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HomeMy WebLinkAboutPK12-163 - Original - GeoEngineers, Inc. - Lake Meridian Dock Report - 08/07/2012 Records Manragemente-),, KENT Document WASH IN crop _ P 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: GEO Engineers Vendor Number: JD Edwards Number Contract Number: ��� This is assigned by City Clerk's Office Project Name: Lake Meridian Dock Report Description: ❑ Interlocal Agreement ❑ Change Order ❑ Amendment ® Contract ❑ Other: Contract Effective Date: 8/6/2012 Termination Date: 8/20 /2012 Contract Renewal Notice (Days): 0 Number of days required notice for termination or renewal or amendment Contract Manager: Garin Lee (tp) Department: Parks Operations Detail: (i.e. address, location, parcel number, tax id, etc.): S Public\RecordsManagement\Forms\ContractCover\adcc7B32 1 11/08 KENT WASHINGTON CONSULTANT SERVICES AGREEMENT between the City of Kent and GeoEngineers, Inc THIS AGREEMENT is made between the City of Kent, a Washington municipal corporation (hereinafter the "City"), and GeoEngineers, Inc. organized under the laws of the State of Washington, located and doing business at 1101 Fawcett Avenue, Suite 200, Tacoma, WA 98402, kfellows@geoengineers.com, Ken Fellows, PE, Environmental Engineer/Principal, Cell: 253.318.9632, Direct Line: 253.722-2440, Fax: 253.383.4923 (hereinafter the "Consultant"). I. DESCRIPTION OF WORK. r Consultant shall perform the following services for the City in accordance with the following described plans and/or specifications: Site visit (approximately 2-3 hours), general visual observation of the condition of the docks (approximately 600 LF) and piles at Lake Meridian Park. Prepare a brief letter (1-2 page) documenting observations and recommending whether or not repair of the docks is feasible or appropriate, or recommending replacement of the docks. No recommendations will be made regarding existing safety risks or improvements necessary for continued safe use by the public prior to implementation of repairs or replacement. Consultant further represents that the services furnished under this Agreement will be performed in accordance with generally accepted professional practices within the Puget Sound region in effect at the time those services are performed. II. TIME OF COMPLETION. The parties agree that work will begin on the tasks described in Section I above immediately upon the effective date of this Agreement. Upon the effective date of this Agreement, Consultant shall complete the work described in Section I within two weeks. III. COMPENSATION. A. The City shall pay the Consultant, based on time and materials, an amount not to exceed one thousand eight hundred dollars and no/100 ($1,800.00), plus applicable Washington State sales tax, for the services described in this Agreement. This is the maximum amount to be paid under this Agreement for the work described in Section I above, and shall not be exceeded without the prior written authorization of the City in the form of a negotiated and executed amendment to this agreement. The Consultant agrees that the hourly or flat rate charged by it for its services contracted for herein shall remain locked at the negotiated rate(s) for a period of CONSULTANT SERVICES AGREEMENT - 1 (Under$10,000) 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 one payment invoices to the City for work performed, and a final bill upon completion of all services described in this Agreement. The City shall provide payment within forty-five (45) days of receipt of an invoice. If the City objects to all or any portion of an invoice, it shall notify the Consultant and reserves the option to only pay that portion of the invoice not in dispute. In that event, the parties will immediately make every effort to settle the disputed portion. IV. INDEPENDENT CONTRACTOR. The parties intend that an Independent Contractor-Employer Relationship will be created by this Agreement. By their execution of this Agreement, and in accordance with Ch. 51.08 RCW, the parties make the following representations: A. The Consultant has the ability to control and direct the performance and details of its work, the City being interested only in the results obtained under this Agreement. B. The Consultant maintains and pays for its own place of business from which Consultant's services under this Agreement will be performed. C. The Consultant has an established and independent business that is eligible for a business deduction for federal income tax purposes that