FY2026-76 PKIMC Elevator 2 Jack Rebuild with TK Elevator Corp.Docusign Envelope ID: 33859613-D3AD-8DED-81 DO-C8DFB92F76CE
Repair Work Order
PROVIDENCE KODIAK HOSPITAL
Purchaser: Kodiak Island Borough
Address: 710 Mill Bay Road
Kodiak, AK 99615
Location: PROVIDENCE KODIAK
HOSPITAL
Address: 1915 E REZANOF DR
KODIAK, AK 99615-6602
KIB Contract FY2026-76
June 05, 2026
Purchaser authorizes TK Elevator Corporation (referred to as "TK Elevator' hereafter) to perform the following work on
the equipment and at the location described above, in exchange for the sum of Thirty Three Thousand Two Hundred
Eighty Four Dollars and Forty Five Cents ($33,284.45) pursuant to the terms and conditions contained in this Work
Order (the "Work Order"). Until Purchaser provides an applicable and properly completed tax exemption certificate,
Purchaser will be billed not only the price set forth in this Work Order but also all applicable sales tax.
If not accepted with (30) thirty calendar days of the date presented to Purchaser, this Work Order shall automatically
be revoked and shall be null and void.
Summary:
2/ US123692
US123692 Packing
Operational
2/ US123692 US123692 Check Valve Operational
For further information, please see a detailed Scope of Work on the pages that follow.
In the event you have any questions regarding the content of this Work Order please contact me at 1 678 5342292.
We appreciate your consideration.
Regards,
Clay Hotchkiss
TK Elevator Corporation
2000 W International Airport Rd Ste D6
Anchorage AK 99502
clay.hotchkiss@tkelevator.com 11 678 5342292
Notice:
No permits or inspections by others are included in this work, unless otherwise indicated herein. Delivery and
shipping is included. All work is to be performed during regular working days and hours as defined in this Work
Order unless otherwise indicated herein.
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Docusign Envelope ID: 33859613-D3AD-8DED-81 DO-C8DFB92F76CE
KIB Contract FY2026-76
Repair Work Order ,C
Scope of Work
TK Elevator will provide the labor, material, and associated travel costs to rebuild the hydraulic jacks on the
elevator referenced above. We will:
Safe off the car and hand it in the overhead of the shaft.
• Disassemble the jack assemblies.
• Replace the inner and outer jack packings
• Replace the telescopic check valves
• Sand any rough areas on the pistons
• Reassemble the jacks
• Test and verify proper operation
• Return the elevator to service.
Payment Terms
50% of the price set forth in this Work Order will be due and payable as a non-refundable initial progress payment
within 10 days from TK Elevator's receipt of a fully executed copy of this Work Order. This initial progress payment will
be applied to any applicable project management, permits, engineering, drawings and material procurement. Material
will be ordered once this payment is received and the parties have both executed this Work Order.
The remaining 50% of the price set forth in this Work Order and any fully executed change orders shall be due and
payable at the time TK Elevator commences the work described in the Work Order. TK Elevator's receipt of this final
payment is a condition precedent to TK Elevator's return of the equipment described in this Work Order to the full
operation and use and Purchaser agrees to waive any and all claims to such operation and use until such time as that
payment is made in full.
The price of this Work Order includes all value added taxes, tariffs, duties, and similar charges imposed on TK Elevator
as of the date of execution of this Work Order. The price of this Work Order is subject to escalation - even after
Purchaser's acceptance of this Work Order - under certain circumstances. After the date of acceptance of this Work
Order and in addition to the Work Order price, Purchaser is also responsible to pay TK Elevator for any new (or any
increase in): (1) applicable value added taxes, tariffs, duties, and/or other charges imposed by applicable governmental
authorities; (2) charges from its suppliers for any of the applicable materials and/or components due to (a) supply
chain issues, (b) the imposition of applicable value added taxes, tariffs, duties or other charges by applicable
governmental authorities; and/or (c)if the completion of work called for in this Work Order occurs after any milestone
mentioned earlier in this Work Order; and/or (3) charges from TK Elevator's shippers and/or freight forwarders, all
along with profit and overhead associated with those amounts. When any materials and/or components applicable to
the work described in this Work Order are ready to ship, TK Elevator will provide Purchaser with a change order that
includes such value added taxes, tariffs, duties and/or charges imposed by applicable government authorities and/or
such charges from its suppliers and freight forwarders for any of the applicable materials and/or components as set
forth above, along with profit and overhead associated with those amounts, which must be executed and fully paid for
prior to and as a condition precedent to such shipment.
