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PK16-358 - Original - Washington Automated - Purchase & Installation of Correction's Washing Machine - 10/04/2016
R cords Ma, al' ETl T Document WASHINGTON I I 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: Washington Automated Vendor Number: 34570 ]D Edwards Number i Contract Number: MI P"-155 This is assigned by City Clerk's Office Project Name: Purchase and Installation of Washing Machine at Corrections Description: ❑ Interlocal Agreement ❑ Change Order ❑ Amendment X❑ Contract ❑ Other: Contract Effective Date: .01/03/16 Termination Date: 10/31/16 Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Nancy Clary Department: Parks, Facilities Contract Amount: $11,867.61 Approval Authority: (CIRCLE ONEj'� Department Director Mayor City Council 6_ Detail: (i.e. address, location, parcel number;tax id, etc.): As of: 08/27/14 --00005,�. KENT W P9HINOTOX 'i GOODS & SERVICES AGREEMENT between the City of Kent and Washington Automated, Inc. THIS AGREEMENT is made by and between the City of Kent, a Washington municipal corporation (hereinafter the "City"), and Washington Automated Inc. organized under the laws of the State of Washington, located and doing business at 5801 23`d Drive West, Suite 103, Everett, WA 98203, Andy Jacoby, 425 743-7388 (hereinafter the "Vendor"). AGREEMENT I. DESCRIPTION OF WORK. Vendor shall provide the following goods and materials and/or perform the following services for the City: Washington Automated, Inc. shall provide and install a UnlMac Commercial 601b. Washer/Extractor at the City of Kent Corrections Facility, 1230 South Central Ave, Kent, 98032, in accordance with Quote dated August 18, 2016, which is attached as Exhibit A. i Vendor acknowledges and understands that It is not the City's exclusive provider of these goods, materials, or services and that the City maintains its unqualified right to obtain these goods, materials, and services through other sources. II. TIME OF COMPLETION. Upon the effective date of this Agreement, Vendor shall complete the work and provide all goods, materials, and services by October 31, 2016. III. COMPENSATION. The City shall pay the Vendor an amount not to exceed $11,867.61, including applicable Washington State Sales Tax, for the goods, materials, and services contemplated in this Agreement. The City shall pay the Vendor the following amounts according to the following schedule: Vendor shall invoice upon Letter of Acceptance by City of Kent. Terms of Payment: Net 30 days. If the City objects to all or any portion of an Invoice, it shall notify Vendor and reserves the option to only pay that portion of the invoice not in dispute. In that event, the parties will immediately make every effort to settle the disputed portion. GOODS & SERVICES AGREEMENT - 1 ($20,000 or Less, ind. INSST) A. Defective or Unauthorized Work. The City reserves its right to withhold payment from Vendor for any defective or unauthorized goods, materials or services. If Vendor is unable, for any reason, to complete any part of this Agreement, the City may obtain the goods, materials or services from other sources, and Vendor shall be liable to the City for any additional costs incurred by the City, "Additional costs" shall mean all reasonable costs, including legal costs and attorney fees, incurred by the City beyond the maximum Agreement price specified above. The City further reserves its right to deduct these additional costs incurred to complete this Agreement with other sources, from any and all amounts due or to become due the Vendor, B. Final Payment: Waiver of Claims. VENDOR'S ACCEPTANCE OF FINAL PAYMENT SHALL CONSTITUTE A WAIVER OF CLAIMS, EXCEPT THOSE PREVIOUSLY AND PROPERLY MADE AND IDENTIFIED BY VENDOR AS UNSETTLED AT THE TIME REQUEST FOR FINAL PAYMENT IS MADE. IV. INDEPENDENT CONTRACTOR. The parties Intend that an Independent Contractor- Employer Relationship will be created by this Agreement. By their execution of this Agreement, and in accordance with Ch. 51.08 RCW, the parties make the following representations: A. The Vendor has the ability to control and direct the performance and details of its work, the City being interested only in the results obtained under this Agreement. B. The Vendor maintains and pays for its own place of business from which Vendor's services under this Agreement will be performed. C. The Vendor has an established and independent business that is eligible for a business deduction for federal Income tax purposes that existed before the City retained Vendor's services, or the Vendor is engaged in an independently established trade, occupation, profession, or business of the same nature as that involved under this Agreement. D. The Vendor Is responsible for filing as they become due all necessary tax documents with appropriate federal and state agencies, including the Internal Revenue Service and the state Department of Revenue. E. The Vendor has registered Its business and established an account with the state Department of Revenue and other state agencies as may be required by Vendor's business, and has obtained a Unified Business Identifier (UBI) number from the State of Washington. F. The Vendor maintains a set of books dedicated to the expenses and earnings of Its business. V. TERMINATION. Either party may terminate this Agreement, with or without cause, upon providing the other party thirty (30) days written notice at its address set forth on the signature block of this Agreement, VI. CHANGES. The City may issue a written amendment for any change in the goods, materials or services to be provided during the performance of this Agreement. If the Vendor determines, for any reason, that an amendment Is necessary, Vendor must submit a written amendment request to the person listed in the notice provision section of this Agreement, section XIV(D), within fourteen (14) calendar days of the date Vendor knew or should have known of the facts and events giving rise to the requested change. If the City determines that the change increases or decreases the Vendor's costs or time for performance, the City will make an equitable adjustment. The City will attempt, in good faith, to reach agreement with the Vendor on all equitable adjustments. However, if the parties are unable to agree, the City will determine the equitable adjustment as it deems appropriate, The Vendor shall proceed with the amended work upon receiving either a written amendment from the City or an oral order from the City before actually receiving the written amendment. If the Vendor fails to require an GOODS & SERVICES AGREEMENT - 2 ($20,000 or Less, including WSST) amendment within the time allowed, the Vendor waives its right to make any claim or submit subsequent amendment requests for that portion of the contract work. If the Vendor disagrees with the equitable adjustment, the Vendor must complete the amended work; however, the Vendor may elect to protest the adjustment as provided in subsections A through E of Section VII, Claims, below. The Vendor accepts all requirements of an amendment by: (1) endorsing it, (2) writing a separate acceptance, or (3) not protesting In the way this section provides. An amendment that is accepted by Vendor as provided in this section shall constitute full payment and final settlement of all claims for contract time and for direct, indirect and consequential costs, including costs of delays related to any work, either covered or affected by the change. VII. CLAIMS. If the Vendor disagrees with anything required by an amendment, another written order, or an oral order from the City, including any direction, Instruction, interpretation, or determination by the City, the Vendor may file a claim as provided in this section. The Vendor shall give written notice to the City of all claims within fourteen (14) calendar days of the occurrence of the events