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FY2027-38 Diving Services Roster Contract with Highmark Marine Fabrication, LLCi as , Kodiak Island Borough Contractor Agreement Project: Contractor Services Roster Specialty: Diving Services Contract No. FY2027-38 This CONTRACT ("Contract"), between the Kodiak Island Borough, Alaska, herein called the Borough, acting by and through its Borough Manager, and Highmark Marine Fabrication, LLC Company Name 2018 Mill Bay Road, Kodiak, AK 99615 Company Address (Street or PO Box, State, Zip) organized under the laws of the State of Alaska, together with its successors and assigns ("Contractor"), enters into this Agreement with the Kodiak Island Borough ("Borough"). This Agreement is effective as of the date the Borough Manager signs this Agreement. The Contractor, for and in consideration of the payment or payments herein specified and agreed to by the Borough, hereby covenants and agrees to furnish and deliver all the materials and to do and perform all the work and labor required in the construction of the above -referenced specialty as submission by the Contractor, which submission and prices named, together with the Contract Documents (as hereinafter defined) are made a part of this Contract and accepted as such. It is distinctly understood and agreed that no claim for additional work or materials, done or furnished by the Contractor and not specifically herein provided for, will be allowed by the Borough, nor shall the Contractor do any work or furnish any material not covered by this Contract, unless such work or materials is ordered in writing by the Borough. In no event shall the Borough be liable for any materials furnished or used, or for any work or labor done, unless the materials, work, or labor are required by the Contract or on written order furnished by the Borough. Any such work or materials which may be done or furnished by the Contractor without written order first being given shall be at the Contractor's own risk, cost, and expense and the Contractor hereby covenants and agrees to make no claim for compensation for work or materials done or furnished without such written order. Payment under this Contract shall be made in accordance with the prices agreed to and set forth in the Contractor's submission for the referenced specialty. This contract shall not exceed the total cumulative amount of $50,000. All costs shall be tracked by a purchase order issued after contract award and signature. The Parties acknowledge that funds for the payment of this contract are subject to the availability of funds lawfully appropriated for that purpose. 4. The Contractor further covenants and agrees that all materials shall be furnished and delivered and all work and labor shall be done and performed, in every respect, to the satisfaction of the Borough, within the designated call -out timeframe; 24-hour response for on-call/emergency work, and seven (7) business days for scheduled Contract No. FY2027-38 Contractor Services Roster for Diving Services Page 1 of 4 ae , work. The entire contract term shall be completed on or before June 30, 2027. It is expressly understood and agreed that, should the Contractor fail, refuse, or be unable to furnish the required materials or complete the work within the time specified, except with the prior written consent of the Borough, the Borough reserves the right to reassign the work. In such event, the Borough may offer the work to the next lowest - priced qualified contractor on its roster. If that contractor is unavailable, declines the work, cannot meet the required schedule, or is otherwise unable to perform, the Borough may proceed to the next qualified contractor in order until the work is successfully assigned. 6. The Contractor further covenants and agrees that all work will be done under the administration of and to the complete satisfaction of the Borough subject to the inspection at all times and approval by any regulatory agency, and in accordance with the laws of the State of Alaska and the Borough. 7. For purposes of this Contract, Contracting Officer means the Borough Manager, or any other person designated by the Borough Manager. 8. The Contractor is an independent contractor and not an employee or agent of the Borough. 