HomeMy WebLinkAboutPW16-224 - Original - Northwest Abatement Services, Inc - Contract - 05/27/2016 u i �,,/,✓ j�i
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KENT
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: Northwest Abatement Services, Inc..
Vendor Number':
JD Edwards Number
Contract Number:
This is assigned by City Clerk's Office
Project Name: Asbestos Survey
Description: ❑ Interlocal Agreement ❑ Change Order ❑ Amendment E Contract
Other:
Contract Effective Date: 5/27/16 Termination Date: 8/17/16
Contract renewal Notice (Days):
Number of days required notice for termination or renewal or amendment
Contract Manager: Nick Horn De artment: Engineering
Contract Amount: 5�; 75.(DQ
Approval Authority: (CIRCLE ONE) Department EDirector Mayor City Council
Detail: (i.e. address, location, parcel number, tax id, etc.):
Perform an asbestos survey_ t_17' 9 SE 272" St. Covington, I�VA g84fO
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GITif CLERK
As of: 08/27/14
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KENT
WASHIHOTO.
GOODS & SERVICES AGREEMENT
between the City of Kent and
Northwest Abatement Services, Inc.
THIS AGREEMENT is made by and between the City of Kent, a Washington municipal corporation
(hereinafter the "City"), and Northwest Abatement Services, Inc. organized under the laws of the State of
Washington, located and doing business at PO Box 39220, Lakewood, WA 98496, Phone: (253) 588-
0440/Fax: (253) 588-0198, Contact: Paul Peters (hereinafter the "Vendor").
AGREEMENT
I. DESCRIPTION OF WORK.
Vendor shall provide the following goods and materials and/or perform the following services for
the City:
The Vendor shall perform an Asbestos Survey at 17929 SE 272"d St., Covington, WA 98402.
For a description, see the Vendor's Scope of Work which is attached as Exhibit A and
incorporated by this reference.
Vendor acknowledges and understands that it is not the City's exclusive provider of these goods,
materials, or services and that the City maintains its unqualified right to obtain these goods, materials,
and services through other sources.
II. TIME OF COMPLETION. Upon the effective date of this Agreement, Vendor shall complete
the work and provide all goods, materials, and services by August 17, 2016.
I1I. COMPENSATION. The City shall pay the Vendor an amount not to exceed Five Hundred
Seventy Five Dollars ($575.00), including applicable Washington State Sales Tax, for the goods, materials,
and services contemplated in this Agreement. The City shall pay the Vendor the following amounts
according to the following schedule:
Vendor shall be paid upon completion of services and after submittal of invoice.
If the City objects to all or any portion of an invoice, it shall notify Vendor 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.
GOODS &SERVICES AGREEMENT - 1
($20,000 or Less, incl. WSST)
a
A. Defective or Unauthorized Work. The City reserves its right to withhold payment from
Vendor for any defective or unauthorized goods, materials or services. If Vendor is unable,
for any reason, to complete any part of this Agreement, the City may obtain the goods,
materials or services from other sources, and Vendor shall be liable to the City for any
additional costs incurred by the City. "Additional costs" shall mean all reasonable costs,
including legal costs and attorney fees, incurred by the City beyond the maximum
Agreement price specified above. The City further reserves its right to deduct these
additional costs incurred to complete this Agreement with other sources, from any and all
amounts due or to become due the Vendor.
B. Final Payment: Waiver of Claims. VENDOR'S ACCEPTANCE OF FINAL PAYMENT SHALL
CONSTITUTE A WAIVER OF CLAIMS, EXCEPT THOSE PREVIOUSLY AND PROPERLY MADE
AND IDENTIFIED BY VENDOR AS UNSETTLED AT THE TIME REQUEST FOR FINAL PAYMENT
IS MADE.
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 Vendor 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 Vendor maintains and pays for its own place of business from which Vendor's
services under this Agreement will be performed.
C. The Vendor has an established and independent business that is eligible for a
business deduction for federal income tax purposes that existed before the City
retained Vendor's services, or the Vendor is engaged in an independently established
trade, occupation, profession, or business of the same nature as that involved under
this Agreement.
D. The Vendor 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 Vendor has registered its business and established an account with the state
Department of Revenue and other state agencies as may be required by Vendor's
business, and has obtained a Unified Business Identifier (UBI) number from the
State of Washington.
F. The Vendor 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.
VI. CHANGES. The City may issue a written amendment for any change in the goods,
materials or services to be provided during the performance of this Agreement. If the Vendor determines,
for any reason, that an amendment is necessary, Vendor must submit a written amendment request to
the person listed in the notice provision section of this Agreement, section XIV(D), within fourteen (14)
calendar days of the date Vendor knew or should have known of the facts and events giving rise to the
requested change. If the City determines that the change increases or decreases the Vendor's costs or
time for performance, the City will make an equitable adjustment. The City will attempt, in good faith, to
reach agreement with the Vendor on all equitable adjustments. However, if the parties are unable to
agree, the City will determine the equitable adjustment as it deems appropriate. The Vendor shall
proceed with the amended work upon receiving either a written amendment from the City or an oral order
from the City before actually receiving the written amendment. If the Vendor fails to require an
GOODS &SERVICES AGREEMENT - 2
($20,000 or Less, including WSST)
amendment within the time allowed, the Vendor waives its right to make any claim or submit subsequent
amendment requests for that portion of the contract work. If the Vendor disagrees with the equitable
adjustment, the Vendor must complete the amended work; however, the Vendor may elect to protest the
adjustment as provided in subsections A through E of Section VII, Claims, below.
The Vendor accepts all requirements of an amendment by: (1) endorsing it, (2) writing a separate
acceptance, or (3) not protesting in the way this section provides. An amendment that is accepted by
Vendor as provided in this section shall constitute full payment and final settlement of all claims for
contract time and for direct, indirect and consequential costs, including costs of delays related to any
work, either covered or affected by the change.
VII. CLAIMS. If the Vendor disagrees with anything required by an amendment, another
written order, or an oral order from the City, including any direction, instruction, interpretation, or
determination by the City, the Vendor may file a claim as provided in this section. The Vendor shall give
written notice to the City of all claims within fourteen (14) calendar days of the occurrence of the events
giving rise to the claims, or within fourteen (14) calendar days of the date the Vendor knew or should
have known of the facts or events giving rise to the claim, whichever occurs first . Any claim for
damages, additional payment for any reason, or extension of time, whether under this Agreement or
otherwise, shall be conclusively deemed to have been waived by the Vendor unless a timely written claim
is made in strict accordance with the applicable provisions of this Agreement.
At a minimum, a Vendor's written claim shall include the information set forth in subsections A,
items 1 through 5 below.
FAILURE TO PROVIDE A COMPLETE, WRITTEN NOTIFICATION OF CLAIM WITHIN
THE TIME ALLOWED SHALL BE AN ABSOLUTE WAIVER OF ANY CLAIMS ARISING IN
ANY WAY FROM THE FACTS OR EVENTS SURROUNDING THAT CLAIM OR CAUSED
BY THAT DELAY.
A. Notice of Claim. Provide a signed written notice of claim that provides the following
information:
1. The date of the Vendor's claim;
2. The nature and circumstances that caused the claim;
3. The provisions in this Agreement that support the claim;
4. The estimated dollar cost, if any, of the claimed work and how that estimate
was determined; and
5. An analysis of the progress schedule showing the schedule change or
disruption if the Vendor is asserting a schedule change or disruption.
B. Records. The Vendor shall keep complete records of extra costs and time incurred as a
result of the asserted events giving rise to the claim. The City shall have access to any of
the Vendor's records needed for evaluating the protest.
The City will evaluate all claims, provided the procedures in this section are followed. If the
City determines that a claim is valid, the City will adjust payment for work or time by an
equitable adjustment. No adjustment will be made for an invalid protest.
C. Vendor's Duty to Complete Protested Work. In spite of any claim, the Vendor shall proceed
promptly to provide the goods, materials and services required by the City under this
Agreement.
D. Failure to Protest Constitutes Waiver. By not protesting as this section provides, the Vendor
also waives any additional entitlement and accepts from the City any written or oral order
(including directions, instructions, interpretations, and determination).
E. Failure to Follow Procedures Constitutes Waiver. By failing to follow the procedures of this
section, the Vendor completely waives any claims for protested work and accepts from the
GOODS & SERVICES AGREEMENT - 3
($20,000 or Less, including WSST)
City any written or oral order (including directions, instructions, interpretations, and
determination).
VIII. LIMITATION OF ACTIONS. VENDOR MUST, IN ANY EVENT, FILE ANY LAWSUIT ARISING
FROM OR CONNECTED WITH THIS AGREEMENT WITHIN 120 CALENDAR DAYS FROM THE DATE THE
CONTRACT WORK IS COMPLETE OR VENDOR'S ABILITY TO FILE THAT SUIT SHALL BE FOREVER BARRED.
THIS SECTION FURTHER LIMITS ANY APPLICABLE STATUTORY LIMITATIONS PERIOD.
IX. WARRANTY. Vendor warrants that it will faithfully and satisfactorily perform all work
provided under this Agreement in accordance with the provisions of this Agreement. In addition to any
other warranty provided for at law or herein, this Agreement is additionally subject to all warranty
provisions established under the Uniform Commercial Code, Title 62A, Revised Code of Washington.
Vendor warrants goods are merchantable, are fit for the particular purpose for which they were obtained,
and will perform in accordance with their specifications and Vendor's representations to City. The Vendor
shall promptly correct all defects in workmanship and materials: (1) when Vendor knows or should have
known of the defect, or (2) upon Vendor's receipt of notification from the City of the existence or
discovery of the defect. In the event any part of the goods are repaired, only original replacement parts
shall be used—rebuilt or used parts will not be acceptable. When defects are corrected, the warranty for
that portion of the work shall extend for an additional year beyond the original warranty period applicable
to the overall work. The Vendor shall begin to correct any defects within seven (7) calendar days of its
receipt of notice from the City of the defect. If the Vendor does not accomplish the corrections within a
reasonable time as determined by the City, the City may complete the corrections and the Vendor shall
pay all costs incurred by the City in order to accomplish the correction.
X. DISCRIMINATION. In the hiring of employees for the performance of work under this
Agreement or any sub-contract, the Vendor, its sub-contractors, or any person acting on behalf of the
Vendor or sub-contractor 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.
Vendor 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.
XI. INDEMNIFICATION. Vendor 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 Vendor'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 Vendor's work when completed shall not be grounds
to avoid any of these covenants of indemnification.
IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THE INDEMNIFICATION
PROVIDED HEREIN CONSTITUTES THE VENDOR'S WAIVER OF IMMUNITY UNDER INDUSTRIAL
INSURANCE, TITLE 51 RCW, SOLELY FOR THE PURPOSES OF THIS INDEMNIFICATION. THE PARTIES
FURTHER ACKNOWLEDGE THAT THEY HAVE MUTUALLY NEGOTIATED THIS WAIVER.
In the event Vendor 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 Vendor's part, then Vendor
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
Vendor's part.
The provisions of this section shall survive the expiration or termination of this Agreement.
GOODS & SERVICES AGREEMENT - 4
($20,000 or Less, including WSST)
XII. INSURANCE. The Vendor 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.
XIII. WORK PERFORMED AT VENDOR'S RISK. Vendor 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
Vendor's own risk, and Vendor 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.
XIV. 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 XI 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 Vendor.
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 Vendor agrees to comply with all federal, state, and municipal
laws, rules, and regulations that are now effective or in the future become applicable to Vendor's business,
equipment, and personnel engaged in operations covered by this Agreement or accruing out of the
performance of those operations.
GOODS &SERVICES AGREEMENT - 5
($20,000 or Less, including WSST)
I. Public Records Act, The Vendor 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 Consultant 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 Vendor agrees to cooperate fully with the City in satisfying the City's duties
and obligations under the Public Records Act.
3, 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.
IN WITNESS, the parties below execute this Agreement, which shall become effective on
the last date entered below.
VENDOR: CITY OF KENT:
By: By:
(s' nattvw Oatu
L Print Name, Print Na e., Ken Laroghol
Its: z /it 010ivi to Its: Interim Design Engineering Manager
(title)
DATE: 2-a DATE:
NOTICES TO BE SENT TO: NOTICES TO BE SENT TO:
VENDOR: CITY OF KENT:
Paul Peters Timothy 3, LaPorte, P.E.
Northwest Abatement Services, Inc. City of Kent
PO Box 39220 220 Fourth Avenue South
Lakewood, WA 98496 Kent, WA 98032
(253) 588-0440 (telephone) (253) 856-5500 (telephone)
(253) 58,8-0198 (facsimile) (253) 856-6500 (facsimile)
[In thi+;field,you may enter the electronic filepath where the ccntract has been saved]
GOODS & SERVICES AGREEMENT - 6
($20,000 or Less, including WSST)
DECLARATION
CITY OF (CENT 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. 1 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.
