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PW15-257 - Original - JECB - Gowe St Drainage - 07/23/2015
Records apa� 4emiMr T Document WAs.'x lox f 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: JECB Vendor Number: JD Edwards Number Contract Number: `�1# ;�a~ } This is assigned by City Clerk's Office Project Name: Gowe St Drainage Description: ❑ Interlocal Agreement ❑ Change Order ❑ Amendment ® Contract ❑ Other: Contract Effective Date: 7/23/15 Termination Date: 12/31/16 Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Paul Kuehne Department: Engineering Contract Amount: $8,880.00 Approval Authority: (CIRCLE ONE) Department Director Mayor City Council Detail: (i.e. address, location, parcel number, tax id, etc.): Provide geotechnical engineering, construction/project management, and material testing and special inspection services for the project. I As of: 08/27/14 ' KE�V ■ w ,., .o. CONSULTANT SERVICES AGREEMENT between the City of Kent and JECB THIS AGREEMENT is made between the City of Kent, a Washington municipal corporation (hereinafter the "City"), and JECB organized under the laws of the State of Washington, located and doing business at PO Box 832, Auburn, WA 98071, Phone: (206) 786-8645, Contact: Jamie Hicks (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 provide geotechnical engineering, construction/project management, and material testing and special inspection services for the Gowe Street Drainage 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 December 31, 2016. III. COMPENSATION. A. The City shall pay the Consultant, based on time and materials, an amount not to exceed Eight Thousand, Eight Hundred Eighty Dollars ($8,880.00), 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 B. B. The Consultant shall submit monthly payment invoices to the City for work performed, and a final bill upon completion of all services described in this Agreement. The City shall provide payment within 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: CONSULTANT SERVICES AGREEMENT - 1 ($20,000 or Less) 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. 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 CONSULTANT SERVICES AGREEMENT - 2 ($20,000 or Less) 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 C 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 Consultant acknowledges that the City is a public agency subject to the Public Records Act codified in Chapter 42.56 of the Revised Code of Washington. As such, the Consultant agrees to cooperate fully with the City in satisfying the City's duties and obligations under the Public Records Act. The City's use or reuse of any of the documents, data, and files created by Consultant for this project by anyone other than Consultant on any other project shall be without liability or legal exposure to Consultant. XI. CITY'S RIGHT OF INSPECTION. Even though Consultant is an independent contractor with the authority to control and direct the performance and details of the work authorized under this Agreement, the work must meet the approval of the City and shall be subject to the City's general right of inspection to secure satisfactory completion. XII. WORK PERFORMED AT CONSULTANT'S RISK. Consultant shall take all necessary precautions and shall be responsible for the safety of its employees, agents, and subcontractors in the performance of the contract work and shall utilize all protection necessary for that purpose. All work shall be done at Consultant's own risk, and Consultant shall be responsible for any loss of or damage to materials, tools, or other articles used or held for use in connection with the work. XIII. MISCELLANEOUS PROVISIONS. A. Recyclable Materials. Pursuant to Chapter 3.80 of the Kent City Code, the City requires its contractors and consultants to use recycled and recyclable products whenever practicable. A price preference may be available for any designated recycled product. B. Non-Waiver of Breach. The failure of the City to insist upon strict performance of any of the covenants and agreements contained in this Agreement, or to exercise any option conferred by this Agreement in one or more instances shall not be construed to be a waiver or relinquishment of those covenants, agreements or options, and the same shall be and remain in full force and effect. C. Resolution of Disputes and Governinq 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 CONSULTANT SERVICES AGREEMENT - 3 ($20,000 or Less) 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. If the non-assigning party gives its consent to any assignment, the terms of this Agreement shall continue in full force and effect and no further assignment shall be made without additional written consent. F. Modification. No waiver, alteration, or modification of any of the provisions of this Agreement shall be binding unless in writing and signed by a duly authorized representative of the City and Consultant. G. Entire Agreement. The written provisions and terms of this Agreement, together with any Exhibits attached hereto, shall supersede all prior verbal statements of any officer or other representative of the City, and such statements shall not be effective or be construed as entering into or forming a part of or altering in any manner this Agreement. All of the above documents are hereby made a part of this Agreement, However, should any language in any of the Exhibits to this Agreement conflict with any language contained in this Agreement, the terms of this Agreement shall prevail. H. Compliance with Laws. The Consultant agrees to comply with all federal, state, and municipal laws, rules, and regulations that are now effective or in the future become applicable to Consultant's business, equipment, and personnel engaged in operations covered by this Agreement or accruing out of the performance of those operations. I. Public Records Act. The Consultant acknowledges that the City is a public agency subject to the Public Records Act codified in Chapter 42.56 of the Revised Code of Washington. As such, the Consultant agrees to cooperate fully with the City in satisfying the City's duties and obligations under the Public Records Act. J. 