HomeMy WebLinkAboutEC11-316 - Original - Kent Downtown Partnership - Downtown Improvement Plan - 12/15/2011 400 !w.�. Records M geme
KENT Document
WASHINGTON
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, N you have questions, please contact City Clerks Office.
Vendor Name: Kent Downtown Partnership Vendor Number: 34231
JD Edwards Number
Contract Number:
This is assigned by Deputy City Clerk
Description: 2012 Kent Downtown Partnership Agreement
Detail:
Project Name:
Contract Effectiv Date: Jan 1 2012 Termination Date: Dec 31, 2012
I
{
Contract Renewal Notice (Days):
Number of days required notice for termination or renewal or amendment
Contract Manager: Kurt Hanson Department: ECD
Abstract:
1
l
S Public\RecordsManagement\Forms\ContractCover\ADCL7832 07/02
3
KENT
Wns..iu clan
CONSULTANT SERVICES AGREEMENT
between the City of Kent and
Kent Downtown
THIS AGREEMENT is made between the City of Kent, a Washington municipal corporation
(hereinafter the "City"), and Kent Downtown DBA Kent Downtown Partnership organized under
the laws of the State of Washington, located and doing business at 202 W. Gowe St., Suite A,
Kent, WA 98032, (253) 813-6976 (hereinafter the "Consultant").
I. DESCRIPTION OF WORK.
Consultant shall perform the following services for the City in accordance with the
following described plans and/or specifications:
Provides services in accordance with Consultant's 2012 Work Plan attached and
incorporated as Exhibit A, which seeks to increase economic development of Kent's i
downtown core. Consultant's services include, assisting the City in developing an
improvement plan for downtown sidewalks, trees, and light posts; encouraging a
developers and businesses to locate in downtown Kent; and publishing
advertisements inviting consumers to visit downtown Kent."
Consultant further represents that the services furnished under this Agreement will be
performed in accordance with generally accepted professional practices within the Puget Sound
region in effect at the time those services are performed.
II. TIME OF COMPLETION. The parties agree that work will begin on the tasks
described in Section I above immediately upon the effective date of this Agreement. Upon the
effective date of this Agreement, Consultant shall complete the work described in Section I by
December 31, 2012.
III. COMPENSATION.
A. The City shall pay the Consultant, based on time and materials, an amount not to
exceed $33,600.00 for the services described in this Agreement. This is the
maximum amount to be paid under this Agreement for the work described in
Section I above, and shall not be exceeded without the prior written authorization
of the City in the form of a negotiated and executed amendment to this agreement.
The Consultant agrees that the hourly or flat rate charged by it for its services
contracted for herein shall remain locked at the negotiated rate(s) for a period of
one (1) year from the effective date of this Agreement. The Consultant's billing
rates shall be as delineated in Exhibit A.
B. The Consultant shall submit monthly payment invoices to the City for work
performed, and a final bill upon completion of all services described in this
CONSULTANT SERVICES AGREEMENT - 1
(Over$10,000)
Agreement. The City shall provide payment within forty-five (45) days of receipt of
an invoice. If the City objects to all or any portion of an invoice, it shall notify the
Consultant and reserves the option to only pay that portion of the invoice not in
dispute In that event, the parties will immediately make every effort to settle the
disputed portion.
IV. INDEPENDENT CONTRACTOR. The parties intend that an Independent
Contractor-Employer Relationship will be created by this Agreement. By their execution of this
Agreement, and in accordance with Ch. 51.08 RCW, the parties make the following
representations:
A. The Consultant has the ability to control and direct the performance and
details of its work, the City being interested only in the results obtained
under this Agreement.
B. The Consultant maintains and pays for its own place of business from which
Consultant's services under this Agreement will be performed.
C. The Consultant has an established and independent business that is eligible
for a business deduction for federal income tax purposes that existed before
the City retained Consultant's services, or the Consultant is engaged in an
independently established trade, occupation, profession, or business of the
same nature as that involved under this Agreement.
D. The Consultant is responsible for filing as they become due all necessary tax
documents with appropriate federal and state agencies, including the Internal
Revenue Service and the state Department of Revenue.
E. The Consultant has registered its business and established an account with
the state Department of Revenue and other state agencies as may be
required by Consultant's business, and has obtained a Unified Business
Identifier (UBI) number from the State of Washington.
F. The Consultant maintains a set of books dedicated to the expenses and
earnings of its business.
V. TERMINATION. Either party may terminate this Agreement, with or without
cause, upon providing the other party thirty (30) days written notice at its address set forth on
the signature block of this Agreement. After termination, the City may take possession of all
records and data within the Consultant's possession pertaining to this project, which may be
used by the City without restriction. If the City's use of Consultant's records or data is not
related to this project, it shall be without liability or legal exposure to the Consultant.
VI. DISCRIMINATION. In the hiring of employees for the performance of work under
this Agreement or any subcontract, the Consultant, its subcontractors, or any person acting on
behalf of the Consultant or subcontractor shall not, by reason of race, religion, color, sex, age,
sexual orientation, national origin, or the presence of any sensory, mental, or physical disability,
discriminate against any person who is qualified and available to perform the work to which the
employment relates. Consultant shall execute the attached City of Kent Equal Employment
Opportunity Policy Declaration, Comply with City Administrative Policy 1.2, and upon completion
of the contract work, file the attached Compliance Statement.
CONSULTANT SERVICES AGREEMENT - 2
(Over$10,000)
VII. INDEMNIFICATION. Consultant shall defend, indemnify and hold the City, its
• officers, officials, employees, agents and volunteers harmless from any and all claims, injuries,
damages, losses or suits, including all legal costs and attorney fees, arising out of or in
connection with the Consultant's performance of this Agreement, except for that portion of the
injuries and damages caused by the City's negligence.
The City's inspection or acceptance of any of Consultant's work when completed shall not
be grounds to avoid any of these covenants of indemnification.
Should a court of competent jurisdiction determine that this Agreement is subject to RCW
4.24.115, then, in the event of liability for damages arising out of bodily injury to persons or
damages to property caused by or resulting from the concurrent negligence of the Consultant
and the City, its officers, officials, employees, agents and volunteers, the Consultant's liability
hereunder shall be only to the extent of the Consultant's negligence.
IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THE
INDEMNIFICATION PROVIDED HEREIN CONSTITUTES THE CONSULTANT'S WAIVER OF
IMMUNITY UNDER INDUSTRIAL INSURANCE, TITLE 51 RCW, SOLELY FOR THE PURPOSES OF
THIS INDEMNIFICATION. THE PARTIES FURTHER ACKNOWLEDGE THAT THEY HAVE MUTUALLY
NEGOTIATED THIS WAIVER.
The provisions of this section shall survive the expiration or termination of this
Agreement.
VIII. INSURANCE. The Consultant shall procure and maintain for the duration of the
Agreement, insurance of the types and in the amounts described in Exhibit B attached and
incorporated by this reference.
IX. EXCHANGE OF INFORMATION. The City will provide its best efforts to provide
reasonable accuracy of any information supplied by it to Consultant for the purpose of
completion of the work under this Agreement.
X. OWNERSHIP AND USE OF RECORDS AND DOCUMENTS. Original documents,
drawings, designs, reports, or any other records developed or created under this Agreement
shall belong to and become the property of the City. All records submitted by the City to the
Consultant will be safeguarded by the Consultant. Consultant shall make such data, documents,
and files available to the City upon the City's request. The City's use or reuse of any of the
documents, data and files created by Consultant for this project by anyone other than
Consultant on any other project shall be without liability or legal exposure to Consultant.
XI. CITY'S RIGHT OF INSPECTION. Even though Consultant is an independent
contractor with the authority to control and direct the performance and details of the work
authorized under this Agreement, the work must meet the approval of the City and shall be
subject to the City's general right of inspection to secure satisfactory completion.
XII. WORK PERFORMED AT CONSULTANT'S RISK. Consultant shall take all
necessary precautions and shall be responsible for the safety of its employees, agents, and
subcontractors in the performance of the contract work and shall utilize all protection necessary
for that purpose. All work shall be done at Consultant's own risk, and Consultant shall be
responsible for any loss of or damage to materials, tools, or other articles used or held for use in
connection with the work.
CONSULTANT SERVICES AGREEMENT - 3
(Over$10,000)
f
XIII. MISCELLANEOUS PROVISIONS.
A. Recyclable Materials. Pursuant to Chapter 3 80 of the Kent City Code, the City
requires its contractors and consultants to use recycled and recyclable products whenever
practicable. A price preference may be available for any designated recycled product.
t
B. Non-Waiver of Breach. The failure of the City to insist upon strict performance of
any of the covenants and agreements contained in this Agreement, or to exercise any option
conferred by this Agreement in one or more instances shall not be construed to be a waiver or
relinquishment of those covenants, agreements or options, and the same shall be and remain in
full force and effect.
C. Resolution of Disputes and Governing Law. This Agreement shall be governed by
and construed in accordance with the laws of the State of Washington. If the parties are unable
to settle any dispute, difference or claim arising from the parties' performance of this
Agreement, the exclusive means of resolving that dispute, difference or claim, shall only be by
filing suit exclusively under the venue, rules and jurisdiction of the King County Superior Court,
King County, Washington, unless the parties agree in writing to an alternative dispute resolution
process. In any claim or lawsuit for damages arising from the parties' performance of this
Agreement, each party shall pay all its legal costs and attorney's fees incurred in defending or
bringing such claim or lawsuit, including all appeals, in addition to any other recovery or award
provided by law; provided, however, nothing in this paragraph shall be construed to limit the
City's right to indemnification under Section VII of this Agreement.
D. Written Notice. All communications regarding this Agreement shall be sent to the
parties at the addresses listed on the signature page of the Agreement, unless notified to the
contrary. Any written notice hereunder shall become effective three (3) business days after the
date of mailing by registered or certified mail, and shall be deemed sufficiently given if sent to
the addressee at the address stated in this Agreement or such other address as may be
hereafter specified in writing.
E. Assignment. Any assignment of this Agreement by either party without the written
consent of the non-assigning party shall be void. If the non-assigning party gives its consent to
any assignment, the terms of this Agreement shall continue in full force and effect and no
further assignment shall be made without additional written consent.
F. Modification. No waiver, alteration, or modification of any of the provisions of this
Agreement shall be binding unless in writing and signed by a duly authorized representative of
the City and Consultant.
G. Entire Agreement. The written provisions and terms of this Agreement, together
with any Exhibits attached hereto, shall supersede all prior verbal statements of any officer or
other representative of the City, and such statements shall not be effective or be construed as
entering into or forming a part of or altering in any manner this Agreement. All of the above
documents are hereby made a part of this Agreement. However, should any language in any of
the Exhibits to this Agreement conflict with any language contained in this Agreement, the terms
of this Agreement shall prevail.
H. Compliance with Laws. The Consultant agrees to comply with all federal, state, and
municipal laws, rules, and regulations that are now effective or in the future become applicable
to Consultant's business, equipment, and personnel engaged in operations covered by this
Agreement or accruing out of the performance of those operations.
CONSULTANT SERVICES AGREEMENT - 4
(Over$10,000)
r
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.
5
IN WITNESS, the parties below execute this Agreement, which shall become
effective on the last date entered below.
CONSULTANT: CITY OF KENT:
C 11"-2 z
By: N /J _ By.
4
(signature) (signature)
Print Name: ,?. --5 Prin N m • Suzette Cooke
Its r, Its Mayor
(title) (�� f
DATE: /�� DATE:
NOTICES TO BE SENT TO: NOTICES TO BE SENT TO:
CONSULTANT: CITY OF KENT:
Barbara Smith Executive Director Kurt Hanson, Manager
Kent Downtown Economic & Community Development Dept.
202 W. Gowe St., Suite A City of Kent
Kent, WA 98032 220 Fourth Avenue South
Kent, WA 98032
(253) 813-6976 (telephone)
(253) 520-0206 (facsimile) (253) 856-5706 (telephone)
(253) 856-6454 (facsimile)
APPROVED AS TO F
f
kept'
Law Dep ment
(in this field,you may eater the elet nk filepeth where the cantrad has been S Yedj k6
P
t
CONSULTANT SERVICES AGREEMENT - 5
(Over$10,000)
�9
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 120
By:
Fo r:
Title:
Date:
EEO COMPLIANCE DOCUMENTS - 3
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.
I
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 L� A° ,L)Ad!i1t Se CC that was entered
into on the
(date), between the irm 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.
i
Dated this day of ! 20 If
By.
For:
Title: CA
Date: l -1 .7 11
. i
1
EEO COMPLIANCE DOCUMENTS - 3
EXHIBIT A
Kent Downtown Partnership's
2012 Work Plan
Billing Requirements: Kent Downtown Partnership will bill on a monthly basis for
$2800; total annual contract is$33,600
Executive Director: Barbara J. Smith
Organizational Statement- The Kent Downtown Partnership serves as a partner between
businesses, property owners, residents and the city to strengthen and develop a vibrant
downtown Kent through its organization, design, promotion and economic development.
Organizational
1. Raise $133,000 through Business & Occupation Tax Incentive Program
2. Create sponsorship levels for B&O businesses to maximize their exposure
3. Convince pioneers of Kent with patient money to invest in downtown
4. Define strong brand for downtown with retail focus
5. Focus on just one block to demonstrate results of participating in B&O program
6. Continue work on developing gathering places
7. Create a good first impression of downtown; such as gateways
8 Research our wayfindmg system in downtown
9. Create "good" first impressions of downtown
10 Develop blade signage downtown; good signage equals more money
11. Invest heavily in beautification of downtown
12. Continue with and create new activities and entertainment downtown
13. Deliver on promise stated in our marketing
14. Develop new website
15. Develop a written plan to accomplish these goals
Business & Occupation Committee
1. Raise$133,000 before year end of 2012
2. Promote sponsorship levels to B&O businesses to encourage involvement
3. Reach out beyond downtown Kent for partners in the B&O program
Design Committee
1 Schedule Downtown Clean-Up Day; May 19, 2012
2. Continue work on Dragonfly Project
3. Continue work with the City for improved gateways into downtown
4. Quiet zone in downtown; continue work with KDP Economic Comm. on this
5. Continue with Fapade Improvement Grants; offered one in 2011
6. Select 2012 Design Award winners
7. Continue work with city to place planters throughout downtown; awarded $1100
grant to purchase planters
8. Continue work with the city to place 4 benches we are purchasing for downtown
1
9. Continue efforts to lease/own BNSF train depot building; secure a location to
move it to, raise funds to achieve this
10. Redevelop the pocket park between First Avenue and the alley of Gowe
Economic Development Committee
1. Develop strategy for bringing Roger Brook's of Destination Development back
and to move forward with the Opportunity Assessment in downtown Kent; find
financial partners to make this happen
2. Host a Broker's Open event
3. Continue with updates to Regional Justice Ctr. Kiosk
4. Continue work with property owners to improve their buildings/storefronts
5. Continue providing educational opportunities for businesses
6. Create opportunities for property owners to cover vacant windows with wraps
7. Promote that downtown Kent has"free parking"
8. Continue creating opportunities with ShoWare and our businesses to cross market
9. Continue partnering with City, Chamber, Kent Station and other organizations
that help us to promote and revitalize our downtown
10. Continue work on creating outdoor seating
11. Continue work on blade signage in downtown
12. Support our shop local campaign; Find It in Kent
13. Create funding for continuing our efforts in"lighting up downtown"
14 Select award winners for Best Restaurant, Best Retail, Best Service, and Best
Professional business
15. Continue to support our sports teams and activities
16. Continue our effort to bring more residential in downtown Kent
17. Continue to work on bringing a grocery store to downtown Kent
18. Continue work with County to place a brochure rack at the Sounder Garage
Membership Committee
1. Recruit more volunteers to the Membership Committee
2. Work with Board to become more engaged in recruiting new members
3. Review monthly financial reports that tell us who is 30/60/90 days overdue in
payment of their membership fees; act on it
4. Make appointments with new members, face-to-face "
5. Host annual picnic in July 2012 this year f
6. Continue to grow membership by 20% & retain members
7. Continue to develop tools to increase value of membership
Promotions Committee
i
1 Host car show in August
2. Host our annual dinner/auction fundraiser i
3. Host Wine Women & Wow, change date
4. Support Kent Lion's with Winterfest in December
5. Host Small Business Day in November
6. Host an Amazing Race
7. Work with King County Library to continue"book cover poster"project
2
8. Work with City of Kent on Spring into Art
9. Host no less than 3 Downtown Breakfast Hours
Administrative Staff
1. Create photo album of each event online/website
2 Create KDP QR code; Website & Facebook
3. Find grants for the various projects KDP is working on
4. Put a video on website to promote downtown and educational programs for
members
5. Identify with Board top 6 income producing activities to focus on this year
6. Put annual report in newsletter and present to City Council
7. Present an update to city council; two times annually
8. Tell everyone what KDP is accomplishing through newsletter, Facebook, etc.
9. Be sure service clubs are linked to KDP website
10. Keep website updated timely ;
11. Increase membership, retain members
12. Grow B&O contributors
6
i,
3
Old, C'plt
J
1�nt"
DOWNTOWN
PARTNERSHIP
November 15, 2011
City of Kent
Mr. Kurt Hanson
Economic & Community Development Department
220 Fourth Avenue South
Kent, WA 98032
Dear Mr. Hanson:
The Kent Downtown Partnership would like to thank the City of Kent, the Mayor,
City Council and the Economic & Community Development Department for their
continued support of our efforts of revitalizing historical downtown Kent.
This past year has been amazing in what has been accomplished despite the
P Y 9 P P
"downturned economy". By partnering with the City we have been able to
accomplish a lot. KDP is very much aware of the importance of the financial
support shown KDP as well as the time commitment from your departments.
I have submitted the new contract for the 2012 year. Should you have any
questions, please do not hesitate to let me know. You can reach me at 253-813-
6976 or barbaras@kentdowntown.org.
Thank you again for your continued support. We are excited about what we will
all be able to accomplish next year. The downtown is coming alive with new
activity.
Respectfully,
Barbara Smith, Executive Director
202 West Gowe Street,Suite A,Kent,WA 98032 Phone:253-813-6976 - Fax 253-520-0206
KDP@Kentdowntown org Website. www.kentdowntown oro
1i
d
EXHIBIT B
INSURANCE REQUIREMENTS FOR
CONSULTANT SERVICES AGREEMENTS
Insurance
The Consultant shall procure and maintain for the duration of the Agreement, a
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 Consultant, their agents, representatives, employees or
subcontractors.
A. Minimum Scope of Insurance
Consultant 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. The City shall be named as
an Additional Insured under the Consultant'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
Consultant 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.
a
1
EXHIBIT B (Continued)
C. Other Insurance Provisions #
6
The insurance policies are to contain, or be endorsed to contain, the following j
provisions for Automobile Lability and Commercial General Liability
insurance:
1. The Consultant'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 Consultant's
insurance and shall not contribute with it.
2. The Consultant'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 Consultant 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 Consultant'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
Consultant 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 Consultant before commencement of the work.
9
F. Subcontractors
f
Consultant 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 Consultant.
d►c CERTIFICATE OF LIABILITY INSURANCE 7DATE(MM/DD/YYYY)
/28/2011
PRODUCER THIS CERTIFICATE IS ISSUED AS MATTER OF INFORMATION
Douglas L Jones ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
224 W. Meeker St HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Kent, WA 9BC32 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURERA State Farm Fire and Casualty Company 25143 25143
Kent Downtown Partnership
202 W Gowe St Ste A IINSURER
Kent, WA 98032 INSURERC
INSURER D
INSURER E
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING
ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
INSR ADDT POLICYEFFECTIVE POLICY EXPIRATION
LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE MIWDD/YY DATE MMIDDIYY LIMITS
A X GENERAL LIABILITY 98-BM-Q398-5Q 12/15/2011 12/0E/2012 EACH OCCURRENCE $ 2,000,000
DAMAGE REN ED
COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $
CLAIMS MADE FIX-10CCJR MED EXP fAny oneperson) $ 5,000
PERSONAL B ACV INJURY $
GENERAL AGGREGATE $ 4,000,000
GENLA.GGREGATE LIMIT AP RUES PER PRODUCTS-COMR/OPAGG $ 4,COO,OCO
PRO-
POLICV JECT LOC
B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
(Ea accident) $
ANY AUTO a
ALL ON,NEE)AUTOS BODILY INJURY $
SCHEDULED AUTOS (Per person)
HIRED AUTOS BODILY INJURY $
(Per accident) `
NON-OWNED AUTOS
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC S
AUTO ONLY
AGG $
A EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
OCCUR CLAIMS MADE AGGREGATE $ `
$
DEDUCTIBLE $ 1
RETENTION $ $
WORKERS COMPENSATION AND WC STATU- OR
EMPLOYERS'LIABILITY
TOR LIMITS ER
ANY PROPRIETOR'PARTNEREXECUTIVE E L EACH ACCIDENT $
OFFICERMEMBER EXCLUDED?
It yes,descnbe under E L DISEASE-EA EMPLOYEE $
SPECIAL PROVISIONS below EL DISEASE-POLICY LIMIT $
A OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
Clt v of Kent SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
22C 4" Ave S DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
Kent, WA 98032 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
REPRESENTATIVES
AUTHORIZED REPRESENTATIVE
Douglas L Jones
e registration notices In Ica a ownership or ne mars by their respective owners
132849 03-13-2007 All rights reserved
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must be endorsed A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s)
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon
E
ACORD 25(2001108)
REQUEST FOR MAYOR'S SIGNATURE
KENT Please Fill in All Applicable Boxes
WASHINGTO'
Routing Information (ALL REQUESTS MUST FIRST BE ROUTED THROUGH THE LAW DEPARTMENT)
Originator:) �� ( Phone (Originator):
Date Sent- LI
Date Required.
Return Signed Document to CONTRACT TERMINATION DATE: I 7
VENDOR NAME: DATE OF COUNCIL APPROVAL: �� 7
Brief Explanation of Document:
r
All Contracts Must Be Routed Through the Law Departrhent'
(This Aiea to be Completed 6y the Caiv Department)
Received:
Approval of Law Dept.: i
Law Dept. Comments:
DEC 14 2011
Date Forwarded to Mayor: 24
(I 4
I U
Shaded Areas to Be Completed by Administration Staff
Received:
Recommendations & Comments:
Disposition:
Date Returned-
Iaae5870 • 3/05