remodel Staff report 11-8-05 001
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6 City of Yelm
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STAFF REPORT
XELM
To: Mayor Adam Rivas ,n
Yelm City Council
From, Shelly Badger
Date: November 8, 2005 (for Nov, 22nd council meeting)
Subj: City Hall Remodel Project
Recommendation
To authorize staff to release retainage in the amount of $12,163.33 to AM James
Company, Inc.
Background
In December of 2003, AM James Company submitted the responsive low bid for the city
hall remodel project . Construction began in 2004 and was deemed substantially
complete in October of 2004, with a punchlist of remaining work to be completed.
Current Situation
At present, the city hall remodel project has been deemed complete and all required
paperwork has been filed for the necessary release of retainage.
fell P"h(''
nor„:. ri~?.~~ f~rrlv_I ~f1fl
November 8, 2005 Page 1 of 1
a~ FT"f°12 City of Yelm
i M
YELM STAFF REPORT
To: Mayor Adam Rivas
Yelm City Council
From: Shelly Badger
Date: November 8, 2005 (for Nov. 22nd council meeting)
Subj: City Hall Remodel Project
Recommendation
To authorize staff to release retainage in the amount of $12,163.33 to AM James
Company, Inc.
Background
In December of 2003, AM James Company submitted the responsive low bid for the city
hall remodel project . Construction began in 2004 and was deemed substantially
complete in October of 2004, with a punchlist of remaining work to be completed.
Current Situation
At present, the city hall remodel project has been deemed complete and all required
paperwork has been filed for the necessary release of retainage.
November 8, 2005 Page 1 of 1
Slate Box 7 of W'ashi Revorngum nue
Depanm447e
0" 474
OI)mpia WA 98504-7474 Contractor's Tax Registration No. (UBI No.) 601 287 180
Date 10/13/05
NOTICE OF COMPLETION OF PUBLIC WORKS CONTRACT
From:
Name & Address of Public Agency Department Use Only
City of Yelm Public Works Assigned To
PO Box 479
901 Rhoton Road
Yelm, WA 98597 Date Assigned
Notice is hereby given relative to the completion of contract or project described below
Description of Contract Contract Number
Yelm City Hall Remodel Project N/A
Contractor's Name Telephone Number
AM James Company Inc 253-851-5564
Contractor's Address
PO Box 815, Gig Harbor, WA 98335
Date Work Commenced Date Work Completed Date Work Accepted
12/31/03 9/23/05 9/23/05
Surety or Bonding Company
Western Surety Company
Agent's Address
PO Box 1068, Houston, TX 77251-1068
Contract Amount $ 172,582.00
Additions $ + 70,684.50 Liquidated Damages $ 0.00
Reductions $ 0.00
Sub-Total $ 243,266.50 Amount Disbursed S 251,537.56
Amount of Sales Tax Paid at 8.4% $ 20,434.39 Amount Retained S 12.163.33
(7fvarious rates apply, p/ease send o breakdown.) _
TOTAL S 263,700.89 TOTAL S 263,700.89
Disburser Officer
Comments:
Contact Name Stephanie Ray
Phone Number 360-458-8414
E-mail Address stephanier(dci.yelnt.wa.us
The Disbtu sing Officer must complete and mail THREE copies of this notice to the Department of Revenue,
PO Box 47,174, Olympia, WA 98504-7474, immediately after acceptance of the work done under this contract. NO
PAYMENT SHALL BE MADE FROM RETAINED FUNDS until receipt of Department's certificate, and then only in
accordance with said certificate,
For lax assistance visit http://dor.wa,gov or call 1-800-647-7706. To inquire about the availability of this document in an alternate format
for the visually impaired, please call (360) 705-6715. Teletype (TTY) users may call 1-800-451-7985.
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September 27, 2005
Shelly,
Per the specifications AM James owes us the following:
I. One gallon paint of each color used. Sealed
2. Warranty for roll up door. 2 years from substantial completion
3. Warranty for wood doors. Life time.
4. Warranty for hardware. One • at for hardware, closures 10 year and electric 2
years.
5. Warranty for windows. Five year.
6. Warranty for carpet. Fifteen year.
7. Carpet and tile samples
I,E ^-FlVE13
CNAsuRErY "V 1 5 2004 CONTRACT STATUS INQUIRY
4
Per..--
Please complete the information below, sign and return to Surety Company:
Surety Company and Address Date Mailed: 11/12/2004
Western Surety Company
701 5th Avenue, Suite 1100 Original Contract Price: $187,078.00
Seattle, WA 98104 Bond Number: 22704143
Effective Date: 12/18/2003
Underwriter: GJH Office: WA
Contractor's Name aad Address Obligee or Contact
A. M. James Company, Inc. City of Yelm
P. 0. Box 815 P.O. Box 479
Gig Harbor, WA 98335 Yelm, WA 98597
Description of Contract
City Hall Improvements
1. If contract is completed, please state:
Date of Completion Date of Acceptance Fiual Contract Price
i
tbb1i, ~ 44 1°L7
2. If contract is uncompleted, please state: -r
Anticipated completion date: ~ - L
Approximate % or dollar amount of contract completed or delivered: t
3. Do you know of any unpaid bills for labor or material? ?Yes ?No 0 S (7~
4. Addit7rial Comments:
(icflul<r/ 1~r~~ N(!T fx~,'n it'i~i,~r<~' ~2~c~' 1,~rlrrl ,~~',w(t
l yl Ar f l-w / -c r l
Without prejudicing your right or affecting our liability under our bond(s) described above, we would appreciate as
much of the above information as is now available.
It is understood that the information contained herein is furnished as a natter of courtesy for the confidential use of the
surety and is merely an expression of opinion. It is also agreed that in furnishing this information, ao guaranty or
warranty of accuracy or correctness is made and no responsibility Is assumed as a result of reliance by the surety,
whether such information is furnished by the owner or by as architect or engineer as the agent of the owner.
Nays( - Title - rl-1 ,~l///Ill hG C Dete
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Page 1 of 8
Prevailing Wage
Verification of Approved Intents and Affidavits Submitted
through the LNI-PWIA Internet System
111 records found.