Purchaser agrees that TK Elevator shall have no obligation to complete any steps necessary to provide Purchaser with
full use and operation of the affected elevator(s) until such time as TK Elevator has been paid 100% both of the price
reflected in this Work Order and for any other work performed by TK Elevator or its subcontractors in furtherance of
this Work Order. Purchaser agrees to waive any and all claims to the turnover and/or use of that equipment until such
time as those amounts are paid in full. TK Elevator reserves the right to assign payments owed to TK Elevator under
this Work Order.
Work order price: $33,284.45
Initial progress payment: (50%) $16,642.23
Total due upon completion: (50%) $16,642.23
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Docusign Envelope ID: 33859613-D3AD-8DED-81 DO-C8DFB92F76CE
Repair Work Order
Terms and Conditions
TK Elevator does not assume any responsibility for any part of the
vertical transportation equipment other than the specific components
that are described in this Work Order and then only to the extent
TK Elevator has performed the work described above.
No work, service, examination or liability on the part of TK Elevator is
intended, implied or included other than the work specifically described
above. It is agreed that TK Elevator does not assume possession or
control of any part of the vertical transportation equipment and that
such remains Purchaser's exclusively as the owner, lessor, lessee,
possessor, or manager thereof.
Unless otherwise stated herein, TK Elevator's performance of this Work
Order is expressly contingent upon Purchaser securing permission or
priority as required by all applicable governmental agencies and paying
for any and all applicable permits or other similar documents.
It is agreed that TK Elevator's personnel shall be given a safe place in
which to work. TK Elevator reserves the right to discontinue its work in
the location above whenever, in its sole opinion, TK Elevator believes
that any aspect of the location is in any way unsafe until such time as
Purchaser has demonstrated, at its sole expense, that it has
appropriately remedied the unsafe condition to TK Elevator's
satisfaction. Unless otherwise agreed, it is understood that the work
described above will be performed during regular working days and
hours which are defined as Monday through Friday, 8:00 AM to 4:30
PM (except scheduled union holidays). If overtime is mutually agreed
upon, an additional charge at TK Elevator's usual rates for such work
shall be added to the price of this Work Order.
In consideration of TK Elevator performing the work described above
Purchaser, to the fullest extent permitted by law, expressly agrees to
indemnify, defend, save harmless, discharge, release and forever acquit
TK Elevator, its employees, officers, agents, affiliates, and subsidiaries
from and against any and all claims, demands, suits, and proceedings
made or brought against TK Elevator, its employees, officers, agents,
affiliates and subsidiaries for loss, property damage (including damage
to the equipment which is the subject matter of this Work Order),
personal injury or death that are alleged to have been caused by
Purchaser or any others in connection with the presence, use, misuse,
maintenance, installation, removal, manufacture, design, operation or
condition of the vertical transportation equipment that is the subject of
this Work Order, or the associated areas surrounding such equipment.
Purchaser's duty to indemnify does not apply to the extent that the
loss, property damage (including damage to the equipment which is
the subject matter of this Work Order), personal injury or death is
determined to be caused by or resulting from the negligence of
TK Elevator and/or its employees. Purchaser recognizes, however, that
its obligation to defend TK Elevator and its employees, officers, agents,
affiliates and subsidiaries under this clause is broader and distinct from
its duty to indemnify and specifically includes payment of all attorney's
fees, court costs, interest and any other expenses of litigation arising
out of such claims or lawsuits.