By: 77��
For: . 4L,,'n/— 5 6
Title:
Date:
EEO COMPLIANCE DOCUMENTS - 1 of 3
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 of 3
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 of 3
EXHIBIT" A
".If's Nat TVIia JVe Ida,It's Halt We Do It
NaOMvesI Abatement Services„Inc,
April 22nd, 2016 Sent: Via E-Mail
To: Mr.Granville horn. Phone No: 253-856-5529
City of Kent Email: GHorn@kentwa.gov
220 Fourth Avenue South
Kent,WA 98032
RE: Asbestos Survey Quotation Sid Number:2016-8548
Armstrong,Asbestos Survey for City of Kent
17929 SE 272nd Street
Covington,WA 98402
Northwest Abatement Services appreciates this opportunity to provide you with this proposal for our
services. We look forward to working with you, and hope that our proposal meets your requirements.
'4+U'e propose to perform a/an AHERA Asbestos Survey„ as per our scope of work listed below,at the
address listed above for the sum of: 1575.0
SCOPE OF WORK
Northwest Abatement Services, Inc.,proposes to provide Inspection,laboratory analysis&final report in
performing the folioo+ting;
1)Perform AHERA building Inspection at the location listed above.
2)Remove samples of building materials from within the interior and exterior of the structure to determine the
presence of asbestos-containing building materials.
3)Price Includes(3-12)samples. If additional AGM samples are required,each sample will be billed at a rate
of$2 .00 per sample.
*Full report to follow within(5)business days of the Inspection,
*Note:AHERA Asbestos surveys are performed in accordance with the sampling protocol in 40 CFR 763.86
and as required by PSCAA's regulation/if article 4.All work to be performed by a certified AHERA building
Inspector, Sample prices are based on standard 3 day turnaround from the lab unless otherwise noted irf.the
scope of worlr
Authorzedsdgnatire"» ,- Nam endMla: Paul Peters, Estimator
s M
PAYMENT TERMS: NET DUE ON RECEIPT
VISA*MAST"ERCARD*DISCOVER*AMERICAN EXPRESS accepted.
All contracts t70.00 or larger in which a TOTAL of$5000.00, ore is paid by a
cr card will incur a 2.5°afa, processing fe
Finance Char f 1.5%will be paid on pas a balances..
Corresponding Ann Rate of 18%Mini Finance Charge.
—Northwest Abatement Services,Inc,,reserves the rig o draw this proposal lfnot accepted within 30 days—
Acceptance ofProposal: The above prices,specificatlon dition/exc ns and scope of worn as specified on page f are
satisfactory and are hereby accented. You are aulhon" to proceed'with the as specired.Payment will be made as outlined
shove.in case soft or action Is commenced to co on this note or any portion th r,l promise to pay,In addition to the costs
provided by statute,such sum as the court adjudge reasonable as attorney's teas in,(including any action to enforce the
Judgment and this provision as to SO ,s fees and costs shalt survive the Judgment.)t,(fie tamer;also acknowledge receipt of
C ns ruetlon Lien lvetic
�Pr+fo Jymle. Dare Of 4crepl ance.,
Sr rrnrarrv. NOTE: If accepted,please sign and return this proposal in ntirety.
P.0.Box39220 e 982232`Ave.S.*L-Ilcev oo4 WA984 e(253)588-010 0 (253)58M198 a 1-800-588-03r1(}
Website:wNvwnvr hIetw1corrI a ConbWor#Tr301 THASU5Gf N
EXHIBIT B
INSURANCE REQUIREMENTS FOR
CONSULTANT SERVICES AGREEMENTS
Insurance
The Consultant shall procure and maintain for the duration of the Agreement,
insurance against claims for injuries to persons or damage to property which
may arise from or in connection with the performance of the work hereunder
by the Consultant, their agents, representatives, employees or
subcontractors.
A. Minimum Scope of Insurance
Consultant shall obtain insurance of the types described below:
1. Automobile Liability insurance covering all owned, non-owned,
hired and leased vehicles. Coverage shall be written on Insurance
Services Office (ISO) form CA 00 01 or a substitute form providing
equivalent liability coverage. If necessary, the policy shall be
endorsed to provide contractual liability coverage.
2. Commercial General Liability insurance shall be written on ISO
occurrence form CG 00 01 and shall cover liability arising from
premises, operations, independent contractors, products-completed
operations, personal injury and advertising injury, and liability
assumed under an insured contract. The Commercial General
Liability insurance shall be endorsed to provide the Aggregate Per
Project Endorsement ISO form CG 25 03 11 85. 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. Contractor's/Consultant's Pollution Liability insurance covering
losses caused by pollution conditions that arise from the operations
of the Contractor.
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, $1,000,000 general
aggregate.
EXHIBIT B (Continued)
3. Contractor's Pollution Liability insurance shall be written in an
amount of at least $1,000,000 per loss, with an annual aggregate
of at least $1,000,000. Coverage may be written on a claims-made
basis.
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.
EXHIBIT B (Continued)
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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R� CERTIFICATE 4F LIABILITY INSURANCE °ATE`M°°'"""''
3/19/2016
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must be endorsed. If SUBROGATION 15 WAIVED,subject to
the terns 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 ilau of such endorsements.
PRODUCER Danielle Pethick
MOTSCHELL & ASSOC 1NC ONt:ms (2S3)272-1151 ffAte .1293)272-1225
1436 S. t7aioa Ave. A�L .daniellepBhentechell.com
INSURERS)AP INS COVERAGE NA[C#
Tacoma WA 90405-1925 WOURERA:8ndurance American Sipecialty
INS IREa B:Allied Insurance Company
Northwest Abatement Services, Ina. INSURERC:
dbat Steitz Construction INSURERD•
P.O. Boa 39220 INSURERE:
Lakewood WA 98496-3220 INSURER P:
COVERAGES CERTIFICATE NUMBER:15/16 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. NOTWf HSTANDING 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 LTR TYPE OF WSURANCE POLICY EF
ADDL BR UNB PONY RXP Ltall S
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1.000.000
A CLAW'-MADE O OCCUR ES(Ea occurrefteal i 50,000
8 pollution a =ofeesicnal E Y ECC20000040900 7/29/2019 22/15/2016 yM E p on S 10,000
liabilit:X inol in policy PERSONAL&ADVINJURY $ 21000,000
GENL AGGREGATE LUT APPLIES PER: GENERAL AGGREGATE S 1.000,000
POLICY[K j-M El LOC PRODUCTS-COMPIOPAGG S 11000,000
QTFHi: S
AUTOMOBILE LL4B0.ITY L M1i $ 1,00 0,000
8 ANYAUTO BODILYINAIRY(Perpsram) 3
ALLOYYNED E SCHEDULED RAM30074054245 12/16/2015 12/15/2016 BOOLYINJURY
AUTOS �NON-AUTOS
Y Y {Horacddenl) S
HIREDAUTOS s AUTOS PRO R E S
i
Ix UMBRELLA LGB z OCCUR EACH OCCURRENCE $ 5 000,ODO
A X EXCESS LIAB CLAI)48 MWDE AGGREGATE 8 5 000 000
pEp I I RETENTIoNs X Y ZX920000046700 7/20/2015 12/15/2016 S
WORMERS COMPENSATION X
AND EMPLOYERV LIABILITY CORTH
ANY PROPRIEMRFPARTNERID=UTIVE Y)N ECC20000040900 E.L.EACH ACCIDENT S 1,000 000
OFF10EIVAFMBER E XCLUDED7 NIA
• FamlalmylnNH) (Ma Stop mw - mcpIcy-o 7/28/2019 12/15/2016 E.L.DISEASE-EA EMPLOYEE 3 2.000 000
iffYca.dabaftUrldbr
DESCIM!IMN ow Liabilt )
E.L.OMEASE-POLICY LNIT 3 1 00Q
A I Pollution Liability ECC20000040900 7/28/2016 22/15/2016 1A00,000EachPotMon Claim
iProfessional Liability 1,0NX0EaMVVronglU1Act
DESCRIPTION OF OPERATIONS)LOCATIONS!VEHICLES(ACORD 101,AddMiuW Remarks Schedule,maybe s!l=hed If more space Is mqutred)
Blanket Primary Non-Contributory Additional Insured, including completed Operations additional insured,
Waiver of Subgrogation applies in favor of any person or organization if called for by written contract
per forms CG120370413, AC0102WA0310, ALTECCO3131013, ALTECC03100714, ALTECC03111013, ALTECC03831114,
$1,000,000 Limit for Transportation included in policy ECC20000040000 - The City of Kent is included as
additional insured
CERTIFICATE HOLDER CANCELLATION
(253)856-6500
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES St CANCELLED BEFORE
City Of Kent THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Public Works Department ACCORDANCE WITH THE POLICY PROVISIONS.
400 West Lowe
Kent, WA 98032 AUTHORIlIDREPRESENTATIVE
Bradley Roberts/DRP -
®1988.2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD
INS025{201401) A
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ENDORSEMENT
Named Insured:Northwest Abatement Services,Inc. Policy plumber. ECC20000040900
Endorsement Endorsement
Effective Date: 07128J2015 Number.
(12At AM Standard Time st the addMa or the
Hamad]nsued w shown to the Dec Wtations)
AUTOMATIC ADDITIONAL INSURE]—
OWNERS, LESSEES OR CONTRACTORS
This Endorsarnetit changes tits Policy. Please read A camfugy.
It is agreed that:
Thle endorsement modifies insurance provided under the following:
X COMMERCIAL GENEM LIABILITY COVERAGE PART
X CONTRACTORS POLLUTION LIABILITY COVERAG9 PART
Any parson(s)or crganizatlon(s)whom the Named Insured agrees,in a written contract,to name
as an additional insured Is Included as an Insured, but only as respects the project specified in
that contract and only with respect to that person's or orgenbtation's vicarious liability afistng out
of your ongoing operations performed for that Insured. The limit of the additional Insured
coverage shall be the lesser of-
1. those Ilmits required by written contract:or
2. the applicable per claim iimft per the Declarations.
i
,Aurborued Representative
i
This endorsement does not change any other provision of the Policy. The tide and any headings
In this endorsement are aol*fcr convenience and do not affect Its meaning.
i
Dote ofIssttaz=08/2t3 I5 PoNcy Form:CG4 CPI„Fie TPL
&idmaaee Amaim Spedalty h m ee Canes Pago I of I liedarmmemt Fonw.ALT-EX 0310 0714
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ENDORSEMENT
Named lrraurod:Northwest Abatement Services,Inc. Policy Dumber. ECC20000040900
Endorsement Endorsement
Effective Date. 07/2812015 limber;
(12:01 AAA Standard Time at the address offt
MunDd kanW as shown in the Bart nftns)
AUTOMATIC PRIMARY AND NON-CONTRIBUTORY INSURANCE
ENDORSEMENT—
DESIGNATED WORK OR PROJECT(S)
This Endorsement charips the Potty. Please read It carefully.
It Is agreed that:
SCHEDULE
Name of Person or Organization:
Any person(s)or organization(s)whom the nomad Insured agreee,In a written contract,to
provide Primary and/or Non-contributory status of this insurance. However,this status
exists only for the project specified in that contract.
In consideration of an addhkrrtal premium of$Applied•and notwithetanding anythingcontalned In
this Policy to the contrary,It Is hereby agreed that this Policy shall be oonsklered primary to any
similar Insurance held by third partles In respect to work performed by you underanywritten
contractual agrieament with such third party. it Is further agreed that any other insurance which
the persor")or orgenization(s)named in the schedule may have is excess and non-contributory
to this Insurance.
Authorized Representative
This endorsement does not change any other provielon of the Panty. The title and any headings
In this endorsement are solely for convenience and do not affect its meaning.
Deleoftm==008=6 pe0 �;
� COI�cp1.,in,M l 1$dmenec ArQesican Speeieigr Taaurauca tbmpsny P'sge 1 of 1 Endorsemrat pmm:AL?EOC 03131013
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ENDORSEMENT
Named lnaersd:Northwest Abatement Services, Inc. Policy Number. ECC20000040800
Endorsement Endorsement
Effective pats: 07/28=16 Number.
(12:01 AM St&ndard Tfine at the addfsn of the
hlamW kwumd as shoant In the DedwObns)
AUTOMATIC WAIVER OF SUBROGATION ENDORSEMENT
This Endo semerd changes the Polley. Please read It carefully.
It Is agreed that.
This endorsement modifies Insurance provided under the following:
X COMMERCIAL GENERAL LL401UTY COVERAGE PART
X CONTRACTORS POLLUTION LtABiLITY COVERAGE PART
$CHg.ULC
Name of Person or Organization,
I
Any person(s)or organization(s)to whom the Named Insured agrees,in a written contract,
to provide a waiver of subrogstion. However,this status exists only for the project specified
in that contract.
The Company waives any right of recovery it may have against the person or organization shown
In the above Schedule because of payments the Company makes far injury or dema0e arising
out of the insureaPs work done under a contract with that person or organization. The waiver
applies only to the person or organization In the above Schedule.
Under no circumstances shall this endorsement act to extend the policy period, change the
scope of coverage or Increase the Aggregate Limits of insurance shown In the Declarations.
Authori=d Rcpmentativo
This endorsement does not change any other provision of the Policy. The title and any
headings in this endorsement are solely for convenience and do not affect its meaning.
Date efInam a 08r18rZo15 Polloy Form:C04 04 PL,7PL
Bufmrmet:Ainal mm 5peca9ty Insnmm Mmpaey Page i of 1 Endorsement Faun:ALT EM 0311 1013
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ENDORSEMENT
Named Insured:Northwest Abatement Services, Inc. Policy Number: ECC20000040900
Endorsement Endorsement
Effective Dale: 07/2812015 Humber_
N1arnodIniwraad as shown In the tWara''ra)e
AGGREGATE LIMITS PER PROJECT ENDORSEMENT
Tlds Emkwa rrarlt changes the Poky. Please mad It aamfullyt.
H is agreed that:
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILRY COVERAGE FORM
Subject to the Overall General Aggregate Limit stated In the Declarations,the General Aggregate
Limit under Section III—LIMITS OF INSURANCE applies separately to each of your"project(s)".
it is further understood and agreed that the followiing changes are made to the policy.
(1) The Limits of Insurance In the Declarations is amended by the addition thereto of
the following Limit:
Overall General Aggregate Limft: $10,000,000
General Aggregate Limit per`"sce: $1,000,000
(2) Section III—LIMITS OF INSURANCE Is amended by the addition thereto of the following
paragraph:
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7, The Overall General Aggregate Limit Is the most we will pay under Coverages A
and B for the sum of all Limits of Insurance ss provided In this Section III—LIMITS OF
INSURANCE regardless of the number of your"projects'; except for damages
because of"bodily Injury' and "property damage"included in the
"products-completed operations hazard".
For purposes of this endorsement, projects' means the projects shown in the Schedule of
Projects below.
Schedule of Pn*cNel
Any projects for which the Named Insured egress,In a written contract,to provide a designated
construction project general aggregate limit.
This endorsement does not change any other provision of the Policy. The fide and any headings
In this endorsement are sciely for convenience and do not effect its meaning.
14J 071
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Anihor zed Repmentative
Date ofTsa me:WrIM15 Policy Fmm-COL,CHI PL,TPL
Badva=Auun e n Sp rift Ianaence Company Page l of i Eadaraemmt 17=,ALT BOC M831114
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POLICY NUMBER' ECC20000040900 COMMERCIAL GENERAL LM81111ZY
CO20V0413
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - COMPLETED OPERATIONS
This endorsement modifies k uranceprovkled under the follow ng.
X COMMERCIAL GENERAL LIABILITY COVERAGE PART
X PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART
SCbi;IMULE
Marcie Of Addftal insured Pe"s)Or
Orprikalkwts) Loin And Dew Of COmpleted OpemWm
As required by written contract As required by written contract
i)
Information required to complete this Schedule,9 not shown above.will be shown In the Declarations.
A f ctbn ff—Who le An hhhharad la emmdod to IncludeEL UVftlh respect to the Irr>s rrethce eiforded to
Onl2&s an additional Insured the psrgnnts) or these addrdanal it wweds, to folivwing is
reap Zato lie strewn to the Schedule,but only w h added to Sedlon III—LlmftQf lnsuw=.,
respect to liability for "bodfly Injury' or prope
dam ege'cursed,m%We or in part.by"your work if coverage provided to the additional Inwed
at the location designated and described In the Is required by a contract or egreement, the
Schedule of this endorsement parlb med for that most we w81 pay on behalf of the additional
addliferml Insured and indudsd h the Insured Is the amount of Insurance.
"produals-completed operations hazard". 1. Required by the conbvad+or agreement;or
However; 2. Available under the eppilcable Limb of
1. The insurance afforded to such additional Insurance,shown In the Declaratlons;
Ensured only apples to the atent permitted by whlchmmr Is less.
law,and This endorsement shall not increase the.
2. if
amrage provided toor agreement
Insured applicable Limits of Insurance shown In theto required by a j
agreement the Declarations.
Insurance afforded to such additional Insured
will not be broader than that which you are
required by the contract or agreement to
Provide for such additional Insured.
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CO 20 39 0413 0Insurance Services Ottl A Inc.,2012 Page 4 ci ll i
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COMMERCIAL AUTO
Policy:#BAPD30074054245 AC 01 02WA 0310
THIS ENDORSEMENT C11ANGC5 YNE POLICY. Pt.FAM RVAD IT CAREFUL.Y.
!W,0;1z_,,WMCI iT W
This endorsement modlties Insurance provided under the following;
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
A. CHANGES FOR TRAILERS AND FARM C. BLANKET ADDITIONAL INSURED
EQUIPMENT Any person or organization which you have
1. Under the COVERED AUTOS Section, agreed to name as an additional insured In a
the following are added to Paragraph C. written contract, executed prior to an acol-
Certain Trailers, Mobile Equipment and dent, other than a contract for the lease or
Temporary Substitute Autos: rental of a vehicle Is an"insured"for Liability
4. "Trailers" designed to be towed by a Coverage,but only to the extent that person
private passenger type "auto" or a or organization qualifies as an "Insured"
pickup,panel truck or van If not used under the Who Is An Insured Provision con-
for business purposes, other than tained In the LMILITY COVERAGE
farming or mnching. SECTION of the Coverage Form
S. Farm wagons or farm implements 0. REPLACED EXCLUSIONS
while being towed by a covered"au- The Expected or Intended Injury Exclusion
to.. In the LIABILITY COVERAGE SECTION is
B. CHANGES FOP. ADDITIONAL NEWLY replaced by the following:
ACQUIRED VEHICLES Expected or Intended Injury
2. Paragraph 8.2 of the COVERED AUTOS "Bodily injury"or"property damage"which Is
SECTION is replaced by the following: expected or Intended by the"Insured".This
2. If Symbol(s)Tor 67 Is entered next to exclusion applies even If the resulting "boll-
s coverage in Item Two of the Decla- ly Injury"or"property damage":
rations,an"auto"you acquire will be a. Is of a different kind, quality or degree
a covered "auto" for that coverage than initially expected or intended;or
only If:. b. Is sustained by a different person,entity,
a. We already cover at least one real property, or personal property then
"auto"you own for that coverage that initially expected or intended.
or It replaces an°auto" you pre- t , ADDITIONAL EXCLUSIONS
vlously owned that had that cov- The following exclusions are added to the
erage;and LIABILITY COVERAGE SECTION:
b. You tell us within 30 days after .
you acquire if that you want us to Damage to Named insureds Property
cover it for that coverage. Any claim or"suit"for"property damage"by
The most we will pay for Physical Dam-
you or on your behalf against any other per-
The
Coverage for°loss" under this Cow son or entity that is also a Named Insured
erage Extension is$100,000 per'auto", underthis policy
subject to the largest deductible applies- Abuso or Molestation
ble to any"auto"for that Coverage.
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AC 01 02WA 0310 Includes copyrighted material of insurance Sarvlwa Office,Inc with Its permisefon Page 1 of A
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AC 01 02WA 0310
"Bodily injury"or"property damage"arts- b. Resulting from food or drink fumished
Ing out of with these services.
a. The actual or threatened abuse or "Bodily injury" or"property damage" result-
molestation by anyone or any person ing from the handling of corpses.
while In the care, custody or control I=. MOTOR HOME CONTENTS COVERAGE
of any"insured",or 1. For a covered "auto"that is a motor home
b. The negligent: the following exclusions are added to the
1) Employment; PHYSICAL DAMAGE COVERAGE
2) investigation, SECTION:
3) Supervision; Motor Home Contents
4) Reporting to the proper authorl- This Insurance does not apply to:
ties,or failure to so report;or a. "Loss"to the covered"auWs"contents,
5) Retention; except equipment usual to trucks or pri-
of a person for whom any"insured"Is vate passenger "autos.
or ever was legally responsible and b. Loss"to TV antennas, awnings or ca-
whose conduct would be excluded by bans.
Paragraph a.above. e. "Loss"to equipment designed to create
Abuse means an act which is committed added living facilities.
with the Intent to cause harm. However, these exclusions do not apply if
Explosives - Miscellaneous Personal Property Coverage
"Bodily Injury" or "property damage" is provided by endorsamant to this policy.
caused by the explosion of explosives 0. ACCiDENTAL AIRBAG DISCHARGE
you make,sell or transport. COVERAGE'
Rollin Stores Under Paragraph B.3.a. of the PHYSICAL
9 DAMAGE COVEp4GE SECTION, the following
If a covered"auto"Is a rolling store,"bo- is added:
dily Injury"or"property damage"resulting Mechanical breakdown does not Include the so-
from the handling,use or condition of any cldental discharge of an airbag.
Item the "insured" makes, sells or distri-
butes If the Injury or damage occurs after H. PHYSICAL DAMAGE LIMIT OF INSURANCE
the"Insured"has given up possession of Under PHYSICAL DAMAGE COVERAGE
the Item. SECTION, Paragraph C, Limit of Insurance Is
Wrong Delivery of Liquid Products replaced by the following;
"Bodily injury" or "property damage" re- C. Limit Of Insurance
sulting from the delivery of any liquid Into t. The most we will pay for "lose" In any
the wrong receptacle or to the wrong ad- one"ecefdent"Is the lesser of.
dress, or from the delivery of one liquid 9. The actual cash value of the darn-
for another,If the"bodily injury"or"prop- aged or stolen property as of the
erty damage" occurs after the delivery time of the"loss";or
has been completed. b. The cost of repairing or replacing
Delivery Is considered completed even if the damaged or stolen property.
further service or maintenance work, or z, $1,000 Is the most we will pay for'loss"
correction, repair or replacement Is re- in any one `accident" to all electronic
Puffed o of wrong delivery. equipment that reproduces, receives or
Professional
S Services
"Bodily injury": j
a. Resulting from the providing or the
failure to provide any medical or oth-
er professional services.
Pago 2 of 4 includes oopydphted material of Insurance Services office,Inc.,wlih Its permission AC 01 02WA 0310
{
AC 0102WA 0310
transmits audio, visual or data signals I. GLASS REPAIR—WAIVER OF DEDUCTIBLE
which,at the time of'lose,Is: Under Paragraph D. Deductible of the
a. Permanently installed in or upon PHYSICAL DAMAGE COVERAGE SECTION,
the covered"auto" In a housing, the following is added:
opening or other location that is No deductible applies to glass damage if the
not normally used by the "auto' glass Is repaired rather than replaced,
manufacturer for the Installation J. AMENDED DUTIES IN EVENT OF ACCIDENY,
of such equipment. CLAIM,SUIT,OR LOSS
b. Removable from a permanently The requirement Jn Loss Condition 2.a.Duties In
installed housing unit as de- The Event Of Accident,Claim,Suit Or Loss—of
scribed in Paragraph 2.a. above the BUSINESS AUTO CONDITIONS SECTION
or is an integral part of that and the MOTOR CARRIER CONDITIONS
equipment;or SECTION that you must notify us of an 'accl-
a An integral part of such equip- dent", 'claim", "suft",or'loss"applies only when
ment. the "accident","claim', 'suit', or"loss" is known
3. An adjustment for depreciation and to:
physical condition will be made In de- 1. You,if you are an Individual
termining actual cash value in the 2. A partner,if you are a partnership;
event of total"loss'. 3.An executive officer or the employee desig-
4. The cost of repairing or replacing nated by you to give such notice if you are a
may: corporation,or
a. Be based on an estimate which 4. A member, If you are a limited liability com-
includes parts famished by the pany.
original equipment manufacturer K. UNiNTENTIONAL FAILURE TO DISCLOSE
or other sources Including non- HAZARDSorlglnar equipment manufactur-
ers and The BUSINESS AUTO CONDITIONS SECTION
b, include a deduction for better- and MOTOR CARRIER CONDITIONS
mart for a pert or parts that are SECTION-19.2, are amended by the addition of
normally subject to repair or re- the following:
placement during the useful life If you unlntentlonally fall to disclose any hazards
of the"auto' such as, but not Ii- existing at the inception date of your policy, we
mlted to fires and batteries. will not deny coverage under this Coverage
Betterment means the difference Form because of such failure. However, this
between the actual cash value of provision does not affect our right to collect addl-
e part immedlately before the tlonat premium or exercise our right of cancella-
"lass" and the cost to replace don or nonrenewal.
That part with a new part. L. AUTOS HIRED OR RENTED BY EMPLOYEES �
5. If we offer to pay the actual cash val- If hired or rented"autos"are covered'autos'on
ue of the damaged or stolen proper- this policy,the following provisions apply:
ty, we will value auto advertising A. Changes in Liability Coverage
wraps,paint customizellon,and siml- The following Is added to the Who Is An In-
lar business related advertising mod- sured Provision In the LIABILITY
Iffcations, In addition to the actual COVERAGE SECTION:
cash value of the property. Auto ad-
vertising wraps, paint customlzation, An "employee"of yours Is an"insured"while
and similar business related advertls- operating an "auto" hired or rented under a
Ing modifications will be valued at the contract or agreement In that "employee's"
cost to replace them with an adjust-
ment made for depreciation and
physical condition.