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A/I Com an Reg. Id Agency Project Prime Contrac
Id: 44546 COMPANY INC AMJAMCI066RB CITY OF CITY HALL IMP COMPANY II`
IdA69298 CO PANY INC AMJAMCI066RB CITY OF IOVEMENT
COMPANY TT
IdA69299 CA M JAMES YELM CITY M JAMES
HALL
INC AMIAMC1066RB ITY OF I
COMPANY TT
P 14926 A ESERV CDOOR AEXPEDSOSOSQ CITY OF Eyelm
r exp ns on CONS IRUCTI,
Afdvt A-EXPERT DOOR YELM, elm community JODY MILLE
Id: 22672 SERVICE AEXPEDSOSOSQ CITY OF center expansion CONSTRUCTI,
INC
Intent APPLE ELECTRIC LM, A M JAMES
Id: 24660 I& COMPANY INC APPLEECOSSBR CITY OF CIMPROV HALL
COMPANY IN
Intent APPLY ALINE APPLYI*161RU YELM, 103rd Street SE W E & B LTI
Id: 92851 INC CITY OF Improvements
Afdvt YELM, Well Pump 2 HISEY
Id: 10330 AQUA FLO INC AQUAFI*099QG CITY OF Upgrade CONS INTRU
CCTI
ASSURED YELM CITY
Afdvt Q iNLCITY YELM. A M JAME£
Id: 29728 ENVRNMNTL ASSURQE98~NH CITY OF HALL COMPANY ID
IMPROVEMENTS
IdI 34886 ENQVVRNMNDTL ASSURQE982NH CITY OF IMPROVEMENTS HALL
COMPANY ID
INC
Intent YELM, Reclarmed Water
B ELECTRIC DGE ~
L ISLAND BAINBIE256JA CITY OF Storage Tank T BAILEY IN
Id: 66647
ELECT
hn-//....
Page 2 of 8
Id 67 89 B E Reclaimed Water IN
E S C RDC BAINBIE256JA CITY OF Storage Tank T BAILEY
BETSCHART HISEY
Afdvt ELECTRIC CO BETSCEC157BP YELM, Well Pump 2 CONSTRUCTI,
Id: 9255 INC CITY OF Upgrade INC
Pump
ade 2 CON CTI
IdI 10321 ELECTRIC CO BETSCEC157BP CITY OF WUpgr
INC INC
pgrade 7 HISEY
U CON CTI
1dA10375 CONSTRUCTION BILLHC*077ND CITY OF Well
INC
WATER SYS
P 31307 CONSTRCCTION BOSSCI*083N5 CITY OF STOR
AGE TTABLE ANK TANK
COINCW
BOULTON CITY OF YELM
Intent INSULATION CO BOULTI*304136 YELM, CITY HALL A M JAMES
Id: 25832 INC CITY OF IMPROV COMPANY ID
Intent BOULTON YELM, YELM CITY A M JAMETS
Id: 28833 INSULATION CO BOULTI 30466 CITY OF HALL COMPANY L•
INC IMPROVEMENT
BOULTON
Id 66376 IN UL~CON CO BOULTI*304B6 CITY OF IM ATONEMENTS COMPANYTIA
Id.436403 BRIDGE
COMPANY IT` HALL
& ASSOC RS BRIDGFA034P9 CITY OF IMPROVEMENTS
GE HALL A M JAMES
SSOC FLOORS BRIDGFA034P9 C TY OF IM RO EMENTS COMPANY ID
IdI 42072 B121& A
BUSH Id 1d1 9 PLUMBING & ME HANICAL BUS}IPMI077JA C TYMOF CITY OF YELM hA O ST INC
INC
IdI 28896 CAMPBELL-COX
HALL
FLOOR CV NG CAMPBCF174JE C TY OF IMPROVEMENTS
COMPANY ID
INC IdA36370 FLOGNCVRNG CAMPBCF174JE CIYELM, IF HALL
TY OF IMPRO EMENTS COMPANY ID
RECLAIMED
ntent IdI 64375 APO CATORS COATIAI085QT C TY OF WATER
TEE KENT T BAILEY IN IMETD
IdA66672 APPLO CATORS COATIA1085QT CITY OF FWAR SYS OVEMENTEM T BAILEY IN
innnMna
Page 3 of 8
INC & TANK
Intent CONTROLLED YELM, Stevens Street NE W00D&SO1
Id: 48714 RAIN LLC CONTRRL0246A CITY OF Roadway EARTHWK/UT
Improvements CON LLC1.
Afd CONTROLLED YELM, Stevens Street NE WOOD&SOI
Id: 55439 RAIN LLC CONTRRL0246A CITY OF Roadway EARTHWK/UT
Improvements CON LLC
YELM
COMMUNITY JODY MILLE
Afdvt D G D FLOORING DGDFL**038LP YELM, CHILD CARE CONSTRUCTI
Id: 53414 CITY OF AND YOUTH INC
CENTER
YELM
Intent YELM, COMMUNITY JODY MILLE
Id: 61494 D G D FLOORING DGDFL**088LP CITY OF CHILD CARE CONSTRUCTI,
AND YOUTH INC
CENTER
DAN'S FLOOR YEL~, ~YELMCITY JAMES
Id, 28497 HALL
COVERING'S DANSFC* 187PM C TY OF IM ROVEMENTS COMPANY fA
F-Afdvt DAN'S
Id: 36400 COVERING'S DANSFC*187PM CITY OF HALL IMP A M JAMES C
Intent Dreamtime Visual YELM, Dreamhme Vis
Id: 65002 Communications CITY OF City Entrance signs Communicatie
Afdvt ECONOMY ECONOEI268LD YELM, MILLE
COMMUNITY CON T UCTI,
Id: 35501 ELECTRIC INC CITY OF CENTER EXP INC
Intent ENGINEERED YELM, elm community JODY MILLE