giving rise to the claims, or within fourteen (14) calendar days of the date the Vendor knew or should have known of the facts or events giving rise to the claim, whichever occurs first . Any claim for damages, additional payment for any reason, or extension of time, whether under this Agreement or otherwise, shall be conclusively deemed to have been waived by the Vendor unless a timely written claim is made in strict accordance with the applicable provisions of this Agreement. At a minimum, a Vendor's written claim shall Include the information set forth in subsections A, items 1 through 5 below. FAILURE TO PROVIDE A COMPLETE, WRITTEN NOTIFICATION OF CLAIM WITHIN THE TIME ALLOWED SHALL BE AN ABSOLUTE WAIVER OF ANY CLAIMS ARISING IN ANY WAY FROM THE FACTS OR EVENTS SURROUNDING THAT CLAIM OR CAUSED BY THAT DELAY. A. Notice of Claim. Provide a signed written notice of claim that provides the following Information: 1. The date of the Vendor's claim; 2. The nature and circumstances that caused the claim; 3. The provisions in this Agreement that support the claim; 4. The estimated dollar cost, if any, of the claimed work and how that estimate was determined; and S. An analysis of the progress schedule showing the schedule change or disruption If the Vendor is asserting a schedule change or disruption. B. Records. The Vendor shall keep complete records of extra costs and time incurred as a result of the asserted events giving rise to the claim. The City shall have access to any of the Vendor's records needed for evaluating the protest. The City will evaluate all claims, provided the procedures In this section are followed. If the City determines that a claim is valid, the City will adjust payment for work or time by an equitable adjustment. No adjustment will be made for an invalid protest. C. Vendor's Duty to Complete Protested Work. In spite of any claim, the Vendor shall proceed promptly to provide the goods, materials and services required by the City under this Agreement. D. Failure to Protest Constitutes Waiver. By not protesting as this section provides, the Vendor also waives any additional entitlement and accepts from the City any written or oral order (including directions, instructions, interpretations, and determination). E. Failure to Follow Procedures Constitutes Waiver. By failing to follow the procedures of this section, the Vendor completely waives any claims for protested work and accepts from the GOODS & SERVICES AGREEMENT - 3 ($20,000 or Less, including INSST) i 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) XIS. INSURANCE. The Vendor shall procure and maintain for the duration of the Agreement, insurance of the types and in the amounts described in Exhibit B attached and incorporated by this reference. XIII. WORK PERFORMED AT VENDOR'S RISK. Vendor shall take all necessary precautions and shall be responsible for the safety of its employees, agents, and subcontractors In the performance of the contract work and shall utilize all protection necessary for that purpose. All work shall be done at Vendor's own risk, and Vendor shall be responsible for any loss of or damage to materials, tools, or other articles used or held for use in connection with the work. XIV. MISCELLANEOUS PROVISIONS. A. Recyclable Materials. Pursuant to Chapter 3.80 of the Kent City Code, the City requires its contractors and consultants to use recycled and recyclable products whenever practicable. A price preference may be available for any designated recycled product. B. Non-Waiver of Breach. The failure of the City to insist upon strict performance of any of the covenants and agreements contained in this Agreement, or to exercise any option conferred by this Agreement in one or more Instances shall not be construed to be a waiver or relinquishment of those covenants, agreements or options, and the same shall be and remain in full force and effect. C. Resolution of Disputes and Governing Law. This Agreement shall be governed by and construed in accordance with the laws of the State of Washington, If the parties are unable to settle any dispute, difference or claim arising from the parties' performance of this Agreement, the exclusive means of resolving that dispute, difference or claim, shall only be by filing suit exclusively under the venue, rules and jurisdiction of the King County Superior Court, King County, Washington, unless the parties agree In writing to an alternative dispute resolution process. In any claim or lawsuit for damages arising from the parties' performance of this Agreement, each party shall pay all its legal costs and attorney's fees incurred in defending or bringing such claim or lawsuit, including all appeals, in addition to any other recovery or award provided by law; provided, however, nothing In this paragraph shall be construed to limit the Clty's right to indemnification under Section XI of this Agreement. D. Written Notice. All communications regarding this Agreement shall be sent to the parties at the addresses listed on the signature page of the Agreement, unless notified to the contrary. Any written notice hereunder shall become effective three (3) business days after the date of mailing by registered or certified mail, and shall be deemed sufficiently given if sent to the addressee at the address stated in this Agreement or such other address as may be hereafter specified in writing. E. Assignment. Any assignment of this Agreement by either party without the written consent of the non-assigning party shall be void. If the non-assigning party gives its consent to any assignment, the terms of this Agreement shall continue in full force and effect and no further assignment shall be made without additional written consent. F. Modification. No waiver, alteration, or modification of any of the provisions of this Agreement shall be binding unless in writing and signed by a duly authorized representative of the City and Vendor. G. Entire Agreement. The written provisions and terms of this Agreement, together with any Exhibits attached hereto, shall supersede all prior verbal statements of any officer or other representative of the City, and such statements shall not be effective or be construed as entering into or forming a part of or altering in any manner this Agreement. All of the above documents are hereby made a part of this Agreement. However, should any language in any of the Exhibits to this Agreement conflict with any language contained in this Agreement, the terms of this Agreement shall prevail. H. Compliance with Laws. The Vendor agrees to comply with all federal, state, and municipal laws, rules, and regulations that are now effective or in the future become applicable to Vendor's business, equipment, and personnel engaged in operations covered by this Agreement or accruing out of the performance of those operations. GOODS & SERVICES AGREEMENT - 5 ($20,000 or Less, Including INSST) 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 KENT: ,�i�eg By: ( / lX � Byr �r L ram, n (signature ^ sl nature) Print Nam K r C ) IVL� 1'1s �elm P in N e� Garin L e, Interim Parks Director Its: Q /ate Its: Parks Recreation and Community (a le Services DATE: 0 -I� DATE: NOTICES TO BE SENT TO: NOTICES TO BEf SENT TO: VENDOR: CITY OF KENT: Andy Jacoby Nancy Clary Washington Automated, Inc. City of Kent 5801 23'd Drive West, Suite 103 220 Fourth Avenue South Everett, WA 98203 Kent, WA 98032 425 743-7388 (telephone) (253) 856-5084 (telephone) 425 407-0188 (facsimile) (253) 856-6080 (facsimile) GOODS &SERVICES AGREEMENT - 6 ($20,000 or Less, including INSST) I I 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. For: Title `,,�0 Ve a /J11 r �7 Date: I EEO COMPLIANCE DOCUMENTS - 1 of 3 CITY OF KENT ADMINISTRATIVE POLICY NUMBER: 1.2 EFFECTIVE DATE: January 1, 1998 Ali SUBJECT: MINORITY AND WOMEN SUPERSEDES: April 1, 1996 CONTRACTORS APPROVED BY Jim White, Mayor POLICY: Equal employment opportunity requirements for the City of Kent will conform to federal and state laws. All contractors, subcontractors, consultants and suppliers of the City must guarantee equal employment opportunity within their organization and, if holding Agreements with the City amounting to $10,000 or more within any given year, must take the following affirmative steps: 1. Provide a written statement to all new employees and subcontractors indicating commitment as an equal opportunity employer. 2. Actively consider for promotion and advancement available minorities and women. Any contractor, subcontractor, consultant or supplier who willfully disregards the City's nondiscrimination and equal opportunity requirements shall be considered in breach of contract and subject to suspension or termination for all or part of the Agreement. Contract Compliance Officers will be appointed by the Directors of Planning, Parks, and Public Works Departments to assume the following duties for their respective departments. 1. Ensuring that contractors, subcontractors, consultants, and suppliers subject to these regulations are familiar with the regulations and the City's equal employment opportunity policy. { 2. Monitoring to assure adherence to federal, state and local laws, policies and guidelines. EEO COMPLIANCE DOCUMENTS - 2 of 3 I 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: I i I EEO COMPLIANCE DOCUMENTS - 3 of 3 EXHIBIT Washint®n Automated, Inc Sales Quote -Commercial laundry equipment sales, and service. -Customer service is our#1 goal. 5801 23rd Drive West, Suite 103 Sales Rep Everett,WA 98203 Andy Jacoby Ph: (425)743.7388 andv iacobvewashinatonautomated com Fax: (425) 407.0188 Celt (206)423-7455 Bill To: City Of Kent Jail Ship To. 1230 South Central Ave'. °Kent,WA. 98032 Att. Nate Harper _ :Parts Warr. Labor Warr. E-Mail _ :Phone number. L- Quote Date a _ - 3.5 Years 90 Days nharper(0)kentwa goy 253.856-5082 8/18/2016 CITY -ITEM# - -DESCRIPTION LIST PRICE UNIT LINE TOTAL 1 UCN060HNV UniMac Commercial 601b.Washer/Extractor 200 G-Farce $12,840.00 $8,988.00 - $8,988.00 9 Cycle 8 Segment Advanced Micro Processor Programmability 208/240/60/1 or 3 Phase 1 SB8 Steel Base 8" $350.00 $350.00 Price includes delivery-installation-disposal of existing washer-start up and training Customer to furnish access int the laundry and all utilities within 3-5 feet of install Note:All utilites including electrical boxes, plumbing etc within 3-5 feet of equipment(unobstructed)with proper hook ups. SUB TOTAL $9,338.00 INSTALLATION $1,095.00 Terms: 30%down payment upon order of equipment. Balance due upon delivery/installation FREIGHT $405.00 of equipment. Pricing reflected includes a 3%discount&provided you pay by cash/check Should you wish to use a credit card the 3%discount will not apply and sales price SALES TAX% 9.5% $1,029.61 will be Increased by 3%. TOTAL $11,867.61 DEPOSIT 30% $3,560.28': Thank you for allowing Washington Automated to provide a quote. BALANCE AFTER DEPOSIT $a,3o7.33 Authorzied Date IMMIDDfM ATE ACC>RJY CERTIFICATE OF LIABILITY INSURANCE D8/30/201sY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Michelle Parker Leavitt Group Northwest H No (425)317-3570 FAX o:(425)32B-1615 PO Box 9066 'MAIL mi chelle-parker@leavitt.com ADORES': Tacoma WA 98490 INSURERS AFFORDING COVERAGE NAIGN INSURER A:Travelers 19046 INSURED INSURERS: Washington Automated Inc INSURERC: 5801 23rd Dr W STE103 INSURER D: Everett WA 98203 INsuRERE: 8203 INSURER F COVERAGES CERTIFICATE NUMBER:2016-17 Master REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDTYPE OF INSURANCE N.An SUBRwvn POLICY NUMBER MMIO�YEFF MWIDDDY� LIMITS TR X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 TED A CLAIMS-MADE 1zOCCUR PREMSES TOES $ 300,000 X Y 680-BG749162 3/11/2016 3/11/2017 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY S 1,000,000 GEHL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY EC D LOC PRODUCTS-COMPIOP ADS $ 2,000,000 OTHER: We Slop Gap $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X ANY AUTO BODILY INJURY(Perperson) S A' A O SCHEDULED RNSG759327 3/11/2016 3/11/2017 BODILY INJURY(Per accident) S AUTOS AUTOS PROPER N DAMAGE HIRED AUTOS AUTOS PerscOldent $ Medical payments $ 5,000 X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 2,000,000 A EXCESS LIAR CLAIMS-MADE AGGREGATE $ 2,000,000 OED I 'Y I RETENTIONS 5,000 CUP-BG792502 3/11/2016 3/11/2017 $ WORKERS COMPENSATION I PER OTH- AND EMPLOYERS'LIABILITY TATU YIN IS BITE X ER ANY OFFICERIMEIMBER EXCLUDED ETORIPARTNEWEXECUTIVE ❑ NIA E.L.EACH ACCIDENT $ 1,000,000 A (Mandatory In NH) UB-8G792562 3/11/2016 3/11/2017 E.L.DISEASE-EA EMPLOYE $ 1,000,000 /yes,descnbeundsr Oregon WC-S O's RIPTION OF OPERATIONS below g� E.L.DISEASE-POLICY LIMIT S 11000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached IF more space Is required) City of Kent Corrections Facility are named as additional insured. Coverage are primary and non-contributory applies. Completed operations applies. Per project aggregate applies. 30 days notice of cancellation applies subject to the terms and conditions of forms CG DO 37 04 05, CG D4 58 07 13, CG b11. 06 06 06 and CA T4 20 02 15 attached. CERTIFICATE HOLDER CANCELLATION nclary@KentWA.gov SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Kent Corrections Facility THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1230 South Central Ave ACCORDANCE WITH THE POLICY PROVISIONS. Kent, WA 98032 AUTHORIZED REPRESENTATIVE Sean King/MIPARK ©1588.2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD I NS025 r2ntanil 680-8G749162 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. XTEND ENDORSEMENT FOR COMMERCIAL INDUSTRIES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART GENERAL DESCRIPTION OF COVERAGE—This endorsement broadens coverage. However; coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to this Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. Broadened Named Insured J.. Bodily Injury To Go-Employees And Co-Volunteer B. Blanket Additional insured—Broad Form Vendors Workers C. Damage To Premises Rented To You K. Aircraft Chartered With Crew Perils of fire, explosion, lightning, smoke, L. Non-Owned Watercraft—Increased From 25 Feet water To 50 Feet, Limit increased to$300,000 M. Increased Supplementary Payments D. Blanket Waiver Of Subrogation Cost of bail bonds increased to $2,500 E. Blanket;Additional Insured — Owners, Managers Loss of earnings increased to $500 per day Or Lessors Of Premises F. Blanket Additional Insured.— Lessors Of Leased N. Medical Payments—Increased Limit Equipment O. Knowledge And Notice Of Occurrence Or Offense G. Incidental Medical Malpractice P. Unintentional Omission H. Personal Injury—Assumed By Contract Q. Reasonable Force — Bodily Injury Or Property I. Amended Bodily Injury Definition Damage PROVISIONS B. BLANKET ADDITIONAL INSURED - BROAD A. BROADENED NAMED INSURED FORM VENDORS 1. The following is added to SECTION II—WHO The following is added to SECTION 11 —WHO IS IS AN INSURED: AN INSURED: Any organization, other than a partnership or Any person or organization that is a vendor and joint venture, over which you maintain owner- that you have agreed in a written contract or ship or majority interest on the effective date agreement to include as an additional insured on of the policy qualifies as a Named Insured. this Coverage Part is an insured, but only with re- However, coverage for any such organization spect to liability for "bodily injury" or "property will cease as of the date during the policy pe- damage"that: rind that you no longer maintain ownership of,or majority interest In, such organization. a. Is caused by an "occurrence"that takes place 2. The following replaces Paragraph 4.a. of after you have signed and executed that con- SECTION II—WHO IS AN INSURED: tract or agreement; and a. Coverage under this provision is afforded b. Arises out of"your products" which are dis- only until the 180th day after you acquire tributed or sold in the regular course of such or form the organization or the end of the vendors business. policy period, whichever is earlier, unless The insurance provided to such vendor is subject reported in writing to us within 180 days. to the following provisions: i I CG D4 58 07 13 C 2013 The Travelers Indemnity Company.All rights reserved. Page 1 of 7 Includes copyrighted material of insurance Services Office,Inc.with its permission. 680-8G749162 COMMERCIAL GENERAL LIABILITY a. The limits of insurance provided to such ven- JURY AND PROPERTY DAMAGE LIABIL. dor will be the limits which you agreed to pro- ITY: vide in the written contract or agreement, or Exclusions c.through n. do not apply to dam- the limits shown in the Declarations of this age to premises while rented to you, ortem- Coverage Part, whichever are less. porarily occupied by you with permission of b. The insurance provided to such vendor does the owner, caused by: not apply to: a, Fire; (1) "Bodily injury" or "properly damage" for b. Explosion; which the vendor is obligated to pay c. Lightning; damages by reason of the assumption of liability in a contract or agreement. This d. Smoke resulting from such fire, explosion, exclusion does not apply to liability for or lightning;or damages that the vendor would have in e. Water. the absence of the contract or agreement; A separate limit of insurance applies to such (2) Any express warranty unauthorized by damage to premises as described In. Para- you; graph 6. of Section III —Limits Of Insurance. (3) Any physical or chemical change in "your This Insurance does not apply to damage to products" made intentionally by such premises while rented to you; or temporarily vendor, occupied by you with permission of the (4) Repackaging, unless unpacked solely for owner,caused by: the purpose of inspection, demonstration, a. Rupture, bursting, or operation of pres- testing, or the substitution of parts under sure relief devices; instructions from the manufacturer, and b. Rupture or bursting due to expansion or then repackaged in the original container, swelling of the contents of any building or (5) Any failure to make such inspections, ad- structure, caused by or resulting from wa- justments, tests or servicing as vendors ter; agree to perform or normally undertake to c. Explosion of steam boilers, steam pipes, perform In the.regular course of business, steam engines, or.steam turbines. in connection with the distribution or sale of"your products 2. The following replaces Paragraph G. of SEC- (6) Demonstration, installation, servicing or TION III—LIMITS OF INSURANCE: �=- repair operations, except such operations Subject to S. above, the Damage To Prem- a� performed at such vendor's premises in ises Rented To You Limit is the most we will connection with the sale of "your prod- pay under Coverage A for damages because ucts" or of "property damage" to any one premises (7) "Your products"which, after distribution or while rented to you, or temporarily occupied j sale by you, have been labeled or vela- by you with permission of the owner, caused "= beletl or used as aeon#ainer, pan or in- by fire; explosion; .lightning smoke resulting gredient of any other thing or substance from such fire, explosion, or lightning; or wa- by or for such vendor. ter, The Damage To Premises Rented To —_ Coverage under this provision does not apply to: You Limit will apply to all damage proximately °— caused by the same "occurrence', whether a. Any person or organization from whom you °= such damage results from fire; explosion; have acquired "your products", or any ingre- dient, part or container entering into, accom- lightning; smoke resulting from such fire, ex- panying or containing such products; or plosion, lightning; wafer; or any combine- Lion of any of these. b. Any vendor for which coverage as an addi- The Damage To Premises Rented To You tional insured specifically is scheduled by en- Limit will be the higher of: j dorsement, C. DAMAGE TO PREMISES RENTED TO YOU a. $300,000; or ® 1. The following replaces the last paragraph of b. The amount shown on the Declarations of Paragraph 2., Exclusions, of SECTION I - this Coverage Part for Damage To Prem- COVERAGES - COVERAGE A BODILY 1N- ises Rented To You Limit. Page 2 of 7 (�2013 The Travelers Indemnity company.All rights reserved. CG D4 58 07 13 Includes copyrighted material of Insurance Services Office,Inc,Win Its permission. nneoee 680-8G749162 COMMERCIAL GENERAL LIABILITY 3. The following replaces Paragraph a. of the a. is °bodily injury" or"property damage" caused definition of "insured contract" in the DEFINI- by an "occurrence" that takes place, or "per- TIONS Section: serial injury" or `advertising injury" caused by a. A contract for a lease of premises, How- an offense that is committed, after you have ever, that portion of the contract for a signed and executed that contract or agree- lease of premises that indemnifies any ment; and person or organization for damage to b. Arises out of the ownership, maintenance or premises while rented to you, or tempo- use of that pail of any premises leased to rarily occupied by you with permission of you. the owner,caused by: The insurance provided to such premises owner, (1) Fire; manager or lessor is subject to the following pro- visions: (2) Explosion; a. the limits of insurance provided to such (3) Lightning; premises owner, manager or lessor will be (4) Smoke resulting from such fire, ex- She limits which you agreed to provide in the plosion,or lightning; or written contract or agreement, or the limits [Sj Water. shown on the Declarations of this Coverage Part, whichever are less. is not an "insured contract"; b. The insurance provided to such premises 4. The following replaces Paragraph 4.b.(1)(b) owner, manager or lessor does not apply to: of SECTION IV— COMMERCIAL GENERAL (1) "Bodily injury" or "property damage" LIABILITY CONDITIONS: caused by an "occurrence" that takes (b) Thai is insurance for premises rented to place, or"personal injury" or "advertising you, or temporarily occupied by you with injury" caused by an offense that is com- the permission of the owner mitted, after you cease to he a tenant in D. BLANKET WAIVER OF SUBROGATION that premises or (2) Structural alterations, new construction or The following is added to Paragraph 8.,Transfer demolition operations performed by or on Of Rights Of Recovery Against Others To Us, behalf of such premises owner, manager of SECTION IV — COMMERCIAL GENERAL LI- or lessor. ABILITY CONDITIONS; c. The insurance provided to such premises We waive any right of recovery we may have owner, manager or lessor is excess over any against any person or organization because of valid and collectible other insurance available payments we make for injury or damage arising to such premises owner, manager or lessor, out of premises owned or occupied by or rented unless you have agreed in a written contract or loaned to you; ongoing operations performed for this insurance to apply on a primary or by you or on your behalf, done under a contract contributory basis. with that person or organization; "your work"; or F. BLANKET ADDITIONAL INSURED— LESSORS .your products". We waive this right where you OF LEASED EQUIPMENT have agreed to do so as part of a written contract, The following Is added to SECTION 11 —WHO IS executed by you prior to loss. AN INSURED: E. BLANKET ADDITIONAL INSURED —OWNERS, Any person or organization that is an equipment MANAGERS OR LESSORS OF PREMISES lessor and that you have agreed in a written con- The following is added to SECTION it —WHO IS tract or agreement to include as an additional in- AN INSURED: sured on this Coverage Part is an insured, but Any person or organization that is a premises only,with respect to liability for "bodily injury", owner, manager or lessor and that you have property damage", "personal injury" or "adveriis- ing injury"that: agreed in a written contract or agreement to a. Is name as an additional insured on this Coverage Is"bodily injury"or"property damage' caused Part is an insured, but only with respect to liability an "occurrence" that takes place, or 'per- for "bodily injury", "property damage", "personal sonal injury" or "advertising injury" caused by injury" or"advertising injury"that: an offense that is committed, after you have CG D4 58 07 13 ®2013 The Travelers Indemnity Company.All rights reserved, Page 3 of 7 Includes copyrighted material of Insurance Services Office,Inc.with its permission. 