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HomeMy WebLinkAboutAD15-313 - Original - Karra's Consulting, Inc. - HR Director Search & Recruitment Process - 09/03/2015 Records Managemo - WASH INOTON Pam"®'l.ul l A`l n 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. Xfr you have questions, please contact city clerk's Office. Vendor Name: K(A YY Q5 IN Vendor Number: ]D Edwards Number Contract Number: �5 This is assigned by City Clerk's Office Project Name: YCV4 r4u,uI '& VII)U5P 5 Description: ❑Interlocal Agreement ❑ Change Order ❑ Amendment ❑ Contract UOther: fCD Nu z� Contract Effective Date: ql Termination Date: 1131120 Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract manager: �?. M(A j0YJDepartment: Rdyni i Contract Amount: 01) Approval Authority: El Department Director 12 ayor ❑City Council Detail: (i.e. address, location, parcel number, tax id, etc.): adccW10877 8 14 KETLT PROFESSIONAL SERVICES AGREEMENT between the City of Kent and KARRAS CONSULTING, INC THIS AGREEMENT is made between the City of Kent, a Washington municipal corporation (hereinafter the "City"), and KARRAS CONSULTING, INC organized under the laws of the State of Washington, located and doing business at 201 51h Avenue S.W. #301, Olympia, Washington 98501 (hereinafter the "Contractor"). I. DESCRIPTION OF WORK. Contractor shall perform the following services for the City: The contractor shall perform the following scope of work in the Executive Recruitment of a Human Resources Director: A. Meetings: Meet with City Leadership and project manager to solicit input on recruitment strategy and specific position knowledge, skills, and abilities essential for job success. B. Other Meetings: Meet with key stakeholders as appropriate and City staff as recommended by the project manager. C. Position Assessment: Review the job description. Design recruitment announcements. D. Advertise and Network: Recruit targeted pools of qualified, proven candidates, using networking, web, and printed media. E. Candidate Screening: Screen candidates for appropriate fit, considering both education and experience and the core competency requirements of the City of Kent. F. Candidate Presentation: After identifying, assessing, and screening potential candidates, present the best-qualified candidates (A & B list) for consideration. City leadership will pare down on paper to semi-finalists. G. Interviews: Establish interview panel(s) in partnership with the City of Kent. Coordinate interview of semi-finalists. Prepare questions, provide training to panel, and oversee process. H. Comprehensive Background Checks: Perform reference checks and conduct criminal background inquiries for finalists. Present candidate profiles and confidential reference reports for finalists. I. Employment Officer: Advise the City during the development and delivery of the employment offer. Facilitate the extension of the offer and conduct any negotiations to ensure the most favorable outcome. J. Guarantee: Karras Consulting, Inc. guarantees its placements for one (1) year from the successful candidate's start date with the organization. If the candidate leaves for any reason within 12 months of his or her start date, PROFESSIONAL SERVICES AGREEMENT - 1 (Over$20,000) Karras Consulting, Inc. will repeat the search and locate a replacement at no charge to the organization, except for candidate travel and advertising costs. Contractor further represents that the services furnished under this Agreement will be performed in accordance with generally accepted professional practices within the Puget Sound region in effect at the time those services are performed. II. TIME OF COMPLETION. The parties agree that work will begin on the tasks described in Section I above immediately upon the effective date of this Agreement, and Contractor shall complete the work by January 31, 2016. III. COMPENSATION. The City shall pay Contractor a total amount not to exceed $29, 500 including Washington State Sales Tax for the services described in this Agreement. The Contractor shall invoice the City monthly based on time and materials incurred during the preceding month. The hourly rates charged for Contractor's services shall be as delineated in the attached and incorporated Exhibit A. All hourly rates charged shall remain locked at the negotiated rates throughout the term of this Agreement. IV. INDEPENDENT CONTRACTOR. The parties intend that an Independent Contractor- Employer Relationship will be created by this Agreement. By their execution of this Agreement, and in accordance with Ch. 51.08 RCW, the parties make the following representations: A. The Contractor has the ability to control and direct the performance and details of its work, the City being interested only in the results obtained under this Agreement. B. The Contractor maintains and pays for its own place of business from which Contractor's services under this Agreement will be performed. C. The Contractor has an established and independent business that is eligible for a business deduction for federal income tax purposes that existed before the City retained Contractor's services, or the Contractor is engaged in an independently established trade, occupation, profession, or business of the same nature as that involved under this Agreement. D. The Contractor is responsible for filing as they become due all necessary tax documents with appropriate federal and state agencies, including the Internal Revenue Service and the state Department of Revenue. E. The Contractor has registered its business and established an account with the state Department of Revenue and other state agencies as may be required by Contractor's business, and has obtained a Unified Business Identifier (UBI) number from the State of Washington. F. The Contractor maintains a set of books dedicated to the expenses and earnings of its business. V. TERMINATION. Either party may terminate this Agreement, with or without cause, upon providing the other party seven (7) calendar days written notice at its address set forth on the signature block of this Agreement. VI. DISCRIMINATION. In the hiring of employees for the performance of work under this Agreement or any subcontract, the Contractor, its subcontractors, or any person acting on behalf of the Contractor or subcontractor shall not discriminate against any person who is qualified and available to perform the work to which the employment relates as provided for by the City of Kent's Equal Employment Opportunity Policy. Contractor shall execute the attached City of Kent Equal Employment Opportunity Policy Declaration, Comply with City Administrative Policy 1.2, and upon completion of the contract work, file the attached Compliance Statement. PROFESSIONAL SERVICES AGREEMENT - 2 (Over$20,000) VII. INDEMNIFICATION. Contractor shall defend, indemnify and hold the City, its officers, officials, employees, agents and volunteers harmless from any and all claims, injuries, damages, losses or suits, including all legal costs and attorney fees, arising out of or in connection with the Contractor's performance of this Agreement, except for that portion of the injuries and damages caused by the City's negligence. The City's inspection or acceptance of any of Contractor's work when completed shall not be grounds to avoid any of these covenants of indemnification, The provisions of this section shall survive the expiration or termination of this Agreement. In the event Contractor refuses tender of defense in any suit or any claim, if that tender was made pursuant to this indemnification clause, and if that refusal is subsequently determined by a court having jurisdiction (or other agreed tribunal) to have been a wrongful refusal on the Contractor's part, then Contractor shall pay all the City's costs for defense, including all reasonable expert witness fees and reasonable attorneys' fees, plus the City's legal costs and fees incurred because there was a wrongful refusal on the Contractor's part. VIII. INSURANCE. The Contractor shall procure and maintain for the duration of the Agreement, insurance of the types and in the amounts described in Exhibit B attached and incorporated by this reference. IX. CONTRACTOR'S WORK AND RISK. The Contractor agrees to comply with all federal, state, and municipal laws, rules, and regulations that are now effective or in the future become applicable to Contractor's business, equipment, and personnel engaged in operations covered by this Agreement or accruing out of the performance of those services. All work shall be done at Contractor's own risk, and Contractor shall be responsible for any loss of or damage to materials, tools, or other articles used or held for use in connection with the work. X. 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. E. Assignment. Any assignment of this Agreement by either party without the written consent of the non-assigning party shall be void. PROFESSIONAL SERVICES AGREEMENT - 3 (Over$20,000) F. Modification. No waiver, alteration, or modification of any of the provisions of this Agreement shall be binding unless in writing and signed by a duly authorized representative of the City and Contractor. G. Entire Agreement. The written provisions and terms of this Agreement, together with any Exhibits attached hereto, shall supersede all prior verbal statements of any officer or other representative of the City, and such statements shall not be effective or be construed as entering into or forming a part of or altering in any manner this Agreement, Should any language in any of the exhibits to this Agreement conflict with any language contained in this Agreement, the terms of this Agreement shall prevail H. Public Records Act, The Contractor 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 and documents, notes, emails, and other records prepared or gathered by the Contractor in its performance of this Agreement may be subject to public review and disclosure; even if those records are not produced to or possessed by the City of Kent. As such, the Contractor agrees to cooperate fully with the City in satisfying the City's duties and obligations under the Public Records Act. 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. / I / i 1 Counteroarts 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. IN WXTNLSS, the parties below execute this Agreement, which shall become effective on the last date entered below. CONTRACTOR: CITY OF KENT. (Sig natu e r� (signature) Print Narne: UPY1Plt.� 1((as �riotiatlle: Suzette Cooke Its:. , Its Mayor (title) ; DATE:��� �� DATE: s.d .i✓� fT� PROFESSIONAL SERVICES AGREEMENT - 4 (Over$20,000) NOTICES TO BE SENT TO: NOTICES TO BE SENT TO: CONTRACTOR: CITY OF KENT: DENNIS KARRAS, SPHR CEO Derek Matheson, Chief Administrative Officer KARRAS CONSULTING, INC City of Kent 1802 Black Lake Blvd SW 220 Fourth Avenue South Suite 101 Kent, WA 98032 Olympia, WA 98512 (253) 856-5700 (telephone) (360) 867-1410 (telephone) (253) 856-6700 (facsimile) (360) 956-1348 (facsimile) APPR ED AST FOR `) i Kent Law Department PROFESSIONAL SERVICES AGREEMENT - 5 (Over$20,000) 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. 1 During the time of this Agreement the prime contractor will provide a written statement to all new employees and subcontractors indicating commitment as an equal opportunity employer, 4. During the time of the Agreement I, the prime contractor, will actively consider hiring and promotion of women and minorities, 5. Before acceptance of this Agreement, an adherence statement will be signed by me, the Prime Contractor, that the Prime Contractor complied with the requirements as set forth above. By signing below, I agree to fulfill the five requirements referenced above, Dated this day of--a t 1 20 . For: —Kayy-a-s Title: ceo Date r ,S EEO COMPLIANCE DOCUMENTS - 1 CITY OF KENT ADMINISTRATIVE POLICY NUMBER: 1.2 EFFECTIVE DATE: January 1, 1998 SUBJECT: MINORITY AND WOMEN SUPERSEDES: April 1, 1996 CONTRACTORS APPROVED BY Jim White, Mayor POLICY: Equal employment opportunity requirements for the City of Kent will conform to federal and state laws. All contractors, subcontractors, consultants and suppliers of the City must guarantee equal employment opportunity within their organization and, if holding Agreements with the City amounting to $10,000 or more within any given year, must take the following affirmative steps: 1. Provide a written statement to all new employees and subcontractors indicating commitment as an equal opportunity employer. 2. Actively consider for promotion and advancement available minorities and women. Any contractor, subcontractor, consultant or supplier who willfully disregards the City's nondiscrimination and equal opportunity requirements shall be considered in breach of contract and subject to suspension or termination for all or part of the Agreement. Contract Compliance Officers will be appointed by the Directors of Planning, Parks, and Public Works Departments to assume the following duties for their respective departments. 1. Ensuring that contractors, subcontractors, consultants, and suppliers subject to these regulations are familiar with the regulations and the City's equal employment opportunity policy. 2. Monitoring to assure adherence to federal, state and local laws, policies and guidelines. EEO COMPLIANCE DOCUMENTS - 2 CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE STATEMENT This form shall be filled out AFTER COMPLETION of this project by the Contractor awarded the Agreement. I, the undersigned, a duly represented agent of Company, hereby acknowledge and declare that the before-mentioned company was the prime contractor for the Agreement known as that was entered into on the (date), between the firm I represent and the City of Kent. I declare that I complied fully with all of the requirements and obligations as outlined in the City of Kent Administrative Policy 1.2 and the Declaration City of Kent Equal Employment Opportunity Policy that was part of the before-mentioned Agreement. Dated this day of 20 By: For: Title: Date: EEO COMPLIANCE DOCUMENTS - 3 KARRAS CONSULTING Exhibit A- Associated Fees and Billing Schedule Rate , ; Karras Consulting's fee for the City of Kent HR Director recruitment is a flat rate of$29,500. All related tasks required to successfully complete this recruitment including: all position advertising, e-recruiting, print media, trade journals; on-site visits; client correspondence; targeted recruiting; interviewing; coordinating candidate travel; professional reference checks; printing of documents and materials; preparation of interview booklets; delivery and postage expenses; consultant travel and related expenses and criminal checks are included in this cost. Project'Expenses Paid by City of Kent Candidate Expenses: Travel and related expenses for out-of-state candidates. Billing Schedule; _ Phase 1 Billing: 1/3 after completion of the following tasks: ✓ Meet with City of Kent leadership ✓ Review job description and other related information ✓ Develop recruitment timeline ✓ Design job announcement Phase 2 Billing: 1/3 after the completion of the following tasks: ✓ Commence national recruitment ✓Target potential candidates ✓ Place job advertisements ✓ Assess candidate pools (ongoing) ✓ Conduct videoconference and in-person interviews ✓ Provide and review candidate list with the City of Kent ✓ Recommend A and B list candidates Phase 3 Billing: 1/3 after the completion of the following tasks: ✓ Establish interview panel in partnership with the City of Kent ✓ Select finalists ✓ Conduct finalist interviews ✓ Select top candidates(s) ✓ Conduct background and reference checks ✓ Present candidate profiles and confidential reference reports for all finalists ✓ Placement of candidate I EXHIBIT S 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 Liabilitv insurance covering all owned, non- owned, hired and leased vehicles. Coverage shall be written on Insurance Services Office (ISO) form CA 00 01 or a substitute form providing equivalent liability coverage. If necessary, the policy shall be endorsed to provide contractual liability coverage. Commercial General Liability insurance shall be written on ISO occurrence form CG 00 01. The City shall be named as an Additional Insured under the Consultant's Commercial General Liability insurance policy with respect to the work performed for the City using ISO additional insured endorsement CG 20 10 11 85 or a substitute endorsement providing equivalent coverage. 2. Workers' Compensation coverage as required by the Industrial Insurance laws of the State of Washington. B. Minimum Amounts of Insurance Consultant shall maintain the following insurance limits: 1. Automobile Liability insurance with a minimum combined single limit for bodily injury and property damage of $1,000,000 per accident. 2. Commercial General Liabilitv insurance shall be written with limits no less than $1,000,000 each occurrence, $2,000,000 general aggregate. EXHIBIT B (Continued) C. Other Insurance Provisions The insurance policies are to contain, or be endorsed to contain, the following provisions for Automobile Liability and Commercial General Liability insurance: 1. The Consultant's insurance coverage shall be primary insurance as respect the City. Any Insurance, self-insurance, or insurance pool coverage maintained by the City shall be excess of the Consultant's insurance and shall not contribute with it. 2. The Consultant's insurance shall be endorsed to state that coverage shall not be cancelled by either party, except after thirty (30) days prior written notice by certified mail, return receipt requested, has been given to the City. 3. The City of Kent shall be named as an additional insured on all policies (except Professional Liability) as respects work performed by or on behalf of the Consultant and a copy of the endorsement naming the City as additional insured shall be attached to the Certificate of Insurance. The City reserves the right to receive a certified copy of all required insurance policies. The Consultant's Commercial General Liability insurance shall also contain a clause stating that coverage shall apply separately to each insured against whom claim is made or suit is brought, except with respects to the limits of the insurer's liability. D. Acceptability of Insurers Insurance is to be placed with insurers with a current A.M. Best rating of not less than 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 Consultant before commencement of the work. F. Subcontractors Consultant shall include all subcontractors as insureds under its policies or shall furnish separate certificates and endorsements for each subcontractor. All coverages for subcontractors shall be subject to all of the same insurance requirements as stated herein for the Consultant. A�® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYVY 09/01/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES '.. BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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 IIAA AGENCY ADMINISTRATIVE SERVICES INC A/G, E.L: 888 661-3938 AG Ne: 817 652-6091 127 S PEYTON ST E-MAIL ALEXANDRIA,VA 22314 ADDRESS: Service.center travelers.com (888)661-3938 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:TRAVELERS CASUALTY INSURANCE COMPANY OF AMERICA INSURED INSURERS: KARRAS CONSULTING INC -- -- - 1802 BLACK LAKE BLVD SW INSURERC: STE 101 INSURER D: OLYMPIA,WA 98512 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 369687818451442 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE WSD WVD POLICY NUMBER MM/DDIYYYY MMIDD/YYYY LIMITS A 680-6C589485-15 01/20/2015 01/20/2016 EACH OCCURRENCE $2 000 000 X COMMERCIAL GENERAL LIABILITY G O RENTED CLAIMS-MADE OCCUR PREMISES Ea occurrence $300,000 X HIREDAUTO MED EXP(Am,one erson $500 X NONOWNEDAUTO PERSONAL&ADV INJURY $0 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 ( POLICY PRO- JEGT LOG PRODUCTS-COMP/OP AGO $4,000,000 OTHER: $ A COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(For accident) $ HIRED AUTOS NON-OWNS AUTOS PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ WORKERS COMPENSATION N/A STATUTE (ERH AND EMPLOYERS'LIABILITY YIN — ANY PROPRIETORIPARTNERIEXECUTIVE ❑ EL.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS LOCATIONS l VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION CITY OF KENT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 220 4TH AVE SOUTH THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN KENT,WA 98032 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE . V J ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS: 1. WHO IS AN INSURED (SECTION II) is amended in a written contract for this insurance to to include as an insured any person or organiza- apply on a primary or contributory basis. tion (called hereafter "additional insured") whom 3. This insurance does not apply: you have agreed in a written contract, executed prior to loss, to name as additional insured, but a, on any basis to any person or organization only with respect to liability arising out of "your for whom you have purchased an Owners work" or your ongoing operations for that addi- and Contractors Protective policy. tional insured performed by you or for you. b, to "bodily injury," "property damage," "per- 2. With respect to the insurance afforded to Addi- sonal injury,' or "advertising injury" arising tional Insureds the following conditions apply: out of the rendering of or the failure to render any professional services by or for you, in- a. Limits of Insurance— The following limits of cluding: liability apply: 1. The preparing, approving or failing to 1. The limits which you agreed to provide; prepare or approve maps, drawings, or opinions, reports, surveys, change or- 2. The limits shown on the declarations, ders, designs or specifications; and whichever is less. 2. Supervisory, inspection or engineering b. This insurance is excess over any valid and services. collectible insurance unless you have agreed CG D1 05 04 94 Copyright,The Travelers Indemnity Company, 1994. Page 1 of 1 Includes Copyrighted Material from Insurance Services Office, Inc. REQUEST FOR MAYOR'S SIGNATURE T Print on Cherry-Colored Paper Routing Information (ALL REQUESTS MUST FIRST BE ROUTED THROUGH THE LAW DEPARTMENT) Approved by Director Originator: Phone (Originator): .t, Date Sent: Date Required: Return Signed Document to: Contract Termination Date: VENDOR NAME: Date Finance Notified: (Only required on contracts 10 000 and over or on any Grant DATE OF COUNCIL APPROVAL: Date Risk Manager Notified: (Required on Non-City Standard Contracts/� ree ents Has this Document been Specifically Account Number: f gglltt Authorized in the Budget? 0 YES Q NO Brief Explanation of Document: All Contracts Jwiisf Be lPngted Through The Law Department (,This area to be completed by the Law Department) Received: {ytf Approval of Law Dept.: Law Dept. Comments: Date Forwarded to Mayor: q g Shaded Areas To Be Completed By Administration Staff Received: r(. . l� D Recommendations and Comments: Disposition: Date Returned: P 1CivII,FarmslMocumrnl PmccsslnB�cqucsHorMy Ig Wre.co:x - - - - --