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HomeMy WebLinkAboutPK07-142 - Original - Sound Urban Forestry - West Fenwick Park Urban Forestry Management Plan - 03/16/2007 DocumentOT Records Management 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: J`DGG�� d �S�i"GJ Contract Number: Kb7-/qa This is assigned by Mary Simmons Vendor Number: �SDD(p Project Name: /..�St tt�uJ/ f111 y Contract Effective Date: Contract Termination Date: Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: ��4 Department: Abstract: ADCL7832 07/02 CONSULTANT SERVICES AGREEMENT between the City of Kent and Sound Urban Forestry THIS AGREEMENT is made between the City of Kent, a Washington municipal corporation (hereinafter the "City"), and Sound Urban Forestry organized under the laws of the State of Washington, located and doing business at PMB 97, 1910 E 4`" Avenue Olympia, Washington 98506 (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 develop an urban forestry management plan for West Fenwick Park as described in the Consultant's proposal dated 3/7/07 attached and incorporated as Exhibit A. 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 thirty (30) days. III. COMPENSATION. A. The City shall pay the Consultant, based on time and materials, an amount not to exceed One Thousand, Four Hundred-Forty Dollars and NO/100ths ($1,440 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. 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- I (Under$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 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 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 (Under$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. 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; 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. Assi 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. CONSULTANT SERVICES AGREEMENT-3 (Under S10,000) 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 tlus 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- By: (signature) (signature) Print Name- Kevin M. McFarland Print Name: Jeff Watling Its Prmci allOwner Its Director Mile) (Title) DATE: r DATE: 3 [ 6 o'? NOTICES TO BE SENT TO: NOTICES TO BE SENT TO: CONSULTANT: CITY OF KENT: Kevin McFarland Quientin Poil Sound Urban Forestry Kent Parks, Recreation & Community Services PMB 97 220 Fourth Avenue South 1910 E. 4 h Avenue Kent, WA 98032-5859 Olympia, WA 98506 (253) 856-5127 (telephone) (360) 236-1029 (telephone) (253) 856-6120 (facsimile) (360) 236-1028 (facsimile) West Fenwick Park Urban Forestry Management Plan CONSULTANT SERVICES AGREEMENT-4 (Under S10,000) r • w 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 ) 5 day of 12007. By: A � For: -Sew-J 06n h k*tf�st^y Title: Date: EEO COMPLIANCE DOCUMENTS- 1 r 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. I, the undersigned, a duly represented agent of Sound Urban Forestry Company, hereby acknowledge and declare that the before-mentioned company was the prime contractor for the Agreement known as West Fenwick Park Urban Forestry Management Plan 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 , 2007. By: For: Title. Date: EEO COMPLIANCE DOCUMENTS-3 C EXHIBIT A City of Kent West Fenwick Park Urban Forestry Management Plan Consultant Scope of Services Proposal For: Kent Parks,Recreation & Community Services Department Lori Flemm, Parks Director Quienten Poil, Parks Maintenance Supervisor Presented By: SUF Sound Urban Forestry Kevin M. McFarland 3/7107 SUF SOUND URBAN FORESTRY 1524 Union Ave SE,Olympia,WA 98501 360.236.1028 3/7/07 Quienton Poil, City of Kent Parks, Recreation & Community Services 220 Fourth Ave. South Kent, WA 98032-5895 Mr. Poil: I appreciate the opportunity to submit this proposal develop a management plan for West Fenwick Park. Asper our conversations and request, I am submitting a project and cost proposal for the recommended management plan project The proposed contracted work will produce a comprehensive management plan addressing the presented scope of work. If you should have questions, please feel free to contact me. Respectfully submitted, Kevin M. McFarland, SUF Consulting Forester and Certified Arborist PURPOSE STATEMENT City of Kent Parks, Recreation & Community Services Department is soliciting a proposal to: Contract with Sound Urban Forestry(SUF)/Kevin M. McFarland for the development of a West Fenwick Park Urban Forestry Management Plan. The purpose of this proposal is to present projected costs of developing a management plan specifically for West Fenwick Park that would fulfill the following goals 1 Identify hazard trees and preferred method of removal. 2. Provide direction and identify trees that need to be removed to promote optimum growth and health of remaining trees. 3. Identify tree species and location of new tree plantings. 4. Evaluate safety issues (vandalism, fire, visibility) and recommend solutions. 5 Define management practices and good arboricultural practices to guide the healthy growth of this urban forest. 6 Identify options for surfacing and grading to re-construct the existing trail with consideration of limiting the damage to the roots of existing trees. 7. Identify areas for constructing new trails PROPOSAL The Scope of Work for the Plan will incorporate the provided tasks outlined within the West Fenwick Park Urban Forestry Management Plan Scope of Services 2 PROJECT TASK DESCRIPTIONS, TIME AND COSTS REP. City of Kent, Parks &Recreation Department Table 1. West Fenwick Park Urban Forestry Plan Elements Urban Forestry Mgt. Time Rate/Hour Cost Estimate Plan Project Elements & Estimate Tasks 1. Review current site plan for path location, construction impacts to 2 hours $80 00 $160 00 trees & trail surface options. 2. Determine removals for optimum forest stand health and park safety. 5 hours $80.00 $400 00 Field mark removals/map Related to (hazard trees, pruning, insect & disease infestations, invasive plants) 3. Replanting: identify tree species, replanting 2 hours $80.00 $160 00 schedule, & locations. 4. Evaluate safety issues & develop solutions 1 hours $80.00 $80.00 (vandalism, security, etc). 5. Define appropriate management and arboricultural practices for 2 hours $80.00 $160.00 the park's trees as part of the urban forestry mgt plan 6. Conduct research and 2 hours $80.00 $160.00 provide recommendations for trail re-construction and installation. 7. Conduct research & develop the final 4 hours $80.00 $320 00 management plan (meetings, edits, etc.). Totals 18 $80.00 $19440.00 3 RFP: City of Kent, Parks & Recreation Department—Addendum to 6/20/03 Proposal & Contract Table 2. Scenic Hill Park Project Mana ement Plan Elements — Urban Forestry Mgt. Time Rate/Hour Cost Estimate Project Elements & Estimate Tasks 1. Review current site plan for path locations, construction impacts to 8 hours $70.00 $560.00 tree &trail surface options. 2. Detemune removals for optimum forest stand health and park safety. 10 hours $70.00 $700.00 Field mark removals/map Related to: (hazard trees, pruning, insect & disease infestations, invasive plants) 3. Evaluate safety issues &develop solutions 4 hours $70.00 $280.00 (vandalism, security, etc). 4. Identify tree species, replanting schedule, & 4 hours $70 00 $280.00 locations. 5. Develop native vegetation replanting 4 hours $70.00 $280.00 recommendations & locations. 6 Define management and appropriate arboricultural practices for the park's 12 hours $70 00 $840 00 trees as part of the urban forestry mgt plan 7. Conduct research& develop the final 11 hours $70.00 $770.00 management plan. Totals 53 $70.00 $3,710.00 Exhibit A. 4 4 RFP: City of Kent, Parks & Recreation Department Table 3. Clark Lake Park Project Mana ement Plan Elements 121 Acres Urban Forestry Mgt. Time Rate/Hour Cost Estimate Project Elements & Estimate Tasks (PHASE 1.) 1. Conduct Tree Increment Borings —To determine sample tree ages. 5 hours $70.00 Total $350.00 (field/research) Table 4. Clark Lake Park Project Mana ement Plan Elements 121 Acres Urban Forestry Mgt. Time Rate/Hour Cost Estimate Project Elements & Estimate Tasks (PHASE II.) 1. Detennine removals for optimum forest stand health and park safety. 10 hours $70.00 $700.00 Field mark removals/map Related to. (hazard trees, pruning, insect & disease infestations, invasive plants) 2. Develop native vegetation planting 12 hours $70.00 $840.00 recommendations & locations (Theme or Interpretive Native Plant Designs) 3. Define management and appropriate arboncultural practices for the park's 14 hours $70 00 $980.00 trees as part of the urban forestry mgt plan associated with lake and forest riparian area. 4. Conduct research & develop the final 12 hours $70.00 $840.00 management plan Totals 48 $70.00 $39360.00 5 . y RFP: City of Kent, Parks & Recreation Department If you should have questions, please feel free to contact me. Respectfully Submitted, Kevin M. McFarland, SUF Consulting Forester/Certified Arborist 6 r 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 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 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: I. 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 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. A,c_'ARO. CERTIFICATE OF LIABILITY INSURANCE OP ID P DATE(Milli SODUR-1 03 13 07 PRUL✓:ER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Outdoor Insurance Group HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 400 N Woodlawn, Suite 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Wichita KS 67208 Phone: 316-683-7608 Fax:316-683-7818 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER Arch Spci_alty Insurance 21199 INSURER B Sound Urban Forestry INSURER C PMB97-1910 E. 4th Ave. INSURER Olympia WA 98506 INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS POLICY EFFECTIVE POLICY EXPIRATION LTR NSRO POLICY NUMBER TYPE OF INSURANCE DATE MM/DD/YY DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X IX COI`fMERCNLGENERAILIABIL'TY , GAPKGO'�7075303 07/01/06 07/01/07 PREMISES(Eaoccurence $ lOG,000 CLAIMS MADE O OCCUR MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGO $ 1,OOO,000 POLICY JECT LOG Emp Ben. EXCLUDED AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT E ANY AUTO (Ea accident) �ALL OWNED AUTOS { BODILY INJURY $ l _ ii SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) --- PROPERTY DAMAGE (Per accident) I E GARAGE LIABILITY AUTO ONLY-EA ACCIDENT IS ANY AUTO OTHERTHAN EA ACC $ AUTO ONLY AGO $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR Ej CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION S $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY TORY LIMITS ER j ANY PROPRIETOR/PARTNER/EXECUTIVE E L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED —� E L DISEASE-EA EMPLOYEE $ If yes,describe untler — SPECIAL PROVISIONS below E L DISEASE POLICY LIMIT $ OTHER A Errors & Omissions GAPKG097075303 07/01/06 1 07/01/07 Occurrenc 1,000,000 Aggregate 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS It is understood and agreed that the Certificate Holder is named as the Additional Insured, but only with respect to it's liability arising out of the activities of the Named Insured. 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 City of Kent, Parks NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT F^IL URE TO DO SO SHALL Recreation & Community Svcs.Joan Broom IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 220 Fourth Ave. South REPRESENTATIVES Kent WA 98032-5895 AUTHORIZED REPRESENTATIVE Heather Gillin ham-Cha 1 � l ^'�- ' ACORD 25(2001108) ©ACORD CORPORAtIOW 1988 Y s 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) 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(2001/08) FFA.T.FARM 'S'1'KtEMf�} ,,, CERTIFICATE OF INSURANCE Si A P . RANCE AS RESPECTS THE INTEREST OF THE CERTIFICATE HOLDER NAMED BELOW WILL NOT BE OR OTHERWISE TERMINATED WITHOUT GIVING 10 DAYS PRIOR WRITTEN NOTICE TO THE CERTIFICATE HOLDER, BUT IN NO EVENT SHALL THIS CERTIFICATE BE VALID MORE THAN 30 DAYS FROM THE DATE WRITTEN. THIS CERTIFICATE OF INSURANCE DOES NOT CHANGE THE COVERAGE PROVIDED BY ANY POLICY DESCRIBED BELOW. This certifies that ® STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY of Bloomington, Illinois ❑ STATE FARM FIRE AND CASUALTY COMPANY of Bloomington, Illinois ❑ STATE FARM COUNTY MUTUAL INSURANCE COMPANY OF TEXAS of Dallas, Texas ❑ STATE FARM INDEMNITY COMPANY of Bloomington, Illinois, or ❑ STATE FARM GUARANTY INSURANCE COMPANY of Bloomington, Illinois has coverage in force for the following Named Insured as shown below NAMED INSURED KEVIN MCFARLAND ADDRESS OF NAMED INSURED 1910 4Te AVE E PMB 97 OLYMPIA, WA 98506 POLICY NUMBER 013 2675 F06 47H EFFECTIVE DATE OF POLICY 12--06 TO 06-07 DESCRIPTION OF VEHICLE(Including VAN) 00 SUBARU LEGACY LIABILITY COVERAGE ® YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO LIMITS OF LIABILITY a Bodily Injury 1,000,000 Each Person 1,000, 000 Each Accident 1,000,000 b Property Damage Each Accident 1,000,000 c Bodily Injury& Property Damage Single Limit Each Accident PHYSICAL DAMAGE COVERAGES ® YES ❑ NO ❑YES ❑ NO ❑YES ❑ NO ❑YES ❑ NO a Comprehensive $ 100 Deductible $ Deductible $ Deductible $ Deductible ® YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO ❑YES ❑ NO b Collision $ 250 Deductible $ Deductible $ Deductible $ Deductible EMPLOYERS NON-OWNED CAR LIABILITY COVERAGE ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO ❑YES ❑ NO HIRED CAR LIABILITY COVERAGE ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO FLEET-COVERAGE FOR ALL OWNED AND LICENSED MOTOR/VEHICLES ❑ YES ❑ NO ❑ YES ❑ NO ❑YES ❑ NO ❑YES ❑ NO C� LLi� a V,- &e4,, -�2-1 9--�j �/4z 3//f 6 Signature ofAuthonzed R resentative Title Agent's Code Number Date Name and Address of Certificate Holder Name and Address of Agent CITY OF KENT PARKS AND RECREATION WILLIAM E BROWN CIO JOAN BROOM STATE FARM INSURANCE 220 4"' AVE S 1133 EAST 4"' AVE r,.ATc YARM WfLLIAME. BROWN KENT, WA 98032 OLYMPIA, WA 98506 �f _ WILL1133 A East Fourth N,Iven e Olympia,WA 98506 --',w oil. (J-60)943-8740 INTERNAL STATE FARM USE ONLY ❑Request permanent Certificate of Insurance for liability coverage 122429 3 Rev 07-26-2005 ❑ Request Certificate Holder to be added as an Additional Insured