existed before the City retained Consultant's services, or the Consultant is engaged in an independently established trade, occupation, profession, or business of the same nature as that involved under this Agreement. D. The Consultant is responsible for filing as they become due all necessary tax documents with appropriate federal and state agencies, including the Internal Revenue Service and the state Department of Revenue. E. The Consultant has registered its business and established an account with the state Department of Revenue and other state agencies as may be required by Consultant's business, and has obtained a Unified Business Identifier (UBI) number from the State of Washington. F. The Consultant maintains a set of books dedicated to the expenses and earnings of its business. V. TERMINATION. Either party may terminate this Agreement, with or without cause, upon providing the other party thirty (30) days written notice at its address set forth on the signature block of this Agreement. After termination, the City may take possession of all records and data within the Consultant's possession pertaining to this project, which may be used by the City without restriction. If the City's use of Consultant's records or data is not related to this project, it shall be without liability or legal exposure to the Consultant. VI. DISCRIMINATION. In the hiring of employees for the performance of work under this Agreement or any subcontract, the Consultant, its subcontractors, or any person acting on behalf of the Consultant or subcontractor shall not, by reason of race, religion, color, sex, age, sexual orientation, national origin, or the presence of any sensory, mental, or physical disability, discriminate against any person who is qualified and available to perform the work to which the CONSULTANT SERVICES AGREEMENT - 2 (Under$10,000) 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. 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. In the event Consultant 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 Consultant's part, then Consultant 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 Consultant's part. 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. CONSULTANT SERVICES AGREEMENT - 3 (Under $10,000) 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. C. Resolution of Disputes and Governing Law. This Agreement shall be governed by and construed in accordance with the laws of the State of Washington. If the parties are unable to settle any dispute, difference or claim arising from the parties' performance of this Agreement, the exclusive means of resolving that dispute, difference or claim, shall only be by filing suit exclusively under the venue, rules and jurisdiction of the King County Superior Court, King County, Washington, unless the parties agree in writing to an alternative dispute resolution process. In any claim or lawsuit for damages arising from the parties' performance of this Agreement, each party shall pay all its legal costs and attorney's fees incurred in defending or bringing such claim or lawsuit, including all appeals, in addition to any other recovery or award provided by law; provided, however, nothing in this paragraph shall be construed to limit the City's right to indemnification under Section VII of this Agreement. D. Written Notice. All communications regarding this Agreement shall be sent to the parties at the addresses listed on the signature page of the Agreement, unless notified to the contrary. Any written notice hereunder shall become effective three (3) business days after the date of mailing by registered or certified mail, and shall be deemed sufficiently given if sent to the addressee at the address stated in this Agreement or such other address as may be hereafter specified in writing. E. Assignment. Any assignment of this Agreement by either party without the written consent of the non-assigning party shall be void. If the non-assigning party gives its consent to any assignment, the terms of this Agreement shall continue in full force and effect and no further assignment shall be made without additional written consent. F. Modification. No waiver, alteration, or modification of any of the provisions of this Agreement shall be binding unless in writing and signed by a duly authorized representative of the City and Consultant. CONSULTANT SERVICES AGREEMENT - 4 (Under$10,000) 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. I. Counterparts. This Agreement may be executed in any number of counterparts, each of which shall constitute an original, and all of which will together constitute this one Agreement. IN WITNESS, the parties below execute this Agreement, which shall become effective on the last date entered below. CONSULTANT: CITY OF K T: By: By: I L ( tgnature) (signature) Print Name: KEN T Fe'lLOW6 Print Name: arin Lee, Superintendent Its: pytYtGcw Its: Park Operations title) 1 / DATE: ,Ivi� 3i,?