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PK12-034 - Original - Kent Parks Foundation 2012
r Records Maniz`a`gemer t KENT _ Document W FSMINGTOH 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: Kent Parks Foundation Vendor Number: JD Edwards Number Q Contract Number: 1�r %.t This is assigned by City Clerk's Office Project Name: Kent Parks Foundation 2012 Description: ❑ Interlocal Agreement ❑ Change Order ❑ Amendment ® Contract ❑ Other: Contract Effective Date: 1/1/2012 Termination Date: 12/31/2012 Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Teri Petrole Department: Parks Administration Detail: (i.e. address, location, parcel number, tax id, etc.): I 5•Public\RecordsManagement\Forms\ContractCover\adcc7832 1 11/08 J ' KENT W A 5 M 1 N G T D ry 2012 CONSULTANT SERVICES AGREEMENT between the City of Kent and The Kent Parks Foundation THIS AGREEMENT is made between the City of Kent, a Washington municipal corporation (hereinafter the "City"), and Kent Parks Foundation organized under the laws of the State of Washington, located and doing business at 220 4T" Avenue South, Kent WA 98032, P.O. Box 26, Kent, WA 98035 (253) 856-5099 (hereinafter the "Consultant"). I. DESCRIPTION OF WORK. Consultant shall perform the following services for the City in accordance with the following described plans and/or specifications: Assist with grant submittals, conduct fund-raising efforts, and provide other services as described in the Scope of Services attached and incorporated as Exhibit A. Consultant further represents that the services furnished under this Agreement will be performed in accordance with generally accepted professional practices 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 a flat rate of Twenty-Four Thousand and No/100 Dollars ($24,000.00) 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 supplemental agreement. The Consultant agrees that the hourly or flat rate charged by it for its services contracted for herein shall remain locked at the negotiated rate(s) for a period of one (1) year from the effective date of this Agreement. The Consultant's billing rates shall be as delineated in Exhibit A. B. The Consultant shall submit quarterly payment invoices to the City, accompanied by an activity report which describes the work conducted by Consultant under this Agreement during the previous quarter, and a final bill upon completion of all services described in this Agreement. The quarterly invoices shall be in equal amounts of Six Thousand and No/100 Dollars ($6,000) each. 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 and that 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. 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. 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. 2011 KPF 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. XIII. MISCELLANEOUS PROVISIONS. A. Recyclable Materials. Pursuant to Chapter 3.80 of the Kent City Code, the City requires its contractors and consultants to use recycled and recyclable products whenever practicable. A price preference may be available for any designated recycled product. B. Non-Waiver of Breach. The failure of the City to insist upon strict performance of any of the covenants and agreements contained in this Agreement, or to exercise any option conferred by this Agreement in one or more instances shall not be construed to be a waiver or relinquishment of those covenants, agreements or options, and the same shall be and remain in full force and effect. 2011 KPF 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, 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. 2011 KPF IN WITNESS, the parties below execute this Agreement, which shall become effective on the last date entered below. CONSULTANT: CITY OF KENT: By: ��✓ :OM (siggnatur ) (signature) Print Name: �c ncQTa f�i°c��SpYf Suzette Cooke Its: e��+�VE ;rem r a or (Jit/e) (Title) DATE: ���/ j2 DATE: -9'V y NOTICES TO BE SENT TO: NOTICES TO BE SENT TO: CONSULTANT: CITY OF KENT: I Sandy Pederson Jeff Watling, Director Executive Director Kent Parks, Recreation, and Community Svcs Kent Parks Foundation 220 Fourth Avenue South PO Box 26 Kent, WA 98032 Kent, WA 98035 (253) 856-5100 (telephone) (253) 856-5099 (telephone) (253) 856-6050 (facsimile) APP VED AS TO FOmffi c Kent Law Department 2011 KPF 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 2 7 day of # dl , 20�"L2-. By: �0� For: /k t Parks 'Ow C(,�4,O, Title: 6�XECu�7Ve 6;/-PCAr Date: EEO COMPLIANCE DOCUMENTS - 1 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. i EEO COMPLIANCE DOCUMENTS - 2 5 CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE STATEMENT This form shall be filled out AFTER COMPLETION of this project by the Contractor awarded the Agreement. I, the undersigned, a duly represented agent of Company, hereby acknowledge and declare that the before-mentioned company was the prime contractor for the Agreement known as that was entered into on the_ (date) , between the firm I represent and the City of Kent. I declare that I complied fully with all of the requirements and obligations as outlined in the City of Kent Administrative Policy 1.2 and the Declaration City of Kent Equal Employment Opportunity Policy that was part of the before-mentioned Agreement. Dated this day of , 2011. By: For: Title: Date: EEO COMPLIANCE DOCUMENTS - 3 Kent Parks Foundation P.O. Box 26 Kent, WA 98035 fill V.A�� (253) 856-5099 RENT PARKS kentparksfoundation(cDhotmail.com F o u N D A T I o N EXHIBIT A Kent Parks Foundation and the City of Kent Scope of Services and Payment Schedule January 1 to December 31, 2012 - Scope of Services - • In Cooperation with City Staff, Research Grants that are 501(c) 3 eligible. • Conduct a Fund Raising Event. • Manage/market the Kent Parks Foundation Gift Catalog. • Facilitate Legacy gifting promotion and implementation. • Facilitate the addition of new Board Members. • Oversee the completion of taxes for 2011. • Manage incoming donations for Access to Recreation -Payment Schedule - • Annual $24,000. Foundation may request reimbursement on a quarterly basis. • A Progress Report must be provided with each billing. Leaving a Legacy EXHIBIT B INSURANCE REQUIREMENTS FOR CONSULTANT SERVICES AGREEMENTS Insurance The Consultant 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 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. 7 S 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 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 ANII. 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. F. Subcontractors 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. ` Y f PHILADELPHIA One Bala Plaza, Suite 100 ~ INSURANCE COMPANIES Bala Cynwyd, Pennsylvania 19004 610,617.7900 Fax 610.617 7940 A Member of the Tokro Marine Group PHLY corn Philadelphia Indemnity Insurance Company COMMON POLICY DECLARATIONS Policy Number: PHPK825467 Named Insured and Mailing Address: Producer: 196 Kent Parks Foundation BELL-ANDERSON AGENCY, INC. c/o Sandra Pedersen 600 SW 39th St Ste 200 PO Box 26 Renton, WA 98057 Kent, WA 98035-0026 Policy Period From: 03/03/2012 To: 03/03/2013 at 12 01 A M Standard Time at your mailing address shown above Business Description: Non Profit Organization IN RETURN FOR THE PAYMENT OF THE PREMIUM,AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS FOR WHICH A PREMIUM IS INDICATED THIS PREMIUM MAYBE SUBJECT TO ADJUSTMENT PREMIUM Commercial Property Coverage Part Commercial General Liability Coverage Part 280.00 Commercial Crime Coverage Part Commercial Inland Marine Coverage Part Commercial Auto Coverage Part 186.00 Businessowners Workers Compensation Total $ 466.00 Total Includes Federal Terrorism Risk Insurance Act Coverage 2.00 FORM (S)AND ENDORSEMENT(S)MADE A PART OF THIS POLICY AT THE TIME OF ISSUE Refer To Forms Schedule 'Omits applicable Forms and Endorsements if shown in specific Coverage Part/Coverage pForm yDeclarations CPD-PIIC (01/07) Countersignature Date Authorized Representative Philadelphia Indemnity Insurance Company COMMERCIAL GENERAL LIABILITY COVERAGE PART DECLARATIONS Policy Number PHPK825467 Agent# 196 ® See Supplemental Schedule LIMITS OF INSURANCE $ 2, 000,000 General AggregateLimit(OtherThanProducts—CompletedOperations) $ 2,000, 000 Products/Completed Operations Aggregate Limit (Any One Person Or Organization) $ 1,000, 000 Personal and Advertising Injury Limit $ 1,000, 000 Each Occurrence Limit $ 100,000 Rented To You Limit $ 5,000 Medical Expense Limit (Any One Person) FORM OF BUSINESS: NON PROFIT ORGANIZATION Business Description Non Profit Organization Location of All Premises You Own, Rent or Occupy SEE SCHEDULE ATTACHED AUDIT PERIOD, ANNUAL, UNLESS OTHERWISE STATED: N/A Rates Advance Premiums Premium Prom/ Prod./ Prom./ Prod/ Classifications Code No Basis O s Comp O s O s comp.O s SEE SCHEDULE ATTACHED TOTAL PREMIUM FOR THIS COVERAGE PART: 1$ 28000 $ RETROACTIVE DATE (CG 00 02 ONLY) This insurance does not apply to"Bodily Injury", "Property Damage", or"Personal and Advertising Injury"which occurs before the retroactive date, if any, shown below Retroactive Date FORM (S)AND ENDORSEMENT(S)APPLICABLE TO THIS COVERAGE PART: Refer To Forms Schedule Countersignature