9. Contract Documents shall have the meaning ascribed by the General Conditions of the Construction Contract which can be found at Protects Office I Kodiak Island, AK - Official Website, and include but are not limited to this Contract, the General Conditions of the Construction Contract, the Special Conditions, and the following listed documents: (1) Exhibit A: Contractor RFQP Submission for Specific Specialty (2) Exhibit B: Contractor Roster Request for Qualifications and Pricing Schedule, Dated 7/13/2026 IN WITNESS WHEREOF the parties hereto have executed this Contract and agree to its terms and conditions. KODI K ISLAND BOROUGH r 14, a., VIV"IM77 S gna ure of Borough Manager (Iiauis Printed Name CONTRACTOR H15i ,w-o-y, iV�arirJQi a�if�CalCi��1� LI,G Company Name Ygnature of Authorized Representative )Atit Wyk&kt'd Printed Name of Authorized Representative \ISLANAD W- - 7,u Borough Clerk (Attest) / O`e►�-� ���� 0\ Contract No. FY2027-38 .. i. Contractor Services Roster for Divi Se _ Page 2 of 4 KA a Kodiak Island Borough Respondent Registration Form IMPORTANT: In order to receive addenda and any other information which may impact the quote time or quantities, quoter shall fill out the contact information below and return to the Borough. ONLY REGISTERED RESPONDENTS WILL RECEIVE NOTIFICATIONS. Name of Company Contact Name: Respondent's Contact Information IM�r�tj4L C G.� rA� Ov�\&k3j ( WI) 141,-c- 2,5 Address. 9-") �'b \A % Phone Number: 10 q- LA QOU S I Z,�) Fax Number: N KOLA\(-, A�- 99(QIS Email-: Y`NAr)f-'MUrenIQ� . G0� Return this form via fax, email, regular mail, or hand delivered to the following location: Engineering/Facilities Department Kodiak Island Borough 710 Mill Bay Road Kodiak, Alaska 99615-6398 Phone: (907) 486-9341 Fax: (907) 486-9394 Email: EFprojects@kodiakak.us Kodiak Island Borough Professional Service Specialty Service Agreement — Business Name: H 15�,me r�V`�� Date: B Ito I 2 �p Dear Contractor: The Kodiak Island Borough Engineering & Facilities Department is interested in establishing single year Service Agreements with a variety of contractors to work on Borough assets. Select the type of service your company provides from the fist below. Each Professional Service Specialty requires a separate contract therefore, only one service type may be selected per quote submittal Contractors may submit quotes for multiple professional service specialties but must provide a separate quote for each specialty. Example: A contractor licensed to perform both auto repair services and heavy machinery repair services must submit two separate quote packages — one for auto repair services and one for heavy machinery repair services. ❑ Carpentry: Carpentry construction, maintenance, and repair services including framing, rough and finish carpentry, installation and repair of doors and windows, cabinetry, trim, flooring, drywall, siding, roofing components, stairs, partitions, structural wood members, building modifications, renovations, weatherproofing, replacement of damaged materials, and associated site cleanup. ❑ Concrete Services: Concrete construction, maintenance, and repair services including demotion, excavation, formwork, reinforcing steel placement, concrete placement and finishing, sidewalks, curbs, slabs, foundations, crack repair, joint sealing, patching, restoration, and associated site cleanup. Diving Services: Commercial diving services supporting underwater inspection, maintenance, repair, and pigging operations for Borough -owned intake, outfall, and process piping systems. All work shall be performed by qualified commercial divers under the supervision of a certified dive supervisor in accordance with OSHA and State of Alaska requirements. ❑ Elevators: Inspection, testing, maintenance, repair, modernization, and emergency service for elevators, wheelchair lifts, dumbwaiters, stair lifts, and associated conveyance systems. ❑ Generators: Inspection, testing, preventative maintenance, repair, load -bank testing, and emergency service for standby generators, transfer switches, and associated emergency power systems. ❑ Heavy Equipment Repair: Inspection, diagnosis, maintenance, and repair of Borough -owned heavy equipment including loaders, graders, excavators, skid steers, backhoes, trailers, and other construction equipment. KJ ❑ Landscaping and Lawn Care Landscaping and lawn care services including mowing, trimming, edging, pruning, weed control, fertilization, planting, tree and shrub maintenance, mulching, soil preparation, seasonal cleanup, grounds maintenance, debris removal, erosion control, and maintenance of Borough -owned landscaped areas and grounds. ❑ Parking Lot & Pavement Repair: Maintenance and repair of asphalt and concrete parking lots, roadways, sidewalks, potholes, pavement markings, crack sealing, patching, drainage improvements, and traffic control. ❑ Overhead Doors: Inspection, Maintenance, repair, replacement, and adjustment of overhead doors, rolling doors, operators, dock equipment, and associated controls. ❑ Striping: Parking lot, roadway, crosswalk, and specialty pavement