
Horizontal ❑
Shadow Board ❑
Lattice Top ❑
Custom ❑
Gates: Aoyl-�
Single walk ❑
Single drive ❑
Double drive ❑
Roll ❑
Hillside ❑
The prices, specifications, and conditions are satisfactory, understood, and are hereby accepted by my
signature below:
Customer's sl nature: Date:
g
Clearing
included if checked
Tear out/Haul away
included if checked
DocuSign Envelope ID: 1DC11DD3-A540-440C-B019-51`210BB5B030
AAFCO BACK PAGE OF PROPOSAL TERMS, COVENANTS, AND CONDITIONS BETWEEN ALL AROUND FENCE COMPANY (AAFCO) AND PURCHASER
TERMS: We have a $600 minimum plus materials. If you change your job and the price falls below that cost, you may still be required to pay
the $600.00 minimum plus materials price. A down payment will be required for all specialized materials. If you cancel your job after
specialized materials are ordered, they will be made available for pick-up by you as soon as they arrive from our vendor. All materials remain
the property of AAFCO until fully paid and can be removed for non-payment. ONCE YOU RETURN YOUR SIGNED CONTRACT TO US, YOU ARE
AGREEING TO THE JOB AND YOU ARE RESPONSIBLE FOR THE FULL PAYMENT
(INCLUDES LABOR AND MATERIALS) EVEN IF YOU CANCEL THE JOB. Payment is due upon receipt of invoice (of which we email to you). We
accept checks and money orders; any returned checks will result in a $35.00 charge. For a fee, we also accept debit and credit cards. If the
account is not paid in full within 15 days after the date on the invoice, the purchaser agrees to pay a delinquency charge of 1.5% and
compounded for each month on the unpaid balance. An additional surcharge of 25% of the account balance plus attorney or collection agency
fees will be assessed, if applicable. In addition, we reserve the right to file a lien on your property. Most all of our correspondence is done by
email. The documents sent to you for signature are sent electronically for your convenience to sign them via computer and email them back to
us. All standard mailed documents may take about 5-7 days longer as they go to our home office first. This estimate is only an estimate.
Additional charges may apply on actual work performed. This proposal may be withdrawn by AAFCO if not accepted within 30 days.
If it is necessary to make more than one trip to complete the project on account of changes or delays on the part of the purchaser, an extra
charge may be made to cover the additional expense involved. In the event of any undue delay caused by any party other than AAFCO, then
AAFCO shall have the right to pass along any increase in cost as a result. AAFCO will try it's very best to honor the dates scheduled for jobs;
however, AAFCO cannot guarantee these dates or be held responsible for date changes.
Conditions: In consideration of the price herein quoted, the purchaser agrees that the fence lines will be clear of all obstructions and that the
lines will be properly marked by the purchaser with white paint. AAFCO IS NOT RESPONSIBLE FOR ANY DAMAGE TO SPRINKLER LINES. THE
LOCATION OF WELL AND POOL PIPES, SPRINKLER LINES, ELECTRICAL LINES, AND/OR ANY PRIVATE UTILITIES WILL BE CLEARLY MARKED BY THE
PURCHASER IN WHITE PAINT; AND ANY DAMAGE INCURRED DUE TO INCORRECT OR MISSING MARKING WILL BE THE SOLE RESPONSIBILITY OF
THE PURCHASER TO REPAIR. Locating, clearing, and marking of fence and/or property lines are the sole responsibility of the purchaser. The
purchaser further agrees that AAFCO shall not be held responsible for claims of encroachment, damage to underground pipes, wires or hidden
obstructions, and herewith waives any claims relating thereto. The purchaser must obtain all licenses, planning permission approval, and
permits where such items are required including HOA approval, if applicable.
