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HomeMy WebLinkAboutRequest to Purchase - Public WorksMemo Grant County Department of Public Works 124 Enterprise St. S.E. Ephrata, WA 98823 To: Honorable Board of County Commissioners Grant County 1 From: Samuel Dart � t�l0/ 7-0 Assistant Public Works Director Date: December 29, 2020 Scrial No. 20.192 Re: Authorization to Purchase Asphalt Crack Sealant through the State Contract Authorization to purchase: Asphalt Crack Sealant: 225,000 lbs. of Crafco 34221 Crack Seal Material (Pleximelt) in the amount of $144,000.00 delivered, excluding sales tax, from Arrow Construction Supply Inc., Spokane, WA through Washington State Department of Enterprise Services Contract No. 04419. This product will be used for sealing cracks on the County road surfaces. I have reviewed the information and find it acceptable to move forward with the purchase of this product. Dated this Jay of 72020 Board of County Commissioners Grant County, Washington Approve Disapprove Abstain Dist #1 Dist #1 Dist #1 Dist lst #2 Dist #2 Dist #3 W Dist #3 Dist #3 "To meet current and future needs, serving together with public and private entities, while fostering a respectful and successful work environment" 7546082 Keith Elefson, County Road Engfnen... _ ._.._Ezt 3502 Ed Lowry, Supervisor -Dist No. L _ ._ _._Ext 3540 FAX .-.--._....... _...... _..__.___..__.___..._._(509) 7546087 Bob Boman% Construction Englneer........_........_Ext 3503 Mike De7rollo, Supervisor4>1st No. 2...._. .._..-._._Ext 3691 E-mail..._._............».»» publkAforla6♦grantoountywa gov Loc OM, Accountant Lead.... »__.»._ . ». ......Ext 3555 John Brissey, SupervhwwOlst No. 3...._..__ _......__EM. 3541 Sam Castro, Public Works Dlrector.___......__ExL 3504 Rod Foilett, Foreman -Sign Shop ._.___._.._...___.ExL 3579 John Spiess, Supervisor -Central Shop ........... .(509) 7546086 Samuel Dart, Assistant Director_.._...._.__.._ __Ext. 3519 Jason Collings, Solid Waste._ __._ ..»._.(509) 754-4319 Andy Booth, Bridge Supervisor _... _....... ..... ........... ExL 3536 CONTRACT THIS AGREEMENT, made and entered into between the Board of County Commissioners of Grant County, State of Washington, acting under and by virtue of Chapter 36.77 of the Revised Code of Washington, as amended, hereinafter called the County, and James J. Williams, a bulk service transport company at, P.O. Box 3456, Spokane, WA 99220, for itself, its heirs, executors, administrators, successors and assigns, hereinafter called the Contractor. WITNESSETH: That in consideration of the payments, covenants, and agreements, hereinafter mentioned, and attached and made a part of this agreement, to be made and performed by the parties hereto, and the parties hereto covenant and agree as follows: DESCRIPTION OF WORK: 1. The Contractor shall do all work and furnish all tools, materials, and equipment necessary to improve and complete Asphalt Hauling and Dispatch Services 2021- 2023, located in Grant County, Washington, as proposed in a bid opened 3:00 P.M., Tuesday, December 01, 2020 in accordance with and as described in the herein attached plans and standard specifications, and in full compliance with the terms, conditions, and stipulations herein set forth and attached, now referred to any by such reference incorporated herein and made part hereof as fully for all purposes as if here set forth at length, and shall perform any alterations in or additions to the work covered by this contract and every part thereof and any force account work may be ordered as provided in this contract and every part thereof. 