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PW17-392 - Original - Northwest Abatement Services, Inc - Contract - 07/11/17
rr'o irif ✓rrjin%'/�r�%/lr�l�rr1 l i/r i U i�;/n, ll lali "l, nc -� "d s r KENTDocument WAS H YNGTON d r 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: Northwest Abatement Services, Inc. Vendor Number: ID Edwards Number Contract Number: VW 1 This is assigned by City Clerk's Office Project Name: Gribble Property Description: ❑ Intedocal Agreement ❑ Change Order ❑ Amendment ® Contract ❑ Other: Contract Effective Date: 7/11/17 Termination Date: 7/31/17 Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Nick Horn Department: Engineering Contract Amount: $1,450.00 Approval Authority: (CIRCLE ONE) Department Directojr Mayor City Council Detail: (i.e. address, location, parcel number, tax id, etc.): Perform an asbestos survey at the Gabble property._ As of. 08/27/14 KENT GOODS & SERVICES AGREEMENT between the City of Kent and Northwest Abatement Services, Inc. THIS AGREEMENT is made by and between the City of Kent, a Washington municipal corporation (hereinafter the "City"), and Northwest Abatement Services, Inc, organized under the laws of the State of Washington, located and doing business at 9822 32 nd Ave. S., Lakewood, WA 98496, Phone: (253) 588- 0440, Contact: Paul Peters (hereinafter the "Vendor"). AGREEMENT 1. DESCRIPTION OF WORK. Vendor shall provide the following goods and materials and/or perform: the following services for the City: The Vendor shall perform an asbestos survey at the Gribble property located at 26204 Kent Langley Road, Ravensdale, WA, For a description, see the Vendors Scope of Work Which is attached as Exhibit A and incorporated by this reference. 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 July 31, 2017. 111. COMPENSATION. The City shall pay the Vendor an amount not to exceed One Thousand Four Hundred Fifty Dollars ($1,450,00), 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 be paid upon completion of services and after submittal of invoice. If the City objects to all or any portion of an invoice, it shall notify Vendor and reserves the option to only pay that portion of the invoice not in dispute. In that event, the parties will immediately make every effort to settle the disputed portion. GOODS & SERVICES AGREEMENT - 1 ($20,000 or Less, Incl. WSST) 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 5. 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 WSST) 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) XII. INSURANCE. The Vendor shall procure and maintain for the duration of the Agreement, insurance of the types and in the amounts described in Exhibit 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 City'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 WSST) I. Pubhc 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. 1 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. !CounterpartsL and �Ligjj Lures b '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 oil the last date entered below. All acts consistent with the authority of this Agreement and prior to its effective date are ratified and affirmed, and the terms of the Agreement shall be deemed to have applied. VENDOR: CITY 0 KENT: By: By: (signatt 0) Print Nam : Print Name: Carla Maloney, P.E. Its: Its: Design Engineering Manager (title) DATE: DATE:--,,- .............. NOTICES TO BE SENT TO: NOTICES TO BE SENT TO: VENDOR: CITY OF KENT: Paul Peters Timothy J. LaPorte, P.E. Northwest Abatement Services, Inc. City of Kent 9822 32"'l Ave. S. 220 Fourth Avenue South Lakewood, WA 98496 Kent, WA 98032 (253) 588-0440 (telephone) (253) 856-5500 (telephone) (253) 588-0198 (facsimile) (253) 856-6500 (facsirnile) ................... NW Abatement Gr,hb:v'Onowye GOODS & SERVICES AGREEMENT - 6 ($20,000 or Less, including WSST) DECLARATION CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY POLICY The City of Kent is committed to conform to Federal and State laws regarding equal opportunity. As such all contractors, subcontractors and suppliers who perform work with relation to this Agreement shall comply with the regulations of the City's equal employment opportunity policies. The following questions specifically identify the requirements the City deems necessary for any contractor, subcontractor or supplier on this specific Agreement to adhere to. An affirmative response is required on all of the following questions for this Agreement to be valid and binding. If any contractor, subcontractor or supplier willfully misrepresents themselves with regard to the directives outlines, it will be considered a breach of contract and it will be at the City's sole determination regarding suspension or termination for all or part of the Agreement; The questions are as follows: 1. I have read the attached City of Kent administrative policy number 1.2. 2. During the time of this Agreement I will not discriminate in employment on the basis of sex, race, color, national origin, age, or the presence of all sensory, mental or physical disability. 3. During the time of this Agreement the prime contractor will provide a written statement to all new employees and subcontractors indicating commitment as an equal opportunity employer. 