Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
PW15-087 - Original - Erlandsen - S 224th St East Leg: Phase I - 03/13/2015
® Records � Man - e rn ehl s � KENT Document 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: Erlandsen Vendor Number: ]D Edwards Number Contract Number: This is assigned by City Clerk's Office Project Name: S. 224t" St. East Leg, Phase I Description: ❑ Interlocal Agreement ❑ Change Order ❑ Amendment ® Contract ❑ Other: i IS— Contract Effective Date: Date of the Mayor's signature Termination Date: 5/1/15 Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Toby Mollett Department: Engineering Contract Amount: $16,680.00 Approval Authority: (CIRCLE ONE) Department Director Mayor City Council Detail: (i.e. address, location, parcel number, tax id, etc.): Provide survey scanning services of SR 167 between 84t" Ave. S. and S. 216t" St. As of: 08/27/14 SURVEY DEPARTMENT Toby L. Mollett, P.L.S. • Assistant City Surveyor KENT WASHING70N Phone: 253-856-5574 Fax: 253-856-6500 i Address: 220 Fourth Avenue S. Kent, WA 98032-5895 MEMORANDUM: Date: February 18, 2015 To: Chad Bieren, City Engineer From: Toby Mollett, Asst. City Surveyor RE: Mobile Scanning Consultant Services The Design Engineering section requires topographic information of the existing SR 167 freeway between S. 228th St. and S. 212th St. for the design of a new overpass bridge. It is not feasible for the Land Survey section to obtain this data due to staff and equipment constraints. Erlandsen Surveying and Engineering are proficient with the needed services and provide the same such data to multiple jurisdictions in Idaho and Washington. Erlandsen comes highly recommended from the local surveying equipment vendor and are the only owners of the current scanning technology needed to accomplish this work. I Upon my request, Erlandsen provided a quote for services to complete a mobile scan of the project. KETIT PROFESSIONAL SERVICES AGREEMENT between the City of Kent and Erlandsen THIS AGREEMENT is made between the City of Kent, a Washington municipal corporation (hereinafter the "City"), and Erlandsen organized under the laws of the State of Washington, located and doing business at 250 Simon St. SE, East Wenatchee, WA 98802, Phone: (509) 884-2562/Fax: (509) 884- 2814, Contact: Jeff Berry (hereinafter the "Contractor"). I. DESCRIPTION OF WORK. Contractor shall perform the following services for the City: The Contractor shall provide scanning services for SR 167 between 84`h Ave. S. and S. 216" St. For a description, see the Contractor's Scope of Work which is attached as Exhibit A and incorporated by this reference. Contractor further represents that the services furnished under this Agreement will be performed in accordance with generally accepted professional practices within the Puget Sound region in effect at the time those services are performed. II. TIME OF COMPLETION. The parties agree that work will begin on the tasks described in Section I above immediately upon the effective date of this Agreement, and Contractor shall complete the work by by M��r2(J3-5 t =.;#?;i.3' -�' ,` Q `:, r 1,15 III. COMPENSATION. The City shall pay Contractor a total amount not to exceed Sixteen Thousand, Six Hundred Eighty Dollars ($16,680.00) for the services described in this Agreement. The Contractor shall invoice the City monthly based on time and materials incurred during the preceding month. The hourly rates charged for Contractor's services shall be as delineated in the attached and incorporated Exhibit A. All hourly rates charged shall remain locked at the negotiated rates throughout the term of this Agreement. IV. INDEPENDENT CONTRACTOR. The parties intend that an Independent Contractor- Employer Relationship will be created by this Agreement. By their execution of this Agreement, and in accordance with Ch. 51.08 RCW, the parties make the following representations: A. The Contractor has the ability to control and direct the performance and details of its work, the City being interested only in the results obtained under this Agreement. B. The Contractor maintains and pays for its own place of business from which Contractor's services under this Agreement will be performed. C. The Contractor has an established and independent business that is eligible for a business deduction for federal income tax purposes that existed before the City retained Contractor's services, or the Contractor is engaged in an independently established trade, occupation, profession, or business of the same nature as that involved under this Agreement. D. The Contractor is responsible for filing as they become due all necessary tax documents with appropriate federal and state agencies, including the Internal Revenue Service and the state Department of Revenue. PROFESSIONAL SERVICES AGREEMENT - 1 (Over$10,000) E. The Contractor has registered its business and established an account with the state Department of Revenue and other state agencies as may be required by Contractor's business, and has obtained a Unified Business Identifier (UBI) number from the State of Washington. F. The Contractor maintains a set of books dedicated to the expenses and earnings of its