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HomeMy WebLinkAboutPW12-044 - Original - Murray & Associates - Gribble Properties Appraisal - 03/28/2012 Records Maflagerne n = n KENT Document WASH I NGTON _ ae3s' 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: Murray & Associates Vendor Number: ID Edwards Number Contract Number: & 19- This Is assigned by City Clerk's Office Project Name: Gribble Properties Appraisal Description: ❑ Interlocal Agreement ❑ Change Order ❑ Amendment ® Contract ❑ Other: Contract Effective Date: 3/28/12 Termination Date: 6/15/12 Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Kelly Peterson Department: Engineering Detail: (i.e. address, location, parcel number, tax id, etc.): Prepare an appraisal for_t_he_Gribble properties which are_ located at 26204 SE Kent Kangley Road. S Publlc\RecordsManagement\Forms\ContractCover\adcc7832 1 11/08 ? y a KENT WASHINGTON PROFESSIONAL SERVICES AGREEMENT between the City of Kent and Murray & Associates THIS AGREEMENT is made between the City of Kent, a Washington municipal corporation (hereinafter the "City"), and Murray & Associates organized under the laws of the State of Washington, located and doing business at 13 Tulalip Key, Bellevue, WA 98006, Phone: (206) 498-6274, Contact: Michael Murray (hereinafter the "Contractor"). I. DESCRIPTION OF WORK. Contractor shall perform the following services for the City: The Contractor shall prepare an appraisal for the Gribble properties which are located at 26204 SE Kent Kangley Road. For a description, see the Contractor's March 20, 2012 Scope of Work which is attached as Exhibit A and incorporated by this reference. Contractor further represents that the services furnished under this Agreement will be performed in accordance with generally accepted professional practices within the Puget Sound region in effect at the time 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, and Contractor shall complete the work by June 15, 2012. III. COMPENSATION. The City shall pay Contractor a total amount not to exceed Two Thousand, Eight Hundred Fifty ($2,850.00) for the services described in this Agreement. The Contractor shall invoice the City monthly based on time and materials incurred during the preceding month. The hourly rates charged for Contractor's services shall be as delineated in the attached and incorporated Exhibit A. All hourly rates charged shall remain locked at the negotiated rates throughout the term of this Agreement. 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, 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. PROFESSIONAL SERVICES AGREEMENT - 1 (Under$10,000) z , E. The Contractor has registered its business and established an account with the state Department of Revenue and other state agencies as may be required by Contractor's business, and has obtained a Unified Business Identifier (UBI) number from the State of Washington. F. The Contractor 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 seven (7) calendar days written notice at its address set forth on the signature block of this Agreement. VI. DISCRIMINATION. In the hiring of employees for the performance of work under this Agreement or any subcontract, the Contractor, its subcontractors, or any person acting on behalf of the Contractor or subcontractor shall not discriminate against any person who is qualified and available to perform the work to which the employment relates as provided for by the City of Kent's Equal Employment Opportunity Policy. 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. VII. 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. The provisions of this section shall survive the expiration or termination of this Agreement. 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. VIII. 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. XII. CONTRACTOR'S WORK AND RISK. 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 services. 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. 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. PROFESSIONAL SERVICES AGREEMENT - 2 (Under$10,000) 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. 