HomeMy WebLinkAboutPW16-411 - Amendment - #2 - GeoEngineers, Inc. - Kent Airport Levee - 12/15/2017 �b
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CONTRACT COVER SHEET
This is to be completed by the Contract Manager prior to submission
to City Clerks Office. All portions are to be completed.
If you have questions, please contact City Clerk's Office.
Vendor Name: GeoEngineers, Inc,
Vendor Number:
ID Edwards Number
Contract Number: Pyv �� _ 0 -019
This is assigned by City Clerk's Office
Project Name: Kent Airport Levee
Description: ❑ Interlocal Agreement ❑ Change Order ® Amendment ❑ Contract
❑ Other:
Contract Effective Date: 12/15/17 Termination Date: 12/31/18
Contract Renewal Notice (Days):
Number of days required notice for termination or renewal or amendment
Contract Manager: Alex Murillo 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.
.....,_........
.. .
As of: 08/27/14
KENT
AMENDMENT NO. 2
NAME OF CONSULTANT OR VENDOR: GeoEngineers, Inc.
CONTRACT NAME & PROJECT NUMBER: Kent Airport Levee
ORIGINAL AGREEMENT DATE: November 22, 2016
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 to allow GeoEngineers to continue to work on the levee
alignment and evaluate its feasibility before proceeding to the
next phase of work to submit a CLOMR Report to FEMA.
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, $88,000,00
including applicable WSST
_...._...._ _......_._ _ ................
Net Change by Previous Amendments $0
including applicable WSST
_, _w....._ ... ........._
Current Contract Amount $88,000.00
including all previous amendments
_.....,..._m _.....__._. ........ ...........
Current Amendment Sum $0
w.w_w.._._. _.._..... .. _ _ .............._:mm� --
Applicable WSST Tax on this $0
Amendment
Revised Contract Sum $88,000 00
AMENDMENT - 1 OF 2
Original Time for Completion 7/31/17
(insert date)
Revised Time for Completion under 12/31/17
prior Amendments
(insert date)
——-----------
Add,l Days Required 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.
..
...................... .......—1--r-—-------- ---------—------
CITY OF KENT:
ureJ V- L249rw
By: vv", �
By;,"t"
(signature)
Print Name I,- Print Name: Timothv J. LaPorte. P.E.
' Its Public Works Director
(title) (itt )
DATE: ,
DATE: ✓ -5
---—------------ ...........................
APPROVED AS TO FORM:
(applicable it Mayor's signature required)
Kent Law Department
..............
GeoEagineers Airport Levee-Amd I/Murilla
AMENDMENT - 2 OF 2
Client#:325119 GEOENINC2
ACOAD CERTIFICATE OF LIABILITY INSURANCE DAT/30/2017
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03/3012017
.,'CFYGS CERTIF'RCA1 E 1S d5SUED AS A MATTER OF YNFgRMAT90N ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATEHOLDER THIS
^C,RTEFICATE 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,
IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,Iha policp(las)amust 69 endorsed.If SUBROGAMN is WAIVED„aublI to
the terms and conditions of the policy, certain pollcles may require an endorsement.A statement on this certificate does not confer rights to the
certificate holder In lieu of such endorsement($).
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vaoouceR Y ! "�ppass send all requests by
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206-441-6300 ..., - .. .. ..._. .._ W. ,...
INSURER A:Cdntinontai Insurance Conepany ,35289
INSURED _. , ..._ ..
Geo Engineers, Inc. 1wsuRERe Llbarl y Ins uraa nce Crlrporation "42404
8410 154th Ave NE lulaor(rn c,.Na111tlF1'r Vily Forge Insurance Comparny �20608 _.
Redmond,WA 99052 INBURSRm a Ins Cc otHartford 20478 _.
INSURER E.
INSURER F:
COVERAGES CERTIFICATENUMBER. K1 REVISION NUMBER:.
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P 11� IJ Trry L;EJdTII77,Ai THL (UkGCAES ,/I INSURANCIF I,IF0 RBOW HAVE BECHISSLED "I'O I`IIC INSUFfL7 NAMCDABtiVE FUnTIIE PCYLICY4"EHtr,TD
IVOICAJE'I) NOPNITTISLADING ANY RECDUIRF,MENF TERM OR CCJNDITIrjNOF ANY CONMAC'rOR OTHER DOCIMEN'r WITH HESPEGT Trj V&lCH THIG
CI Rfll-ICAI"k MAY EL ISSUED OH MAY PERTAIN, Nil IN3URANOF AFF()1RDED 9Y PH( OIICIES OF :C'RI6ED HEREIN IS SIJI3jEcr TO ALL THE TLRMS,
E) I II_.GNS ANY COND 1IONS, pF SUCH POILCIL-S. LIMIT/ SHOWN MAY HAVE BEEN RI LRJUED BY PAID CLAIMS_
a NISY7� ADULaUardf Ppy,�CT alpy YiY CY p
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X WA & NO Stop Gap rd1 a x1 m ,FIpArM411I 06,000
�PEH oNal cADV Iw LIry �$110001000
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not X`nLrINIIONfM000 (Employers Ltab.
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WORKER I COMrrN ATION I ErL
Im n NI/I I slur/ II I nEcu vl ID LA MO INC Y OR UT USL&IrVM Yt I HACUR ENY $1,000,600
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DESCRIPTION OF OPERAT10Na/LOCATION31 VEHICLES(AGGRO 101.Addlllopel Reeutka 9cNedule,Toy ba etlachatl I more apace b ngWratl)
0410-199-00-Kent Airport Levee Assessment, Green River from 83rd Ave. S.to Hwy 167, Kent,WA. City of
Kent Is Additional Insured and coverage is primary and non-contributory as respects General and Auto
Liability If required by written contract per attached endorsements.
CkMiTfk Yf A IT.,HOLDER - CANCELLATION!
City Of Kent SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFOHE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
400 West GOWe ACCORDANCE WITH THE POLICY PROVISIONS.
Kent, WA 9BU32 _
AUIrRORIZED REPRE8EWATIVE
(CI 1988-2014 ACORD CORPORATION.All rights reserved.
ACORO 2S(2014/01p 1 of 1 The ACORD name and logo are reglstared marks of ACORD
#S20200922IM20200859 CNMJU
CNA63359XX
CNA (Ed.04112)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CONTRACTORS EXTENDED COVERAGE ENDORSEMENT
- BUSINESS AUTO PLUS -
This endorsement modlflas insurance provided under Uae following:
BUSINESS AUTO COVERAGE FORM
f. LIABILITY COVERAGE name, with your permission, while perlorming
duties related to the conduct of your business.
A. Who Is An Insured �uClcy; o uk7,Pu9 In t1iis parwislon A. Who is An
The following Is added to Section II, Paragraph Insured, iwdi.fdaor; 0iaso puliriAfs f1w were In 101r l)
A.1., Who Is An Insured: On II'rn Irlciq nu[1 daalsl 0 this t.;overap Prawn bull:
1. a. Any incarpaoiatod entity of which the 1. Which are no longer In fercel or
Named In4ured owns a majority of the 2. Whose limits have been exhausted.
voting stock on the date of Inceptlon of
this Coverage Form;pfuvided that, B. Bail Bonds and Lass of Earnings
b. The insurance afforded by this provision Section It, Paragraphs A.2. (2) and A.2. (4) are
A.1. does not apply to any such entity revised as follows:
that is an "moan d" under any other
liability"policy"providing "auto"coverage. 1• cr ch a.(2), the limit for the cost of bail bonds Is
anged from$2,000 to $5,000', and
2. Any organization you newly acquire or form,
other than a Iimued liability company, 2. In a.(4), the limit for the lass of earnings is
partfief5hip or joint venture, and over which changed from $250 to $500 a day.
YOU inanflaln maim ity ownership interest. C. Fellow Employee
The Insurance afforded by this provision A.2.: Section II, Paragraph 8.5 does not apply.
a. Is effective on the acquisition or formation Such covurage as is rxiterded by this provision C.
date, and is afforded oiify until the end of is excess over any other collectible insural"co.
the policy period of this Coverage Form,
or the next anniversary of Its Incoplion ;I. 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 'pn:spwl:y damage" The following is added to Section III, Paragraph
caused by an "accluortr that A.3.:
occurred before you acquired or With respect to any¢;ovnred 'auto," any deductible
formed the organ'lzadw or shown in the Deciarafioris will not apply to glass
(2) Any such organization that is an breaalcage if such glass Is ropauecl, in a manner
"insured' under any other liability anceplable to us, rather than raapiacrod
"policy"providing "auto"coverage. B. Transportation Expenses
3. Any person or organization that you are Section III, Paragraph A•41u.. is revised, with
till noft,fuerl by a written contract to naurie as an respect to tranaportation expanse incurred by you,
tadclhlcrnatl insured is an ''Insured nrrl only with to provide.
fe5peal to Their Iugal likibililfy for ,+acts or
�—x omisrsioris at a poison, whto gu lifit , as an a. $60 per day, in lieu of$20;subject to
urro 9" under I - M9rn Is An b. $1,800 maximum, in lieu of$600,
Insuc'ed and for whore Liability Coverage is
afforded under this policy. If required by C. Loss of Use Expenses
written contract, this Insurance will be primary Section III, Paragraph AA.b, is revised, with
and non-contributory to insurance on which
he additional Insured is a Named Insured. respect to loss of use expenses Incurred by you,
to provide'.
`s 4. An °aotiployEl of yoaims Is an msurod" while a. $1,000 maximum, In lieu oF$600.
uplarahng an "¢ttnla ;uoud or romed order a
ceC jirac^I or asWorornsint in Ihat "ornpiloyrso's°
CNA63359XX oepyrrgm,UNAcaNru6en.eoo0. Page 1 of 3
(Ed. 04/12) 1,it I f ff ie'S corypighfed mf1i ALAI eP[hm 11:!:ur If)(feSwrN ex,)if lce used Wql f il,peimLsiun
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 "ante" you lease, hire, rent passenger type you lease, hire, rent or
or borrow without a driver; and barrow, 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 third 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, while f your business.
o duties
or $75,000, whichever Is less, minus a elated to the 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
d. The physical damage coverage as is accidental damage and not as a result of
provided by this provision is equal to the the failure to make repairs; faulty or
physical damage coverage(s) provided on incomplete maintenance or repairs; or the
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"physical
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
leasing or rental concern.
(2) Such coverage as is provided by this The fallowing 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.J., 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"
F. Electronic Equipment while working In a business of selling,
Section III, Paragraphs Il and 13A.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 Copyrlijh(,cnn ocmriradon,2000. Page 2 of 3
(Ed. 04/12) Indodes ale,inI crihn Inr,urame Ssrvlcee 0lticn usad with Its pe,minsfon.
CNA63359XX
(Ed. 04112)
(2) Excess over any other collectible damogii agrsmsl. .ny+ per,¢rn 01 urafa,rlxrttion for
insurance, who,n or whwh you arc roqurrrgc hey writtnrr
conb'ao( or xgloG)niont to obla'Ein 41u'h Waiver fpLN11
2. For purposoas of this provision, "execulrve 0 ieazi" us.
means a prluson holding any of the ofl'irknf
positions Created by yoLu charter, censthubun, by- This injury or damage must arise out of your
laws or any ocher similar governing docunionl, activities under a contract with that person or
and, while a resident of the same rRA,Sahold, organization.
Includes that person's spouse. You must agree to the( 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.2.:
Loss Your failure to disclose all hazards existing on the date
The following is added to Section IV, Paragraph of oncepnon of this Coverage 1"orm sholtl na)l roojudice
A.2.a.: your wltCr r spua,t twr the aarveragc allordred pr+.wided
(4) Your "employees" may know of an such V^,duto or omjsaion is lo1'iri entirrnatl,
"accident" or "loss." This will not mean D. Other Insurance
that you have such knowledge, unless The fallowing Is added to Section IV, Paragraph
such "accident" or "loss" is known to you B 5.:
or If you are not an Individual, to any of
your executive officers or partners or your htegardless or the provisions of Partvgraphs 5,a.
insurance manager. annci 5.d, above, the coverage provided by this
The following Is added to Section IV, Paragraph fv<rNrc�y shnli or,t on n1 pr'irnary non uoninhutory
ors, 1111c nragv suiool Is afppircallo- only when
A.2.b.. rrequr i ,,d by a wntion a;arrttr tc.t l hat wiMen
(6) Your "employees" may know of ot'arltract must fonvr beer, entaii into inmr i0
oOCUmerLS rvLuivtlU uu,rut,1 uiiy e �iwiu
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. 7.1 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
v The following Is added to Section IV Para the following:
g
A.S. Transfer Of Rights Of Recovery Against "Bodily Injury means bodily injury, or disease
Others To Us: sustained by a person, including menial anguish.
We waive any right of recovery we may have, incrrtrtl Injury or death resulting from any of these.
because of payments we make for Injury or
CNA63359XX copyngnr Cron zoco Page 3 of 3
(Ed. 04112) In¢tNh(3.va,)r Rtl®tl rani cal orlhe l tia,0^i Servlr.rs OrclC."'W on
CNA CNAPARAMOUNT .
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 endorsemem. 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 whale 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 GG2010 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:
t�.
A. coverage broader than required by the written contract;or
B, a higher Inuit of Insurance than required by the written contract.
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
: endorsement attached to this coverage part.
IV. Notwithstanding anything to the contrary in the section ent'ttled COMMERCIAL GENERAL LIABILITY CONDITIONS,
the Ccnditlon 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
CNA75079XX (1-15) Policy No: 5023113030
Rage, 1 of 2 Endorsement No: 3
The Continental Insurance Co. Effective Dale: 03/31/2017
Insured Name: GEOENG I NEERS, INC.
Copyright CNA All fthts Reserved Includes cnpyn r4rd material or Insurance Ser rces Office,Inc,.w h Its permission,
CNA PARAMOUNT
CNA
Blanket Additional Insured - Owners, Lessees or
Contractors - with Products-Completed
Operations Coverage Endorsement
contract to be primary and non-contributory, tills insurance will be primary and non-contributory relative solely to
Insurance on which the addluonal 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 entifled 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 underthls coverage part,
1 send the Insurer copies of all logal 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, it 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 additions insured under this endorsement until the Insurer
receives written coiled of a claim from the additional Insured.
,A- _,c_ nPFINITt0NC is nrronriorl fn
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 of 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,
Plus ehdorsornenl, which forms a(tart of and is don ttitachme if to the polio issued �y ued by the designated Insurers, takes effect
dq rim,urrrri.veeda of
said dPolicy at the hour saved in said PnNcy, unless another effective date is shown below, and
,r. the ef(ec;trvrer tlamto ayf say
y P(dicry _
r _.. _... _ — _...
.. iN al, ,r07 td,X (h ( ',l - PalloyNo. F,OEJIt3uso
i
Endorsement No; i
tit ";"rt I Effective Date; IJf/ tl/ZWr
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Terra Insurance Company TERRA
(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.
1 101 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 policy 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 $2,000,000 EACH CLAIM
$2,000,000 ANNUAL AGGREGATE
PROJECT DESCRIPTION
City of Kent, Airport Levee. Geo&,-ineeis' No. 0410-199-00
- 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 ofKent (A Risk Retention Group)
Attn: Nancy Yoshitake �-;r,
400 West Gowe /
Kent, Washington 98032 _00� '
President