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HomeMy WebLinkAboutPW04-402 - Other - Modification #2 - KCM, Inc - Upper Meridian Valley Creek Improvements - Extend Time & Increase Contract Amount CONTRACT MODIFICATION AGREEMENT NO. 2 BETWEEN THE CITY OF KENT AND KCM, INC, d/b/a TETRA TECH/KCM, INC. PROJECT Upper Meridian Valley Creek Improvements CONSULTANT KCM, Inc, d/b/a Tetra Tech/KCM, Inc., 1917 First Avenue, Seattle, Washineton 98101-1027, Phone: (206) 443-5300/Fax: (206) 443-5372, Attention: Tony Melone DATE February 6, 2002 THIS CONTRACT MODIFICATION AGREEMENT SPECIFICALLY AMENDS THE Upper Meridian Valley Creek Improvements AGREEMENT (the "Contract") entered into between the City of Kent and KCM. Inc., d1h1a Tetra Tech✓KCM. Inc. on December 16, 1999 and as modified on July 26, 2000 for Contract Modification #L All provisions in the Contract shall remain in full force and effect except as expressly modified by this document Whereas an additional task to address future agency comments was requested by the City of Kent, KCM, Inc, d/b/a Tetra Tech/KCM, Inc., desires to modify the contract as further described in the attached Scope of Work For valuable consideration and by mutual consent of the parties, the modifications to the Contract are as follows I. Section I. Description of Work is modified as follows See Amended Scope of Work, dated February 4, 2002 and attached as Addendum No 2 Section II. Payment , is modified as follows The original contract amount was Seventy Two Thousand Three Hundred and Ten Dollars ($72,310.00} The current contract amount, including all previous amendments is Ninety Five Thousand Nine Hundred Twenty Two Dollars ($95,922.00). The City shall pay the Consultant for the additional work described above, based on time and materials, an amount not to exceed Seventeen Thousand Two Hundred Twenty Three Dollars ($17,223.00) for a total amended contract amount of One Hundred Thirteen Thousand One Hundred Fortv Five Dollars ($113,145.00), including this Contract Modification Section III. Duration of Work , is modified as follows The Consultant shall complete the work described in this Contract Modification Agreement by December 31, 2002 Section IV. Discrimination is modified as follows Consultant shall execute the attached City of Kent Equal Employment Opportunity ity Policy Declaration, Comply with City Administrative Policy 12, and upon completion of the contract work, file the attached Compliance Statement Upper Meridian Valley Crk Impr/Mactutis 1 February 6,2002 Project Number 97-3002 Saved as KCM—CM2—Upper Meridian Valley II. Consultant accepts all requirements of this Contract Modification by endorsing below. Consultant further agrees that this Contract Modification constitutes final settlement of all claims for contract time and for all costs of any kind, including costs of delays, related to any work either covered or affected by this Contract Modification. The parties whose names appear below swear under penalty of perjury that they are authorized to enter into a contract modification that is binding on the parties of this contract. IN WITNESS WHEREOF, the parties have executed this Contract Modifications on the day and year first written above. q� ENG approved to processInitials and Date V'ENG MGR approved to process sv') 21 I�V Mud Dagt I�I�lI( DEW approved to process O��UlU— Initials and Date CONSUL T. THE 9TYPF KE By B 0jun White Its Its Mayor DATE Z/7��OZ DATEa- APPROVED AS TO FORM: ATTEST: Kent City Attorney <7 City Clerk 3rnA C_ VINco 'J NOTICES TO BE SENT TO: NOTICES TO BE SENT TO: Tony Melone Mr Don E Wickstrom, P E Director of Public Works Tetra Tech/KCM, Inc City of Kent Engineering Department 1917 First Avenue 220 Fourth Avenue South Seattle, Washington 98101-1027 Kent, Washington 98032 (206) 443-5300/Fax (206) 443-5372 (253) 856-5500/Fax (253) 856-6500 Upper Meridian Valley Crk Impr/Mactutis 2 February 6,2002 Project Number 97-3002 Saved as KCM—CM2—Upper Meridian Valley DECLARATION CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY POLICY The City of Kent is committed to conform to Federal and State laws regarding equal opportunity As such all contractors, subcontractors and suppliers who perform work with relation to this contract shall comply with the regulations of the City's equal employment opportunity policies The following questions specifically identify the requirements the City deems necessary for any contractor, subcontractor or supplier on this specific contract to adhere to An affirmative response is required on all of the following questions for this contract to be valid and binding If any contractor, subcontractor or supplier willfully misrepresents themselves with regard to the directives outlines, it will be considered a breach of contract and it will be at the City's sole determination regarding suspension or termination for all or part of the contract, The questions are as follows 1 I have read the attached City of Kent administrative policy number 1.2 2 During the time of this contract I will not discriminate in employment on the basis of sex, race, color, national origin, age, or the presence of all sensory, mental or physical disability 3 During the time of this contract the prime contractor will provide a written statement to all new employees and subcontractors indicating commitment as an equal opportunity employer 4 During the time of the contract I, the prime contractor, will actively consider hiring and promotion of women and minorities 5 Before acceptance of this contract, an adherence statement will be signed by me, the Prime Contractor, that the Prime Contractor complied with the requirements as set forth above By signing below, I agree to fulfill the five requirements referenced above Dated this Zp day of ������ , 2002 By For 7�7/7KAp7�cN/�'G� .r/✓C Title z�Zd�o2 Date Upper Meridian Valley Crk lmpr/Mactutis 3 February 6,2002 Project Number 97-3002 Saved as KCM—CM2—Upper Meridian Valley CITY OF KENT ADMINISTRATIVE POLICY NUMBER 12 EFFECTIVE DATE January 1, 1998 SUBJECT MINORITY AND WOMEN SUPERSEDES April 1, 1996 CONTRACTORS APPROVED BY Jim White, Mayor POLICY Equal employment opportunity requirements for the City of Kent will conform to federal and state laws All contractors, subcontractors, consultants and suppliers of the City must guarantee equal employment opportunity within their organization and, if holding contracts with the City amounting to $10,000 or more within any given year, must take the following affirmative steps 1 Provide a written statement to all new employees and subcontractors indicating commitment as an equal opportunity employer 2 Actively consider for promotion and advancement available minorities and women Any contractor, subcontractor, consultant or supplier who willfully disregards the City's nondiscrimination and equal opportunity requirements shall be considered in breach of contract and subject to suspension or termination for all or part of the contract Contract Compliance Officers will be appointed by the Directors of Planning, Parks, and Public Works Departments to assume the following duties for their respective departments 1 Ensuring that contractors, subcontractors, consultants, and suppliers subject to these regulations are familiar with the regulations and the City's equal employment opportunity policy 2 Mormonng to assure adherence to federal, state and local laws,policies and guidelines Upper Meridian Valley Crk Impr/Mactutis 4 February 6,2002 Project Number 97-3002 Saved as KCM—CM2—Upper Meridian Valley SCOPE OF WORK UPPER MERIDIAN VALLEY CREEK IMPROVEMENTS ADDENDUM NO. 2 Agency Requested Modifications and Contract Extension INTRODUCTION This scope of work reflects modifications requested to the contract documents resulting from agency reviews that were not scoped in the original contract and to revise the contract duration from the original 9-month duration to 36 months The contract is now set to terminate December 2002 A new task reserved to address future agency comments is