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PW11-252 - Original - Northwest Playground Equipment, Inc. - Lake Meridian Playground Turf Install - 06/13/2011
Records Management, KEN T Document XINGTON eb�i I �N 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. � r f Vendor Name: Vendor Number: co JD Edwards Number Contract Number: &)11- r�9, 5-A This is assigned by City Clerk's Office Project Name: P��� 1M �p` A � `[C ou1 �� N S�C►� �� Description: ❑ Interlocal Agreement ❑ Change Order ❑ Amendment Xcontract ❑ Other: f Contract Effective Date: - 3 - // Termination Date: ^ ` Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager — anager b Department: �a Y 5- Detail: (i.e. address, location, parcel number, tax id, etc.)• L-Ory-U- S•Publlc\RecordsManagement\Farms\ContractCover\adcc7832 1 11/08 E KENT PUBLIC WORKS AGREEMENT between City of Kent and Northwest Playground Equipment, Inc. THIS AGREEMENT is made by and between the City of Kent, a Washington municipal corporation (hereinafter the "City"), and Northwest Playground Equipment, Inc. organized under the laws of the State of Washington, located and doing business at PO Box 2410 Issaquah, WA 98027 P: 425-313-9161 F: 425-313-9194 (hereinafter the "Contractor"). AGREEMENT The parties agree as follows: I. DESCRIPTION OF WORK. Contractor shall perform the following services for the City in accordance with the followingdescribed plans and/or specifications: desc bed p a s a d/o p Provide and install 1,365 square feet of Forever Lawn Turf Safety Surfacing at the Lake Meridian playground in Kent, Washington as described in the contractor's proposal dated April 26, 2011 attached and incorporated as Exhibit A. Contractor 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 such services are performed II. TIME OF COMPLETION. The parties agree that work will begin on the tasks described in Section I above immediately upon execution of this Agreement. Upon the effective date of this Agreement, the Contractor shall complete the work described in Section I by June 18, 2011. III. COMPENSATION. The City shall pay the Contractor a total amount not to exceed Twenty One Thousand Three Hundred Ninety Seven Dollars and Eighteen Cents ($21,397.18), including applicable Washington State Sales Tax, for the work and services contemplated in this Agreement. The City shall pay the Contractor fifty percent (50%) of the Contract amount upon completion and acceptance of the work by the City, and the remainder upon fulfillment of the conditions listed below and throughout this Agreement. A. No Payment and Performance Bond. Because this contract, including applicable sales tax, is less than $35,000, and pursuant to Chapter 39.08 RCW, the Contractor, in lieu of providing the City a payment and PUBLIC WORKS AGREEMENT - 1 Over 1OK under$35K, and No Performance Bond performance bond, has elected to have the owner retain the final fifty percent (50%) of the Contract amount for a period of sixty (60) days after the date of final acceptance, or until receipt of all necessary releases from the State Department of Revenue, the State Department of Labor & Industries, and the State Employment Security Department, and until settlement of any liens filed under Chapter 60.28 RCW, whichever is later. B. Defective or Unauthorized Work. The City reserves its right to withhold payment from Contractor for any defective or unauthorized work. Defective or unauthorized work includes, without limitation: work and materials that do not conform to the requirements of this Agreement; and extra work and materials furnished without the City's written approval. If Contractor is unable, for any reason, to satisfactorily complete any portion of the work, the City may complete the work by contract or otherwise, and Contractor shall be liable to the City for any additional costs incurred by the City. "Additional costs" shall mean all reasonable costs, including legal costs and attorney fees, incurred by the City beyond the maximum Contract price specified above The City further reserves its right to deduct the cost to complete the Contract work, including any Additional Costs, from any and all amounts due or to become due the Contractor. C. Final Payment: Waiver of Claims. THE CONTRACTOR'S ACCEPTANCE OF FINAL PAYMENT (EXCLUDING WITHHELD RETAINAGE) SHALL CONSTITUTE A WAIVER OF CONTRACTOR'S CLAIMS, EXCEPT THOSE PREVIOUSLY AND PROPERLY MADE AND IDENTIFIED BY CONTRACTOR AS UNSETTLED AT THE TIME FINAL PAYMENT IS MADE AND ACCEPTED. 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 Contractor 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 Contractor maintains and pays for its own place of business from which Contractor's services under this Agreement will be performed. C. The Contractor has an established and independent business that is eligible for a business deduction for federal income tax purposes that existed before the City retained Contractor's services and is a service other than that furnished by the City, or the Contractor is engaged in an independently established trade, occupation, profession, or business of the same nature as that involved under this Agreement. D. The Contractor 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 Contractor has registered its business and established an account with the state Department of Revenue and other state agencies as may be PUBLIC WORKS AGREEMENT - 2 (Over$1OK, under$35K, and No Performance Bond) required by Contractor's business, and has obtained a Unified Business Identifier (UBI) number from the State of Washington. F. The Contractor has a valid contractor registration pursuant to Ch. 18.27 RCW or an electrical contractor license pursuant to Ch. 19.28 RCW. G. The Contractor maintains a set of books dedicated to the expenses and earnings of its business. V. TERMINATION. The City may terminate this Agreement for good cause. "Good cause" shall include, without limitation, any one or more of the following events: A. The Contractor's refusal or failure to supply a sufficient number of properly skilled workers or proper materials for completion of the Contract work. B. The Contractor's failure to complete the work within the time specified in this Agreement. C. The Contractor's failure to make full and prompt payment to subcontractors or for material or labor. D. The Contractor's persistent disregard of federal, state or local laws, rules or regulations. E. The Contractor's filing for bankruptcy or becoming adjudged bankrupt. F. The Contractor's breach of any portion of this Agreement. If the City terminates this Agreement for good cause, the Contractor shall not receive any further money due under this Agreement until the Contract work is completed. After termination, the City may take possession of all records and data within the Contractor's possession pertaining to this project which may be used by the City without restriction. VI. PREVAILING WAGES. Contractor shall file a "Statement of Intent to Pay Prevailing Wages," with the State of Washington Department of Labor & Industries prior to commencing the Contract work. Contractor shall pay prevailing wages in effect on the date the bid is accepted or executed by Contractor, and comply with Chapter 39.12 of the Revised Code of Washington, as well as any other applicable prevailing wage rate provisions. The latest prevailing wage rate revision issued by the Department of Labor and Industries is attached. VII. CHANGES. The City may issue a written change order for any change in the Contract work during the performance of this Agreement. If the Contractor determines, for any reason, that a change order is necessary, Contractor must submit a written change order request to the person listed in the notice provision section of this Agreement, section XV(D), within fourteen (14) calendar days of the date Contractor knew or should have known of the facts and events giving rise to the requested change. If the City determines that the change increases or decreases the Contractor's costs or time for performance, the City will make an equitable adjustment The City will attempt, in good faith, to reach agreement with the Contractor on all equitable adjustments. However, if the parties are unable to agree, the City will determine the equitable adjustment as it deems appropriate. The Contractor shall proceed with the change order work upon receiving either a written change order from the City or an oral order from the City before actually receiving the written change order. If the Contractor fails to PUBLIC WORKS AGREEMENT - 3 (Over$1OK, under$35K, and No Performance Bond) i Y require a change order within the time specified in this paragraph, the Contractor waives its right to make any claim or submit subsequent change order requests for that portion of the contract work. If the Contractor disagrees with the equitable adjustment, the Contractor must complete the change order work; however, the Contractor may elect to protest the adjustment as provided in subsections A through E of Section VIII, Claims, below. The Contractor accepts all requirements of a change order by: (1) endorsing it, (2) writing a separate acceptance, or (3) not protesting in the way this section provides. A change order that is accepted by Contractor as provided in this section shall constitute full payment and final settlement of all claims for contract time and for direct, indirect and consequential costs, including costs of delays related to any work, either covered or affected by the change. VIII. CLAIMS. If the Contractor disagrees with anything required by a change order, another written order, or an oral order from the City, including any direction, instruction, interpretation, or determination by the City, the Contractor may file a claim as provided in this section. The Contractor shall give written notice to the City of all claims within fourteen (14) calendar days of the occurrence of the events giving rise to the claims, or within fourteen (14) calendar days of the date the Contractor knew or should have known of the facts or events giving rise to the claim, whichever occurs first . Any claim for damages, additional payment for any reason, or extension of time, whether under this Agreement or otherwise, shall be conclusively deemed to have been waived by the Contractor unless a timely written claim is made in strict accordance with the applicable provisions of this Agreement. At a minimum, a Contractor's written claim shall include the information set forth in subsections A, items 1 through 5 below. FAILURE TO PROVIDE A COMPLETE, WRITTEN NOTIFICATION OF CLAIM WITHIN THE TIME ALLOWED SHALL BE AN ABSOLUTE WAIVER OF ANY CLAIMS ARISING IN ANY WAY FROM THE FACTS OR EVENTS SURROUNDING THAT CLAIM OR CAUSED BY THAT DELAY. A. Notice of Claim. Provide a signed written notice of claim that provides the following information: 1. The date of the Contractor's claim; 2. The nature and circumstances that caused the claim; 3. The provisions in this Agreement that support the claim; 4. The estimated dollar cost, if any, of the claimed work and how that estimate was determined; and 5. An analysis of the progress schedule showing the schedule change or disruption if the Contractor is asserting a schedule change or disruption. B. Records. The Contractor shall keep complete records of extra costs and time incurred as a result of the asserted events giving rise to the claim. The City shall have access to any of the Contractor's records needed for evaluating the protest. The City will evaluate all claims, provided the procedures in this section are followed. If the City determines that a claim is valid, the City will adjust payment for work or time by an equitable adjustment. No adjustment will be made for an invalid protest. PUBLIC WORKS AGREEMENT - 4 (Over$10K, under$35K, and No Performance Bond) i i C. Contractor's Duty to Complete Protested Work. In spite of any claim, the Contractor shall proceed promptly to provide the goods, materials and services required by the City under this Agreement D. Failure to Protest Constitutes Waiver. By not protesting as this section provides, the Contractor also waives any additional entitlement and accepts from the City any written or oral order (including directions, instructions, interpretations, and determination). E. Failure to Follow Procedures Constitutes Waiver. By failing to follow the procedures of this section, the Contractor completely waives any claims for protested work and accepts from the City any written or oral order (including directions, instructions, interpretations, and determination). IX. LIMITATION OF ACTIONS. CONTRACTOR MUST, IN ANY EVENT, FILE ANY LAWSUIT ARISING FROM OR CONNECTED WITH THIS AGREEMENT WITHIN 120 CALENDAR DAYS FROM THE DATE THE CONTRACT WORK IS COMPLETE OR CONTRACTOR'S ABILITY TO FILE THAT CLAIM OR SUIT SHALL BE FOREVER BARRED. THIS SECTION FURTHER LIMITS ANY APPLICABLE STATUTORY LIMITATIONS PERIOD. X. WARRANTY. Upon acceptance of the contract work, Contractor must provide the City a one-year warranty bond in a form and amount acceptable to the City. The Contractor shall correct all defects in workmanship and materials within one (1) year from the date of the City's acceptance of the Contract work. In the event any parts are repaired or replaced, only original replacement parts shall be used—rebuilt or used parts will not be acceptable. When defects are corrected, the warranty for that portion of the work shall extend for one (1) year from the date such correction is completed and accepted by the City. The Contractor shall begin to correct any defects within seven (7) calendar days of its receipt of notice from the City of the defect If the Contractor does not accomplish the corrections within a reasonable time as determined by the City, the City may complete the corrections and the Contractor shall pay all costs incurred by the City in order to accomplish the correction. XI. DISCRIMINATION. In the hiring of employees for the performance of work under this Agreement or any sub-contract, the Contractor, its sub-contractors, or any person acting on behalf of the Contractor or sub-contractor 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. Contractor 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. XII. INDEMNIFICATION. Contractor 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 Contractor'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 Contractor's work when completed shall not be grounds to avoid any of these covenants of indemnification PUBLIC WORKS AGREEMENT - 5 (Over$10K, under$35K, and No Performance Bond) t d 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 Contractor and the City, its officers, officials, employees, agents and volunteers, the Contractor's liability hereunder shall be only to the extent of the Contractor's negligence. IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THE INDEMNIFICATION PROVIDED HEREIN CONSTITUTES THE CONTRACTOR'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. In the event Contractor refuses tender of defense in any suit or any claim, if that tender was made pursuant to this indemnification clause, and if that refusal is subsequently determined by a court having jurisdiction (or other agreed tribunal) to have been a wrongful refusal on the Contractor's part, then Contractor shall pay all the City's costs for defense, including all reasonable expert witness fees and reasonable attorneys' fees, plus the City's legal costs and fees incurred because there was a wrongful refusal on the Contractor's part. The provisions of this section shall survive the expiration or termination of this Agreement. XIII. INSURANCE. The Contractor 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. XIV. WORK PERFORMED AT CONTRACTOR'S RISK. Contractor 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 Contractor's own risk, and Contractor 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. XV. 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 PUBLIC WORKS AGREEMENT - 6 (Over $10K, under$35K, and No Performance Band) 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 XII 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 Contractor. 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 Contractor agrees to comply with all federal, state, and municipal laws, rules, and regulations that are now effective or in the future become applicable to Contractor's business, equipment, and personnel engaged in operations covered by this Agreement or accruing out of the performance of those operations. PUBLIC WORKS AGREEMENT - 7 (Over$10K, under$35K, and No Performance Bond) . f t 1 r 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. CONTRACTOR: Inc— CITY OF KENT: ►Ior4h�ods+ plaY9round F6K��MLrr�1 By: �<f /1 By: (signature) (signature) Print Name: ?ob>er+ S. McGaraeN Pri Na e: Suzette Cooke Its Pre5lden-i Its Ma or (title) DATE: S 4 C /1 DATE: NOTICES TO BE SENT TO: NOTICES TO BE SENT TO: CONTRACTOR: CITY OF KENT: Candice DeShurley Brian Levenhagen Northwest Playground Equipment, Inc. City of Kent PO Box 2410 220 Fourth Avenue South Issaquah, WA 98027 Kent, WA 98032 425-313-9161 (telephone) (253) 856-5116 (telephone) 425-313-9194 (facsimile) (253) 856-6050 (facsimile) APPROVED AS TO FORM: ji Pt, iiiiiel)U Ken Law Department Lake Meridian Playground Turf Installation PUBLIC WORKS AGREEMENT - 8 (Over$10K, under$35K, and No Performance Bond) , DECLARATION CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY POLICY The City of Kent is committed to conform to Federal and State laws regarding equal opportunity. As such all contractors, subcontractors and suppliers who perform work with relation to this Agreement shall comply with the regulations of the City's equal employment opportunity policies. The following questions specifically identify the requirements the City deems necessary for any contractor, subcontractor or supplier on this specific Agreement to adhere to. An affirmative response is required on all of the following questions for this Agreement to be valid and binding. If any contractor, subcontractor or supplier willfully misrepresents themselves with regard to the directives outlines, it will be considered a breach of contract and it will be at the City's sole determination regarding suspension or termination for all or part of the Agreement; The questions are as follows: 1. I have read the attached City of Kent administrative policy number 1.2. 2. During the time of this Agreement I will not discriminate in employment on the basis of sex, race, color, national origin, age, or the presence of all sensory, mental or physical disability. 3. During the time of this Agreement the prime contractor will provide a written statement to all new employees and subcontractors indicating commitment as an equal opportunity employer. 4. During the time of the Agreement I, the prime contractor, will actively consider hiring and promotion of women and minorities. 5. Before acceptance of this Agreement, an adherence statement will be signed by me, the Prime Contractor, that the Prime Contractor complied with the requirements as set forth above. By signing below, I agree to fulfill the five requirements referenced above. Dated this 9 day of P1 Ail , 2011. For: No RYN W EST�c.Ry6QDu�Jb�4 u PNs�T� ��G Title: �2Esll>cor Date: gr i(( I EEO COMPLIANCE DOCUMENTS - 1 CITY OF KENT ADMINISTRATIVE POLICY NUMBER: 1.2 EFFECTIVE DATE: January 1, 1998 SUBJECT: MINORITY AND WOMEN SUPERSEDES: April 1, 1996 CONTRACTORS APPROVED BY Jim White, Mayor POLICY: Equal employment opportunity requirements for the City of Kent will conform to federal and state laws. All contractors, subcontractors, consultants and suppliers of the City must guarantee equal employment opportunity within their organization and, if holding Agreements with the City amounting to $10,000 or more within any given year, must take the following affirmative steps: 1. Provide a written statement to all new employees and subcontractors indicating commitment as an equal opportunity employer. 2. Actively consider for promotion and advancement available minorities and women. Any contractor, subcontractor, consultant or supplier who willfully disregards the City's nondiscrimination and equal opportunity requirements shall be considered in breach of contract and subject to suspension or termination for all or part of the Agreement. Contract Compliance Officers will be appointed by the Directors of Planning, Parks, and Public Works Departments to assume the following duties for their respective departments. 1. Ensuring that contractors, subcontractors, consultants, and suppliers subject to these regulations are familiar with the regulations and the City's equal employment opportunity policy. 2. Monitoring to assure adherence to federal, state and local laws, policies and guidelines. EEO COMPLIANCE DOCUMENTS - 2 , CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE STATEMENT This form shall be filled out AFTER COMPLETION of this project by the Contractor awarded the Agreement I, the undersigned, a duly represented agent of Company, hereby acknowledge and declare that the before-mentioned company was the prime contractor for the Agreement known as that was entered into on the (date), between the firm I represent and the City of Kent. I declare that I complied fully with all of the requirements and obligations as outlined in the City of Kent Administrative Policy 1.2 and the Declaration City of Kent Equal Employment Opportunity Policy that was part of the before-mentioned Agreement. Dated this day of , 2011. By: For: Title: Date: EEO COMPLIANCE DOCUMENTS - 3 t � 4 � Northwest Playground Equipment,Inc. i PO Sox 2410,Issaquah,WA 96027-0109 Phone(425)313-916I I-AX(425)313-9194 Email candice`a,nwplayground com QUOTE Quote#4/26111-CD-4 To Lake Meridian Date, 4/2 612 01 1 Contact Name.Brian Levenhagen Phone Email Fax Item# Oty Description price Total Price EQUIPMENT 1 Forever Lawn Turf Safety Surfacing-Price includes materiels& S 21,240 00 Installation-Does not include gravel base or sub-base work-Will cover 1365 SF Area Use Zcne Equipment Subtotal $ 21.24000 Discount KCDA 8 00% $ (1,699 20) Equipment Total(less tax) $ 19,540.80 INSTALLATION Installation Total $ Tax. 9 5°!0 $ i,856 38 ORDER TOTAL: $ 21,397.18 All quotes are subject to material and fuel surcharges Acceptance of Proposal: (Please be sure you have read,signed and understand the Terms and Conditions on Page 2 of this Quote) The items,prices and conditions listed herein are satisfactory and are hereby accepted i Candice DaShurley Sales Assistant Customer Signature Date Thank you for considering No,,thwest Playground Equipment,Inc for your Park, Playground,Shelter and Sports Equipment requirements. 1 PAGE or 2 Revised 2/t 1r200 r r ' i m � �� � 6 y",� •ws Northwest Playground Equipment,Inc. PO Box 2410,Issaquah,WA 98027-0109 Phone(425)313.9161 FAX(425)313.9194 Email candice@,me pla)gi ound com Project Name: Lake Meridian Quote# 4126/11-CD-4 TERMS AND CONDITIONS QUOTE CONDITIONS AND ACCEPTANCE: This quote is valid for 30 days Orders placed or requested for delivery after these dates are subject to price increases It is the Buyer's responsibility to verify quantities and description of items quoted. Once your order has been placed any changes including additions deletions or color changes,wail delay your shipment&possibly Incur additional charges EXCLUSIONS:Unless specified,this quote specifically excludes all of the following Required Permits,Davis Bacon,Certified Payroll or Prevailing Wage fees,KCDA Fees Performance/Payment Bonds Site work and landscaping Removal of existing equipment Unfoaciting,Receiving of inventory or equipment,Storage of equipment Equipment assembly and/or installation Safety surfacing,Borders or drainage requirements FREIGHT AND DELIVERY: Shipping is FOB Origin A 24-hr Call Ahead is available at additional cost Delivery is currently 4+weeks after order submittal Unless otherwise noted,all equipment is delivered unassembled Buyer is responsible to meet and provide a minimum of 2 persons to unload truck A Check List,detailing all items shipped,will be mailed to you and a copy will be included with the shipment. Buyer is responsible for ensuring the Sales Order and Item Numbers on all boxes and places match the Check List Shortages or damages must be noted on the driver's delivery receipt Shortages or damages not noted become the Buyer's financial responsibility Damaged Freight must be refused Please notify Northwest Playground Equipment immediately of any damages. Shortages and Concealed Damage must be reported to Northwest Playground Equipment within 10 days of delivery A reconsignmenl fee will be charged for any changes made to delivery address after order has been placed TAXES: All orders delivering in Washington are subject to applicable sales lax unless tax exempt or a Reseller Permit is on file at the time the order is placed I PAYMENT TERMS:50%due at time of order Aith balance due on delivery,unless other credit terms have been approved Credit approval for first time customers,discuss with sales rep. Interest may be charged on unpaid balances at an annual rate of I RESTOCKING:Items canceled,returned or refused wilf be subject to a minimum 25%restocking fee All return freight charges are the responsibility of the Buyer. M AI NTENANCE(W ARRANTY: Manufacturer's standard product warranties apply and cover equipment replacement and freight costs only,labor is not included Northwest Playground Equipment offers no additional warranties. Maintenance of the equipment and safety surfacing is the responsibility of the customer. Any unauthorized alterations or modifications to the equipment(including layout)will void your warranty. INSTALLATION:(if applicable) A private locate service for underground utilities must be completed before your scheduled installation, site roust be level and free of ease debris(this includes ground cover/chips) Digging thru concrete,asphart&ewsting safety surfacing will incur additional charge A minimum 6 foot opening with good access must be available to the site for delivery trucks and tractor An onsite dumpster must be provided for disposal of packaging materials Arrangements must be made in advance for the disposal of clAlrocks from within the installation area, Arrangements must be made in advance for the removal/disposal of existing equipment Additional charges may apply if large racks or concrete are found beneath the surface Access to power and water must be available Site supervision is quoted in 8-hour days Acceptance of Terms&Conditions plan this proposal,made by an authorized agent of your company,Indicates agreement to the above terms and condit c Candice DeShurley Sales Assistant Customer Signature Date Thank you for choosing Northwest Playground Equipment PAGE 2af 2 gevtsed2/1ir2at0 r r EXHIBIT B INSURANCE REQUIREMENTS FOR SERVICE CONTRACTS Insurance The Contractor shall procure and maintain for the duration of the Agreement, insurance against claims for injuries to persons or damage to property which may arise from or in connection with the performance of the work hereunder by the Contractor, their agents, representatives, employees or subcontractors. A. Minimum Scope of Insurance Contractor shall obtain insurance of the types described below: 1. Automobile Liability insurance covering all owned, non- owned, hired and leased vehicles. Coverage shall be written on Insurance Services Office (ISO) form CA 00 01 or a substitute form providing equivalent liability coverage. If necessary, the policy shall be endorsed to provide contractual liability coverage. Commercial General Liability insurance shall be written on ISO occurrence form CG 00 01 and shall cover liability arising from premises, operations, independent contractors, 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. The City shall be named as an insured under the Contractor's Commercial General Liability insurance policy with respect to the work performed for the City using ISO additional insured endorsement CG 20 10 11 85 or a substitute endorsement providing equivalent coverage. 2. Workers' Compensation coverage as required by the Industrial Insurance laws of the State of Washington. B. Minimum Amounts of Insurance Contractor shall maintain the following insurance limits: 1. Automobile Liability insurance with a minimum combined single limit for bodily injury and property damage of $1,000,000 per accident. 2. Commercial General Liability insurance shall be written with limits no less than $1,000,000 each occurrence, $2,000,000 general aggregate and a $2,000,000 products-completed operations aggregate limit. EXHIBIT B (Continued ) C. Other Insurance Provisions The insurance policies are to contain, or be endorsed to contain, the following provisions for Automobile Liability and Commercial General Liability insurance: 1. The Contractor's insurance coverage shall be primary insurance as respect the City. Any Insurance, self-insurance, or insurance pool coverage maintained by the City shall be excess of the Contractor's insurance and shall not contribute with it. 2. The Contractor's insurance shall be endorsed to state that coverage shall not be cancelled by either party, except after thirty (30) days prior written notice by certified mail, return receipt requested, has been given to the City. 3. The City of Kent shall be named as an additional insured on all policies (except Professional Liability) as respects work performed by or on behalf of the contractor and a copy of the endorsement naming the City as additional insured shall be attached to the Certificate of Insurance. The City reserves the right to receive a certified copy of all required insurance policies. The Contractor's Commercial General Liability insurance shall also contain a clause stating that coverage shall apply separately to each insured against whom claim is made or suit is brought, except with respects to the limits of the insurer's liability. D. Acceptability of Insurers Insurance is to be placed with insurers with a current A.M. Best rating of not less than A:VII. 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. Client#:47933 FOREPUG ACORD. CERTIFICATE OF LIABILITY INSURANCE 6/0312�°"Y""' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Bell-Anderson Ins-SBU ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE PO Box 887 HOLDER THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW 724 West Smith Street Kent,WA 98032 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA The Ohio Casualty Insurance Co Foreverlawn of Puget Sound LLC INSURER B P.O Box 204 INSURER C East Olympia,WA 98540 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 IN SR D' POLICYEFFECTIVE POLICY EXPIRATION LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DDYYY DATE MM/DD LIMITS /Y A GENERAL LIABILITY BKS54438212 04/22/2011 04/22/2012 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY PREMI ES Eaoccurrence) $100000 CLAIMS MADE 7XOCCUR MED EXP(Any one person) $15 000 X PDDed•250 PERSONAL&ADV INJURY $1000000 GENERALAGGREGATE s2,000,000 GENI AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $2,000000 POLICY PRO LOC J RI- AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNEDAUTOS (Per accident) $ PROPERTYDAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHERTHAN EA ACC $ AUTO ONLY AGG $ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC CRYSTATU- OTH- EMPLOYERS'LIABILITY TS I ER ANY PROPRIETOR/PARTNERJEXECUTIVE EL EACHACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) EL DISEASE-EA EMPLOYEE $ If yes,descnbe under SPECIAL PROVISIONS below EL DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Certificate Holder is an additional insured for general liability, but only if required by written contract or written agreement per General Liability Master Pak Blanket Additional Insured provision CG8810 1009. Waiver of Transfer of Rights of Recovery Against Others per General Liability Master Pack CG8810 1009. General Liability coverage provided to the Certificate Holder will be Primary and Non-Contributory per (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION 10 Days for Non-Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Kent DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL A5_ DAYS WRITTEN 220 Fourth Ave South NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Kent,WA 98032 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE n- Y ""Lt -6 ACORD 25(2009101) 1 of 3 #S326624/M313062 © 1988-2009 ACORD CORPORATION All rights reserved The ACORD name and logo are registered marks of ACORD SEW 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 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(2009101) 2 of 3 #S3266241M313062 r 3 DESCRIPTIONS (Continued from Page 1) General Liability Master Pak CG8810 1009.Products-Completed operations per attached endorsement CG 8584 0605. AMS 25.3(2009/01) 3 of 3 #S326624/M313062 COMMERCIAL GENERAL LIABILITY c0 as 84 06 06 THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. ADDITIONAL. INSURED CONTRACTORS PRODUCTS — COMPLETED OPERATIONS This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Schedule Name of Additional Insured Person(s)or Organization(s): City Of Kent 220 J`ourth Ave South Kent, WA 98032 Location And Description of Completed Operations: Upgrading a playground at: Lake Meridian Park 14800 SE 272nd Street Kent, , WA 98042 Information required to complete this Schedule, If not shown above,will be shown in the Declarations. A. Section 11-Who Is An Insured is amended to include as an additional Insured the person(s)or organizatlon(s)shown In the Schedule whom you have agreed to add as an additional Insured in a written contract orwritten agreement for damages caused by"yourwork"at the location designated and described In the schedule of this endorsement performsd for that additional Insured and Included in the "products-completed operation hazard. B. The following additional provisions apply to the additional Insured: 1. When the named Insured Is required to add an additional Insured on this policy under a written contract or written agreement;the written contract or written agreement must be: a. Currently In effect or becoming effective daring the term of this policy; b. Executed prior to the"bodily injury,"or"property damage";and C. Between a named Insured and the additional Insured 2. That person or organization Is an additional Insured only for liability arising out of the named Insured's negligence specifically resulting from"your work"for the additional Insured which Is the subject of the written contract or written agreement. No coverage applies for any liability due to negligence attributable to any parson or entity other than the Named Insured. CO 86 84 06 05 Includes Copyrighted Material of 180 Properties,Inc.,with its permission. Page 1 of 2 r ' r 3. The Limits of Insurance applicable to the additional insured are the lesser of: a. Those specified In the written contract or written agreement,or b. Those shown in the Declarations of this policy and defined in Section IIi-Limits Of Insurance. These Limits of Insurance are Inclusive of,and not in addition to,the Limits Of Insurance shown In the Declarations and defined in Section III-Limits Of Insurance. 4. The coverage provided by this endorsement does not apply beyond the earilerof the following: a. The period of time required by the written contract or written agreement;or b. The expiration or termination date of this policy. 8. The Insurance provided to the additional Insured does not apply to: "Bodily injury,""properly damage"or arising out of the rendering of,or the failure to render,any professional architectural,engineering or surveying services,Including: 1 a. The preparing,approving,or failure to prepare orapprbve,maps,shop drawings, opinions,reports,surveys,field orders,change orders or drawing and specifications;and b. Supervisory,Inspection,architectural or engineering activities. 6. We have no duly to defend or indemnify an additional insured under this endorsement: , a. For any liability due to negllgenoq attributable to any person or entity other than the Named Insured. I). For any Ibss which occurs prior to-our named Insured-commencing operations at the location of the loss. C. Until we receive written notice of a claim or"suit"from the additional insured as required In Section IV—Conditions,Duties In The Event Of Occurrence,Offense Claim Or Suit. C. section IV-Conditions are amended as follows: 1. The following Is added to Paragraph 2.,Dptles In The Event of Occurrence,Otfemay Claim or suit: An additional Insured under this endorsement must comply with all provisions of this section. 2. As respects the coverage provided under this andorsomeni,Paragraph Ch.,Other Insurance is deleted and replaced by the following: 4. Otherinsurando b. Excess insurance This insurance Is excess over any other Insurance naming the additional Insured as an Insured whether primary,excess,contingent or on any other basis unless the written contract or agreement described in A.above specifically requires that this Insurance be provided on either a primary basis or a primary and noncontributory basis. CO 85 a4 06 08 Includes Copyrighted Materiel of ISO Propertles,Inc.,While permission Page 2 of 2 c RCG Commercial General Liability Forms 1 10/01/09 COMMERCIAL GENERAL LIABILITY CIS 88 1010 09 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. COMMERCIAL GENERAL LIABILITY EXTENSION This endorsement modifies Insurance provided under the following- COMMERCIAL GENERAL LIABILITY COVERAGE PART INDEX SUBJECT PAGE NON-OWNED AIRCRAFT 2 NON-OWNED WATERCRAFT 2 PROPERTY DAMAGE LIABILITY—ELEVATORS 2 EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage) 2 MEDICAL PAYMENTS EXTENSION 3 EXTENSION OF SUPPLEMENTARY PAYMENTS—COVERAGES A AND B 3 ADDITIONAL INSUREDS—BY CONTRACT,AGREEMENT OR PERMIT 3 PRIMARY AND NON-CONTRIBUTORY-ADDITIONAL INSURED EXTENSION 5 ADDITIONAL INSUREDS- EXTENDED PROTECTION OF YOUR"LIMITS OF INSURANCE" 5 WHO IS AN INSURED—INCIDENTIAL MEDICAL ERRORSIMALPRACTICE AND WHO IS AN 6 INSURED—FELLOW EMPLOYEE EXTENSION—MANAGEMENT EMPLOYEES NEWLY FORMED OR ADDITIONALLY AQUIRED ENTITIES 6 FAILURE TO DISCLOSE HAZARDS AND PRIOR OCCURRENCES 7 KNOWLEDGE OF OCCURRENCE, OFFENSE, CLAIM OR SUIT 7 LIBERALIZATION CLAUSE 7 BODILY INJURY REDEFINED 7 EXTENDED PROPERTY DAMAGE 7 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US- 8 WHEN REQUIRED IN A CONTRACT OR AGREEMENT WITH YOU @2010 Liberty Mutual Insurance Company. All rights reserved CG 88 10 10 09 includes copyrighted material of Insurance Services Office.Inc,with its permisslon. Page 1 of 7 https:/hvww.silverplume.com/sponline/spsage.asp?cmd=doc&id=RC4173&rd=1606037... 10/13/2010 v With respect to coverage afforded by this endorsement, the provisions of the policy apply unless modified by the endorsement A. NON-OWNED AIRCRAFT Under Paragraph 2. Exclusions of Section 1—Coverage A-Bodily Injury And Property Damage Liability, exclusion g.Aircraft,Auto Or Watercraft does not apply to an aircraft provided. 1. It is not owned by any insured; 2. It is hired, chartered or loaned with a trained paid crew; 3. The pilot in command holds a currently effective certificate, issued by the duly constituted authority of the United States of America or Canada, designating her or him a commercial or airline pilot;and 4. it is not being used to carry persons or property for a charge However,the insurance afforded by this provision does not apply if there is available to the insured other valid and collectible insurance,whether primary, excess(other than insurance written to apply specifically in excess of this policy),contingent or on any other basis, that would also apply to the loss covered under this provision. B. NON-OWNED WATERCRAFT Under Paragraph 2.Exclusions of Section I—Coverage A-Bodily Injury And Property Damage Liability, Subparagraph (2)of exclusion g.Aircraft,Auto Or Watercraft is replaced by the following: This exclusion does not apply to: (2) A watercraft you do not own that is (a) Less than 52 feet long;and (b) Not being used to carry persons or property for a charge. C. PROPERTY DAMAGE LIABILITY—ELEVATORS 1. Under Paragraph 2.Exclusions of Section i-Coverage A—Bodily Injury And Property Damage Liability, Subparagraphs(3), (4)and (6)of exclusion J.Damage To Property do not apply if such"property damage"results from the use of elevators For the purpose of this provision, elevators do not include vehicle lifts. Vehicle lifts are lifts or hoists used in automobile service or repair operations 2. The following is added to Section IV—Commercial General Liability Conditions,Condition 4. Other Insurance, Paragraph b. Excess Insurance- The Insurance afforded by this provision of this endorsement is excess over any property insurance,whether primary,excess, contingent or on any other bans D. EXTENDED DAMAGE TO PROPERTY RENTED TO YOU(Tenant's Property Damage) If Damage To Premises Rented To You is not otherwise excluded from this Coverage Part- 1. Under Paragraph 2.Exclusions of Section I-Coverage A-Bodily Injury and Property Damage Liability: a. The fourth from the last paragraph of exclusion j. Damage To Property is replaced by the following. Paragraphs(1), (3)and(4)of this exclusion do not apply to"property damage"(other than damage by fire, lightning, explosion, smoke, or leakage from an automatic fire protection system)to: (i) Premises rented to you for a period of 7 or fewer consecutive days;or (11) Contents that you rent or lease as part of a premises rental or lease agreement for a period of more than 7 days. Paragraphs(1), (3)and(4)of this exclusion do not apply to"property damage"to hops://www.silverplume.com/sponlinc/spsage.asp?cmd=doc&id=RC4173&rd=1606037... 10/13/2010 1 contents of premises rented to you for a period of 7 or fewer consecutive days. A separate limit of insurance applies to this coverage as described in Section III— Limits of Insurance. 02010 Liberty Mutual Insurance Company All rights reserved £G 88 10 10 09 Includes copyrighted matenal of Insurance Services Office,Inc,with its permission. Page 2 of 7 hops://www.silverplume.com/sponline/spsage.asp?cmd=doc&id=RC4173&rd=1606037... 10/13/2010 Y • r b. _ The last paragraph of subsection 2.Exclusions is replaced by the following. Exclusions c.through n.do not apply to damage by fire, lightning, explosion, smoke or leakage from automatic fire protection systems to premises while rented to you or temporarily occupied by you with permission of the owner.A separate limit of insurance applies to Damage To Premises Rented To You as described in Section III—Limits Of Insurance. 2. Paragraph 6. under Section III—Limits Of Insurance is replaced by the following: 6. Subject to Paragraph 5.above, the Damage To Premises Rented To You Limit is the most we will pay under Coverage A for damages because of"property damage"to a. Any one premise (1) While rented to you, or (2) While rented to you or temporarily occupied by you with permission of the owner for damage by fire, lightning, explosion, smoke or leakage from automatic protection systems;or b. Contents that you rent or lease as part of a premises rental or lease agreement. 3. As regards coverage provided by this provision D. EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage)-Paragraph 9.a.of Definitions is replaced with the following: 8.a. A contract for a lease of premises However, that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire, lightning, explosion, smoke, or leakage from automatic fire protection systems to premises while rented to you or temporanly occupied by you with the permission of the owner, or for damage to contents of such premises that are included in your premises rental or lease agreement, is not an'insured contract" E. MEDICAL PAYMENTS EXTENSION If Coverage C Medical Payments is not otherwise excluded,the Medical Payments provided by this policy are amended as follows. Under Paragraph 1. Insuring Agreement of Section I—Coverage C—Medical Payments, Subparagraph (b)of Paragraph a. is replaced by the following: (b) The expenses are incurred and reported within three years of the date of the accident;and F. EXTENSION OF SUPPLEMENTARY PAYMENTS—COVERAGES A AND B 1. Under Supplementary Payments—Coverages A and B, Paragraph 1.b.is replaced by the following: b. Up to$3,000 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. 2. Paragraph 1.d.is replaced by the following. d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or"suit", including actual loss of earnings up to $500 a day because of time off from work. G. ADDITIONAL INSUREDS-BY CONTRACT,AGREEMENT OR PERMIT 1. Paragraph 2. under Section II—Who Is An Insured is amended to include as an insured any person or organization whom you have agreed to add as an additional insured in a written contract,written agreement or permit. Such person or organization is an additional insured but only with respect to liability for"bodily injury", "property damage"or'personal and advertising injury" caused in whole or in part by: a. Your acts or omissions, or the acts or omissions of those acting on your behalf, in the performance of your on going operations for the additional insured that are the subject of the written contract or written agreement provided that the"bodily injury"or"property damage"occurs,or the"personal and advertising injury" is committed, subsequent to the signing of such written contract or written agreement; or https://www.silverplume.c.om/sponline/spsage.asp?cmd=doc&id=RC4173&rd=1606037... 10/13/2010 • T @2010 Liberty Mutual Insurance Company All rights reserved. CG 88 10 10 09 Includes copyrighted material of Insurance Services office,Inc.,with its permission. Page 3 of 7 https://www.silverpltmie.com/spona&spsage.asp?cmd=doc&id=RC4173&rd=1606037... 10/13/2010 b. Premises or facilities rented by you or used by you;or C. The maintenance, operation or use by you of equipment rented or leased to you by such person or organization, or d. Operations performed by you or on your behalf for which the state or political subdivision has issued a permit subject to the following additional provisions (1) This insurance does not apply to'bodily injury", "property damage", or"personal and advertising injury"ansing out of the operations performed for the state or political subdivision, (2) This insurance does not apply to"bodily injury"or"property damage" included within the"completed operations hazard". (3) Insurance applies to premises you own, rent, or control but only with respect to the following hazards. (a) The existence, maintenance, repair, construction,erection,or removal of advertising signs, awnings,canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoist away openings, sidewalk vaults, street banners,or decorations and similar exposures;or (b) The construction,erection,or removal of elevators,or (c) The ownership, maintenance, or use of any elevators covered by this insurance With respect to Paragraph 1.a.above,a person's or organization's status as an additional insured under this endorsement ends when: (1) All work, including materials, parts or equipment furnished in connection with such work,on the project(other than service, maintenance or repairs)to be performed by or on behalf of the additional insured(s)at the location of the covered operations has been completed, or (2) That portion of"your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project With respect to Paragraph 1.b.above, a person's or organization's status as an additional insured under this endorsement ends when their wntten contract or written agreement with you for such premises or facilities ends. With respects to Paragraph 1.c. above, this insurance does not apply to any"occurrence"which takes place after the equipment rental or lease agreement has expired or you have returned such equipment to the lessor The insurance provided by this endorsement applies only if the written contract or written agreement is signed prior to the"bodily injury"or"property damage". We have no duty to defend an additional insured under this endorsement until we receive written notice of a"suit" by the additional insured as required in Paragraph b.of Condition 2. Duties In the Event Of Occurrence,Offense, Claim Or Suit under Section IV—Commercial General Liability Conditions 2. With respect to the insurance provided by this endorsement,the following are added to Paragraph 2. Exclusions under Section I-Coverage A-Bodily Injury And Property Damage Liability This insurance does not apply to: a. "Bodily injury"or"property damage'arising from the sole negligence of the additional insured b. "Bodily injury"or"property damage"that occurs prior to you commencing operations at the location where such"bodily injury" or"property damage"occurs https://www.silveTplume.com/sponline/spsage.asp'7cmd=doc&id=RC4173&rd=1606037... 10/13/2010 C. 'Bodilyln'u , "property dams e'or"personal and advertising injury"arising out of the 1 ry° 9 rendering of, or the failure to render,any professional architectural, engineering or surveying services, including. 02010 Liberty Mutual Insurance Company. All rights reserved. CG 88 10 10 09 Includes copyrighted material of Insurance Services Office,Ina,with its perrnission. Page 1 of 7 httpsJ/www.silvcrptume.com/sponline/spsage.asp?cmd=doc&id=RC4173&rd=1606037... 10/13/2010 . , (1) The preparing,approving,or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys,field orders, change orders or drawings and specifications, or (2) Supervisory, inspection, architectural or engineering activities. d. "Bodily injury"or"property damage"occurring after- (1) All work, Including materials, parts or equipment furnished in connection with such work, on the project(other than service, maintenance or repairs)to be performed by or on behalf of the additional insured(s)at the location of the covered operations has been completed, or (2) That portion of"your work"out of which the injury or damage arises has been put to its Intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. e. Any person or organization specifically designated as an additional Insured for ongoing operations by a separate ADDITIONAL INSURED-OWNERS, LESSEES OR CONTRACTORS endorsement Issued by us and made a part of this policy. H. PRIMARY AND NON-CONTRIBUTORY ADDITIONAL INSURED EXTENSION This provision applies to any person or organization who qualifies as an additional insured under any form or endorsement under this policy. Condition 4. Other Insurance of SECTION IV—COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows a. The following is added to Paragraph a. Primary Insurance. If an additional insured's policy has an Other Insurance provision making Its policy excess,and you have agreed in a written contract or written agreement to provide the additional Insured coverage on a primary and noncontributory basis,this policy shall be primary and we will not seek contribution from the additional insured's policy for damages we cover. b. The following is added to Paragraph b. Excess Insurance: When a written contract or written agreement, other than a premises lease, facilities rental contract or agreement, an equipment rental or lease contract or agreement, or permit issued by a state or political subdivision between you and an additional insured does not require this insurance to be primary or primary and non-contributory,this insurance is excess over any other insurance for which the additional insured is designated as a Named Insured. Regardless of the written agreement between you and an additional insured, this insurance is excess over any other insurance whether primary, excess, contingent or on any other basis for which the additional insured has been added as an additional insured on other policies 1. ADDITIONAL INSUREDS-EXTENDED PROTECTION OF YOUR"LIMITS OF INSURANCE" This provision applies to any person or organization who qualifies as an additional insured under any form or endorsement under this policy. 1. The following is added to Condition 2.Duties In The Event Of Occurrence,Offense, Claim or Suit: An additional insured under this endorsement will as soon as practicable. a. Give written notice of an "occurrence"or an offense that may result in a claim or°suit° under this insurance to us; b Tender the defense and indemnity of any claim or"suit"to all insurers whom also have insurance available to the additional insured, and C. Agree to make available any other insurance which the additional insured has for a loss we cover under this Coverage Part. 022010 Liberty Mutual Insurance Company. All rights reserved https://www.silverplume.com/sponhne/spsaDe.asp?cmd=doc&id=RC4173&rd=1606037... 10/13/2010 CG 88 10 10 09 Includes copyrighted material of Insurance Services office,Inc.,with its permission. Page 6 of 7 https//www.silvetplume.com/sponhne/spsage.asp?cmd=doc&id=RC4173&rd=1606037... 10/13/2010 Y d. We have no duty to defend or Indemnify an additional insured under this endorsement until we receive written notice of a "suit"by the additional insured. 2. The limits of Insurance applicable to the additional Insured are those specified in a written contract or written agreement or the limits of Insurance as stated in the Declarations of this policy and defined in Section III—Limits of Insurance of this policy, whichever are less. These limits are inclusive of and not in addition to the limits of insurance available under this policy. J. WHO IS AN INSURED-INCIDENTIAL MEDICAL ERRORS/MALPRACTICE WHO IS AN INSURED- FELLOW EMPLOYEE EXTENSION-MANAGEMENT EMPLOYEES Paragraph 2.a.(1)of Section II-Who Is An Insured is replaced with the following: (1) "Bodily injury"or"personal and advertising injury": (a) To you, to your partners or members (if you are a partnership or joint venture),to your members(if you are a limited liability company), to a co-"employee"while in the course of his or her employment or performing duties related to the conduct of your business, or to your other"volunteer workers"while performing duties related to the conduct of your business; (b) To the spouse, child, parent, brother or sister of that co-"employee"or"volunteer worker" as a consequence of Paragraph(1)(a)above; (c) For which there is any obligation to share damages with or repay someone else who must pay damages because of the injury described in Paragraphs(1)(a) or(b)above;or (d) Arising out of his or her providing or failing to provide professional health care services However, if you are not in the business of providing professional health care services or providing professional health care personnel to others, or if coverage for providing professional health care services is not otherwise excluded by separate endorsement, this provision(Paragraph(d))does not apply. Paragraphs(a)and (b)above do not apply to"bodily injury"or"personal and advertising injury"caused by an"employee"who is acting in a supervisory capacity for you Supervisory capacity as used herein means the"employee's"job responsibilities assigned by you, includes the direct supervision of other "employees"of yours. However, none of these"employees"are insureds for"bodily injury" or"personal and advertising injury"arising out of their willful conduct,which is defined as the purposeful or willful intent to cause"bodily injury"or"personal and advertising injury",or caused in whole or in part by their intoxication by liquor or controlled substances The coverage provided by provision J.is excess over any other valid and collectable insurance available to your"employee". K. NEWLY FORMED OR ADDITIONALLY ACQUIRED ENTITIES Paragraph 3. of Section II-Who Is An Insured is replaced by the following: 3. Any organization you newly acquire or form and over which you maintain ownership or majority interest,will qualify as a Named Insured if there is no other similar insurance available to that organization However: a. Coverage under this provision is afforded only until the expiration of the policy period in which the entity was acquired or formed by you; b. Coverage A does not apply to "bodily injury"or"property damage"that occurred before you acquired or formed the organization;and C. Coverage B does not apply to"personal and advertising injury"arising out of an offense committed before you acquired or formed the organization d. Records and descriptions of operations must be maintained by the first Named Insured. No person or organization is an insured with respect to the conduct of any current or past partnership, joint venture or limited liability company that is not shown as a Named Insured in the Declarations or qualifies as an insured under this provision. 02010 Liberty Mutual Insurance Company. All rights reserved. https://www silverplume.com/sponUne/spsage.asp?cmd=doc&id=RC4173&rd=1606037... 10/13/2010 t CG 88 1010 09 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 6 of 7 https://www.silverpl ame.com/sponline/spsage.asp?cmd=doc&id=RC4173&rd=l 606037... 10/13/2010 L FAILURE TO DISCLOSE HAZARDS AND PRIOR OCCURRENCES Under Section IV—Commercial General Liability Conditions,the following Is added to Condition 6. Representations Your failure to disclose all hazards or prior"occurrences"existing as of the inception date of the policy shall not prejudice the coverage afforded by this policy provided such failure to disclose all hazards or prior"occurrences"is not intentional M. KNOWLEDGE OF OCCURRENCE,OFFENSE,CLAIM OR SUIT Under Section IV—Commercial General Liability Conditions,the following is added to Condition 2. Duties In The Event of Occurrence, Offense,Claim Or Suit Knowledge of an"occurrence", offense, claim or"suit" by an agent,servant or"employee"of any insured shall not in itself constitute knowledge of the insured unless an insured listed under Paragraph 1. of Section II—Who Is An Insured or a person who has been designated by them to receive reports of"occurrences",offenses, claims or"suits" shall have received such notice from the agent, servant or"employee". N. LIBERALIZATION CLAUSE If we revise this Commercial General Liability Extension Endorsement to provide more coverage without additional premium charge,your policy will automatically provide the coverage as of the day the revision is effective in your state O. BODILY INJURY REDEFINED Under Section V—Definitions, Definition 3.is replaced by the following: 3. "Bodily Injury" means physical injury, sickness or disease sustained by a person This includes mental anguish, mental injury, shock,fright or death that results from such physical injury, sickness or disease. P. EXTENDED PROPERTY DAMAGE Exclusion a.of COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY is replaced by the following. a. Expected Or Intended Injury "Bodily injury"or"property damage"expected or intended from the standpoint of the insured This exclusion does not apply to "bodily injury"or"property damage" resulting from the use of reasonable force to protect persons or property Q. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US—WHEN REQUIRED IN A CONTRACT OR AGREEMENT WITH YOU Under Section IV—Commercial General Liability Conditions,the following is added to Condition 8. Transfer Of Rights Of Recovery Against Others To Us. We waive any right of recovery we may have against a person or organization because of payments we make for injury or damage arising out of your ongoing operations or"your work"done under a contract with that person or organization and included in the"products-completed operations hazard"provided 1. You and that person or organization have agreed in writing in a contract or agreement that you waive such rights against that person or organization,and 2. The injury or damage occurs subsequent to the execution of the written contract or written agreement. 02010 Liberty Mutual Insurance Company. Al rights reserved. CG 88 10 10 09 Includes copyrighted material of Insurance Services Office,Inc,with its permission. Page 7 of 7 https://www.silverplume.com/sponline/spsage.asp?cmd=doc&id=RC4173&rd=l 606037... 10/13/2010 Wertafore, Inc. @2010 Vertafore, Inc.All Rights Reserved. hi#ps.//www.silverplume.com/sponline/spsage.asp?cmd= oc&id=RC4173&rd=1606037... 10/13/2010 f 1 CERTIFICATE OF LIABILITY INSURANCE American Family Insurance Company ❑ American Family Mutual Insurance Company if selection box is not checked 6000 American Pky Madison,Wisconsin 53783-0001 Insured's Name and Address Agent's Name,Address and Phone Number(Agt/Dist) Foreverlawn Of Puget Sound Llc Lisa Seavey (360)705-0200 3324 75th Ave SE 8825 Tallon Ln NE Ste#D Olympia,WA 98501 Lacey,WA 98516 (031/354) This certificate is issued as a matter of information only and confers no rights upon the Certificate Holder This certificate does not amend,extend or alter the coverage afforded by the policies listed below COVERAGES This is to certify that 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 contractor other document with respect to which this certificate maybe issued or may pertain,the insurance afforded by the policies described harem Is subject to all the terms exclusions and conditions of such policies POLIC DATE I TYPE OF INSURANCE POLICY NUMBER EFFECTIVE EXPIRATION LIMITS OF LIABILITY Mo Day Yr Mo Day,Yr Homeowners/ Bodily Injury and Property Damage Mobilehomeowners Liability Each Occurrence $ ,000 Boatowners Liability Bodily Injury and Property Damage Each Occurrence $ ,000 Personal Umbrella Liability Bodily Injury and Property Damage Each Occurrence $ '000 Farm Liability&Personal Liability Farm/RanchLiability EachOccpwence $ '000 Farm Employer s Liability Each Occurrence $ QQQ Workers Compensation and statutory Employers Liability t Each Accident $ '000 Disease-Each Employee $ ,000 y Disease-Policy Limit $ ,000 General Liability General Aggregate $ 000 ❑ Commercial General Products-Completed operators Aggregate $ '000 Liability(occurrence) Personal and Advertising Injury $ .000 ❑ Each Occurrence $ '000 ❑ Damage to Premises Rented to You $ 000 Medical Expense(Any One Person) $ 000 Businessowners Liability Each Occurrencet t $ '000 Aggregalett $ ,000 Liquor Liability Common Cause Limit $ '000 Aggregate Limit $ ,000 Automobile Liability Bodily Injury-Each Person $ 1,000 1000 ❑ Any Auto ❑ All Owned Autos BodilyInjury-EachAccidenl $ 1,000 ,000 ® Scheduled Autos 46-X10691-01-00 11/12/2010 11/12/2011 Property Damage $ 1,000 ,000 m Hired Auto ® Nonowned Autos ❑ Bodily Injury and Property Damage Combined $ '000 Excess Liability ❑ Commercial Blanket Excess Each Occurrence/Aggregate $ 000 Other(Miscellaneous Coveraoes) DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES I RESTRICTIONS SPECIAL ITEMS t The individual or partners shorn as insured ❑Have El Have not elected to be covered as employees under this policy ttProducts-Completed Operators aggregate is equal to each occurrence limit and is included in policy aggregate CERTIFICATE HOLDER'S NAME AND ADDRESS CANCELLATION 10 Should any of the above described policies be cancelled before the City of Kent expiration date thereof,the company will endeavor to mail`( 30 days) 220 4th Avenue S written notice to the Certificate Holder named, but failure to mail such Kent,WA 98032 notice shall impose no obligation or liability of any kind upon the company, its agents or representatives *10 days unless different number of days shown ❑This certifies coverage on the date of issue only The above described policies are subject to cancellation in conformity with their terms and by the laws of the state of issue DATE ISSUED AUTHORIZED REPRESENTATIVE 6/7/2011 April Yundt U•201 Ed 5100 Stock No 06668 Rev 7102 ; ti Page 1 of l State of Washington Department of Labor & Industries Prevailing Wage Section - Telephone 360-902-5335 PO Box 44540, Olympia, WA 98504-4540 Washington State Prevailing Wage The PREVAILING WAGES listed here include both the hourly wage rate and the hourly rate of fringe benefits. On public works projects, worker's wage and benefit rates must add to not less than this total. A brief description of overtime calculation requirements are provided on the Benefit Code Key. Journey Level Prevailing Wage Rates for the Effective Date: 5/5/2011 County Trade Job Classification Wage I Holiday 10vertime Note King Playground 8t Park Equipment Journey Level $8.67 1 Installers I G https://fortress.wa.gov/lni/wagelookup/prvWagelookup.aspx 5/5/2011 REQUEST FOR MAYOR'S SIGNATURE • Please fill in all applicable boxes KENT Routing Information (ALL REQUESTS MUST FIRST BE ROUTED THROUGH THE LAW DEPARTMENT) , 2. Originator: Brian Levenha en Phone: 5116 1 Date Sent: 5/17/2011 45 / C< -fit Date Required: 5/23/2011 Return Signed Document to: Ton Donati CONTRACT TERMINATION DATE: NA VENDOR NAME: Northwest Playground DATE OF COUNCIL APPROVAL: NA Brief Explanation of Document: This is a contract to install forever lawn playground safety surfacing as part of the Lake Meridian Playground Expansion Project. The artificial turf play surfacing will cover a sloped area between the two play levels. This surfacing allowed the play area to have two levels without building retaining walls and having railings. It will also be more aesthetically pleasing and enhance the play experience for the children using the play area. The artificial turf has a layer of padding underneath that protects kids if they fall. This was one of the features that wouldn't have been possible without the King County Youth Sports Facilities grant. It is being purchased off the KCDA purchasing contract and is under $25,000 so it does not need to go to council. C'2-2, All Contracts Must Be Routed Through The Law Department (� (This area to be completed by the Law Department) Received Approval of Law Dept Law Dept Comments MAY Z 4 2011 " t 1-)IZP Date Forwarded to Mayors t t Shaded Areas To Be Completed By Adminrstratio ff Received: 7 Recommendations and Comments: 1 Disposition: L 71-37tj7 Date Returned