ENGINEERED
Id: 14924 PRODUCTS INC ENGINPI013JK CITY OF enter expansion CONSTRUCTI
INC
Afdvt ENGINEERED YELM, yelm community JODY MILLE
Id: 22668 PRODUCTS INC ENGINPI013JK CITY OF center expansion CONSTUCTI
INC
EVERSON Water sY P
Sys r up
IdA4~082 ASPHALT EVERSAP066RO CITY OF Potable Water TANK & TOW
PAVING INC Storage Tank CO INC
EVERSON Water System Imp PITTSBURC
Intent ti'ELM,
Id: 50733 ASPHALT EVERSAP066R0 CITY OF Potable Water TANK & TOW
PAVING INC Storage Tank COINC
Afdvt FOSTER-BRAY YELM
FOSTEBC175RL YELM, CENTER M COJODY NS I
T UCTI
Id: X4711 CO INC CITY OF EXPANSION INC
GUARDIAN JODY MILLE
Intent SECURITY GUARDSS233K5CITY YELM, Centte OF Yee Community CONSTRUCTI
[d: 19610 SYSTEMS INC Center Expansion INC
n GUARDIAN ~ YELM JODY MILLE
httns //wwc7 wa onvAni/nwiannh/RearrhR ecnlt acn i oli wl no0
Page 4 of 8
E ON CONS UCTI
SECURITY ELM, IdA22323 SYSTEMS INC GUARDSS233K5 C TY OF COMMUNITY EI
IdI 215406 CABIN TSOINC HILLSCI151KF C TY OF Improvem ntsl COMPANY ID
Afdvt HILLSTROM HILLSCI75IKF YELM, Yelm City Hall A M JAMES
Id: 68999 CABINETS INC CITY OF Improvements COMPANY Ir YELM Id: 9276 CONSTRUCTION HISEYCI066QA C TY OF WUpgell ' CON ~NCCTI
INDUSTRIAL IdAla019 APPMARIN LLC INDUSMA994CW CITY OF WUpgrade 2 CON TIRCCTI
Id: 97 11 PAINTING NUS KETOLTP093M6 CIYELM, TY' OF CITY OF YELM KACO ST INC
Afdvt KEYSTONE KEYSTMI066KB YELM, Entrance Sign KEYSTONE
Id: 52774 MASONRY NC CITY OF Project 11 MASONRY IA
IdI 60989 MASONRY NC KEYSTM1066KB C TY OF EntProjectt MASONRONT,
Id: 68 84 MASONRY NC KEYSTMI066KB CITY OF Y clm Well #lA DRILLING IN
YELM
IdI 74120 MASONRY INC KEYSTMI066KB CITY OF Yclm Well #lA DRILLING I N
O
Id: 44472 INDUSTRIES LAKESI*274JD CITY OF IM ROVEMENTS V/WOOD FN
N LAKESIDE STROADWAY V/WOOD FON
INDUSTRIES CITY OF IMPROVEMENTS LLC
LAKESIDE Intent LAKESI*274JD V Id: 90489 INDUSTRIES CITY OF IMPROMENTS W E & B LTI
IdI 32880 L PLUMBING LAWPLH*989P8
HEANG CITY OF HALL IMP L HEATING
Afdvt LAW PLUMBING LAWPLH*989P8 YEHA LITY
YELM A M JAMES
Id: 67066 & HEATING CITY OF IMPROVEMENTS COMPANY Il`
LAWRENCE
Afdvt ECKLUND LAWREEF991QR YELM YELM CITY A M JAMES C
Id: 36405 FLOORING CITY OF HALL IMP INC
LAWRENCE YELM CITY
P91 ECKLUND HALL M JAMES
FLOORING CITY OF IMPROVEMENTS COMPANY ID
IdA204 4 ASSSOCI TES LOOKEAHOIPP C IT OF EAS DPW VKVE ASOSOCIATE
INC
INC
https://wws2.wa.ROV9ni/pwiapub/SearcbRcsult.asp 10/10/2005
Page 5 of 8
Afdv[ MIKE PAUL MIKEPD*171NJ YELM, CI CITY OF YEM A M JAMES
COMPANY ID
Id: 21367 DRYWALL CITY OF ITY HA L
MIKE IdI 25337 L CITY OF CITY OF YELM M JAMES
MIKEPD 171NJ CITY HALL
DRYWALL COMPANY IA
IMRPOV
NORTHERN
Intent ACOUSTICAL NORTHI*214BR YELM, yellm city hall a mjames co
id. 28182 SYS CO INC CITY OF improvements
NORTHERN
Afdvt ACOUSTICAL NORTHI*214BR YELM, YELM CITY A M JAMES
Id: 37908 SYS CO INC CITY OF HALL IMP COMPANY ID
IdA55744 ASCAD INC NORTHCI148BG TY EL FNTFTHWES
OF QFC #113 ASCAD IN YELM, IdA57298 ASR H INC NORTHCI148BG CITY OF 311 CUNW NS RD NORTHWES
N
IdI 63269 ASCADEENC NORTHCI148BG CITY OF LM' QFC #113 YELM IdI 64657 ASCAD ENC NORTHCII4SBG C TY OF 311 CUNT NS RD CANRTHWES
SCADE IN
IdA61875 LIN N S &T D C TY OF CITRY OFAYRELM ~FKORTHWES
LININ S &
Id I
I 67243 LIN N S &T CITY OF CITR OFA Y ELM
&
Afdvt NORTHWEST YELM, NORTH
Id: 68594 LININGS & CIT}' OF CITY OF YELLM
GS
GOETEXTILES LININGS
Afdvt N[LM1
NORTHLG 189J6 YELM, CITY OF YELM N LORTHWES
ININGS &
Id: 68191 CITY OF GEOTEXTIL.
Intent NORTHWEST YELM,
LNG/GEOTXTL NINGS &
CITY NO
Id: 77343 NORTHLG189J6 OF CITY OF YELM LININGS &
PRD INC GEOTEXTIL.
