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KENT
WASH VMGTQ?M Document
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CONTRACT COVER SHEET
This is to be completed by the Contract Manager prior to submission
to City Clerks Office. All portions are to be completed.
If you have questions, please contact City Clerk's Office.
Vendor Name: Shannon & Wilson, Inc.
Vendor Number:
JD Edwards Number
Contract Number:
This is assigned by City Clerk's Office
Project Name: S. 2281" St. UPRR Grade Separation
Description: ❑ Interlocal Agreement ❑ Change Order ❑ Amendment Contract
❑ Other:
Contract Effective mate: 6/ 7/16 Termination mate: 12/31/16
Contract Renewal Notice (Days):
Number of days required notice for termination or renewal or amendment
Contract Manager: Susanne Smith Department: Engineering
Contract Amount: �?14,600.00
Approval Authority: (CIRCLE ONE) Department Director Mayor City Council
Detail: (i.e. address, location, parcel number, tax id, etc.):
Participate in a Value Engineering study for the projects .-----
-------
As of: 08/27/14
KENT
W.5 H 0,0 N
CONSULTANT SERVICES AGREEMENT
between the City of Kent and
Shannon & Wilson, Inc.
THIS AGREEMENT is made between the City of Kent, a Washington municipal corporation
(hereinafter the "City"), and Shannon & Wilson, Inc. organized under the laws of the State of Washington,
located and doing business at 400 N. 34th St., Suite 100, Seattle, WA 98103, Phone: (800) 833-
6388/Fax: (206) 695-6777, Contact: Robert Mitchell (hereinafter the "Consultant").
I. DESCRIPTION OF WORK.
Consultant shall perform the following services for the City in accordance with the following
described plans and/or specifications:
The Consultant shall participate in a Value Engineering Study for the S. 228th St. UPRR
Grade Separation project. For a description, see the Consultant's Scope of Work which is
attached as Exhibit A and incorporated by this reference.
Consultant further represents that the services furnished under this Agreement will be performed in
accordance with generally accepted professional practices within the Puget Sound region in effect at the
time those services are performed.
II. TIME OF COMPLETION. The parties agree that work will begin on the tasks described in
Section I above immediately upon the effective date of this Agreement. Consultant shall complete the
work described in Section I by December 31, 2016.
III. COMPENSATION.
A. The City shall pay the Consultant, based on time and materials, an amount not to exceed
Fourteen Thousand, Six Hundred Dollars ($14,600.00), for the services described in this
Agreement. This is the maximum amount to be paid under this Agreement for the work
described in Section I above, and shall not be exceeded without the prior written
authorization of the City in the form of a negotiated and executed amendment to this
agreement. The Consultant agrees that the hourly or flat rate charged by it for its services
contracted for herein shall remain locked at the negotiated rate(s) for a period of one (1)
year from the effective date of this Agreement. The Consultant's billing rates shall be as
delineated in Exhibit A.
B. The Consultant shall submit monthly payment invoices to the City for work performed, and
a final bill upon completion of all services described in this Agreement. The City shall
provide payment within forty-five (45) days of receipt of an invoice. If the City objects to
all or any portion of an invoice, it shall notify the Consultant and reserves the option to only
pay that portion of the invoice not in dispute. In that event, the parties will immediately
make every effort to settle the disputed portion.
IV. INDEPENDENT CONTRACTOR. The parties intend that an Independent Contractor-
Employer Relationship will be created by this Agreement. By their execution of this Agreement, and in
accordance with Ch. 51.08 RCW, the parties make the following representations:
CONSULTANT SERVICES AGREEMENT - 1
($20,000 or Less)
^
A. The Consultant has the ability to control and direct the performance and details V[ its
work, the City being interested only in the results obtained under this Agreement.
B. The Consultant maintains and pays for its own place of business from which
Consultant's services under this Agreement will be performed.
C. The Consultant has an established and independent business that is eligible for a
business deduction for federal |DcVrne tax purposes that existed before the City
retained Consultant's services, or the Consultant is engaged in an independently
established trade, occupation, profession, or business of the same nature as that
invoKved under this Agreement.
D. The Consultant is responsible for filing as they become due all necessary tax
documents with appropriate federal and state agencies, including the Internal
Revenue Service and the state Department ofRevenae.
E. The Consultant has registered its business and established an account with the state
Department ofRevenue and other state agencies as may be required by Consultant's
business, and has obtained a Unified Business Identifier (UBI) number from the
State ofWashington.
F. The Consultant maintains a set ofbooks dedicated to the expenses and earnings of
its business.
V. TERMINATION. Either party may terminate this Agreement, with or without cause, upon
providing the other party thirty (30) days written notice at its address set forth on the signature block of
this Agreement. After termination, the City may take possession of all records and data within the
Consultant's possession pertaining to this project, which may be used by the City without restriction. If
the C|ty'S use of Consultant's records or data is not related to this project, it shall be without liability or
legal exposure tVthe Consultant.
VI. DISCRIMINATION. In the hiring of employees for the performance of work Under this
Agreement or any subcontract, the Consultant, its subcontractors, or any person acting on behalf ofthe
Consultant Or Subcontractor shall not, by reason Of race, religion, color, sex, age/ sexual orientation,
national origin, or the presence of any sensory, mental, or physical disability, discriminate against any
person who is qualified and available to perform the work to which the employment relates. Consultant
shall execute the attached City of Kent Equal Employment Opportunity Policy Declaration, Comply with
City Administrative Policy 1.2, and upon completion of the contract work, file the attached Compliance
Statement.
�I�. INDEMNIFICATION. Consultant shall defend, indemnify and hold the City, its officers,
(offitcials, emp|oyees/ ogmnts ond vo|unteens harn|ess fron eny and a|| claims,ne, injuries, damageo, |Vsses or
p n� u| dimg all legal costs and attorney fees, arising out of or in connection with the Consultant's
performance
of this Agreement, except forth t portion of the injuries and damages caused by the City's
negligence.
The City`s inspection or acceptance of any of Consultant's work when completed shall not be
grounds to avoid any of these covenants of indemnification.
Should a court of competent jurisdiction determine that this Agreement is subject to RCVV
4.24.115/ then/ in the event of liability for damages arising out ofbodily injury to persons ordamages to
property caused by or resulting from the concurrent negligence of the Consultant and the City/ its officers,
officials, employees, agents and volunteers, the Consultant's liability hereunder shall be only to the extent
of the Consultant's negligence.
IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THE INDEMNIFICATION
PROVIDED HEREIN CONSTITUTES THE CONSULTANT'S WAIVER OF IMMUNITY UNDER INDUSTRIAL
CONSULTANT SERVICES AGREEMENT - 2
($2O,DOOorLess)
t t
INSURANCE, TITLE 51 RCW, SOLELY FOR THE PURPOSES OF THIS INDEMNIFICATION. THE PARTIES
FURTHER ACKNOWLEDGE THAT THEY HAVE MUTUALLY NEGOTIATED THIS WAIVER.
In the event Consultant refuses tender of defense in any suit or any claim, if that tender was made
pursuant to this indemnification clause, and if that refusal is subsequently determined by a court having
jurisdiction (or other agreed tribunal) to have been a wrongful refusal on the Consultant's part, then
Consultant shall pay all the City's costs for defense, including all reasonable expert witness fees and
reasonable attorneys' fees, plus the City's legal costs and fees incurred because there was a wrongful
refusal on the Consultant's part.
The provisions of this section shall survive the expiration or termination of this Agreement.
VIII. INSURANCE. The Consultant shall procure and maintain for the duration of the
Agreement, insurance of the types and in the amounts described in Exhibit B attached and incorporated by
this reference.
IX. EXCHANGE OF INFORMATION. The City will provide its best efforts to provide
reasonable accuracy of any information supplied by it to Consultant for the purpose of completion of the
work under this Agreement.
X. OWNERSHIP AND USE OF RECORDS AND DOCUMENTS. Original documents, drawings,
designs, reports, or any other records developed or created under this Agreement shall belong to and
become the property of the City. All records submitted by the City to the Consultant will be safeguarded
by the Consultant. Consultant shall make such data, documents, and files available to the City upon the
City's request. The Consultant acknowledges that the City is a public agency subject to the Public Records
Act codified in Chapter 42.56 of the Revised Code of Washington. As such, the Consultant agrees to
cooperate fully with the City in satisfying the City's duties and obligations under the Public Records Act.
The City's use or reuse of any of the documents, data, and files created by Consultant for this project by
anyone other than Consultant on any other project shall be without liability or legal exposure to
Consultant.
XI. CITY'S RIGHT OF INSPECTION. Even though Consultant is an independent contractor
with the authority to control and direct the performance and details of the work authorized under this
Agreement, the work must meet the approval of the City and shall be subject to the City's general right of
inspection to secure satisfactory completion.
XII. WORK PERFORMED AT CONSULTANT'S RISK. Consultant shall take all necessary
precautions and shall be responsible for the safety of its employees, agents, and subcontractors in the
performance of the contract work and shall utilize all protection necessary for that purpose. All work shall
be done at Consultant's own risk, and Consultant shall be responsible for any loss of or damage to
materials, tools, or other articles used or held for use in connection with the work.
