HomeMy WebLinkAboutPW09-131 - Original - Montessori Plus School - Overflow Parking for School - 04/22/2009 ecords M = eme
KENT WASHINGTON Document
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CONTRACT COVER SHEET
This is to be completed by the Contract Manager prior to submission
to City Clerks Office. All portions are to be completed.
If you have questions, please contact City Clerk's Office.
Vendor Name: Montessori Plus School
Vendor Number:
JD Edwards Number
Contract Number: PW09-131
This is assigned by City Clerk's Office
Project Name: Overflow Parking for the School
Description: ❑ Interlocal Agreement ❑ Change Order ❑ Amendment ❑ Contract
M Other: LEASE AGREEMENT
Contract Effective Date: 4/22/2009 Termination Date: 4/1/2014
Contract Renewal Notice (Days): 5 yrs
Number of days required notice for termination or renewal or amendment
Contract Manager: Water Supt Department: Public Works
Detail: (i.e. address, location, parcel number, tax id, etc.):
Lease of 9 parking spaces on City property located at 23825 98" Ave S.
CM 4/21/2009
S'Publlc\RecordsManagement\Forms\ContractCover\adcc7832 1 11/08
KENT
WP9 XINp TON
LEASE AGREEMENT
THIS LEASE is made by and between the CITY OF KENT, a Washington
municipal corporation ("Landlord") and MONTESSORI PLUS SCHOOL AND TEACHER
PREPARATION OF WASHINGTON, a Washington non-profit corporation ("Tenant").
BACKGROUND
A. Landlord is the owner in fee simple of real property located at 23825 -
98th Avenue South in the City of Kent, Washington (the "Property"). Tenant
operates a school out of real property located adjacent to the Property at 23807 -
98th Avenue South in the City of Kent, Washington, and legally described in Exhibit
A (the "Tenant's Site") attached and incorporated herein. Tenant desires to lease
that portion of the Property legally described in the attached Exhibit B (the
"Premises") for use as overflow parking for the Tenant's Site.
AGREEMENT
In consideration of their mutual covenants, the Landlord and Tenant agree as
follows:
1. LEASED PREMISES. Landlord leases to Tenant for the benefit of the
Tenant's Site the non-exclusive use of the Premises for overflow parking purposes.
Tenant's use is non-exclusive in two regards: a) Landlord currently leases portions
of the Property to entities that use the Premises for ingress and egress, and b)
Landlord will also use the Premises for ingress, egress, and parking.
2. TERM AND OPTION TO RENEW.
A. This Lease shall be for a term of five (5) years and shall
commence upon the first day of the month following completion of the improvements
LEASE AGREEMENT - Page 1 of 8 April 3, 2009
(between City of Kent and Montessori Plus School and Teacher Preparatlon of WA)
described in Sections 4 and 5 (Commencement Date). This Lease shall end on the
date that is one day before the five year anniversary of the Commencement Date.
Additionally, so long as Tenant is not in default of this Lease, Tenant shall have the
option to renew this Lease for one (1) additional five (5) year period subject to the
adjustment of Monthly Rent as described in Section 3. Should Tenant exercise its
option to renew this Lease, that option must be exercised in writing and delivered
to Landlord at least ninety (90) calendar days before the end of the then current
term.
3. RENT.
A. Tenant agrees to pay Landlord as Monthly Rent, without notice
or demand, the sum of One Hundred Forty Four and 00/100 Dollars ($144.00),
which is based on Tenant using nine (9) parking spaces, calculated at Sixty Four and
00/100 Dollars ($64.00) per space, 25% of the time. In addition, Tenant shall pay
leasehold tax, if required by law, at a rate established by the State of Washington,
currently 12.84%. These Monthly Rent amounts shall be paid on the
Commencement Date, and subsequently in advance, on or before the first day of
the month during the term. Monthly Rent shall be mailed to: City of Kent, 220
Fourth Avenue South, Kent, Washington 98032, Attention: Financial Services. This
Monthly Rent shall be paid by Tenant regardless of whether Tenant uses each parking
stall.
B. Tenant shall pay Landlord a late payment charge equal to five
percent (5%) of the Monthly Rent for any payment not paid within five (5) calendar
days of when due. Any amounts not paid when due shall bear interest until paid at
the rate of one percent (1%) per month.
C. The Monthly Rent during years two (2) through five (5) of each
five (5) year term shall be increased effective as of each anniversary of the
Commencement date (the "Adjustment Date") by an amount equal to the greater of
four (4) percent or the percentage increase in the CPI two (2) months prior to the
Adjustment Date and the CPI for the month 12 months prior to the Adjustment
Date. 'CPI" means the Consumer Price Index - All Urban Consumers, U.S., All
LEASE AGREEMENT- Page 2 of 15
April 3, 2009
(between City of Kent and Montessorl Plus School and Teacher Preparatlon of WA)
Items base reriod 1982-84=100 Not Seasonally Adjusted U.S. City Average,
issued by the U.S. Bureau of Labor Statistics. If the CPI is converted to a different
standard reference base, or otherwise revised, the adjustment set forth in this
paragraph shall be made with the use of the conversion formula published by the
U.S. Bureau of Labor Statistics.
D. (i) The Landlord may periodically perform a study to determine
the number of parking spaces being used by Tenant and the percentage of time
Tenant is using those parking spaces (Parking Space Count) to determine whether
Tenant's actual usage is consistent with using nine (9) stalls 25% of the time. The
Parking Space Count may be performed either manually or by video, up to 2 times
annually. Landlord shall prepare a report from the Parking Space Count (Parking
Space Report), and provide a copy of same to Tenant.
(ii) From the Parking Space Report, Landlord shall adjust the
Monthly Rent in section 3.A. if the Parking Space Report shows either an increase or
decrease of at least five (5) % from the original calculation described in 3A, or a
subsequently adjusted amount. The Tenant shall be notified by the Landlord of the
Landlord's intent to adjust the Monthly Rent at least twenty (20) days prior to the
new Monthly Rent going into affect.
(iii) If Tenant disputes the results of the Parking Space Report,
Tenant may perform its own Parking Space Count as close as possible to the time
and conditions of the Parking Space Count prepared by the Landlord, and provide a
copy of Tenant's Parking Space Report to Landlord. Landlord may take into
consideration Tenant's Parking Space Report, but the final decision is Landlord's as
to Parking Space Reports and adjusting Monthly Rent accordingly.
E. Monthly Rent, and all other consideration to be paid or provided
by Tenant to Landlord shall constitute Rent and shall be paid or provided without
offset.
4. IMPROVEMENTS BY LANDLORD. Landlord shall design, obtain the
necessary permits for, and construct the parking area on the Premises, at
Landlord's cost, in accordance with the Kent City Code and all other applicable local,
LEASE AGREEMENT - Page 3 of 15
April 3, 2009
(between City of Kent and Montessorl Plus School and Teacher Preparation of WA)
state, and federal regulations. The Landlord's overflow parking area is depicted in
the attached and incorporated Exhibit C. This Lease, however, is contingent upon
Landlord obtaining all necessary permits and constructing the parking area. In the
event Landlord is unable to obtain permits and construct the parking area as
depicted in Exhibit C, this Lease shall become null and void, unless otherwise
agreed by the parties. Landlord will provide Tenant with written notice of when
construction will be completed.
5. IMPROVEMENTS BY TENANT. Tenant shall design, obtain the
necessary permits for, and construct the connection between the Premises and
Tenant's Site, at Tenant's cost, in accordance with the Kent City Code and all other
applicable local, state, and federal regulations. Tenant must also obtain approval
from Landlord's Water Superintendent in the Public Work's Department, for the
connection. This Lease is contingent upon Tenant obtaining all necessary
approvals, permits, and constructing the connection. In the event Tenant is unable
to perform these obligations, this Lease shall become null and void, unless
otherwise agreed by the parties. Tenant will provide Landlord with written notice of
when construction of the connection will be completed.
6. TAXES. Tenant shall pay any tax that this Lease, or the interest created
thereby, may be subject to at any time during the term of this Lease.
7. MAINTENANCE AND REPAIRS.
A. The Landlord shall perform all necessary maintenance to be
expected for a parking area, including, but not limite& to, sealing, asphalt
resurfacing, re-striping, repair of vandalism, clean up of hazardous waste or oil
spills, and removal of gang tags or signs and all other gang indicators, consistent
with Landlord's maintenance programs for parking areas.
B. Landlord shall invoice Tenant for maintenance and repairs
performed on the parking lot based on the percentage (%) of usage of the parking
spaces described in section 3 of this document. Tenant shall pay the same within
thirty (30) days of receipt of the invoice for the same.
LEASE AGREEMENT - Page 4 of 15
April 3, 2009
(between City of Kent and Montesson Plus School and Teacher Preparation of WA)
S. UNAUTHORIZED USE AND CLOSURE. Tenant shall not have the
right to close off or block access to the Premises. Landlord reserves the right to
eject or cause the ejection from the Premises any person or persons not authorized
to use the Premises pursuant to this Lease.
9. TERMINATION. This Lease shall be terminated prior to the end of
the term if any of the following occur:
A. Tenant defaults in the payment of Monthly Rent or any other
sums payable to Landlord when due, and does not cure such default within fifteen
(15) calendar days after written notice from Landlord;
B. Tenant abandons or vacates the Premises for a period longer
than thirty (30) days;
C. Tenant fails, at any time during this Lease to conform or comply
with any local land use, regulatory, or building permit conditions issued by the City
of Kent in connection with the construction, operation, or maintenance of the
Premises.
D. Tenant is adjudicated as bankrupt or makes any assignment for
the benefit of creditors;
E. Tenant becomes insolvent;
F. Tenant sells or transfers its interest in Tenant's Site adjacent to
the Premises; or
G. Either party defaults in the performance of any other covenant
or condition of this Lease and does not cure such other default within thirty (30)
calendar days after written notice from the non-defaulting party specifying the
default at issue; provided, however, that neither party will be in non-monetary
default under this subsection if it commences curing such default with such 30-day
period and thereafter diligently prosecutes the cure to completion.
10. CURE BY LANDLORD. In the event of any default of this Lease by
Tenant, per Section 9, the Landlord may at any time, after notice, cure the default
LEASE AGREEMENT - Page 5 of 15
April 3, 2009
(between City of Kent and Montessorl Plus School and Teacher Preparation of WA)
for the account of and at the expense of the Tenant. If Landlord is compelled to
pay or elects to pay any sum of money or to do any act which will require the
payment of any sum of money or is compelled to incur any expense, including
reasonable attorney fees in instituting, prosecuting, or defending any action to
enforce the Landlord's rights under this Lease, the sums so paid by Landlord, with
all interest, costs, and damages shall be deemed to be Additional Rent and shall be
due from the Tenant to Landlord on the first day of the month following the
incurring of the respective expenses. If Tenant disputes the appropriateness of the
Additional Rent in good faith, Tenant will pay such Additional Rent "under protest."
Any payment under protest by Tenant shall not be considered an admission of
liability or a waiver of Tenant's rights under this Lease, and such payment shall be
subject to refund if Tenant's position is upheld by a court.
11. DAMAGES AND ATTORNEY'S FEES. In the event of an instance of
Tenant's default as identified in Section 9, Landlord shall be entitled to the amount
of unpaid rent accrued through the date of termination and liquidated damages in
the amount of the rent that would have been collected through the remainder of
the term. If it becomes necessary for the Landlord to use an attorney or bring suit
for damages or possession, or if Tenant shall bring any action for any relief against
Landlord, declaratory or otherwise, arising out of this Lease, the prevailing party
shall have and recover against the other party in addition to the cost allowed by
law, such sum as the court may adjudge to be reasonable attorney's fees.
12. RE-DELIVERY. Tenant, at the expiration of the term of this Lease or
upon any sooner termination thereof, will, without notice, quit and deliver the
Premises to the Landlord peaceably and in as good order and condition as on the
Commencement Date, reasonable use and wear excepted.
13. LANDLORD USE, ACCESS FOR WATER MAIN REPAIRS. In the
event Landlord's use of the Premises described in Section 1 requires more parking
spaces than are available because of use by Tenant, Landlord reserves the right to
eject or cause the election of Tenant from the Premises for the duration of
Landlord's required use. Landlord has water mains and other utilities located below
LEASE AGREEMENT - Page 6 of 15
April 3, 2009
(between City of Kent and Montessori Plus School and Teacher Preparation of WA)
ground on the Premises. Should Landlord determine it necessary to repair or
maintain the water mains or other utilities during Tenant's lease of the Premises,
Tenant understands and agrees to an interruption in its use of the Premises in order
to allow such repairs or maintenance to be performed. Tenant will receive a
proportional offset in the monthly rental amount for the amount of time Tenant was
denied use of the Premises due to use under Section 1.(b) and repair or
maintenance work conducted by Landlord.
14. INSURANCE & INDEMNIFICATION.
A. Tenant shall procure and maintain for the duration of the
Agreement, insurance for the Premises of the types and in the amounts described
attached and incorporated b
in Exhibit D attac a p y this reference.
B. Tenant shall defend, indemnify, and hold Landlord, 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 Tenant's performance of this Lease, except for that
portion of the injuries and damages caused by Landlord's sole negligence. The
provisions of this section shall survive the expiration or termination of this Lease.
15. NON-WAIVER OF BREACH. The failure of either party to insist upon
strict performance of any of the covenants and agreements contained in this Lease
in one or more instances shall not be construed to be a waiver or relinquishment of
those covenants and agreements, and the same shall be and remain in full force
and effect.
16. HOLDOVER. If the Tenant shall, with the written consent of Landlord,
holdover after the expiration of the term of this Lease, such tenancy shall be for an
indefinite period of time, on a month-to-month tenancy, and such tenancy may be
terminated upon thirty (30) days written notice by either party. During such holdover
tenancy, Tenant agrees to pay to the Landlord the a monthly rental rate of 150% of
the Monthly Rent just previous to the holdover tenancy, and to be bound by all of the
terms, covenants, and conditions of this Lease.
LEASE AGREEMENT - Page 7 of 15
April 3, 2009
(between City of Kent and Montessori Plus School and Teacher Preparation of WA)
17. ASSIGNMENT. This Lease may not be assigned, let, or sublet, in
whole or in part without the prior written approval of the Landlord.
18. RESOLUTION OF DISPUTES AND GOVERNING LAW. This Lease
shall be governed by and construed in accordance with the laws of the State of
Washington. If the parties' representatives are unable to settle any dispute,
difference, or claim arising from the parties' performance of this Lease, the
exclusive means of resolving that dispute, difference, or claim shall be by filing suit
in 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 Lease, the substantially
prevailing party shall be entitled to recover reasonable attorneys' fees and all costs
incurred in connection with such claim or lawsuit; provided, however, nothing in
this paragraph shall be construed to limit either party's right to indemnification
under Section 14 of this Lease.
19. SUBORDINATION TO MORTGAGE. Any mortgage or deed of trust
now or subsequently placed upon any Property of which the Premises are a part
shall be deemed to be prior in time and senior to the rights of the Tenant under this
Lease. Tenant subordinates all of its interest in the leasehold estate created by this
Lease to the lien of any such mortgage or deed of trust. Tenant shall, at Landlord's
request, execute any additional documents necessary to indicate this subordination
within ten (10) days of written request by Landlord; provided that such documents
include provisions by which Landlord's mortgagees agree that Tenant's use and
quiet enjoyment of the Premises will not be disturbed so long as Tenant is not in
default under this Lease.
20. WRITTEN NOTICE. All communications regarding this Lease shall be
sent to the parties at the addresses listed on the signature page of the Lease,
unless otherwise notified in writing. Any written notice hereunder shall become
effective: (a) three business days after the date of mailing by registered or certified
mail; (b) the same day if sent by facsimile; or (c) the next day if sent by reputable
overnight courier, and shall be deemed sufficiently given if sent to the addressee at
LEASE AGREEMENT Page
April 3, 2009
(between City of Kent and Montesson Plus School and Teacher Preparation of WA)
the address stated in this Lease or such other address as may be later specified in
writing.
21. MODIFICATION. No waiver, alteration, or modification of any of the
provisions of this Lease shall be binding unless in writing and signed by a duly
authorized representative of Tenant and Landlord.
22. ENTIRE AGREEMENT. The written provisions and terms of this
Lease, together with any exhibits attached, shall supersede all prior verbal
statements of any officer or other representative of the parties, and such
statements shall not be effective or be construed as forming a part of or altering in
any manner this Lease. All of the above exhibits are hereby made a part of this
Lease. However, should any language in any of the exhibits to this Lease conflict
with any language contained in this Lease, the terms of this Lease shall prevail.
TENANT: LANDLORD:
MONTESSORI PLUS SCHOOL &TEACHER CITY OF KENT
PREPARATION OF WASHINGTON, INC.
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BY�� - - � (� y:
Title: �6tm �5 ��t� Titl . Mayor
Date: [f - i ? - f2! D e: 7-2
40
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APPROVED AS TO FORM:
Kent Law Department
NOTICES TO BE SENT TO:
TENANT: LANDLORD:
Mr. Don McClurkin Water Superintendent
Montessori Plus School and City of Kent Public Works Department
Teacher Preparation of Washington 220 Fourth Avenue South
23807 98th Avenue South Kent, WA 98032
Kent WA, W8031
Kent A 9 1Q—199 3 (telephone) (253) 856-5600 (telephone)
(253) -5-7 (facsimile) (253) 856-6600 (facsimile)
LEASE AGREEMENT - Page 9 of 15
April 3, 2009
(between City of Kent and Montessorl Plus School and Teacher Preparation of WA)
STATE OF WASHINGTON )
ss.
COUNTY OF KING � )
On this day of 2009, before me a Notary Public in
and for the State of Washingt I , personally appeared Don McClurkin_, to me
known to be the Aft. ,1r elYU4,/ of Montessori Plus School and
Teacher Preparation of Washington, a Washington non-profit corporation that
executed the foregoing instrument, and acknowledged it to be the free and voluntary
act of said corporation, for the uses and purposes mentioned in this instrument, and
on oath stated that they were authorized to execute said instrument.
-Notary Sea!Must Appear Within This Box-
IN WITNESS WHEREOF, I have hereunto set my hand and official
seal tlLr:a ` I #year first above written.
\3PA,�i'��//
RIAaf C�N ///
o �o =$tom NOT Y P LIC, in and f r the State
////�' ,i�iii$I QQ��O` `r of Washington, residing at �� C'�U
TF My appointment expires °I
l�ll�0
STATE OF WASHINGTON )
SS.
COUNTY OF KING )
I hereby certify that I know or have satisfactory evidence that Suzette Cooke
is the person who appeared before me, and said person acknowledged that she
signed this instrument, on oath stated that she is authorized to execute the
instrument on behalf of the City of Kent as its Mayor, and such execution to be the
free and voluntary act of such party for the uses and purposes mentioned in the
foregoing Instrument.
-Notary Seal Must Appear Within This Box-
IN WITNESS WHEREOF, I have hereunto set my hand and official
seal the day and year first above written.
O
bee jA 6Cz5
NOTARY PUBLIC, in and for the State
'�,/
of Washington, residing at XI-LZ 6"'''Vir
My appointment expires
LEASE AGREEMENT - Page 10 of 15
April 3, 2009
(between City of Kent and Montessori Plus School and Teacher Preparation of WA)
Exhibit A
Lots 2 and 3, City of Kent Short Plat Number SPC-84-10, recorded under Recording
Number 8412200589, records of King County, Washington.
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Exhibit B
Leased Area
That portion of Lot 1, Valley Corn Short Plat SP#84-10, recorded under King
County Recording Number 8412200589, being a portion of the southeast quarter
of the southeast quarter of Section 18, Township 22 North, Range 5 East, W M ,
lying easterly of the following described line:
Commencing at the northeast corner of said Lot 1; thence S89023'07"W, along
the north line thereof, 250 00 feet to the TRUE POINT OF BEGINNING of the
herein described line; thence S00°36'53"E 25.00 feet to a point of tangency with
a 60.00 foot radius circular curve to the left; thence southeasterly, along said
curve, through a central angle of 66°15'07", an arc distance of 69.38 feet to the
west line of Lot 2 in said short plat and the terminus of the herein described line.
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LOCATED IN SE1/4 VALLEY COM
SE 1 /4 SEC ISO T SHORT PLAT
18-22-05, W.M. KEN
CITY OF KENT SCALE =toD' EXHIBIT
REF P\SurveAProtecks\238th 98th Water Tower ENGINEERING DEPARTMENT DATE 4Po1/2009 C
EXHIBIT D
INSURANCE REQUIREMENTS
The Lessee shall procure and maintain for the duration of the Lease,
insurance against claims for injuries to persons or damage to property which
may arise from or in connection with the Lessee's operation and use of the
leased Premises.