also created Due to the uncertainty, unpredictable nature, and timing of Agency comments, further contract addenda may be required if additional comments are created Otherwise, the final contract documents are completed, only signing of the drawings remain DURITION The project budgeting and fee estimate are based upon a concurrent work effort with the existing contract (City project number 97-3002) and scheduled for termination on December 31, 2002 This termination date represents an extension of the original contract by 27 months SERVICES The time estimates for the tasks discussed below represent additive time to the existing contract KCM shall perform services and furnish material necessary to accomplish the following work items I Project Administration This task includes administration of the contract between KCM and the City of Kent, preparation of status reports with each monthly invoice, and quality control This task includes all administration efforts needed to coordinate with the City and to complete the project on time and within budget 2 Respond to Agency Comments This task includes responding to Agency comments to date on the BA This includes responding to the second round of Agency comments Responding includes preparation of a written response and input to the preparation of Agency requested schematics/drawings budgeted in the following task The existing comments are based on the Corps review Additional comments could result from subsequent reviews by NMPS and USFW Responding to these comments are not part of this scope 2 1 Review comments from the Agencies Prepare responses 2 2 Discuss responses with the City/Agencies as requested 3 Drawing Revisions Revise construction drawings to meet the latest Agency comments and prepare schematics/drawings requested by the Agency to aid in their understanding of the project 3 1 Interpret and clarify Agency requested changes Revise construction drawings NOTE No changes are budgeted in this addendum 3 2 Create supplemental schematic/drawings to respond to Agency comments Scope--0ddendum 2-v2 doc 02104,02 Addendum 2 4 Specification Revisions Agency modifications result in changes in material, quantities and construction requirements The specifications are revised in this task to reflect those changes As with previous specification submittals,KCM will provide the City with the special provisions and the City will compile this information into the specification document for bidding and construction use 4 1 Revise specifications to respond to Agency comments and required design changes NOTE No changes are budgeted in this addendum 5 Quantity/Cost Estimate Revisions Revisions to the quantities and cost estimates are developed under this task 5 1 Quantities will be revised to reflect Agency comments NOTE No changes are budgeted in this addendum 6 Responding to Agency Comments A $5000 budget is created under this task to provide responses to potential future agency comments Since this budget is arbitrary and is established for possible future and as yet unknown agency comments, the City will be notified when Tt/KCM starts to use these funds Due to the uncertainty, unpredictable nature, and timing of Agency comments, further contract addenda may be required if future comments require work effort greater than this arbitrary budget 6 1 Respond to Agency comments F\2900001-3000000\2940126-Kent\mgmt\scope\Scope-Addendum 2 due Scope-4ddendum 2-v2 doc 0210J'02 2 Scope of Wo+h Exhibit A UPPER MERIDIAN VALLEY CREEK IMPROVEMENTS ADDENDUM 2 SUPPLEMENTAL DRAWING LIST The following is a list of anticipated additional drawings or schematics to respond to Agency requests Sheet No Title A Current Condition Drawing Scope-Addendion 2-v2 doc 02104i02 3 Addendum 2 Exhibit B UPPER MERIDIAN VALLEY CREEK IMPROVEMENTS ADDENDUM 2 ITEMS TO BE FURNISHED TO KCM BY THE CITY The City will furnish to KCM copies of documents that are available to the City that will facilitate the preparation of the review responses,plans, specifications, and