AAFCO does not remove concrete footings unless requested at the time of initial estimate (this is an additional charge). AAFCO does not
contemplate encountering rocks, boulders, or other conditions that mandate the use of jackhammers or other coring equipment. If
encountered, and it is necessary to drill for the setting of the posts or to furnish extra -large or deep foundations for the posts, or to perform
any extra labor; an extra charge will be made to cover the additional expenses involved. It is the responsibility of the purchaser to move, reuse,
or dispose of any excess dirt; AAFCO does not remove any dirt off -site for any reason, including excess dirt as a result of digging for post holes.
The purchaser agrees to supply power at the job site. If power is unavailable at the job site, the purchaser agrees to pay for generator use.
Lawn damage due to weather conditions will be the purchaser's responsibility. AAFCO does not paint or stain fences.
The purchaser, or their representative, must be present at the start of the job as well as the anticipated day of completion.
THE CREW HAS NO AUTHORITY TO AUTHORIZE CHANGES. No change in measurements, location of lines, or conditions will be allowed except
prices mutually agreed upon at the time these changes are made. Changes must be communicated through the estimator or office
representative.
You have a 1 year warranty on workmanship and materials supplied by AAFCO. We do NOT warranty wood gates over 10' wide, no
exceptions. Due to the style of your fence and the fact that we use 6 foot boards, it could cause your fence to be +/- 6 feet tall. In addition,
normal ground clearance is 1 to 1 1/2 inches.
This contract embodies the understanding between AAFCO and the purchaser. There are no verbal agreements or representation in
connection herewith. We propose hereby to furnish materials and labor -complete in accordance with the above specifications. This contract
in printed or in electronic form is subject to the terms and conditions of which are made a part hereof by this reference.
I have read, I understand, and I agree to all of the above terms and conditions as hereby accepted b
my signature:
Signature: Date: Job name:
DocuSign Envelope ID: 1DC11DD3-A540-440C-13019-51F2101313513030
All Around Fence Company PO Box 98909 Lakewood WA 98496 Office: 253-863-4895
Toll Free: 1-800-750-8836 Fax: 253-863-0704
Notice to Customer and Customer Information Sheet
This contractor is registered with the State of Washington, registration number ALLARAF839KS and has
posted with the state a bond or deposit of $12,000 for the purpose of satisfying claims against the contractor for
breach of contract including negligent or improper work in the conduct of the contractor's business.
THIS BOND OR DEPOSIT MIGHT NOT BE SUFFICIENT TO COVER A CLAIM THAT MIGHT
ARISE FROM THE WORK DONE UNDER YOUR CONTRACT.
This bond or deposit is not for your exclusive use because it covers all work performed by this contractor. The
bond or deposit is intended to pay valid claims up to $12,000 that you and other customers, suppliers,
subcontractors, or taxing authorities may have.
FOR YOUR GREATER PROTECTION YOU MAY WITHHOLD A PERCENTAGE OF YOUR
CONTRACT.
You may withhold a contractually defined percentage of your construction contract as retainage for a stated
period of time to provide protection to you and help insure that your project will be completed as required by
your contract.
WE MAY PLACE A LIEN ON YOUR PROPERTY.
If you do not pay your bill, we may place a lien on your property to force payment and you could pay twice for
the same work.
FOR ADDITIONAL PROTECTION YOU MAY REQUEST THE CONTRACTOR TO PROVIDE YOU
WITH ORIGINAL "LIEN RELEASE" DOCUMENTS FROM EACH SUPPLIER OR
SUBCONTRACTOR ON YOUR PROJECT.
The contractor is required to provide you with further information about lien release documents if you request
it. General information is also available from the Washington State Department of Labor and Industries.
I have received a copy of this disclosure statement and I have read and understand the disclosure information
provided to me and I agree to it.
(Signature of customer/contact) (Printed name of customer/contact) (Date)
Customer Information: (This is who the bill will be made out to.)
Full legal or Business Name:
Job site address w/ zip code:
Phone Number: Email:
Mailing Address (if different than job site):
This form (along with the proposal/contract) is required to be signed and returned in order to be scheduled.
Please feel free to contact us if you have any questions.