�O1?- DATE: / i a, NOTICES TO BE SENT TO: NOTICES TO BE SENT TO: CONSULTANT: CITY OF KENT: Ken T. Fellows Garin Lee GeoEngineers City of Kent 1101 Fawcett Avenue, Suite 200 220 Fourth Avenue South Tacoma, WA 98402 Kent, WA 98032 (253) 253-856-5131 (telephone) 253.722-244B (telephone) (253) 253-856-6120 (facsimile) 253.383.4923 facsimile GEOEnglne CONSULTANT SERVICES AGREEMENT - 5 (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 3- day of , 20 . By: ZL !�n For: �EDEN6,INE�EtS, INe. Title: Gc,OGfc Date: a61a- EEO COMPLIANCE DOCUMENTS — 1 CITY OF KENT ADMINISTRATIVE POLICY NUMBER: 1.2 EFFECTIVE DATE: January 1, 1998 SUBJECT: MINORITY AND WOMEN SUPERSEDES: April 1, 1996 CONTRACTORS APPROVED BY Jim White, Mayor POLICY: Equal employment opportunity requirements for the City of Kent will conform to federal and state laws. All contractors, subcontractors, consultants and suppliers of the City must guarantee equal employment opportunity within their organization and, if holding Agreements with the City amounting to $10,000 or more within any given year, must take the following affirmative steps: 1. Provide a written statement to all new employees and subcontractors indicating commitment as an equal opportunity employer. 2. Actively consider for promotion and advancement available minorities and women. Any contractor, subcontractor, consultant or supplier who willfully disregards the City's nondiscrimination and equal opportunity requirements shall be considered in breach of contract and subject to suspension or termination for all or part of the Agreement. Contract Compliance Officers will be appointed by the Directors of Planning, Parks, and Public Works Departments to assume the following duties for their respective departments. 1. Ensuring that contractors, subcontractors, consultants, and suppliers subject to these regulations are familiar with the regulations and the City's equal employment opportunity policy. 2. Monitoring to assure adherence to federal, state and local laws, policies and guidelines. EEO COMPLIANCE DOCUMENTS - 2 CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE STATEMENT This form shall be filled out AFTER COMPLETION of this project by the Contractor awarded the Agreement. I, the undersigned, a duly represented agent of Company, hereby acknowledge and declare that the before-mentioned company was the prime contractor for the Agreement known as that was entered into on the (date) between the firm I represent and the City of Kent. I declare that I complied fully with all of the requirements and obligations as outlined in the City of Kent Administrative Policy 1.2 and the Declaration City of Kent Equal Employment Opportunity Policy that was part of the before-mentioned Agreement. Dated this day of , 20 By: For: Title: Date: EEO COMPLIANCE DOCUMENTS - 3 From: Ken T. Fellows rmailto:kfellows(&cieoengineers.com] EXHIBIT A Sent: Friday, March 30, 2012 1:49 PM To: Gibson, Hope Subject: Lake Meridian Park Dock Assessment Proposal I'm proposing the following scope of work and budget: A GeoEngineers' engineer experienced with floating docks will visit the site (approximately 2-3 hours) and complete a general visual observation of the condition of the docks (approximately 600 LF)and piles. GeoEngineers will prepare a brief(1-2 page) letter documenting the engineer's observations and recommending whether or not repair of the docks is feasible or appropriate, or recommending replacement of the docks No recommendations will be made regarding existing safety risks or improvements necessary for continued safe use by the public prior to implementation of repairs or replacement Budget $1,800 lump sum cost. Work will be completed within 2 weeks following authorization to proceed The following options can be added for additional cost depending on your needs: 1 Detailed inventory of observed defects with photographs 2. Diver observation of underwater elements. 3. Testing of dock materials for integrity and quality (e.g.,floatation foam weight/absorbed water, etc ) 4 Analysis of compliance with existing codes, including ADA compliance, and recommended changes that would be necessary for replacement docks to comply with codes 5 Cost estimate for replacing docks and piles I can provide a cost for completing any of these optional services upon request. I look forward to our earl feedback on this proposal I'll be leaving for vacation about 3 m on Y Y p p g p Monday, hopefully we can work out any issues before then Regarding contracts,we do not have a Master Agreement with the City, but my contracts manager assures me that the City (Public Works) and GeoEngineers have worked out mutually agreeable contract terms, so if we can use those terms it should slide right through I can find an example if needed. Please let me know. I'll be reachable via cell/email on vacation if needed Ken Ken Fellows, PE Environmental Engineer/Principal GeoEngineers, Inc. Cell: 253 318 9632 Direct Line: 253 722-2440 Fax: 253 383 4923 Email: kfellows(a_geoengineers com 1101 Fawcett Avenue, Suite 200 Tacoma, WA 98402 www geoengineers corn Professional Engineer in WA, OR, NM, and HI document is stored by GeoEngineers, Inc and will serve as the official document of record 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. EXHIBIT B (Continued) 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 and a $1,000,000 products-completed operations aggregate limit. 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.Vff. A:v Jew 7/31[IZ. �1vi EXHIBIT B (Continued) 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. Terra Insurance Company (A Risk Retention Group) Two Fifer Avenue, Suite 100 Corte Madera CA 94925 CERTIFICATE OF INSURANCE vrs�»n enr ou cno�+ DATE 07/19/12 NAME AND ADDRESS OF INSURED GeoEngineers,Inc. 1101 Fawcett Avenue, Suite 200 Tacoma,WA 98402 This certifies that the"claims made" insurance policy(described below by policy number)written on forms in use by the Company has been issued. This certificate is not a policy or a binder of insurance and is issued as a matter of information only,and confers no rights upon the certificate holder. This certificate does not alter, amend or extend the coverage afforded by this policy The policy of insurance listed below has 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 policy described herein is subject to all the terms,exclusions and conditions of such policy Aggregate limits shown may have been reduced by paid claims. TYPE OF INSURANCE Professional Liability POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE 212019 01/01/12 12/31/12 LIMITS OF LIABILITY $1,000,000 EACH CLAIM $1,000,000 ANNUAL AGGREGATE PROJECT DESCRIPTION City of Kent-Lake Meridian Park Floating Docks Assessment GeoEngineers File.No 0410-183-00 CANCELLATION If the described policy is cancelled by the Company before its expiration date, the Company will mail written notice to the certificate holder thirty (30) days In advance, or ten (10) days in advance for non-payment of premium. If the described policy Is cancelled by the insured before its expiration date, the Company will mail written notice to the certificate holder within thirty (30) days of the notice to the Company from the insured. CERTIFICATE HOLDER ISSUING COMPANY: TERRA INSURANCE COMPANY (A Risk Retention Group) City of Kent-Parks,Recreation,Community Services Dept Art Teri Petrole 220 4th Avenue South Kent,WA 98032 President A CERTIFICATE OF LIABILITY INSURANCE Page 1 of 2 07/19/2�' 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 policy(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 CONTACT NAMP Willie of Seattle, Inc. PHONE 877-945-7378 F'4X 688-467-2378 c/o 26 Century Blvd. IL P. O Box 305191 E A-M certificates@willis.com Nashville, TN 372 3 0-5191 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA Travelers Property Casualty Company of Am 25674-003 INSURED INSURERB Travelers Property Casualty Company of Am 25674-002 GeoEngineers, Inc. 1101 Fawcett Ave, Ste 200 INSURERC Wausau Underwriters Insurance Company 26042-001 Tacoma, WA 98402 INSURER INSURER E NSURERF COVERAGES CERTIFICATE NUMBER*18253261 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 rypE OF INSURANCE OD' SUB POLICY NUMBER POLICY EFF POLICY EXP LIMITS A GENERAL LIABILITY y 660533D1564TIL12 /31/2012 3/31/2013 EACH OCCURRENCE $ 11000,000 X COMMERCIAL GENERAL LIABILITY PREMISESOERENTED unce $ 100,000 CLAIMS-MADEF_x1OCCUR MED EXP(Anyone person) S 5 000 PERSONAL BADV INJURY $ 11000,000 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER -PRODUCTS-COMPJOPAGG $ 2, 00,000 POLICY 7 X PRO LOC $ B AUTOMOBILE LIABILITY y 810532D837STIL12 3/31/2012 3/31/2013 COMBINED SINGLE LIMIT(Ea accident) $ 1,000,000 ANYAUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED BODILY I NJURY(Per accident) $ AUTOS AUTOS NON-OWNED PERTYDAMA $ X1HIRED AUTOS AUTOS (Per accident) UMBRELLALIAB OCCUR EACHOCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DIED I RETENTION$ $ Q WORKERS COMPENSATION WCJZ91451667012 3/31/2012 3/31/2013 x AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERJEXECU WE NIA NIA EL EACH ACCIDENT $ 1,000,000 OPFICERIMEMBER EXCLUDED? EL DISEASE-EA EMPLOYEE S 11000,000 (Mandatory in NH) f DESCRIPTION OFO EL DISEASE-POLICY LIMIT S 11000,000 DESCRIPTION under OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach Accrd 101,Additond Remarks Schedule,,t more apace Is required) Re: City of Kent - Lake Meridian Park Floating Docks Assessment; GeoEngineers File No. 0410-183-00 WA Stop Gap, USL&H and Maritime Employers Liability coverage is included under Workers' Compensation coverage evidenced above. City of Kent is included as an Additional Insured as respects to General Liability and Auto Liability as required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS City of Kent Parks, Recreation and Community Services Department AUTHORIZED REPRESENTATIVE Attn: Teri Patrols 220 4th Avenue South Kent, WA 98032 Coll:3800390 Tp1:1419340 Cert:18253261 ©19 8-2010ACORDCORPORATION All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 661100 LOC#. r4 ADDITIONAL REMARKS SCHEDULE Paged of 2 AGENCY NAMEDINSURED GeoBagineers, Inc. Willis of Seattle, Inc. 1101 Fawcett Ave, Ste 200 POLICY NUMBER Tacoma, WA 98402 See First Page CARRIER NAIC CODE See First Pa a EFFECTIVE DATE See First Page ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER 25 FORM TITLE. CERTIFICATE OF LIABILITY INSURANCE General Liability and Auto Liability policies shall be Primary and Non-Contributory with any other insurance in force for or which may be purchased by Additional Insured as required by written contract. ACORD 101 (2008/01) Coll:3800390 Tp1:1419340 Cert:18253261 ©2008 ACORD CORPORATION All rights reserved. The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY Policy #: 660533D1564TIL12 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED - WRITTEN CONTRACTS (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. The following is added to SECTION It —WHO IS plies only to such "bodily injury' or "property AN INSURED damage"that occurs before the end of the pe- Any person or organization that you agree in a nod of time for which the "wntten contract re- "written contract requiring insurance"to include as qumng insurance" requires you to provide an additional insured on this Coverage Part, but- such coverage or the end of the policy period, whichever s earlier a. Only with respect to liability for"bodily injury", "property damage"or"personal injury";and 2. The following is added Paragraph of SEC- TION N—COMMERCIAA LIABILITY GENERAL LIABILITY b. If, and only to the extent that, the injury or CONDITIONS damage is caused by acts or omissions of you or your subcontractor in the performance The insurance provided to the additional insured "your work" to which the "wntten contract is excess over any valid and collectible oother in- ofrequirtng insurance" applies The person or on any whether primary, excess, contingent addi- organization does not quality as an additional on any other basis, that a available to the fyou insured with respect to the independent acts bona) insured for i loss 'w cover However, if you or omissions of such person or organization insurance"lly agree in the ra'written contract requiring ,^ insurance"that this insurance provided to the ad- The insurance provided to such additional insured ditional insured under this Coverage Part must is limited as follows- apply on a primary basis or a primary and non- e— c. to the event that the Limits of Insurance of contributory basis, this insurance is primary to this Coverage Part shown in the Declarations "other insurance" available to the additional in- exceed the limits of liability required by the sured which covers that person or organization as �— "written contract requiring insurance", the in- a named insured for such loss, and we will not `= surance provided to the additional insured share with that "other insurance" But this insur- shall be limited to the limits of liability required ante provided to the additional insured still is ex- by that "written contract requiring insurance". cess over any valid and collectible "other insur- This endorsement shall not increase the limits ante", whether primary, excess, contingent or on of insurance described in Section III — Limits any other bass, that is available to the additional Of Insurance insured when that person or organization is an d. This insurance does not apply to the render- additional insured under any"other Insurance" ing of or failure to render any "professional 3. The following is added to SECTION N — COM- services" or construction management errors MERCIAL GENERAL LIABILITY CONDITIONS or omissions. Duties Of An Additional Insured a= e. This insurance does not apply to "bodily in- As a condition of coverage provided to the addi- jury" or "property damage" caused by "your tional insured, work" and included in the "products- - completed operations hazard" unless the a. The additional insured must give us written "written contract requiring insurance" specifi- notice as soon as practicable of an "occur- cally requires you to provide such coverage rence" or an offense which may result in a for that additional insured, and then the incur- claim To the extent possible, such notice ante provided to the additional insured ap- should include, CG D4 14 04 08 ®2008 The Travelers Companies,Inc Page 1 of 2 COU72 COMMERCIAL GENERAL LIABILITY L How, when and where the "occurrence" any provider of other insurance which would or offense took place; cover the additional insured for a loss we ii. The names and addresses of any injured cover However, this condition does not affect persons and witnesses, and whether this insurance provided to the addi- iii. The nature and location of any injury or tional insured is primary to that other insur- damage arising out of the "occurrence" or ance available to the additional insured which offense covers that person or organization as a named insured. b. If a claim is made or"suit" is brought against 4 The following is added to the DEFINITIONS Sec- the additional insured, the additional insured must tion i. )mmediately record the specifics of the 'Written contract requiring insurance" means that claim or"sud"and the date received, and part of any written contract or agreement under which you are required to include a person or or- ii. Notify us as soon as practicable ganization as an additional insured on this Cover- The additional ,nsured must see to it that we age Part, provided that the "bodily injury" and receive written notice of the claim or "suit" as ^property damage" occurs and the "personal in- soon as practicable jury" is caused by an offense committed- c. The additional insured must immediately send a. After the signing and execution of the contract us copies of all legal papers received in con- or agreement by you, nection with the claim or"suit", ccooerate with b. While that part of the contract or agreement is us in the investigation or settlement of the In effect, and Claim or defense against the "suit", and oth- erwise comply with all policy conditions c. Before the end of the policy period. d. The additional insured must tender the de- fense and indemnity of any claim or "suit' to Page 2 of 2 0 2008 The Travelers Companies,tnc CG D4 14 04 03 Verify Workers' Comp Premium Status - Employer Liability Certificate Page 1 of 1 Washington State Department of srkt�r�� Employer Liability Labor and Industries Certificate Department of Labor and Industries Employer Liability Certificate Date: 07/31/2012 UBI #: 600 375 010 Legal Business Name: Account#: 429,351-00 1 'Doing Business As'Name: GEOENGINEERS INC Estimated Workers Reported- Quarter 2 of Year 2012 "Greater than 100 Workers" (See Description Below) Workers' Comp Premium Status: Account is current. Firm has voluntarily reported and paid their premiums. Licensed Contractor? Yes License: GEOENI*110JE Expire Date: 5/9/2013 Account Representative: T2 /KATHY WITHERS (360)902-4829tp - Email: WITE235@lm wa gov What does "Estimated Workers Reported" mean? Estimated workers reported represents the number of full time position requiring at least 480 hours of work per calendar quarter. A single 480 hour position may be filled by one person, or several part time workers. Industrial Insurance Information Employers report and pay premiums each quarter based on hours of employee work already performed, and are liable for premiums found later to be due. Industrial insurance accounts have no policy periods, cancellation dates, limitations of coverage or waiver of subrogation (See RCW 51.12.050 and 51.16.190). https://fortress.wa.gov/lni/crpsi/AcctInfoPrint.aspx?Accountld=42935100&AccountManag... 7/31/2012