HomeMy WebLinkAboutAD09-209 - Original - enterpriseSeattle - 2009 Work Plan Summary Services - 08/06/2009 F
Records
KENT Document
WA5HINGTON
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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: enterpriseSeattle
Vendor Number: 174/ / 33
JD Edwards Number
Contract Number: AOCR- C�,07
This is assigned by City Clerk's Office
Project Name:
Description: ❑ Interlocal Agreement ❑ Change Order ❑ Amendment ® Contract
❑ Other:
Contract Effective Date: 1/1/09 Termination Date: 12/31/09
Contract Renewal Notice (Days):
Number of days required notice for termination or renewal or amendment
Contract Manager: Ben Wolters Department: Econ. Dev.
Detail: (i.e. address, location, parcel number, tax id, etc.):
S:Publtc\RecordsManagement\Forms\ContractCover\adcc7832 1 11/08
-00,0"�.
KENT
WA5H1.GTO.
CONSULTANT SERVICES AGREEMENT
between the City of Kent and
enterpriseSeattle
THIS AGREEMENT is made between the City of Kent, a Washington municipal corporation
(hereinafter the "City"), and enterpriseSeattle organized under the laws of the State of
Washington, located and doing business at 1301 Fifth Avenue, Suite 2500, Seattle, WA. 98101,
(206) 389-8654 (hereinafter the "Consultant").
I. DESCRIPTION OF WORK.
Consultant shall perform the following services for the City in accordance with the
following described plans and/or specifications:
Assist the City Economic Development Department in planning, developing and
implementing economic development strategies in accordance with the 2009 Work
Plan Summary attached and incorporated as Exhibit A.
Consultant further represents that the services furnished under this Agreement will be
performed in accordance with generally accepted professional practices 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
December 31, 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 quarterly 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. By their execution of this
Agreement, and in accordance with Ch. 51.08 RCW, the parties make the following
representations:
A. 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.
B. The Consultant maintains and pays for its own place of business from which
Consultant's services under this Agreement will be performed.
C. The Consultant has an established and independent business that is eligible
for a business deduction for federal income tax purposes that existed before
the City retained Consultant's services, or the Consultant is engaged in an
independently established trade, occupation, profession, or business of the
same nature as that involved under this Agreement.
D. The Consultant is responsible for filing as they become due all necessary tax
documents with appropriate federal and state agencies, including the Internal
Revenue Service and the state Department of Revenue.
E. The Consultant has registered its business and established an account with
the state Department of Revenue and other state agencies as may be
required by Consultant's business, and has obtained a Unified Business
Identifier (UBI) number from the State of Washington.
F. The Consultant maintains a set of books dedicated to the expenses and
earnings of its business.
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.
CONSULTANT SERVICES AGREEMENT - 2
(Over$10,000)
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.
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.
CONSULTANT SERVICES AGREEMENT - 3
(Over $10,000)
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.
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.
CONSULTANT SERVICES AGREEMENT - 4
(Over$10,000)
t{
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: rieylt-i Prin e: uzette Cooke
Its Its Mayor
(title)
DATE: Ld4T DATE: 'P
NOTICES TO BE SENT TO: NOTICES TO BE SENT TO:
CONSULTANT: CITY OF KENT:
Tom Flavin Ben Wolters, Economic Development Director
enterpriseSeattle City of Kent
1301 Fifth Ave #2500 220 Fourth Avenue South
Seattle, WA 98101 Kent, WA 98032
(206)389-8654 (telephone) (253) 856-5703 (telephone)
(facsimile) (253) 856-6700 (facsimile)
A OVE AS TO FORM:
Ke t aw e artment
[In this Ifeld,you may enter the electronic lilepath where the contract has been saved]
CONSULTANT SERVICES AGREEMENT - 5
(Over$10,000)
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
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.
lvl �
Dated this day of dtlkY , 200_.
By:
For: /
Title:
Date: ? 14 S
EEO COMPLIANCE DOCUMENTS - 1
Attachment A
enterpriseSeattle 2009 Work Plan
In 2009 enterpriseSeattle will accomplish the following
✓ Identify and pursue 150 business retention, expansion, or recruitment leads
✓ Place 3 media placements regarding the Seattle area as an exceptional place
for business
✓ Attend 5 target industry trade shows
✓ Visit 25 companies outside of the Seattle area
✓ Conduct 5 meetings with national site consultants/top brokers
✓ Sponsor 1 site selection event (hosting site selector or targeted company)
✓ Fulfill 150 business assistance research requests
✓ Visit 300 local businesses
In addition to these activities, work will continue to prepare the organization to
handle increased levels of client based economic development activity in the
following years This activity will include
✓ Continued development of target industry information, as well as detailed
economic and demographic data for Seattle and King County
✓ Develop additional marketing collateral materials to promote the business case
for Seattle and King County and the services of the organization
✓ Expand the web site to provide greater levels of interactive information and
assistance to site selectors and company decision makers
✓ Continue an expanded relationship of collaboration with regional EDC/B partners
in the Puget Sound region, building on the continuing success of the Prosperity
Partnership strategy and enterprise Seattle's role in providing client based economic
development services to businesses seeking new or expanded operations
enterpnseSeattle 2009 PUBLIC SECTOR CONTRACT
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. 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.
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, $2,000,000
general aggregate and a $1,000,000 products-completed
operations 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
EXHIBIT B (Continued)
2. maintained by the City shall be excess of the Contractor's insurance and
shall not contribute with it.
3. 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.
4. 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.
ACOR®TM CERTIFICATE (?F LIABILITY INSURANCE °ATE''"°"MD°"Y'
7(01109
PRODUCER CAL# 0531007 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Wells Fargo Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Services Northwest, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P.0 Box 91143
Seattle, WA 98111-9243 INSURERS AFFORDING COVERAGE
INSURED Enterprise Seattle INSURER A- Great Northern Insurance Co
W5V'REfl B
1301 5th Avenue, Suite 2500 INSURERC
Seattle WA 98101 INSURER D
INSURER E
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
INSR 'i NUMBER POLICY EFFECTIVE POLICY EXPIRATION
TYPE OF INSURANCE PO LIC
LTR DATE jMRVDD0YYI DATE MM/DC/YV LIMITS
A GENERAL LIABILITY 35878274 9/01/08 9i01/09 EACH OCCURRENCE $ 1000000
X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $ 1000000
CLAIMS MADE a OCCUR MED EXP[Any one person{ $ 10000
X WA STOP PERSONAL&ADV INJURY $ 1000000
X _GAP GENERAL AGGREGATE 6 2000000
GEN'L AGCREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGO $ 2000000
POLICY PR -
ECOT X LOC
'AUTOMOBILE LIABILITY COMBINED SIN43LE LIMIT
ANY AUTO Me accident/ $
ALL OWNED AUTOS
BODILY INJURY $
SCHEDULED AUTOS Me,person)
HIRED AUTOS
BODILY INJURY $
NON-OWNED AUTOS IPer accident)
PROPERTY DAMAGE
(Per accldont)
GARAGE LIABILITY AUTO ONLY EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC 6
AUTO ONLY AGO $
EXCESS LIABILITY EACH OCCURRENCE $
OCCUR O CLAIMS MADE AGGREGATE $
$
_ DEDUCTIBLE 6
RETENTION S S
WORKERS COPOPENSATION AND WC STATU- OTH
ER
EMPLOYERS'LIABILITY TCRY OMITS
EL EACH ACCIDENT $
EL DISEASE.EA EMPLOYEE $
{ EL DISEASE-POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIO14S/LOCATIONS/VEHICLES.'EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
EVIDENCE OF INSURANCE COVERAGE
CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
CITY OF KENT - DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
ATTN.J.PULLIAM,ECONOMIC DEV. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
220 4TH AVE. S IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR
KENT, WA 980.32 REPRESENTATIVES
AUTHORIZED REPRESENTEEm(& __X
ACORD 25-S 17197) 11-41 0 AGORD CORPORATION 1988
IcLiability Insurance
ct-tuss
Endorsement
Policy Period SEPTEMBER 1,2008 TO SEPTEMBER 1,2009
Effective Date SEPTEMBER 1,2008
Policy Number 3587-82-74 WUC
Insured GREATER SEATTLE CHAMBER OF COMMERCE
Name of Company GREAT NORTHERN INSURANCE COMPANY
Date issued IULY 21,2008
This Endorsement applies to the following forms:
GENERAL LIABILITY
Under Who Is An Insured,the following provision is added-
Who Is An Insured
1
Scheduled Person Or Subject to all of the terms and conditions of this insurance,any person or organization shown in the
Organization Schedule,acting pursuant to a written contract or agreement between you and such person or
organization,is an insured;but they are Insureds only with respect to liability ansing out of your
operations,or your premises,if you are obligated,pursuant to such contract or agreement,to provide
them with such insurance as is afforded by this policy.
However,no such person or organization is an insured with rdpec to any:
• assumption of liability by them in a contract or agreement.This limitation does not apply to
the lability for damages for injury or damage,to which this insurance applies,that the person
or organization would have in the absence of such contract or agreement.
• damages ansing out of their sole negligence
Schedule
PERSONS OR ORGANIZATIONS THAT YOU ARE OBLIGATED,PURSUANT TO
WRITTEN CONTRACT OR AGREEMENT BETWEEN YOU AND SUCH PERSON OR
ORGANIZATION,TO PROVIDE WITH SUCH INSURANCE AS IS AFFORDED
BY THIS POLICY;BUT THEY ARE INSUREDS ONLY IF AND TO THE
MINIMUM EXTENT THAT SUCH CONTRACT OR AGREEMENT REQUIRES THE
PERSON OR ORGANIZATION TO BE AFFORDED STATUS AS AN INSURED
HOWEVER,NO PERSON OR ORGANIZATION IS AN INSURED UNDER THIS
PROVISION WHO IS MORE SPECIFICALLY DESCRIBED UNDER ANY OTHER
PROVISION OF THE WHO IS AN INSURED SECTION OF THIS POLICY
LbW insurance AdOWnal lnsumd-SMWIA d Parson Or O►yrr#Z40W continued
Fam 80-02-2367(Rev 8-04) Endora®ment Pogo I
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 endorsement(s).
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
ACORD 25-S (7197)
REQUEST FOR MAYOR'S SIGNATURE
\S1,47 4
KENT Please Fill in All Applicable Boxes
WASHINGTGN
Routing Information (ALL REQUESTS MUST FIRST BE ROUTED THROUGH THE LAW DEPARTMENT)
Originator � �) F t:> Phone (Originator) U_a
Date Sent C Date Required:
Return Signed Document to lI ONTRACT TERMINATION DATE:
VENDOR NAME: Q,y��t',��� (�� Qy= te DATE OF COUNCIL APPROVAL:
Brief Explanation of Document:
-Y OC( C�U-EI0
CS
All Contracts Must Be Routed Through the Law Department
f7 is.Afea to•,be Prnpleted 6y the Law Department) 1
. a,
Received: 6''at"—
Approval of Law Dept.: _
� �°' '' �: JLJ , r LG l tG
Law Dept. Comments: 46-Y (1/6 P�-
kv,
" RECEIVED
Date Forwarded to Mayor:
Shaded Areas to Be Completed by Administration Staff City of Kent
Received-
Ice ot the Mayor
Recommendations & Comments:
Disposition: �✓ F171 l
Date Re urned
Iage5870 • .3,,05