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. 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. IN WITNESS, the parties below execute this Agreement, which shall become effective on the last date entered below. CONTRACTOR: CITY OF KENT: By: By: C- (signature) (signature) Print Name: /1 Z'fi`,f-67L /r`lG%eriZ y Print Name: Michael Mactutis Its: �sr�.✓�/L- Its: Environmental Engineering Manager (title) DATE: -3 DATE: 31-143/1 , �7 NOTICES TO BE SENT TO: NOTICES TO BE SENT TO: CONTRACTOR: CITY OF KENT: Michael Murray Timothy ]. LaPorte. P.E. Murray &Associates City of Kent 13 Tulalip Key 220 Fourth Avenue South Bellevue, WA 98006 Kent, WA 98032 (206) 498-6274 (telephone) (253) 856-5500 (telephone) 253 856-6500 facsimile PROFESSIONAL SERVICES AGREEMENT - 3 (Under$10,000) 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_ 1/ � , 20/�01 By:For: Title: 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 9 CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE STATEMENT J This form shall be filled out AFTER COMPLETION of this protect by the Contractor awarded the Agreement. I, the undersigned, a duly represented agent of Murray lase Associates Company, hereby acknowledge and declare that the before-mentioned company was the prime contractor for the Agreement known as Gribble Appraisal that was entered into on the March 28, 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 4 day of 201 �'". For: Title: 'ilr' —. Date: `/ % I2_— EEO COMPLIANCE DOCUMENTS - 1 f i t EXHIBIT A Murray &Associates Real Estate Valuation and Advisory Services 13 Tulalip Key,Bellevue,WA 98006 Telephone:(206)498-6274/E-mail:michael e.murray@comcast.net March 20,2012 Kelly Peterson,AICP Environmental Conservation Supervisor City of Kent 220 Forth Avenue South Kent,WA 98032 RE: APPRAISAL OF THE TWO GRIBBLE PARCELS (APN 252206-9048 &APN 252206-9066) LOCATED AT 26204 SE KENT KANGLEY ROAD Dear Mr Peterson: As requested,I have reviewed the information necessary to estimate a fee and timing for completion of an appraisal of the above referenced parcels A summary of my proposal is provided below: Property, The subject property includes two separate but jointly owned parcels that are zoned RA-S. The southerly parcel (#252206-9048) is a 4.89-acre improved parcel with a 2,590 square- foot 2-story single family residence built in 1996. The northerly parcel(4252206-9066)is a 4.92-acre unimproved parcel and appears to be encumbered by wetlands and a 375' BPA power line easement l would expect the power line easement impacts both the southerly and northerly parcels Client and Intended users: The client and intended user of the appraisal report are official representatives of the City of Kent Intended use: The appraisal will be used for purposes of developing a purchase offer for one or both of the subject parcels. .hype& Definition of value: Market value of the fee simple interest in the subject parcels(Market Value) The appraisal will he presented in one report but with a value for each parcel Date of value: Current date(date of inspection of the property) Property rights: Fee simple interest Scope of work: This appraisal assignment involves the research and analysis necessary to render a credible opinion of value The report will be a Summary Report and prepared according to USPAP standards Murray&Associates This appraisal assignment can be completed within three week from your authorization to proceed for a fee not to exceed$2,850. Thank you for your consideration. I look forward to working with you. Sincerely, Michael E Murray,MAI,CCIM I Murray&Associates 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. 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 City shall be named as an 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. 3. Workers' Compensation coverage as required by the Industrial Insurance laws of the State of Washington. 