A. Minimum Scope of Insurance
Lessee shall obtain insurance of the types described below:
1. Commercial General Liability insurance shall be written on
Insurance Services Office (ISO) occurrence form CG 00 01 and
shall cover premises and contractual liability. The City shall be
named as an insured on Lessee's Commercial General Liability
insurance policy using ISO Additional Insured-Managers or
Lessors of Premises Form CG 20 11 or a substitute endorsement
providing equivalent coverage.
2. Property insurance shall be written on an all risk basis.
B. Minimum Amounts of Insurance
Lessee shall maintain the following insurance limits:
1. Commercial General Liability insurance shall be written with
limits no less than $1,000,000 each occurrence, $2,000,000
general aggregate.
2. Property insurance shall be written covering the full value of
Lessee's property and improvements with no coinsurance
provisions.
C. Other Insurance Provisions
The insurance policies are to contain, or be endorsed to contain, the following
provisions for Commercial General Liability insurance:
1. The Lessee'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
Lessee's insurance and shall not contribute with it.
2. The Lessee'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.
D. Acceptability of Insurers
EXHIBIT
(between City of Kent and Montessorl Plus School and Teacher Preparation of WA)
Insurance is to be placed with insurers with a current A.M. Best rating of not
less than ANII.
E. Verification of Coverage
Lessee 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 Lessee.
F. Waiver of Subrogation
Lessee and Landlord hereby release and discharge each other from all claims,
losses and liabilities arising from or caused by any hazard covered by
property insurance on or in connection with the premises or said building.
This release shall apply only to the extent that such claim, loss or liability is
covered by insurance.
EXHIBIT
(between City of Kent and Montessori Plus School and Teacher Preparation of WA)
05/19/2008 10 47 FAX 206 956 9600 BROWN&BROWN/SEAPAO INS IfJ cut/cca
BROWN & BROWN of WA, Inc.
Consultants and Insurance Brokers
2101 Fourth Ave, Suite 600, Seattle, WA 98121
P. O. Box 24347, Seattle, WA 98124
INSURANCE® FAX TRANSMISSION
PLEASE DELIVER THE FOLLOWING PAGES IMMEDIATELY
Date:May 19, 2009 Time: 10:43 AM Page 1 of 3 Pages
Attn: Don McClurkin
Firm: Montessori Plus School
FAX Number:
Phone Number: 253-859-1737
From: Cathie Fletcher
NOTE: If you do not receive the total number of pages indicated, please call our office at
(206)956-1629
The FAX number to our Seattle office is(206) 956-9629.
Subject/Comments: Commercial Package PolicyPHPK338259 09/23/08-09/23/09
Hi Don,
The requested certificate for the City of Kent is following, I will fax a copy to Mr. Brad Lake at
the City of Kent also.
Please let me know if you have any questions or if they for any reason ask for anything further.
Thank you,
Cathie
CC: Mr. Brad Lake City or Kent, Public Works Depanment,Wator Superintendent
05/19/2009 10 47 FAX 206 956 9600 BROWN&BROWN/SEAPAC INS 1Q00�/003
IMPORTANT
If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed.A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement.A statement on this certificate does not confer rights to the certificate
holder In lieu of such endorsements)
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACpRD 25(2001106)
UO/IO/20QU IV'4( h8X LUb yob JbVV tSKUWN&bKUWN/JtXYHI, iNJ 1(/IVVL/VV0
ACORDn CERTIFICATE OF LIABILITY INSURANCE OP ID — 5 1OATSIMMIDIN'09
MONTF, 2 9 09
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Brown 6 Brown - Seattle HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
2101 Ath Avenue, Suite 600 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Seattle WA 96121
Phone:206-956-1600 Faxi206-956-9600 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A nhLLAd.Aphla indamlty ZnA Ca
INSURER S,
M } a ri Plus School NSURER C;
Kent WA�96031eriue South INSURER D'
INSURER EI
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW MAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR 7HE POLICY PERIOD INDICATED.NOTWITHSTANDING
ANY REOUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN,THE INSURANCE AFFOROEO 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 �L ('
ILTR SR TYPE OF INSURANCE ..�W POUCYNUMBER DA�'E Z�D/YY DATE MMID LMTS
GENERAL LIABILITY EACH OOCURRENCE 11,000,000
A X X COMMERCIAL GENERAL UABILITY PHPK338259 09/23/O@ 09/23/09 PR MI`fi"" ammnca s 100,000
CLAIMS MACE 7 OCCUR MED EXP(Any a parwn) 010,000
PERSONAL SADVINJURY S1,000,DDO
X OENERALAGOREOATE S 2,000,DOO
GENT AGGREGATEppLpIMpIIT,APPLIES PER PRODUCTS-COMPIOP AGO 12,000,000
POLICY JBCT F7 LOC Emp Ben. 1,000 000
AUTOMOBRE LIABILITY COMBINED SINOLE LIMIT
A ANYAUTO PIIPX338259 09/23/08 09/23/09 (Eo�eclCenq E1T000,000
ALLCWNEDAUTOS BODILY INJURY 0
SCHEDULED AUTOS (Parpwlon)
X HIRED AUTOS
EDGILY INJURY
$ NON-OWNED AUTOS (Par nwwonp
PROPERTY DAMAGE
IPbrE00en9
OARABE LIABILITY AUTO ONLY-EAACCIDENT
A14YAIJTO OTHER THAN EAACC S
17 AUTO ONLY. AGG L
EXCESS/UMNIUMLA LIABILITY EACH OCCURRENCE 6
OCCUR CLAIMS MADE AGGREGATE o
s
DEDUCTIBLE 9
RETENTION I S
WCRKHRS COMPENSATION AND TORY LMITS _FR
EMPLOYERS'LIABILITY E L.EACH ADOIDENTANY E
OPPICERROMCME ER ExOWDEDD?ECUTNE a
y es, ltn I.L.DISEASE EA EMPLOYEE 9
SIfPECIALPROVISIOaeecrfbetlerNS befcW E L DLSEAS"e.POLICY LIMIT I 6
OTHER
OESCRIPT'ION OF OPERATIONS/LOCATIONS I VEHICLES I EXCLUSIONS 40DF BY ENOORSEMENTI SPECIAL PROVISIONS
Certificate holder in named an additional insured, coverage is primary and
non-contributory, and wavier of subrogation is applicable as their interest
appear with regards to parking spaces leaned by the insured. This coverage
provided within the policy wording. No separate endorsement will be issued.
CERTIFICATE HOLDER CANCELLATION
CITYOFK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of Kent Public Works DATE THERSOP,THE ISSUING IN60411 WILLENDEAVORTO MAIL 30 DAYS WRITTEN
Department NOTICE TO THE CERTIPICATE HOLDER NAMED TO THE LEFT,BUT PALLURE TO DO$O 614AL.
Mr Brad Lake, Water Svperinten IMPOSE NO OeUGATION OR LIABILITY OF ANY KIND UPON THE INSURER IITS AGENTS OR
220 Fourth Avenue South
Kent WA 98032 AP.PRESENTATIVBS.
AMOR?REPRESENTATiIE
ACORD 25(2001/06) CACORD CORPORATION 1980
REQUEST FOR MAYOR'S SIGNATURE
KENT Please FIII In All Applicable Boxes
WASHIMGTON
Routing Information (ALL REQUESTS MUST FIRST BE ROUTED THROUGH THE LAW DEPARTMENT)
Originator: C�ky, ) V i $6hr-1. Phone (Originator). 5-50 a
Date Sent: 412,0[0 Date Required=42--7 .100
Return Signed Document to. Gin CONTRACT TERM i NATION DATE: p
VENDOR NAME: MM S5OY1 lUS SC,,6� DATE OF COUNCIL APPR Q
Brief Explanation of Document: 1-
cf & AVS
All Contracts Must Be Routed Through the Law Department
ApR 2 Z�fMs Area to be Completed 6y the Law Department)
Received: x • ; - "�,
Approval of Law Dept"'. `� k r City of Kent
filLaw Dept Comments: � w i G� 191,A (°f the Mayas
l�1or� 5 7ec,•- Cr�r7� I� ,�t \S r. . 1 L�
Date Forwarded to Mayor:
Shaded Areas to Be Completed by Administration Staff
Received: (�
Recommendations & Comments:
�\Ct�E KF0.K
Disposition: Zz709 /
V`"l
Date Returned:
Iage58710 • 4/05