HomeMy WebLinkAboutPK07-170 - Original - WA State Slo-Pitch Umpires Association - Adult Softball Umpiring - 04/15/2007 r
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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: N Vendor Number: �� 1
)Jrri�J� a 50c�,3470 JD Edwards Number
Contract Number: PK07- I 70
This is assigned by Clerk's Office
Description: 14MUk YJ-)Di1C 9 T 4
Detail:
Project Name: 1z�/A�19
Contract Effective Date: 1ha, ( S ZoG -7 Termination Date: 300 200 7
Contract Renewal Notice (Days):
Number of days required notice for termination or renewal or amendment
Contract Manager:`�j 7d' T Department:
Abstract:
S Pubhc\RecordsManagement\Forms\ContractCover\ADCL7832 07/02
KENT
W pS HN�iTUn
GOODS & SERVICES AGREEMENT
between the City of Kent and
Washington State Slo-pitch Umpires Association
THIS AGREEMENT is made by and between the City of Kent, a Washington municipal corporation
(hereinafter the "City"), and Washington State Slo-pitch Umpires Association organized under the laws of the
State of Washington, located and doing business at 19516 63ra PL NE, Kenmore, WA 98028 (hereinafter the
"Vendor").
AGREEMENT
I. DESCRIPTION OF WORK
Vendor shall provide the following goods and materials and/or perform the following services for the
City.
Description. Adult Slowpitch Softball Umpiring
Start Time/Duration/Stop Time April 15, 2007 to September 30, 2007
Event Location City of Kent and Kent School District Athletic Fields
The Contactor agrees to credit the City$20.00 and One (1) dozen approved softballs for failure to
provide umpire services for a scheduled game
Vendor acknowledges and understands that it is not the City's exclusive provider of these goods,
materials, or services and that the City maintains its unqualified right to obtain these goods, materials, and
services through other sources.
II. TIME OF COMPLETION. Upon the effective date of this Agreement, Vendor shall complete
the work and provide all goods, materials, and services by completion of the Adult Softball Season September
30, 2007
III. COMPENSATION. The City shall pay the Vendor an amount not to exceed 1 person/multiple
games-$28 00 per game, 2 person/multiple games-$50 00 per game, including applicable Washington State
Sales Tax, for the goods, materials, and services contemplated in this Agreement. The City shall pay the
Vendor the following amounts according to the following schedule-
GOODS &SERVICES AGREEMENT- 1
(Over$10,000 00, including WSST)
t 1
Washington State Slo-pitch Umpire Association will submit an itemized invoice of games
worked, umpires per game and fee incurred Invoice may be divided into portions of the season,
either on a monthly or bi-monthly schedule or one invoice for the entire program/season
If the City objects to all or any portion of an invoice, it shall notify Vendor 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
A. Defective or Unauthorized Work. The City reserves its right to withhold payment from Vendor
for any defective or unauthorized goods, materials or services. If Vendor is unable, for any
reason, to complete any part of this Agreement, the City may obtain the goods, materials or
services from other sources, and Vendor shall be liable to the City for any additional costs
incurred by the City. "Additional costs" shall mean all reasonable costs, including legal costs
and attorney fees, incurred by the City beyond the maximum Agreement price specified above.
The City further reserves its right to deduct these additional costs incurred to complete this
Agreement with other sources, from any and all amounts due or to become due the Vendor.
B. Final Payment: Waiver of Claims. THE MAKING OF FINAL PAYMENT SHALL
CONSTITUTE A WAIVER OF CLAIMS, EXCEPT THOSE PREVIOUSLY AND PROPERLY
MADE AND IDENTIFIED BY VENDOR AS UNSETTLED AT THE TIME REQUEST FOR
FINAL PAYMENT IS MADE.
IV. INDEPENDENT CONTRACTOR. The parties intend that an Independent Contractor-
Employer Relationship will be created by this Agreement and that the Vendor 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.
VI. CHANGES. The City may issue a written change order for any change in the goods, materials or
services to be provided dunng the performance of this Agreement If the Vendor determines, for any reason,
that a change order is necessary, Vendor must submit a written change order request to the person listed in the
notice provision section of this Agreement, section XIV(D), within fourteen (14) calendar days of the date
Vendor knew or should have known of the facts and events giving rise to the requested change If the City
determines that the change increases or decreases the Vendor's costs or time for performance, the City will
make an equitable adjustment The City will attempt, in good faith, to reach agreement with the Vendor on all
equitable adjustments However, if the parties are unable to agree, the City will determine the equitable
adjustment as it deems appropriate. The Vendor shall proceed with the change order work upon receiving either
a written change order from the City or an oral order from the City before actually receiving the written change
order. If the Vendor fails to require a change order within the time allowed, the Vendor waives its right to make
any claim or submit subsequent change order requests for that portion of the contract work. If the Vendor
disagrees with the equitable adjustment, the Vendor must complete the change order work, however, the
GOODS&SERVICES AGREEMENT-2
(Over$10,000 00, including WSST)
Vendor may elect to protest the adjustment as provided in subsections A through E of Section VII, Claims,
below.
The Vendor accepts all requirements of a change order by: (1) endorsing it, (2) writing a separate
acceptance, or (3) not protesting in the way this section provides A change order that is accepted by Vendor as
provided in this section shall constitute full payment and final settlement of all claims for contract time and for
direct, indirect and consequential costs, including costs of delays related to any work, either covered or affected
by the change.
VII. CLAIMS. If the Vendor disagrees with anything required by a change order, another written
order, or an oral order from the City, including any direction, instruction, interpretation, or determination by the
City, the Vendor may file a claim as provided in this section The Vendor shall give written notice to the City
of all claims within fourteen (14) calendar days of the occurrence of the events giving rise to the claims, or
within fourteen (14) calendar days of the date the Vendor knew or should have known of the facts or events
giving rise to the claim, whichever occurs first . Any claim for damages, additional payment for any reason, or
extension of time, whether under this Agreement or otherwise, shall be conclusively deemed to have been
waived by the Vendor unless a timely written claim is made in strict accordance with the applicable provisions
of this Agreement.
At a minimum, a Vendor's written claim shall include the information set forth in subsections A, items 1
through 5 below.
FAILURE TO PROVIDE A COMPLETE, WRITTEN NOTIFICATION OF CLAIM
WITHIN THE TIME ALLOWED SHALL BE AN ABSOLUTE WAIVER OF ANY
CLAIMS ARISING IN ANY WAY FROM THE FACTS OR EVENTS SURROUNDING
THAT CLAIM OR CAUSED BY THAT DELAY.
A. Notice of Claim. Provide a signed written notice of claim that provides the following
information:
1. The date of the Vendor's claim,
2. The nature and circumstances that caused the claim;
3. The provisions in this Agreement that support the claim;
4. The estimated dollar cost, if any, of the claimed work and how that estimate was
determined; and
5. An analysis of the progress schedule showing the schedule change or disruption if
the Vendor is asserting a schedule change or disruption.
B. Records. The Vendor shall keep complete records of extra costs and time incurred as a result of
the asserted events giving rise to the claim. The City shall have access to any of the Vendor's
records needed for evaluating the protest.
The City will evaluate all claims, provided the procedures in this section are followed. If the
City determines that a claim is valid, the City will adjust payment for work or time by an
equitable adjustment No adjustment will be made for an invalid protest.
C. Vendor's Duty to Complete Protested Work. hi spite of any claim, the Vendor shall proceed
promptly to provide the goods, materials and services required by the City under this Agreement.
GOODS &SERVICES AGREEMENT-3
(Over$10,000 00, including WSST)
D. Failure to Protest Constitutes Waiver. By not protesting as this section provides, the Vendor also
waives any additional entitlement and accepts from the City any written or oral order (including
directions,instructions,interpretations, and determination).
E. Failure to Follow Procedures Constitutes Waiver. By failing to follow the procedures of this
section, the Vendor completely waives any claims for protested work and accepts from the City
any written or oral order (including directions, instructions, interpretations, and determination).
VIII. LIMITATION OF ACTIONS. VENDOR MUST, IN ANY EVENT, FILE ANY LAWSUIT
ARISING FROM OR CONNECTED WITH THIS AGREEMENT WITHIN 120 CALENDAR DAYS FROM
THE DATE THE CONTRACT WORK IS COMPLETE OR VENDOR'S ABILITY TO FILE THAT SUIT
SHALL BE FOREVER BARRED. THIS SECTION FURTHER LIMITS ANY APPLICABLE STATUTORY
LIMITATIONS PERIOD
IX. WARRANTY. This Agreement is subject to all warranty provisions established under the
Uniform Commercial Code, Title 62A, Revised Code of Washington Vendor warrants goods are
merchantable, are fit for the particular purpose for which they were obtained, and will perform in accordance
with their specifications and Vendor's representations to City. The Vendor shall correct all defects in
workmanship and materials within one (1) year from the date of the City's acceptance of the Contract work In
the event any part of the goods are repaired, only original replacement parts shall be used—rebuilt or used parts
will not be acceptable. When defects are corrected, the warranty for that portion of the work shall extend for
one (1) year from the date such correction is completed and accepted by the City The Vendor shall begin to
correct any defects within seven (7) calendar days of its receipt of notice from the City of the defect. If the
Vendor does not accomplish the corrections within a reasonable time as determined by the City, the City may
complete the corrections and the Vendor shall pay all costs incurred by the City in order to accomplish the
correction.
X. DISCRIMINATION. In the hiring of employees for the performance of work under this
Agreement or any sub-contract, the Vendor, its sub-contractors, or any person acting on behalf of the Vendor or
sub-contractor 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.
Vendor 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.
XI. INDEMNIFICATION. Vendor 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 Vendor'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 Vendor's work when completed shall not be grounds to
avoid any of these covenants of indemnification.
IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THE
INDEMNIFICATION PROVIDED HEREIN CONSTITUTES THE VENDOR'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.
GOODS &SERVICES AGREEMENT-4
(Over$10,000 00, including WSST)
The provisions of this section shall survive the expiration or termination of this Agreement.
XII. INSURANCE. The Vendor shall procure and maintain for the duration of the Agreement,
insurance of the types and in the amounts described in Exhibit A attached and incorporated by this reference.
XIIL WORK PERFORMED AT VENDOR'S RISK. Vendor 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 Vendor's
own risk, and Vendor 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.
XIV. 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
XI 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 assigmment, 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 Vendor.
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 fornnng a part of or altering
in any manner this Agreement. All of the above documents are hereby made a part of this Agreement.
GOODS&SERVICES AGREEMENT-5
(Over$10,000 00, including WSST)
flpr 04 07 11 : 19a Dale McGregor 425-481 -2005
p. 2
04/b4/2007 11.02 2538566000 KENT COMMONS PAGE 07/12
However, should any language in any of the Exiubits to this Agreement conflict with any language contained in
this Agreement, the terms of this Agreement shall prevail
H. Compliance with Laws The Vendor agrees to comply with all federal, state, and municipal
laws, rules, and regulations that are now effective or in the future become applicable to Vendors business,
equipment, and personnel engaged in operattons 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.
VENDOR: CITV OF KENT:
By. .t&k °.�J,ey�, By
(ngnulu!! It(gpl1lAlC� "
Print Name j�R,46 In e�/Ld Gat Punta e• zctte Cooke
Its S r/tra>reeMW*i�/"V ( ey - Its a or
DATE 11- 3—o (rifle) DATE. 5
NOTICES TO BE SENT TO. NOTICES TO BE SENT TO:
I
VENDOR: CITY OF KENT:
Dale McGregor David E Heidi
Washington State Slo-Pitch Umpires Association City of Kent
19516 63rd PL NE 220 Fourth Avenue South
Kenmore, WA 9S028 Kent, WA 99032
425.481-2005(telephone) (253)856-5000(telephone)
425-481-2005 (facsimile) (253)856-6000(facsimile)
I
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APP OVED AS TO FORM:
on
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In 10[n field nu..uv rnter d,c clee[tt+nrc£1 a[h,Vhpe[he c nVicr h [ern avc �
1 Y N o asl s d)
GOODS&SERVICES AGREEMENT.6
(Over 3I0,000 00, inc)ud[ng WSST)
Apr 04 07 11 : 18a Dale McGregor 425-481 -2005 p. l
' 04/a4/2007 11'02 253B566000 KENT COMMONS PAGE 10/12
DECLARATTON
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 thus 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 foil ows-
1 I have rend 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 1,the prime contractor,will activcly 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_ l day of 200 7.
By- A" /�—
For•tMf}£ ,Ai w1b-n1 a?t;Y7F&pArraryu, asw 000A ors hk ei.ysav+✓
Title S'i,xyrer- UPS 2 a i� c6fi E.e
Date �1I 19?0t.9(- Zve 7
EEO COMPLIANCE DOCti41ENTS- l of 3
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.
i
EEO COMPLIANCE DOCUMENTS-2 of 3
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 12 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 of 3
EXHIBIT A
INSURANCE REQUIREMENTS FOR SOFTBALL
AGREEMENT
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 this Agreement by the Contractor, their agents,
representatives, employees or subcontractors.
A. Minimum Scope of Insurance
Contractor shall obtain insurance of the types described below:
I. Commercial General Liability insurance shall be written on ISO
occurrence form CG 00 01 and shall cover liability arising from premises,
operations, independent contractors, 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 CGL coverage shall
cover participant liability.
2. Workers' Compensation coverage as required by the Industrial Insurance
laws of the State of Washington.
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 $2,000,000 each occurrence, $2,000,000 general aggregate.
C. Other Insurance Provisions
The insurance policies are to contain, or be endorsed to contain, the following provisions
for Automobile Liability and Commercial General Liability insurance
1. The Contractor's insurance coverage shall be primary insurance as respect
the City Any Insurance, self-insurance, or insurance pool coverage
maintained by the City shall be excess of the Contractor's insurance and
shall not contribute with it.
2. The Contractor's insurance shall be endorsed to state that coverage shall
not be cancelled by either party, except after thirty (30) days prior written
notice by certified mail, return receipt requested, has been given to the
City.
3. The City of Kent shall be named as an additional insured on all policies
(except Professional Liability) as respects work performed by or on behalf
of the contractor and a copy of the endorsement naming the City as
additional insureds 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 sort 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
AN 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 Agreement
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
01/23/2007 16:16 3216973647 USSSA PAGE 08
CERTIFICATE OF INSURANCE i 5Q00f
Pruduoar: THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY AND
Callrish Insurance Services CONFERS NO RIGHTS UPON THE CERTIFICATE`IOLDER THIS
A TDO OTAMD,EX ND OR ALTER ThE COVERAGE
Dalton Brown AFFORDED E P C BELOW
3736 Mt Diablo Blvd 301
Lafayette, CA 97549 INSURERS AFFORDING COVERAGE
925-962-1981 _
Misured, INSURER A Great American Acs4rarwe Comportt
United States Specialty Sports Association INSURER e-
611 Line Drive INSURER C:
Kissimmee, F-L 34744 ENSURER D _
321-697-3641 INSURER F,
COVERAGES
Tha policies of insurance listed below have been Issued lo the n9ured named above tar the policy period Indicated.Not w1ihsL4nding any
ragwrement,term,or oondltion of any contract or otlier document with•aspect to which Iris nertrrioste may oe issued or may pertain,the ,
htatinince afforded t)y the policies eescdbed hereir is subject to ail the terms,oxdusions and conditions of aueh polHas Aggregate Imits
sho vn may have been redueed by paid claims
iITR Type of Insurance Policy Number Policy Policy Limits
Effective Date Expiration Date _
A General Liability MACODOOS92905701 1/112DO7 1,111200E Eeehocc,nenca $2,000,000
Cammerole GH ni Lrebillty Demegn to Rsrdad Premis ex(aa cal $1,000,000
r?Pmuren"seals U-dUP(any ere pen-nl $ Excluded
Gwerri AagMgdt6 $None
Persona avJAtl,"Wy $2,000,000
aradune Qv Airngq $2,000,000
Psdicrp niLapelueodty $2,000,000
Description of operations/vehicles i exclusions added by endorsements f special provisions
Coverage Includes amateur play and practice in the insured City of Kent
Certificate holder shall be an additional insured but only with respect to liability caused by the negligent acts or
omissions of the named insured and only with respect to losses resulting from the team!league listed and
occurring between the coverage effective date listed below and the policy expiration date.
Certificate Holder: Covers a Effective Date. 111512007 1.06.00 PM
,Cancellation, Shouid any of the above described policies be
City of Kent cancelled before the expiration date thereof, the issuing Insurer
Dave Hefdt will endeavor to mail 30 days written notice to the cerIfficate
holder named to the left, under Certificate Holder, but failure to do
220 4th Ave S so shall impose no obligation or liability of any kind upon the
Kent WA 98032 insurer, its agents or reprasenatives.
Certificate# U55SA-33876 Authorized Represenative:
�!I v