business. V. TERMINATION. Either party may terminate this Agreement, with or without cause, upon providing the other party seven (7) calendar days written notice at its address set forth on the signature block of this Agreement. VI. DISCRIMINATION. In the hiring of employees for the performance of work under this Agreement or any subcontract, the Contractor, its subcontractors, or any person acting on behalf of the Contractor or subcontractor shall not discriminate against any person who is qualified and available to perform the work to which the employment relates as provided for by the City of Kent's Equal Employment Opportunity Policy, Contractor shall execute the attached City of Kent Equal Employment Opportunity Policy Declaration, Comply with City Administrative Policy 1.2, and upon completion of the contract work, file the attached Compliance Statement. VII. INDEMNIFICATION. Contractor shall defend, indemnify and hold the City, its officers, officials, employees, agents and volunteers harmless from any and all claims, injuries, damages, losses or suits, including all legal costs and attorney fees, arising out of or in connection with the Contractor's performance of this Agreement, except for that portion of the injuries and damages caused by the City's negligence. The City's inspection or acceptance of any of Contractor's work when completed shall not be grounds to avoid any of these covenants of indemnification. The provisions of this section shall survive the expiration or termination of this Agreement. In the event Contractor refuses tender of defense in any suit or any claim, if that tender was made pursuant to this indemnification clause, and if that refusal is subsequently determined by a court having jurisdiction (or other agreed tribunal) to have been a wrongful refusal on the Contractor's part, then Contractor shall pay all the City's costs for defense, including all reasonable expert witness fees and reasonable attorneys' fees, plus the City's legal costs and fees incurred because there was a wrongful refusal on the Contractor's part. VIII. INSURANCE. The Contractor shall procure and maintain for the duration of the Agreement, insurance of the types and in the amounts described in Exhibit B attached and incorporated by this reference. XII. CONTRACTOR'S WORK AND RISK. The Contractor agrees to comply with all federal, state, and municipal laws, rules, and regulations that are now effective or in the future become applicable to Contractor's business, equipment, and personnel engaged in operations covered by this Agreement or accruing out of the performance of those services. All work shall be done at Contractor's own risk, and Contractor shall be responsible for any loss of or damage to materials, tools, or other articles used or held for use in connection with the work. XIII. MISCELLANEOUS PROVISIONS. A. Recyclable Materials. Pursuant to Chapter 3.80 of the Kent City Code, the City requires its contractors and consultants to use recycled and recyclable products whenever practicable. A price preference may be available for any designated recycled product. B. Non-Waiver of Breach. The failure of the City to insist upon strict performance of any of the covenants and agreements contained in this Agreement, or to exercise any option conferred by this Agreement in one or more instances shall not be construed to be a waiver or relinquishment of those covenants, agreements or options, and the same shall be and remain in full force and effect. PROFESSIONAL SERVICES AGREEMENT - 2 (Over$10,000) C. Resolution of Disputes and Governing Law. This Agreement shall be governed by and construed in accordance with the laws of the State of Washington. If the parties are unable to settle any dispute, difference or claim arising from the parties' performance of this Agreement, the exclusive means of resolving that dispute, difference or claim, shall only be by filing suit exclusively under the venue, rules and jurisdiction of the King County Superior Court, King County, Washington, unless the parties agree in writing to an alternative dispute resolution process. In any claim or lawsuit for damages arising from the parties' performance of this Agreement, each party shall pay all its legal costs and attorney's fees incurred in defending or bringing such claim or lawsuit, including all appeals, in addition to any other recovery or award provided by law; provided, however, nothing in this paragraph shall be construed to limit the City's right to indemnification under Section VII of this Agreement. D. Written Notice. All communications regarding this Agreement shall be sent to the parties at the addresses listed on the signature page of the Agreement, unless notified to the contrary. Any written notice hereunder shall become effective three (3) business days after the date of mailing by registered or certified mail, and shall be deemed sufficiently given if sent to the addressee at the address stated in this Agreement or such other address as may be hereafter specified in writing. E. Assignment. Any assignment of this Agreement by either party without the written consent of the non-assigning party shall be void. F. Modification. No waiver, alteration, or modification of any of the provisions of this Agreement shall be binding unless in writing and signed by a duly authorized representative of the City and Contractor. G. Entire Agreement. The written provisions and terms of this Agreement, together with any Exhibits attached hereto, shall supersede all prior verbal statements of any officer or other representative of the City, and such statements shall not be effective or be construed as entering into or forming a part of or altering in any manner this Agreement. Should any language in any of the exhibits to this Agreement conflict with any language contained in this Agreement, the terms of this Agreement shall prevail. H. City Business License Required. Prior to commencing the tasks described in Section I, Contractor agrees to provide proof of a current city of Kent business license pursuant to Chapter 5.01 of the Kent City Code. I. Counterparts. This Agreement may be executed in any number of counterparts, each of which shall constitute an original, and all of which will together constitute this one Agreement, IN WITNESS, the parties below execute this Agreement, which shall become effective on the last date entered below. CONTRACTOR: CITY OF KENT: . B (signature y: Print Name: R t e.yi (signature) k Its: k r�- i d �`s 4 I Prfnt,�larr@ Suzette Cooke (title) Its', Mayor DATE: , DATE: fJf� PROFESSIONAL SERVICES AGREEMENT - 3 (Over$10,000) NOTICES TO BE SENT TO: NOTICES TO BE SENT TO: CONTRACTOR: CITY OF KENT: Jeff Berry Timothy J. LaPorte, P.E. Erlandsen City of Kent 250 Simon St, SE 220 Fourth Avenue South East Wenatchee, WA 98802 Kent, WA 98032 (509) 884-2562 (telephone) (253) 856-5500 (telephone) (509) 884-2814 (facsimile) (253) 856-6500 (facsimile) APPR01/ED AS O FOR : Kent Law Department i I PROFESSIONAL SERVICES AGREEMENT - 1 (Over$10,000) DECLARATION CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY POLICY The City of Kent is committed to conform to Federal and State laws regarding equal opportunity. As such all contractors, subcontractors and suppliers who perform work with relation to this Agreement shall comply with the regulations of the City's equal employment opportunity policies, The following questions specifically identify the requirements the City deems necessary for any contractor, subcontractor or supplier on this specific Agreement to adhere to. An affirmative response is required on all of the following questions for this Agreement to be valid and binding, If any contractor, subcontractor or supplier willfully misrepresents themselves with regard to the directives outlines, it will be considered a breach of contract and it will be at the City's sole determination regarding suspension or termination for all or part of the Agreement; The questions are as follows: 1. I have read the attached City of Kent administrative policy number 1.2. 2. During the time of this Agreement I will not discriminate in employment on the basis of sex, race, color, national origin, age, or the presence of all sensory, mental or physical disability. 3. During the time of this Agreement the prime contractor will provide a written statement to all new employees and subcontractors indicating commitment as an equal opportunity employer. 4. During the time of the Agreement I, the prime contractor, will actively consider hiring and promotion of women and minorities. 5. Before acceptance of this Agreement, an adherence statement will be signed by me, the Prime Contractor, that the Prime Contractor complied with the requirements as set forth above. By signing below, I agree to fulfill the five requirements referenced above. Dated this f day of rt e\i2C 20 'fl B ` Y� For.: 4i t -a Title: Date: EEO COMPLIANCE DOCUMENTS - 1 III i. i CITY OF KENT ADMINISTRATIVE POLICY NUMBER: 1.2 EFFECTIVE DATE: January 1, 1998 I SUBJECT: MINORITY AND WOMEN SUPERSEDES: April 1, 1996 CONTRACTORS APPROVED BY Jim White, Mayor POLICY: Equal employment opportunity requirements for the City of Kent will conform to federal and state laws. All contractors, subcontractors, consultants and suppliers of the City must guarantee equal employment opportunity within their organization and, if holding Agreements with the City amounting to $10,000 or more within any given year, must take the following affirmative steps: 1. Provide a written statement to all new employees and subcontractors indicating commitment as an equal opportunity employer. 2. Actively consider for promotion and advancement available minorities and women. Any contractor, subcontractor, consultant or supplier who willfully disregards the City's nondiscrimination and equal opportunity requirements shall be considered in breach of contract and subject to suspension or termination for all or part of the Agreement. Contract Compliance Officers will be appointed by the Directors of Planning, Parks, and Public Works Departments to assume the following duties for their respective departments. 1. Ensuring that contractors, subcontractors, consultants, and suppliers subject to these regulations are familiar with the regulations and the City's equal employment opportunity policy. 2. Monitoring to assure adherence to federal, state and local laws, policies and guidelines. i EEO COMPLIANCE DOCUMENTS - 2 CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE STATEMENT This form shall be filled out AFTER COMPLETION of this project by the Contractor awarded the Agreement. I, the undersigned, a duly represented agent of Company, hereby acknowledge and declare that the before-mentioned company was the prime contractor for the Agreement known as that was entered into on the (date), between the firm I represent and the City of Kent. I declare that I complied fully with all of the requirements and obligations as outlined in the City of Kent Administrative Policy 1.2 and the Declaration City of Kent Equal Employment Opportunity Policy that was part of the before-mentioned Agreement. Dated this day of 20 . By: For: Title: Date: EEO COMPLIANCE DOCUMENTS - 3 I EXHIBIT A 250 Simon Street SE / East Wenatchee,WA 98802 Phone: 509.884.2562 Erlandsen Fax. 509,884.2814 SURVEYING I PLANNING I ENGINEERING I GIS i wM.erlmdsen.com February 2, 2015 Toby Mollett Assistant City Land Surveyor Public Works Department City of Kent 220 Fourth Avenue South Kent, WA98032 Greetings, Below is the scope of work and cost estimate you requested for scanning Highway 167 between 84" and 216tn Scope of Work for Segment of Hwy 167 in Kent To provide the City with a point cloud for the segment of Highway 167 from 841n Ave S to S 216tn St, a distance of approximately 0.75 miles, Erlandsen will complete the following tasks. 1. Establish Ground Control In cooperation with the City, determine the locations for ground control along the shoulders of Hwy 167. The City is willing to set PK nails and establish coordinates for ground control in predefined locations along the project length to use for correcting the point cloud. From our initial project review,we would like to have a PK nail set,one every 500 ft., along the right side shoulder of the north bound lane of Hwy 167,starting on the south side of the SO Ave overpass.We would also like to have the same control set for the south bound lane, PK nails set every 500 ft., starting at the south side of the 84th Ave overpass and heading north, (in the south bound lane). In the north bound lane,there is a section alongthe shoulderjust south of S 218tn St which appears to have some tree cover, (based on Google Earth). We would like to have 3 additional control points set through that stretch, (approximately 200 ft.), one at each end of the cover and one in the middle. Control coordinates should be provided in WGS 84, decimal degrees. Elevations should be in ellipsoid height. ill f 2. Setup Base Station Erlandsen will setup a base station near the project area to operate during scanning operations. It is our understanding that the City has control in the area for us to setup on and can provide us with established coordinates. 3. Collect Mobile Scan Data for Hwy 167 While collecting data, Erlandsen requests the City provide a trailing vehicle with safety lights to follow our scanning vehicle. While scanning we will be traveling at 20 Mph along the right lane of the highway. Erlandsen will begin by scanning the north bound lane of Hwy 167. The nearest on-ramp before the project area appears to be Willis St. The vehicle needs to be stopped when the scanner is started up, so we will park in a lot near the on-ramp and start the scanner. After it is running we will head north on Hwy 167 from Willis St. at the posted speed limit until we reach the 84th Ave. overpass, at which point we will slow down to 20 Mph. We will then continue along Hwy 167 north bound by traveling along the right side lane,starting at the south side of the 851h Ave overpass and continuing on passed S 2181h St. We will exit on to 212th St, and park in the WinCo Foods parking lot to stop the scanner and reset for the south bound scan. Once the equipment is ready for another scan,we will start the scanner and head south on Hwy 167 via the 2121h St on-ramp. Once we are on Hwy 167 South,we will travel at 20 Mph In the right hand lane until we pass the 841h Ave. overpass. At this point we will return to posted speed limits and will exit the highway at Willis St. The vehicle will need to be stopped again to complete the scanning run,so we will park in any available lot and end the scan. 4. Post Process Scan Data Once Erlandsen has return to our offices,we will post process the scan data. Using GeoClean, the data will be post processed against the base station data we collected. It will be prepared for use by Orbit GT. 5. Trajectory Adjustment Using Ground Control Erlandsen will then use Orbit GT Content Manager to adjust the scan data to the ground control collected by the City of Kent. 6. Point Cloud Cleanup Using Orbit GT Content Manager, Erlandsen will review the scan point cloud and remove any anomalous points caused by passing vehicles. We will remove areas of the scan data covered by dense or high vegetation. From the north bound scan, we will remove any points from the point cloud beyond the central meridian to the west and beyond the edge of payment along the shoulder to the east. This will leave a point cloud covering only the paved surface along the north bound lane.We will repeat the process for the south bound scan. In addition,we will remove data scanned north of the S 216m St and south of the 84th Ave overpass. Once the point clouds have been cleaned,they will be exported to LAS files and imported to AutoDesk ReCap where they will be merged into a single point cloud. I 7. Final Deliverable The final cleaned point cloud will be delivered in LAS format and in AutoDesk ReCap format. The original mobile scanning data,the processed mobile scanning data, and the cleaned point clouds will all be delivered on an external USB hard drive to the City. it Cost Estimate Base Cost for Scanning and Preliminary Data Processing *This cost covers fieldwork and preliminary processing for both projects Rate/Cost Total Project Management 4 hours $157 hr. $626 Project Setup& Planning 4 hours $130 hr. $520 Travel 10 hours $130 hr. $1300 Hotel 2 Nights $150 per night $300 Per Diem 2 Days $50 per day $100 Scanning Labor 8 hours $130 hr. $1,040 Scanning Equipment 1 day $5,000 per day $5,000 External USB Hard Drive 2 $100 $200 Subtotal $9,086 Cost for Hwy 167 Point Cloud Preparation Ground Control Adjustment 8 hours $130 $1,040 Point Cloud Cleanup 48 hours $130 $6,240 Review and Delivery 2 hours $157 $314 Subtotal $7,594 Total Cost for Scan and Cloud Prep for Hwy 167; $16,680 If you have any questions or concerns about this estimate, please give me a call. Regards, i Jeff Berry Senior GIS Analyst/Developer EXHIBIT B INSURANCE REQUIREMENTS FOR CONSULTANT SERVICES AGREEMENTS Insurance i The Consultant shall procure and maintain for the duration of the Agreement, insurance against claims for injuries to persons or damage to property which may arise from or in connection with the performance of the work hereunder by the Consultant, their agents, representatives, employees or subcontractors. A. Minimum Scope of Insurance Consultant shall obtain insurance of the types described below: 1. Automobile Liability insurance covering all owned, non- owned, hired and leased vehicles. Coverage shall be written on Insurance Services Office (ISO) form CA 00 01 or a substitute form providing equivalent liability coverage. If necessary, the policy shall be endorsed to provide contractual liability coverage. Commercial General Liability insurance shall be written on ISO occurrence form CG 00 01. The City shall be named as an Additional Insured under the Consultant's Commercial General Liability insurance policy with respect to the work performed for the City using ISO additional insured endorsement CG 20 10 11 85 or a substitute endorsement providing equivalent coverage. 2. Workers' Compensation coverage as required by the Industrial Insurance laws of the State of Washington. B. Minimum Amounts of Insurance Consultant shall maintain the following insurance limits: 1. Automobile Liability insurance with a minimum combined single limit for bodily injury and property damage of $1,000,000 per accident. 2. Commercial General Liability insurance shall be written with limits no less than $1,000,000 each occurrence, $2,000,000 general aggregate. EXHIBIT B (Continued) C. Other Insurance Provisions The insurance policies are to contain, or be endorsed to contain, the following provisions for Automobile Liability and Commercial General Liability insurance: 1. The Consultant's insurance coverage shall be primary insurance as respect the City. Any Insurance, self-insurance, or insurance pool coverage maintained by the City shall be excess of the Consultant's insurance and shall not contribute with it. 2. The Consultant's insurance shall be endorsed to state that coverage shall not be cancelled by either party, except after thirty (30) days prior written notice by certified mail, return receipt requested, has been given to the City. 3. The City of Kent shall be named as an additional insured on all policies (except Professional Liability) as respects work performed by or on behalf of the Consultant and a copy of the endorsement naming the City as additional insured shall be attached to the Certificate of Insurance. The City reserves the right to receive a certified copy of all required insurance policies. The Consultant's Commercial General Liability insurance shall also contain a clause stating that coverage shall apply separately to each insured against whom claim is made or suit is brought, except with respects to the limits of the insurer's liability. D. Acceptability of Insurers Insurance is to be placed with insurers with a current A.M. Best rating of not less than ANII. E. Verification of Coverage Consultant shall furnish the City with original certificates and a copy of the amendatory endorsements, including but not necessarily limited to the additional insured endorsement, evidencing the insurance requirements of the Consultant before commencement of the work. F. Subcontractors Consultant shall include all subcontractors as insureds under its policies or shall furnish separate certificates and endorsements for each subcontractor. All coverages for subcontractors shall be subject to all of the same insurance requirements as stated herein for the Consultant. I /ate 0® CERTIFICATE OF LIABILITY INSURANCE DATE(MMODn n o2/27/2015 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 he 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 Rebecca Gebb_ers _ NAME: The VIP Agency South, LLC PHONE 5as-ses-9e9a FAX 509-689-3691 g y E-- N E ) AIC Nob PO BOX 127 ADDRESS:__ rgebl)om@vipagencyine.com --- Brewster,WA 98812 INSURER ISI AFFORDING COVERAGE _ NAICA INSURERA: Mutual of Enumclaw __. .. 14761 INSURED INSURER e- Continental Casualty Company _ Erlandsen &Associates Inc INSURERC: PO BOX 739 INSURER D: Brewster,WA 98812 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: 00000000-301788 REVISION NUMBER: 19 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 - -'.ADOL SUBR POLICY Err POLICY EXP LIMITS TYPE PE OF INSURANCE g p POLICY NUMBER fAMlDOIYYY POLICYE A Xi.COMMERCIAL GENERAL LIABILITY CPPOO17078 11/04/2014 lVO4/2015 EA CHOCCURPENCE $ 1000000 Ll i DAMAGE� TED 300,000 REN - CLAIMS MADE OCCUR _PREMISES Ea oTEo nce $ MED EX I(Any onepran,) S 10 DOD PERSONAL SAW INJURY z S 1 000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 X POLICY JECT �'LOG PRODUCTS.COMP/OPAGO $ 2,000,000 $ OTHER: A AUTOMOBILE LIABILITY CPP0017078 J :�11,04/2014 11104/2015 F. ddadclt) GLEunnr $ 1 000,000 X ANYAUTO BODILY INJURY(Per person) $ ALLONNED SCHEDULED BODILY INJURY(Per Redder) $ _. AUTOS AUTOS - PROPERTY DAMAGE X HIREDAUTOS X "AUTOS ED Per a,cul,ml) $ $ A X UMBRELLA LIAR _X OCCUR UMC0003768 11/04/2014 11104/2015 EACH OCCURRENCE S 4,000r00O EXCESS LIAR CIAIMS MADE AGGREGATE s 4,00,000 UED X RETENTIONS 10,000 $ A WORKERS COMPENSATION CPPD017078 f 11104/2014 11i0412015 STATUTE X ERlt St0 Ga AND EMPLOYERS' YIN ANY PROPRSTORlPARFNERfEXECUTIVE EL EACH ACCIDENT S 1,000rDOO oFICEWMEMBER EXCLUDED? NIA (Alandetory In NH) E.L.DISEASE EA EMPLOYE' $ 1,000,000 Ifyes,describe under E ,DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below B Prof Liablity & LSH288341186 12;01/2014 12101/2015 Per claim 2,000,000 Pollution Incident Aggregate 2,000,000 DESCRIPTION OF OPERATIONS LOCATIONS l VEHICLES (ACORD 101,Additional Remarks Schedule,may he attached if more apace is mgulmd) Certificate Holder is listed as primary non-contributory and additional insured per endorsements.Waiver of Subrogation included. i I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Kent THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN C/o Timothy J. LaPorte, P.E. ACCORDANCE WITH THE POLICY PROVISIONS. 220 Fourth Avenue South AUTHORIZED REPRESENTATIVE Kent,WA 98032 Roc ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD Printed by RDG on February 27,2015 at 03:54PM i Commercial Policy Enumclaw 0Insurance Common Policy Declaration I Group POLICY NUMBER:CPP 0017078 00 1460 Wells Awo,rmalw1gW,l{A 98022 WWW.FMMCLiaMs CC4mnp.ean This policy is a NEW BUSINESS _ Mutual of Enumclaw Insurance Company Named Insured: Agency: ERLANDSEN L ASSOCIATES INC V I P AGENCY SOUTH PO BOX 739 538 W MAIN AVENUE BREWSTER WA 98812 BREWSTER WA 98812 Phone No.509-689-0904 Code# 0006446 Policy Period: From: 11/04/2014 to 11/04/2015 at 12:01 A.M. Standard Time at your Mailing address shown above Form of Business:CORPORATION Type of Buslness:LAND SURVEYING IN RETURN FOR THE PAYMENT OF THE PREMIUM,AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. This policy consists of the following coverage parts for which a premium is indicated. This premium may be subject to adjustment. As Provided by Coverage Part Declarations Premium Commercial Property Coverage Part DX0020 $ 3, 744. 00 Commerclal General Liability Coverage Part D00010 $ 8, 608.00 Commercial Inland Marine Coverage Part DM001B $ 4, 949.00 Commercial Auto Coverage Part DA0093 $ 10,473 .00 TOTAL $ 27, 774,00 Total Includes Terrorism Coverage Premiums For: Mandatory Terrorism Coverage $3 .00 Optional Terrorism Coverage $:included Premium Due At Inception: THIS Is NOT A BILL, Please Refer to Customer Billing For Any Payment Information. I Forms Which Describe or Modify The Coverages Provided By This Insurance Are Listed On The Coverage Part Declarations Pages For Which They Are Applicable. All Such Forms Are Attached To And A Part Of This Policy. Please Read Your Policy Carefully. DP 00 93 0108 INSURED COPY Mutual of Enumclaw Insurance Company Enumclaw,Washington 98022 COMMERCIAL POLICY COMMON POLICY DECLARATIONS -CONTINUED Named Insured: ERLANDSEN&ASSOCIATES INC Policy Number: CPP 001707E 00 i i COMMON POLICY SCHEDULE OF LOCATIONS LOG Bldg. No. No. Description or Address 00001 210 BRIDGE ST BREWSTER WA 98812 00002 105 N EMERSON#203 CHELAN WA 98816 00003 250 SIMON ST EAST WENATCHEE WA 98802 COMMON FORMS AND ENDORSEMENT SCHEDULE THE FOLLOWING FORMS OR ENDORSEMENTS APPLY TO ALL COVERAGE PARTS INCLUDED ON THE POLICY. Form Number Form Name IL0003 Calculation of Premium IL0123 WA Changes-Defense Costs IL0146 WA Common Policy Conditions IL0157 WA Changes-Actual Cash Value IL0198 Nuclear Energy Liab Excl Endt IL0935 Exc of Certain Cmpter Re]Loss IL0953 Excl of CAT;Cov Cert Fire Loss IL0983 WA-Arad of Terrorism Exclusion IL0995 Conditional Excl of Terrorism ME0001 Mutual Policy Conditions ME0105 Marijuana Exclusion INSURED COPY DP 00 93 01 08 Mutual of Enumclaw Insurance Company Enumclaw, Washington 98022 FORMS AND ENDORSEMENT SCHEDULE Policy Number: CPP 0017078 00 Effective Date: 11/04/2014 Named Insured: ERLANDSEN &ASSOCIATES INC PO BOX 739 BREWSTER WA 98812 Coverage line Form Number Ed. Date Description All Lines ME0001 (04/14) Mutual Policy Conditions All Lines COM126 (01/08) Terrorism Disclosure Notice Interline IL0003 (09/08) Calculation of Premium Interline IL0123 (11/13) WA Changes - Defense Costs Interline IL0146 (08/10) WA Common Policy Conditions Interline IL0157 (07/02) WA Changes-Actual Cash Value Interline IL0198 (09/08) Nuclear Energy Liab Excl Endt i Interline IL0935 (07/02) Exc of Certain Cmpter Rel Loss Interline IL0953 (01/08) Excl of CAT;Cov Cert Fire Loss Interline IL0983 (01/08) WA-Amd of Terrorism Exclusion Interline IL0995 (01/07) Conditional Excl of Terrorism Interline ME0105 (01/14) Marijuana Exclusion Commercial Fire 372NS (11/50) State of WA Mortgagee Clause Commercial Fire CP0010 (10/12) Bldg and Pers Prop Cov Form Commercial Fire CP0090 (07/88) Commercial Property Conditions Commercial Fire CP0126 (08/08) Washington Changes Commercial Fire CP0140 (07/06) Excl of Loss Due To Virus/Bact Commercial Fire CP0160 (12/98) Washington Chgs-Domestic Abuse Commercial Fire CP0179 (08/08) WA Changes-Excl Causes of Loss Commercial Fire CP1030 (10/12) Cause of Loss - Special Form Commercial Fire EP0116 (01/08) Equip Breakdown Enhancemt Endt Commercial Fire EP9902 (09/14) Special Prop Enhancement Endt Commercial Fire EP9960 (06/12) Bus Inc (&EE) Actual Loss Sus General Liability CG0001 (04/13) Comml Gen Liab Coverage Form General Liability CGO181 (05/08) Washington Changes General Liability CGO197 (12/07) Washington Chgs-Empl-Rel Pract General Liability CGO300 (01/96) Deductible Liability Insurance General Liability CG0435 (12/07) Employee Benefits Liab Co General Liability CG0442 (11/03) Stop Gap-Employers Liab-WA General Liability CG0450 (05/08) Washington Chgs-Who In An Insd General Liability CG2146 (07/98) Abuse or Molestation Exclusion General Liability CG2149 (09/99) Total Pollution Excl. Endorse. General Liability CG2173 (01/08) Excl of Cert Acts of Terrorism General Liability CG2196 (03/05) Silica or Silica-Related Dust General Liability CG2677 (12/04) WA-Fungi or Bacteria Exclusion DP 00 95 01 00 INSURED COPY i Mutual of Enumclaw Insurance Company Enumclaw, Washington 98022 FORMS AND ENDORSEMENT SCHEDULE Policy Number: CPP 0017078 00 Effective Date: 11/04/2014 Named Insured: ERLANDSEN &ASSOCIATES INC PO BOX 739 BREWSTER WA 98812 i Coverage line Form Number Ed. Date Description General Liability CG2715 (12/07) Ext Rept End. Empl Benef Liab General Liability CG3220 01 WA - Cond Excl of Terrorism ( /07) General Liability EG2201 (12/04) Asbestos Exclusion General Liability EG2206 (12/04) Lead Exclusion General Liability EG2207 (12/04) Arsenic Exclusion General Liability EG2250 (01/07) Aircraft Products Exclusion General Liability EG2297 (02/06) Addtl CGL Conditions General Liability EG9901 (12/04) Special GL Enhancement Endt General Liability EG9940 (11/12) Emp-Related Prac Liab Coverage General Liability ME8802 (12/01) Amendatory Endorsement Inland Marine CLO103 (10/02) Common Policy Conditions - WA Inland Marine IM2097 (04/04) Amendatory Endorsement- WA Inland Marine IM7000 (04/04) Contractors Equipment Coverage Inland Marine IM7005 (04/04) Schedule-Contractors Equipment Inland Marine IM7030 (04/04) Equipment Schedule-Cont Equip Inland Marine IM7201 (10/02) Computer Coverage Inland Marine IM7206 (10/02) Computer Cov Sched of Covgs Inland Marine IM7903 (04/04) Schedule Commercial Auto CA0001 (10/13) Business Auto Coverage Form Commercial Auto CA0135 (10/13) Washington Changes Commercial Auto CA2134 (10/13) Washington Underinsured Motor Commercial Auto CA2257 (10/13) Washington PIP Named Individua Commercial Auto CA2394 (10/13) Silica or Related Dust Excl Commercial Auto CA9914 (10/13) Fire, Fire & Theft & Windstorm Commercial Auto EA0301 (02/06) Intercompany Deductible Waiver Commercial Auto EA4605 (11/13) Loss Payable Clause-Washington Commercial Auto EA9911 (11/13) Special Business Auto Enh Ends Commercial Auto EA9912 (08/13) Personal Vehicle Sharing Excl Commercial Auto ME8802 (12/01) Amendatory Endorsement DP 00 95 01 00 INSURED COPY Mutual of Enumclaw Insurance Company POLICY NUMBER: CPP 0017078 00 ME 88 02 12 01 EFFECTIVE DATE: 11/04/2014 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET AD➢ITIONAL INSURED - EG 20 19 10 12 PRIMARY WORDING This endorsement modifies insurance provided under the following Coverage Part(s): COMMERCIAL GENERAL LIABILITY THIS INSURANCE IS PRIMARY, BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF THE ONGOING OPERATIONS PERFORMED FOR THE ADDITIONAL INSURED BY THE NAMED INSURED. ANY OTHER INSURANCE AVAILABLE TO THE ADDITIONAL ENSURED IS EXCESS AND NON-CONTRIBUTORY. III ME 88 02 12 01 Includes copyrighted material of Insurance Services Office,Inc,with its permission. i POLICY NUMBER: CPP 0017078 00 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US 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: BLANKET WAIVER PO BOX 739 BREWSTER WA 98812 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Sec- tion 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 CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 Wolters Kluwer Financial Services I Uniform Forms TM COMMERCIAL AUTO EA 99 11 05 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. i The following changes revise SECTION I — COVERED The coverage that applies is the same as the j AUTOS coverage provided for the vehicle being replaced. Paragraph C.I. 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 2 Not used for business, farming or required to include as an additional insured ( ) g on this Coverage Form in a written contract ranching purposes. 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 5. Destruction. I EA 99 11 05 13 Includes copyrighted material of Insurance services Office, Inc.,with its permission Page 1 of 6 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 AA.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 ( Comprehensive, Specified Causes of Loss, 4) All reasonable expenses incurred by or Collision coverage under this policy. No the "insured" at our request, including 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" occurring during the policy period following: 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 shown, $2,250. A. COVERAGE (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 place of disablement. EA 99 11 05 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 A.4. 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 Data Electronic Equipment, also apply (1) We will pay only if the tapes, records, 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 nstalled n 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 of a radio. does not apply to this Coverage 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 Coverage is replaced by the following: (a) We will pay with respect to a (a) The most we will pay for all "loss" to covered "auto' described c the audio, visual or data electronic Schedule for"loss" to any electronic equipment and any accessories equipment that receives or used with this equipment as a result transmits audio, visual or data of any one "accident" is the lesser signals and that is not designed 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 (ii) 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' (iii) $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. will not pay for the amount of We 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 (e) 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". (a) The actual cash value of the (2) "Personal effects" as used in this personal property at the time of extension means tangible property that "loss"; is worn or carried by the "insured". (b) The cost of repairing the damage; Personal effects" does not include 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, i. Vacation Expense Allowance No deductible applies to this extension. We will pay you $50 per day to a maximum The insurance provided by this extension is of $500 for extra expenses when a Travel excess over any other collectible insurance. Trailer, "Camper' or Motor Home is a scheduled auto for physical damage 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 11 05 13 Includes copyrighted material of Insurance services Office, Inc., with its permission Page 4 of 6 Extra expenses must by supported by d. 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 5. Extra Expense— Broadened Coverage to any covered "auto" you own. 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 Loan/Lease Gap Coverage is caused by mechanical or electrical 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 heDamage Coverage section he of the and it has not been previously titled under the motor g vehicle law of any state, we will pay at your option: b. policy; and a. the cost to replace the covered "auto" with a 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 Amended Duties in the Event of an Accident, (5) Carry-over balances from previous Claim, Lawsuit or Loss loans or leases. 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 you are a corporation. following: 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 11 06 13 Includes copyrighted material of Insurance Services Office, Inc.,with its permission Page 5 of 6 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 13.5.1b. 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 13.5. 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 REQUEST FOR MAY R`S SIGNATURE � 3 ® Please Fill in All Applicable Boxes Oewed by Director Ori inator's Name: Toby Mullett DeptJDiv, Engineering extension: 5574 Date Date Required: a/o/16 Return to: Nancy,Yoshitake CONTRACT TERMINATION DATE: 5/1/15 VENDOR: Erlandsen DATE OF COUNCIL APPROVAL: N/A ATTACH THE COUNCIL MOTION SHEET FOR THE MAYOR - if applicable Brief Explanation of Document: The attached agreement is for Erlandsen to provide survey scanning services for SR 167 between 84th Ave. S. and S. 216th St. All Contracts Must Be Routed Through The Law Department (This area to be completed by.the Law Department) Received: I A Approval of Law Dept.. Law Dept. Comments: XI P Yg ar Date Forwarded to Mayor; ( ' Shaded Areas To Be Completed By Administration Staff :t �ry Received:' Recommendations and Comments: +� 2'A# / Disposition: _Ir a Date Returned: I