P ntent 49 NORTON YELM, RECLAIMED 663 CORROSION NORTOCLOSSPT CITY OF WATER T BAILEY IN
LIMITED LLC
STORAGE TANK 11
NORTON RECLAIMED
Afdvt CORROSION NORTOCLOSSPT YELM, WATER T BAILEY IN
Id: 69873 LIMITED LLC CITY OF STORAGE TANK
Intent Ovcrs ra Removal YELM, Vehicle Overs ra PITTSBURC
Id: 68272 Specialists, Inc. CITY OF Removal Projecty TANK & TOW
CO INC
Afdvt P R SYSTEMS YELM, SR 507 CLARK
Id: 2071 INC PRSYSI*099DM CITY OF RD INTERSEC W E & B LTI
IMPROVE
WELL #lA F-
https://wws2.wa.gov/lni/pwiapub/SearchResult.asp 10/10/2005
Page 6 of 8
Afdvt
Id: 69497 PEA INCSONS pEASES*302P0 C TY OF CO PROJECTION DRI L LING IN
IdI 70830 PEA IN/CSONS CITY OF WELL CTI DRL ING IN
PEASES 302P0 CONSTRUCTION
PROJECT
IdI 92264 & R OFINGONC PERKICR995LN CITY OF City Hall & ROOFING It
PITTSBURG City of Yelm PITTSBURC
IdI 30747 TANK &
INOWER PITTSTT999DK C TY OF SPotable torage Water TANK W
GO
I33BN C TY OF L IMPIRIf O GONO
CITY
Q& OL NG QUALINH0
C HAL
COMPANM It`
QUALITY NW
Afdvt HTG & COOLING QUALINHO33BN YELM, yelm city hall A M JAMES
Id: 70346 CITY OF improvements COMPANY III
INC Afdv[ ROADRUNNER ROADRSI016DZ YELM, Stevens
Roadway Street E WO WK/ OT
Id: 55456 STRIPING INC CITY OF Improvements CON LLC
Intent ROAD RUNNER YELM, Stevens Street WOOD&SOi
Id: 60556 STRIPING INC ROADRSI016DZ CITY OF Roadway EARTHWK/UT
Improvements CON LLC
Afdvt SS YELM, YELM JODY MILLE
Id: 21625 LANDSCAPING SSLANSI062CS CITY OF COMMUNITY CONSTRUCTI,
SERVICES INC YCS/UCBO CTR EXPANSION INC
Intent STARR INST & STARRIC004KR YELM, Yelm City Hall A M JAMES
Id: 25411 CABINETRY INC CITY OF Improvements COMPANY ID
Afdvt STARR NST & STARRIC004KR YELM, Yelm City Hall A M JAMES
Id: 68997 CABINETRY, C CITY OF Improvements COMPANY ID
Intent STATE PAINTING YELM, PTTSBURC
Id: 61991 CO INC STATEPC960QT CITY OF Yelm PM Tank TANK & TOW
CO INC
STEEL SYSTEMS WATER SYS IMP pITTSBLiRC
Intent TECHNOLOGY STEELST044BT YELM, POTABLE
TANK & TOW
Id: 34155 CITY OF
INC WATER ITC
STORAGE TANK
WATER SYSTEM
Afdvt STETEEL CHNOLOGY S STEELST044BT YELM, IMP POTABLE TANK &BTOW
Id: 35467 INC CITY OF WATER
CO ING
STORAGE TANK
Intent ~ YELM, Reclaimed Water
T BAILEY ING TBAILI*044CB
ld: 56793 CITY OF Storage Tank T BAILEY IN
Afdvt T BAILEY ING TBAILI*044CB YELM, Reclaimed Water T BAILEY IN
Id: 69979 CITY OF Storage Tank
TAURUS POWER TAURUPC982D2 City ofYetm Water PITTSBURC
Intent & CONTROLS YELM, System TANK & TOW
https://wws2.wa.gov/lni/pwiapub/SeuchResult.asp 10/10/2005
Page 7 of 8
Id: 324971 INC CITY OF Improvment CO INC
YELM JODY MILLE
Intent TECH ONE YELM, COMMUNITY INC
Id: 15172 SERVICES INC TECHOSI975J8 CITY OF CENTER CONSTRUCTI
EXPANSION
YELM JODI MCILLE
MMUNITY
CONSTRUCTI
Afdvt TECH ONE YELM, FEOXPANSION
Id: 22319 SERVICES INC TECHOSI975J8 CITY OF CENTER
TRADITIONAL ? YELM JODY MILLE
Afdv[ YELM, COMMUNITY
Id: 23971 HRDWD FLOORS TRADIHFl O1DZ CONSTRUCTI
INC CITY OF CENTER INC
EXPANSION
7473t22 YELM, YELM SENIOR
W E & B LTD WEBLT**133MG CITY OF MULTIIPURRPOSE W E & B
Id:Intent
90159 W E & B LTD WEBLT**133MG CITY OF 103RD STREET W E & B LTI
Intent WALLINGFORD YELM, ReclaimewdllWater WOOD&SOI
Id: 54656 INC WALLII*976J5 CITY OF System EARTHWK/UT
Improvements CON LLC
Intent WALLINGFORD YELM, Steven Street/ WOOD&SOJ
Id: 54677 INC WALLII*976J5 CITY OF Broadway EARTHWK/UT
Improvements CON LLC
Afdvt WALLINGFORD YELM. StPoStreet/ WOOD&SO?
Id: 55094 INC WALLII 976J5 CITY OF Broadway EARTHWK/THWK/UT
Im rovements CON LLC
YELM ODI MILLE
Intent WASHINGTON YELM, COMMUNITY
Id: 19143 ACOUSTICS INC WASHIAI044OW CITY
YELMOF CENTER CJODY MILLE
EXPANSION
YELM JODY MILLE
F26t85 WASHINGTON , COMMUNITY' INC
ACOUSTICS INC WASHIAI044OW CITY OF CENTER CONSTRUCTI
EXPANSION
Intent WESTERN YELM, Yelm Community JODY MILLE
Id: 9992 PARTITIONS INC WESTEPII72P6 CITY OF Center Expansion CONSTRUCTII
INC
Afdvt WESTERN YELM, Yelm Co Pmunity JODY MILLE
Id: 14189 PARTITIONS INC WESTEPII7..P6 CITY OF Center Expansion CONSTRUCTI
INC
WATER SYSTEM
I FENCE WILLAMETTE
MP POTABLE BOSS
WILLAFC095M4 ntent YELM I
Id: 34876 COMPANY INC CITY OF WATER CONSTRUCTU
STORAGE TANK
SYSTEM
AFAfdvt WILLAMETTE YELM, PIMP POTABLE BOSS
https://wws2.wa.gov/lni/pwiapub/SeuchResult.asp 10/10/2005
Page 8 of `8 WATER Id: 46449 COMPFENCE ANY INC WILLAFC095M4 CITY OF STORAGE TANK ICONSTRU
INCCTI
Intent WOOD&SON Y EL STREET NE
?EA CONL UTILY WOODSEC983JD STEVENS WOOD&SOT
Id: 43706 CON LC CITY OF ROADWAY CON LLC
IMPROVEMENTS
Reclaimed Water
Intent WOOD&SON System WOOD&SOi
FELM,
Id: 54174 EARTHWK/UTILY WOODSEC933JD CITY OF Improvements, EARTHWK/UT
CON LLC Reclaimed Water CON LLC
Line 11
Afdvt WOOD&SON YELM, Stevens Street NE WOOD&SO1
Id: 55079 EART ILY WOODSEC983JD CITY OF Roadway EARTHWK/UT
CON ON LLC LLC Improvements CON LLC
Reclaimed Water
Afdv[ WOOD&SON YELM, System WOOD&SOt
EARTHWK/UTILY WOODSEC983JD Improvements, EARTHWK/UT
Id: 67965 CON LLC CITY OF Reclaimed Water CON LLC
Line
IRtent'~TS7BA1-357301] YELM, PHILLIPS BLLIPS AUE
Id: 7339_ ZESBAUGH, INC CITY OF elm Hi h School COD
L -CO
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Awarding Agencies 48500000 Page 1 of 1
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FactoBuilt Structures • What are the responsibilities of awarding agencies contracting for public
Elevators works?