marking installation and maintenance including layout, restriping, curb painting, symbols, and traffic markings. ❑ Tsunami Warning System: Inspection, testing, maintenance, troubleshooting, repair, and replacement of tsunami warning sirens, communications equipment, controllers, and associated warning system infrastructure. ❑ Vacuum Truck Services: Vacuum truck services including cleaning, pumping, hydro -excavation, lift station maintenance, wet well cleaning, sludge removal, grease removal, line cleaning, blockage removal, and disposal of collected materials in accordance with applicable environmental regulations. Contractor Roster Selection for the Contractor Roster does not guarantee the award of any work or compensation. The Borough makes no representation regarding the quantity, frequency, or dollar value of work that may be assigned under any resulting agreement. Work will be authorized solely through written Work Orders issued by the Borough in accordance with the terms of the resulting contract. Contractors shall not begin work until a written Work Order or Notice to Proceed has been issued. All work shall comply with all applicable federal, state, and local codes, ordinances, and regulations, and be completed in accordance with the attached specifications and/or plans from the written Notice to Proceed until contract termination. Kodiak Island Borough Contractor Roster Request for Qualifications and Pricing Schedule Page 1 of 2 Contracted Professional Services Roster Contracts Item No. Item Description Unit Unit Price Hourly rate, to include profit and sk'� aAt.c�, �o U D 1 overhead Hour . 2 On -Call or After Hours rate to include Hour Un profit and overhead 3 Materials mark-up percentage % 4 Trip Cost (airfare & rental) Per Trip (� 5 Lodging & Meals Day Equipment, tools, and materials valued at $300 or less, whether or not consumed by use, shall be considered incidental for the work performed and no payment will be made for those items. Equipment, tools, and materials valued at $300 or more, will be discussed on an as -needed basis. Evaluation of Price will be as follows: • Scenario A (Routine Call) — 8 labor hours, no travel, $1,000 materials • Scenario B (Emergency Response) — 4 regular hours, 8 after-hours hours, one trip, two lodging days, $2,500 materials • Scenario C (Major Repair) — 40 labor hours, one trip, four lodging days, $15,000 materials The average of the three evaluated prices will be used to determine the lowest responsive submission. For evaluation purposes, all submissions will be evaluated using the same hypothetical travel costs identified above. Local contractors may enter $0 for travel and lodging if they will not incur those costs. The hypothetical scenario is for evaluation only and does not guarantee any minimum quantity of work or travel. Kodiak Island Borough Contractor Roster Request for Qualifications and Pricing Schedule Page 2 of 2 Contracted Professional Services Roster Contracts Service Agreement -Business Name: fii y�y`^'�r'� �� ''tn9Z ��%ri (a:� t d r LU- hereinafter called Respondent, an individual doing business as IF&-LiriL A;& bu, , (strike out inapplicable words:) a partnership, a corporation incorporated in the State of Alaska, a joint venture, hereby submits this solicitation package and agrees: to accept the provisions of the Request for Submissions, to accomplish the work in accordance with the plans and/or specifications, for the lump sum and unit price amounts as set forth in this quote schedule. Respectfully submitted this VL day of i�'' NSA , 202 RESPONDENT: ��J4Lw�+�►�� li�a�:''et•12- �vtij�';ca�;o:� r 1.1.e, Company Name ix�a4 Mel\ \&'_M Address K0C\�M_ , AV TkUIS Kodiak Island Borough, State, Zip Code rA 4�r s y "")�p -• S TILO Telephone Number 62,?gActul-S" ;,' 3 Federal I.D. or S.S.N. TAP � Authorizing Name Title X_ Si nature Email Address CORPORATE SEAL ATTEST: Signature o Co orate Sec. /�+f.Y•N .fie-. �� Print Name ADCI International Consensus Standards For Commercial Diving And Underwater Operations 4.0 4.0 DIVING MODES: DEFINITIONS, REQUIREMENTS AND GUIDELINES 4.1 GENERAL INTRODUCTION All equipment and manning levels referenced in Section 4 should be considered the recommended minimum for approaching ALL diving applications, which is based on one dive and any applicable decompression required. Increased manning levels and additional equipment may be required for any diving in excess of one dive and any decompression required. Proper pre job planning shall be conducted to ensure that the necessary levels of personnel and equipment are available for diving operations. The specific operations procedures vary with the type of diving mode employed. Prior to