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KENT
WASMI.GTON - Document
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: Independence Enterprises Inc.
Vendor Number: 603552
JD Edwards Number
Contract Number: ZT13- OX
This is assigned by City Clerk's Office
Project Name: Kiva Upgrade (version 7.x to 8.x)
Description: ❑ Interlocal Agreement ❑ Change Order ❑ Amendment ® Contract
❑ Other:
Contract Effective Date: August 13, 2013 Termination Date:
12/31/2014
Contract Renewal Notice (Days): 30
Number of days required notice for termination or renewal or amendment
Contract Manager: Curt Ryser Department: Information Technology
Detail: (i.e. address, location, parcel number, tax id, etc.):
Contract with IE Inc. to assist and support staff on upgrading Kiva system to version 8.x
or 9.x as required.
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S Public\RecordsManagement\Forms\ContractCover\adcc7832 1 11/08
• M ,
KENT
W n 5 MI N G T 0 N
CONSULTANT SERVICES AGREEMENT
between the City of Kent and
[independence enterprises, Inc.]
THIS AGREEMENT is made between the City of Kent, a Washington municipal corporation
(hereinafter the "City"), and independence enterprises, Inc. organized under the laws of the
State of State of Utah, located and doing business at 4381 West Dogwood Lane, Cedar Hills, UT
84062, 801-376-3315 (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:
independence enterprises, Inc. is to act as technical consultants in advising the City
of Kent, Washington on upgrading the Kiva software and environment as outlined in
Ehibit 1, Scope of Work.
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 no
later than December 31, 2014.
III. COMPENSATION.
A. The City shall pay the Consultant, based on time and materials, an amount not to
exceed Twenty Thousand Dollars ($20,000), 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 one (1) year from the
effective date of this Agreement. The Consultant's billing rates shall be as
delineated in Exhibit 1.
CONSULTANT SERVICES AGREEMENT - 1
(Over$10,000)
B. The Consultant shall submit (monthly] payment invoices to the City for work
performed, and a final bill upon completion of all services described in this
Agreement. The City shall provide payment within forty-five (45) days of receipt of
an invoice. If the City objects to all or any portion of an invoice, it shall notify the
Consultant and reserves the option to only pay that portion of the invoice not in
dispute. In that event, the parties will immediately make every effort to settle the
disputed portion.
IV. INDEPENDENT CONTRACTOR. The parties intend that an Independent
Contractor-Employer Relationship will be created by this Agreement. By their execution of this
Agreement, and in accordance with Ch. 51.08 RCW, the parties make the following
representations:
A. The Consultant has the ability to control and direct the performance and
details of its work, the City being interested only in the results obtained
under this Agreement.
B. The Consultant maintains and pays for its own place of business from which
Consultant's services under this Agreement will be performed.
C. The Consultant has an established and independent business that is eligible
for a business deduction for federal income tax purposes that existed before
the City retained Consultant's services, or the Consultant is engaged in an
independently established trade, occupation, profession, or business of the
same nature as that involved under this Agreement.
D. The Consultant is responsible for filing as they become due all necessary tax
documents with appropriate federal and state agencies, including the Internal
Revenue Service and the state Department of Revenue.
E. The Consultant has registered its business and established an account with
the state Department of Revenue and other state agencies as may be
required by Consultant's business, and has obtained a Unified Business
Identifier (UBI) number from the State of Washington.
F. The Consultant maintains a set of books dedicated to the expenses and
earnings of its business.
V. TERMINATION. Either party may terminate this Agreement, with or without
cause, upon providing the other party thirty (30) days written notice at its address set forth on
the signature block of this Agreement. After termination, the City may take possession of all
records and data within the Consultant's possession pertaining to this project, which may be
used by the City without restriction. If the City's use of Consultant's records or data is not
related to this project, it shall be without liability or legal exposure to the Consultant.
VI. DISCRIMINATION. In the hiring of employees for the performance of work under
this Agreement or any subcontract, the Consultant, its subcontractors, or any person acting on
behalf of the Consultant or subcontractor shall not, by reason of race, religion, color, sex, age,
sexual orientation, national origin, or the presence of any sensory, mental, or physical disability,
discriminate against any person who is qualified and available to perform the work to which the
employment relates. Consultant shall execute the attached City of Kent Equal Employment
CONSULTANT SERVICES AGREEMENT - 2
(Over$10,000)
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 [2] 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
CONSULTANT SERVICES AGREEMENT - 3
(Over$10,000)
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.
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
CONSULTANT SERVICES AGREEMENT - 4
(Over$10,000)
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: DBy:
F KENT:
A
By: _(signature) (signature)
Print Name: STEortHU Aor3rr Suzette Cooke
Its /&f9vDt4Q7 Its Mayor
(title
DATE: �-W L 113 DATE:
NOTICES TO BE SENT TO: NOTICES TO BE SENT TO:
CONSULTANT: CITY OF KENT:
[Stephen K. Roberts] [Curt Ryser
[independence enterprises, Inc.] City of Kent
[4381 West Dogwood Lane] 220 Fourth Avenue South
[Cedar Hills, UT] Kent, WA 98032
[801-376-3315] (telephone) (253) [856-4642] (telephone)
(708-405-4979] (facsimile) (253) [856-4735] (facsimile)
APPROVED AST FO :
Kent Law Departme
Qn ws tea,you mw son the do*or+c naoxn.nee U0 mroea hW bM WM7
CONSULTANT SERVICES AGREEMENT - 5
(Over$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 aU day of h' Aq , 2013 .
By:
For: Zo)i64-r 1Ut)r-j)h j)(-aK� r-ATrryjL15fS, lti(-.
Title: pll SrOt��rl
Date: �� U� /3
EEO COMPLIANCE DOCUMENTS - 1
U _ . I
independ_�enferp" p es
4381 west dogwood lane, cedar hills, UT 84062
801-376-3315
City of Kent Washington—Kiva Application Upgrade
Date: May 20,2013
It is our pleasure to offer the following proposal to assist you with the upgrade of your Kiva
application environment.
I. General Description of Activities
independence enterprises, inc. is to act as technical consultants in advising Kent,
Washington on upgrading the Kiva software and environment as outlined below. The
actual tasks necessary to perform the upgrades will be done by Kent Washington staff
unless otherwise specified.
The following tasks will be supported by independence enterprises as part of this
proposal:
• Upgrading the current Kiva `Upgrade' environment from Version 7 Release Ito
Version 8 Release 2.1 or optionally Version 9 Release 1.2—the upgrade will
implement software updates that encompass:
o Version 7 Release 2
o Version 8 Release 0
o Version 8 Release 2.1
o Version 9 Release 1.2 (if requested)
Any problems encountered during the upgrade activities are to be resolved by
Kent, Washington staff with assistance from independence enterprise, Inc. as
required.
Any scripts modifications that are necessary to ensure a successful upgrade of the
Oracle database to accommodate new data integrity constraints introduced as part
of the new Kiva software. independence enterprises will provide Kent,
Washington with any existing modifications to upgrade scripts applied at other
Kiva sites.
• Completing basic operational testing to prepare the upgraded environment for
subsequent end-user testing and training;
• Developing a final transition plan to migrate the upgraded application software
into full production status once user testing and training has been completed using
the `Upgrade' environment.
II. Project Timeline
The following is an estimated timeline to complete this upgrade project. These
times are for estimating the length of the project and are only rough estimates
based on past experience at other Krva sites.
Tasks Days
Upgrade test database to 7.2 2
Upgrade test database to 8.0 2
Upgrade test database to 8.2.1 2
Upgrade test database to 9.1.2 (optional) 2
Modify scripts and procedures throughout Upgrades 5
Test upgrade database 1
Upgrade production database to8.2.1 (9.1.2 optional) 2
Test production database 1
Total 17
III. Costs
Cost proposals and estimates are based on the standard hourly rate of$130.00 per
hour. It is understood that all work done by independence enterprises, Inc. is to be
done off site. If, for some reason, on-site work is necessary,travel expenses
including airfare, car rental, hotel, and $71.00 per Diem (GSA) will be billed.
Time for travel will not be billed, however the per diem will be billed for all on-
site and travel days.
The following is the cost for off-site assistance An estimate of hours is provided.
However, off-site assistance is proposed at a fixed cost for this project. The
insurance cost will be invoiced for re-imbursement at execution of contract,
subsequent to providing the City with proof of insurance, per Exhibit 2, paragraph
E. Monthly payment invoices will be based on percentage of work completed
towards each project milestone.
Milestone Quantity Cost
Re-imbursement for City of Kent insurance Contract $2,200
requirements
Off-site assistance to upgrade to 8.2.1 60 hours $7,800
Off-site assistance if mutually agreed by the City and 60 hours $7,800
the Vendor to upgrade from 8.2.1 to 9.1.2, if requested
Total off-site assistance 60 hours $17,800
The following are cost estimates for expenses for on-site visits and are rough
estimates base on GSA approved rates and current airfare and car rental rates.
Actual costs may vary and will be billed only if an on-site visit is requested.
Item Quantity Estimate:
Airfare 1 flight $ 350.00
Car Rental/gas per day $ 75.00
Hotel per night $ 137.00
Per Diem per day $ 71.00
Assistance Per day $1,040.00
May 20,2013
2
IV. Assumptions
Kent,Washington will:
• Ensure that the Oracle database is on a supported version.
• Ensure that all Oracle tools, i.e. Oracle Forms Server, Oracle Reports Server,
SQL*Plus, Oracle Applications Server, are upgraded to a supported version.
• Ensure that all operating systems and hardware platforms are certified by
Oracle and Accela.
• Acquire all scripts, forms, reports, and any other components that are
necessary for the upgrades from the software vendor. Kiva upgrades are
incremental and therefore require each upgrade version to be applied
incrementally.
• Perform all the on-site tasks necessary for all upgrades.
• Perform the final testing of the upgraded application environment using the
Kiva test database.
• Provide remote access to independence enterprises, Inc. to the Oracle database
server, and all components to the Kiva system.
• Provide an export of the current database to be installed on independence
enterprises servers at each upgrade level.
independence enterprises, Inc.will provide:
• Assistance when necessary in a timely manner.
• Provide assistance via phone call, email, or web conferencing, whichever is
determined to be best for each situation
• If previously agreed upon, travel to Kent, Washington to assist on-site if
needed.
V. General Notes
1. The client is responsible for expenses incurred at the client's site. They
include, but are not limited to, air and ground transportation, lodging, and per
diem(GSA rate). All expenses will be reimbursed as submitted from actual
receipts.
2. All scripts and procedures not part of the original Accela upgrade routines are
and will remain the property of independence enterprises, Inc. The City shall
have the right to use and keep scripts, procedures and associated written
documentation for operational and record purposes.
3. This project is governed by any licensing agreements currently in effect
between Accela and Kent, Washington at the time services are performed.
4. independence enterprises does not guarantee the performance or functionality
of any form or report that is delivered as part of the licensing agreement
between Accela and Kent, Washington.
May 20,2013
3
< M
VI. Licensing and insurance
• independence enterprises inc. is fully licensed and insured as required by the
governing laws of the State of Utah.
City of Kent Washington—Kiva Application Upgrade
AGREEMENT ACCEPTANCE
xx A5 /).0113
Stephen K.-Roberts, President Date
independence enterprises, Inc.
z 4 811311,3
ity o e t, Washington Da
May 20,2013 4
EXHIBIT 2
INSURANCE REQUIREMENTS FOR
CONSULTANT SERVICES AGREEMENTS
Insurance
The Contractor shall procure and maintain for the duration of the Agreement,
insurance against claims for injuries to persons or damage to property which
may arise from or in connection with the performance of the work hereunder
by the Contractor, their agents, representatives, employees or
subcontractors.
A. Minimum Scope of Insurance
Contractor shall obtain insurance of the types described below:
Commercial General Liability insurance shall be written on
ISO occurrence form CG 00 01 and shall cover liability
arising from premises, operations, independent contractors,
products-completed operations, personal injury and
advertising injury, and liability assumed under an insured
contract. The Commercial General Liability insurance shall be
endorsed to provide the Aggregate Per Project Endorsement
ISO form CG 25 03 11 85. The City shall be named as an
insured under the Contractor's Commercial General Liability
insurance policy with respect to the work performed for the
City using ISO additional insured endorsement CG 20 10 11
85 or a substitute endorsement providing equivalent
coverage.
1. Workers' Compensation coverage as required by the
Industrial Insurance laws of the State of Washington.
2. Professional Liability insurance appropriate to the
Consultant's profession.
B. Minimum Amounts of Insurance
Contractor shall maintain the following insurance limits:
1. Commercial General Liability insurance shall be written with
limits no less than $1,000,000 each occurrence, $1,000,000
general aggregate and a $1,000,000 products-completed
operations aggregate limit.
2. Professional Liability insurance shall be written with limits no
less than $1,000,000 per claim and $1,000,000 policy
aggregate limit.
EXHIBIT 2 (Continued )
C. Other Insurance Provisions
The insurance policies are to contain, or be endorsed to contain, the following
provisions for Automobile Liability and Commercial General Liability
insurance:
1. The Contractor's insurance coverage shall be primary insurance as respect
the City. Any Insurance, self-insurance, or insurance pool coverage
maintained by the City shall be excess of the Contractor's insurance and
shall not contribute with it.
2. The Contractor's insurance shall be endorsed to state that coverage shall
not be cancelled by either party, except after thirty (30) days prior
written notice by certified mail, return receipt requested, has been given
to the City.
3. The City of Kent shall be named as an additional insured on all policies
(except Professional Liability) as respects work performed by or on behalf
of the contractor and a copy of the endorsement naming the City as
additional insured shall be attached to the Certificate of Insurance. The
City reserves the right to receive a certified copy of all required insurance
policies. The Contractor's Commercial General Liability insurance shall
also contain a clause stating that coverage shall apply separately to each
insured against whom claim is made or suit is brought, except with
respects to the limits of the insurer's liability.
D. Acceptability of Insurers
Insurance is to be placed with insurers with a current A.M. Best rating of not
less than A:VII.
E. Verification of Coverage
Contractor shall furnish the City with original certificates and a copy of the
amendatory endorsements, including but not necessarily limited to the
additional insured endorsement, evidencing the insurance requirements of
the Contractor before commencement of the work.
F. Subcontractors
Contractor shall include all subcontractors as insureds under its policies or
shall furnish separate certificates and endorsements for each subcontractor.
All coverages for subcontractors shall be subject to all of the same insurance
requirements as stated herein for the Contractor.
ACORD„ CERTIFICATE OF LIABILITY INSURANCE DATE(MM OD VYYY)
13
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
RYAN J HUNTSMAN ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
PO BOX 1001 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
AMERICAI3 FORK,UT 84003 ALTER THE COVERAGE AFFORDED SY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE_ NAIC#
INSURED INSURERA MARKEL
INDEPENDENCE ENTERPRISES INC. INSURERB MARKEL
INSURERC
INSURER_D
INSURER E
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
INBR DD' POLICY NUMBER POLICY EFFECTIVE POLICYEXPIRATIONLTR N TYPE OF INSURANCE LIMITS
GENERAL LIABILITY EACH OCCURRENCE S 1000000
K COMMERCIAL GENERAL_LIABILITY DAMAGE$( occurO
l _l PREMISES{F,.aou:urargal
_)CLAIMSMADE I�IOCCUR 3DN8646 08/19/13 08/19/14 _MEDEXP(A_nyonaperson) S 500,0_
X PERSONALSADVINJURY $., _ 10000_0.
GENERAL AGGREGATE _ $ 2000000
GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS COMPIOPAGG $ EXLCUDED
POLICY PRO- LOC
AUTOMOBILE LIABILITY
-- COMBINED SINGLE LIMB $
ANY AUTO (Ea accident)
ALLOWNEDAUTOS BODILY INJURY
SCHEDULEDAUTOS (Per person) S
HIREDAUTOS
BODILY INJURY $
NON OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
(Peraccldent)
GARAGE LIABILITY AUTO ONLY-EAACCID_EN_T $
ANYAUTO OTHER_ ^ EAACC_ $ _
- OTHER THAN --
AUTOONLY AGG S
EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE_ S
OCCUR r_1 CLAIMSMADE AGGREGATE S
DEDUCTIBLE $
RETENTION S
WORKERS COMPENSATION AND TAT
EMPLOVERS'LIABILITV _ ITORY LIMITS
ANY PROPRIETOR/PARTNERIEXECUTIVE EL EACH ACCIDENT $ _
OFFICERIMEMBER EXCLUDED? E L DISEASE•EAEM_P_LOYEE S
Ilyes,dewnbeunder
SPECIAL PROVISIONS below EL DISEASE POUCYLIMIT S
OTHER
B PROF LIABILITY IT-805889 08/19/13 08/19/14 $1,000,000/$1,0001000
DESCRIPTION OF OPERATIONS LOCATIONS VEHICLES EXCLUSIONS ADDED BY ENDORSEMENTI SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
CITY OF KENT DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3n_ DAYS WRITTEN
INFORMATION TECHNOLOGY DEPT NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
220 FOURTH AVENUE SOUTH IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
KENT, WA 98032-5B95 REPRESENTATIVES
AUTHO D REPIR NT 1 E
ACORD 25(2001/08) ACORD CORPORATION 1998
COMMERCIAL GENERAL LIABILITY
Policy Number: 3DN8846
MARKED ESSEX INSURANCE COMPANY
THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED ENDORSEMENT
This endorsement modifies insurance provided under the following.
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
PRODUCTS/COMPLETED OPERATIONS COVERAGE FORM
LIQUOR LIABILITY COVERAGE FORM
PROFESSIONAL LIABILITY COVERAGE
OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM
Please refer to each coverage form to determine which terms are defined.Words shown in quotations on this
endorsement may or may not be defined in all coverage forms.
SCHEDULE
Person or Entity CITY OF KENT
INFORMATION TECHNOLOGY DEPT
Address: 220 FOURTH AVENUE SOUTH
KENT, WA 98032-5895
Interest of the Above:
Additional Premium: $100 (Check box If fully earned.®)
WHO IS AN INSURED is amended to include the person or entity shown in the Schedule above as an Additional Insured
under this insurance, but only as respects negligent acts or omissions of the Named Insured and only as respects any
coverage not otherwise excluded in the policy Our agreement to accept an Additional Insured provision in a contract is
not an acceptance of any other provisions of the contract or the contract in total
When coverage does not apply for the Named Insured,no coverage or defense shall be afforded to the Additional
Insured.
No coverage shall be afforded to the Additional Insured for injury or damage of any type to any"employee" of the Named
Insured or to any obligation of the Additional Insured to indemnify another because of damages arising out of such injury
or damage.
All other terms and conditions remain unchanged.
MEGL 0009 0911 Inciudes copyrighted material of Insurance Services Office, Inc.with Its Page 1 of 1
permission
REQUEST FOR MAYOR'S SIGNATURE
SCENT Please Fill in All Applicable Boxes
WASH NOTON
Routing Information (ALL REQUESTS MUST FIRST BE ROUTED THROUGH THE LAW DEPARTMENT)
Originator C yr � 5e/` Phone iOngmator) x
Date Sent: Date Required. 9 3
Return Signers Document to r CONTRACT TERtNUNATION/ ATE: i o2 3t /L-
VENDOR NAME: �� „G DATE OF COUNCIL APPROVAL: � a I Aa,
Brief Explanation of Document
•�..• ��-.sue/�,�� � ��� � � �� ��
tj vl/ � a r�-- o� l�r �c.. v�jr� � �✓r.� a Gh
All Contracts Must Be Routed Through the Law Department
(This Area too,1,Zg mpleted By the Law Depai tment)
Received•
A� ioval of Law Dept.: AUG 01
E
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Law Dept. Commentsm- `T %A\fV DR , �
RE IE®
Date Foi warded to Mayor: zj Eel' All G fl R
Shaded Areas to Be Completed by Administration Staff City of Kent
Received: Umce of the M�
Recommendations & Comments-
Disposition 1d 1� G�0G���
Date Returned
agF ,870 - 3;05