Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
PK14-323 - Original - West Coast Elevator, LLC - Monthly Elevator Service and Monitoring - 10/1/14
i rm � +MT A . Records anag e �r KENT Document WASHINOTON br ti�� 4 4 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: West Coast Elevator, LLC Vendor Number: 204480 JD Edwards Number Contract Number: P This is assigned by City Clerk's Office Project Name: Provide Monthly Elevator Service and Monitoring Description: ❑ Interlocal Agreement ❑ Change Order ❑ Amendment X❑ Contract ❑ Other: Contract Effective Date: 10/01/14 Termination Date: 9/30/19 Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Nancy Clary Department: Parks, Facilities Contract Amount: $11,826.00 Approval Authority: (CIRCLE ONE) Department Director Mayor J City Council c � Detail: (i.e. address, location, parcel number, tax id, etc. As of: 08/27/14 REQUEST R MAYORvS SIGNATURE �T Please Fill in All Applicable Boxes ' a (� Reviewed by Director Originator's Name: Alex Ackley Dept/Div. Parks, Facilities Extension: 5081 Date Sent: 12/09/14 Date Required: 12/19/14 Return to: Nancy Clary x5084 CONTRACT TERMINATION DATE: 09/30/19 LVENDOR: West Coast Elevator, LLC DATE OF COUNCIL APPROVAL: N/A ATTACH THE COUNCIL MOTION SHEET FOR THE MAYOR - if applicable Brief Explanation of Document: West Coast Elevator, LLC, shall provide monthly elevator service inspections and maintenance, keeping elevators in compliance with State requirements at the following City of Kent facilities: City Hall (2 cars), Centennial Center (2 cars), Corrections Facility (wheel chair lift), as well as Fire Station 78 (1 car), in an amount not to exceed $11,826 per year. Ali Contracts Must Be Routed Through The Law Department (This area to be completed by the Law Department) Received: , Approval of Law Dept.: Law Dept. Comments: y � ` 'J yl fI V) Date Forwarded to Mayor: 7 �� Shaded Areas To Be Completed By Administration Staff Received: D Recommendations and Comments: ,r Disposition. k'J' t , t h ie!1;y-'l' Date Returned; 51��ENT WA9HIHOTON ', GOODS & SERVICES AGREEMENT FOR ORDINARY MAINTENANCE i between the City of Kent and West Coast Elevator, LLC THIS AGREEMENT is made by and between the City of Kent, a Washington municipal corporation (hereinafter the "City"), and West Coast Elevator, LLC organized under the laws of the State of Washington, located and doing business at 17837 15t Avenue South #206, Normandy Park, WA 98148, Sylvia Gange, (206) 878-9378 (hereinafter the "Vendor"). AGREEMENT I. DESCRIPTION OF WORK. Vendor shall provide the following goods and materials and/or perform the following services for the City: West Coast Elevator, LLC will provide monthly elevator. service inspections and maintenance In accordance with the Scope of Work provided in City of Kent RFQ letter dated March 31, 2014 for elevators at the following locations: Kent City Hall (2 cars), Centennial Center (2) cars, and Kent Corrections Facility (wheel chair lift), Fire Station 78 (1 car), In accordance with the quotation dated April 7, 2014, which Is attached as Exhibit A. Vendor acknowledges and understands that it is not the City's exclusive provider of these goods, materials, or services and that the City maintains its unqualified right to obtain these goods, materials, and services through other sources. II. TIME OF COMPLETION, Upon the effective date of this Agreement, Vendor shall complete the work and provide all goods, materials, and services by September 30, 2019, III. COMPENSATION. The City shall pay the Vendor an amount not to exceed $11,826 per year, including applicable Washington State Sales Tax, for the goods, materials, and services contemplated in this Agreement. The City shall pay the Vendor the following amounts according to the following schedule: GOODS & SERVICES AGREEMENT FOR ORDINARY MAINTENANCE - 1 (Over$10,000,00, Including WSST) i Invoiced quarterly; Net 30 days. i i If the City objects to all or any portion of an invoice, it shall notify Vendor 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. j A. Defective or Unauthorized Work. The City reserves its right to withhold payment from Vendor for any defective or unauthorized goods, materials or services. If Vendor is unable, for any reason, to complete any part of this Agreement, the City may obtain the goods, materials or services from other sources, and Vendor shall be liable to the City for any additional costs incurred by the City. "Additional costs" shall mean all reasonable costs, including legal costs and attorney fees, Incurred by the City beyond the maximum Agreement price specified above. The City further reserves its right to deduct these additional costs incurred to complete this Agreement with other sources, from any and all amounts due or to become due the Vendor. B. Final Payment: Waiver of Claims. VENDOR'S ACCEPTANCE OF FINAL PAYMENT SHALL CONSTITUTE A WAIVER OF CLAIMS, EXCEPT THOSE PREVIOUSLY AND PROPERLY MADE AND IDENTIFIED BY VENDOR AS UNSETTLED AT THE TIME REQUEST FOR FINAL PAYMENT IS MADE. IV. PREVAILING WAGES. Vendor shall file a "Statement of Intent to Pay Prevailing Wages," with the State of Washington Department of Labor & Industries prior to commencing the Contract work. Vendor shall pay prevailing wages in effect on the date the bid is accepted or executed by Vendor, and comply with Chapter 39.12 of the Revised Code of Washington, as well as any other applicable prevailing wage rate provisions. The latest prevailing wage rate revision issued by the Department of Labor and Industries is attached. V. 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 Vendor 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 Vendor maintains and pays for its own place of business from which Vendor's services under this Agreement will be performed. C. The Vendor has an established and independent business that is eligible for a business deduction for federal income tax purposes that existed before the City retained Vendor's services, or the Vendor is engaged in an independently established trade, occupation, profession, or business of the same nature as that involved under this Agreement. GOODS & SERVICES AGREEMENT FOR ORDINARY MAINTENANCE - 2 (Over$10,000.00, including WSST) D. The Vendor 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 Vendor has registered its business and established an account with the state Department of Revenue and other state agencies as may be required by Vendor's business, and has obtained a Unified Business Identifier (UBI) number from the State of Washington. F. The Vendor maintains a set of books dedicated to the expenses and earnings of its business. VI. 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, VII. CHANGES. The City may issue a written change order for any change in the goods, materials or services to be provided during the performance of this Agreement. If the Vendor determines, for any reason, that a change order is necessary, Vendor must submit a written change order request to the person listed in the notice provision section of this Agreement, section XIV(D), within fourteen (14) calendar days of the date Vendor knew or should have known of the facts and events giving rise to the requested change. If the City determines that the change increases or decreases the Vendor's costs or time for performance, the City will make an equitable adjustment, The City will attempt, in good faith, to reach agreement with the Vendor on all equitable adjustments. However, if the parties are unable to agree, the City will determine the equitable adjustment as it deems appropriate. The Vendor shall proceed with the change order work upon receiving either a written change order from the City or an oral order from the City before actually receiving the written change order. If the Vendor fails to require a change order within the time allowed, the Vendor waives its right to make any claim or submit subsequent change order requests for that portion of the contract work. If the Vendor disagrees with the equitable adjustment, the Vendor must complete the change order work; however, the Vendor may elect to protest the adjustment as provided in subsections A through E of Section VII, Claims, below. The Vendor accepts all requirements of a change order by; (1) endorsing it, (2) writing a separate acceptance, or (3) not protesting In the way this section provides. A change order that is accepted by Vendor as provided in this section shall constitute full payment and final settlement of all claims for contract time and for direct, indirect and consequential costs, including costs of delays related to any work, either covered or affected by the change, VIII. CLAIMS. If the Vendor disagrees with anything required by a change order, another written order, or an oral order from the City, including any direction, instruction, interpretation, or determination by the City, the Vendor may file a claim as provided In this section. The Vendor shall give written notice to the City of all claims within fourteen (14) calendar days of the occurrence of the events giving rise to the claims, or within fourteen (14) calendar days of the date the Vendor knew or should have known of the facts or events giving rise to the claim, whichever occurs first . Any claim for damages, additional payment for any reason, or extension of time, whether under this Agreement or otherwise, shall be conclusively deemed to have been waived by the Vendor unless a timely written claim is made in strict accordance with the applicable provisions of this Agreement, GOODS & SERVICES AGREEMENT FOR ORDINARY MAINTENANCE - 3 (over$10,000.00, including WSST) At a minimum, a Vendor's written claim shall include the information set forth in subsections A, items 1 through 5 below. FAILURE TO PROVIDE A COMPLETE, WRITTEN NOTIFICATION OF CLAIM WITHIN THE TIME ALLOWED SHALL BE AN ABSOLUTE WAIVER OF ANY CLAIMS ARISING IN ANY WAY FROM THE FACTS OR EVENTS SURROUNDING THAT CLAIM OR CAUSED BY THAT DELAY. A. Notice of Claim. Provide a signed written notice of claim that provides the following Information: 1. The date of the Vendor's claim; 2. The nature and circumstances that caused the claim; 3. The provisions in this Agreement that support the.claim; 4. The estimated dollar cost, if any, of the claimed work and how that estimate was determined; and 5. An analysis of the progress schedule showing the schedule change or disruption if the Vendor Is asserting a schedule change or disruption. B. Records, The Vendor shall keep complete records of extra costs and time incurred as a result of the asserted events giving rise to the claim. The City shall have access to any of the Vendor's records needed for evaluating the protest. The City will evaluate all claims, provided the procedures in this section are followed. If the City determines that a claim is valid, the City will adjust payment for work or time by an equitable adjustment. No adjustment will be made for an invalid protest. C. Vendor's Duty to Complete Protested Work. In spite of any claim, the Vendor shall proceed promptly to provide the goods, materials and services required by the City under this Agreement. D. Failure to Protest Constitutes Waiver. By not protesting as this section provides, the Vendor also waives any additional entitlement and accepts from the City any written or oral order (including directions, instructions, interpretations, and determination). E. Failure to Follow Procedures Constitutes Waiver. By failing to follow the procedures of this section, the Vendor completely waives any claims for protested work and accepts from the City any written or oral order (including directions, instructions, interpretations, and determination). IX. LIMITATION OF ACTIONS. VENDOR MUST, IN ANY EVENT, FILE ANY LAWSUIT ARISING FROM OR CONNECTED WITH THIS AGREEMENT WITHIN 120 CALENDAR DAYS FROM THE DATE THE CONTRACT WORK IS COMPLETE OR VENDOR'S ABILITY TO FILE THAT SUIT SHALL BE FOREVER BARRED, THIS SECTION FURTHER LIMITS ANY APPLICABLE STATUTORY LIMITATIONS PERIOD. X. WARRANTY. This Agreement is subject to all warranty provisions established under the Uniform Commercial Code, Title 62A, Revised Code of Washington. Vendor warrants goods are merchantable, are fit for the particular purpose for which they were obtained, and will perform in accordance with their specifications and Vendor's representations to City. The Vendor GOODS & SERVICES AGREEMENT FOR ORDINARY MAINTENANCE - 4 (over$10,000,00, including WSST) shall correct all defects in workmanship and materials within one (1) year from the date of the City's acceptance of the Contract work. In the event any part of the goods are repaired, only original replacement parts shall be used—rebuilt or used parts will not be acceptable, When defects are corrected, the warranty for that portion of the work shall extend for one (1) year from the date such correction is completed and accepted by the City, The Vendor shall begin to correct any defects within seven (7) calendar days of its receipt of notice from the City of the defect. If the Vendor does not accomplish the corrections within a reasonable time as determined by the City, the City may complete the corrections and the Vendor shall pay all costs incurred by the City in order to accomplish the correction. XI. DISCRIMINATION. In the hiring of employees for the performance of work under this Agreement or any sub-contract, the Vendor, its sub-contractors, or any person acting on behalf of the Vendor or sub-contractor 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. Vendor 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, XII. INDEMNIFICATION. Vendor 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 Vendor'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 Vendor's work when completed shall not be grounds to avoid any of these covenants of Indemnification. IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THE INDEMNIFICATION PROVIDED HEREIN CONSTITUTES THE VENDOR'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 Vendor 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 Vendor's part, then Vendor 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 Vendor's part. The provisions of this section shall survive the expiration or termination of this Agreement. XIII. INSURANCE. The Vendor 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. XIV. WORK PERFORMED AT VENDOR'S RISK. Vendor shall take all necessary precautions and shall be responsible for the safety of its employees, agents, and subcontractors GOODS &SERVICES AGREEMENT FOR ORDINARY MAINTENANCE - 5 (Over$10,000.00, including WSST) i in the performance of the contract work and shall utilize all protection necessary for that purpose, All work shall be done at Vendor's own risk, and Vendor 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. XV. 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 XII 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. i 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 Vendor, G. Entire Agreement. The written provisions and terms of this Agreement, together with any Exhibits attached hereto, shall supersede all prior verbal statements of any officer or other representative of the City, and such statements shall not be effective or be construed as entering into or forming a part,of.or altering in any manner this Agreement. All of the above documents are hereby made a part of this Agreement. However, should any language in any of the Exhibits to this Agreement conflict with any language contained in this Agreement, the terms of this Agreement shall prevail. GOODS & SERVICES AGREEMENT FOR ORDINARY MAINTENANCE - 6 j (Over$10,000,00, including WSST) i H. Compliance with Laws. The Vendor agrees to comply with all federal, state, and municipal laws, rules, and regulations that are now effective or in the future become applicable to Vendor's business, equipment, and personnel engaged in operations covered by this Agreement or accruing out of the performance of those operations. I. Counterparts. This Agreement may be executed in any number of counterparts, each of which shall constitute an original, and all of which will together constitute this one Agreement. IN WITNESS, the parties below execute this Agreement, which shall become effective on the last date entered below. VENDOR: CITY OF KENT: I T / By: E By: r ( tgnpture) (Signature) Print Name. k Frt P Int Na e: uzette Cooke Its C3 I Mayor (tine) DATE: II'i - JVJ DATE: 1 /' NOTICES TO BE SENT TO: NOTICES TO BE SENT TO: VENDOR: CITY OF KENT: Sylvia Gange Nancy Clary West Coast Elevator, LLC City of Kent 17837 1" Ave S, #206 220 Fourth Avenue South Normandy Park, WA 98148 Kent, WA 98032 (206) 878-9378 (telephone) (253) 856-5084 (telephone) (facsimile) (253) 856-6080 (facsimile) - - i APPRO ED AS TO FORM: l; Kent Law Department WastCoastElevator 6&S-UndertOk ( GOODS &SERVICES AGREEMENT FOR ORDINARY MAINTENANCE . 7 (Over$10,000,00, including WSST) DECLARATION CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY POLICY The Cityof Kent Is committed to conform to Federal and State laws regarding equal g g q 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 v J�y 201 By: I Q For: �Q lam( f V� 7�1 _ Title: Y 'i Date: � 1 EEO COMPLIANCE DOCUMENTS - 1 of 3 i i 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 EEO COMPLIANCE DOCUMENTS - 2 of 3 I 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 Van (A t ll� �6 r CJ� c't't�1IeL that was entered into on the 1r1 tg� t �` �C ' (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: Q For GJL)S cori'5l Title: W Date: _ M I I EEO COMPLIANCE DOCUMENTS - 3 of 3 I FACILITIES MANAGEMENT l Alex Ackley Superintendent 220 4"Avenue South KENT Kent, WA 48032 Fax: 253-856-6080 PHONE: 253-856-5080 I March 31, 2014 I Sylvia Gange West Coast Elevator 17837 1st Avenue South, PMB 206 Normandy Park, WA 98148 REVISED QUOTE — LOCATION ADDED: FIRE STATION 78 Quote for Elevator Maintenance Services for the City of Kent Your firm is Invited to quote on Elevator maintenance service for the City of Kent, Requirements for service: 1. Contractor shall Inspect and maintain all elevator equipment located in Kent City Hall and the Centennial Center, more specifically identified as four (4) Dover passenger elevators, two (2) in each facility. One (1) conveyance type WCL lift at City of Kent Corrections, (1) Canton Elevator, Single Car, Hydraulic - at Fire Station 78, 17820 SE 256th Street, Covington. Provider will meet all State requirements including test log for Periodic Inspections & Tests for Hydraulic Elevators. Contractor agrees to monthly examine, adjust and lubricate as required, repair or replace the following: a) Power unit, pump, motor and controller, including: Valves, including relief valve, pilot, lowering, leveling and check valves, or any of the parts thereof. V-belts, strainers, springs and gaskets. Controller relays, contacts, coils, timers, magnet frames, printed circuit boards, controller wiring, traveling cable and components for entire operating circuit. • Guide bearings, packing and packing grand. • Guide rails and guide shoes. • Maintain Phase I and Phase II fire service, m 2. Invoices shall be rendered quarterly beginning with the effective date and are a payable no later than thirty (30) days from date of invoice. Y 3. This service contract shall remain in effect for five (5) years. Either party upon 3 thirty (30) days written notice may cancel the contract. ® MAYOR SUZEIfE COOKE City of Kent Parks, Recreation&Community Services Jeff Wading, Director I I 4. Contractor shall perform the work required pursuant to this Agreement during regular working hours, including callbacks. In the event of an emergency, Contractor agrees to provide emergency services to the City on a 7 days a week, 24 hour basis. I You will find a sample City of Kent contract with this Request for Quote. If you are awarded this contract, you will be required to obtain the Insurance documents listed in the sample contract and also provide your Intent to Pay Prevailing Wages document number. You will also be required to have and maintain a City of Kent Business License throughout the life of the contract. The contract will commence June 1, 2014 and be In force for five (5) years ending May 31, 2019. Please complete the attached "Quotation Form" and return it to the City of Kent, Facilities Department, ATTENTION: Alex Ackley, 220 Fourth Avenue South, Kent, WA 98032, no later than April 14, 2014. You may contact me at 253.856-5081 should you have any questions or concerns. Sincerely, Alex Ackley Attachment I i EXHIBIT A ELEVATOR MAINTENANCE SERVICES CITY OF KENT QUOTATION FORM REVISED QUOTATION FORM - ADDED LOCATION: FIRE STATION 78 FIRM PROVIDING QUOTE-,/Ihq/ I �jd" JOB SITE: KENT CITY HALL s 3T/month Annual Amount: 5 Year Total $ JOB SITE: KENT CENTENNIAL CENTER $ 'in/month Annual Amount: $_IJ4_6. 5 Year Total: $ JOB SITE: KENT CORRECTIONS / rn $�/month Annual Amount: $ 1169 _ 5 Year Total: $F,' Da JOB SITE: FIRE STATION 78,, 17820 SE 256T" STREET,, COVINGTON $ /6L/month Annual Amount: 5 Year Total: $_ FINAL COMBINED TOTALS — ALL LOCATIONS: Annual Amount: $-1t} _ WSST: $ (�©a FINAL: $�r /YEAR OVER THE LIFE OF THE (5) YEAR CONTRACT Please provide rates for overtime and/or non-contract work a hou C � 3 � oiJr AVA 4 c a 5 ` 7_ a�f hO v� Print Name and Title: i i Authorized Signature: A Date: L I i EXHIBIT B INSURANCE REQUIREMENTS FOR SERVICE CONTRACTS Insurance The Contractor shall procure and maintain for the duration of the Agreement, insurance against claims for injuries to persons or damage to property which may arise from or in connection with the performance of the work hereunder by the Contractor, their agents, representatives, employees or subcontractors. i A. Minimum Scope of Insurance Contractor shall obtain insurance of the types described below: 1. 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 Contractor's Commercial General Liability insurance policy with respect to the work performed for the City using ISO additional insured endorsement CG 20 10 11 85 or a substitute endorsement providing equivalent coverage. 2. Workers' Compensation coverage as required by the Industrial Insurance laws of the State of Washington. B. Minimum Amounts of Insurance Contractor shall maintain the following insurance limits: 1. Commercial General Liability insurance shall be written with limits no less than $2,000,000 each occurrence, $2,000,000 general aggregate and a $2,000,000 products-completed operations 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 Contractor's insurance coverage shall be primary insurance as respect I the City, Any Insurance, self-insurance, or insurance pool coverage maintained by the City shall be excess of the Contractor's Insurance and shall not contribute with It. i EXHIBIT B (Continued) 2. The Contractor's Insurance shall be endorsed to state that coverage shall not be cancelled by either party, except after thirty (30) days prior written notice by certified mail, return receipt requested, has been given to the City. 3. The City of Kent shall be named as an additional insured on all policies (except Professional Liability) as respects work performed by or on behalf of the contractor and a copy of the endorsement naming the City as additional Insured shall be attached to the Certificate of Insurance. The City reserves the right to receive a certified copy of all required insurance policies. The Contractor's Commercial General Liability insurance shall also contain a clause stating that coverage shall apply separately to each insured against whom claim is made or suit is brought, except with respects to the limits of the insurer's liability. D. Acceptability of Insurers Insurance is to be placed with insurers with a current A.M. Best rating of not less than ANII. E. Verification of Coverage Contractor shall furnish the City with original certificates and a copy of the amendatory endorsements, including but not necessarily limited to the additional insured endorsement, evidencing the insurance requirements of the Contractor before commencement of the work. F. Subcontractors Contractor shall include all subcontractors as insureds under its policies or shall furnish separate certificates and endorsements for each subcontractor. All coverages for subcontractors shall be subject to all of the same insurance requirements as stated herein for the Contractor. i i i I I i I I� i h® CERTIFICATE OF LIABILITY INSURANCE DATE IMM1U°DlYYYY, 10129t2014 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 Linde Insurance Inc NAME CT PHONE - - _---'FAX -- P.O. Box A iNCAP'"I! — _. __ _LAC NPj: - E-MAIL Mt Vernon WA 982 73- AP_ORESSI_—_ ._. _---_-- INSURERISIAFFOROINGCOVERAOE NAIOH li INSURER A: TO E HARTFORD INS!)RANCE COMPANY INSURED West Coast El eVato r L L C INSURERS: MVTUAL OF ENUMCLAW INS COMPANY i 111 So 197th INSURER G: - -- -- Des Moines WA 98148 INSURERD: INSURER INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY 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. WSRE .—___.._ ......` POLICY EFF � POLICY E%P ' LTR v TYPE OF INSURANCE POLIGY NUMBER MM! D MWDD YY LIMITS I^?COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 RE'fidTED-OA---r CLAIMS MADE x OCCUR / PREMISES LEa axurzer,ca) 3 800,W A 3 MEO EXP(Any a05 parson} IS _10,000 13UENOJ7018 dt 01102120014 01/02i2015 PERSONAL&ACV INJURY $ 100,000 GENLAGECATEJMITAPPULSPCR i$ 3,QQQ QQQ GR ii POUE �X PJEOT - LOC - i p R000GT5- UM POP A_GG s_. 3,000,000R g AUTOMOBILE UASILRYCJQIJBNEOSINGLE LIMIT $ 1,000,000 ANY AUt0 -POORLY INJURY{per Person, ;ALL OWNED SO ELY,/LED i r— g} ;AUTOS ,,_ AUTOS 1 j BODILY INJURY(Pa awdcm);$ 'HIRED AUTOS NONPWTIEO iBAP00036310p 11213112013; 12131120141'-PROPERTY DAMAGE t AUTOS $ UMBRELLA LIAR I = OCCUR ! EA CH COO...RENCE 5 EXCESS LIAP (CLAIMS3AADE AGGREGATE___ 3 ORD 1 RETENTIONS !WORKERS COMPENSATION i ,S !AND EMPLOYERS'LIABILITY YIN q-TATOT8 I XJ ERH AIANYPROPRIETOR(PARTNERIE%ECUnVE I ! �EL EACHACCIDENr 3 1.000,000 OFFICERIMEMBER EXCLUOEUI iNiA 1(Mandatoryin and - t EL DISEASE EA EMPLOYE S 7100,000 .If es deecnba under T PGA '01(02120i4 yy 01/02/2015 ;OESG�RIPTIONOFOPERATIONSbeIm E.L.DISEASE-POLICY LIMIT S 1A00,000 7 DESCRIPTION OF OPERATIONS!LOCATIONS(VEHICLEB(ACORD 101,Additional Rematke Sahadgio,may bo aN.chnd it mom ,Cox in raqulmdl CERTIFICATE HOLDER SHALL BE NAMED AS ADDITIONAL INSURED PER ATTACHED ENDTS CG2010, CG2037,CG2404,EA9911 i I CERTIFICATE HOLDER CANCELLATION CITY OF KENT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN FACILITIES DEPT ACCORDANCE WITH THE POLICY PROVISIONS, 400 W GOWE ST KENT WA 98082 AUTHORIZED REPRESENTATIVE , ©1988.2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014101) The ACORD name and logo are registered marks of ACORD i POLICY NUMBER: 13 UEN OJ7018 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: i COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location(s) Of Covered Operations SEE IH12011185 SEE, 111112011185 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B, With respect to the insurance afforded to these Include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for"bodily Injury", "property damage" or "personal and advertising injury" This insurance does not apply to bodily injury" or "property damage"occurring after: caused,In whole or in part,by: 1. All work, including materials, parts or 1. Your acts or omissions; or equipment furnished in connection with such 2. The acts or omissions of those acting on your work, on the project (other than service, behalf; maintenance or repairs) to be performed by or in the performance of your ongoing operations for on behalf of the additional insured(s) at the the additional insured(s) at the location($) location of the covered operations has been designated above. completed;or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. i I I CG 20 10 07 04 O ISO Properties, Inc., 2004 Page 1 of 1 I POLICY NUMBER: IS UEN OJ7018 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, This endorsement modine5 Insurance provided under the following: FORM CG20100704, ADDITIONAL INSURED - OWNERS, I LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION COMMERCIAL GENERAL T:IABILTTY COVERAGE PART FORM CO20100704, ADDITIONAL INSURED OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION, IS HEREBY AMENDED TO READ AS FOLLOWS: NAME OF ADDITIONAL INSURED PERSONS) OR ORGANIZATION(S) ; ANY PERSON OR. ORGANIZATION FOR WHOM YOU ARE PERFORMING OPERATIONS WHEN YOU HAVE AGREED THAT SUCH PERSON OR ORGANIZATION BE ADDED AS AN ADDITIONAL INSURED ON YOUR POLICY UNDER: ! F 1 1. A WRITTEN CONTRACT OR AGREEMENT THAT IS IN EFFECT DURING THE TERM OF THIS POLICY AND SUCH CONTRACT IS ENTERED INTO PRIOR TO. THE "OCCURRENCE" OF ANY "BODILY INJURY", "PROPERTY DAMAGE", "PERSONAL INJURY", OR "ADVERTISING INJURY"; OR, 2. AN ORAL CONTRACT OR ORAL AGREEMENT WITH A PERSON OR ORGANIZATION WHEN A CERTIFICATE OF INSURANCE SHOWING THAT PERSON OR ORGANIZATION AS AN ADDITIONAL INSURED HAS BEEN ISSUED; AND SUCH ORAL CONTRACT OR ORAL AGREEMENT IS IN EFFECT DURING THE TERM OF THIS POLICY AND IS ENTERED INTO PRIOR TO THE "OCCURRENCE" OF ANY "BODILY INJURY", "'PROPERTY DAMAGE", "PERSONAL INJURY", OR "ADVERTISING INJURY." LOCATION(S) OF COVERED OPERATIONS: � ANY LOCATION WITHIN THE "COVERAGE TERRITORY" i i FormIH12011185 sEQ.ND. 02 printed in U.S.A. i POLICY NUMBER: 13 a 'n OJ"roxs COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: I COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Location And Description Of Completed Or Organization(s): Operations SEE IH12011185 SSE IH12011.185 Information required to complete this Schedule, if not shown above,will be shown In the Declarations. Section II — Who Is An Insured Is amended to include as an additional Insured the person(s) or organization(s)shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused,in whole or in part, by"your work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "products- completed operations hazard". j CG 20 37 07 04 ©ISO Properties, Inc., 2004 Pagel of 1 POLICY NUMBER: 13 HEN OJ7018 I THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. j 7hls endorsement modifies insurance provided under the following: FORM CG20370704, ADDITIONAL INSURED _ OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS COMMERCIAL GENERAL LIABILITY COVERAGE PART FORM CG20370704, ADDITIONAL INSURED -- OWNERS, LESSEES OR. CONTRACTORS - COMPLETED OPERATIONS,. IS HEREBY AMENDED TO READ AS FOLLOWS: NAME OF ADDITIONAL TNSURED PERSONS) OR ORGANIZATION(S) : ANY PERSON OR ORGANIZATION FOR WHOM YOU ARE PERFORMING OPERATIONS WHEN YOU HAVE AGREED THAT SUCH PERSON OR ORGANIZATION BE ADDED AS AN ADDITIONAL INSURED ON YOUR POLICY UNDER: 1, A WRITTEN CONTRACT OR AGREEMENT THAT IS IN EFFECT DURING THE TERM OF THIS POLICY AND SUCH CONTRACT IS ENTERED INTO PRIOR TO THE "OCCi7RRF,NCE" OF ANY "BODILY INJURY", "PROPERTY DAMAGE", "PERSONAL -INJURY", OR "ADVERTISING INJURY"; OR; 2. AN ORAL CONTRACT OR AN ORAL AGREEMENT WITH A PERSON OR .ORGANIZATION WHERE A CERTIFICATE OF INSURANCE SHOWING THAT PERSON OR ORGANIZATION AS AN ADDITIONAL INSURED HAS BEEN ISSUED; AND SUCH ORAL CONTRACT OR ORAL. AGREEMENT IS IN EFFECT DURING THE TERM OF THIS POLICY AND SUCH CONTRACT IS ENTERED INTO PRIOR TO THE "OCCURRENCE't OF ANY "BODILY INJURY", '"PROPERTY DAMAGE", "PERSONAL INJURY", OR "ADVERTISING INJURY"; LOCATIO14 ARID DESCRIPTION OF COMPLETED OPERATIONS: ANY LOCATION WITHIN THE °COVERAGE TERRITORY", AND FOR ALL COMPLETED OPERATIONS. I I Form IN 12 01 11 85 SEQ.NO, 03 Printed in U.S,A. POLICY NUMBER: 13 unrt 0,77019 t i i I �I THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, PER ELEVATOR PROJECT - AMENDMENT OF GENERAL AGGREGATE AND PRODUCTS-COMPLETED OPERATIONS AGGREGATE - SUBJECT TO MAXIMUM ANNUAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE LIMITS OF INSURANCE: The Limits of Insurance shown in the Declarations are amended by the following: The Limits of Insurance,subject to all the terms of this policy that apply, are: Each Occurrence Limit $ See Declarations Page Personal and Advertising Injury Limit $ See Declarations Page Damage to Premises Rented to You—Any One Premises $ See Declarations Page Medical Expense Limit-Any One Person $ See Declarations Page General Aggregate Limit $ 3,000,000 Elevator Project General Aggregate Limit $ 3,000,000 Maximum Annual Aggregate Limit $ 10,000,000 Products-Completed Operations Aggregate Limit $ 3,000,000 Elevator Project Products-Completed Operations Aggregate Limit $ 31000,000 In return for the payment of the premium when due and subject to all the terms of the Commercial General Liability Coverage Part not expressly modified herein,we agree with you as follows: A. The LIMITS OF INSURANCE (SECTION 111) is 2. Maximum Annual Aggregate Limit deleted in its entirety and replaced with the The Maximum Annual Aggregate Limit is the following: most we will pay for the sum of: 1. The Most We Will Pay a. Damages under the General Aggregate The Limits of Insurance shown in the above Limit; Schedule and the rules below 0x the most b. Damages under any one or more Elevator we will pay regardless of the number of: Project General Aggregate Limit(s), as a. Insureds; described in Paragraph A.below; b. Claims made or"suits"brought;or c. Damages under the Products-Completed c. Persons or organizations making claims Operations Aggregate Limit;and or bringing "suits". i Farm HS 25 05 1111 Page 1 of 3 O2011,The Hartford (Includes copyrighted material of Insurance Services Office, Inc.,with its permission.) i d. Damages under any one or more b. The Elevator Project General Aggregate Elevator Project Products-Completed Limit: Operations Aggregate Limit(s), as (1) Applies only to "occurrences" described in Paragraph 6.below attributed solely to ongoing operations 3. General Aggregate Limit at a single"elevator project";and Subject to Paragraph 2. above, the General (2) Does not include damages for Aggregate Limit is the most we will pay for Coverage B Personal and the sum of: Advertising Injury Liability, no a. Damages under Coverage B Personal matter where or in how many "elevator projects" the and Advertising Injury Liability;and tied. S or offenses may be committed. Such b. Damages under Coverage C Medical damages will erode the General Payments, and Coverage A Bodily Aggregate Limit as provided in Injury and Property Damage Liability, Paragraph 3. above. with the following exceptions: c, Any payments made under this (1) "Bodily injury" or "property damage" Paragraph 4., for damages for "bodily included in the "products-completed injury", "property damage", or medical operations hazard";or expenses under Coverage C, shall (2) "Bodily injury" or "property damage" reduce the Maximum Annual Aggregate attributed solely to ongoing Limit and the Elevator Project General operations at a single "elevator Aggregate for that"elevator project". project"; Such payments shall not reduce the c. "Property damage"included as Damage General Aggregate Limit or the to Premises Rented to You. Products-Completed Operations 4. Elevator Project General Aggregate Limit Aggregate Limit nor shall they reduce any other Elevator Project General Subject to Paragraph 2.above: Aggregate Limit, a. A separate Elevator Project General 5. Products - Completed Operations Aggregate Limit applies to each single Aggregate Limit "elevator project", in lieu of and not in Subject to Paragraph 2. above,the Products- addition to, the General Aggregate. Completed Operations Aggregate Limit is the Such Elevator Project General most we will Aggregate is the most we will pay for all pay for damages under Coverage A - Bodily Injury and Property damages under Coverage A Bodily Damage Liability because of "bodily injury" Injury and Property Damage Liability, and "property damage" included in the or Coverage C Medical Payments,with "products-completed operations hazard" with the following exceptions: the exception of "bodily injury" or 'property (1) "Bodily injury" or 'property damage" damage"attributed solely to a single"elevator included in the "products-completed project". operations hazard"; or 6. Elevator Project Products-Completed (2) "Property damage" included in the Operations Aggregate Limit Damage to Premises Rented to You Subject to Paragraph 2. above, a separate coverage; or Elevator Project Products-Completed (3) "Bodily injury", "property damage", Operations Aggregate Limit applies to each or medical expenses under single "elevator project", in lieu of and not in Coverage C, which cannot be addition to, the Products-Completed attributed solely to the ongoing Operations Aggregate. Such Elevator operations at a single "elevator Project Products-Completed Operations project". Such damages will erode Aggregate is the most we will pay for all the General Aggregate Limit as damages under Coverage A Bodily injury provided in Paragraph 3.above. and Property Damage Liability because of "bodily injury" and "property damage" included in the "products-completed operations hazard" that can be attributed to each single "elevator project". Page 2 of 3 Form HS 25 0511 11 i 7. Personal And Advertising Injury Limit 11, How Limits Apply To Additional Insureds Subject to Paragraph 3.above,the Personal If you have agreed in a written contract or and Advertising Injury Limit is the most we written agreement that another person or will pay under Coverage B Personal and organization be added as an additional insured Advertising Injury Liability for the sum of on your policy, the most we will pay on behalf all damages because of all 'personal and of such additional insured is the lesser of: advertising injury" sustained by any one (1) The limits of insurance specified in the person or organization, written contract or written agreement;or 8. Occurrence Limit (2) The Limits of Insurance shown in the Subject to Paragraphs 3., 4., S. , or 6. Declarations. above, whichever applies, the Each Such amount shall be a part of and not in Occurrence Limit is the most we will pay for addition to Limits of Insurance shown in the damages under Coverage A-Bodily Injury Declarations and described in this Section. and Property Damage Liability because of "bodily injury" or "property damage" arising 12. If More Than One Limit of Insurance out of any one"occurrence', Applies 9. Damages To Premises Rented To You If Coverage than one limit of insurance under this Limit Coverage Part and any endorsements attached thereto applies to any claim or Subject to Paragraph 8.above,the Damage "suit', the most we will pay under this to Premises Rented to You Limit Is the most Coverage Part and such endorsements is we will pay for damages because of the single highest limit of liability of all "property damage" to any one premises, coverages applicable to such claim or"suit while rented to you, or In the case of o damage by fire, lightning or explosion, while However,this Paragraph 1 does not apply to rented to you or temporarily occupied by you the Medical Expense Limit for Coverage G. with permission of the owner, The Limits of Insurance of this Coverage Part apply In the case of damage by fire, lightning or separately to each consecutive annual period and to explosion, the Damage to Premises Rented any remaining period of less than 12 months, starting to You Limit applies to all damage with the beginning of the policy period shown in the proximately caused by the same event, Declarations, unless the policy period is extended after whether such damage results from fire, issuance for an additional period of less than 12 lightning or explosion or any combination of months. In that case, the additional period will .be these. deemed part of the last preceding period for purposes The Damage to Premises Rented to You of determining the Limits of Insurance, Coverage is not subject to any Elevator B. For the purposes of this endorsement, the Project General Aggregate Limit, but will Definitions Section is amended by the addition erode the General Aggregate Limit, of the following definition: 10. Medical Expense Limit "Elevator Project' means an elevator or escalator that is serviced, repaired, installed, renovated or Subject to Paragraphs 3. or 4. above, worked upon by you or on your behalf,away from whichever applies,the Medical Expense Any premises owned by or rented to you. One Person Limit is the most we will pay under Coverage C Medical Payments for If an "elevator project' has been abandoned, all medical expenses because of "bodily delayed, or abandoned and then restarted, or if injury"sustained by any one person, the authorized contracting parties deviate from plans, blueprints, designs, specifications or Such Medical Payments Coverage is subject timetables, the elevator project will still be to either the Elevator Project General deemed as the same elevator project. Aggregate Limit or the General Aggregat® G. For the purposes of this endorsement, Limit as provided in Paragraphs 3. or 4. subparagraph b.(3) of the definition of"products- above. completed operations hazard"in the Definitions Section is deleted. Form HS 26 05 11 11 Page 3 of 3 i POLICY NUMBER: 13 URN OJ7018 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US I This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: ANY PERSON OR ORGAN1Z?VrTON FROM WHOM YOU ARE REQUIRED BY WRITTNF CONTRACT i OR AGREEMENT Tu OBTAIN THIS WAIVER OF RIGHTS FROM US. Information re uired to eom lete this Schedule, if not shown above,will be shown in the Doclarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV—Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a 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 above, i I CG 24 04 05 09 ©Insurance Services Office, Inc., 2008 Page 1 of 1 COMMERCIAL AUTO EA 99 1105 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, SPECIAL BUSINESS AUTO? ENHANCEMENT ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement,the provisions of the Coverage Form apply unless modified by this endorsement. The following changes revise SECTION I -- COVERED The coverage that applies is the same as the AUTOS coverage provided for the vehicle being replaced. Paragraph C.1. is deleted and replaced with the Physical Damage Coverage is extended to the following: temporary substitute auto for the lesser of the 1. Trailers following number of days: a. "Trailers" with a load capacity of 2,000 1. The number of days reasonably required to pounds or less designed primarily for travel repair or replace the covered "auto" that is out on public roads; or of service; or b. "Trailers' designed primarily for travel on 2• 30 days. public roads when: The following changes revise SECTION II — LIABILITY (1) Pulled by an owned private passenger COVERAGE auto specifically described in Item The following is added to Paragraph A.1,: Three of the Declarations as a covered d. Blanket Additional Insured "auto" for Liability Coverage under this Coverage Form;and Any person or organization that you are (2j Not used for business, farming or required to include as an additional insured ranching purposes, on this Coverage Form in a written contract or agreement that Is signed and executed Private passenger auto means a four (4) by you before the"bodily injury"or"property wheeled motor vehicle of the private damage" occurs and that is in effect during passenger, station wagon, pickup or van the policy period is an "insured"for Liability type designed for use on public highways Coverage, but only for damages to Which and subject to motor vehicle registration. this Insurance applies. The following is added: A person's or organization's status as an D. Temporary Substitute Autos—Physical Damage additional insured under this endorsement ends when your contract or agreement with If Physical Damage Coverage is provided by this such person or organization ends. Coverage Form, the following types of vehicles are also covered "autos" for Physical Damage The Limits of Insurance applicable to the Coverage: Additional Insured are those specified in the written contract or agreement but not more Any "auto" you do not own while used with the than the Limits of insurance specified in the permission of its owner as a temporary substitute Declarations of this policy. The Limits of for a covered "auto" you own that is out of service Insurance applicable to the Additional because of its: Insured are inclusive of and not in addition 1. Breakdown; to the Limits of Insurance shown in the 2. Repair; declarations for the Named Insured. 3. Servicing; This Coverage does not apply to lessors of leased"autos". 4. "Loss"; or i 5, Destruction, I EA 99 1105 13 Includes copyrighted material of insurance services Office,Inc.with Its permission. Page 1 of 6 I I' e, Broadened Named Insured This coverage is excess over Any business entity newly acquired or a. any limit shown in the Declarations for formed by you during the policy period towing and labor costs; and provided you own 51% or more of the b, any other collectible insurance. business entity and the business is not separately Insured for Business Auto This coverage applies only for an "auto" Coverage. Coverage is extended up to a covered on this policy for maximum of 180 days following acquisition c. Comprehensive or Specified Causes of or formation of the business entity or until Loss Coverage; and the end of the policy period, whichever d. Collision Coverage. comes first. f. Employee Hired Auto The following is added to Paragraph A.3 An"employee"of yours is an"insured"while Glass Repair—Waiver of Deductible operating an "auto" hired or rented under a No deductible will apply to glass breakage if contract or agreement in that "employee's" such glass is repaired in a manner acceptable name, with your permission, while to us rather than replaced. performing duties related to the conduct of Paragraph A.4.a,is deleted and replaced with the your business. following: Paragraphs A.2.a.(2) and A.2.a.(4) are deleted and 4, Coverage Extensions replaced with the following: a. Limited Rental Reimbursement or Travel 2. Coverage Extensions Expense a. Supplementary Payments We will pay up to $75 per day to a (2) Up to $5,000 for cost of bail bonds maximum of $2,250 for rental (including bonds for related traffic law reimbursement expenses for the rental of violations) required because of an an "auto" or other transportation expense "accident"we cover.We do not have to incurred by you because of 'loss" to a furnish these bonds. covered "auto" which is covered by (4) All reasonable expenses incurred by Comprehensive, Specified Causes of Loss, the "insured" at our request, including or Collision coverage under this policy. No actual loss of earnings up to$500 a day deductible applies to this coverage. because of time off from work. (1) We will pay only for those expenses Paragraph B.S.is deleted and replaced with the incurred as a result of a covered "loss" following: occurring during the policy period beginning 24 hours after the"loss and 5. Fellow Employee ending, regardless of the policy's "Bodily Injury" to any fellow "employee" of the expiration, with the lesser of the "Insured'arising out of and in the course of the following number of days: fellow "employee`s" employment or while (a) The number of days reasonably performing duties related to the conduct of your required to repair or replace the business. This exclusion does not apply to an covered "auto". if "loss" is caused "insured"who occupies a position as an officer, by theft, this number of days is manager or supervisor. added to the number of days it The following changes revise SECTION III—PHYSICAL takes to locate the covered "auto" DAMAGE COVERAGE and return it to you;or This coverage applies only for a covered "auto" for (b) 30 days. which Physical Damage Coverage is provided for on (2) Our payment under this Coverage this policy. Extension (4.a.) is limited to the lesser Paragraph A.2, is deleted and replaced with the of the necessary and actual expenses following: Incurred or the maximum amount A. COVERAGE shown, $2,250. (3) Coverage under this Coverage 2. Towing Extension (4,a.) does not apply while We will pay up to $200 for a covered "auto"for there are spare or reserve "autos"' towing and labor costs incurred each time the available to you for your operations. covered "auto" is disabled. However, the labor must be performed at the plane of disablement. EA 99 1105 13 Includes copyrighted material of Insurance Services Office,Inc.with its permission. Page 2 of 6 I (4) if a covered "auto' is described or (b) We will pay with respect to a designated as a covered "auto' on covered "auto" described in the endorsement EA 99 01, the coverage Schedule for "loss' to any provided by this extension is excess accessories used with the over coverage provided by electronic equipment described In endorsement EA 99 01. Paragraph (1)(a) above. However, The following is added to paragraph AA this does not include tapes, records or discs. c. Tapes, Records and Discs (2)Exclusions We will pay for "loss" to tapes, records, compact discs, or other similar devices The exclusions that apply to Physical used with audio, visual or data electronic Damage Coverage, except for the devices. exclusion relating to Audio, Visual and 1 We will a and if the tapes, records, Data Electronic Equipment, also apply { ) pay Y p to coverage provided by this extension. compact discs, or other similar devices: In addition, the following exclusions (a) Are your property or that of a family apply: member; or We will not pay, under this extension, (b) Are the property of an "employee" for either any electronic equipment or using a covered "auto" in your accessories used with such electronic business affairs at the time of the equipment that Is: "loss";and (a) Necessary for the normal operation (c) Are in a covered "auto" which of the covered "auto" or the sustains other covered "loss' under monitoring of the covered "auto`s" Comprehensive or Collision operating system;or coverage at the time of the "loss"to (b) An integral part of the same unit tapes, records, compact discs, or housing any sound reproducing other similar devices. equipment designed solely for the (2) The most we will pay for 'loss" under reproduction of sound if the sound this Coverage Extension(4.c.)is$200. reproducing equipment Is (3) Physical Damage Coverage provisions permanently installed in the apply to this coverage, except that any covered"auto'In the opening of the deductible applicable to dash or console normally used by Comprehensive or Collision coverage the manufacturer for the installation does not apply to this Coverage of a radio. Extension (4.c.). (3) Limit of Insurance d. Audio, Visual and Data Electronic With respect to coverage under this Equipment extension the Limit of Insurance (1) Coverage provision of Physical Damage (a) We will pay with respect to a Coverage is replaced by the following: covered "auto" described in the (a) The most we will pay for all"loss"to Schedule for'loss'to any electronic audio, visual or data electronic equipment that receives or equipment and any accessories transmits audio, visual or data used with this equipment as a result signals and that is not designed of any one "accident" is the lesser solely for the reproduction of sound. of: This coverage applies only if the (1) The actual cash value of the equipment is permanently installed damaged or stolen property as In the covered "auto" at the time of of the time of the"loss'; the "loss" or the equipment is (it) The cost of repairing or removable from a housing unit replacing the damaged or which is permanently installed in stolen property with other the covered "auto"at the time of the property of like kind and quality; "loss", and such equipment Is or designed to be solely operated by use of the power from the "auto`s" (fit)$500. electrical system, in or upon the covered"auto". EA 99 11 05 13 Includes copyrighted material of insurance services Office,Inc.with Its permission. Page 3 Of 6 i (b) An adjustment for depreciation and When a Travel Trailer, "Camper" or Motor physical condition will be made in Home is a scheduled auto for physical determining actual cash value at damage coverage, we will pay up to $1,000 the time of the"loss", for "loss" to personal property belonging to (c) If a repair or replacement results in you or a family member that is within the better than like kind or quality, we Travel Trailer,"Camper'or Motor Home.We will not pay for the amount of will pay up to $250 for 'loss" to personal betterment, property belonging to you or a family member that is outside the Travel Trailer, (4) Deductible "Camper"or Motor Home. No deductible applies to this coverage. (1) We will not pay for"loss"to: The insurance provided by this extension is (a) Articles carried or held for sale, excess over any other collectible insurance. storage or repairs, or for later e. Custom Signs and Decorations delivery; goods kept to show or sell; Physical Damage coverage on a covered or theatrical wardrobes. "auto" may be extended to"loss"to custom (b) Business, store of office furniture or signs and decorations Including custom equipment. murals, paintings or other decals or (c) Records or accounts, money, graphics. bullion, deeds, contracts,evidences Our limit of liability for loss to custom signs of debt, securities,tokens or tickets, and decorations shall be the least of: stamps In current use or (1) Actual cash value of the stolen or manuscripts, damaged property; (d) Animals, private passenger "autos," (2) Amount necessary to repair or replace motorcycles, aircrafts, boats or any the property; or other motorized vehicles or their equipment, furnishings or (3) $500. appurtenances. f. Personal Effects Coverage (a) Equipment or accessories while (1) Physical Damage Coverage on a your Travel Trailer, "Camper" or covered "auto" may be extended to Motor Home is leased or rented to "loss" to your "personal effects" or, if any organization or any person you are an individual, the "personal other than you or a family member. effects"of a family member, that are in (2) The maximum we will pay for "loss" is the covered "auto" at the time of the the lesser of: "loss". Personal effects as used in this (a) The actual cash value of the (2) " " personal property attthe time of extension means tangible property that "loss"; is worn or carried by the "insured"."Personal effects" does not include (b) The cost of repairing the damage; tools, jewelry, money, securities, radar or or laser detectors, or tapes, records, (c) The cost of replacing the damaged discs or similar audio, visual or data personal property with other electronic equipment. personal property of like kind, (3) The most we will pay for any one "loss" condition, quality and value. under this coverage extension is$500. 1. Vacation Expense Allowance No deductible applies to this extension. We will pay you $50 per day to a maximum The insurance provided over a this extension is excess over any other collectible of $500 for extra expenses when a Tavel insurance. Trailer, "Camper' or Motor Home is a scheduled auto for physical g. Camper Bodies coverage, and the Travel Trailer, "Camper In the event of a 'loss" to a detached or Motor Home: "camper," physical damage coverage will (1) Is damaged or destroyed and is apply as if It were part of the covered"auto" uninhabitable; and on which it is rated. (2) While being used for vacation purposes h, Contents of a Travel Trailer, Camper or within the policy period, Motor Home EA 99 1105 13 Includes copyrighted material of Insurance services Office,Inc,with its permission. Page 4 of 6 Extra expenses must by supported by all, Subject to the above limit, deductible and receipts or other valid evidence. excess provisions, we will provide coverage The following is added to Paragraph A.: equal to the broadest coverage applicable to any covered"auto"you own. S. Extra Expense—Broadened Coverage If a limit for Hired Auto Physical Damage is We will pay for the direct expense of returning a indicated in the Declarations, then that limit stolen covered "auto" to you. We will pay only replaces, and is not in addition to, the $50,000 for those covered "autos" for which you carry limit indicated above. Comprehensive or Specified Causes of Loss Coverage. This coverage will only apply to The following is added to Paragraph B_3.a.: vehicles recovered Inside the 48 contiguous Airbag Coverage—Accidental Deployment United States. This coverage does not apply to However, this exclusion does not apply to the an"auto"we deem a total "loss". unintended inflation of an airbag if the inflation 6. Auto LoantLease Gap Coverage Is caused by mechanical or electrical j In the event of a covered total "loss" to a breakdown. covered "auto" described or designated in the The following is added to Paragraph C.2. Schedule or in the Declarations; we will pay up New Vehicle Replacement Cost to $2,000 for any unpaid amount due on the lease or loan for a covered"auto"less: If, however,we deem a covered "auto"to be a total The Amount paid under the Physical "loss"within 180 days of your purchase of the"auto" a. T Dhe A Coverage section heA. of the and it has not been previously titled under the motor policy;and vehicle law of any state,we will pay at your option: a. the cost to replace the covered "auto' with a p. Any: new"auto"of like make, model and year;or (1) Overdue lease/loan payments at the b, an amount equal to the original purchase price time of the"loss; you paid to acquire the vehicle, including taxes, (2) Financial penalties imposed under a but excluding any extended warranties and lease for excessive use, abnormal wear licensing fees. and tear or high mileage; This coverage applies only to a covered "auto" of (3) security deposits not returned by the the private passenger, light truck or medium truck Lessor; type(20,000 lbs. or less gross vehicle weight). (4) Costs for extended warranties, Credit The following changes revise SECTION IV — Life Insurance, Health, Accident or BUSINESS AUTO CONDITIONS Disability Insurance purchased with the The following is added to Paragraph A.2.a.: loan or lease; and (5) Carry-over balances from previous Amended Duties in the Event of an Accident loans or leases. Claim, Lawsuit or Loss 7. Hired Auto Physical Damage Coverage However, this duty is only required when the accident"is known to: If hired "autos" are covered "autos"for Liability (1) You, if you are an individual; Coverage and If Comprehensive, Specified Causes of Loss or Collision Coverages are (2) A partner, if you are a partnership; provided under this coverage form for any (3) A member, if you are a limited liability company, "auto" you own, then the Physical Damage or Coverages provided are extended to "autos" (4) An executive officer or insurance manager; if you hire of like kind and use, subject to the following: you are a corporation. a. The most we will pay for any one "loss" is The following is added to Paragraph A.: $50,000 or the actual cash value or the cost 6. Blanket Waiver of Subrogation to repair and replace, whichever is less, We waive any right of recovery we may have minus a deductible; against any person or organization to the extent b. The deductible will be equal to the largest required of you by a written contract executed prior deductible applicable to any owned "auto' to any"accident"because of payments we make for for that coverage; damages under this coverage form. c. Hired Auto Physical Damage coverage is excess over any other collectible Insurance; and EA 99 1105 13 Includes copyrighted material of Insurance services office,Inc.with its permission. Page 5 of 6 i I The following is added to Paragraph B.2.; The following changes revise SECTION V — Unintentional Failure to Disclose Hazards DEFINITIONS Any unintentional failure to disclose all exposures or The following is added: hazards existing as of the effective date of the q. "Camper" means a portable dwelling unit without Business Auto Coverage Form or at any time during axles or wheels that has been manufactured for the policy period will not invalidate or adversely attachment on the bed of a pickup truck to be used affect the coverage for such exposure or hazard. for casual travel or camping. However, you must report the undisclosed exposure or hazard to us as soon as reasonably possible after its discovery. Paragraph B.5.b. is deleted and replaced with the following: a. For Hired Auto Physical Damage Coverage, the following are deemed to be covered "autos" you own: (1) Any covered "auto" you lease, hire, rent or borrow; and (2) Any covered "auto" hired or rented by your employee" under a contract in that individual employee's" name, with your permission, while performing duties related to the conduct of your business. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered"auto". The following is added to Paragraph B.S. d. To the extent required by an "insured contract", this insurance Is primary on behalf of the additional insured, and any other insurance maintained by the additional insured is excess and not contributory with this insurance. If the "Insured contract" does not require this provision,then Paragraph a,above will apply, I EA 99 11 05 13 includes copyrighted material of Insurance services Office,Inc.with its permission. Page 6 of 6 ` an RCW82.14 ustbe coded BUSINESS LICENSE and use tax must be coded EICENSE MUST BE RENEWED ANNUALLY BY No.1715 for all qualified JANUARY 31 TO AVOID PENALTY sates within the city of ICET Issuance of License Does Not Imply Licensee's Kent • V.S.l NOT OR - Compliance with State and Local Laws TMS LICENSE MUST BE POSTED IN A CONSPICUOUS ! Year : 2014 PLACE.NOT TRANSFERABLE OR ASSIGNABLE _ - NAME AND ADDRESS OF BUSINESS BLOC-2140930 WEST COAST ELEVATOR LLC MAYOR 17837 1 ST AVE S STE 206 The City of Kent NORMANDY PARK,WA 98148 A<aaa 4THAVE so KENr,WASH NGTON 98032 i i I