What provisions must be made for prevailing wage?
Contractors
Plumbers • What are public building service maintenance contract requirements?
Prevailing Wage g What are awarding agency requirements when disbursing public funds?
I7 The Basics Agencies may not make any payments where employers have not
0 Prevailing Wage Rates submitted an Intent form that has been approved by the Industrial
0 Intents & Affidavits Statistician. Agencies may not release retainage until all employers have
11 Employer Resooni bilities submitted an Affidavit form that has been certified by the Industrial
Statistician. The requirement to submit these forms should also be stated
? Awarding. Agencies in the contract.
I] Contractors Not
Allowed
? Advisorv Committee n What are turnkey projects dessee/lessor relationships between public and
0 Forms & Publications private parties)?
a What are the contract administration requirements?
" Boilers
Trades & Licensine Rules
Check to see if:
a a contractor has been debarred from public works contracts.
a a contractor is registered.
a a contractor is paying their Workers' Compensation Premiums.
For more details about awarding agency responsibilites:
See these State Laws (RCWs):
- RCW 39.04.010, RCW 39.12.020, RCW 39.12.030, RCW 39,.1.2.040, RCW
39.12.042, RCW 39.04.260.
See these Agency Rules (WACs):
- WAC 296-127-023
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Verify Workers' Comp Premium Status - Account Information Page 1 of 1
Verify Workers' Comp Premium Status: Account Information
Did you know...
...that under Washington State law', you may be liable for the unpaid workers' compensation
(industrial Insurance) premiums of any business you hire or contract with? ('See RCW 51.12.070)
L&I will track a contractor for you and tell you if their status changes.
If this is a contractor whose premiums and license are current, a "Submit Contractor Tracking
Request" link will appear in the certificate below. Click it to fill out a Tracking Request. If the
contractor fails to pay workers' comp premiums or renew their contractor registration or if their
electrical contractor license is suspended or revoked within one year of the start-date on your
tracking request, L&I will send you a notification letter.
Department of Labor and Industries
Employer Liability Certificate
Date: 10/13/2005
UBI 601 287 180
Business Name: A M JAMES COMPANY INC
Legal Business Name: A M JAMES COMPANY INC
Account 902,195-01
'Doing Business Ai Name: A M JAMES COMPANY INC
Quarterly Premium Reports: Quarter 2 of Year 2005
Workers' Comp Premium Status: Account is current. Firm has voluntarily reported and paid
their premiums.
Licensed Contractor? Yes Get contractor's license history.
Submit Contractor TrackingRequest_here to be notified
if this contractor's premium or license status changes
during the next year.
Risk Classification: Get risk classification information,
Experience Factor: Get experience factor history.
Account Representative: TW / KARLA BOWMAN (360)902-5535 - E-mail:
BOWK235@tni.wa.gov
Account Premium: Get account premium information..
Industrial Insurance Information
The information above shows the employers industrial insurance (workers' compensation) premium
status with the Department of Labor and Industries.
Employers report and pay premiums each quarter based on hours of employee work already
performed, and are liable for premiums found later to be due. Industrial insurance accounts have no
policy periods, cancellation dates or limitations of coverage. (See RCW 51.12.050 and 51.16.190.)
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A ~timcme IG.v.w ord ~ea tv ~ti n.~ I ,l ve. m,e ,ra ttpMa St l 'y in6 Vi
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Verify Workers' Comp Premium Status - Account Premium Summary Page 1 of 1
Verify Workers' Comp Premium Status: Account Premium Summary
The following is the history of Quarterly Industrial Insurance Premiums submitted by this employer to
L&I. Additional assessments may include Refunds Payable, Fee / Penalties, and Unapplied Payments.
Click on a Type to see employer's summary detail
Department of Labor and Industries
Employer Summary of Reporting Periods
UBI 601 287 180
Business Name: A M JAMES COMPANY INC
Legal Business Name: A M JAMES COMPANY INC
Account 902,195-01
'Doing Business As' Name: A M JAMES COMPANY INC
Balance as of: 10/13/2005
Total Account Balance: 0.00
Sorted descending by date. Click here to sort ascending.
Type Date Premium Interest Penalty Amount Paid Balance
Premium 06/30/2005 368.27 0.00 0.00 368.27 0.00
Premium 03/31/2005 432.25 0.00 0.00 432.25 0.00
Premium 12/31/2004 274.28 0.00 0.00 274.28 0.00
Premium 09/30/2004 1,732.37 17.32 86.62 1,836.31 0.00
Premium 06/30/2004 3,236.00 0.00 0.00 3,236.00 0.00
Premium 03/31/2004 3,785.00 0.00 0.00 3,785.00 0.00
Unapplied Payment 04/30/2001 0.00 0.00 0.00 0.00 0.00
Industrial Insurance Information
This information is deemed confidential and open only to public employees in the performance of
their official duties.(`See 51.16.070_(2))
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Verify Workers' Comp Premium Status -Business Accounts Page 1 of 1
Verify Workers' Comp Premium Status: Business Accounts
The business you selected: A M JAMES COMPANY INC has multiple accounts.
Legal Business Name: A M JAMES COMPANY INC
OBI 601 287 180
Click on an Account # to view account information.