2. The Contractor shall provide and be at the expense of all materials, labor, carriage, tools, implements and conveniences and things of every description that may be requisite for the transfer of materials and for constructing and completing the work provided for in this contract and every part thereof. 3. The County hereby promises and agrees with the Contractor to employ, and does employ the Contractor to provide the materials and to do and cause to be done the above described work and to complete and finish the same according to the attached plans and specifications and the terms and conditions herein contained, and hereby contracts to pay for the same according to the attached specifications and the schedule of unit or itemized prices hereto attached, at the time and in the manner and upon the conditions provided for in this contract and every part thereof. The County further agrees to employ the Contractor to perform any alterations in or additions to the work covered by this contract and every part thereof and any force account work that may be ordered and pay for same under the terms of this contract and the attached plans and specifications. 4. The Contractor for himself, and for his heirs, executors, administrators and assigns, and successors and assigns, does hereby agree to the full performance of all the covenants herein contained upon the part of the Contractor. Contract — Page 1 of 2 5. It is further provided that no liability shall attach to the County by reason of entering into this contract, except as expressly provided herein. 6. The Contractor hereby certifies by execution of the contract that he is registered or licensed as may be required by the laws of the State of Washington, Chapter 18.27 R.C.W. IN WITNESS WHEREOF, the said Contractor has executed this instrument, and the said Board of County Commissioners of aforesaid County has caused this instrument to be executed by and in the name of said Board by its Members, duly attested by its Clerk, the day and year first above written, and the seal of said Board to be hereunto affixed on the date in this instrument first above written. EST: v. cleat APPROVED AS TO ORM-: ± day of �t c r.w y�i , 2020 At,- Kevin McC f)eputy Prosecuting Atuxney WSPA 31031 December 15th 2020 Robert G. Fieskett Print Name Hulk Service Transport, Inc., d/b/a James J. Williams Firm Name 7405 S. Hayford ltd. AddrW Cheney w'A 99004 Ctry state Zip ( 509 )_623-4000 Phone DONE thi�ay of f��cnbsir , 2020 BUAKU OF COUNTY COMMISSIONERS F CO WASHINGTON emy Carter, J To or, yw Richard Stevens, amber C'antracr — Page 2 of 2 jjrF-oo_,K SERvic ^-'PANVSP�R� ACCESSORIAL AGREEMENT GRANT COUNTY PUBLIC WORKS EFFECTIVE DATE: JANUARY 1, 2021 RATES ARE SUBJECT TO CHANGE UPON MUTUAL AGREEMENT OF THE PARTIES CIRCUITOUS ROUTING: WHEN IT IS PHYSICALLY NECESSARY FOR CARRIER TO TRAVEL IN EXCESS OF THE NORMAL ROUTE THE CARRIER SHALL CHARGE $2.75 PER EXCESS MILE BORDER CROSSING DETENTION: 1 HOUR FREE TIME, $100.00 PER HOUR THEREAFTER DETENTION: 1 1/2 HOURS FOR LOADING AND 2 HOURS FOR UNLOADING IS ALLOWED; ALL