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KENT Document
WASHINGTON
CONTRACT COVER SHEET
This is to be completed by the Contract Manager prior to submission to City Clerks Office. All
portions are to be completed, if you have questions, please contact Mary Simmons,City
Clerks Office.
Vendor Name:US
Contract Number.
This is assigned by Mary Simmons
Vendor Number.
Project Name: ak E�xw 1
Contract Effective Date:
— f
Contract Termination Date:
Contract Renewal Notice (Days):
Number of days required notice for termination or renewal or amendment
Contract Manager. y n: A"
Department: IV I�k1I� S
Abstract:
ADCL7832 07/02
KENT
Wwa M1NOTOM
CONSULTANT SERVICES AGREEMENT
between the City of Kent and
MAKERS Architecture + Urban Design
THIS AGREEMENT is made between the City of Kent, a Washington municipal corporation
(hereinafter the "City"), and MAKERS Architecture + Urban Design organized under the laws of the State of
Washington, located and doing business at 1425 Fourth Ave, suite 901, Seattle, WA 99101 (hereinafter the
"Consultant").
I. DESCRIPTION OF WORK.
Consultant shall perform the following services for the City in accordance with the following described
plans and/or specifications:
Consultant will provide the City with architectural and urban design review and analysis,
consistent with the Downtown Design Guidelines as related to the Kent Station project.
Consultant will provide these services as requested by the Planning Services Division.
Consultant further represents that the services furnished under this Agreement will be performed in
accordance with generally accepted professional practices in effect at the time those services are performed.
II. TIME OF COMPLETION. The parties agree that work will begin on the tasks described in
Section I above immediately upon the effective date of this Agreement. Upon the effective date of this
Agreement, Consultant shall complete the work described in Section I within 24 months from the signed
contract date.
III. COMPENSATION.
A. The City shall pay the Consultant,based on time and materials, an amount not to exceed twenty-
four thousand, nine hundred and ninety-nine dollars ($24, 999.00) for the services described in
this Agreement. This is the maximum amount to be paid under this Agreement for the work
described in Section I above, and shall not be exceeded without the prior written authorization of
the City in the form of a negotiated and executed supplemental agreement. The Consultant
agrees that the hourly or flat rate charged by it for its services contracted for herein shall remain
locked at the negotiated rate(s) for a period of one (1) year from the effective date of this
Agreement. The Consultant's billing rates shall be as delineated in Exhibit A.
CONSULTANT SERVICES AGREEMENT- 1
(Over$10,000)
i
B. The Consultant shall submit quarterly payment invoices to the City for work performed, and a
final bill upon completion of all services described in this Agreement. The City shall provide
payment within forty-five (45) days of receipt of an invoice. If the City objects to all or any
portion of an invoice, it shall notify the Consultant and reserves the option to only pay that
portion of the invoice not in dispute. In that event, the parties will immediately make every
effort to settle the disputed portion.
IV. INDEPENDENT CONTRACTOR. The parties intend that an Independent Contractor-
Employer Relationship will be created by this Agreement and that the Consultant has the ability to control and
direct the performance and details of its work, the City being interested only in the results obtained under this
Agreement.
V. TERMINATION. Either party may terminate this Agreement, with or without cause, upon
providing the other party thirty (30) days written notice at its address set forth on the signature block of this
Agreement. After termination, the City may take possession of all records and data within the Consultant's
possession pertaining to this project, which may be used by the City without restriction. If the City's use of
Consultant's records or data is not related to this project, it shall be without liability or legal exposure to the
Consultant.
VI. DISCRIMINATION. In the hiring of employees for the performance of work under this
Agreement or any subcontract, the Consultant, its subcontractors, or any person acting on behalf of the
Consultant or subcontractor shall not, by reason of race, religion, color, sex, age, sexual orientation, national
origin, or the presence of any sensory, mental, or physical disability, discriminate against any person who is
qualified and available to perform the work to which the employment relates. Consultant shall execute the
attached City of Kent Equal Employment Opportunity Policy Declaration, Comply with City Administrative
Policy 1.2, and upon completion of the contract work,file the attached Compliance Statement.
VII. INDEMNIFICATION. Consultant shall defend, indemnify and hold the City, its officers,
officials, employees, agents and volunteers harmless from any and all claims, injuries, damages, losses or suits,
including all legal costs and attorney fees, arising out of or in connection with the Consultant's performance of
this Agreement, except for that portion of the injuries and damages caused by the City's negligence.