Dale Authorized Representative Philadelphia Indemnity Insurance Company COMMERCIAL GENERAL LIABILITY COVERAGE PART SUPPLEMENTAL SCHEDULE Policy Number PHPK825467 Agent# 196 Premium Rates Advance Premiums Basis Prom/ Prod I Prem/ ProdJ Classifications Code No O s. comp O s. O s comp O s. WA PREM NO 001 BLDG/PREMS-OFFICE-NOC-NFP 61227 400 136.284 INCL 56 INCL AREA PROD/COMP OP SUBJ TO GEN AGG LIMIT WA PREM NO. 001 CONSULTANT-NOC 41677 21,600 0.892 INCL 20 INCL PAYROLL PROD/COMP OP SUBJ TO GEN AGG LIMIT BALANCE TO MEET PREM/OPS SUBLINE MINIMUM 44444 204 Philadelphia Indemnity Insurance Company POLICY NUMBER PHPK825467 COMMERCIAL AUTO CA DS 03 03 10 BUSINESS AUTO DECLARATIONS ITEM ONE Named Insured and Mailing Address: Kent Parks Foundation c/o Sandra Pedersen PO Box 26 Kent, WA 98035-0026 Policy Period From: 03/03/2012 To: 03/03/2013 At 12 01 AM Standard Time at your mailing address shown above Previous Policy Number: PHPK682893 Form Of Business: NON PROFIT ORGANIZATION In return for the payment of the premium, and subject to all the terms of this policy, we agree with you to provide the insurance as stated in this policy Premium shown is payable at inception: $ Audit Period (If Applicable) ❑ Annually ❑ Semiannually ❑ Quarterly ❑ Monthly Endorsements Attached To This Policy See Schedule Attached Countersignature Of Authorized Representative Name: Title: Signature: Date: CA DS 03 03 10 ©Insurance Services Office, Inc, 2009 Page 1 of 13 0 Philadelphia Indemnity Insurance Company Form Schedule — Commercial Auto Policy Number: PHPK825467 Forms and Endorsements applying to this Coverage Part and made a part of this policy at time of issue: Form Edition Description CADS03 0310 Business Auto Declarations Hired or Borrowed Auto Sche 0706 Schedule of Hired or Borrowed Covered Auto CA0001 0310 Business Auto Coverage Form CA0135 0108 Washington Changes CA2356 1102 Cap on Losses From Certified Acts of Terrorism Page 1 of 1 Policy Number: PHPK825467 Schedule Of Hired Or Borrowed Covered Auto Coverne And Premiums Coveraee State Cost of Hire Deductible Rate Premium Liability Coverage WA 5,000 148300 $ 74 Total Premium - $ 74 Page 1 of 1 PI-BELL-1 (11/09) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BELL ENDORSEMENT PHILADELPHIA One Bala Plaza, Suite 100 INSURANCE COMPANIES Bala Cynwyd, Pennsylvania 19004 610 617 7900 Fax 610 617 7940 A Member of the Tokio Marine Group PH LY corn Unless otherwise stated herein, the terms, conditions, exclusions and other limitations set forth in this endorsement are solely applicable to coverage afforded by this endorsement, and the policy is amended as follows I. SCHEDULE OF ADDITIONAL COVERAGES AND LIMITS The following is a summary of Limits of Liability or Limits of Insurance and/or additional coverages provided by this endorsement This endorsement is subject to the provisions of the policy to which it is attached COVERAGE LIMITS OF INSURANCE Business Travel Accident Benefit $50,000 Conference Cancellation $25,000 Donation Assurance $50,000 Emergency Real Estate Consulting Fee $50,000 Fundraising Event Blackout $25,000 Identity Theft Expense $50,000 Image Restoration and Counseling $50,000 Key Individual Replacement Expenses $50,000 Kidnap Expense $50,000 Political Unrest $5,000 per employee $25,000 policy limit Temporary Meeting Space Reimbursement $25,000 Terrorism Travel Reimbursement $50,000 Travel Delay Reimbursement $1,500 Workplace Violence Counseling $50,000 Page 1 of 8 0 2009 Philadelphia Insurance Companies REQUEST FOR MAYOR'S SIGNATURE KE Please fill in all applicable boxes `� KENT %j Routing Information (ALL REQUESTS MUST FIRST BE ROUTED THROUGH THE LAW DEPARTMENT) Originator: Jeff Watling Phone (Originator : x5007/5101 Date Sent: March 12, 2012 Date Required: March Return Signed Document to: Jeff/Teri CONTRACT TERMINATION DATE: 12/31/12 VENDOR NAME: Kent Parks Foundation DATE OF COUNCIL APPROVAL: N/A Brief Explanation of Document: This is the annual contract for 2012 with Kent Parks Foundation to support the Parks and Recreation Department's efforts in conservation, education, and acquisition and development of resources through philanthropy (including planned giving, endowments, structured giving and estate planning) All Contracts Must Be Routed Through The Law Department (This area to be completed by the Law Department) Received Approval of Law Dept MAR B 2 Z01Z Law Dept Comments M IT Date Forwarded to Mayor 3 � ' Shaded Areas To Be Completed By Administration Staff Received: �77`� ,, lb Recommendations and Comments: I !I Disposition:? ���� 0 � ��� CI"�Gr ,-•'PST Date Returned Gf