Loading...
HomeMy WebLinkAboutPW05-245 - Original - GeoEngineers, Inc. - 114th Ave Fill Site Geotechnical Evaluation - 08/17/2005 I Records Ma0-, ,,,,-ta-`g- emefl'16 KENT Document WAHHINGTON 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: GeoEngineers, Inc. Contract Number: PLJOS- a4se7 This is assigned by Mary Simmons Vendor Number: Project Name: 114th Avenue Fill Site Contract Effective Date: August 17, 2005 Contract Termination Date: June 30, 2007 Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Nick Horn Department: Engineering Abstract: Conduct a geotechnical evaluation of the condition and extent of fill soil at the site. ADCL7832 07/02 KENT WASHINGTON CONSULTANT SERVICES AGREEMENT between the City of Kent and GeoEngineers, Inc. THIS AGREEMENT is made between the City of Kent, a Washington municipal corporation (hereinafter the "City"), and GeoEngineers, Inc organized under the laws of the State of Washington, located and doing business at 1101 Fawcett Avenue, Suite 200, Tacoma, WA 98402, Phone: (253) 383-4940/Fax: (253) 383-4923, Contact: Gary Henderson,P.E. (hereinafter the "Consultant"). L DESCRIPTION OF WORK. Consultant shall perform the following services for the City in accordance with the following described plans and/or specifications: The Consultant shall conduct a geotechnical evaluation of the condition and extent of fill soil at the 114th Avenue Fill Site For a detailed description, see the Scope of Work which is attached as Exhibit A and incorporated by this reference. 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 by June 30, 2007. III. COMPENSATION. A. The City shall pay the Consultant, based on time and materials, an amount not to exceed Four Thousand, Nine Hundred Fifteen Dollars and thirty two cents ($4,915.32) 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 B. B. The Consultant shall submit monthly 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 CONSULTANT SERVICES AGREEMENT- 1 (Under-$10,000) 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 perfoance and details of its work, the City being interested only in th rmi e 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 termmation, 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 restnction 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, :hiding 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 i s 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 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 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 C attached and incorporated by this reference CONSULTANT SERVICES AGREEMENT-2 (Under$10,000) 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, ..cawings, 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 flies available to the Cityupon 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. E ven though Consultant is an independent contractor with the authority to control and direct the performance and details of the work authorized under this Agreement, t he w ork in ust in ect t he approval o f the C ity and s hall b e subject t o the C ity's general r ight o f 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 -lay 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 clairn, 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; provided, 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 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 maybe hereafter specified in writing. CONSULTANT SERVICES AGREEMENT-3 (Under$10,000) E. Assl nment. 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 terms 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 KENT: By- '� -- (signature) (signature) Print Name: % (-a 4;y!� , %�[ �; ->�> Print Name: Larry R Blanchard Its: %' t Its: Director of Public Works (Title) (Title) DATE: 1��'° i-" DATE: NOTICES TO BE SENT TO: NOTICES TO BE SENT TO: CONSULTANT: CITY OF KENT: Gary Henderson, P.E. Larry R Blanchard GeoEngmeers, Inc. City of Kent 1101 Fawcett Avenue, Suite 200 220 Fourth Avenue South Tacoma, WA 98402 Kent, WA 98032 (253) 383-4940 (telephone) (253) 856-5500 (telephone) (253) 383-4923 (facsimile) (253) 856-6500 (facsimile) GeoEngmeers- 114Ih Ave Fill Site/Horn CONSULTANT SERVICES AGREEMENT-4 (Under$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 �. During the time of the Agreement I, the pnme 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 4 day of . �'L��� , 200 By. For: ff�'vlr*; Title: r , r a Date: 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 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. ny 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 CITY OF KENT EQUAL EMPLOYMENT OPPORTtiNITY 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 before-mentioned Agreement. ited this day of , 200_ By: For: Title: Date: EEO COMPLIANCE DOCUMENTS-3 EXHIBIT A REVISED SCOPE OF SERVICES CITv OF KENT ENGINEERING DEPARTMENT GEOTECHNiC 1 SERVICES VACANT LOT TAX PARCEL NUMBER 2922059054 IlCPIT lA/A CfJIRI(_T(l AI FILE NO. 0410-144-00 The purpose of out services is to assist the City of Kent(City) evaluate the condition and extent of fill soil at Tax Parcel No 2922059054 The vacant lot is currently undeveloped and consists of about 19 acres We understand that the lot was fonneily a low area and may have contained a pond at one time The lot has been petiodically filled by City staff We understand that the fill consists of soil excavated fiom various City construction projects. We understand the City wishes to develop the Iot for residential purposes 'I herefore, a geoteclmreal evaluation of the fill is requued Specifically,our services will include 1. Reviewing historical mforniation concealing prior glades at the site. 2. Coordinating with the City regarding subsurface explorations on the subject site. We understand the City will provide a backhoe and operator 3. Observing the excavation of thice to four test pits at the site. Document soil conditions encountered in the test pits 4. Evaluating the soil data with respect to support of shallow foundations. 5. Preparing a summary report of the field and historical review 6. Providing periodic geotechnical field consultation as the site is being graded. We have budgeted up to four site visits 7. Providing a summary report of our construction observations. SCHEDULE AND BUDGET We are currently in a positron to schedule the site exploration plomptly upon receipt of your authorization to proceed Site obseivations, soil sampling and exploration will icquire about one day to complete. Laboratory analysis will take about two weeks to complete Our draft report should be ready about two weeks after receipt of the laboratory data We understand our services will be conducted in accordance with your standard contract, to which these exhibits will be attached We estimate our fee for the above scope of services will be about S4,915.32. A breakdown of charges is shown on the attached Revised Fee Estimate,Exhibit B SWH JHB gb TACO\0\04 t 0144\00\Finals\041014400RevExhibitAScope_062205 Doc Attachment Exhibit B—Revised Fee Estimate Disclaimer Any electronic form, facsimile or hand copy of the original document (email, text, table, and/or figure), If provided, and any attachments are only a copy of the original document The original document is stored by GeoFngmeers, Inc and will serve as the official document of record File No 0410-144-00 PageA-1 GMENGINEERS June 22,2005 EXHIBIT B ,/ r- �� (^CP%C1kjrrl4tCCPC tom(' C,T F OF KEN 1 `is G',iv"ii ii Xi7•DEPARTMENT GEOTECHNICAL SERVICES VACANT LOT TAX PARCEL NUMBER 2922059054 KENT,WASHINGTON FILE NO 0410-144-00 r3Mf1C1=n CCC CCT1hMATC 1\LY JLV 1 Ll� ICJ 1 unrtl L 1 ciss cw,,,0 "ours x I, Ce Associate Engineer(Garry Squires) 3 x $52 88 = $158 64 Senior Geologist (Steve Helvey) 15 x $35 00 = $525 OJ Project Engineer/Geologist x = Engineer/Scientist 3 (Various) x = Engineer/Scientist 2(Various) 28 x $24 00 = $672 00 Engineer/Scientist 1 x = Technician 2 x $17 00 = $34 00 Support 5 x $19 00 = $95 09 Subtotal Personnel Cost $1,484 64 Overhead(197%of direct costs) $2,924 74 Profit(10%of overhead plus direct cast) $440 94 Subtotal Personnel $4,850 32 Other Expenses PhotocopyinglReproducticn $0 00 Vehicle Usage $15 00 Expendables(photographs,equipment