The City's inspection or acceptance of any of Consultant's work when completed shall not'be grounds to
avoid any of these covenants of indemnification.
Should a court of competent jurisdiction determine that this Agreement is subject to RCW 4.24.115,
then, in the event of liability for damages arising out of bodily injury to persons or damages to property caused
by or resulting from the concurrent negligence of the Consultant and the City, its officers, officials, employees,
agents and volunteers, the Consultant's liability hereunder shall be only to the extent of the Consultant's
�4
negligence.
IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THE
INDEMNIFICATION PROVIDED HEREIN CONSTITUTES THE CONSULTANT'S WAIVER OF
IMMUNITY UNDER INDUSTRIAL INSURANCE, TITLE 51 RCW, SOLELY FOR THE PURPOSES OF
THIS INDEMNIFICATION. THE PARTIES FURTHER ACKNOWLEDGE THAT THEY HAVE
MUTUALLY NEGOTIATED THIS WAIVER.
The provisions of this section shall survive the expiration or termination of this Agreement.
CONSULTANT SERVICES AGREEMENT-2
(Over$10,000)
• VIII. INSURANCE. The Consultant shall procure and maintain for the duration of the Agreement,
insurance of the types and in the amounts described in Exhibit Exhibit B attached and incorporated by this
reference.
IX. EXCHANGE OF INFORMATION. The City will provide its best efforts to provide
reasonable accuracy of any information supplied by it to Consultant for the purpose of completion of the work
under this Agreement.
X. OWNERSHIP AND USE OF RECORDS AND DOCUMENTS. Original documents,
drawings, designs, reports, or any other records developed or created under this Agreement shall belong to and
become the property of the City. All records submitted by the City to the Consultant will be safeguarded by the
Consultant. Consultant shall make such data, documents, and files available to the City upon the City's request.
The city's use or reuse of any of the documents, data and files created by Consultant for this project by anyone
other than Consultant on any other project shall be without liability or legal exposure to Consultant.
XI. CITY'S RIGHT OF INSPECTION. Even though Consultant is an independent contractor
with the authority to control and direct the performance and details of the work authorized under this
Agreement, the work must meet the approval of the City and shall be subject to the City's general right of
inspection to secure satisfactory completion.
XII. WORK PERFORMED AT CONSULTANT'S RISK Consultant shall take all necessary
precautions and shall be responsible for the safety of its employees, agents, and subcontractors in the
performance of the contract work and shall utilize all protection necessary for that purpose. All work shall be
done at Consultant's own risk, and Consultant shall be responsible for any loss of or damage to materials, tools,
or other articles used or held for use in connection with the work.
XIII. MISCELLANEOUS PROVISIONS.
A. Recyclable Materials. Pursuant to Chapter 3.80 of the Kent City Code, the City requires its
contractors and consultants to use recycled and recyclable products whenever practicable. A price preference
may be available for any designated recycled product.
B. Non-Waiver of Breach. The failure of the City to insist upon strict performance of any of the
covenants and agreements contained in this Agreement, or to exercise any option conferred by this Agreement
in one or more instances shall not be construed to be a waiver or relinquishment of those covenants, agreements
or options, and the same shall be and remain in full force and effect.
C. Resolution of Disputes and Governing Law. This Agreement shall be governed by and
construed in accordance with the laws of the State of Washington. If the parties are unable to settle any dispute,
difference or claim arising from the parties' performance of this Agreement, the exclusive means of resolving
that dispute, difference or claim, shall only be by filing suit exclusively under the venue, rules and jurisdiction
of the King County Superior Court, King County, Washington, unless the parties agree in writing to an
alternative dispute resolution process. In any claim or lawsuit for damages arising from the parties'
performance of this Agreement, each party shall pay all its legal costs and attorney's fees incurred in defending
or bringing such claim or lawsuit, in addition to any other recovery or award provided by law; rop vided,
however, nothing in this paragraph shall be construed to limit the City's right to indemnification under Section
VII of this Agreement.
D. Written Notice. All communications regarding this Agreement shall be sent to the parties at the
addresses listed on the signature page of the Agreement, unless notified to the contrary. Any written notice
CONSULTANT SERVICES AGREEMENT-3
(Over$10,000)
1
hereunder shall become effective three (3)business days after the date of mailing by registered or certified mail,
and shall be deemed sufficiently given if sent to the addressee at the address stated in this Agreement or such
other address as may be hereafter specified in writing.
E. Assignment. Any assignment of this Agreement by either party without the written consent of
the non-assigning party shall be void. If the non-assigning party gives its consent to any assignment, the terms
of this Agreement shall continue in full force and effect and no further assignment shall be made without
additional written consent.
F. Modification. No waiver, alteration, or modification of any of the provisions of this Agreement
shall be binding unless in writing and signed by a duly authorized representative of the City and Consultant.
G. Entire Agreement. The written provisions and terms of this Agreement, together with any
Exhibits attached hereto, shall supersede all prior verbal statements of any officer or other representative of the
City, and such statements shall not be effective or be construed as entering into or forming a part of or altering
in any manner this Agreement. All of the above documents are hereby made a part of this Agreement.
However, should any language in any of the Exhibits to this Agreement conflict with any language contained in
this Agreement, the terns of this Agreement shall prevail.
H. Compliance with Laws. The Consultant agrees to comply with all federal, state, and municipal
laws, rules, and regulations that are now effective or in the future become applicable to Consultant's business,
equipment, and personnel engaged in operations covered by this Agreement or accruing out of the performance
of those operations.
IN WITNESS,the parties below execute this Agreement,which shall become effective on the last
date entered below.
CONSULTANT: CITY OF NT:
By: 0 QLBy: la
(signata ) (signature)
Prim n ame:Skw.'4• oww ✓ Print N e: Jim White
Its PAe�yrtnr Its Mayor
(Title) (Title)
DATE: DATE:
NOTICES TO BE SENT TO: /NOTICES TO BE SENT TO:
CONSULTANT: CITY OF KENT:
John Owen Kurt Hanson
MAKERS Architecture+Urban Design City of Kent
1425 Fourth Avenue, suite 901 220 Fourth Avenue South
Seattle,WA 98101 Kent,WA 98032
206-652-5080 (telephone) (253) 856-5432 (telephone)
206-652-5079 (facsimile) (253) 856-6454 (facsimile)
APPROVED AS TO FQ
CONSULTANT SERVICES AGREEMENT-4
(Over$10,000)
h
Kent City Attorney
I
I
C
i
I
CONSULTANT SERVICES AGREEMENT-5
(Over$10,000)
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 Agreement 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 Agreement to adhere to. An affirmative response is required on all of
the following questions for this Agreement 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
Agreement;
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 Agreement 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 Agreement 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 Agreement I, the prime contractor, will actively consider hiring and promotion of
women and minorities.
5. Before acceptance of this Agreement, 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 �7 day of , 200-f-
By: ov",
For:
Title:
Date: -�, -io b 4
EEO COMPLIANCE DOCUMENTS- 1
CITY OF KENT
ADMINISTRATIVE POLICY
NUMBER: 1.2 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
P PP Y q Y
contractors, subcontractors, consultants and suppliers of the City must guarantee equal employment opportunity
within their organization and, if holding Agreements 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 Agreement.
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. Monitoring to assure adherence to federal, state and local laws,policies and guidelines.
EEO COMPLIANCE DOCUMENTS-2
t r
j CITY OF KENT
EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE STATEMENT
This form shall be filled out AFTER COMPLETION of this project by the Contractor awarded the
Agreement.
I, the undersigned, a duly represented agent of Company, hereby
acknowledge and declare that the before-mentioned company was the prime contractor for the Agreement
known as that was entered into on the (date)—,
between the firm I represent and the City of Kent.
I declare that I complied fully with all of the requirements and obligations as outlined in the City of Kent
Administrative Policy 1.2 and the Declaration City of Kent Equal Employment Opportunity Policy that was part
of the beforg-mentioned Agreement, _ _ _ _ _ ____ _ __ , _ __ -
Dated this day of ,200_.
By:
For:
Title:
Date:
EEO COMPLIANCE DOCUMENTS-3
Consultant Services Agreement
Between the City of Kent and
k MAKERS Architecture + Urban Design
Exhibit A
Consultant Billing Rate: $125.00 per hour
• a .
ATTACHMENT B
INSURANCE REQUIREMENTS FOR
CONSULTANT SERVICES AGREEMENTS
Insurance
The Contractor shall procure and maintain for the duration of the Agreement,insurance
against claims for injuries to persons or damage to property which may arise from or in
connection with the performance of the work hereunder by the Contractor, their agents,
representatives, employees or subcontractors.
A. Minimum Scope of Insurance
Contractor shall obtain insurance of the types described below:
1. Commercial General Liability insurance shall be written on ISO
occurrence form CG 00 01 and shall cover liability arising from
premises, operations, independent contractors, products-completed
operations, personal injury and advertising injury, and liability
assumed under an insured contract.The Commercial General Liability
insurance shall be endorsed to provide the Aggregate Per Project
Endorsement ISO form CG 25 03 1185. There shall be no
endorsement or modification of the Commercial General Liability
insurance for liability arising from explosion,collapse or underground
property damage.The City shall be named as an insured under the
Contractor's Commercial General Liability insurance policy with
respect to the work performed for the City using ISO additional
insured endorsement CG 20 10 1185 or a substitute endorsement
providing equivalent coverage.
2. Workers' Compensation coverage as required by the Industrial
Insurance laws of the State of Washington.
3. Professional Liability insurance appropriate to the Consultant's
profession.
B. Minimum Amounts of Insurance
Contractor shall maintain the following insurance limits:
1. Commercial General Liability insurance shall be written with limits no
less than $1,000,000 each occurrence, $1,000,000 general aggregate
and a$1,000,000 products-completed operations aggregate limit.
2. Professional Liability insurance shall be written with limits no less
than $1,000,000 per claim and$1,000,000 policy aggregate limit.
EXHIBIT B (continued )
C. Other Insurance Provisions
The insurance policies are to contain, or be endorsed to contain, the following provisions
for Automobile Liability and Commercial General Liability insurance:
1. The Contractor's insurance coverage shall be primary insurance as respect the City.
Any Insurance, self-insurance, or insurance pool coverage maintained by the City
shall be excess of the Contractor's insurance and shall not contribute with it.
2. The Contractor's insurance shall be endorsed to state that coverage shall not be
cancelled by either party, except after thirty (30) days prior written notice by certified
mail, return receipt requested, has been given to the City.
3. The City of Kent shall be named as an additional insured on all policies (except
Professional Liability) as respects work performed by or on behalf of the contractor
and a copy of the endorsement naming the City as additional insured shall be attached
to the Certificate of Insurance. The City reserves the right to receive a certified copy
of all required insurance policies. The Contractor's Commercial General Liability
insurance shall also contain a clause stating that coverage shall apply separately to
each insured against whom claim is made or suit is brought,except with respects to
the limits of the insurer's liability.
D. Acceptability of Insurers
Insurance is to be placed with insurers with a current A.M. Best rating of not less than
A:VII.
E. Verification of Coverage
Contractor shall furnish the City with original certificates and a copy of the amendatory
endorsements, including but not necessarily limited to the additional insured
endorsement,evidencing the insurance requirements of the Contractor before
commencement of the work.
F. Subcontractors
Contractor shall include all subcontractors as insureds under its policies or shall furnish
separate certificates and endorsements for each subcontractor. All coverages for
subcontractors shall be subject to all of the same insurance requirements as stated herein
for the Contractor.
TE
ACMrm CERTIFICATE QF L#ABILITY INSURANCE 07 7/2°
DUCER (425)822-3500 FAX (425)822-3510 T1418 CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
' Conover Ederer insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
XTEND OR
11250 Kirkland Way ALTER Dig D g COVERAGE AFFORDED BY THE POLIEP.THIS CERTIFICATE DOES NOT AMEND,O ES BELOW.
P. 0. Box 3299
Kirkland, WA 98033 INSURERS AFFORDING COVERAGE NAIC0
INSURED INSURER A• Assurance Company of America Qu I ich)
Makers Architecture & Urban Design INSURER8•
1425 4th Aver Suite 902 INSURERC.
Seattle, WA 98101-2222 INSURERD'
INSURER E.