4. During the time of the Agreement I, the prime contractor, will actively consider hiring and promotion of women and minorities. S. Before acceptance of this Agreement, an adherence statement will be signed by me, the Prime Contractor, that the Prime Contractor complied with the requirements as set forth above. By signing below, I agree to fulfill the five requirements referenced above. By: For: /Uu✓��l�,�s� l/�"'��k�Lr�'�' ��'r6�-use �y><• Title: Date: U? I� J20 ! EEO COMPLIANCE DOCUMENTS - 1 of 3 CITY OF KENT ADMINISTRATIVE POLICY NUMBER: 1.2 EFFECTIVE DATE: January 1, 1998 SUBJECT: MINORITY AND WOMEN SUPERSEDES: April 1, 1996 CONTRACTORS APPROVED BY Jim White, Mayor POLICY: Equal employment opportunity requirements for the City of Kent will conform to federal and state laws. All contractors, subcontractors, consultants and suppliers of the City must guarantee equal employment opportunity within their organization and, if holding Agreements with the City amounting to $10,000 or more within any given year, must take the following affirmative steps: 1. Provide a written statement to all new employees and subcontractors indicating commitment as an equal opportunity employer. 2. Actively consider for promotion and advancement available minorities and women. Any contractor, subcontractor, consultant or supplier who willfully disregards the City's nondiscrimination and equal opportunity requirements shall be considered in breach of contract and subject to suspension or termination for all or part of the Agreement. Contract Compliance Officers will be appointed by the Directors of Planning, Parks, and Public Works Departments to assume the following duties for their respective departments. 1. Ensuring that contractors, subcontractors, consultants, and suppliers subject to these regulations are familiar with the regulations and the City's equal employment opportunity policy. 2. Monitoring to assure adherence to federal, state and local laws, policies and guidelines. EEO COMPLIANCE DOCUMENTS - 2 of 3 CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE STATEMENT This form shall be filled out AFTER COMPLETION of this project by the Contractor awarded the Agreement. I, the undersigned, a duly represented agent of Company, hereby acknowledge and declare that the before-mentioned company was the prime contractor for the Agreement known as that was entered into on the (date), between the firm I represent and the City of Kent. I declare that I complied fully with all of the requirements and obligations as outlined in the City of Kent Administrative Policy 1.2 and the Declaration City of Kent Equal Employment Opportunity Policy that was part of the before-mentioned Agreement. By: For: Title: Date: EEO COMPLIANCE DOCUMENTS - 3 of 3 EXHIBIT A "It'S Not Wh(it file Do, It's Ho It, T* Do It I ml� lw� I WIhwoeit Abalonwnl Svvlcm kr- June 5th, 2017 Sent: Via E-Mail To: Mr, Granville Horn Phone No: 253-856-5529 City of Kent Email: GFiorrl@kentwa.gov 220 Fourth Avenue South Kent, WA 98032 RE: Asbestos Survey Quotation Bid Number 2017-9312 Gribble Demolition Asbestos Survey for City of Kent 26204 Kent Kangley Road Ravensda�le, WA 98051 Northwest Abatement Services appreciates this opportunity to provide you with this proposal for our services. We look forward to working with you, and hope that our proposal meets your requirements. We propose to perform a/an AHERA Asbestos Survey, as per Our scope of work listed below, at the address listed above for the surn of $1.,450.00 SCOPE OF WORK Northwest Abatement Services, Inc,proposes to provide inspection, laboratory analysis&final report in performing the following; 1)Perform AHERA building inspection at the location listed above. 2)Remove samples of building materials from within the interior and exterior of the structure to determine the presence of asbestos-containing building materials. (1)Main House, (1)Mobile Home,(2)Sheds 3)Price includes(24-36)samples If additional ACM samples are required,each sample will be billed at a rate of$25,00 per sample, "Full report to follow within(5)business days of the inspection. */Vote:ANERA Asbestos surveys are performed in accordance with the sampling protocol in 40 CFR 763,66 and as required by PSCAA's regulation Ill article 4.All work to be performed by a certified AHERA building inspector.Sample prices are based on standard 3 day turnaround from the tab unless otherwise noted in the scope of work Authorized Signafuio Pdae d Va.7 L me and Ula, Paul Peters, Estimator _� --al I : VISA"MASTERCARD*DISCOVER*AMERICAN EXPRESS accepted, lFc-ontracts. $5000.00 or larger in which a TOTAL of$5000.00 or more is,,paid by a credit card will incur a 2.6% processing fee. rftj nco Charge of 1.5%will be paid on past due balan6ls. Corre9poncling Annual Rate of 18%Minimum Flnaoie Charge, -Northwest Abatement Services �?bsotvas the right to,Inc., proposal if no,t accepted within 30 days- Acceptance of Proposal.- The above prices, xclusions and scope of work as specified on page I are satisfactory and are hereby accepted. You are authorized 10 0" end with the work as specified.Payment will be made as outlined above.In case suit or action is commenced to collect op.1h pslrote o?Dny, otlion thereof,I promise to pay,in addition to the costs provided by statute,such sum as the court maygqjad6a reasonable asoCrizoy's fees therein,(including any action to enforce the judgment and this provision as to a0ornoy's,ldb and costs shall survive the juc6 nr nt,J 1,the customer,also acknowledge receipt of Coils rue ion LPart isfettco. Prim Mum, e?fAc,�'Immve: NOT If accoptod,ploane nign and return in its antIrety. .0. WA 9&NO*(2,53)W4140 o Fa%,(153)588-0198 o I-,0)-588,0M4- a ConlialcOINMIl lASQ'jRN1 Page 2 of Department of Labor and Industries ^`4 MODEL DISCLOSURE STATEMENT Construction Compliance , NOTICE TO CUSTOMER "Phis contractor is registered with the state