HomeMy WebLinkAboutFD07-158 - Original - Valley Cities Counseling & Consultation - Fire Stoppers Program - 01/01/2007 A00t'*N,
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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 City Clerks Office.
Vendor Name. Qo�� Lo /P� �(�f/���C�rc Vendor Number:
JD Edwards Number
Contract Number:
This is assigned by Deputy City Clerk
Description:
Detail:
Project Name: °e
Contract Effective Date: / 'l C� 7 Termination Date:
Contract Renewal Notice (Days): 8 P
Number of days required notice for termination or ren al or amendment
Contract Manager: /J�7L /l C;7 �e Department: ��Q
Abstract:
S Public\Recordsmanagemenl\Forms\ContractCover\ADCL7832 07/02
111-4v
KENT
CONSULTANT SERVICES AGREEMENT
between the City of Kent and
Valley Cities Counseling & Consultation
THIS AGREEMENT is made between the City of Kent, a Washington municipal corporation
(hereinafter the "City"), and Valley Cities Counseling and Consultation, organized under the laws of the State of
Washington, located and doing business at 2704 I Street NE, Auburn, Washington 98002 (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:
Provide structured counseling for participants who have been referred through the Fire Stoppers
program The scope of the work is outlined in Exhibit A, which is attached and incorporated by
reference.
Consultant further represents that the services furnished under this Agreement will be performed to
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 on January 1, 2007. Upon the effective date of this Agreement, Consultant shall complete the
work described in Section I by December 31, 2007 Although this Agreement is executed after the date by
which it is to take effect, the parties agree that all actions consistent with the authority of this Agreement and
prior to the date of the Agreement's execution are hereby ratified and affirmed, and the terms of this Agreement
shall be deemed to have applied.
III. COMPENSATION.
A. The City shall pay the Consultant, based on time and materials, an amount not to exceed $10,000
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 City shall pay for the initial assessment session at a flat rate of $105 for each
referral sent to Consultant Should the referral have any third-party funding source available, the
Consultant shall determine whether that funding source will cover diagnostic category, i e ,
whether referral fulfills medical necessity criteria, and shall invoice that source to reimburse
Consultant for its services. Should the referral have no third-party funding source available, the
City shall pay for Consultant's services at a rate of $85.00 per counseling session, for a
maximum of three (3) counseling sessions per referral. In the event the referral has a third-party
funding source but fails to remit his or her co-pay for the counseling sessions billed to and paid
CONSULTANT SERVICES AGREEMENT- 1
(Over S 10,000)
by the referral's third-party funding source, the City shall remit to Consultant the balance of any
unpaid referral co-pays
B. The Consultant shall submit payment invoices to the City by the 15`h day of the following month
for services provided and a final bill upon completion of all services described in this
Agreement The City shall provide payment within thirty (30) days of receipt of an invoice. If
the City objects to all or any portion of an invoice, it shall notify the Consultant and reserves the
option to only pay that portion of the invoice not in dispute. In that event, the parties will
immediately make every effort to settle the disputed portion
IV. INDEPENDENT CONTRACTOR. The parties intend that an Independent Contractor-
Employer Relationship will be created by this Agreement and that the Consultant has the ability to control and
direct the performance and details of its work, the City being interested only in the results obtained under this
Agreement.
V. TERMINATION. Either party may terminate this Agreement, with or without cause, upon
providing the other party thirty (30) days written notice at its address set forth on the signature block of this
Agreement. After termination, the City may take possession of all records and data within the Consultant's
possession pertaining to this project, which may be used by the City without restriction. If the City's use of
Consultant's records or data is not related to this project, it shall be without liability or legal exposure to the
Consultant
VI. DISCRIMINATION. In the hiring of employees for the performance of work under this
Agreement or any subcontract, the Consultant, its subcontractors, or any person acting on behalf of the
Consultant or subcontractor shall not, by reason of race, religion, color, sex, age, sexual orientation, national
origin, or the presence of any sensory, mental, or physical disability, discriminate against any person who is
qualified and available to perform the work to which the employment relates. Consultant shall execute the
attached City of Kent Equal Employment Opportunity Policy Declaration, Comply with City Administrative
Policy 1.2, and upon completion of the contract work, file the attached Compliance Statement.