RAGES _ _
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWNTHSTANDIN
ANY REOUIREMENT,TERM OR CONDITION OF ANY CC-NTRACT 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 AWREGATE LIM)TS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
INSR OD'WqR TTPSOFIHSUW,NCE POLICY NUMBER POLICY iFECT1VE POLIGYEXPIRATION LIMITS
morm
GFNeRAL LtASILtTY PPS 0377SS126 01 03/26/2004 03/26/2005 EACHOCCURRENCE 15 2,000,000
1( COMMERCIAL GENERAL LIABILITY DAMAGE TD RENTED = BOO,O
gRFMtRF.4Z
CLAIMS MADE M OCCUR MED PXP(Anyone PeMA) f 10,0001
A PERSONAL 6 AW INJURY S 2.000.0001
X Stop Gap GENERAL AGGREGATE $ 2v000,000
GEN'LAGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOPAGG S 2,000,000
rx-1 POLICY 7 ECT LOC
AUTOMOBILE LIABILITY PPS037758126 01 03/26/2004 03/26/2005 COMBINED SINGLE LIMIT
ANY AUTO Me acct0entl 5 11000,000
ALL OWNED AUTOS BODILY INJURY
A SCNEDULEDAUTOS (per person) f
X HIRED AUTOS BODILY INJURY
X NON-OWNED AUTOS (Perw0dent) f
PROPERTY DAMAGE
(Per acoment)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT f
ANYAUTO OTHER THAN EAACC S
AUTO ONLY AGO S
EXCESWUMBRELLA LIABILITY EACH OCCURRENCE S
OCCUR CLAIMS MADE AGGREGATE f
b
DEDUCTIBLE S
RETENTION S S
WORKERS COMPENSATION AND
wG STATU• OTH•
EMPLOYERS'LIABILITY
A E L EACH ACCIDENT f 0
OFFICUUMEMBER EXCLUDED?ECUTNE
ye EL DISEASE-FAEMPLDY S O
(SPECIAL PROVISIONS bovm EL OISEASE.POLICY LIMIT S 0
OTHER
DESCRIPTION OF OPERATIONS/LOCATgM LBS/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Ea Kent Station Code Review
ity of Kent is named as Additional Insured
FIC&TE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City of Kent EXPIRATION OATETHEREOF,THR ISSUING MSURERYALL ENDEAVOR TOMAIL
Kent Community Development Dept. 30 DAYS WRITTEN NOTMETOTHF CERTIFICATE HOLDER NAMEDTO THE LEFT,
Attn: Kim Marousek BUT FALURETOMAL SUCH NOTICE SHALL IMPOSE NO OBLIGATION 09LIABILITY
220 4th Ave. S. OF ANY KIND UPON THE INSURER,MS AGENTS ORREPRESENTATIVES,
Kent, WA 98032 AUTHORIZED REPRESENTATIVE
Melinda HollowayAELIND �k� �«
ACORD25(2001/081 FAX: (253)856-6454
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED,the pollcy(ies)must be endorsed.A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may
require an endorsement.A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s),authorized representative or producer,and the Certificate holder,nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25(2001108)
Commercial General Liability
CG20101001
Policy Number: PPS 37738126
Named Insured: Makers Architecture&Urban Design
THIS ENDORSEMENT CILANGES THE POLICY. PLEASE READ IT CAREFULLY
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON OR
ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name of Person or Organization;
City of Kent
(if no entry appears above, information required to complete this endorsement will be shown in the Declarations
as applicable to this endorsement.)
A. Section it—Who Is An Insured is amended to include as an insured the person or organization shown in the
Schedule, but only with respect to liability arising out of your ongoing operations performed for that insured.
S. With respect to the insurance afforded to these additional Insureds,the following exclusion is added:
2. Exclusions
This insurance does not apply to"bodily injury'or"property damage" occurring after
(1) All work, including materials, parts or equipment furnlshed in connection with such work, on the
project (other then service, maintenance or repairs) to be performed by or on behalf of the
additional Insured(s)at the site of the covered operations has been completed; or
(2) That portion of"your work" out of which the injury or damage arises has been put to its intended
use by any person or organization other than another contractor or subcontractor engaged in
performing operations for a principal as a part of the same project.
CG 20 1010 01 C ISO Properties,Inc, 2000 Page 1 of 1
AtrORD DATE
CERTIFICATE OF LIABILITY INSURANCE MAY14D 4'
TM
PRODUCER
CEER J.HALL 8 COMPANY THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
1957810TH AVENUE N.E. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
POULSBO WA 98370 ALTER THE C VERAGE AFFORDED BY THE POLICIES BELOW.