Purchaser expressly agrees to name TK Elevator along with its officers,
agents, affiliates and subsidiaries as additional insureds in Purchaser's
liability and any excess (umbrella) liability insurance policy(ies). Such
insurance must insure TK Elevator, along with its officers, agents,
affiliates and subsidiaries for those claims and/or losses referenced in
the above paragraph, and for claims and/or or losses arising from the
negligence or legal responsibility of TK Elevator and/or its officers,
agents, affiliates and subsidiaries. Such insurance must specify that its
coverage is primary and non-contributory. Purchaser hereby waives the
right of subrogation.
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KIB Contract FY2026-76
TK Elevator shall not be liable for any loss, damage or delay caused by
acts of government, labor, troubles, strikes, lockouts, fire, explosions,
theft, riot, civil commotion, war, malicious mischief, acts of God, or any
cause beyond its control. TK Elevator Corporation shall automatically
receive an extension of time commensurate with any delay regarding
the work called for in this Work Order.
Should loss of or damage to TK Elevator's material, tools or work occur
at the location that is the subject of this Work Order, Purchaser shall
compensate TK Elevator therefor, unless such loss or damage results
solely from TK Elevator's own acts or omissions.
If any drawings, illustrations or descriptive matter are furnished with
this Work Order, they are approximate and are submitted only to show
the general style and arrangement of equipment being offered. Work
Order.
Purchaser shall bear all cost(s) for any reinspection of TK Elevator's
work due to items outside the scope of this Work Order or for any
inspection arising from the work of other trades requiring the
assistance of TK Elevator.
Purchaser expressly agrees to waive any and all claims for
consequential, special or indirect damages arising out of the
performance of this Work Order and specifically releases TK Elevator
from any and all such claims.
A service charge of 1.5% per month, or the highest legal rate, whichever
is less, shall apply to delinquent accounts. In the event of any default of
any of the payment provisions herein, Purchaser agrees to pay, in
addition to any defaulted amount, any attorney fees, court costs and all
other expenses, fees and costs incurred by TK Elevator in connection
with the collection of that defaulted amount.
Purchaser agrees that this Work Order shall be construed and enforced
in accordance with the laws of the state or province (as applicable)
where the vertical transportation equipment that is the subject of this
Work Order is located and consents to jurisdiction of the courts,
whether state, provincal or Federal as applicable, located there as well
that to all matters and disputes arising out of this Work Order.
Purchaser further agrees to waive trial by jury for all such matters and
disputes.
The rights of TK Elevator under this Work Order shall be cumulative
and the failure on the part of the TK Elevator to exercise any rights
given hereunder shall not operate to forfeit or waive any of said rights
and any extension, indulgence or change by TK Elevator in the method,
mode or manner of payment or any of its other rights shall not be
construed as a waiver of any of its rights under this Work Order.
In the event any portion of this Work Order is deemed invalid or
unenforceable by a court of law, such finding shall not affect the
validity or enforceability of any other portion of this Work Order.
This Work Order shall be considered as having been drafted jointly by
Purchaser and TK Elevator and shall not be construed or interpreted
against either Purchaser or TK Elevator by reason of either Purchaser
or TK Elevator's role in drafting same.
In the event Purchaser's acceptance of the work called for in this Work
Order is in the form of a purchase order or other kind of document, the
provisions, terms and conditions of this Work Order shall exclusively
govern the relationship between TK Elevator and Purchaser with
respect to the work described herein.
Docusign Envelope ID: 33859613-D3AD-8DED-81 DO-C8DFB92F76CE
KIB Contract FY2026-76
Repair Work Order Im
Acceptance
Purchaser's acceptance of this Work Order will constitute exclusively and entirely the agreement for
the work herein described. All prior representations or agreements regarding this work, whether
written or verbal, will be deemed to be merged herein, and no other changes in or additions to this
Work Order will be recognized unless made in writing and properly executed by both parties. No agent
or employee of TK Elevator shall have the authority to waive or modify any of the terms of this Work
Order without the written approval of an authorized TK Elevator manager.
This Work Order specifically contemplates work outside the scope of any other contract currently in
effect between the parties; any such contract shall be unaffected by this Work Order.
To indicate acceptance of this work order, please sign and return one (1) original of this agreement to
the branch address shown below. Upon receipt of your written authorization and required materials
and/or supplies, we shall implement the work called for in this Work Order.
By:
Authorized Individual)
Aimee Williams
(Print or Type Name)
Borough Manager
(Print or Type Title)
(Date of Ac4eptance)
By: �DocuSigne'dI by:
G,4�1o1ct.�C�,
(Signature of Branch Representative)
Clay Hotchkiss
Branch Manager
6/8/2026
(Date of Execution)
Please contact�V----- ---- to schedule work at the following phone number r � �xT_1_L _
ATTEST:
�-
Lina'Cruz, CMC
Deputy Clerk
®ATE;
2026-2-2104446
2026-2-2104446 1 TK -2026-00518360 I June 05, 2026 4
Docusign Envelope ID: 33859613-D3AD-8DED-81 DO-C8DFB92F76CE
KIB Contract FY2026-76
REPAIR DOWN PAYMENT REQUEST
Contract Number: US204517
Attn: Tyler Steele
PROVIDENCE HEALTH SYSTEMS
3200 PROVIDENCE DR
ANCHORAGE AK, 99508-4615
Date Terms Reference ID Customer Reference # / PO
June 05, 2026 Immediate TK -2026-00518360
Total Contract Price:
Down Payment:
$33,284.45
(50%) $16,642.23
For inquiries regarding your contract or services provided by TK Elevator, please contact your
local account manager at 1 678 5342292. To make a payment by phone, please call
678-904-4199 with the reference information provided below.
Current and former service customers can now pay online at:
https://secure.billtrust.com/tkelevator/ig/one-time-payment
Thank you for choosing TK Elevator. We appreciate your business.
Please detach the below section and provide along with payment.
Customer Name: Kodiak Island Borough Remit To:
Location Name: PROVIDENCE KODIAK HOSPITAL TK Elevator
Customer Number: 16352738 Ca Box 3796
Carol Stream, IL
Quote Number: 2026-2-2104446 60132-3796
Reference ID: TK -2026-00518360
Remittance $16,642.23
Amount:
2026-2-2104446 1 TK -2026-00518360 I June 05, 2026
For overnight checks,
please send to:
Deluxe
TK Elevator 3796
5450 N. Cumberland Ave.
Chicago, IL 60656
112
Docusign Envelope ID: 33859613-D3AD-8DED-81 DO-C8DFB92F76CE
KIB Contract FY2026-76
Ila
Repair Completion Notice to be signed at job completion
Date: Building Name: PROVIDENCE KODIAK HOSPITAL
Repair Job #: Street Address: 1915 E REZANOF DR
City State, Zip: KODIAK, AK 99615-6602
Dear Tyler Steele,
Thank you for allowing us the opportunity to perform the repair job listed above.
We have completed the work as outlined in job # and the unit is now up and running. You will receive a final
bill for this work shortly.
We hope your experience was exceptional and look forward to serving you in the future. If you have any questions
about the repair work or your service agreement, please check one of the boxes under "Follow -Up Request" and
the appropriate person will contact you soon.
Customer Name:
Aimee Williams
Print or Type Name
Customer,(,Q�`
Signature: Signature of Authorized Individual
Title:
Date:
Borough Manager
Print or Type Title
Date of acceptance
Customer Email:
EFprojects@kodiakak.us
Customer Email
Name:
Clay Hotchkiss
Print or Type Name
Signature:
Signature of Authorized Individual
Title:
General Manager I
Print or Type Title
Date:
If you would like a manager or department representative to contact you, please check one of the following:
❑ Sales Department ❑ Service Department
❑ Branch Manager Repair Department
Phone Number
Comments:
2026-2-2104446 1 TK -2026-00518360 I June 05, 2026