VII. INDEMNIFICATION. Consultant shall defend, indemnify and hold the City, its officers,
officials, employees, agents and volunteers harmless from any and all claims, injuries, damages, losses or suits,
including all legal costs and attorney fees, arising out of or in connection with the Consultant's performance of
this Agreement, except for that portion of the injuries and damages caused by the City's negligence
The City's inspection or acceptance of any of Consultant's work when completed shall not be grounds to
avoid any of these covenants of indemnification.
Should a court of competent jurisdiction determine that this Agreement is subject to RCW 4.24.115,
then, in the event of liability for damages arising out of bodily injury to persons or damages to property caused
by or resulting from the concurrent negligence of the Consultant and the City, its officers, officials, employees,
agents and volunteers, the Consultant's liability hereunder shall be only to the extent of the Consultant's
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
CONSULTANT SERVICES AGREEMENT-2
(Over S10,000)
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.
X. OWNERSHIP AND USE OF RECORDS AND DOCUMENTS. Original documents,
drawings, designs, reports, or any other records developed or created under this Agreement, except patient
medical records, 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 deliver to the City, within 60 days of the
final visit paid for by the Fire Stopper Program, a summary report of each child referred under the City's Fire
Stopper Program for counseling services and the number of visits the child had with Consultant If an initial
intake assessment is not conducted of a child who is recommended for counseling, Consultant shall deliver to
the City a summary report of that child within 60 days of the referral. Consultant shall obtain, if necessary, an
appropriate signed release from the patient's legal guardian which authorizes the release of this information to
the City. Other than the information provided for within this section, the summary report shall not disclose any
other health care information that is exempt from disclosure under Ch. 70.02 RCW
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 to 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
CONSULTANT SERVICES AGREEMENT-3
(Over$10,000)
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.
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 became effective on the last
date entered below.
CONSULTANT: CITY OF KENT:
By: �L� " By: .ya',�i
(srgnalnre) i mwur,)
Print Name Faith Richle Print Name: -Jim Schneider
Its CEO Its Fire Chief
(l r(le) (1 ale)
DATE. i- in-01 DATE: 4 Z- 6 Z- 01
NOTICES TO BE SENT TO: NOTICES TO BE SENT TO:
CONSULTANT: CITY OF KENT:
Attn• Stacey Mr. Mark A. Jones
Valley Cities Counseling & Consultation City of Kent Fire Department
2704 "I" Street NE 220 Fourth Avenue South
Auburn, WA 98002 Kent, WA 98032
CONSULTANT SERVICES AGREEMENT-4
(Over S 10,000)
(253) 833-7444 (telephone) (253) 856-4400 (telephone)
(253) 833-0480 (lacsimilc) --j(253) 856-6400 (facsimile)
CONSULTANT SERVICES AGREEMENT-5
(Over$10,000)
APPROVED AS TO FORM:
Kent Law Department
P l i,iI Pde.Open ilesnW4d?007NalleyCit cshrcSto Nrs Patient[nPa do,
CONSULTANT SERVICES AGREEMENT-6
(Oven 510 000)
DECLARATION
CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY POLICY
The City of Kent is committed to conform to Federal and State laws regarding equal opportunity. As such all
contractors, subcontractors and suppliers who perform work with relation to this Agreement shall comply with
the regulations of the City's equal employment opportunity policies.
The following questions specifically identify the requirements the City deems necessary for any contractor,
subcontractor or supplier on this specific Agreement to adhere to. An affirmative response is required on all of
the following questions for this Agreement to be valid and binding If any contractor, subcontractor or supplier
willfully misrepresents themselves with regard to the directives outlines. it will be considered a breach of
contract and it will be at the City's sole determination regarding suspension or termination for all or part of the
Agreement,
The questions are as follows:
1. I have read the attached City of Kent administrative policy number 1.2.
2. During the time of this Agreement I will not discriminate in employment on the basis of sex, race, color,
national origin, age, or the presence of all sensory, mental or physical disability.
3 During the time of this Agreement the prime contractor will provide a written statement to all new
employees and subcontractors indicating commitment as an equal opportunity employer.
4 During the time of the Agreement I, the prime contractor, will actively consider hiring and promotion of
women and minorities.
5. Before acceptance of this Agreement, an adherence statement will be signed by me, the Prime
Contractor, that the Prime Contractor complied with the requirements as set forth above
By signing below, I agree to fulfill the five requirements referenced above.
Dated this lq 1K day of 'Sar`ai 200_7.
For: I/Q_�_�
Title: l IF (�
Date:
EEO COMPLIANCE DOCUMENTS- I
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:
I 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 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
VCCC shall:
A. Provide initial biopsychosocial assessment.
B. Provide a minimum of 3 counseling sessions structured around triggers that
initiated the fire starting behavior.
C. Provide written feedback to KFD regarding referral's completion or non-
completion of sessions (4 sessions).
D. Shall call referral to schedule 1"appointment.
E. See all referrals within 10 business days of contracting and confirming interest
in the referral.
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 $3,000,000 each occurrence, $3,000,000 general aggregate
and a $1,000.000 products-completed operations aggregate limit
2. Professional Liability insurance shall be written with limits no less
than $1.000,000 per claim and $1,000,000 policy aggregate limit
EXHIBIT B (Continued )
C. Other Insurance Provisions
The insurance policies are to contain, or be endorsed to contain,the following provisions
for Automobile Liability and Commercial General Liability insurance:
1. The Contractor's insurance coverage shall be primary insurance as respect the City.
Any Insurance, self-insurance. or insurance pool coverage maintained by the City
shall be excess of the Contractor's insurance and shall not contribute with it.
shall n b 2. The Contractor's insurance shall be endorsed to state that coverage of e
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
AN IL
II.
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/\f1 J\ •��r^ nOTF IMMMn IVY1
.9U, V—U u„ (`;tK 111=GA I t U1 LIAWLI I Y INjUKHIVI:t 7/06,/06
PRODUCER 206-701-5000 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Acordla ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
CA License 11 0531007 HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P 0 Box 91143
Seattle, WA 98 1 1 1-9774 INSURERS AFFORDING COVERAGE
INSURED Valley Cities Counseling INSURER A MENTAL HEALTH RISK RETENTION
and Consultation INSURER B SUBSCRIBING UNDERWRITERS
2704 1 St. NE INSURER C SCOTTSDALE INS CO
Auburn WA 98002-0000 INSURERD
INSURER E
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAN ED 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
IIJSR POLICY EFFECTIVE POLICY EXPIRATION
LTR TYPE OF INSURANCE POLICY NUMBER DATE IMMVDD/YY) DATE IMM DD YY LIMITS
C I GENERAL LIABILITY OPS0044090 6/30/06 6/30JC7 EACH OCCURRENCE $ 1000000
i X I COMMERCIAL GENERAL LIABILITY FIRE DAMAGE[Any one hml 6 300000
- T
X CLAIMS MADE O OCCUR MED EXP IAny one Person) $ 5000
PERSONAL&ADV INJURY 6 1000000
X STOP GAP EMPLOYERS LIAR. GENERAL AGGREGATE $ 1000000
GEN L AGGREGATE LIMIT APPLIES PER S 1,000,000 LIMIT PRODUCTS COMP/OP AGO 6 1000000
POLICY PRO-
ECT LOC