PHONE: (360)5983700
FAX: (360)598-3703 Aumcy L10#'91-1461089 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A ST PAUL FIRE&MARINE
MAKERS ARCHITECTURE&URBAN DESIGN INSURERS
1425 4TH AVENUE 001 INSURER Q
SEATTLE WA 98101
INSURER D
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 ALLTHE TERMS, EXCLUSION$AND CONDITIONS OF SUCH
POLICIES AGGREGATE UNITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
INSF TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTNE POLICY EXPIRATION LIMITS
LTR DATE DATE
GENERAL LU481LRY EACH OCCURRENCE $
COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $
CLAIMS MADE OCCUR _ _ __ __ _ MED EXP(Any One Parson) $ _
PERSONAL&ADV INJURY E
GENERAL AGGREGATE E
GEWL AGGREGATE LIMB APPLIES PER PRODUCTSCPI OMOP AGG E
POLICY
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
ANY AUTO (Ea accident) E
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Pa Parson) S
HIRED AUTOS BODILY INJURY
NON-OWNED AUTOS (Per ecddent) E
PROPERTY DAMAGE E
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC S
AUTO ONLY AGG E
EXCESS I UMBERELLA UABiLJTY EACH OCCURRENCE E
OCCUR CLAIMS MADE AGGREGATE S
E
DEDUCTIBLE E
RETENTION $ S
WORKERS COMPENSATION AND 7' It TWC ORY LI 4 OTHER
EMPLOYERS'LIABILITY r'
ANY PROPRETORIPARTNEIVEXECVfIVE E L EACH ACCIDENT Is
OFNCERIWMBER UCLUDEDT .a El. DISEASE-EA EMPLOYEE i E
N ym NeuIM unaar
SPECIAL PROVISIONS below E L DISEASE-POLICY LIMIT Is
OTHER OP09805545 FEB 28 4 FEB 28 05 $1,000,000 PER CLAIM
A PROFESSIONAL LIABILITY POLICY $1,000,000 AGGREGATE
CLAIMS MADE FORM
DESCRIPTION OF OPERATIONSILOCAT*tWEHICLESIEXCLUSIONS ADDED ENQQRSEMENTI SPECIAL PROVISIONS
PROJECT:KENT STATION REVIEW ASSISTANCE lkJ C IIv E ll
CERTIFICATE HOLDER ANAL INSURE7INSURER O N
P SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE
EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30
DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT
CITY OF KENT PLANNING SERVICES FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
220 4TH AVE S INSURER,ITS AGENTS OR REPRESENTATIVES
KENT, WA 98032 AUTHORIZED REPRESENTATIVE
Attention: KIM MAROUSEK
ACORD 25(2001108) Ceff"te# 24978 Matthew L.Copus
ACORa CERTIFICATE OF LIABILITY INSURANCE 04/ii2 0
PRODUCER (425)822-3500 FAX (425)822-3510 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Conover Insurance Agency (K) ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
11250 Kirkland Way HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
Y ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Kirkland, WA 98033
INSURERS AFFORDING COVERAGE NAIC#
INSURED Makers Architecture & Urban Design INSURERA Assurance Co of America
1425 4th Ave, Suite 901 INSURER
Seattle, WA 98101 INSURER C
INSURER D
+ INSURER E
of
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING
.THE
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 11,001 TYPE OF INSURANCE POLICY NUMBER POUCY EtfititFFECTIVE POLICY EXPIRATIONTr
DATE(MMUDDI'm LIMITS
GENERAL LIABILITY PPS 37758126 03/26/2005 03/26/2006 EACH OCCURRENCE $ 1,000,000
X COMMERCIALGENERAL LIABILITYDAMAGE TO RENTED A2,OOO,00
1100010
CLAIMS MADE D OCCUR MED EXP(Any one person)
A X WA Stop Gap PERSONAL&ADV INJURY
GENERAL AGGREGATE GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMP/OP AGG
X POLICY RO LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
ANY AUTO (Ea accident) $
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per person) $
HIREDAUTOS BODILY INJURY $
NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S
ANY AUTO
OTHER THAN EA ACC $
NON AUTO ONLY AGG $
EXCEMUMBRELLA LIABILITY �Q EACH OCCURRENCE $
OCCUR CLAIMS MADE g AGGREGATE $
tit $
DEDUCTIBLE 5 ^ g
RETENTION $ �+1 $
WORKERS COMPENSATION AND ` WC ST MIT PR'
EMPLOYERS'LIABILITY (V\' E L EACH ACCIDENT Is
_ ARIWRI
E L DISEASE-EA EMPLOY $
I s,describe under
SPECIAL PROVISIONS below EL DISEASE-POLICY OMIT $ -
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
E: Kent Station Code Review
ity of Kent is named as Additional Insured
MICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City of Kent EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL
Kent Community Development Dept. 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Attn: Kim Marousek BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
220 4th Ave. S. OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES
Kent, WA 98032 AUTHORIZED REPRESENTATIVE
Melinda Hollowa ELIND
ACORD 25(2001I08) FAX: (2S3)8S6-6454 OACORD CORPORATION 1988
� � d
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
L If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may
require an endorsement.A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s),authorized representative or producer,and the certificate holder, nor does it
affirmatively or negatively amend,extend or alter the coverage afforded by the policies listed thereon.
T
ACORD 26(2001/08)