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KENT Document
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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: SH&H Valuation LLC
Vendor Number:
JD Edwards Number
Contract Number:
This is assigned by City Clerk's Office
I
Project Name: S, 228th St. UPRR Grade Separation
Description: ❑ Interlocal Agreement ❑ Change Order ❑ Amendment ® Contract
❑ Other:
Contract Effective Date: Date of the Mayor's signature Termination Date: 12/31/16
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Contract Renewal Notice (Days):
Number of days required notice for termination or renewal or amendment
Contract Manager: Mark Madfai Department: Engineering
Contract Amount: $32,250.00
Approval Authority: (CIRCLE ONE) Department Director Mayor City Council
Detail: (i.e. address, location, parcel number, tax id, etc.):
The Contractor shall prepare appraisal reports for five properties along or near S. 2281n
St,
As of: 08/27/14
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KEItl l
PROFESSIONAL SERVICES AGREEMENT
between the City of Kent and
SH&H Valuation LLC
THIS AGREEMENT is made between the City of Kent, a Washington municipal corporation
(hereinafter the "City"), and SH&H Valuation LLC organized under the laws of the State of Washington,
located and doing business at 6419 Lakewood Dr. W., Tacoma, WA 98467, Phone: (253) 564-3230/Fax:
(253) 564-3143, Contact: Chad Johnson (hereinafter the "Contractor").
I. DESCRIPTION OF WORK.
Contractor shall perform the following services for the City:
The Contractor shall prepare appraisal reports for five properties for the S.
228`h Street UPRR Grade Separation project. For a description, see the
Contractor's Scope of Work which is attached as Exhibit A and incorporated by
this reference.
Contractor further represents that the services furnished under this Agreement will be performed in
accordance with generally accepted professional practices within the Puget Sound region in effect at the
time those services are performed.
II. TIME OF COMPLETION. The parties agree that work will begin on the tasks described in
Section I above immediately upon the effective date of this Agreement, and Contractor shall complete the
work by December 31, 2016.
III. COMPENSATION. The City shall pay Contractor a total amount not to exceed Thirty Two
Thousand, Two Hundred Fifty Dollars ($32,250.00) for the services described in this Agreement. The
Contractor shall invoice the City monthly based on time and materials incurred during the preceding
month. The hourly rates charged for Contractor's services shall be as delineated in the attached and
incorporated Exhibit A. All hourly rates charged shall remain locked at the negotiated rates throughout
the term of this Agreement.
IV. INDEPENDENT CONTRACTOR. The parties intend that an Independent Contractor-
Employer Relationship will be created by this Agreement. By their execution of this Agreement, and in
accordance with Ch. 51.08 RCW, the parties make the following representations:
A. The Contractor has the ability to control and direct the performance and details of its
work, the City being interested only in the results obtained under this Agreement.
B. The Contractor maintains and pays for its own place of business from which
Contractor's services under this Agreement will be performed.
C. The Contractor has an established and independent business that is eligible for a
business deduction for federal income tax purposes that existed before the City
retained Contractor's services, or the Contractor is engaged in an independently
established trade, occupation, profession, or business of the same nature as that
involved under this Agreement.
D. The Contractor is responsible for filing as they become due all necessary tax
documents with appropriate federal and state agencies, including the Internal
Revenue Service and the state Department of Revenue.
PROFESSIONAL SERVICES AGREEMENT - 1
(Over$20,000)
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E. The Contractor has registered its business and established an account with the state
Department of Revenue and other state agencies as may be required by Contractor's
business, and has obtained a Unified Business Identifier (UBI) number from the
State of Washington.
F. The Contractor maintains a set of books dedicated to the expenses and earnings of
its business.
V. TERMINATION. Either party may terminate this Agreement, with or without cause, upon
providing the other party seven (7) calendar days written notice at its address set forth on the signature
block of this Agreement.
VI. DISCRIMINATION. In the hiring of employees for the performance of work under this
Agreement or any subcontract, the Contractor, its subcontractors, or any person acting on behalf of the
Contractor or subcontractor shall not discriminate against any person who is qualified and available to
perform the work to which the employment relates as provided for by the City of Kent's Equal
Employment Opportunity Policy. Contractor shall execute the attached City of Kent Equal Employment
Opportunity Policy Declaration, Comply with City Administrative Policy 1.2, and upon completion of the
contract work, file the attached Compliance Statement.
VII. INDEMNIFICATION. Contractor shall defend, indemnify and hold the City, its officers,
officials, employees, agents and volunteers harmless from any and all claims, injuries, damages, losses or
suits, including all legal costs and attorney fees, arising out of or in connection with the Contractor's
performance of this Agreement, except for that portion of the injuries and damages caused by the City's
negligence. The City's inspection or acceptance of any of Contractor's work when completed shall not be
grounds to avoid any of these covenants of indemnification. The provisions of this section shall survive
the expiration or termination of this Agreement.
In the event Contractor refuses tender of defense in any suit or any claim, if that tender was made
pursuant to this indemnification clause, and if that refusal is subsequently determined by a court having
jurisdiction (or other agreed tribunal) to have been a wrongful refusal on the Contractor's part, then
Contractor shall pay all the City's costs for defense, including all reasonable expert witness fees and
reasonable attorneys' fees, plus the City's legal costs and fees incurred because there was a wrongful
refusal on the Contractor's part.
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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.
PROFESSIONAL SERVICES AGREEMENT - 2
(Over$20,000)
C. Resolution of Disputes and Governing Law. This Agreement shall be governed by and
construed in accordance with the laws of the State of Washington. If the parties are unable to settle any
dispute, difference or claim arising from the parties' performance of this Agreement, the exclusive means
of resolving that dispute, difference or claim, shall only be by filing suit exclusively under the venue, rules
and jurisdiction of the King County Superior Court, King County, Washington, unless the parties agree in
writing to an alternative dispute resolution process. In any claim or lawsuit for damages arising from the
parties' performance of this Agreement, each party shall pay all its legal costs and attorney's fees incurred
in defending or bringing such claim or lawsuit, including all appeals, in addition to any other recovery or
award provided by law; provided, however, nothing in this paragraph shall be construed to limit the City's
right to indemnification under Section VII of this Agreement.
D. Written Notice. All communications regarding this Agreement shall be sent to the parties at
the addresses listed on the signature page of the Agreement, unless notified to the contrary. Any written
notice hereunder shall become effective three (3) business days after the date of mailing by registered or
certified mail, and shall be deemed sufficiently given if sent to the addressee at the address stated in this
Agreement or such other address as may be hereafter specified in writing.
E. Assignment. Any assignment of this Agreement by either party without the written consent
of the non-assigning party shall be void.
F. Modification. No waiver, alteration, or modification of any of the provisions of this
Agreement shall be binding unless in writing and signed by a duly authorized representative of the City
and Contractor.
G. Entire Agreement. The written provisions and terms of this Agreement, together with any
Exhibits attached hereto, shall supersede all prior verbal statements of any officer or other representative
of the City, and such statements shall not be effective or be construed as entering into or forming a part
of or altering in any manner this Agreement. Should any language in any of the exhibits to this
Agreement conflict with any language contained in this Agreement, the terms of this Agreement shall
prevail.
H. 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.
PROFESSIONAL SERVICES AGREEMENT - 3
(Over$20,000)
f
J. 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.
IN WITNESS, the parties below execute this Agreement, which shall become effective on
the last date entered below.
CONTRACTOR, CITY OF KENT•
/ f E Lam`" 1e...-.s-
,_ _ 4sr natu ) r (signature) j
Print Name: C V11 Print Name^ Suzette Cooke
Its: 6AA*sn Its `
title) —
DATE; y V DATE:
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NOTICES TO BE SENT TO: NOTICES TO BE SENT TO:
CONTRACTOR: CITY OF KENT:
Chad Johnson Timothy J. LaPorte, P.E.
SH&H Valuation LLC City of Kent
6419 Lakewood Dr. W. 220 Fourth Avenue South
Tacoma, WA 98467 Kent, WA 98032
(253) 564-3230 (telephone) (253) 856-5500 (telephone)
(253) 564-3143 (facsimile) (253) 856-6500 (facsimile)
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APPROVED AS FORM: ''
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Kent Law Department
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PROFESSIONAL SERVICES AGREEMENT - 4
(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.
3. During the time of this Agreement the prime contractor will provide a written statement to
all new employees and subcontractors indicating commitment as an equal opportunity
employer.
4. During the time of the Agreement I, the prime contractor, will actively consider hiring and
promotion of women and minorities.
5. Before acceptance of this Agreement, an adherence statement will be signed by me, the
Prime Contractor, that the Prime Contractor complied with the requirements as set forth
above.
By signing below, I agree to fulfill the five requirements referenced above.
Dated this `-t,4T day of °^ 20 6
By:
f= I
For: 1r
Title: � I&
Date: r e�i �n- 1C40 !
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.
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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
EXHIBIT A
# SHSHANS
December 10, 2015
Ingrid Willms-Dixon
Project Analyst
Design Engineering—Public Works Department
City of Kent
220 Fourth Avenue South
Kent,WA 98032
Re: Appraisal Scope and Bid Summary
228"6 Street UPRR Grade Separation Project
Kent,WA
Dear Ms.Willms-Dixon:
Pursuant to your request, I am providing you with this scope and bid summary relevant to
the preparation of appraisal reports for five properties along or near South 228`h Street in
Kent, Washington. The City of Kent is proposing to acquire additional Right of Way,
permanent easements and/or temporary construction easements on these properties. The
properties to be analyzed are identified as follows:
• PW2015-005: 228th Street Kent LLC (Pacific Metals)
• PW2015-007: Jalau Klavano Properties (Alexander Exhibit)
• PW2015-011: AMB-SGP OF California LLC (CenturyLink)
• PW2015-012: American Wholesale (DWF)
• PW2015-009: R&M Investments LLC (Flow Form)
It is my understanding that all relevant project exhibits, maps, site area calculations, title
reports and easement language will be supplied by the City of Kent, much of which has
already been provided. Based on my discussions with City personnel, it is understood
that if the inclusion of relocation costs becomes necessary for any of the properties
analyzed, these estimates will be provided by the City.
As per your request, some of the properties will require multiple valuation scenarios.
This is taken into account in formulating the bid proposal. Under all scenarios for each
respective property, the properties will be appraised utilizing a "before and after"
6419 Lakewood Drive West I Tacoma, Washington 98467 1 p. 253.564.32301 f. 253.564.3143
methodology in order to measure the impact of the proposed acquisitions and/or
modifications to the properties. The cost estimate for each of the properties is
summarized as follows:
Scenarios Anticipated Nwriber Appraisal
property Requested Of Appraisal Reports Nee
PW2015-005:228th Street Kant LLC(Pacific Metals) 3 3 $9,000
PW2015-007:Salau Klavano Properties(Alexander Erlibit) 1 1 $4,500
PW2015-011:AMB-SOP CIF Caldomia L DC(CenluryLink) 2 2 $6,750
PNY2015-012:Aracrican Wholesale(DWF) 2 1 $4,500
PW2015-009:R&M Investments LLC(Plow Forni) 1 1 $7,500
Totals 9 8 $32,250
It is my understanding that project design modifications may occur during the appraisal
process. I can provide the completed appraisal reports within 60 days of the receipt of an
executed contract, recognizing that if project modifications impact any of the respective
appraisal reports, an extension to the delivery time will he granted as needed.
I trust that this scope and bid summary meets your requirements. If you concur with the
proposal,please provide a contract for the project so I can commence the assignment.
Sincerely,
Chad C.dohnson,M
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EXHIBIT B
INSURANCE REQUIREMENTS FOR
CONSULTANT SERVICES AGREEMENTS
Insurance
The Consultant shall procure and maintain for the duration of the Agreement,
insurance against claims for injuries to persons or damage to property which
may arise from or in connection with the performance of the work hereunder
by the Consultant, their agents, representatives, employees or
subcontractors.
A. Minimum Scope of Insurance
Consultant shall obtain insurance of the types described below:
1. Automobile Liability insurance covering all owned, non-owned,
hired and leased vehicles. Coverage shall be written on Insurance
Services Office (ISO) form CA 00 01 or a substitute form providing
equivalent liability coverage. If necessary, the policy shall be
endorsed to provide contractual liability coverage.
2. Commercial General Liability insurance shall be written on ISO
occurrence form CG 00 01 and shall cover liability arising from
premises, operations, independent contractors, products-completed
operations, personal injury and advertising injury, and liability
assumed under an insured contract. The City shall be named as an
insured under the Consultant's Commercial General Liability
insurance policy with respect to the work performed for the City
using ISO additional insured endorsement CG 20 10 11 85 or a
substitute endorsement providing equivalent coverage.
3. Workers' Compensation coverage as required by the Industrial
Insurance laws of the State of Washington.
4. Professional Liability insurance appropriate to the Consultant's
profession.
B. Minimum Amounts of Insurance
Consultant shall maintain the following insurance limits:
1. Automobile Liability insurance with a minimum combined single
limit for bodily injury and property damage of $1,000,000 per
accident.
2. Commercial General Liability insurance shall be written with limits
no less than $1,000,000 each occurrence, $2,000,000 general
aggregate and a $1,000,000 products-completed operations
aggregate limit.
EXHIBIT B (Continued)
3. Professional Liability insurance shall be written with limits no less
than $1,000,000 per claim and $1,000,000 policy aggregate limit.
C. Other Insurance Provisions
The insurance policies are to contain, or be endorsed to contain, the following
provisions for Automobile Liability and Commercial General Liability
insurance:
1. The Consultant's insurance coverage shall be primary insurance as
respect the City. Any Insurance, self-insurance, or insurance pool
coverage maintained by the City shall be excess of the Consultant's
insurance and shall not contribute with it.
2. The Consultant's insurance shall be endorsed to state that coverage
shall not be cancelled by either party, except after thirty (30) days
prior written notice by certified mail, return receipt requested, has
been given to the City.
3. The City of Kent shall be named as an additional insured on all
policies (except Professional Liability) as respects work performed
by or on behalf of the Consultant and a copy of the endorsement
naming the City as additional insured shall be attached to the
Certificate of Insurance. The City reserves the right to receive a
certified copy of all required insurance policies. The Consultant's
Commercial General Liability insurance shall also contain a clause
stating that coverage shall apply separately to each insured against
whom claim is made or suit is brought, except with respects to the
limits of the insurer's liability.
D. Acceptability of Insurers
Insurance is to be placed with insurers with a current A.M. Best rating of not
less than ANII.
E. Verification of Coverage
Consultant shall furnish the City with original certificates and a copy of the
amendatory endorsements, including but not necessarily limited to the
additional insured endorsement, evidencing the insurance requirements of
the Contractor before commencement of the work.
F. Subcontractors
Consultant shall include all subcontractors as insureds under its policies or
shall furnish separate certificates and endorsements for each subcontractor.
All coverages for subcontractors shall be subject to all of the same insurance
requirements as stated herein for the Consultant.
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SHHVA-1 OP ID: HH
4COR®' CERTIFICATE OF LIABILITY INSURANCE DATEIMMIDDIYYYY)
1 212112 01 6
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 NAME: Heather Hanson
Tayylor-Thomason Ins. Brokers - -- 'FAX
3401 South 19th Street PHONE E#P 253-284.7900 (10 No): 263.284-7901
P.O.Box 7187 EMAIL
Tacoma,WA 98417 ADDRESS:Heatherh@ttib.net
CL Written by staff INSURERS)AFFORDING COVERAGE NAIC#
INSURERA:Ohio Casualty Insurance Co '....
INSURED SH&H Valuations LLC INSURER B:
6419 Lakewood Dr West --
Tacoma,WA 98467 INSURERc:
INSURER D:
INSURER E: _
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
INSR TVpE OF INSURANCE DD - POLICY EFF POLICVE%P LIMITS
LTR D WVD POLICY NUMBER MMIDU(YYYY MMIDDflYV1'
A COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000
_.� -RENTS CLAIMS-MADE ❑X PREMISES OCCUR X BZS57021782 01/01/2016 0110V2017 ENTED 2,000,000
- $
X Business Owners MED ESP(Any an.Remmr) $ 15,000
PERSONAL&ADV INJURY $ 2,000,000
GENT AGGREGATE LIMIT APPLIES PER: - GENERAL AGGREGATE. $ 4,000,000
X POLICY❑JEocr ❑Loc 4,000,000
PRODUCTS-COMP/OP AGO $
$
OTHER: COMBINED SINGLE LIMIT
AUTOMOBILE LIABILITY F...Deat $ 1,000,000
A ANY AUTO X BZS57021782 01/01/2016 0110112017 BODILY INJURY(Per person) S
�ALLOWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS AUTOS --
X HIRED AUTOS X AUTOS ED (P rraccid nl AMAGE g
UMBRELLA LIAB OCCUR EACH OCCURRENCE $ _
EXCESS LIAB CLAIMS-MADE AGGREGATE $ _
DED I I RETENTIONS PER 1 $
WORKERS COMPENSATION STATUTE OR -
AND EMPLOYERS'LIABILITY
ANY PROPRIETORIPARTNERIEXECUTIVE Y�NIA E.L.EACH ACCIDENT $
OFFICERNEMBER EXCLUDED?
(Mandatory in NH) E.L.DISEASE-EA EMPLOYE $
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
DESCRIPTION OF OPERATIONS I LOCATIONS l VEHICLES (ACORD 101,Additional Remarks Schedule,maybe aaached If more space is required)
The City of Kent is named as additional insured with respects to operations
of the named insured. Coverage is primary and non contributory.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Kent
Public Works Engineering
220 4th Ave So AUTHORIZED REPRESENTATIVE
Kent,WA 98032
@ 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD
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""REPRINTED FROM THE FORMS LIBRARY""
COMMERCIAL GENERAL LIABILITY
CG 76 35 02 07
Policy #BZS57021782
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
LIABILITY PLUS ENDORSEMENT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
i
Name of Person or Organization: City of Kent
as required by written contract.
ADDITIONAL INSURED — BY WRITTEN lease or occupy, subject to the following
CONTRACT, AGREEMENT OR PERMIT, OR additional provisions:
SCHEDULE (a) This insurance does not apply to
The following paragraph is added to WHO IS AN any `occurrence" which takes place
INSURED (Section II): after you cease to be a tenant in
any premises leased to or rented to
4. Any person or organization shown in the Sched- you;
ule or for whom you are required by written con- (b) This insurance does not apply to
tract, agreement or permit to provide insurance any structural alterations, new con-
is an insured, subject to the following additional struction or demolition operations
provisions: performed by or on behalf of the
a. The contract, agreement or permit must be person or organization added as an
in effect during the policy period shown in insured;
the Declarations, and must have been exe- (2) Your ongoing operations for that in-
cuted prior to the "bodily injury", 'property sured, whether the work is performed
damage", or "personal and advertising by you or for you;
injury".
(3) The maintenance, operation or use by
b. The person or organization added as an in- you of equipment leased to you by such
sured by this endorsement is an insured only person or organization, subject to the
to the extent you are held liable due to: following additional provisions:
(1) The ownership, maintenance or use of (a) This insurance does not apply to
that part of premises you own, rent, any `occurrence" which takes place
after the equipment lease expires;
Includes Copyrighted Material of Insurance Services Office, Inc., with its permission.
Copyright, Insurance Services, 2001
CO 7e 35 02 07 Page I of 4 EP
4
""REPRINTED FROM THE FORMS LIBRARY""
(b) This insurance does not apply to This exclusion applies even if the claims
"bodily injury" or "property dam- against any insured allege negligence or
age" arising out of the sole negli- other wrongdoing in the supervision, hiring,
gence of such person or employment, training or monitoring of others
organization; by that insured, if the "occurrence" which
caused the "bodily injury" or "property
(4) Permits issued by any state or political damage" involved the ownership, mainte-
subdivision with respect to operations nance, use or entrustment to others of any
performed by you or on your behalf, aircraft, "auto" or watercraft that is owned
subject to the following additional pro- or operated by or rented or loaned to any in-
vision: sured.
This insurance does not apply to "bodily This exclusion does not apply to:
njury°, "property damage", or (1) A watercraft while ashore on premises
"personal and advertising injury" arising you own or rent;
out of operations performed for the state
or municipality. (2) A watercraft you do not own that is:
c. The insurance with respect to any architect, (a) Less than 52 feet long; and
engineer, or surveyor added as an insured (b) Not being used to carry persons or
by this endorsement does not apply to property for a charge;
"bodily injury", "property damage", or "per-
sonal and advertising injury" arising out of (3) Parking an "auto" on, or on the ways
the rendering of or the failure to render any next to, premises you own or rent, pro-
professional services by or for you, includ- vided the "auto" is not owned by or
ing:
rented or loaned to you or the insured;
(1) The preparing, approving, or failing to (4) Liability assumed under any "insured
prepare or approve maps, drawings, contract" for the ownership, mainte-
opinions, reports, surveys, change or- nance or use of aircraft or watercraft; or
dens, designs or specifications; and (5) "Bodily injury" or "property damage"
(2) Supervisory, inspection or engineering arising out of:
services. (a) the operation of machinery or
d. This insurance does not apply to 'bodily equipment that is attached to, or
pp Y y part of, a land vehicle that would
injury" or "property damage" included within qualify under the definition of
the "products-completed operations haz- "mobile equipment" if it were not
and". subject to a compulsory or financial
responsibility law or other motor ve-
A person's or organization's status as an insured un- hicle insurance law in the state
der this endorsement ends when your operations for where it is licensed or principally
that insured are completed. garaged; or
No coverage will be provided if, in the absence of this (b) the operation of any of the ragrmacap-
endorsement, no liabilitywould be imposed b law on ery or equipment listed in Paragraph
p Y f.(2) or f.(3) of the definition of
you. Coverage shall be limited to the extent of your "mobile equipment".
negligence or fault according to the applicable princi-
ples of comparative fault. (6) An aircraft you do not own provided it is
not operated by any insured.
NON-OWNED WATERCRAFT AND NON-OWNED
AIRCRAFT LIABILITY TENANTS' PROPERTY DAMAGE LIABILITY
Exclusion g. of COVERAGE A (Section 1) is replaced When a Damage To Premises Rented To You Limit is
by the following: shown in the Declarations, Exclusion j, of Coverage
A, Section I is replaced by the following:
g. "Bodily injury" or "property damage" arising
out of the ownership, maintenance, use or j• Damage To Property
entrustment to others of any aircraft, "auto" "Property damage" to:
or watercraft owned or operated by or rented
or loaned to any insured. Use includes oper- (1) Property you own, rent, or occupy, including
ation and "loading or unloading". any costs or expenses incurred by you, or
Page 2 of 4
""REPRINTED FROM THE FORMS LIBRARY—*
any other person, organization or entity, for WHO IS AN INSURED — MANAGERS
repair, replacement, enhancement, restora-
tion or maintenance of such property for any The following is added to Paragraph 2.a. of WHO IS
reason, including prevention of injury to a AN INSURED (Section II):
person or damage to another's property;
(2) Premises you sell, give away or abandon, if Paragraph(1) does not apply to executive officers, or
the "property damage" arises out of any part to managers at the supervisory level or above.
of those premises;
SUPPLEMENTARY PAYMENTS — COVERAGES A
(3) Property loaned to you; AND B — BAIL BONDS — TIME OFF FROM
(4) Personal property in the care, custody or WORK
control of the insured;
Paragraph 1.b. of SUPPLEMENTARY PAYMENTS —
(5) That particular part of real property on which COVERAGES A AND B is replaced by the following:
you or any contractors or subcontractors
working directly or indirectly on your behalf b. Up to $3,000 for cost of bail bonds required
are performing operations, if the "property because of accidents or traffic law violations
damage" arises out of those operations, or arising out of the use of any vehicle to which
the Bodily Injury Liability Coverage applies.
(6) That particular part of any property that must We do not have to furnish these bonds,
be restored, repaired or replaced because
"your work" was incorrectly performed on it. Paragraph 1.d. of SUPPLEMENTARY PAYMENTS —
Paragraphs (1), (3) and (4) of this exclusion do COVERAGES A AND B is replaced by the following:
not apply to `property damage" (other than d. All reasonable expenses incurred by the in-
damage by fire) to premises, including the con- sured at our request to assist us in the in-
tents of such premises, rented to you. A separate vestigation or defense of the claim or "suit
limit of insurance applies to Damage To Prem- including actual loss of earnings up to $500
ises Rented To You as described in Section III a day because of time off from work.
— Limits Of Insurance.
Paragraph (2) of this exclusion does not apply if EMPLOYEES AS INSUREDS — HEALTH CARE
the premises are `your work" and were never SERVICES
occupied, rented or held for rental by you.
Provision 2.a.(1)(d) of WHO IS AN INSURED (Section
Paragraphs (3), (4), (5) and (6) of this exclusion II) is deleted, unless excluded by separate endorse-
do not apply to liability assumed under a side- ment.
track agreement.
Paragraph (6) of this exclusion does not apply to EXTENDED COVERAGE FOR NEWLY ACQUIRED
"property damage" included in the "products- ORGANIZATIONS
completed operations hazard".
Provision 3.a. of WHO IS AN INSURED (Section II) is
Paragraph 6. of LIMITS OF INSURANCE (Section ill) replaced by the following:
is replaced by the following: a. Coverage under this provision is afforded
6. Subject to 5. above, the Damage To Premises only until the end of the policy period.
Rented To You Limit is the most we will pay un- EXTENDED "PROPERTY DAMAGE"
der Coverage A for damages because of
"property damage" to any one premises, while Exclusion a. of COVERAGE A (Section 1) is replaced
rented to you, or in the case of damage by fire, by the following:
while rented to you or temporarily occupied by
you with permission of the owner. a. "Bodily injury" or "property damage" expected
e To Premises Rented To You limit is the or intended from the standpoint of the insured.
The Damage This exclusion does not apply to "bodily injury"
higher of the Each Occurrence Limit shown in the or `property damage" resulting from the use of
Declarations or the amount shown in the Declarations reasonable force to protect persons or property.
as Damage To Premises Rented To You Limit.
i
CG 76 36 02 07 Page 3 of 4 EP
""REPRINTED FROM THE FORVS LIBRARY""
EXTENDED DEFINITION OF BODILY INJURY interrupted only by a street, roadway, waterway, or
right-of-way of a railroad.
Paragraph 3. of DEFINITIONS (Section V) is replaced
by the following: INCREASED MEDICAL EXPENSE LIMIT
3. "Bodily injury" means bodily injury, sickness or The Medical Expense Limit is amended to $10,000.
disease sustained by a person, including mental
anguish or death resulting from any of these at KNOWLEDGE OF OCCURRENCE
any time.
The following is added to Paragraph 2. Duties In The
TRANSFER OF RIGHTS OF RECOVERY Event Of Occurrence, Offense, Claim Or Suit of
COMMERCIAL GENERAL LIABILITY CONDITIONS
The following is added to Paragraph 8. Transfer Of (Section IV):
Rights Of Recovery Against Others To Us of COM-
MERCIAL GENERAL LIABILITY CONDITIONS (Sec- Knowledge of an "occurrence", claim or "suit" by
tion IV): your agent, servant or employee shall not in itself
constitute knowledge of the named insured unless an
We waive any rights of recovery we may have against officer of the named insured has received such notice
any person or organization because of payments we from the agent, servant or employee.
make for injury or damage arising out of your ongoing
operations or "your work" done under a contract with UNINTENTIONAL FAILURE TO DISCLOSE ALL
that person or organization and included in the HAZARDS
"products-completed operations hazard". This waiver
applies only to a person or organization for whom you The following is added to Paragraph 6. Representa-
are required by written contract, agreement or permit tions of COMMERCIAL GENERAL LIABILITY CONDI-
to waive these rights of recovery. TIONS (Section IV):
AGGREGATE LIMITS OF INSURANCE — PER If you unintentionally fail to disclose any hazards ex-
LOCATION isting at the inception date of your policy, we will not
deny coverage under this Coverage Form because of
For all sums which the insured becomes legally obli- such failure. However, this provision does not affect
gated to pay as damages caused by "occurrences" our right to collect additional premium or exercise our
under COVERAGE A (Section 1), and for all medical right of cancellation or non-renewal.
expenses caused by accidents under COVERAGE C
(Section 1), which can be attributed only to operations LIBERALIZATION CLAUSE
at a single "location"!
The following paragraph is added to COMMERCIAL
Paragraphs 2.a. and 2.b. of Limits of Insurance (Sec- GENERAL LIABILITY CONDITIONS (Section IV):
tion III) apply separately to each of your "locations"
owned by or rented to you. 10. If a revision to this Coverage Part, which would
provide more coverage with no additional pre-
"location" means premises involving the same or mium, becomes effective during the policy period
connecting lots, or premises whose connection is in the state shown in the Declarations, your pol-
icy will automatically provide this additional cov-
erage on the effective date of the revision.
Page 4 of 4 III
I_IA Administrators 8c Insurance services
APPRAISAL AND VALUATION A S P N
PROFESSIONAL LIABILITY INSURANCE POLICY
DECLARATIONS
ASPEN AMERICAN INSURANCE COMPANY
(A stock insurance company heroin called the"Company")
175 Capitol Blvd. Suite 100
Rocky Hill, CT 06067
Date Issued Policy Number Previous Policy Number
12/11/2015 AA1004449-01
THIS 1S A CLAIMS MADE AND REPORTED POLICY. COVERAGE IS LIMITED TO LIABILITY FOR ONLY THOSE
CLAIMS THAT ARE FIRST MADE AGAINST THE INSURED DURING THE POLICY PERIOD AND THEN REPORT-
ED TO THE COMPANY IN WRITING NO LATER TITAN SIXTY(60) DAYS AFTER EXPIRATION OR TERMINATION
OF THIS POLICY, OR DURING THE EXTENDED REPORTING PERIOD, IF APPLICABLE, FOR A WRONGFUL
ACT COMMITTED ON OR AFTER THE RETROACTIVE DATE AND BEFORE THE END OF THE POLICY
PERIOD, PLEASE READ THE POLICY CAREFULLY,
Item
1. Customer TD; 168390
Named Insured:
S H&H VALUATION,LLC
S H&H Valuation and Consulting
6419 Lakewood Drive West
Tacoma, WA 98467
2. Policy Period: From: 12/10/2015 To: 12/10/2016
12:01 A.M. Standard Time at the address stated in I above.
3. Deductible: $2,500 Each Claim
4. Retroactive Date: 1.2/10/2015
5. Inception Date: 12/10/2015
6. Limits of Liability: A. $1,000,000 Each Claim
B. $2,000,000 Aggregate
7. Mail all notices, including notice of Claim, to:
LIA Administrators & Insurance Services
1600 Anacapa Street
Santa Barbara, California 93101
(800) 334-0652; Fax: (805) 962-0652
8. Annual Premium: $6,759.00
9. Forms attached at issue: LLA002 (12/14) ASPC0002 0110 LIA WA (II/14) LIA012 (12/14)
LIA013 (10/14) LIA02SA (II/14) LIA122 (10a4)
This Declarations Page, together with the completed and signed Policy Application including all attachments and exhibits thereto,and
the Policy shall constitute the umtract between the Named Insured and th t any. >>
2/112015 y
B
Date Authorized SigAature
LIA-001 (12/14) Aspen American Insurance Company
Corporations: Registration Detail Page 1 of 1
SH&H VALUATION,LLC
UBI Number 603541466
Category LLC
Active/Inactive Active
State Oflncorporatien WA '..
WA Filing Date 09/14/2015
Expiration Date 09/30/2016
Inactive Date
Duration Perpetual
Registered Agent Information
Agent Name CHADJOHNSON
Address 7521 49TH STREET CT W
City UNIVERSITY PLACE
State WA
.ZIP 98467
'..Special Address Information
'..Address
City
'..State
Zip
Governing Persons
Title Name Address
Member Hines,Barbra 390742nd Street Ct NW
GIG HARBOR,WA 98335
Member Minarck,Matthew 390742nd Street Ct NW
GIG HARBOR,WA 98335
Member Johnson,Chad 7521 49th Street Ct.W
UNIVERSnY PLACE,WA 98467
it
i
http://www.sos.wa.gov/corps/search_detail.aspx?ubi=603541466 12/28/2015
REQUEST FOR MAYOR'S SIGNATURE
�»cv
. r 1.v..,
Routing Information (ALL REQUESTS MUST.FIRST BE ROUTED THROUGH THE LAW D,,EPART
APpr oed bt �,cs
i'
Ori inator: Mark`Madfai Phone Ori inator 5521.
Date Sent: 11-0N) 5 Date Required: r1.+'09 r "
Return Signed Document to:Nancyvoshrtake Contract Termination Date:12/31/16'
VENDOR NAME: Date Finance Notified:
rJHB H'va�UBtlOn LLG ' (only required on contracts 12/17/15
10.000 and over or on.any Grant
DATE OF COUNCIL APPROVAL: Date Risk Manager;Notified:N/A
N/A (Required on Non-City Standard Contracts A reements
Has this Document been Specifically Account Number: R90067
Authorized in the Bud et? e YES' NO
Brief Explanation of Document:
The attached agreement is for SH&H Valuation to prepare appraisal reports for five properties along or
near S, 228th St. for the UPRR Grade Separation project.
All Contracts Must Be Routed Through The Law Department
i
(This area to be completed by the Law Department)
Received:
Approval of Law Dept.:
Law Dept, Comments:
Date Forwarded to Mayor: "? $
Shaded Areas To Be Completed By Administration'Staff
Received:
Recommendations and Comments:
�a
Disposition. `'
Date Returned:
P ICIVY PormsOw v,P omvng FeVC t( Hayos BaR•cao[v