Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
HR14-110 - Original - The Woods Group - Lominger Training for the Mayor's Leadership Team - 01/17/2014
Records M geme-r KENT Document WASHINGTONAP 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: The Woods Group Vendor Number: 733894 JD Edwards Number �ar^Contract Number: m -mvU O This is assigned by City Clerk's Office Project Name: Lominger training for the Mayor's Leadership Team Description: ❑ Interlocal Agreement ❑ Change Order ❑ Amendment ® Contract ❑ Other: Contract Effective Date: 01/17/2014 Termination Date: Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Lorraine Patterson Department: HR Detail: (i.e. address, location, parcel number, tax id, etc.): Provide training on February_10 to the Mayor's_Leadership Team to profile the vacant Finance Director position utilizing Lominger competencies S.Publlc\RecordsManagement\Forms\Contra ctCover\adcc7832 1 11/08 i KENT was Hi..vron CONSULTANT SERVICES AGREEMENT between the City of Kent and The Woods Group THIS AGREEMENT Is made between the City of Kent, a Washington municipal corporation (hereinafter the "City"), and The Woods Group organized under the laws of the State of Washington, located and doing business at 966 Ensign Place, College Place, WA 99324 509-301- 9189 (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: Working with an organization's leadership to review the background, research and use of competencies, build a profile, and look at the use of competencies for interviewing is a great opportunity. The goal of this three hour session is provide information, but more importantly to give participants a chance to discuss a key organizational role (finance director) and then apply that discussion to a profiling process and link that outcome to an interview protocol. I very much enjoy assisting in this process with any group, but leadership teams are especially rewarding. A suggested outline for the three-hour training (though we can tweak order and content to make work best for the city): D Intros and goals of the session ❑ Quick review of Lominger 2013 competency norms (research that confirms competency use across regions of the world, ranks top 10 and bottom 10 competencies across thousands of Voices results) © Discussion about challenges/opportunities for a successful finance director (can be framed with a discussion of challenges and defiverables for the role over the next 2 -3 years) ❑ Card sort on competencies most critical for a successful hiring director ❑ Posting highs and lows from each individual sort ❑ Compiling and comparing results - mapped against the Library Structure - simple majority can include/exclude additional competencies Use 2-3 competencies to demonstrate how to use Interview Architect After the exercise with the leadership team, a follow-up report will be created that includes a summary of the discussion with the group (categorizing the themes, etc.), the competencies selected, and offering comparison profiles from the Lominger library that includes related finance roles. This report will offer a summary for the event that can be distributed to participants and kept as a record of the process and outcome. CONSULTANT SERVICES AGREEMENT- 1 (Under.$10,000) The Woods Group will provide posters, dots and other materials for the exercise (though flip charts and paper on-site would be helpful). I believe Kent has some card decks - let's make sure there are enough for the group, and an introduction to the library structure will be easier if each participant has a copy of the Research and Interpretation Guide (black and white version would be fine). 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 within 4 weeks of the training.. III. COMPENSATION. A. The City shall pay the Consultant, based on time and materials, an amount not to exceed $3425.00, for the services described in this Agreement. This is the maximum amount to be paid under this Agreement for the work described in Section I above, and shall not be exceeded without the prior written authorization of the City in the form of a negotiated and executed 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 [Insert the Exhibit * that lists the rate to be charged]. 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 CONSULTANT SERVICES AGREEMENT - 2 (Under$10,000) 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. 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. CONSULTANT SERVICES AGREEMENT - 3 (Under$10,000) 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 ail 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 [Insert Exhibit #] 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 flies created by Consultant for this project by anyone other than Consultant on any other project shall be without liability or legal exposure to Consultant. XI. CITY'S RIGHT OF INSPECTION. Even though Consultant is an independent contractor with the authority to control and direct the performance and details of the work authorized under this Agreement, the work must meet the approval of the City and shall be subject to the City's general right of inspection to secure satisfactory completion. XII. WORK PERFORMED AT CONSULTANT'S RISK. Consultant shall take all necessary precautions and shall be responsible for the safety of its employees, agents, an- 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 CONSULTANT SERVICES AGREEMENT - 4 (Under$10,000) 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, to addition to any other recovery or award provided by law; provided, however, nothing in this paragraph shall be construed to limit the City's right to indemnification under Section VII of this Agreement. D. Written Notice. All communications regarding this Agreement shall be sent to the parties at the addresses listed on the signature page of the Agreement, unless notified to the contrary. Any written notice hereunder shall become effective three (3) business days after the date of mailing by registered or certified mail, and shall be deemed sufficiently given if sent to the addressee at the address stated in this Agreement or such other address as may be hereafter specified in writing. E. Assignment. Any assignment of this Agreement by either party without the written consent of the non-assigning party shall be void. If the non-assigning party gives its consent to any assignment, the terms of this Agreement shall continue in full force and effect and no further assignment shall be made without additional written consent. F. Modification. No waiver, alteration, or modification of any of the provisions of this Agreement shall be binding unless in writing and signed by a duly authorized representative of the City and Consultant. G. Entire Agreement. The written provisions and terms of this Agreement, together with any Exhibits attached hereto, shall supersede all prior verbal statements of any officer or other representative of the City, and such statements shall not be effective or be construed as entering into or forming a part of or altering in any manner this Agreement. All of the above documents are hereby made a part of this Agreement. However, should any language in any of the Exhibits to this Agreement conflict with any language contained in this Agreement, the terms of this Agreement shall prevail. H. Compliance with Laws. The Consultant agrees to comply with all federal, state, and municipal laws, rules, and regulations that are now effective or in the future become applicable to Consultant's business, equipment, and personnel engaged in operations covered by this Agreement or accruing out of the performance of those operations. 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: B l , &cu By: l��----- — Y= (signature) (signature} Pri t N me: - L. Qj= Print Name: Lorraine A. Patterson CONSULTANT SERVICES AGREEMENT - 5 (Under$10,000) its: Its: Human Resources Director (title) DATE: -Ja,+.�. 15 �W11 DATE: L,/� . / -7 2d/41 NOTICES TO BE SENT TO: NOTICES TO BE SENT TO. k t CONSULTANT: CITY OF KENT: Julie Lenee Scott MS, MBA, PhD Lorraine A. Patterson The Woods Group City of Kent 966 EnsiFW 220 Fourth Avenue South College Place, WA 99324 Kent, WA 98032 509.301.9189 (telephone) (253) 856-5270 (telephone) facsimile (253) 856-6270 (facsimile) (in Mk PAW,vw"Y fihpSh where tM Co Uld MS be waej CONSULTANT SERVICES AGREEMENT - 6 (finder$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. By: L e Jed For: Title: Gi.(t p+art�r- l�� Date' EEO COMPLIANCE DOCUMENTS - 1 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 off94 Company, hereby acknowledge and declare that the before-mentioned company was the prime contractor for the Agreement known as Li IftL f ri'u that was entered into on the i 2Y� (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. By: a - L ,�# For: 4'AV Title: t;�e p� &Zt r Date: EEO COMPLIANCE DOCUMENTS - 3 The WccOs "'_-�Iroop Julie Len6e Scott MS,MBA,PhD Leadership development consultants. The Woods Group Rate Schedule January 1, 2014 The following detail: is an overview of The Woods Group rates. Each individual contract is based on a brief proposal developed for the client to meet their specific needs for consulting and/or certification services. • General Hourly Rate for specific consulting services: $750 • Per Day Rate for In-house Certifications (full day is 6-8 hours): $4,500 • Half-Day Rate for In-house Certifications, Presentations (up to 4 hours): $2,500 • Certifications for Korn/Ferry tools and products offered by The Woods Group include: o Leadership Architect 1010 o Voicesc 360 Feedback o The Choices Architect® o Learning from Experience o Strategic Effectiveness Architect° o Interview Architect° o Team Archiite& + Multi-rater Feedback for individual learners includes a Voices 3601� online assessment and report delivered in 2-3 hr. one on one session: $1,250 feedback session + $325 for Lominger Voices° report: $1575 total For more information or for a detailed bid for services, contact: Julie Lenee Scott Principal —The Woods Group 966 S.E. Ensign Place College Place, WA 99324 509-301-9189 thewoodsgroup@gmall.c:om 1 PoF"Number BLS55920252 Date Entered. 1/15/2014 CERTIFICATE OF LIABILITY INSURANCE 5f2014 `" THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CLNIFERS 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: I the Certificate holoar Is an ADDITIONAL INSURED, the poftAies)must be endorsed. if SUBROGATION IS WAIVED,suWact to the Germs ano conditions of the policy,certain poiteles may require an endorsement A statement on this cortlficate does not canter rights to the earti6cete hoWar in lieu of such ondorsoment(sl PRDOUCOt COKTACT Paul Richardson Agency, Inc gip' - — FAX - -- - - 2 W. Main uucNscm (509)529-0935 }Arc,rmr (509)529-2838 E'"�L .info@paulr.2chardsanagency.com PO Box 758 alstsaA,sFORtocov _ruecr _ Walla Walla, WA 99362 L�Ib rty Northwest Insurance Co. INSURkR k- _ madnew The Woods Group �� INSURERS: Julia L. Scott Rrsiue®Re 966 BE Ensign Places - College Place, WA 99324-4013 msurERE COVERAGES CERTIFICATE NUMBER: 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 ALI THE TERMS, EXCLUSIONS AND CONDITIONS OT SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS -,AbtFL am Pdadflffirf- -- TYPE OF IMSdIPAMCE J= Ism POLWY*UMBER LASTS � MINERAL LIABILITY EACH OCCURRENCE xl, s O A COMMERCIALGEWRALUAS#JTY BW55928252 1/20/2014 1/10/2015 aRFkB3E8(F omrwre s1,Od0,00d CuIMSAIADE ®OCCUR MEDEXP(Any arm owsm) S15,000 PERSOHALaAOV NJURY €$1,000,000 _ aENERAL AGGREGATE $2,000,000 GEWL AGGKOATE LAETAPPLIES PER vRouuCT$.cOW10P AGG $2,000,000 POLICY F Pam" LCN^ x AUTOMOSILKUAmuTY COWNED SINGLE L Eas�erml,y E __ ANY ALUO feDE-Y Utxh?Y IPer P Psm} E ALL CEO SCHEDULEDAUTOS AMOS 9041LV INJURY IFar ecclrFxXY S HIRED AUTOS ANtrr -ITPi PR' DAMkOE III$ 3 IABRELLA v" OCCUR EACH OCCURRENCE x RXCWS Lute ,CLASAS-MADE GaREGATE - ___.... S ._....__ DED RETEN"ON x -- x -- WORKERS COrep698A71011 STATU JUTH - AND EMPLOYERS,UABLfry YIN ANY PROPME€OWARTNEROEXECUTME OFr-ICE1WAEMIEREKCLU0ED' NIA EL FAgi ACCtbENT __ S {" under ymesammy in NMI E L DISEASE-EA FJAPLOYEE E OESCRd=OF OPERATIONS bdi w ELCX EA$E-POLICY LIMIT $ OESCMPTIONaFOPBURONSILOCATSWMfVOOCLIE}Aseh ACOROIOI,AddIV6"IWA@0*e06&du] WN-iI pN,MYregWtWJ CERTIFICATE HOLDER CANCEL!ATIM City of xent SHOULD ANY Of THE ABOVE 09SCWVMD POLICIES"CANCILLED Off ORE 220 Fourth Avenue South THE EXPIRATION DATE THEREOF, NOTICE WILL BE CIF-11W tED IN ACCORDANCE WITH THE POLICYPROVD31ONS Kent, WA 98032 AtRlSMrIZED 1tEP'RE9ENTA7RE-�``./.�./✓ 1 OSS-2010 ACORD CORPORATION. AN rights reserved. ACORD 25(201IMS) The ACORD name and logo are regbtared marks of ACORD Ifuduced uwre Forms Sums Plus mdhvare Wm Fwlream rorrI.begxeswYe PMbBs t BOO—08-19T7 i." Policy Number. K22SS928 Date Entered- 1 i0 2014 ATE(VAMN CERTIFICATE OF LIABILITY INSURANCE 1/10 2014 ' t,,,_.. lnor2nla 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(iss)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). CONTACT PRODUCER Paul Richardson Agency, Inc. PHONE - __ 2 W. Main E.aAIL gay (509)529-0935 IAC Noi (504)529-2838 PO Box 758 ysR s;.intoBpaulrichardsonagency.com -_- _ tNSURERiSIAFFORDIRG COVERAGE _ NAICO aLA1REltA Walla Walla, WA 99362 Safeco -------------- _ INSURED INSURER B________ Kraig & Julie Scott ISURERc_—� 966 BE Ensign Place jNSURCRD. — ------- --- College Place, WA 99324-4013 INSURERE- INSURER F COVERAGES CERTIFICATE NUMBER: 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 POLICY EFF P6U Y EXP_. LTR TYPE OF INSURANCE POLICY NUMBER mmwf"" D/YYYY LaA1T8 GENERAL LIABILITY 1 EACH OCCURRENCE Is— COMMERCIAL GENERAL LueY � � PREMISES eau _____ $ a.n ._. 1 C4Aa1S.MADE I— OCCUR AED EXP IAny one persool $ _ PERSONAL r.AD,INJURY GENERAL AGGREGATE GERL AGGREGATE LEATAPPUES PER PRODUCTS-COWiOPAGIC E POLICY `PRO- LOE 1 i$ AUTORIOBRE LIABILITY CDMB nt !SINEOSINGLELIMT 5D0,OOD 1 LEa at,Pide7 _ ANY AUTO ' ( M1255928 1/07/2014 p3/21/2014 IBOS}ILY INJURY IPer pp,Son) ,s ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURYIPe,eccKent)I$ HIRED AUTOS A1To$NON-OWNED } JPROPF.RI"IORMAGE I$ i UMBRELLA LIAS i OCCUR EACH OCCURRENCE_,.. 1 EXCESS LIAB CLAIMS-WDE1 AGGREGATE_ DEO I "RETENTION$ S WORKERSCOAIPENSATION WC TATU OTH- i AND EMPLOYERS"LIABILITY YIN 'TORY LIMITS L _FR ;ANY PROPRIETOMPARTNER+EXECUTIVE ❑ Nto r EL EACH ACCIDENT $ OFFICERIMEMSEREXCLUDEDT " (N[Mdatory in NNi E L DISEASE-EA EMPLOYEE 9 N yes,desofte under ._ DESCRIPTION OF OPERATIONS bebw EL DISEASE-POLICY LIMIT $ DESCRWMONOFOPERAIIONSILOCAT*NSIMICLES(ARech ACORDI$I,AddiftnNRr dmfthodtOI69 rospaceBregWntl) 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. AU REPR 71Y€ 019W2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo registered marks of ACORD Produced uwn9 Farms Doss Plus W ware www PonmBon Cork ImpreSS+Ye Pubt,srung 800-2011-1977