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HomeMy WebLinkAboutPW16-246 - Original - The Eastman Company - Gribble Property - 06/15/2016 /i i /%z"5Kecords M an,,;/,,�-` M 4^0 ,soo K.ENT WASHNQTCH Document meat CONTRACT COVER SHEET This is to be completed by the Contract Manager prier to submission to City Clerks Office. All portions are to be completed. f you have questions, please contact City Clerk's Office. Vendor flame: The Eastman Company Vendor Number: JD Edwards Number Contract Number: QW 11,p-a4l(v This is assigned by City Clerk's Office Project Name: Gribble Property Description: ❑ Interlocal Agreement ❑ Change Order ❑ Amendment E Contract ❑ Other: Contract Effective Date: 6/15/16 Termination Gate: 16/1/16 Contract Renewal Notice (Days): Number of days required notice for termination or renewai or amendment Contract Manager: Dee Martindale Department: Engineering Contract Amount: $4,400.00 Approval Authority: (CIRCLE ONE) Department Director Mayor City Council Detail: (i.e. address, location, parcel number, tax id, etc.): Provide appraisal services for the Gribble property _......_._ As of: 08/27/14 .-ENT PROFESSIONAL SERVICES AGREEMENT between the City of Kent and The Eastman Company THIS AGREEMENT is made between the City of Kent, a Washington municipal corporation (hereinafter the "City"), and The Eastman Company organized under the laws of the State of Washington, located and doing business at 6206 35th Ave. NE, Seattle, WA 98115, Phone: (206) 363-6611, Contact: Donald Melton (hereinafter the "Contractor"). I. DESCRIPTION OF WORK. Contractor shall perform the following services for the City: The Contractor shall provide appraisal services for the Gribble Property Purchase. 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 October 1, 2016. III. COMPENSATION. The City shall pay Contractor a total amount not to exceed Four Thousand, Four Hundred Dollars ($4,400.00) 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 ($20,000 or Less) 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. 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 ($20,000 or Less) 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 ($20,000 or Less) QOL n rt _a dSig,patq,[g5 i --n........... Fax or Erna 1. This Agreement may be executed in any number Of Counterparts, each of which shall constitute an original, and all of which wiJl 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. -e64f12 kCT?R CITE( '"NT: Ilk;--All By; .... ..... i.gm. urre) Print Name:111.11111 11.� Print Name: Timothy J. LaPorte, P.E. I Ls: PU lic Works Director DATE: DATE: NOTICES TO BE SENT TO: CONTRACTOR: CITY OF KENT: Donald Melton Timothy 3, LaPorte, P.E, The Eastman Company City of Kent 6206 35t�' Ave, NE 220 Fourth Avenue South Seattle, WA 981,15 Kent, WA 98032 (206) 363-6611. (telephone) (253) 856-55�00 (telephone) PROFESSIONAL SERVICES AGREEMENT - 4, ($20,000 or Less) DECLARATION CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY POLICY The City of Kent is committed to conform: to Federal and State laws regarding equal opportunity. As such all contractors, subcontractors and suppliers who perform work with relation to this Agreement shall comply with the regulations of the City's equal employment opportunity policies. The following, questions specifically identify the requirements the City deems necessary for any contractor, subcontractor or supplier on this specific Agreement to adhere to. An affirmative response is required on all of the following questions for this Agreement to be valid and binding. If any contractor, subcontractor or supplier willfully misrepresents thernselves 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 oil the basis of sex, race, color, national origin, age, or the presence of all sensory, mental or physical disability. 1 During: the time of this Agreement the prime contractor will provide a written statement to all new employees and subcontractors indicating commitment as an equal opportunity employer. 4. During the time of the Agreement 1, 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 rne, the Prime Conti-actor, 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 i I .day of .. 20_L(__ By For: Title: Date: EEO COMPLIANCE DOCUMENTS - I CITY OF KENT ADMINISTRATIVE POLICY NUMBER: 1.2 EFFECTIVE DATE: January 1, 1998 SUBJECT: MINORITY AND WOMEN SUPERSEDES: April 1, 1996 CONTRACTORS APPROVED BY Jim White, Mayor POLICY: Equal employment opportunity requirements for the City of Kent will conform to federal and state laws. All contractors, subcontractors, consultants and suppliers of the City must guarantee equal employment opportunity within their organization and, if holding Agreements with the City amounting to $10,000 or more within any given year, must take the following affirmative steps: 1. Provide a written statement to all new employees and subcontractors indicating commitment as an equal opportunity employer. 2. Actively consider for promotion and advancement available minorities and women. Any contractor, subcontractor, consultant or supplier who willfully disregards the City's nondiscrimination and equal opportunity requirements shall be considered in breach of contract and subject to suspension or termination for all or part of the Agreement. Contract Compliance Officers will be appointed by the Directors of Planning, Parks, and Public Works Departments to assume the following duties for their respective departments. 1. Ensuring that contractors, subcontractors, consultants, and suppliers subject to these regulations are familiar with the regulations and the City's equal employment opportunity policy. 2. Monitoring to assure adherence to federal, state and local laws, policies and guidelines. EEO COMPLIANCE DOCUMENTS - 2 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 ACC>® 7TE IY(MMIDDYYY) �� CERTIFICATE 4F LIABILITY INSURANCE 12/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Shari. Lo:ffquist NAME: C Don Filer Agency (PA NNo, o Ext• (206)545-4800 FAX No:(206)545-4849 4201 Roosevelt Way NE E-MAILs:slofquist@filerinsurance.com ADDRES INSURERS AFFORDING COVERAGE NAIC 9 Seattle WA 98105-6608 INSURERA:Travelers Cas Ins of America 19046 INSURED INSURER B: G2mz LLC dba The Eastman Company INSURERC: 6206 35th Ave NE INSURERD: INSURER E: Seattle WA 98115 INSURER F: COVERAGES CERTIFICATE NUMBER-Master GL 2015-16 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. 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 TYPE OF INSURANCE ADDL SUER POLICPOLICY NUMBER MMIDDY EFF IYYYY MMIDD�YY LIMITS LTR X I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 AGE ToA CLAIMS-MADE �OCCUR PREM SEl Ea o.cRENTErence $ 300,000 X 680-7E721300-15-42 6/19/2015 6/19/203.6 MED EXP(Any one person) $ 5,000 PERSONAL 8 ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 X PRO ❑ LOC PRODUCTS-COMP,OP AGG $ 4,000,000 POLICY❑ PRO- OTHER: Non-owned $ 2,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000 Ea accident A ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED X 680-7E721300-15-42 6/19/2015 6/19/2016 BODILY INJURY(Per accident) $ AUTOS AUTOS PROPERTY AUTOS DAMAGE $ X HIRED AUTOS F NON-OWNED Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ )Wx6It X0MxxW W XKXEMPLOYERV LIABILITY YIN STATUTE ERH ANY PROPRIETORIPARTNERIEXECUTIVE ❑ NIA E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ tf yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Certificate holder is hereby named additional insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Kent, Dept. of THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Engineering ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Nancy Yoshitake 220 4th Ave S AUTHORIZED REPRESENTATIVE Kent, WA 96032-3994 Shari Lofquist/SHARI 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS026(201401) 1 ® DATE(MMIDD/YYYY) A`�o CERTIFICATE OF LIABILITY INSURANCE 5/19/2016 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 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). CONT PRODUCER NAMEACT Shari LOfquist C Don Filer Agency PHONE , (206)545-4800 l .FAX o. 4206)545-4849 4201 Roosevelt Way NE EDDRESS:slofquist@filerinsurance.com INSURERS AFFORDING COVERAGE NAIC q Seattle WA 98105-6608. INSURERA:Travelers Cas Ins of America 19046 INSURED INSURER B: G2MZ LLC INSURERC: DBA: The Eastman Company INSURERD: 6206 35th Ave NE INSURERE: Seattle WA 98115 INSURER F: COVERAGES CERTIFICATE NUMBER:Master 16-17 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. ADDL SUBR POLICY EFF POLICY EXP ILTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM1DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED 300,000 A CLAIMS-MADE ❑X OCCUR REMISES Ea occurrence $ X 680-7E721300-16-42 6/19/2016 6/19/2017 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 X POLICY El JEC F7 LOC PRODUCTS-COMP/OPAGG $ 4,000,000 OTHER: Hired/borrowed $ 2,000,000 CO AUTOMOBILE LIABILITY Ee acccliden SINGLE LIMIT $ BODILY INJURY(Per person) $ A ANY AUTO ALL OWNED SCHEDULED X 680-7E721300-16-42 6/19/2016 6/19/2017 BODILY INJURY(Per accident) S AUTOS SUCTOS NEO PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTIONS $ �I(Bg33YiJ�E�(i(B�XbCpI)tDC PER TE ERH- jf(KD(EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ It yes,describe under E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate holder is hereby named additional insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Kent, Dept. of THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Engineering Attn: Nancy Yoshitake 220 4th Ave $ AUTHORIZED REPRESENTATIVE Kent, WA 98032-3994 Marquita Himes/MARQUI ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025(201401) Policy# 680-7E721300-16-42 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED --OWNERS, LESSEES OR CONTRACTORS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS: 1. WHO IS AN INSURED(SECTION Il) is amended in a written contract for this insurance to to include as an insured any person or organiza- apply on a primary or contributory basis. tion (called hereafter"additional insured") whom 3. This insurance does not apply: you have agreed In a written contract, executed prior to loss, to name as additional insured, but a. on any basis to any person or organization only with respect to liability arising out of "your for whom you have purchased an Owners work" or your ongoing operations for that addi- and Contractors Protective policy. tional Insured performed by you or for you. b. to "bodily injury," "property damage; "per- t. With respect to the insurance afforded to Addi- sonal Injury," or "advertising Injury" arising tional Insureds the following conditions apply: out of the rendering of or the failure to render a. Limits of Insurance — The following limits of any professional services by or for you, In- cluding:liabitit I • y apply:y: 1. The preparing, approving or failing to 1. The limits which you agreed to provide; prepare or approve maps, drawings, or opinions, reports, surveys, change or- 2. The limits shown on the declarations, ders, designs or specifications; and whichever is less. 2. Supervisory, inspection or engineering b. This insurance is excess over any valid and services. collectible Insurance unless you have agreed CG D1 05 04 94 Copyright,The Travelers Indemnity Company. J994. Page 1 of 1 Includes Copyrighted Material from Insurance Services Office,Inc. 46 DATE(MM)DWYYYY) a�?o CERTIFICATE OF LIABILITY INSURANCE 12/30/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certiflcate does not confer rights to the certificate holder In lieu of such endorsement(s), PRODUCER CONTACT Shari Lofquist PHONE 206)545-4800 FAX (206)54s-4849 9C Don Filer Agency ,N ExU,__�._._...-__ _-_.._ -.. - _(AIC,No):. MAIL,," - 4201 Roosevelt Way NE ADDRESS:slofquist@f ilerinsurance.com INSURERS)AFFORDING COVERAGE NAIQ p Seattle WA 98105-6608 INSURER Continental_Casual t ..ComRaany__ ENSURED INSURER B: G2MZ LLC, DBA: The Eastman Company INSURERC: 6206 35th Ave NE _INSURERD_;1. , INSURER E_ Seattle WA 98115 1 INSURER F: COVERAGES CERTIFICATE NUMBER:E&O 2016 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. -"--_ - tADDL SUBR POLICY EFF POLICY EXP LIMITS I TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY MM)DD)YYYY 1.LT R LT COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S - DAMAGE TO RENTED - CLAIMS-MADE I OCCUR PREMISF~ (En 9ccurrgnce) S MEO EXP{Any ono eorsonl S PERSONAL d AOV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S POLICY PE O- I I LOC PRODUCTS-COMP/OP AGG S_,__ _.._ S OTHER: A COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY (EoewIdenl)____ __ .__ ... S ANY AUTO BODILY INJURY(Par pereon) S ALL OWNED SCHEDULED BODILY INJURY(Per accident) S -- AUTOS AUTOS — NON-OWNED HIRED AUTOS PROPERTY DAMAGE S Per nccldenl) . -- S UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB AGGREGATE• S CLAIMS-MADE DED RETENTIONS $ WORKERS COMPENSATION STATUTE I I ERH AND EMPLOYERS'LIABILITY Y T N ANY PROPRIETORIPARTHER)EXECUTIVE I I N I A E L.EACH ACCIDENT S _ OFFICERtMEMBER EXCLUOE07 (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ If yyes,describe under DESCRIPTION OF OPERATIONS below IE.L.DISEASE-POLICY LIMIT $ A Professional Liability RFS-133241088-16 1/1/2016 1/1/2017 511000,000/S1.0001000limits $5,000 deductiulo DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If mare space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Kent, Dept. of THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Engineering ACCORDANCE WITH THE POLICY PROVISIONS. 220 4th Ave S Kent, WA 98032-3994 AUTHORIZED REPRESENTATIVE Shari Lof..quist/SIIARI 91988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025 rgntanll