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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: JECB
Vendor Number:
JD Edwards Number
Contract Number: mlu- zci G
This is assigned by City Clerk's Office
Project Name: 2016 Crack Sealing
Description: ❑ Interlocal Agreement ❑ Change Order ❑ Amendment ontract
❑ Other:
Contract Effective Date: 7/26/16 Termination Date: 12/31/17
Contract Renewal Notice (Days):
Number of days required notice for termination or renewal or amendment
Contract Manager: Eric Connor Department: PW - Engineering
Contract Amount: $10,500.00
Approval Authority: Department Director ❑ Mayor ❑ City Council
Detail: (i.e. address, location, parcel number, tax id, etc.):
The Consultant shall provide geotechnical engineering, construction/project management,
and material testing and special inspection services for the 2016 Crack Sealing project.
As of: 08/27/14
it
e
KENT
CONSULTANT SERVICES AGREEMENT
between the City of Kent and
JECB
THIS AGREEMENT is made between the City of Kent, a Washington municipal corporation
(hereinafter the "City"), and JECB organized under the laws of the State of Washington, located and doing
business at PO Box 832, Auburn, WA 98071, Phone (206) 786-8645, Contact: Jamie Hicks (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 provide geotechnical engineering, construction/project management,
and material testing and special inspection services for the 2016 Crack Sealing project. For
a description, see the Consultant's Scope of Work which is attached as Exhibt 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, 2017.
III. COMPENSATION.
A. The City shall pay the Consultant, based on time and materials, an amount not to exceed
Ten Thousand, Five Hundred Dollars ($10,500.00), 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 B.
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
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A. The Consultant 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 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 income 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
involved 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 of Revenue.
E. The Consultant has registered its business and established an account with the state
Department of Revenue and other state agencies as may be required by Consultant's
business, and has obtained a Unified Business Identifier (UBI) number from the
State of Washington.
F. The Consultant 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. 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 City's use of Consultant's records or data is not related to this project, it shall be without liability or
legal exposure to the 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 of the
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.
VII. INDEMNIFICATION. Consultant 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 Consultant'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 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 RCW
4.24.115, then, in the event of liability for damages arising out of bodily injury to persons or damages 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
($20,000 or Less)
II
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 C 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
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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
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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.
CONSULTANT: CITY OF KENT:
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(signature) X.w,r (signature!) j
Print Name. 3t,^1e. �6 Print Name: Timothy J. LaPorte, P.E.
Its: raL 1117 a a=111 Its: Public Works Director
(title)
DATE: � Ile l)k, DATE: n71'2&1 i
NOTICES TO BE SENT TO: NOTICES TO BE SENT TO:
CONSULTANT: CITY OF KENT:
Jamie Hicks Timothy J. LaPorte, P.E.
JECB City of Kent
PO Box 832 220 Fourth Avenue South
Auburn, WA 98071 Kent, WA 98032
(206) 786-8645 (telephone) (253) 856-5500 (telephone)
N/A (facsimile) 253 856-6500 facsimile
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CONSULTANT SERVICES AGREEMENT - 5
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DECLARATION
CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY POLICY
The City of Kent is committed to conform to Federal and State laws regarding equal opportunity.
As such all contractors, subcontractors and suppliers who perform work with relation to this
Agreement shall comply with the regulations of the City's equal employment opportunity
policies.
The following questions specifically identify the requirements the City deems necessary for any
contractor, subcontractor or supplier on this specific Agreement to adhere to. An affirmative
response is required on all of the following questions for this Agreement to be valid and binding.
If any contractor, subcontractor or supplier willfully misrepresents themselves with regard to the
directives outlines, it will be considered a breach of contract and it will be at the City's sole
determination regarding suspension or termination for all or part of the Agreement;
The questions are as follows:
1. I have read the attached City of Kent administrative policy number 1.2.
2. During the time of this Agreement I will not discriminate in employment on the basis of
sex, race, color, national origin, age, or the presence of all sensory, mental or physical
disability.
3. During the time of this Agreement the prime contractor will provide a written statement to
all new employees and subcontractors indicating commitment as an equal opportunity
employer.
4. During the time of the Agreement I, the prime contractor, will actively consider hiring and
promotion of women and minorities.
5. Before acceptance of this Agreement, an adherence statement will be signed by me, the
Prime Contractor, that the Prime Contractor complied with the requirements as set forth
above.
By signing below, I agree to fulfill the five requirements referenced above.
By:
For:
Title:
Date:
EEO COMPLIANCE DOCUMENTS - 1
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CITY OF KENT
ADMINISTRATIVE POLICY
NUMBER: 1.2 EFFECTIVE DATE: January 1, 1998
SUBJECT: MINORITY AND WOMEN SUPERSEDES: April 1, 1996
CONTRACTORS APPROVED BY Jim White, Mayor
POLICY:
Equal employment opportunity requirements for the City of Kent will conform to federal and
state laws. All contractors, subcontractors, consultants and suppliers of the City must guarantee
equal employment opportunity within their organization and, if holding Agreements with the City
amounting to $10,000 or more within any given year, must take the following affirmative steps:
1. Provide a written statement to all new employees and subcontractors indicating
commitment as an equal opportunity employer.
2. Actively consider for promotion and advancement available minorities and women.
Any contractor, subcontractor, consultant or supplier who willfully disregards the City's
nondiscrimination and equal opportunity requirements shall be considered in breach of contract
and subject to suspension or termination for all or part of the Agreement.
Contract Compliance Officers will be appointed by the Directors of Planning, Parks, and Public
Works Departments to assume the following duties for their respective departments.
1. Ensuring that contractors, subcontractors, consultants, and suppliers subject to these
regulations are familiar with the regulations and the City's equal employment opportunity
policy.
2. Monitoring to assure adherence to federal, state and local laws, policies and guidelines.
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EEO COMPLIANCE DOCUMENTS - 2
CITY OF KENT
EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE STATEMENT
This form shall be filled out AFTER COMPLETION of this project by the Contractor awarded the
Agreement.
I, the undersigned, a duly represented agent of
Company, hereby acknowledge and declare that the before-mentioned company was the prime
contractor for the Agreement known as that was entered into on
the (date) between the firm I represent and the City of
Kent.
I declare that I complied fully with all of the requirements and obligations as outlined in the City
of Kent Administrative Policy 1.2 and the Declaration City of Kent Equal Employment Opportunity
Policy that was part of the before-mentioned Agreement.
By:
For:
Title:
Date:
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EEO COMPLIANCE DOCUMENTS - 3
EXHIBIT
Geotechnical Engineering Date: 6-11-16 '..
Special Inspections Project:City of Kent-Crack
JECB Materials Testing Sealing 2016
Construction Inspections File#:15-3001
CITY OF ICENT
220-4th Avenue S.
Kent,WA 98032-5895
Re: Letter of Interest&Statement of Qualifications,Crack Sealing-2016 Project
Attn: Mr. Paul Kuehne,Construction Management Supervisor
JECB would like to submit this letter of our interest and qualifications for providing Construction/Project
Management services. We are a small business physically located in Auburn with a branch office in
Olympia, from which we provide our services to job sites throughout the Puget Sound Region. We are
committed to providing our clients with timely services they can depend upon for accurate and
professional results for the geotechnical engineering,construction inspection&testing industry.
Geotechnical Engineering Construction Management Special Inspection and Materials
*Geotechnical Engineering *Public works construction Testing
(including Hazard Area Regulation) Inspector Support and/or *Construction monitoring
*Levee Testing/Inspection, management, *Special inspection,construction
Analysis and Design *Water,Sewer/Storm Inspection monitoring,soils,asphalt,
* Pavement deflection analysis and *Prepare Pay Estimates concrete,masonry
roadway design * Measurement and tracking of * Temporary Erosion/Sediment
*Soils stabilization/enhancement bid items Control Inspection
* Retaining walls, earth walls and * Review and negotiation of force *WABO/A2LA(pending)
rockery design account work accredited Inspection and
*Slope stability,critical areas * Temporary Erosion/Sediment Laboratory testing of construction
analysis Conti-of Inspection materials
*Percolation testing *Project/ Engineer / Contractor *Plan review
*Infiltration trench design owner coordination * Coatings inspectors available
*Technical information reports * Use of WSDOT Standards and when requested
*Pile design/ recommendations Specifications
*Subsurface Investigations *Forms / Paperwork using LAG
*Geologic/Geotechnical, Manual and WSDOT methods
Assessments,Reports and systems and practices
*Water Quality Management
If you have any questions or if JECB can be of any further assistance please call on us at(206) 786-8645.
Respectfully Submitted,
JECB
12JParvaer ie�2i
Jamie Hicks
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Phone:(206)-786-8645 Email:jecboffice®gmail,com
PO Box 832 Auburn WA 98071
Geotechnical Engineering Date: 6-11-16
Special Inspections Project:City of Kent-Crack
TECB Materials Testing Sealing 2016
Construction Inspections File t#:15-3001
Professional Engineering
Geotechnical Engineering Retaining Wall Design
JECB provides a full range of soils investigations, Services include design details and plans for
geotechnical engineering reports, geologic concrete retaining walls, rockeries, MSE or
assessments, soil treatment and stabilization segmental block walls (Allan block, Keystone,
methods, slope stability analysis, soils inspection, Cornerstone,Ultra Block,Kelly block, ecology block,
foundation design, preload determination, etc) that range from small landscape details (2 to 6
settlement calculations, technical information feet) to major earthwork improvements and
reports, Pere tests, and abbreviated site plans for renovation (over 30 feet). We have provided
commercial projects,public works and single family retaining wall design services to a wide variety of
residences. We can also assist with landslide situations for many different and sometimes difficult
investigation, erosion control and hazard areas. We native settings.
offer our services in a timely manner to keep
progress in motion for both private and public Pavement Design&Analysis
works projects. We provide services in the Puget Our geotechnical experience and lab testing ability
Sound region as well as throughout the rest of provide excellent support for roadway evaluation,
Washington, design or replacement solutions. Our services create
a quality final product, often for less than
Slope Analysis&Stabilization anticipated cost, Our personnel have monitored and
We can inspect your project site, inspected the construction and overlay of thousands
gather data from the site, and of miles of pavements
prepare a detailed report with recommendations for throughout the entire Pacific -_
your specific project site and application in reference Northwest. We often provide
to steep slopes. The reports that we provide on our clients with design
slope stability, analysis examine both static and recommendations and cost >
dynamic analysis of the slope using various worst- savings changes that have paid
case scenarios. The analysis process examines slope for our services many times over on a project,
stability using the method of slices procedure for
determining slope stability. Normally several
thousand slice sections are analyzed using some of
the most advanced software available in the industry
(utilizing Geoslope's Software Suite).
Phone: (206)-786-8645 Email:jecboffice@gmail.com
PO Box 832 Auburn WA 98071
Geotechnical Engineering Date; 6-11-16
Special Inspections Project: City of Kent-Crack
JECB Materials Testing Sealing 2016
Construction Inspections File#:15-3001
A2LA Accredited Special Inspection & Testing
Inspection&Testing masonry, coring and sampling inspection, concrete
Field inspectors are responsible for material testing batch plant inspection and preparation and testing
and inspection services (soil, concrete, asphalt of concrete mix designs,
masonry, structural steel, fireproofing,etc.). Typical ,
services include performing in-place density testing
for soils and asphalt, compressive strength cylinders t~
for concrete, and pile refusal verification. We have
experience in dealing with problem soils throughout Soils/Asphalt Monitoring
the Pacific Northwest, and therefore we can be very We do not charge on a per test basis for density tests
helpful when it comes to offering alternative taken, only an hourly rate regardless of how many
methods for various construction problems that can density tests are taken, This service provides more
be encountered. We can perform a wide range of relevant information to supply our clients a better
laboratory testing on any soils,aggregate,asphalt,or picture of their sites for necessary recommendations
concrete samples. Normally we are able to offer a regarding structural fills. We can also inspect and
turn around of only a couple of days for most monitor the field operations of mixing and placing
samples and tests. If you have a need for testing that the soils as they are treated. Soils treatments can
we cannot provide then we will either sub it out or include cement, lime, or kiln dust treatments.
assist you in locating someone who can perform the Depending upon your particular site needs, soils
testing. All laboratory tests performed in accordance treatment can be a major cost savings alternative
with AASHTO/ASTM/WSDOT and applicable when compared with the costs of importing fill on
standards, the site.