mobilization, a project risk assessment/hazard identification process or dive plan shall be performed to determine the type of diving mode to be employed, equipment needed and job manning requirements. Prior to the commencement of any diving operation, a Job Hazard Analysis shall be completed and all members of the dive team, including master of the vessel (as well as other involved personnel) shall be present at a pre -dive safety meeting. MAXIMUM DEPTH FOR SELF-CONTAINED DIVING (SCUBA) - 100 FSW (30 MSW) MAXIMUM DEPTH FOR SURFACE -SUPPLIED AIR DIVING -190 FSW (57.91 MSW) MAXIMUM DEPTH FOR SURFACE -SUPPLIED MIXED GAS DIVING (He02) - 300 FSW (91.44 MSW) 4.2 SELF-CONTAINED DIVING (SCUBA) All equipment and manning levels referenced in Section 4 should be considered the recommended minimum for approaching this diving application, based on one dive and any applicable decompression required. Increased manning levels and additional equipment may be required for any diving in excess of one dive and any decompression required. Proper pre -job planning shall be conducted to ensure that the necessary levels of personnel and equipment are available for diving operations. Scuba procedures should not be used for the conduct of commercial diving operations except where it can be shown to be more safe and efficient than the alternative modes of diving. The following are minimum requirements for self-contained diving operations. 4.2.1 MINIMUM PERSONNEL REQUIREMENTS Commercial scuba diving 0-100 fsw (0-30 msw) with no decompression: • One diving supervisor. • One Diver. • One tender/diver who shall be properly equipped and capable of performing the duties of a standby diver. When two (2) divers are in the water, an additional member must be added to the dive team to act as a surface standby diver. • At a minimum, at least one member of the dive team must have a recognized O, provider certification or be a DMT. If that member is a part of the dive rotation, then at least two members of the dive team must have a recognized OZ provider certification or be DMTs. 4.2.2 OPERATIONAL GUIDELINES 1. Two-way audio -communications between the diver and topside are required. 2. The planned time of a scuba diving operation shall not exceed either the no decompression limits or the air supply duration of the cylinders exclusive of the reserve supply. The cylinder pressure shall be determined immediately before each dive. Dive depths shall not exceed 100 fsw (30 msw). 3. Scuba dives shall not be conducted against currents exceeding one knot. 4. Scuba dives shall not be conducted in enclosed or physically -confining spaces. 5. During all scuba dives, a standby diver shall be available while a diver is in the water. 6. Scuba divers shall be line -tended from the surface, or accompanied by another diver in the water in continuous visual contact during the diving operations. 49 4.2 International Consensus Standards For Commercial Diving And Underwater Operations 7. Diving on scuba will only be allowed during daylight hours. 8. All divers on scuba shall wear a buoyancy compensator and whistle or other audio signaling device. 9. During periods of low or poor surface visibility, the diver shall also carry a lighted beacon. 10. Scuba divers shall be equipped with a diver -carried EGS. 11. Scuba divers shall be equipped with a submersible pressure gauge (tank contents gauge). Diver worn/carried emergency gas supply (bailout) must have a minimum calculated four -minute supply at the anticipated depth. Refer to Section 6: Diver Worn or Carried Emergency Gas Supply. 4.2.3 MINIMUM EQUIPMENT REQUIREMENTS 1. Each diver shall be equipped with a knife, diving wristwatch and depth gauge. 2. Full face masks with through water communication to the surface (supervisor), with diver -to -diver communications a desirable option. 3. A weight belt with a quick release that is appropriate for the suit and depth of the dive shall be worn. 4. A buoyancy compensator device (BCD) should be used to secure the cylinders to the diver and provide underwater buoyancy compensation or surface buoyancy as needed. If a dry suit is being worn by the diver, then a cylinder harness with a quick release may be worn to secure the cylinders to the diver. 5. An emergency O: administration kit (readily available for the treatment of diverts)). 