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PW14-186 - Original - TGR Real Estate Appraisal - Gribble Property Appraisal - 07/18/2014
t ��. Records Management �o KENT Document WA9NINOTON f xviti. h LE SLx tiN 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: TGR Real Estate Appraisal Vendor Number; JD Edwards Number ffia Contract Number: )MA OW Ma This is assigned by City Clerk's Office Project Name: Gribble Property Appraisal Description: ❑ Interlocal Agreement ❑ Change Order ❑ Amendment ® Contract ❑ Other; Contract Effective Date: 7/18/14 Termination Date: 7/31/14 Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Kelly Peterson Department: Engineering Detail: (i.e. address, location, parcel number, tax id, etc.): Prepare an appraisal for two arcels located at 26204 SE Kent Kangley Road. V i � K7Nr S:Publlc\RecordsManagement\Forms\ContractCover\adcc7832 1 11/08 KE 0 T wAI III IT. PROFESSIONAL SERVICES AGREEMENT between the City of Kent and TGR Real Estate Appraisal THIS AGREEMENT is made between the City of Kent, a Washington municipal corporation (hereinafter the "City"), and TGR Real Estate Appraisal organized under the laws of the State of Washington, located and doing business at 21722 SE 28th St., Sammamish, WA 98706, Phone: (425) 736- 6295/Fax: (425) 837-0019, Contact: Thomas Ryan (hereinafter the "Contractor"). I. DESCRIPTION OF WORK. Contractor shall perform the following services for the City: The Contractor shall prepare an appraisal for two parcels located at 26204 SE Kent Kangley Road. For a description, see the Contractor's Scope of Work which is attached as Exhibit A and incorporated by this reference. Contractor 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, and Contractor shall complete the work by July 31, 2014. III. COMPENSATION. The City shall pay Contractor a total amount not to exceed Two Thousand, Two Hundred Dollars ($2,200.00) for the services described in this Agreement. The Contractor shall invoice the City monthly based on time and materials incurred during the preceding month. The hourly rates charged for Contractor's services shall be as delineated in the attached and incorporated Exhibit A. All hourly rates charged shall remain locked at the negotiated rates throughout the term of this Agreement. 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 Contractor 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 Contractor maintains and pays for its own place of business from which Contractor's services under this Agreement will be performed. C. The Contractor has an established and independent business that is eligible for a business deduction for federal income tax purposes that existed before the City retained Contractor's services, or the Contractor is engaged in an independently established trade, occupation, profession, or business of the same nature as that involved under this Agreement. D. The Contractor 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. PROFESSIONAL SERVICES AGREEMENT - 1 (Under$10,000) E. The Contractor has registered its business and established an account with the state Department of Revenue and other state agencies as may be required by Contractor's business, and has obtained a Unified Business Identifier (UBI) number from the State of Washington. F. The Contractor 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 seven (7) calendar days written notice at its address set forth on the signature block of this Agreement. VI. DISCRIMINATION. In the hiring of employees for the performance of work under this Agreement or any subcontract, the Contractor, its subcontractors, or any person acting on behalf of the Contractor or subcontractor shall not discriminate against any person who is qualified and available to perform the work to which the employment relates as provided for by the City of Kent's Equal Employment Opportunity Policy. Contractor 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. Contractor 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 Contractor'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 Contractor's work when completed shall not be grounds to avoid any of these covenants of indemnification. The provisions of this section shall survive the expiration or termination of this Agreement. In the event Contractor 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 Contractor's part, then Contractor 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 Contractor's part. VIII. INSURANCE. The Contractor shall procure and maintain for the duration of the Agreement, insurance of the types and in the amounts described in Exhibit B attached and incorporated by this reference. XII. CONTRACTOR'S WORK AND RISK. The Contractor agrees to comply with all federal, state, and municipal laws, rules, and regulations that are now effective or in the future become applicable to Contractor's business, equipment, and personnel engaged in operations covered by this Agreement or accruing out of the performance of those services. All work shall be done at Contractor's own risk, and Contractor 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. PROFESSIONAL SERVICES AGREEMENT - 2 (Under.$10,000) 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. 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 Contractor. 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. 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. 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. 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. CONTRACTOR: CITY OWKENT: By' By. (signature) �—t (signature) Print Name: 1 +tames G• t2r&, Print Name: Kelly Peterson Its: OwVA" Its: Special Projects Manager (t¢.le) DATE: �8 6//y DATE: / l PROFESSIONAL SERVICES AGREEMENT - 3 (Under$10,000) NOTICES TO BE SENT TO: NOTICES TO BE SENT TO: CONTRACTOR: CITY OF KENT: Thomas Ryan Timothy J. LaPorte, P.E. TGR Real Estate Appraisal City of Kent 21722 SE 28`' St. 220 Fourth Avenue South Sammamish, WA 98706 Kent, WA 98032 (425) 736-6295 (telephone) (253) 856-5500 (telephone) (425) 837-0019 (facsimile) (253) 856-6500 (facsimile) i PROFESSIONAL SERVICES AGREEMENT - 1 (Under$10,000) DECLARATION CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY POLICY The City of Kent is committed to conform to Federal and State laws regarding equal opportunity. As such all contractors, subcontractors and suppliers who perform work with relation to this Agreement shall comply with the regulations of the City's equal employment opportunity policies. The following questions specifically identify the requirements the City deems necessary for any contractor, subcontractor or supplier on this specific Agreement to adhere to. An affirmative response is required on all of the following questions for this Agreement to be valid and binding. If any contractor, subcontractor or supplier willfully misrepresents themselves with regard to the directives outlines, it will be considered a breach of contract and it will be at the City's sole determination regarding suspension or termination for all or part of the Agreement; The questions are as follows: 1. I have read the attached City of Kent administrative policy number 1.2. 2. During the time of this Agreement I will not discriminate in employment on the basis of sex, race, color, national origin, age, or the presence of all sensory, mental or physical disability. 3. During the time of this Agreement the prime contractor will provide a written statement to all new employees and subcontractors indicating commitment as an equal opportunity employer. 4. During the time of the Agreement I, the prime contractor, will actively consider hiring and promotion of women and minorities. 5. Before acceptance of this Agreement, an adherence statement will be signed by me, the Prime Contractor, that the Prime Contractor complied with the requirements as set forth above. By signing below, I agree to fulfill the five requirements referenced above. Dated this day of �U^^ `' 20-�Y' By: l�-• P For: Title: �t'� Date: EEO COMPLIANCE DOCUMENTS - 1 CITY OF KENT ADMINISTRATIVE POLICY I NUMBER: 1.2 EFFECTIVE DATE: January 1, 1998 SUBJECT: MINORITY AND WOMEN SUPERSEDES: April 1, 1996 CONTRACTORS APPROVED BY Jim White, Mayor POLICY: Equal employment opportunity requirements for the City of Kent will conform to federal and state laws. All contractors, subcontractors, consultants and suppliers of the City must guarantee equal employment opportunity within their organization and, if holding Agreements with the City amounting to $10,000 or more within any given year, must take the following affirmative steps: 1. Provide a written statement to all new employees and subcontractors indicating commitment as an equal opportunity employer. 2. Actively consider for promotion and advancement available minorities and women. Any contractor, subcontractor, consultant or supplier who willfully disregards the City's nondiscrimination and equal opportunity requirements shall be considered in breach of contract and subject to suspension or termination for all or part of the Agreement. Contract Compliance Officers will be appointed by the Directors of Planning, Parks, and Public Works Departments to assume the following duties for their respective departments. 1. Ensuring that contractors, subcontractors, consultants, and suppliers subject to these regulations are familiar with the regulations and the City's equal employment opportunity policy. 2. Monitoring to assure adherence to federal, state and local laws, policies and guidelines. i i EEO COMPLIANCE DOCUMENTS - 2 CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE STATEMENT This form shall be filled out AFTER COMPLETION of this project by the Contractor awarded the Agreement. I, the undersigned, a duly represented agent of Company, hereby acknowledge and declare that the before-mentioned company was the prime contractor for the Agreement known as that was entered into on the (date), between the firm I represent and the City of Kent. I declare that I complied fully with all of the requirements and obligations as outlined in the City of Kent Administrative Policy 1.2 and the Declaration City of Kent Equal Employment Opportunity Policy that was part of the before-mentioned Agreement. Dated this day of 20— By: For: I Title: Date: EEO COMPLIANCE DOCUMENTS - 3 i EXHIBIT A TGR Real Estate Appraisal June 9,2014 Kelly Peterson,AICP Environmental Conservation Supervisor City of Kent 220 Forth Avenue South Kent,WA98032 RE: APPRAISAL OF THE TWO GRIBBLE PARCELS (APN 252206-9048 & APN 252206-9066) LOCATED AT 26204SE KENT KANGLEY ROAD Dear Mr, Peterson: Following our telephone conversation, I have reviewed the information necessary to estimate a fee and timing for completion of an appraisal of the above referenced parcels. A summary proposal Is provided below. Property: The subject property includes two separate but Jointly owned parcels that are zoned RA-5. The southerly parcel (#252206-9048) Is a 4.89-acre improved parcel with a 2,590 square-foot 2-story single family residence built in 1996. The northerly parcel (0252206-9066)Is a4.92-acre unimproved parcel and appears to be encumbered by wetlands and a 375' BPA power line easement. It is expected that the power line easement impacts both the southerly and northerly parcels, I Clientand j Intended users: The client and intended user of the appraisal report are official representatives of the City of Kent, Intended use: The appraisal will be used for purposes of developing a purchase offer for one or both of the subject parcels. Type& Definition of value: Market value of the fee simple interest In the subject parcels (Market Value).The appraisal will be presented in one report but with a value for each parcel. Date of value; Current date(date of inspection of the property). Property rights: Fee simple interest. Scope of work: This appraisal assignment involves the research and analysis necessary to render a credible opinion of value, including but not limited to researching NWMLS and King County Information on the subject property, assembling and confirming information on all comparable sales used,and inspecting the subject property and any comparable sale 21722 SE 28'h Street Sammamish,WA 98076 425.736.6295 properties used In the appraisal. The report will bean Appraisal Report prepared according to USPAP standards. This appraisal assignment can be completed within three (3) weeks from the Inspection date following your authorization to proceed for a fee not to exceed$2,200. Thank you for this opportunity and I look forward to working with you again. Sincerely, Thomas G.Ryan,RPA Certified General Appraiser _ . .. III i EXHIBIT B INSURANCE REQUIREMENTS FOR CONSULTANT SERVICES AGREEMENTS Insurance The Consultant shall procure and maintain for the duration of the Agreement, insurance against claims for injuries to persons or damage to property which may arise from or in connection with the performance of the work hereunder by the Consultant, their agents, representatives, employees or subcontractors. A. Minimum Scope of Insurance Consultant shall obtain insurance of the types described below: 1. Automobile Liability insurance covering all owned, non-owned, hired and leased vehicles. Coverage shall be written on Insurance Services Office (ISO) form CA 00 01 or a substitute form providing equivalent liability coverage. If necessary, the policy shall be endorsed to provide contractual liability coverage. 2. Commercial General Liability insurance shall be written on ISO occurrence form CG 00 01 and shall cover liability arising from premises, operations, independent contractors, products-completed operations, personal injury and advertising injury, and liability assumed under an insured contract. The City shall be named as an insured under the Consultant's Commercial General Liability insurance policy with respect to the work performed for the City using ISO additional insured endorsement CG 20 10 11 85 or a substitute endorsement providing equivalent coverage. 3. Workers' Compensation coverage as required by the Industrial Insurance laws of the State of Washington. 4. Professional Liability insurance appropriate to the Consultant's profession. B. Minimum Amounts of Insurance Consultant shall maintain the following insurance limits: 1. Automobile Liability insurance with a minimum combined single limit for bodily injury and property damage of $1,000,000 per accident. 2. Commercial General Liability insurance shall be written with limits no less than $1,000,000 each occurrence, $2,000,000 general aggregate and a $1,000,000 products-completed operations aggregate limit. EXHIBIT B (Continued) 3. Professional Liability insurance shall be written with limits no less than $1,000,000 per claim and $1,000,000 policy aggregate limit. C. Other Insurance Provisions The insurance policies are to contain, or be endorsed to contain, the following provisions for Automobile Liability and Commercial General Liability insurance: 1. The Consultant's insurance coverage shall be primary insurance as respect the City. Any Insurance, self-insurance, or insurance pool coverage maintained by the City shall be excess of the Consultant's insurance and shall not contribute with it. 2. The Consultant's insurance shall be endorsed to state that coverage shall not be cancelled by either party, except after thirty (30) days prior written notice by certified mail, return receipt requested, has been given to the City. 3. The City of Kent shall be named as an additional insured on all policies (except Professional Liability) as respects work performed by or on behalf of the Consultant and a copy of the endorsement naming the City as additional insured shall be attached to the Certificate of Insurance. The City reserves the right to receive a certified copy of all required insurance policies. The Consultant's Commercial General Liability insurance shall also contain a clause stating that coverage shall apply separately to each insured against whom claim is made or suit is brought, except with respects to the limits of the insurer's liability. I, 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 9 with original certificates and a co of the PY 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. l ® OATS(MMIODM'YY) A�o CERTIFICATE OF LIABILITY INSURANCE 06/2012U14 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT JOHN J NOGUEIRA _ NAME: JOHN J NOGUEIRA PHONE 503225 9644 503.225.9653 AMC,No EX (AC Nol: StateFartn 2280 W BURNSIDE ST ADDRE ADDRESS, �N PORTLAND, OR 97210 INSURERS)AFFORDING COVERAGE NAIC0 INSURER A Sfate Farm Fire and Casualty Company 25143 INSURED THOMAS RYAN INSURERS: _....._ _._... 'i 21722 SE 28TH ST INSURERC: SAMMAMISH,WA 98075-9599 INSURERD: INSURER E: INSDRERF: 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 rypE OF INSURANCE A151517-5—UBR -- POLICY FEE- POLICYEXP LIMITS LTR D'. 0 POLICYNUMBER MMIDUNY MMIDD YYY A X COMMERCIAL GENERAL LIABILITY Y Y 98-132-0080.8 06/2012014 06/20/2015 EACH OCCURRENCE $ 11000,000 O E T O R nccu Dom-$ CLAIMS MADE 1-1 OCCUR ��, .PRE"MIMI SES(Ea MED EXPAay one person)_ III$ 5,000 - - PERSONAL S AOV INJURY lid____ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL_AGGREGAI E $ 2,000,000 POLICY PRO- n LOC 11000,000 JECT L_ 1 PRODUCTS AGO 5 $ OTHER'' COMBINED SINGLE LIMIT $ A AUTOMOBILE LIABILITY Y L13 3220-C1247F 03/12/2014 09112/2014 Ea eccldcat __ _ ANY AUTO BODILY INJURY(Par pamon) 5 1,000,D00 X BODILY INJURY(Per acc Beni) $ 1,0D0,000 - ALL OS SCHEDULED PROPERTY DAMAGE $ 10W,000 AUTOS AUI OS NON-OWNED HIRED AUTOS AUTOS _(Peraccldenl $ UMBRELLA HAB 'i OCCUR EACH OCCURRENCE. $ EXCESS LIAB CLAIM sMADC AGGREGATE _ $ OLD RETENTIONS -. _— PER OTH- $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY NIA ELOISFAREE.L.EACH C OA EMPLOYE $ YIN ANY CFR,NEETORiEXCLUDfLE%ECUTIVE OFFICEV,I,1p NH)EXCLUDED? (Mandatory In NH) �i Ryes,desalbeundar ELDISEASE-POLICY LIMIT $ DESCRIPI ION OF OPERATIONS belm DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 401,Additional RerOerka schedule,may be anached If more apace is required) CERTIFICATE HOLDER CANCELLATION CITY OF KENT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ATTN: KELLY PETERSON, SPECIAL PROJECTS THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN MANAGER ACCORDANCE WITH THE POLICY PROVISIONS. 220 FOURTH AVENUE SOUTH AUTHORIZED REPRESENTATIVE KENT,WA 98032 ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD 1001486 132849.9 02-04-2014 Policy No. 98-B2-D080-8 BUSINESS-OFFICE CMP-4786 Page 1 of THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY CMP-4786 ADDITIONAL INSURED — OWNERS, LESSEES, OR CONTRACTORS (Scheduled) This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM SCHEDULE Policy Number: 98-B2-Do80-8 Named Insured: THOMAS, RYAN Name And Address Of Additional Insured Person Or Organization: CITY OF KENT 220 4TH AVE S KENT WA 98032-5895 1. SECTION 11 — WHO IS AN INSURED of b. Products-Completed Operations SECTION II — LIABILITY is amended to in- "Your work" performed for that additional clude, as an additional insured, any person insured and included in the "products- or organization shown in the Schedule, but completed operations hazard". only with respect to liability for "bodily in- 2. Any insurance provided to the additional in- jury", "property damage", or "personal and sured shall only apply with respect to a claim advertising injury" caused, in whole or in made or a "suit" brought for damages for part, by: which you are provided coverage. a. Ongoing Operations 3. Primary Insurance. The insurance afforded the additional Insured shall be primary insur- (1) Your acts or omissions; or ance. Any insurance carried by the additional insured shall be noncontributory with respect (2) The acts or omissions of those acting to coverage provided by you. on your behalf; There will be no refund of premium in the event in the performance of your ongoing opera- this endorsement is cancelled. tions for that additional insured; or All other policy provisions apply. CMP-4786 1006104 137713.1 10-23-2013 (].Copyright,State Farm Mutual Automobile Insurance company,2008 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. i - , Policy N0. 98-82-DO80 8 BUSINESS-OFFICE CMP-4787Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY CMP-4787 WAIVER OF TRANSFER OF RIGHTS OR RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM SCHEDULE Pollcy Number: 98-B2-Do80-8 Named Insured: THOMAS, RYAN Name And Address Of Person Or Organization: CITY OF KENT 220 4TH AVE S KENT WA 98032-5895 The following is added to Paragraph 10.b. of SECTION I AND SECTION II — COMMON POLICY CONDITIONS: We waive any right of recovery we may have against the person or organization shown in the Schedule because of payments we make for injury or damage arising out of: a. Your ongoing operations; or b. "Your work" done under contract with that person or organization and included in the "products- completed operations hazard". This waiver applies only to the person or organization shown in the Schedule. All other policy provisions apply. CMP-4787 1000225 137715 1 11-19-2013 k),Copyright,State Farm Mutual Automobile Insurance Company,2008 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Image Manager Page 1 of 1 Gad CERTIFICATE OF LIABILITY INSURANCE 00120=14 TM CERM GATE 19 ISSUED AS A 144TTEt OF INFORIiAT10N ONLY MD COIRERB NO ROM UM THE CUMFI 117E HOIJM THIS G&Vt ATE OM NOT AFRRTWTMe.Y OR NBAWMY AIMOX OffEID OR ALTER THE COVERAGE APFORIM BY THE POTJ W OEM TNN CERTIFICATE OF BMURANCE DOES NOT COMMUTE A CORONCT BMWNW THE EBUOIO ROtURBgep AWHORMAD RgpREBFJITATNE OR PRootim ANDTNE/:ERRROATE M01LBL e@WMt1 RMW coaAUWJNI 1 ,. roust beWNW60d.It SUDRDWRION 16 VMIVFAeV6MAco 1M cone!NId awdNHU 44the=WY,Wkh FdWw MW WOM•o Kdoprant.AskbWAM md"mNB084 da!net"fdW rW"to fm .ONBu:NeIl01d4F111 AeY,Neueh M� JOHNJNOOUEeNT JOHN i NOGUEIRA,AGENT Wp E0392ae9R4 60•22&9$53 $h(elbfRl 2280 W BURNSIDE ST NOuvex ANET PORTIAND,OR 97210 ""M• A,410b Fr FasAMC•4U•ly ]HW saarMo YAN : 21M8E2MHST e SAMYdAMISH;WA 98075AS90 D: VpRAGE6 RPVIBION NUMBER! NDB is TO WAR"TNAT E POU OF l6OW HAY!e1RN MWED TO THE RI6IAIED KWO ABOVE FOR TNe PC=PF w INDICATED.HOTOnWAMOING AM/REOOR6Op�MyINT,MM OR CONOnM OF ANY COHTRRCT OR Q1W DOWMER WTH RESPECT TO MUCH Me 'D OR MAYENCWSIONSANO CONOIiIONlOPBUOI FtR1Gte.tDABSEXWIt1111lAYfftTHE AFFORDED lu�uClD BY M1DCWM9 NDTEIN co WR.IE'CT TO ALL 1NE TERMS. room.... ��l IeDle A X alN WMM. MMNF'I Y e9•st 00 4 0WAM4 MIJOM01e sACI10EGNAflME ! f,000,00D wxw m❑seam F F P r40 p1� a,Mo KRBOvA$AWHRWY 1 OON. 1BIWNAPAi•IiR 06HEMAWFUMM a 2,eaS,000 Apo t,aaDAaP PWuuC'/LJ !J pp�Cf ❑Loo ! onm A AN1wIM+Mvun L133220C1237 IaoAYauuRrtPAo•.r11,000,600 Au� X -l-a.��uulm eowtrouuarlP.waM • ,0 ,00 mow® t 1000 i w1lraAtMeHoc" wtNomNAelcE. sNo•uucpawAmmAaMEMt! ! CNNRIIATtM rrlyNOB:•IMAlWIY VIM lL6MH A00 [:]HOA EA.aRewe•FA a a amaurr ,+r. PA0RFAa, MlpwnpHamNMTcwulowTMMfra.cuMMcaatnAA..wwr.al+rrwr.nawln..awalwA�m ChY OF KENT eHOUIDAHYOP TNEAeoaE DEeDIlam FOeTCle ee eANDutm eEORa ATM:Kelly PBtuwR.Bpechil Projects Manager �vAm PD PRo, MWE WLL BE �W N 200 Fowth Avenue South K$NT,WA U032 AY,Y•YN•p•er IATY• wiwiRWAcopJVORAMTlON.All BeHb mend. AOOtaD 2612e14T011 The ACORD Mttb•ee MG•we mgls n Mrks ofACORD IM486132M O 02.042014 https:Hsfnet.opr.statefarm.org/im_core/jsps/pages/imageManager.faces 6/23/2014 sfatOkras State Farm Mutual Automobile Insurance Company 71037.2-e MATCH 00253 MUTL VOL PO Box 5000 DECLARATIONS PAGE Dupont WA 98327-5000 NAMED INSURED 00253 47-984E-2 B A POLICY NUMBER L13 3220-C12.47G oowE NN POLICY PERIOD JUN 20 2014 to SEP 12 2014 21722RYAN, SE 28TMAS & JEANNINE 12;01 A.M.Standard Time 21722 SE 2BTH 3T SAMMAMI SH WA 98075-9599 AGENT JOHN NOGUEIRA 2280 W BURNSIDE ST PORTLAND,OR 972103522 PHONE:(503)225-9644 DO NOT PAY PREMIUMS SHOWN ON THIS PAGE. IF AN AMOUNT IS DUE,THEN A SEPARATE STATEMENT IS ENCLOSED. YOUR CAR - 2007 FORD EXPEDITION SPORT WG 1 FMFU18557LA37019 603H50M000 �Sa'MBOLS D EHAG -&t1MITS -; a _'* _ . ."_PRE7VIfL1GTs _....,z�>=-ff'Lia IkTYGvaveY Bodily Injury Limits V_ g $15000000 $15000000 _ I .. Property#Jamage L-mnf" ` >' +� Each Accident P2 Personal Injury Protection Coverage $10 65 D Comprehensive Coverage $100 Deductible $12 36 H Emergennoyoad Service Coverage $1 92 U �'15ncjernls0rsri Mator-,V`eh�(�Dvvera"�e. _ Bodily Injury Limits _ Pet'aca $1000000 $10000()0 mjzaw ...=.a„�...�:- 19Awn 6le,ProjSei3y-[7vrTr=age'�ov`.az'age,,, Limit Each Accident - ._ �1-➢0000CC' T- -c-,z ra - - .�:I'<*.--�# .M7�ta�"remiUncter`JT1N3`D�#I!'FA=tu.sEi�12.207A `��-� . _-185.63:�=�T11fd1isuraLa:1}'1.= ''.... Replaced policy number L133220-47F. Your total renewal premium for MAR 12 2014 to SEP 12 2014 Is$406.41. ', (GE, ' ONS,.PLICY$ODK-{i>T�:EN24.ESEI43M1' S_(S@�3ts118y..FAItLe &�tVfzli231 efit#uFseA1t441ts-ibr_cnvPeaelIls} WWYYpOUMMHR POLI'�Y CO SISTS OF AN ANY fRRT�HIS DECLEA ATIONS PAGE T E POLICY BOOKLET 6026 ANADDITIONALNINSUREOA�PRRORCN�TICEAT POFYTERMINATIONN-fCIOTY OFSKENTUED TATTNU III KELLY PETERSON SPEC PROD M R 220 4TH EVE S, KENT WA 9 032-5895, 6947A.2 AMENDATORYEENDORS MENTEED R NEWAL. III Agent: JOHN NOGUEIRA Telephone: (503)225-9644 p See Reverse Side Prepared JUL 16 2014 964E-AAt i MG5.2�w-2tws P 01.Mha le�nozsacl IMON (c1e0251.) This policy is issued by State Farm Mutual Automobile Insurance Company. MUTUAL CONDITIONS 1. Membership.While this policy is in force,the first insured shown on the Declarations Page is entitled to vote at all meetings of members and to receive dividends the Board of Directors in its discretion may declare in accordance with reasonable classifications and groupings of policyholders established by such Board. 2. No Contingent Liability. This policy is non-assessable. 3. Annual Meeting. The annual meeting of the members of the company shall be held at its home office at Bloomington, Illinois,on the second Monday of June at the hour of 10:00 A.M., unless the Board of Directors shall elect to change the time and place of such meeting, in which case, but not otherwise, due notice shall be malted each member at the address disclosed in this policy at least 10 days prior thereto. In Witness Whereof, the State Farm Mutual Automobile Insurance Company has caused thisli policy to be signed by its President and Secretary at Bloomington, Illinois. r>1. 6nantary Praridant II it f of o .. Real Estate Appraisers Professional friternatic final C�rlc��-rtcsro Liability LIBERTY INSURANCE UNDERWRITERS INC. (A Stock Insurance Company,hereinafter the"Compan)?') Named Insured: TGRREALFSTATRAPPRAISAL Policy Number; LII7014570-002 Thomas G.Ryan Effective Date: 06/18/2014 Customer ID: 165761/dd 'PHIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. SPLIT LIMIT ENDORSEMENT In consideration of the additional premium of$187.00,it is agreed that Item 6 of the Declarations is deleted and replaced with the following: 6. I1M1'TS OF l-LAI31L1TY: V00,000 Each Claim For Wrongful Acts $1,0t10,000 Ag;�eegate committed in whole or put On or after: 02/14/2013 and; Prior to: 06/18/2014 $1,000,000 Each Claim For Wrongful Acts $1,000,000 Aggregate committed in whole or in part On or after: 06/18/2014 It is further agreed that Condibon(D)of tine Policy,Limits of Liability,is deleted and replaced with the following: (D) LIMITS OF LIABILITY The Company's maximum liability for all Damages and Claims Expenses resulting from "Each Claim" shall be the applicable Limit of Liability for "Each Claim" set fords in Item 6 of the Declarations.The Company's maximum aggregate liability-for all Damages and Claims Expenses resulting from all Claims covered by this Policy shall not excecxl the higher of the applicable "Aggregate"Limits of Liability set forth in Item 6 of the Declarations. Two or more Claims alleging, based upon, arising out of or attributable to the same or related Wrongful Act(s)shall be treated as a single Claim regardless of whether made against one or more than one Insured. Page I of 2 ISA021 (3/10) 6/19/2014 ibe ty Real Estate Appraisers Professional International Underwriters. Liability All Claims arising out of the same Wrongful Act shall be considered first made within the Policy Period in which the earliest of such Claims was first made, or deemed to be made pursuant to Condition (A) of this Policy, and all such Claims shall be subject to the one applicable Limit of Liability as set forth in Item 6 of the Declarations. The Limits of Liability of the Company for the Extended Reporting Period,if applicable,shall be part of, and not in addition to, the applicable Limits of Liability of the Company for the Policy Period. Any payment of Damages and/ or Claims Expenses by the Company shall reduce the Limits of Liability. Claims made against more than one Insured under this Policy shall not operate to increase the limit of the Companys liability. All other terms,conditions,and exclusions of this Policy remain unchanged. Page 2 of 2 LIA021 (3/10) 6/19/2014