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HomeMy WebLinkAboutEC17-278 - Original - SAFEbuilt Washington, LLC - Plan Review - 08/30/2017 NINE r s U K F IENT Arm, ; Documenf /%iw CONTRACT COVER SHEET This is to be completed by the Contract Manager prior to submission to the City Clerk's Office. All portions are to be completed. If you have questions, please contact the City Clerk's Office at 253-856-5725. Vendor Name: AFEbuiltWashington, LLC Vendor Dumber: JD Edwards Number Contract Number: e C 11- This is assigned by City Clerk's Office Project Name: Plan Review Description: ❑ Interlocal Agreement ® Change Order E] Amendment Z Contract El Other: Contract Effective Date: Date Mayor signs Termination Date: 12/31/2017 Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Kimberlee McArt' Department: ECD Contract Amount: $30,000.00 Approval Authority: [:1 Director 21 Mayor ❑ City Council Meeting Date- Detail: (i.e. address, location, parcel number, tax 'id, etc.): CONSULTANT SERVICES AGREEMENT between the City of Kent and SAFEbuilt WASHINGTON, LLC THIS AGREEMENT is made between the City of Kent, a Washington municipal corporation (hereinafter the "City"), and SAFEbuilt Washington, LLC organized under the laws of the State of Washington, located and doing business at 3755 Precision Drive, Suite 140, Loveland Colorado, 80538 (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: Plan review as further define in attached Exhibit A, Scope of Work Consultant further represents that the services furnished under this Agreement will be performed in accordance with generally accepted professional practices within the Puget Sound region in effect at the time those services are performed. II. TIME OF COMPLETION. The parties agree that work will begin on the tasks described in Section I above immediately upon the effective date of this Agreement. Consultant shall complete the work described in Section I by December 31, 2017. III. COMPENSATION. A. The City shall pay the Consultant, based on time and materials, an amount not to exceed Thirty Thousand and 00/100 Dollars ($30,000.00), for the services described in this Agreement. This is the maximum amount to be paid under this Agreement for the work described in Section I above, and shall not be exceeded without the prior written authorization of the City in the form of a negotiated and executed amendment to this agreement. The Consultant agrees that the hourly or flat rate charged by it for its services contracted for herein shall remain locked at the negotiated rate(s) for a period of one (1) year from the effective date of this Agreement. The Consultant's billing rates shall be as delineated in Exhibit A. B. The Consultant shall submit monthly payment invoices to the City for work performed, and a final bill upon completion of all services described in this Agreement. The City shall provide payment within forty-five (45) days of receipt of an invoice. If the City objects to all or any portion of an invoice, it shall notify the Consultant and reserves the option to only pay that portion of Consultant Agreement 1 SAFEbuilt Washington, LLC the invoice not in dispute. In that event, the parties will immediately make every effort to settle the disputed portion. IV. INDEPENDENT CONTRACTOR. The parties intend that an Independent Contractor-Employer Relationship will be created by this Agreement. By their execution of this Agreement, and in accordance with Ch. 51.08 RCW, the parties make the following representations: A. The Consultant has the ability to control and direct the performance and details of its work, the City being interested only in the results obtained under this Agreement. B. The Consultant maintains and pays for its own place of business from which Consultant's services under this Agreement will be performed. C. The Consultant has an established and independent business that is eligible for a business deduction for federal income tax purposes that existed before the City retained Consultant's services, or the Consultant is engaged in an independently established trade, occupation, profession, or business of the same nature as that involved under this Agreement. D. The Consultant is responsible for filing as they become due all necessary tax documents with appropriate federal and state agencies, including the Internal Revenue Service and the state Department of Revenue. E. The Consultant has registered its business and established an account with the state Department of Revenue and other state agencies as may be required by Consultant's business, and has obtained a Unified Business Identifier (UBI) number from the State of Washington. F. The Consultant maintains a set of books dedicated to the expenses and earnings of its business. V. TERMINATION. Either party may terminate this Agreement, with or without cause, upon providing the other party thirty (30) days written notice at its address set forth on the signature block of this Agreement. After termination, the City may take possession of all records and data within the Consultant's possession pertaining to this project, which may be used by the City without restriction. If the City's use of Consultant's records or data is not related to this project, it shall be without liability or legal exposure to the Consultant. VI. DISCRIMINATION. In the hiring of employees for the performance of work under this Agreement or any subcontract, the Consultant, its subcontractors, or any person acting on behalf of the Consultant or subcontractor shall not, by reason of race, religion, color, sex, age, sexual orientation, national origin, or the presence of any sensory, mental, or physical disability, discriminate against any person who is qualified Consultant Agreement 2 SAFEbuilt Washington, LLC 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 duty to defend, indemnify, and hold the City harmless, and Consultant's liability accruing from that obligation 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. In the event Consultant refuses tender of defense in any suit or any claim, if that tender was made pursuant to this indemnification clause, and if that refusal is subsequently determined by a court having jurisdiction (or other agreed tribunal) to have been a wrongful refusal on the Consultant's part, then Consultant shall pay all the City's costs for defense, including all reasonable expert witness fees and reasonable attorneys' fees, plus the City's legal costs and fees incurred because there was a wrongful refusal on the Consultant's part. The provisions of this section shall survive the expiration or termination of this Agreement. VIII. INSURANCE. The Consultant shall procure and maintain for the duration of the Agreement, insurance of the types and in the amounts described in Exhibit B 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. Consultant Agreement 3 SAFEbuilt Washington, LLC X. OWNERSHIP AND USE OF RECORDS AND DOCUMENTS. Original documents, drawings, designs, reports, or any other records developed or created under this Agreement shall belong to and become the property of the City. All records submitted by the City to the Consultant will be safeguarded by the Consultant. Consultant shall make such data, documents, and files available to the City upon the City's request. The Consultant acknowledges that the City is a public agency subject to the Public Records Act codified in Chapter 42.56 of the Revised Code of Washington. As such, the Consultant agrees to cooperate fully with the City in satisfying the City's duties and obligations under the Public Records Act. The City's use or reuse of any of the documents, data, and files created by Consultant for this project by anyone other than Consultant on any other project shall be without liability or legal exposure to Consultant. XI. CITY'S RIGHT OF INSPECTION. Even though Consultant is an independent contractor with the authority to control and direct the performance and details of the work authorized under this Agreement, the work must meet the approval of the City and shall be subject to the City's general right of inspection to secure satisfactory completion. XII. WORK PERFORMED AT CONSULTANT'S RISK. Consultant shall take all necessary precautions and shall be responsible for the safety of its employees, agents, and subcontractors in the performance of the contract work and shall utilize all protection necessary for that purpose. All work shall be done at Consultant's own risk, and Consultant shall be responsibld 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, including all appeals, in addition to any other recovery or award provided by law; provided, Consultant Agreement 4 SAFEbuilt Washington, LLC however, nothing in this paragraph shall be construed to limit the City's right to indemnification under Section "III 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. A. "s 5 "i-a"n'm-e"nt. 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. 'M"odifMation. 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 a,nd Consultant. G, Entire Akgreenient. 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. Com.pliance wi't"h-""l-a-w s. The Consultant agrees to comply with all federal, state, and municipal laws, rules, and regulations that are now effective or in the future become applicable to Consultant's business, equipment, and personnel engaged in operations covered by this Agreement or accruing out of the performance of those operations, I. Public Records' Act:. The Consultant acknowledges that the City is a public agency subject to the Public Records Act codified in Chapter 42,,56 of the Revised Code of Washington and documents, notes, emails, and other records prepared or gathered by the Consultant in its performance of this Agreement may be subject to public review and disclosure, even if those records are not produced to or possessed by the City of Kent. As such, the Consultant agrees to cooperate fully with the City in satisfying the City's, duties and obligations under the Public Records Act. J City.._RLgJness Lice nse_Recpqi red. 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. Cou_.nte.rpart5_._and_ Sia.n-a Lure lsrr--Irbly'll",Flal:x-.o-r.'"Em.a-il, 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 Consultant Agreement SAFEbuil't Washington, LLC 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. (Remainder of page left intentionally blank) Consultant Agreement 6 SAFEbuilt Washington, LLC IN WITNESS, the parties below execute this Agreement, which shall become effective on 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., CONSULTANT: CITY OF KENT: B.................. (sigta re) (signature) Print Name d Pri Nam zzette Cooke Its: C--R' 'Q Mattliew Royer, COO Its r Date: August 17 2 017 Date: NOTICES TO BE SENT TO: NOTICES TO BE SENT TO: CONSULTANT: CITY OF KENT: Gregory Toth, CRO Kimberlee McArthur SAFEbuilt Washington, LLC City of Kent 3755 Precision Drive, Suite 140 220 Fourth Avenue South Loveland, CO 80538 Kent, WA 98032 (9701) 292-2205 (telephone) (253) 856-5307 (telephone) AP;PROV LS TO FORM, Ke La Department .................. P:\ADM IN"AC0NTRACTS\SAFEbUiit\Con5U Itant Agreement - SAFEbuilt,docx Consultant Agreement 7 SAFEbuflt Washington, LLC 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. 1 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 wiH provide a written statement to all new employees and Subcontractors indicating commitment as an equal opportunity employer. 4. During the time of the Agreement I, the prime contractor, will actively consider hiring and promotion of women and minorities. 5. Before acceptance of this Agreement, an adherence statement will be signed by me, the Prime Contractor, that the Prime Contractor complied with the requirements as set forth above. By signing below, I agree to fulfill the five requirements referenced above. By For, SAFEbuilt Washirigton, LLC Title: Matthew Royer, COO Date: August 17, 2017 EEO Compliance Documents SAFEbuilt Washington, LLC 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 SAFEbuilt Washington, LLC 2 CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE STATEMENT This form shall be filled out AFTER COMPLETION of this project by the Contractor awarded the Agreement. I, the undersigned, a duly represented agent of Company, hereby acknowledge and declare that the before-mentioned company was the prime contractor for the Agreement known as that was entered into on the (date), between the firm I represent and the City of Kent. I declare that I complied fully with all of the requirements and obligations as outlined in the City of Kent Administrative Policy 1.2 and the Declaration City of Kent Equal Employment Opportunity Policy that was part of the before-mentioned Agreement. By: _ For: Title: Date EEO Compliance Documents SAFEbuilt Washington, LLC 3 EXHIBIT A- LIST OF SERVICES AND FEE SCHEDULE 1. LIST OF SERVICES As-Requested Plan Review Services ✓ Provide plan review services electronically or in the traditional paper format ✓ Review all plans,ensuring they meet adopted building codes and local amendments and/or ordinances ✓ Deterniine type of construction,use and occupancy classification using certified plans examiner ✓ Be a resource to applicants on submittal requirements and be available throughout the process ✓ Be available for pre-submittal meetings as warranted ✓ Provide feedback to keep plan review process on schedule ✓ Interpret legal requirements and recommend compliance procedures as well as address any issues by documented comment and correction notices ✓ Return a set of finalized plans and all supporting documentation ✓ Provide review of plan revisions and remain available to applicant after the review is complete Reporting Services We will work to develop a reporting schedule and format that meets your needs. We can provide monthly, quarterly, and annual reports summarizing activity levels; adherence to our performance metrics; and other items that arc of special interest to you. 2. MUNICIPAI.OBi.IGATIONS ✓ All fees will be collected by the Municipality ✓ Municipality will intake permits,plans and related documents for pickup by Consultant and/or submit to Consultant electronically 3. T1ML'OF PLERI'ORMANCh Services will be performed during normal business hours excluding Municipal holidays. Deliverables PRE-SUBMITTAL MEETINGS Provide pre-submittal meetings to applicants by scheduled appointment PLAN REVIEW Provide comments within the following timeframes: TURNAROUND TIMES Day 1=first full business day after receipt of plans and all supporting documents Project Type: First Comments Second Comments ✓ Single-family within 10 business days 10 business days or less 4. FEE SCIIEDULL Consultant fees for Services provided pursuant to this Agreement will be as follows: Service Fee Schedule: Plan Review Services 751 of Municipal fee as established by ordinance EXHIBIT A SAFEbuilt Washington, LLC 7 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. 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. Professional Liability insurance appropriate to the Consultant's profession. 4. Cyber Liability insurance. 5. Workers' Compensatfon coverage as required by the Industrial InsuraMde laws of the State of Washington. 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 $5,000,000 each occurrence, $5,000,000 general aggregate. Coverage may be in the form of an underlying GL policy combined with an Umbrella/Excess policy in order to meet the limits required. EXHIBIT A SAFEbuilt Washington, LLC 8 3. Professional Liability insurance shall be written with limits no less than $5,000,000 per claim and $5,000,000 policy aggregate limit. 4. Cyber Liability insurance shall be written with limits no less than $1,000,000 per occurrence 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 A:VII. 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. 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. EXHIBIT A SAFEbuilt Washington, LLC 9 SAFEB-1 OP ID:CL ACORO CERTIFICATE OF LIABILITY INSURANCE DA0 811I.4/2 01 7 ) 08J14J2017 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 pollcy(les) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certaln policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME:CT Cyndi LaMotte RBN&Associates,Inc. 303 East Wacker Dr Suite 1130 (AICC,N o,E,1) 312-866-9400 tc.No): Chicago,IL 80801 a DRE Bruce Scodro SS:clamotte@rbn500.com INSURER(S)AFFORDING COVERAGE NAIC IT INSURER A:Prop&Casu Ins Co of Hartford 34690 INSURED SAFEbuilt Holding Company INSURER B:Everest National Ins.Co. 10120 SAFEbuilt, LLC (See Attacheed)d) INSURER C:Executive Risk Indemnity,Inc. 35181 3756 Precision Drive,Ste 140 INSURER D:Twin City Fire Insurance Co. 29459 Loveland,CO 80538 INSURER E:Navigators Insurance Company 42307 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. FXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS 1�TR TYPE OF INSURANCE EFF IN�D SW VD POLICY NUMBER MWOOY M DCD NYYY LIMITS B X COMMERCIAL GENERAL LIABILITY LAC,OCCURRENCE S 1,000,00 Cl d ins-VAOE X CCCUR CF8GL00003-161 10103/2016 10/03/2017 DAMAGE 70 RENTED 300 000 PRI'VISES(Ea cccucerce) , rn.0 EXP(Any one person) 10,000 PLIRSONAL a ADV INJURY S 1,000,000 GFN'L AGGRt:GAI E LIMI I APPLIES PER GENERAL AGGREGATE 5 2,000,000 X Po_c" °E o PRODUCTS COMPIOP AGG 5 2,000,000 OTHER S AUTOMOBILE LIABILITY {OMB04F D SING:E L.110- q 1,000>000 a audeot A X ANY AUTO 83 LIEN PY9100 10/03/2016 10103/2017 RCDILY INJURY(Per person! ALL:�4VNFD 5CH--DUI_FD AUTOS AUTOS HCDiI v IfaA.i%?Y;Far acatlent+ 5 NON 011%E D PROPSR,Y O AVAGE X HIRED AUKS X AU70S {Pe?acodCrl) UMBRELLA LIAR X OCCUR I'a1CH OCCURRENCE S 10,000,000 E X EXCESSUA13 CLAWS-MADE CH16EXC8856001V 1010312016 10/03/2017 AGGRLGAII, 10,000,000 DED X RETENPONS 0 S WORKERS COMPENSATION XIH- AND EMPLOYERS'LIABILITY S1AIUtE ER D ANY PROPRIETOR,PARINEwEXECLJ!1W YIN 83WECE0623 051212017 05/12/2018 r FACl,ACCiDE^J- 1,000,000 CFFICER1AdEMHF.R E XCI UDEO, NIA (Mandatory In NH) I DiS-ASE-EA E Md LOYEE 5 1.000,000 If yes descr,be under 1 000 OOQ DESCRIPTION OF OPERATIONS be!oa CIS--ASE POLICY u.V!7 1,000,000 C Professional Llab 8241-5262 10/03/2016 1010312017 Ea Claim 5,000,000 C Cyber Liability 8241-5262 10103/2016 1010312017 Ea Claim 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) The City of Kent is an Additional Insured as respects General Liability as required by a written contract. CERTIFICATE HOLDER CANCELLATION CITYOFK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CI f K THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of ACCORDANCE WITH THE POLICY PROVISIONS, 400 West Gowe Kent,WA 98032 AUTHORIZED REPRESENTATIVE Z::�716�pz ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014/01) The ACORD name and logo are registered marks of ACORD . -___-- SAFES-1 PAGE 2 NOTEPAD INSUREWSNAME SAFEbuilt Holding Company OP ID:CL 08/14/2017 Named Insureds (continued) : SAFEbuilt Arizona, LLC SAFEbuilt Carolinas, LLC SAFEbuilt Colorado, LLC SAFEbuilt Florida, LLC SAFEbuilt Georgia, LLC SAFEbuilt Illinois, LLC SAFEbuilt Louisiana, LLC SAFEbuilt New Mexico, LLC SAFEbuilt Ohio, LLC SAFEbuilt Oregon, LLC SAFEbuilt Texas, LLC SAFEbuilt Michigan, LLC SAFEbuilt Washington, LLC SAFEbuilt Wisconsin, LLC LSL Planning, LLC Meritage Systems, Inc. If required by a written contract, the following forms apply on a blanket basis. General Liability: CG2038 0413 Additional Insured-Owners, Lessees or Contractors CG2001 0413 Primary and Noncontributory CG2404 0509 Waiver of Transfer of Rights of Recovery Against Others to Us Auto Liability: HA9916 0312 Commercial Automobile Broad Form Endorsement includes Additional Insureds, Primary and Non-Contributory language and Waiver of Subrogation Workers Compensation: WC 00 03 13 Waiver Of Our Right to Recover from Others { REQUEST FOR MAYO rR'S SIGNATURE Please Fill''ini AP,Applicable 8o el KENO" Carl unator: Tanya Rosen Phone (Originator):5456. ©ate Sent:08122f17 gate of ounell' Approval N/A Return Signed. 1 I dte of' pprdrra1 fro n Finance; IDoc'ument to: Tanya Rosen and/or Julie Pulliam (only re aired on contracts 10,000 �S ower,or on any Grant a4 reernent 08/22/17 Date Re uiied:ASAP Cute olf Approval from IR.dsk Manager 8116117 Vendor Name: Bul,dgete&, YE ® O F] P buNlt 50 et Fund; 10004 00i64190',6402 Plan review for Permit Center All Conttracts'Must'Be Rourted''Thra;rgh The La1wDepar>*ment N Lja to,be completed by the Lair Department) Received: A Law'De rnent Approved ai to Form: ,r Lave Dept, Comm lame Forwarded to Mayor., a ✓�rre�Di j"�rma ar �� '�� /I aair�h oruu� *aim a r✓r,�rr,;�J' '�� le . 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