estimates as noted below 1 Review comments from the Agencies Exhibit C UPPER MERIDIAN VALLEY CREEK IMPROVEMENTS ADDENDUM 2 ITEMS TO BE FURNISHED TO THE CITY BY KCM The following documents, exhibits, or other presentations for the work covered by this agreement will be furnished by KCM to the City upon completion of the various phases of the work 1 Administration 1,1 Progress report with each monthly invoice 2 Respond to Agency Comments 2 1 Response to Agency comments— 1 copy 3 Supplemental Drawings 3 1 Agency requested supplemental drawing- 1 copy Scope-Addendum 2-v2 doc 02,104102 4 Scope of Wo7 k Exhibit D UPPER MERIDIAN VALLEY CREEK IMPROVEMENTS ADDENDUM 2 FEE ESTIMATE The professional fee estimate to perform the services described in this scope of work and billing definitions is attached Scope-Addendum 2-v2 doc 02i04102 5 KCM, Inc. ESTIMATE OFPROFESSIONAL SERVICES 1917 First Avenue Seattle,WA 98101 CLIENT : City of Kent Tel (206)443-5300 Fax(206)443-5372 PROJECT . Upper Meridian Valley Creek Improvements Addendum 2 P.D.No. : 9940126 Prot.No.: 2940126 Date: 02/04/2002 LEVEL OF EFFORT—STAFF HOURS PHASE/TASK DESCRIPTION Project Project Prof. Tech. Clerical M mt. Leader Staff Staff Staff 1.0 Project Administration 1 1 Progress reports and invoice review(27 months) 15 1 2 Coordination and project management(27 1 27 2 months) 13 Quality Assurance Review 2 2 1 2.0 Respond to Agency Comments 2 1 Develop response to comments/discuss with 12 24 Agency 3.0 Drawing Revision 3 1 Revise construction drawings 0 0 0 0 0 3 2 Create supplemental drawing 1 12 16 2 40 Specification Revision 41 Revise specification 0 0 0 0 0 5.0 Quantity/Cost Estimate Revision 5 1 Revise quantities/cost estimate 0 0 0 0 0 6.0 Respond to Future Agency Comments 61 Respond to continents 4 20 20 4 TOTAL HOURS 8 88 20 44 5 HOURLY RATE (DTW) $46 1 $38 1 $30 1 $22 $18 SUBTOTAL $368 $3,344 $600 $968 $90 TOTAL DIRECT JOB WAGES $5,370 OVERHEAD COST(Total DJW x 2 10) $11,277 TRAVEL AND PER DIEM (60 x 1 10) $66 PRINTING,PUBLICATIONS,COMMUNICATIONS (200 x 1 10) S220 OTHER Computers CAD @ S12/hr (22 x 12 00 x 1 10) $290 Subconsultants x 1 15) $0 TOT-kL COST-THIS ADDENDUM 2 Page 1 of KCM, Inc. ESTIMATE OFPROFESSIONAL SERVICES 1917 First Avenue Seattle,WA 98101 CLIENT : City of Kent Tel(206)443-5300 Fax(206)443-5372 PROJECT : Upper Meridian Valley Creek Improvements - Addendum 2 P.D.No. : 9940126 Proj.No.: 2940126 Date: 02/04/2002 LEVEL OF EFFORT—STAFF HOURS PHASE/TASKDESCRIPTION Project Project Prof. Tech. Clerical M mt. Leader Staff Staff Staff CONTRACT HISTORY Original Contract $72,310 Addendum 1 (Addition of north culvert) $23,612 Addendum 2(Responding to Agency comments,etc,this addendum) $17,223 TOTAL,original contract and all addendums $113,145 Notes 1 Direct Job Wages rates and number of hours are averages for estimating purposes Invoices will be based on actual hourly rates and hours of staff assigned to the project 2. Direct Job Wages are subject to change to reflect periodic adjustments in Tt/KCM salary levels 3 This Estunate of Professional Services is based on labor and the attached"Definitions" Page 2 of 2 Tt/KCM DEFINITIONS 'T/KCM Costs' are defined as 'direct job wages"plus"wage overhead'plus "reimbursable expenses"and 'subconsultant expense," plus"reimbursable expeme factor ' "Duect Job Wages"are actual hourly rates of individuals,subject to change to reflect adjustments in the salary levels "Wage Overhead"is an amount which takes into account TVIhCM's operating o%erhead for general and administrative salaries and wages and for Tr1I%Cb['5 general fringe benefits such as holidays,vacation sick lease individual insurance,and bonuses "Reunbursable Expenses"include but are not limited to 1 As Fare Expenses—Cost of ticket and travel to and from airport by public conveyances 2 Auto Lease Expenses—Basic charge,gas,oil,repairs,and insurance 3 Tt/KCM Auto Expenses—Cost of using TtiKC'vf awned velucles at the current IRS mileage rate 4 Boat Expenses—Cost of using Tt/KCbf owned or]eased boats at