4. Professional Liability insurance appropriate to the Consultant's profession. B. Minimum Amounts of Insurance Consultant 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 $1,000,000 products-completed operations aggregate limit. EXHIBIT B (continued) 3. Professional Liability insurance shall be written with limits no less than $1,000,000 per claim and $1,000,000 policy aggregate limit. 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 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 Contractor 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. 1 ® DATE IMMIDD/YYYY) s�coRo CERTIFICATE OF LIABILITY INSURANCE 3/23/2012 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 pollcy(les)must be endorsed If SUBROGATION IS WAIVED,subject to , the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME CUSTOMER SERVICE CENTER R. L. EVANS COMPANY, INC PHONE (866) 972-7378 aC No (800) 455-9611 P O BOX 10660 WC No Exti ADDRESS ZSBSERVICECENTEROZISINTERNET.COM JACKSONVILLE FL 32247-0660 INSURER 9 AFFORDING COVERAGE NAIC N 1 INSURER MARYLAND CASUALTY COMPANY 19356 INSURED INSURER B MICHAEL E. MURRAY DBA MURRAY 6: ASSOCIATES INSURER C 13 TULALIP KEY INSURER D Bellevue WA 98006 INSURER INSURER F COVERAGES CERTIFICATE NUMBER Care In 97368 REVISION NUMBER THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR TYPE OF INSURANCE ADDL EUBR POLICY NUMBER MMDDYNYYY PMDDNYYY LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 DAMAGETO A X COMMERCIAL GENERAL LIABILITY Y PAS004094066 4/15/2012 4/15/2013 PREMISES Ea occurrence $ 11000,000 CLAIMS-MADE ❑R OCCUR MED EXP(Any one person)_ $ 10,000 PERSONAL&ADV INJURY $ EXCLUSION GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGO $ 2,000,000 JECT POLICY PRO- X 1 $ R OMOBILE LIABILITY (Ea COMB SINGLE LIMIT Ee ecmtlenl ANY AUTO BODILY INJURY(Per Person) $ ALL OWNED SCHEDULED BODILY INJURY(Per ecc,tlenl) $ AUTOS AUTOS NON OWNED PROPERTY DAMAGE $ HIREDAUTOS AUTOS Per accident UMBRELLA LIA9 OCCUR EACH OCCURRENCE $ EXCESS LIAe CLAIMS-MADE AGGREGATE $ DE D RETENTION$ $ WORKERS COMPENSATION WC STATU OTH- AND EMPLOYERS'LIABILITY TORY11 ANY PROPRIETORIPARTNERIEXECUTIVE❑ EL EACH ACCIDENT $ NIA OFFICERIMEMBER EXCLUDED' (Mandatory in NH) EL DISEASE EA EMPLOYE $ If yes,descrioe under DESCRIPTION OF OPERATIONS below EL DISEASE POLICY LIMIT $ $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If mom space Is required) SALES, SERVICE OR CONSULTING / CERTIFICATE HOLDER I9 DESIGNATED AS ADDITIONAL INSURED WITH REGARDS TO GENERAL LIABILITY AS SUBJECT TO THE POLICY TERMS AND CONDITIONS. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF RENT ACCORDANCE WITH THE POLICY PROVISIONS 220 FOURTH AVE SOUTH AUTHORIZED REPRESENTATIVE KENT WA 98032 ©1988.2010 ACORD CORPORATION. All rights reserved ACORO 25(2010/DS) The ACORD name and logo are registered marks of ACORD Page 1 of 1 a POLICY NUMBER- PAS004094068 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or amzation s : Locations Of Covered Operations CITY OF KENT 220 FOURTH AVE SOUTH KENT,WASHINGTON 98032 Information required to complete this Schedule if not shown above will be shown in the Declarations A. Section II — Who Is An Insured is amended to This insurance does not apply to "bodily injury" or include as an additional insured the person(s) or "property damage"occurring after organization(s) shown in the Schedule, but only 1. All work, including materials, parts or equip- with respect to liability for "bodily injury", "property ment furnished in connection with such work, damage" or "personal and advertising injury" on the project (other than service, mainte- caused, in whole or in part, by nance or repairs) to be performed by or on 1. Your acts or omissions, or behalf of the additional insured(s) at the loca- 2. The acts or omissions of those acting on your tion of the covered operations has been com- behalf, pleted, or in the performance of your ongoing operations for 2. That portion of "your work" out of which the the additional insured(s) at the location(s) desig- injury or damage arises has been put to its nated above intended use by any person or organization other than another contractor or subcontrac- B. With respect to the insurance afforded to these for engaged in performing operations for a additional insureds, the following additional