Account# ('Doing Business As' Name (Status
902,195-00 A M JAMES COMPANY INC Closed
902,195-01 A M JAMES COMPANY INC Active
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l
Employment Security Department
WASHINGTON STATE
PO SO, 9046 • Olympia. WA 98507-YO46
CONTRACTOR: AM James Company Inc. I CERTIFICATE OF
P.O. Box 815 ) PAYMENT OF CONTRIBUTIONS
Gig Harbor, WA 98335 1 PENALTIES AND INTEREST ON
PUBLIC WORKS CONTRACT
ES Reference No. 865180-019
TO- City of Yelm Public Works - Attn: Stephanie Ray
P.O. Box 479
Yelm, WA 98597
The Employment Security Department hereby certifies that contributions, penalties and interest
due from the above named contractor under the Employment Security Act have been paid in full or
provided for with respect to the following public works contract
Yelm City Hall Remodel Project
The Employment Security Department hereby certifies that it has no claim pursuant to RCW
50.24.130 against the public body named above for tax attributable to service performed for said public
body by the above named contractor on the above described contract. The Employment Security
Department releases its lien on the retained percentage which is provided by RCW 6028.040 for
contributions, penalties and interest due from said contractor.
This certificate does not release said contractor from liability for additional contributions,
penalties and interest which may be later determined to be due with respect to the above mentioned
contract.
Dated at Olympia, Washington on October 19, 2005.
COMMISSIONER
EMPLOYMENT SECURITY DEPARTMENT
Is) ll' ~ l~~ / 1 L K 7 41~_~
Authorized Representative (360) 902-9680
Original-Disbursing Officer
Duplicate-Employer
Triplicate Central Office Files
EMS 8449 760 R3-98
l
Employment Security Department
WASHINGTON STATE
PO Box 9046 • Olympia, WA 985074046
CONTRACTOR: A M JAMES COMPANY I CERTIFICATE OF
PO BOX 815 1 PAYMENT OF CONTRIBUTIONS
GIG HARBOR, WA 98335-0815 1 PENALTIES AND INTEREST ON
PUBLIC WORKS CONTRACT
ES Reference No. 865180019
TO: CITY OF YELM PUBLIC WORKS
PO BOX 479
YELM, WA 98597
The Employment Security Department hereby certifies those contributions, penalties and interest
due from the above named contractor under the Employment Security Act have been paid in full or
provided for with respect to the following public works contract:
YELM CITY HALL REMODEL
The Employment Security Department hereby certifies that it has no claim pursuant to RCW
5024.130 against the public body named above for tax attributable to service performed for said public
body by the above named contractor on the above described contract. The Employment Security
Department releases its lien on the retained percentage, which is provided by RCW 60.28.040 for
contributions, penalties and interest due from said contractor.
This certificate does not release said contractor from liability for additional contributions,
penalties and interest which may be later determined to be due with respect to the above mentioned
contract.
Dated at Olympia, Washington on October 24, 2005.
COMMISSIONER
EMPLOYMENT SECURITY DEPARTMENT
By W
(Authorize R presenta v) 360-902-9620
Original Disbursing Officer
Duplicate-Employer
Triplicate-Central Office Files
EMS 8449 760 R3-98
,;7., "nop Osu slme
of HeveNUE Depffiment of RevBnne
1» aos 47474
Olympia, WA 98504 7474
601 287 180
Certificate of Payment of State Excise
Taxes by Public Works Contractor
A M JAMES COMPANY INC CITY OF YELM PUBLIC WORKS
P 0 BOX 815 STEPHANIE RAY
GIG HARBOR WA 98335 0815 P 0 BOX 479
YELM WA 98597
We hereby certify that taxes, increases and penalties due or to become due from the above named
contractor under Chapter 180, Laws of 1935, as amended, with respect to the following public works
contract:
CITY OF YELM PUBLIC WORKS
YELM CITY HALL REMODEL
together with all other taxes, increases and penalties due from such contractor, have been paid in full or that
they are, in the Department's opinion, readily collectible without recourse to the state's lien on the retained
percentage.
This certificate is issued pursuant to the provision of Chapter 60.28 Revised Code of Washington for the
sole purpose of informing the state, county, or municipal officer charged with the duty of disbursing or
authorizing the payment of public funds to said contractor that the Department of Revenue hereby releases
the state's lien on the retained percentage provided by this Chapter for excise taxes due from said contractor.
This certificate does not release said contractor from liability for additional tax that may be later
determined to be due with respect to the above-mentioned contract or other activities.
Dated bchbJw 3(105 at Olympia, Washington,
State of Washington
Department of Revenue
r
Ceftifying cer
To inquire about the availability of this document in an alternate format for the visually impaired or in a language other than English, please eall (360) 486-2342.
TTY users may call 1-800-451-7985.
REV 310028(10010) ROU'FNGIJ Disbursing Officer. Coobactor, File, Spemal File
Staff Report
TO: Mayor Rivas, Yelm City Councilmernbers
From: Shelly Badger \~{1(~,~ L,~ \
CC: File
Date: December 8th (for December 10th City Council Meeting)
Re: City Hall Improvement Project bid results
BACKGROUND:
In the spring of 2003, Council authorized a construction budget for the City Hall Improvement Project in
the amount of $250,000. This amount was to include the cost of construction, furnishings, telephone,
security and computer revisions and contingency for the project. Upon completion of the plans and
specifications, an invitation to bid was advertised in the Nisqually Valley News and the Seattle Daily
Journal of Commerce on November 12' with bids due Friday, December 5'"
PRESENT:
On Friday, December 6' at 3:00 p.m. the sealed bids were opened. There were twelve bidders
ranging in price from $172,582 to $328,800. A.M. James Co. from Gig Harbor presented the apparent
low bid in the amount of $172,582. This indudes a base bid of $164,382, plus a bid alternate in the
amount of $8,200 (for carpet, lighting and paint in the Council Chambers).
At this time, we are checking references for A.M. James Co. to confine that they are the low responsive
bidder for the project. It is staffs recommendation, pending successful reference checks to award the
City Hall Improvement Project bid to A.M. James Co.
The apparent low bid amount is in line with the project construction budget. Cost items in addition to
the construction contract will include moving expenses, furnishings (including new Council bench),
signage, appliances, telephone, security and computer revisions. It is estimated at this time that we vdll
be able to complete the project within the original construction budget amount of $250,000.
RECOMMENDATION: Upon successful reference checks, authorize the award of the City Hall
Improvement Project bid to A.M. James Company, Inc and authorize Mayor Rivas to sign the
project contract in the amount of $172,582 (does not include sales tax).
• Page 1
Mao City of Yelm
105 Yelm Avenue West
YELM P.O. Box 479
Yelm, Washington 98597
(360) 458-3144
December 5, 2003
A.M. James Co. Inc.