a fair commercial ratelhour 5 Meal Expenses—"Out of pocket"cost to employees whale away from office on business 6 Lodgmg Expenses—"Out of pocket"cost to employees whale away from office anbusiness 7 Equpment Expenses— Cost of TVKCM owned, rental or lease of special equipment required to perform work 8 Lab Fee Expenses—Cost of consumable laboratory supplies and lab use 9 Computer Expenses—Cost for the use of outside computer hardware or software as invoiced to Tt/KCM for specific project Internal computer rates are based on disc storage. CPL, and terminal connect time used in conjunction with technical programs and ward processing TtIKCM rates are established as — Outside computer hardware and software at imomed cast to TUKC3I — Interval rates • CADD Stations — S12001'nour Engineering and Publishing(Technical) — S 8 OO(Hour All Other S9crocomputers — S 4 00/hour • Printing Charges for printing of black and white single-copv output are included in the above processing charges Plotting and color printing are charged separately Multiple copy printing is$0 10 per additional page These time charges for equipment w all be documented on TUKGI time sheets to the nearest 0 5 hour in the appropriate category 10 Productien Expenses—Commercial and"in office"printing bmdmg and reproduction of reports and contract documents at in,mce amount or a fair commercial rate 11 Telephone Expenses—Long distance telephone and other communication expenses specifically related to a project 12 Mrscellaaeeus Expenses —Direct job expenses and costs not defined in categories 1 through 13, such as special licenses additional"out of pocket"employee traveling costs,etc "Subconsultant Expenses"represent the cost of outside subconsultant technical services and expenses They include but are not limited to — Foundation and geological consultants — Technical consultants(electrical) — Other special technical engineers working outside of the engineers office except those engineers paid directly bi the owner — Foundation borings and testing — Laboratory tests — Progeny location or base map suneys — Aerial photography and preparation of topographic maps "Reaabursable Expense Factor"is an amount which takes into account Tt1KClf activities related to specific reimbursable expenses e g excise tax habhc. insurance and special added administrative costs and fees not related to Tt/KCM wages,and as indicated in the Professional Services Agreement and/or Estimate of Professional Services Till,Cl1-11`00 I�\I a_vma CERTIFICATE OF LIABILITY INSURANCIz-KCM OPIDIN M DATE(MM/ODIYY) 09/13/01 'PRODUI,ER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Lyons Insurance Agency, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Powdermill Square HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3844 Kennett Pike, Suite 210 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Wj - Lngton DE 19807 P. a 302-658-5508 Fax.302-658-1253 - INSURERS AFFORDING COVERAGE INSURED INSURER Hartford Insurance cc? _. 2`2� INSURER Twin CityFire Insurance Cc KCM Znc dba Tetra + INSURERC TecA, KCM Inc. 1917 first Avenue E`r�tVCrCIaIG DI�URERD Seattle WA 98101 Esc„� 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 I�Tj TYPE OF INSURANCE POLICY NUMBER DATPOLE MMlpEC E DATE MMIDD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X COMMERCIAL GENERAL LIABILITY 44UUNFU3205 10/01/01 10/Ol/02 FIRE DAMAGE(Anyone fire) s300000 CLAIMS MADE 1:91 OCCUR MED EXP(Any one person) $ 10000 PERSONAL B ADV INJURY $ 1000000 GENERAL AGGREGATE s2000000 GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGO $ 2000000 POLICY PECROT LOC J AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 31000000 A X ANY AUTO 44UENFU3301 10/01/01 10/01/02 (Eaamdem) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY NON OWNED AUTOS 1(PeramtlenU $ PROPERTY DAMAGE $ (Per scadeni) mARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN EAACC i $ 7 AUTO ONLY AGG $ EXCESS LIABILITY EACH OCCURRENCE $ 4000000 A X OCCUR CLAIMS MADE 44XHUFU0785 10/01/01 10/01/02 AGGREGATE $ 4000000 S DEDUCTIBLE S RETENTION $ $ WORKERS COMPENSATION AND IA TORY LIMITS ER B EMPLOYERS'LIABILITY 44WBRMP3350 10/01/01 10/01/02 EL EACH ACCIDENT $ 1000000 B 44WNMP3351 10/01/01 10/01/02 EL pISEA$E-EA EMPLOYE $ 1000000 EL DISEASE-POLICY LIMIT $ 1000000 OTHER B Workers Comp 44WBRMP3350 10/01/01 10/01/02 B WA Stop Gap 44WNMP3351 10/01/01 10/01/02 DESCRIPTION OF OPERATIONSILOCATIO NSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS The Certificate Holder is included as an Additional Insured per the attached CG 20 10 11 85 RE. Upper Meridian Valley Creek Improvements #97-3002 (#2940126) CERTIFICATE HOLDER Y ADDITIONAL INSURED,INSURER LETTER CANCELLATION CITY OF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATO DATE THEREOF,TH E ISSUING INSU PIER WILL ENDEAVOR TO MAI L 30 DAYS WRITTEN City of Kent NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Dept of Public Works Teresa M Baim IMPOSE NO O SLIGATION OR LIABILITY OF ANY KIND UPON TH E INSU FIER,ITS AGENTS OR 220 Fourth Ave South REPRESENTATIVES Kent WA 98032 AUTOO REPR ESE NTATI ACORD 25S(7/97) OACORD CORPORATION 1988 POLICY NUMBER- 44UUNFU3205 COMMERCIAL GENERAL LIABILITY THE HARTFORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED--OWNERS, LESSEES OR CONTRACTORS (FORM B) This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Persons or Organization City of Kent Dept of Public Works 220 Fourth Ave South Kent, WA 98032 (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement) WHO IS AN INSURED (Section II) is amended to include as an inured the person or organization shown in the Schedule, but only with respects to liability arising out of "your work"for that insured by or for you CG 20 10 11 85 Copyright, Insurance Service Office, Inc 1984 ACORD CERTIFICATE OF LIABILITY INSURANCIz OPID M DATE IMMI3/0 -KCMZN 09/13/O1 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Lyons Insurance Agency, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Powdermill Square HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3844 Kennett Pike, Suite 210 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW W:I ' ngton DE 19807 P. a 302-658-5508 Fax 302-658-1253 INSURERS AFFORDING COVERAGE INSURED INSURER Greenwich Insurance Company INSURER B KCM, Inc. a Tetra Tech venue Inc INSURER 1917 First venue INsuRERD Seattle WA 96101 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 SUBJECTTO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS LTR TYPE OFINSUR LANCE POLICY NUMBER DATE MM/DDfYY DATE MM/DDM LIMITS j GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY I FIRE DAMAGE(AnY one t¢e1 $ CLAIMS MADE OCCUR III MED EXP(Any one person) $ PERSONAL B AOV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ POLICY n PRO- Fi LOC PRO- JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea a¢itlenp _ I ALL OWNED AUTOS {BODILY INJURY SCHEDULED AUTOS (Per Derson) $ HIRED AUTOS j BODILY INJURY NON-OWNED AUTOS (Peremitlent) $ PROPERTY DAMAGE (Per amtlent) $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC $ _ OTHER THAN I AUTO ONLY AGG $ EXCESS LIABILITY EACH OCCURRENCE S OCCUR —�� CLAIMS MADE I I AGGREGATE 8 I 8 �l DEDUCTIBLE g RETENTION $ $ WORKERS COMPENSATION AND AIU- UIH EMPLOYERS LIABILITY TORY LIMITS ER I E L EACH ACCIDENT $ ELDISEASE-EA EMPLOYEE E L DISEASE POLICY LIMIT I $ OTHER A Profess /Pollution PEC0005771 10/01/Oil 10/D1/02 See Below For Limits JE60 Legal Liab DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS LIMITS $1,000,000 Ea Cl /$1,000,000 Agg and $100,000 Retention Ea Cl CLAIMS MADE FORM Maximum for all claims during the policy year #97-3002 (#2940126) CERTIFICATE HOLDER NII ADDITIONAL INSURED,INSURER LETTER _ CANCELLATION CITY OF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN City of Kent NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Dept. of Public Works IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Teresa M Baim 220 Fourth Ave South REPRESENTATIVES Kent WA 98032 AUTHO REPRESENTATIV ACORD 25-S(7197) ©ACORD CORPORATION 1988