AC 01 02WA 0310 Inetudes copydahted rnuWat of Insurdrim Services agree,Inc,with 119 permisston Paga 3 of 4
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AC 0102WA 0310
name, with your permission, while per- M. EMERGENCY LOCKOtrr, PRIVATE
forming duties related to the conduct of PASS2NGER VEHICLES
your business. We will reimburse you up to$50 for reasonable
B. Changes In General Conditions expense Incurred for the services of a locksmith
Paragraph S.b. of the Other Irmurance to gain entry into your covered"auto'of the pd-
Condition and paragraph 51 of Ito vate passenger type subject to these provisions:
Other Insurance Condition In the Motor 1. Your door key or key entry pad has been
Carrier Coverage Form Is replaced by the lost,stolen or locked In your cowered "auto"
following: and you are unable to enter such"auto",or
For Hired Auto Physical Damage Cover- 2. Your key or key entry pad has been lost or
age,the following are deemed to be cov- stolen and you have changed the lock to
ered"autos"you own_ prevent an unauthorized entry,and
1. Any covered "auto" you lease, hire, 3. Original copies of receipts ror services of a
rent or borrow,and locksmith must be provided before relm-
2_ Any covered"auto"hired or rented by bursement Is payable.
your "employee" under a contract 1n N. LIBERALIZATION
that Individual "employes's" name, paragraph 3,of the Other Insurance Condition In
with your permission, while perform- the Business Auto Coverage Form is replaced by
Ing duties related to the conduct of the following:If we adapt any revision that would
your business, broaden the coverage under this policy without
However,any"auto"that to leased,hired, additional i g the policy period,the broemium within a days dened deneddcoverage will
or to or dur-
rented or borrowed with o driver Is not a covered"auto", Immediately apply to this policy.
All terms and conditions of this policy apply unless modified by this endorsement.
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Page 4 of 4 Includes copyrighted material of Insurance Services 0111ce,Inc.,with Its parmission AC 0102WA 03 10
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COMMERCIAL AUTO
Policy;#BAPD30074054245 AC 0102WA 0310
THIS ENDORSEMENT i CHANGE-0 THE POLICY. PL.EAM R12AD 17 CARECULI.Y.
MA HM02 ON
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
A. CHANGES FOR 'TRAILERS AND FARM C. SLANKET AIDDiTIONAL INSURED
EQUIPMENT
Any person or organ[aatton which you have
1. Under the COVERED AUTOS Section, agreed to name as an additional insured in a
the following are added to Paragraph C. written contract, executed prior to an accl-
Certain Trailers, Mobile Equipment and dent, other than a contract for the lease or
Temporary Substitute Autos: rental of a vehicle is an"insured"for Liability
4. "Trailers"designed to be towed by a Coverage,but only to the extent that person
private passenger type "auto" or a or organfzatton qualifies as an "Insured"
pickup,panel truck or van 0 not used under the Who Is An Insured Provision con-
for businegs purposes, other than tained In the LIABILITY COVERAGE
forming or ranching. SECTION of the Coverage Form
5. Perm wagons or farm Implements D. REPLACED EXCLUSIONS
while being towed by a covered "au- The Expected or Intended Injury Exclusion
to". In the LIABILITY COVERAGE SECTION Is
B. CHANGES FOR ADDITIONAL NEWLY replaced by the following:
ACQUIRED VEHICLES Expected or Intended Injury
2. Paragraph 8.2 of the COVERED AUTOS "Bodily injury"or"property damage"which Is
SECTION Is replaced by the following: expected or Intended by the"Insured".This
2. If Symbol(s)7or 67 is entered next to exclusion applies even If the resulting "bodf-
a coverage In Item Two of the Dacla- ly injury'or"property damage":
rations,an"auto"you acquire will be e. Is of a different kind, quality or degree
a covered "auto" for that coverage than initially expected or Intended;or
only if:. b. Is sustained by a different person,entity,
a. We already cover at least one real property,or personal property than
"auto"you own for that coverage that initially expected or Intended.
or it replaces an 'auto" you pre- I.. ADDITIONAL EXCLUSIONS
vlously owned that had that cov- The following exclusions are added to the
erage;and LIABILITY COVERAGE SECTION:
b. You tall us within 30 days after Damage to Named Insured's Property
you acquire it that you want us to
cover It for that coverage. Any claim or"suit"for"property damage"by j
The most we will pay for Physics! Ram- you or on your behalf against any other per-
age Coverage for°loss" under this Cov- son or entity that is also a Named Insured
erage Extension Is $100.000 per'auto", under this policy.
subject to the largest deductible applies- Abuso or Molestation
ble to any"auto"for that Coverage,
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AU 01 02WA 0310 includes copyefihted rneterlal of Insurance services Office,inc.,with its permission Page 1 of d
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"Bodily injury"or"property damage"arts- b. resulting from food or drink furnished
ing out of with these services.
a. The actual or threatened abuse or "Bodily injury' or "property damage" result
molestation by anyone or any person ing from the handling of corpses. j
white in the care, custody or oontrol F. MOTOR IfDPAE CONTENTS COVERAGE
of any"Insured",or 1. For a covered "auto" that is a motor home
b. The negligent: the following exclusions are added to the
1) Employment; PHYSICAL DAMAGE COVERAGE
2) investigation; SECTION:
3) Supervision;
Motor Home Contonts
4) Reporting to the proper authorf- This Insurance does not apply to:
ties,or failure to so report;or a. "Loss"to the covered "auto's"Contents,
5) Retention; except equipment usual to trucks or pri-
of a person for whom any"insured"is vale passenger "Autos.
or ever was legally responsible and b. "Loss to TV antennas, awnings or ca-
whose conduct would be excluded by banes'
Paragraph a.above. c. "Loss"to equipment designed to create
Abuse means an act which is committed added living facifities.
with the intent to cause harm_ However, these exclusions do not apply if
Explosives Miscellaneous Personal Properly Coverage
"Bath! Injury' or " is provided by endorsement to this policy.
y J ry° property damage G, ACCIDE14TAL AIRBAG DISCHARGE
caused by the explosion of explosives COVERAGE'
you make,sell or transport
Under Paragraph B.3.a. of the PHYSICAL
Rolling Stores c COVERAGE � e
DAMAGE COVE... aE SECTION, tt:,,following i
If a covered"auto"is a rolling stone,'bo- Is added:
dily injury"or"property damage"resulting Mechanical breakdown does not include the so-
from the handling,use or condition of any cldentel discharge of an strbag.