exclu- principal as a part of the same protect sions apply CG 2010 07 04 Copyright, ISO Properties, Inc , 2004 Page 1 of 2 UNIFORM 32 CasTloke Avenue East PEMCO AUTO POLICY 3 PEMCO ,,...3 aa 778 AMENDED COVERAGE SUMMARY Insurance Seattle,WA 98111.0778 PEMCO Mutual Insurance Company Policy Number CA 0813188 I'dO GticOM Data Poky Uplmiion Dab Valued Auto CuaWmer Smw 07/02/11 07/02/12 2003 1201 A M PACIFIC STANDARD TIME NAMED INSURED This new Declaration includes recent changes you requested to your policy or updated Information we've received It replaces any earlier version Please keep it with your policy DENEIL L CARNAHAN MICHAEL E MURRAY 13 TULALIP KY BELLEVUE WA 98006 Endorsement Effective Date 08/30/11 Please veri/V all information.If there are changes,please call our office. Your Vehicles 2004 TOYOTA HIGHLANDER VIN 1TEEP21 A440055816 Coverages Limits/Deductible Premium Bodily Injury Liability $250,000 each person/$500,000 each occurrence $217 43 Property Damage Liobiitty $100,000 each occurrence $132 26 Undennsured Motorist Bodily Injury $250,000 each person/$500,000 each occurrence $106 85 Undernsured Motorist Property Damage $100,000 each occurrence $10 68 Personal Injury Protection $10,000 $58 15 Loss of Income $200 max per week/S 10,400 max per occurrence each person Included Collision Deductible $1,000 $14461 Comprehensive Deductible $500 $30 00 Auto Loan/Lease No Coverage Towing No Coverage Rental Reimbursement No Coverage Stereo/Communication Equipment No Coverage Customized Equipment No Coverage Vehicle Premium $699.98 2005 TOYOTA TUNDRA DOUBLE CAB LI VIN 5TBET38145S487356 Coverages Limits/Deductible Premium Bodily Injury Liability $250,000 each person/$500,000 each occurrence $238.31 Property Damage Liability $100,000 each occurrence $144 96 Undernsured Motorist Bodily Injury $250,000 each person/$500,000 each occurrence $107 93 Undennsured Motorist Property Damage $100,000 each occurrence $10 79 Personal Injury Protection $10,000 $60 55 Loss of Income $200 max per week/$10,400 max per occurrence each person Included Collision Deductible.$1,000 $202.54 Comprehensive Deductible $300 $48 71 Auto Loon/Lease No Coverage Towing No Coverage Rental Reimbursement No Coverage Stereo/Communication Equipment No Coverage Customized Equipment No Coverage Vehicle Premium $813.79 A list of your discounts is shown following the vehicle coverages section. Questions?Check our Customer Care sne at pemco cam,or call 1.800-GO-PEMCO(1-800-467-3626). Auto Declarations 08/10 Page 1 of 3 PEMCO325 Eastlake Avenue East PEMCO AUTO POLICY PO Box 778 AMENDED COVERAGE SUMMARY lnsuranCe Seattle,WA 98111-0778 PEMCO Mutual Insurance Company Policy Number CA 0813188 2007 BMW 3281 SULEY VIN WRAVC53537FZ71323 Coverages Limits/Deductible Premium Bodily Injury Liability $250,000 each person/$500,000 each occurrence $231 30 Property Damage Liability $100,000 each occurrence $140 70 Undenmsured Motorist Bodily Injury $250,000 each person/$500,000 each occurrence $107 93 Undermsured Motorist Property Damage $100,000 each occurrence $10 79 Personal Injury Protection $10,000 $59 95 Loss of Income $200 max per week/$10,400 max per occurrence each person Included Collision Deductible $1,000 S22511 Comprehensive Deductible $500 $42 93 Auto Loan/Lease No Coverage Towing No Coverage Rental Reimbursement No Coverage Stereo/Communication Equipment No Coverage Customized Equipment No Coverage Vehicle Premium $818.71 Premium Change Amount. - $180.80 Your Total Annual Premium:' $2,362.48 Your bill or credit will be sent separately 'Includes$30 Base Policy Premium Your Discounts Anti-Theft Auto Plus Homeowner Away at School Good Student Low Mileage Commute Multiple Car Safe Driver Household Drivers DenedL Carnahan Safe Driver Years 8 You earned a Safe Driver year for the previous policy period. Driver's Discounts- Safe Driver Michael E Murray Safe Driver Years 8 You earned a Safe Driver year for the previous policy period. Driver's Discounts Safe Driver Matthew D Carnahan-murray Safe Driver Years 1 You earned a Safe Driver year for the previous policy period Driver's Discounts Away At