HomeMy WebLinkAboutPW06-049 - Original - Earth Tech Inc - S 288th Street Corridor Projects - Construction Coordination Support Services - 05/11/2006 IS Records Ma-nagemerft.-e.
KEN T
WA5MINGTON Document
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: Earth Tech Inc.
Contract Number: Poo(0 - ng9
This is assigned by Mary Simmons
Vendor Number:
Project Name: S. 228th Street Corridor
Contract Effective Date: Date of the Mayor's signature
Contract Termination Date: December 31, 2006
Contract Renewal Notice (Days):
Number of days required notice for termination or renewal or amendment
Contract Manager: Stan Wade
Department: Engineering
Abstract:
Provide construction project coordination support services for the S. 228th Street Corridor
rp olects.
ADCL7832 07/02
KENT
WASHINGTON
CONSULTANT SERVICES AGREEMENT
between the City of Kent and
Earth Tech Inc.
THIS AGREEMENT is made between the City of Kent, a Washington municipal corporation
(hereinafter the "City"), and Earth Tech Inc organized under the laws of the State of Washington, located and
doing business at 10800 NE 8th Street, Suite 700, Bellevue, WA 98004, Phone: (425) 698-1137/Fax: (425)
453-9470, Contact- Brian Russell (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:
The Consultant shall provide construction project coordination support services for the S. 228th
Street Corridor projects 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 ,.^, lal-*A *h- ioo@ described n Section I by December 31, 2006.
��9oV/alt 5C/'v/4�i 511 Cie
III. COMPENSATION. 1/
1/04
A. The City shall pay the Consultant, based on time and materials, an amount not to exceed Ninety
Thousand Dollars ($90,000 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 neg?"'10ted
rate(s) The Consultant's
billing rates shall be as delineated in Exhibit A. *Alrov h Dcc-i »iia✓ 30 2oc/, ' S/106
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
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.
CONSULTANT SERVICES AGREEMENT- 1
(Over$10,000)
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 12, 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
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 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.
CONSULTANT SERVICES AGREEMENT-2
(Over$10,000)
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 O F I NSPECTION. 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, the w ork in ust in eet t he approval o f the C ity and shall b e subject t o the C ity's general right 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. , n g c�„+ ' I a?
XIII. MISCELLANEOUS PROVISIONS. T �//p 4
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 ansmg 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 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.
CONSULTANT SERVICES AGREEMENT-3
(Over$10,000)
Section XII Work performed at Consultant's risk
Add the following sentence"the consultant shall have the right to inspect the work area assigned
for use by the consultant If there are safety concerns the consultant will identify the issues to the
City Cost for corrective action, if any, shall be the responsibility of the City"
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.
CONSULT CITY OF KENT:
By: By:
(s natare) �' / (signature)
Print Name r'iGh �/ e.
Sr // Print Ni : �S ette Cooke
Its 1�. c. Pros1 den f Its Mayor
(Title) ( tle)
DATE: /��lo DATE: i
NOTICES TO BE SENT TO: NOTICES TO BE SENT TO:
CONSULTANT: CITY OF KENT:
Brian Russell Larry R Blanchard
Earth Tech Inc. City of Kent
10800 NE 8th St , Suite 700 220 Fourth Avenue South
Bellevue, WA 98004 Kent, WA 98032
(425) 698-1137 (telephone) (253) 856-5500 (telephone)
(425) 453-9470 (facsimile) (253) 856-6500 (facsimile)
APPROVED AS TO FORM:
Kent aw Dep ent
Earth Tech-228th Project Coordination/Wade
CONSULTANT SERVICES AGREEMENT-4
(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.
sT'
Dated this y f��GtV 2004
By
Z
For: k�rm TC-6/1
Title: Via, aC ;d 6 f
Date: 5-// /2004
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
opportumty 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
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 Far- h 7 GOl 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.
Dated this day of , 200
By:
For:
Title:
Date:
EEO COMPLIANCE DOCUMENTS-3
EXHIBIT A
Scope of Work
City of Kent—Engineering Division
Project Coordination Services
Earth Tech Inc
10800 Northeast 81h St., Suite 700
Bellevue, Washington 98004
General
Assist in the administration of a number of Capital Improvement Projects with costs ranging
from $500,000 to $5,000,000. Review all aspects of Document Control from submittal through
final retention.
Task 1 Construction Support Services
Services include performance of various construction support tasks under the direct supervision
of the City of Kent This position is to be performed by a single individual on a full time or near
full time basis. Activities include general contract administration within an office environment
with periodic field inspection activities.