Concrete/Masonry Inspection &Testing Erosion Control Inspection
Our lab provides a full spectrum of concrete testing Our company has participated and passed the EC03
services for public and private projects, We inspect Erosion and Sediment Control Lead class. We
concrete placements and take samples for provide turbidity testing in accordance with the
compressive strength testing. We have experience Department of Ecology standards, We are capable of
with concrete pavement machines, bridges, assisting the contractor or owner to identify
architectural and colored concrete, high early potential erosion hazards during and prior to
strength requirements, tilt up buildings, submerged construction to minimize costs for erosion control
placements,lightweight concrete, control density fill management during the project.
(CDF), rebound hammer inspection, reinforced
concrete,post tension and pre-stressed concrete
I
Phone: (206)-786-8645 Email:jeeboffice@gmail,com
PO Box 832 Auburn WA 98071
Geotechnical Engineering Date; 6-11-16
Special Inspections Project:City of Kent-Crack
JECB Materials Testing Sealing2016
Constriction Inspections File 4: 15-3001
Construction/Project Management Tasks and Deliverables
Our personnel have participated in many state and federal public works projects. JECB personnel
coordinate with all utility companies (water,power,sewer,phone,etc),property owners, and contractors to
facilitate and implement contractual agreements for the project. We provide on-site support, schedule
review, technical and procedural advice; efficiently handle RFI's, RAM's, submittals, change orders, force
account and wage reviews per WSDOT,LAG criteria. Experienced personnel oversee survey and planning,
tracking and inspecting underground utilities/structures as they are placed, machinery, personnel,
materials and resources used. Our personnel perform Construction/Project Management as well as quality
assurance testing and inspection. This allows maximum flexibility for a successful project, provides better
communication between responsible parties, and significantly reduces cost associated with additional
contracts,markups,and lost time due to communication errors or scheduling issues.
We provide organized and accurate documentation and back up information to simplify state and federal
audits.
Typical Construction Management Responsibilities
4P. Serve as a construction period representative for the client, attend and/or conduct all on site weekly
project meetings, perform project owner/Engineer/Contractor coordination, respond to property
owner and contractor conflicts in public construction sites.
Communicate with the public, as necessary;investigate and resolve construction complaints;provide
information needed for the resolution of claims for damages against the client; communicate with
departments,personnel,and outside agencies to coordinate efforts and exchange information.
w- Maintain a construction file, keeping files in order, logs and construction records, employee's work
assignments and inspection actives,including daily reports,field measurement sheets,etc.
" Inspect public and private construction and improvement work to verify appropriate construction
permits; and ensure appropriate quality control, sampling, and inspection in compliance with plans,
codes,and regulations,utilization of WSDOT construction standards
" Furnish weekly reports of the contractor's progress of work completed and of compliance with the
progress schedule, quantity tracking and measurement of bid items,prepare progress pay estimates,
review and negotiation of force account work.
" Review of Plans and Specifications, engineering design conflict resolution, propose resolution of in-
field constructability problems,materials testing and inspection,quality control and assurance,
" Prepare for and aid State and Federal auditors in their review of construction documentation.
Respond to deficiencies in a timely manner to maintain good standing with federal agencies following
LAG,TIB and WSDOT criteria,
" Review preliminary and final contract plans, specifications and submittals with appropriate staff for
correctness,completeness and constructability.
Phone: (206)-786-8645 Email:jecboffice@gmall.com
PO Box 832 Auburn WA 98071
Geotechnical Engineering Date: 6-11-16
Special Inspections Project:City of Kent-Crack
T
ECB Materials Testing Sealing 2016
Construction Inspections File#:15-3001
Job Descriptions
Asphalt / Concrete Inspector
Continuously or periodically monitor and inspect elements for conformance to approved plans
and construction documents. Sample materials for specification conformance and maximum
density analysis. Check compaction and optimum moisture content using a nuclear densometer.
Additional compliance testing may include; sand equivalent, organic content, atterburg limits,
hydrometer.
Concrete / Masonry Inspector
Continuously or periodically monitor and inspect elements for conformance to approved plans
and construction documents. Monitor/inspect reinforcement for size, type, grade, location,
embedment, cleanliness, and clearance. Sample material for verification of air content, slump, and
compressive strength per ASTM and IBC codes. Specimens will be cast, transported and cured per
ASTM,
Construction Manager/Inspection
Review reports by field inspectors and laboratory analysis prior to distribution to the project team
members. Manage phases of project delivery including initialing, planning, executing, monitoring,
controlling and closing, Coordinate with property owners, utility contractors and city personnel. .
Track quantities, machinery, manhours etc. used for verification of pay estimate preparation and
contractor invoices. Review plans for constructability,
Admire
Process reports from field inspectors. Process reports from lab test data (i.e. soils, asphalt and
concrete). File, organize and distribute reports to the client, architect, engineer, building official
and those directed by the client for the distribution list. Answer phones and direct clients to
appropriate JECB personnel,
Professional Engineer
Provide engineering analysis, design, recommendations, documentation, drawings and
specifications for structural items requiring a stamp by a licensed engineer.
Phone:(206)-786-8645 Eniail:jeeboffice@gmail.com
PO Box 832 Auburn WA 98071
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Geotechnical Engineering Date: 6-11-16
Special Inspections Project:City of Kent-Crack
JECB Materials Testing Sealing 2016
Construction Inspections File#;15-3001
Schedule of Fees & Services, Exhibit B
Estimated Services - I
Price HOUrs**
PROFESSIONAL SERVICES
Administrative Services $50.00 per hoiu• 10
Consttuctior0r9ject Mgr $80.00 per hour- 100 $83000
Mileage NO CHARGE 20
Sample Pick Up NO CHARGE
Possible Overtime During Project 0.50 Percent $2,000-
TOTAL TOTAL* $1D,500
. ESTIMATED PROJECT
I �
Total is an estimate only for the project since contractor's work dictates schedule
"*Hours quoted are for reference only
_ -
"* Owrtlme rates 1.5 apply for all work over 8 hrs per shift before 7am after 5 pm holidays, or weaken
Phone: (206)-786-8645 Email;jecboffice@gmaii.com
PO Box 832 Auburn WA 98071
i
Geotechnical Engineering Date: 6-11-16
Special Inspections Project;City of Kent-Crack
JECB Materials Testing Sealing2016
At Construction Inspections File#:15-3001
Key Staff&Associates
Jason E.C.Bell,PE (Geo-Engineer,Construction Manager,TESC Lead,Field Inspector)
Education/Years'Experience-20+
BS Civil Engineering,1995 University of Washington
Pavement Surface Condition Analysis WSDOT
Erosion and Sediment Control Lead ECO 3,BMP 160 WSDOE
Registrations and Affiliations
Registered Professional Engineer,2001 State of Washington WA#37343
Nuclear Densometer Campbell Pacific Nuclear
Special Inspector,Reinforced Concrete,Structural ICC,WABO
Masonry,Spray Applied Fireproofing,Post Tension
Concrete
Certified Laboratory Technician,CTL#0403 The National Concrete Masonry Assoc.
Concrete Field Technician,Level I American Concrete Institute
Member American Concrete Institute
Jason has focused on geo-technical engineering/soils,slope stability-failure analysis,foundation design and
research since 2001. Design work includes; residential and commercial buildings, pile design and refusal
verification,mat and column foundations,pre-load techniques,various types of retaining walls,paving and
road profiles, subgrade and bearing capacity determinations, settlement and consolidation calculations,
SWPPP,TESC,surface and groundwater analysis,culverts and stream crossing design.
Jason has extensive experience in plan reading,WSDOT and IBC regulations,testing and inspection of soils,
concrete, masonry, asphalt, post tension concrete, fireproofing, shotcrete and steel in Washington, Jason
has managed branch offices as well as provided these same services and Project Management in several
field laboratories throughout the Pacific Northwest. Project management has involved; federally funded
projects, ARRA paperwork, communication for RFI, correction and stop work notices, admire per LAG
manual and typical state forms,coordination with public utilities and property owners.
George Hicks (Geologist,Field Inspector)
Education/Years'Experience-30+
Bachelors Degree in Geology
Erosion and Sediment Control Lead ECO 3,BMP 160 WSDOE
Registrations and Affiliations
Nuclear Densometer Campbell Pacific Nuclear
Concrete Field Technician,Level I American Concrete Institute
George has worked on numerous state and county projects throughout Southwest Washington as a WSDOT
employed construction materials inspector, George has managed both in the field and in the lab,numerous
construction projects such as the highway 509 cable stay bridge, I-5 repaving from Tacoma to King County
line, and highway 101 paving projects. George has also served as an inspector in batch plants,both concrete
and asphalt concrete, throughout Western Washington. He has also served as an independent assurance
tester for WSDOT to ensure that contractors and inspectors were working within the specifications
provided by WSDOT, His most recent work includes a number of different paving projects, concrete
placements,and laboratory materials testing.
Phone:(206)-786-8645 Enrail:jecbofficeAOgmail,com
PC Box 832 Auburn WA 98071
i
Geotechnical Engineering Date: 6-11-16
Special Inspections Project:City of Kent-Crack
JECB Materials Testing Sealing2016
Construction Inspections File#:15-3001
Jamie Hicks (Geologist,TESC lead,Field Inspector)
Education/Years'Experience-20+
Bachelors Degree in Geology,1997 University of Puget Sound
Erosion and Sediment Control Lead ECO 3,BMP 160 WSDOE
Registrations and Affiliations
Nuclear Densometer Campbell Pacific Nuclear
Concrete Field Technician,Level I Americui Concrete Institute
Special Inspector,Reinforced Concrete,Structural ICC,WABO
Masonry
Previously Certified Special Inspector, StructuralICC,WABO
Steel
Jamie is a Geologist and an ICC certified Special Inspector. Jamie has performed numerous Geotechnical
and Environmental investigations throughout Western Washington. He has landslide evaluation and field
investigation experience,His Special Inspection experience includes reinforced concrete,structural masonry,
structural steel and bolting, concrete post-tensioning, and fire proofing. He also has performed numerous
construction quality control / quality assurance inspections on various projects. In recent years he has
served as project manager/construction quality control for Cooks Hill/Ham Hill Reservoirs,McChord AFB
C and H-Ramp Taxi lane, and Ft. Lewis Cell 6 landfill cover. His most recent Special Inspections include
senior inspector for the 4th Avenue Bridge, tank and shotcrete for the Olympia Meridian Reservoir,
Winlock High and Middle Schools,and Thurston County Evaluation and Treatment Center.
Shannon Alexander(Special Inspector/Quality Control)
Education/Years'Experience-10
Erosion and Sediment Control Lead ECO 3,BMP 160 WSDOE
Registrations and Affiliations
Nuclear Densometer Campbell Pacific Nuclear
Specialty Measurement Certification Boeing Aerospace Engineering Union
Precision Calibration Training Boeing Aerospace Engineering Union
Construction Tolerance Verification Certification Boeing Aerospace Engineering Union
Shannon spent 8 years with the Boeing Airplane Company as a member of their Quality Control team on
the 737 line. She is proficient in structural plan reading, using calibrated equipment to make precision
measurements, and utilizing a quality management system for quality control inspection purposes.
Shannon has experience in coatings applications, structural bolting and riveting inspections, and light
gauge metal welding. Shannon has made the transition from quality control along the airplane assembly
line to quality control for the building industry effortlessly. Shannon has worked on current construction
projects such as USDOT Federal Highways Middle Fork Snoquaimie project,O'Reilly Automotive Auburn
Store#2,and Cascade Water Alliance-Flume Replacement project and Fish Barrier Spill Gate Project.
I
i
I
Phone:(206)-786-8645 Email:jecboffice@gtnail.com
PO Box 832 Auburn WA 98071
i
EXHIBIT C
INSURANCE REQUIREMENTS FOR
CONSULTANT SERVICES AGREEMENTS
Insurance
The Consultant shall procure and maintain for the duration of the Agreement,
insurance against claims for injuries to persons or damage to property which
may arise from or in connection with the performance of the work hereunder
by the Consultant, their agents, representatives, employees or
subcontractors.
A. Minimum Scope of Insurance
Consultant shall obtain insurance of the types described below:
1. Automobile Liability insurance covering all owned, non-
owned, hired and leased vehicles. Coverage shall be written
on Insurance Services Office (ISO) form CA 00 01 or a
substitute form providing equivalent liability coverage. If
necessary, the policy shall be endorsed to provide
contractual liability coverage.
2. Commercial General Liability insurance shall be written on
ISO occurrence form CG 00 01 and shall cover liability
arising from premises, operations, independent contractors,
products-completed operations, personal injury and
advertising injury, and liability assumed under an insured
contract. The City shall be named as an insured under the
Consultant's Commercial General Liability insurance policy
with respect to the work performed for the City using ISO
additional insured endorsement CG 20 10 11 85 or a
substitute endorsement providing equivalent coverage.
3. Workers' Compensation coverage as required by the
Industrial Insurance laws of the State of Washington.
4. Professional Liability insurance appropriate to the
Consultant's profession.
III
EXHIBIT C (Continued)
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 $2,000,000 each occurrence, $2,000,000
general aggregate and a $1,000,000 products-completed
operations aggregate limit.
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 be endorsed to state that coverage shall
not be cancelled by either party, except after thirty (30) days prior
written notice by certified mail, return receipt requested, has been given
to the City.
3. The City of Kent shall be named as an additional insured on all policies
(except Professional Liability) as respects work performed by or on behalf
of the Consultant and a copy of the endorsement naming the City as
additional insured shall be attached to the Certificate of Insurance. The
City reserves the right to receive a certified copy of all required insurance
policies. The Consultant's Commercial General Liability insurance shall
also contain a clause stating that coverage shall apply separately to each
insured against whom claim is made or suit is brought, except with
respects to the limits of the insurer's liability.
D. Acceptability of Insurers
Insurance is to be placed with insurers with a current A.M. Best rating of not
less than ANII.
it
EXHIBIT C (Continued)
E. Verification of Coverage
Consultant shall furnish the City with original certificates and a copy of the
amendatory endorsements, including but not necessarily limited to the
additional insured endorsement, evidencing the insurance requirements of
the Contractor before commencement of the work.
F. Subcontractors
Consultant shall include all subcontractors as insureds under its policies or
shall furnish separate certificates and endorsements for each subcontractor.
All coverages for subcontractors shall be subject to all of the same insurance
requirements as stated herein for the Consultant.
I
4
JECLB•1 OP ID:JO
CERTIFICATE OF LIABILITY INSURANCE DAT04128/MYYYY)
04128119
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,
IMPORTANTr 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 endorsamant. A statement on this certificate does not confer rights to the
certificate holder In Ileu of such andorsement(s),
PRODUCER 426.822-1368 c AGT Jer)ka Gonzalez
Griffin MacLean Inc. 426.822-273T PHONE .435.832.1368
2340 130th Ave kE D150 N0 426.822.2T37
Bellevuuee,WA00006 ADI s.jerika riitflnmaclean.com
Scott
INSURERS AFFORDING COVERAGE NAIC a
INSURER At Ohio Security Ins Co. 24082
INSURED JECB,LLC INSURER BI
Jamie Hicks --
33402147th Ave SE INSURER CI
Auburn,WA 98092 INSURER D I
INSURER E 1
IHSU E Ft
j COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
I7 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 SY PAID CLAIMS.
SR TYPEOFINSURANCE PO VEF OLIC EXP
POUCYNUMBER MIDD DO LIMITS
GENERAL LIABILITY EACH OCCURRENCE 1 2,000,00
AtcohMMERCIAL GENERAL LIABILITY X X BZS65776701 06126116 06126116 E IMIT—
feecartenee 6 1,000,00
CLAIMS-MADE OOCCUR MEDEXP one erm) S 16,00
nessowem PERSONAL&AOV INJURY S 1,000,00WHERALAGGREGATE S 2,000,00
GERLAGOREGATELIMITAPPLIESPER: -PRODUCTS-OOMPIOPAGO $ 2,000,000
I POLICY -P LOG S
AUTOMOBILE LIABILITY COMBINEDS L LI iT 1000000
a aWden a 1,000,00
A A14YAUTO BZS66778701 06126/16 00120/17 BODILY INJURY(Per Own) S
AVTOSNED 8CTOEIXILEO
�NA0ry-OWN BODILY INJURY(Per aacld"l) 6
X HIRED AUTOS N
AUTOS ED MJ eMMAC
S
S
UMBRELLALIAB OCCUR EACH OCCURRENCE i
EXCESS LAB CLAIMS-MADE AGGREGATE S
DED RETENTIONS S
WORKERS COMPENSATION T X, D
AND EMPLOYERS'LIABILITY
A ANYPROPRIETORIPARTNERIEXEGWIVEY N1A X STOP GAP LIAB 08126115 06/26116 E.LEACHACCIDENT 6 1,000,000
OFFICERIMEMBER EXCLUDED?
Mandatory In NH) BZ866778701 E.L.DISEASE-EA EMPLOYE S 1,000,000
f yyBd deaaibe UrMe!
DESCRIPTION FOPERATIONS be. E.L OISEABE-POLICY LIMIT 6 1000,000
PROPERTY 10,000
DESCRIPTION OF OPERATIONSI LOCATIONS IVEHICLES(Anach ACORO 101,Add[lonal ftomsrks Schedule,a more space Is required)
Certificate holder is named as additional Insured as respects work performed
by the named Insured.
CERTIFICATE HOLDER CANCELLATION
CITYOKK
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Ci of Kent THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
tY ACCORDANCE WITH THE POLICY PROVISIONS.
Public Works Department
220 Fourth Avenue South AUTHORIZED REPRESENTATNR
Kent,WA 98032
01988•2010 ACORD CORPORATION. All rights reserved.
ACORD 26(2010106) The ACORD name and logo are registered marks of ACORD
I
POLICY NUMBER BZS56778701 SUSINESSOWNERS
BP-79 98 07 13
THIS ENDORSEMENT CHANGES THE POLICY,PLEASE READ IT CAREFULLY,
BUSINESSOWNERS LIABILITY EXTENSION ENDORSEMENT
This endorsement modlnes Insurance provided under the following:
BUSINESSOWNERS COVERAGEFORM
SUBJECT PAGE
AGGREGATE LIMITS OF INSURANCE 3
AMENDMENT OF INSURED CONTRACT DEFINITION 4
BLANKET ADDITIONAL INSURED (OWNERS, CONTRACTORS OR LESSORS) 2
BODILY INJURY 4
BROADENED COVERAGE FOR DAMAGE TO PREMISES RENTED TO YOU 2
DUTIES IN THE EVENT OF OCCURRENCE,OFFENSE,CLAIM ORSUIT 4
INCIDENTAL MEDICAL MALPRACTICE 2
MOBILE EQUIPMENT 2
NEWLY FORMED OR ACQUIRED ORGANIZATIONS 3
PERSONAL AND ADVERTISING INJURY 4
SUPPLEMENTARY PAYMENTS 2
Ball Bonds
Loss Of Earnings
b
® 2013Liherty Mutual ihsumnas,All rights reserved.
BP 79 96 07 13 Indudescopydghled metarlal of lnsuranae3erviass Ofgss,Ins.,wiih Its permission, Page 1 of 4
Section 11•Liability Is amended as follows:
L SUPPLEMENTARY PAYMENTS
Paragraph L(1)(b) of A Coverages Is replaced by the following;
(b) Up to$3000 for cost of ball bond required because of accidents or traffic law violations arising out of
the use of any vehicle to which Business Liability Coverage for "bodily injury" applies. We do not have
to furnish the bonds.
Paragraph 11(1)(d) of A Coverages is replaced by the following;
(d) All reasonable expenses incurred by the Insured at our request to assist us in the Investigation or
defense of the claim or"sult", Including actual loss of earnings up to $600 a day because of time off
from work.
II, BROADENED COVERAGE FOR DAMAGE TO PREMISES RENTED TO YOU
With respect to the coverage provided under this endorsement; Section II-Liability is amended as follows:
1. The final paragraph of 13.1. Exclusions - Appiloable To Business Liability Coverage Is deleted and
replaced by the following:
With respect to the premises which are ranted to you or temporarily occupied by you with the psrmis-
slon of the owner, Exclusions a.,d„a„g„h„it.,I„m.,n,and o.do not apply to"property damage",
mpg 2. Paragraph D.2, Liability And Medical Expenses Limits Of Insurance Is deleted and replaced by the
mmI following:
The most we will pay under this endorsement for the sum of all damages because of all "properly
damage" to promises while rented to you or temporarily occupied by you with the permission of the
owner Is the Limit of Insurance shown In the Deolaration.
3, Paragraph D.3. Liability And Medical Expenses Limits Of Insurance Is deleted,
III, INCIDENTAL MEDICAL MALPRACTICE
N Exclusion i.1.(4) does not apply to Incidental Medical Malpractice Injury coverage,
The following Is added to F.LIABILITY AND MEDICAL EXPENSES DEFINITIONS:
23, "Incidental Medical Melpraotice Injury" means bodily injury aribIng out of the rendering of or failure
to render, during the policy period, the following servlcesl
a, medical, surgical, dental, x-ray or nursing service or treatment or the furnishing of food or bev-
erages in connactlon therewith; or
b. the furnishing or dispensing of drugs or medical, dental or surgical supplies or appliances.
This coverage does not apply to;
1. expenses incurred by the Insured for first- aid to others at the time of an accident and the•Duties In
the Event of Occurrence, Claim or Suit Condition Is amended accordingly;
2. any Insured engaged in the business or occupation of providing any of the services described
3 under a,end to.above;
3. Injury caused by any Indemnitee If such Indemnitee Is engaged In the business or occupation of
providing any of the services described under a.and b.above.
IV. MOBILE EQUIPMENT
T 1. Section O,Who is An Insured Is amended, to Include any person driving "mobile equipment" with your
permission. '
V. BLANKET ADDITIONAL INSURED (OWNERS, CONTRACTORS OR LESSORS) ,
1. Section O. Who is An Insured Is amended to Include as an Insured any person or organization whom
you are required to name as an additional insured on this policy under a written contract or written
agreement. The written contract or agreement must be:
a. currently In effect or becoming effective during the term of this policy; and
b. executed prior to the"bodily Injury", "property damage", "p46onal and advertising Injury",
® 2013LIbarty Mutual Insurance,All rights reserved,
SP 79 96 07 13 Includes copyrighted materhi of insurance Services O61ce,Inc.,with Its permission, Pago 2 of 4
I
2, The Insurance provided the additional Insured Is limited as follows;
a,, The person or organization Is any an additional Insured with�respsct to liability arising out of
(1) Root property, as described In a written contract or written agroement, you own, rent, lease,
maintain or occupy;
(2) Caused in whole or in part by your ongoing operations performed for that insured,
It. The limits of insurance applicable to the additional Insured are those speolfiad In the written
contract or written agreement or the limits available under this policy, as stated In the Declare-
lions, whichever are lose. These limits are Inclusive of and not In addition to the limits of Insurance
available under this policy,
c. The Insurance provided the additional insured does not apply to:
(1) 'Liability arising out of the sole negligence of the additional Insured;
(2) "Bodily Injury', "property damage°, "personsl and advertising Injury"; or defense coverage
under the Supplementary Payments section of the policy arising out of an architect's, en-
gineaea or surveyot's rendering of or fallure to render arty professional services Including!
(a) The preparing, approving .maps, shop drawings, opinions, reports, surveys, geld orders,
change orders, or drawings and specifications; and
(b) Supervisory, ,Inspection, archllectural or englnaering acttvldes, .
(3) Any "occurrence" .that lakes place after you cease to be a tenant In the promises described In '
the Declarations; or
i
(4) Structural alterations, new construction or demolition operations performed by or for the
person or organization designated In the Deolaratlona,
3. Any coverage provided hereunder shall be excess over any other,valid and collectible Insurance avail-
able to the additional' Insured whether primary, excess, contingent or on any other.basis unless a
contract specifically requires that this Insurance be primary or you request that It apply on a primary
basis.
VI. NEWLY FORMED OR ACQUIRED ORGANIZATIONS
The following is added to C.Who Is An Insured;
3, Any business entity acquired by you or Incorporated or organized by you under the laws of any
Individual state of the United States of Amerfaa over which you maintain majority ownership Interest
exceeding fifty percent. Such acquired or newly formed organization will qualify as a Named Insured If
there is no similar Insurance available to that entity, However,
a, Coversgo.under this provision Is afforded only untli'Ihe 180th day after the entity was acquired or
Incorporated or organized by you or the and of the policy period, whichever Is earlier;
b. Coverages A.Paragraph 1,Business Liability, does not apply to,.
(t) "Bodily Injury" or "property damage" that occurred before the entity was acquired or Incor-
porated or organized by you; and
r (2) "Personal and advertising Injury" arising out of an offense committed before the entity was
acquired or Incorporated or organized by you; and
o, Records and descriptions of operations must be maintained by the first Named Insured.
g No person or organlzatlon is an Insured with respect to the conduct of any current or post partnership,
joint venture or limited liability company that Is not shown as a Named Insured In the Deolaratlons,
VII, AGGREGATE LIMITS
The following Is added to Aggregate Limits Paragraph 4, of.D. Liability and Medical Expenses Limits of
Insurance;
The Aggregate Limits apply separately to,each of"locations" owned by or rented to you,or temporarily
occupied by you with the permission of the owner.
The Aggregate Umita also apply separately to each of your projects away from premises owned by or
rented to you.
For the purpose of this endorsement only, "locatlon" means premises Involving the some or connect-
Ing' lots, or promises whose connection is Interrupted only by a street, roadway, waterway or dght-
of-way of a railroad,
® 2013I.Werty Mutual Insurance,All rights reserved.
BP 79 96 D7 113 Includes copyrighted material of insurance services office,Ina.,with Its permission. Page 3 of 4
Vlll.DUTIES IN THE EVENT OF OCCURRENCE,OFFENSE,CLAIM OR SUIT
1, The requirement In E.Liabllity And Medical Expenses General Conditions paragraph 2.a,that you must
see to it that we are notified of an "ooatrrence" or offense which may result In a claim applies only
when the 'occurrence" Is known to any Insured listed in Paragraph C.I. Who It An Insured or any
'employee" authorized by you to give or receive notice of an"occurrence" or claim.
2, The requirements In E. Liability And Medical Expenses General Conditions paragraph 2.b, that you
must see to it that we receive notice of a claim or "sulP will not be considered breached unless the
breach occurs after such claim or"suit" is known to any insured listed under Paragraph CA.Who Is An
Insured or any"employee", authorized by you to give or receive notice of an"occurrence" or claim,
tX. BODILY INJURY
Paragraph 3,of F.Liability And Medical Expenses Deflnitlons Is replaced_ by the following:
3. "Bodily Injury" means;
a, Bodily Injury, sickness, disease, or Incldental medical malpractice Injury sustained by a person,
I"M and Includes mental anguish resulting from any of these; and Including death resulting from any
l of these at any time,
® X. AMENDMENT OFINSURED,CONTRACT DEFINITION
gaIffl Paragraph 9,of F,Liability And Medical Expenses Definitions Is replaced by the following:
g 9. "Insured contract" means:
B a, A contract for a lease of premises, However, that portion of the contract for a lease of premises
that Indemnities any person or organization for damage by fire to premises while rented to you or
`0 temporedly odcupied by you with permission of the owner is not an"Insured contract";
b. A sidetrack agreement;
o, Any easement or license agreement, except In connection with construction or(1emOti IDn oper-
ations on or within 60 feet of a railroad;
lt d. An obligation, as required by ordinance,. to Indemnify a municipality, except In connection with
work for a municipality;
e. Ain elevator maintenance agreement;
f. That part of any other contract or agreement pertaining to your business (Including an Indem-
nifloation of a municipality In connection with work performed for a mtiniolpality) under which you
assume the tort liability of another party to pay for "bodily injury" or"property damage" to a third
person or organization, provided the "bodily Injury" or'property damage" is caused, in whole or
In part, by you or by those acting on your behalf. However, suoh part of a contract or agreement
shall only be considered an"Insured contract" to the extent your assumption of the tort liability Is
permitted by law, Tort Ilablllly means a liability that would be Imposed by law In the absence of
any contract or agreement
Paragraph f,does not fnclude that part of any contract or agerement;
6 0) That Indemnities a'railroad for "bodily Injury" or"property damage" anteing out of construct
s tion or demolition operations, wlthlri 60 feet of any railroad property and affecting any railroad
bridge or trestle, tracks, road-beds, tunnel, underpass or crossing;
(2) That Indemnities an architect, engineer or surveyor for Injury or damage arising out of.,
W (a) Preparing, approving, or falling to prepare or approve, maps,whop drawings, opinions,
reports, surveys, field orders, change orders or drawings and specifications; or
(b) diving directions or fnstrucfloris, or failing to give thdm, If that Is the primary cause of the
Injury or damage; or ,
(3) Under which the Insured, If an architect, engineer or surveyor, assumes Iiabllity for an injury '
or damage arising out of the Insured's rendering or failure to render professional services,
Including those listed In (2) above and supervisory, Insppctlon, architectural or engineering
activl110% i
XI. PERSONAL AND ADVERTISING INJURY
Paragraph 14,b,of F.Liability And Medical Expenses Definitions is replaced by the following:
b. Malicious prosecution or abuse of process,
® 2013 Liberty Mutual Ineumnas,All rights reserv6d.
SP 79 96 07 13 Includes copyrighted materlat of Insurance Services Office,(no,,with Its permlaston, page 4 of 4
r5l, CERTIFICATE OF LIABILITY INSURANCE DATE(MM DO YYYY)
ov13no16
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOTAFFIRMATIVELY 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 polley(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 ondorsament(s),
PRODUCER
Stanford Insurance Inc N E.IV. No
909 S 336th St Ste 102 =001
INSURE S AFFORDING COVERAGE NAIPe
Federal Way WA 88003 INSURERA: Continental Casualty 20443
INSURED INSURERS:
JECB-Jason Engineering B Consulting Business INSURERC:
PO BOX 832 INSURER D:
INSURERS;
Auburn WA 98071 INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
_ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE 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 TOALL THE TERMS,
EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
fF
LTft TYPE OF INSURANCE POLICYNUMBER POLICY
MMD Y MID MY Y1 LIMITS
GENERAL LIABILITY EACH OCCURRENCE $
COMMERCIAL GENERAL L(QILITY PREMISES L£gQuumin I }_
CLAMS-MADE ❑OCCUR MEDEXP AA one arson S
PERSONAL aADV IN URY
GENERALAGGREGATE
GENLAGGREGATE LIMITAPPLIES PER: PRODUCTS-COMPIOPAGG
POLICY M P 0- LOC 3
AUTOMOBRB LIABILITY
a GLIMIT
e tl e N
A AUTO
BODILY INJURY(Pa person) >:
ALL OWNED SCHE[VILED BODILY HAIRY(Par ecddenn E
AUTOS NON.S.EO PROPERTYDAMAGE _
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UMBRELLA LIAR OCCUR EACH OCCURRENCE s
EXCE83 LIA E R CLAIMS-MADE AGOREGAT 8
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WORKERS COMPENSATION 6TATU O - ,
AND EMPLOYERS'LIABIUT9 YIN
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ANY PROPRETOWMTNEREXECUTIVE❑ NIA E.L.EACH ACCIDENT
OFFICER,WEMBER D(CLUOL-09
(Mandatory In NH) E.L.DISEASE-EAEMPLOYE
I1 yyggd desobeunder
OES(RIPTION OF OPERAT IONS below E.L.DISEASE POLICY LIMIT Is
A Professional Liability Y MCH591096631 IMI/2015 12/31/2016 $210001000/$2,000,000�E&O
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 10i,Addltiond Ramaika Schedule,if more epaee le requlmdI .
EVIDENCE OF INSURANCE
CERTIFICATE HOLDER CANCELLATION
SHOULDANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Kent THE EXPIRATION DATE THEREOF}NOTICE WILL 6E DELIVERED IN
Public Works ACCOROAHOE WITH THE POLICY PROVISIONS.
2200 41h Ave So. AUTHORIZED REPRESENTATIVE
Kent WA 98032 I+t f
VrCI
01988.2010ACORD CORPORATION. All rights reserved.
ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD
Professional Ualgllity and Pollution Incident Liability Insurance
CNAPolicy:Endorsement
In consideration of thwpayment of an additional premium of$1,055,00, it is understood and agreed that the
Policy is amended as follows:
I. The Section entitled LIMITS of 1-tABILITYIDEDUCTIBLE,the subsection entitled Limits of Liability,Is
amended by deleting paragraphs 1,and 2, in their entirety.and replacing them with the following:
1, Subject to paragraph 2. below:
$2,000,000.00 is the maximum the Insurer will pay for each claim by reason of wrongful acts or
activities that occurred on or after the Date of Amended Limits and that is first made against the Insured
.and reported to the Insurer during the,policy year. The Limit of[lability shown on the Declarations as
the each claim Limit of Liability Is the maximum the Insurer will pay for each claim by reason of
wrongful acts or activities that occurred prior to the Date of Amended Limits and that is frst made
against the Insured and reported to the Insurer during the policy year. The each claim Llmitof Liability
shown on the Declarations Is a sublimlt, Included within,and not in addition to,the limit set forth in this
paragraph.
2. $2,000,000.00 is the maximum the Insurer will..payfor all claims byreason.of wrongful acts or
activities that occurred on or after the Date of Ai;ended Limits and that are first made againstthe
Insured and reported to the Insurer during the policy year, The Limit of Liability shown on the
Declarations as the aggregate Limit of Liability per policy year Is the maximum the Insurer will pay for all
claims by reason of wrongful acts or activities that occurred prior to the Date of Amended Limits and
that are first made against the Insured and reported to the insurer during the policy year. The:aggregate
Limit of Liability per policy year shown on the Deciaraddns•Is a sublimlt, Included.Within,and not in
additloh td,the limit set forth In this:paragraph.
II. As used.in this endorsement,the Date of Amended Limits is:0.512312016.
All other terms and conditions of the policy remain unchanged.
This endorsement,which formsa part of and is for attachment to the policy Issued by the designated insurers,
fakes effect on the Policy Effective date of said policy atthe:houFatated in said policy;unless another effective
date.(the Endorsement Effective Dafe)is
shown below,and expires concurrently with said policy.
i
Form NwCNA79077XX(09=2014) PalicX No:..MCIi591898631
Endorsement Effed(4e Dafe:06123(2o16 Policy'EffeclNe Datei'1241/2015
EndomemenfNo:4 Page ,1, of-1. Policy Page; 2 of 2'
Undemwelting Company!66066AW Casualty Company
333 S.Wabash A6a.,Qhkago IL 60604
UTydghl CNA Al MightS RweNed.
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 JECB Company, hereby acknowledge and
declare that the before-mentioned company was the prime contractor for the Agreement known
as 2016 Crack Sgalling, that was entered into on the July 26, 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.
By:
For.
Title: TL4 t4 911t,
Date: z/1
EEO COMPLIANCE DOCUMENTS - 1