4.3 SURFACE -SUPPLIED AIR DIVING All equipment and manning levels should be considered the recommended minimum for approaching this diving application, based on one dive and any applicable decompression required. Increased manning levels and additional equipment may be required for any diving in excess of one dive and any decompression required. Proper pre -job planning shall be conducted to ensure that the necessary levels of personnel and equipment are available for diving operations. At no time shall any member of the dive team be asked to perform an activity that prevents that person from the immediate and continuous performance of dive supervisor's assigned duties and responsibilities. During the planning phase of the intended operation, a Job Hazard Analysis (JHA) should be conducted to ensure that all factors necessary to support the highest levels of safety have been considered. The JHA should include a method for the safe recovery of an incapacitated diver. At least one qualified dive team member assigned to each dive crew must be fully competent, equipped and designated to perform the duties of a standby diver in order to render emergency assistance to a regularly assigned diver. If the nature of the work does not subject the second diver in the water to the same hazard as the primary diver, (e.g., deep ditch cave in from hand jetting, etc.), the second diver in the water can serve as the standby diver. Additionally, the second/standby diver must remain in close proximity to the primary diver. NOTE: EACH WORKING DIVER MUST BE CONTINUOUSLY TENDED BY A SEPARATE DIVE TEAM MEMBER. Individuals other than a member of the dive team may be used to physically tend cables and/or lines entering the water. These individuals must at all times be immediately responsive to direction from the diving supervisor or designated person in charge. If diving operations are conducted in a physically confining space, refer to Penetration Diving in Section 5. Volume tanks are only required for air dives or chamber operations utilizing an LP compressor. Operations utilizing only HP/ bottled air supplies do not require a volume tank. 50 ADC1 International Consensus Standards For Commercial Diving And Underwater Operations 4.3 rA, 4.3.1 SURFACE -SUPPLIED AIR DIVING 0-100 fsw (0-30 msw) WITH NO DECOMPRESSION The following are minimum requirements for surface -supplied air diving operations: 1. Minimum Personnel At a minimum, at least one member of the dive team must have a recognized 02 provider certification or be a DMT. If that member is a part of the dive rotation, then at least two members of the dive team must have a recognized 02 provider certification or be DMTs.1 The minimum number of personnel comprising a dive team is never less than three; however, planning must take into consideration not only the direct requirements of the work to be performed but also additional factors either known or suspected that may lead to complications during the conduct of the intended operation. Merely because a dive team comprised of three persons may be adequate during one operation does not mean the same number of persons will be sufficient to accommodate the requirements of another operation. Diving contractor management and diving supervisors must carefully consider manning levels of the dive team. Although regulations may permit diving with a minimum crew of three persons, that level of manning is strictly under optimal conditions. For example, any time commercial diving operations are intended to take place in a remote location, or where an air gap from the diving station to the water exceeds 15 feet (4.6 m), at least a fourth member of the dive team should be considered. Shallow Operations with Large Crews When a diving operation takes place in less than 100 fsw (30 msw) and the on -shift crew size is eight or more, then a diving supervisor who is not part of the diving rotation must be part of the crew. 4.3.1.1 Minimum Personnel Requirements • One air -diving supervisor. • One diver. • One tender/diver who shall be properly equipped and capable of performing the duties of a standby diver. • At a minimum, at least one member of the dive team must have a recognized 02 provider certification or be a DMT. If that member is a part of the dive rotation, then at least two members of the dive team must have a recognized 02 provider certification or be DMTs. a. Diving Supervisor • A qualified person shall be designated as the diving supervisor for each diving operation. The diving supervisor is in charge of the planning and execution of the diving operation, including the responsibility for the safety and health of the dive team. • The diving supervisor shall possess the proper ADCI supervisor certification card and be knowledgeable and familiar with all techniques, procedures, emergency procedures and operational parameters for the diving mode under his or her direct supervision. b. Diver Must have training and/or experience in the following areas: • Air -diving procedures and techniques. • Emergency procedures. • Diving