The City of Kent will provide a work station for one individual including computing equipment
and supplies. In addition to performance of day to day construction support activities, Earth Tech
will assist the City with development of a procedures manual for program administration Areas
to be reviewed shall include but are not limited to the following
• LAG Manual Procedures
• Submittal Reviews
• RFI Coordination
• Meetings Documentation
• As-Builts (record drawings)
• Estimating Techniques
Task 2 Additional Services
This task includes providing additional expertise as required by the City of Kent for design
services, constructability reviews,peer reviews, delay claim analyses, claim resolution services,
etc; These services would be billed at Earth Tech's staff direct salary plus overhead at 150% and
10% profit Performance of these services would be initiated by Earth Tech upon wntten
authorization from the City of Kent confirming scope of work, billing rates and budget.
Page 1 of I
EXHIBIT A
Scope of Work
City of Kent— Engineering Division
Project Coordination Services
Project Description: Provide construction coordination services
City of Kent Project Number
Services for the period: 05/01/06 to 10/15/06
Estimate for Task 1 Construction support services
Earth Tech
Direct Salary Cost Projected Hours Rate Cost
M Salley Project Engineer 840 $ 90.00 $ 75,600 00
T Macdonald Construction Manager 120 $ 10500 $ 12,600 00
Total Earth Tech Labor $ 88,200.00
Reimbursable Expenses (est)
Misc Printing/Reproduction/Photos $ 60000 Plots (I1x17),
Cell phone $ 60000 Monthly cost @ 100/month
Postage/Shipping/Deliveries $ 10000
Mileage $ 500.00 (Based upon current IRS rate)
Expenses billed at cost plus 10%mark up
Total Reimbursable Expenses (est) $ 1,800.00
Total Task 1 services $ 90,000.00
Total Task 2 (no budget assigned at this time) $ -
Total Contract $ 90,000.00
4/19/2006
EXHIBIT 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. Automobile Liability insurance covering all owned, non-owned, hired and
leased vehicles. Coverage shall be written on Insurance Services Office (ISO)
form CA 00 01 or a substitute form providing equivalent liability coverage. If
necessary, the policy shall be endorsed to provide contractual liability
coverage.
2. 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. Q"
Gommaaoirl 6Waofal man ho onrjnrcad r ....,,.,:ao 4ke
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.
3. Workers' Compensation coverage as required by the Industrial Insurance laws
of the State of Washington
4. Professional Liability insurance appropriate to the Consultant's profession.
B. Minimum Amounts of Insurance
Contractor shall maintain the following insurance limits:
1. Automobile Liability insurance with a minimum combined single limit for
bodily injury and property damage of $1,000,000 per accident.
2. 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.
EXHIBIT B (Continued)
3. Professional Liability insurance shall be written with limits no less than
$1,000,000 per claim and $1,000,000 policy aggregate limit
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
W the contractor and a copy of the endorsement naming the City as additional
rZY� insured shall be attached to the Certificate of Insurance. The City reserves
e rig t a certified copy of all required insurance policies=e
51�1° Contractor's Commercial General Liability insurance shall also contain a GohSV +on'F S
! clause stating that coverage shall apply separately to each insured against Obi tc�
whom claim is made or suit is brought, except with respects to the limits of
the insurers liability. 4 ��
D. Acceptability of Insurers
Insurance is to be placed with insurers with a current AM 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
�4
MARSH CERTIFICATE OF INSURANCE CERTIFICATE NUMBER
LOS-000513364-01
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
Marsh Risk&Insurance Services NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
License# 0437153 POLICY THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE
777 S Figueroa Street AFFORDED BY THE POLICIES DESCRIBED HEREIN
Los Angeles,CA 90 01 7-5 822 COMPANIES AFFORDING COVERAGE
Attn Helen Shamma(213)346-5530 Fax(213)346-5886 —
COMPANY
8880-ETECH-PL-05106 PL 98004 0406 A American Home Assurance Company
INSURED COMPANY
EARTH TECH,INC B WORKERS COMPENSATION,SEE ATTACHED SCHEDULE
10800 N E 8TH STREET,7TH FLOOR
BELLEVUE,WA 98004 COMPANY