OTHER TIME NOT ATTRIBUTABLE TO THE CARRIER WILL BE CHARGED FOR AT A RATE OF $25.00 PER QUARTER HOUR DIVERSION: $75.00 PLUS THE MILEAGE FROM THE POINT OF ORIGIN VIA THE DIVERSION POINT TO THE FINAL DESTINATION TO DETERMINE THE RATE EMERGENCY SAME DAY SERVICE CHARGE: INSIDE OF 24 HOUR NOTIFICATION_WINDOW, $185.00 MINIMUM CHARGE EMPTY MILEAGE: $2.75 PER MILE. THE TOTAL MILEAGE MINUS 200% OF THE LOADED MILES SHALL BE THE METHOD FOR CALCULATING EMPTY MILES FUEL SURCHARGE: ALL LOADS SUBJECT TO THE APPLICABLE FUEL SURCHARGE AT THE TIME OF SHIPMENT HOLIDAY DELIVERY SURCHARGE: $185_.00. APPLIES TO NEW YEARS DAY, MEMORIAL DAY, 4TH OF JULY, LABOR DAY, THANKSGIVING DAY AND CHRISTMAS DAY HOSES: CARRIER WILL PROVIDE TWO (2) TWENTY FOOT HOSES FOR LOADING AND UNLOADING. ADDITIONAL TWENTY FOOT LENGTHS WILL BE CHARGED AT $35.00 PER LENGTH _. IN -PLANT TRANSFERS: $100.00 PER HOUR FROM THE TIME THE EQUIPMENT LEAVES THE CARRIERS TERMINAL UNTIL IT RETURNS. NO MILEAGE CHARGE SHALL BE ACCESSED MILEAGE: CALCULATED USING PCMILER (PRACTICAL) MILES, VERSION 26.0 OUT OF ROUTE MILES (WEATHER OR ROAD CLOSURES): MILES EXCEEDING ORIGINAL ROUTE, EXCESS MILES AT PREVAILING RATE PRELOAD CHARGE: $175.00 PUMP CHARGE: WHEN CARRIER IS REQUIRED TO FURNISH A PUMP TO LOAD OR_UNLOAD,-AN ADDITIONAL CHARGE OF $50.00_ WILL BE ASSESSED RE -DELIVERY OR RE -PICKUP: WHEN, DUE TO NO FAULT OF THE CARRIER, A SHIPMENT MUST BE REMOVED FROM THE CONSIGNEE'S PREMISES PRIOR TO THE COMPLETION OF LOADING OR UNLOADING, THE SHIPPER WILL BE CHARGED A $185.00 FEE, IN ADDITION TO A $2.75 PER MILE FOR ALL MILES OF OPERATION, AND $100.00 PER HOUR FOR ALL LOAD, UNLOAD AND STANDBY TIME. WHEN SERVICE IS PERFORMED WITHIN THIRTY MILES OF THE CARRIER'S TERMINAL, THE SHIPPER WILL BE CHARGED A $185.00 FEE, IN ADDITION TO THE HOURLY RATE OF $100.00 PER HOUR FROM THE TIME THE VEHICLE LEAVES THE TERMINAL UNTIL IT RETURNS, INCLUDING DRIVING TIME. -- RETURNED SHIPMENTS: SHIPMENTS CONTAMINATED OR REJECTED FOR REASONS NOT ASCRIBABLE TO THE CARRIER AND RETURNED TO THE ORIGINAL POINT OF LOADING, THE CARRIER WILL CHARGE FOR ANY ADDITIONAL MILES AT A RATE OF $2.75 PER MILE AND ANY ADDITIONAL HOURS AT A RATE OF $25.00 PER QUARTER HOUR, SUBJECT TO A MINIMUM CHARGE OF $350.00 _ _..... .._. SAME DAY ORDER/SHIPMENT CHARGE: WHEN JJW RECEIVES AND AGREES TO DELIVER A SAME DAY ORDER, AN ADDITIONAL CHARGE OF $250.00 WILL APPLY. SCALE CHARGES: $20.00 PER WEIGHT. TIME REQUIRED TO WEIGH THE SHIPMENT SHALL BE COUNTED AS PART OF THE LOAD/UNLOAD TIME AND MAY BE SUBJECT TO DETENTION CHARGES. WHEN CARRIER IS REQUIRED TO TRAVEL MORE THEN TEN MILES TO OBTAIN SCALE WEIGHTS, A CHARGE OF $2.75 PER MILE WILL BE ASSESSED FOR ALL MILES TRAVELED. STOPS IN TRANSIT: 85.00 PER STOP. ONLY ONE HOUR WILL. BE ALLOWED FOR LOADING AND OR UNLOADING AT EACH POINT BEFORE DETENTION CHARGES SET IN. SPOTTING TRAILERS: A RATE OF $2.75 PER MILE FOR ALL MILES OF OPERATION AND $25.00 PER QUARTER HOUR FOR ALL TIME SPENT. SUBJECT TO A MINIMUM CHARGE OF $185.00 _... TRAILER RENTAL & STORAGE CHARGES: 2 AXLE $500.00 PER DAY; 3 & 4 AXLE $800.00 PER -DAY TRUCK ORDERED NOT USED: WHEN AN ORDER IS PLACED EWA CUSTOMER AND SUBSEQUENTLY CANCELLED, A CHARGE OF $2.75 PER MILE, FOR ALL MILES OF OPERATION WILL BE ASSESSED, PLUS A CHARGE OF $25.00 PER QUARTER HOUR FOR ALL LOAD, UNLOAD AND STANDBY TIME. WHEN SERVICE IS PERFORMED WITHIN 30 MILES OF CARRIER'S TERMINAL, THE HOURLY RATE WILL APPLY FROM THE TIME THE VEHICLE LEAVES THE TERMINAL UNTIL IT RETURNS, INCLUDING DRIVE TIME. MINIMUM CANCELLATION CHARGE IS $185.00. WASHOUTS: WHEN WASHOUT IS REQUESTED OR REQUIRED, ACTUAL COST ' DENOTES INCREASE IN RATE R DENOTES REDUCTION IN RATE . DENOTES CHANGE AND/OR ADDITION R BE17 G. HESKE EF OPERATING OFFICER JAMES J. WILLIAMS DATE: 12/15/2020 I OF 1 C0!