680-8G749162 COMMERCIAL GENERAL LIABILITY signed and executed that contract or agree- 3. The following is added to Paragraph 2.a.(1) of ment; and SECTION II-WHO IS AN INSURED: b. Is caused, in whole or in part, by your acts or Unless you are in the business or occupation omissions in the maintenance, operation or of providing professional health care services, use by you of equipment leased to you by Paragraphs (1)(a), (b), (c) and (d) above do such equipment lessor. not apply to any "bodily injury" arising out of provided to such equipment lessor any providing or failing to provide "incidental The insurance Pmedical services" by any of your"employees", Is subject to the following provisions; other than an employed doctor. Any such a. The limits of insurance provided to such employees" providing or failing to provide equipment lessor will be the limits which you "incidental medical services" during their work agreed to provide in the written contract or hours for you will be deemed to be acting agreement, or the limits shown on the Decla- within the scope of their employment by you rations of this Coverage Part, whichever are or performing duties related to the conduct of less. your business. b. The insurance provided to such equipment 4. The following exclusion is added to Para- lessor does not apply to any "bodily injury" or graph 2., Exclusions, of SECTION I -COV- prope ty damage"caused by an"occurrence" ERAGES -COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY: that takes place; or "personal injury" or "ad- vertising injury" caused by an offense that is Sale of Pharmaceuticals committed, after the equipment lease expires. "Bodily injury" or "property damage" arising c. The insurance provided to such equipment out of the willful violation of a penal statute or lessor is excess over any valid and collectible ordinance relating to the sale of pharmaceuti- other insurance available to such equipment cats committed by, or with the knowledge or lessor, unless you have agreed in a written consent of,the insured. contract for this Insurance to apply on a pri- 5. The following is added to Paragraph 5. of mary or contributory basis. SECTION III-LIMITS OF INSURANCE: G. INCIDENTAL MEDICAL MALPRACTICE For the purposes of determining the appiica- 1. The Following is added to the definition of"do- ble Each Occurrence Limit, all related acts oromissions committed in the providing or fall- eurrence" in the DEFINITIONS Section: ing to provide "incidental medical services" to Unless you are in the business or occupation any one person will be considered one "ac- o of providing professional health care services, eurrence". — "occurrence" also means an act or omission 6. The following is added to Paragraph 4.b., Ex- committed in providing or failing to provide cess insurance, of SECTION IV - COM- "incidental medical services" to a person. MERCIAL GENERAL LIABILITY CONDI- ° 2. The following is added to the DEFINITIONS TIONS: Section: This Insurance is excess over any valid and - <= collectible other insurance, whether primary, "Incidental medical services" means: excess, contingent or on any other basis, that o a. Medical, surgical,dental, laboratory,x-ray is available to any of your "employees" for or nursing service or treatment, advice or "bodily injury" that arises out of providing or instruction, or the related furnishing of failing to provide "incidental medical services" "-_ food or beverages; to any person to the extent not Subject to b. The furnishing or dispensing of drugs or Paragraph 2.a.(1) of SECTION II - WHO IS medical, dental, or surgical supplies or AN INSURED. appliances; H. PERSONAL INJURY -'ASSUMED BY CON- c. First aid; or TRACT d. "Good Samaritan services". 1. The following replaces Exclusion e.,Contrac- tual Liability, in Paragraph 2. of SECTION I "Good Samaritan services" means any emer- - COVERAGES - COVERAGE B PER- - gency medical services for which no compen- SONAL AND ADVERTISING INJURY LI- sation is demanded or received. ABILITY: Page 4 of 7 ©2013 The Travelers Indemnify company.All rights reserved. CG D4 58 07 13 Includes copyrighted material of Insurance Services office,Inc.with its permission. oagp46 680-8G749162 COMMERCIAL GENERAL LIABILITY e. Contractual Liability the insured and the interests of the in- "Personal injury"or"advertising Injury" for demnitee; which the insured is obligated to pay 4. The following replaces the first subparagraph damages by reason of the assumption of of Paragraph f. of the definition of "insured liability in a contract or agreement. This contract" in the DEFINITIONS Section: exclusion does not apply to: f. That part of any other contract or agree- (1) Liability for damages that the insured ment pertaining to your business (includ- would have in the absence of the ing an indemnification of a municipality in contract or agreement; or connection with work performed for a municipality) under which you assume the (2) Liability for damages because of injury" assumed in a con- tort liability of another party to pay for 'personalJ ry" "bodily injury," "property damage" or"per- tract or agreement that is an "insured sonal injury"to a third person ororganiza- contract', provided that the "personal tion. Tort fv ity means a liability tftpt injury" is caused by an offense com- would be imposed by law in the absence mitted subsequent to the execution of of any contract or agreement. the contract or agreement. Solely for L AMENDED BODILY INJURY DEFINITION the purposes of liability assumed in an "insured contract, reasonable at- The following replaces the definition of 'bodily in- torneys fees and necessary litigation jury"In the DEFINITIONS Section: expenses incurred by or for a party "Bodily injury" means bodily injury,, mental an- other than an Insured will be deemed guish, mental injury, shock, fright, disability, hu- to be damages because of "personal miliation, sickness or disease sustained by a per- injury", provided that; son, including death resulting from any of these at (a) Liability to such party for, or for any time. the cost of, that party's tlefense J. BODILY INJURY TO CO-EMPLOYEES AND has also been assumed in the CO-VOLUNTEER WORKERS same "insured contract";and The following is added to Paragraph 2.a.(1) of (b) Such attorney fees and litigation SECTION 11—WHO IS AN INSURED: expenses are for defense of that Paragraph (1)(a) above does not apply to "bodily party against a civil or alternative injury"to a co-"employee"in the course of the co- dispute resolution proceeding in "employee's" employment by you or performing which damages to which this in- duties related to the conduct of your business, or surance applies are alleged. to "bodily Injury"to your other"volunteer workers" 2. The following replaces the third sentence of while performing duties related to the conduct of Paragraph 2. of SUPPLEMENTARY PAY- your business. MENTS—COVERAGES A AND B: K. AIRCRAFT CHARTERED WITH CREW Notwithstanding the provisions of Paragraph The following Is added to Exclusion g., Aircraft, 2.b:(2) of Section I—Coverage A— Bodily In- Auto Or Watercraft, in Paragraph 2.of SECTION I — COVERAGES -COVERAGE A BODILY IN- jury And Property Damage Liability or Para- JURY AND PROPERTY DAMAGE LIABILITY: graph 2.e. of Section 1 - Coverage B — Per- This exclusion does not apply to an aircraft that sonal and Advertising Injury Liability, such payments will not be deemed to be damages s' because of 'bodily Injury", "property damage" (a) Chartered with crew to any insured; or "personal injury", and will not reduce the (b) Not owned by any insured; and limits of insurance, I (c) Not being used to carry any person or prop- 3. The following replaces Paragraph 2.d. of erty for a charge. SUPPLEMENTARY PAYMENTS — COVER- L. NON-OWNED WATERCRAFT AGES AAND B: 1. The following replaces Paragraph (2) of Ex- d. The allegations in the "suit" and the in- clusion g., Aircraft, Auto Or Watercraft, in formation we know about the "occur- Paragraph 2. of SECTION I — COVERAGES rence"or offense are such that no conflict — COVERAGE A BODILY INJURY AND appears to exist between the Interests of PROPERTY DAMAGE LIABILITY: CG 04 58 07 13 02013 The Travelers Indemnify Company.All rights reserved. Page 5 of 7 Includes copyrighted material of Insurance Services Office,Inc, with Its permission. COMMERCIAL GENERAL LIABILITY 680-8G749162 (2) A watercraft you do not oven that is: e. The following provisions apply to Paragraph (a) Fifty feet long or less; and a. above, but only for the purposes of the in- surance provided under this Coverage Part to (b) Not being used to carry any person or you or any insured listed in Paragraph 1. or 2. property for a charge. of Section II-Who Is An Insured: 2. The following is added to Paragraph 2, of SECTION II-WHO IS AN INSURED: (1) Notice to as of such "occurrence" ct of- fense must be given as soon as practica- Any person or organization that, with your ex- ble only after the "occurrence" or offense press or implied consent, either uses or is re- is known to you (if you are an individual), sponsible for the use of a watercraft that you any of your partners or members who is do not own that is: an individual (if you are a partnership or 11) Fifty feel long or less; and joint venture), any of your managers who (2) Not being used to carry any person or is an individual (if you are a limited liability property for a charge, company), any of your trustees who is an M. INCREASED SUPPLEMENTARY PAYMENTS individual (if you are a trust), any of your "executive officers" or directors(if you are 1. The following replaces Paragraph 1.11g. of an organization other than a partnership, SUPPLEMENTARY PAYMENTS - COVER- joint venture, limited liability company or AGES A AND B of SECTION I - COVER- trust) or any 'employee* authorized by AGES: you to give notice of an "occurrence" or It. Up to S2,500 for cost of bail bonds re- offense. quired because of accidents or traffic law (2) if you are a partnership, joint venture, Ilm- violatiens arising out of the use of any iced liability company ortrust, and none of vehicle to which the Bodily Injury Liability your partners, joint venture members, Coverage applies. We do not have to fur- managers or trustees are individuals, no- nish these bonds. tice to us of such "occurrence" or offense 2. The following replaces Paragraph 1.d. of must be given as soon as practicable only SUPPLEMENTARY PAYMENTS - COVER- after the"occurrence"or offense is known AGES A AND B of SECTION I - COVER- by: AGES: (a) Any individual who is: d. All reasonable expenses incurred by the insured of our request to assist us in the (i) A partner or member of any part- - investigation or defense of the claim or nership or joint venture; "suit", including actual loss of earnings up (ii) A manager of any limited liability to $500 a day because of time off from company; work. (iii)Atrustee of any trust; or N. MEDICAL PAYMENTS-INCREASED LIMIT (iv)An executive officer or director of The following replaces Paragraph 7. of SECTION any other organization; III-LIMITS OF INSURANCE: that is your partner, joint venture 7. Subject to 6, above, the Medical Expense member, manager or trustee; or Limit is the most we will pay under Coverage C. for all medical expenses because of "bod- (b) Any "employee" authorized by such ily injury" sustained by any one person, and partnership, joint venture, limited li- ability company, trust or other Drganl- will be the higher of: —- zation to 'give notice of an 'occur- (a) $10,000; or rence" or offense. (b) The amount shown on the Declarations of this Coverage Part for Medical Expense (�) Notice to us of such "occurrence a or of- Limit fense wilt be.deemed to he given as soon as practicable if it is given in good faith as O. KNOWLEDGE AND NOTICE OF OCCUR- soon as practicable to your workers' '— RENCE OR OFFENSE compensation insurer. This applies only if The following is added to Paragraph 2., Duties In you subsequently give notice to us of the The Event of Occurrence, Offense, Claim or "occurrence" or offense as soon as prao- Suit, of SECTION IV - COMMERCIAL GEN- ticable after any of the persons described ERAL LIABILITY CONDITIONS: In Paragraphs e.(1) or (2) above discov- Page 6 of 7 ®2013 The Travelers Indemnity company,All rights reserved. CG D4 58 D7 13 Includes copyrighted material of Insurance Services Office,Inc,with its permission. 004046 COMMERCIAL GENERAL LIABILITY 680-8G749162 ers that the "occurrence" or offense may your rights under this insurance. However, this result in sums to which the insurance provision does not affect our right to collect addi- provided under this Coverage Part may tional premium or to exercise our rights of cancel-, apply.. lation or nonrenewal in accordance with applica- However, If this policy includes an endorse- ble insurance laws or regulations, ment that provides limited coverage for "bod- Q REASONABLE FORGE — BODILY INJURY OR ily injury" or "property damage' or pollution REAS PROPERTY DAMAGE costs arising out of a discharge, release or escape of 'pollutants" which contains a re- The following replaces Exclusion a., Expected Or qufremeht that the discharge, release or es- Intended Injury, in Paragraph 2. of SECTION I— cape of "pollutants" must be reported to us COVERAGES -- COVERAGE A BODILY IN- within a specific number of days after its JURY AND PROPERTY DAMAGE LIABILITY: abrupt commencement, this Paragraph e. does not affect that requirement. a. Expected or Intended Injury or Damage P. UNINTENTIONAL OMISSION "Bodily injury" or"property damage"expected The following is added to Paragraph 6., Repre. or intended from the standpoint of the in- sentations, of SECTION IV — COMMERCIAL sured. This exclusion does not apply to °bod- GENERAL LIABILITY CONDITIONS: ily injury" or "property damage" resulting from The unintentional omission of, or Unintentional ar- the use of reasonable force to protect any ror in, any information provided by you which we Person or property. relied upon in issuing this policy will not prejudice CG 04 58 07 13 LLD 2013 The Travelers Indemnity company.All rights reserved. Page 7 of 7 Includes copyrighted material of Insurance Services Office,Inc.with its permission. i 680-8G749162 OOMMERCIALGENERA11 UA®IU—Y THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, OTHER INSURANCE - ADDITIONAL INSUREDS This andorsemant modtries insurance provided under the fu1owing: r.nmmFRGIAI r;FNFRAI I IARII ITY COVFRACdF PAR PROVISIONS It. The'pemonal In)dry-or"adveriist injury"for COMMERCIAL GENERAL UA81LITY CCNDITIONS Which coverage Is sought arises t)ul of an of- (Section N), Paragraph 4. (other Insurance), is tense committee amended aB loRows: subsequprd to the slgning and exQCWOn Of that 1. The following Is ached to Paragraph a. Prtlnutr coetrati or4reerrmt by you. Insurance: 2, The first Subparagraph (2) of Pa(Kl 0 b, Ex- _ However,if you sped t caly agree in a wMlen can less insurance regarding any otherif rrlmary in- tract or written agreement that the insurance pro- aurence available to you is deleted, vided to an additional Insured order this 3. The following is added to Faragraph b. Excess Coyerage.Part must apply on a primary basis, or Insurance, as an additional subparaWaph under a pnmery and non-conirlbutgry basis, this insurr, Subparagraph(1): once Is primary to other lnsuran00 that IS Vail- That is available to the insured whcn ha insured able to such additional insured which covers such is Wed as an additional Insured und�r any other addltonal Insured as a named insured, and we pDltcy, Indudiag arty umbrellaArexce poliq. will not share with that other Insurance, provided that: a. The ''bcdiN Injury" or "p'operty damage" for which Coverage is sought 4ocurs;and it CC Da 37 0405 .opyrlght 20OS The St.Paul Travelers Cornowles,Inc.All rights ros4,ve d PaOe t of 1 BA8G759327 COMMERCIAL AUTO I, THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AUTO COVERAGE PLUS ENDORSEMENT This endorsement modifies Insurance provided under the following: BUSINESS AUTO COVERAGE FORM GENERAL DESCRIPTION OF COVERAGE—This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to the Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. BLANKET ADDITIONAL INSURED H. AUDIO, VISUAL AND DATA ELECTRONIC B. EMPLOYEE HIRED AUTO EQUIPMENT—INCREASED LIMIT C. EMPLOYEES AS INSURED 1. WAIVER OF DEDUCTIBLE—GLASS D. SUPPLEMENTARY PAYMENTS — INCREASED J. PERSONAL PROPERTY LIMITS K. AIRBAGS E. TRAILERS—INCREASED LOAD CAPACITY L. AUTO LOAN LEASE GAP F. HIRED AUTO PHYSICAL DAMAGE M. BLANKET WAIVER OF SUBROGATION G. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES—INCREASED LIMIT A. BLANKET ADDITIONAL INSURED performing duties related to the conduct of The following is added to Paragraph A.1.,Who Is your business. An Insured,of SECTION 11—COVERED AUTOS 2. The following replaces Paragraph b. in B.5., LIABILITY COVERAGE: Other Insurance, of SECTION IV — BUSI- Any person or organization who is required under NESS AUTO CONDITIONS: a written contract or agreement between you and b. For Hired Auto Physical Damage Cover- that person or organization, that is signed and age, the following are deemed to be cov- executed by you before the "bodily injury" or ered "autos"you own: "property damage" occurs and that is in effect (1) Any covered "auto" you lease, hire, during the policy period, to be named as an addi- rent or borrow; and tional insured is an "insured" for Covered Autos auto" hired or rented by Liability Coverage, but only for damages to which (2) An covered "auto" this insurance applies and only to the extent that Your c"employee",, person or organization qualifies as an "insured" an "employee's"under a contract in name, with your under the Who Is An Insured provision contained permission, while performing duties in Section II. related to the conduct of your busi- ness. B. EMPLOYEE HIRED AUTO However, any"auto" that is leased, hired, 1. The following is added to Paragraph A.1., rented or borrowed with a driver is not a Who Is An Insured, of SECTION 11 — COV. covered "auto". ERED AUTOS LIABILITY COVERAGE: C. EMPLOYEES AS INSURED An "employee" of yours is an "insured" while The following is added to Paragraph A.1., Who Is operating a covered "auto" hired or rented An Insured, of SECTION 11—COVERED AUTOS under a contract or agreement in an "em- ployee's" name, with your permission, while CA T4 20 02 15 ©2015 The Travelers Indemnity company.All rights reserved. Page 1 of 3 Includes copyrighted material of Insurance Services Office,Inc.with its permission. - i I BA8G759327 COMMERCIAL AUTO Any"employee" of yours is an "insured"while us- (2) An adjustment for depreciation and physical ing a covered "auto"you don't own, hire or borrow condition will be made in determining actual in your business or your personal affairs. cash value in the event of a total"loss". D. SUPPLEMENTARY PAYMENTS — INCREASED (3) if a repair or replacement results in better LIMITS than like kind or quality,we will not pay for the 1. The following replaces Paragraph A.2.a.(2) of amount of betterment. SECTION II—COVERED AUTOS LIABILITY (4) A deductible equal to the highest Physical COVERAGE: Damage deductible applicable to any owned (2) Up to $3,000 for cost of bail bonds (in- covered "auto". cluding bonds for related traffic law viola- (5) This Coverage Extension does not apply to: tions) required because of an "accident" (a) Any "auto" that is hired, rented or bor- we cover. We do not have to furnish rowed with a driver; or these bonds. (b) Any "auto" that is hired, rented or bor- 2. The following replaces Paragraph A.2.a.(4) of rowed from your"employee". SECTION 11—COVERED AUTOS LIABILITY G. PHYSICAL DAMAGE — TRANSPORTATION COVERAGE: EXPENSES—INCREASED LIMIT (4) All reasonable expenses incurred by the "Insured" at our request, including actual The following replaces the first sentence in Para- oss of earnings up to $500 a day be- graph A.4.a., Transportation Expenses, of cause of time off from work. SECTION III — PHYSICAL DAMAGE COVER- AGE: E. TRAILERS—INCREASED LOAD CAPACITY We will pay up to $50 per day to a maximum of The following replaces Paragraph C.I. of SEC- $1,500 for temporary transportation expense in- TION I—COVERED AUTOS: curred by you because of the total theft of a cov- 1. "Trailers" with a load capacity of 3,000 ered"auto"of the private passenger type. pounds or less designed primarily for travel H. AUDIO, VISUAL AND DATA ELECTRONIC on public roads. EQUIPMENT—INCREASED LIMIT F. HIRED AUTO PHYSICAL DAMAGE Paragraph C.1.b. of SECTION III — PHYSICAL The following is added to Paragraph AA., Cover- DAMAGE COVERAGE is deleted. age Extensions, of SECTION III — PHYSICAL I. WAIVER OF DEDUCTIBLE—GLASS DAMAGE COVERAGE: The following is added to Paragraph D., Deducti- Hired Auto Physical Damage Coverage ble, of SECTION III — PHYSICAL DAMAGE If hired "autos" are covered "autos" for Covered COVERAGE: Autos Liability Coverage but not covered "autos" No deductible for a covered "auto" will apply to for Physical Damage Coverage, and this policy glass damage if the glass is repaired rather than also provides Physical Damage Coverage for an replaced. owned "auto", then the Physical Damage Cover- d, PERSONAL PROPERTY age is extended to "autos" that you hire, rent or The following is added to Paragraph AA., Cover. borrow subject to the following: age Extensions, of SECTION III — PHYSICAL (1) The most we will pay for "loss" to any one DAMAGE COVERAGE: "auto" that you hire, rent or borrow is the Personal Property Coverage lesser of: We will pay up to $400 for "loss" to wearing ap- (a) $50,000: parel and other personal property which is: (b) The actual cash value of the damaged or (1) Owned by an "insured"; and stolen property as of the time of the (2) In or on your covered "auto". "loss"; or This coverage only applies in the event of a total (c) The cost of repairing or replacing the theft of your covered "auto". damaged or stolen property with other No deductibles apply to Personal Property cover- property of like kind and quality. age. Page 2 of 3 ©2015 The Travelers Indemnity company. All rights reserved. CA T4 20 02 15 Includes copyrighted material of Insurance Services office,Inc.with its permission. BA8G759327 COMMERCIAL AUTO K. AIRBAGS (2) Any. The following is added to Paragraph B.3., Exclu- (a) Overdue lease or loan payments at the sions, of SECTION III — PHYSICAL DAMAGE time of the"lass"; COVERAGE: (b) Financial penalties imposed under a Exclusion 3.a, does not apply to "loss" to one or lease for excessive use, abnormal wear more airbags in a covered "auto" you own that in- and tear or high mileage; flate due to a cause other than a cause of "loss" (c) Security deposits not returned by the les- set forth in Paragraphs A.1.b. and A.1.c., but sor; only: a. If that "auto" is a covered "auto"for Compre- (d) Costs for extended warranties, Credit Life hensive Coverage under this policy; Insurance, Health, Accident or Disability Insurance purchased with the loan or b. The airbags are not covered under any war- lease; and ranty;and (e) Carry-over balances from previous loans c. The airbags were not intentionally inflated. or leases. We will pay up to a maximum of $1,000 for any M. BLANKET WAIVER OF SUBROGATION one"loss". The following replaces Paragraph A.S., Transfer l L. AUTO LOAN LEASE GAP Of Rights Of Recovery Against Others To Us, The following is added to Paragraph AA., Cover- of SECTION IV — BUSINESS AUTO CONDI- age Extensions, of SECTION III — PHYSICAL TIONS: DAMAGE COVERAGE: 5. Transfer Of Rights Of Recovery Against Auto Loan Lease Gap Coverage for Private Others To Us Passenger Type Vehicles We waive any right of recovery we may have In the event of a total "loss"to a covered"auto"of against any person or organization to the ex- the private passenger type shown in the Schedule tent required of you by a written contract axe- or Declarations for which Physical Damage Cov- cuted prior to an 'accident" or "lass", pro- due is provided,we will pay any unpaid amount p y due on the lease or loan for such covered "auto" vided that the"accident"or"loss"arises out of less the following: the operations contemplated by such con- (1) The amount paid under the Physical Damage tract.The waiver applies only to the person or Coverage Section of the policy for that"auto"; organization designated in such contract. and _ I CA T4 20 02 15 ©2015 The Travelers Indemnity Company.All rights reserved. Page 3 of 3 Includes copyrighted material of Insurance Services Office,Inc.with Its permission, 680-8G749162 COMMERCIAL GENERAL LIABILITY POLICY NUMBER: ISSUE.DATE: _ THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY TOTAL GENERAL AGGREGATE LIMIT DESIGNATED PROJECT(S) - GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Total General Aggregate Limit: $ Designated Project(s): Each "project" for which you have agreed, In a written contract which is In effect during this policy period, to provide a separate General Aggregate Limit; provided that, the contract is signed and executed prior to any loss for which coverage Is sought. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. The Total General Aggregate Limit stated in the for all medical expenses caused by accidents Schedule above is the most we will pay for the under COVERAGE C(SECTION 1), which can be sum of all: attributed only to operations at a single desig- 1. Medical Expenses under COVERAGE C Hated"project"shown in the Schedule above: (SECTION 1); 1. A separate Designated Project General Ag- 2. Damages under COVERAGE A(SECTION 1), gregate Limit applies to each designated except damages because of"bodily injury" or project", and that limit is equal to the amount "property damage" included in the"products- of the General Aggregate Limit shown In the Declarations. completed operations hazard"; and 2. Subject to the Total General Aggregate Limit 3, Damages under COVERAGE B (SECTION 1) stated in the Schedule above,the Designated regardless of the number of: Project General Aggregate Limit is the most a. Insureds; we will pay for the sum of all damages under COVERAGE A, except damages because of b. Claims made or"suits"brought; "bodily injury" or"property damage" included c. Persons or organizations making claims in the "products-completed operations haz- or bringing"suits"; or and", and for medical expenses under d. Designated "projects" in the SCHEDULE COVERAGE C regardless of the number of.. above. a. Insureds; B. For all sums which the insured becomes legally b. Claims made or"suits"brought;or obligated to pay as damages caused by "occur- rences" under COVERAGE A (SECTION 1), and CG M1 06 06 06 Q 2005 The Travelers cnmpanles,Inc, Page 1 of 2 680-8G749162 COMMERCIAL GENERAL LIABILITY c, Persons or organizations making claims To Premises Rented To You and Medical Ex- or bringing"suits", pense continue to apply. 3. Any payments made under COVERAGE A D. Part 2. of SECTION III — LIMITS OF for damages or under COVERAGE C for INSURANCE is deleted and replaced by the fol- medical expenses shall reduce both the Total lowing: General Aggregate Limit stated in the Sched- 2. The General Aggregate Limit is the most we ule above, and the Designated Project Gen- will pay for the sum of: eral Aggregate Limit for that designated "pro- a. Damages under COVERAGE B; and jeer. Such payments shall not reduce the General Aggregate Limit shown in the Decla- b. Damages from "occurrences" under rations nor shall they reduce any other Des- COVERAGE A (SECTION 1) and for all ignated Project General Aggregate Limit for medical expenses caused by accidents any other designated "project" shown In the under COVERAGE C (SECTION I)which Schedule above. cannot be attributed only to operations at 4. The limits shown in the Declarations for Each a single designated"project"shown In the Occurrence, Damage To Premises Rented SCHEDULE above. To You and Medical Expense continue to ap- E. When coverage for liability arising out of the ply. However, instead of being subject to the "products-completed operations hazard" is pro- General Aggregate Limit shown in the Decla- vided, any payments for damages because of rations, such limits will be subject to both the "bodily injury" or "property damage" included in Total General Aggregate Limit stated In the the "products-completed operations hazard" will Schedule above, and the applicable Desig- reduce the Products-Completed Operations Ag- nated Project General Aggregate Limit. gregate Limit, and not reduce the Total General C. For all sums which the Insured becomes legally Aggregate Limit stated in the Schedule above, obligated to pay as damages caused by "occur- the General Aggregate Limit, or the Designated rences" under COVERAGE A (SECTION I), and Project General Aggregate Limit. for all medical expenses caused by accidents F. For the purposes of this endorsement the under COVERAGE C (SECTION 1), which cannot Definitions Section is amended by the addition of be attributed only to operations at a single desig- the following definition: nated"project"shown In the Schedule above: "Project" means an area away from premises 1. Any payments made under COVERAGE A owned by or rented to you at which you are per- for damages or under COVERAGE C for forming operations pursuant to a contract or medical expenses shall reduce the amount agreement. For the purposes of determining the available under the Total General Aggregate applicable aggregate limit of insurance, each Limit stated In the Schedule above and the "project" that includes premises involving the General Aggregate Limit, or the Products- same or connecting lots, or premises whose con- Completed Operations Aggregate Limit, nection is interrupted only by a street, roadway, whichever is applicable; and waterway or right-of-way of a railroad shall be 2. Such payments shall not reduce any Desig- considered a single"project". nated Project General Aggregate Limit. G. The provisions of LIMITS OF INSURANCE As respects this Provision C., the limits shown in (SECTION III) not otherwise modified by this en- the Declarations for Each Occurrence, Damage dorsement shall continue to apply as stipulated. Page 2 of 2 0 2005 The Travelers Companies,Inc. CG M1 06 06 06 City of Kent Business License KENT WAS"IN OTC WASINGTON AUTOMATED INC S801 23RD DR W STE 103 EVERETT,WA 98203 I I i Please tear at perforation i I l sales BUSINESS LICENSE Per Rcw t Must be coded and use tax must be coded LICENSE MUST BE RENEWED ANNUALLY BY No.I715 for all qualified j ® JANUARY 31 TO AVOID PENALTY sales within the city of KENT Issuance of License Does Not Imply Licensee's Kent. We s NIN a TON Compliance with State and Local Laws THIS LICENSE MUST BE POSTED IN A CONSPICUOUS Year ; 2016 PLACE.NOT TRANSFERABLE OR ASSIGNABLE i NAME AND ADDRESS OF BUSINESS BLOC-2160953 i WASHINGTON AUTOMATED INC MAYOR 5801 23RD DR W STE 103 The City Of Kent EVERETT,WA98203 nlzzsarxnvssn %BNT,WASHINGION 9B102