C LLOYD'S OF LONDON
COMPANY
D N/A
COVERAGES This certificate supersedes and replaces any previously issued certificate for the policy period noted below
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED
NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS CONDITIONS AND EXCLUSIONS OF SUCH POLICIES AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
CO POLICYEFFECTIVE POLICY EXPIRATION
LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YYI DATE(MM/DD/YY) LIMITS
GENERAL LIABILITY
GENERAL AGGREGATE 1,000,000
A X COMMERCIAL GENERAL LIABILITY RMGL5749708 10/01/05 10/01/06 PRODUCTS-COMP/OP AGO $ 1,000,000
CLAIMS MADE 1K OCCUR PERSONAL&ADV INJURY $ 1,000,000
X OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000
FIRE DAMAGE(Any one fire) $ 1,000,000
MED EXP(Any one person) $ 10,000
A AUTOMOBILE LIABILITY RMCA 3017799(AOS) 10/01/05 10/01/06
COMBINED SINGLE LIMIT $ 1,000,000
A X ANY AUTO RMCA 3017798(TX) 10/01/05 10/01/06
A X ALL OWNED AUTOS RMCA 3017797(MA) 10/01/05 10/01/06 BODILY INJURY $
A X SCHEDULED AUTOS RMCA 3017796(VA) 10/01/05 10/01/06 (Perperson)
X HIRED AUTOS BODILY INJURY
X NON-OWNED AUTOS (Peraccldent) $
PROPERTY DAMAGE $
GARAGE LIABILITY
AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM $
WORKERS COMPENSATION AND X ORY LIMITS ER
EMPLOYERS'LIABILITY
A SEE PAGE TWO 10/01/05 10/01/06 EL EACH ACCIDENT $ 1,000,000
B THE PROPRIETOR! INCL SEE PAGE TWO 10/01/05 10/01/06 EL DISEASE-POLICY LIMIT $ 1,000,000
PARTNERS/EXECUTIVE
OFFICERS ARE EXCL EL DISEASE-EACH EMPLOYEE $ 1,000,000
C OTHER OF076905-SIR$50,000(PL) 10/15/05 10/15/06 Per Claim
Professional Liability Aggregate 1,000 000
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/SPECIAL ITEMS
S 228th Street Corridor Project Coordination CITY OF KENT(IS/ARE)NAMED AS ADDITIONAL INSURED FOR GL&AL COVERAGES,BUT ONLY AS
RESPECTS WORK PERFORMED BY OR ON BEHALF OF THE NAMED INSURED
�fif ATE t�Lb R" CANCELLATIOW
SHOULD ANY OF THE POLICIES DESCRIBE]HEREIN BE CANCELLED BEFORE THE EXPIRATION CATE THEREOF
THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL An DAYS WRITTEN NOTICE TO THE
CITY OF KENT ENGINEERING DEPARTMENT CERTIFICATE HOLDER NAMED HEREIN BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
ATTN NancyYoshitake
220 4TH AVE SOUTH LIABILITY Or ANY KIND UPON THE INSURER AFFORDING COS ERAGE ITS AGENTS OR REPRESENTATIVES OR THE
KENT,WA 98032 ISSUER OF THIS CERTIFICATE
MARSH USA INC
BY Michael J Vizio ly ,,p ^- -*A
MM1(3102) VALID AS OF 04/26/06
DATE(MMIDDIYY)
ADDITIONAL INFORMATION LOS-000513864-01- 04/26/06
PRODUCER COMPANIES AFFORDING COVERAGE
Marsh Risk&Insurance Services COMPANY
License# 0437153 E
777 S Figueroa Street
Los Angeles,CA 90017-5822
Attn Helen Shamma(213)346-5530 Fax(213)346-5886 COMPANY
F
58880-ETECH-PL-05/06 PL 98004 0406
INSURED COMPANY
EARTH TECH,INC G
10800 N E 8TH STREET,7TH FLOOR
BELLEVUE,WA 98004
COMPANY
H
TEXT
WORKERS COMPENSATION COVERAGE
10/01/05.10/01/06
INSURANCE POLICY# STATE
(A)AMERICAN HOME ASSURANCE CO CA
RMWC 6610498
(A)AMERICAN HOME ASSURANCE CO FL
RMWC 6610502
(A)NATIONAL UNION FIRE INS CO NV,OR
RM W C 6610504
(B)INS CO STATE OF PA AR,MA,TN,VA
RMWC 6610503
(B)ILLINOIS NATIONAL INS CO IL,MI
RMWC 6610501
(B)NEW HAMPSHIRE INS CO NY,WI
RMWC 6610505
(B)Al SOUTH INSURANCE CO GA
RMWC 6610499
(A)AMERICAN HOME ASSURANCE CO ALL OTHER STATES (INC ME)
RMWC 6610500
CERTIFICATE HOLDER ="
CITY OF KENT ENGINEERING DEPARTMENT
ATTN Nancy Yoshitake
220 4TH AVE SOUTH
KENT,WA 98032
MARSH USA INC BY
Michael J Vizio . %)y�a"
�" _ Page
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ENDORSEMENT
This endorsement,effective 12:01 A.M. 10/O1/05 terms apart of Policy
No. RMGL 5749708 issued to TYCO International(u5j.(nc.
by American Home Assurance Company
ADDITIONAL INSURED-WHERE REQUIRED UNDER CONTRACT OR AGREEMENT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
Section It•Who is an insured, 1.,Is amended to add:
d) Any person or organization to whom you become obligated to Include as an additiomt
Insured under this poiicy,as a result of any contract or agreement you enter into which
requires you to furnish insurance to that person or organization of the type provided by
this policy,but only with respect to lability arising out of your operations or premises
owned by or rented to you. However the insurance provided will not exceed the lesser
at
i. The coverage andJor limits of this policy.or
1. The coverage and/or limits required by said contract or agreement.
61712(12/94)