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HomeMy WebLinkAboutPW17-213 - Amendment - Amendment #1 - JECB, LLC - 01/02/2018 T Records Mina erne WA.11 NG,O 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: JECB LLC Vendor Number: JD Edwards Number Contract Number: PW 0 /20 - 00�,- This is assigned by City Clerk's Office Project Name: 2017 Asphalt Overlays Description: ❑ Interlocal Agreement ❑ Change Order M Amendment ❑ Contract ❑ Other: Contract Effective Date: 1/2/18 Termination Date: 12/31/18 Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Paul Kuehne Department: Engineering Contract Amount: $4,600.00 Approval Authority: (CIRCLE ONE Department Director Mayor City Council Detail: (i.e. address, location, parcel number, tax id, etc.): Provide additional services to complete the remaininq punch list items. As of: 08/27/14 KF O T was „ �.o AMENDMENT NO. 1 NAME OF CONSULTANT OR VENDOR: JECB LLC CONTRACT NAME & PROJECT NUMBER: 2g1r', /i-s h its .aa 6 ORIGINAL AGREEMENT DATE: May 11, 2017 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: Provide additional services to complete the remaining punch list items for the project. For a description, see the Consultant's Scope of Work which is attached as Exhibit A and incorporated by this reference. 2. The contract amount and time for performance provisions of ction II "Time of Completion," and Section III, "Compensation," are modified as follows: Original Contract Sum, $49,385.00 including applicable WSST - _ ............... . Net Change by Previous Amendments $0 including applicable WSST ...�...w........_. — � ..._ .._.._._ Current Contract Amount $49,385.00 including all previous amendments _. ...... ........ Current Amendment Sum $4,600.00 ............— ......._... —_--------------_.._ Applicable WSST Tax on this $0 Amendment Revised Contract Sum $53,985.00 AMENDMENT - 1 OF 2 —.._._.— . _.............._.......__..... Original Time for Completion 12/31/18 (insert date) Revised Time for Completion under n/a prior Amendments (insert date) __............... .._�,.— _....._...., Add'I Days Required (f) for this 0 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 „sreby ratified and affirmed, and the terms of the Agreement, previous Amendments (if any), J 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. _..........._ _ _._, _..... CONSULTANT/VENDOR: CITY OF KENT: By: By (signature) (signature) Print Name: W11 Print Name: Timothy 7. LaPorte, P.E. Its i ra i� t (I/ w.4 . . Its P __c W rks Cftgc�tor ) (title) (title) DATE: I_LI Zz Ii7 DATE:—. tle __...�................_ .......... APPROVED AS TO FORM: (applicable if Mayor's signature require:;) <i'1t Kent Law Department ]ECS Overlays 2017 Amd 1/K,ehne AMENDMENT - 2 OF 2 EXHIBIT A Kuehne, Paul From: Jamie Hicks <JamieHicks50@m5n.c0m> Sent: Tuesday, December 19, 2017 1:17 PM To: Kuehne, Paul Subject: 2017 Overlays contract extension Paul- We currently have $11.25 left on our 2017 Overlays Contract (after JECB Invoice#5166 is Amitted) It is assumed that we will need approximately another 40 hours of Construction Managernant hours or$4600 to complete the remaining Punch List Work on the Contract Thanks Jamie Hicks JECB Sent from Outlook t JECBLLCO2 I A CERTIFICATE OF LIABILITY INSURANCE OATE(MMI°DM , ....._ "� _.... .........._..»_... .,_._.,_...... ��.�.._ �.. -.... 07l0512017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must 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 rights to the certificate holder In lieu Of such endorsements). _...... __..___—_ ._...._..___..� _____._—_._...._.. .. PRODUCER NgM ACT Griffin MacLean Inc PHONE FAX 2340 130th Ave NE D150 fac N E:m (425)822-1363 lac N y(425) 822-2737 Bellevue,WA 98005 iwq'kAB, Info 9riffirlmaclean coin INSURERISI AFFORDING COVERAGE NAIG ._-.__.. ..... _........... INSURER Ohio Securitv Insurance Co INSURED INSURER B JECB, LLC .... ..... . . ........... ... . ....._ ._ -. usuaea r. Jamie Hicks PO BOX 032 INSURER O Auburn VIA 98092 INSURED llry ....-. ....... ... .... ... ... _ INSURER F m _ ..COVERAGES CERTIFICATE NijMSER; ._ 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. NOTWI rHSrANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. "INSR" ---- - -.gADOL sUBR POLICY EFF POLICY EXP I LTv 1r r TYPE OF INSURANCE plmN n wvn� POLICY NUMBER rM��nwyryy" vMiv-ma—y-c' LIMITS A X COMMERCIAL GENERAL LIABILITY ��� 2,000,000 f1 AG ME REN LED rArIT"'"I DAMAGE FIE FED 1,000,000 aLAIFm MADF [ X1 Occult X X BZS 56778701 06/2612017� 0 612 612 01 8 � 1 MFn FIT U,.. „I _ 5 15,006 PPRSONAI NADVINAIRY 1 t000,o00 j X N POLICC0f"OATLt RMIrAPPLIC PER . , �...__ ._., .... 1 OA DU(,' A(PGREOAFE ... 21000,000 �000,000 X I POLICY �JBiG<'I �� LOG � I ROD4C F (DMP OP AUG_ � - Lf IAkI11NEd'V FINC CF LIMIT 1 1000000 A AD..Moe1LE uABILm 10aa5GAtll110. g ANYAU ..' To - BZS58778701 06I26f2017 06I26/2018 {BPODryLtv�Ineus fJR AVM v �OWNED SCICOULED 6 INr., X IT a AGE A VUO ONLY XAWI75V F ...... ._.. ... .. UMBRELLA LIAR OCCUR EACH OCCURRENCE S _ EXCESSLIAB I CLAIMSMAOE ACGREGA rE it UCU I REFENrIONS R — ..,,4. .,....I .a ... .... . ... ........ ........ ........... A WORKERS COMPENSATION PER OFH- AND EMPLOYERS'LIABILITYYIN T nlTr or X B8ZZ555566777788770011 06I2612017 0612612018 1....,.0...0.0.,0..'0._.�_0 ANY PROPRIETORIPARTN ER,EXECUTIVE [_] F I FAHACNIF I IPaa M WE NIA C 1,000 000 Amdabo 1,.00 0000.., DSCRIPT1ONOF'PRIONs below WA Stop Gap a 5Ao 0612. 2017 0R2 +Property 10 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACCRD ID11,Additional Remarks Schedule,man Jo+enachea It more space Is required) Certificate holder Is named as additional insured as respects work performed by the named Insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityof Kent Public Works Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P ACCORDANCE WITH THE POLICY PROVISIONS. 220 Fourth Avenue South Kent,WA 96032 ._-----.... ,. �_._...... ..... __ ..._...., AUTHORIZED REPRESENTATIVE G�... ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER BZS5677670L SUSINESSOWNERS BP,79 98 07 13 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. BUSINESSOWNERS LIABILITY EXTENSION ENDORSEMENT This endorsement modlfles Insurance provided under the following: 13USINESSCWNERS COVERAGEFORM SUBJECT PAGE AGGREGATE LIMITS OF INSURANCE 9 AMENDMENT OF INSURED CONTRACT DEFINITION 4 BLANKET ADDITIONAL INSURED (OWNERS, CONTRACTORS OR LESSORS) 2 BODILY INJURY 4 BROADENED COVERAGE FOR DAMAGE TO PREMISES RENTED TO YOU 2 DUTIES IN THE EVENT OF OCCURRENCE,OFFENSE,CLAIM OR SUIT 4 INCIDENTAL MEDICAL MALPRACTICE 2 MOBILE EQUIPMENT 2 NEWLY FORMED OR ACQUIRED ORGANIZATIONS 3 PERSONAL AND ADVERTISING INJURY 4 SUPPLEMENTARY PAYMENTS 2 Sell Bonds Loss Of Earnings e 9 BP 79 96 07 13 2013UL arty Mutual InsUrancs,Ali rights reserved Includes copyrighted mateaflat of Insurance Str"ll office,Inc„with Its perrnlsslon. Page 1 of 4 i Section II-Liability Is amended as follows: I, SUPPLEMENTARY PAYMENTS Paragraph L(7)(b) of A Coverages Is replaced by the following; (b) Up to $3000 for cost of ball bond req ilred because of accidents or traffic law violations arising out of the use of any vehlatle to which business Liabtllly Coverage for "bodily Injury" applies, We do not have to fumish the bonds, Paragraph 11.(1)(d) of A Coverages Is replaced by the following; (d) All reasonable expenses Incurred by the Insured at our request to assist us In the Investigation or defense of the claim or "suit", Including actual loss of eamings up to $500 a day because of tlme off from work, ^�^^^�^• II, BROADENED COVERAGE FOR DAMAGE TO PREMISES RENTED TO YOU IM With respect to the coverage provided under this endorsement, Section II -Liability Is amended es follows: 1. 1110 tlnal paragraph of B,1. Exclusions - Appllcable To Business Liability Coverage Is deleted and mum replaced by the following: ElMill With respect to the premises which are rented to you or temporarily occupied by you with the permis- _ slon of the owner, Exclusions c., d, e„ g., h., k., I., m., n. and o. do not apply to "property damage", I 2. Paragraph 0.2, Liability And Medical Expenses Limits Of Insurance Is deleted and replaced by the following: The most we will pay under this endorsement for the sum of all damr7ges because of all "property damage" to premises while rented to you or temporarily occupied by you with the permission of the owner Is the Limit of Insurance shown In the Declaration. 3. Paragraph D.3. Liability And Medical Expenses Limits Of Insurance Is deleted, III. INCIDENTAL MEDICAL MALPRACTICE Exclusion 1.1.(4) does not apply to Incidental Medical Malpractice Injury coverage. The following Is added to F.LIABILITY AND MEDICAL EXPENSES DEFINITIONS: 23, "Incidental Medical Malpractice Injury" means bodily Injury arising out of the rendering of or failure to render, during the policy period, the following services: a, medical, surgical, dental, x-ray or nursing service or treatment or the ftmishing of food or bev- erages In connection therewith; or f b, the furnishing or dispensing of drugs or medical, dental or surgical supplies or appliances. This coverage does not apply to: 1. expenses Incurred by the Insured for first- aid to others at the time of an accident and the Duties In the Event of Occurrence, Claim or Suit Condltlon Is amended accordingly; 2, any insured engaged in the business or occupatlon of providing any of the services described a under a, and b. above; s 3. Injury caused by any Index ltee If such indemnlfea Is engaged In the business or occupation of provlding any of the services described under a,and b. above, IV, MOBILE EQUIPMENT I. Section C, Who Is An Insured Is amended to Include any person driving "mobilo equipment" with your permission, V. BLANKET ADDITIONAL INSURED (OWNERS, CONTRACTORS OR LESSORS) 1. Section C. Who Is An Insured Is amended to Include as an Insured any person or organization whom you are required to name as an addillonal Insured on this policy under a written contract or written agreement. The written contract or agreement must be: a. currently In effect or becoming effective during the term of this policy; and Is. executed prior to the "bodily injury", "property damage", "peYsonal and advertising Injury". 1 I j ® 2013 Liberty Mutual Insurance.All fights reserved. BP 79 96 07 13 Includes copydghted metedal of Insurenca Services ofAce,Inc,with Its permission, Page 2 of 4 k 1 2, The Insurance provided the additional Insured Is Ilmlled as follows: I a. The person or organization Is only an additional Insured with respect to liability arlsing out of (1) Real property, as described In a written contract or written agreement, you own, fart, lease, malntatn or occupy; (2) Caused In whole or In part by your ongoing operatlons performed for that insured. b. The Ilmits of insurance applicable to the additional Insured are those specified in the written contract or written agreement or the limits available under this policy, as stated In the Declare- lions, whichever are less. These limits are Inclusive of and not In addition to the limits of Insurance available under this policy. C. The insurance provided the additional Insured does not apply to: (1) Llobility, arlsing out of the sole negligence of the addltlonel insured; (2) "Eodity Injury" "propody damage", "personal and adverflalaap infory"; or defense coverage under the Supplementary Payments section of the policy arlsing cut of air arpfllkact's, an- ginsar`s or surveyor's rendering of or failure to render any professizaat services Instudingt (a) The preparing, approving maps, shop drawings, opinlons, reports, surveys, field orders, change orders, or drawings and speciflcatfous, and (b) Supervisory, „Inspection, architectural or engineering activities. (3) Any "occurrence" that takes place after you cease to be a tenant In the premises described In the Declarations; or (4) Structural alterations, new construction or barnolition operations performed by or for the person or organization designated In the Dadaralfons. 3. Any coverage provided hereunder shall be excess over any other valid and collectible Insurance avail- able to the additional Insured whother primary, excess, contingent or on any other basis unless a contract speoMcally requlres that this Insurance be prlrrtery or you request that It apply on a primary basis. Vt. NEWLY FORMED OR ACQUIRED ORGANIZATIONS The following Is added to C.Whc Is An Insured: j 3. Any business entity acquired by you or tnrorporaled or organized by you under the laws of any Individual state of the United States of America over winch you maintain majority ownership Interest exceeding fifty percent. Such acquired or newly formed organlzatlon will qualify as a Named Insured If there Is no slmllar Insurance available to that entity. -However, a, Coverage.under this provision Is afforded only until the dhoti day after the entity was acquired or fncoridorated or organized by you of(fie and of the policy pentad, whichever Is eanler; b, Coverages A. Paragraph 1, Business Liability, does not apply to: (1) "Bodily injury" or "property damage" that occurred before the entity was acquired or Incor- ,� poraled or organized by you; and a (2) "Personal and advertising Injury" arising out of an offense committed before the entity was acquired or Incorporated or organized by you; and f c. Records and descriptions of operations must be maintained by the flrst Named Insured it No person or organlzatlon Is an Insured with respect to the conduct of any current or past partnerahlp, faint venture or Ilmlled liability company that Is not shown as a Named Insured In the Declarations. VII, AGGREGATE LIMITS The following Is added to Aggregate Llmlts Paragraph 4. of D. Llablllty and Medical Expenses Limits of Insurance; The Aggregate Limits apply separately to each of"locations" owned by or rented to you.or temporarily occupied by you with the permission of the owner. -rhe Aggregate Limits also apply separately to each of your projects away from premises owned by or rented to you, For type purpose of this ondnrsemant only, "location" means premises Involving the same or counsel- tug lads, or premises whose connectlon Is Interrupted only by a street, roadway, waterway or rlgh;t- rf-way of a railroad. ® 2013 LlIiagy Mutual Insurance,All righls reserved. BP 79 99 07 13 Includes copyrighted material of Inwrerace Services Olnca,li,v._wlth Its permission. Page 3 of 4 r Vlll. DUTIES IN THE EVENT OF OCCURRENCE, OFFENSE, CLAIM OR SUIT 1, The requirement In E. Liability And Medical Expenses General Condltions paragraph 2.a, that you roust see to It that we are notified of an "occurrence" Of offense WhIch may result In a claim applies only when the "o=orrance" Is known to any Insured listed in Paragraph C.I. Who is An Insured or any "employee" authorized by you to give or receive notice of an"occurrence" or calm. 2. The requirements in E. Liability And Medical Expenses General Cond1lons paragraph 2.1b, that you must see to It that we recoIvaa notice of a claim or "'satlt" will not be considered breached unless the breach occurs after such e abet or °suit" Is known to any Insured listed under Paragraph F1, Who Is An Insured or any "employee" authorized by you to give or receive notice of an "occurrence" or claim, r IX, BODILY INJURY Paragraph 3. of F. Liability And Medical Expenses Definitions is replaced by the following, 3. "Bodily Injury" means', a. Bodily Injury, sickness, disease, or Incidental medical malpractice Injury sustained by a person, g" and Includes mental anguish resulting from any of these; and Including death resulting from any k of these at any time. 1 X. AMENDMENT OF INSURED CONTRACT DEFINITION OrkrM Paragraph 9, of F. Liability And Medical Expenses Deflnitlens Is replaced by the following: 9. "Insured contract" means: elil a. A contract for a lease of premises, However, that portion of the contraad for a lease of premises that Irldcarrinfflas any person or crganlzallan for damage by fire to premises while rented to you or temporarily 0000piad by you with permission of the owner Is not an "Insured contract', b, A sidetrack agreement; c, Any easement or license agreement, except In connection with construction or demolition oper- atlons on or within 50 feet of a railroad; d. An obligation, as required by ordinance, to Indemnify a municipality, except In connection with work for a munlclpality e. An elevator maintenance agreement; f. That part of any other contract or agreement pertalning to your business (including an Indem- mficatlon of a municipality In connection with work performed for a municipality) under which you assume the tort liability of another party to pay for "bodily Injury" or "property damage" to a third person or organization, provided the "bodily Injury" or "property damage" is caused, In whole or In part, by you or by those acting on, your behalf However, such part of a contract or agreement shall Only be considered an "insured contract" to the extent your assumption of thug tort liability is permitted by law, Torl liability means a liability that would be Intposod by law In the absence of any contract of agraennant. Paragraph f, does not Include that part of any contract or agreement: (1) That Index lfles a railroad for "bodily Injury" or "property damage" arising out of eonstn,'c- s tlon or real operations, within 50 feet of any railroad property and of erciing any railroad bridge or trestle, tracks, road-beds, tunnel, underpass or crossing; (2) That Indemnifies an architecl, engineer or surveyor for injury or darrage arising out of., 8 (0) Preparing, approving, or falling to prepare or approve, maps, shop drawings, opinions, I reports, surveys, field orders, change orders or drawings and spsclflcations; or (b) Giving directions or Instrucllons, or falling to give them, If that Is the primary cause of the injury or damage; or (3) Under which the Insured, If an architect, engineer or surveyor, assumes liability for an Injury or damage arising out of the insured's rendering or failure to render professional services, Including those listed In (2) above and supervisory, Inspection, architectural or engineering activities. XI. PERSONAL AND ADVERTISING INJURY Paragraph 14. In of F.Liability And Medical Expenses DeAnlllons Is replaced by the following: b. Malicious prosecution or abuse of process, ® 2013 LNbsrty Mutual Insurance At rights reserved. BP 79 96 07 13 Includes copydghted matauld of Insurance.Sarvaes office,Inc„with Its permission. Page 4 of 4 Al CERTIFICATE OF LIABILITY INSURANCE PAYSMMIOONYYYI O1111/2017 THIS CERTIFICATE IS ISSUED AS MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOTAFFIRM Lp, VE.LY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF IN 4ZURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERISI,AUTHORIZED REPRESENTATIVE OR PRODUCE AND THE CERTIFICATE HOLDER. IMPORTANT. If the ceNificafe hold If Is an ADDITIONAL INSURERS,the pollcyllas)must US endorsed. If SUBROGATION IIS WAIVED,subject to the terms and conditions of the IP94-y;certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such aft arse neWlsY. PRODUCER NAME:, Stanford Insurance Inc AlONN nS OC Pin 909 33361h St Ste 102 6 AODt c INSURER(S)AFFORDING CO.—.. NAICJ Federal Wa II WA 99D03 INsuRERa: Continental Cesuel J..Y... __...................______," .__ N 20443 INSURED INSURERS JECS-Jason Englneeri _u Consulting Business INsuREac; PO BOX e32 i INSURER D: INSURER E Auborn WA 98071 INSURER F - ....... . ... : COVERAGES ? RTIFICATE NUM DER: REVISION rvUMBER: THIS IS TO CERTIFY THAT THE POLICIEr OF INSURANCE LISTED RELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY HOUIRLMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY E'RTAIW,TH E IN SURANCEAFFORDED RYTHEPOLICIES DESCRIBEDHEREIN ISSUBJECTTOALLTHETERMS, _ POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED RY PAID CLAIMS. 1 ._...,'_ 1n:rcrFxF .. .. LTRXCLUSIONSry D OFINSURAN EOF*`l'J r' uv.lyun POLICY NUMEER ... IMM,..ryYrMY MMI ADQKYYYL ,,,,�-. LIMITS COMMERCIAL GENERAL LIABILITY IA CH rIJRRI.HIE a w y a ul Fl.Ihv. MN)E � u tl. 0 Pdr IC'® �m`euyre„gI f For UNA! nnrr4'I[JdfRr I ,kY90 +"•J EC,hIt----------------- [IIIII J L1F Imr 1� 31I-0k LA r*EcdJL z F, L44.l atW 51 CIAIPIOPA,,U OTHER 'F ..- ........ 3 AUiCMOBILELIABILItt y� MdIP!•CrJefJL�V.i 4 N+r nunJ 13G[Ilt uI!ul t' Ppr oa rson) t AL! 0,vwJ f 1i'Hf(IJ,I f e Il[)5 PU 1',: r HC!IR IPV..URV' r'cl aarnianl Y 111"I{,O.IJi , 1 , AkNry A Y 1 UMBRELLA LIAR ,r IIR f Fa f1 IorvFN(F IS EXCESS LIAR } iII AIM OM rE ACIkICAH F 6F[r Rr iENYUMS VaJRNERS COMPENSATION AND EMPLOYERS'LIABILITY },f N,' Vnf rc !p i IPnaAflrary PIK. LIr,I LPo➢J"I' ...'NIA IEI eY ha IpPA!i F ySfefi rnirrrcl 1reltul;u{�nv— . Ll DI IP F EA FNitlrl yr,: $ tlla.tln91R�ptMMda ^,' OG hrvP l'YOfJ<rY UMr11 n4 tuiriS CAc�.v FI I I,Fx I Hpl II tllM1pr } q Errors a Omissions Liabrliry J MCH591896631 12/31/2016 12f3l/2017° $2000,000/52 000,000-E&O Liability DESCRIPTION OF OPERAPONS f LOCAT1ON91 WN IICLES (ACORD 101.Addib.n.I RFmuM•Scr"Ub,m""vttac Ma a me n.pm.b nnulntl) If EVIDENCE OF INSURANCE y a i( E F C 'J CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEIR EOP,NOTICE WILL BE DELIVERED IN City Of Kent Public Works I ACCORDANCE WITH THE POLICY PROVISIONS, 2200 41h Ave So AUTHORIZED REPRESENTATIVE J N Kent WA 98032 UAR.,j ®1908-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/011 The ACORD name and logo are registered marks of ACORD AC B DATE IMMPOLINYWYi CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HF. 12R.THIS017 CERTIFICATE DOES NOTAFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFF BY THE POLICIES T BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE CONTRACTS THE ISSUING ORDED ORDEDINSUR B AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT; Iftho ce In ,Ie holder Is an ADDITIONAL INSUREp„fh0 polpcyllosf mdsC bo endorsed. If SIUDROGATIOIJ IS WAIVED,SkihJoct to the terms and Conditions of the policy,certain policies may IS an endorsement. A statement on this certificate does not caller rights to the certificate holder III Now of such endorsemerrtfsb PRODUCER NAME Stanford Insurance Inc N' =xz iC Np; 909 S 3361h SI Ste 102 - AQDR $3: INSURER S AFFOROINGCDMERA©E NAICP Federal W¢y WA 98003 INSURERA: Cori---li11 C8sFaBIC INSURED _ 20443 INSURERS JEC&Jason Engineering&Consulting Business [MAURERC PO Box 832 INSURER ENSURER E' Auburn WA 98071 INSURBRF: COVERAGES. GERWFICAYE NUMBER= REVISION N"VI ;ER: THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR 'IE POLICY PERIOD INDICATED_ NOTWITH$TANDINGANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH Ri :T TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT 10 ALL..THE TERMS, EXCLUSIONSAND CONDITIONSOF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMSIRS AUDI , H ... — _,...� .. LIP TYPE OF INSURANCE POLICY NUMBER' Mt M/DDHVYY: (M M AryYN LIMITS COMMERCIAL OENERAL LIABILITY EACH OLC1JRIu'Eearr„ 7-AIMSMMD-E ❑OCCUR 7AFh'GA'8G'f�PYC' r MEDExP, .m10.,orpnn PERSONN aAI"Iv MUNY $ {!LN LA00NEPO-AT-E�LIMIT APPLIES rER f EWCfY.nl nOe;;yFAAi 1 +rnJ(P1 'PRD- u .ECr Ej LOC OTHC41: PRCII%ICT CC[Hd<I rCLr A4ry S AUTOMOBILE LIABILITY d ,pMbL':9JM $ n ANYAUTO BODILY IN.UR Y(Per pplsUnl 4 ALL OVWNED IWHLI)uUW AUTOS AUTOS BODILY INJURY(Pfn ncndelM1l $ HIHEDAUTOS NOR O E&,rAuro� r ., r A UMBRELLA LIAB OCCUR EXCESS LIAB ULtURRa!:WE L"LAllMS-MA[?d= AriGRF.WAiE. Icy_ IDE'TERI'UON$ W'CRKERS COMPSM$AT'ION -- AND EMPLOYERS'LIABILITY Y!N I00,,ICF"IRPAL:MSE "CI IIItk1t}xL(1u'TryE N] IN1A L L EA,'N+AC tit IE"iaY (Mandatory di,NHy tl 4ofirmoulldbr LI.DIuEASE-E EMF YEE I URIP11DN l7FC PFRAT0,Shs. PI Grl'Y,rviG le"+I,�MYLNdR A Errors&Omissions Liability $200000078 ?' MCH891896631 12/312017 12/312018 , ,%�'J9,000•E&O Liability r 11 DESCRIPTION OF OPERATIDN9!LOCATYONS!VEHICLES IACORD 701,AOdlClom.k RalnaM•SCM1atlub,mty ba attached Ir mon span b nnuo-adI Evidence of Insurance I CER FIC. OLDER ANCE LLUgN SHOULD ANY OF THE ABOVE DESCRIBED POLICI^cS BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE tMLIVERED IN City of Kent Public Works ACCORDANCE WITH THE POLICY PROVISIONS. 2200 4Ih Ave So AUTHORIZED REPRESENTATIVE Kent WA 98032 01988.2014 ACORD CORPORATION. All rights ACORD 28(2014/01) reserved. The AFORD name and logo are registered marks of ACORD