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HomeMy WebLinkAboutPW14-071 - Original - ICF Jones & Stokes, Inc. - 108th Ave & S. 208th St. Intersection - 03/25/2014 a ' Records Managernen KENT Document WASIINOTOH f t�� 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: ICF Jones & Stokes, Inc. Vendor Number: JD Edwards Number Contract Number: ` W 14 -C)1 This is assigned by City Clerk's Office Project Name: Hot Spot Modeling Description: ❑ Interlocal Agreement ❑ Change Order ❑ Amendment ® Contract ❑ Other: Contract Effective Date: 3/25/14 Termination Date: 6/1/14 Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Nick Horn Department: Engineering Detail: (i.e. address, location, parcel number, tax id, etc.): Conduct carbon monoxide hot spot modeling_for the intersection of 108t" Ave. and S. 208tst. S•Publlc\Records Management\Forms\ContractCover\adcc7832 1 11/08 • KEN T W M1S"INOTON CONSULTANT SERVICES AGREEMENT between the City of Kent and ICF Jones & Stokes, Inc. THIS AGREEMENT is made between the City of Kent, a Washington municipal corporation (hereinafter the "City"), and ICF Jones & Stokes, Inc. organized under the laws of the State of Delaware, located and doing business at 710 Second Avenue, Suite 550, Seattle, WA 98104, Phone: (206) 801-2865/Fax: (206) 801-2899, Contact: Jason Volk (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: The Consultant shall conduct carbon monoxide hot spot modeling for the intersection of 108th Avenue and S. 2081h Street. For a description, see the Consultant's Scope of Work which is attached as Exhibit A and incorporated by this reference. 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. Consultant shall complete the work described in Section I by June 1, 2014. III. COMPENSATION. A. The City shall pay the Consultant, based on time and materials, an amount not to exceed Three Thousand, Two Hundred Sixty Dollars and eight cents ($3,260.08), 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 A. 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 CONSULTANT SERVICES AGREEMENT - 1 (Under$10,000) 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 Opportunity Policy Declaration, Comply with City Administrative Policy 1.2, and upon completion of the contract work, file the attached Compliance Statement. CONSULTANT SERVICES AGREEMENT - 2 (Under$10,000) • i VIE. 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 casts 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. 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. CONSULTANT SERVICES AGREEMENT - 3 (Under$10,000) 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 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 CONSULTANT SERVICES AGREEMENT - 4 (Under$10,000) 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 KENT: 4z( i By: By: (sign re (signature) Print Name: -W -T Print Name: Mark Howlett Its: t6r"I:t 4e.jt- Its: Design Engineering Manager DATE: 2 711 tale) DATE: NOTICES TO BE SENT TO: NOTICES TO BE SENT TO: CONSULTANT: CITY OF KENT: Jason Volk Timothy J. LaPorte, P.E. ICF Jones & Stokes, Inc. City of Kent 710 Second Ave., Suite 550 220 Fourth Avenue South Seattle, WA 98104 Kent, WA 98032 (206) 801-2865 (telephone) (253) 856-5500 (telephone) 206 801-2899 facsimile (253) 856-6500 (facsimile) ICF Jonas&Stokes-108*-2W8 Hot SpptlHorn 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. Duringthe time of the Agreement I, the prime contractor, will actively consider hiring and 9 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. By: For: Title: Date: T\ 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 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. By: For: Title: Date: EEO COMPLIANCE DOCUMENTS - 3 EXHIBIT A October 4,2013 Granville N,Horn Project Engineer Public Works Department,City of Kent 220 Fourth Avenue South Kent,WA98032 Subject: CO Hot-Spot Analysis:108th Avenue&South 208th Street,City of Kent Dear Mr.Horn: In response to your request on 9/24/2013,ICF is pleased to present this scope of work and cost estimate to conduct carbon monoxide(CO)hot spot modeling for the intersection of 108th Avenue and South 208tb Street in the City of Kent, We will provide the results of the CO hot spot analysis for inclusion in air quality reports required for the proposed project SCOPE OF WORK We received an email from you on 9/24/2013,which contained engineering plans and location data for this project,To complete the analysis,the City will provide the following additional information: e A short narrative describing the proposed project including its construction schedule. e Peak-hour turning movements,and LOS reports including lane configuration,average vehicle delay,and queue length for each turning movement for the fallowing conditions: 1) Existing conditions, 2) Build year no-project conditions, 3) Build year with-project conditions, 4) Design year no-project conditions,and 5) Design year with-project conditions. i Upon receipt of this information ICF will complete the following. CAL3QHCR modeling forecasts of CO concentrations under the existing conditions,build year no-project conditions,and design year with-project conditions,using vehicle emissions factors from I the EPA MOVE2010 model A Technical Memorandum describing methods and results of the modeling. This memo will be written in a format suitable for incorporation into the City's overall air quality report. 710 Second Avenue,Suite S50 Seattle,WA 98104 � 206 801 2800 w. - 206,801 2899 fax a+--- Icfi coin Submit a paper copy,Word file,and PDF version of the Technical Memorandum,including modeling data input/output files for modeling documentation. BUDGET AND SCHEDULE The estimated budget for this scope is$3,260.08. The distribution of labor hours is shown in Table 1. Work will be invoiced on a time-and-materials basis using a labor multiplier of 3.2013. As we discussed,lCF will be available to begin work for this project starting on 10/16/2013.ICF will submit the Technical Memorandum bo the City within 10 business days after we receive the traffic data described above. We look forward to hearing from you.Thankyou for the opportunity to propose on this project Sincerely, Jason Volk Senior Associate i I I 1 I i Table 1. Cost Estimate for City of Kent 108th Avenue CO Hot Spot Modeling Consulting Staff Production Staff fimpbyw Nam Kuo K Volk J Tull Labor Clealsfitsfto SrConsultil SrConsultil Subtotal Editor Admir Tech Subtotal Labor Total Total Pros —— —7— Rlnp.11e R?!Vmt�. so 00 $7 1 059 2 a $000 $95776 ................ ..... ............. .........;......w1iis............. .... t�rnn 2: 0 $1,194 613 1 l73 ........................g......i:ig.................................................. ...4 Flnel Memo $000 $ Total hours 4 21 ......... .......N.Rq .....MAI 20I3 Direct Rates US 69 $3700 $2B 00 122.001 ICF UP 2013 Billing Rates-3 2013 mu01plior $123 64 Silo 46 $064 $7043 Subtatals $49415 $2 GXS!l $3 10D 01 $8984 $70,43 Total price $3250.09, Deft Fnftd IW4=13 513 Pild Appmad by Finance(sh) Kent-108thAw-CO-Badger_Aov3_100413(clict)As a 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. The City shall be named as an Additional Insured under the Consultant's Commercial General Liability insurance policy with respect to the work performed for the City using ISO additional insured endorsement CG 20 10 1185 or a substitute endorsement providing equivalent coverage. 3. Workers' Comiensation coverage as required by the Industrial Insurance laws of the State of Washington. B. Minimum Amounts of Insurance Consultant shall maintain the following insurance limits: 1. Automobile Liability insurance with a minimum combined single limit for bodily injury and property damage of $1,000,000 per accident. 2. Commercial General Liability insurance shall be written with limits no less than $1,000,000 each occurrence, $2,000,000 general aggregate. EXHIBIT B (Continued) C. Other Insurance Provisions The insurance policies are to contain, or be endorsed to contain, the following provisions for Automobile Liability and Commercial General Liability insurance: 1. The Consultant's insurance coverage shall be primary insurance as respect the City. Any Insurance, self-insurance, or insurance pool coverage maintained by the City shall be excess of the Consultant's insurance and shall not contribute with it. 2. The Consultant's insurance shall be endorsed to state that coverage shall not be cancelled by either party, except after thirty (30) days prior written notice by certified mail, return receipt requested, has been given to the City. 3. The City of Kent shall be named as an additional insured on all policies (except Professional Liability) as respects work performed by or on behalf of the Consultant and a copy of the endorsement naming the City as additional insured shall be attached to the Certificate of Insurance. The City reserves the right to receive a certified copy of all required insurance policies. The Consultant's Commercial General Liability insurance shall also contain a clause 7 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 Consultant before commencement of the work. F. Subcontractors Consultant shall include all subcontractors as insureds under its policies or shall furnish separate certificates and endorsements for each subcontractor. All coverages for subcontractors shall be subject to all of the same insurance requirements as stated herein for the Consultant. CATE(MM/DD/YYYY) Ae CERTIFICATE OF LIABILITY INSURANCE I 0310312014 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(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) y PRODUCER CONTACT 7 NAME AOn Risk services Northeast, Inc PHONE Ea) (866) 283-7122 FAX (800) 363-0105 L New York NY Office AIC No _ 199 Water Street E-MAIL O New York NY 10038-3551 USA ADDRESS = INSURER(S)AFFORDING COVERAGE NAIC If INSURED INSURER Great Northern Insurance Co. 20303 ICF Jones & stokes, inc. INSURER Sentry ins A Mutual Company 24988 9300 Lee Highway INSURER Fairfax VA 22031-1207 USA INSURER D INSURER E INSURER F COVERAGES CERTIFICATE NUMBER:570053024529 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 CR 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 Limits shown are as requested LTR TYPE OF INSURANCE NSD WVD POLICY NUMBER MWDWYYYY MMJDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE $1,000,000 Package - Domestic DAMAGE TORE $1,000,000 CLAIMS-MADE Fq OCCUR PREMISES(Ea occurrence X Prod-Comp Op Ind In Gen'I Agg MED EXP(Anyone person) $10,000 X Conlrectual Liability PERSONAL&ADV INJURY $1,000,000 N GEN L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE 12,000,000 N X POLICY ❑JECT LOC o PRO- El PRODUCTS COMP m 0 OTHER N A AUTOMOBILE LIABILITY 73522955 06/2 5/2013 06/25/2014 COMBINED SINGLE LIIdIT $1,000,000 Automobile - All states Ea accident .. X ANY AUTO BODILY INJURY(Per person) G 2 ALL OWNED SCHEDULED BODILY INJURY(Per accident) d) AUTOS AUTOS PROPERTYDAMAGE cMJ X HIRED AUTOS X NON-OWNED Peraccicent) AUTOS N UMBRELLA LIPS OCCUR EACH OCCURRENCE L) EXCESS LIAB CLAIMS-MADE AGGREGATE DED RETENTION B WORKERS COMPENSATION AND 9 -1 57- 0 13 0 2 14 X STATUTE ERµ EMPLOYERS'LIABILITY YIN workers Comp BANY PROPRIETOR I PARTNER I EXECUTIVE ❑y NIA 90-17657-02 06/25/2013 06/25/2014 EL EACH ACCIDENT $1,000,000 OFFICERVEMBER EXCLLCED7 (Mandatary in NH) workers Comp EL DISEASE-EA EMPLOYEE $1,000,U00 If yes describe under DESCRIPTION OF OPERATIONS below EL GSEASE-POLICY LIMIT $1,000,000— �i DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) 1 - The City of Kent is included as an Additional insured under the General Liability policy .. 2 - Except with respect to the limits of Insurance, and any rights or duties specifically assigned to the First Named Insured, insurance applies separately to each insured against whom claim is made or "suit" is brought 3 - subject to the standard terms and conditions of the individual policies, the indicated coverage is primary but only as respect work being done by ICE Jones & stokes, inc for the City of Kent Ih� CERTIFICATE HOLDER CANCELLATION 4� 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 AUTHORIZED REPRESENTATIVE 220 Fourth Avenue South �• Kent, WA 98032 USA ' y�T de c.JGKa�t ���G�O/c c/oZuri'�O c/7�ai Jvaa _ ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(201410i) The ACORD name and logo are registered marks of ACORD Liability Insurance Endorsement Policy Period JUNE 25 2013 TO TUNE 25,2014 Effective Date DUNE 25,2013 Policy Number 3581-24-09 EUC Insured ICF JONES&STOKES,INC Name of Company GREAT NORTHERN INSURANCE COMPANY Date Issued JUNE 25,2013 Thts Endorsement applies to the following forms GENERAL LIABILITY Under Who Is An Insured,the following provision is added Who Is An Insured Scheduled Person Or Subject to all of the terms and conditions of this insurance,any person or orgznnadon shown in The Organization Schedule,acting put suantto a written contract or agieeinent bete,eenyou and such person or organization,is an insured,but they arc insureds only with respect to liability arising out of your operations,or your premises,if you arc obligated,pursuant to such contract or agreement to prov-1 de them with such insurance as is afforded by this poli.,y However,no such person or orgamzation is an insured with respect to any. assumption of liability by them In a contractor agreement This limitation does not apply to the liability for damages for injury or damage,to"hich thi,imurancc applies that the person er organizat on would have n the absence of such contract or agreement damages ansmg out of their sole negligence Schedule ANY PERSON OR ORGANIZATION AS REQMED BY CONTRACT Parsons ororgavzatenshatyodaeobligatsd pusuanttowrittenc>ntfaooragreament benneen lou and such 4ei son of mganiZa Gon to prande with such ns,r,ce as,forded to thin wlmv bmtheyn insuredson'ydundcn iow�mmumetentthstsuc hcornaot or aI r emenro pg r ncr.,gSon ben is e2atlon durd ro is pr ,isicnn'h nsweo esrnh* n unperson crorganacenie an Whod An rstiir preneon whoa mcro speafioa" dasrnhal underany nthPr vow�mn of the Who Is An Insunl spc[�on of thx pnlry(ragardlaxs of any im iutun apphcabi-theretcI City of Kent uabtley Insurance Addidonal Insured-Scheifuleo rerson ur Urgamzaaon continued Form BG-02-2367(Rev 8-04) Endorsement Pagel Liability End orsernent (contmed) All other lemu and cond»aonsreinam unchanged Authored Represenfa8ve 'a<---DA—,�12 Reference Copy ablpty Insurance Adalllonallnsuled-Scheduled Person Or Orgarrzation last page V Form 80-02-2367(Rev 8-04) Endorsement Rage 2 POLICY NUMBER' 7352-29-65 COMMERCIAL AUTO CA 20 48 02 99 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the following. BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage by this endorsement,the provisions of the Coverage Form apply unless modified by this endorsement This endorsement Identifies person(s)or organization(s)who are"insureds"under the Who is An Insured Provision of the Coverage Form This endorsement does not alter coverage provided in the Coverage Form This endorsement changes the policy effective on the inception date of the policy unless another date Is Indicated below Endorsement Effective 6125/13 Countersigned By Named Insured ICF JONES 8 STOKES,INC ` L Vr1 SCHEDULE Name of Person(s)or Organization(s) "Any person or of gamzahon as requn•ed by an Lrsured contract" City of Kent (It no entry appears above Information required to complete this endorsement will be shown In the Declarations as applicable to the endorsement) Each person or organization shown in the Schedule is an 'insured"for Liability Coverage,but onlyto the extent that person or organization qualifies an"Insured"under the Who is An Insured Provision contained In Section 11 of the Coverage Form CA 20 48 02 99 Copyright Insurance Services Office,Inc Page 1 of 1 17