accident treatment procedures. • Proper operation and use of all equipment related to air diving including decompression chambers. • Use of air -diving equipment • Familiarity with the type of work engaged in. c. Tender/Diver • Must have the same qualifications as an Air Diver, with a lower level of experience required. NOTE: An additional dive crew member is normally required when any diving operation is conducted that has an increased likelihood of diver entrapment or potential for rendering the diver unconscious or incapacitated from chemical, physical, electrical or topside hazards, such as, but not limited to, the following when present or planned: - During the conduct of the job hazard analysis, the diving supervisor must consider whether the use of any surface -tended equipment by the diver will require an additional individual to tend associated cables or hoses. This includes hand jetting, water blasting, cutting and welding, the use of any pneumatic or hydraulically operated tool, or the use of underwater video or sonar equipment requiring a power or data cable not affixed to the diver's umbilical. 51 International Consensus Standards For Commercial Diving And Underwater Operations 4.2 4.2.1.1 Minimum Personnel Requirements • One air -diving supervisor. • One diver. • One tender/diver who shall be properly equipped and capable of performing the duties of a standby diver. • All members of the team on the surface must be qualified first aid, CPR, and 02 providers or Diving Medical Technicians (DMT). a. Diving Supervisor • A qualified person shall be designated as the diving supervisor for each diving operation. The diving supervisor is in charge of the planning and execution of the diving operation, including the responsibility for the safety and health of the dive team. • The diving supervisor shall possess the proper ADCI supervisor certification card and be knowledgeable and familiar with all techniques, procedures, emergency procedures and operational parameters for the diving mode under his or her direct supervision. b. Diver Must have training and/or experience in the following areas: • Air -diving procedures and techniques. • Emergency procedures. • Diving accident treatment procedures. • Proper operation and use of all equipment related to air diving including decompression chambers. • Use of air -diving equipment • Familiarity with the type of work engaged in. c. Tender/Diver • Must have the same qualifications as an Air Diver, with a lower level of experience required. NOTE: An additional dive crew member is normally required when any diving operation is conducted that has an increased likelihood of diver entrapment or potential for rendering the diver unconscious or incapacitated from chemical, physical, electrical or topside hazards, such as, but not limited to, the following when present or planned: - During the conduct of the job hazard analysis, the diving supervisor must consider whether the use of any surface -tended equipment by the diver will require an additional individual to tend associated cables or hoses. This includes hand jetting, water blasting, cutting and welding, the use of any pneumatic or hydraulically operated tool, or the use of underwater video or sonar equipment requiring a power or data cable not affixed to the diver's umbilical. Diving in remote locations where assistance from non -diving crew personnel is not immediately available within communication range of the diving supervisor may require additional members to be added to the dive team. 4.2.1.2 Operational Guidelines 1. The approximate depth of each dive shall be determined prior to the start of operations. 2. The breathing mixture supplied to the diver must be composed of a mixture of gasses that is appropriate for the depth of the dive. When using mixed gas or enriched air, all gasses must be analyzed before they goes on-line for OZ content and for proper mixture necessary to support the maximum depth of the planned dive. 3. Each diver shall be continuously tended while in the water by a separate dive team member. 4. Each diving operation shall have a primary breathing gas supply sufficient to support all divers for the duration of the planned dive, including decompression. 5. If no decompression chamber is on site, the nearest manned operational chamber should be known, and an evacuation plan should be in place. 4.2.1.3 Minimum Equipment Requirements • Emergency 02 kit is required to contain at a minimum: An 02 cylinder (with current hydro) containing a minimum of 30 minutes 02 at a rate of 15 liters per minute (lpm). The system must contain a pocket mask with an 02 inlet, a non-rebreather mask, and a demand inhalator and/or demand resuscitator. The system must contain a pocket mask with an 02 inlet and non-rebreather mask. Topside secondary air source. • Adequate supply of gasses for the planned dive profile. 55 6.5 EDITION L .-. O O O 3 F _27 ? N 3 N 3 cn O 0. C. Q o Q vN �CD m3 v cn (D (D (D O O o O '0 (D 0- 0 CllCD cn (D N (QQ C N v5 (DDc asv 3v CD O (D N o D -a ccn m o 3 �. C c. j N c (D o' N � �o N (OD O O v cr �c (D N C/)= v cn N N O M N O CD N S o (D v v c m CD v � W N W O 1 N C C) O 7 W W W v c A N 0 cn N ili (D v Q m A A A cn v N O_ m co 0 CD cn CD N x (D CS 0 D n _3 N N 0 O O �O Cy CD (D o -C° O N O ro O �p CD (D CD 0 3 0-(D CD N j 7 N O N rn r 0 7 N CD C2 a (D a CD ill CD 0 O O Q c c W. 7 (D N (n 0 CD CD CD a N O_ OD CD `G Q 0 Q v D (.D G) Cn N F' 0 O CD a v 03 O x 0 Cb O rn C CD w D 00 00 O C) p N O 7 O_ n O -0 0 v 0' N c (p N sv c Q T 0 CD N L O c r 0 CD M cc N v 3 cD rh O O (DD C� CD O 3 3 C �G Q m O O 3 v CD 0 3 CD �F a W N Ct1 O State of Alaska / Commerce / Corporations, Business, and Professional Licensing / Search & Database Download / Professional Licenses / License Details LICENSE DETAILS This serves as primary source verification* of the license. License #: 116453 Program: Construction Contractors Type: Specialty Contractor Status: Active DBA: Highmark Marine Fabrication, LLC Issue Date: 10/28/2016 Effective Date: 10/16/2024 Expiration Date: 09/30/2026 Mailing Address: KODIAK, AK, UNITED STATES *Primary Source verification: License information provided by the Alaska Division of Corporations, Business and Professional Licensing, per AS 08 and 12 AAC. Owners Owner Name Highmark Marine Fabrication, LLC Relationships No Relationships Found Designations Type Group Welding Specialties Entity Number 10025078 Type Steel Erection Agreements & Actions No Agreements Or Actions Group Specialties 10/31/2025 1:58:06 PM (Alaskan Daylight Time) Copyright © State of Alaska • Department of Commerce, Community, and Economic Development • Contact Us ARV® CERTIFICATE OF LIABILITY INSURANCE DA7 zIYYYY) 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(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION 1S 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 endorsements . PRODUCER Arthur J. Gallagher Risk Management Services, LLC 1211 SW 5th Ave. Suite 2800 Portland OR 97204 CONTACT Altssa E•Clayton PHONE 503-75 Farc No : 503-542 0607 EMAIL e • alissa claytonC@-alg.com INSURERS AFFORDING COVERAGE NA)Ctl INSURER A: American Lon shore Mutual Association LTD INSURED HIGHMM-01 Highmark Marine Fabrication, LLC 2018 Mill Bay Road Kodiak AK 99615 INSURER B: Westfield Select Insurance Company 17105 txsuREa c: Zurich American Insurance Company 16535 BISURERD: StarStone Natlonal Insurance Company 25496 INSURER E : Pennsylvania Manufacturers Assoc Ins Co 12262 INSURER F COVERAGES CERTIFICATE NUMBER:1774n69373 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. NOIWTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH 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. ISUBF LLTRR TYPEOFINSURANCE POLICYNUMBER MMIDONYYYI POLICYEFF PM1013M7fMI P LIMn's B X COMMERCUILGENERALLIABILITY CLAW.MADE FRI OCCUR MGL Y Y PDB-5937117260M6203-01 3/1412026 3/14/2027 EACH OCCURRENCE $1,000.000 _ DAMAGE TO KENIMT— PREMISES Me amosawl MED EXP we $100.000 X $10,000 PERSONAL & ADV INJURY $1.000 000 GEN'L AGGREGATE LIMIT APPLIES PER: V POLICY D jECT 0 LOC OTHER: GENERALAGGREGATE $2,OOD,0D0 PRODUCTS-COMPIOPAGO 1$2.000.00D S&A Potion 131,000,000 C AUTOMOBS.ELIAB1LITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X AUi080NLY IREDM NONOVMED AUTOS ONLY Y Y PRA 0357137 - 00 311412026 3/14/2027 AOBINED INGLE LIMIT $1.000,000 BODILY NAM (Per person) S BODILY INJURY (Per a=deM) $ PROS OAMA E CP $ S D X UMBRELLA LIAO EXCESS lIAB OCCUR CLAIMSUADE PDB-59373 311412028 3IM027 EACH OCCURRENCE $5 000 000 [I AGGREGATE S 6 D00 000 DED I X I RETENTION $ S E WORKERSCOMPENSATION AND EMPLOYERS' LIABILnY ANYPROPRIETORIPARTNERJEXECURVE Y� OFFICERIMEMBEREXCLUDED? (Myyaeenssdatory In NH) DEWdescdbe R OO OF PERATIONS below NIAJ Y 0892868Y 3/1412028 3/14/202T X S p EORm- — E.L. EACH ACCIDENT $1.000,000 E.L. DISEASE- EA EMPLOYEE S 1000 000 E.L. DISEASE -POLICY LIMIT $1,000.000 A I USIA4 ALMA-030524-043433.02 3114=26 3H41M7 Statutory umhe DESCR"ON OF OPERATIONS I LOCATIONS I VEMCLES (ACORD 10i, AddlUo W Remarks Sehedole, maybe attached Irmore space Is required) Subscription callers include: StarStone National Insurance Company (60%) and National Union Fire Insurance Company of Pittsburgh, PA (500/0). CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESS ATIVE I .©1988.2015 ACORD CORPORATION. All rights reserved. ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD