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HomeMy WebLinkAboutPK08-366 - Original - Hollistic Opportunities for Personal Empowerment (HOPE) - Youth Mentoring - 10/1/08 R, ko% r s g m n� KENT W A S H I N O 7 0 N Document 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: _Holistic Opportunities for Personal Empowerment (HOPE) Contract Number: This is assigned by Mary Simmons Vendor Number: 194243 Project Name:—Youth Mentoring Contract Effective Date: 10.01.08 Contract Termination Date: 9.30.09 Contract Renewal Notice (Days): 30 Number of days required notice for termination or renewal or amendment Contract Manager: Katherin Johnson Department: —Parks/Housing and Human Services Abstract: _Grant for youth mentoring services to be delivered on the East Hill of Kent in the designated Weed and Seed Area. Grant is federally funded. ADCL7832 07/02 ' KENT WASH I N G T O N CONSULTANT SERVICES between the City of Kent an Holistic Opportunities for Personal Empowerment THIS AGREEMENT is made between the City of Kent, a Washington municipal corporation (hereinafter the "City"), and Holistic Opportunities for Personal Empowerment organized under the laws of the State of Washington, located and doing business at 31717 32nd Avenue SW, Federal Way, Washington 98023-2253 (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: The Consultant shall provide mentoring services for Kent youth as a seeding strategy as part of the Kent Weed & Seed Initiative. The program will provide mentoring services to youth in the targeted Weed & Seed area, in an effort to overcome the risk factors of crime and violence. 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 within October 1, 2008 and September 30, 2009. III. COMPENSATION. A. The City shall pay the Consultant, based on time and materials, an amount not to exceed $15,000 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. 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 CONSULTANT SERVICES AGREEMENT - 1 (Over$10,000) 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 C 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: �� � � � �tC� Print a e: uzette Cooke Its XC ct`?It/ ► r Its Mayor (title) DATE: ! 06 DATE: CONSULTANT SERVICES AGREEMENT - 4 (Over$10,000) NOTICES TO BE SENT TO: NOTICES TO BE SENT TO: CONSULTANT: CITY OF KENT: Rev. Jimmie James Katherin Johnson, Human Services Manager Holistic Opportunities for Personal City of Kent Empowerment 220 Fourth Avenue South 31717 32nd Ave SW Kent, WA 98032 Federal Way, WA 98023-253 (253) 856-5070 (telephone) (253) 344-1848 (telephone) (253) 856-6070 (facsimile) APPROVED AS TO FORM: nt La v D partment PAHuman Sewlces\Weed and Seed\HOPE Mentoring CSA 10-1-08 to 09-30-09.doc CONSULTANT SERVICES AGREEMENT - 5 (Over$10,000) DECLARATION CITY OF SCENT 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 3C-) day of , 200 . By: For: ' Title: f. D Date: q, -�)o ` 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 EXHIBIT A SCOPE AND SCHEDULE OF WORK 2000 - 2009 CONSULTANT SERVICES AGREEMENT HOLISTIC OPPORTUNITIES FOR PERSONAL EMPOWERMENT Kent Mentoring Partnership This program will provide mentoring services for Kent youth as part of the Seeding Strategies for the Kent Weed & Seed Initiative. Mentoring services will be provided in the targeted area to overcome the risk factors of crime and violence. This funding will provide: Outputs Unduplicated Kent clients 16 Number of mentoring hours provided 416 Outcomes Youth will overcome risk factors and display positive behaviors. Youth will experience a decrease in the rate of suspensions and expulsions. Budget Personnel $10,000 Nonpersonnel $ 5,000 Total $15,000 Reporting Requirements and Timeline The agency will be reimbursed on a quarterly basis, upon submittal of appropriate documentation. Such documentation will include the Billing Voucher and Service Report (Exhibit B). Contract Administration The Consultant will notify the City, in writing, within (10) days of any changes in program personnel or board membership. The Consultant shall provide the City with a current list of its board of directors, general or limited partners, as applicable. All records related to this contract must be retained for three years plus the current year. EXHIBIT SCOPE OF WORK (CONTINUED) 2008-2009 CONSULTANT SERVICES AGREEMENT — HOLISTIC OPPORTUNITIES FOR PERSONAL EMPOWERMENT Kent Mentoring Partnership Pursuant to Item 1 of the Consultant Services Agreement executed on October 1, 2005, Holistic Opportunities for Personal Empowerment shall provide the approximate number of City of Kent clients with the following services: Quarter Service Unit Number of Cumulative Units Total ist 1. Unduplicated City of Kent clients served 4 4 2. Mentoring Hours 104 104 2nd 1. Unduplicated City of Kent clients served 4 8 2. Mentoring Hours 104 208 3rd 1. Unduplicated City of Kent clients served 4 8 2. Mentoring Hours 104 312 4t" 1. Unduplicated City of Kent clients served 4 12 2. Mentoring Hours 104 416 The above services shall be provided by September 30, 2009. 2008-2009 Reimbursement: $15,000 Please sign to indicate acceptance of the Performance Measures listed above. � VA� Gp) � Rev. Ji T ie James, Holfstic Opportunities for Personal Date Empowerment, Executive Director r 0 l6theri0o liso , using & Human Services Manager Date G1I '40 Exhibit B Weed & deed ° 2008/2009 Billing Voucher KEN WASH N(3T0 and Service Report PARKS, RECREATION & COMMUNITY SERVICES Agency: Holistic Opportunities for Personal To: Empowerment Katherin Johnson 31717 32nd Ave SW Housing & Human Services Federal Way, WA 98023-2253 Parks Recreation & Community Services 220 4t Ave'. South, Kent, WA 98032 Program Contact: Rev. Jimmie James kjohn son@ci.kent,wa.us Telephone: (253) 344-1848 Phone: (253) 856-5070 E-mail: 'immie amesl comcast.net Reporting Period Program Amount Requested 7 Kent M -T--- entoring Partnership $ BUDGET SUMMARY FOR,DIEPARTMENT.USE ONLY Total Contract Amount $ 15,000 VENDOR NU�MBR# Po _ Current Request $ ACCOUNT CODE Amount Remaining $ 2008/2009 KENT FUNDED SERVICE UNITS Note: Unduplicated client counts must be reported both quarterly and year-to-date Service Units Planned New City of Kent Total Kent Funded Service Unit Description Funded Service Service Units To Date Each Quarter Units This Quarter Service Unit/Performance Measure 1S 2n 3r 4 Unduplicated # of Kent clients served 4 4 4 4 Mentoring Hours 104 104 104 104 *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 C INSURANCE REQUIREMENTS FOR CDBG AGREEMENTS Insurance The Contractor shall procure and maintain for the duration of the Agreement, insurance against claims for injuries to persons or damage to property which may arise from or in connection with the performance of the work hereunder by the Contractor, their agents, representatives, employees or subcontractors. A. Minimum Scope of Insurance Contractor shall obtain insurance of the types described below: 1. Commercial General Liability insurance shall be written on ISO occurrence form CG 00 01 and shall cover liability arising from premises, operations, independent contractors, products- completed operations, personal injury and advertising injury, and liability assumed under an insured contract. The Commercial General Liability insurance shall be endorsed to provide the Aggregate Per Project Endorsement ISO form CG 25 03 11 85. There shall be no endorsement or modification of the Commercial General Liability insurance for liability arising from explosion, collapse or underground property damage. The City shall be named as an insured under the Contractor's Commercial General Liability insurance policy with respect to the work performed for the City using ISO additional insured endorsement CG 20 10 11 85 or a substitute endorsement providing equivalent coverage. 2. 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 C (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. HOPE2 t) I Fs� ,:Non PrQfi�{ Iris�ar=an�e�`It�4grari,�� �� t. � i. E' It; I ,,� #a.,,z,i, =H„ : r;. ar-,.. «°,>�, `h '•I• , tx .,. TAFaGA-T a ':p1�1 URA ,.'II.J3.,:,s GE :.,, 4,; .. V V °�'ISSUk4Af i�11�(�CT 2�o8;� N1 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 COMPANIES AFFORDING COVERAGE na ' � PRODUCER :,��'°I�. � '' ��. �, ,n PUBLIC RISK UNDERWRITERS OF THE NORTHWEST,INC GENERAL LIABILITY AAIC/Munich Reinsurance America 451 DIAMOND DRIVE EPHRATA,WA 98823 AUTOMOBILE LIABILITY PHONE(509)754-2027 FAX(509)754-3406 AAIC/Munich Reinsurance America INSURED PROPERTY Holistic Oppor. to Personal Empowerment AAIC/Munich Reinsurance America 325 Washington Ave. South, #373 Kent, WA 98032 MISC.PROFESSIONAL LIABILITY COVERAGES, � ,7imit THIS IS TO CERTIFY TFIAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOT WITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF 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 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS TYPE OF INSURANCE 4 POLICY NVMBER POLICY EFFPOLICY E.XP` eel, a=` �LIMITSI,I DATE 3 DATE' ;I,. °°r'; ,, '° ,�� GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY N1-A2-RL-0000013-00 08/01/2008 06/01/2009 PER OCCURRENCE $5,000,000 OCCURRENCE FORM PER MEMBER AGGREGATE $10,000,000 INCLUDES STOP GAP PRODUCT-COMP/OP $5,000,000 PERSONAL&ADV INJURY $5,000,000 (LIABILITY IS SUBJECT TO A$25,000 SIR PAYABLE FROM POOL FUNDS) ANNUAL POOL AGGREGATE $40,000,000 AUTOMOBILE LIABILITY ANY AUTO N1-A2-RL-0000013-00 08/01/2008 06/01/2009 COMBINED SINGLE LIMIT EXCLUDED (LIABILITY IS SUBJECT TO A$ 25,000 SIR PAYABLE FROM POOL FUNDS) ANNUAL POOL AGGREGATE NONE PROPERTY N1-A2-RL-0000013-00J8/01/2008 06/01/2009 ALL RISK PER OCC EXCL EQ&FL $25,000,000 EARTHQUAKE PER OCC $1,000,000 FLOOD PER OCC $1,000,000 (PROPERTY IS SUBJECT TO A$25,000 SIR PAYABLE FROM POOL FUNDS) ANNUAL POOL AGGREGATE NONE MISC.PROFESSIONAL LIABILITY 08/01/2008 06/01/2009 PER CLAIM (LIABILITY IS SUBJECT TO A$ SIR PAYABLE FROM POOL FUNDS) ANNUAL POOL AGGREGATE DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Regarding funding The City of Kent is named as Additional Insured regarding this funding only and is subject to policy terms, conditions,and exclusions Additional Insured endorsement is attached CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 45 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 REPRESENTATIVES CERTIFICATE HOLDER =AUTHORIZEp,'°B�PREN�ATIV " _ k6; City of Kent 220 4th Ave S rC���A llltilXX� Kent, WA 98032 2225663 POLICY NUMBER: N1-A2-RL-0000013-00 COMMERCIAL GENERAL LIABILITY CG 20 26 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR O AN1 TI RE This endorsement modifies insurance provided under the following: SCHEDULE COMMERCIAL GENERAL LIABILITY COVERAGE PART Name Of Additional Insured Persons Or Organization(s) City of Kent 220 4th Ave S Kent, WA 98032 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section 11 — Who Is An Insured is amended to in- clude as an additional insured the person(s) or organi- zations) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omis- sions 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 ° ISO Properties, Inc., 2004 Page 9 of 1 Cl 22.25663 REQUEST FORMAYOR'S SIGNATURE ® Please Fill in All Applicable Boxes KElNT WASHINGTON t` (G Routing Information (ALL REQUESTS MUST FIRST BE ROUTED THROUGH THE LAW DEPARTMENT) Y l Originator: Katherin Johnson Phone (Originator): 5073 Date Sent: 10.17.08 Date Required: 10.24.08 Return Signed Document to: K Johnson �AT�®F� TERMINATION� �DATE:8019 08 9 VENDOR NAME: HOPE Brief Explanation of Document: Agreement with Holistic Opportunity to Personal Empowerment for a youth mentoring program in the Weed and Seed neighborhood. The program meets the seed strategy identified by the Weed and Seed Steering Committee for the second year of the federal grant. All costs of the contract are covered by the grant. All Contracts Must Be flouted Through The Law Department (This area to be completed by the Law Department) Received: ECEIVE Approval of Law Dept.: 2 L Law Dept. Comments: City of Kent \\ \ UITioe ar t e Mayor 7DateForwarded to Mayor: Forw Y Shaded Areas To Be completed By Administration Staff Received: Recommendations and Comments: Disposition: % /a 1,9 !�S Date Returned: