Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
PW14-169 - Original - Jason Engineering & Consulting Business, Inc. - 64th Ave S. Channel Improvements UPRR Spur Culvert Replacement - 07/02/2014
Records Memel-geme`iri KENT Document WASH ING 1.H j �i 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: Jason Engineering & Consulting Business, Inc. Vendor Number: JD Edwards Number Contract Number: 1 This is assigned by City Clerk's Office Project Name: 64th Ave. S. Channel Improvements UPRR Spur Culvert Replacement Description: ❑ Interlocal Agreement ❑ Change Order ❑ Amendment ® Contract ❑ Other: Contract Effective Date: Date of the Mayor's signature Termination Date: 12/31/15 Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Paul Kuehne Department: Engineering Detail: (i.e. address, location, parcel number, tax id, etc.): Provide inspection and testinvices for the project. S:Publlc\RecordsManagement\Forms\ContractCover\adcc7832 1 11/08 KENT CONSULTANT SERVICES AGREEMENT between the City of Kent and Jason Engineering & Consulting Business, Inc. THIS AGREEMENT is made between the City of Kent, a Washington municipal corporation (hereinafter the "City"), and Jason Engineering & Consulting Business, Inc. organized under the laws of the State of Washington, located and doing business at PO Box 181, Auburn, WA 98071, Phone: (206) 786-8645/Fax: (253) 833-7316, Contact: Jason Bell (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 provide inspection and testing services for the 64th Ave. S. Channel Improvements Union Pacific Railroad Spur Culvert Replacement Project. 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 December 31, 2015. III. COMPENSATION. A. The City shall pay the Consultant, based on time and materials, an amount not to exceed Sixty Five Thousand, Four Hundred Twenty Dollars ($65,420.00), 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 B. 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 I 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 C 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) iI 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. City Business License Required. Prior to commencing the tasks described in Section I, Contractor agrees to provide proof of a current city of Kent business license pursuant to Chapter 5.01 of the Kent City Code. J. 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: r { J By: ite>�i Z �f By: (signature), (signature) Print Nap6e � �� Punt Narge: zette Cooke Its IL 5t2,LJ` Its``--, Mayor (title) f' DATE: f Lr y DATE: l � 1 , NOTICES TO BE SENT TO: NOTICES TO BE SENT TO: CONSULTANT: CITY OF KENT: Jason Bell Timothy J. LaPorte, P.E, Jason Engineering & Consulting Business, Inc. City of Kent PO Box 181 220 Fourth Avenue South Auburn, WA 98071 Kent, WA 98032 (206) 786-8645 (telephone) (253) 856-5500 (telephone) (253) 833-7316 (facsimile) (253) 856-6500 (facsimile) 7:1 ED AS O FO M: l Kent Law Department JEC6-6&"Channel lmV.ovementsMehne 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. For: / 5 c,. af v 'f, .€ Title: Date: EEO COMPLIANCE DOCUMENTS - 1 CITY OF KENT ADMINISTRATIVE POLICY NUMBER: 1.2 EFFECTIVE DATE: January 1, 1998 i SUBJECT: MINORITY AND WOMEN SUPERSEDES: April 1, 1996 CONTRACTORS APPROVED BY Jim White, Mayor POLICY: Equal employment opportunity requirements for the City of Kent will conform to federal and state laws. All contractors, subcontractors, consultants and suppliers of the City must guarantee equal employment opportunity within their organization and, if holding Agreements with the City amounting to $10,000 or more within any given year, must take the following affirmative steps: 1. Provide a written statement to all new employees and subcontractors indicating commitment as an equal opportunity employer. 2. Actively consider for promotion and advancement available minorities and women. Any contractor, subcontractor, consultant or supplier who willfully disregards the City's nondiscrimination and equal opportunity requirements shall be considered in breach of contract and subject to suspension or termination for all or part of the Agreement. Contract Compliance Officers will be appointed by the Directors of Planning, Parks, and Public Works Departments to assume the following duties for their respective departments. 1. Ensuring that contractors, subcontractors, consultants, and suppliers subject to these regulations are familiar with the regulations and the City's equal employment opportunity policy. 2. Monitoring to assure adherence to federal, state and local laws, policies and guidelines. EEO COMPLIANCE DOCUMENTS - 2 CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE STATEMENT This form shall be filled out AFTER COMPLETION of this project by the Contractor awarded the Agreement. I, the undersigned, a duly represented agent of Company, hereby acknowledge and declare that the before-mentioned company was the prime contractor for the Agreement known as that was entered into on the (date), between the firm I represent and the City of Kent. I declare that I complied fully with all of the requirements and obligations as outlined in the City of Kent Administrative Policy 1.2 and the Declaration City of Kent Equal Employment Opportunity Policy that was part of the before-mentioned Agreement. By: For: Title: Date: i EEO COMPLIANCE DOCUMENTS - 3 Jason Geotechnical Engineering Date 04-21-2014 if Engineering& Retaining Wall/Pavement Design project,, 64'11 Ave Channel, Consulting Construction Management Kent#10-3030 ato Business,Inc. WABO/AASIITO Inspection&Testing Filet p14-024 Scope of Services, Exhibi6A Provide special inspection including density tests to confirm compaction and testing specification requirements for soils and asphalt,and concrete inspection and sampling. t,- Provide construction manager/inspection and monitor site activities for pay estimate preparation and quantity tracking. Sample imported material to evaluate and confirm specification requirements according to current applicable standards. ,sw Provide miscellaneous professional services related to this project as directed. " Provide to the owner within two hours of discovery, notification of failing test results related to materials testing, concrete cylinder breaks or other critical test results as determined by the Owner's Representative. " Provide time sheets with each invoice that verify consultant ernployee(s), day, date and times worked, hourly rate, total per day, tests performed and test fees, and any other pertinent information required to verify invoiced charges. " Hourly rates include all test equipment for our services (there are no hidden extra costs involved). A Licensed PR reviews all reports. Reports are sent to all parties on the project distribution list, " The hourly rate is based upon portal-to-portal time. The hourly rates shown below are applicable for all work performed. There is a minimum charge of 2 hours for normal inspection and professional engineering services, (Weekends are minimum 4hours) " An overtime rate of 15 times the hourly rate will be charge for all work in excess of the normal 8 hour working day,weekends,nights and legal holidays, " Equipment & materials will include equipment used by an inspector the field in the performance of normal inspection duties. We request a minimum of 24 hours notice for scheduling. " No mileage is charged within Auburn and Kent City limits �I Phone; (206)-786- JasonC�jasonengineer'ing'.com PO Box Box 7.8I Au Auburn WA.9II071 � i Jason Geotechnical Engineering ,bate: 04-21-2014 fr� Engineering& Retaining Wall/Pavement Design Project:64th Ave Channel, (� r_J_ Consulting Construction Management Kent#10-'1030 '• �T Business,Inc, WABO/AASHTO Inspection&Testing Pile#:p14-024 Job Descriptions Asphalt / Concrete Inspector Continuously or periodically monitor and inspect elements for conformance to approved plans and construction documents. Sample materials for specification conformance and maximum density analysis. Check compaction and optimum moisture content using a nuclear densometer, Additional compliance testing may include; sand equivalent, organic content, atterburg limits, hydrometer, Concrete / Masonry Inspector Continuously or periodically monitor and inspect elements for conformance to approved plans and construction documents, Monitor/inspect reinforcement for size, type, grade, location, embedment, cleanliness, and clearance, Sample material for verification of air content, shunp, and compressive strength per ASTM and IT3C codes, Specimens will be cast, transported and cured per ASTM, Construction Manager/Inspectio Review reports by field inspectors and laboratory analysis prior to distribution to the project team members. Manage phases of project delivery including initiating, plamning, executing, monitoring, controlling and closing. Coordinate with property owners, utility contractors and city personnel, , Track quantities, machinery, manhours etc, used for verification of pay estimate preparation and contractor invoices, Review plans for constructability, Admin Process reports from field inspectors, Process reports from lab test data (i.e. soils, asphalt and concrete). File, organize and distribute reports to the client, architect, engineer, building official and those directed by the client for the distribution list. Answer phones and direct clients to appropriate JECB personnel. Professional Engineer 1 sis design, recommendations, documentation, drawings and engineering analysis, , Provide engr g y g i specifications for structural 'items requiring a stamp by a licensed engineer, Phone: (206)-786-8645 Email:Jason@jasonenghieerhtg,com PO Box 181 Auburn WA.98071 i Jason GeutechnicalEngineering Date 04-21-2014 f �r Engineering& Retaining Wall/Pavement Design Project:64th Ave Channel, 's -r Consulting Construction Management Kont#10-3030 T Business,Inc. WABO/AASHTO hnspection&Testing File k p14-024 Schedule of Fees & Services, Exhibit B PROFESSIONAL SERVICES Qty. Unit Rate Total Est. Inspection TESC Supervisor 40 $50,00 per hour $2,000.00 Asphalt/Soilsw/Densometer 400 $50,00 per hour $20,000.00 Reinforced Concrete/Masonry 50 $50.00 per hour $2,500-00 Administrative Services 40 $40,00 per hour $1,600-00 Construction Mgr 500 $60.00 per hour $30,000.00 Staff Engineer/Geologist $75.00 per hour $0.00 Senior Geotechiucal Engineer,PE 50 $95,00 per hour $4,750.00 LABORATORY SERVICES Unit Rate ASPHALT,I IMA Asphalt, Ignition&Gradation(AASHTO T27,ASTM D2172) 2 $150.00 each $300,00 Asphalt,Rice Specific Gravity (ASTM D2041,AASHTO T245 2 $85.00 each $170.00 CONCRETE Concrete, Cylinders Compression(ASTM C39) $18,00 each $0.00 SOILS/AGGREGATE Soil, Atterberg Limits $160.00 each $0.00 Soil, California Bearing Ratio (CBR) 1 $550.00 each $550.00 Soil, Fracture Count(ASTM D5821) 5 $75.00 each $375.00 Soil, Hydrometer 5 $160.00 each $800.00 Soil,Moisture Content $30,00 each $0,00 Soil, Organic Content $55,00 each $0.00 Soil,Proctor/Moisture-Density Relation(ASTM D1557, D698 5 $150.00 each $750.00 Soil,Sand Equivalent Test(ASTM D2419) 5 $75.00 each $375.00 Soil,Sieve Analysis of Fine and Coarse Aggregates (T27-06) 10 $125.00 each $1,250.00 OTHER $0.00 Overtime, 1.5 times hourly rate 1.5 x hourly rate per hour Equipment&Materials Costs Cost+ 15% Estimated Project Total: $65,420.00 I I I ._ Phone: (206)-786-8645 Email Jasongasonengureerhig.com PO Box 18l Auburn WA. 98071 EXHIBIT C 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 i Consultant shall obtain insurance of the types described below: 1. Automobile Liability insurance covering all owned, non-owned, hired and leased vehicles. Coverage shall be written on Insurance Services Office (ISO) form CA 00 01 or a substitute form providing equivalent liability coverage. If necessary, the policy shall be endorsed to provide contractual liability coverage. 2. Commercial General Liability insurance shall be written on ISO occurrence form CG 00 01 and shall cover liability arising from premises, operations, independent contractors, products-completed operations, personal injury and advertising injury, and liability assumed under an insured contract. The City shall be named as an insured under the Consultant's Commercial General Liability insurance policy with respect to the work performed for the City using ISO additional insured endorsement CG 20 10 11 85 or a substitute endorsement providing equivalent coverage. 3. Workers' Compensation coverage as required by the Industrial Insurance laws of the State of Washington. 4. Professional Liability insurance appropriate to the Consultant's profession. B. Minimum Amounts of Insurance Consultant shall maintain the following insurance limits: 1. Automobile Liability insurance with a minimum combined single 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 $2,000,000 each occurrence, $2,000,000 general aggregate and a $1,000,000 products-completed operations aggregate limit. EXHIBIT C (continued) 3. Professional Liability insurance shall be written with limits no less than $2,000,000 per claim and $2,000,000 policy aggregate limit. C. Other Insurance Provisions The insurance policies are to contain, or be endorsed to contain, the following provisions for Automobile Liability and Commercial General Liability insurance: 1. The Consultant's insurance coverage shall be primary insurance as respect the City. Any Insurance, self-insurance, or insurance pool coverage maintained by the City shall be excess of the Consultant's insurance and shall not contribute with it. 2. The Consultant's insurance shall be endorsed to state that coverage shall not be cancelled by either party, except after thirty (30) days prior written notice by certified mail, return receipt requested, has been given to the City. 3. The City of Kent shall be named as an additional insured on all policies (except Professional Liability) as respects work performed by or on behalf of the Consultant and a copy of the endorsement naming the City as additional insured shall be attached to the Certificate of Insurance. The City reserves the right to receive a certified copy of all required insurance policies. The Consultant's Commercial General Liability insurance shall also contain a clause stating that coverage shall apply separately to each insured against whom claim is made or suit is brought, except with respects to the limits of the insurer's liability. D. Acceptability of Insurers Insurance is to be placed with insurers with a current A.M. Best rating of not less than ANII. E. Verification of Coverage Consultant shall furnish the City with original certificates and a copy of the amendatory endorsements, including but not necessarily limited to the additional insured endorsement, evidencing the insurance requirements of the Contractor before commencement of the work. F. Subcontractors Consultant shall include all subcontractors as insureds under its policies or shall furnish separate certificates and endorsements for each subcontractor. All coverages for subcontractors shall be subject to all of the same insurance requirements as stated herein for the Consultant. RRD DAT-(MM/DD/YYYY) Ro CERTIFICATE OF LIABILITY INSURANCE R045 s/27/2'014 THIS CERTIFICATES ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the Certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATIONIS 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 Ileu of such endorsement(s), PRODUCER CONTACT II MARSH ADVANTAGE AMERICA/PHS jn"roo,,"t-, (877) 616-7474 Wc.NeC (8B8) 443-6112 543148 P : (877) 616-7474 F: (888) 443-6112 ADDRESS: PO BOYS 33015 INSURER(S)AFFORDING COVERAGE NAICff SAN ANTONIO TX 78265 INSURERA: Hartford Casualty Ins Co 29424 INSURED INSURER B: JASON ENGINEERING & CONSULTING INSURER C: BUSINESS INC INsuREao: PO BOX 181 INsuRERE: AUBURN WA 98071 INsuRERE: 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. INSR TYPEOFIN.SURANCE fDDL SURD? pOfiCYNUAfBER POLICYLIFF POL.ICYRXP LIMITS d/AIMILT19' COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE s2, 000, 000 CLAIMS-MADE OCCUR DAMAGETE. rN D s30O OOO PREMISES(ER NTED Ace) 1 A X General Liab X 54 SBM TS7856 ,f 06/01/2014 06/01/2015 MED EXP(Any one person) $10, DUO PERSONAL&ADV INJURY $2, 000, 000 GEHL AGGREGATE LIMIT APPLI ES PER: GENERAL AGGREGATE A, 000, 000 POLICY PRO- LOG PRODUCTS-COMP/OP AGG $4, 000P000 ECT OTHER: $ COMBINED SINGLE LIMIT ALTOM OBILE LIABILITY (ERINEDS $21 I OOO O00 ANYAUTO )( BODILY INJURY(Per person) $ A ALL OWNED F SCHEDULED 54 SBM TS7856 '+ 06/01/2014 06/01/2015 BODILY INJURY(Per accleent) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTYDAMAGE $ AUTOS (Per accment) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETEMION$ $ 11'DAAEFSCO.VPENSAI'IDN PER OiH- AA'DGMI'LOI'F.'RPIIAdILIlY STATVTE EA ANY PROPRIETORIPARTNERIEXECUTIVE YIN E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ NIA(Mandatory In NH) E.L DISEAGE-EA EMPLOYEE $ If yes,deacdbe Under E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS bolaw tt A EMP STOP GAP 54 SBM TS7856 d 06/01/2014 06/01/2015 $1,000,000/1,000,000/1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Add1110naI Remarks Scheded.,may be aaaehed If more space Is required) Those usual to the Insured's Operations. Re: All City Projects. Certificate Holder is an Additional Insured per the Business Liability Coverage Form SS0008 attached to this policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE City Of Kent DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Public Works AUTHORIZED REPRESENTATIVE - 220 4TH AVE S KENT, WA 98032 ©1988.2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD ® DATE(MM/DONYYY) ,acoRo CERTIFICATE OF LIABILITY INSURANCE 10/142013 THIS CERTIFICATE IS ISSUEDAS A MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOTAFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT. If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in Ileu of such endorsement(s). CONTACT PRODUCER NAME: PHONE AJ� Sanford Insurance Inc a/c o .c: No: 1010 S 336th St,Ste 110 ADDRESS: INSURER 8 AFFORDING COVERAGE N0.1C f Federal Way WA 98003 INSURERA: CNA Insurance Company AA1121106 INSURED INSURER B Jason Engineering&Consulting Business,Inc INSURERC: PO Box tat INSURERD: INSURER E Auburn WA 98071 INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ASOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR 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. TR TYPE OF INSURANCE g POLICYNUMaER MMID�NYYY MMIoDIYYYPY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCW-GENERAL LIABILITY PREMISES Ea occunencel $ CLAIMS-MADE El OCCUR MED EXP(My one Parson)$ PERSONAL&ADV INWRY $ GENERALAGGR EGATE GEN'LAGGREGATE LIMITAPPLIES PER: PRODUCTS-COMPlOPAGG $ POLICY M PRO- nLOC $ FrT COMBINED SINGL LIMB AUTOMOBILE LIABILITY - aeccidan[ BODUYIN,.URY(Perperson) $ ANYAUTD ALL OWNED SCHEDULED BODILY IN�NRY(Per ecddent) $ AUTOS AUTOS PROPERTY DAMAG $ NON-ONTIED Per accident HIREDAUTOS AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMSMADE AGGREGATE $ DED RETENTION$ U- OTH- V,KIRKERSCOMPENSATION ORY I IM I AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNEREXECUTIVE❑ N IA E.L.EACH ACCIDENT OFFICER/MEMBER EXCL UOED? E.L.DISEASE-EA EMPLOYE $ (M andA.W In NH) R yes,desm eunder E.L.DISEASE-POLICYLIM IT $ DESCRIPTION OF OPERATIONS below Errors&Omissions $1,000,000 Per Claim A MCH288253318 10/122013 10/122014 $1,000,000 Aggregate DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORO 101,Additional R.m.A.Schedule,If mcro space Is requlrodl CERTIFICATE HOLDER CANCELLATION SHOULDANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Kent THE EXPIRATION DATE THEREOF NOTICE WILL BE DELIVERED IN - ACCORDANCE WITH THE POLICY PROVISIONS. 400 W Gowe AUTHORIZED REPRESENTATIVE Kent WA 98032 OO 1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD RECEIVE OCT 16 2013 CITY Of- KENT ENGINEERING PEF-P" i IMPORTANT NOTICE TO OUR POLICYHOLDERS THANK YOU FOR RENEWING YOUR POLICY WITH THE HARTFORD. WITH THIS NOTICE WE ARE PROVIDING YOU ONLY WITH THE DECLARATIONS PAGE, WHICH OUTLINES YOUR COVERAGES, AND WITH THOSE POLICY FORMS, NOTICES, AND BROCHURES WHICH ARE DIFFERENT FROM THOSE WHICH WE PROVIDED WITH YOUR PREVIOUS POLICY. YOU SHOULD RETAIN ALL OF THESE DOCUMENTS AND THOSE PROVIDED WITH YOUR PREVIOUS POLICY INDEFINITELY SO THAT YOU WILL HAVE A COMPLETE SET OF POLICY FORMS AT ALL TIMES FOR YOUR REFERENCE. IF YOU HAVE QUESTIONS, OR IF AT ANY TIME YOU NEED COPIES OF ANY OF THE FORMS LISTED ON YOUR POLICY, PLEASE CALL YOUR HARTFORD AGENT OR BROKER, OR THE OFFICE OF THE HARTFORD IDENTIFIED ON YOUR POLICY, AS APPROPRIATE. Form G-3187-0 THE HARTFORD JASON ENGINEERING & CONSULTING PO BOX 181 AUBURN WA 98071 RE: Policy Type: BUSINESS OWNERS Renewal Date: 06/01/14 Policy Number: 54 SBM TS7856 Thank you for being a loyal customer of The Hartford. Enclosed are renewal documents for your BUSINESS OWNERS policy,which is scheduled to renew on 06/01/14 , Along with a new Declarations Page, which details the coverages provided by your BUSINESS OWNERS policy, we are enclosing important policy documents. Please be aware that you will receive an invoice for the new policy term approximately 30 days prior to the renewal date; no action is required now. To ensure the premium you paid for this past policy term was accurate,we may contact you by letter, phone or email to conduct a premium audit. If contacted, we will advise what information is needed to complete the audit. Should you have questions about your policy, please feel free to contact us at (877) 616-7474 . We are available Monday—Friday; 7 am to 7 pm CST. For your convenience, you can also pay your bill and request certain documents, such as Certificates of Insurance and Auto Identification cards online, any time, day or night. To learn more about our Online Service capabilities, visit the Business Service Center at www.thehartford.com/servicecenter where you also have access to tips,tools and coverage information designed to help protect the business you've worked so hard to build. On behalf of MARSH ADVANTAGE AMERICA/PHS and The Hartford,we appreciate the opportunity to have been of service to you this past year and look forward to serving your business insurance needs for the upcoming year. Sincerely, Your Hartford Team Insurance Policy Billing Information Thank you for selecting The Hartford for your business insurance needs. Shortly, you will receive your first bill from us. You are receiving this Notice so you know what to expect as a valued customer of The Hartford. Should you have any questions after reviewing this information, please contact us at 866-467-8730, and we will be happy to assist you. o Your total policy premium will appear on your policy's Declarations Page. You will be billed based on the payment plan you selected. o You may pay the "minimum due"as it appears on your insurance bill or pay the policy balance in full. o An installment service fee is added to each installment. A late fee will also be applied if the "minimum due" is not received by the due date shown on your bill. Service and late payment fees do not apply in all states. o If you selected installment billing, any credit or additional premium due as the result of a change made to your policy, will be spread over the remaining billing installments. Additional premium due as a result of an audit will be billed in full on your next bill date following the completion of the audit. o If you elected Electronic Funds Transfer (EFT), policy changes may result in changes to the amount automatically withdrawn from your bank account. The invoice you receive following a policy change will include future withdrawal amounts. If you need to adjust or stop your next scheduled EFT withdrawal, please contact us at least 3 days prior to the scheduled withdrawal date at the telephone number shown below. o If you selected installment billing and pay the premiums for your first policy term on time, at renewal, your account may qualify for our"Equal Installment"feature. This means that the percentage due for each installment, including the initial renewal installment, will be the same throughout the policy term — helping you better manage cash flow. Equal installments will continue as long as you pay your premiums on time and no cancellation notices are issued for any policy on your account. If you no longer qualify for Equal Installments, future renewals will be billed based on the payment plan you selected,which includes a higher initial installment amount. o If your policy is eligible for renewal, your bill for the upcoming policy term will be sent to you approximately 30 days prior to your policy's renewal date. If your insurance needs change, please contact us at least 60 days prior to your renewal date so we can properly address any adjustments needed. o One bill convenience -- you have the option of combining all eligible Hartford policies on one single bill allowing you to make one payment for all policies on your account as payments are due. You're In Control In addition to selecting a bill plan option that best meets your budget, you have the flexibility to decide how your payments are made ... o Repetitive EFT: Sign up for Repetitive EFT payments and have payments automatically withdrawn from your bank account. This option saves you money by reducing the amount of the installment service fee. o Pay Online: Register at www.thehartford.com/servicecenter.Online Bill Pay is Quick, Easy and Secure! o Pay by Check: Send a check with your remittance stub in the envelope provided with your bill. o Pay by Phone: Call toll-free 1-866-467-8730. Should you have any questions about your bill, please call Customer Service toll-free number: 1-866-467-8730-7AM—7PM CST. We took forward to being of service to you. Form 10072211th Rev. Printed in U.S.A. tuy THE HARTFORD PRODUCER COMPENSATION NOTICE You can review and obtain information on The Hartford's producer compensation practices at www.TheHartford.com or at 1-800-592-5717. Form G-3418-0 POLICY NUMBER: 54 SBM TS7856 THIS ENDORSEMENT IS ATTACHED TO AND MADE PART OF YOUR POLICY IN RESPONSE TO THE DISCLOSURE REQUIREMENTS OF THE TERRORISM RISK INSURANCE ACT. DISCLOSURE PURSUANT TO TERRORISM RISK INSURANCE ACT SCHEDULE Terrorism Premium (Certified Acts): $ $4•00 A. Disclosure Of Premium C. Cap On Insurer Liability for Terrorism Losses In accordance with the federal Terrorism Risk If aggregate industry insured losses attributable to Insurance Act, as amended ("TRIA"), we are "certified acts of terrorism" under TRIA exceed $100 required to provide you with a notice disclosing the billion in a .Program Year (January 1 through portion of your premium, if any, attributable to December 31) and we have met, or will meet, our coverage for certified acts of terrorism under TRIA. insurer deductible under TRIA,we shall not be liable The portion of your premium attributable to such for the payment of any portion of the amount of such coverage is shown in the Schedule of this losses that exceed $100 billion. In such case, your endorsement. coverage for terrorism losses may be reduced on a B. Disclosure Of Federal Share Of Terrorism pro-rata basis in accordance with procedures Losses established by the Treasury, based on its estimates T of aggregate industry losses and our estimate that The United States Department of the Treasury will we will exceed our insurer deductible. In accordance reimburse insurers for 85%of that portion of insured with the Treasury's procedures, amounts paid for losses attributable to "certified acts of terrorism" losses may be subject to further adjustments based under TRIA that exceeds the applicable insurer on differences between actual losses and estimates. deductible. D. All other terms and conditions remain the same. However, if aggregate industry insured losses under TRIA exceed $100 billion in a Program Year (January 1 through December 31), the Treasury shall not make any payment for any portion of the amount of such losses that exceeds $100 billion. The United States government has not charged any premium for their participation in covering terrorism losses. Form SS 83 76 0312 Page 1 of 1 © 2012, The Hartford (Includes copyrighted material of the Insurance Services Office, Inc.,with its permission.) it IMPORTANT NOTICE TO POLICYHOLDERS CHANGES TO YOUR BUSINESS OWNER'S POLICY Thank you for being a customer of The Hartford. You are receiving this Notice because on renewal, the endorsement entitled Exclusion — Engineers, Architects or Surveyors Professional Liability, which was previously included with your Business Owner's Policy, will be updated. This exclusion update will also apply to your Umbrella policy if you have this coverage through The Hartford. Additionally, an Additional Insured Provisions endorsement will be added to your Business Owner's Policy. These changes, explained below, include clarifications and some reductions in coverage. This notice is provided to explain the changes to you but it is not a policy form and does not grant coverage. Please read your coverage part carefully to understand the full details of these policy changes. Changes applicable to Your Business Liability Coverage Part: Exclusion— Engineers,Architects or Surveyors Professional Liability— Form SS 05 06 0314 We have made several changes to this form, which was already on your policy. We have added language to clarify the extent to which this exclusion is meant to apply and when it does not apply. We have also clarified the definition of professional services. Endorsement—Additional Insured Provisions—Form SS 41 75 03 14 We have created this new endorsement to modify several additional insured provisions so that they follow changes made to Exclusion — Engineers, Architects or Surveyors Professional Liability. This additional language clarifies that an additional insured's coverage is not any broader than your coverage as the named insured. Changes applicable to your Umbrella Liability Provisions: Exclusion— Engineers,Architects or Surveyors Professional Liability—Form SX 21 13 0314 We have made several changes to this form, which was already on your policy. We have added language to clarify the extent to which this exclusion is meant to apply and when it does not apply. We have also clarified the definition of professional services. If you would like more information about this Notice or your policy, please contact your agent or broker, or you may contact us directly. We appreciate your business and look forward to being of continued service to you. Form SS 88 99 03 14 Page 1 of 1 © 2014, The Hartford IMPORTANT NOTICE TO POLICYHOLDERS To helpour insurance keep ace with increasing casts, we have increased our amount of insurance . . . giving you Y PP 9 Y better protection in case of either a partial, or total loss to your property. If you feel the new amount is not the proper one, please contact your agent or broker. Form PC-374-0 Printed in U.S.A. 56 This Spectrum Policy consists of the Declarations, Coverage Forms, Common Policy Conditions and any 78 other Forms and Endorsements issued to be a part of the Policy. This insurance is provided by the stock IS insurance company of The Hartford Insurance Group shown below. SBM INSURER: HARTFORD CASUALTY INSURANCE COMPANY ONE HARTFORD PLAZA, HARTFORD, CT 06155 COMPANY CODE: 3 T Policy Number: 54 SBM TS7856 54 1HF HARTFORD SPECTRUM POLICY DECLARATIONS Named Insured and Mailing Address: JASON ENGINEERING & CONSULTING (No., Street, Town, State, Zip Code) BUSINESS INC PO BOX 181 AUBURN WA 98071 Policy Period: From 06/01/14 To 06/01/15 1 YEAR 12:01 a.m., Standard time at your mailing address shown above. Exception: 12 noon in New Hampshire. Name of Agent/Broker: MARSH ADVANTAGE AMERICA/PHS Code: 343148 Previous Policy Number: 54 SBM TS7856 Named Insured is: CORPORATION Audit Period: NON-AUDITABLE Type of Property Coverage: NONE Insurance Provided: In return for the payment of the premium and subject to all of the terms of this policy, we agree with you to provide insurance as stated in this policy. TOTAL ANNUAL PREMIUM IS: $425 MP IN RECOGNITION OF THE MULTIPLE COVERAGES INSURED WITH THE HARTFORD, YOUR POLICY PREMIUM INCLUDES AN ACCOUNT CREDIT. Countersigned by 04/14/14 Authorized Representative Date Form SS 00 02 12 06 Page 001 (CONTINUED ON NEXT PAGE) Process Date: 04/14/14 Policy Expiration Date: 06/01/15 SPECTRUM POLICY DECLARATIONS (Continued) POLICY NUMBER: 54 SBM TS7856 Locatlon(s), Building(s), Business of Named Insured and Schedule of Coverages for Premises as designated by Number below. Location: 001 Building: 001 33402 147TH AVE SE AUBURN WA 98092 Description of Business: ENGINEERS & ENGINEERING SERVICES Deductible: NO COVERAGE BUILDING AND BUSINESS PERSONAL PROPERTY LIMITS OF INSURANCE BUILDING NO COVERAGE BUSINESS PERSONAL PROPERTY REPLACEMENT COST NO COVERAGE PERSONAL PROPERTY OF OTHERS REPLACEMENT COST NO COVERAGE MONEY AND SECURITIES '.. INSIDE THE PREMISES NO COVERAGE OUTSIDE THE PREMISES NO COVERAGE Form SS 00 02 12 06 Page 002 (CONTINUED ON NEXT PAGE) Process Date: 04/14/14 Policy Expiration Date: 06/01/15 SPECTRUM POLICY DECLARATIONS (Continued) POLICY NUMBER: 54 SBM TS7856 BUSINESS LIABILITY LIMITS OF INSURANCE LIABILITY AND MEDICAL EXPENSES $2,000,000 MEDICAL EXPENSES -ANY ONE PERSON $ 10,000 PERSONAL AND ADVERTISING INJURY $2,000,000 DAMAGES TO PREMISES RENTED'TOYOU $ 300,000 ANY ONE PREMISES AGGREGATE LIMITS PRODUCTS-COMPLETED OPERATIONS $4, 000,000 GENERAL AGGREGATE $4, 000,000 EMPLOYMENT PRACTICES LIABILITY COVERAGE: FORM SS 09 01 EACH CLAIM LIMIT $ 5,000 DEDUCTIBLE -EACH CLAIM LIMIT NOT APPLICABLE AGGREGATE LIMIT $ 5,000 RETROACTIVE DATE: 06012006 This Employment Practices Liability Coverage contains claims made coverage. Except as may be otherwise provided herein, specified coverages of this insurance are limited generally to liability for injuries for which claims are first made against the insured while the insurance is in force. Please read and review the insurance carefully and discuss the coverage with your Hartford Agent or Broker. The Limits of Insurance stated in this Declarations will be reduced,and may be completely exhausted, by the payment of"defense expense" and, in such event, The Company will not be obligated to pay any further"defense expense" or sums which the insured is or may become legally obligated to pay as "damages". BUSINESS LIABILITY OPTIONAL COVERAGES HIRED/NON-OWNED AUTO LIABILITY $2,000,000 FORM: SS 01 70 Form SS 00 02 12 06 Page 003 (CONTINUED ON NEXT PAGE) Process Date: 04/14/14 Policy Expiration Date: 06/01/15 SPECTRUM POLICY DECLARATIONS (Continued) POLICY NUMBER: 54 SBM TS7856 BUSINESS LIABILITY OPTIONAL COVERAGES LIMITS OF INSURANCE (Continued) EMPLOYERS LIABILITY AND STOP GAP BODILY INJURY BY ACCIDENT EACH ACCIDENT $1, 000, 000 BODILY INJURY BY DISEASE EACH EMPLOYEE $1, 000,000 BODILY INJURY BY DISEASE POLICY LIMIT $1,000,000 APPLICABLE TO LOCATIONS IN THE FOLLOWING STATE(S) : WASHINGTON Form SS 00 02 12 06 Page 004 (CONTINUED ON NEXT PAGE) Process Date: 04/14/14 Policy Expiration Date: 06/01/15 SPECTRUM POLICY DECLARATIONS (Continued) POLICY NUMBER: 54 SBM TS7856 ADDITIONAL INSUREDS: THE FOLLOWING ARE ADDITIONAL INSUREDS FOR BUSINESS LIABILITY COVERAGE IN THIS POLICY. LOCATION 001 BUILDING 001 TYPE PERSON ORGANIZATION NAME SEE FORM IH 12 00 Form SS 00 02 12 06 Page 005 (CONTINUED ON NEXT PAGE) Process Date: 04/14/14 Policy Expiration Date: 06/01/15 SPECTRUM POLICY DECLARATIONS (Continued) POLICY NUMBER: 54 SBM TS7856 Form Numbers of Forms and Endorsements that apply: SS 00 01 04 93 SS 00 05 12 06 SS 00 OB 04 05 SS 00 45 12 06 SS 01 28 10 08 SS 01 70 09 09 SS 41 02 04 05 SS 41 62 06 11 SS 41 63 06 11 SS 05 06 03 14 SS 05 47 09 01 SS 41 75 03 14 SS 50 04 06 04 SS 09 01 10 08 SS 09 25 10 08 SS 09 42 07 99 SS 10 04 09 98 SS 50 19 03 12 IH 99 40 04 09 IH 99 41 04 09 SS 83 76 03 12 IH 12 00 11 85 ADDITIONAL INSURED - PERSON-ORGANIZATION i Form SS 00 02 12 06 Page 006 Process Date: 04/14/14 Policy Expiration Date: 06/01/15 SPECTRUM POLICY DECLARATIONS (Continued) POLICY NUMBER: 54 SBM TS7856 SUPPLEMENTAL DECLARATIONS: A service fee of$ 6.00 is charged for each installment when your premium is paid in installments. The service fee is $ 6.00 per withdrawal when you select an electronic fund transfer payment plan. The service fee will be added to the premium amount shown on your premium billing statement. Form SS 00 4512 06 Process Date: 04/14/14 Policy Expiration Date: 06/01/15 COMMON POLICY CONDITIONS Form SS 00 0512 06 © 2006,The Hartford QUICK REFERENCE -SPECTRUM POLICY DECLARATIONS and COMMON POLICY CONDITIONS I. DECLARATIONS Named Insured and Mailing Address Policy Period Description and Business Location Coverages and Limits of Insurance II. COMMON POLICY CONDITIONS Beginning on Page A. Cancellation 1 B. Changes 1 C. Concealment, Misrepresentation Or Fraud 2 D. Examination Of Your Books And Records 2 E. Inspections And Surveys 2 F. Insurance Under Two Or More Coverages 2 G. Liberalization 2 H. Other Insurance-Property Coverage 2 I. Premiums 2 J. Transfer Of Rights Of Recovery Against Others To Us 2 K. Transfer Of Your Rights And Duties Under This Policy 3 L. Premium Audit 3 Form SS 00 0512 06 tay COMMON POLICY CONDITIONS All coverages of this policy are subject to the following conditions. A. Cancellation (5) Failure to: 1. The first Named Insured shown in the (a) Furnish necessary heat, water, Declarations may cancel this policy by mailing sewer service or electricity for 30 or delivering to us advance written notice of consecutive days or more, except cancellation. during a period of seasonal 2. We may cancel this policy by mailing or unoccupancy; or delivering to the first Named Insured written (b) Pay property taxes that are owing notice of cancellation at least: and have been outstanding for a. 5 days before the effective date of more than one year following the cancellation if any one of the following date due, except that this conditions exists at any building that is provision will not apply where you Covered Property in this policy: are in a bona fide dispute with the taxing authority regarding payment (1) The building has been vacant or of such taxes. unoccupied 60 or more consecutive days. This does not apply to: b. 10 days before the effective date of cancellation if we cancel for nonpayment (a) Seasonal unoccupancy; or of premium. (b) Buildings in the course of c. 30 days before the effective date of construction, renovation or cancellation if we cancel for any other addition. reason. Buildings with 65% or more of the rental 3. We will mail or deliver our notice to the first units or floor area vacant or unoccupied Named Insured's last mailing address known are considered unoccupied under this to us. provision. 4. Notce of cancellation will state the effective (2) After damage by a Covered Cause of date of cancellation. The policy period will end Loss, permanent repairs to the on that date. building: 5. If this policy is canceled, we will send the first (a) Have not started; and Named Insured any premium refund due. (b) Have not been contracted for, Such refund will be pro rate. The cancellation within 30 days of initial payment of will be effective even if we have not made or loss. offered a refund. (3) The building has: 6. If notice is mailed, proof of mailing will be (a) An outstanding order to vacate; sufficient proof of notice. 7. If the first Named Insured cancels this policy, (b) An outstanding demolition order; we will retain no less than $100 of the or premium. (c) Been declared unsafe by B. Changes governmental authority. This policy contains all the agreements between you (4) Fixed and salvageable items have and us concerning the insurance afforded. The first been or are being removed from the Named Insured shown in the Declarations is building and are not being replaced. authorized to make changes in the terms of this policy This does not apply to such removal with our consent. This policys terms can be that is necessary or incidental to any amended or waived only by endorsement issued renovation or remodeling. by us and made a part of this policy. Form SS 00 05 12 06 Page 1 of 3 © 2006, The Hartford COMMON POLICY CONDITIONS C. Concealment, Misrepresentation Or Fraud I. Premiums This policy is void in any case of fraud by you as it 1. The first Named Insured shown in the relates to this policy at any time. It is also void if you Declarations: or any other insured, at any time,intentionally conceal a. Is responsible for the payment of all or misrepresent a material fact concerning: premiums; and 1. This policy; b. Will be the payee for any return premiums 2. The Covered Property; we pay. 3. Your interest in the Covered Property; or 2. The premium shown in the Declarations was 4. A claim under this policy. computed based on rates in effect at the time D. Examination Of Your Books And Records the policy was issued. If applicable, on each renewal, continuation or anniversary of the We may examine and audit your books and effective date of this policy, we will compute records as they relate to the policy at any time the premium in accordance with our rates and during the policy period and up to three years rules then in effect. afterward. 3. With our consent, you may continue this policy E. Inspections And Surveys in force by paying a continuation premium for We have the right but are not obligated to: each successive one-year period. The 1. Make inspections and surveys at anytime; premium must be: a. Paid to us prior to the anniversary date;and 2. Give you reports on the conditions we find;and b. Determined in accordance with Paragraph 3. Recommend changes. 2.above. Any inspections, surveys, reports or Our forms then in effect will apply. If you do recommendations relate only to insurability and the not pay the continuation premium, this policy premiums to be charged. We do not make safety will expire on the first anniversary date that we inspections. We do not undertake to perform the duty have not received the premium. of any person or organization to provide for the health or safety of any person. And we do not represent or 4. Changes in exposures or changes in your warrant that conditions: business operation, acquisition or use of 1. Are safe or healthful; or locations that are not shown in the Declarations may occur during the policy period. If so,we may 2. Comply with laws, regulations, codes or require an additional premium. That premium will standards. be determined in accordance with our rates and This condition applies not only to us, but also to rules then in effect. any rating, advisory, rate service or similar J. Transfer Of Rights Of Recovery Against Others organization which makes insurance inspections, To Us surveys, reports or recommendations. Applicable to Property Coverage: F. Insurance Under Two Or More Coverages If any person or organization to or for whom we If two or more of this policy's coverages apply to make payment under this policy has rights to the same loss or damage, we will not pay more recover damages from another, those rights are than the actual amount of the loss or damage. transferred to us to the extent of our payment. G. Liberalization That person or organization must do everything If we adopt any revsion that would broaden the necessary to secure our rights and must do coverage under this policy without additional nothing after loss to impair them. But you may waive your rights against another party in writing: premium within 45 days prior to or during the policy period, the broadened coverage will immediately 1. Prior to a loss to your Covered Property. apply to this policy. 2. After a loss to your Covered Property only if, at H. Other Insurance-Property Coverage time of loss,that party is one of the following: If there is other insurance covering the same loss a. Someone insured by this insurance; or damage, we will pay only for the amount of b. A business firm: covered loss or damage in excess of the amount (1) Owned or controlled by you;or due from that other insurance, whether you can collect on it or not. But we will not pay more than (2) That owns or controls you; or the applicable Limit of Insurance. Page 2 of 3 Form SS 00 0512 06 COMMON POLICY CONDITIONS c. Your tenant. L. Premium Audit You may also accept the usual bills of lading or a. We will compute all premiums for this policy in shipping receipts limiting the liability of carriers. accordance with our rules and rates. This will not restrict your insurance, b. The premium amount shown in the K. Transfer Of Your Rights And Duties Under This Declarations is a deposit premium only. At the Policy close of each audit period we will compute the earned premium for that period. Any Your rights and duties under this policy may not be additional premium found to be due as a result transferred without our written consent except in of the audit are due and payable on notice to the case of death of an individual Named Insured. the first Named Insured. If the deposit If you die, your rights and duties will be transferred premium paid for the policy term is greater to your legal representative but only while acting than the earned premium, we will return the within the scope of duties as your legal excess to the first Named Insured. representative. Until your legal representative is c. The first Named Insured must maintain all appointed, anyone having proper temporary records related to the coverage provided by custody of your property will have your rights and this policy and necessary to finalize the duties but only with respect to that property. premium audit, and send us copies of the same upon our request. Our President and Secretary have signed this policy, Where required by law,the Declarations page has also been countersigned by our duly authorized representative. kyv Terence Shields,Secretary Andrk A.Napoli,President Form SS 00 05 12 06 Page 3 of 3 it THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - ENGINEERS, ARCHITECTS OR SURVEYORS PROFESSIONAL LIABILITY This endorsement modifies insurance provided under the following: BUSINESS LIABILITY COVERAGE FORM The following is added to Paragraph 1., Applicable to Business Liability Coverage(Section B.—EXCLUSIONS): 1. This insurance does not apply to "bodily injury", "property damage" or"personal and advertising injury"arising out of the rendering of or the failure to render any professional services by: a. Any insured; or b. Any engineering, architectural or surveying firm that is performing work on your behalf in such capacity. 2. Professional services includes but is not limited to: a. The preparing, approving, or failure to prepare or approve, maps, shop drawings, opinions, recommendations, reports, surveys, field orders, change orders, designs or drawings and specifications; and b. Supervisory, inspection, quality control, architectural or engineering activities. 3. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury", "property damage"or"personal and advertising injury", involved the rendering of or failure to render any professional services by that insured. Form SS 05 06 03 14 Page 1 of 1 © 2014,The Hartford THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED PROVISIONS This endorsement modifies insurance provided under the following: BUSINESS LIABILITY COVERAGE FORM A. It is agreed that paragraph (2) of subsections 6.d. paragraphs replace section b. of subsection 9. of and 6.f. of Section C. — WHO IS AN INSURED is Section F. — OPTIONAL ADDITIONAL INSURED replaced by the following: COVERAGES. These paragraphs do not attach or (2) The insurance afforded by paragraph (1) amend the language of any of the other subsections above does not apply if your acts or of Section F — OPTIONAL ADDITIONAL INSURED omissions, or the acts or omissions of those COVERAGES: acting on your behalf, that are alleged to The insurance afforded by this subsection does have caused the "bodily Injury", "property not apply if your acts or omissions, or the acts damage" or "personal and advertising or omissions of those acting on your behalf, that injury", involve professional architectural, are alleged to have caused the "bodily injury", engineering or surveying services, including "property damage" or "personal and advertising but not limited to: injury", involve professional architectural, (a) The preparing, approving or failure to engineering or surveying services, including but prepare or approve, maps, shop not limited to: drawings, opinions, recommendations, (a) The preparing, approving or failure to reports, surveys, field orders, change prepare or approve, maps, shop drawings, orders, designs or drawings and opinions, recommendations, reports, specifications, or surveys, field orders, change orders, (b) Supervisory, Inspection, quality control, designs or drawings and specifications, or architectural or engineering activities. (b) Supervisory, inspection, quality control, This limitation applies even if the claims architectural or engineering activities. against you allege negligence or other This limitation applies even if the claims wrongdoing in the supervision, hiring, against you allege negligence or other employment, training or monitoring of others wrongdoing in the supervision, hiring, by you. employment, training or monitoring of others (3) The insurance afforded to such additional by you. Insured: The Insurance afforded to such additional (a) Only applies to the extent permitted by insured: law; and (a) Only applies to the extent permitted by law; (b) Will not be broader than that which you and are required by the contract or (b) Will not be broader than that which you are agreement to provide for such required by the contract or agreement to additional insured. provide for such additional insured. B. It is agreed that the following paragraphs are added to the end of subsections 1. and 8. of Section F — OPTIONAL ADDITIONAL INSURED COVERAGES; and it is agreed the following Form SS 4175 03 14 Page 1 of 1 0 2014, The Hartford POLICY NUMBER: 54 SBM TS7856 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - PERSON-ORGANIZATION CITY OF KENT PUBLIC WORKS 220 4TH AVE S KENT WA 98032 RE: BOEING LEVY PROJECT CITY OF KENT PUBLIC WORKS ENGINEERING DEPT 220 4TH AVE S KENT, WA 98032 RE:ALL CITY PROJECTS Form IH 12 00 11 85 T SEQ. NO. 002 Printed in U.S.A. Page 001 (CONTINUED ON NEXT PAGE) Process Date: 04/14/14 Expiration Date: 06/01/15 POLICY NUMBER: 54 SEM TS7856 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - PERSON-ORGANIZATION Form IH 12 0011 85 T SEQ. NO. 002 Printed In U.S.A. Page 002 (CONTINUED ON NEXT PAGE) Process Date: 04/14/14 Expiration Date: 06101115 THE HARTFORD U.S. DEPARTMENT OF THE TREASURY, OFFICE OF FOREIGN ASSETS CONTROL ("OFAC") ADVISORY NOTICE TO POLICYHOLDERS No coverage is provided by this Policyholder Notice nor can it be construed to replace any provisions of your policy. You should read your policy and review your Declarations page for complete information on the coverages you are provided. This Notice provides information concerning possible impact on your insurance coverage due to directives issued by the United States. Please read this Notice carefully. The Office of Foreign Assets Control ("OFAC") of the U.S. Department of the Treasury administers and enforces economic and trade sanctions based on U.S. foreign policy and national security goals against targeted foreign countries and regimes, terrorists, international narcotics traffickers, those engaged in activities related to the proliferation of weapons of mass destruction, and other threats to the national security, foreign policy or economy of the United States. OFAC acts under Presidential national emergency powers, as well as authority granted by specific legislation, to impose controls on transactions and freeze assets under U.S. jurisdiction. OFAC publishes a list of individuals and companies owned or controlled by, or acting for or on behalf of, targeted countries. It also lists individuals, groups, and entities, such as terrorists and narcotics traffickers designated under programs that are not country-specific. Collectively, such individuals and companies are called "Specially Designated Nationals and Blocked Persons" or "SDNs". Their assets are blocked and U.S. persons are generally prohibited from dealing with them. This list can be located on OFAC's web site at—hftp//www.treas.gov/ofac. In accordance with OFAC regulations, if it is determined that you or any other insured, or any person or entity claiming the benefits of this insurance has violated U.S. sanctions law or is an SDN, as identified by OFAC, the policy is a blocked contract and all dealings with it must involve OFAC. When an insurance policy is considered to be such a blocked or frozen contract, no payments nor premium refunds may be made without authorization from OFAC. Form IH 99 40 04 09 Page 1 of 1 THE HARTFORD Named Insured: JASON ENGINEERING & CONSULTING Policy Number: 54 SBM TS7856 Effective Date: 06/01/14 Expiration Date: o6/oI/15 Company Name: MARSH ADVANTAGE AMERICA/PHS THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. TRADE OR ECONOMIC SANCTIONS ENDORSEMENT This insurance does not apply to the extent that trade or economic sanctions or other laws or regulations prohibit us from providing insurance, including, but not limited to,the payment of claims. All other terms and conditions remain unchanged. Form IH 99 4104 09 Page 1 of 1 KENT N^s�I .T�� Agenda Item: Consent Calendar - 7F TO: City Council DATE: July 1, 2014 SUBJECT: Professional Services Agreement with Jason Engineering & Consulting Business, Inc. for 64th Avenue South Channel Improvements Union Pacific Railroad Spur Culvert Replacement - Authorize MOTION: Authorize the Mayor to sign a Public Works Agreement with Jason Engineering & Consulting Business, Inc. for materials testing and inspection services of the 64th Avenue South Channel Improvements, Union Pacific Railroad Spur Culvert Replacement project in an amount not to exceed $65,420, subject to final terms and conditions acceptable to the City Attornev and Public Works Director. SUMMARY: The project includes removing three 60 inch diameter, 130 foot long culverts and replacing them with two, precast concrete box culverts. Underground rock columns will be installed as a foundation to support the culverts and the railroad spur. As part of this capital improvement project, it is industry standard and a matter of quality assurance to have experts in materials testing verify the quality of the construction materials. Jason Engineering & Consulting Business, Inc. possesses this expertise and was selected through a competitive process. EXHIBITS: Public Works Agreement with Jason Engineering & Consulting Business, Inc. RECOMMENDED BY: Public Works Committee YEA: Fincher - Ralph - Higgins NAY: BUDGET IMPACTS: This contract is funded out of the Storm Drainage Utility. REQUEST FOR MAYOR'S SIGNATURE T Please Fill in All Applicable Boxes viewed by Director Originator's Name: Paul Kuehne De t/Div. En ineerin� 'Extension: 5543 Date Sent: /+ Date Required: ' 1,9 Return to: Nancy'Yoshitake CONTRACT TERMINATION DATE; 12/31/14 VENDOR: Jason ;Engineering & Consulting; DATE OF COUNCIL APPROVAL: 7/1/14 Business Inc. ATTACH THE COUNCIL MOTION SHEET FOR THE MAYOR - if applicable Brief Explanation of Document: The attached agreement is for Jason Engineering to provide inspection and testing services for the 641h Ave, S. Channel Improvements UPRR Spur Culvert Replacement Project. For additional information, see the attached Council motion sheet. All Contracts Must Be Routed Through The Law Department (This area to be completed by the Law Department); Received: Approval of Law Dept.: o. , f ,c / Law Dept. Comments: nzD JUL 3 2014_ Date Forwarded to Mayor. vy g CITY GLEAK r Shaded Areas To Be Completed By Administration Staff Received: + k Recommendations and Comments: ' c, Disposition: 01 Date Returned: