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HomeMy WebLinkAboutPW10-001 - Original - Abovenet Communications, Inc. - Limited Street License - 01/19/2010 LIMITED STREET LICENSE BETWEEN THE CITY OF KENT AND ABOVENET COMMUNICATIONS, INC. THIS LIMITED STREET LICENSE ("License") is entered into between the CITY OF KENT, a Washington Municipal Corporation ("City"), and ABOVENET COMMUNICATIONS, Inc., a Delaware corporation ("Licensee"). RECITALS WHEREAS, Licensee seeks to maintain and operate its telecommunications system in the City of Kent; and WHEREAS, Licensee has requested that the City grant a permit to use City right-of-way to operate its telecommunications system within the City; and WHEREAS, the City has agreed to issue this license, which constitutes a use permit under Chapter 35.99 Revised Code of Washington, for a telecommunications system; and WHEREAS, the City is willing to enter into this License under the terms and conditions set forth in this License so that Licensee can continue to operate and maintain its existing facilities; NOW, THEREFORE, THE CITY AND LICENSEE AGREE AS FOLLOWS: LICENSE 1. License Granted. The City grants Licensee this Limited Street License for a period of ten (10) years from the effective date of this License to install, construct, operate, maintain, remove, repair, reconstruct, replace, use and inspect a telecommunications system and all related equipment ("Telecommunications System") across, along, in, upon, and under the City's right-of-ways described in Exhibit A, which is attached and incorporated by this reference An approximate description of the plans and specifications for this Telecommunications System is attached as Exhibit B. This License is subject to all the terms and conditions established below. 2. Consideration. In consideration of the City's issuance of this License, Licensee shall, at the time of execution of this License, pay to the City a one-time amount in the sum of TEN THOUSAND AND NO/100 DOLLARS ($10,000.00) prior to the commencement of this License. 3. Revocation and Termination.The intent of this License is to authorize Licensee to operate its Telecommunications System on the designated City right-of-ways, which right-of-ways constitute a valuable property interest LIMITED STREET LICENSE--Page 1 of 7 (between City of Kent and AboveNet Communications, Inc.) owned by the City. This License does not grant an estate in the land described in Exhibit A; it is not an easement; it is not a franchise; it is not exclusive; and, it does not exclude the City from full possession of the property described in Exhibit A. As a license upon real property, it is revocable at the will of the City. However, prior to termination or revocation by the City, the City shall provide Licensee with at least sixty (60) calendar days written notice of that termination or revocation. Upon the effective date of the City's termination or revocation, the City may require Licensee to remove the Telecommunications System within thirty (30) calendar days; if Licensee fails to remove the Telecommunications System within the allotted time, the City may remove all or part of the Telecommunications System and Licensee waives any right it may have to any claim for damages of any kind incurred as a result of the City's removal of all or part of the Telecommunications System. 4. Permits Required. The City's grant of this License does not release Licensee from any of its obligations to obtain applicable local, state, and federal permits necessary to install, construct, operate, maintain, remove, repair, reconstruct, replace, use and inspect the Telecommunications System. Licensee's failure to comply with this Section 4 shall constitute grounds for immediate revocation by the City. The consideration in Section 2 is in addition to any fees required for applicable local, state, and federal permits. S. Relocation. The term "relocate" shall refer to protecting, supporting, temporarily disconnecting, moving to a new location, removing, or converting from aerial facilities to underground facilities. Licensee shall, at its sole cost and expense, relocate all or a part of its Telecommunications System when required by the City for reasons of traffic conditions or public safety, widening or improvement of existing right-of-ways, change or establishment of street grade, or the construction of any public improvement or structure by any governmental agency acting in a governmental capacity, provided that Licensee shall, upon receiving approval and obtaining the necessary permits from the City, have the right to bypass in the authorized portion of the same right-of-way, any section of cable required to be temporarily disconnected or removed. 5.1. For the purposes of this Section 5, any condition or requirement imposed by the City upon itself or any person or entity acting on the City's behalf, (including without limitation, any condition or requirement imposed pursuant to any contract or in conjunction with approvals for permits for zoning, land use, construction, or development) that reasonably necessitates the relocation of Licensee's facilities within the right-of-ways described in Exhibit A shall be a required relocation for purposes of this section. 5.2. If the City, under its authority, causes a required relocation of all or part of the Telecommunications System, the City, at least sixty (60) calendar days prior to the commencement of the project requiring relocation, shall provide written notice to Licensee of the required relocation and shall provide Licensee with copies of pertinent portions of the plans and specifications for the project. After receipt of the City's notice, Licensee must complete the required relocation of its LIMITED STREET LICENSE--Page 2 of 7 (between City of Kent and AboveNet Communications, Inc.) affected facilities at least ten (10) calendar days prior to the commencement of the project requiring relocation. Licensee will complete this required relocation at no charge or expense to the City. However, should the City receive outside funds, including, but not limited to federal government funds, state government funds, or funds from a private entity, that includes reimbursement specifically for relocation of investor-owned utility facilities, the City shall reimburse Licensee to the extent such funds are available., Licensee's relocation shall be accomplished in a manner that accommodates and does not interfere with the project requiring relocation. When other utilities are present and involved in relocation, the City will attempt to coordinate the relocation of the utilities. 5.3. Licensee may, after receipt of the City's written notice requesting relocation, submit written alternatives to the City. The City will evaluate those alternatives to determine if any of the alternatives can accommodate the work that would otherwise necessitate the relocation of the Telecommunications System. If requested by the City, Licensee will submit additional information to assist the City in making its determination. The City will give each alternative proposed by Licensee full and fair consideration. In the event the City ultimately determines that no reasonable or feasible alternative exists, Licensee shall relocate its facilities as otherwise provided in this Section 5. 5.4. Notwithstanding the above provisions in this Section 5, the Licensee may seek reimbursement from the City for its actual relocation expenses under any one of the following conditions: 5.4.1. If the City has required the Licensee to relocate these facilities at Licensee's cost within five (5) years of the date of a request for relocation; or 5.4.2. If the Licensee holds an ownership share in the aerial supporting structures (defined as poles or pole-like structures) for its facilities, and if the City requires an aerial to underground relocation of Licensee's facilities, the City will pay the additional incremental costs of undergrounding these facilities compared to an aerial relocation of the facilities, or will pay those costs required in any approved tariff, if less than the additional incremental costs; or 5.4.3. If the City requests relocation solely for aesthetic purposes; or 5.4.4 If the relocation is necessitated by private development. 5.5. Facilities should be relocated within right of way whenever physically possible. City shall not be responsible for the cost of easement rights for relocation of facilities unless the facilities to be relocated are upon private property and responsibility for new easement rights is assigned to the City by an approved tariff In such event, the cost of replacement easement rights shall be an offset in City's favor against just compensation for easement rights taken. LIMITED STREET LICENSE--Page 3 of 7 (between City of Kent and AboveNet Communications, Inc.) 5.6. In the event that a relocation of any of the Telecommunications System is required by any person or entity other than the City, so long as that person or entity is not acting on the City's behalf in conducting any of the activities described in this Section 5, Licensee shall make those arrangements, including compensation for Licensee's relocation cost, that it deems appropriate with that person or entity. 5.7. Notwithstanding all of the above, the City may require the relocation of the telecommunications system at Licensee's expense in the event of an unforeseen emergency that creates an immediate threat to the public safety, health or welfare, but still subject to reimbursement under 5.4. 5.8. The provisions of this Section 5 shall survive the expiration or termination of this License. 5.9. Licensee shall not be responsible for any costs associated with relocation of the City's four inch (4") conduit facilities. 5.10. Licensee shall not erect poles, run or suspend wires, cables, or other facilities, in any area without prior written approval from the City. 6. Emergency. In the event of any emergency in which any portion of the Telecommunications System breaks, becomes damaged, or in any other way becomes an immediate danger to the property, life, health, or safety of any individual, Licensee shall immediately take the proper emergency measures to remedy the dangerous condition without first applying for and obtaining a permit as required by this License. However, this emergency work shall not relieve Licensee from its obligation to obtain all permits necessary for this purpose, and Licensee shall apply for those permits within the next two succeeding business days. 7. Indemnification. Licensee shall comply with the following indemnification requirements: 7.1. Licensee shall defend, indemnify and hold the City, its officers, officials, employees, agents, assigns and volunteers harmless from any and all claims, actions, injuries, damages, losses or suits, including all legal costs, witness fees and reasonable attorney fees, arising out of or in connection with the performance of any of Licensee's rights or obligations granted by this License, but only to the extent of the negligence or comparative fault of Licensee, its employees, agents, contractors, subcontractors, consultants, subconsultants or assigns. In the event that a third party claim arises in whole or in part due to delays in relocation of Licensee's facilities and such claim is subject to binding arbitration, Licensee shall submit to the jurisdiction of the arbitrator and the provisions of this section 7.1 shall otherwise apply. 7.2. The City's inspection or acceptance of any of Licensee's work when completed shall not be grounds to avoid any of these covenants of indemnification. LIMITED STREET LICENSE--Page 4 of 7 (between City of Kent and AboveNet Communications, Inc.) F � 7.3. These indemnification obligations shall extend to any claim, action or suit that may be settled by compromise, provided that Licensee shall not be liable to indemnify the City for any settlement agreed upon without the consent of Licensee, however, if Licensee consents to the agreed upon settlement, then Licensee shall indemnify and hold the City harmless as provided for in this Section 7 by reason of that settlement. Moreover, if Licensee refuses to defend the City against claims by third parties, Licensee shall indemnify the City regardless of whether the settlement of such claims is made with or without Licensee's consent. 7.4. In the event that Licensee refuses to accept tender of defense in any claim, action or suit by a third party pursuant to this Section 7 and if Licensee's refusal is subsequently determined by a court having jurisdiction (or such other tribunal that the parties shall agree to decide the matter) to have been a wrongful refusal, then Licensee shall pay all the City's costs for defense of the action, including all legal costs, witness fees and reasonable attorneys' fees and also including the City's costs, including all legal costs, witness fees and reasonable attorneys' fees, for recovery under this indemnification clause (Section 7). 7.5. The provisions of this Section 7 shall survive the expiration or termination of this Agreement. S. Insurance. Licensee shall procure and maintain for the duration of this License, insurance of the types and in the amounts described below against claims for injuries to persons or damage to property which may arise from or in connection with the performance of the work by Licensee. Licensee also agrees to ' require the same coverage of its agents, representatives, employees, contractors, subcontractors, consultants, subconsultants or assigns performing work under the scope of this License and to assure that such coverage is maintained. 8.1. Before beginning work on the project described in this License, Licensee shall provide a Certificate of Insurance evidencing: 8.1.1.Automobile Liability insurance with limits no less than $1,000,000 combined single limit per accident for bodily injury and property damage; and 8.1.2.Commercial General Liability insurance written on an occurrence basis with limits no less than $2,000,000 combined single limit per occurrence and general aggregate for personal injury, bodily injury and property damage. Coverage shall include but not be limited to: blanket contractual; products/completed operations/broad form property damage; explosion, collapse and underground (XCU). The limits can be satisfied using a combination of primary and excess liability insurance. 8.1.3 Employer's Liability insurance with limits no less than $1,000,000. LIMITED STREET LICENSE--Page 5 of 7 (between City of Kent and AboveNet Communications, Inc.) 8.1.4.Excess Liability insurance with limits not less than $2,000,000 per occurrence and aggregate. 8.2. Any payment of deductible or self-insured retention shall be the sole responsibility of Licensee. 8.3. The City, its officers, officials, employees, agents, assigns and volunteers shall be named as an additional insured on the insurance policy, as respects work performed by or on behalf of the Licensee and shall make its endorsement available for inspection by the Licensor. Licensor waives no rights and Licensee is not excused from performance if Licensee fails to provide Licensor with a paper copy of the endorsement naming the City as an additional insured. 8.4. Licensee's insurance shall 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. B.S. Licensee's insurance shall be primary insurance as respects the City, and Licensee shall give the City thirty (30) calendar days prior written notice electronically and by United States mail of any cancellation or material change in coverage. 9. Modification. This License may not be modified, altered, or amended unless first approved in writing by the City. 10. Assignment. Licensee may assign all or any portion of its rights, benefits, and privileges, in and under this License subject to and conditioned upon approval of the City, which approval will not be unreasonably withheld or delayed. Licensee shall, no later than thirty (30) days of the date of any proposed assignment, file written notice of intent to assign the License with the City together with the assignee's written acceptance of all terms and conditions of the License and promise of compliance. Notwithstanding the foregoing, Licensee shall have the right, without such notice or such written acceptance, to mortgage its rights, benefits, and privileges in and under this License to the Trustee for its bondholders and assign to any subsidiary, parent, affiliate or company having common control with Licensee so long as notice of same is provided to the City and provided Licensee remains fully liable to the City for compliance with all terms and conditions hereof until such time as the City shall consent to such assignment as provided above. 11. Dispute Resolution; Venue; Jurisdiction. In the event of any alleged breach or threatened breach of this License by either party and if the City and Licensee are unable to cure the breach or otherwise resolve their dispute, then final resolution of this dispute or claim shall occur exclusively under the venue, jurisdiction and rules of the King County Superior Court located in Kent, Washington. Each party shall also be responsible for its own legal costs and attorney fees incurred in defending or bringing that claim or lawsuit. LIMITED STREET LICENSE--Page 6 of 7 (between City of Kent and AboveNet Communications, Inc.) 12. Notice. All notices, requests, demands, or other communications provided for in this License shall be in writing and shall be deemed to have been given when sent by registered or certified mail, return receipt requested, addressed as the case may be, to the addresses listed below for each party, or to such other person or address as either party shall designate to the other from time to time in writing forwarded in like manner. CITY OF KENT LICENSEE: Attn: City Clerk ABOVENET COMMUNICATIONS, INC. 220 Fourth Avenue South General Counsel Kent, WA 98403 360 Hamilton Avenue White Plains, NY 10601 (941) 421-6700 13. This License contains the entire agreement between the parties and, in executing it, the City and Licensee do not rely upon any statement, promise, or representation, whether oral or written, not expressed herein. IN WITNESS, this Limited Street License is executed and shall become effective as of the last date signed below. CITY: LICENSEE: City opfKept AboveNet Communications, Inc. �� B � By: rant Name: Tim LaPorte Print Name: Douglas M Its. /�u�bli�/Wor Director Its: SeniorYi^aPresidant T Date: _1/, / Y / 2O Date la to 03 APPROVED AS TO FORM: By: Kent L w epartment P\CMI\Flles\OpmFiles\0421-ActrveLicenses\Metros ediaFiber\AbOWNet-MFNS-071708 clot LIMITED STREET LICENSE--Page 7 of 7 (between City of Kent and AboveNet Communications, Inc.) xm �J CJ _ N O35 2nt! 41l9L c� � .fig E N Nw W p cn . fl Lll t*t 3-S 9Ay UIHb1 _ a E' uj 5A a 7= to m i 3S SRV Pli.ZC t O as a - - 0116th Ave SE OD m m yr _U) 108m Ave SE °= F¢ any 41trQ4 m m 00 C� ' ♦r - - m a _ O �/ O� az LO �q CV Y m = pa •f m C v $ r�'"__" .• 3 al r dry W m fn= g !1 5�g w > m ID N q/�m .� i � I a=3 Cc,a - c� S 0 419bC14 ____= a LLJ , ig V3 Z4,�� r `y=� Qq moo.. 1st Ave, ra E �0 Qa_ �`• Cl E Z3 cr m €a � z t o a oz y dNN y. N r VOj gu'$ O•� a m m a p vva W D_ � =». o= 00 mQ E OD O O mwb N O A UmK C. N oNa N <G O N `u_®z N sso N map C1 E o w N U m fJ N O as G "� U m 01 z L O O U Q U CCD ma N U U U 1 qp N -FtN d N C a E E O N C Q ®n<a C EO O E z H � � � � D � U 2 mom neAm a= ., � UUO. EXHIBIT B EXPLANATORY NOTES TO MAP AND DESCRIPTION OF OPERATIONS Metromedia has purchased conduit (two 1.25-inch inner ducts) from Worldwide Fiber, Inc. (WFI) (Pacific Fiber Link's successor-in-interest) to form part of Metromedia's fiber optic telecommunications network in the city of Kent and in the greater Seattle area. Such conduit, as referenced on the map I have provided of Metromedia's proposed Kent route, will run continuously, north to south, along West Valley Higwhay, between 180th Street S. (on the north) and 277th Street (on the south). In addition, Metromedia expects to enlist subscribers to its telecommunications services and build out facilities to such customers over, through or under the city of Kent right-of-way, as needed. P\Oml\Files\OpenFi Ies\0421 TelcomROWActiveOcenses\AboveNel\EXMl1T9.dm Abovenet Exhibit B Page 1 of 1 F DATE 17 A CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 03/31/20l)9' PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Willis of New York, Inc. HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW P O. Box 305191 Nashville, TIN 37230-5191 INSURERS AFFORDING COVERAGE NAIC# INSURED Abovenet Communications, Inc. INSURERA St. Paul Fire and Marine Insurance Compan 24767-001 360 Hamilton Avenue INSURERB National Union Fire Insurance Company of 19445-005 7th Floor White Plains, NY 10601 INSURERC Charter Oak Fire Insurance Company 25615-001 NSURER 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 INSRADD' POLICYEFFECTIVE POLICY EXPIRATION LTR NSR TYPE OF INSURANCE POLICYNUMBER DATE MM/DDNYYY DATE EXPIRATION A GENERAL LIABILITY TE02902757 3/31/2009 313IZ2010 EACH OCCURRENCE $ 1,000,000 AMAX COMMERCIAL GENERAL LIABILITY PREMISES EaocwEence $ 1 000,000 CLAIMS MADE Fx_]OCCUR MED EXP(Any one person) $ 10,000 PERSONAL BADV INJURY $ 11000,000 GENERAL AGGREGATE $ 2 000,000 GENT AGGREGATE LIMITAPPLIES PER PRODUCTS-COMP/OP AGG $ 2 000,000 X POLICY PRO- ECT 7 LOC A AUTOMOBILE LIABILITY MA MA02900090 3/31/2009 3/31/2010 COMBINED SINGLE LIMIT A X ANYAUaccident)TO VA TE02902758 3/31/2009 3/31/2010 (Ea accident) $ 1,000,000 A ALLOWNEDAUTOS AOS TE02902757 3/31/2009 3/31/2010 BODI LY INJURY SCHEOULEDAUTOS (Perperson) $ HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANYAUTO OTHERTHAN EAACC S AUTO ONLY AGG S B EXCESS UMBRELLA LIABILITY BE43091194 3/31/2009 3/31/2010 EACH OCCURRENCE S 5,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 5,000,000 DEDUCTIBLE $ X RETENTION $ 10.000 $ C WORKERS COMPENSATION ADS HOUB3298N69209 3/31/2009 3/31/2010 X TOCYTA lU DER AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE[—N] EL EACH ACCIDENT $ 1,000,000 . OFFICERIMEMBER EXCLUDED? (Mandatory in NH) EL DISEASE-EA EMPLOYEE $ 1,000,000 If yes describe under SPECIAL PROVISIONS below EL DISEASE-POLICY LIMIT $ 11000.000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS The City of Kent, its officers, officials, employees, agents and assigns are recognized as an Additional Insured under General, Auto and Umbrella Liability but solely as respects liability arising from the Named Insured's operations and/or work performed by the Named Insured, ATIMA. . This coverage shall apply separately to each insured. This insurance shall be primary. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR City of Kent 220 Fourth Avenue South REPRESENTATIVES Attn: City Clerk AUTHORREDREPRES NTATIVE Kent, WA 96403 ACORD 25(2009101) Coll:2658111 Tpl:906390 Cert:123 642 c 1988-2009 ACORD CORPORATION All rights reserved The ACORD name and logo are registered marks of ACORD Page 2 of 2 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 This Certificate of Insurance does not constitute a contract between the issuing msurer(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(2009101) Coll:2658111 Tpl:906390 Cert:12309642 6�ze DATE A CERTIFICATE OF LIABILITY INSURANCE page I of 2 03/(3%aoio PRODUCER 212-915-8888 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Willie of New York, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR one world Financial Ct. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Two Hundred Liberty St. New York, NY 10281 INSURERS AFFORDING COVERAGE NAIC# INSURED Abovenet Communications, Inc. INSURERA Travelers Indemnity Company of Connecticu 25682-001 360 Hamilton Avenue INSURERS The Travelers Indemnity Company of Americ 25666-001 7th Floor White Plains, NY 10601 INSURERC National Union Fire Insurance Company of 19445-005 INSURERD Charter Oak Fire Insurance Company 25615-001 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 ADDI TYPEOFINSURANCE POLICYNUMBER POLICYEFFECTIVE POLICY EXDATE IMWDDfYYYYI PIRATION LIMITS A GENERAL LIABILITY 6303298N692 3/31/2010 3/31/2011 EACHOCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMSES aTO owurence $ 1,000,000 MAbE-Lx- 6CCDA _— _ - - _ —_Mn EXVTAny"one Person) $ 10 OD PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEWL AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OPAGG $ 2,000,000 X POLICY PRO LOC H AUTOMOBILE LIABILITY AOS BA3298N692 3/31/2010 3/31/2011 COMBINED SINGLE LIMIT $ 1,000,000 H X ANYAUTO MA BA7919P647 3/31/2010 3/31/2011 (a accident) ALLCWNEDAUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ H I RED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTYDAMAGE $ (Per accident) GAR AGE LIABILITY AUTO ONLY-EAACCIDENT $ ANYAUTO OTHERTHAN EAACC $ AUTO ONLY AGG $ C EXCESS/UMBRELLA LIABILITY 16019050 3/31/2010 3/31/2011 EACHOCCURRENCE $ 51000,000 X OCCUR CLAIMS MADE AGGREGATE $ 5,000,000 $ DEDUCTIBLE $ X RETENTION $ 10,000 $ D WORKERS COMPENSATION AOS HOUB3298N69210 3/31/2010 3/31/2011 X wC STATu- LB_ AND EMPLOYERS'LIABILITY YIN ANYPROPRIETOR,PARTNER/EXECUTIVE( EL EACH ACCIDENT $ 11000s_000 OFFICER/MEMBER EXULUDED7 --- - — (MendetoryinNH) EL DISEASE EA EMPLOYEE $ 1,000,000 If yes describe under SPECIAL PRCVISIONSbelow EL DISEASE-POLICY LIMIT $ 11000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS The City of Kent, its officers, officials, employees, agents and assigns are recognized as an Additional insured under General, Auto and Umbrella Liability but solely as respects liability arising from the Named Insured's operations and/or work performed by the Named Insured, ATIMA. . This coverage shall apply separately to each insured. This insurance shall be primary. 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 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR City of Kent 220 Fourth Avenue South REPRESENTATIVES Attn: City Clerk AUTHORIZED REPRESENTATIVE Kent, WA 98403 ACORD 25(2009/01) Coll:2974966 Tp1:1064046 Cert:13999971 ©1988-2609ACORDCORPORATION.All rights reserved The ACORD name and logo are registered marks of ACORD Page 2 of 2 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 This Certificate of Insurance 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(2009/01) Coll:2974966 Tpl:1064046 Cert:13999971 I Aj a® CERTIFICATE OF LIABILITY INSURANCE page 1 of 1 F09/20113/2 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(Ies)must be endorsed. 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). PRODUCER CONTACT NAME Willis of New York, Inc. PHONE FAX 26 Century Blvd. MC NOEXTI 877-945-7378 A NO 888-467-2378 P. 0. sox 305191 E-MAIL certificates@willis.com Nashville, TN 37230-5191 INSURER(S)AFFORDING COVERAGE NAIC p INSURERA Travelers Indemnity Company of Connecticu 25682-001 INSURED Abovenet Communications, Inc. INSURERB The Travelers Indemnity Company of Americ 25666-001 360 Hamilton Avenue INSURER National Union Fire Insurance Company of 19445-005 7th Floor White Plains, NY 10601 INSURERO Charter Oak Fire Insurance Company 25615-001 INSURER E INSURERF COVERAGES CERTIFICATE NUMBER:15673237 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF 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 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS IN SR TYPE OF INSURANCE DD' SUB pOLICV NUMBER POLICY EFF POLICY EXP LIMITS LTR N R M D A GENERAL LIABILITY H630329SN692TCTII 3/31/2011 3/31/2012 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Toeoccurence $ 11000,000 CLAIMS-MADE OCCUR MED EXP(Anyone person) $ 10,000 PERSONALBADV INJURY $ 11000,000 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OPAGG S 2,000,000 RO X POLICY 7 JEC LOC $ B AUTOMOBILE LIABILITY ADS H8103298N692TIAll 3/31/2011 3/31/2012 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 / B X ANY AUTO MA BA9809N66711TEC 3/31/2011 3/31/2012 BODILY INJURY(Per person) $ ALLOWNED �SCHEDULEO BODILY INJURY(Per accident) $ AUTOS AUTOS HIREDAUTOS NON-OWNED PR PERTVDAMAGE AUTOS Peraccldent $ C X UMBRELLALIAB X OCCUR 78283079 3/31/2011 3/31/2012 EACHOCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED I X RETENTIONS 10,000 $ D WORKERS COMPENSATION ADS HOUB3298N69211 3/31/2011 3/31/2012 x I WCRYLIMIT M AND EMPLOYERS'LIABILITY ER ANY PROPRIETOR,PARTNERIEXECUTIVE V� N/A EL EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED ((Mandt w NH) - — - - EL DISEASE-EA EMPLOYEE S 1,C00,0-00 — -- ft yes�eory scnbe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach Acord 101,Additonal Remarks Schedule,if more space is required) The City of Kent, its officers, officials, employees, agents and assigns are recognized as an Additional Insured under General, Auto and Umbrella Liability but solely as respects liability arising from the Named Insured's operations and/or work performed by the Named Insured, ATIMA. . This coverage shall apply separately to each insured. This insurance shall be primary. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS City of Kent AUTHORIZED REPRESENTATIVE 220 Fourth Avenue South Attn: City Clerk Kent, WA 98403 Coll:3310248 Tpl:1239530 Cert:15673237 ®1988-2 10ACORDCORPORATION.Allrightsreserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Ak CERTIFICATE OF LIABILITY INSURANCE page 1 of 1 03/30/20 z THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must be endorsed. 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). PRODUCER CONTACT NAME Willis of New York, Inc. PHONE FAX c/o 26 Century Blvd. INC NO EXT 877-945-7378 a NOI 888-467-2378 P O. sox 305191 E-MAADDRESS I certificates@wwillis.com Nashville, TN 37230 INSURER(S)AFFORDINGOOVERAGE NAICA INSURERA Travelers Indemnity Company of Connecticu 25682-001 INSURED Aboveaet Communications, Inc. INSURER Travelers Indemnity Company 25658-905 360 Hamilton Avenue INSURERC The Travelers Indemnity Company of Americ 25666-001 7th Floor Union Fire Insurance Company of 19445-DOS White Plains, NY 10601 INSURER National INSURERE Charter Oak Fire Insurance company 25615-001 INSURERF Travelers Property Casualty Company of Am 25674-009_ _ COVERAGES CERTIFICATE NUMBER- 17609811 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF 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 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR TYPE OF INSURANCE OD' SUB POLICY NUMBER POLICY EFF POLICY EXP LIMITS WVD M DD YY A GENERAL LIABILITY H6303298N692 3/31/2012 3/31/2013 EACHOCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurence S 1,000,000 CLAIMS-MADE OCCUR MED EXP(Anyone person) $ 10,000 PERSONAL&ADV INJURY $ 1,000.000 GENERAL AGGREGATE $ 21000,000 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY F7 PRO LOC $ B AUTOMOBILE LIABILITY ADS EB10329SN692 3/31/2012 3/31/2013 COMBINED SINGLE LIMIT , 1 000,000 (Eaacoident) $ C X ANY AUTO NA BA9809N667 3/31/2012 3/31/2013 BODI LY INJURY(Per person) $ ALLOWNED SCHEDULED BO DI LY I NJURY(Per accident $ AUTOS AUTOS ) X HIRED AUTOS X NON-OWNED PROPERTY DAMA AUTOS Peraccident $ D X UMBRELLA LIAB X OCCUR 080737300 3/31/2012 3/31/2013 EACHOCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED X RETENTION$ 10,000 I $ g WORKERS COMPENSATION AOS HVYBOUB329SN69212 3/31/2012 3/31/2013 X T IIT ER AND EMPLOYERS'LIABILITY F ANY PROPRIETORIPARTNER/EXECUTIVE Y❑ N/A CA HJUB4B33590612 3/31/2012 3/31/2013 EL EACH ACCIDENT $ 1,000,000 D OFFICER/MEMBER EXCLUDE andatoryjn NH) _ _ _ _ __ _ _ _ ___ E! rnSE-ASE,EAEMPLOYEE $ 1,000,000 - pyes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach Acord 101,Additonal Remarks Schedule,U more space is required) The City of Kent, its officers, officials, employees, agents and assigns are recognized as an Additional Insured under General, Auto and Umbrella Liability but solely as respects liability arising from the Named Insured's operations and/or work performed by the Named Insured, ATINA. . This coverage shall apply separately to each insured. This insurance shall be primary. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS City of Kent AUTHORIZED REPRESENTATIVE 220 Fourth Avenue South Attn: City Clerk Kent, WA 98403 Coll:3682111 Tp1:1424282 Cert:l 9811 01988-2010ACORDCORPORATION All rights reserved ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD a A CERTIFICATE OF LIABILITY INSURANCE page 1 of 1 07/17� 2 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. 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). PRODUCER CONTACT NAME Willis of Colorado, Inc. ac°oExr 877-945-7378 acNo 888-467-2378 c/o 26 Century Blvd. P.O. Box 305191 E-MAIL ADDRESS certificates@willis.com Nashville, IN 3 7 23 0-5191 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA The Travelers Indemnity Company 25658-001 INSURED INSURERB Zayo Group, LLC 400 Centennial Parkway, Ste. 200 INSURERC Louisville, CO 80027 INSURERD INSURER INSURERF COVERAGES CERTIFICATE NUMBER' 18245038 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF 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 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR TYPE OFINSURANCE DD' SUB POLICY NUMBER POLICY EFF POLICY EXP LIMITS TR M DD VVY A GENERAL LIABILITY H6305121N520IND11 8/1/2011 8/1/2012 EACHOCCURRENCE $ 1 000 000 DAMAGETORENTED X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurence $ 250,000 CLAIMS-MADE OCCUR MEDEXP(Any one person) $ 10 000 PERSONAL&ADV INJURY $ 1,000,000 GENERALAGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY F PRO LOC $ A AUTOMOBILE LIABILITY BA5121N52011TEC 8/1/2011 8/1/2012 COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ X ANY AUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS PROPERTY AMAG X HIRED AUTOS X NON-OWNED Pera cdent E 5 AUTOS $ A X UMBRELLALIAB X OCCUR CUP5121N520TIL01 8/1/2011 8/1/2012 EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIM MADE AGGREGATE $ 5,000,000 DED RETENTION$ $ WORKERS COMPENSATION H T RY LIMIT ER AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE E L EACH ACCIDENT $ OFFICER/MEMSEA EAULULtUl LJ Mandatory in NH) E L DISEASE EA EMPLOYEE $ ff yes describe under DESCRIPTION OF OPERATIONS below EL DISEASE POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach Acord 101,Addltonal Remarks Schedule,if more space Is required) Additional Named Insured Includes: AboveNet Communications, Inc. The City of Kent, its officers, officials, employees, agents and assigns are recognized as an Additional Insured under General, Auto and Umbrella Liability but solely as respects liability arising from the Named Insured's operations and/or work performed by the Named Insured, ATIMA. . This coverage shall apply separately to each insured. This insurance shall be primary. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS City of Kent AUTHORIZED REPRESENTATIVE 220 Fourth Avenue South Attn: City Clerk Kent, WA 98403 Coll:3796689 Tp1:1490460 Cert:18245038 ©1988-2010 ACORD CORPORATION All rights reserved ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD ATE(MMIDDIYYYY) ACO D R" CERTIFICATE OF LIABILITY INSURANCE 06/14113 THISCERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must be endorsed 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) PRODUCER CONTACT Aon Risk Services Inc of Florida Aon Risk Sereices Inc of Floras, NAME 1 C D 1 Bnckell Bay Drive,Suite K1100 PHONE FAX AIC,No,Ezt 800-743-8130 AIC,No 800-522-7514 Miami FL3 31 31-49 3 7 EMAIL ADDRESS ADP COI Center Aon corn INSURER(S)AFFORDING COVERAGE NAIC# INSURER A New Hampshire Ins Co 23841 INSURED INSURER B ADP Tc,alSource MI VII,LLC 10200 Sunset Drive INSURER C Miami FL 33173 INSURER D ALTERNATE EMPLOYER Zayo Group LLC CBA Zayo Group LLC INSURER E AbcveNel Cammunrations Inc 400 Centennial Parkway Suite 200 INSURER F Lowsvile GO80027 COVERAGES CERTIFICATE NUMBER 646347 REVISION NUMBER THIS IS TO CERTIFY THAT THE POLICIES OF INSLIRANCE 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 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS LIMITS SHOWN ARE AS REQUESTED INSR ADDL Sl POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIDDIYYYY MMIDD/Y GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS-MADE 0 OCCUR MED EXP(Ary one person $ PERSONAL&ACV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ POLICY Fi,PROJECT LOG $ COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY (Ea sconent $ ANY AUTO BODILY INJURY Per erson $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) S NON-OWNED PROPERTY DAMAGE l HIRED AUTOS AUTOS Per accident( $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEC 1 RETENTION$ WORKERS COMPENSATION X WC STAT AND EMPLOYERS'LIABILITY YIN TORY LIMITS E ER R A ANY PROPRIETOR,PARTNEPoEXECUTIVE WC 015685231 CO 71V2013 7/1/2014 E L EACH ACCIDENT $ 2,000,000 OFFICERMEMBER EXCLUDEDo ❑ NIA _ (Mandate,,..NH, �__ _ -E,.,- Eh9YL'SY�c c _2O='O ,GO If yes describe under EL DISEASE-POLICY LIMIT $ 2,000 000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) All worksite employees workinc for the above namea chart company paid under ADP TOTALSOURCE INC's payroll are covered under the above stated policy The above named client is an aitemate employer under this policy COVERAGE INCLUDES ALL STATES EXCEPTTHOSE THAT ARE MONOPOLISTIC(OH,ND,WY and WA) CERTIFICATE HOLDER CANCELLATION City of Kent SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 220 Fourth Avenue South THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn City Clerk ACCORDANCE WITH THE POLICY PROVISIONS Kent,WA 98403 AUTHORIZED REPRESENTATIVE ff _�,,rr (4on rL3h 8e/tV[CG6, 42na of(ftoti da ©1988-2010 ACORD CORPORATION All rights reserved ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD