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HomeMy WebLinkAboutPK08-201 - Original - John Steidel - Golf Course Reconstruction Architect - 6/30/08 11,� KENT WASHINGTON CONSULTANT SERVICES AGREEMENT between the City of Kent and Sohn Steidel - Golf Course Architect THIS AGREEMENT is made between the City of Kent, a Washington municipal corporation (hereinafter the "City"), and John Steidel - Golf Course Architect organized under the laws of the State of Washington, located and doing business at PO Box 6566, Kennewick, WA 99336; P: 509-582-6706, F: 509-582-6303 (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: Review and revise existing plans to develop a final schematic plan accurately depicting work to be done; Prepare bid documents for the remodeling and reconstruction of approximately six golf holes closest to the Green River and affected by proposed levee improvements; Provide cost estimate for the remodeling work; Supervise construction, attend work meetings and administer contract at the Riverbend Golf Course in Kent, Washington as described in the consultants proposal dated May 14, 2008 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 within the Puget Sound region 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 March 31, 2009. III. COMPENSATION. A. The City shall pay the Consultant, based on time and materials, an amount not to exceed One Hundred Three Thousand Five Hundred Thirty Five Dollars ($103,535.00) 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. CONSULTANT SERVICES AGREEMENT - 1 (Over$10,000) s B. The Consultant shall submit monthly payment invoices to the City for work performed, and a final bill upon completion of all services described in this Agreement. The City shall provide payment within forty-five (45) days of receipt of an invoice. If the City objects to all or any portion of an invoice, it shall notify the Consultant and reserves the option to only pay that portion of the invoice not in dispute. In that event, the parties will immediately make every effort to settle the disputed portion. 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 (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'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, including all appeals, 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 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. I. Counterparts. This Agreement may be executed in any number of counterparts, each of which shall constitute an original, and all of which will together constitute this one Agreement. IN WITNESS, the parties below execute this Agreement, which shall become effective on the last date entered below. CONSULTANT: CITY OF KENT: By: By: (signature) (signature) Print Name. �J".0 'i. 53fj Prin e: uzette Cooke Its u T Its Mayor (t tie) ( 3O D DATE: r,�—?,a-�s3 DATE: CONSULTANT SERVICES AGREEMENT - 4 (Over$10,000) NOTICES TO BE SENT TO: NOTICES TO BE SENT TO: CONSULTANT: CITY OF KENT: John Steidel Pete Peterson John Steidel - Golf Course Architect City of Kent PO Box 6566 220 Fourth Avenue South Kennewick, WA 99336 Kent, WA 98032 509-582-6706 (telephone) (253) 856-5190 (telephone) 509-582-6303 (facsimile) (253) 856-6190 (facsimile) APPROVED AS TO FORM: Ke t La rtment Rrverbend Golf -John Steidel 5-15-08 CONSULTANT SERVICES AGREEMENT - 5 (Over$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. Dated this -L-'WO day of �lAd�l , 2008. By: r ` For: La- a�-f— Title: —VCJ0LTt-j16C Atuy�� 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 r" 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 12008. By: For: Title: Date: EEO COMPLIANCE DOCUMENTS - 3 JOHN STEIDEL - -_ Golf Course Architect - P.O BOX 6566 • (121 B S. ELY) • KENNEWICK,WA 99336 (509)582-6706 FAX (509)582-6303 ASGCA May 14, 2008 Mr. Pete Peterson Superintendent of Golf Operations City of Kent 220 0 Avenue South Kent,Washington 98032 PROPOSAL It is hereby proposed to provide the following golf course architectural and civil engineering services as required to the City of Kent for the reconstruction of its 18 hole, Riverbend Golf Course, as made necessary by proposed improvements to the levee along the Green River. Scope of Work: Golf Course Architect l. Review and revise as necessary existing plans with the city staff and others to develop a final schematic plan accurately depicting work to be done. 2. Using topographical plans and aerial photos provided by the City of Kent, prepare bid documents for the remodeling and reconstruction of approximately six (6) golf holes closest to the Green River and affected by proposed levee improvements. Bid documents shall include 100-scale staking, clearing,rough grading, drainage, landscaping, accompanying specification and 20-scale drawings including a perspective sketch for each of approximately four (4) greens to be constructed. Irrigation Design is not included in this proposal but is attached. 3. Provide a cost estimate for the remodeling work. Assist in prequalification of contractors, solicitation and evaluation of bids. 4. Make inspections as necessary to supervise construction, attend work meetings and to administer the contract. It is anticipated that up to twelve (12) site visits may be required of the Golf Course Architect during the course of construction. .J U.7.J U L O J UJ �• 1 Fees: A. For items 1-3, a lump sum of sixty-one thousand dollars ($61,000.00) plus production expenses. Travel costs for three(3) site visits during design and bidding are included. B: For Item 4 a bump sum of twenty thousand dollars ($20,000.00)plus production expenses. Travel expenses for twelve (12) site visits during construction are included. C. For Items 1-4 Production costs including telephone, fax, postage and testing are to be billed at 1.1 X cost,not to exceed four thousand dollars ($4,000.00). D. Irrigation desijzn by others is not included above. Conditions: i This proposal for Golf Course Architectural Remodeling Services is good for a period of thirty(30) days from this date. Once accepted, Golf Course Architect agrees to complete all design within seventy-five (75)days of authorization. i If work is not completed by December 31, 2009, outstanding fees may be increased at 1% per month. Additional work shall be authorized in advance and be billable at the rate of$200/hr for design and consultation; S 150/hr for design associate, $100/hr for travel and $75/hr for drafting and clerical,plus expenses at 10%. Travel time and costs will be prorated whenever possible. Submitted: Accepted Jo R. Steidel For: JOHN STEIDEL Golf Course Architect City of Kent Date: May 14, 2008 Date: C.ait1�t� �••ta v ���-P U fir;�sn.�. -- - Post-it®Fax Note 7671 ate pages To From CoJDept co. Phone# Pho e A 4g Fax# im w F EXHIBIT 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. 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. 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 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. Automobile Liability insurance with a minimum combined single limit for bodily injury and property damage of $500,000 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. EXHIBIT B (Continued ) 3. Professional Liability insurance shall be written with limits no less than $1,000,000 per claim and $1,000,000 policy aggregate limit. 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 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 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. May 30 08 03: 12p Bud Knore 503 735 1523 p. 3 CERTIFICATE OF INSURANCE �,.r..... This certifies that ® STATE FARM FIRE AND CASUALTY COMPANY,Bloomington, Illinois ❑ STATE FARM GENERAL INSURANCE COMPANY,Bloomington, Illinois ❑ STATE FARM FIRE AND CASUALTY COMPANY,Aurora,Ontario ❑ STATE FARM FLORIDA INSURANCE COMPANY,Winter Haven, Florida ❑ STATE FARM LLOYDS, Dallas,Texas insures the following policyholder for the coverages indicated below: Policyholder JOHN STEIDEL DBA: JOHN STEIDEL GOLF COURSE Address of policyholder 4204 S TACOMA PL KENNEWICK WA 99337 Location of operations 121 S ELY KENNEWICK WA 99336 Description of operations BUSINESS OFFICE The policies listed below have been issued to the policyholder for the policy periods shown. The Insurance described in these policies is subject to all the terms,exclusions,and conditions of those policies.The limits of liability shown may have been reduced by any paid claims. POLICY PERIOD LIMITS OF LIABILITY POLICY NUMBER TYPE OF INSURANCE Effective Date : Expiration Date (at beginning of policy period) 98 76 7964 0 F Comprehensive 07-12-07 07-12-08 BODILY INJURY AND 98 76 7964 0 F Business Liability 07-12-07 07-12-08 PROPERTY DAMAGE --- ------------------------ --- ------------------------ ------------------= ---------------- This insurance includes: ❑ Products-Completed Operations ❑Contractual Liability Each Occurrence $1,000,000 ❑Personal Injury ❑Advertising Injury General Aggregate $2,000,000 ®BUSINESS ❑ Products-Completed $ ❑ Operations Aggregate POLICY PERIOD BODILY INJURY AND PROPERTY DAMAGE EXCESS LIABILITY Effective Date Expiration Date (Combined Single Limit) ❑Umbrella Each Occurrence $ ❑Other Aggregate $ POLICY PERIOD Part I-Workers Compensation - Statutory Effective Date ; Expim*m Date Workers'Compensation Part 11-Employers Liability and Employers Liability Each Accident $ Disease-Each Employee $ Disease- Policy Limit $ POLICY PERIOD LIMITS OF LIABILITY POLICY NUMBER TYPE OF INSURANCE Effective Date ; Expiration Date (at beginning of policy period) 98 76 7964 0 F HIRED AUTO LIAB 07-12-07 01-12-08 $1,000,000 98 76 7964 0 F EMPLOYERS LIAB 07-12-07 07-12-08 $1,000,000 THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY AMENDS,EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN. Name and Address of Certificate Holder If any of the described policies are canceled before CITY OF KENT their expiration date,State Farm will try to mail a ATTN: TONY DONATI written notice to the certificate holder 45 days before PARKS & RECREATION cancellation.If however,we fail to mail such notice, 220 FOURTH AVENUE SOUTH no obligation or liability will be imposed on State Farm KENT WA 98032 or its agents or representatives. Signature o Authorized Rep resen live t AGENT 05/30/200 Tate Date BUD KNORE Agent Name Telephone Number 509-735-1521 Agent's Code Stamp Agent Code 1983 AFO Code F4 88 558-994 a 6 Printed in U.S A. Rev.05-09-2006 May 30 08 03: 12p Bud Knore 509 735 1523 p. 2 MTG,RMKS AGENT COPY MAY 30, 2008 AGENT: F488/1983 LICY#: 98-76-7964-0 F BUSINESS-OFFICE STEIDEL, JOHN DBA JOHN STEIDEL GOLF COURSE 4204 S TACOMA PL KENNEWICK, WA 99337-3924 PHONE#: (B) 509-582-6706 f date: (05/30/08) Curr date: (05/30/08) Time: (02: 41 PM) ADDITIONAL INTEREST CHANGES** Rnwl bill to: (insd ) Add' 1 Interest Name & Address: End bill to: (insd ) (N) (CITY OF KENT ) Change: (add ) (N) (PARKS & RECREATION ) Type: (add' 1 insured ) (A) (220 FOURTH AVENUE SOUTH ) Subset #: ( ) ( ) ( ) Loan #: ( ) ( ) ( ) City: (KENT ) St: (WA) ZIP: (98032 ) � 'opy of policy is needed. REMARKS: (DOING WORK FOR THE CITY OF KENT PARKS DEPARTMENT ) ;MARKS APPLY TO: Fire D KNORE 9-735-1521 INITIALS (PO ) ACORD. CERTIFICATE OF LIABILITY INSURANCE OP ID Cc DATE(MM/DD/YrM STEI058 OS 21 08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE A&E HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 159 East County Line ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hatboro PA 19040 INSURERS AFFORDING COVERAGE NAIC 4 INSURED INSURER A: Victor O. Schinnerer INSURER B: John Steidel Golf Course INsuRERc: Architect 4204 Sq. Tacoma Place INSURERD. Kennewick WA 99337 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. INUK LTR EXPIRATION NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DDIYY DA E MMMD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurence) $ CLAIMS MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY ECT 17 LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON•OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANYAUTO OTHERTHAN FAACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND TORY LIMITS ER EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTNE E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? E L DISEASE-EA EMPLOYEEI$ If yes,describe under SPECIAL PROVISIONS below EL.DISEASE-POLICY LIMIT j S OTHER A Professional LAA2765155984 09/08/07 09/08/08 Aggregate 1,000,000 Liability Deduct 2,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN City Of Kent NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Parks & Recreation IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Tony Donati 220 Fourth Avenue South REPRESENTATIVES. Rent WA 98032 AUTHORI2EDREPRESE A ACORD 25(2001108) 0 ACORD CORPORATION 1988 Jun 26 08 02: 06p Bud Knore 509 735 1523 p. 2 Policy Number DECLARATIONS PAGE AMENDED MAY 30 2008 98-76-7964-0 STATE FARM FIRE AND CASUALTY COMPANY L—i PO BOX 5000, DUPONT WA 98327-5000 A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON,ILLINOIS Agent Copy Named Insured and Mailing Address 15-1983-F488 K STEIDEL, JOHN DBA JOHN STEIDEL GOLF COURSE 4204 S TACOMA PL KENNEWICK WA 99337-3924 Cov A-Inflation Coverage Index: N/A IUSINESS POLICY- SPECIAL FORM 3 Cov B -Consumer Price Index: 213.5 kUTOMATIC RENEWAL - If the POLICY PERIOD is shown as 12 MONTHS, this policy will be renewed automatically ubject to the premiums, rules and forms in effect for each succeedingg policy period. If this policy is terminated,we will live you and the Mortgagee/Lienholder written notice in compliance wlih the policy provisions or as required by law. 'olicy Period: 12 Months The policy period begins and ends at 12:01 am standard time at the affective Date: JUL 12 2008 premises location. :xpiration Date: JUL 12 2009 lamed Insured: Individual Your policy is amended MAY 30 2008 ADDITIONAL INSURED ADDED .ocation of Covered Premises: ENDORSEMENT FE-6609 ADDED 121 S ELY fENNEWICK WA 99336-2902 Other items shown are effective with the olic 's 2008 renewal ;overages & Property Limits of Insurance Section I Buildings Excluded I Business Personal Property $ 22,900 Loss of Income - 12 Months $ Actual Loss Section II Deductibles -Section Business Liability S 1,000,000 A Medical Payments $ 5,000 $ 500 Basic Iroducts-Completed Operations Excluded (PCO)Aggregate aeneralAggregate (Other $ 2,000,000 Than PCO) In case of loss under this policy, the deductible will be applied to each occurrence and will be deducted from the amount of the loss. Other deductibles may apply- refer to policy. Endorsement Premium orms, Options, and Endorsements Increase $ 44.72 Special Form 3 FP-6103 Section II Additional Insured FE-6609 NA Amendatory Endorsement FE-6247.1 Discounts Applied: products/Operations Liab Excl FE-6312 Renewal Year aired Auto Liability FE-6311 Years in Business 31ank Endorsement FE-7315 Claim Record Free Debris Removal FE-6451 New Form Attached ,ontinued on Reverse Side of Page 'repared OTHER LIMITS AND EXCLUSIONS MAY APPLY- R FER TO YOUR POLICY JN 04 2008 Cou igne a %8030.2C A07G By Agent i/1993 BUD KNITRAff �" )ur policy consists of this page,any endorsements t5o9)735-1521 5 P id the policy form.PLEASE KEEP THESE TOGETHER. LS (0112172b) MULVIHILL INS SERV PR98REll/UE0 PO BOX Q 0R1YE6/ns11AWC19 KENNEWICK,WA 99336 Policy number: 66251309-8 Underwritten by; Progressive Northwestern Ins Co May 21,2008 N R STEIDEL JOH OH S TAC ID PL Policy Period:Dec 15,2007-Jun 15,2008 KENNEWICK,WA 99337 Page 1 of 2 509-783-8105 MULVIHILL INS SERV Contact your agent for personalized service. Auto Insurance prOOr line Service v r Cet.com Coverage Summary Make payments,checkbillingstatus activity,update policy information or check status of a claim. This is your Declarations Page 800-274-4499 To report a claim Your policy information has changed Your coverage began on December 15,2007 at 12:01 a.m. This policy expires on June 15,2008 at 12:01 a.m. This coverage summary replaces your pnor one. Your insurance policy and any policy endorsements contain a full explanation of your coverage. The policy limits shown for a vehicle may not be combined with the limits for the same coverage on another vehicle. The policy contract is form 9610A WA(08/05), The contract is modified by forms Z445 WA(01/07)and Z538(05/07). Policy changes effective May 20, 2008 .... .. ..... . Changes requested on: May 20, 2008 07:54 p,m. Requested by; COLLIN FROM MULVIHILL INS SERV . . '" ... ........ . . ...... . , . .... . .................... ....... ....... .... Premium.,.channge; $0.60 Changes; CTY OFKENT/PARK S&REC has been added as an additional interest. Drivers and household residents Additional information JOHN R STEIDEL Named insured Outline of coverage 1998 Honda Accord EX 4D VIN 1HGCG1653WA004520 Limits Deductible Premium ...... .... .... .. .......I . .. ....... . ........ .. ..... ...... ......... ....... .... ..... Liability To Others $102 Bodily Injury and Property Damage Liability $500,000 combined single limit each accident ....... . . .... .. ... .. .... . . ......... ...... . ...... ...... .. ... . .... Personal Injury Protection !00,000 $0 18 Undennsured Motonst $500,000 combined single limit each accident 27 Undennsured Motorist Property Damage $100',000 each accident $100 20 $300 hit&run Total premium for 1998 Honda $167 Form6489 WA(11/04) Continued Policy number: 66251309-8 JOHN R STEIDEL Page 2 of 2 2007 Honda Accord EX 4D VIN 1HGCM66567AO95645 Limits Deductible Premium Liability To Others $128 Bodily Injury and Property Damage Liability $500,000 combined single limit each accident .. . ................ .... .. Personal Injury Protection $10,000 $0 26 ..... .. ... .. . . . Undermsured Motorist $500,000 combined single limit each acadent 40 . . ........ ......... ........... .........I Underinsured Motorist Property Damage $100,000 each acadent $100 24 $300 hit&run .. . .. . .. .....I.......... .....I......... ...... . .... ............... .. ... . .........I . ...........I ......... .. Comprehensive Actual Cash Value $100 57 Collision Actual Cash Value $500 158 .... . .. ................................................................................ .. . .. ..... .. . . .. . . . . Total premium for 2007 Honda(business use) $433 . .. .......I...... . .............. ................... ....I......... ... . . .... ..... ... ... .. . ............ . Subtotal policy premium $600 .... ....... . . ... .. .... .. .. .... .. . Policy fee 30 .. .11. ......... .... . . .............. . ...... . .. . ........... ..................... .. . ... ................ .... ... .... Total 6 month policy premium $630 Premium discounts Policy .... .... ...... . ... .. .... ...... . ... ............ ........ ,. 66251309-8 5 year accident free, home owner, 3 year accident and violation free, paid in full and multi-car N s 0 0 Additional Interest information 0 Additional Interest: BELLEVUE GOLF COURSE o 0 14650 NE 55TH ST BELLEVUE,WA 98007 0 0 Additional Interest: CTY OFKEN I/PARKS&REC 0 220 FOURTH AVE S KENT,WA 98032 N 0 0 Company officers oMMMMMMMMM z N O a 0 } 0 Secretary a 0. Form6489 WA(11/04) . I Mab, 20 2008 16: 22 MULVIHILL INS SERVICES 509-735-3512 p. 2 Poi ►nwWwr 66BI30 4 Ur de mbm by: Progressive No*weatem InsCo Pdkftwer bIn a steidel Page 3 of 3 May 20,2W8 This verification of insurance is w an insurance policy and does not amend,extend or after the coverage afforded by the pokks listed herein. Notwithstanding any requirement,term or condition of any contract or other document with respeci to which this verification of insurance may be issued or may pertain,the insurance afforded by the policies described herein is subjed to all the teams,exclusions and conditions of the polities. If you have any questions,please contact your agem for personalized service. flunk you. ram Z177(031D5) Jun 26 08 03: 01p Bud Knore 509 735 1523 p, 3 FE-6609 Page 1 of 1 SECTION 11 ADDITIONAL INSURED ENDORSEMENT Policy No.: 98-76-7964-0 Named Insured: STEIDEL,JOHN Nfp"ro« DBA JOHN STEIDEL GOLF COURSE 4204 S TACOMA PL KENNEWICK WA 99337-3924 Additional Insured(include address): CITY OF KENT PARKS & RECREATION 220 4TH AVE S KENT WA 98032-5838 WHO IS AN INSURED, under SECTION 11 DESIGNATION OF INSURED, is amended to include as an insured the Additional Insured shown above, but only to the extent that liability is imposed on that Additional Insured solely because of your work performed for that Additional Insured shown above. Any insurance provided to the Additional Insured shall only apply with respect to a claim made or suit brought for damages for which you are provided coverage. The Primary Insurance coverage below applies only when there is an'X'in the box. ® Primary Insurance. The insurance provided to the Additional Insured shown above shall be primary insurance. Any insurance carried by the Additional Insured shall be noncontributory with respect to coverage provided to you. All other provisions of the policy apply. FE-6609 REQUEST FOR MAYOR'S SIGNATURE KENT Please Fill in All Applicable Boxes 11� NINOT ON Routing Information (ALL REQUESTS MUST FIRST BE ROUTED THROUGH THE LAW DEPARTMENT) Originator: v\)CC-H" Phone (Originator): Soo-t Date Sent: f 13, o8 Date Required: Mu "2-3 I Zvo Return Signed Document to: CONTRACT TERMI ATION DATE: ALt VENDOR NAME: DATE OF COUNCIL APPROVAL: n Zo Brief Explanation of Document: - {-4c co M-OL Ir f-21 V, LK ?CX ©vim c� rCt�.. (,c .`n�� J �� L"` All Contracts Must Be Routed Through The Law Department (This area to be completed by the Law Department) Received: RECEIVED Approval of Law Dept.: �",Ay 23 200 r Law Dept. Comments: KENT �W DEP _f 1 Date Forwarded to Mayor: Shaded Areas To Be Completed By Administration Staff Received:, Recommendations and Comments: Disposition: �0do 14*ze-d Date Returned: