HomeMy WebLinkAboutPK08-110 - Original - Kent Youth & Family Services - Powerful Families - 06/05/2008 fiiia;
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KENT Document
W A S H I N G T O N
CONTRACT COVER SHEET
This is to be completed by the Contract Manager prior to submission to City Clerks Office. All
portions are to be completed, if you have questions, please contact Mary Simmons, City
Clerks Office.
Vendor Name: Ojflt
Contract Number: TO ( l U
This is assigned by Mary Simmons
Vendor Number: a?A Ll I
I I ,
Project Name:
Contract Effective Date: ( 0
Contract Termination Date: l2"�'57
Contract Renewal Notice (Days): D
Number of days required notice for termination r renewal or amen ment
Contract Manager: LLwivyll
Department: T&&S
Abstract: C—On
ADCL7832 07/02
NI .40*
KENT
WASH]N D T D N
CONSULTANT SERVICES AGREEMENT
between the City of Kent and
Kent Youth and Family Services
THIS AGREEMENT is made between the City of Kent, a Washington municipal corporation
(hereinafter the "City"), and Kent Youth and Family Services organized under the laws of the
State of Washington, located and doing business at 232 S. 2"d Ave #201 (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 shall provide two classes utilitizing the Powerful Families curriculum. The
focus of Powerful Families will be to train parents and caregivers to lead, manage
money, and advocate for their families and each other. Powerful Families
workshops are free of charge and co-run by parents. The following exhibits are
attached and incorporated by this reference as if fully set forth herein: Exhibit A,
Billing Voucher & Service Report, and Exhibit B Insurance Certificate.
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 30, 2008.
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 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
(Under$10,000)
B. The Consultant shall submit 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 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.
The provisions of this section shall survive the expiration or termination of this
Agreement.
CONSULTANT SERVICES AGREEMENT - 2
(Under$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'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.
CONSULTANT SERVICES AGREEMENT - 3
(Under$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 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 become
effective on the last date entered below.
CONSULTANT: CITY OF KENT:
By. By.
signature) (signatu e)
Print Name: e0A Prin me: Jeff Watling
Its: Its: Parks, Recreation & Community
l/ (Title) Services Director
DATE: �/a-a)DfT DATE: (Title)
I��
NOTICES TO BE SENT TO: NOTICES TO BE SENT TO:
CONSULTANT: CITY OF KENT:
Mike Heinisch, Executive Director Katherin Johnson, Human Services Manager
Kent Youth & Family Services City of Kent
232 South 2"d Ave #201 220 Fourth Avenue South
CONSULTANT SERVICES AGREEMENT - 4
(Under$10,000)
Kent, WA 98032 Kent, WA 98032
(253) 859-0300 (telephone) (253) 856-5070 (telephone)
253 859-0745 facsimile (253) 856-6070 (facsimile)
P:Human Services\General Fund\2007-2008 Contracts\KYFS Powerful Families 2008 CSA
CONSULTANT SERVICES AGREEMENT - 5
(Under$10,000)
DECLARATION
CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY POLICY
The City of Kent is committed to conform to Federal and State laws regarding equal opportunity.
As such all contractors, subcontractors and suppliers who perform work with relation to this
Agreement shall comply with the regulations of the City's equal employment opportunity
policies.
The following questions specifically identify the requirements the City deems necessary for any
contractor, subcontractor or supplier on this specific Agreement to adhere to. An affirmative
response is required on all of the following questions for this Agreement to be valid and binding.
If any contractor, subcontractor or supplier 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.
41
Dated this day of , 200Z.
By:
/e
For:
Title: ��v�✓� 0�1�c�'Q�
Date:
EEO COMPLIANCE DOCUMENTS - 1
CITY OF KENT
ADMINISTRATIVE POLICY
NUMBER: 1.2 EFFECTIVE DATE: January 1, 1998
SUBJECT: MINORITY AND WOMEN SUPERSEDES: April 1, 1996
CONTRACTORS APPROVED BY Jim White, Mayor
POLICY:
Equal employment opportunity requirements for the City of Kent will conform to federal and
state laws. All contractors, subcontractors, consultants and suppliers of the City must guarantee
equal employment opportunity within their organization and, if holding Agreements with the City
amounting to $10,000 or more within any given year, must take the following affirmative steps:
1. Provide a written statement to all new employees and subcontractors indicating
commitment as an equal opportunity employer.
2. . Actively consider for promotion and advancement available minorities and women.
Any contractor, subcontractor, consultant or supplier who willfully disregards the City's
nondiscrimination and equal opportunity requirements shall be considered in breach of contract
and subject to suspension or termination for all or part of the Agreement.
Contract Compliance Officers will be appointed by the Directors of Planning, Parks, and Public
Works Departments to assume the following duties for their respective departments.
1. Ensuring that contractors, subcontractors, consultants, and suppliers subject to these
regulations are familiar with the regulations and the City's equal employment opportunity
policy.
2. Monitoring to assure adherence to federal, state and local laws, policies and guidelines.
EEO COMPLIANCE DOCUMENTS - 2
CITY OF KENT
EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE STATEMENT
This form shall be filled out AFTER COMPLETION of this project by the Contractor awarded the
Agreement.
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
40 Exhibit A General Fund
1AZI • 2008 Billing Voucher
WASH KE NNT and Service Report
PARKS, RECREATION &
COMMUNITY SERVICES
To: Agency: Kent Youth & Family Services
-Merina Hanson
Housing-& Human Services = __
Parks, Recreation & Community Services program Contact: Dennis Ballinger
220 4th Ave. South; Kent, WA 98032 Telephone: 253.859.0300 x3015
mhanson(@-ci.kent.wa.Lis_ E-mail: dennisb@kyfs.org
Phone: (253) 856-5077
Reporting Period Program Amount Requested
Powerful Families $
BUDGET SUMMARY
,FOW-DEPARZMENT,US,E'ONLY Total Contract Amount
VEN'DOYR NUMBER#33841¢,,=-' ' '... v-;;- Current Request $
' ` Amount Remaining $
2008 KENT FUNDED SERVICE UNITS
Note: Unduplicated client counts must be reported both quarterly and year-to-date
Service Units Planned Each New City of Kent
Service Unit Description Funded Service
Quarter Units This Quarter
TF
Service Unit/Performance Measure 15 2" 3r 4
Number of Unduplicated Kent clients 0 10 11 11
Powerful Families Group Curriculums Provided 0 10 1 1
*Please attach a narrative explanation to this report in the event that the program is not meeting
performance measures.
Authorized Signature Date
FOR DEPARTMENT USE ONLY
AUTHORIZED FOR PAYMENT
BY: DATE: ,
ATTACHMENT B
INSURANCE REQUIREMENTS
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. Automobile Liability insurance covering all owned, non-owned, hired
and leased vehicles. Coverage shall be written on Insurance Services
Office (ISO) form CA 00 01 or a substitute form providing equivalent
liability coverage. If necessary, the policy shall be endorsed to provide
contractual liability coverage.
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. Automobile Liability insurance with a minimum combined
single limit for bodily injury and property damage of
$1,000,000 per accident.
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.
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 A.M. Best rating of not
less than ANII.
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.
NON PROFIT INSURANCE PROGRAM
CERTIFICATE, OF INSURANCE-,. ISSUE DATE 6/1/2007
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT
AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
PRODUCER COMPANIES AFFORDING COVERAGE
Public Risk Underwriters GENERAL LIABILITY
18106 140th AVENUE N.E. ACE AMERICAN INSURANCE COMPANY
WOODINVILLE,WASHINGTON 98072-6874 AUTOMOBILE LIABILITY
PHONE(425)482-6767 FAX(425)482 2777 ACE AMERICAN INSURANCE COMPANY
INSURED - PROPERTY
KENT YOUTH AND FAMILY SERVICES
CRIME
A MEMBER OF NON PROW INSURANCE PROGRAM ZURICH AMERICAN INSURANCE COMPANY
232 2ND AVENUE SOUTH
KENT,WA 98032
COVERAGES
THIS IS TO CERTIFY THAT 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE
MAYBE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND
CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
_TYpEOFINSURIWGE ;'_: P.OLICY.NUMBER- 'POL'�CYEFFECTIVE' POLICYEXP`JDAjz�I+RATION„ ;LIMITS ', •_
GENERAL-LIABILITY
. )c i _ r.`.:."..it��e4f=•=5 Sr a -,`,�, 3' _ wj R,i i. ,. _ -]5--`F,`_. e =M�:i- ._x_ -
COMMERCIAL GENERAL LIABILITY XSL G22905715 H 6/1/2007 �6/1/2008 ANNUAL AGGREGATE $5,000,000
OCCURENCE FORM EACH OCCURRENCE $5,000,000
INCLUDES STOP GAP
AUTOMOBILE.L- BILTY•' '=' z,�.p� ',.." ;- �y k', ""
". (A I
—.. .. ..'�s..s "af �F'k... • iW lec .i'.^a`..,t`Nr:f^_'.'4 .x _^iJ• > �:. s. - `~,.W`. , �S k,,.•fix:Rx�' 5�:.�).1�•'"i,:.rs.•k4v.,.. -..
ANYAUTO XSA H08300628 ^6/1/2007 ~6/1/2008 COMBINED SINGLE LIMIT $5,000,000
UM-UIM OCCURRENCE $5,000,000
PROPERT—Y
CRIME..<, _ ,, _ =.c.,<';s< '` .,•r`' --��.�; -�5_.��i�`".:,,_ .�-�.,�—�,-..:t-- — i ' s- ,"`�`':--_ .` '4_ •:'�, �j •�:�;-:*��__3..
- :a, wr`>� ze1.e,i ,a,x max. ...�s— r-svM_.F,. $.w s':•__`•:>d i;
F1D 543564003 6/1/2007 6/1/2008 EMPLOYEE DISHONESTY PER LOSS
$250,000
DESCRIPTION OF,OPERALRONS./.10CATIONS•s/VEHICLES/SPEGIAL_ITEMS
THE CITY OF KENT, ITS ELECTED AND/OR APPOINTED OFFICIALS ARE NAMED ADDITIONAL INSUREDS~RESPECTS^FUNDING
RECEIVED. COVERAGE FOR PROFESSIONAL LIABILITY FOR COUNSELERS, NURSES AND EMPLOYEES IS PROVIDED UNDER THE
GENERAL LIABILITY POLICY ENDORSEMENT ATTACHED.
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL MAIL45 DAYS
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED BELOW,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO LIABILITY OR OBLIGATION OF ANY KIND
UPON THE COMPANY,ITS AGENTS OR REPRESENT ITIVES.
CERTIFICATEHDLDER,},- _ Yr,:M �- iY_ �; - r "'.-. - _ AUTHORIZEPREPRESENTATIVE
_
CITY OF KENT PARKS, RECREATION AND COMMUNITY SERVICES
220 4TH AVE SI .'
KENT,WA 98032
*Coverage is subject to$25,000 program self Insured retention.Claims pald within SIR are funded by Non Profit Insurance Program
POLICY NUMBER:XSL G22905715 COMMERCIAL GENERAL LIABILITY
CG 20 26 07 04
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - DESIGNATED
PERSON OR ORGANIZATION
This endorsement modifies insurance provided under the following:
SCHEDULE
COMMERCIAL GENERAL LIABILITY COVERAGE PART
Name Of Additional Insured Persons Or Organization(s)
CITY OF RENT PARKS,RECREATION AND COMMUNITY SERVICES
220 4TH AVE S
KENT,WA 98032
RESPECTS FUNDING RECEIVED. COVERAGE FOR PROFESSIONAL LIABILITY
FOR COUNSELERS,NURSES AND EMPLOYEES IS PROVIDED UNDER THE
GENERAL LIABILITY POLICY.
Information required to complete this Schedule, if not shown above,will be shown in the Declarations.
Section II — Who Is An Insured is amended to in-
clude as an additional insured the person(s) or or-
ganizations) shown in the Schedule, but only with
respect to liability for "bodily injury", "property dam-
age" or "personal and advertising injury" caused, in
whole or in part, by your acts or omissions or the acts
or omissions of those acting on your behalf:
A. In the performance of your ongoing operations; or
B. In connection with your premises owned by or
rented to you.
CG 20 26 07 04 0 ISO Properties, Inc., 2004 Page 1 of 11 ❑