HomeMy WebLinkAboutAD08-067 - Original - enterpriseSeattle - Economic Development Strategies - 04/03/2008 Records M leme
KENT �w �. a
W ASHING Document
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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:
JD Edwards Number
Contract Number: 4jDoY 067
This is assigned by Clerk's Office
Description: -zzo,(L&/G��P/or�/��� ✓ ���i S
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Detail:
Project Name:
Contract Effective Date: —D�' Termination Date:/02—
Contract Renewal Notice (Days):
Number of days required notice for termination or renewal or amendment
Contract Manager: A CJo/71r rS Department:
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Abstract:
S Public\RecordsManagement\Forms\ContractCover\ADCL7832 07/02
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KENT
W A S H I N O T O N
CONSULTANT SERVICES AGREEMENT
between the City of Kent and
enterpriseSeattle
THIS AGREEMENT is made between the City of Kent, a Washington municipal corporation
(hereinafter the "City"), and enterpriseSeattle organized under the laws of the State of
Washington, located and doing business at 1301 Fifth Avenue, Suite 2500, Seattle, WA. 98101,
(206) 389-8654 (hereinafter the "Consultant").
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I. DESCRIPTION OF WORK.
Consultant shall perform the following services for the City in accordance with the
following described plans and/or specifications:
Assist the City in planning, developing and implementing economic development
strategies in accoudance with the 2008 Work Plan Summary 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 by
December 31, 2008.
III. COMPENSATION.
A. The City shall pay the Consultant, based on time and Materials, an amount not to
exceed $15,000.00 for the services described in this Agreement. This is the
maximum amount to be paid under this Agreement for the work described in
Section I above, and shall not be exceeded without the, prior written authorization
of the City in the form of a negotiated and executed amendment to this 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.
CONSULTANT SERVICES AGREEMENT - 1
(Over$10,000)
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B. The Consultant shall submit 4 quarterly 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 arch 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.
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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, indemgify and hold the City, its
officers, officials, employees, agents and volunteers harmless from �ny 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.
CONSULTANT SERVICES AGREEMENT - 2
(Over$10,000)
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
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'sl, 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 6sk, 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.
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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 Agrjeement 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.
CONSULTANT SERVICES AGREEMENT - 3
(Over$10,000)
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 fu,,ll 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 ini 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:
I--- g::�, CW,
By: A By:
(signatur (si nature)
Print Name: Tf/�� 5 4r% !�A✓,1�✓ Print �MMayor
S��z tte,Cooke
Its cg 'e) Its
L (jit/e / T e)
DATE: 3/LY/6
ye)
NOTICES TO BE SENT TO: NOTICES TO BE SENT TO:
CONSULTANT: CITY OF KENT:
Tom Flavin Ben Wolters, Economic Development Director
enterpriseSeattle City of Kent
1301 Fifth Avenue #2500 220 Fourth Avenue South
CONSULTANT SERVICES AGREEMENT - 4
(Over$10,000)
Seattle, WA 98101 Kent, WA 98032
(206) 389-8654 (telephone) (253) 856-5703 (telephone)
Insert Fax Number facsimile (253) 856-6700 (facsimile)
AP OVED AS TO FORM:
en 1. Law p ment
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CONSULTANT SERVICES AGREEMENT - 5
(Over$10,000)
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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 equ l employment opportunity
policies.
The following questions specifically identify the requirements the Ci Ydeems 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 thri'm1will
selves with regard to the
directives outlines, it will be considered a breach of contract and 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 commitmer, 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 statementl, 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 o2`f day of �/T1LCft , 200
By: �
For: t?t/r�-7z1�/� 5 c� Z f
Title:
Date:
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EEO COMPLIANCE DOCUMENTS - 1
CITY OF KENT
ADMINISTRATIVE POLICY
II
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 suppliersi 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:
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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.
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2. Monitoring to assure adherence to federal, state and local laws, policies and guidelines.
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EEO COMPLIANCE DOCUMENTS - 2
II
CITY OF KENT
EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE STATEMENT
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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 full with all of the requirements and obligations as outlined in the City
p Y q 9 Y
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 l/TLc f� , 2ooy
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By:
For: t9t/7ZW P.I000&Jg�
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Title:
Date:
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EEO COMPLIANCE DOCUMENTS - 3
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Exhibit A
enterpriseSeattle-2008 Work Plan Summary
By The Numbers-In 2008 enterpriseSeattle will accomplish the fol�owing:
�I 200 business retention, expansion, or recruitment leads will be identified and pursed
�1 3 media placements regarding King County as an exceptional place for business will be
made
10 target industry trade shows will be attended
25 meetings with companies outside of King County will be conducted
�l 10 meetings with national site consultants/top brokers will be conducted
�1 1 site selection event will be held
�1 200 research requests will be fulfilled
250 local business visits throughout King County will be made
In addition to these activities, work will continue to prepare the organization to handle
increased levels of client based economic development activity in the following years.
This activity will include:
�I Continued development of target industry information, as well as detailed economic
and demographic data for King County
Expanded prospect identification and cultivation including target industry data-bases
�1 Develop additional marketing collateral materials to promote th business case for King
County and the services of the organization I
Expand the web site to provide greater levels of interaction information and assistance
to site selectors and company decision makers
�l Continue and expanded relationship of collaboration with regional EDC/B partners in
the Puget Sound region, building on the continuing success of the Prosperity
Partnership strategy and enterprise5eattle's role in providing client based economic
development services to businesses seeking new or expanded perations.
Compensation and method of payment
�l $15,000.00 to be paid in 4 quarterly payments of $3750.00.
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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 arise 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 owne , 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.
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.
2. 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:
1. Automobile Liability insurance with a minimum combined single limit
Tor 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.
C. Other Insurance Provisions
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EXHIBIT B (Continued)
The insurance policies are to contain, or be endorsed to contain,the fdllowing 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 eneral Liability
insurance shall also contain a clause stating that coverage shall ap ly 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
ANII. �
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.
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ACORD, CERTIFICATE OF LIABILITY INSURANCE j °ATE3/20/08
PRODUCER 206-701-5000 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Wells Fargo Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Services / CAL#0531007 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P.O. Box 91143
Seattle, WA 98111-9243 INSURERS AF ORDING COVERAGE
INSURED Greater Seattle Chamber of INSURER A. Great North., Ins.Co.
Commerce *** INSURER B Federal Insurance,CO.
1301 5th Avenue, Suite 2500 INSURER C
Seattle WA 98101 INSURER D
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
INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE PODATE(MMIDDNY) LICY EXPIRATION 1LTR LIMITS
A GENERAL LIABILITY 35878274 9/01/07 9/01/08 EACH OCCURRENCE $ 1000000
jCOMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $ 1000000
CLAIMS MADE OCCUR ED EXP(Any one person) $ 10000
WA STOP PERSONAL&ADV INJURY $ 1000000
X j GAP GENERAL AGGREGATE 4 2000000
GENT AGGREGATE LIMJECIT APPLIES PER PRODUCTS-COMP/OP AGG $ 2000000
POLICY PRO- X LOC j
A AUTOMOBILE LIABILITY 70206294 9101/07 9/01/08 (COMBINED SINGLE LIMIT
X ANY AUTO
(Ea accident) $ 1000000
ALL OWNED AUTOS HIRED AUTO (BODILY INJURY $
SCHEDULED AUTOS PHYSICAL DAMAGE: ((Per person)
X HIRED AUTOS COMPREHENSIVE BODILY INJURY
X NON-OWNED AUTOS $500 DEDUCTIBLE (Per accident) $
COLLISION PROPERTY DAMAGE
$500 DEDUCTIBLE (Per accident) $
GARAGE LIABILITY 1AUTO ONLY-EA ACCIDENT $
ANY AUTO MOTHER THAN EA ACC $
,AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
OCCUR CLAIMS MADE AGGREGATE $
9
DEDUCTIBLE 9
RETENTION $ 1 $
WORKERS COMPENSATION AND 70 LI4 IT OE Y
EMPLOYERS'LIABILITY
E.L.EACH ACCIDENT $
j E L DISEASE-EA EMPLOYEE B
E L.DISEASE-POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CITY OF KENT IS PRIMARY AND NON-CONTRIBUTORY ADDITIONAL INSURED UNDER
GENERAL LIABILITY PER ATTACHED ENDORSEMENT AND ADDITIONAL INSURED
UNDER AUTO LIABILITY WHEN REQUIRED BY WRITTEN CONTRACT AS RESPECTS
THEIR INTEREST IN THE INSURED OPERATIONS OF THE NAMED INSURED, DJT
*FULL NAMED INSURED READS GREATER SEATTLE CHAMBER OF COMMERCE,
enterprlseSeattle.
CERTIFICATE HOLDER 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
Attn: Ben Wolters NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
220 Fourth Avenue South IMPOSE NO OBLIGATION OR UABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
Kent, WA 98032 REPRESENTATIVES
AUTHORIZED REPRESENT TI E
ACORD 25-S(7/97) 11-51 ® RD CORPORATION 1988
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Liability Insurance
cHUBra 'I
Endorsement
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Policy Period SEPTEMBER 1,2007 TO SEPTEMBER 1,2008
Effective Date SEPTEMBER 1,2007
Policy Number 3587-82-74 SEA
Insured GREATER SEATTLE CHAMBER OF COMMERCE
Name of Company GREAT NORTHERN INSURANCE OMPANY
Date Issued SEPTEMBER 25,2007
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This Endorsement applies to the following forms:
GENERAL LIABILITY
Under Who Is An Insured,the following provision is added.
Who Is An Insured
Scheduled Person Or Subject to all of the terms and conditions of this insurance,any p4son or organization shown in the
Organization Schedule,acting pursuant to a written contract or agreement between you and such person or
organization,is an insured;but they are insureds only with respect to liability arising out of your
operations,or your premises,if you are obligated,pursuant to suchlcontract or agreement,to provide
them with such insurance as is afforded by this policy.
However,no such person or organization is an insured with respect to any:
• assumption of liability by them in a contract or agreement.This limitation does not apply to
the liability for damages for Injury or damage,to which this insurance applies,that the person
or organization would have in the absence of such contract�r agreement.
• damages arising out of their sole negligence.
Schedule
PERSONS OR ORGANIZATIONS THAT YOU ARE OBLIGATED,PURSUANT TO
WRITTEN CONTRACT OR AGREEMENT BETWEEN YOU AND SUCH PERSON OR
ORGANIZATION,TO PROVIDE WITH SUCH INSURANCE S IS AFFORDED
BY THIS POLICY;BUT THEY ARE INSUREDS ONLY IF AND TO THE
MINIMUM EXTENT THAT SUCH CONTRACT OR AGREEMENT REQUIRES THE
PERSON OR ORGANIZATION TO BE AFFORDED STATUS AS AN INSURED.
HOWEVER,NO PERSON OR ORGANIZATION IS AN INSURED UNDER THIS
PROVISION WHO IS MORE SPECIFICALLY DESCRIBED UNDER ANY OTHER
PROVISION OF THE WHO IS AN INSURED SECTION OF TINS POLICY
Liability Insurance Additional Insured-Scheduled Person Or Organization continued
Form 80-02-2367(Rev 8-04) Endorsement Page 1
II
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Liability Endorsement
(continued)
(REGARDLESS OF A LIMTTATION APPLICABLE THERETO),
All other terms and conditions remain unchanged
Authorized Representahve
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Uabihty Insurance Additional Insured-Scheduled Person or Organization I last page
Form 80-02-2367(Rev,8-04) Endorsement Page 2
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REQUEST FOR MAYOR'S SIGNATURE
O
KENT Please Fill in All Applicable Boxes
WASHINGTON
Routing Information (ALL REQU STS MUST FIRST BE ROUTED THROUG THE LAW DEPARTMENT)
Originator: ' Phone (Originator):
Date Sent: (� Date Required: (1
Return Signed Document to: / Z CONTRACT TERMINATION DATE:
VENDOR NAME: /� DATE OF COUNCIL APPROVAL:
Brief Explanation of Document:
(i-o Wa a -ILA0 fl zo o
All Contracts Must Be Routed Through the Law Department
(This Area to be Completed 6y the Law Department)
Received: CtiIC? 1L � G�
RECEIVED ,
Approval of Law Dept.:
MAR 2 9 2008
Law Dept. Comments:
KENT LAW EF
Date Forwarded to Mayor: �1
Shaded Areas to Be Completed by Ad Ministration S,;ffl
Received: -
Recommendations & Comments:
Disposition:
Date Returned:
Iage5870 • 3/05
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