Jim Wright
P O. Box 815
Gig Harbor, WA 98335
RE: City Hall Improvements
Dear Mr. Wright:
As per our telephone conversation this afternoon, A.M. James Co., Inc. is the
apparent low bidder on the City Hall Improvement Project with a base bid in the
amount of $164,382.00 and alternate bid of $8,200.00 (bid amounts do not
include Washington State sales tax).
The City of Yelm is requesting a list of 3-5 references including contact names,
phone numbers and type of work performed for the company ~ as soon as
possible. You can submit this list to me via e-mail at shellycavelmtel.com or fax
to 360-458-4348. My telephone number is 360-458-8405 if you need to contact
me.
I am attaching a list of the companies that submitted bids and the bid amounts.
I look forward to hearing from you soon.
Sincerely:
~l A~. )
Shelly A. ~dger ,
Yelm City Administrator
Cc: Grant Beck, Community Development Director
Gary Carlson, Yelm Building Official
The City of Yelm is an Equal Opportunity Provider
Western Surety Company
PERFORMANCE BOND
KNOW ALL MEN BY THESE PRESENTS: Bond No. _ 22704143
That we, A M James Canpanv, Inc.
(Contractor), as Principal, and WESTERN SURETY COMPANY, P.O. Box 1068, Houston, Texas
77251-1068, as Surety, are held and firmly bound unto City of Yelm
105 Yelm Ave. W., Yelm, WA 98597 (Owner), as Obligee, in the penal sum of
One hundred eighty-seven thousand seventy-eight & 89/1001)ouars 187_.078.89**
lawful money of the United States of America for the payment of which well and truly to be made we
bind ourselves, our hews, executors, administrators, successors and assigns family by these presents.
WHEREAS, the Principal has, by written agreement dated
entered into a contract with Obligee for ri fy Nall JT lplmvr ntc
in accordance with drawings specifications b
and a ec
P prepared Y
which contract is by reference made a part hereof,
and is hereafter referred to as the "Contract."
NOW, THEREFORE, the condition of this obligation is such that, if the Principal shall faithfully
perform work contracted to be performed and comply with all provisions of the Contract, then this
obligation shall be void; otherwise to remain in full force and effect. The total amount of the Surety's
liability under this bond shall in no event exceed the penal sum hereof.
No right of action or recovery shall accrue hereunder to or for the use of any person or entity other
than the Obligee named herein, its heirs, executors, administrators or successors.
Signed, sealed and dated December 18, 2003
A M James Cc an c.
Principal
By
Ti //>15TJ?P
W E; S S/ R TY COMPANY
By /S (Q{qd .
Patricia A. Winchester Attorney-in-Fact
e".~ ea~ss
POWER OF ATTORNEY
Ilucvoctfile) BOND No. SP- 22794143
Know All Men by These Presents: A A
That into Power of Attorney re nu[ land or in effect rOlhl 4uedcd No the Mrvd batch it anhrrizer escorted, but -lay be detached by the approving
offices if dashed. That Western Surety campers- a eoT,rodb d. doe, hereby make, mn,tlmre and appoint the follon'ing
FOUR 0 ;,edlor,ned itm,.tiutar'.
AUTHORIZED INDIVIDUALS AU'O ORIZED INDIVIDUALS
BRADLEY B BANNON JR MARK D HANKS
PATRICIA A WINCHESTER WAYNE D CARLSON
III the Cny of TAC,IMA swm of 1fA S M 7 J :Tf1N nah hotted authority. its true and
lawful Attomeylsl in fact with full power and mnhost, hereby clearned, m age, cxeea4, acknowle l e .old dehvcr for aid ern it, behalf no Surety,
the follmving described bond'.
7NE BID P=RFOR•MANCE A',VIR Paste lT 67S'1 PROVIDING TH° BOND PENALTY
DOES NOT EXCEED ON- SILLI JN AND 'JO/1D^' 30L L A'RS (m#1 J^G 0C0 .D0
####KK#####KK##t###4Rkk#R#R#u#Rd#####dkd##KK###<##KKUKKk~#KK#~###########d##
m###4####t#######dKK#k#=#c####km##d###kv#R##d###d##t###################
d##4#######dR#####Af KKd<k4#ym#dRtrnA#d#kdtrm##tr###tmC#KK##q###d###########
mt####d#ad###d######4kRAa#a##mkd#u4#KK#k#KK#KK#m##k##########mdi##k#####k
The acknowledgment and execution not such blind by are said Atanney in Fact shall be as binding upon this
Company as if such bond had been executed and acknowledged by the regularly elected officers of this Company
All authority hereby cOnfcrred shall expire and terminate, without notice, unless used before midnight of
DEC EMBER 31 20'; 6, but until such time shall be.RCvllcabla and in full force and effect.
n or Scc on ] of th, a,-LVU err l m Intel, Compact', dal, ii and n•
VeNSTERN SURETY COMPANY learn, nIDva list in, b+llnu np ded, d mW
nless,lo-all "Secnt All bondr, 1i uodenakmg•. P^ao of All li their obLgan I Ju bors- , dent he a cad In the cnryomt earn, air, 1-i
6v this Heiden, glareteY y A..i wl Seen Teals- eT, V.' Posed-1, o[ na 'h soon can c... le-I or nin - mMnm The Ra+'dle,'vI, Vnz
Pressi occult any Ardygnt Scc t o[ In, Tor 'ter ntoy 11poser Ate _ n 1-i If ugmu Iw• rball raise nutbnn n
_ c bond,, Polio u[WNa Ain In,
i
w M' use Campeny, Fire tp ill i. n c Isibil II h n Mods d1holl devWmp. P"n of 1 r ey Ne[ aM Eai cos the c_tly. bar The
at rm
tlgwm[e y loss ol([er vrd the rnepuma aeW may ho pnoaed h, IaslmJC.
ad1lad "s, 'exces nstaM'drnd Ohba, Umlvwr llfi... F.. de4 overIT den. A..i+l- IIV Fhidenl Te sur F l a of an d the be., ni
S r L Y An++„ Sec any of
Wcxae[n
saasa hart" found ad, Plo,bi.11, aandrizu, lad immee. ing t e
IN sl'INESS WHERFOP. WOrim Swely I le ny he, a ad-I M1I,' a-son,o be Issald T, In Em..... 1- to-dam at, is sebasee seal af,,d dm 2nd
ear of April 2001 WESTERN SURETY COQ IM P ANY
STATE OF SOUTH DAKOTA, + T ~f////
Dy /
COUNTY OF MINNEHAHA J Execnnve Vim Proddent
on m,, 2nd all or APril a Nt a, 2001 her a dru Salary Pabllo Petumslly
apps d S pb T. Pate. M1 be' g h be dul 'A u'ledged that he i each the ab P t a Loa, the f re+i d c0 WESTERN SURE(} COMIXfa}' and
seek- Inewd said tam M M1 'lump - I 'red of and aotpemi ern.