of Washington, registration no northas066rn.and has posted with the state a bond or deposit of $12,000.00 for the purpose of satisfying claims against the contractor for breach of contract including negligent or improper work in the conduct of the contractor's business.The expiration date of this contractor's registration is 12/18/17 . THIS BOND OR DEPOSIT MIGHT NOT BE SUFFICIENT TO COVER A CLAIM THAT MIGHT ARISE FROM THE WORK DONE UNDER YOUR CONTRACT. This bond or deposit is not for your exclusive use because it covers all work performed by this contractor.The bond or deposit is intended to pay valid claims up to $12,000.00 that you and other customers, suppliers, subcontractors,or taxing authorities may have. FOR GREATER PROTECTION YOU MAY WITHHOLD A PERCENTAGE OF YOUR CONTRACT. You may withhold a contractually defined percentage of your construction contract as retainage for a stated period of time to provide protection to you and help insure that your project will be completed as required by your contract: YOUR PROPERTY MAYBE LIENED. If a supplier of materials used in your construction project or an employee or subcontractor of your contractor or subcontractors is not paid,your property may be liencd to force payment and you could pay twice for the same work. FOR ADDITIONAL PROTECTION YOU MAY REQUEST THE CONTRACTOR TO PROVIDE YOU WITH ORIGINAL"LIEN RELEASE" DOCUMENTS FROM EACH SUPPLIER OR SUBCONTRACTOR AT YOUR PROJECT. The contractor is required to provide you with further information about lien release document if You request it.General information is also available from the state Department of Labor and Industries. I have received a copy of this disclosure statement. Dated this day of of the year Signature of Customer The contractor must retain a signed copy of the disclosure statement in his or her Liles for a minimum of three years,and produce a signed or electronic signature copy of the disclosure statement to the department upon request. F625-030-000 model disclosure statement notice to customer 08-2007 EXHIBIT B INSURANCE REQUIREMENTS FOR CONSULTANT SERVICES AGREEMENTS Insurance The Consultant shall procure and maintain for the duration of the Agreement, insurance against claims for injuries to persons or damage to property which may arise from or in connection with the performance of the work hereunder by the Consultant, their agents, representatives, employees or subcontractors. A. Minimum Scope of Insurance Consultant shall obtain insurance of the types described below: 1. Automobile Liability insurance covering all owned, non-owned, hired and leased vehicles. Coverage shall be written on Insurance Services Office (ISO) form CA 00 01 or a substitute form providing equivalent liability coverage. If necessary, the policy shall be endorsed to provide contractual liability coverage. 2. Commercial General Liability insurance shall be written on ISO occurrence form CG 00 01 and shall cover liability arising from premises, operations, independent contractors, products-completed operations, personal injury and advertising injury, and liability assumed under an insured contract. The Commercial General Liability insurance shall be endorsed to provide the Aggregate Per Project Endorsement ISO form CG 25 03 11 85. The City shall be named as an insured under the Consultant's Commercial General Liability insurance policy with respect to the work performed for the City using ISO additional insured endorsement CG 20 10 11 85 or a substitute endorsement providing equivalent coverage. 3. Workers' Compensation coverage as required by the Industrial Insurance laws of the State of Washington. 4. Contractor's/Consultant's Pollution Liability insurance covering losses caused by pollution conditions that arise from the operations of the Contractor. B. Minimum Amounts of Insurance Consultant shall maintain the following insurance limits: 1. Automobile Liability insurance with a minimum combined single limit for bodily injury and property damage of $1,000,000 per accident. 2. Commercial General Liability insurance shall be written with limits no less than $1,000,000 each occurrence, $1,000,000 general aggregate. EXHIBIT B (Continued) 3. Contractor's Pollution Liability insurance shall be written in an amount of at least $1,000,000 per loss, with an annual aggregate of at least $1,000,000. Coverage may be written on a claims-made basis. C. Other Insurance Provisions The insurance policies are to contain, or be endorsed to contain, the following provisions for Automobile Liability and Commercial General Liability insurance: 1. The Consultant's insurance coverage shall be primary insurance as respect the City. Any Insurance, self-insurance, or insurance pool coverage maintained by the City shall be excess of the Consultant's insurance and shall not contribute with it. 2. The Consultant's insurance shall be endorsed to state that coverage shall not be cancelled by either party, except after thirty (30) days prior written notice by certified mail, return receipt requested, has been given to the City. 3. The City of Kent shall be named as an additional insured on all policies (except Professional Liability) as respects work performed by or on behalf of the Consultant and a copy of the endorsement naming the City as additional insured shall be attached to the Certificate of Insurance. The City reserves the right to receive a certified copy of all required insurance policies. The Consultant's Commercial General Liability insurance shall also contain a clause stating that coverage shall apply separately to each insured against whom claim is made or suit is brought, except with respects to the limits of the insurer's liability. D. Acceptability of Insurers Insurance is to be placed with insurers with a current A.M. Best rating of not less than ANII. E. Verification of Coverage Consultant shall furnish the City with original certificates and a copy of the amendatory endorsements, including but not necessarily limited to the additional insured endorsement, evidencing the insurance requirements of the Consultant before commencement of the work. EXHIBIT B (Continued) F. Subcontractors Consultant shall include all subcontractors as insureds under its policies or shall furnish separate certificates and endorsements for each subcontractor. All coverages for subcontractors shall be subject to all of the same insurance requirements as stated herein for the Consultant. ® DATE(MM/DDIYYYY) ACCM® CERTIFICATE OF LIABILITY INSURANCE 7/10/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. if SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements . PRODUCER CONTACT Danielle PethiCk _NAME: HENTSCHELL & ASSOC INC PHONE (253)272-1151 (253)272-1225 1. No•Exl)_— EMAIL 1436 S. Union Ave. ADDRESS: danielleg(�hentschell.com INSURERS AFFORDING COVERAGE NAIC# Tacoma WA 98405-1925 INSURER A:Hamil ton Specialty Jns. Co. A- INSURED INSURERe Eagle West Insurance Company A Northwest Abatement Services, Inc. INSURER c Hamilton Specialty Ins. Co. A- dba: Stetz Construction INSURER0: P.O. BOX 39220 INSUREREI Lakewood WA 98496-3220 1 INSURERF: COVERAGES CERTIFICATE NUMBER:16/17 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 -ADDC'5UBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MMIDONYYY)I iMMIDDIYYYYI R COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE i$ 11000,000 -- I ' DAMAGE TO RENTED A CLAIMS-MADE OCCUR PREMISES tEe Occurrence) $ 50,000 _ X Y JUISECC1124600 :12/15/2016 12/15/2017 MEDEXP(Any one person) $ 10,000 PERSONAL SADVINJURY $ 11000,000 GENT.AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 1$ 11000,000 POLICY[X] PRO LOC PRODUCTS-COMPIOPAGO $ 2,000,000 - - OrHER: Stopgap $ 1,000,000 COMBINED SINGLE LIMi I AUTOMOBILE LIABILITY ,,.•-.,,,.,,.,_._ 5 1,000,000 (Ea accident- '-- ----- B X ANY AUTO ALL OWNED BODILY INJURY(Per porson) $ _. AUTOS X AUTOS SCHEDULED X Y 25BAA2070DO0228 12/15/2016 12/15/2017 BODILYINJURY(Peraccident) $ NON-OWNED f ROPERTY DAMAGE.. $--- X HIRED AUTOS X AUTOS jPar uccMent) $ UMBRELLALUIB X OCCUR EACH OCCURRENCE $ 6,000,000 -. ---- _. A X EXCESS LIAB CLAIMS-MADE' AGGREGATE $ 6,000 000 DEG RETENTION$ X Y AHSEXS1124700 12/15/2026 12/15/2017 $ OTH- WORKERS COMPENSATION STATUTE X ER AND EMPLOYERS'LIABILITY YIN ANY PROPMETOR)PARTNERIEXECUTIVE (" AHSECC1124600 E.L.EACH ACCIDENT $ 1,000,1000 OFFICER(MEMBER EXCLUDED? N 1 A C (Mandatory In NH) (Wa Stop Gap) 12/15/2016 12/15/2017 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes.describe under _. .-. .. DESCRIPTION OF OPERATIONS below E.L.DISEASE•POLICY LIMIT $ 1,000.000 C professional Liability AHSECC1124600 12/15/2016 12/15/2017 1,000.000 Each Pollution Pollution Liability 1,0OO,OM Each Wrong Art DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more apace is required) RE: GRibble Asbestos Survey Blanket Primary Non-Contributory Additional Insured, including completed operations additional insured, Waiver of Subgrogation applies in favor of any person or organization if called for by written contract per forms CG2037 041/3, AHSECC0313 10/13,AHSECC0311 10/13, AHSECC0373 08/14, AHSECC 0383 11/14, AHSECCO310 07/14, 03330WA 03/12 - 1,000,000 Limit for Transportation included in policy# AHSECC1124600 / Excess is following form - The City of Kent is included as additional insured CERTIFICATE HOLDER CANCELLATION (253)856-6500 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Kent THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Public Works Department ACCORDANCE WITH THE POLICY PROVISIONS, 400 West Gowe Kent, WA 98032 AUTHORIZED REPRESENTATIVE (Bradley Roberts/DRB 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025(201401) POLICY NUMBER: AHSECC1124MO COMMERCIAL GENERAL LIABILITY CG 20 37 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modes insurance provided under the following: X COMMERCIAL GENERAL LIABILITY COVERAGE PART X PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART SCl®UIE Name Of Additional Insured Persons)Or Organizations) Locathn Ark Desa*tion Of CompleW Operations Any perso(s)cr orgarkmIlon(s)when you have agreed In Those pmiad tocatlons where this endorsernut le requited by A wriUen contract or agreernent that such person or contract. arganiv t be added as an Additronal Insured for Completed Op vlions Coverage. j Information required to complete this Schedule,If not shown above,will be shown In the Declarations. A. Section If--Who Is An Insured is amended to include B. With respect to the insurance afforded to as an additional insured the person(s) or these additional insureds, the following Is organization(s)shown In the Schedule, but only with added to Saelbrt III—Limits Of Insurance: respect to liability for bodily injury' or property damage"caused,In whole or In part, by"your work" !f coverage provided to the additional insured at the location designated and described In the Is required by a contract or agreement, the Schedule of this endorsement performed for that most we will pay on behalf of the additional additional Insured and Included in the Insured Is the amount of insurance: "products-completed operations hazard". 1. Required by the contract or agreement;or However-. 