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PW17-476 - Original - Integra Washington, Inc. - Mill Creek Re-Establishment Valuation Services - 10/04/2017
I J y/�6 // cord ✓t ;,�f m II f /I, r''" KENT wA=HINoro� ridl, � ocument Hj„W, // I NO NO CONTRACT COVER SHEET i 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: Integra Washington, Inc. Vendor Number: JD Edwards Number Contract Number 4 g� ti- qll This is assigned by City Clerk's Office Project Name: Mill Creek Re-Establishment Description: ❑ Interlocal Agreement ❑ Change Order ❑ Amendment ® Contract ❑ Other: Contract Effective Date: 10/4/17 Termination Date: 3/31/18 Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Dee Martindale Department: Engineering Contract Amount: $2,750.00 Approval Authority: (CIRCLE ONE) CepartmentDirecto) Mayor City Council Detail: (i.e. address, location, parcel number, tax id, etc.): Provide valuation services for the Johnson/Sealey property, .......... ... As of: 08/27/14 KENT PROFESSIONAL SERVICES AGREEMENT between the City of Kent and Integra Washington, Inc.. THIS AGREEMENT is made between the City of Kent, a Washington municipal corporation (hereinafter the "City"), and Integra Washington, Inc. organized under the laws of the State of Washington, located and doing business at 600 University St., Suite 310, Seattle, WA 98101, Phone: (206) 436-1177, Contact: Lori Safer (hereinafter the "Contractor"). I. DESCRIPTION OF WORK. Contractor shall perform the following services for the City: The Contractor shall provide valuation services for the Mill Creek Re- Establishment Project - Johnson/Sealey property. For a description, see the Contractor's Scope of Work which is attached as Exhibit A and incorporated by this reference. Contractor 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, and Contractor shall complete the work by March 31, 2018. III. COMPENSATION. The City shall pay Contractor a total amount not to exceed Two Thousand, Seven Hundred Fifty Dollars ($2,750.00) for the services described in this Agreement. The Contractor shall invoice the City monthly based on time and materials incurred during the preceding month. The hourly rates charged for Contractor's services shall be as delineated in the attached and incorporated Exhibit A. All hourly rates charged shall remain locked at the negotiated rates throughout the term of this Agreement. 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 Contractor 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 Contractor maintains and pays for its own place of business from which Contractor's services under this Agreement will be performed. C. The Contractor has an established and independent business that is eligible for a business deduction for federal income tax purposes that existed before the City retained Contractor's services, or the Contractor is engaged in an independently established trade, occupation, profession, or business of the same nature as that involved under this Agreement. D, The Contractor 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. PROFESSIONAL SERVICES AGREEMENT - 1 ($20,000 or Less) E. The Contractor has registered its business and established an account with the state Department of Revenue and Other state agencies as may be required by Contractor's business, and has obtained a Unified Business Identifier (UBI) number from the State of Washington. F. The Contractor 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 seven (7) calendar days written notice at its address set forth on the signature block of this Agreement. VI. DISCRIMINATION. In the hiring of employees for the performance of work under this Agreement or any subcontract, the Contractor, its subcontractors, or any person acting on behalf of the Contractor or subcontractor shall not discriminate against any person who is qualified and available to perform the work to which the employment relates as provided for by the City of Kent's Equal Employment Opportunity Policy. Contractor 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. Contractor 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 Contractor'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 Contractor's work when completed shall not be grounds to avoid any of these covenants of indemnification. The provisions of this section shall survive the expiration or termination of this Agreement. In the event Contractor 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 Contractor's part, then Contractor 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 Contractor's part. VIII. INSURANCE. The Contractor 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. CONTRACTOR'S WORK AND RISK. The Contractor agrees to comply with all federal, state, and municipal laws, rules, and regulations that are now effective or in the future become applicable to Contractor's business, equipment, and personnel engaged in operations covered by this Agreement or accruing out of the performance of those services. All work shall be done at Contractor's own risk, and Contractor 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. X. 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. PROFESSIONAL SERVICES AGREEMENT - 2 ($20,000 or Less) C. Resolutign 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; r vi e , however, nothing in this paragraph shall be construed to limit the City's right to indemnification under Section VII of this Agreement. D. Written Notice. All communications regarding this Agreement shall be sent to the parties at the addresses listed on the signature page of the Agreement, unless notified to the contrary. Any written notice hereunder shall become effective three (3) business days after the date of mailing by registered or certified mail, and shall be deemed sufficiently given if sent to the addressee at the address stated in this Agreement or such other address as may be hereafter specified in writing. E. Assignment. Any assignment of this Agreement by either party without the written consent of the non-assigning party shall be void. 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 Contractor. G. Entire _Ag eement. 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. 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. Public Records Act. The Contractor 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 Contractor 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 Contractor agrees to cooperate fully with the City in satisfying the City's duties and obligations under the Public Records Act. I. City Business License Requirectl. 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. PROFESSIONAL SERVICES AGREEMENT - 3 ($20,000 or Less) i Counternarts and Signatures by Fax or Email. This Agreement may be executed in any number of counterparts, each of which shall constitute an original, and all of which will together constitute this one Agreement. Further, upon executing this Agreement, either party may deliver the signature page to the other by fax or email and that signature shall have the same force and effect as if the Agreement bearing the original signature was received in person. IN WITNESS, the parties below execute this Agreement, which shall become effective on the last date entered below. 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. - — CONTRA,CTR � CITY OF KENT: (signature) "� �' (signature) Print Na e( L�7 � �.,"� Y Print Name: Michael Mactutis, P.E. Its: n j� ' Its: Environmental Engineering Manager DATE: `1 -r : ( ( $ DATE: f6/q I l ............. NOTICES TO BE SENT TO: NOTICES TO BE SENT TO: CONTRACTOR: CITY OF KENT: Lor Safer Timothy J. LaPorte, P.E. Integra Washington, Inc. City of Kent 600 University St., Suite 310 220 Fourth Avenue South Seattle, WA 98101 Kent, WA 98032 (206) 436-1177 (telephone) (253) 856-5500 (telephone) (206) 623-5731 (facsimile) (253) 856-6500 (facsimile) PROFESSIONAL SERVICES AGREEMENT - 4 ($20,000 or Less) DECLARATION CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY POLICY The City of Kent is committed to conform to Federal and State laws regarding equal opportunity. As such all contractors, subcontractors and suppliers who perform work with relation to this Agreement shall comply with the regulations of the City's equal employment opportunity policies. The following questions specifically identify the requirements the City deems necessary for any contractor, subcontractor or supplier on this specific Agreement to adhere to. An affirmative response is required on all of the following questions for this Agreement to be valid and binding. If any contractor, subcontractor or supplier willfully misrepresents themselves with regard to the directives outlines, it will be considered a breach of contract and it will be at the City's sole determination regarding suspension or termination for all or part of the Agreement; The questions are as follows: 1. I have read the attached City of Kent administrative policy number 1.2. 2, During the time of this Agreement I will not discriminate in employment on the basis of sex, race, color, national origin, age, or the presence of all sensory, mental or physical disability. 3, During the time of this Agreement the prime contractor will provide a written statement to all new employees and subcontractors indicating commitment as an equal opportunity employer. 4. During the time of the Agreement I, the prime contractor, will actively consider hiring and promotion of women and minorities. 5. Before acceptance of this Agreement, an adherence statement will be signed by me, the Prime Contractor, that the Prime Contractor complied with the requirements as set forth above. By signing below, I agree to fulfill the five requirements referenced above. Dated this - day of :: ca 2t7 .` By: For: Title: Date: EEO COMPLIANCE DOCUMENTS - 1 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 CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE STATEMENT I 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. Dated this day of 20_. By: For: Title: Date: EEO COMPLIANCE DOCUMENTS - 3 EXHIBIT A Integra Realty Resources 600 University street T206 903,6700 :ieaCtle Suite 310 F 206,623,5731 Seattle,WA 98101 www,irr.cpm September 12,2017 Dee Martindale Project Analyst City of Kent Public Works Engineering 400 West Gowe Kent, WA 98032-5895 SUBJECT: Proposal for Valuation Services PW2015-078-Walter I.Johnsen&Cheryl Sealy Johnsen Tax Parcel312205-9010 Dear Ms. Martindale: Integra Realty Resources—Seattle appreciates the opportunity to provide this proposal for valuation services for the above-captioned project. It is my understanding that the project will Involve full acquisition of the property. We will provide a summary appraisal report in compliance with current WSDOT standards. Our fee for this assignment is$2,750. The appraisal and reports will be prepared in conformance with and subject to,the Code of Professional Ethics and Standards of Professional Appraisal Practice of the Appraisal Institute and the Umform Standards of Professional Appraisal Practice(USPAP)developed by the Appraisal Standards Board of the Appraisal Foundation.The Ethics Rule of USPAP requires us to disclose to you any prior services we have performed regarding the subject property within a three year period immediately preceding the acceptance of this assignment, either as an appraiser or in any other capacity. We have previously appraised this property for the City of Kent within the past 12 months. We will submit an electronic copy of the report via our FRP site for initial review and we will work with the reviewer to provide additional information or make corrections as specified by the reviewer.Two hard copies of the reports will be provided;additional copies of the report(s) are available at an additional cost. The current minimum cost for each additional copy is$100 City of Kent September 12, 2017 Page 2 per copy. The report(s)will be completed and delivered to you within 30 days once we are authorized to begin the appraisal of each parcel. In order to complete this assignment in the designated time, we will need access to pertinent documents, materials,facilities and or/personnel. Any delays in the receipt of this Information or in the access to the property will automatically extend the final delivery date of the report(s) as proposed. Furthermore,the appraisal report and conclusions therein will be predicated upon the accuracy and completeness of the information provided by the Client. In the absence of some of this information,the appraisers will attempt to obtain this information from other sources and/or may require the use of Extraordinary Limiting Conditions and Assumptions within the appraisal report. Please let me know If you have any questions about this response. I look forward to your favorable consideration. Sincerely, I NTEGRA REALTY RESOURCES—SEATTLE) Lori Safer, MAI, MRICS Managing Director 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. Automobi'le 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. Commeh' 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 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 1.0 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. Professional Liability insurance appropriate to the Consultant's profession. 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, $2,000,000 general aggregate and a $1,000,000 products-completed operations aggregate limit. EXHIBIT B (Continued) 3. Professional Liability insurance shall be written with limits no less than $1,000,000 per claim and $1,000,000 policy aggregate limit. 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 Contractor 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. G CERTIFICATE OF LIABILITY INSURANCE DArE(9/20 3/2 /20 7 17 - THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHT$ UPON THE CERTIFICATE HOLDER. THIS ^CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES IOW', THIS CERTIFICATE.. OF INSURANCE DOES NOT CONST17UTE A CONTRACT BETWEEN THE ISSUING INSURER(S)„ AUTHORIZED r RESENTA1rl'VE OR PRODUCER,AND THE'.CERTIFICATE HOLDER. RTANT: If the certificate holder Is.an ADDITIONAL, INSURED, the policy(les) must be endorsed. 11 SUBROGATION IS WAIVED,subject to erms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the ficate holder In Ileu of such endonemsnt(s}. ER Carrie Qvrid OSth Avenue NE, Suite 725er Insurance PHONEEP ,. (425)455 5000 FA (425)454 5550 99,carrieoaconoverinsurance.com .__. . Box 90007 ,INSURERS AFFORDINOCOVENAOE NAICa Bellevue WA 98004 INSURER'AMUtual of Enumclaw Insurance 14761 INSURED —............. .— ....,...........�.�.......�...� INSURER B Integra Washington, Inc. , DBA: Integra Realty INsuRERc. 600 University Street INSURER Suite 310 n .... ..... ......... ._... INSURER E _...._.. -___. ___. .......... ..m.._.�... Seattle WA 98101 INSURER F: COVERAGES CERTIFICATE NUMBER:17-18 Master OL 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. IN R .� -. ._-. kOYJC.❑BR ... ..._........ Ptl11CYEFF... POLICY EXP TYPE OF INSURANCE POLICY NUMBER (MMIDD,YYYYI M Y LIMBS ,ucn unm X CO1MMERCIAL GENERAL LIABILITY ACH OCCU RREN :E $ 2,000,000 A CLAIMS MADE X,� DGCUR 1p", YAKdKD Win F 100,000 PRF.MIISES.dt,aNn59rmomm)___ s .......... __..._._ X B0.0001383 3/14/2017 3/14/2018NED EXP(Any one Penoni 5 10,000 ,. ERSONAL S ACV I N JURY $ G_EN'I,.AGGREGATE LIMIT APPLIES PER'. GENERAL AGGREGATE S 41 000,000 .X POLICY JEd 0 LOP PRODUCTS COMPIOPAGG S 2,000,000 n, O4HER; Nanawnel S 2,000,000 ,I`"TOM( ILE LIABILITY BNEG SENCSA43A'd44nSI_..., "•U'ITf 2,000,000 ANY AUTO BODILY INJURY(Per paaon) $ ALL OS AUTOSSCHEDULED HOP0001383 3 19/201] 3/14/2015 BODILY INJURY Per ecaden[ $ _...... A1R05 ........... AUTOS X / ( 1 X NON-OWNED PRL�PERTY[7A.MAGE _" ._,. HIRED Auros X ____. AUTOS (Pat a4}"441111...�.._. .,$ , S X UMBRELLA LIAB OCCUR EACH OCCURRENCE E 1,000.000 EXCESS LIAB CI.AIA15 MADE A .. .................... __ ....._.... AGGREGATE S 1.000,000 ......_.._ _........ .__ _,_ x DFD RETENTIONS UNC0000555 3/19/201] 3/11/2018 9 WORKERS COMPENSATION - ANDEMPLOYERS'LIABILITY iTAn qF PR ANY PROPRIETOR/PARTNERIE)(ECUTIVE YFM WA Step Gap EL EACHACCIOENT S 2 000,000 OFFICERIMEMSER D(CLLIDED] NIA ,...,.... ._...— _..-.....m.w..,,. A (Mandatorym NH) 1 BOP0001383 3/14/2017 3/14/2018 EL DISEASE EA EMPLOYEE. S 2,000.000 u yyes.Mach.under ... „ ......._.....,..... ..., .... DESCRIPI'ION OF OPERATIONS below LDISEPSE-POLICY LIMIT S 2.000.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Addldonal Remerka Schedule,maybe aeached Ir mom space la nquImd) ' City Of Rent are included as Additional Insureds. The following attached form applies: Additional Insured '' per form BP 0448 0713 . CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Kent THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 220 Fourth Avenue South ACCORDANCE WITH THE POLICY PROVISIONS. Kent, WA 98032 AUTHORQED REPRESENTATIVE Carrie Ovrid/COVRID ©1988-2014ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD I NS025,,O1Inn POLICY NUMBER: BOP 0001383 06 BUSINESSOWNERS BP 04 48 07 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY,. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM SCHEDULE Name Of Additional Insured Persons) Or Organization(s): _ CITY OF KENT Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section If— Liability is amended as follows: B. With respect to the insurance afforded to these A. The following is added to Paragraph C. Who Is An additional insureds, the following is added to Insured: Paragraph D. Liability And Medical Expenses Uni Of Insurance: 3. Any person(s) or organization(s) shown in the Schedule is also an additional insured, but only If coverage provided to the additional insured is with respect to liability for "bodily injury", required by a contract or agreement, the most we "property damage" or "personal and advertising will pay on behalf of the additional insured is the injury'' caused, in whole or in part, by your acts arnount of insurance: or omissions or the acts or omissions of those 1. Required by the contract or agreement; or acting on your behalf in the performance of 2. Available under the applicable Limits Of your ongoing operations or in connection with Insurance shown in the Declarations; your premises owned by or rented to you. whichever is less. However: This endorsement shall not increase the a. The insurance afforded to such additional applicable Limits Of Insurance shown in the insured only applies to the extent permitted Declarations. by law; and b. If coverage provided to the additional insured is required by a contract or agreement, the 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. BP 04 48 07 13 ® Insurance Services Office, Inc., 2012 Page 1 of 1 a. CERTIFICATE OF LIABILITY INSURANCE DA E(MMNDm v, 2/z 1/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS "` ,,RTiFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES ,LOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED HtEPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must have ADDITIONAL INSURED provisions or 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 rl hts to the certificate holder In I lieu of such endorsamani s PRODUCER CT 9 AM E LARealEstateCert3�ajC�Com- ArthUr J. Gallagher$ Co, - - -- - --- Insurance Brokers of CA. Inc LIC#0726293 I h�EsL 81B-539 1247 y �.818 539 1804 505 N, Brand Boulevard, Suite 600 AoDRI LARBaIEstataCa s ajg,Dorn Glendale CA 91203 --._ .. ._- _.... . ......... N INSURERISj AFFORDING COMERAGE NAICa ........ ..__-.. ..._ _—_.... .. .........__ INSUREq_.a„Underwriters at Lloyd's London 15792 INSURED INTEREA-03 _. __. ........_... ..m...._. INsuRERB:APPRAISAL GUARDIAN SERIES OF FORTRE ...._.._...... ..__.._.w. ...._.. .—.._._. .-...--- In 0 University Wasiti gtree Inc. INsuRERc ,600UniveesikpStreet#310 ____— " �... Seattle.VJA 98101 .INSURER° ......... ... ..,_,,,, w_ INSURER E INSURER F. C VERA. EE CERTIFICATE N MBER': 1182069887 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, EJ(CLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, L TYPE OF INSURANCE WDDL SDBR ..... POLICY EIRE- PDLJCV E%P'. .......--^ . ......,<. IN¢n wvn POLICYNUMBER IMWEIQ YYI lMM1DnlVYVYI LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 6v5}ITGET6"RE'NTL'D"nrAl ..E CLAIMS MADE C ,... OCCUR PRC�MISF.S,IF o -- MED EXP(Any one peraon) $ PERSONAL S ADV INJURY i 08NL.AGGREGATE LIMIT APPLIES PER GENERALAGGREGATE E POLICY JPEGT I _I LOS PRODUCTS, 3 P—LOTHER: _.._....- .,,.�.._ ____..... _. $ TOM47BIIILE LIABILITY (�OpxypMn�tl' S f ..._....._-_..._._ ....._- ANY AUTO LV INJURY(Par perwn) S AUTOSSCHEDULED AUTOS ONLY AUTOS a001LY INJURY(Per acdtlent) 3 _..._ HIRED NON-OWNEDFAOPERTV"'6'A'M'AGE"""' AUTOS ONLY AUTOSSONLYLY (C'al atGGeAlI S i UMBRELLA LIAS OCCUR EACH OCCURRENCE 3 EXCESS LIAR CLAIMS MADE AGGREGATE f DEO RETENTION f i WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN CTATI RF v_ .-........ .-- _,. ANY PROPRIETOR/PARTNEWEXECUTIVE (^""� NIA EL EACH ACCIDENT S OFFICERMEMBER EXCLUOED4 (, ..... -,.. ...._. (Mandatory In NH) EL DISEASE-EA EMPLOYEE S r OE S yyCRIIP$IPTJ Nunder .—.— ....... ...... ........._ .. ' ON.OF OPERATIONS below E L,DISEASE-POLICY LIMIT S AErrors ISOmissions MPL1531199.17 3/14/2017 3/14/2018 Each Cleim $2,000,000 B Errors b Omissions MPL1531199,17 3/14/2017 3l14/2018 AggQregate Li�mul $10,000,000 �EXO Deductible Reimbursement 'PRFDR46APP200306922015TC 3/14l2017 3l14/2018 Earl8lm/Aggregate' $150.000 DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES (ACORD 101,AddMonal Remarks SCMtluh,may M atgchad tt mom apace b nqulredl Location' 600 University Street, Ste 310, Seattle,VuIA 98101 Evidence only, 'PDEicy is subject to$25,000 Self Insured Rentention/[Deductible payable by local office. This certificate of Insurance is riot a policy of insurance and does not affirmatively or negatively amend, extend or alter the coverage afforded by the policy to which the certificate of insurance makes reference, CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE L22Fcufth oft THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Avenue ACCORDANCE WITH THE POLICY PROVISIONS. 8032 AUTHOR DREPRESeNTArrvE ©19BB-2015 ACORD CORPORATION. All rights reserved. ACORD 26(2016103) The ACORD name and logo are registered marks of ACORD 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. 1, the undersigned, a duly represented agent of Inte-gra Washington, Inc. Company, hereby acknowledge and declare that the before-mentioned company was the prime contractor for the Agreement known as Mill Creek Re-Establishment Project - Johnson Seale Property that was entered into on the Adobe 4, 2017 (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: FVV I EEO COMPLIANCE DOCUMENTS - 1