HomeMy WebLinkAboutPW12-017 - Original - G C Systems, Inc. - 2012 Inspection and Valve Rebuild - 02/21/2012 Records M -1 g-
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KENT Document
wnsHINGTON
CONTRACT COVER SHEET
This is to be completed by the Contract Manager prior to submission
to City Clerks Office. All portions are to be completed.
If you have questions, please contact City Clerk's Office.
Vendor Name: GC Systems, Inc.
Vendor Number:
JD Edwards Number
Contract Number: pw u-" 0 ) 7
This is assigned by City Clerk's Office
Project Name: 2012 Inspection and Valve Rebuild
Description: ❑ Interlocal Agreement ❑ Change Order ❑ Amendment ® Contract
❑ Other:
Contract Effective Date: 2/21/12Termination Date: 4/30/12
Contract Renewal Notice (Days):
Number of days required notice for termination or renewal or amendment
Contract Manager: Kevin Swlnford Department: PW Operations
r
Detail: (i.e. address, location, parcel number, tax id, etc.):
Inspect and rebuild 23 pressure reducing valves within the City's water distribution
system for 2012.
S.Publlc\RecordsManagement\Forms\ContractCover\adcc7832 1 11/08
' 1 1
�•� KE O T
WASHING70H
PUBLIC WORKS AGREEMENT
between City of Kent and
G C Systems, Inc.
THIS AGREEMENT is made by and between the City of Kent, a Washington municipal
corporation (hereinafter the "City"), and G C Systems, Inc. organized under the laws of the
State of Washington, located and doing business at PO Box 848, Puyallup, WA 98390, Phone:
(800) 525-9425/Fax: (253) 939-3474, Contact: Carolyn Wells (hereinafter the "Contractor").
AGREEMENT E
The parties agree as follows: a
I. DESCRIPTION OF WORK.
Contractor shall perform the following services for the City in accordance with the
following described plans and/or specifications:
The Contractor shall inspect and rebuild 23 pressure reducing valves within the
City's water distribution system for 2012. For a description and locations, see the
proposal which is attached as Exhibit A and incorporated by this reference.
i
Contractor further represents that the services furnished under this Agreement will be
performed in accordance with generally accepted professional practices within the Puget Sound i
region in effect at the time such services are performed.
II. TIME OF COMPLETION. The parties agree that work will begin on the tasks 1
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 April
30, 2012.
III. COMPENSATION. The City shall pay the Contractor a total amount not to exceed
Twenty Two Thousand, Fifty Six Dollars and fifty nine cents ($22,056.59), including any
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)
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$1OK, under$35K, and No Performance Bond)
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$1OK, under$35K, and No Performance Bond)
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$1OK, under$35K, and No Performance Bond)
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$1OK, under$35K, and No Performance Bond)
I. Counterparts. This Agreement may be executed in any number of counterparts,
II constitute an original, and all of which will to
each of which shall ether constitute this one 9
Agreement.
IN WITNESS, the parties below execute this Agreement, which shall become
effective on the last date entered below.
CONTRACTOR: CITY OF KENT:
7
By. / By:
(s/ nature) (signature)
Print N Pri Na e(Suzette Cooke
Its pr�,r .gs I Ma or
(h !e)
DATE: Cl/ 2 DATE: i
NOTICES TO BE SENT TO: NOTICES TO BE SENT TO:
CONTRACTOR: CITY OF KENT:
Carolyn Wells Timothy J. LaPorte, P.E.
G C Systems, Inc. City of Kent
PO Box 848 220 Fourth Avenue South
Puyallup, WA 98390 Kent, WA 98032
(800) 525-9425 (telephone) (253) 856-5500 (telephone)
(253) 939-3474 (facsimile) (253) 856-6500 (facsimile)
APPROVED AS TO FORM:
Kent Law Department
GC Systems-2012 Valve Rebuild/Swmtord
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 � day of , 20 / !
By:
For: G C ysrle M )G.
Title:
Date:
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 GC Systems, Inc. Company, hereby
acknowledge and declare that the before-mentioned company was the prime contractor for the
Agreement known as Inspect and Rebuild Valves for 2012 that was entered into on the
February 21. 2012, 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 `io , 20142— .
By:
For:
Title: �ie
Date: f
r
EEO COMPLIANCE DOCUMENTS - 1
G C SYSTEMS, INC.
P.O. BOX 848 PUYALLUP, WA. 98390
800-525-9425
January 4, 2012
City of Kent
220 South 4th Street
Kent, Wa 98032
Attn Mr. Kevin Swinford
Re. Proposal for 2012 Valve Rebuild
Dear Mr. Swinford-
According to our record you have twenty three valves that are due to be rebuilt
this year The cost for the rebuild of these valves per the enclosed list will be
$22,056 59 including tax This rebuild consists of the cleaning of the main valve
and pilot controls and the replacement of the rubber parts. If any metal parts in
the valves or pilot controls require replacement they will be billed over and above
this quoted price.
The city shall supply all equipment, additional personnel, and complete any
documentation required to meet OSHA regulations for confined space entry as
well as supplying any traffic revisions which may be necessary for work in public
right-of-ways
Please let me know if you want to schedule this rebuild or if you have any
questions Kevin Thank you
Yours Truly,
Carolyn Wells
GC Systems, Inc.
Attachment
{
CITY OF KENT 2012 VALVE REBUILD
125,000 GALLON TANK
1 - 10" 21 OG-47AB (CDS6)
GARRISON CREEK PUMP STATION
1 - 4" 136EG-03YBCS
1 - 6" 43EG-01YB
3.5 MILLION TANK
1 - 12" 21OG-47AB
SEATTLE STREET PRV STATION (New 2007)
1 - 2" 9OG-01 AS
1 - 6" 90G-01 BY
1 - 3" 50A-01 B
REITH ROAD TANK
1 - 12" 21 OG-16AB
42ND AVENUE PRV STATION
1 - 6" 9OG-01AB
PUMP STATION #8
1 - 2" 58EG-01
NORTH EAST AREA
WATER TREATMENT PLANT
1 - 3" 640-01ACS
1 - 4" 50A-01 B
a
i
PAGE 2
212TH WELL#1
1 - 6" 61 A-21 B
1 - 10" 51G-01B/131-01YBCSD I
y
212TH WELL#2
1 - 4" 61 A-21 B
1 - 8" 51 G-01 B
212TH WELL#3
1 - 6" 61 A-21 B
M
1 - 10" 50G-13BD
KENT TACOMA INTERTIE POD #1
1 - 12" 693EG-56ABSKC
1 - 12" 631G-01ABCSKC
1 - 4" 50G-01 BKC
KENT TACOMA INTERTIE POS #3
1 - 16" 131 G-43BCSYKOX
1 - 16" 92G-01BCSKO
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.
2. 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.
3. 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
it 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.
s '
° Client#: 73747 GCSYSTEM2
ACORDra CERTIFICATE OF LIABILITY INSURANCE D110612012'
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the pohcy(ies)must be endorsed,If SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the
certificate holder In lieu of such endorsement(s)
PRODUCER NAMEAcT Sandy Kuiseth _ _
Propel Insurance PHONE 360 252 2368 uc Nc 360 754 7537
N E:t
Olympia Commercial Insurance ADDRESS sjk@propelinsurance.com
P.O.Box 2007 GCSYSTEM2
Olympia,WA 98507 CUSTOMER IDS
INSURER(S)AFFORDING COVERAGE NAIC$
INSURED INSURER West American Insurance Company 44393
G C Systems Inc INSURER B Ohio Casualty Insurance Company
Inter Ave Business Park
INSURER C
P.O.Box 848 INSURER
Sumner,WA 98390-0150
_INSURER E
INSURER F
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
TYPE OF INSURANCE HAIL pOLICYNUMBER MW0DIYYYY) (MMIDDYYYYI LIMITS
A GENERAL LIABILITY x BKW52962081 6101/2011 0610112012 EACH OCCURRENCE $100D000
X COMMERCIAL GENERAL LIABILITY PREM'SES(6aoccurrencs $IUD000
CLAIMS-MADE a OCCUR MED EXP(Any one person) $10,000
X PD Ded.500 PERSONAL SADV INJURY $1,000,000
GENERAL AGGREGATE $2,000,000
GENLAGGREGATE LIMIT APPLIES PER PRODUCTS-COMPlOPAGG $2,00,000
POLICY51
PRO- L� SJFnT _-
B AUTOMOBILE LIABILITY BA052962081 6/01/2011 0610112012 COMBINED SINGLE LIMIT
'Ea aocldent) $100D000
X ANY AUTO
BODILY MIJURY(Per person) $
_ ALL OWNED AUTOS
BODILY INJURY(Per accident) $
SCHEDULED AUTOS PROPERTY DAMAGE
X HIRED AUTOS (
Per ac<atlent) $
X NON-OJJNED AUTOS _
B X UMBRELLA LIAR OCCUR US052962081 6/01/2011 0610112012 EACH OCCURRENCE s1 000 000
EXCESS LIAB CLAIMS-MADE AGGREGATE $10000DD
DEDUCTIBLE $
X RETENTION S 10000 s
WORKERS COMPENSATION BKW52962081 6/01/2011 06/01/201 WC STATu• orH-
AND EMPLOYERS'LIABILITY
A ANY PROPRIETORIPARTNERIEXECUTNEYJN WA STOP GAP EL EACH ACCIDENT $1,DDD>DDD
OFFR-FR+MEMBER EXCLUDED9 O NIA
(Mandatory m NH) EL DISEASE-EA EMPLOYEE $1,UUDr000
h yes
PoPTIPTK)ba under EL DISEASE POLICY LIMIT $1,000,000
DESCN OF OPERATIONS below
DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,Hfoore space isregovod)
Re:On going work performed by Insured
CERTIFICATE HOLDER CANCELLATION
City of Kent SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
Attn:Kevin Swinford ACCORDANCE WITH THE POLICY PROVISIONS
220 So 4th Street
Kent,WA 98032 AUTHORIZED REPRESENTATIVE/)