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, K. Counterparts and Signatures by Fax or Email. 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. Further, upon executing this Agreement, either party may deliver the signature page to the other by fax or email and that signature shall have the same force and effect as if the Agreement bearing the original signature was received in person. CONSULTANT SERVICES AGREEMENT - 4 ($20,000 or Less) it IN WITNESS, the parties below execute this Agreement, which shall become effective on the last date entered below. CONSULTANT: CITY KENT. 9 C By:.--- f f I g (signature) �. signature) Print Names Print Name: Timothy J. LaPorte, P.E. Its: Its: Public Works Director (title) ��� DATE:_ �7 ' DATE:� '71 Z " 5 NOTICES TO BE SENT TO: NOTICES TO BE SENT TO: CONSULTANT: CITY OF KENT: i Jamie Hicks Timothy J. LaPorte, P.E. JECB City of Kent PO Box 832 220 Fourth Avenue South Auburn, WA 98071 Kent; WA 98032 (206) 786-8645 (telephone) (253) 856-5500 (telephone) 253 85) 6-6500 facsimile) JECB-Gowe Drainage/Kuehne CONSULTANT SERVICES AGREEMENT 5 ($20,000 or Less) 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. n F By: r Fjr For: Title: Date: EEO COMPLIANCE DOCUMENTS - 1 I CITY OF KENT ADMINISTRATIVE POLICY NUMBER: 1.2 EFFECTIVE DATE: January 1, 1998 SUBJECT: MINORITY AND WOMEN SUPERSEDES: April 1, 1996 CONTRACTORS APPROVED BY Jim White Mayor POLICY: Equal employment opportunity requirements for the City of Kent will conform to federal and state laws. All contractors, subcontractors, consultants and suppliers of the City must guarantee equal employment opportunity within their organization and, if holding Agreements with the City amounting to $10,000 or more within any given year, must take the following affirmative steps: 1. Provide a written statement to all new employees and subcontractors indicating commitment as an equal opportunity employer. 2, Actively consider for promotion and advancement available minorities and women. Any contractor, subcontractor, consultant or supplier who willfully disregards the City's nondiscrimination and equal opportunity requirements shall be considered in breach of contract and subject to suspension or termination for all or part of the Agreement. Contract Compliance Officers will be appointed by the Directors of Planning, Parks, and Public Works Departments to assume the following duties for their respective departments. 1. Ensuring that contractors, subcontractors, consultants, and suppliers subject to these regulations are familiar with the regulations and the City's equal employment opportunity policy. 2. Monitoring to assure adherence to federal, state and local laws, policies and guidelines. EEO COMPLIANCE DOCUMENTS - 2 i 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. By: For: Title: Date: EEO COMPLIANCE DOCUMENTS - 3 i EXHIBIT A i f Geotechnical Engineering Date: 6-25-15 E J;✓C� Special Inspections Project.Kent-Gowe St _ J Materials Testing Drainage �- Construction Inspections File 8:15-3004 CITY OF KENT 220-4s,Avenue S. Kent,WA 98032-5895 Re: Letter of Interest&Statement of Qualifications,W. Gowe St, -4a,Ave. S to 611,Ave. S Drainage Atlnn: Mr.Paul Kuehne,Construction Management Supervisor JECB would like to submit this letter of our interest and qualifications for providing Geotechnical Engineering, Construction/Project Management and Material Testing and Special Inspection services. We are a small business physically located in Auburn with a branch office in Olympia,from which we provide our services to job sites throughout the Puget Sound Region, We are committed to providing our clients with timely services they can depend upon for accurate and professional results for the geotecludcal engineering,construction inspection&testing industry. Geotechnical Eng neering Construction Management Special Inspection and Materials Geotechnical Engineering Public works construction Testier (including Hazard Area Regulation) Inspector Support and/or *Construction monitoring *Levee Testing/Inspection, management. *Special inspection, construction Analysis and Design *Water, Sewer/Storm Inspection monitoring; soils, asphalt, * Pavement deflection analysis and *Prepare Pay Estimates concrete,masonry roadway design * Measurement and tracking of * Temporary Erosion/Sediment *Soils stabilization/enhancement, bid items Conti-of Inspection * Retaining walls, earth walls and *Review and negotiation of force *WABO/AASHTO R-1.8 rockery design account work accredited Inspection and Slope stability,critical areas * Temporary Erosion/Sediment Laboratory testing of construction analysis Control Inspection, materials *Percolation testing Project / Engineer / Contractor *Plan review *Infiltration trench design owner coordination * Coatings inspectors available *'I'echnical information reports * Use of WSDOT Standards and when requested Pile design/recommendations Specifications Subsurface Investigations * Forms / Paperwork using LAG Geologic/Geotechnical, Manual and WSDOT methods Assessments,Reports and systems and practices "Water Quality Management i i If you have any questions or if JF,CB can be of any further assistance please call on us at (206) 786-8645. Respectfully Sohmitted, JECB 21 �cm & 7Yic�Yy Jamie Hicks Phone: (206)-786-8645 RmailtjecbofficeQgmail.com PO Box 832 Auburn WA 98071 ! � Geotechnical Engineering Date: 6-25-15 '... - Special Inspections Project:Kent-Gowe St JECB Materials Testing Drainage Construction Inspectimrs File#:15-3004 _ Professional Engineering Geotechnical Engineering Retaining Wall Design JECB provides a full range of soils investigations, Services include design details and plans for geotechnical engineering reports, geologic concrete retaining walls, rockeries, MSE or assessments, soil treatment and stabilization segmental block walls (Allan block, Keystone, methods, slope stability analysis, soils inspection, Cornerstone,Ultra lllock, Kelly block, ecology block, foundation design, preload deternunation, etc) that range from small landscape details (2 to 6 settlement calculations, technical information feet) to major earthwork improvements and reports, pert tests, and abbreviated site plans for renovation (over 30 feet). We have provided commercial projects, public works and single family retaining wall design services to a wide variety of residences. We can also assist with landslide situations for many different and sometimes difficult investigation, erosion control and hazard areas. We native settings, offer our services in a timely manner to keep progress in motion for both private and public Pavement Design&Analysis works projects, We provide services in the Puget Our geote.chnical experience and lab testing ability Sound region as well as throughout the rest of provide excellent support for roadway evaluation, Washington. m design or replacement solutions, Our services create *, a quality final product, often for less than Slope Analysis &Stabilization o°h anticipated cost, Our personnel have monitored and We can inspect your project site, u. inspected the construction and overlay of thousands gather data from the site, and of miles of pavements , prepare a detailed report with recommendations for throughout the entire Pacific �t your specific project site and application in reference Northwest. We often provide to steep slopes, The reports that we provide on our clients with design r slope stability analysis examine both static and recommendations and cost dynamic analysis of the slope using various worst- savings changes that have paid case scenarios. The analysis process examines slope for our services many times over on a project stability using the method of slices procedure for determining slope stability. Normally- several thousand slice sections are analyzed using some of the most advanced software available in the industry (utilizing Geoslope's Software Suite). Phone:(206)- Box 83 Email:jec A 980 Qgmail.com PO box 832 Auburn WA 98071 i i Geotechnical Engineering Date: 6-25-15 ` Special Inspections Project:Kent-Gowe St ,1 ECB Materials Testing Drainage .,� ' , _ Construction Inspections I Pile H.15-3004 _ AASHTO R-18 Accredited Special Inspection & Testing Inspection &Testing masonry, coring and sampling inspection, concrete Field inspectors are responsible for material testing batch plant inspection and preparation and testing and inspection services (soil, concrete, asphalt, of concrete mix designs. masonry, structural steel, fireproofing, etc.). Typical _ services include performing in-place density testing for soils and asphalt, compressive strength cylinders for concrete, and pile refusal verification, We have experience in dealing with problem soils throughout Soils/Asphalt Monitoring the Pacific Northwest, and therefore we can be very We do not charge on a per test basis for density tests helpful when it comes to offering alternative taken, only an hourly rate regardless of how many methods for various construction problems that can density tests are taken. This service provides more be encountered. We can perform a wide range of relevant inforination to supply on" clients a better laboratory testing on any soils, aggregate, asphalt,or picture of their sites for necessary recommendations concrete samples. Normally we are able to offer a regarding structural fills. We can also inspect and turn around of only a couple of days for most monitor the field operations of mixing and placing samples and tests, if you have a need for testing that the soils as they are treated. Soils treatments can we cannot provide then we will either sub it out or include cement, Inne, or Kiln dust heatments, assist you in locating someone who can perform the Depending upon your particular site needs, soils testing. All laboratory tests performed in accordance treatment can be a major cost savings alternative with AASHTO/AMRL/WSDOT turd applicable when compared with the costs of importing fill on standards, the site. Concrete/Masonry Inspection &Testing Erosion Control Inspection Our lab provides a full spectrum of concrete testing Cam,company has participated and passed the EC03 services for public and private projects. We inspect Erosion and Sediment Control Lead class. We concrete placements and take samples for provide turbidity testing in accordance with the compressive strength testing. We have experience Departinent of Ecology standards. We are capable of with concrete pavement machines, bridges, assisting the contractor or owner to identify architectural and colored concrete, high early potential erosion hazards during and prior to strength requirements, tilt up buildings, submerged construction to minimize costs for erosion control placements, lightweight concrete,control density fill management during the project. (CDF), rebound hammer, inspection, reinforced concrete,post tension and pre-stressed concrete Phone: (206)-786-8645 Email:Jecbofficeftmail,com PO Box 832 Auburn WA 98071 j Geotechnical Engineering Date_ 6.25-15 Special Inspections Project:Kent-Gowe St JECB Materials Testing Drainage Construction Inspections File N 15-3004 ! Constrafction/ProjectManagement Tasks and Deliverables Our personnel have participated in many state and federal public works projects. JECB personnel coordinate with all utility companies (water, power,sewer,phone, etc),property owners, and contractors to facilitate and implement contractual agreements for the project. We provide on-site support, schedule review, technical and procedural advice; efficiently handle RFI's, RAM's, submittals, change orders, force account and wage reviews per WSDO'P,LAG criteria. Experienced personnel oversee survey and planning, Cracking and inspecting underground utilities/structures as they are placed, machinery, personnel, materials and resources used. Our personnel perform Construction/Project Management as well as quality assurance testing and inspection. This allows maximum Flexibility for a successful project, provides better communication between responsible parties, and significantly reduces cost associated with additional contracts,markups, and lost time due to communication errors or scheduling issues. We provide organized and accurate documentation and back up information to simplify state and federal audits. 'typical Construction Management Responsibilities Serve as a construction period representative for the client, attend and/or conduct all on site weekly project meetings, perform project owner/Engineer/Contractor coordination, respond to property owner and contractor conflicts in public construction sites. C". Communicate with the public, as necessary; investigate and resolve construction complaints;provide information needed for the resolution of claims for damages against the client; communicate with departments,personnel, and outside agencies to coordinate efforts and exchange information, vP- Maintain a construction file, keeping files in order, logs and construction records, employee's work assignments and inspection actives,including daily reports,field measurement sheets,etc. Inspect public and private construction and improvement work to verify appropriate construction permits; and ensure appropriate quality control, sampling, and inspection in compliance with plans, codes, and regulations,utilization of WSDOT construction standards t° Furnish weekly reports of the contractor's progress of work completed and of compliance with the progress schedule, quantity tracking and measurement of bid items, prepare progress pay estimates, review and negotiation of force account work. Review of Plans and Specifications, engineering design conflict resolution, propose resolution of in- field const actability problems,materials testing and inspection,quality control and assurance. " Prepare for and aid State and Federal auditors in their review of construction documentation. Respond to deficiencies in a timely manner to maintain good standing with federal agencies following LAG,IN and WSDOT criteria. " Review preliminary and final contract plans, specifications and submittals with appropriate staff for correctness,completeness and coxnstructability. I I Phone: (206)-786-8645 Email:jecboffice@gmail.com I'O Box 832 Auburn WA 98071. 1 Geotechnicd Engineering I Date: 6-25-15 - - 7 Special.inspections Project;Kent-Gowe St JECB � :.. Materials Testing Drainage Construction Inspections File#;15-3004 Job Descriptions Asphalt Concrete Inspector Continuously or periodically monitor and inspect elements for conformance to approved plans and construction documents, Sample materials for specification conformance and maximum density analysis. Check compaction and optimum moisture content using a nuclear densometer. Additional compliance testing may include; sand equivalent, organic content, atterburg limits, hydrometer. Concrete / Masonry Inspector Continuously or periodically monitor and inspect elements for conformance to approved plans and construction documents, Monitor/inspect reinforcement for size, type, grade, location, embedment, cleanliness, and clearance. Sample material for verification of air content, slump, and compressive strength per AS'I'M and IBC codes. Specimens will be cast,transported and cured per ASTM. Construction Manager/Inspection Review reports by field inspectors and laboratory analysis prior to distribution to the project team members. Manage phases of project delivery including initiating, planning, executing, monitoring, controlling and closing. Coordinate with property owners, utility contractors and city personnel, , Track quantities, machinery, manhours etc. used for verification of pay estimate preparation and contractor invoices. Review plans for eonstr•uctability, Admin Process reports from field inspectors, Process reports from lab test data (Le. soils, asphalt and concrete). File, organize and distribute reports to the client, architect, engineer, building official and those directed by the client for the distribution list. Answer phones and direct clients to appropriate JECB personnel, Professional Engineer Provide engineering analysis, design, recommendations, documentation, drawings and specifications for structural items requiring a stamp by a licensed engineer, i Phone: (206)-786-8645 Email;jecbofficeOgmail,com I PO Box 832 Auburn WA 98071 i Geotechnical F iglneering Date: 6-25-15 - Special Inspections Prrd ct:Kent-Gowe St " JECB Materials Testing Drainage ..