HomeMy WebLinkAboutPW07-110 - Original - Natural Systems Design - Clark Lake Park Stormwater Treatment & Detention Conceptual Layout - 03/06/2007 Records Ma,na'' --'g' 'lemeL'� 'n" t_�.,
KENT Document
WASHINGTON _'
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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: Natural Systems Design
Contract Number: loco 0�— I D
This is assigned by Mary Simmons
Vendor Number:
Project Name: Clark Lake Park Stormwater Treatment and Detention
Contract Effective Date: Date of the Mayor's signature
Contract Termination Date: December 31 2007
Contract Renewal Notice (Days):
Number of days required notice for termination or renewal or amendment
Contract Manager: Chad Bieren
Department: Engineering
Abstract:
Provide conceptual layout for stormwater treatment and detention at Clark Lake Park.
ADCL7832 07/02
KENT
WAS HINGTCN
CONSULTANT SERVICES AGREEMENT
between the City of Kent and
Natural Systems Design
THIS AGREEMENT is made between the City of Kent, a Washington municipal corporation
(hereinafter the "City"), and Natural Systems Design organized under the laws of the State of Washington,
located and doing business at PO Box 15609, Seattle, WA 98115, Phone: (206) 856-3586/Fax. (206) 268-
0112, Contact Mike Hrachovec (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 a provide conceptual layout for stormwater treatment and detention at Clark
P P Y
Lake Park For a 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 Iby December 31, 2007
III. COMPENSATION.
A. The City shall pay the Consultant, based on time and materials, an amount not to exceed Twenty
Three Thousand, Eight Hundred Thirty Two Dollars ($23,832 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 thus
Agreement. The Consultant's bulling rates shall be as delineated in Exhibit A
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 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.
VL 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
VIL 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 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 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 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, the work must meet the approval of the City ands hall b e subject to the City'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
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; 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)
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:
00,
00
�&0,00,- K // 0
By. By:
(signature) (signature)
Print Name AA tIC� /{�4C �U£ C— Pnn a e: uzette Cooke
Its R`�SiO�u� Its Ma r
,41o
it �) Title
DATE: ' /y O'7 DATE:
NOTICES TO BE SENT TO: NOTICES TO BE SENT TO:
CONSULTANT: CITY OF KENT:
Mike Hrachovec Larry R. Blanchard
Natural Systems Design City of Kent
PO Box 15609 220 Fourth Avenue South
Seattle, WA 98115 Kent, WA 98032
(206) 856-3586 (telephone) (253) 856-5500 (telephone)
(206) 268-0112 (facsimile) (253) 856-6500 (facsimile)
A OVED AS TO FORM:
e t Law artment
Natural Systems Design-Clark Lake/Bteren
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
willfiilly 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 day of F-e o.,-- 2007.
By: A :e��_�
For
Title:Date:
EEO p1 �7
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.
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
1, 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
Dated this day of 1200 ._
By:
For
Title:
Date:
EEO COMPLIANCE DOCUMENTS-3
EXHIBIT A
Natural Systems Design 1/17/07
SCOPE AND BUDGET 111712007
Clark Lake Storm Pond -Concept Development
Task A Johnson M Hrachovec N Silverman M Fischer
Rate $115 00 $115 00 $55 00 $87 00
Field Work 18 18 16 8
Design &Concept Drawings 20 30 40 20
PM /Communications 12 16 12 12
Meetings 12 12 4 6
Subtotal 62 76 72 46
Subtotal $7,130 $8,740 $3,960 $4,002
Total $23,832
Scope
-field work to review Clark Lake Site, grade, sods, drainage route, incoming flows
-design concept layout, inlet and outlet routing, review& use existing City calculations, use integrated pond approach
-concept design to integrate with Park Management Plan, minimize impacts to existing improvements
-City to provide topographic survey data and aerial images
-develop concept plan and profile drawings and area calculations, sufficient for land use discussions
-communications with City Parks and Engineering staff to review design, flow considerations, use considerations
-meetings with City to review and finalize concept design
-concept drawing finalized and to City by 2nd week in February
-no participation in public involvement meetings
Products
-one hard hard copy and electronic copy of concept drawing of new pond in park setting
-brief(1-2 pages) memo summarizing design considerations
I
EXHIBIT B
INSURANCE REQUIREMENTS FOR
CONSULTANT SERVICES AGREEMENTS
Insurance
The Consultant shall procure and maintain for the duration of the Agreement, insurance
against claims for injuries to persons or damage to property which may anse from or in
connection with the performance of the work hereunder by the Consultant, their agents,
representatives, employees or subcontractors.
A. Minimum Scope of Insurance
Consultant 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 The
Commercial General Liability insurance shall be endorsed to provide the
Aggregate Per Project Endorsement ISO form CG 25 03 11 85. The City shall
be named as an insured under the Consultant'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.
B. Minimum Amounts of Insurance
Consultant shall maintain the following insurance limits:
r 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. $2,000,000 general aggregate and a
$1,000,000 products-completed operations 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 Consultant'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 Consultant's insurance and shall not
contribute with it.
2. The Consultant'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 Consultant 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
Consultant'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:VIL
E. Verification of Coverage
Consultant 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 Consultant before
commencement of the work.
F. Subcontractors
Consultant 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 Consultant.
FEB-28-2007 09:29 NOIJOGROSKI RUPP INS GRP 206 363 2044 P.01i01
QWR CERTIFICATE OF LIABILITY INSURANCE 02/15/2007
PRODUCER (206)363-1110 FAX (206)363-2044 THIS CERTIFICATE 1313SUED AS A MATTER OF INFORMATION
Nowogroski Rupp Insurance Group ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
11027 Meridian Avenue N #103 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Seattle, WA 98133
INSURERS AFFORDING COVERAGE NAIC#
INSURED Natura Systems Designs, LLC INSURERA' Western World Insurance Company _
PO Box 15609 INSURCRB Houston Casualty Insurance Co.
Seattle, WA 98115 IN$LRERQ,
INSURER D.
INSURER E' ... ....-...._..
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTW ITHS rANDINC ,
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 400,1, TYPEOF INSURANCE POLICY NUMBER PODGY EFFECTIVC pot-icy GXPIRATICN LIMITS
GENERAL LIABILITY NPP1027939 05/17/2006 05/17/2007 EACH OCCURRENCE S 1,000,OCAs`�'
X COMMERCIAL GENERAL LIABILITY DAMAGE
TO RENTED $ so.04;"7
CLAIMS MAOE a OCCUR MED EXP(Any ene perm) $ 100001
A PERSONAL&ADV INJURY S 1,000 QOq
_ GENERAL AGGREGATE $ 2 000r(*Oi
GEN'L AGGREGATE LIMIT APPLIES PER' PRODUCTS-COMP)OP AGG S 1.000,00 11
X POLICY PRO-
JEGT LOG '
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ l t
ANYAUTO NPP1027939 OS/17/2006 05/17/2007 (Easeeldem) 1,000,0013�
ALL OWNEO AUTOS BODILY INJURY
A SCHEDULEDAUTOS (Per person) $---
X HIRED AUTOS BgpILY INJURY ,
X NON-OWNED AUTO$ lPar awoent) $
PROPERTY DAMAGE S
(Peracddenp
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN FA ACC $
I
AUTO ONLY! AGG S ^�
EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $
OCCUR 71 CLAIMS MADE ACGREGATE $
DEDUCTIBLE '
$
RETENTION S
WORKERS COMPENSATION AND NPPI027939 05/17/2006 05/17/2007 %CSTATU-RTS I X OTN•
RMPLOTERB'LIABILITY WA STOP GAP E L EACH ACCIDENT $ 1 R 000,0/�
/� ANYPROPRIETO EXCLUDED?
/�
DPeS,deS MEMBER EXCLUDED? E,L-41SE:45E-EA EMPLOYE[ $ 1 000,Q
N yes,aesddee untlar ,. �
SPECIAL PROVISIONS below El DISEASE-POLICY LIMIT $ 1,000,000
ro essional Liability H70613187 05/17/2006 05/17/2007 $1,000,000 each claim
B 51,000,000 Aggregate
35,000 ded.
D€SORIPTI N OF OPERATIONS ID S I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISKMS
Tty of Kent is inc3u�er� a$ Additional Insured.
his coverage is Primary and Non-Contributory. I
rofessional Liability is Evidence only.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE I
EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENOP,AVOR 70 MAIL
City of Kent, Engineering Dept 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE LEFT,
Nancy Yoshitake BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
400 West Gowe OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES
Kent, WA 99032 AUTHORIZED REPRESENTATIVE 1
� �
Laurie Ross AAI SHARl
ACORD 25(2001103) FAX: - (253)856-6500
®ACORD CORPORATION 188s
TOTAL P.01
NUWUUKU5K1 KUYF' 1N5 UKt'
20b ,5b.5 2U44 t'.021U
This Endorsement Modifies Your Policy
(Eff euve At Inception Unto"Another Date Shown solow)
ADDITIONAir INSUPED ENDORSEMENT
The Insurance afforded by this policy for"bodily Injury," "property damage" and/or "personal injury" shall
also apply to the "additional insured" listed below for claims, suits, and/or damages made against the
"add,atonal insured," but only to the extent the "additional insured" is being held responsible for the acts,
omissions and/or negligence of the"named insured."
This insurance afforded shall not apply to claims, suits and/or damages arising out of the acts, omissions
and/or negligence of the"additional insured(s)."
The inclusion of the"additional Insured(s)"shall not operate to increase the Company's Umh of Liability
To the extent, if any, that this policy affords coverage to an "additional Insured," the"addrtional Insured" is
subject to all of the terms of the policy-
The obligation of the Company to provide coverage to an "additional Insured" is further limited by the
interest of the"additlonal insured"as defined below
Interest of the Additional Insured(s) Defined:
"0naoina orolects with the city"
For the purpose of this endorsement,the"named Insured" is the person(s) and/or party(ies)designated on
the Declarations Page of the policy or on any endorsement. The"additional insured"is the person(s) and/or
party(les) identified below
identity of Additional Insured(s):
City of Kent
t(Contpw th,e Motion it endorsement is added xtter pellcy Is,eeuCd.j
Palicy No, EndorSontenr No End1 Effective onto
Signature of Author Repregeniativo Producer N0.
I
AGENT WW 180(04/01)
TOTAL P.02