School,Good Student,Safe Driver Accidents and Violations Dole Description 05/04/2009 Accident at fault EDITION FORM DATE ENDORSEMENT VEHICLE 10129 04-04 AUTO POLICY JACKET ALL 14-148 01-11 AMENDATORY ENDORSEMENT ALL 14-95 07-94 AUTO POUCY CONTRACT ALL All existing endorsements and exclusions remain in effect. Question?Check out Customer Can site at pemm-corn,or call 1-800-GO-PEMCO f 1-800-467-3626i. Auto Declarations 08/10 Pape 2 of 3 PEMCO ,, Eastlake Avenue East PEMCO AUTO POLICY PO Box 778 AMENDED COVERAGE SUMMARY Insurance Seattle,WA 981 t 1-0778 PEMCO Mutual insurance Company Policy Number CA 0813188 Representative: Budd Insurance Agency, LLC Executive: Steve Miller,VP and Chief Operating Officer Questro si Check our Customer Care sde a1 pemcoop ,weall 1-80o-GO-PEMCO(1-800-467-3626). Auto Dedaratlons 08/10 Page 3 of 3 j PEMCO Mutual PEMCO Umbrella Policy , , Insurance Company Declarations P 0 Box 778 0U4, Seattle, WA 9WI-0778 hall, Policy Number ELOOIBS560801 Eftectve Late o7lo2ifil Expirai*n Date 07jf07JJ2 12,01 a m Pacific Standard Time NAMED INSURED DENLIL L CARNAHAN AND WE ARE PLEASED TO RENEW YOUR REMCO UMBRELLA MICHAEL E MURRAY POLICY THIS IS YOUR RENEWAL DECLARA HON 15 IULALIP KEY TaANK YOU FOR CONT;NIWNG TO INSURE WITH PEMCC BELLEVUE WA 98006 coverage The PEMCO Urnbi ella Policy's ccojerages dn(f limits shown are subject to the restrictions, condftnii,and exclusions of the policy and the endorsements Lhwl of Liability $1,000,000 Self Insured Retention$250 Premium Basic Policy(Primary residence,one vehicle) 166.00 Additfcmal Vehicle(s) - 2 91,00 Ref reationa. Vehicle(s) not covered Young Driver(s) 16-20 90.60 Young Drivei(,$) 21-24 not covered Adcihanal Residencels) not covered Additional Residence(s) Rented to Others not covered Home Businesi, not coveIed Horne Day Care not covered Swimming Pool not covered watercraft not covered Personal Wdlercraftijel Ski(s) not covered Motorcycle(s) not covered Total Annual Premium S 348,00 Previous Year Annual Premium. $258.00 Policy Forms and Endorsements Form Name Number Edition Date PlfVi'10 Unihiefla Policy Form, 14190 01 0i PEMCO Umbrella Policy,jacket 12287 0404 Fungus and Mold Endoivernerd PU 01 0903 Arrionclatoty Endoi sernent PU 02 0207 Umbrella Declaralions UK46 JC40 02 D7 01 0303 0" PEMCO Mutual Insurance Company 1-800-GO-PFPACQ 11-800-467-3626) laernco cam U1nf)sY1I1,) OfT18JAliont VA48 7000 V2 2007 PAGE 1 CERTIFICATE OF INSURANCE Pwducer. Issue Date.031282011 This Certificate is issued as a roamer or infomntion only and LIA ADMINISTRATORS&INSURANCE SERVICES confers no rights upon the Certificate Holder This Certificate P.O.Box 1319 does not amend,extend or alter the coverage afforded by the Santa Barbara,CA 93102-1319 pollcy below Insured. 163613 COMPANY AFFORDING COVERAGE MURRAY&ASSOCIATES Michael E Murray,MAI Liberty Insurance Underwriters,Inc. 13 Tulalip Key Bellevue,WA 98006 Authorized Representative I 1 This is to certify that the policy of insurance listed below has been issued to the Insured named above for the policy period indicated. Notwithstanding any requirement,term of condition of any contract or other document with respect to which this Certificate may be R issued or may pertain,the insurance afforded by the policy described herein is subject to all the terms,exclusions and conditions of such policy Ltmtts shown may have been reduced by paid claims. I DISCLAIMER:This certificate of insurance does not affirmatively or negatively amend,extend,or alter the coverage afforded by the msurance policy TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE 11MITS 1 Professional Liability LIU012939-W2 04/07/2011 04/072012 Each Claim $ 10D0000 General Aggregate S IDDM i F e Description of Operations/Locations/Special Items- REAL ESTATE APPRAISERS PROFESSIONAL LIABILITY INSURANCE I Certificate Holder. Cancellation: City of Bellevue,CS-6W SHOULD ANY OF THE ABOVE DESCRIBED POLICIES Attn:Gwyrme Johnson BE CANCELLED BEFORE THE EXPIRATION DATE P.O.Box 90012 THEREOF,NOTICE WILL BE DELIVERED IN Bellevue,WA 98009 ACCORDANCE WITH THE POLICY PROVISIONS. LIADOOI (11197) Certificate Holder Copy 1