B AU T OMOBILE LIABILITY SEE ATTACHED COMBINED SINGLE LIMIT
ANY AUTO E....dent)
$
ALL OWNED AUTOS
BODILY INJURY 6
SCHEDULED AUTOS (Per Perwn)
HIRED AUTOS
BODILY INJURY 6
NON OWNED AUTOS IPer acldenO
____-— PROPERTY DAMAGE $
(Per acmdenq
GARAGE LIABILITY AUTO CNLN EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY AGO $
C EXCESS LIABILITY XLS0036179 6130106 6/30/07 EACH OCCURRENCE $ 2000000
OCCUR 7 CLAIMS MADE EXCESS OVER AGGREGATE S 2000000
GENERAL LIABILITY $
DEDUCTIBLE &PROF LIABILITY $
RETENTION $ $
WORKERS COMPENSATION AND y.0 STATE GTH
EMPLOYERS'LIABILITY TflY LIMITS R
E L EACH ACCIDENT 6
EL DISEASE EA EMPLOYEE $
E L DISEASE POLICY LIMIT 6
A OTHER CCL0001543 6/30/06 6130/07
PROFESSIONAL $1,000,000 EACH CLAIM
LIABILITY I $1,000,000 AGGREGATE
DESCRIPTION OF CPERATIONSILOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
THE CITY OF KENT, ITS ELECTED &APPOINTED OFFICIALS, ITS EMPLOYEES AND
AGENTS ARE NAMED AS ADDITIONAL INSUREDS AS RESPECTS OPERATIONS
PERFORMED BY VALLEY CITIES COUNSELING & CONSULTATION
SEE ATTACHED CG2026 &CCL-59S JHWL
CERTIFICATE HOLDER I I ADDITIONAL INSURED, INSURER LETTER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
CITY OF KENT DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
220 4th Avenue South NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
Kent, WA 98032-5895 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
RE TATIVES
AUTHORI EPRESENTA E
I c l'c 1 1
ACORD 25-S (7/97) 11-3a 0 ACORD CORPORATION 1988
B - SUBSCRIBING UNDERWRITERS
Carrier/Coverage Policy #
Columbia Insurance Company Period: 7/15/06 - 6/30/07
$1, 000 , 000 limit for owned Policy #71APN369531
vet'iiClc only - ' 93 C1ic'v.. vari
Scottsdale Ins. Co. Period: 6/30/06 - 6/30/07
$1, 000 , 000 limit for Non-owned Policy # OPS0044090
& Hired vehicles only
Admiral Insurance Company Period: 7/15/06 - 6/30/07
$2, 000 , 000 limit excess of Policy #E,{�V00002393 -01
owned/Non-owned & Hired vehicles
COMMERCIAL GENERAL LIABILITY
CG 20 26 11 85
INSURED- Valley Cities Counseling&Consultation
POLICY NUMBER. OPS0044090
THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY
ADDITIONAL INSURED- DESIGNATED PERSON
OR ORGANIZATION
Tlus endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVFRAGE PART
SCHEDULE
Name of Person or Organization:
City of Kent
220 4th Avenue
Kent, WA 98032-5895
(Lf no entry appears above, information required to complete this endorsement will be shown in the Declarations as
applhr able to this endorsement)
WHO IS AN INSURED(Section II)is amended to include as an msured the person or organization shown in the Schedule
s as an insured but only with respect to liability arising out of your operations or premises owned by you rented to you.
Copy nOit lmm Se,ncu Offiu,Im 1994
PROFESSIONAL LIABILITY
CCL-59s 06-93
INSURED, Valley Cities Counseling&Consultation
POLICY NUMBER CC1,0001543
THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY
ADDITIONAL INSURED- DESIGNATED PERSON
OR ORGANIZATION
This endorsement modifies insurance provided under the following:
PROFESSIONAL LIABILITY COVERAGE PART
SCHEDULE
Name of Person or Organization
City of Kent
240 4th Avenue
Kent, WA 98032-5895
In consideration of the prenuum charged, the coverage afforded under this Coverage Part is extended to the
Person or Organization above as an Additional Insured but only as respects those professional services or
operations performed by the named insured.
Coyrngh41�m Scm,"s Off3 ,Inc 1964