HomeMy WebLinkAboutAD15-001 - Original - Outcomes By Levy, LLC - Lobbying Consultant Services - 12/22/2014 x y,r
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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: Outcomes By Levy, LLC
Vendor Number: 36009
JD Edwards Number
Contract Number: 60 t —L7 } g
This is assigned by City Clerk's Office
Project Name: 2015-2016 Lobbying Consultant Services
Description: ❑ Interlocal Agreement ❑ Change Order ❑ Amendment ® Contract
❑ Other:
Contract Effective Date: January 1, 2015 Termination Date: December 30, 2016
Contract Renewal Notice (Days): 30 days
Number of days required notice for termination or renewal or amendment
Contract Manager: Michelle Wilmot Department: Administration
Contract Amount: $69,600.00 per year
Approval Authority: (CIRCLE ONE) Department Director Mayor City Council
Detail: (i.e. address, location, parcel number, tax id, etc.):
Lobbying Services provided by Outcomes by Levy, LLC, organized under the laws of the
State of Washington, located and doing business at 15619 62rd Place NE, Kenmore, WA
98028.
As of: 08/27/14
K� o T
CONSULTANT SERVICES AGREEMENT
between the City of Kent and
Outcomes by Levy, LLC.
THIS AGREEMENT is made between the City of Kent, a Washington municipal
corporation (hereinafter the "City"), and Outcomes by Levy, LLC, organized under the
laws of the State of Washington, located and doing business at 15619 62"d Place NE,
Kenmore, WA 98028; 425-922-3999 (hereinafter the "Consultant").
I. DESCRIPTION OF WORK.
Consultant shall perform the following services for the City in accordance with the
following described plans and/or specifications:
Scope of Work:
The following outlines the scope of work under this Agreement. Specific work
plans shall be developed mutually and reviewed on a regular basis.
I
• Assist with issue identification, internal meetings with Department heads
and senior staff, and Kent-area legislative delegation contacts prior to each
Legislative Session.
• Continue to monitor and identify problems and opportunities for Kent with
issues under consideration by the State Legislature and state agencies,
including transportation, fiscal resources, infrastructure needs, flood
control and levee issues, and environmental matters.
• Monitor and report legislation of concern to Kent during Legislative
Sessions, working with the Mayor's Office to provide regular status reports
and to advocate for Kent on relevant issues.
• As needed at the federal level, assist with issue identification, opportunities
for Kent, and advocacy efforts with Kent's federal representatives.
• Assist with pursuit of funding for Kent projects, particularly at the state
and federal levels.
Reporting and Communication:
The Consultant shall communicate at least weekly with designated staff
regarding work under this Agreement. Monthly summaries of work completed
shall be made available upon request.
Consultant further represents that the services furnished under this Agreement will
be performed in accordance with generally accepted professional practices 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. Upon the effective date of this Agreement, Consultant shall complete the
work described in Section I during the years 2015-2016, ending on December 31, 2016.
III. COMPENSATION.
A. The City shall pay the Consultant, based on time and materials, an annual
amount not to exceed sixty nine thousand six hundred dollars
($64,600.00), not including approved and agreed upon expenses for the
services described in this Agreement.
In addition, the City shall reimburse the Consultant for
expenses incurred while doing business on the City's
behalf, which shall be limited to meals, parking, lodging,
mileage at the State of Washington's standard
reimbursement rate, legislative session office space and
expenses, and other travel and conference/meeting
expenses where such attendance is directed by the City.
Where such expenses are incurred in connection with
work on legislative or regulatory issues affecting the
Contractor's other relevant clients, these expenses shall
be pro-rated to the maximum extent practicable.
Except for the additional expense described above, this is the maximum
amount to be paid under this Agreement for the work described in Section I
above, and shall not be exceeded without the prior written authorization of
the City in the form of a negotiated and executed supplemental agreement.
The Consultant agrees that the hourly or flat rate charged by it for its
services contracted for herein shall remain locked at the negotiated rate(s)
for a period of two (2) years from the effective date of this Agreement.
B. The Consultant shall submit monthly payment invoices to the City for work
performed, and a final bill upon completion of all services described in this
Agreement. The City shall provide payment within thirty (30) days of
receipt of an invoice. If the City objects to all or any portion of an invoice, it
shall notify the Consultant and reserves the option to only pay that portion
of the invoice not in dispute. In that event, the parties will immediately
make every effort to settle the disputed portion.
IV. INDEPENDENT CONTRACTOR. The parties intend that an Independent
Contractor-Employer Relationship will be created by this Agreement and that the
Consultant has the ability to control and direct the performance and details of its work,
the City being interested only in the results obtained under this Agreement.
Doug Levy/ 11/25/2014 Page 2
V. TERMINATION. Either party may terminate this Agreement, with or
without cause, upon providing the other party thirty (30) days written notice at its
address set forth on the signature block of this Agreement. After termination, the City
may take possession of all records and data within the Consultant's possession
pertaining to this project, which may be used by the City without restriction. If the
City's use of Consultant's records or data is not related to this project, it shall be without
liability or legal exposure to the Consultant.
VI. DISCRIMINATION. In the hiring of employees for the performance of
work under this Agreement or any subcontract, the Consultant, its subcontractors, or
any person acting on behalf of the Consultant or subcontractor shall not, by reason of
race, religion, color, sex, age, sexual orientation, national origin, or the presence of any
sensory, mental, or physical disability, discriminate against any person who is qualified
and available to perform the work to which the employment relates. Consultant shall
execute the attached City of Kent Equal Employment Opportunity Policy Declaration,
Comply with City Administrative Policy 1.2, and upon completion of the contract work,
file the attached Compliance Statement.
VII. INDEMNIFICATION. Consultant shall defend, indemnify and hold the City,
its officers, officials, employees, agents and volunteers harmless from any and all
claims, injuries, damages, losses or suits, including all legal costs and attorney fees,
arising out of or in connection with the Consultant's performance of this Agreement,
except for that portion of the injuries and damages caused by the City's negligence.
The City's inspection or acceptance of any of Consultant's work when completed
shall not be grounds to avoid any of these covenants of indemnification.
Should a court of competent jurisdiction determine that this Agreement is subject
to RCW 4.24.115, then, in the event of liability for damages arising out of bodily injury
to persons or damages to property caused by or resulting from the concurrent
negligence of the Consultant and the City, its officers, officials, employees, agents and
volunteers, the Consultant's liability hereunder shall be only to the extent of the
Consultant's negligence.
IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THE
INDEMNIFICATION PROVIDED HEREIN CONSTITUTES THE CONSULTANT'S WAIVER OF
IMMUNITY UNDER INDUSTRIAL INSURANCE, TITLE 51 RCW, SOLELY FOR THE
PURPOSES OF THIS INDEMNIFICATION. THE PARTIES FURTHER ACKNOWLEDGE THAT
THEY HAVE MUTUALLY NEGOTIATED THIS WAIVER.
The provisions of this section shall survive the expiration or termination of this
Agreement.
VIII. INSURANCE. The Consultant shall procure and maintain for the duration of
the Agreement, insurance of the types and in the amounts described in Exhibit A
attached and incorporated by this reference.
Doug Levy/ 11/25/2014 Page 3
IX. EXCHANGE OF INFORMATION. The City will provide its best efforts to
provide reasonable accuracy of any information supplied by it to Consultant for the
purpose of completion of the work under this Agreement.
X. OWNERSHIP AND USE OF RECORDS AND DOCUMENTS. Original
documents, drawings, designs, reports, or any other records developed or created under
this Agreement shall belong to and become the property of the City. All records
submitted by the City to the Consultant will be safeguarded by the Consultant.
Consultant shall make such data, documents, and files available to the City upon the
City's request. The city's use or reuse of any of the documents, data and files created by
Consultant for this project by anyone other than Consultant on any other project shall be
without liability or legal exposure to Consultant.
XI. CITY'S RIGHT OF INSPECTION. Even though Consultant is an
independent contractor with the authority to control and direct the performance and
details of the work authorized under this Agreement, the work must meet the approval
of the City and shall be subject to the City's general right of inspection to secure
satisfactory completion.
XII. WORK PERFORMED AT CONSULTANT'S RISK. Consultant shall take all
necessary precautions and shall be responsible for the safety of its employees, agents,
and subcontractors in the performance of the contract work and shall utilize all
protection necessary for that purpose. All work shall be done at Consultant's own risk,
and Consultant shall be responsible for any loss of or damage to materials, tools, or
other articles used or held for use in connection with the work.
XIII. MISCELLANEOUS PROVISIONS.
A. Recyclable Materials. Pursuant to Chapter 3.80 of the Kent City Code, the
City requires its contractors and consultants to use recycled and recyclable products
whenever practicable. A price preference may be available for any designated recycled
product.
B. Non-Waiver of Breach. The failure of the City to insist upon strict
performance of any of the covenants and agreements contained in this Agreement, or to
exercise any option conferred by this Agreement in one or more instances shall not be
construed to be a waiver or relinquishment of those covenants, agreements or options,
and the same shall be and remain in full force and effect.
C. Resolution of Disputes and Governing Law. This Agreement shall be
governed by and construed in accordance with the laws of the State of Washington. If
the parties are unable to settle any dispute, difference or claim arising from the parties'
performance of this Agreement, the exclusive means of resolving that dispute, difference
or claim, shall only be by filing suit exclusively under the venue, rules and jurisdiction of
the King County Superior Court, King County, Washington, unless the parties agree in
writing to an alternative dispute resolution process. In any claim or lawsuit for damages
arising from the parties' performance of this Agreement, each party shall pay all its legal
costs and attorney's fees incurred in defending or bringing such claim or lawsuit, in
addition to any other recovery or award provided by law; provided, however, nothing in
Doug Levy/ 11/25/2014 Page 4
this paragraph shall be construed to limit the City's right to indemnification under
Section VII of this Agreement.
D. Written Notice. All communications regarding this Agreement shall be sent
to the parties at the addresses listed on the signature page of the Agreement, unless
notified to the contrary. Any written notice hereunder shall become effective three (3)
business days after the date of mailing by registered or certified mail, and shall be
deemed sufficiently given if sent to the addressee at the address stated in this
Agreement or such other address as may be hereafter specified in writing.
E. Assignment. Any assignment of this Agreement by either party without the
written consent of the non-assigning party shall be void. If the non-assigning party
gives its consent to any assignment, the terms of this Agreement shall continue in full
force and effect and no further assignment shall be made without additional written
consent.
F. Modification. No waiver, alteration, or modification of any of the provisions
of this Agreement shall be binding unless in writing and signed by a duly authorized
representative of the City and Consultant.
G. Entire Agreement. The written provisions and terms of this Agreement,
together with any Exhibits attached hereto, shall supersede all prior verbal statements of
any officer or other representative of the City, and such statements shall not be effective
or be construed as entering into or forming a part of or altering in any manner this
Agreement. All of the above documents are hereby made a part of this Agreement.
However, should any language in any of the Exhibits to this Agreement conflict with any
language contained in this Agreement, the terms of this Agreement shall prevail.
H. Compliance with Laws. The Consultant agrees to comply with all federal,
state, and municipal laws, rules, and regulations that are now effective or in the future
become applicable to Consultant's business, equipment, and personnel engaged in
operations covered by this Agreement or accruing out of the performance of those
operations.
i
Doug Levy! 11/2512014 Page 5
IN WITNESS, the parties below execute this Agreement, which shall become
effective on the last date entered below.
CONSULTANT: CITY OF KENT:
BY "u1aG - y
B `
�l (sign ture) (signature)
Print Name. is'u 1_ O Print Pia`me:�' Suzette Cooke
Its " V, A zo;`' oo _ , , ,U
DATE:itie) �� Its Mayor
§ MT le)
DATE: i
NOTICES TO BE SENT TO: NOTICES TO BE SENT TO:
CONSULTANT: CITY OF KENT:
Doug Levy Chief Administrative Officer
Outcomes by Levy City of Kent
15619 NE 62no Place 220 Fourth Avenue South
Kenmore, WA 98028 Kent, WA 98032
(425) 922-3999 (telephone) (253) 856-5710 (telephone)
425 424-8921 facsimile (253) 856-6700 (facsimile)
APPROVED AS TO FORM
Kent Law Department
Doug Levy/ 11/25/2014 Page 6
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.
I
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 C7Q� 20�.
By: C _
For: q l Cit 1
Title: (21 r,t � ( GT" � l lP �✓ LL
Date: tLQJ [
EEO COMPLIANCE DOCUMENTS - 1.
i
CITY OF KENT
ADMINISTRATIVE POLICY
NUMBER: 1.2 EFFECTIVE DATE: January 1, 1998
SUBJECT: MINORITY AND WOMEN
SUPERSEDES: April 1, 1996
CONTRACTORS APPROVED BY Jim White, Mayor
POLICY:
Equal employment opportunity requirements for the City of Kent will conform to federal
and state laws. All contractors, subcontractors, consultants and suppliers of the City
must guarantee equal employment opportunity within their organization and, if holding
Agreements with the City amounting to $10,000 or more within any given year, must
take the following affirmative steps:
1. Provide a written statement to all new employees and subcontractors indicating
commitment as an equal opportunity employer.
2. Actively consider for promotion and advancement available minorities and women.
Any contractor, subcontractor, consultant or supplier who willfully disregards the City`s
nondiscrimination and equal opportunity requirements shall be considered in breach of
contract and subject to suspension or termination for all or part of the Agreement.
Contract Compliance Officers will be appointed by the Directors of Planning, Parks, and
Public Works Departments to assume the following duties for their respective
departments.
1. Ensuring that contractors, subcontractors, consultants, and suppliers subject to
these regulations are familiar with the regulations and the City's equal
employment opportunity policy.
2. Monitoring to assure adherence to federal, state and local laws, policies and
guidelines.
EEO COMPLIANCE DOCUMENTS-2
CITY OF KENT
EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE STATEMENT
This form shall be filled out AFTER COMPLETION of this project by the Contractor
awarded the Agreement.
I, the undersigned, a duly represented agent of The City of Kent , hereby
acknowledge and declare that the before-mentioned company was the prime contractor
for the Agreement known as Outcomes by Levy that was entered into on the
1st of January, 2015 , 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 December 2016.
By:
For:
Title:
Date:
EEO COMPLIANCE DOCUMENTS-3
I
EXHIBIT A
PAYMENT SCHEDULE
Invoices shall be submitted monthly for 1/12 of the annual contract amount
and any relevant expenses as detailed in the contract.
EXHIBIT B
INSURANCE REQUIREMENTS
No Insurance is required for this Contract.
EEO COMPLIANCE DOCUMENTS-4
MCCLAIN INS SERVICES
10410 19T,9 AVE SE 100 EVERETT,WA 98208 y polio number:45459806-5
Underwritten by:
Progressive Casualty Ins Co
October 2,2014
Policy Period:Nov 30,2014—Nov 30,2015
Page 1
DOUGLAS R LEVY
425-
THERESA I LEVY
MCCLAI00N INS SERVICES
15619 62ND PL NE CCLAI
Contact your agent for personalized service.
KENMORE,WA 98028
800-925-2886
To report a claim. '..
Personal Umbrella Insurance
Coverage Summary
This is your Renewal Declarations Page
The coverages,limits and olio erred shown apply only i you a for this olio to renew.
policy PPY Y Y PY policy
Your coverage begins on November 30,2014 at 12:01 a.m. This policy expires on November 30,2015 at 12:01 a.m.
Your insurance policy and any policy endorsements contain a full explanation of your coverage. The policy contract is form 9639
(03/06). The contract is modified by forms Z317(03/06),Z322(03/06),Z318(03/06),Z320(03/06),Z321 (03/06),Z319(03/06),,
and 9869U WA(04/13).
Outline of coverage
General policy coverage Emits self insured retention Premium '..
Personal Umbrella
Liability to Others $1,000,000 per occurrence $250 $495
Total 12 month policy premium $495
Requirement of underlying insurance
By accepting the terms of this policy,you agree to maintain the minimum required underlying liability limits as stated in the following
section for all scheduled vehicles,scheduled watercraft and scheduled premises. Your failure to do so will cause you to be liable for
payment of such pn is.
Type of policy Minimum required underlying liability limits
Comprehensive personal liability $300,000 combined single limit
........................ ........................................................................................................................
Vehicle liability $250,000/$500,000 split limits or$300,000 combined single limit ''....
......................................................................................_................................................ ........
Watercraft liability $250,000/$500,000 split limits or$300,000 combined single limit
Form 6489 W.4(Ferns)
Policy Number.45459806-5
DOUGLAS R LEVY
THERESAJ LEVY
Page 2
Drivers and household residents Additional information
DOU6tAS R LEVY Named Insured
....... ................. .._............ ...,..,..,...... ........,..,.. ..,............ ............... . .....,.... .............._....
THERESAI LEVY Named Insured
ZACHARY D LEVY Rated
CODY LEVY Rated
Scheduled exposures
We have Issued this insurance based upon the exposures listed In the following section. If there are changes In
exposures,advise your agent Immediately so that we may consider those exposures for coverage. Failure to timely
report changes in exposures in accordance with the terms and conditions of the policy will result In no Insurance
being afforded by this policy.
Scheduled vehicles
Automobiles,motor homes,and motor coaches
Year Make Model
2009 MINI COOPERS
P007 TOYOTA PROS
2013 TOYOTA PRIIJS
Scheduled watercraft
Boats and personal watercraft
Year Make Model
............ ......_.......... . ................. ........,..,..,. .......... .. ........... .............. .. ...._._...,.. .....,.........,....
2001 RAYLINER 180CAPRI
Scheduled premises
Residences
Address(Street,City,State,Zip)
15619 62116 PC NE, KENMORE,WA 98028
Premium discounts
Policy
45459806-5 multi-policy
Company officers
��LL pp�t
Secretary
Form 6489 WA(05108)
Documents Page 1 of 3
10410 N INS SERVICES pPp�g�jjRE111Y�a
10410 19?R AVE SE 100 l'fYS/(d 6
PJERETT,WA 98208 DR1Y£°lnsrr�ance ',.
Policy Number: 70745292
Underwritten hy: '....
DCIUGIAS R LEVY November
Casualty Insurance Ca
TH ERESA 1 LEVY N wemher 2,2Q 1 A
15619 62ND PL NE
Policy Pencur Nov 30,2014-May 30,2015
EENMORE,WA 98028 Pagel of 3
1425-379-9200
MCCLAIN INS SERVICES
Contact your agent for personalized service.
progressiveagentcom
Auto Insurance Online Service
ty,updaqe
Coverage Summary Makepformatocorcheckstatuling sufaclain,
pp policy inicrmalion or check status of a claim.
This is your Renewal 1.800.274.4499
J To report a claim,
Declarations Page
The coverages,limits and policy period shown apply only if you pay for this policy to renew,
Your coverage begins on November 30,2014 at 12:01 a.m. This policy expires on May 30,2015 at 12:01 a.m.
Your insurance policy and any policy endorsements contain a full explanation of your coverage. The policy limits shown for a vehicle
may not be combined with the limits for the same coverage at another vehicle. The policy contract is form 9610A 01A i08/05). The
contract is m edified by forms Z538(10108),4884(10/08)and Z445 WA(02112),
Drivers and household residents Addinaral mhxmaacn
Douglas R Levy . ... .. ..... ..... ........... ........ . Named Insured.sure...... ....... ....... ..................
,.,
�
Theresa J Levy Named insured
Zachary D Levy
......_..
Cody Levy
Outline of coverage
2009 MINI COOPER S
VIN WMWMF73579TX40749
Primary use of the vehde: Commute
Limits Oeducatle Premium
........ .............. . . .. __.... . .. . .. ...... . "....... .. .. .... ... . �..... . ........ . ...., I
Liability To Others $532
Bodily Injury and Property Damage Liability $500,000 combined single limp each accident
... .................................................................................................-.............................,........
...,..........,......,..........
Additional Personal Injury Protection $35,000 $0 62
IJnden,nvxe'it Motorist. .......................................$506,006 can pined si ngle m I...lt adt ea'...a..t..dd�..en...t...�.......�............�...................
Il 78
UnderinsuredMotoristProperiyDamage $50,000eadraccident $10G 53 i
$300 hit&run
............ ..............................................................................................................................................I................
.
Comprehensive Actual Cash Value $500 32
Collision AcnialCashValue $1,000 25 11 3 '''......
lient .............'e'nn ............................................................,.................,.........,..........,..,....................,.....................1
Rental Reimbursement up to$56 eadt day/maximum 80 days 18
.......'n'co............................................................. ............................. .......................................................
Roadside Assistance 3
Total premium for 2009 MINI $1,031
mn 6499 e1A(I read fm9 ed
file:///C:/Users/Claudia/Downloads/PGRDeclarationsPage.htmi 12/18/2014
Documents Page 2 of 3
Policy Number: 70745292
Douglas R Levy
Theresa 1 Levy
Paget of 3
2007 TOYOTA PRIUS
VIN fnDK132OU973214544
Primary useofthevehdcle: Commute
U=5 oedumbu Pentium
................. ..........................I.,.............., .,.............. ........�............�.............. .......,............................._...........,-
Liability To Others $689
Bodily Injury and Property Damage Liability $500,000 combined single limit each accident
AdditionalPersanallnjuryProteOion $35,000 $0 90
�...........�..... ............................................ ......................................... ........... .........................I......................
.......
Underinsured McInnis-, $500,000 combined single limit each acadent 109
.,.......s,u,ra.. ............................................................................. ........ .... ...... ......................$*16......................,....
Underinsured Ivtotcrist Property Damage $50,000 each acddent $100 46
$300 hit&run
................. .......I......_...........................
, .,............,.,........,....., ..,..,., ........,.. .......,..........................................,....
Comprehensive Actual Cash Value $500 21
�...........�..... ............................................ ................ ash,V,ai c. .....,., ._.....,.. .......,..............................,..........,,0.,
Collision AcWalCashValue $1,000 208
�...........i..... ....................................................us.o...,...e'a*ch....., .....,t .... 0,d'. .......,........,......................................
Reetal Reimkursement up w$50 each daylm axim urn 30 days 19
.............ss,i .,..............,........,.........,.,....., ................,........,....., .....,., ........,.. .......,......�.,.....................�.......... �..3
Roadsi de Assstance 3
Total premium for 2007 TOYOTA $1,184
2013TOYOTA PRIUS
VIN ADKN3Dd2D1526237
Primary use of he vehicle Business
Um:cs aeduolme Praium
................. ........................................... ............................... ........ ........... .............. .,.........I........ ......I., .
Liability To Others $755
Bodily Injury and Proi Damage Liability $590,000 combined smalle limit each accident
................. ......................... ........... ....................................... ....-., ........,.. ..............,.�.....................�...........�...
Add �
ltimalPersonalInjuryProtecUan $35,000 $0 87
nd,e.....,....�M. .............. ........ ......... ....................................................mi,t,,,a,ch,.......,.....,.�.....................,..........,1,13
Underinsured Mo�rist $500,000 can biped vngle limit e�h acddent 113
........*s,u,r ... ...........................................................................d 4n,t r., ........,.. ........,.....,. .........0.......... ...........�...0
Underinsured Morris.Propertyr Dam age $50,000 ead7 accident $100 80
$300 hit&run
................. . ....................... ......... . ....................................................................................................................
Comprehensive Actual Cash Value $500 33
.......... ...
Collision AcNal Cash Value $1,000 408
. ntal.......... . ................................... ....................................................................................................................
Rental Reimbursement up to$50 eae day(maairnum 3..days 8
Loand-ease Payoff 25%Of The Actual Cash Value 17
Roadside Assistance
Total premium for 2013 TOYOTA{business use} $1,512
Subtotal policy premium $3,727.00
Pdi y fee 30.00
Total 6 month policy premium and fees $3,757.00
Demount i f paid in full 664.00
Total 6 month policy premium if paid in full and fees $3,093.00
Premium discounts
Policy
70745292...... . .,....Multi-Pdicy,.None Owner. -C
ar,Continuous
lnsurance:Diamond,Mull
u .,......_ . ._._._ .......
ita ....
mond,
Paperless and Three-Year Safe Driving
cow
Zachary D Levy
...._.. ...,... . . ........... .......Distant Student
........ . .....�........ ..,,......_.....,..,,........,..,.
r-am 6489 wA(1 uaa) cma
file:///C:/Users/Claudia/Downloads/PGRDcclarationsPage.html 12/18/2014
Documents Page 3 of 3
Policy Number 70745292
Douglas R Lety
Theresa J Levy
Paga3 of 3
Lienholder information
Vehicle Lienhalder
2013 TOYO T A PR I U S ............. . . . ......... i0Y01A MOTOR C.......... ......_..,...... . ......... . ... .
REDIT
I@KN3DUZD162E237 ATLANTA,GA 30348
Renewal premium change information
If you pay in full,your renewal premium is $3S3,00 lower than the premium for your current
paid in full policy.
Company officers
Secretary
I
I
i
Form 6489 WA p 1fa41
file:///C:/Users/Claudia/Downloads/PGRDeclarationsPage.html 12/18/2014
REQUEST FOR MAYOR'SSIGNATURE
l� T1T Please Fill in All Applicable Boxes
Routing Information (ALL REQUESTS MUST FIRST BE ROUTED THROUGH THE LAW DEPARTMENT)
Originator: Mayor's Office Phone (Orielinator): x5723
Date Sent: 12/03/14 Date Required:
Return Signed Document to: Pam Clark CONTRACT TERMINATION DATE: 12/30/16
VENDOR NAME: Doug Levy/Outcomes by DATE OF COUNCIL APPROVAL® 12/09/14
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Brief Explanation of Document:
2015-2016 legislative consulting contract with Outcomes by Levy in the amount of $69,600.00
per year, plus agreed upon expenses.
All Contracts Must Be Routed Through The Law Department
(This area to be completed by the Law Department)
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Received: t -F
Approval of Law Dept.: t
Law Dept. Comments:
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Date Forwarded to Mayor: -t ( L•,' iW
Shaded Areas To Be Completed By Administration Staff
Received:
Recommendations and Comments:
Disposition:
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Date Returned: y� r k4l',n o