Loading...
HomeMy WebLinkAboutPW14-240 - Amendment - #1 - Gibson Economics, Inc. - Economic Analysis of the Solid Waste Franchise Agreement - 12/26/2014 {A" N } Records Manageme ICE O T Document WA..,NOTON al. 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: Gibson Economics, Inc. Vendor Number: JD Edwards Number Contract Number: 17W i This is assigned by City Clerk's Office Project Name: Solid Waste Franchse Agreement Description: ❑ Interlocal Agreement ❑ Change Order ® Amendment ❑ Contract ❑ Other: Contract Effective Date: 12/26/14 Termination Date: 6/30/15 Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Gina Hungerford Department: Engineering Contract Amount: Approval Authority. (CIRCLE ONE) Department Director Mayor City Council Detail: (i.e. address, location, parcel number, tax id, etc.): Extend the time of completion to June 30, 2015 because the project has not been completed and will require an economic analysis. As of; 08/27/14 y tg �•/ KENT W HIN ON. �AMEN,DMENT NO. 1 NAME OF CONSULTANT OR VENpOR: Gibson Economics Inc CONTRACT NAME & PROJECT NUMBER: Solid Waste Franchise Aareement ORIGINAL AGREEMENT DATE: September 30, 2014 This Amendment is made between the City and the above-referenced Consultant or Vendor and amends the original Agreement and all prior Amendments. All other provisions of the original Agreement or prior Amendments not inconsistent with this Amendment shall remain in full force and effect, For valuable consideration and by mutual consent of the parties, Consultant or Vendor's work is modified as follows: 1. Section I of the Agreement, entitled "Description of Work," is hereby modified to add additional work or revise existing work as follows: In addition to work required under the original Agreement and any prior Amendments, the Consultant or Vendor shall: The scope of work remains the same, however an amendment is needed to extend the time of completion to June 30, 2015 because the project has not been completed and will require an economic'analysis. 2. The contract amount and time for performance provisions of Section II "Time of Completion," and Section III, "Compensation," are modified as follows: Original Contract Sum, $9,000.00 including applicable WSST Net Change by Previous Amendments $0 including applicable WSST Current Contract Amount $9,000.00 including all previous amendments Current Amendment Sum $0 Applicable WSST Tax on this $0 Amendment Revised Contract Sum $9,000.00 AMENDMENT - 1 OF 2 �.---+� GIBSO-9 OP 1D:KT CERTIFICATE OF LIABILITY INSURANCE 1 DAT 08/18/1 Y1 8/14 1 CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS .TIFICATE 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 pollcy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Liberty Mutual insurance NAME PHONE FAX PO Box 188065 LVC,No ExIn JAIC,No: �. Fairfield,ON 45018 EMAIL SPRAGUE ISRAEL GILES INC ADDRESS: INSURER(Si AFFORDING COVERAGE NAIC>t INSURERA:American States Insurance 19704 INSURED---Glbsolr ECOnOmiCS, Inc.-._-._. INSURER B: 600 1 st Ave.Ste.630 Seattle,WA98104 msURERC: INSURER D: INSURER E; INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR rypE OF INSURANCE COIL UBR POLICY NUMBER MMIDDIYTYYDFF POLICY LIMITS EXP LTR GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A rX COMMERCIAL GENERAL LIABILITY X 01CM2310840 12/29/13 12/29114 pREM SES EawTu.O..e $ 1,000,000 CLAIMS-MADE 1XI OCCUR MED EXP(Any one person) $ 10,000 PERSONAL B AW INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEML AGGREGATE LIMITAPPLIES PER: PRODUCTS-COMP/OP AGO $ 2,000,000 POLICYEl PRO- 1-1 LOC $ P UTOMOBILE LIABILITY COMBINED SINGLE LIMIT1,000,000 Ea accident SAANY AUTO 01C142310840 12/29/13 12/29/14 BODILY INJURY(Per perso ) $ ALL OWNED SCHEDULED BODILY INJURY(Peracadeot) $ AUTOS AUTOS HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident 8 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB 11 CLAIMS-MADE AGGREGATE $ DED I I RETENTIONS $ WORKERS COMPENSATION WC STATU- TH- ANDEMPLOYERS'LIABILITY YIN TORY OMITS R ANY PROPRIETORIPARTNER!EXECUTIVE❑ NIA E.L.EACH ACCIDENT II OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ V es,desciibe under DE SCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 10i,Additional Remarks Schedule,if more space Is required) SEE HOLDER NOTES CERTIFICATE HOLDER CANCELLATION CITKENT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1 City Of Kent ACCORDANCE WITH THE POLICY PROVISIONS. III 220 4th Ave S. Kent,WA 98032 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD NOTEPAD. HOLDER CODE CITKENT GIBSO.9 PAGE INSURE'S NAME Gibson Economics,Inc. OP ID KT DATE 08118/14 City of Kent is Additional Insured,with respect to the General Liability if required b written contract or written agreement,subject to General Liability Additional Insured Provision. Primary&Non-contributory Coverage applies with respect to the General Liability. 30 Days'Notice of Cancellation. 10 Days'Notice of Cancellation for non-payment of premium. l i i --d^� GIBSO-9 OP ID:TRLY CERTIFICATE OF LIABILITY INSURANCE DATEIMM3/14 YI 1 zrz3/14 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(les)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Liberty Mutual insurance PHONE FAX PD BOX 188065 .LAIC No Ext. Fairfield,OH 45018 E-MAIL SPRAGUE ISRAEL GILES INC ADDRESS: _ INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:American States Insurance 19704 INSURED Gibson Economics, Inc. INSURER 8: 600 1 sit Ave.Ste.630 --- --- _ --- - - L. Seattle,WA 98104 INSURER C --- --- --- ----- --_---- INSURER D INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE P ILTR DDL UBR -- - 1-POLICY EFF POLICY EXP POLICY NUMBER MMIDDIYYYY MMIDD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY 01CI42310850 12129/14 12(29115 0 PREMISES Ea cccur ante $( 1, 0000 11 0 { ..J CLAIMS-MADE XI OCCUR MED EXP(Any one person) $ 10 000 PERSONAL&ADV INJURY $ 1,000,00 GENERAL AGGRFGATE $ 2,000,00 [GENT AGGREGATE LIMIT APPLIESPER: PRODUCTS AGG S 2,000,00 X 'POLICY PRO- --LOC $ AUTOMOBILE LIABILITY '.. '', COEa MBINED acci de nt SINGLE LIMIT 1,000,000 A _ ANY AUTO _ �O1CI42310850 12129/14 12/29/16 BODILY INJURY{Per person) $ ALL OWNED AUTOS AUTOS--- SCHEDULED BODILY INJURY(Per accident) $ _ X HIRED AUTOS X WNED PROPERTY DAMAGE $ -- AUTONONOS Peracoldord UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTIONS $ WORKERS COMPENSATION VJC STATU- 'rH- ANDEMPLOYERS'LIABILITY YIN ORV LIMITS ER ANY PROPRIETORIPARTNERIEXECUTIVE❑ NtA EL EACH ACCIDENT _ $ OFFICERMEMBER EXCLUDED? —'----' -- (Mandator,In NH) EL DISEASE-EA EMPLOYE $ If yes,tlescribe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ '.. i DESCRIPTION OF OPERATIONS LOCATIONS tUEHiCLES(Attach ACOR010t,Additional Remarks Schedule,if more apace is required) CERTIFICATE HOLDER CANCELLATION CITKENT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF KENT ACCORDANCE WITH THE POLICY PROVISIONS. 220 4TH AVE S KENT,WA 98032 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD ""REPRINTEDFROM THE ARCHIVE.THE ORIGINAL TRANSACTION MAY INCLUDEADOITIONAL FORMS ""' j Your Independent Liberty Mutual Insurance Agent: SPRAGUE ISRAEL GILES INC 1501 4TH AVE STE 730 SEATTLE, WA 98101 (877) 538-1920 GIBSON ECONOMICS, INC. 600 1ST AVE STE 630 SEATTLE, WA 98104 I Your COMMERCIAL INSURANCE POLICY i LibertyMutual. j INSURANCE AMERICAN STATES INSURANCE COMPANY A Stock Company Safeco Plaza Seattle, WA 98185.0001 i Covert 09 03 EP AFP,META2-19-PRINT001-0386-0003-V -REPRINTED FROM THE ARCHIVE.THE ORIGINAL TRANSACTION MAY INCLUDE ADDITIONAL FORMS Thank you for selecting Liberty Mutual Insurance and SPRAGUE ISRAEL GILES INC for your business insurance needs. We appreciate your business. For all your service needs, contact your Mutual__Insurance Client Service Unit at: 1 -877-538-1920 24-hour service: • Claims reporting and service 8 a.m. to 8 p.m. ET: Policy changes and inquiries • Billing questions and issues • Issuing Certificates of Insurance To make sure you have adequate coverage for your business, carefully consider the following questions and, if you answer yes, please contact Liberty Mutual Insurance at 1-877-538.1920 between 8 a.m. and 8 p.m. ET with updated Information. In the past year, has your business: • purchased, leased or acquired any new properties or locations? Do you operate in any new states or countries? • changed your operation, engaged in any new activities, introduced new services or products? If you own your building, has there been any change in the tenants? • changed the financial control or legal structure? • entered into new contracts, and if so, have they been reviewed for hold-harmless clauses and insurance requirements? • increased or decreased staffing, payroll or sales? • made any capital expenditures or disposed of any capital assets? • purchased any additional personal property, such as tools, fine art, or computer equipment? • upgraded your premises (installed a safe or burglar alarm, or replaced the roof, plumbing, heating system or - wiring)? • added or deleted any vehicles or drivers? Reminder: While some interested parties such as mortgagees will receive evidence of coverage, Certificates of Insurance do not automatically renew with your policy. Please contact us with your authorization if you need a certificate of Insurance to be issued with this renewal policy. We look forward to helping you succeed in your business for years to come. Liberty Mutual. INSURANCE 6-4759 9/03 EF I AFP-ME WG-19�PRI NT001-0388-0004V "'•REPRINTED FROM THE ARCHIVE.THE ORIGINAL TRANSACTION MAY INCLUDE ADDITIONAL FORMS AMERICAN STATES INSURANCE COMPANY PAGE 01 SEATTLE, WASHINGTON ACT * POLICY CHANGE * EFFECTIVE: 08-13-14 * POLICY NUMBER: 01-CI-423108-4 NAMED GIBSON ECONOMICS INC. AGENT: SPRAGUE ISRAEL GILES INC INSURED 600 1ST AVE STE b0 1501 4TH AVE STE 730 AMAILING DDRESS; SEATTLE, WA 98104 SE46-ATTLE WA 98(052) (877) 538-1920 POLICY PERIOD: FROM 12-29-13 TO 12-29-14 k * * THE CHANGE IN YOUR POLICY RESULTS IN NO CHANGE IN PREMIUM. * * * Added entity to CG7635 as follows: * City of Kent * 220 4th Ave S. * ' Kent, WA 98032* * THE FOLLOWING HAS BEEN CHANGED ------------------------------ Y I 9-CM(01-86) NORTHEAST (NICLU j INSUREDCOPY PREPARED 08-19-14 AFP.META2.19-PRINT001-0388-00DS-V POLICY CHANGEµEREPRINTED FROM XTENSION THE ARCHNE.THE ORIGINAL TRANSACTION MAY INCLUDE ADDITIONAL FORMS -- PAGE 02 EFFECTIVE: 08/13/14 AST NAMED INSURED: GIBSON ECONOMICS, INC. POLICY NUMBER: 01-CI-423108-4 *GENERAL LIABILITY* ******************* THE FOLLOWING FORMS HAVE BEEN ADDED OR CHANGED ---------------------------------------------- CG7635 (0207) t 9-CM(01-86) NORTHEAST (NICLU ) PREPARED 08-19-14 AFP-META2.19-PRINT001-0380-0007-V —REPRINTED FROM THE ARCHIVE,THE ORIGINAL TRANSACTION MAY INCLUDE ADDITIONAL FORMS LlbertyMutual. COMMERCIAL GENERAL LIABILITY VVV INSURANCE CG76350207 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LIABILITY PLUS ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: City of Kent I I ADDITIONAL INSURED — BY WRITTEN lease or occupy, subject to the following CONTRACT, AGREEMENT OR PERMIT, OR additional provisions: SCHEDULE (a) This insurance does not apply to The following paragraph is added to WHO IS AN any "occurrence"which takes place INSURED (Section II}: after you cease to be a tenant in any premises leased to or rented to 4. Any person or organization shown in the Sched- you; ule or for whom you are required by written con- (b) This insurance does not apply to tract, agreement or permit to provide insurance any structural alterations, new con- is an insured, subject to the following additional struction or demolition operations provisions: performed by or on behalf of the a. The contract, agreement or permit must be person or organization added as an in effect during the policy period shown in insured; the Declarations, and must have been exe- (2) Your ongoing operations for that in- cuted prior to the "bodily injury", "property sured, whether the work is performed damage", or "personal and advertising by you or for you; injury". (3) The maintenance, operation or use by b. The person or organization added as an in- you of equipment leased to you by such sured by this endorsement is an insured only person or organization, subject to the to the extent you are held liable due to: following additional provisions: (1) The ownership, maintenance or use of (a) This insurance does not apply to that part of premises you own, rent, any "occurrence"which takes place after the equipment lease expires; I Includes Copyrighted Material of Insurance Services Office, Inc., with its permission. Copyright, Insurance Services, 2001 CG 76 35 02 07 Page t of 4 EP AFRMETA2.19-PRINT007-0388-0009-V ', ""REPRINTED FROM THE ARCHIVE.THE ORIGINAL TRANSACTION MAY INCLUDE ADDITIONAL FORMS "" (b) This insurance does not apply to This exclusion applies even if the claims "bodily injury" or "property dam- against any insured allege negligence or age" arising out of the sole negli- other wrongdoing in the supervision, hiring, gence of such person or employment, training or monitoring of others organization; by that insured, if the "occurrence" which caused the 'bodily injury" or "property (4) Permits issued by any state or political damage" involved the ownership, mainte- subdivision with respect to operations nance, use or entrustment to others of any performed by you or on your behalf, aircraft, "auto" or watercraft that is owned subject to the following additional pro- or operated by or rented or loaned to any in- vision: sured. This insurance does not-apply to-!bodily- This exclusion does not apply to: --- ----- injury", "property damage", or (1) A watercraft while ashore on premises "personal and advertising injury" arising you own or rent; out of operations performed for the state or municipality. (2) A watercraft you do not own that is: c. The insurance with respect to any architect, (a) Less than 52 feet long; and engineer, or surveyor added as an insured (b) Not being used to carry persons or by this endorsement does not apply to property for a charge; "bodily injury", "property damage", or "per- sonal and advertising injury" arising out of (3) Parking an "auto" on, or on the ways the rendering of or the failure to render any next to, premises you own or rent, pro- professional services by or for you, includ- vided the "auto" is not owned by or ing: rented or loaned to you or the insured; (1) The preparing, approving, or failing to (4) Liability assumed under any "insured prepare or approve maps, drawings, contract" for the ownership, mainte- nance or use of aircraft or watercraft; or opinions, reports, surveys, change or- ders, designs or specifications; and (5) "Bodily injury" or "property damage" (2) Supervisory, inspection or engineering arising out of: services. (a) the operation of machinery or equipment that is attached to, or d. This insurance does not apply to "bodily Pp Y Y part of, a land vehicle that would injury" or "property damage" included within qualify under the definition of the "products-completed operations haz- "mobile equipment" if it were not and". subject to a compulsory or financial responsibility law or other motor ve- A person's or organization's status as an insured un- hicle insurance law in the state der this endorsement ends when your operations for where it is licensed or principally that insured are completed. garaged; or No coveragewill be provided if, in the absence of this (b) the operation of any of the machin- p ery or equipment listed in Paragraph endorsement, no liability would be imposed by law on f.(2) or f.(3) of the definition of you. Coverage shall be limited to the extent of your "mobile equipment". negligence or fault according to the applicable princi- ples of comparative fault. (6) An aircraft you do not own provided it is not operated by any insured. NON-OWNED WATERCRAFT AND NON-OWNED AIRCRAFT LIABILITY TENANTS' PROPERTY DAMAGE LIABILITY Exclusion g. of COVERAGE A (Section 1) is replaced When a Damage To Premises Rented To You Limit is by the following: shown in the Declarations, Exclusion j. of Coverage A, Section I is replaced by the following: g. "Bodily injury" or "property damage" arising out of the ownership, maintenance, use or 1• Damage To Property entrustment to others of any aircraft, "auto" "Property damage" to: or watercraft owned or operated by or rented or loaned to any insured. Use includes oper- (1) Property you own, rent, or occupy, including ation and "loading or unloading". any costs or expenses incurred by you, or Page 2 of 4 AFP-MEfA2.19-PRINTDD7-0386-0010�V i '•'•REPRINTED FROM THE ARCHIVE.THE ORIGINAL TRANSACTION MAY INCLUDE ADDITIONAL FORMS "•' any other person, organization or entity, for WHO IS AN INSURED — MANAGERS repair, replacement, enhancement, restora- tion or maintenance of such property for any The following is added to Paragraph 2.a. of WHO IS reason, including prevention of injury to a AN INSURED (Section II): person or damage to another's property; (2) Premises you sell, give away or abandon, if Paragraph(1) does not apply to executive officers, or the "property damage"arises out of any part to managers at the supervisory level or above. of those premises; (3) Property loaned to you; SUPPLEMENTARY PAYMENTS — COVERAGES A p y y AND B — BAIL BONDS — TIME OFF FROM (4) Personal property In the care, custody or WORK __-control-of_the_insured; ------- .. ........ __ -- ----------___-_-- ! Paragraph 1.b. of SUPPLEMENTARY PAYMENTS — (5) That particular part of real property on which COVERAGES A AND B is replaced by the following: you or any contractors or subcontractors working directly or indirectly on your behalf b. Up to $3,000 for cost of ball bonds required are performing operations, If the "property because of accidents or traffic law violations damage" arises out of those operations, or arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. (6) That particular part of any property that must We do not have to furnish these bonds. be restored, repaired or replaced because "your work" was incorrectly performed on it. Paragraph 1.d. of SUPPLEMENTARY PAYMENTS — Paragraphs (1), (3) and (4) of this exclusion do COVERAGES A AND B is replaced by the following: not apply to "property damage" (other than d. All reasonable expenses incurred by the in- damage by fire) to premises, including the con- sured at our request to assist us in the in- tents of such premises, rented to you.A separate vestigation or defense of the claim or "suit", limit of insurance applies to Damage To Prem- including actual loss of earnings up to $500 ises Rented To You as described in Section III a day because of time off from work. — Limits Of Insurance. Paragraph (2) of this exclusion does not apply if EMPLOYEES AS INSUREDS — HEALTH CARE the premises are "your work" and were never SERVICES occupied, rented or held for rental by you. Provision 2.a.(1)(d) of WHO IS AN INSURED (Section Paragraphs (3), (4), (5) and (6) of this exclusion 11) is deleted, unless excluded by separate endorse- do not apply to liability assumed under a side- ment. track agreement. Paragraph (6) of this exclusion does not apply to EXTENDED COVERAGE FOR NEWLY ACQUIRED "property damage" included in the "products- ORGANIZATIONS completed operations hazard". Provision 3.a. of WHO IS AN INSURED (Section II) is Paragraph 6. of LIMITS OF INSURANCE (Section III) replaced by the following: is replaced by the following: a. Coverage under this provision is afforded 6. Subject to 5, above, the Damage To Premises only until the end of the policy period. Rented To You Limit Is the most we will pay un- der Coverage A for damages because of "property damage" to any one premises, while rented to you, or in the case of damage by fire, Exclusion a. of COVERAGE A (Section 1) is replaced while rented to you or temporarily occupied by by the following: you with permission of the owner. a. "Bodily injury" or "property damage" expected or intended from the standpoint of the insured. The Damage To Premises Rented To You limit is the This exclusion does not apply to "bodily injury" higher of the Each Occurrence Limit shown in the or "property damage" resulting from the use of Declarations or the amount shown In the Declarations reasonable force to protect persons or property. as Damage To Premises Rented To You Limit. Ge 16 35 02 07 Page 3 of 4 EP AFP-META2-19-PRINT001.0388-OO114 ""REPRINTEDPROM THE ARCHIVE.THE ORIGINAL TRANSACTION MAY INCLUDE ADDITIONAL FORMS _- EXTENDED DEFINITION OF BODILY INJURY interrupted only by a street, roadway, waterway, or right-of-way of a railroad. Paragraph 3. of DEFINITIONS (Section V) is replaced by the following: INCREASED MEDICAL EXPENSE LIMIT 3. "Bodily injury" means bodily injury, sickness or The Medical Expense Limit is amended to$10,000. disease sustained by a person, including mental anguish or death resulting from any of these at KNOWLEDGE OF OCCURRENCE any time. The following is added to Paragraph 2. Duties In The TRANSFER OF RIGHTS OF RECOVERY Event Of Occurrence, Offense, Claim Or Suit of - - - --------- ------ COMMERCIAL- GENERAL -LIABILITY CONDITIONS- -- The following is added to Paragraph 8. Transfer Of (Section IV): Rights Of Recovery Against Others To Us of COM- MERCIAL GENERAL LIABILITY CONDITIONS (Sec- Knowledge of an "occurrence", claim or "suit" by tion IV): your agent, servant or employee shall not in itself constitute knowledge of the named insured unless an We waive any rights of recovery we may have against officer of the named insured has received such notice any person or organization because of payments we from the agent, servant or employee. make for injury or damage arising out of your ongoing operations or "your work" done under a contract with UNINTENTIONAL FAILURE TO DISCLOSE ALL that person or organization and included in the HAZARDS "products-completed operations hazard". This waiver applies only to a person or organization for whom you The following is added to Paragraph 6. Representa- are required by written contract, agreement or permit tions of COMMERCIAL GENERAL LIABILITY CONDI- to waive these rights of recovery. TIONS (Section IV): AGGREGATE LIMITS OF INSURANCE — PER If you unintentionally fail to disclose any hazards ex- LOCATION isting at the inception date of your policy, we will not deny coverage under this Coverage Form because of For all sums which the insured becomes legally obli- such failure. However, this provision does not affect gated to pay as damages caused by "occurrences® our right to collect additional premium or exercise our under COVERAGE A (Section 1), and for all medical right of cancellation or non-renewal. expenses caused by accidents under COVERAGE C (Section I), which can be attributed only to operations LIBERALIZATION CLAUSE at a single "location": The following paragraph Is added to COMMERCIAL Paragraphs 2.a. and 2.b. of Limits of Insurance (Sec- GENERAL LIABILITY CONDITIONS (Section IV): tion III) apply separately to each of your `locations" owned by or rented to you. 10. If a revision to this Coverage Part, which would provide more coverage with no additional pre- "location" means premises involving the same or mium, becomes effective during the policy period connecting lots, or premises whose connection is in the state shown in the Declarations, your pol- icy will automatically provide this additional cov- erage on the effective date of the revision. Page 4 of 4 AFP.f4ETA2-19-PRINTOD1.D386-0D12-V-L REPRINTED FROM THE ARCHIVE.THE ORIGINAL TRANSACTION MAY INCLUDE ADDITIONAL FORMS LibertyMutual. INSURANCE SPRAGUE ISRAEL GILES INC 1501 4TH AVE STE 730 SEATTLE, WA 98101 _ GIBSON_ECONOMICS, 600 IST AVE STE 630 SEATTLE, WA 98104 i I Thank you for placing your business with Liberty Mutual Insurance. = NORTHEAST 25 C -252) CB INSURED COPY PREPARED 08-13-14 6-2413 (2-91) AFP-META2-13-PRINT00h0364-M01-Z REPRINTEDFROM THE ARCHNE.THE ORIGINAL TRANSACTION MAY INCLUDE ADDITIONAL FORMS Your Independent Liberty Mutual Insurance Agent: SPRAGUE ISRAEL GILES INC 1501 4TH AVE STE 730 SEATTLE, WA 98101 (877) 538-1920 GIBSON ECONOMICS, INC. 600 1ST AVE STE 630 SEATTLE, WA 98104 Your COMMERCIAL INSURANCE POLICY Liberty Mutual. INSURANCE AMERICAN STATES INSURANCE COMPANY A Stock Company Safeco Plaza Seattle, WA 98185.0001 -- Covers 09 03 EP AFP;dETA243 PRINT00ho364�0003 Z REPRINTED FROM THE ARCHIVE.THE ORIGINAL TRANSACTION MAY INCLUDE ADDITIONAL FORMS •"' Thank you for selecting Liberty Mutual Insurance and SPRAGUE ISRAEL GILES INC for your business insurance needs. We appreciate your business. For all your service needs, contact your Liberty._Mutual.-_Insurance ____ __ _ __ _ Client Service Unit at: 1 -877-538-1920 24-hour service: • Claims reporting and service i 8 a.m. to 8 p.m. ET: Policy changes and inquiries • Billing questions and issues • Issuing Certificates of Insurance To make sure you have adequate coverage for your business, carefully consider the following questions and, if you answer yes, please contact Liberty Mutual Insurance at 1.877-538.1920 between 8 a.m. and 8 p,m, ETwith updated information. In the past year, has your business: • purchased, leased or acquired any new properties or locations? Do you operate in any new states or countries? • changed your operation, engaged in any new activities, introduced new services or products? If you own your building, has there been any change in the tenants? • changed the financial control or legal structure? • entered into new contracts, and if so, have they been reviewed for hold-harmless clauses and insurance requirements? • increased or decreased staffing, payroll or sales? • made any capital expenditures or disposed of any capital assets? • purchased any additional personal property, such as tools, fine an, or computer equipment? • upgraded your premises (installed a safe or burglar alarm, or replaced the roof, plumbing, heating system or wiring)? • added or deleted any vehicles or drivers? Reminder: While some interested parties such as mortgagees will receive evidence of coverage, certificates of Insurance do not automatically renew with your policy. Please contact us with your authorization if you need a Certificate of Insurance to be issued with this renewal policy. We look forward to helping you succeed in your business for years to come. tkI fiber ty Mutual. INSURANCE 6-4759 9103 EP AFP-META273-PRINTOOf-0354-0004.Z ^'REPRINTEDFROM THEARCHIVE.THE ORIGINAL TRANSACTION MAY INCLUDE ADDITIONAL FORMS -- AMERICAN STATES INSURANCE COMPANY PAGE 01 SEATTLE, WASHINGTON AGT POLICY CHANGE * EFFECTIVE: 08-13-14 * POLICY NUMBER: 01-CI-423108-4 NAMED GIBSON ECONOMICS INC. AGENT: SPRAGUE ISRAEL GILES INC INSURED 600 1ST AVE STE �30 1501 4TH AVE STE 730 AMAILING DDRESS: SEATTLE, WA 98104 SEATTLE WA 9811 (877) 538-1920 POLICY PERIOD: FROM 12-29-13 TO 12-29-14 * * * THE CHANGE IN YOUR POLICY RESULTS IN AN ADDITIONAL PREMIUM OF $123 .76. * YOU WILL BE BILLED THROUGH YOUR CUSTOMER ACCOUNT #060-1152-061-01. * * Added form PNC and 30day NOC in favor of: * CITY OF KENT * 220 4TH AVE S KENT, WA 98032 THE FOLLOWING HAS BEEN ADDED ---------------------------- OTHER # 1 CITY OF KENT INTERESTS: 220 4TH AVE S KENT, WA 98032 CERTIFICATE HOLDER 30DAY NOC PREMISES #001 THE FOLLOWING HAS BEEN CHANGED ------------------------------ 9-CM(01-86) NORTHEAST (NICLU ) INSUREDCOPY PREPARED 08-13-14 AFP-ME TA2-13-PRINT5O1-0364-0005-Z '.. POLICY CHANGE EXTENSION THEARGHIVE.THE ORIGINAL TRANSACTION MAVINCLUDEADDITIONALFORMS PAGE 02 EFFECTIVE: 08/13/14 AGT NAMED INSURED: GIBSON ECONOMICS, INC. POLICY NUMBER: 01-CI-423108-4 *GENERAL LIABILITY* THE FOLLOWING HAS BEEN ADDED ---------------------------- ------------------------------ _. CLASS CLASSIFICATION-PREMIUM BASIS EXPOSURE RATE PREMIUM ---------------------------------------------------------------------------------- COMMERCIAL GENERAL LIABILITY OTHER THAN-PRODUCTS-COMPLETED OPERATIONS -- ** LOCATION # 1 ** 49950 ADDITIONAL INSURED - PRIMARY - NONCONTRIBUTORY (PER A➢DITIONAL INSURED) 1 198,7500 $ 199.00 TO MEET COVERAGE MINIMUM 35.00 CERTIFIED ACTS OF TERRORISM $ 7.00 THE FOLLOWING FORMS HAVE BEEN ADDED OR CHANGED ---------------------------------------------- CG7680(1002) CG0224(1093) i I i I 9-CM(01-86) NORTHEAST (NICLU ) PREPARED 08-13-14 AFP-META2-13-PRINTOOtA364-0007-Z "-REPRINTEDFROMTiEARCHIVE.THE ORIGINAL TRANSACTION MAY INCLUDE ADDITIONAL FORMS "" LibertyMutual. COMMERCIAL GENERAL LIABILITY INSURANCE CG02241093 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EARLIER NOTICE OF CANCELLATION PROVIDED BY US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Number of Days' Notice: 30 (If no entry appears above, information required to complete this Schedule will be shown in the Declarations as applicable to this endorsement.) For any statutorily permitted reason other than nonpayment of premium, the number of days required for notice of cancellation, as provided in paragraph 2. of either the CANCELLATION Common Policy Condition or as amended by an applicable state cancellation endorsement, is Increased to the number of days shown in the Schedule above. Copyright, Insurance Services Office, Inc., 1992 CG 02 24 10 93 EP i i AFP�META2-13-PRINTODi-0364-ODD$Z ! '.. ""REPRINTEOFROMTHEARCHIVE,THE ORIGINAL TRANSACTION MAY INCLUDEAODITIONAL FORMS LibertyMutual. CG 76 80 10 02 INSURANCE THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED PRIMARY COVERAGE This endorsement modifies insurance provided under the following: — ---COMMERCIAL-GENERAL LIABILITY COVERAGE PART - " SCHEDULE Name of Person or Organization: CITY OF KENT I (If no entry appears above, Information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) SECTION II — WHO IS AN INSURED is amended you. Coverage shall be limited to the extent of your to include as an additional insured the person or negligence or fault according to the applicable princi- organization shown in the Schedule subject to the ples of comparative fault. following provisions: 1. The additional insured is an insured but only for The insurance provided will not exceed the lesser of: liability directly resulting from: a. The coverage and/or limits of this policy, or a. your ongoing operations for the additional in- b. The coverage and/or limits required by the sured whether the work is performed by you contract, agreement or permit, or for you; or With respect to the Insurance afforded the additional b. the general supervision of your ongoing op- insured, paragraph 4, of SECTION IV — COMMER- erations by the additional insured. CIAL GENERAL LIABILITY CONDITIONS is de- 2. This insurance does not apply to: leted and replaced by the following: a. `Bodily injury" or "property damage" arising 4. Other Insurance out of any act or omission of, or for defects a. This insurance is primary and noncontrib- in design furnished by or for, the additional utory, and our obligations are not affected by insured or any other insurance where the additional in- b. "Bodily Injury" or "property damage" in- sured is the Named Insured, whether pri- cluded within the "products-completed oper- mary, excess, contingent, or on any other ations hazard." basis; however, the defense of any claim or "suit" must be tendered as soon as practi- A person's or organization's status as an additional cable to all other insurers which potentially insured under this endorsement ends when your op- provide insurance for such claim or "suit". erations for that insured are completed. b. This additional provision applies only to the additional insured shown in the Schedule No coverage will be provided if, in the absence of this and the coverage provided by this endorse- endorsement, no liability would be Imposed by law on ment. j i I CG 76 80 10 02 EP ARP-META2-13-PRINT0010364-0010-Z-L !