charges etc) $50 00 Subtotal $65 00 Total Estimated Costs $4,915 32 TACO 10\0410144\001Finals\04101440ORevExhibitBFeeEsti rrate_062205 File No 0410-144-00 June 22,2005 B-I Geo Engineers EXHIBIT C 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 11 85 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 11 85 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 C (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. ACORDTM CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 07/28/2005 PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Willis North America, Inc. - Regional Cert Center HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. O. Box 305191 Nashville, TN 372305191 INSURERS AFFORDING COVERAGE NAIC# - INSv.+eD GeoEngineers, Inc. � �� 6q�,1,�y 4Tc �NSURERA St. Paul Fire and marine Insurance Compan 24767-001 1101 S. Fawcett ' INSURERB Suite 200 Tacoma, WA 98402 AUGI t INSURERC l7 INSURER D 1 URERE COVERAGES vI NG THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR DD' TYPE OFINSURANCE POLICY NUMBER POLICYEFFECTIVE POLICY EXPIRATION LIMITS LTR NSR DATE MM/DD/YV DATE MM DO/YY A GENERAL LIABILITY CK08403542 11/1/2004 ll/l/2005 EACHOCCURRENCE $ 11000,000 X COMMERCIAL GENERAL LIABILITY PREMISES EaocE TO curence $ 100,000 CLAIMSMADE F OCCUR MEOEXP(Anyonepemon) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 21000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OPAGG $ 2,000,000 RO POLICY jECT LOG A AUTOMOBILE LIABILITY CK08403542 ll/1/2004 11/1/2005 COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) $ 1,000,000 ALLOWNEDAUTOS BODILY INJURY S SCHEDULED AUTOS (Per person) X HIREDAUTOS BODILY INJURY $ X NON-OWNEDAUTOS (Peraccident) X Collision Ded: $1000 PROPERTY DAMAGE $ X Com Ded• 1000 (Peraccident) GARAGELIABILITY AUTO ONLY-EAACCIDENT $ ANYAUTO OTHERTHAN EAACC $ AUTOONLY AGG $ EXCESS LIABILITY EACHOCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND IWCSTATU- OTH- EMPLOYERS'LIABILITY TORYLIMIT'1 1 ER ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED EL DISEASE EA EMPLOYEE $ If yes,describe under SPECIAL PROVISIONS below EL DISEASE POLICYLIMIT $ A OTHER CK08403542 11/1/2004 11/1/2005 Business Personal $2,539,674 Limit Property DESCRIPTION OF OPERATIONS/LOCATIONSA/EHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: City of Kent - 114th Avenue Fill Site, GeoEngineers, Inc. File No. 0410-144-00 City of Kent and it's affiliates or subsidiaries as additional insured as respects work performed by the named insured with regard to the General Liability policy. GeoEngineers, Inc. File No. 0410-144-00. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL City of Kent IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Attn: Nancy YOshitake REPRESENTATIVES 220 - 4th Ave s AUTHORI TIVE Kent, WA 98032 ACORD 25(2001108) Coll:1361856 Tp1:323994 Cert:6035429 ©ACORD CORPORATION 1988 ADDITIONAL PROTECTED PERSONS ENDORSEMENT—CONTRACTORS Thestphu' GENERAL LIABILITY—INCLUDING COMPLETED WORK This endorsement changes your Contractors Commercial General Liability Protection How Coverage Is Changed There are two changes which are described architect, engineer,or surveyor professional below. services. 1. The following is added to the Who is Protected Architect, engineer, or surveyor professional Under This Agreement section. This change services includes- adds certain protected persons and limits their • the preparation or approval of maps, drawings, protection. opinions, reports, surveys, change orders, designs, or specification; and Additional protected person. The person • supervisory, inspection, or engineering or organization named below is an additional services. protected person as required by a contract or agreement entered into by you. But only for 2. The following is added to the Other primary covered injury or damage arising out of: insurance section. This change broadens • your work for that person or organization; coverage. • your completed work for that person or organization if your contract or agreement We'll consider this insurance to be primary to requires such coverage; and non-contributory with the insurance issued • premises you own, rent, or lease from that directly to the additional protected persons person or organization; or listed below if: • your maintenance, operation, or use of your contract specifically requires that we equipment leased from that person or consider this insurance to be primary or organization. primary and non-contributory insurance; or • you request before a loss that we consider We explain what we mean by your work and this insurance to be primary or primary and your completed work in the Products and non-contributory insurance. completed work total limit section. Other Terms If the additional protected person is an architect, engineer, or surveyor, we won't All other terms of your policy remain the same. cover injury or damage arising out of the performance or failure to perform Person Or Organization: Any Person or Organization You Are Required By Written Contract to Add as an Additional Protected Person. City of Kent and it's affiliates or subsidiaries Name of Insured: Policy Number: CK08403542 Effective Date 11/1/2004 GeoEngineers,Inc. Processing Date 7/27/05 G0322 Rev. 12-97 Printed in U.S.A. Endorsement ©St. Paul Fire and Marine Insurance Co. 1997 All Rights Reserved Page 1 of 1 6 Terra Insurance Company CIS a - (A Risk Retention Group) IG2 Two Fifer Avenue, Suite 100 AU 26'NJ'S Corte Madera CA 94925 CERTIFICATE OF INSURANCE DATE A RISK RETENTION GROUP 07/27/05 NAME AND ADDRESS OF INSURED GeoEngmeers, Inc. 8410-154th Avenue,N.E. Redmond,WA 98052 This certifies that the insurance policy (described below by a policy number) written on forms in use by the Company has been issued. This certificate is not a policy or a binder of insurance and does not alter, amend or extend the coverage afforded by that policy. Notwithstanding any requirement, term or condition of any contract or other document to which this certificate may pertain, the insurance afforded by the policy is subject to all of its terms, exclusions and conditions. TYPE OF INSURANCE Professional Liability POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE 205019 01/01/05 12/31/05 LIMITS OF LIABILITY $1,000,000 EACH CLAIM $1,000,000 ANNUAL AGGREGATE PROJECT DESCRIPTION City of Kent- 114th Avenue Fill Site GeoEngmeers,Inc. File No. 0410-144-00 CANCELLATION If the described policy is cancelled, materially altered or changed by the Company before its expiration date, the Company will mail written notice to the certificate holder thirty (30) days in advance. If the described policy is cancelled by the insured before its expiration date, the Company will mail written notice to the certificate holder within thirty (30) days of the notice to the Company from the insured. CERTIFICATE HOLDER ISSUING COMPANY: TERRA INSURANCE COMPANY (A Risk Retention Group) City of Kent Attn: Nancy Yoshitake 220 -4th Avenue South Kent,WA 98032 President vUilly vvuihels �, omp r ICimuui 3WILIS- L',urp,uy�rL dUAILy L C lllll� 111 Washington State Department of sTAN, Employer Liability F Labor and Industries _ t Certificate �w- �rt Department of Labor and Industries Employer Liability Certificate Date: 07/27/2005 UBI #: 600 375 010 Business Name. GEOENGINEERS INC Legal Business Name: GEOENGINEERS INC Account#: 429,351-00 'Doing Business As'Name: GEOENGINEERS INC Quarterly Premium Reports: Quarter 2 of Year 2005 Workers' Comp Premium Status: Account is current. Firm has voluntarily reported and paid their premiums. Licensed Contractor? Yes Account Representative: T6/SAM RIENBOLT(360)902-4659 Industrial Insurance Information The information above shows the employer's industrial insurance(workers' compensation) premium status with the Department of Labor and Industries Employers report and pay premiums each quarter based on hours of employee work already performed, and are liable for premiums found later to be due. Industrial insurance accounts have no policy periods, cancellation dates or limitations of coverage. (See RCW 51.12 050 and 5 t 16,190.) https•//fortress.wa.gov/lni/crpsi/AcctlnfoPrint.aspx?Accountld=42935100&AccountManag... 7/27/2005