HomeMy WebLinkAboutPW16-343 - Original - All Battery Sales and Service, Inc - Contract - 9/12/16 Records M n xar e me r�5��:�b�
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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: All Battery Sales and Service Inc.
Vendor Number:
JD Edwards Number
Contract Number: �vvL� " /A
This is assigned by City Clerk's Office
Project Name: Recycling Event
Description: ❑ Interlocal Agreement ❑ Change Order ❑ Amendment ® Contract
❑ Other:
Contract Effective Date: 9/12/16 Termination Date: 10/31/16
Contract Renewal Notice (Days):
Number of days required notice for termination or renewal or amendment
Contract Manager: Gina Hungerford Department: Engineering
Contract Amount: $1,000.00
Approval Authority: (CIRCLE ONE) Department Director Mayor City Council
Detail: (i.e. address, location, parcel number, tax id, etc.):
Provide battery recycling services for a Recycling Event. _
As of: 08/27/14
KENT
GOODS & SERVICES AGREEMENT
between the City of Kent and
All Battery Sales and Service, Inc.
THIS AGREEMENT is made by and between the City of Kent, a Washington municipal corporation
(hereinafter the "City"), and All Battery Sales and Service, Inc. organized under the laws of the State of
Washington, located and doing business at 727 134 th St. SW, Everett, WA 98204, Phone: (425) 743-
7677/Fax: (425) 742-1739, Contact: lack Bradbury (hereinafter the "Vendor").
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AGREEMENT
I. DESCRIPTION OF WORK.
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Vendor shall provide the following goods and materials and/or perform the following services for �
the City:
description, see the Vendor's Scope of Work which is atatched as Exhibit A and incorporated
by this reference.
The Vendor shall provide battery recycling services for a City of Kent Recycling Event. For a
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Vendor acknowledges and understands that it is not the City/o exclusive provider of these goods,
materials, or services and that the City maintains its unqualified right to obtain these goods, materials,
and services through other sources.
Ii. TIME OF COMPLETION. Upon the effective date of this Agreement, Vendor shall complete
the work and provide all goods, rno(oria|s/ and services by October 31, 2016.
III. COMPENSATION. The City shall pay the Vendor an amount not to exceed One Thousand
Dollars ($1,000.00), including applicable Washington State Sales Tax, for the goods, materials, and
services contemplated in this Agreement. The City shall pay the Vendor the fu||uvving amounts according
to the following schedule:
The Vendor shall be paid an amount not to exceed $1,000.00 after battery recycling
services are provided and submittal of invoice.
If the City objects to all or any portion of an invoice, it shall notify Vendor and reserves the option �
to only pay that portion of the invoice not in dispute. In that event, the parties will immediately make �
every effort tu settle the disputed portion. !
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GOODS & SERVICES AGREEMENT ' l
A. Defective or Unauthorized Work. The City reserves its right to withhold payment from
Vendor for any defective or unauthorized goods, materials or services. If Vendor is unable,
for any reason, to complete any part of this Agreement, the City may obtain the goods,
materials or services from other sources, and Vendor shall be liable to the City for any
additional costs incurred by the City. "Additional costs" shall mean all reasonable costs,
including legal costs and attorney fees, incurred by the City beyond the maximum
Agreement price specified above. The City further reserves its right to deduct these
additional costs incurred to complete this Agreement with other sources, from any and all
amounts due or to become due the Vendor.
B. Final Payment: Waiver of Claims. VENDOR'S ACCEPTANCE OF FINAL PAYMENT SHALL
CONSTITUTE A WAIVER OF CLAIMS, EXCEPT THOSE PREVIOUSLY AND PROPERLY MADE
AND IDENTIFIED BY VENDOR AS UNSETTLED AT THE TIME REQUEST FOR FINAL PAYMENT
IS MADE.
IV. INDEPENDENT CONTRACTOR. The parties intend that an Independent Contractor-
Employer Relationship will be created by this Agreement. By their execution of this Agreement, and in
accordance with Ch. S1.08 RCW, the parties make the following representations:
A. The Vendor has the ability to control and direct the performance and details of its
work, the City being interested only in the results obtained under this Agreement.
B. The Vendor maintains and pays for its own place of business from which Vendor's
services under this Agreement will be performed.
C. The Vendor has an established and independent business that is eligible for a
business deduction for federal income tax purposes that existed before the City
retained Vendor's services, or the Vendor is engaged in an independently established
trade, occupation, profession, or business of the same nature as that involved under
this Agreement.
D. The Vendor is responsible for filing as they become due all necessary tax documents
with appropriate federal and state agencies, including the Internal Revenue Service
and the state Department of Revenue.
E. The Vendor has registered its business and established an account with the state
Department of Revenue and other state agencies as may be required by Vendor's
business, and has obtained a Unified Business Identifier (UBI) number from the
State of Washington.
F. The Vendor maintains a set of books dedicated to the expenses and earnings of its
business.
V. TERMINATION. Either party may terminate this Agreement, with or without cause, upon
providing the other party thirty (30) days written notice at its address set forth on the signature block of
this Agreement.
VI. CHANGES. The City may issue a written amendment for any change in the goods,
materials or services to be provided during the performance of this Agreement. If the Vendor determines,
for any reason, that an amendment is necessary, Vendor must submit a written amendment request to
the person listed in the notice provision section of this Agreement, section XIV(D), within fourteen (14)
calendar days of the date Vendor knew or should have known of the facts and events giving rise to the
requested change. If the City determines that the change increases or decreases the Vendor's costs or
time for performance, the City will make an equitable adjustment. The City will attempt, in good faith, to
reach agreement with the Vendor on all equitable adjustments. However, if the parties are unable to
agree, the City will determine the equitable adjustment as it deems appropriate. The Vendor shall
proceed with the amended work upon receiving either a written amendment from the City or an oral order
from the City before actually receiving the written amendment. If the Vendor fails to require an
GOODS & SERVICES AGREEMENT - 2
($20,000 or Less, including WSST)
amendment within the time aUuvved/ the Vendor waives its right to make any claim or submit subsequent
amendment requests for that portion of the contract work. If the Vendor disagrees with the equitable �
adjustment, the Vendor must complete the amended work; however, the Vendor may elect [o protest the
adjustment as provided in subsections A through E of Section VII, Claims, below.
The Vendor accepts all requirements of an amendment by: (1) endorsing it, (2) writing a separate
acceptance, or (3) not protesting in the way this section provides. An amendment that is accepted by
Vendor an provided in this section shall constitute full payment and final settlement of all c|a|noo for
contract time and for direct, indirect and consequential costs, including costs of delays related to any
work, either covered nr affected by the change.
VII^ CLADMS" If the Vendor disagrees with anything required by an amendment, another
written order, or an oral order from the City, including any direction, instruction, interpretation, or
determination by the City, the Vendor may file a claim as provided in this section. The Vendor shall give
written notice to the City of all claims within fourteen (14) calendar days of the occurrence of the events
giving rise to the claims, or within fourteen (14) calendar days of the date the Vendor knew or should
have known of the facts or events giving rise to the claim, whichever occurs first . Any claim for
damages, additional payment for any reason, or extension of time, whether under this Agreement or
otherwise, shall be conclusively deemed to have been waived by the Vendor unless a timely written claim
is made in strict accordance with the applicable provisions of this Agreement.
At a minimum, a Vendor's written claim shall include the information set forth in subsections A,
items 1 through 5below.
FAILURE TO PROVIDE A COMPLETE, WRITTEN NOTIFICATION OF CLAIM WITHIN
THE TIME ALLOWED SHALL BE AN ABSOLUTE WAIVER OF ANY CLAIMS ARISING IN
ANY WAY FROM THE FACTS OR EVENTS SURROUNDING THAT CLAIM OR CAUSED
BY THAT DELAY.
A. Notice of Claim. Provide a signed written notice of claim that provides the following
information:
l. The date of the Vendor's claim;
2. The nature and circumstances that caused the claim;
3. The provisions in this Agreement that support the claim;
4. The estimated dollar cost, if any, of the claimed work and how/ that estimate
was determined; and
5. An analysis of the progress schedule showing the schedule change or
disruption if the Vendor io asserting a schedule change nrdisruption. �
B. Records. The Vendor shall keep complete records of extra costs and time incurred as a �
result of the asserted events giving rise to the claim. The City oho|| have access to any of !
the Vendor's records needed for evaluating the protest. i
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The City will evaluate all claims, provided the procedures in this section are followed. If the '
City determines that a claim is valid, the City will adjust payment for work or time by an
equitable adjustment. No adjustment will be made for an invalid protest.
C. ln spite of any claim, the Vendor shall proceed |
promptly to provide the goods, materials and services required by the City under this !
Agreement. �
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D. Failure to Protest Constitutes Waiver. By not protesting ao this section provides, the Vendor |
also waives any additional entitlement and accepts from the City any written or oral order �
(including directions, instructions, interpretations, and determination). |
E. By failing \u follow the procedures ofthis �
section, the Vendor completely waives any claims for protested work and accepts from the
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GOODS 8 SERVICES AGREEMENT ' J
City any written or oral order (including directions, instructions, interpretations, and
determination).
VIII. LIMITATION OF ACTIONS. VENDOR MUST, IN ANY EVENT, FILE ANY LAWSUIT ARISING
FROM OR CONNECTED WITH THIS AGREEMENT WITHIN 120 CALENDAR DAYS FROM THE DATE THE
CONTRACT WORK IS COMPLETE OR VENDOR'S ABILITY TO FILE THAT SUIT SHALL BE FOREVER BARRED.
THIS SECTION FURTHER LIMITS ANY APPLICABLE STATUTORY LIMITATIONS PERIOD.
IX. WARRANTY. Vendor warrants that it will faithfully and satisfactorily perform all work
provided under this Agreement in accordance with the provisions of this Agreement. In addition to any
other warranty provided for at law or herein, this Agreement is additionally subject to all warranty
provisions established under the Uniform Commercial Code, Title 62A, Revised Code of Washington.
Vendor warrants goods are merchantable, are fit for the particular purpose for which they were obtained,
and will perform in accordance with their specifications and Vendor's representations to City. The Vendor
shall promptly correct all defects in workmanship and materials: (1) when Vendor knows or should have
known of the defect, or (2) upon Vendor's receipt of notification from the City of the existence or
discovery of the defect. In the event any part of the goods are repaired, only original replacement parts
shall be used—rebuilt or used parts will not be acceptable. When defects are corrected, the warranty for
that portion of the work shall extend for an additional year beyond the original warranty period applicable
to the overall work. The Vendor shall begin to correct any defects within seven (7) calendar days of its
receipt of notice from the City of the defect. If the Vendor does not accomplish the corrections within a
reasonable time as determined by the City, the City may complete the corrections and the Vendor shall
pay all costs incurred by the City in order to accomplish the correction.
X. DISCRIMINATION. In the hiring of employees for the performance of work under this
Agreement or any sub-contract, the Vendor, its sub-contractors, or any person acting on behalf of the
Vendor or sub-contractor shall not, by reason of race, religion, color, sex, age, sexual orientation, national
origin, or the presence of any sensory, mental, or physical disability, discriminate against any person who
is qualified and available to perform the work to which the employment relates.
Vendor shall execute the attached City of Kent Equal Employment Opportunity Policy Declaration,
Comply with City Administrative Policy 1.2, and upon completion of the contract work, file the attached
Compliance Statement.
XI. INDEMNIFICATION. Vendor shall defend, indemnify and hold the City, its officers,
officials, employees, agents and volunteers harmless from any and all claims, injuries, damages, losses or
suits, including all legal costs and attorney fees, arising out of or in connection with the Vendor's
performance of this Agreement, except for that portion of the injuries and damages caused by the City's
negligence.
The City's inspection or acceptance of any of Vendor's work when completed shall not be grounds
to avoid any of these covenants of indemnification.
IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THE INDEMNIFICATION
PROVIDED HEREIN CONSTITUTES THE VENDOR'S WAIVER OF IMMUNITY UNDER INDUSTRIAL
INSURANCE, TITLE 51 RCW, SOLELY FOR THE PURPOSES OF THIS INDEMNIFICATION. THE PARTIES
FURTHER ACKNOWLEDGE THAT THEY HAVE MUTUALLY NEGOTIATED THIS WAIVER.
In the event Vendor refuses tender of defense in any suit or any claim, if that tender was made
pursuant to this indemnification clause, and if that refusal is subsequently determined by a court having
jurisdiction (or other agreed tribunal) to have been a wrongful refusal on the Vendor's part, then Vendor
shall pay all the City's costs for defense, including all reasonable expert witness fees and reasonable
attorneys' fees, plus the City's legal costs and fees incurred because there was a wrongful refusal on the
Vendor's part.
The provisions of this section shall survive the expiration or termination of this Agreement.
GOODS & SERVICES AGREEMENT - 4
($20,000 or Less, including WSST)
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XII. INSURANCE. The Vendor shall procure and maintain for the duration of the Agreement, �
insurance of the types and in the amounts described in Exhibit 8 attached and incorporated by this �
reference.
XIII. WORK PERFORMED AT VENDOR'S RISK. Vendor shall take all necessary precautions
and shall be responsible for the safety of its employees, agents, and subcontractors in the performance of |
the contract work and shall utilize all protection necessary for that purpose. All work shall be done at �
Vendor's uvvn risk/ and Vendor shall be responsible for any loss ufordamage to materials, tnn|s/ or other
articles used or held for use in connection with the work.
XIV. MISCELLANEOUS PROVISIONS.
A. Recyclable Materials. Pursuant tn Chapter 3.8Ouf 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.
D� Non-Waiver Breach. The failure of the City Lo insist upon strict performance of any ofthe
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 o waiver or relinquishment of those
covenants, agreements or options, and the same shall be and remain in full force and effect.
C. Resolution of Disputes and Governing Law. This Agreement shall be governed by and
construed in accordance with the laws of the State of Washington. If the parties are unable to settle any
dispute, difference or claim arising from the parties' performance of this Agreement, the exclusive means
of resolving that dispute, difference or claim, shall only be by filing suit exclusively under the venue, rules
and jurisdiction of the King County Superior Court, King County/ Washington, unless the parties agree in
writing to an alternative dispute resolution process. In any claim or lawsuit for damages arising from the
parties' performance of this Agreement, each party shall pay all its legal costs and attorney's fees incurred �
in defending or bringing such claim or lawsuit, including all appeals, in addition tn any other recovery nr
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award provided bylaw; provided, however, nothing in this paragraph shall be construed ho limit the Oty/y !
right to indemnification under Section Xlof this Agreement. /
D. Written Notice. All communications regarding this Agreement shall be sent Uothe 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 ofmailing 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.
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E. Assignment. Any assignment nf this Agreement bv either party vvithoutthe vvrittenconsent �
of the non-assigning party
� shaUbo void. If the non-assigning party gives its consent [o 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. Nu waiver, alteration, or modification of any of the provisions ofthis
Agreement shall be binding unless in writing and signed by a duly authorized representative of the City
and Vendor.
G. Entire Agreement. The written provisions and terms of this Agreement, together with any
Exhibits attached hereto, shall supersede all prior verbal statements of any officer or other representative
of the City, and such statements shall not be effective or be construed as entering into or forming a part
of or altering in any manner this Agreement. All of the above documents are hereby made a part of this
Agreement. However, should any language in any of the Exhibits to this Agreement conflict with any
language contained in this Agreement, the terms of this Agreement shall prevail.
H. Compliance with Laws. The Vendor agrees [o comply with all federal, state, and municipal
laws, rules, and regulations that are now effective or in the future become applicable to Vendor's business,
equipment, and personnel engaged in operations covered by this Agreement or accruing out of the
performance of those operations.
GOODS & SERVICES AGREEMENT 5
($20/000or Less, including N/JST) |
I. Public Records Act. The Vendor acknowledges that the City is a public agency subject to the
Public Records Act codified in Chapter 42.56 of the Revised Code of Washington and documents, notes,
emails, and other records prepared or gathered by the Consultant in its performance of this Agreement
may be subject to public review and disclosure, even if those records are not produced to or possessed by
the City of Kent. As such, the Vendor agrees to cooperate fully with the City in satisfying the City's duties
and obligations under the Public Records Act.
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.
K. Counterparts and Signatures by Fax or Email. This Agreement may be executed in any
number of counterparts, each of which shall constitute an original, and all of which will together constitute
this one Agreement. Further, upon executing this Agreement, either party may deliver the signature page
to the other by fax or email and that signature shall have the same force and effect as if the Agreement
bearing the original signature was received in person.
IN WITNESS, the parties below execute this Agreement, which shall become effective on
the last date entered below.
VENDOR: CITY OF KE
s
By: BY
(s! nature) (signature)
Print Name: Print Name: Kelly Peterson
Its: 6 j�, NiN-COAZ.. Its: Special Projects/Transportation Manager
(title) '..
DATE: ��f I i DATE:
NOTICES TO BE SENT TO: NOTICES TO BE SENT TO:
VENDOR: CITY OF KENT:
Jack Bradbury Timothy J. LaPorte, P.E.
All Battery Sales and Service, Inc. City of Kent
727 134" St. SW 220 Fourth Avenue South
Everett, WA 98204 Kent, WA 98032
(425) 743-7677 (telephone) (253) 856-5500 (telephone)
(425) 742-1739 (facsimile) (253) 856-6500 (facsimile)
All B.Ue,Sales®S.,-Rery,dit Even[2/H ,,.ff rd
GOODS & SERVICES AGREEMENT - 6
($20,000 or Less, including WSST)
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 be w, I agree to fulfill the five requirements referenced above.
By:
For: !� r`f Z J�`y } 'S S &s-f I ems.,
Title: f _ 'fC�/�a�(C Code Iry T 0---
Date:
II
EEO COMPLIANCE DOCUMENTS - 1 of 3
CITY OF KENT
ADMINISTRATIVE POLICY
NUMBER: 1.2 EFFECTIVE DATE: January 1, 1998
SUBJECT: MINORITY AND WOMEN SUPERSEDES: April 1, 1996
CONTRACTORS APPROVED BY Jim White, Mayor
POLICY:
Equal employment opportunity requirements for the City of Kent will conform to federal and
state laws. All contractors, subcontractors, consultants and suppliers of the City must guarantee
equal employment opportunity within their organization and, if holding Agreements with the City
amounting to $10,000 or more within any given year, must take the following affirmative steps:
1. Provide a written statement to all new employees and subcontractors indicating
commitment as an equal opportunity employer.
2. Actively consider for promotion and advancement available minorities and women.
Any contractor, subcontractor, consultant or supplier who willfully disregards the City's
nondiscrimination and equal opportunity requirements shall be considered in breach of contract
and subject to suspension or termination for all or part of the Agreement.
Contract Compliance Officers will be appointed by the Directors of Planning, Parks, and Public
Works Departments to assume the following duties for their respective departments.
1. Ensuring that contractors, subcontractors, consultants, and suppliers subject to these
regulations are familiar with the regulations and the City's equal employment opportunity
policy.
2. Monitoring to assure adherence to federal, state and local laws, policies and guidelines.
I
EEO COMPLIANCE DOCUMENTS - 2 of 3
CITY OF KENT
EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE STATEMENT
This form shall be filled out AFTER COMPLETION of this project by the Contractor awarded the
Agreement.
I, the undersigned, a duly represented agent of
Company, hereby acknowledge and declare that the before-mentioned company was the prime
contractor for the Agreement known as that was entered into on
the (date), between the firm I represent and the City of
Kent.
I declare that I complied fully with all of the requirements and obligations as outlined in the City
of Kent Administrative Policy 1.2 and the Declaration City of Kent Equal Employment Opportunity
Policy that was part of the before-mentioned Agreement.
By:
For:
Title:
Date:
EEO COMPLIANCE DOCUMENTS - 3 of 3
EXHIBIT A
PO %
Battery Recycling Scope of Work for a Municipal Recycling Event
All Battery Sales and Service will provide battery recycling for municipal recycling
events including the following:
0 1 trained staff member
9 1 transport van
0 All collection buckets, bins,pallets,containment kit,eyewash station,first aid and fire
extinguisher.
Recycle event charges are as follows:
• Staff/truck(LSE)=$180,00 for day
0 Alkaline battery recycling=$0.50/11b
0 Automotive cores are credited @ $4.00 each (or$4.00 per 35.9 pounds average core
weight)
Scope of work includes setting up a collection station for batteries that includes a covered
canopy area with eyewash station. Staff member is trained to greet the public
professionally mid with courtesy, collect batteries and sort as time permits on site. Site to
be left as staff found it.
VP
727 134'h Street SW Everett, Washington 98204 P14:425 743 7677 FAXA25 742 1739
EXHIBIT R
INSURANCE REQUIREMENTS FOR
SERVICE CONTRACTS
Insurance
The Contractor 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 Contractor, their agents, representatives, employees or
subcontractors.
A. Minimum Scope of Insurance
Contractor shall obtain insurance of the types described below:
1. Automobile Liability insurance covering all owned, non-owned,
hired and leased vehicles. Coverage shall be written on Insurance
Services Office (ISO) form CA 00 01 or a substitute form providing
equivalent liability coverage. If necessary, the policy shall be
endorsed to provide contractual liability coverage.
2. Commercial General Liability insurance shall be written on ISO
occurrence form CG 00 01 and shall cover liability arising from
premises, operations, independent contractors, products-completed
operations, personal injury and advertising injury, and liability
assumed under an insured contract. The Commercial General
Liability insurance shall be endorsed to provide the Aggregate Per
Project Endorsement ISO form CG 25 03 it 85. The City shall be
named as an insured under the Contractor'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.
B. Minimum Amounts of Insurance
Contractor shall maintain the following insurance limits:
1. Automobile Liability insurance with a minimum combined single
limit for bodily injury and property damage of $1,000,000 per
accident.
2. Commercial General Liability insurance shall be written with limits
no less than $1,000,000 each occurrence, $2,000,000 general
aggregate and a $2,000,000 products-completed operations
aggregate limit.
EXHIBIT B (Continued)
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 Contractor'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 Contractor's
insurance and shall not contribute with it.
2. The Contractor'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 contractor 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 Contractor'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
Contractor 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
Contractor 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 Contractor.
CERTIFICATE OF LIABILITY INSURANCE 03l11l2016
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 endorsements.
PRODUCER CONTACT
NAME: _
Parker,Smith&Feek,Inc. PHONE 425-709-3600 T jFAX 425-709.7460
2233 112th Avenue NE AIL'.No.Exit'
E.MA1L
Bellows,WA 98004 ADDRESS:
INSURER$ AFFORDING COVERAGE NAIC H '.
INSURERA: Ohio Securi Insurance Company _
INSURED All Battery Sates and Service INSURER E: American Fire and Casualty CO.
'..
727134th Street SW INSURERC:
Everett,WA S8204 INSURERD:
INSURER E:
INSURER P:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD '..
INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, '..
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I-TR TYPE OF INSURANCE AD�L BUme eft POLICY NUMBER MMIDIPYIYYT) MMIDDrr%P LIhiRE
A GENERAL UASILnY BKS16566660051 11/1/2016 111112C16 EACH OCCURRENCE $ 1,000,000 _
x DAMAGE TORENJED
COMMERCIAL MADE IALLIASILITY X PREMISES Ea occurrence S 1,000,000
CLAIMS MADE OCCUR MED EXP(My one person) 5 15,000
-PERSONAL&AOV INJURY S 1,000,000 '..
GENERALAGGREGATE S 2,000,000
GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG S 2.000,000
POLICY Fx-1 PA X LOC $
AUTOMOBILE UASIUTY 8AA1656660051 11/1/2015 11/1/2016 E MBAINdEEQ SINGLE LIMIT s 1,OD0,000
x ANYAUTO __ X BODILY INJURY(Per person) $
ALL OWNED SCHEDULED
AUTOS AUTOS BODILY INJURY(Perewident) S
NON.VANED PROPERTY AMAGE $
HIRED AUTOS _ AUTOS Per accident
S
UMBRELLA LIAR __ OCCUR EACH OCCURRENCE S
EXCESS BAs C UR-MADE AGGREGATE $
DED I I RETENTION$
WORKERS COMPENSATION XN151656660051 X we srATu- OTB 1,000,000
A' AND EMPLOYERS'LIABILITY YIN 11/1/2015 1111/2016 T -
----
ANYPROPRIETORMARTNERrEXECUTIVE EL EACH ACCIDENT S 1,000,000
OFFICERIMEMBER EXCLVDEDV NIA
(Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
if yes,describe Under 1,DOD,ODO
DESCRIPTION OF OPERATIONSbelow E.L.DISEASE-POLICY UM1T S
DESCRIPTION OFOPERATIONSI LOCATIONS lVEHICLES (AHaCIIACORD1oi,Additional Remarks Schedule,itmofaspactis"Ulmd)
The City of Kent Is additional insured and primary non-contrlbutory per endorsement attached. 30 day notice of cancellation to be Issued by the carrier.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN '..
Engineering Administration ACCORDANCE WITH THE POLICY PROVISIONS.
Public Works Department _
220 Fourth Avenue South AUTHORIZED REPRESENTATIVE
Kent,WA 98032
1US98888--2001h0ACORD CORPORATION. All rights reserved.
ACORD 25(2010106) The ACORD name and logo are registered marks of ACORD
1 of 17 ALLBATTE(RAH00)
(6) The coverage provided will not exceed the PERSONAL EFFECTS COVERAGE
lesser of:
A. SECTION
(a) The coverage and or limits of this poky; 1 AGE, Ail. COVERAGE L EXTENSIONS,DAMAGE is
or amended by adding the following:
(b) The coverage andror limits required by C. Personal Effects Coverage
the "insured contract",
For any Owned `auto" that is involved in a
(7) A person's or organization's status as an covered "loss", we will pay up to $500 for
"insured" under this subparagraph of ends °personal effects" that are lost or damaged
when your operations for that insured° are as a result of the covered "toss", without
comploted. applying a deductible.
EMPLOYEE AS INSURED EXTRA EXPENSE - BROADENED COVERAGE
Under Paragraph A.of Section 11 - LIABILITY COV- Paragraph A. - COVERAGE of SECTION Ill -
ERAGE Item I. is added as follows: PHYSICAL DAMAGE COVERAGE Is amended to
Your 'employee" while using his owned -auto",or an add:
"auto" owned by a member of his or her household, 6. We will pay for the expense of returning a stolen
in your business or your personal affairs,provided you covered "auto"to you.
do not own, hire or borrow that "auto", This coverage
is excess to any other collectible insurance coverage. AIRBAG COVERAGE
FELLOW EMPLOYEE COVERAGE Under paragraph B. - EXCLUSIONS of SECTION III
- PHYSICAL DAMAGE COVERAGE,the following is
Exclusion 6. FELLOW EMPLOYEE of SECTION 11 - added:
LIABILITY COVERAGE - B. EXCLUSIONS is
amended by the addition of the following: The exclusion relating to mechanical breakdown does
not apply to the accidental discharge of an airbag.
However, this exclusion does not apply if the "bodily
€r{ury" results from the use of a covered "auto" you NEW VEHICLE REPLACEMENT COST
awn or fire, and provided that any coverage under
this provision only applies in excess over any other Under Paragraph C - LIMIT OF INSURANCE of
cofactible insurance. Section ill - PHYSICAL DAMAGE COVERAGE sec-
tion 2 is amended as follows:
BLANKET WAIVER OF SUBROGATION
2. An adjustment for depreciation and physical con-
We waive the right of recovery we may have for pay- dition will be made in determining actual cash
ments made for "bodily injury" or "property damage" value in the event of a total loss.However, in the
on behalf of the persons or organizations added as event of a total loss to your "new vehicle" to
"Insureds" under Section €1 -LIABILITY COVERAGE which this coverage applies, as shown In the
A.T.D. BROAD FORM NAMED INSURED and declarations,we will pay at your option:
A.I.e. BLANKET ADDITIONAL INSURED. a. The verifiable "new vehicle" purchase price
In-
PHYSICAL DAMAGE - ADDITIONAL TRANS you paid for your damaged vehicle, not in-
PORTATION EXPENSE COVERAGE cse any insurance or warranties pur-
l�
chased;
cThe first sentence of paragraph A.4. of SECTION III b. The purchase price, as negotiated by us, of
- PHYSICAL DAMAGE COVERAGE is amended as a now vehicle of the same make,model and
follows: equipment, not including any furnishings,
parts or equipment not Installed by the
WO wRl pay up to $5p per day to a maxotum of manufacturer or manufacturer's dealership.
$1,600 for temporary transportation expense incurred if the same model is not available pay the
by you because of the total theft of a covered "auto" purchase price of the most similar model
of the private passenger type. available;
Page 2 Dt6
CAUd9.FPlhi9¢IM34�1�
i
"accident"applies only when the "accident" is known deductible and excess provisions, we will provide
to: coverage equal to the broadest coverage applicable
to any covered "auto" you own.
(1) You,if you are an individual;
(2) A partner, if you are a partnership; or HIRED AUTO PHYSICAL DAMAGE COVERAGE —
LOSS OF USE
(3) An executive officer or insurance manager, if you
are a corporation. SECTION III — PHYSICAL DAMAGE A.4.b. Form
does not apply,
UNINTENTIONAL FAILURE TO DISCLOSE
HAZARDS Subject to a maximum of$1,000 per accident, we will
cover loss of use of a hired "auto" if it results from
SECTION IV — BUSINESS AUTO CONDITIONS -- an accident, you are legally liable and the lessor in-
0.2, Is amended by the addition of the following: curs an actual financial loss.
if you unintentionally fall to disclose any hazards ex- RENTAL REIMBURSEMENT COVERAGE
fisting at the Inception data of your policy, we will not We will pay for rental reimbursement expenses
deny coverage under this Coverage Form because of incurred a a you for the rental of an "auto" be-
such failure. However, this provision does not affect cause of a covered "toss" a covered "auto".
cur right collect one premium or exercise our Payment applies in addition to the otherwise ap.
right of cancellation or or n non-renewal, plicable amount of each coverage you have on a
HIRED AUTO — LIMITED WORLD WIDE COVER- covered "auto", No deductibles apply to this
AGE coverage.
B. We will pay only for those expenses incurred
Under Section IV — Business Conditions, Paragraph during the policy period beginning 24 hours after
6.7.b.e(1)is replaced by the following: the "loss"and ending, regardless of the policy's
(1) The "accident" or °loss" results expiration, with the lesser of the following number
from the use of an "auto" hired for of days:
30 days or less. 1. The number of days reasonably required to
repair or replace the covered "auto". If
RESULTANT MENTAL ANGUISH COVERAGE 'loss" Is caused by theft, this number of
days is added to the number of days 0 takes
SECTION V — DEFINITIONS— C. is replaced by the to locate the covered "auto" and return it to
following: you.
"Bodily injury" means bodily injury, sickness or dis- Z 30 days.
ease sustained by a person including mental anguish C. Our payment is limited to the lesser of the fei-
or loath resulting from any of these. louring amounts:
r HIRED AUTO PHYSICAL DAMAGE COVERAGE 1. Necessary and actual expenses incurred.
if hired "autos" are covered "autos" for Liability cov- 2 $50 per day,
erage and if Comprehensive, Specified Causes of D. This coverage does not apply while there are
Loss or Collision coverages are provided under this spare or reserve "autos"available to you for your
Coverage Form for any "auto" you own, then the operations.
. . Physical Damage Coverages provided are extended
to "autos" you hire or borrow. E. If "loss" results from the total theft of a covered .
"auto" of the private passenger type,we will pay
The most we will pay for loss to any hired "auto" is under this coverage only that amount of your
c $5D,000 or Actual Cash Value or Cast of Repair, rental reimbursement expenses which is not al-
whichever Is smallest, minus a deductible. The de. ready provided for under the PHYSICAL DAM-
ductible, wilt be equal to the largest deductible appli- ACHE COVERAGE Coverage Extension.
cable to any owned "auto, of the private passenger
or fight truck type for that coverage. Hired Auto Phy- F. The Rental Reimbursement Coverage described
®_ sical Damage coverage is excess over any other col- above does not apply to a covered "auto" that is
lectible Insurance, Subject to the above limit, described or designated as a covered "auto" on
Pogo 4 of 6
G0o3PPoxloNCt39do13p
return or replace damaged or stolen property SECTION V — DEFINITIONS Is amended by adding
will be reduced by a$500 deductible. the following:
4, in the event that there is more than one ap- O. "Personal effects" means your tangible
plicable deductible, only the highest deduct- property that Is worn or carried by you, ex-
Me will apply. In no event will more than one cept for tools,jewelry, money, or securities.
deductible apply. R. "New vehicle" means any "auto" of which
you are the original owner and the "auto,,
has not been previously titled and is less
than 365 days past the purchase date.
M
C
rEff
e
Page 6 of 6
GU.p4PflINIW1 dA3a0005rj
BKS1656660051
COMMERCIAL GENERAL LIABIUTY
CG 5010 0413
THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY.
COMMERCIAL GENERAL LIABILITY EXTENSION '
This endorsement modifies Insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
INDEX "
SUgJEcs.
NON-OWNED AIRCRAFT 2
NON-OWNED WATERCRAFT 2
PROPERTY DAMAGE LIABILITY-ELEVATORS 3
EXTENDED DAMAGE TO PROPERTY RENTED TO YOU(Tanent's Property Damage) 2 .
MEDICAL PAYMENTS EXTENSION 3
EXTENSION OF SUPPLEMENTARY PAYMENTS-COVERAGES A AND R g
ADDITIONAL INSUREDS-BY CONTRACT,AGREEMENT OR PERMIT 3
PRIMARY AND NON-CONTRIBUTORY-ADDITIONAL INSURED EXTENSION g
ADDITIONAL INSUREDS-EXTENDED PROTECTION OFYOUR"LIMITS OF INSURANCE" 6
WHO IS AN INSURED-INCIDENTAL MEDICAL ERRORSIMALPRACTiCE AND WHO IS AN'
INSURED-FELLOW EMPLOYEE EXTENSION-MANAGEMENT EMPLOYEES 6
NEWLY FORMED OR ADDI-60NALLY ACQUIRED ENTITIES 7
FAILURE TO DISCLOSE HAZARDS AND PRIOR OCCURRENCES 7
KNOWLEDGE OF OCCURRENCE,OFPENSE,CLAIM OR SUIT 7
LIBERALIZATION CLAUSE 7
BODILY INJURY REDEFINED 7
EXTENDED PROPERTY DAMAGE g
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US- S
WHEN REQUIRED IN A CONTRACT OR AGREEMENT WITH YOU
I'
® 201a L1bwty Mutual insurance
CG 88 10 0413 Includes copyrighted maturiat of Insurance Servioes office,Ina,with Its permission. Page I of 8
b. The last paragraph of subsection2.Exclusions is replaced by the following;
Exclusions c,through e.do not apply to damage by fire,lightning,exploslon, smoke or leakage
from automatic firs protection systems to premises while rented to you ortemporarily occupied by
you with permission of the owner.A separate limit of Insurance applies to Damage To Promises
Rented To You as described In Section ill-Limits of insurance.
2. Paragraph 6.under Section III-LlmhtOf Insurance Is,rsplacedbythefollowie*;
6. Subject to Paragraph 6.above,the Damage To Premises Rented To You Limit is the most we will
pay under Coverage A fordamages because of"property damago"to:
a. Anyone premise: . ' -
(1) While rented to you; or
(2) While rented to you or temporarily occupied by you with permission of the owner for
damage by fire, lightning, explosion, smoke or leskoge from automatio'proteation tys-
tams;or
b. Contents that you rent or lase as part of a promises rental or lease agreement.
3. As regards coverage provided by this provision D. EXTENDED DAMAGE TO PROPt RTY RENTED TO
YOU(Tenant's Property Damage)-Paragraph 9.8,of Definitions Is replaced with the following:
9.a.A contract for a lease of premises, However,that portion of the'contraot for a lease of premises
that indemnifies any person or organization for damage by fire, lightning,explosion,smoke,or
leakage from automatic fire protection systems to premises while rented to You Or temporarily -
occupied by you with the pormission of the owner,or for damage to contents of such premises
that era included In your premises rental or lease agreement,Is not an"insured contract".
E. MEDICAL PAYMENTS EXTENSION
If Coverage C Medical Payments'is hot otherwise excluded,the Medical Payments provided by this policy
are amended as follows:
Under Paragraph I.Insuring Agreement of Section i-Coverage C•Medical Payments,:Subparagreph,
(b)of paragraph a.is replaced by the following:
(b) The expenses are incurred and reported within three years of the date of the aclildent;and '
F. EXTENSION OF SUPPLEMENTARY PAYMENTS-COVERAGES A AND B
1, Under Supplementary Payments-Coverages A and B,Paragraph).b.is replaced by.thefollowing;
b, Up to 03,000 for cast of ball bonds required because of accidents or traffic law violations arising
out of the use of any vehicle to which the Bodily Injury Liability Coverage applies,We do not have to furnish these bonds.
2, Paragraph Id.Is replaced by the foflowing:
d. All reasonable expenses incurred by the Insured at our request to assist us In the inyestfgation or
defense of the claim or "suit", Including actual loss of earnings up to$ 00 a day because of time
off from we rk.
G: AbQfTiQI�fALIN&DIKED)i=i3Y40NiRAQT:A(iREEMENT'BRPERfV11T .
7, Paragraph 2.under Saction'll.Who is An Insured Is amended to include as an Insured any person or '
organization whom you have agreed to add as an additional insured In a written contract,written
agreement or permit. Such person or organization is an additional Insured but only with'respect to "
liability for"bodily Injury", "property damage" or"personal and advertising injury"caused.In whole
or In part by;
a. Your acts or omissions,or the acts or omissions of those acting on your behalf,In the performance
Of your on going operations for the additlonal insured that are the subject of the written contract or
written agreement provided that the "bodily injury" or "property damage"occurs, or,the,,per-
tonal and advertising Injury, is committed, subsequent to the signing of such written contract or
written agreement;or
® 2013 Liberty Mums{Wsurence
CO as 10 04 13 Inoludes c0pyr1uhted material cf insuranca Services onime ins,with its pat,,Lulon Page 3 of 8
2, With respect to the insurance provided by this endorsement,the following are added to Paragraph 2.
Exclusions under Section I•Coverage A-Bodily Injury And Property Damage Liability:
This Insurance does not apply to:
a. "Bodily injury"or"property damago"arising from the sole negligence of the additional insured.
b. "Bodily injury".or "property damage" that occurs prior to you commencing operations at the
location where such"bodily injury."or"property damage"occurs.
c" "Bodily Injury", `.'property damage"or"personal and advartising injury"arising outof the render-
Ing of,or the failure to.rander,any professional architecture[,engineering or surveying services,
Including:
(a) The preparing, approving, or falling to prepare or approve, maps,shop drawings,opinions,
reports,surveys,field orders,change orders or drawings and specifications;or .
(2j Supervisory,inspection,architectural or englneoring ectivlttes.
This exclusion applies even If the claims against any Insuredallege negligence or other wrongdoing In
the supervision, hiring, employment,training or monitoring of others by that Insured, It the "occur-
fence" which caused the "lindity injury". or "property damage", or the offense which caused the
"personal and advertising Injury",Involved the rendering of,or the iahure to render,any professional'
architectural,engineering or surveying services.
d. "Bodily Injury"or"property damage"occurring after:
(t) Alt work,including materiels,parts or equipment furnlshed in connection with such work,on
the project(other than service,maintenance or repairs)to be performed by or on behalf of the
additional inaued(sj at the location at the covered operations hat been complated; or
(2) That portion of "your work" out of which the Injury or damage arises hate been put to its
Intended use by any person or organization other than another contractor or subcontract8r
engaged in performing operations for a principal as apart of the same project,
a. Any person ororgenrsetien specifically designated as an additional Insured for ongoing operations
by a separate ADDITIONAL INSURED -OWNERS;LESSEES OR CONTRACTORS endorsement Is-
sued by us and made a part of thi s policy. .
9. With respect to the insurance afforded to these additional lnsurods,the following Is added to Section III
-Limits Of Insurance:
If coverage provided to the additional Insured is required by a contractor agreement,the most we will
pay on behalf of the additional Insured is the amount of insurance:
a. Required bythe contraot or agreement;or
b. Available under the applicable Limits of Insurance shown in the Declarations;
whichever Is less,
This endorsement shall not Increase the applicable Limits of Insurance shown in the Declaratlons.
¢j-„PRIN(AfYJINq fQ¢I11-COiVT1i(3lIT�RYA..O.jTIAf i�j RISNER EX7NSI0N,
This provision applies to any person or organization who qualifies as an additional insured under any form
or endorsement under this policy.
Condition 4,Other Insurance of SECTION IV-COMMERCIAL C,ENERAL LIABILITY CONDITIONS is amend-
ad as follows;
a. The following isaddedto Paragraph a.Primary tnsuranee: .
It an additional Insureds policy has an Other Insurance provision making its policyexcess,And you
have agreed Ina written contractor written agreement to provide the additional Insured coverage on a
primary and noncontributory basis,this policy.shall be primary and we will not seek contribution from
the add itional insured's policy for demagas wo cover..
® 2010 Liberty Mutual Imumnoo
'CG as 1110413 Inoludesoopyiiahted material of insurance services office,Inc whh Its pormisslon. page$of 8
f 1
advertising injury"edsing'out of their willful conduct,which is defined as the purposeful or willful Intentto
cause"bodily Injury"or"personal and advertising injury",or caused In whole or In part by their Intoxica-
tioh by liquor or controlled substances:
The coverage provid
your 'employee . ad by provision J.is excess over shy other valid and collectable insurance available to
K. NEWLY FORMED OR ADDITIONALLY ACQUIRED ENTITIES
Paragraph S.of Section 11-Who Is An insured is replaced by the following,,
3• Any organization you newly acquire or form and over whtch.you maintain ownership or majority
interest, will quality as a Named Insured If there is no other similar insurance available to that
organization.However:
a. Coverage under this provision is afforded only'untii the expiration of the pone}+ perlod in
which the entity was acquired orformed byyou,
b. Coverage A does not apply to "bodily Injury" or"property damage"that occurred before you acquired or formed the organization,and
a Coverage B does not apply to "personal and advertising injury" arising out.of an Offense
committed before you acquired or formed the organization.
d. Records anddcacriptionsOfOperationsmustbemaintainedbythefirstNamedInsured.
No parson or organization is an insured with respect to the conduct of any current or past partnarahlp,joint
venture or limited liability company that Is not shown as a Named Insured in the Declarations or qualifies as an insured under this provision.
L. FAILURE TO DISCLOSE HAZARDS AND PRIOR OCCURRENCES
Under Section IV•Commercial General Liability Conditions,the following Is added to Condition B.Repro sentatfons:
Your failure to disclose all hazards or prior"occurrences"existing as of the inception date'af the policy
shall not prejudlce the coverage afforded by this policy provided such failure to disclose all hazards or
prior"occurrences"is not Intentional.
M. KNOWLEDGE OF OCCURRENCE,OFFENSE,CLAIM OR SUIT
Under Section IV-Commercial General Liability Conditions,the following Is added to Condition x,Duties
In The Event of Occurrence,offense,Claim Or Suir
Knowledge of an "occurrence",offense, claim or "suit" by an agent, servant or "Omployee"
insured shalt not in Itself constitute knowledge of the Insu red unless an Insured listed under Paragraph I.of Section 11•Who Is An Insured or a person who has been designated by them td receive reports of
"occurrences", offenses,Claims or"So
eempleyeett Its" shall have received such notice from the agent,se rvant or '
.
N. LIBERAUZATION CLAUSE
If we revise this Commercial General Liability Extension Endorsement to provide more coverage without
additional premium charge,your policy wilI automatically provide the coverage as of the day the revision is
effective In your state.
M BODILY INJURY REDEFINED
Under Section V-Wlnitions,Definition 9.is replaced by the following:
S. "Bodily Injury" means physical Injury, sickness or disease sustained by a person..This Includes
mental angulsh, mental Injury, shock,fright or death that results from such physica
ness or disease. l injury,slok-
CG as 10 04 Is zot3 Upeny Mutual 7navranne
Includes COPYriahted material of lnmoanm 89wkaaoHkn,lna,whh its ryermrsslon.' pagg j of g
••..REMINTEDFROM,.HE rMMS LIBRARY"'. BKS16566660051
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY,
EARLIER NOTICE OF CANCELLATION CG 02 24 tU ss
PROVIDED BY US COMMERCIAL GENERAL LIABILITY
This endorsement modfies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
LIQUOR LIABILITY COVERAGEPART
POLLUTION LIABILITY COVERAGE PART
PHODUCTS1COMPLETED OPERATIONS LIABILITY OOVERAGEPART
SCHEDULE
Number of Days'Notice 30
(II no entry appears above, information required to complete [his Schedule will be strovm in the Doclaratio ns as applicable
to this endorsement)
For any statutorily permitted reason other than nonpayment of premium, the number of days required for notice of
cancellation, as provided in paragraph 2• of either the CANCELLATION Common Policy Condition or as amended by an
applicable state cenceilalion endorsement, is increased to the number of days shovm in the Schedule above.
Copyright,Insurance Services Office,[no, 1992