01988-2009 ACORD CORPORATION.All rights reserved
ACORD 25(2009100) 1 of 1 The ACORD name and logo are registered marks of ACORD
#S838936/M686994 JB00
4
G C Systems Inc
BKW52962081 COMMERCIAL GENERAL LIABILITY
CG 88 10 10 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
UBJECT 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" 6
WHO IS AN INSURED-INCIDENTIAL MEDICAL ERRORSIMALPRACTICE AND WHO IS AN
INSURED-FELLOW EMPLOYEE EXTENSION-MANAGEMENT EMPLOYEES 6
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- $
WHEN REQUIRED IN A CONTRACT OR AGREEMENT WITH YOU
02010 Liberty Mutual insurance Company.All rights reserved.
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BKW52962081
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 I - Coverage A- Bodily injury And Property Damage Liability, f
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 j
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-OMINED 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 fora charge.
C. PROPERTY DAMAGE LIABILITY-ELEVATORS
1. Under Paragraph 2. Exclusions of Section I-Coverage A- Bodily injury And Property Damage Liabil-
ity, 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 basis
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 follow-
ing:
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
(ii) 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 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.
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BKW52962081
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 111-Limits Of Insurance.
2. Paragraph B.under Section III-Limits Of Insurance is replaced by the following:
B. Subject to Paragraph 5, above, the Damage To Premises Rented To You Limit is the most we will
pay under Coverage Afar 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 sys-
tems;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.
9.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 temporarily
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$3,0110 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 If - 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 "per-
sonal and advertising injury" is committed, subsequent to the signing of such written contract or
written agreement; or
02010 Liberty Mutual Insurance Company.All rights reserved.
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BKW52962081
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 ad-
vertising injury"arising out of the operations performed for the state or political subdivision; i
(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 expo-
sures; 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 written contract or written agreement with you for such
premises or facilities ends.
With respects to Paragraph i.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 Condi-
tions.
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.
c. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the render-
ing of, or the failure to render, any professional architecture[, engineering or surveying services,t
Including:
02010 liberty Mutual Insurance Company.All rights reserved.
CG 88 10 10 09 Includes copyrighted material or Insurance Services Oiflce,inc.,with Its permission. Page 4 of 7
• I
BKW52962081 '
(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 is-
sued 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 amend-
ed 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.
1 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 addi-
tional 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.
I. 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 Pert.
02010 Liberty Mutual Insurance Company.All rights reserved. p
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a
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BKV92962081
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 f MALPRACTICE
WHO IS AN INSURED-FELLOW EMPLOYEE EXTENSION-MANAGEMENT EMPLOYEES
Paragraph 2.a.(1) of Section If-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 area 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 employ-
ment or performing duties related to the conduct of your business, or to your other "volunteer
workers"white 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 fading to provide professional health care services. However,
if you are not In the business of providing professional health care services or providing profes-
sional health care personnel to others, or if coverage for providing professional health care ser-
vices 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 "employ-
ees" 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 intoxica-
tion 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 It-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, wilt 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 farmed 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.
m2010 Liberty Mutual Insurance Company_Ail rights reserved.
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SKW52962081
L. FAILURE TO DISCLOSE HAZARDS AND PRIOR OCCURRENCES
Under Section IV-Commercial General Liability Conditions,the following is added to Condition 6.Repre-
sentations:
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
i
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 It-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
affective In your state.
0. 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, sick-
ness 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.Trans-
fer 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 agree-
ment.
,
02010 Liberty Mutual Insurance Company.All rights reserved.
CG 88 10 10 09 Includes copyrighted material of Insurance Services Office,Inc.,wnh its permission. Page 7 of 7 j
i
E
REQUEST FOR MAYOR'S SIGNATURE
• Please FIII in All Applicable Boxes
KENT This farm n7ust be printed on cherry paper
Routing Information (ALL REQUESTS MUST FIRST BE ROUTED THROUGH THE LAW DEPARTMENT)
Originator Kevin Swinford Phone (Originator) 5613
Date Sent )//3//4 Date Required. )A71h.)
Return Signed Document to Nancy Yoshitake CONTRACT TERMINATION DATE: 4130/12
VENDOR NAME: G C Systems, Inc DATE OF COUNCIL APPROVAL:
Brief Explanation of Document
The attached agreement is for G C Systems to inspect and rebuild 23 pressure reducing valves within the City's water
distribution system For a summary, see the attached prepared by Kevin Swinford
All Contracts Must Be Routed Through the Caw Department
(This Area to be Completed By the Law Department) r
ROI
Received: EIVED
Approval of Law Dept FEB 13 2012 RECEIVED
Law Dept Comments.'F(E1� r�YT p AW DEPT
[�F City Ci KemL
Date Forwarded to Mayor. �� ! �� F t??iCe of the �hovC)
} t
Shaded Areas to Be Completed by Administration Staff
Received: ; '}
Recommendations & Comments: s -
11
-ti7
Disposition- /Z�� �i�Z�' 1 �C�It�C'_E,n
Date Returned. EJ
I
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