2. Available under the applicable Limits of 1. The insurance afforded to such additional Insurance shown in the Declarations; insured only applies to the extent permitted by whichever Is less law,and This endorsement shall not increase the 2. If coverage provided to the additional Insured applicable Limits of Insurance shown in the Is required by a contract or agreement, the Declarations. insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional Insured. CIS 20 37 0413 ©Insurance Services Office,Inc.,2012 Page 1 of 1 ENDORSEMENT Named Insured:Northwest Abatement Services, Inc.dba Policy Number:AHSECC11246-00 Stetz Construction Endorsement Endorsement Effective Date: 12/15/2016 Number: (12:01 AM Standard Time at the address of the Named Insured as shown in the Declarations) AUTOMATIC PRIMARY AND NON-CONTRIBUTORY INSURANCE ENDORSEMENT- DESIGNATED WORK OR PROJECT(S) This Endorsement changes the Policy. Please read It carefully. It is agreed that: SCHEDULE Name of Person or Organization: Any person(s)or organization(s)whom the named insured agrees, in a written contract,to provide Primary and/or Non-contributory status of this insurance. However, this status exists only for the project specMed In that contract. In consideration of an additional premium of$Applied,and notwithstanding anything contained In this Policy to the contrary, it is hereby agreed that this Policy shall be considered primary to any similar insurance held by third parties In respect to work performed by you under any written contractual agreement with such third party. It Is further agreed that any other insurance which the person(s)or orgenization(s)named In the schedule may have is excess and non-contributory to this insurance. i Authorized Representative This endorsement does not change any other provision of the Policy. The title and any headings in this endorsement are solely for convenience and do not affect its meaning. Date of Issuance:01h&'2017 Page 1 of 1 Policy Fam:COL,CPL,PL,TPL Hamilton specialty Insurance Company Endwsement Form:AHS ECC 03131013 ENDORSEMENT Named Insured: Northwest Abatement Services, Inc. dba Policy Number: AHSECC11246-00 Stetz Construction Endorsement Endorsement Effective Date: 12/15/2016 Number: (12:01 AM Standard Time at the address of the Named fnsurod as shown in the Declarations) AUTOMATIC WAIVER OF SUBROGATION ENDORSEMENT This Endorsement changes the Policy. Please read it carefully. It is agreed that: This endorsement modifies insurance provided under the following: X COMMERCIAL GENERAL LIABILITY COVERAGE PART X CONTRACTORS POLLUTION LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Any person(s)or organization(s)to whom the Named Insured agrees, in a written contract, to provide a waiver of subrogation. However,this status exists only for the project specified in that contract. i The Company waives any right of recovery K may have against the person or organization shown in the above Schedule because of payments the Company makes for injury or damage arising out of the insured's work done under a contract with that person or organization. The waiver applies only to the person or organization in the above Schedule. Under no circumstances shall this endorsement act to extend the policy period, change the scope of coverage or increase the Aggregate Limits of Insurance shown in the Declarations. J Authorized Representative This endorsement does not change any other provision of the Policy. The title and any headings in this endorsement are solely for convenience and do not affect its meaning. Date of Issuance:01/16=17 Page 1 of 1 Polloy Form:CGL,CPL,PL,TPL Hamilton Specialty Insurance Company Endorsement Form:AHS ECC 0311 1013 THIS ENDORSEMENT CHANGES THE IPOUCY, PLEME READ IT CAREFULLY. ADDITIONAL INSURED o OWNERS, LESSEES OR CONTRACTORS - COMPLETE® OPERATIONS This endorsement modifies insurance provided under the follovAng: CONTRACTOR'S POLLUTION LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insurred Person(s) Or Organteation(s): Location And Descriilon Of Completed Operations Any person(s)or organizations(s)whom the Named Insured Those project locations where this endorsement Is agrees,in a written contract,to name as additional Insured required by Contract, However,this status exdsts only for the project specified in that contract Information required to complete this Schedule,€P not shown above,will be shown In the Declarations. Section 11—Deftnitim is amended to Include as an addi- tional Insured the person(s) or organization(s) shown In the Schedule, but only with respect to liability for "bodty Injury"or "property damage" caused, in whole or In part, by"your work"at the location designated and described in the schedule of this endorsement performed for that add- tional insured and Included in the "products-completed operations hazard" Includes copyrighted material of Insurance Services Office, Inc.Wth its permission AHS ECC 0373 0814 Page t of 1 ENDORSEMENT Named Insured: Northwest Abatement Services, Inc. dba Policy Number:AHSECC11246-00 Stetz Construction Endorsement Endorsement Effective Date: 12/15/2016 Number. (12:01 AM Standard Time at the address of the Named Insured as shown in the Deckm bons) AGGREGATE UMITS PER PROJECT ENDORSEMENT This Endorsement changes the Policy. Please read It carefully. It is agreed that: This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM Subject to the Overall General Aggregate Limit stated In the Declarations,the General Aggregate Limit under Section III--LIMITS OF INSURANCE applies separately to each of your"project(s)". It is further understood and agreed that the following changes are made to the policy: (1) The Limits of Insurance in the Declarations is amended by the addition thereto of the following Limit: Overall General Aggregate Limit: $10,000,000 General Aggregate Limit per"project":$2,000,000 (2) Section III—LIMITS OF INSURANCE is amended by the addition thereto of the following paragraph: 7. The Overall General Aggregate Limit is the most we will pay under Coverages A and B for the sum of all Limits of Insurance as provided in this Section III—LIMITS OF INSURANCE regardless of the number of your"projects"; except for damages because of"bodily Injury" and "property damage'included In the "products-completed operations hazard". For purposes of this endorsement, "projects" means the projects shown in the Schedule of Projects below. Schedule of Prolect(s) Any projects for which the Named insured agrees, in a written contract,to provide a designated construction project general aggregate limit. This endorsement does not change any other provision of the Policy. The title and any headings in this endorsement are solely for convenience and do not affect its meaning. 1 Authorized Representative Date of Issuance:01/16/2017 Pagel of 1 Poticy Form:CGL,CPL,PL,TPL Hamilton SpecWty Insurance Company Endorsement Form.AHS ECC 03831114 ENDORSEMENT Named Insured: Northwest Abatement Services, Inc. dba Policy Number:AHSECC11246-00 Stetz Construction Endorsement Endorsement Effective Date: 12/15/2016 Number: (12:01 AM Standard Time at fhs address of the Named Irwmd as shown In the Deciaratlons) AUTOMATIC ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS This Endorsement changes the Policy. Please read it carefully. It is agreed that: This endorsement modifies Insurance provided under the following: X COMMERCIAL GENERAL LIABILITY COVERAGE PART X CONTRACTORS POLLUTION LIABILITY COVERAGE PART Any person(s) or organizations)whom the Named Insured agrees, in a written contract, to name as an additional insured is included as an Insured, but only as respects the project specified in that contract and only with respect to that person's or organization's vicarious liability arising out of your ongoing operations performed for that insured. The limit of the additional insured coverage shall be the lesser of.- 1. those limits required by written contract;or 2.. the applicable per claim limit per the Declarations. CJ Authorized Representative This endorsement does not change any other provision of the Policy. The title and any headings in this endorsement are solely for convenience and do not affect Its meaning. Data of Issuance:01/15/2017 Page 1 of 1 Pdicy Forth:CGL CPL,PL TPL Hamilton Specialty Insurance Compmy Endorsement Form:AHS ECC 0310 0714 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY i BUSINESS AUTO BROADENING ENDORSEMENT THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THIS POLICY: BUSINESS.AUTO COVERAGE FORM GARAGE COVERAGE FORM A. EXTENDED CANCELLATION CONDITION Form IL 01 46, WASHINGTON COMMON POLICY CONDITIONS, Section A. Cancellation, Paragraph 2.b, is replaced by the following: b. 60 days before the effective date of cancellation if we cancel for any other reason; B. BROADENED DEFINITION OF INSURED 1. The Named Insured shown in the Declarations is amended to include: a. Any legally incorporated subsidiary in which you own more than 50% of the voting stock on the effective date of the policy. However, the Named Insured does not include any subsidiary that is an "insured" under any other insurance policy or would be an "insured" under such a policy but for its termination or the exhaustion of its Limit of Insurance. b. Any organization that is acquired or formed by you and over which you maintain majority ownership. However, the Named Insured does not Include any newly formed or acquired organization: (1) that is a joint venture, partnership,or limited liability partnership or corporation; (2) that is an"insured"under any other policy; (3) that has exhausted its Limit of Insurance under any other policy;or (4) after 180 days or more of its acquisition or formation by you, unless you have given us notice of the acquisition or formation. Coverage does not apply to "bodily injury" or"property damage"that results from an accident that occurred before you formed or acquired the organization. 2. SECTION 11—LIABILITY COVERAGE of the BUSINESS AUTO COVERAGE form, A. 1. Who Is An Insured is amended to add: d. Any employee of yours while using a covered "auto" you don't own, hire or borrow in your business or your personal affairs. e. Any person,organization, trustee, estate or governmental entity with respect to the operation, maintenance or use of a covered 'auto"if: (1) You are obligated to add that person, organization, trustee, estate or governmental entity as an additional insured to this policy by: (a) an expressed provision of an"insured contract,"or written agreement;or (b) an expressed condition of a written permit issued to you by a governmental or public authority. (2) The "bodily injury" or "property damage" is caused by an "accident" which takes place after: (a) you executed the"insured contract"or written agreement;or (b) the permit has been issued to you. 03-330 WA(03112) Page 1 of 5 C. SECTION If - LIABILITY COVERAGE of the BUSINESS AUTO COVERAGE FORM, B. Exclusions, item 5. Fellow Employee does not apply if the "bodily injury" results from the use of a covered"auto"you own or hire.Coverage is excess over any other collectible Insurance. D. HIRED AUTO PHYSICAL.DAMAGE AND LOSS OF USE If hired "autos" are covered "autos" for Liability coverage; and if Comprehensive or Collision coverages are provided under this Coverage Dorm for any"auto"you own,then the Physical Damage Coverages provided are extended to'autos"you hire of the private passenger, light or medium-truck type (20,000 lbs. or less in gross vehicle weight), subject to the following limits; these items are excess to any other collectible insurance coverage: 1. The most we will pay for"loss"to any hired "auto"Is $50,000 or Actual Cash Value or the Cost of Repair, whichever is smallest, minus a deductible. The deductible will be equal to the largest deductible applicable to any owned"auto"of the private passenger,light or medium truck type-for that coverage. Faired Auto Physical Damage coverage is excess over any other collectible insurance. Subject to the above limit, deductible and excess provisions, we will provide coverage equal to the broadest coverage applicable to any covered 'auto" you own of the private passenger or light truck type; 2, if symbol 8 or 28 Is listed on the Covered Autos section of the policy declarations page as applying to any of the physical damage coverages, then the Hired Auto Physical Damage Coverage described on this foram does not apply;and 3. Subject to a maximum of $750 per accident,we will cover loss of use of a hired "auto" if it results from an accident, you are legally liable and the lessor incurs an actual financial loss." E. COVERAGE EXTENSIONS 1. Under SECTION III-PHYSICAL DAMAGE COVERAGE of the BUSINESS AUTO COVERAGE FORM and SECTION IV of the GARAGE COVERAGE FORM, the following is added to item A.1.a.Comprehensive Coverage: We will pay for the expense of returning a stolen covered"auto"to you. 2. Under SECTION III- PHYSICAL DAMAGE COVERAGE of the BUSINESS AUTO COVERAGE FORM, A.4. Coverage Extensions, item a. Transportation Expenses Is amended to provide a limit of $50 per day to a maximum of $1,000 for temporary transportation expenses. 3. Under SECTION IV- PHYSICAL DAMAGE COVERAGE of the GARAGE COVERAGE FORM, item AA.Transportation Expenses Is amended to provide a limit of$50 per day to a maximum of$1,000 for temporary transportation expenses. F. HIRED AUTO LIABILITY-WORLDWIDE COVERAGE except for the Republic of Mexico For hired "autos"hired for less than 30 days, the coverage territory will be extended to anywhere in the world, except for the Republic of Mexico, provided the "Insured's" liability to pay damages is determined In a"suit"brought In the coverage territory described in SECTION IV-BUSINESS AUTO CONDITIONS in the BUSINESS AUTO COVERAGE FORM. This coverage does not apply to"garage operations". G. AUTO LOAN OR LEASE GAP PAY-OFF Under SECTION III - BUSINESS AUTO COVERAGE FORM or SECTION IV -• GARAGE COVERAGE FORM, if a long-term leased or purchased"auto" is a covered "auto"and the lessor or lender is named as an "Additional Insured - Lessor", or "Additional Insured - Lender", we will pay, In the event of a total "loss", your additional legal obligation to the lessor or lender for any difference between the actual cash value of the"auto"at the time of the"loss"and the"outstanding balance"of the lease or loan. "Outstanding balance"means the amount you owe on the lease or loan at the time of"loss"less any amounts representing taxes; overdue payments; penalties, interest or charges resulting from overdue payments;additional mileage charges; excess wear and tear charges;lease termination fees. 03-330 WA(03112) Page 2 of 5 We will not pay any administrative costs or overhead fees assessed by the finance company that has leased the covered"auto"to you. I H. COMMUNICATION EQUIPMENT COVERAGE Under SECTION III — PHYSICAL DAMAGE COVERAGE of the BUSINESS AUTO COVERAGE FORM,item A. 1.b.Specified Causes of Loss Coverage is amended as follows: With respect to a covered "auto" described In the Schedule or in the Declarations, h also applies to "Loss"to any electronic equipment that receives or transmits audio, visual or data signals and that is not designed solely for the reproduction of sound. This coverage applies only if the equipment is permanently installed in the covered "auto" at the time of the "loss". Equipment which is removable from a housing unit which is permanently installed in the covered "auto"and is designed to be solely operated by use of the power from the "auto's" electrical system in or upon the covered "auto" is considered permanently installed. This coverage also applies to antennas and other accessories necessary for the use of the electronic equipment. The Physical Damage deductibles listed in the declarations as applying to the covered"auto"apply to this coverage as well. The most we will pay in the event of a"loss"is the lesser of: 1. The actual cash value of the damage or stolen property at the time of the"loss;"or 2. The cost of repairing or replacing the damaged or stolen property with other property of like kind or quality;or 3. $1,500. I. GLASS-ONLY CLAIM: DEDUCTIBLE WAIVED IF REPAIRED RATHER THAN REPLACED Under SECTION III — PHYSICAL DAMAGE COVERAGE of the BUSINESS AUTO COVERAGE FORM or SECTION IV — PHYSICAL DAMAGE COVERAGE of the GARAGE COVERAGE FORM, the following is added to item D. Deductible: No deductible applies to glass damage if the glass is repaired rather than replaced. J. WAIVER OF SUBROGATION Under SECTION IV — BUSINESS AUTO CONDITIONS of the BUSINESS AUTO COVERAGE FORM, the following is added to item A.5.Transfer Of Rights Of Recovery Against Others To Us: We waive any right of recovery we may have against any additional "insured," but only as respects to "Loss"arising out of the operation, maintenance or use of a covered "auto"pursuant to the provisions or conditions of the"insured contract,"written agreement,or permit. This coverage does not apply to"garage operations." K. PERSONAL EFFECTS COVERAGE 1. Subject to a maximum limit of $500, coverage is extended to the personal effects of the driver, passenger and insured while inside a covered "autd' and damaged as a result of an accident. Losses are subject to a $250 deductible. No separate deductible applies If the "foss" under this section is part of a specified perils, comprehensive or collision "loss" under this policy. If the "loss" includes coverage under more than one section of this endorsement , only the highest deductible will apply to the entire"loss". 2. We will not pay for"loss"to personal property of any of the following: a. Accounts,bills,currency,deeds, money, notes,securities and evidence of debt. b. Electronic equipment or tapes, records, discs or other similar audio visual or data electronic equipment. c. Furs. d. Animals, birds or fish. 03�330 WA(03112) Page 3 of 5 e. Bullion, precious stones,jewelry or similar valuables, painting, art objects, manuscripts or mechanical drawings. f. Contraband or property In the course of illegal transportation or trade. g. An"auto", its equipment or fluids, including fuel. h. "Loss" caused by theft, unless there are visible signs or marks of forcible entry into the covered"auto"and the theft is reported to law enforcement authorities. 3. The Personal Effects Coverage Is excess over any other valid and collectible insurance coverage available for the same"loss". L. PET INJURY COVERAGE Under Section III—Physical Damage Coverage, If you cant'Collision Coverage for the damaged covered"auto",the following is added: If"your pet"sustains Injury or death while inside a covered auto at the time of a loss covered under Collision or Comprehensive coverage, we will pay for the following: 1. up to$500 for reasonable and routine veterinary fees incurred by you If"your pet"is injured in, or as a direct result of,the covered loss;or 2. a $500 death benefit if"your pet" dies in, or as a direct result of, the covered loss, less any payment we made toward veterinary expenses for"your pet". In the event of a covered loss due to theft of a covered auto,we will pay the death benefit subject to "your pet'is inside the covered auto at the time of theft and "your pet"is not recovered. This additional coverage is subject to a$100 Deductible for death and veterinary care sustained as a result of a covered loss. Coverage applies in excess over any other valid and collectible insurance. The following definition applies to this coverage: "Your pet"means any cat or dog owned by any insured covered under this policy. i The most we will pay for all damages in any one loss is a total of$500 regardless of the number of dogs or cats involved. M. SINGLE EVENT DEDUCTIBLE Under the Physical Damage Coverage Section, if two or more policies or coverage forms apply to the same accident,the following applies to paragraph D.Deductible: You will pay the highest deductible stated on the declarations page only once for damages to your tractor, trailer and cargo when all are insured by us and are damaged by the same covered cause of loss. N. RENTAL REIMBURSEMENT COVERAGE We will pay for rental reimbursement expenses Incurred by you for the rental of an"auto" because of 'loss" to a covered "auto". Payment applies in addition to the otherwise applicable amount of each coverage you have on a covered"auto". No deductibles apply to this coverage. 1. We will pay only for those expenses incurred during the policy period beginning 24 hours after the "loss" and ending, regardless of the policy's expiration, with the lesser of the following number of days: a. The number of days reasonably required to repair or replace the covered "auto".If"loss"is caused by theft, this number of days is added to the number of days it takes to locate the covered"auto"and return it to you. 2. Our payment is limited to the lesser of the following amounts: a. Necessary and actual expenses incurred. 03330 WA(03112) Page 4 of 5 b. Subject to a maximurn payment of $100 per day up to 30 days. i 3. This coverage does not apply while there are spare or reserve"autos"available to you for your operations. d. If"loss"results from the total theft of a covered "auto' of the private passenger type, we will pay under this coverage only that amount of your rental reimbursement expenses which is not already provided for under the Physical Damage Coverage Extension, 03-330 WA(03/12) Page 5 of 5 u 4 cn uo E 0e, a,151 "b 1 n v cd rn DO CD �J E r w Claw of Kent 40 a Business rI WA 5 H I M G TO 11 NOR'1'I-I'W13ST ABAT Fv FN'F SI RVIC S PO BOX 39220 LAKEWOOD, WA 98496 6 F Pletrs ter.rA at perforaiion —.._.— _——.._ ———._..,,,.— _ ———_.._....._...,_.,___— . ...._.—.....—T_ _.r.....-....-....-...._ — - g T 11cr It.0 W 82.14 local sates BUSINESS LICENSE acid use tax niusl be coded LICENSE MItJ;3'I BE PAID ANNUALLY BY No. 1715 for all qualiliett JAi*ILI,rRYIstTO AVOID PENALTY sales Within 11)6 city of KENTIssuance o Lleense Does No(tnrplyl t'Acensee's' � Kent,cKent,f WA 5 H I,R1 c,o N Coal Ill itl live willi S(sa(e,and 6..00ll Laaws N THIS LICENSE,MUST BE POSTED IN A CONSPICUOUS Year : 2017 I'LACE,NOT TRANSF RARLIs Olt ASSIGNABLE Ni MIM.ANC ADDRESS OF BINNESS �f - OR'I"1-iWEST ABATENII.IiN'r SFRVIC-I S INC MAYOR 9822 32ND AV CT S The City f Kent LAKEWOOD, WA 98499 M2204TRAVrsta 16