§'rOMERVIGNATURE" GRANT COUNTY PUBLIC WORKS - I r FUEL SURCHARGE AGREEMENT GRANT COUNTY PUBLIC WORKS EFFECTIVE DATE: JANUARY 1, 2021 FUEL PRICES WILL BE AMENDED EACH MONDAY WHEN THE ENERGY INFORMATION ADMINISTRATION (E.I.A.) FUEL INDEX IS ANNOUNCED AND WILL BECOME EFFECTIVE ON TUESDAY. UPON REQUEST, THE CARRIER WILL ADVISE THE CUSTOMER BY FAX OR EMAIL OF THAT WEEK'S INDEX EACH TUESDAY. THE REDUCTION OR INCREASE WILL APPLY AS SPECIFIED BELOW FROM TUESDAY THROUGH THE FOLLOWING MONDAY BASED UPON THE E.I.A. FUEL INDEX FOR THE AREAS DEFINED AS NATIONAL, WEST COAST, AND INTRA -CALIFORNIA. WEST COAST: SHIPMENTS MOVED WITHIN (EXCEPT CA) OR BETWEEN AZ, CA, CO, ID, MT, NM, NV,OR, LIT, WA, WY NATIONAL: SHIPMENTS MOVED BETWEEN THE STATES ABOVE AND ALL OTHER STATES (C) THE PERCENTAGE OF DISCOUNT OR INCREASE WILL BE APPLIED AS A LINE ITEM TO THE FREIGHT INVOICE. (D) THIS ADDENDUM WILL COMMENCE UPON MUTUAL AGREEMENT OF THE CARRIER AND THE CUSTOMER AND WILL REMAIN IN EFFECT UNTIL THE CARRIER AND CUSTOMER MUTUALLY AGREE TO DISPENSE WITH IT. ONCE IT HAS BEEN CANCELLED, EITHER PARTY MAY REINSTATE IT IMMEDIATELY BY MUTUAL AGREEMENT OF AN EFFECTIVE DATE. Fuel Index 2.009 Percentage 8.80% Fuel Index 2.249 Percentage 11.20% Fuel Index 2.489 Percentage 13.60% Fuel Index 2.729 Percentage 16.00% Fuellndex 2.969 Percentage 18.40% Fuel Index 3.209 Percentage 20.80% 2.019 8.90% 2.259 11.30% 2.499 13.70% 2.739 16.10% 2.979 18.50% 3.219 20.900 2.029 9.00% 2.269 11.40% 2.509 13.80% 2.749 16.20% 2.989 18.60% 3.229 21.00% 2.039 9.10% 2.279 11.50% 2.519 13.90% 2.759 16.30% 2.999 18.70% 3.239 21.10% 2.049 9.20% 2.289 11.60% 2.529 14.00% 2.769 16.400/b 3.009 18.80% 3.249 21.20% 2.059 9.30% 2.299 11.70% 2.539 14.10% 2.779 16.50% 3.019 118.90% 3.259 21.30% 2.069 9.40% 2.309 11.80% 2.549 14.20% 2.789 16.60% 3.029 19.00% 3.269 21.40% 2.079 9.50% 2.319 11.90% 2.559 14.30% 2.799 16.700/b 3.039 19.10% 3.279 21.50% 2.089 9.60% 2.329 12.00% 2.569 14.40% 2.809 16.80% 3.049 19.20% 3.289 21.60% 2.099 9.70% 2.339 12.10% 2.579 14.50% 2.819 16.90% 3.059 19.30% 3.299 21.70% 2.109 9.80% 2.349 12.20% 2.589 14.60% 2.829 17.00% 3.069 19.40% 3.309 21.80% 2.119 9.90% 2.359 12.30% 2.599 14.70% 2.839 17.10% 3.079 19.50% 3.319 21.90% 2.129 10.00% 2.369 12.40% 2.609 14.80% 2.849 17.20% 3.089 19.60% 3.329 22.00% 2.139 10.10% 2.379 12.500/o 2.619 14.90% 2.859 17.30% 3.099 19.70% 3.339 22.10% 2.149 10.20% 2.389 12.600% 2.629 15.00% 2.869 17.40% 3.109 19.80% 3.349 22.20% 2.159 10.30% 2.399 12.70% 2.639 15.10% 2.879 17.50% 3.119 19.90% 3.359 22.30% 2.169 10.40% 2.419 12.80% 2.649 15.20% 2.889 17.60% 3.129 20.00% 3.369 22.40% 2.179 10.50% 2.419 12.90% 2.659 15.30% 2.899 17.70% 3.139 20.10% 3.379 22.50% 2.189 10.60% 2.429 13.00% 2.669 15.40% 2.909 17.80% 3.149 20.20% 3.389 22.60% 2.199 10.70% 2.439 13.10% 2.679 15.50% 2.919 17.90% 3.159 20.30% 3.399 22.70% 2.209 10.80% 2.449 13.20% 2.689 15.60% 2.929 18.00% 3.169 20.40% 3.409 22.80% 2.219 10.90% 2.459 13.30% 2.699 15.70% 2.939 118.10% 3.179 20.50% 3.419 22.90% 2.229 111.00% 2.469 13.40% 2.709 15.80% 2.949 118.20% 3.189 20.60% 3.429 23.00% 2.239 111.10% 2.479 13.50% 2.719 15.90% 2.959 18.30% 3.199 20.70% 3.439 23.10% RCFBERT G. HESKETT, CHIEF OPERATING OFFICER JAMES J. WILLIAMS DATE: 12/1 i/?.O?.O 1 OF 2 CUSTOMER SIGNATURE - GRANT COUNTY PUBLIC WORKS (A) �L}L.K SERVI,�Ir rAnr.IsvaRT FUEL SURCHARGE AGREEMENT (extended) GRANT COUNTY PUBLIC WORKS EFFECTIVE DATE: JANUARY 1, 2021 FUEL PRICES WILL BE AMENDED EACH MONDAY WHEN THE ENERGY INFORMATION ADMINISTRATION (E.I.A.) FUEL INDEX IS ANNOUNCED AND WILL BECOME EFFECTIVE ON TUESDAY. UPON REQUEST, THE CARRIER WILL ADVISE THE CUSTOMER BY FAX OR EMAIL OF THAT WEEK'S INDEX EACH TUESDAY. (B) THE REDUCTION OR INCREASE WILL APPLY AS SPECIFIED BELOW FROM TUESDAY THROUGH THE FOLLOWING MONDAY BASED UPON THE E.IA. FUEL INDEX FOR THE AREAS DEFINED AS NATIONAL, WEST COAST, AND INTRA -CALIFORNIA. WEST COAST: SHIPMENTS MOVED WITHIN (EXCEPT CA) OR BETWEEN AZ, CA, CO, ID, MT, NM, NV,OR, UT, WA, WY NATIONAL: SHIPMENTS MOVED BETWEEN THE STATES ABOVE AND ALL OTHER STATES (C) THE PERCENTAGE OF DISCOUNT OR INCREASE WILL BE APPLIED ASA LINE ITEM TO THE FREIGHT INVOICE. (D) THIS ADDENDUM WILL COMMENCE UPON MUTUAL AGREEMENT OF THE CARRIER AND THE CUSTOMER AND WILL REMAIN IN EFFECT UNTIL THE CARRIER AND CUSTOMER MUTUALLY AGREE TO DISPENSE WITH IT. ONCE IT HAS BEEN CANCELLED, EITHER PARTY MAY REINSTATE IT IMMEDIATELY BY MUTUAL AGREEMENT OF AN EFFECTIVE DATE. Fuel Index 3.449 Percentage 23.20% Fuel index 3.689 Percentage 25.60% Fuel Index 3.929 Percentage 28.00% Fuel Index 4.169 Percentage 30.40% Fuel Index 4.409 Percentage 32.80% Fuel Index 4.649 Percentage 35.20% 3.459 23.30% 3.699 125.70% 3.939 28.10% 4.179 30.50% 4.419 32.901% 4.659 35.30% 3.469 23.40% 3.709 125.80% 3.949 28.20% 4.189 30.60% 4.429 33.00% 4.669 35.40% 3.479 23.50% 3.719 125.90% 3.959 28.30% 4.199 30.70% 4.439 33.10% 4.679 35.50% 3.489 23.60% 3.729 126.00% 3.969 28.40% 4.209 30.80% 4.449 33.20% 4.689 35.60% 3.499 23.70% 3.739 26.10% 3.979 28.50% 4.219 30.90% 4.459 33.30% 4.699 35.70% 3.509 23.80% 3.749 26.20% 3.989 28.60% 4.229 31.00% 4.469 133.40% 4.709 35.80% 3.519 23.90% 3.759 26.30% 3.999 28.70% 4.239 31.10% 4.479 133.50% 4.719 35.90% 3.529 24.00% 3.769 26.40% 4.009 28.80% 4.249 31.20% 4.489 33.60% 4.729 36.00% 3.539 24.10% 3.779 26.50% 4.019 28.90% 4.259 31.30% 4.499 33.70% 4.739 36.10% 3.549 24.20% 3.789 26.60% 4.029 29.00% 4.269 31.40% 4.509 33.80% 4.749 136.20% 3.559 24.30% 3.799 26.70% 4.039 29.10% 4.279 31.50% 4.519 33.90% 4.759 136.30% 3.569 24.40% 3.809 26.80% 4.049 29.20% 4.289 31.60% 4.529 34.00% 4.769 36.40% 3.579 24.50% 3.819 26.90% 4.059 129.30% 4.299 31.70% 4.539 34.10% 4.779 36.50% 3.589 24.60% 3.829 27.00% 4.069 29.40% 4.309 31.80% 1 4.549 34.20% 4.789 36.60% 3.599 24.70% 3.839 27.10% 4.079 29.50% 4.319 31.90% 4.559 34.30% 4.799 36.70% 3.609 24.80% 3.849 27.20% 4.089 29.60% 4.329 32.00% 4.569 34.40% 4.809 36.80% 3.619 24.90% 3.859 27.30% 4.099 29.70% 4.339 32.10% 4.579 34.50% 4.819 36.90% 3.629 25.00% 3.869 27.40% 4.109 29.80% 4.349 32.20% 4.589 34.60% 4.829 37.00% 3.639 25.10% 3.879 27.50% 4.119 29.90% 4.359 32.30% 4.599 34.70% 4.839 37.10% 3.649 25.20% 3.889 27.60% 4.129 30.00% 4.369 32.40% 4.609 34.80% 4.849 37.20% 3.659 25.30% 3.899 27.70% 4.139 30.10% 4.379 32.50% 4.619 34.90% 4.859 37.30% 3.669 25.40 o 3.909 27.80% 4.149 30.20% 4.389 32.60% 4.629 35.00% 4.869 37.40% 3.679 25.50% 3.919 27.90% 4.159 130.30% 4.399 32.70% 4.639 35.100% 4.879 37.50% RbBERT G. HESKETT, CHIEF OPERATING OFFICER JAMES J. WILLIAMS DATE: 12/15/2020 2 OF 2 CUSTOMER SIGNATURE GRANT COUNTY PUBLIC WORKS vtie ---1 TRANINC-04 LTATHAM ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 12/15/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Lisa Tatham Alliant Insurance Services, Inc. a/coNN , ut): (509 343-9221 FAx (509 325-1803 818 W Riverside Ave Ste 800 ) (ac, No): ) Spokane, WA 99201 ADDRIESS: Lisa.Tatham@alliant.com INSURED Bulk Service Transport dba James J Williams PO Box 3456 Spokane, WA 99220 vrnwn=cam n=nr101^AT=►111\10=0. 0=\/IC1A1I Ul I111IQCD• 19437 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTRA TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICOY EFF POIYYYYI LICY EXP LIMITS AUTHORIZED REPRESENTATIVE X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR X Blanket Add'I Insd X H020CGLO955211C 10/1/2020 10/1/2021 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 50,000 PRE 1 S Ea occurrence $ MED EXP An one person)$ 5,000 X CG2010 7/04 PERSONAL & ADV INJURY $ 1'000'000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY EI PE&- FX] LOC OTHER: GENERAL AGGREGATE $ 2'000'000 PRODUCTS - COMP/OP AGG $ 2,000,000 AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS yy p AUS ONLY AUOTNOS ONLY 1 L COMBINED SINGLE LIMIT $ BODILY INJURY Perperson) $ BODILY INJURY Per accident $ PROPERTY DAMAGE Per accident $ UMBRELLA LIAS EXCESS LIAR HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE DED I I RETENTION $ $ A WORKERS COMPENSATION ANDEMPLOYERS' LIABILITY Y ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ FFICER/MEMBER EXCLUDED? Mandatory In NH) If yes, descrbe under DESCRIPTION OF OPERATIONS below N / A` H020CGLO955211C 10/1/2020 10/1/2021 PERTUTE I XOTH- STA ER 1,000,000 E.L. EACH ACCIDENT $ 1 ,000,000 E.L. DISEASE. EA EMPLOYE $ 1,000,000 I E.L. DISEASE - POLICY LIMIT B Motor Truck Cargo 066095457 10/1/2020 10/1/2021 $500,000 Limit DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Ergon Asphalt and Emulsions Inc. is additional insured as required by written contract or agreement per policy form attached. n=0T1=1rAT= unl n=0 r`Aklr`CI 1 ATInKI ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Er on Asphalt and Emulsions Inc. 9 P THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 16710 East Euclid Ave Spokane Valley, WA 99216 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG 2010 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Additonal Insured Person(s) or Organizations Locations of Covered Operations Any person organization for whom you are performing operations during the policy period when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as additional insured on your policy. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. 1. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily inpry", "property damage" or "personal and advertising injury" caused, in whole or in part, by: a. Your acts or omissions; or b. The acts or omissions of those acting on your behalf, in the performance of your ongoing operations for the additional insured(s) atthe location(s) designated above. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to " bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; cr That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 2010 07 04 Page 1 of 1 A� V CERTIFICATE OF LIABILITY INSURANCE DATE 12/1 /202YYY) 12/15/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 1-406-523-3934 American Trucking and Transportation Insurance CompanyPHONE A Risk Retention Group PO Box 8509 CONTACT Tricia Cri NAME: PPen (406) 523-3934 FAX 406) 523-3935 AIC No Ell: AIC No E-MAIL certificates@atticrrg.com ADDRESS: g• INSURERS AFFORDING COVERAGE NAIC # Missoula, MT 59807-8509 INSURER A: AMERICAN T & T INS CO RRG 11534 INSURED INSURER B: INSURERC: Bulk Service Transport, Inc. dba James J. Williams, Inc. _ INSURER D: 146 Industrial Way INSURER E: Longview, WA 98632 INSURER F: CnVFRAGFS CERTIFICATE NUMBER: 60878969 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDLISUBR1 INSRI, Spokane Valley, WA 99216 POLICY NUMBER MM/ DLICY/YYYY EXP MM/ DPLICYIYYYY LIMITS LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Anyone person) $ CLAIMS -MADE F-1 OCCUR PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ $ POLICY PRO LOC A AUTOMOBILE LIABILITY ATTSTJ120 01/01/2 01 /01/21 COMBINED SINGLE LIMIT Ea accident $5,000,000 BODILY INJURY (Per person) $ R ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS - PROPERTY DAMAGE $ Per accident NON -OWNED HIRED AUTOS AUTOS _. $ g Trailer g $75,000 UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/ N ANY PROPRIETOR/PARTNER/EXECUTIVE WC STATU- OTH- TWY M T R E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) N / A E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate holder is named as additional insured as their interests may appear with respects to auto liability, per policy terms, conditions, exclusions, endorsements, and limitations. !`C10'ril f`eTF un1 nGR CANCFI I ATION ACORD 25 (2010/05) lslama 60878969 © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Ergon Asphalt and Emulsions Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 16710 East Euclid Ave AUTHORIZED REPRESENTATIVE Spokane Valley, WA 99216 USA ACORD 25 (2010/05) lslama 60878969 © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD /r a TR ANS 1 5 STEM COMPANY December 15, 2020 Grant County Department of Public Works 124 Enterprise St. S.E. Ephrata, WA 98823 Ph. (509) 754-6082 Attn. Sam Dart RE: Contract Award - Asphalt Hauling & Dispatch Services 2021-2023 Included are 3 signed copies of the Contract, James J. Williams' standard Accessorial Agreement and Fuel Surcharge Agreement. Also included are current copies of the Ergon Asphalt & Emulsions Auto Liability, Commercial General Liability, Cargo and Work Comp certificates. Please note, we are pending the Auto Liability renewals for 2021 and an updated copy will be sent as soon as possible. Please contact our team for dispatching at iiwcsra-trans-system.com or (509) 625-3915. At your earliest convenience, please return countersigned copies of the Contract, James J. Williams Accessorial Agreement and Fuel Surcharge Agreement. Sincerely, Heather Thomas James J. Williams Pricing Coordinator Encl. 3 Signed Contracts, 3 copies of JJW's standard Accessorial Agreement, Fuel Surcharge Agreement & Ergon Asphalt Insurance Certificates P.O. Box 3347, Spokane. WR 99220 1-888.525.4157 T&%380-673.1880 hwilliams-com