- -.. _ . Construction Inspections I File## 15-3004 Schedule of Fees & Services, Exhibit B Estimated Services-Materials Testing/Special Inspection Price Hours*` PROFESSIONAL SERVTCES Asphalt/Soils w/Densometer $50.00 per]lour 60 $3,000.00 � I Reinforced Concrete $50,00 per hour 20 $1,000,00 Administrative Services $40,00 per hour 10 $400.00 Construction Mgr $60.00 per hour 30 $1,800.00 Staff Engineer/Geatogist $75.00 per hour 10 $750.00 Senior Geoteehuical Engineer,PE $95.00 per hour 0 $0.00 LAB TESTING SERVICES Asphalt, Ignition&Gradation(ASTM D2172) $150,00 each 4 $600.00 Asphalt,Rice Specific Gravity(ASTM D2041) $85.00 each 2 $170.00 Concrete,Cylinders Compression(ASTM C39) $20,00 each 20 $400.00 Soil,Moisture-Density Relation(ASTM D1557) $I80.00 each 2 $360.00 Soil, Sand Equivalent Test(ASTMD2419) $75,00 each 1 $75,00 Soil, Sieve Analysis includes 200 Wash(C136) $125.00 each 2 $250,00 Soil,Fractuic Count(ASTM D5821) $75.00 each 1 $75.00 Mileage NO CHARGE $0.00 Sample.Pick Up NO CHARGE $0.00 ESTIMATED PROJECT TOTAL TOTAL* $8,880.00 Total Is an estimate only for the project since contractor's work dictates schedule *"Hours quoted are for reference only Phone: (206)-786-8645 Em ail:jecboffice®grnail.com PO Box 832 Auburn WA 98071 Geotechnical Engineering Date: 6-25-15 _ Special Inspections Project Kent-Gowe SL JECB Materials Testing Drainage Construction Inspections File#:15-3004 Key Staff&Assodates Jason E.C. Bell,PE (Geo-Engineer,Construction Manager,TESC Lead,Field Inspector) Education/Years'Experience-20+ BS Civil Engineering, 1.995 University of Washington Pavement Surface Condition Analysis WSDOT Erosion and Sediment Control Lead ECO 3,BMP 160 WSDOF Registrations and Affiliations Registered Professional Engineer,2001 State of Washington WA#37343 Nuclear Densometer Campbell Pacific Nuclear Special Inspector, Reinforced Concrete,Structural ICC,WABO Masonry,Spray Applied Fireproofing,Post Pension Concrete Certified Laboratory Technician, CTL#0403 The National Concrete Masonry Assoc. Concrete Field Technician,Level I American Concrete institute Member American Concrete Institute Jason has focused on geo-techrnical engineering/soils,slope stability-failure analysis, fonundation design and research since 2001, Design work includes; residential and commercial buildings, pile design and refusal verification, mat and column foundations,pre-load techniques,various types of retaining walls, paving and road profiles, subgrade and bearing capacity determinations, settlement and consolidation calculations, SWPPP,TESC, surface and groundwater analysis,culverts and stream crossing design. Jason has extensive experience in plan reading, WSDOT and IBC regulations, testing and inspection of soils, concrete, masonry, asphalt, post tension concrete, fireproofing, shotcrete and steel in Washington. Jason has managed branch offices as well as provided these same services and Project Management in several field laboratories throughout the Pacific Northwest. Project management has involved; federally funded projects, ARRA paperwork, communication for RFI, correction and stop work notices, admin per LAG manual and typical state forms, coordination with public utilities and property owners. George Hicks (Geologist, Field Inspector) Education/Years'Experience-30+ Bachelors Degree in Geology Erosion and Sediment Control Lead ECO 3,BMP 160 WSDOE Registrations and Affiliations j Nuclear Densometer Campbell Pacific Nuclear Concrete Field Technician,Love]I American Concrete Institute George has worked on numerous state and county projects throughout Southwest Washington as a WSDOT employed construction materials inspector. George has managed both in the field and in the lab,numerous construction projects such as the highway 509 cable stay bridge, I-5 repaving from Tacoma to King County line, and highway 101 paving projects. George has also served as an inspector in batch plants,both concrete and asphalt concrete, throughout Western Washington. He has also served as an independent assurance tester for WSDOT to ensure that contractors and inspectors were working within the specifications provided by WSDOT. His most recent work includes a number of different paving projects, concrete placements, and laboratory materials testing. Phone: (206)-786-8645 Fr ail:jecboffice@gmail.com PO Box 832 Auburn WA 98071 �l l it . Geoteclutical Engineering I Date: 6-25-15 _ special Inspections I Project:Kent Gowe St ,JELB Materials Testing I Drainage Construction Inspections File#:15-3004 Jamie Hicks (Geologist,TESC lead, Field Inspector) Education/Years'Experience -20+ Bachelors Degree in Geology,1997 Uruversity of Puget Sound Erosion and Sediment Control Lead ECO 3,BMP 160 WSDOE Registrations and Affiliations Nuclear Densometer Campbell Pacific Nuclear Concrete Field Technician,Level I American Concrete Institute Special Inspector, Reinforced Concrete,Structural ICC, WABO Masonry Previously Certified Special Inspector, StructuralICC,WABO Steel Jamie is a Geologist and an ICC certified Special Inspector. Jamie has performed numerous Geotechnical and Environmental investigations throughout Western Washington. He has landslide evaluation and field investigation experience. His Special Inspection experience includes reinforced concrete, structural masonry, structural steel and boiling, concrete post-tensioning, and fire proofing. He also has performed numerous construction quality control / quality assurance inspections on various projects, In recent years he has served as project manager/construction quality control for Cooks Hill/Ham Hill Reservoirs,McChord AFB C and H-Ramp 'Taxi lane, and Ft. Lewis Celt 6 landfill cover, IIis most recent Special Inspections include senior inspector for the 4[h Avenue Bridge, tank and shotcrete for the Olympia Meridian Reservoir, Winlock f ligh and Middle Schools, and Thurston County Evaluation and Treatment Center. Blaise Jelinek (Environmental Scientist/Hydro-geological Engineer) Education/Years'Experience-15 BS Hydro-Geologic Engineering Montana Technical Erosion and Sediment Control Lead ECO 3,BMP 160 WSDOE Registrations and Affiliations Concrete Field Technician,Level I American Concrete Institute Nuclear Densometer Campbell Pacific Nuclear Blaise has detailed and comprehensive experience in soils classification, engineering design, mitigation, mediation and conshuction quality assurance. He has served as a project manager for numerous Army Corps of Engineers projects throughout the Northwest, His forte is the environmental sciences and storm water analysis. i I i Phone: (206)-786-8645 Email:jeeboffice@gmail.con, I'O Box 832 Auburn WA 98071 i I EXHIBIT C 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 $2,000,000 each occurrence, $2,000,000 general aggregate and a $1,000,000 products-completed operations aggregate limit. I EXHIBIT C (Continued) 3. Professional Liability insurance shall be written with limits no less than $2,000,000 per claim and $2,000,000 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 A:VII. 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, JECL13-1 OP ID: LG AIR® CERTIFICATE OF LIABILITY INSURANCE OAT 07121 Ol1'ryY) 7/21/15 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: It 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 a. PRODUCER 425.822-1368 NR TgCT Griffin MacLean,Inc, PR 2300 130th Ave NE A203 426-822-2737 c o aINC.Na Bellevue,WA 98005 EMAIL Scott Sypher MESS: INSURER(Sl AFFORDING COVERAGE NAICA INSURER A:Ohio Security Ins CO. 24082 INSURED JECB, LLC INSURER a; Jamie Hicks 33402 147th Ave SE INSURER c I Auburn,WA 98092 INSURER D: INSURER E; INSURERP: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IL SR rypE OF INSURANCEAUDL Sulu POLICY EFF PO C EXP POUCY NUMBER / n MIOO LIMITS GENERAL LIABILITY EACH OCCUA41,000,00C$ 1,000,00A COMMERCIAL GENERAL LIABILITY X BZS66778701 06126/16 06126/16 c^r^AG"Y6ES ce $ 1,000,00CLAIMS-MADE OCCUR MEOE%P(Aon) $ 15,BDX BUSlness Owners PERSONAL RY $ 1,000,00GENERALAE $ 2,OOD,DOGEN'LAGGREGgTE LIMIT APPLIES PER: PRODUCTS AGO $ 2,000,00POLICY PRO. LOC $AUTOMOBILE LIABILITY COMBINED SIA ANYAUTO BZS56778701 Ee accident1,000,00 06126/15 06126116 BODILY INJURY(Per person) $ AU OS SCHEDULED AUTOS AUTOS BODILY INJURY(Par eccltlem) 8 X HIREDAUT09 X NON0SWNED PROPERTY DAMAGE AUTO$ eraccitlenl S $ UMBRELLA LIAO OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE 3 DED RETENTIONS $ WORKERS COMPENSATION WC STATU OTH- AND EMPLOYERS'UABIUTY X ER A ANVPROPRIETOR/PXCLUDED%ECUOVE YINOFFICERIMEM STOP GAP LIAR 06/26115 06126118 E.L.EACH ACCIDENT $ 1,000,00 (Mandator,In NH) NIA (fmRaorylR NH) BZS66776701 E.L.pI$EA$E-EA EMPLOYEE $ 1,000,00 li U yyes.dIPTION under DFSCflIPTION OF OPE TIONS below I E,L DISEASE-POLICY LIMIT $ 1r000,O0 PROPERTY DESCRIPTION OF OPERATIONS I LOCATIONS)VEHICLES(Aeesh ACORD VI I,Addlflenel Remedios Schedule,If more apace Is required) Certificate holder Is named as additional insured as respects attached form number BP79960713 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The City of Kent THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 220 Fourth Avenue So ACCORDANCE WITH THE POLICY PROVISIONS. Kent,WA 98032 AUTHORIZED REPRESENTATIVE 01988.2010 ACORD CORPORATION. All rights reserved. ACORD 26(2010/05) The ACORD name and logo are registered marks of ACORD ACC CERTIFICATE OF LIABILITY INSURANCE DAT7/2 212 0 1 5 �• 07222015 THIS CERTIFICATE IS IS$UED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFF I RMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE 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: Stanford Insurance Inc AIC No Ext: FAX No: AIL 909 5 336th St Ste 102 ADDRESS: INSURER(S)AFFORDING COVERAGE NAICL Federal Way WA 98003 INSURERA: Continental Casualty 20443 INSURED INSURERS: JECB-Jason Engineering&Consulting Business INSURERC: PO Box 832 INSURERD: INSURER E: Auburn WA 98071 1 INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: L.. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUEDOR MAY PERTAIN,THE INSURANCE AFFORDED BYTHEPOLICIES DESCRIBEDHEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. li ACTIT POLICY POLIC E P LIMITS LTR TYPE OF INSURANCE NND POLICY NUMBER MM/DDA'YYY MMIDWYYYY GENERAL LIABILITY FACII OCCURRENCE DAMAGE a I ED COMMERCIAL GENFRAI.LVOILITY PREMISES Ea occq r flce CLAIMG�IADE 7 OCCUR MEDEXP M one arson PERSONAL&ADV IINTJTRY GENFRALAGGREGATE GEN'LAGGREGATE I.IMITAPPLIES PER PRODUCTS-COMP/OPAGG $ POLICY FRO- LOC $ AUTOMOBILE LIABILITY COMBINE,)G'�NGLE LIMIT (Ea emdenl _ ANYAUTO BODILY INJJRY(Por person) $ At 1.OV194ED SCHEDULED BODILY INJJRY(Per aWdont) $ AUTOS NON-OWNED PROPERTY DAMAGE $ HIRFDAUTOS AUTOS P¢raCddent $ UMBRELLA LIAR HOCCUR FACH OCCURRENCE $ 1 EXCESS LIAR CLAIMS MADE AGGREGATF DED RETENI ION $ WORKERS COMPENSATION V2 STATU- OTII- AND EMPLOYERS'LIABILITY YIN I e ANY PROPRIETOR/PARTNER/EXECUTIVE❑ NfA EL FAChIACCIDEN7 5 (Mandatary In/NHj EXCLUDED? EL DISEASE-FA EMPLOYE $ Dtg bolo,, ,descnbo under E^SCRIPT;ON OF OPERA[IONS b ,, ELDISCASE-POLICY LIMIT $ A Errors&Omissions Liability 7MCH591882356 F11/24/276i4fl/24/2015 $1,000,000/52,0001000-E&O Limit DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORO 101,Additional Remarks Schedule,if more space is required) Evidence of Insurance 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 Public Works ACCORDANCE WITH THE POLICY PROVISIONS. 2200 4tj Ave So AUTHORIZED REPRESENTATIVE Kent WA 98032 ©1988.2010 ACORD CORPORATION, All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD POLICY NUMBER : BZS56776701 BUSINESSOWNERS BP 79 96 07 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESSOWNERS LIABILITY EXTENSION ENDORSEMENT This endorsement modifies Insurance provided under the following: BUSINESSOWNERS COVERAGEFORM SUBJECT PAGE AGGREGATE LIMITS OF INSURANCE 3 AMENDMENT OF INSURED CONTRACT DEFINITION 4 BLANKET ADDITIONAL INSURED (OWNERS, CONTRACTORS OR LESSORS) 2 BODILY INJURY 4 BROADENED COVERAGE FOR DAMAGE TO PREMISES RENTED TO YOU 2 DUTIES IN THE EVENT OF OCCURRENCE,OFFENSE,CLAIM OR SUIT 4 INCIDENTAL MEDICAL MALPRACTICE 2 MOBILE EQUIPMENT 2 NEWLY FORMED OR ACQUIRED ORGANIZATIONS 3 PERSONAL AND ADVERTISING INJURY 4 SUPPLEMENTARY PAYMENTS 2 Bail Bonds ' x Loss Of Earnings a © 2013 Liberty Mutual Insurance.All dghte reserved. BP 79 96 07 13 Includes copyrighted material of Insurance Services Office,Ino.,with Its permission. Page 1 of 4 I Section II -Liability is amended as follows: 1. SUPPLEMENTARY PAYMENTS Paragraph f.