XIII. MISCELLANEOUS PROVISIONS.
A. Recyclable Materials. Pursuant to Chapter 3.80 of the Kent City Code, the City requires its
contractors and consultants to use recycled and recyclable products whenever practicable. A price
preference may be available for any designated recycled product.
B. Non-Waiver of Breach. The failure of the City to insist upon strict performance of any of the
covenants and agreements contained in this Agreement, or to exercise any option conferred by this
Agreement in one or more instances shall not be construed to be a waiver or relinquishment of those
covenants, agreements or options, and the same shall be and remain in full force and effect.
C. Resolution of Disputes and 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
CONSULTANT SERVICES AGREEMENT - 3
($20,000 or Less)
writing to an alternative dispute resolution process. In any claim or lawsuit for damages arising from the
parties' performance of this Agreement, each party shall pay all its legal costs and attorney's fees incurred
in defending or bringing such claim or lawsuit, including all appeals, in addition to any other recovery or
award provided by law; provided, however, nothing in this paragraph shall be construed to limit the City's
right to indemnification under Section VII of this Agreement.
D. Written Notice. All communications regarding this Agreement shall be sent to the parties at
the addresses listed on the signature page of the Agreement, unless notified to the contrary. Any written
notice hereunder shall become effective three (3) business days after the date of mailing by registered or
certified mail, and shall be deemed sufficiently given if sent to the addressee at the address stated in this
Agreement or such other address as may be hereafter specified in writing.
E. Assignment. Any assignment of this Agreement by either party without the written consent
of the non-assigning party shall be void. If the non-assigning party gives its consent to any assignment,
the terms of this Agreement shall continue in full force and effect and no further assignment shall be
made without additional written consent.
F. Modification. No waiver, alteration, or modification of any of the provisions of this
Agreement shall be binding unless in writing and signed by a duly authorized representative of the City
and Consultant.
G. Entire Agreement. The written provisions and terms of this Agreement, together with any
Exhibits attached hereto, shall supersede all prior verbal statements of any officer or other representative
of the City, and such statements shall not be effective or be construed as entering into or forming a part
of or altering in any manner this Agreement. All of the above documents are hereby made a part of this
Agreement. However, should any language in any of the Exhibits to this Agreement conflict with any
language contained in this Agreement, the terms of this Agreement shall prevail.
H. Compliance with Laws. The Consultant agrees to comply with all federal, state, and
municipal laws, rules, and regulations that are now effective or in the future become applicable to
Consultant's business, equipment, and personnel engaged in operations covered by this Agreement or
accruing out of the performance of those operations.
I. Public Records Act. The Consultant acknowledges that the City is a public agency subject to
the Public Records Act codified in Chapter 42.56 of the Revised Code of Washington 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 Consultant agrees to cooperate fully with the City in satisfying
the City's duties and obligations under the Public Records Act.
J. City Business License Required. Prior to commencing the tasks described in Section I,
Contractor agrees to provide proof of a current city of Kent business license pursuant to Chapter 5.01 of
the Kent City Code.
CONSULTANT SERVICES AGREEMENT - 4
($20,000 or Less)
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.
CONSULTA7 CITY OF KENT:
By: By
(s nat (si nature)
Print Name: " $ Print Name: Timothy 1. LaPorte, P.E.
Its: aZL Its: Public Works Director
glue)
DATE: 0 L13/i b DATE: AV
NOTICES TO BE SENT TO: NOTICES TO BE SENT TO:
CONSULTANT: CITY OF KENT,
Robert Mitchell Timothy J. LaPorte, P.E.
Shannon & Wilson, Inc. City of Kent
PO Box 300303 220 Fourth Avenue South
Seattle, WA 98103 Kent, WA 98032
(800) 833-6388 (telephone) (253) 856-5500 (telephone)
(206) 695-6777 (facsimile) (253) 856-6500 (facsimile)
Shannon&Wilson-228"'UPRR VE/Smith
CONSULTANT SERVICES AGREEMENT 5
($20,000 or Less)
DECLARATION
CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY POLICY
The City of Kent is committed to conform to Federal and State laws regarding equal opportunity.
As such all contractors, subcontractors and suppliers who perform work with relation to this
Agreement shall comply with the regulations of the City's equal employment opportunity
policies.
The following questions specifically identify the requirements the City deems necessary for any
contractor, subcontractor or supplier on this specific Agreement to adhere to. An affirmative
response is required on all of the following questions for this Agreement to be valid and binding.
If any contractor, subcontractor or supplier willfully misrepresents themselves with regard to the
directives outlines, it will be considered a breach, of contract and it will be at the City's sole
determination regarding suspension or termination for all or part of the Agreement;
The questions are as follows:
1. 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:
For:.
Title:
Date:
EEO COMPLIANCE DOCUMENTS - 1
CITY OF KENT
ADMINISTRATIVE POLICY
NUMBER: 1.2 EFFECTIVE DATE: January 1, 1998
SUBJECT: MINORITY AND WOMEN SUPERSEDES: April 1, 1996
CONTRACTORS APPROVED BY Jim White, Mayor
POLICY:
Equal employment opportunity requirements for the City of Kent will conform to federal and
state laws. All contractors, subcontractors, consultants and suppliers of the City must guarantee
equal employment opportunity within their organization and, if holding Agreements with the City
amounting to $10,000 or more within any given year, must take the following affirmative steps:
1. Provide a written statement to all new employees and subcontractors indicating
commitment as an equal opportunity employer.
2. Actively consider for promotion and advancement available minorities and women.
Any contractor, subcontractor, consultant or supplier who willfully disregards the City's
nondiscrimination and equal opportunity requirements shall be considered in breach of contract
and subject to suspension or termination for all or part of the Agreement.
Contract Compliance Officers will be appointed by the Directors of Planning, Parks, and Public
Works Departments to assume the following duties for their respective departments.
1. Ensuring that contractors, subcontractors, consultants, and suppliers subject to these
regulations are familiar with the regulations and the City's equal employment opportunity
policy.
2. Monitoring to assure adherence to federal, state and local laws, policies and guidelines.
EEO COMPLIANCE DOCUMENTS - 2
CITY OF KENT
EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE STATEMENT
This form shall be filled out AFTER COMPLETION of this project by the Contractor awarded the
Agreement.
I, the undersigned, a duly represented agent of
Company, hereby acknowledge and declare that the before-mentioned company was the prime
contractor for the Agreement known as that was entered into on
the (date) between the firm I represent and the City of
Kent.
I declare that I complied fully with all of the requirements and obligations as outlined in the City
of Kent Administrative Policy 1.2 and the Declaration City of Kent Equal Employment Opportunity
Policy that was part of the before-mentioned Agreement.
By:
For:
Title:
Date:
EEO COMPLIANCE DOCUMENTS - 3
EXHIBIT A
ALASKA
CALIFORNIA
COLORADO
NON IL , INC.. MISSOURI
OREGON
RNEW GEOTE_CH141CAL AND ENVIRONMENTAL CONSULTANTS WASHNGTON
WISCONSIN
May 25,2016
Mr. Mark Madfai
Public Works Engineering
City of Kent
220 Fourth Ave South
Kent, WA 98032
RE: PROPOSAL FOR GEOTECHNICAL VALUE ENGINEERING SERVICES,
SOUTH 228TH STREET UNION PACIFIC GRADE SEPARATION PROJECT,
KENT,WASHINGTON
Dear Mr.Madfai:
We are pleased to submit this proposal for geotechnical value engineering services for the South
228`I' Street Union Pacific Grade Separation project in Kent,Washington. This letter proposal
presents our general understanding of the project,proposed scope of services, estimated fee, and
schedule.
PROJECT DESCRIPTION
The City of Kent project will provide a grade separation between the Union Pacific Railroad
(UPRR) tracks at South 228th Street with an elevated railroad over-crossing. The purpose of the
project is to improve traffic flow on South 2281h Street and in the region in response to the
significant increase in UPRR train traffic. A multi-span bridge and fill approach embankments
will be required to construct the grade separation.
SCOPE OF SERVICES
The purpose of this scope of services is to provide geotechnical value engineering services
related to the proposed South 228th Street Union Pacific grade separation project. We propose
the following scope of services that includes document review,meeting attendance, and
preparation of review comments.
Document Review: Review geotechnical aspects provided in available project
geotechnical data reports, engineering reports, and project plans and specifications.
400 NORTH 34"'STREET—SUITE 100
PO BOX 300303
SEATTLE,WA 98103
206-632-8020 FAX 206-695-6777
TDD: 1-800-833-6388 21-2-62803-001
www.shannonwilson.com
}
SHANNON WILSON,INC.
Mr. Mark Madfai
City of Kent Public Works
May 25,2016
Page 2 of 3
E Value Engineering Meeting Attendance: Attend a three day value engineering meeting
in Kent, Washington. For the purposes of developing our fee estimate,we assume the
three day value engineering meeting will consist of three 8 hour days plus travel time.
Mr. Robert Mitchell will attend the value engineering meeting; the resume for Mr.
Mitchell is attached.
a Value Engineering Letter Report Prepara#ion: Based on the discussions and
presentations at value engineering meeting,we would provide a letter report that
documents our geotechnicaI-related comments provided during the value engineering
meeting.
FEE ESTIMATE AND SCHEDULE
We are prepared to provide the above services on a time-and-expense basis to the budgetary
maximum of$14,600. A breakdown of the effort to complete the above scope of services is
shown in Table 1. The budget includes effort for document review,meeting attendance,letter
report preparation,travel time, invoicing,travel expenses,and project management. We are
prepared to begin the review and attend the value engineering meeting upon receipt of your
written notice to proceed. We understand the value engineering meeting would occur between
June 14 and 16,2016.
CLOSURE
We appreciate the opportunity to submit this proposal and look forward to working with you on
this project. Our fee and the terms and conditions under which our services are offered will be
in accordance with the enclosed Standard General Terms and Conditions. Please sign in the
space provided and return a copy of this letter,which will then serve as an agreement between
us. Shannon & Wilson,Inc. has prepared the enclosed"Important Information About Your
Geotechnical/Environmental Proposal"to assist you and others in understanding the use and
limitations of our proposals.
21-2-62803-001
SHAlEiNON OVIL SON,INC:.
Mr. Mark Mad£ai
City of Kent Public Works
May 25, 2016
Page 3 of 3
Sincerely,
SHANNON& WILSON,INC.
Robert A. Mitchell,P.E.
Vice President
RAM/ram
Enc: Table I Labor Effort and Cost Breakdown, Geotechnical Value Engineering,
South 228"' Street Union Pacific Grade Separation
Mr. Robert Mitchell resume (3 pages)
Standard General Terms and Conditions, SEA-SM-2016 (1/2016)
Important Information About Your Geotechnical/Environmental Proposal
I accept the conditions and authorize the work to proceed.
By Signature
(print)
Date
Organization
21-2-62803-001
SHANNON&WILSON,INC,
Table I
Labor Effort and Cost Breakdown
Geotechnical Value Engineering South 228tb Street Union Pacific Grade Separation
Kent,Washington
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Document Review 16 16 $1,200
mteLt�travel(3 days)_ 30 30 $2,250
Letter Report 12 12 900--
Proiect setup and invoicing 1 2 3 $139
0 $0
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Direct Labor Cost $4,489
Overhead Rate-7016 Rate @
193.10% $8,668
Total adjusted Direct Labor&Overhead Cost $13,157
Fixed Fee @ Direct Labor Cost
30% $1,347
Total Labor Cost $14,504
Direct Expenses:
Mileage $100
Total Direct Expenses $15-0
Total $14,604
5/25/2016 21-1-62803.001
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 Liabilitv insurance covering all owned, non-owned,
hired and leased vehicles. Coverage shall be written on
Insurance Services Office (ISO) form CA 00 01 or a substitute
form providing equivalent liability coverage. If necessary, the
policy shall be endorsed to provide contractual liability coverage.
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 it 85 or a substitute endorsement
providing equivalent coverage.
3. Workers' Compensation coverage as required by the Industrial
Insurance laws of the State of Washington.
4. Professional Liability insurance appropriate to the Consultant's
profession.
B. Minimum Amounts of Insurance
Consultant shall maintain the following insurance limits:
1. Automobile Liability insurance with a minimum combined single
limit for bodily injury and property damage of $1,000,000 per
accident.
EXHIBIT B (Continued)
2. Commercial General Liability insurance shall be written with
limits no less than $2,000,00b each occurrence, $2,000,000
general aggregate.
3. Professional Liability insurance shall be written with limits no less
than $2,000,000 per claim and $2,000,000 policy aggregate
limit,
C. Other Insurance Provisions
The insurance policies are to contain, or be endorsed to contain, the
following provisions for Automobile Liability and Commercial General
Liability insurance:
1. The Consultant's insurance coverage shall be primary insurance as
respect the City. Any Insurance, self-insurance, or insurance pool
coverage maintained by the City shall be excess of the Consultant's
insurance and shall not contribute with it.
2. The Consultant's insurance shall
not be cancelled by either party, except after thirty (30) days
prior written notice by certified mail, return receipt requested, has
been given to the City.
3. The City of Kent shall be named as an additional insured on all
policies (except Professional Liability) as respects work performed
by or on behalf of the Consultant and a copy of the endorsement
naming the City as additional insured shall be attached to the
Certificate of Insurance. The City reserves the right to receive a
certified copy of all required insurance policies. The Consultant's
Commercial General Liability insurance shall also contain a clause
stating that coverage shall apply separately to each insured against
whom claim is made or suit is brought, except with respects to the
limits of the insurer's liability.
D. Acceptability of Insurers
Insurance is to be placed with insurers with a current A.M. Best rating
of not less than ANII.
E. Verification of Coverage
Consultant shall furnish the City with original certificates and a copy of
the amendatory endorsements, including but not necessarily limited to
the additional insured endorsement, evidencing the insurance
requirements of the 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.
® DATE(MMMDfYYYY)
ACC>R v CERTIFICATE OF LIABILITY INSURANCE
6/14/2016
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(les)must be endorsed. If SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder In lieu of such endorsements.
PRODUCER NAME: Gail Scott
Arthur J.Gallagher Risk Management Services, Inc. PHONE 425-586-1031 FAX 425-451-3716
P.O. Box 367 E-MAIL
Bellevue WA 98009-0367 .gail_scott@ajg.Com
INSURERS AFFORDING COVERAGE NAIC Al
INSURER A:National Union Fire Insurance Coma 19445
INSURED INSURERB:Travelers Property Casualty Co of 25674
Shannon&Wilson, Inc. -INSURER C:New Hampshire Insurance Company 23841
400 N. 34th Street,Suite 100
Seattle, WA 98103-8636 INSURER 0
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:830905088 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 INSURANCESUOR POLICY EFF POLICY EXP
LTR INSD WVD POLICYNUMBER MMIDDIYYYY MMI0DIYYYY LIMITS
A x COMMERCIAL GENERAL LIABILITY 5180256 3/1/2016 3I1/2017 EACH OCCURRENCE $1,000,000
DAMAGE N $300,000
CLAIMS-MADE �X OCCUR PREMISES Ea occurrence)
MED EXP(Any one person) $10,000
PERSONAL&ADV INJURY $1,000.000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
POLICY E]JECT LOC PRODUCTS-COMPIOPAGG $2,000,000
OTHER: $
A AUTOMOBILE LIABILITY 2961686 3!1l2016 3l1I2017 Ea accident $1,000,000
X ANY AUTO BODILY INJURY(Per person) $
AUTOSJ ED SCHEDULED BODILY INJURY(Per accident) $
AUTOS
HIRED AUTOS AUTOS NON-OWNED Per accident PROPERTY A A $
$
B X UMBRELLA LIAB X OCCUR ZUP15R7312A16NF 3/1/2016 3/1/2017 EACH OCCURRENCE $1,000,000
EXCESS LIAO CLAIMS-MADE AGGREGATE $1,000,000
DED I X I RETENTION$10,000 $
A WORKERS COMPENSATION 012016021 CA 3/1/2016 311/2017 X STATUTE ERH
C AND EMPLOYERS'LIABILITY YIN 012016020 AOS 3/1/2016 311/2017
ANY PROPRIETORIPARTNER/EXECUTIVE 7 N 1 A E.L.EACH ACCIDENT $1,000,000
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH) E.L.DISEASE-EA EMPLOYE $1,000,000
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required)
Workers'Comp-in Monopolistics, Employers' Liability only
The City of Kent is included as Additional Insured for General Liability(per CG2033 and CG2037)and Auto Liability as respects operations of
the Named Insured and where required by written contract. GL and AL Primary and Non-Contributory is included where required by written
contract.
Re: South 228th UPRR Value Engineering Study, Kent,WA(S&W Job#21-1-22236-001)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Kent Washington THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Attn: Nancy Yoshitake ACCORDANCE WITH THE POLICY PROVISIONS.
Cityy of Kent Engineering
400 West Grove AUTHORIZED REPRESENTATIVE
Kent WA 98032
01988-2014 ACORD CORPORATION. All rights reserved.
ACORD 26(2014/01) The ACORD name and logo are registered marks of ACORD
' •. . i .. . ,...fir....
- 1
POLICY NUMBER: 5180256 COMMERCIAL GENERAL LIABILITY
CG 20 33 04 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS AUTOMATIC STATUS WHEN
REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART '
A. Section 11 - Who Is An Insured is amended to a. The preparing, approving, or failing to
include as an additional insured any person or prepare or approve, maps, shop
'organization for whom you are performing drawings, opinions, reports, surveys,
operations when you and•such person or field orders, change orders or drawings
organization have agreed in writing in a contract and specifications:or
or agreement that such person or organization b. Supervisory,
be added as an additional insured on your p ry, inspection, architectural or
engineering activities.
porrcy: Such person or organization Is an addi-
tional insured only with respect to liability for This exclusion applies even if the claims against
"bodlly injury", "property damage" or "personal any insured allege negligence or other wrong-
and advertising Injury" caused, In whole or in doing in the supervision, hiring, employment,
part.by., training or monitoring of others by that insured,
it the'occurrence" which caused the "bodily in-
1. Your acts or omissions;or jury" or "property damage', or the offense
2. The acts or omissions of those acting on which caused the "personal and advertising
your behalf: Injury",'Involved the rendering of or the failure
in the performance of your ongoing operations to render - any professional architectural,
for the additional insured. engineering or surveying services.
However, the insurance afforded to such 2. "wily injury" or "property damage'
additional insured: occurring after:
1. Only applies to the extent permitted by law; a. All work, including materials, parts• or
and equipment furnished in connection with
such work, on the project (other than
2. Will not be broader then that which you are service, maintenance or repairs) to be
required by the contract of agreement to performed by or on behalf of the
provide for such additional insured. additional insuredis)at the location of the
A person's or organization's status as an addi- covered operations has been completed;
tional Insured under this endorsement ends or
when your operations for that additional insured b. That portion of"your work"out of which
are completed. the injury or damage arises has been put
B. With respect to the insurance afforded to these to its intended use by any person or
additional insureds, the following additional ex- organization other than another
elusions apply: contractor or subcontractor engaged In
This insurance does not,apply to: performing operations for a principal as a
1. "Bodily injury", "property damage" or part of the same project.
'personal and advertising injury" arising out C. With respect to the insurance afforded to these
of the rendering of, or the failure to render, additional insureds,'the following is added to
any professional architectural, engineering or Section III-Limits Of insurance:
surveying services,including: The most we will pay on behalf of the additional
Insured Is the amount of insurance:
CO 20 33 04 13 Insurance Services Office, Inc.,2012 Page 1 of 2 Q
1. Required by the contract or agreement you insurance shown in the Declarations;
have entered into- with the additional whichever is less.
Ensured;or This endorsement •shall not increase the
2. Available under the applicable Limits of applicable Limits of Insurance shown in the
Declaratidns. i
- i
• I
t
i
Page 2 of 2 insurance Services Office,Inc., 2012 CG 20 33 0413 ❑
POLICY NUMBER: 5180256 COMMERCIAL GENERAL LIABILITY
CG 20 37 0413
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED --- OWNERS, LESSEES OR
CONTRACTORS -- COMPLETED OPERATIONS
This endorsement modifies Insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s)
Or Or anization s Location And Description Of Completed Operations
Any person or organization whom you become
obligated to Included as additional insured as a result
of any written contract or agreement you have
entered Mo.
Information rRquired to complete this Schedule,if not shown above,will be shown in the Declaradons.
A. Section II—Who Is An Insured Is amended to B. With respect to the insurance afforded to these
include as an additional insured the person(s)or additional insureds, the following Is added to
organizatlon(s) shown In the Schedule, but only Section III—Limits Of Insurance:
with respect to liability for "bodily injury' or If coverage provided to the additional insured Is
"property damage"caused, in whole or 16 part,by required by a contract or agreement, the most we
"your work" at the location designated and will pay on behalf of the additional insured is the
described In the Schedule of this endorsement amount of insurance:
performed for that additional insured and
Included in the "products-completed operations 1. Required by the contract or agreement;or
hazard". 2. Available under the applicable Limits of
However. Insurance shown in the Declarations;
1. The insurance afforded to such additional whichever is less.
insured only applies to the extent permitted This endorsement shall not Increase the applicable
by law;and Limits of Insurance shown in the Declarations.
2. If coverage provided to the additional insured
is required by a contract or agreement, the
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.
CG 20 37 0413 0 insurance Services Office,Inc.,2012 Page 1 of 1
ENDORSEMENT
This endorsement, effective 12:01 A.M. forms a part of
policy No. '5180256 issued to Shannon&Wilson, Inc.
by National Union Fire Insurance Company of Pittsburgh PA
THIS ENDORSEMENT CHANGES-THE POLICY. PLEASE READ IT CAREFULLY
ADDITIONAL INSURED -PRIMARY INSURANCE
7704!endorsement modfies ft surailce ftroWded under the folloWing.,
COMMERGiAL GENERAL.LIABILITY COVERAGE FORM
5ectfon IV, Commercial General Liabilify Conditions, paragraph 4.,. Other lnsuranoe,
subparagraph a. Primary Insurance,is amended by the addition of the follgwing:
Ht wevef, coverage under this policy afforded to an additional insured will'apply as 006aty
insurance Where reGtilred by Contract, and any other insurance:issued to such additional Insured
shall apply as excess and noricbnhibutoty insurance.
Authorized Representative,or
Co'untersi nature (In States Where
Applicable)
74434(10199)
C . rArC,,
ENDORSEMENT
This endorsement, effective 12:01 A.M. forms a part of
policy No. 2961686 issued to Shannon &Wilson, Inc.
by National Union Fire Insurance Company Pittsburgh, PA
THIS ENDORSEMENT CHANGES THE P6LICY. PLEASE REAb IT CAREFULLY.
ADDITIONAL INSURED - WHERE REQUIRED UNDER CONTRACT OR AGREEMENT
This endorsement modri<es insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
SCHEDULE
ADDITIONAL INSURED:
Any person or organization for whom you are contractually bound to provide Additional Insured status,
but only to the extent of such person's or organizations liability arising out of a covered"auto."
1. SECTION III : LIABILITY COVERAGE, A. Coverage; 1. -Who Is Insured, is amended to add:
d. Any person or organization, shown.in the schedule above; to whom you beooiree•bbligeted
to Include as an'additionai insured under this policy, as a'result'of any'contract br agreement
you enter into Which requires you to furnish insurance to that person oe organization of the'
type provided by this policy, but only with respect to liability arising out of-use of a covered
"auto". However, the insurance provided will not exceed the lesser of;
(1) The coverage and/or limits of this policy, or
(2) The coverage and/or limits required by said contract or agreement.
A44thor¢bd Represeritative or
CDuntersi nature (in States Where
Applicable)
87950 (10/05) Page 1 of 1
- _
ENDORSEMENT
This endorsement,effective 12:01 A.M. forms a part of
policy No.2961686 issued to Shannon & Wilson, Inc.
by National Union Fire Insurance Company of Pittsburgh, PA
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
INSURANCE PRIMARY AS TO CERTAIN ADDITIONAL INSUREDS
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
Section IV - Business Auto Conditions, B., General Conditions, 5., Other Insurance, c., is
amended by the addition of the following sentence:
The insurance afforded under this policy to an additional insured will apply as primary insurance
for such additional insured where so required under an agreement executed prior to the date of
accident We will not ask any insurer that has issued other insurance to such additional insured to
contribute to the settlement of loss arising out of such accident.
All other terms and conditions remain unchanged.
A horized Representative or
Co ntersignature (in States Where
Applicable)
74445 (10/99) ��
Client#:330606 SHANNWIL11
ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY)
06H412016
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 CONME CT
Kibble&Prentice,a US[Co PR PH NE 206 441-6300 FAx 610-362-8528
AIC No Ext AIC,No
601 Union Street,Suite 1000 E-MAtL 1 centre usi.com
ADDRESS: p ues• q
Seattle,WA 98101 INSURERS AFFORDING COVERAGE NAIC A
INSURERA:Lloyd's of London 85202
INSURED INSURER B:
Shannon&Wilson,Inc.
INSURER C
P.O.Box 300303
INSURER D:
Seattle,WA 98103
INSURER E
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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.
LTR TYPE OF INSURANCE ND R VIVO POLICY NUMBER MMIDDYIYYYY MMfDDDYIYYrr LIMITS
COMMERCIAL GENERAL LIABILITY EACH
Aq��OEECCCUR��RENCE $
ED
CLAIMS-MADE PREMS&OCCUR IW.EoNocr.'rre.. S
MED EXP one person S
PERSONAL&ADV INJURY $
M'OTHER:
L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
PRO PRODUCTS-COMP/OPAGG S
POLICY JECT LOC $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
Ea accident
ANY AUTO BODILY INJURY(Per person) $
ALLOWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS AUTOS
NON-OWNED PROPERTY DAMAGE S
HIRED AUTOS AUTOS Per accident
UMBRELLA LIAR OCCUR EACH OCCURRENCE $
EXCESS LIAR CLAIMS-MADE AGGREGATE S
DEO RETENTION$ $
WORKERS COMPENSATION PERTLIT, OTH-
AND EMPLOYERS'LIABILI Y Y I N
TA 11R
ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? F7 N 1 A
(Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
A Professional& B0146LDUSA1604579 1/01/2016 01101/2017 $2,000,000 per claim
Contractors $2,000,000 annl aggr.
Pollution Liab.
DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required)
S&W Job No.21-1-22236-001; Project Name:South 228th UPRR Value Engineering Study; Description of Work:
Value Engineering Study of the South 228th St UPRR Grade Separation; Location:Kent WA.
CERTIFICATE HOLDER CANCELLATION
City of Kent Washington SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
ty THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Attn: Nancy Yoshitake ACCORDANCE WITH THE POLICY PROVISIONS.
City of Kent Engineering,400 West Grove
Kent,WA 98032 AUTHORIZED REPRESENTATIVE
01988-2014 ACORD CORPORATION.All rights reserved.
ACORD 25(2014/01) 1 of 1 The ACORD name and logo are registered marks of ACORD
#S18024194/M16864423 MXTJU
1
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