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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: Outcomes By Levy, LLC
Vendor Number: 36009
JD Edwards Number
Contract Number: A Dlip -- H�3
This is assigned by City Clerk's Office
Project Name: 2017-2018 Lobbying Consultant Services
Description: ❑ Interlocal Agreement ❑ Change Order ❑ Amendment ® Contract
❑ Other:
Contract Effective Date: January 1, 2016 Termination Date: December 30, 2018
Contract Renewal Notice (Days): 30 days
Number of days required notice for termination or renewal or amendment
Contract Manager: Michelle Wilmot Department: Administration
Contract Amount: $69,600.00 for 2017 and $72,000.00 for 2018, plus expenses
Approval Authority: (CIRCLE ONE) Department Director Mayor City Council
Detail: (i.e. address, location, parcel number, tax id, etc.):
Lobbying Services provided by Outcomes by Levy, LLC, organized under the laws of the
State of Washington, located and doing business at 15619 62nd Place NE, Kenmore, WA
98028.
As of: 08/27/14 '..
I
ET
i
CONSULTANT SERVICES AGREEMENT
between the City of Kent and
Outcomes by Levy, LLC.
THIS AGREEMENT is made between the City of Kent, a Washington municipal corporation
(hereinafter the "City"), and Outcomes by Levy, LLC, organized under the laws of the State of
Washington, located and doing business at 15619 62°d Place NE, Kenmore, WA 98028; 425-922-
3999 (hereinafter the "Consultant").
I. DESCRIPTION OF WORK.
Consultant shall perform the following services for the City in accordance with the
following described plans and/or specifications:
Scone of Work:
The following outlines the scope of work under this Agreement. Specific work plans shall
be developed mutually and reviewed on a regular basis.
Assist with issue identification, internal meetings with Department heads and
senior staff, and Kent-area legislative delegation contacts prior to each Legislative
Session.
• Continue to monitor and identify problems and opportunities for Kent with issues
under consideration by the State Legislature and state agencies, including
transportation, fiscal resources, infrastructure needs, flood control and levee
issues, and environmental matters.
® Monitor and report legislation of concern to Kent during Legislative Sessions,
working with the Mayor's Office to provide regular status reports and to advocate
for Kent on relevant issues.
• As needed at the federal level, assist with issue identification, opportunities for
Kent, and advocacy efforts with Kent's federal representatives.
• Assist with pursuit of funding for Kent projects, particularly at the state and
federal levels.
• Assist Kent with regional issues as needed.
• Assist Kent in working through issues and problems with state regulatory issues,
as needed and if such problems arise.
Reporting and Communication:
The Consultant shall communicate at least weekly with designated staff regarding work
under this Agreement. Monthly summaries of work completed shall be made available
upon request.
I
Consultant further represents that the services furnished under this Agreement will be
performed in accordance with generally accepted professional practices in effect at the time
those services are performed.
II. TIME OF COMPLETION. The parties agree that work will begin on the tasks
described in Section I above immediately upon the effective date of this Agreement. Upon the
effective date of this Agreement, Consultant shall complete the work described by
December 31, 2018.
III. COMPENSATION.
A. The City shall pay the Consultant, based on time and materials, an annual amount
not to exceed sixty nine thousand six hundred dollars ($69,600.00) in 2017 and
seventy two thousand dollars ($72,000.00) in 2018, not including approved and
agreed upon expenses for the services described in this Agreement.
In addition, the City shall reimburse the Consultant for expenses incurred while
doing business on the City's behalf, which shall be limited to meals, parking,
lodging, mileage at the State of Washington's standard reimbursement rate,
legislative session office space and expenses, and other travel and
conference/meeting expenses where such attendance is directed by the City.
Where such expenses are incurred in connection with work on legislative or
regulatory issues affecting the Contractor's other relevant clients, these expenses
shall be pro-rated to the maximum extent practicable.
Except for the additional expense described above, this is the maximum amount to
be paid under this Agreement for the work described in Section I above, and shall
not be exceeded without the prior written authorization of the City in the form of a
negotiated and executed supplemental agreement. The Consultant agrees that the
hourly or flat rate charged by it for its services contracted for herein shall remain
locked at the negotiated rate(s) for a period of one (1) year from the effective date
of this Agreement.
B. The Consultant shall submit monthly payment invoices to the City for work
performed, and a final bill upon completion of all services described in this
Agreement. The City shall provide payment within thirty (30) days of receipt of an
invoice. If the City objects to all or any portion of an invoice, it shall notify the
Consultant and reserves the option to only pay that portion of the invoice not in
dispute. In that event, the parties will immediately make every effort to settle the
disputed portion.
IV. INDEPENDENT CONTRACTOR. The parties intend that an Independent
Contractor-Employer Relationship will be created by this Agreement and that the Consultant has
the ability to control and direct the performance and details of its work, the City being interested
only in the results obtained under this Agreement.
V. TERMINATION. Either party may terminate this Agreement, with or without
cause, upon providing the other party thirty (30) days written notice at its address set forth on
the signature block of this Agreement. After termination, the City may take possession of all
records and data within the Consultant's possession pertaining to this project, which may be
used by the City without restriction. If the City's use of Consultant's records or data is not
related to this project, it shall be without liability or legal exposure to the Consultant.
Doug Levy/11/09/2016 Page 2
VI. DISCRIMINATION. In the hiring of employees for the performance of work under
this Agreement or any subcontract, the Consultant, its subcontractors, or any person acting on
behalf of the Consultant or subcontractor shall not, by reason of race, religion, color, sex, age,
sexual orientation, national origin, or the presence of any sensory, mental, or physical disability,
discriminate against any person who is qualified and available to perform the work to which the
employment relates. Consultant shall execute the attached City of Kent Equal Employment
Opportunity Policy Declaration, Comply with City Administrative Policy 1.2, and upon completion
of the contract work, file the attached Compliance Statement.
VII. INDEMNIFICATION. Consultant shall defend, indemnify and hold the City, its
officers, officials, employees, agents and volunteers harmless from any and all claims, injuries,
damages, losses or suits, including all legal costs and attorney fees, arising out of or in
connection with the Consultant's performance of this Agreement, except for that portion of the
injuries and damages caused by the City's negligence.
The City's inspection or acceptance of any of Consultant's work when completed shall not
be grounds to avoid any of these covenants of indemnification.
Should a court of competent jurisdiction determine that this Agreement is subject to RCW
4.24.115, then, in the event of liability for damages arising out of bodily injury to persons or
damages to property caused by or resulting from the concurrent negligence of the Consultant
and the City, its officers, officials, employees, agents and volunteers, the Consultant's liability
hereunder shall be only to the extent of the Consultant's negligence.
IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THE
INDEMNIFICATION PROVIDED HEREIN CONSTITUTES THE CONSULTANT'S WAIVER OF
IMMUNITY UNDER INDUSTRIAL INSURANCE, TITLE 51 RCW, SOLELY FOR THE PURPOSES OF
THIS INDEMNIFICATION. THE PARTIES FURTHER ACKNOWLEDGE THAT THEY HAVE MUTUALLY
NEGOTIATED THIS WAIVER.
The provisions of this section shall survive the expiration or termination of this
Agreement.
VIII. INSURANCE. The Consultant shall procure and maintain for the duration of the
Agreement, insurance of the types and in the amounts described in Exhibit A attached and
incorporated by this reference.
IX. EXCHANGE OF INFORMATION. The City will provide its best efforts to provide
reasonable accuracy of any information supplied by it to Consultant for the purpose of
completion of the work under this Agreement.
X. OWNERSHIP AND USE OF RECORDS AND DOCUMENTS. Original documents,
drawings, designs, reports, or any other records developed or created under this Agreement
shall belong to and become the property of the City. All records submitted by the City to the
Consultant will be safeguarded by the Consultant. Consultant shall make such data, documents,
and files available to the City upon the City's request. The city's use or reuse of any of the
documents, data and files created by Consultant for this project by anyone other than
Consultant on any other project shall be without liability or legal exposure to Consultant.
XI. CITY'S RIGHT OF INSPECTION. Even though Consultant is an independent
contractor with the authority to control and direct the performance and details of the work
authorized under this Agreement, the work must meet the approval of the City and shall be
subject to the City's general right of inspection to secure satisfactory completion.
XII. WORK PERFORMED AT CONSULTANT'S RISK. Consultant shall take all
necessary precautions and shall be responsible for the safety of its employees, agents, and
subcontractors in the performance of the contract work and shall utilize all protection necessary
Doug Levy/11/09/2016 Page 3
for that purpose. All work shall be done at Consultant's own risk, and Consultant shall be
responsible for any loss of or damage to materials, tools, or other articles used or held for use in
connection with the work.
XIII. MISCELLANEOUS PROVISIONS.
A. Recyclable Materials. Pursuant to Chapter 3.80 of the Kent City Code, the City
requires its contractors and consultants to use recycled and recyclable products whenever
practicable. A price preference may be available for any designated recycled product.
B. Non-Waiver of Breach. The failure of the City to insist upon strict performance of
any of the covenants and agreements contained in this Agreement, or to exercise any option
conferred by this Agreement in one or more instances shall not be construed to be a waiver or
relinquishment of those covenants, agreements or options, and the same shall be and remain in
full force and effect.
C. Resolution of Disputes and Governing Law. This Agreement shall be governed by
and construed in accordance with the laws of the State of Washington. If the parties are unable
to settle any dispute, difference or claim arising from the parties' performance of this
Agreement, the exclusive means of resolving that dispute, difference or claim, shall only be by
filing suit exclusively under the venue, rules and jurisdiction of the King County Superior Court,
King County, Washington, unless the parties agree in 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, in addition to any other recovery or award provided by law;
provided, however, nothing in this paragraph shall be construed to limit the City's right to
indemnification under Section VII of this Agreement.
D. Written Notice. All communications regarding this Agreement shall be sent to the
parties at the addresses listed on the signature page of the Agreement, unless notified to the
contrary. Any written notice hereunder shall become effective three (3) business days after the
date of mailing by registered or certified mail, and shall be deemed sufficiently given if sent to
the addressee at the address stated in this Agreement or such other address as may be
hereafter specified in writing.
E. Assignment. Any assignment of this Agreement by either party without the written
consent of the non-assigning party shall be void. If the non-assigning party gives its consent to
any assignment, the terms of this Agreement shall continue in full force and effect and no
further assignment shall be made without additional written consent.
F. Modification. No waiver, alteration, or modification of any of the provisions of this
Agreement shall be binding unless in writing and signed by a duly authorized representative of
the City and Consultant.
G. Entire Agreement. The written provisions and terms of this Agreement, together
with any Exhibits attached hereto, shall supersede all prior verbal statements of any officer or
other representative of the City, and such statements shall not be effective or be construed as
entering into or forming a part of or altering in any manner this Agreement. All of the above
documents are hereby made a part of this Agreement. However, should any language in any of
the Exhibits to this Agreement conflict with any language contained in this Agreement, the terms
of this Agreement shall prevail.
H. Compliance with Laws. The Consultant agrees to comply with all federal, state, and
municipal laws, rules, and regulations that are now effective or in the future become applicable
to Consultant's business, equipment, and personnel engaged in operations covered by this
Agreement or accruing out of the performance of those operations.
Doug Levy/11/09/2016 Page 4
DECLARATION
CITY OF (CENT 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.
Dated this day of 20.
By:
r
For: i
Title:
Date:
EEO COMPIdANCE DOCUMENTS- f I
IN WITNESS, the parties below execute this Agreement, which shall become effective
on the last date entered below.
CONSULTANT: CITY OF KENT:
By: ' d ' C4A'' By - Y "
(signatur (signature)
Print m 7 (/ Print Name: Suzette Cooke
Its >� ` T� l'�i" d��,r Ib&� -"mayor
(Title) �� � (Title)
DATE: January 01, 2016 DATE January 01, 2016
NOTICES TO BE SENT TO: NOTICES TO BE SENT TO:
CONSULTANT: CITY OF KENT:
Doug Levy Chief Administrative Officer
Outcomes by Levy City of Kent
15619 NE 62nd Place 220 Fourth Avenue South
Kenmore, WA 98028 Kent, WA 98032
(425) 922-3999 (telephone) (253) 856-5710 (telephone)
425 424-8921 facsimile (253) 8, -6700 (facsimile)
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Doug Levy/ 11/09/2016 Page 5
CITY OF KENT
ADMINISTP.ATIVE POLICY
NUMBER: 1.2 EFFECTIVE DATE: January 1, 1998
SUBJECT: MINORITY AND WOMEN
SUPERSEDES: April 1, 1996
CONTRACTORS APPROVED BY Jim White, Mayor
POLICY:
Equal employment opportunity requirements for the City of Kent will conform to federal
and state laws. All contractors, subcontractors, consultants and suppliers of the City
must guarantee equal employment opportunity within their organization and, if holding
Agreements with the City amounting to $10,000 or more within any given year, must
take the following affirmative steps:
1. Provide a written statement to all new employees and subcontractors indicating
commitment as an equal opportunity employer.
