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HomeMy WebLinkAboutPW14-319 - Amendment - #2 - GeoEngineers, Inc. - S 224th St Corridor Phase I & II Geotechnical Services - 12/06/2018 l/ o /rr /� o nuo r' rLu/lir / % %r r , r�ecord a e w K N Document � 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: GeoEngineers, Inc. Vendor Number: JD Edwards Number Contract Number: F W (q ' 3l1 " D b 3 This is assigned by City Clerk's Office Project Name: S. 224`h St. Corridor Phase I & II Description: ❑ Interlocal Agreement ❑ Change Order ® Amendment ❑ Contract ❑ Other: Contract Effective Date: 12/6/17 Termination Date: 12/31/18 Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Steve Lincoln Department: Engineering Contract Amount: $0.00 _ Approval Authority: (CIRCLE ONE) Department Director Mayor City Council Detail: (i.e. address, location, parcel number, tax id, etc.): Extend the time of completion to December 31, 2018 due to several outstanding work ........... . items that need to be completed in 2018. ... .......... ........ ...... As of: 08/27/14 -✓ �4 N T AMENDMENT NO. 2 NAME OF CONSULTANT OR VENDOR: uGeoEngineers, Inc. CONTRACT NAME & PROJECT NUMBER: S. 224t" Street Corridor Phase I & II ORIGINAL AGREEMENT DATE: December 12, 2014 This Amendment is made between the City and the above-referenced Consultant or Vendor and amends the original Agreement and all prior Amendments. All other provisions of the original Agreement or prior Amendments not inconsistent with this Amendment shall remain in full force and effect. For valuable consideration and by mutual consent of the parties, Consultant or Vendor's work is modified as follows: 1. Section I of the Agreement, entitled "Description of Work," is hereby modified to add additional work or revise existing work as follows: In addition to work required under the original Agreement and any prior Amendments, the Consultant or Vendor shall: The scope of work remains the same, however an amendment is necessary to extend the time of completion to December 31, 2018 due to several outstanding work items that need to be completed in NIS. 2, The contract amount and time for performance provisions of Section II "Time of Completion," and Section III, "Compensation," are modified as follows: ._......... _. Original Contract Sum, $98,937.9Q Including applicable WSST Net Change by Previous Amendments $0 including applicable WSST Current Contract Amount $98,937.00 Including all previous amendments ___.....m.m._...__ __.... Current Amendment Sum $0 _....._................. _ Applicable WSST Tax on this $0 Amendment Revised Contract Sum $98,937.00 AMENDMENT - 1 OF 2 _.......__..__. ._ ...... _. _.._ ........ Original Time for Completion 12/31/16 (insert date) Revised Time for Completion under 12/31/17 prior Amendments (insert date) ...._...............- _..............m.. Add'I Days Required (f) for this 365 calendar days Amendment Revised Time for Completion 12/31/18 (insert date) The Consultant or Vendor accepts all requirements of this Amendment by signing below, by its signature waives any protest or claim it may have regarding this Amendment, and acknowledges and accepts that this Amendment constitutes full payment and final settlement of all claims of any kind or nature arising from or connected with any work either covered or affected by this Amendment, including, without limitation, claims related to contract time, contract acceleration, onsite or home office overhead, or lost profits. This Amendment, unless otherwise provided, does not relieve the Consultant or Vendor from strict compliance with the guarantee and warranty provisions of the original Agreement. All acts consistent with the authority of the Agreement, previous Amendments (if any), and this Amendment, prior to the effective date of this Amendment, are hereby ratified and affirmed, and the terms of the Agreement, previous Amendments (if any), and this Amendment shall be deemed to have applied. The parties whose names appear below swear under penalty of perjury that they are authorized to enter into this Amendment, which is binding on the parties of this contract. IN WITNESS, the parties below have executed this Amendment, which will become effective on the last date written below. _ _a......._....._—.........__ _. ......... CONSULTANT/VENDOR: CIT OF KENT: By: (signa By: ture) ignature) Print Name: �,/� S t'caa. Print Name: Timothy_]. LaPorte. P.E. Its �� ^� rc Its Public Works Director (title) FC/tle) DATE: 1( Z / 7 _ DATE: — ................_ ....... .......... _- -- APPROVED AS TO FORM: `(applicab'e if Mayor's signature required) Kent Law Department _... _-..... _............ Geo Engineers-224"2-Ama 2/Lincoln AMENDMENT - 2 OF 2 Client#: 326119 GEOENIN02 ACORD CERTIFICATE OF LIABILITY INSURANCE D03301'❑°'YVY 03/30/2Of 7 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 '.OW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED _PRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. A t h e certificate holder is an ADDITIONAL INSURED,the policy(ies)11 must be endorsed.If SUBROGATION IS WAIVED subtect to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). USI Kibble&Prentice NAVTACT E Please send all r 11 equests by E.G..fax or email lac Be) 610 362 8518 601 Union Street, Suite 1000 E,MAfL CLCertRequest@usi.com ..."_,.-.. Seattle, WA 98101 IADDRESS:. CLCertRoquest@usi.com 206-441-6300 __-. INSURER(S)AFFORDING COVERAGE NAIC IN p SURERA:ContinentalInsuranceCompany -35289 GeoINsuREo INSURER B Liberty Insurance Corporation 42404 8410 15 th AveInc. - .. 8410 154th Av NE INSURER C Valley Forge Insurance Company 20508 Redmond, WA 98052 INSURER❑ Natl- --Fire In-s Co of Hartford 20478 - - _ - - INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: K1 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUB.'ECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR .. YA66L SURR _... .. . .-. .. POLICY BIKE POLICY EXP _ __. , .. ....... LTR TYPE OF INSURANCE IN$R +Nvn POLICY NUMBER IMMIDDNY YI (MMIDD/VYYY) LIMAS A X COMMERCIAL GENERAL LIABILITY X X 6023113030 D3/31/2017 03/31/201 Facl-I occuRRE Ncl s1.000.000 X WAL& NDASto Gap �'R""'M`��r9_aiENrEo s500000 ... .,. OCCUR p MED PO (An oe, $15000 ...... i PERSONAL&ADVINJURY $1,000,000 OLNL Ac.c,uranrT LIMITAPPLIES TER i CL NERAI AUCREGArE s2,000,000 PRO Stop 1UTONOBILE LIABILITY 1.....X X f 6023117823 - .. 03/31/2017 03/31/201 . � JtitRh ql SILO E ILM AGO sI 0D0,000 POLICY X JEOT X 110C _ 11 000,000 T S1 ODO OOD � X ANY AUTO EOOILY INJURY IP p son) E ALL OWNED SGHEDUL DO BODILY INJURY P ra iden[) 8 _ AUTOS I AUTOS [ � NON-OWNED PRol enty-i woF_ X HIRED AUTOS X AUTOS f tWar a119ynI( ., _. .-_.-.., . .... 1 .... __-. ........ ......... _........ ___$ .. g X UMBRELLA LIAS X iOCCUR X X TH7661066735017 3,131/2017 03/31/201 CH OCCURRENCE $1,000,000 EXCESS LIAB CLAIMS MADE_ XS of GL,Auto & AGGREGATE s1,000,000 TIE ErnDlovers OFO C AND EMPLOYERS UABItllLIFEY 70L000 YNN Nra X D L60456394129 $1,000,000 WORKERS COMPENSATION 3/31/201703/31/201 X IrER R POOL AND EMPLOYERS LIABILITY A MO NC NY OR UT USL&HIMOLt EACH ACCIDENT D (MendatoryinNH) ---.r X WC6045838328 3/3112017'.03/31/2018� EI EALMLOYr $100.000 If yes desc be undar D DESCRIPTION OF OPERATIONS delew I ,CAinclUSL&H/MEL "mclWA LLDISLASE-POLICYI PAIL $1.000.000 DESCRIPTION OF OPERATIONS'LOCATIONS;VEHICLES(ACORD 101,Addlllonal Remarks Schetlule,may be atlacbetl I!more space is requlretl) 0410-145.03- Environmental Services, S.224th Street Project,SR 167 Bridge and Hill Climb. City of Kent is Additional Insured as respects General and Auto Liability if required by written contract per attached endorsements. CERTIFICATE HOLDERCANCELLATION City of Kent SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Engineering Department ACCORDANCE WITH THE POLICY PROVISIONS. 400 West Gowe Kent, WA 98032 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014/01) 1 Of I The ACORD name and logo are registered marks of ACORD #S20200926/M20200859 CNMJU CNA PARAMOUNT Blanket Additional Insured - Owners, Lessees or Contractors - with Products-Completed Operations Coverage Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART It is understood and agreed as follows, I. The WHO IS AN INSURED section is amended to add as an Insured any person or organization whom the Named Insured is required by written contract to add as an additional insured on this coverage part, including any such person or organization, if any, specifically set forth on the Schedule attachment to this endorsement, However, such person or organization is an Insured only with respect to such person or organization's liability for: A. unless paragraph B. below applies, 1. bodily injury, property damage, or personal and advertising injury caused in whole or in part by the acts or omissions by or on behalf of the Named Insured and in the performance of such Named Insured's ongoing operations as specified in such written contract; or 2. bodily injury or property damage caused in whole or in part by your work and included in the products- completed operations hazard, and only if a. the written contract requires the Named Insured to provide the additional insured such coverage; and b. this coverage part provides such coverage. B. bodily injury, property damage, or personal and advertising injury arising out of your work described in such written contract, but only if: 1. this coverage part provides coverage for bodily injury or property damage included within the products completed operations hazard; and 2. the written contract specifically requires the Named Insured to provide additional insured coverage under the 11-85 or 10-01 edition of CG2010 or the 10-01 edition of CG2037. II. Subject always to the terms and conditions of this policy, including the limits of insurance, the Insurer will not provide such additional insured with: a A. coverage broader than required by the written contract; or B. a higher limit of insurance than required by the written contract. 11 III. The insurance granted by this endorsement to the additional insured does not apply to bodily injury, property damage, or personal and advertising injury arising out of: A. the rendering of, or the failure to render, any professional architectural, engineering, or surveying services, including: 1. the preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and 2. supervisory, inspection, architectural or engineering activities; or B. any premises or work for which the additional insured is specifically listed as an additional insured on another a endorsement attached to this coverage part. Ell_ IV. Notwithstanding anything to the contrary in the section entitled COMMERCIAL GENERAL LIABILITY CONDITIONS, ®_ the Condition entitled Other Insurance, this insurance is excess of all other insurance available to the additional insured whether on a primary, excess, contingent or any other basis. However, if this insurance is required by written _._ ......... Y CNA75079XX 1-15) Policy No: 602 3113 03 0 Page 1 of 2 Endorsement No: 9 The Continental Insurance Co. Effective Date', 03/31/2017 Insured Name: CRORNGINEERS, INC. copyright CNA All Rights Reserved. Includes copynghted material or Insurance services Office,Inc„with its permission. CNA CNA PARAMOUNT Blanket Additional Insured - Owners, Lessees or Contractors - with Products-Completed Operations Coverage Endorsement contract to be primary and non-contributory, this insurance will be primary and non-contributory relative solely to insurance on which the additional insured is a named insured. V. Solely with respect to the insurance granted by this endorsement, the section entitled COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows: The Condition entitled Duties In The Event of Occurrence, Offense, Claim or Suit is amended with the addition of the following, Any additional insured pursuant to this endorsement will as soon as practicable: 1. give the Insurer written notice of any claim, or any occurrence or offense which may result in a claim; 2. except as provided in Paragraph IV. of this endorsement, agree to make available any other insurance the additional insured has for any loss covered under this coverage part, 3. send the Insurer copies of all legal papers received, and otherwise cooperate with the Insurer in the Investigation, defense, or settlement of the claim; and 4. tender the defense and indemnity of any claim to any other insurer or self insurer whose policy or program applies to a loss that the Insurer covers under this coverage part. However, if the written contract requires this insurance to be primary and non-contributory, this paragraph (4) does not apply to insurance on which the additional insured is a named Insured. The Insurer has no duty to defend or indemnify an additional insured under this endorsement until the Insurer receives written notice of a claim from the additional insured. VI. Solely with respect to the insurance granted by this endorsement, the section entitled DEFINITIONS is amended to add the following definition: Written contract means a written contract or written agreement that requires the Named Insured to make a person or organization an additional insured on this coverage part, provided the contract or agreement: A. is Currently in effect or becomes effective during the term of this policy, and B. was executed prior to'. 1. the bodily injury or property damage, or 2, the offense that caused the personal and advertising injury for which the additional insured seeks coverage. Any coverage granted by this endorsement shall apply solely to the extent permissible by law, All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy Issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date Is shown below, and said expires concurrently aid Policy.rently with — i_ �___.__.......�__------....__ ._ - CNA75079XX (1-15J � Policy NI 6023113030 Page 2 of 2 Endorsement No: 9 The Continental Insurance Co. Effective Date: 03/31/2017 Insured Name: GEOENGINEERS, INC. Copynght CNAAII Rights Reserved. Includes copyrighted malarial of insurance Services ONlne,Inc.,with its ee"Ission, POLICY NUMBER INSURED NAME AND ADDRESS C 6023117823 GEOENGINEERS, INC. 8410 154TH AVE NE REDMOND, WA 98052-3800 FORMS AND ENDORSEMENTS SCHEDULE FORM NUMBER FORM TITLE G560152 11/1991 COMPOSITE PHYSICAL DAMAGE G56015B 11/1991 COMPOSITE RATE ENDORSEMENT G56015B 11/1991 DESIGNATED INSURED C56015B 11/1991 CANCELLATION BY US NOTICE TO DESIGNATED PERSONS G5601S9 1111991 ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY C56015B 11/1991 WAIVER OF TRANSFER RIGHTS OF RECOVERY 0560153 11/1991 CANCELLATION BY US NOTICE TO DESIGNATED PERSONS CA0001 10/2013 Business Auto Coverage Form CA0103 10/2013 Louisiana Changes CA0135 10/2013 Washington Changes CA0149 10/2013 Oregon Changes CA0159 11/2016 Utah Changes CA0165 07/2016 Missouri Changes CA0166 10/2013 Missouri Changes-Pollution Exclusion CA0178 10/2013 LA Changes-Coverage Extension for Rental Vehicles CA0413 10/2013 Louisiana Lessor - Additional Insured Loss Payee CA0444 10/2013 Waiver of Transfer Rights of Recovery CA2001 10/2013 Additional Insured - Lessor CA2048 10/2013 Designated Insured CA2054 10/2013 Employee Hired Autos CA2070 10/2013 Cov, For Certain Ops. In Connection With Railroads CA2104 10/2013 Missouri Uninsured Motorists Coverage CA2105 01/2016 Oregon Uninsured Motorists Coverage-Bodily Injury -A2134 10/2013 Washington Underinsured Motorists Coverage IA2148 10/2013 Louisiana UM Coverage-Bodily Injury CA2236 09/2016 Oregon Personal Injury Protection CA3104 10/2013 Missouri Underinsured Motorist Coverage CA9903 10/2013 Auto Medical Payments Coverage CA99162 10/2013 Hired Autos Specified as Covered Autos You Own CA9923 10/2013 Rental Reimbursement Coverage CA9944 10/2013 Loss Payable Clause CA9989 05/2001 Washington Loss Payable Form Reg - 335 CNA63359XX 04/2012 Contractors Extended BA Plus. Coverage Endorsement CNA71527XX 10/2012 Additional Insured - Primary and Non-Contributory CNA72314XX 02/2013 Notice of Canc or Material Chng - Gvt Installation C140327B 07/2011 Cancellation By Us Notice To Designated Persons G144291A 03/2003 Economic And Trade Sanctions Condition C17832B 12/2010 Cancellation By Us G21578B 05/2008 Broadened Pollution Liability Coverage G22454A 10/1994 Broadened Pollution Liability Schedule G89001E 05/2007 Composite Rate Endorsement IL0003 09/2007 Calculation of Premium IL0142 09/2008 Oregon Changes - Domestic Partnership IL0146 09/2007 Common Policy Conditions IL0198 09/2000 Nuclear Energy Liability Excl Endt . (Broad Form) MCS90 04/2000 Endorsement Form - Motor Carrier Policies PLEASE READ THE ENCLOSED IMPORTANT NOTICES CONCERNING YOUR POLICY +** ESE FORM NUMBER FORM TITLE CNA68021XX 02/2013 Notice of Cancellation to Certificateholders ^.138878A 08/2000 Important Information INSURED Page 11 of 12 CNA63359XX CNA (Ed. 04/12) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTORS EXTENDED COVERAGE ENDORSEMENT - BUSINESS AUTO PLUS - This endorsement modifies insurance provided under the following. BUSINESS AUTO COVERAGE FORM I. LIABILITY COVERAGE name, with your permission, while performing duties related to the conduct of your business. A. Who Is An Insured "Policy," as used in this provision A. Who Is An The following is added to Section II, Paragraph Insured, includes those policies that were in force A.1., Who Is An Insured: on the inception date of this Coverage Form but. 1. a. Any incorporated entity of which the 1. Which are no longer in force; or Named Insured awns a majority of the voting stack on the date of inception of 2. Whose limits have been exhausted. this Coverage Form; provided that, B. Bail Bonds and Loss of Earnings I The insurance afforded by this provision Section 11, Paragraphs A.2. (2) and A.2. (4) are A.1. does not apply to any such entity revised as follows: that is an "insured" under any other liability "policy'' providing "auto" coverage. 1. In a.(2), the limit for the cost of bail bonds is changed from $2,000 to $5,000; and 2. Any organization you newly acquire or form, other than a limited liability company, 2. In a.(4), the limit for the loss of earnings is partnership or joint venture, and over which changed from$250 to $500 a day, you maintain majority ownership interest. C. Fellow Employee The insurance afforded by this provision A.2.: Section 11, Paragraph B.5 does not apply. a. Is effective on the acquisition or formation Such coverage as is afforded by this provision C. date, and is afforded only until the end of is excess over any other collectible insurance. the policy period of this Coverage Form, or the next anniversary of its inception 11. PHYSICAL DAMAGE COVERAGE date, whichever is earlier. A. Glass Breakage — Hitting A Bird Or Animal — b. Does not apply to: Falling Objects Or Missiles (1) "Bodily injury" or "property damage" The following is added to Section III, Paragraph x" caused by an "accident" that A.3.: occurred before you acquired or With respect to any covered "auto," any deductible y formed the organization, or shown in the Declarations will not apply to glass (2) Any such organization that is an breakage if such glass is repaired, In a manner "Insured'' under any other liability acceptable to us, rather than replaced. '.policy'' providing "auto'' coverage. B. Transportation Expenses 3. Any person or organization that you are Section III, Paragraph A.4.a. is revised, with required by a written contract to name as an respect to transportation expense incurred by you, additional insured is an "insured" but only with o provide: respect to their legal liability for acts or omissions of a person, who qualifies as an a. $60 per day, in lieu of$20; subject to tat "Insured" under Section II — Who Is An b, $1,800 maximum, in lieu of$600. Insured and for whom Liability Coverage is s afforded under this policy. If required by C. Loss of Use Expenses written contract, this insurance will be primary and non-contributory to insurance on which Section III, Paragraph A.4.b, is revised, with he additional insured is a Named Insured. respect to loss of use expenses Incurred by you, to provide: = 4. An "employee" of yours is an "Insured" while a. $1,000 maximum, in lieu of$600. operating an ""auto"" hired or rented under a contract or agreement in that "employee's" CNA63359XX copyright,cNAcorPorauon,2000. Page 1 of 3 (Ed. 04f12) Includes copyrighted material of the Insurance Services Office used with its permission, CNA63359XX (Ed. 04/12) D. Hired "Autos" d. A $100 per occurrence deductible applies to The following is added to Section III. Paragraph the coverage provided by this provision. A. G. Diminution In Value 5. Hired "Autos" The following is added to Section III, Paragraph If Physical Damage coverage is provided under B.6. this policy, and such coverage does not extend to Subject to the following, the "diminution in value" Hired Autos, then Physical Damage coverage is exclusion does not apply to: extended to: a. Any covered "auto" of the private a. Any covered "auto" you lease, hire, rent passenger type you lease, hire, rent or or borrow without a driver; and borrow, without a driver for a period of 30 b. Any covered "auto" hired or rented by days or less, while performing duties your"employee" without a driver, under a related to the conduct of your business; and contract in that individual "employee's" name, with your permission, while b. Any covered "auto' of the private performing duties related to the conduct passenger type hired or rented by your of your business. "employee"without a driver for a period of c. The most we will pay for any one 30 days or less, under a contract in that "accident" or "loss" is the actual cash individual "employee's" name, with your value, cost of repair, cost of replacement permission,to t while performing duties related to t or $75,000, whichever is less, minus a he conduct of your business. $500 deductible for each covered auto. c. Such coverage as is provided by this No deductible applies to "loss" caused by provision is limited to a "diminution in fire or lightning. value" loss arising directly out of accidental damage and not as a result of J. The physical damage coverage as is faulty or provided by this provision is equal to the the failure to make repairs; or the physical damage coverage(s) provided on incomplete maintenance or repairs', installation of substandard parts. your owned "autos." e. Such physical damage coverage for hired d. The most we will pay for "loss" to a "autos" will. covered "auto" in any one accident is the lesser of: (1) Include loss of use, provided it is the (1) $5,000; or consequence of an "accident" for which the Named Insured is legally (2) 20% of the "auto's" actual cash value liable, and as a result of which a (ACV). monetary loss is sustained by the III. Drive Other Car Coverage—Executive Officers easing or rental concern. (2) Such coverage as is provided by this The following is added to Sections II and III, provision will be subject to a limit of 1. Any "auto" you don't own, hire or borrow is a $750 per"accident." covered "auto" for Liability Coverage while being E. Airbag Coverage used by, and for Physical Damage Coverage while in the care, custody or control of, any of your The following is added to Section III, Paragraph "executive officers," except: B.3.' a. An "auto" owned by that "executive officer" or The accidental discharge of an airbag shall not be a member of that person's household, or considered mechanical breakdown b. An "auto" used by that "executive officer" I Electronic Equipment while working in a business of selling, Section III, Paragraphs B.4.c and 13.4.d. are servicing, repairing or parking"autos." deleted and replaced by the following: Such Liability and/or Physical Damage Coverage C. Physical Damage Coverage on a covered as is afforded by this provision. "auto" also applies to "loss" to any (1) Equal to the greatest of those coverages permanently installed electronic equipment afforded any covered "auto", and including its antennas and other accessories. CNA63359XX copyright,cNACorporation,2000. Page 2 of 3 (Ed. 04/12) Includes copyrighted material or the Ins ura nee Services Office used with its perrniss ion. CNA63359XX (Ed. 04112) (2) Excess over any other collectible damage, against any person or organization for Insurance. whom or which you are required by written 2. For purposes of this provision, ''executive officer'' uontract or agreement to obtain this waiver from s. means a person holding any of the officer positions created by your charter, constitution, by- This injury or damage must arise out of your laws or any other similar governing document, activities under a contract with that person or and, while a resident of the same household, organization. includes that person's spouse, You must agree to that requirement prior to an Such "executive officers" are "insureds" while ''accident" or"loss." using a covered "auto"described in this provision. C. Concealment, Misrepresentation or Fraud IV. BUSINESS AUTO CONDITIONS The following is added to Section IV, Paragraph A. Duties In The Event Of Accident, Claim, Suit Or B.P.: Loss Your failure to disclose all hazards existing on the date The following is added to Section IV, Paragraph of inception of this Coverage Form shall not prejudice A.2.a. you with respect to the coverage afforded provided (4) Your "employees" may know of an such failure or omission is not intent anal. "accident'' or "loss." This will not mean D. Other Insurance that you have such knowledge, unless The following is added to Section IV, Paragraph such "accident" or "loss'' is known to you B.51. or if you are not an individual, to any of your executive officers or partners or your Regardless of the provisions of Paragraphs 5.a. insurance manager. and 5.d. above, the coverage provided by this The following is added to Section IV, Paragraph policy shalt be on a primary non-contributory A.2.b.: basis. This provision Is applicable only when required by a written contract. That written (6) Your "employees" may know of contract must have been entered into prior to documents received concerning a claim "Accident" or"Loss." or"suit." This will not mean that you have E. Policy Period, Coverage Territory such knowledge, unless receipt of such documents is known to you or If you are Section IV, Paragraph B. 7.(5).(a). is revised to not an individual, to any of your executive provide: officers or partners or your insurance a. 45 days of coverage in lieu of 30 days, manager. B. Transfer Of Rights Of Recovery Against Others V. DEFINITIONS To Us Section V. Paragraph C. is deleted and replaced by The following is added to Section IV, Paragraph he following: A.5. Transfer Of Recovery Of Rights Against 9 rY g inst "Bodily injury° means bodily injury,sickness or disease 18 Others To Us: sustained by a person, including mental' anguish, We waive any right of recovery we may have, mental injury or death resulting from any of these. because of payments we make for injury or CNA63359XX copyright.CUA carparahon,2000 Page 3 of 3 (Ed. 04i12) Includes copyrighted maloral of the InaUranCe 3ervlces OFHce used wth Its pernlssion. Terra Insurance Company F��F (A Risk Retention Group) INSURANCE COMPANY Two Fifer Avenue, Suite 100 � Corte Madera, CA 94925 CERTIFICATE OF INSURANCE DATE 01/01/17 NAME AND ADDRESS OF INSURED GeoEngineers, Inc. 1101 Fawcett Avenue, Suite 200 Tacoma, WA 98402 This certifies that the "claims made"insurance policy(described below by policy number)written on forms in use by the Company has been issued. This certificate is not a policy or a binder of insurance and is issued as a matter of information only,and confers no rights upon the certificate holder. This certificate does not alter, amend or extend the coverage afforded by this policy. The policy of insurance listed below has 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 polity described herein is subject to all the terms,exclusions and conditions of such policy. Aggregate limits shown may have been reduced by paid claims. TYPE OF INSURANCE Professional Liability POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE 217019 01/01/17 12/31/17 LIMITS OF LIABILITY $1,000,000 EACH CLAIM $1,000,000 ANNUALACGREGATE PROJECT DESCRIPTION Phase I and 11 South 224th Street Corridor Project, Kent, Washington (ieoEngineers' project No. 0410-145-03 CANCELLATION: If the described policy is cancelled by the Company before its expiration date, the Company will mail written notice to the certificate holder thirty (30) days in advance, or ten (10) days in advance for non-payment of premium. If the described policy is cancelled by the insured before its expiration date, the Company will mail written notice to the certificate holder within thirty (30) days of the notice to the Company from the insured. CERTIFICATE HOLDER ISSUING COMPANY: TERRA INSURANCE COMPANY City of Kent (A Risk Retention Group) Nancy Yoshitake 400 400 West Gowe Kent, Wahington 98032 President