Item the 'Insured' makes, sells or distri-
butes If the Injury or damage occurs after H. PHYSICAL i3AMAGE LIMIT OF INSURANCE
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the"Insured"has given up possession of Under PHYSICAL DAMAGE COVERAGE
the Item. SECTION, Paragraph C, Limit of insurance is
Wrong Delivery of Liquid Products replaced by the following:
"Bodily injury" or "property damage" re- C. Lnnit Of Insurance
sulting from the delivery of any liquid into 1. The most we will pay for "loss" in any
the wrong receptacle or to the wrong ad- one"ecofdent"Is the lesser of:
dress, ar from the delivery of one liquid a. The actual cash value of the dam-
for another, If the"bodily injury"or"prop- aged or stolen property as of the
erty damage' occurs after the delivery time of the"loss";or
has been completed. b. The cost of repairing or replacing
Delivery is considered completed even if the damaged or stolen property.
further service or maintenance worts, or e
Is the moat we will pay forlo. t)t) ss"
correction, repair or replacement Is re- 2 $1,Oany one 'accident" to all electronic
qulred because of wrong delivery. equipment that reproduces, receives or
professional Services
"Bodily injury":
a. Resulting from the providing or the
failure to provide any medical or olh-
er professional services.
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Pago 2 of 4 Fncludos copyrighted materiel of Insurance Services Ofice,Inc.,wtih Its permission AC 01 02WA 0310
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Aco1oawAo310
transmits audio, visual or data signals I. t'a1.ASS REPAIR WAIVER DP DEDUCTIBLE
which,at the time of"toss",Is: Under Paragraph D. Deductible of the
a. Permanently installed in or upon PHYSICAL DAMAGE COVERAGE SECTION, i
the covered "auto" In a housing, the following is added:
opening or other location that is No deductible applies to glass damage if the
not normally used by the "auto' glass is repaired rather than replaced,
manufacturer for the installation J. AMENDED DUT138 IN EVE1dT OP ACCiVENY,
of such equipment. CLAIM,SUIT,OR LOSS
b. Removable from a permanently The requirement in Loss Condition 2.a.Dulles to
installed housing unit as de- The Event Of Accident,Claim,Suit Or Loss—of
scribed in Paragraph 2.e. above the 8USIHESS AUTO CONDITIONS SECTION
or Is an Integral part of that and the MOTOR CARRIER CONDITIONS
equipment;or SECTION that you must notlfy us of an "acci-
a An integral part or such equip- dent", "claim", "suit",or"loss"applies only when
ment. the ,accidenr,"claim", 'suit", or"loss" is known
3. An adjustment for depreciation and to:
physical condItlon will be made In de- t, You,If you are an individual
temtlning actual cash value in the 2. A partner,If you are a partnership;
event of total"loss". .3.An executive officer or the employee deslg-
4. The cost of repairing or replacing noted by you to give such notice if you are a
may: corporation;or
a. Be based on an estimate which 4. A member, If you are a limited liability com-
Includes parts furnished by the pany.
original equipment manufacturer UNINTENTIONAL FAILURE TR DISCLOSE
or ocher sources Including non- HAZARDS
nrlginel equipment manufactur-
ers and The BUSINESS AUTO CONDITIONS SECTION
b, Include a deduction for better- and MOTOR CARRIER CONDITIONS
ment for a part or parts chat are SECTION-8.2, are amended by the addition of
normally subject to repair or re- the following:
placement during the useful fife if you unintentionally fall to disclose any hazards
of the "auto" such as, but not li- existing at the inception date of your policy, we
mited to fires and batteries. will not deny coverage under this Coverage
8ettermenl means the difference Form because of such failure. However, this
between the actual cash value of provision does not affect our right to collect addl-
a part immediately before the tionat premium or exercise our right of canoello-
"loss" and the cost to replace lion or nonrenewal.
that part with a new part. L. AUTOS HIRED OR RENTED BY EMPLOYEE;$ �
5. If we offer to pay the actual cash val- if hired or rented"autos"are covered"autos"on
ue of the damaged or stolen proper- this policy,the following provisions apply:
ty, we will value auto advertising A. Changes in Liability Coverage
wraps,patent customizatlon,and aiml- The following is added to the Who Is An In- I
lar business related advertising mod- sured Provision In the LIABILITY
ifioations, in addition to the actual
cash value of the property. Auto ad- COVERAGE SECTION:
verlising wraps, paint customization, An "employee"of yours Is an "insured"while
and similar business related advertis- operating an "auto"hired or rented under a
ing modifications will be valued at the contract or agreement in that "employee's"
cost to replace them with an adjust-
ment made for depreciation and
physical condition.
AG 01 02WA 03 90 Includes copyrighted material of Insurance Servlces Office,Inc.,with Its permisslon Pago 3 of d
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AC 0102WA 0310
name, with your permission, while per- M. EMERGENCY LOCKOtrr- PRIVATE
forming duties related to the conduct of PASS2N0ER VEtACLES
your business. We will reimburse you up to$50 for reasonable
B. Changes In General Conditions expense incurred for the services of a locksmith
Paragraph 5.b, of the Other Insurance to gain entry Into your covered"auto"of the pd-
Condition and Paragraph S.f. of Iho veto passenger type subject to these provisions:
Other Insurance Condition In the Motor 1. Your door key or key entry pad has been
Carrier Coverage Form is replaced by the lost, stolen or locked in your covered"auto"
following: and you are unable to enter such*auto",or
For Hired Auto Physical Damage Cover- 2. Your key or key entry pad has been lost or
age,the following are deemed to be cov- stolen and you have changed the lock to
ered"autos"you own: prevent an unauthorized entry,and
1. Any covered "auto" you lease, hire, 3. Original copies of receipts for services of a
rent or borrow;and locksmith must be provided before relm-
2. Any covered"auto"hired or rented by bursement Is payable.
your "employee" under a contact In N. LIBERALIZATION
that Individual "employee's" name, Paragraph 3.of the Other Insurance Condition In
with your permission, white perform- the Business Auto Coverage Form is replaced by
Ing duties related to the conduct of the following:If we adopt any revision that would
your business, broaden the coverage under this policy without
However, any"auto"that is leased,hired, additional premium within 60 days prior to or dur-
rented or borrowed with a driver Is not a ing the policy period,the broadened coverage will
covered"auto". Immediately apply to this policy.
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All terms and conditions of this policy apply unless modified by this endorsement.
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Page 4 of 4 Includes copyrighted material of Insurance Services office,Inc,,with Ifs permission AC 0102WA 03 10
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c1TY QE KEN
EQUAL EMPL®YivIENT C9PPORTU NXTY COMPL1ANC;E STATEMENT
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This form shall be filled out AFTER COMPLETION ION of this project by the Contractor awarded the
Agreement,
I, the undersigned, a duly represented agent of Northwest Abatement ,ervices. Inc.
Company, hereby acknowledge and declare that the before-mentioned company was the prime
contractor for the Agreement known as Asbestos Survev - 1.7921 �E 272 d St C,nvinelt®n
that was entered into on the May 27. 2016 (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.
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By: 1
For: 1
Title:
Date,
EEO COMPLIANCE DOCUMENTS - I �A
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