2. Actively consider for promotion and advancement available minorities and women.
Any contractor, subcontractor, consultant or supplier who willfully disregards the City's
nondiscrimination and equal opportunity requirements shall be considered in breach of
contract and subject to suspension or termination for all or part of the Agreement.
Contract Compliance Officers will be appointed by the Directors of Planning, Parks, and
Public Works Departments to assume the following duties for their respective
departments.
1. Ensuring that contractors, subcontractors, consultants, and suppliers subject to
these regulations are familiar with the regulations and the City's equal
employment opportunity policy.
2. Monitoring to assure adherence to federal, state and local laws, policies and
guidelines.
EEO COMPLIANCE DOCUMENTS-2
CITY OF KENT
EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE STATEMENT
This form shall be filled out AFTER COMPLETION of this project by the Contractor
awarded the Agreement.
I, the undersigned, a duly represented agent of The City of Kent , hereby
acknowledge and declare that the before-mentioned company was the prime contractor
for the Agreement known as Outcomes by Levy that was entered into on the
1st of January. 2017 , between the firm I represent and the City of Kent.
I declare that I complied fully with all of the requirements and obligations as outlined in
the City of Kent Administrative Policy 1.2 and the Declaration City of Kent Equal
Employment Opportunity Policy that was part of the before-mentioned Agreement.
Dated this day of December 2018.
By:
For:
Title:
Date:
EEO COMPLIANCE DOCUMENTS -3
I
EXHIBIT A
PAYMENT SCHEDULE
Invoices shall be submitted monthly for 1/12 of the annual contract amount
and any relevant expenses as detailed in the contract.
EXHIBIT B
INSURANCE REQUIREMENTS
No insurance is required, however attached for the record.
EEO COMPLIANCE DOCUMENTS -4
--REPRINTED FROM THE ARCHII THE ORIGINAL TRANSACTION MAY INCLUDE ADDITIONAL FORMS -
- Insurance-, POLICY NUMBER: UH1913014
SAFECO INSURANCE COMPANY OF AMERICA
PERSONAL UMBRELLA POLICY DECLARATIONS
INSURED: AGENT:
DOUGLAS LEVY MC CLAIN INSURANCE SERVICES
THERESA LEVY 10410 19TH AVE SE # 100
15619 62ND PL NE EVERETT WA 98208-4278
KENMORE WA 98028-4314
1-425-379-9200
POLICY PERIOD FROM: MAY 30 2016
TO: MAY 30 2017
at 12 :01 A.M. Standard time at
the address of the insured as
stated herein.
RETAINED LIMIT: $250
LIMIT OF LIABILITY: $1,000,000
SCHEDULE OF UNDERLYING INSURANCE:
You, as defined in the policy contract, agree:
1) that insurance policies providing the coverages specified on the back of these declarations, if applicable,
are in force and will be maintained in force as collectible insurance for at least the required minimum
limits stated.
2) to insure all motor vehicles owned, leased by or used by you.
3) to insure all residence premises owned, leased by or leased to you.
4) to insure all recreational vehicles owned, leased by or used by you.
5) to insure all watercraft owned by you.
COVERAGES PREMIUM
Basic premium - includes one automobile and primary residence $ 129.00
2 Additional automobiles in the household $ 84.00
1 Driver under 25 years of age $ 59.00
1 Watercraft - 50+ horsepower and less than 32 ft or sailboat 26-31 ft $ 20.00
Excess Underinsured Motorists - $1,000,000 Limit- $ 159.00
TOTAL ANNUAL PREMIUM $ 451.00
You may pa your premium in full or in installments. There is no installment fee
for the following hilling plans : Full Pay, Annual 2-Pay. Installment fees for all
other billing plans are ,
below. If more than one policy is billed on the
installment hill , only the highest fee is charged. The fee is :
$2 .00 per installment for recurring automatic deduction (EFT)
$5.00 per installment for recurring credit card or debit card
$5.00 per installment for all other payment methods
PLEASE SEE REVERSE
ORIGINAL DATE PREPARED APR. 10 2016
P-1075/EP 3/14
G1
""REPRINTED FROM THE ARCHIVE. THE ORIGINAL TRANSACTION MAY INCLUDE ADDITIONAL FORMS
Type of Policy Required Minimum Limits
Automobile/Motor Vehicle Liability Single Limit - 500,000 each occurrence
(Including motor homes)
Excess Underinsured Motorist
Comprehensive Personal Liability Single Limit - 300,000 each occurrence
Premises Liability Single Limit - 300,000 each occurrence
Motorcycle Liability Single Limit - 500,000 each occurrence
or
Bodily Injury - 250,000 each person/
and - 500,000 each occurrence
Property Damage - 100,000 each occurrence
Recreation Vehicle Liability Single Limit - 300,000 each occurrence
or
Bodily Injury - 250,000 each person/
and - 500,000 each occurrence
Property Damage - 100,000 each occurrence
Watercraft Liability
1. a. Powerboats 32 feet or more in length; or
b. Sailing vessels (with or without auxiliary power)
26 feet or more in length Single Limit - 500,000 each occurrence
2. All other watercraft Single Limit - 300,000 each occurrence
or
Bodily Injury - 250,000 each person/
and - 500,000 each occurrence
Property Damage - 100,000 each occurrence
Incidental Farm Coverage Single Limit - 300,000 each occurrence
REPRINTED FROM THE ARCHIVE. THE ORIGINAL TRANSACTICN MAY INCW DE ADCITIONAL FORMS
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MC CLAIN INSURANCE SERVICES
10410 19TH AVE SE# 100 June 13, 2016
EVERETT WA 98208-4278
Policy Number: H2244531
24-Hour Claims: 1-800-332-3226
Policy Service: 1-425-379-9200
Online Account Services: www.safeco.com
THIS IS NOT A BILL.
DOUGLAS LEVY IDENTIFICATION CARDS ENCLOSED
THERESA LEVY
15619 62ND PL NE
KENMORE WA 98028-4314
Thank you for allowing us to continue serving your insurance needs.
To ensure you are receiving the best coverage and value available, the following changes have
been made to your 12-month automobile policy, including those requested by you or your agent or
broker.
2015 MINI COOPER S
- Vehicle replaces your 2009 MINI COOPER S.
- This Loss Payee is added:
BANK OF AMERICA
PO BOX 2759
JACKSONVILLE FL 32203-2759
This change is effective June 13, 2016. Please place this letter with your insurance policy.
Information on coverages and limits can be found on the revised Declarations page, enclosed.
The credit for this change is $32.92. The billing for this amount will be explained on your next
billing statement.
If you have any questions or wish to make any changes to your policy, you can do so by calling
your agent at 1-425-379-9200.
We appreciate the opportunity to serve you. Thank you.
Personal Lines Underwriting
FIRST NATIONAL INSURANCE COMPANY OF AMERICA
OC-429/EP 10/13
""REPRINTED FROM THE ARCHIVE.THE ORIGINAL TRANSACTION MAY INCLUDE ADDITIONAL FORMS
POLICY NUMBER: H2244531
A Ube,i.v"utwif Cunp:uiq.
FIRST NATIONAL INSURANCE COMPANY OF AMERICA
AUTOMOBILE POLICY DECLARATIONS
NAMED INSURED: POLICY CHANGE
DOUGLAS LEVY CHANGED EFFECTIVE: JUNE 13 2016
THERESA LEVY POLICY PERIOD FROM: MAY 30 2016
15619 62ND PL NE TO: MAY 30 2017
KENMORE WA 98028-4314
at 12:01 A.M. standard time at
the address of the insured as
AGENT: stated herein.
MC CLAIN INSURANCE SERVICES AGENT TELEPHONE:
10410 19TH AVE SE # 100 1-425-379-9200
EVERETT WA 98208-4278
RATED DRIVERS DOUGLAS LEVY, THERESA LEVY, ZACHARY LEVY
2015 MINI COOPER S 2 DOOR ID# WMWXP7C58F2A36333
LOSS PAYEE BANK OF AMERICA
2013 TOYOTA PRIUS 4 DOOR ID# JTDI<N3DU2D1626237
LOSS PAYEE TOYOTA MOTOR CREDIT
Insurance is afforded only for the coverages for which limits of liability or
premium charges are indicated.
COVERAGES 2015 MNNI LIMITS PREMIUMS 2013 TOYT LIMITS1 PREMIUMS
COMBINE❑ SINGLE LIMIT:
BODILY INJURY & $500,000 $ 202.40 $500,000 $ 238.50
PROPERTY DAMAGE Each Occurrence Each Occurrence
LIABILITY
PERSONAL INJURY $35 ,000 60.40 $35 ,000 65 . 70
PROTECTION
(Intl . ADDL PIP)
UNDERINSURED MOTORISTS:
BODILY INJURY $500,000 104.80 $500,000 124.80
Each Person Each Person
$500,000 $500,000
Each Accident - Each Accident
PROPERTY DAMAGE $25,000 17.20 $25,000 18.90
Each Accident Each Accident
DEDUCTIBLE: SEE YOUR POLICY SEE YOUR POLICY
COMPREHENSIVE Actual Cash Value 47.50 Actual Cash Value 45 .80
Less $500 Deductible Less $500 Deductible
COLLISION Actual Cash Value 216.80 Actual Cash Value 204.20
Less $1000 Deductible Less $1000 Deductible
Diminishing Ded $900 Diminishing Ded $900
ADDITIONAL COVERAGES:
LOSS OF USE $SO Per Day/$1000 Max 45.30 $50 Per Day/$1000 Max 43.SO
ROADSIDE ASSIST S. 50 8.00
SUPERIOR COVERAGE LEVEL S2.60 56. 50
------ ----------
TOTAL $ 752. 50 TOTAL $ 805.90
-CONTINUED-
P 0 BOX 515097, LOS ANGELES, CA 90051
SA-1697/EP 9/90 Page J. of 4 DATE PREPARED: TUNE 13 2016
c1c 9
—REPRINTED FROM THE ARCHIVE. THE ORIGINAL TRANSACTION MAY INCLUDE ADDITIONAL FORMS --
Minsu n-ca,, POLICY NUMBER: H2244531
.iSa"ttenr N,ttw.t ti.L`trt�a£�j'.
FIRST NATIONAL INSURANCE COMPANY OF AMERICA
AUTOMOBILE POLICY DECLARATIONS
(CONTINUED)
You may pay your premium in full or in installments. There is no installment fee
for the following billing plans : Full Pay, Annual 2-Pay. Installment fees for all
other billing plans are listed below. If more than one policy is billed on the
installment bill , only the highest fee is charged. The fee is :
$2.00 per installment for recurring automatic deduction (EFT)
$5.00 per installment for recurring credit card or debit card
$5.00 per installment for all other payment methods
-CONTINUED-
SA-1698/EP 9/90 Page 2 of 4
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REPRINTED FROM THE ARCHIVE. THE ORIGINAL TRANSACTION MAY INCLUDE ADDITIONAL FORMS
. - IC15[.EYdIiCru
POLICY NUMBER: H2244531
,
A Liberty Aluaurl t:Gnx:any '..,.
FIRST NATIONAL INSURANCE COMPANY OF AMERICA
AUTOMOBILE POLICY DECLARATIONS
(CONTINUED)
NAMED INSURED: POLICY CHANGE
DOUGLAS LEVY CHANGED EFFECTIVE: JUNE 13 2016
THERESA LEVY POLICY PERIOD FROM: MAY 30 2016
15619 62ND PL NE
KENMORE WA 98028-4314 T0: MAY 30 2017
at 12:01 A.M. standard time at
the address of the insured as
AGENT: stated herein.
MC CLAIN INSURANCE SERVICES AGENT TELEPHONE:
10410 19TH AVE SE # 100 1-425-379-9200
EVERETT WA 98208-4278
RATED DRIVERS DOUGLAS LEVY, THERESA LEVY, ZACHARY LEVY
2001 SUBARU LEGACY OUTBACK ILL 4 DOOR STATION WAGON ID# 4S3BH806317651636 'i
Insurance is afforded only for the coverages for which limits of liability or
premium charges are indicated.
COVERAGES 2001 SUBA LIMITS1 PREMIUMS
COMBINED SINGLE LIMIT:
BODILY INJURY AND $500,000 $ 288.60
PROPERTY DAMAGE Each Occurrence
LIABILITY
PERSONAL INJURY PROTECTION $35,000 79.90
(Includes ADDITIONAL PIP)
UNDERINSURED MOTORISTS:
BODILY INJURY $500,000 104.80
Each Person
$500,000
Each Accident
PROPERTY DAMAGE $10,000 13.60
Each Accident
DEDUCTIBLE: SEE YOUR POLICY
COMPREHENSIVE Actual Cash Value 31.10
Less $500 Deductible
COLLISION Actual Cash Value 96. 50
Less $1000 Deductible
Diminishing Ded $900
ADDITIONAL COVERAGES:
LOSS OF USE $50 Per Day/$100o Max 21.10
ROADSIDE ASSISTANCE PACKAGE 10.50
SUPERIOR COVERAGE LEVEL 49.80
TOTAL $ 695 .90
TOTAL EACH VEHICLE: 2015 MNNI $ 752. 50
2013 TOYT 805.90
2001 SUBA 695.90
PREMIUM SUMMARY PREMIUM
VEHICLE COVERAGES $ 2,254.30
DISCOUNTS& SAFECO SAFETY REWARDS You saved $698.00 Included
TOTAL 12 MONTH PREMIUM FOR ALL VEHICLES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,254.30
-CONTINUED-
P 0 BOX 515097, LOS ANGELES, CA 90051
SA-1697/EP 9/90 Page 3 of 4 DATE PREPARED: TUNE 13 2016 III
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""REPRIN-ED FROM THE ARCHIVE. THE ORIGINAL TRANSACTION MAY INCLGDE ADDITIONAL FORMS '
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SA-1698/EP 9/90 Page 4 Of 4
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REQUEST FOR MAYOR'S SIGNATURE
T Pn!A on Clher;�,, Colored Paper
Routing Infornaafion:
(ALL REQUESTS MUST FIRST BE POUTED THROUGH THE LAW DEPARTMENT)
Approved by Director
Originator: Administration office Phone (Originator): 253-856-5709
Date Sent: 12/14/16 Date Required: 12/27/16
Return Signed Document to: Pam Clark Contract Termination Date: 12/3 1/18
VENDOR NAME: Date Finance Notified:
(Only required on contracts
06/20/16
Outcomes By Levy $20,000 and over or,7any Grant)
DATE OF COUNCIL APPROVAL: 2/06/16 Date Risk Manager Notified:
(Required on Non-City Standard Contracts/Acreernents)
Has this Document been Specificall Account Number: 440)C524C 6419C.7810 i 10001310,64190 1241
Authorized in the Budget? 00 YES NO
Brief Explanation of Document:
2017-2018 legislative consulting contract with Outcomes by Levy.
,Pbusi Be Routed Through The Law Department
Received:
Approval of Law Dept.:
Shaded Areas To Be Completed By Administration Staff
Received:
Recommendations and Comments:
Disposition:
Date Returned:
I U -4?h
TO: City officials and staff
FROM: Doug Levy/Outcomes By Levy, LLC
RE: Transition as of May 1
Everyone:
I'm a writer by trade, but this is an extremely difficult letter to write. I am notifying you—as I already
have notified Mayor Ralph, Derek Matheson and a couple others—that as of May 1, 1 will be
transitioning out of a role I've held for nearly 20 years: lobbying and advocating for the City of Kent.
The reason I do so is that beginning May 1, 1 will be entering into a much more time-intensive contract
with the City of Renton,one where I will be a regional,state, and federal affairs and special projects
coordinator. I'm excited about this role,and the chance to help a City of more than 100,000 people up
its game in the region,organize itself with its congressional delegation,and work in a more cohesive
fashion on several major initiatives underway. It is even more mission-critical given that Renton's long-
time Chief of Staff,Jay Covington, is retiring after nearly 30 years with the City.
At my insistence,the Renton job is under contract,and I will be able to keep a handful of other contracts
I already have in place. But the nature of the job means I will not be in Olympia five days a week
anymore—in fact,as you'll read (and hopefully understand),that's an important factor in why I accepted
it. As such, I can no longer represent those cities which need,deserve, and benefit from a five-days-a-
week presence in Olympia during Session. Kent is at the head of that list.
There's a very good reason I'm doing this, built in large part around a need to rejigger a work-life
balance that has tilted too far toward the"work" column for too many years. I'll get into that more
below. But it doesn't make writing the letter any less sad.
What you all need to know is that I have loved working for and representing Kent all these years! Truly.
It is a big part of why I have turned down overtures,said "no" to numerous cities,and rejected a handful
of job offers these past two decades.
I have been so proud to represent a city that has fought through some tough times. Citizens have little
understanding of how much work you've done fixing and accrediting levees, preserving mitigation funds,
making a huge annexation work,assimilating people of diverse backgrounds and languages,combating
gangs, building transportation infrastructure. Kent has grown up to be one of the most important cities
in South County and the region. I have been thrilled to be part of that team and partner with talented
Department Heads and staff who bring professionalism, caring, and energy to work every day.
I know this sounds silly, but there's a part of me that feels like I am letting you down. After all, my job
has been to fight for Kent,to keep adverse bills and funding decisions from impacting you --and
hopefully to bring some positives in terms of funding, projects and initiatives. I won't be doing that
anymore,can't make the time commitment to do that anymore, and that is an emotional thing for me.
It is hard to adequately communicate this in a letter, but I need to convey that these past several years,
while professionally and financially very rewarding, have also been extremely draining. I've been
representing 11 clients(12 in 2017)for quite some time, including eight (8) cities. While the work can
be and often is extraordinarily rewarding, it is also intense, and the workload has been crushing.
For four,five,six months at a time, I take no days off. None. 1 work all weekend, every weekend-
100 hours a week or more during Session. I don't know what it's like to take President's Day or
Martin Luther King Day as a holiday because for two decades it has been a work day. I often shave
in the car(drives my wife crazy) so I can preserve extra minutes of computer time. In Olympia, I
routinely grab breakfast on the go,rolled in a napkin,to carve out 15-20 more minutes of work.
Though I'm blessed with good health and feel great,the calendar and my birth certificate say I'm
going to be 57 years old in late October. Our oldest son has graduated from WSU and is in the work
place; our youngest son is a quarter or two away from completing his degree at Western
Washington University. I want to spend more time with an incredible wife who has put up with my
insane work schedule all these years. I want to relearn the piano. As someone who's been an
athlete all my life, I want to hike more,be outside more,work out more. Those things have either
been a struggle or have been flat-out impossible. I feel like I must change the dynamic.
So let me circle back to the beginning,to Kent. It's the first outside city(I had worked for Everett
before "putting out my shingle") that gave me a chance to contract lobby,back in October 1999.I've
worked under three great Mayors and admired them all. It's been my honor to work with you on
Green River levees,the Showare Center,Kent Station, 228th and other freight mobility projects,
Clark Lake,the East Hill Y, Blue Origin, SST,the annexation sales tax credit,the Wilson and Russell
Road Playfields, 509, 167/405,Sound Transit,the multi-family tax exemption,and more. I hope I've
helped you avoid some fiscal and policy hits that would have made your municipal lives more
difficult. There are probably more projects and more initiatives that have seeped out of my brain
right now,but to have worked on all those? Well, I've been tremendously fortunate and lucky.
Beyond the projects and the to-do lists and the Legislative Agendas,this job is about the people. I
can't name them all in this space,but all of you who serve the City as Department Heads and senior
staff and have had to put up with me and my pain-in-the-rear 4 a.m.a-mails and phone calls have
my gratitude. You've been an absolute, 1000%pleasure to work with.
Furthermore, 1 have hit the jackpot in reporting to men and women who exemplify everything that
is right about local government: Dena Laurent; Brent McFall; Mike Martin; Michelle Wilmot;John
Hodgson;Tom Brubaker; Derek Matheson; and most recently Dana Neuts. I've watched Mayor
Ralph ascend to this job and I'm excited to watch the city ascend with her. She follows in the
footsteps of Jim White and Suzette Cooke,two giants who guided this community so marvelously.
It is my hope that you will understand the decision I am making and the transition to occur over the
next six weeks. What you will never understand is how much you have meant to me,and how you
all are like family to me. That's the trigger for the sadness that comes with writing this letter.
Tim McGraw has a song called"Humble and Kind,"which includes these lyrics: "Hold the door.Say
please. Say thank you." Back in 1999, I asked your great city if 1 could please represent it. You held
the door for me and allowed me to walk through it all these years. Thank you,thank you,thank
you!