1WMrh1V'MRMMMMYM4.
D KRELI
gCAL c Y PLBL - ]ESL - - -
TH naxtrrx Nuarp Public Suulh Dakota
my lmmov.m Ecpum 1I Inau.
L ing n-aen,gncd onto, of wool- some F+,mpann, a ,,a coma rim of the emm ar Soam Daknw. do hadry cloth, that tan attention i oa Atmrney la in aml
Irvce god Intel and Is nrcaaaM¢.vld a-nM1Unmrc. If Sec ' of the tlr-fella of ,he company to +et forth in ,he Power of Atr mcy, is 111 11 n
~y~~ e
In te,rm,mY vuri t halt M1I[.indo .et ,nr hand laid the +al of W-be Souse Company than • 18th m. nr ~Iy~ 2003
WESTERN SURETY OMPA NY
`IMPORTANT: This date ..at he filled in before it is atta/
to the bond and it must be the same date as the bond. ched By
Form ]a9 V Ban
E.e.'ndye vice President
NOTICE: This border mud be BLUE. Is is not BLUE, NIo 1s non a Ctnited copy. -y
Aca CERTIFICATE OF LIABILITY INSURANCE CSR TW DATE`MMlMS-1
9AWA1- 12 18 03
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Bannon, Carlson 6 Kassel, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
2121 70th Ave W Ste B ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
University Place WA 98466-7664
Phone:253-565-3500 Fax:253-565-7209 INSURERS AFFORDING COVERAGE NAICp
INSURED INSURER A. Contractors Bonding 6 Ins Co.
INSURER e. Progressive
A IN James Company, Inc. INSURER C. St Paul Surplus Lines Ins
P.O. Box 815 INSURER D'
Gig Harbor WA 98335
INSURER E
COVERAGES
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
INSR INSL POLICY NUMBER DATEYMM CECYYE POAEYMMIEXRI N LIMITS
LT0. IHSRD TYPE OF INSURANCE
GENERAL LIABILITY EACH OCCURRENCE $1,000,000
A X COMMERCIAL GENERAL LIABILITY SE7601-01 11/30/03 11/30/04 PDAMAGE 1. REMISES (Ea acurenu) $300,000
CIAIMSMADE X OCCUR MED USE (My one Perem) $ 10,000
PERSONAL B AM INJURY $1,000,000
GENERAL AGGREGATE $2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS COMP/OPAGG $2,000,000
POLICY PRO LOC
JECT
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
B ANY AUTO 19444480 12/06/03 12/06/04 (Ea aaiaen(I
ALL OWNED AUTOS BODILY INJURY
X SCHEDULED AUTO$ (Per pR I $
X HIRED AUTOS WOILY INJURY
X NON-0WNED AUTOS (Per acmdenl) $
DAMAGE $
PROPERTY nI
flPer GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY AGG $
' EXOESSNMBRELLALIABIOTY EACHOCCURRENCE $ 1,000,000
C 'X OCCUR CLAIMS MADE SP05515078 11/30/03 11/30/04 AGGREGATE $1,000,000
$
DEDUCTIBLE $
X RETENTION $10,000 $
-
WORKERS COMPENSATION AND T LL TH
DRY LIMITS ER
A EMPLOYERS' LIABILITY
ANY ETORIPARTN CUTNE SE7601-01 11/30/03 11/30/04 E'L. EACH ACCIDENT $ 1,000,000
oFFICEWMEEwMEMBER EXCLUDES' DES' ED' STOP GAP EL DISEASEEA EMPLOYEE $1,000,000
I e eeemee l,SUer
L PROVISIONS CeIO., EL. BISEASE. POLICY LIMIT $1 000 000
OTECUTXE0.
A Contractor's Bond SE7601-01 11/30/03 11/30/04 Limit $12,000
CONTINUOUS RENEWALS
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT ISPECIAL PRO ASIONS
RE: Yelm City Hall Improvements - Certificate holder is additional insured
as respects this project.
CERTIFICATE HOLDER CANCELLATION
cirryOPy SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
City of YOlm IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
195 Yelm Ave. W.
Yelm WA 98597 REPRESENTATIVES,
AUTHORIZED REPRESENTATIVE
Bradley B. Bannon
ACORD 25 (2001108) PACORD CORPORATION 1988
,i-ECPgVE)3
4
CNAsuRETY 00V 1 5 1004 CONTRACT STATUS INQUIRY
Per.,...
Please complete the information below, sign and return to Surety Company:
Surety Company and Address Date Mailed: 11/12/2004
Western Surety Company
701 5th Avenue, Suite 1100 Original Contract Price: $187,078.00
Seattle, WA 98104 Bond Number: 22704143
Effective Date: 12/18/2003
Underwriter: GJH Office: WA
Contractor's Name and Address Obligee or Contact
A. M. James Company, Inc. City of Yelm
P. O. Box 815 P.O. Box 479
Gig Harbor, WA 98335 Yelm, WA 98597
Description of Contract
City Hall Improvements
1. If contract is completed, please state:
Date of Completion Date of Acceptance Final Contract Price
2. If contract is uncompleted, please state:
Anticipated completion date: 3' - I
Approximate % or dollar amount of contract completed or delivered: G~ ~~L~;fJQC f %C~
3. Do you know of any unpaid bills for labor or material? ?Yes ?No Q S c7F ~i- IL
4. Additjpnal Comments:
y f Gf ll7a T I//"-~) Y( l 6'n 64 ,z z .'/Z; If f
Without prejudicing your right or affecting our liability under our bohd(s) described above, we would appreciate as
much of the above information as is now available.
It is understood that the information contained herein is furnished as a matter of courtesy for the confidential use of the
surety and is merely an expression of opinion. It is also agreed that in furnishing this information, no guaranty or
warranty of accuracy or correctness is made and no responsibility is assumed as a result of reliance by the surety,
whether such information is furnished by the owner or by an architect or engineer as the agent of the owner.
IN17/ . Title (~{-p -f~{ii7n h I r r- Date
phone { c - -l