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HomeMy WebLinkAboutPW15-212 - Original - RHA - Contract - 6/12/15 t{V i Records an a e e`rn o KENT o„ 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: RHA Vendor Number: JD Edwards Number Contract Number: Fw tS This is assigned by City Clerk's Office Project Name: S. 2241h St, Project Description: ❑ Interlocal Agreement ❑ Change Order ❑ Amendment ® Contract ❑ Other: Contract Effective Date: Date of the Mayor's signature Termination Date: 8/31/15 Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Garrett Inouye Department: Engineering Contract Amount: $11,440.10 Approval Authority: (CIRCLE ONE) Department Director (!iYor City Council Detail: (i.e. address, location, parcel number, tax id, etc.): The Consultant shall facilitate a Value Engineering Study for the S. 224th Street SR 167 Overpass Project. As of: 08/27/14 61 Wns iNc KENTn CONSULTANT SERVICES AGREEMENT between the City of Kent and RHA THIS AGREEMENT is made between the City of Kent, a Washington municipal corporation (hereinafter the "City"), and RHA organized under the laws of the State of Washington, located and doing business at 6810 37th Street Court West, University Place, WA 98466, Phone: (800) 480-1401/Fax: (602) 275-2972, Contact: Renee Hoekstra (hereinafter the "Consultant"). I. DESCRIPTION OF WORK, Consultant shall perform the following services for the City in accordance with the following described plans and/or specifications: The Consultant shall facilitate a Value Engineering Study for the S. 224th Street SR 167 Overpass Project. For a description, see the Consultant's Scope of Work which is attached as Exhibit A and incorporated by this reference. Consultant 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. Consultant shall complete the work described in Section I by August 31, 2015, III. COMPENSATION. A. The City shall pay the Consultant, based on time and materials, an amount not to exceed Eleven Thousand, Four Hundred Forty Dollars and ten cents ($11,440.10), for the services described in this Agreement. This is the maximum amount to be paid under this Agreement for the work described in Section I above, and shall not be exceeded without the prior written authorization of the City in the form of a negotiated and executed amendment to this agreement. The Consultant agrees that the hourly or flat rate charged by it for its services contracted for herein shall remain locked at the negotiated rate(s) for a period of one (1) year from the effective date of this Agreement. The Consultant's billing rates shall be as delineated in Exhibit A. B. The Consultant shall submit monthly payment invoices to the City for work performed, and a final bill upon completion of all services described in this CONSULTANT SERVICES AGREEMENT - 1 (Over $10,000) I Agreement. The City shall provide payment within forty-five (45) days of receipt of an invoice. If the City objects to all or any portion of an invoice, it shall notify the Consultant and reserves the option to only pay that portion of the invoice not in dispute. In that event, the parties will immediately make every effort to settle the disputed portion. IV. INDEPENDENT CONTRACTOR. The parties intend that an Independent Contractor-Employer Relationship will be created by this Agreement. By their execution of this Agreement, and in accordance with Ch. 51.08 RCW, the parties make the following representations: A. The Consultant has the ability to control and direct the performance and details of its work, the City being interested only in the results obtained under this Agreement. B. The Consultant maintains and pays for its own place of business from which Consultant's services under this Agreement will be performed. C. The Consultant has an established and independent business that is eligible for a business deduction for federal income tax purposes that existed before the City retained Consultant's services, or the Consultant is engaged in an independently established trade, occupation, profession, or business of the same nature as that involved under this Agreement. D. The Consultant is responsible for filing as they become due all necessary tax documents with appropriate federal and state agencies, including the Internal Revenue Service and the state Department of Revenue. E. The Consultant has registered its business and established an account with the state Department of Revenue and other state agencies as may be required by Consultant's business, and has obtained a Unified Business Identifier (UBI) number from the State of Washington. F. The Consultant 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 thirty (30) days written notice at its address set forth on the signature block of this Agreement. After termination, the City may take possession of all records and data within the Consultant's possession pertaining to this project, which may be used by the City without restriction. If the City's use of Consultant's records or data is not related to this project, it shall be without liability or legal exposure to the Consultant. VI. DISCRIMINATION. In the hiring of employees for the performance of work under this Agreement or any subcontract, the Consultant, its subcontractors, or any person acting on behalf of the Consultant or subcontractor shall not, by reason of race, religion, color, sex, age, sexual orientation, national origin, or the presence of any sensory, mental, or physical disability, discriminate against any person who is qualified and available to perform the work to which the employment relates. Consultant shall execute the attached City of Kent Equal Employment Opportunity Policy Declaration, Comply with City Administrative Policy 1.2, and upon completion of the contract work, file the attached Compliance Statement. CONSULTANT SERVICES AGREEMENT - 2 (Over$10,000) VII. INDEMNIFICATION. Consultant shall defend, indemnify and hold the City, its officers, officials, employees, agents and volunteers harmless from any and all claims, injuries, damages, losses or suits, including all legal costs and attorney fees, arising out of or in connection with the Consultant's performance of this Agreement, except for that portion of the injuries and damages caused by the City's negligence. The City's inspection or acceptance of any of Consultant's work when completed shall not be grounds to avoid any of these covenants of indemnification. Should a court of competent jurisdiction determine that this Agreement is subject to RCW 4,24.115, then, in the event of liability for damages arising out of bodily injury to persons or damages to property caused by or resulting from the concurrent negligence of the Consultant and the City, its officers, officials, employees, agents and volunteers, the Consultant's liability hereunder shall be only to the extent of the Consultant's negligence. IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THE INDEMNIFICATION PROVIDED HEREIN CONSTITUTES THE CONSULTANT'S WAIVER OF IMMUNITY UNDER INDUSTRIAL INSURANCE, TITLE 51 RCW, SOLELY FOR THE PURPOSES OF THIS INDEMNIFICATION. THE PARTIES FURTHER ACKNOWLEDGE THAT THEY HAVE MUTUALLY NEGOTIATED THIS WAIVER. In the event Consultant 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 Consultant's part, then Consultant 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 Consultant's part. The provisions of this section shall survive the expiration or termination of this Agreement, VIII. INSURANCE. The Consultant shall procure and maintain for the duration of the Agreement, insurance of the types and in the amounts described in Exhibit B attached and incorporated by this reference. IX. EXCHANGE OF INFORMATION. The City will provide its best efforts to provide reasonable accuracy of any information supplied by it to Consultant for the purpose of completion of the work under this Agreement. X. OWNERSHIP AND USE OF RECORDS AND DOCUMENTS. Original documents, drawings, designs, reports, or any other records developed or created under this Agreement shall belong to and become the property of the City. All records submitted by the City to the Consultant will be safeguarded by the Consultant. Consultant shall make such data, documents, and files available to the City upon the City's request, The City's use or reuse of any of the documents, data and files created by Consultant for this project by anyone other than Consultant on any other project shall be without liability or legal exposure to Consultant. XI. CITY'S RIGHT OF INSPECTION. Even though Consultant is an independent contractor with the authority to control and direct the performance and details of the work authorized under this Agreement, the work must meet the approval of the City and shall be subject to the City's general right of inspection to secure satisfactory completion. CONSULTANT SERVICES AGREEMENT - 3 (Over$10,000) f XII. WORK PERFORMED AT CONSULTANT'S RISK. Consultant shall take all necessary precautions and shall be responsible for the safety of its employees, agents, and subcontractors in the performance of the contract work and shall utilize all protection necessary for that purpose. All work shall be done at Consultant's own risk, and Consultant shall be responsible for any loss of or damage to materials, tools, or other articles used or held for use in connection with the work. XIII. MISCELLANEOUS PROVISIONS. A. Recyclable Materials. Pursuant to Chapter 3.80 of the Kent City Code, the City requires its contractors and consultants to use recycled and recyclable products whenever practicable. A price preference may be available for any designated recycled product. B. Non-Waiver of Breach. The failure of the City to insist upon strict performance of any of the covenants and agreements