(1)(b) of A Coverages is replaced by the following; '... (b) Up to $3000 for cost of bail bond required because of accidents or traffic law violations arising out of the use of any vehicle to which Business Liability Coverage for "bodily Injury" applies. We do not have to furnish the bonds. Paragraph 1.f.(1)(d) of A Coverages is replaced by the following; 'i (d) All reasonable expenses Incurred by the Insured at our request to assist us in the Investigation or defense of the claim or "suit", including actual loss of earnings up to $500 a day because of time off from work. Ii. BROADENED COVERAGE FOR DAMAGE TO PREMISES RENTED TO YOU With respect to the coverage provided under this endorsement, Section If•Liability Is amended as follows: 1. The final paragraph of B.I. Exclusions - Applicable To Business Liability Coverage Is deleted and replaced by the following: F= With respect to the premises which are rented to you or temporarily occupied by you with the permis-sion of the owner, Exclusions c., d„a., g„ h., k., 1., m., n.and o.do not apply to "property damage". 2. Paragraph D.2. Liability And Medical Expenses Limits Of Insurance is deleted and replaced by the following: fhe most we will pay under this endorsement for the sum of all damages because of all "property damage" to premises while rented to you or temporarily occupied by you with the permission of the owner Is the Limit of Insurance shown In the Declaration. 3. Paragraph D.3. Liability And Medical Expenses Limits Of Insurance Is deleted, III. INCIDENTAL MEDICAL MALPRACTICE Exclusion 1.j.(4) does not apply to Incidental Medical Malpractice Injury coverage. The following Is added to F.LIABILITY AND MEDICAL EXPENSES DEFINITIONS: 23. 'Incidental Medical Malpractice Injury" means bodily injury arising out of the rendering of or failure to render, during the policy period, the following services; a. medical, surgical, dental, x-ray or nursing service or treatment or the furnishing of food or bev- erages in connection therewith; or b. the furnishing or dispensing of drugs or medical, dental or surgical supplies or appliances. This coverage does not apply to: 1. expenses Incurred by the Insured for first- aid to others at the time of an accident and the Duties In the Event of Occurrence, Claim or Suit Condition is amended accordingly; 2, any Insured engaged in the business "or occupation of providing any of the services described a under a. and b. above; s 3. Injury caused by any Indemnitee if such Indemnitee is engaged in the business or occupation of providing any of the services described under a.and It. above. IV. MOBILE EQUIPMENT 1. Section C.Who Is An Insured Is amended to Include any person driving "mobile equipment" with your permission. V. BLANKET ADDITIONAL INSURED (OWNERS, CONTRACTORS OR LESSORS) 1. Section C. Who Is An Insured is amended to include as an Insured any person or organization whom you are required to name as an additional Insured on this policy under a written contract or written agreement. The written contract or agreement must be: a. currently In effect or becoming effective during the term of this policy; and b. executed prior to the "bodily Injury", "property damage", 'personal and advertising Injury". © 2013 Liberty Mutual Insurance,All rights reserved. BP 79 95 07 13 Includes copyrighted material of Insurance Services Office,Inc.,wilh Its permission, Page 2 of 4 2. The insurance provided the additional Insured Is Ilmlled as follows: a. The person or organization is only an additional insured with respect to liability arising out of (1) Real property, as described in a written contract or written agreement, you own, rent, lease, maintain or occupy; (2) Caused in whole or in part by your ongoing operations performed for that insured. b. The limits of insurance applicable to the additional Insured are those specified in the written contract or written agreement or the limits available under this policy, as stated In the Declara- tions, whichever are less. These limits are inclusive of and not in addition to the limits of Insurance available under this policy. c. The Insurance provided the additional Insured does not apply to: (1) Liability arising out of the sale negligence of the additional Insured; (2) "Bodily Injury", "property damage", "personal and advertising injury"; or defense coverage under the Supplementary Payments section of the policy arising out of an architect's, en- gineer's or surveyor's rendering of or failure to render any professional services Including: (a) The preparing, approving maps, shop drawings, opinions, reports, surveys, field orders, change orders, or drawings and specificalicns; and (b) Supervisory, Inspection, architectural or engineering activities. (3) Any "occurrence" that takes place after you cease to be a tenant In the premises described In the Declarations; or (4) Structural alterations, new construction or demolition operations performed by or for the person or organization designated in the Declarations. 3. Any coverage provided hereunder shall be excess over any other valid and collectible Insurance avail- able to the additional Insured whether primary, excess, contingent or on any other basis unless a contract specifically requires that this insurance be primary or you request that it apply on a primary basis. VI. NEWLY FORMED OR ACQUIRED ORGANIZATIONS The following Is added to C.Who Is An Insured: 3. Any business entity acquired by you or Incorporated or organized by you under the laws of any Individual state of the United States of America over which you maintain majority ownership interest exceeding fifty percent. Such acquired or newly formed organization will qualify as a Named Insured if there is no similar Insurance available to that entity. However, a, Coverage under this provision Is afforded only until the 1801h day after the entity was acquired or Incorporated or organized by you or the end of the policy period, whichever is earlier; b. Coverages A. Paragraph 1. Business Liability, does not apply to: (1) "Bodily Injury" or "property damage" that occurred before the entity was acquired or Incor- porated or organized by you; and a (2) "Personal and advertising injury" arising out of an offense committed before the entity was acquired or incorporated or organized by you; and c. Records and descriptions of operations must be maintained by the first Named Insured. g No person or organization Is an insured with respect to the conduct of any current or past partnership, joint venture or limited liability company that Is not shown as a Named Insured In the Declarations. VII. AGGREGATE LIMITS The following is added to Aggregate Limits Paragraph 4. of D. Liability and Medical Expenses Limits of Insurance: The Aggregate Limits apply separately to each of"locations" owned by or rented to you or temporarily occupied by you with the permission of the owner. The Aggregate Limits also apply separately to each of your projects away from premises owned by or rented to you. '.... For the purpose of this endorsement only, "location" means premises Involving the same or connect- ing lots, or premises whose connection Is interrupted only by a street, roadway, waterway or right- of-way of a railroad. 2013LIbeny Mutual Insurance.All rights reserved. BP 79 96 07 13 Includes copyrighted material of Insurance Services Office,Inc.,with Its permission. Page 3 of 4 Vill. DUTIES IN THE EVENT OF OCCURRENCE, OFFENSE,CLAIM OR SUIT 1. The requirement In E. Liability And Medical Expenses General Conditions paragraph 2.a. that you must see to It that we are notified of an "occurrence" or offense which may result in a claim applies only when the "occurrence" Is known to any Insured listed in Paragraph CA. Who Is An Insured or any "employee" authorized by you to give or receive notice of an "occurrence" or claim. 2. The requirements in E. Liability And Medical Expenses General Conditions paragraph 2.b. that you must see to it that we receive notice of a claim or "suit" will not be considered breached unless the breach occurs after such claim or "suit" is known to any Insured listed under Paragraph CA. Who Is An ail Insured or any "employee" authorized by you to give or receive notice of an "occurrence" or claim. IX, BODILY INJURY Paragraph 3,of F. Liability And Medical Expenses Definitions Is replaced by the following: 3. "Bodily Injury" means: a. Bodily Injury, sickness, disease, or Incidental medical malpractice Injury sustained by a person, and Includes mental anguish resulting from any of these; and including death resulting from any of these at any time. X. AMENDMENT OF INSURED CONTRACT DEFINITION Paragraph 9,of F.Liability And Medical Expenses Definitions Is replaced by the following: 9. "Insured contract" means: _ a. A contract for a lease of premises. However, that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire to premises while rented to ycu or temporarily occupied by you with permission of the owner is not an "Insured contract"; b. A sidetrack agreement; c. Any easement or license agreement, except in connection with construction or demolition oper- ations on or within 50 feet of a railroad; d. An obligation, as required by ordinance, to Indemnify a municipality, except In connection with work for a municipality; e. An elevator maintenance agreement; f. That part of any other contract or agreement pertaining to your business (including an indem- nificatlon of a municipality in connection with work performed for a municipality) under which you assume the tort liability of another party to pay for "bodily Injury" or "property damage" to a third person or organization, provided the "bodily Injury" or "property damage" Is caused, In whole or in part, by you or by those acting on your behalf. However, such part of a contract or agreement shall only be considered an "insured contract" to the extent your assumption of the tort liability is permitted by law. Tort liability means a liability that would be Imposed by law In the absence of any contract or agreement. Paragraph f. does not Include that part of any contract or agreement: (1) That indemnifies a railroad for "bodily Injury" or "property damage" arising out of construc-tion or demolition operations, within 50 feet of any railroad property and affecting any railroad bridge or trestle, tracks, road-beds, tunnel, underpass or crossing; (2) That Indemnifies an architect, engineer or surveyor for Injury or damage arising out of: s (a) Preparing, approving, or felling to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (b) Giving directions or Instructions, or falling to give them, if that Is the primary cause of the Injury or damage; or (3) Under which the Insured, if an architect, engineer or surveyor, assumes liability for an Injury or damage arising out of the Insured's rendering or failure to render professional services. Including those listed In (2) above and supervisory, inspection, architectural or engineering activities, XI. PERSONAL AND ADVERTISING INJURY Paragraph 14.b.of F. Liability And Medical Expenses Dentitions Is replaced by the following: b. Malicious prosecution or abuse of process. 0 2013LIberty Mutual Insurance.All rights reserved. BP 79 96 07 13 Includes copyrighted material of Insurance Services Office,Inc,,with Its permission. Page 4 of 4