contained in this Agreement, or to exercise any option conferred by this Agreement in one or more instances shall not be construed to be a waiver or relinquishment of those covenants, agreements or options, and the same shall be and remain in full force and effect. C. Resolution of Disputes and Governing Law. This Agreement shall be governed by and construed in accordance with the laws of the State of Washington. If the parties are unable to settle any dispute, difference or claim arising from the parties' performance of this Agreement, the exclusive means of resolving that dispute, difference or claim, shall only be by filing suit exclusively under the venue, rules and jurisdiction of the King County Superior Court, King County, Washington, unless the parties agree in writing to an alternative dispute resolution process. In any claim or lawsuit for damages arising from the parties' performance of this Agreement, each party shall pay all its legal costs and attorney's fees incurred in defending or bringing such claim or lawsuit, 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. I E. Assignment. Any assignment of this Agreement by either party without the written consent of the non-assigning party shall be void. If the non-assigning party gives its consent to any assignment, the terms of this Agreement shall continue in full force and effect and no further assignment shall be made without additional written consent. F. Modification. No waiver, alteration, or modification of any of the provisions of this Agreement shall be binding unless in writing and signed by a duly authorized representative of the City and Consultant. G. Entire Agreement. The written provisions and terms of this Agreement, together with any Exhibits attached hereto, shall supersede all prior verbal statements of any officer or other representative of the City, and such statements shall not be effective or be construed as entering into or forming a part of or altering in any manner this Agreement. All of the above documents are hereby made a part of this Agreement, However, should any language in any of CONSULTANT SERVICES AGREEMENT - 4 (Over$10,000) i the Exhibits to this Agreement conflict with any language contained in this Agreement, the terms of this Agreement shall prevail. H. Compliance with Laws. The Consultant agrees to comply with all federal, state, and municipal laws, rules, and regulations that are now effective or in the future become applicable to Consultant's business, equipment, and personnel engaged in operations covered by this Agreement or accruing out of the performance of those operations. I. 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. J. 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. CONSULTANT: CITY OF KENT: ` t By: B Y s'gnature (signature) Print Name: aMYName: Suzette Cbbke Its ,jts Mayor DATE: ^� � t DATE: ` NOTICES TO BE SENT TO: NOTICES TO BE SENT TO: CONSULTANT: CITY OF KENT: Renee Hoekstra Timothy J. LaPorte, P.E. RHA City of Kent 6810 381h St. Court W. 220 Fourth Avenue South University Place, WA 98466 Kent, WA 98032 (800) 480-1401 (telephone) (253) 856-5500 (telephone) (602) 275-2972 (facsimile) (253) 856-6500 (facsimile) APPROVED AS TO FORM: r Kent Law Department i RHA-224"VE/Inouye CONSULTANT SERVICES AGREEMENT 5 (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 belowl I agree , � `� � z to fulfill the five requirements referenced above. By: (., ISGf For; L� Title: Date: ©j if EEO COMPLIANCE DOCUMENTS - 1 I CITY OF KENT ADMINISTRATIVE POLICY NUMBER: 1.2 EFFECTIVE DATE: January 1, 1998 SUBJECT: MINORITY AND WOMEN SUPERSEDES: April 1, 1996 CONTRACTORS APPROVED BY Jim White, Mayor POLICY: Equal employment opportunity requirements for the City of Kent will conform to federal and state laws. All contractors, subcontractors, consultants and suppliers of the City must guarantee equal employment opportunity within their organization and, if holding Agreements with the City amounting to $10,000 or more within any given year, must take the following affirmative steps: 1. Provide a written statement to all new employees and subcontractors indicating commitment as an equal opportunity employer. 2. Actively consider for promotion and advancement available minorities and women, Any contractor, subcontractor, consultant or supplier who willfully disregards the City's nondiscrimination and equal opportunity requirements shall be considered in breach of contract and subject to suspension or termination for all or part of the Agreement. Contract Compliance Officers will be appointed by the Directors of Planning, Parks, and Public Works Departments to assume the following duties for their respective departments. 1. Ensuring that contractors, subcontractors, consultants, and suppliers subject to these regulations are familiar with the regulations and the City's equal employment opportunity policy. 2. Monitoring to assure adherence to federal, state and local laws, policies and guidelines. ill EEO COMPLIANCE DOCUMENTS - 2 i CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE STATEMENT This form shall be filled out AFTER COMPLETION of this project by the Contractor awarded the Agreement. I, the undersigned, a duly represented agent of Company, hereby acknowledge and declare that the before-mentioned company was the prime contractor for the Agreement known as _ 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. B : Y For; Title: — Date: EEO COMPLIANCE DOCUMENTS - 3 f 1 EXHIBIT A � 1 May 13, 2015 Garrett Inouye City of Kent 400 West Gowe Kent, WA 98032 Email:ginouyegkentwa.gov 1(n7 Subject: South 2241h Street and SRSI/ Overpass Project Value Engineering Study Fee Proposal Dear Garrett: J67 This proposal is provided for the Value Engineering Study for the South 224th Street and SR9T Overpass project. The scope of services for the Value Engineering Study is as follows: SCOPE OF SERVICES 1,0 Pre-Study Services 1.1 Pre-meeting to discuss and finalize the workshop agenda and study approach 1.2 Prepare study agenda, team primer and develop workshop materials 1.3 Coordinate with VE team members 1.4 Review project materials 2.0 Study/Workshop 2.1 Facilitate a 3-day Value Engineering workshop 3.0 Post Study Services 3.1 Prepare a report(pdf copy only, delivered electronically) SCHEDULE Pre-Study Services—complete prior to Study Services (scheduled for last week of June) Study Services scheduledfor last week of June 2015 Post-Study Services—complete two weeks after conclusion of Study Services Washington Office:6810 37th Street Court West,University Place,WA 98466 Corporate: 6677 West Thunderbird Road,Suite K183,Glendale,AZ 85306 (602)493-1947 (800)480-1401 (602)275-2972 Fax iYmv.lcarnRHA.com City of Kent Value Engineering Study May 13, 2015 FEES The fee schedule for the above scope of services is shown below: Ovcr- C1asslfioatlon Str�y Study Sol Y Hours o post Total 1Rate hcad(n� (lFee) BRatcg Total 155.04 Principal CVS Team 10 30 20 60 $61,74 $95.72 $15.75 $173.21 $10,392.60 Leader Project Manager Team 4 4 $70.37 $109.10 $1795 S197.42 $789.68 leader,QA C Administrative 2 2 $23.08 $35,78 $5.89 $64.75 $129.50 Printing(Workshop $50.00 Materials) Mileage(22.7 miles each way,three days, $78.32 $0,575 per mile) _ _ Total Fee Hours 12 30 24 66 $11,440.10- If you have any questions,please feel free to give me a call. Sincekely, KIL4,,LLC Renee L. Hoekstra, CVS Managing Partner Washington Office; 6810 37th Street Court West,University Place,WA 98466 Corporate: 6677 West Thunderbird Road,Suite K183,Glendale,AL 85306 (602)493-1947 (800)480-1401 (602)275-2972 Fax wwrv.TeamRHA.co n EXHIBIT B INSURANCE REQUIREMENTS FOR CONSULTANT SERVICES AGREEMENTS Insurance The Consultant shall procure and maintain for the duration of the Agreement, insurance against claims for injuries to persons or damage to property which may arise from or in connection with the performance of the work hereunder by the Consultant, their agents, representatives, employees or subcontractors. A. Minimum Scope of Insurance Consultant shall obtain insurance of the types described below: 1. Automobile Liability insurance covering all owned, non-owned, hired and leased vehicles. Coverage shall be written on Insurance Services Office (ISO) form CA 00 01 or a substitute form providing equivalent liability coverage. If necessary, the policy shall be endorsed to provide contractual liability coverage. 2. Commercial General Liability insurance shall be written on ISO occurrence form CG 00 01 and shall cover liability arising from premises, operations, independent contractors, products-completed operations, personal injury and advertising injury, and liability assumed under an insured contract. The City shall be named as an insured under the Consultant's Commercial General Liability insurance policy with respect to the work performed for the City using ISO additional insured endorsement CG 20 10 11 85 or a substitute endorsement providing equivalent coverage. 3. Workers' Compensation coverage as required by the Industrial Insurance laws of the State of Washington. 4. Professional Liability insurance appropriate to the Consultant's profession. B. Minimum Amounts of Insurance Consultant shall maintain the following insurance limits: 1. Automobile Liability insurance with a minimum combined single limit for bodily injury and property damage of $1,000,000 per accident. 2. Commercial General Liability insurance shall be written with limits no less than $1,000,000 each occurrence, $2,000,000 general aggregate and a $1,000,000 products-completed operations aggregate limit. EXHIBIT B (Continued) 3. Professional Liability insurance shall be written with limits no less than $1,000,000 per claim and $1,000,000 policy aggregate limit. C. Other Insurance Provisions The insurance policies are to contain, or be endorsed to contain, the following provisions for Automobile Liability and Commercial General Liability insurance: 1. The Consultant's insurance coverage shall be primary insurance as respect the City. Any Insurance, self-insurance, or insurance pool coverage maintained by the City shall be excess of the Consultant's insurance and shall not contribute with it. 2. The Consultant's insurance shall be endorsed to state that coverage shall not be cancelled by either party, except after thirty (30) days prior written notice by certified mail, return receipt requested, has been given to the City. 3. The City of Kent shall be named as an additional insured on all policies (except Professional Liability) as respects work performed by or on behalf of the Consultant and a copy of the endorsement naming the City as additional insured shall be attached to the Certificate of Insurance. The City reserves the right to receive a certified copy of all required insurance policies. The Consultant's Commercial General Liability insurance shall also contain a clause stating that coverage shall apply separately to each insured against whom claim is made or suit is brought, except with respects to the limits of the insurer's liability. 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 Contractor before commencement of the work. F. Subcontractors Consultant shall include all subcontractors as insureds under its policies or shall furnish separate certificates and endorsements for each subcontractor. All coverages for subcontractors shall be subject to all of the same insurance requirements as stated herein for the Consultant. RHALL-1 OR ID:JM AcoR® CERTIFICATE OF LIABILITY INSURANCE DATE)MMIDDfY1'Y() �i 06/10/2016 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 pollcy(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 NAME: Prof.Underculters of Ammma Professional Underwriters of PHONE 480.483.0440 FAX 480-948-7752 Arizona, Inc. .lac No EML _. lac No): _ P.O. Box 5419 EMAIL ADDRESS _ Scottsdale,AZ 86261.6419 Prof.Underwriters of Arizona INSURERIS)AFFORDING COVERAGE __ NAIC 4 INSURER A:RLI Insurance Company 13056 INSURED RHA, LLC INSURER B:Trav Cas&Surety Ca America 31194 RHA of Arizona, LLC -- 6677 W.Thunderbird Rd.,#K183 INSURER C: Glendale,AZ 85306 INSURER D: _ INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS 15 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 - - ADDL SUER . POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSD WVD I POLICY NUMBER I fMMADDA`,YYlMMIOWYYYY A X COMMERCIAL GENERAL LIABILITY ✓^' '�. EACH OCCURRENCE S 2,000,000 DAMAGE CLAIMS-MADE X]OCCUR X X PSB0001476 'I 03/30t2015 03130/2016 PREMISES Eaoccurrence $ 1,000,000 I, X Blkt AI &WOS MED EXP(Any one person) $ 10,000 X Contractual Liar, PERSONAL&ADV INJURY $ 2000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 4,000,000 POLICY. X I j O- LOG PRODUCTS-COMPADPAGG S 4,000,000 OTHER: PUTOMOBILE LIABILITY DOM SIRED SINGLE LIMIT $ 2,000,000 P.accident AANY AUTO X X PS80001476 �` ',, 03/30/2015 03130/2016 HODI LY INJURY(Per person) S ALL OWNED SCHEDULED BODILY INJURY(Per acddent) S AUTOS _ HNk TOSS PROPERTY DAMAGE $ HIREDAUTOS X AU O S Per accident_ _BIM At X $ UMBRELLA LIAR OCCUR III EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ LED RETENTION$ $ WORKERS COMPENSATION STATUI_E ERH AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNERIFXECUTIVE NIA E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? IMandstory In NH) E,L.DISEASE-EA EMPLOYE S _ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE POLICY LIMIT S B Professional Llab. X 106080046 03130/2015 03/30/2016 Per Claim 1,000,000 ArchltecDEngineer Ann.Agg. 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space la required) RE: Value Engineering Study, South 224th St, and SR167 overpass Certificate holder is additional insured as indicated.Coverages afforded are primary and non-contributory basis (excluding E&O).Waiver of subrogation included. Attached: PPB304 02 12 CERTIFICATE HOLDER CANCELLATION CITYK03 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Kent 400 W.GOWe AUTHORIZED REPRESENTATIVE Kent,WA 98032 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD Policy Number: PSB0001476 RLI Insurance Company Named Insured:RH &Associates, Inc. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. RLIPack® FOR PROFESSIONALS BLANKET ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM - SECTION II —LIABILITY 1. C. WHO IS AN INSURED is amended to include as additional insured under this policy must apply on a an additional insured any person or organization that primary basis, or a primary and non-contributory you agree in a contract or agreement requiring basis, this insurance is primary to other insurance insurance to include as an additional insured on this that is available to such additional insured which policy, but only with respect to liability for "bodily covers such additional insured as a named insured, injury", "property damage" or "personal and and we will not share with that other insurance, advertising injury" caused in whole or in part by you provided that: or those acting on your behalf: a. The "bodily injury" or "property damage" for a. In the performance of your ongoing operations; which coverage is sought occurs after you have b. In connection with premises owned by or rented entered into that contract or agreement; or to you; or b. The "personal and advertising injury" for which coverage is sought arises out of an offense c. In connection with "your work" and included committed a within the "product-completed operations after you have entered into that contract or agreement. hazard", 2, The insurance provided to the additional insured by 4. The following is added to SECTION III K. 2. this endorsement is limited follows; Transfer of Rights of Recovery Against Others to Us — COMMON POLICY CONDITIONS (BUT a. This insurance does not apply on any basis to APPLICABLE TO ONLY TO SECTION II — any person or organization for which coverage LIABILITY) as an additional insured specifically is added by We waive any rights of recovery we may have another endorsement to this policy. against any person or organization because of b. This insurance does not apply to the rendering payments we make for "bodily injury", "property of or failure to render any "professional damage" or "personal and advertising injury" arising services". out of "your work" performed by you, or on your behalf, under a contract or agreement with that c. This endorsement does not increase any of the limits of insurance stated in Liability And person or organization. We waive these rights only Medical Expenses Limits of Insurance. where you have agreed to do so as part of a contract or agreement with such person or 3. The following is added to SECTION III H.2. Other organization entered into by you before the "bodily Insurance — COMMON POLICY CONDITIONS injury" or "property damage" occurs, or the"personal (BUT APPLICABLE ONLY TO SECTION II — and advertising injury" offense is committed. LIABILITY) However, if you specifically agree in a contract or agreement that the insurance provided to an ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. PPB 304 02 12 Page 1 of 1 RHA LLC DBA RHA LLC OF ARIZONA Page 1 of I y x� STAY O7 WASHJNG(ON Department of Labor & Industries Certificate of Workers' Compensation Coverage May 29, 2015 WA UBI No. 603 295 841 L&I Account ID 261,077-00 Legal Business Name RHA LLC DBA RHA LLC OF ARIZONA Doing Business As RHA LLC Workers' Comp Premium Status: Account is current. Estimated Workers Reported Quarter 1 of Year 2015 "Less than 1 (See Description Below) Workers" Account Representative T3/KEITH CURTISS (360)902-6641 j Email: CURQ235@lni.wa.gov Licensed Contractor? No What does "Estimated Workers Reported" mean? Estimated workers reported represents the number of full time position requiring at least 480 hours of work per calendar quarter. A single 480 hour position may be filled by one person, or several part time workers. Industrial Insurance Information Employers report and pay premiums each quarter based on hours of employee work already performed, and are liable for premiums found later to be due. Industrial insurance accounts have no policy periods, cancellation dates, limitations of coverage or waiver of subrogation (See RCV 51.1 2.050 and 51 .16.190). https:Hsecure.Ini.wa.gov/verify/Details/liabilityCei-tificate.aspx?LJBI=603295841&SAW=... 5/29/2015 REQUEST FOR MAYOR'S SIGNATURE Routing Information (ALL REQUESTS MUST FIRST BE ROUTED THROUGH THE LAW PEPART""TJi ( � f Appr4KSt by, r On ina or: Garrett Inouye Phone (Originator): 5548 Date Sent: � Ie5e6'"tS Date Required: , `ram Return Signed Document to:NancyYoshltake Contract Termination Date:8/31115 VENDOR NAME: Date Finance Notified: 5` l rri5 RH}� (Only required on contracts 10 000 and Over or on any Grant DATE OF COUNCIL APPROVAL: Date Risk Manager Notified:N/A N/A (Required on Non-City Standard Contracts/Agreements) Has this Document been Specificall Account Number: R90094 Authorized in the Bud et? e YES NO Brief Explanation of Document: The attached agreement is for RHA to facilitate a Value Engineering Study for the S. 224th Street SR 167 Overpass Project. x, 0'p It ti All Contracts Must Be Routed Through The Law Department %(T is�ar`�a,ta}b@ o7at71eted by the Law Department) [Date eived: roval of Law Dept. 1, g De t, Comments. r Forwarded to Mayor: kp i Shaded Areas To Be Completed By Administration Staff Received. SN%Yt sM � Recommendations and Comments: �� Disposition: s "� f r `,,Y t 4 Men"', ., ,;} ,= tpq ,/4.rs7 �� — �"tiu..,�":.`r>.. =i —i i —°k✓` ffi ai�t�`' L CE Z �3.i# t Date Returned: Fit` P]Gitl Pomxonierr 4 c.�unllor Maw..vB�dR.d as