HomeMy WebLinkAboutPW18-066 - Original - JECB LLC - 2018 Traffic Sign Replacement - 02/15/2018 "r-ve rn
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CONTRACT COVER SKEET
This is to be comipleted 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. biv�3 —OU
This is assigned by City Clerk's Office
Project Name: 2018 Traffic Sign Replacement
(Description: ❑ Interlocal Agreement ❑ Change Order ❑ Amendment x Contract.
EJ Other:
�1
Contract effective gate: Date of the Mayor's si nature Termination Date: 12,/31/19
Contract Renewal Notice (lays):
Number of days required notice for termination or renewal or amendment
Contract Manager: Paul Kuehne Department: Engineering
Contract Amount: 124,820 0.0
Approval Authority: ❑ Department Director X Mayor El City Council
Detail: (i.e. address, location, parcel number, tax id, etc.):
Provide construction and project management services for the project.
As of: 08/27/14
KENT
WAs,.. a.o
CONSULTANT SERVICES AGREEMENT
between the City of Kent and
]ECB LLC
THIS AGREEMENT is made between the City of Kent, a Washington municipal corporation
(hereinafter the "City"), and JECB LLC organized under the laws of the State of Washington, located and
doing business at PO Box 832, Auburn, WA 98071, Phone: (253) 405-4654, Contact: Jamie Hicks
(hereinafter the "Consultant").
I. DESCRIPTION OF WORK.
Consultant shall perform the following services for the City in accordance with the following
described plans and/or specifications:
The Consultant shall provide construction and project management services for the 2018
Traffic Sign Replacement project. For a description, see the Consultant's Scope of Work
which is attached as Exhibit A and incorporated by this reference.
Consultant further represents that the services furnished under this Agreement will be performed in
accordance with generally accepted professional practices within the Puget Sound region in effect at the
time those services are performed.
II. TIME OF COMPLETION. The parties agree that work will begin on the tasks described in
Section I above immediately upon the effective date of this Agreement. Consultant shall complete the
work described in Section I by December 31, 2019.
III. COMPENSATION.
A. The City shall pay the Consultant, based on time and materials, an amount not to exceed
Twenty Four Thousand, Eight Hundred Twenty Dollars ($24,820.00), for the services
described in this Agreement. This is the maximum amount to be paid under this Agreement
for the work described in Section I above, and shall not be exceeded without the prior
written authorization of the City in the form of a negotiated and executed amendment to
this agreement. The Consultant agrees that the hourly or flat rate charged by it for its
services contracted for herein shall remain locked at the negotiated rate(s) for a period of
one (1) year from the effective date of this Agreement. The Consultant's billing rates shall
be as delineated in Exhibit B.
B. The Consultant shall submit monthly payment invoices to the City for work performed, and
a final bill upon completion of all services described in this Agreement. The City shall
provide payment within forty-five (45) days of receipt of an invoice. If the City objects to
all or any portion of an invoice, it shall notify the Consultant and reserves the option to only
pay that portion of the invoice not in dispute. In that event, the parties will immediately
make every effort to settle the disputed portion.
IV. INDEPENDENT CONTRACTOR. The parties intend that an Independent Contractor-
Employer Relationship will be created by this Agreement. By their execution of this Agreement, and in
accordance with Ch. 51.08 RCW, the parties make the following representations:
CONSULTANT SERVICES AGREEMENT - 1
(Over$20,000)
A. The Consultant has the ability to control and direct the performance and details of its
work, the City being interested only in the results obtained under this Agreement.
B. The Consultant maintains and pays for its own place of business from which
Consultant's services under this Agreement will be performed.
C. The Consultant has an established and independent business that is eligible for a
business deduction for federal income tax purposes that existed before the City
retained Consultant's services, or the Consultant is engaged in an independently
established trade, occupation, profession, or business of the same nature as that
involved under this Agreement.
D. The Consultant is responsible for filing as they become due all necessary tax
documents with appropriate federal and state agencies, including the Internal
Revenue Service and the state Department of Revenue.
E. The Consultant has registered its business and established an account with the state
Department of Revenue and other state agencies as may be required by Consultant's
business, and has obtained a Unified Business Identifier (UBI) number from the
State of Washington.
F. The Consultant maintains a set of books dedicated to the expenses and earnings of
its business.
V. TERMINATION. Either party may terminate this Agreement, with or without cause, upon
providing the other party thirty (30) days written notice at its address set forth on the signature block of
this Agreement. After termination, the City may take possession of all records and data within the
Consultant's possession pertaining to this project, which may be used by the City without restriction. If
the City's use of Consultant's records or data is not related to this project, it shall be without liability or
legal exposure to the Consultant.
VI. DISCRIMINATION. In the hiring of employees for the performance of work under this
Agreement or any subcontract, the Consultant, its subcontractors, or any person acting on behalf of the
Consultant or subcontractor shall not, by reason of race, religion, color, sex, age, sexual orientation,
national origin, or the presence of any sensory, mental, or physical disability, discriminate against any
person who is qualified and available to perform the work to which the employment relates. Consultant
shall execute the attached City of Kent Equal Employment Opportunity Policy Declaration, Comply with
City Administrative Policy 1.2, and upon completion of the contract work, file the attached Compliance
Statement.
VII. INDEMNIFICATION. Consultant shall defend, indemnify and hold the City, its officers,
officials, employees, agents and volunteers harmless from any and all claims, injuries, damages, losses or
suits, including all legal costs and attorney fees, arising out of or in connection with the Consultant's
performance of this Agreement, except for that portion of the injuries and damages caused by the City's
negligence.
The City's inspection or acceptance of any of Consultant's work when completed shall not be
grounds to avoid any of these covenants of indemnification.
Should a court of competent jurisdiction determine that this Agreement is subject to RCW
4.24.115, then, in the event of liability for damages arising out of bodily injury to persons or damages to
property caused by or resulting from the concurrent negligence of the Consultant and the City, its officers,
officials, employees, agents and volunteers, the Consultant's duty to defend, indemnify, and hold the City
harmless, and Consultant's liability accruing from that obligation shall be only to the extent of the
Consultant's negligence.
CONSULTANT SERVICES AGREEMENT - 2
(Over$20,000)
IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THE INDEMNIFICATION
PROVIDED HEREIN CONSTITUTES THE CONSULTANT'S WAIVER OF IMMUNITY UNDER INDUSTRIAL
INSURANCE, TITLE 51 RCW, SOLELY FOR THE PURPOSES OF THIS INDEMNIFICATION. THE PARTIES
FURTHER ACKNOWLEDGE THAT THEY HAVE MUTUALLY NEGOTIATED THIS WAIVER.
In the event Consultant refuses tender of defense in any suit or any claim, if that tender was made
pursuant to this indemnification clause, and if that refusal is subsequently determined by a court having
jurisdiction (or other agreed tribunal) to have been a wrongful refusal on the Consultant's part, then
Consultant shall pay all the City's costs for defense, including all reasonable expert witness fees and
reasonable attorneys' fees, plus the City's legal costs and fees incurred because there was a wrongful
refusal on the Consultant's part.
The provisions of this section shall survive the expiration or termination of this Agreement.
VIII. INSURANCE. The Consultant shall procure and maintain for the duration of the
Agreement, insurance of the types and in the amounts described in Exhibit C attached and incorporated by
this reference.
IX. EXCHANGE OF INFORMATION. The City will provide its best efforts to provide
reasonable accuracy of any information supplied by it to Consultant for the purpose of completion of the
work under this Agreement.
X. OWNERSHIP AND USE OF RECORDS AND DOCUMENTS. Original documents, drawings,
designs, reports, or any other records developed or created under this Agreement shall belong to and
become the property of the City. All records submitted by the City to the Consultant will be safeguarded
by the Consultant. Consultant shall make such data, documents, and files available to the City upon the
City's request. The Consultant acknowledges that the City is a public agency subject to the Public Records
Act codified in Chapter 42.56 of the Revised Code of Washington. As such, the Consultant agrees to
cooperate fully with the City in satisfying the City's duties and obligations under the Public Records Act.
The City's use or reuse of any of the documents, data, and hies created by Consultant for this project by
anyone other than Consultant on any other project shall be without liability or legal exposure to
Consultant.
XI. CITY`S RIGHT OF INSPECTION. Even though Consultant is an independent contractor
with the authority to control and direct the performance and details of the work authorized under this
Agreement, the work must meet the approval of the City and shall be subject to the City's general right of
inspection to secure satisfactory completion.
XII. WORK PERFORMED AT CONSULTANT'S RISK. Consultant shall take all necessary
precautions and shall be responsible for the safety of its employees, agents, and subcontractors in the
performance of the contract work and shall utilize all protection necessary for that purpose. All work shall
be done at Consultant's own risk, and Consultant shall be responsible for any loss of or damage to
materials, tools, or other articles used or held for use in connection with the work.
XIII. MISCELLANEOUS PROVISIONS.
A. Recyclable Materials. Pursuant to Chapter 3.80 of the Kent City Code, the City requires its
contractors and consultants to use recycled and recyclable products whenever practicable. A price
preference may be available for any designated recycled product.
B. Non-Waiver of Breach. The failure of the City to insist upon strict performance of any of the
covenants and agreements contained in this Agreement, or to exercise any option conferred by this
Agreement in one or more instances shall not be construed to be a waiver or relinquishment of those
covenants, agreements or options, and the same shall be and remain in full force and effect.
C. Resolution of Disputes and Governing Law. This Agreement shall be governed by and
construed in accordance with the laws of the State of Washington. If the parties are unable to settle any
dispute, difference or claim arising from the parties' performance of this Agreement, the exclusive means
CONSULTANT SERVICES AGREEMENT - 3
(Over$20,000)
of resolving that dispute, difference or claim, shall only be by filing suit exclusively under the venue, rules
and jurisdiction of the King County Superior Court, King County, Washington, unless the parties agree in
writing to an alternative dispute resolution process. In any claim or lawsuit for damages arising from the
parties' performance of this Agreement, each party shall pay all its legal costs and attorney's fees incurred
in defending or bringing such claim or lawsuit, including all appeals, in addition to any other recovery or
award provided by law; provided, 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. If the non-assigning party gives its consent to any assignment,
the terms of this Agreement shall continue in full force and effect and no further assignment shall be
made without additional written consent.
F. 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 Consultant.
G. Entire Agreement. The written provisions and terms of this Agreement, together with any
Exhibits attached hereto, shall supersede all prior verbal statements of any officer or other representative
of the City, and such statements shall not be effective or be construed as entering into or forming a part
of or altering in any manner this Agreement. All of the above documents are hereby made a part of this
Agreement. However, should any language in any of the Exhibits to this Agreement conflict with any
language contained in this Agreement, the terms of this Agreement shall prevail.
H. Compliance with Laws. The Consultant agrees to comply with all federal, state, and
municipal laws, rules, and regulations that are now effective or in the future become applicable to
Consultant's business, equipment, and personnel engaged in operations covered by this Agreement or
accruing out of the performance of those operations.
I. Public Records Act. The Consultant acknowledges that the City is a public agency subject to
the Public Records Act codified in Chapter 42.56 of the Revised Code of Washington and documents,
notes, emails, and other records prepared or gathered by the Consultant in its performance of this
Agreement may be subject to public review and disclosure, even if those records are not produced to or
possessed by the City of Kent. As such, the Consultant agrees to cooperate fully with the City in satisfying
the City's duties and obligations under the Public Records Act.
J. City Business License Required. 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.
CONSULTANT SERVICES AGREEMENT - 4
(Over$20,000)
K. Counterparts 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.
CONSULTANT: CITY OF KENT,
By:
By:
ignAtu�e) (signature)-
Print Name: Print Name: Dana Ralp.h............
Its Its Ma or
(title)
DATE: 2, if 31 t42 DATE: L6
NOTICES TO BE SENT TO: NOTICES TO BE SENT TO:
CONSULTANT: CITY OF KENT:
Jamie Hicks Timothy J. LaPorte, P.E.
JECB LLC City of Kent
PO Box 832 220 Fourth Avenue South
Auburn, WA 98071 Kent, WA 98032
(253) 405-4654 (telephone) (253) 856-5500 (telephone)
N/A (facsimile) (253) 856-6500 (facsimile)
APPROVED AS TO FORM:
Kent Law Department
JECB-Traf Sign Repl/Kuehne
CONSULTANT SERVICES AGREEMENT 5
((Jeer$20,000)
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.
A
By:
For:
Title: 0,,,-e lW
Date: Z 13116
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
This form shall be filled out AFTER COMPLETION of this project by the Contractor awarded the
Agreement.
I, the undersigned, a duly represented agent of
Company, hereby acknowledge and declare that the before-mentioned company was the prime
contractor for the Agreement known as that was entered
into on the (date), between the firm I represent and the City of
Kent.
I declare that I complied fully with all of the requirements and obligations as outlined in the City
of Kent Administrative Policy 1.2 and the Declaration City of Kent Equal Employment Opportunity
Policy that was part of the before-mentioned Agreement.
By:
For:
Title:
Date:
EEO COMPLIANCE DOCUMENTS - 3
EXHIBIT A
Geotechnical Engineering Data: 1-29-18
JECB Special Inspections Project:City of Kent-Traffic
Materials Testing Sign Replacement 2018
Construction Inspections 17-3002
Cury OF KENT
220-411 Avenue S.
Kent,WA 98032-5895
Re: Letter of Interest&Statement of Qualifications,Traffic Sign Replacement -2018 Project
Attn: Mr. Paul Kuel-me,Construction Management Supervisor
JEC13 would like to submit this letter of our interest and qualifications for providing Construction/Project.
Management services. We are a small business physically located in Auburn with a branch office in
Olympia, from which we provide our services to job sites throughout the Puget Sound Region. We are
committed to providing our clients with timely services they can depend upon for accurate and
professional results for the geotechnical engineering,construction inspection& testing industry.
Geotechnical Engineering Construction Management
*Geotechnical Engineering Public works construction
(including Hazard Area Regulation) Inspector Support and/or
Levee Tesbng/Inspection, management.
Analysis and Design *Water,Sewer/Storm Inspection
Pavement deflection analysis and *Prepare Pay Estimates
roadway design Measurement.and tracking of
Soils stabilization/enhancement bid items
Retaining walls,earth walls and *Review and negotiation of force
rockery design account work
Slope stability, critical areas Temporary Erosion/Sediment
analysis Control Inspection
Percolation testing Project/ Engineer / Contractor
Infiltration trench design owner coordination
*Technical information reports Use of WSDOT Standards and
Pile design/ recommendations Specifications
Subsurface Investigations Forms / Paperwork using LAG
Geologic/Geotechnical, Manual and WSDOT methods
Assessments,Reports and systems and practices
Water Quality Management
If you have any questions or if JF.C13 can be of any further assistance please call on us at(253) 405-4654.
Respectfully Submitted,
JECB
Jamie I-licks
Phone: (253)405-4654 Ernail:jccboffice@gmail.com
PO Box 832 Auburn WA 98071,
Geotechanical Engineering Date:. 1-29-18
y� ,Special inspections 1'rola.c t:City of Kent-Traffic
1 Materials Testing Sign Replacement 2018
Construction Inspections File 4;'17-3002
Professional Engineen.n,g
Geotechnical Engineering Retaining Wall Design
JECB provides a full range of soils investigations, Services include design details and plans for
geotechnical engineering reports, geologic concrete retaining walls, rockeries, MSF or
assessments, .sail treatment and stabilization segmental block walls (Allan block, Keystone,
methods, slope stability analysis, soils inspection, Cornerstone, Ultra Block, Kelly block, ecology Unlock,
foundation design, preload determination, etc.) that range from small landscape details (2 to 6
settlement calculations, technical inforrrnation feet) to major earthwork improvements and
reports, perc tests, and abbreviated site plans .for renovation (over 30 feet). We have provided
commercial projects, public works and single family retaining wall design services to a wide variety of
residences. We can also assist with landslide situations for many, different and sometimes difficult
investigation, erosion control and hazard areas. We native settings,
offer our services in as timely manner to keep
progress in motion for both. private and public Pavement Design 6: Analysis
works projects. We provide ,services in the Puget Our geotechnical experience and lab testing ability
Sound region as well as throughout the rest of provide excellent support for roadway evaluation,
Washington. elesign or replacement solutions. OU.r services create
a quality final product, often for less than
Slope Analysis dr Stabilization � i� ,NU,� � anticipated cast. Our personnel have monitored and
We can inspect your project site, �of� inspected the construction and overlay of thousands
gather data from the site., and of miles of pavements
prepare a detailed report with recon-imenda Lionsfor throughout the entire. Pacific F a.
your specific project site and application in reference Northwest. We often provide
to steep slopes. The reports that we provide:} on onir clients with design
slope stability analysis examine both static and recommendations and cost
dynamic analysis of the. slope using various worst- savings changes that have paid
case scenarios. The analysis process examines slope for our services many times over on a project.
stability using the method of slices procedure for
determining slope stability. Normally several
thousand slice sections are: analyzed using some of
the most advanced software available in the industry
(utilizing Geoslope's Software Suite).
Phone: (253)405-4654 Email:jecboffice(�,,)gniail.com
PO Box 832 Lburn 41aA 98071
Geotechnical Engineering l7atet 1-29-18
�E 13 Special Inspections .—9je t.:City of Kent-Traffic
Materials Testing Sigia Reptacenient 2018
Constructirrrr traspecticans l°ilc i1: l -;300
Construct-ionlProject Management Tasks and Deliverables
Our personnel have participated in many state and federal public works projects. JEC B personnel
coordinate with all utility companies (water, power, sewer, phone, etc), property owners, and contractors to
facilitaate and irnplerrient contractual agreements for the project. VVQ provide on-site support, schedule
review, technical and procedural advice; efficiently handle RFTs, Ia v'l's, submittals,, change orders, force
account and aurage, reviews per WSl:OT, LAG criteria. Experienced personnel oversee survey and plaanniial,
tracking; and inspecting, underground utilities/struchire:.s its they, area placed, machinery, personnel,
nrateriaals and resseararcOs used. Our personnel perform Construction/Project Nlanq;eraent as well as quality
assurance testing=, and inspections. This allows maxiinum flexibility for a successful project, provides better
communication between responsible parties, and slg.,nificsarltly rcaduces cost asseae:iatced with additional
contracts, rnarkups, and lust tinne clue.^ to conitnunicaation errors or scheduling, issues..
We provide organized and accurate docturientation anti Maack tip information to simplify state and federal
atadits.
Typical Construction Management responsibilities
Q Serve as it construction period representative for the client, attend and/or conduct all on :sites weekly
project meetings, perform project owner/f?;ngiraecr/C'crntractoi• coordination, respond to property
owner and contractor conflicts in public construction sites.
s Coininunicate: with the public., as necessary; investilpaate and resolve} construction complaints; garcavirlc
information needed for the resolution of claims for damages against they client; communicate twith
departments, personnel,and outside agencies to coordinate efforts and exchKanl;e iaafornnatiran,
Ap- Maintain a construction file, keeping files in order, lofts and construction records, employee's work
atssil nrracraals and. inspection actives, including daily reports, field rneaaStrre I'll c iat sheets, etc.
Inspect public and private construction and irnprovennent "work to verify appropriate coustrLLCtiQra
permits; and unsure appropriate cluaality control, sampling, and inspection in compliance witli plans,
codes, and regulations, utilization of WSDOT construction standards
,v- Furnish woekly reports of the contractor's progress of work completed and of compliance with the
progress schedule,, quantity tracking, and measureine.nt of laid items, prepare progress pay estimates,
review and negotiation of force account work.
�� Review of Plans and Specifications, enl,incerinl, design conflict resolution, propose resolution of in-
field constructability tarot lenis, maxterii is testing and inspection, quality-control and assurance-
s Prepare° for anti aid State and Feycteral auditors in their review of construction documentation.
Respond to deficiencies in a timely maatr er to maintain good standing, with federal agencies following
LAG, TIT and VVS,DOT criteria.
4 Review preliminary and final contract plans, specifications and submittals with appropriate staff for
correctness,completeness and cunstructability,
i'hone (.53)405-`654 t°niai9 �c;cl',a 7dfdcc�`ri t,maail.cc�ert
t'i b Box 832 t0ratarrr�a 4Nr"t '.?80 1
Geotechnical Engineering Date 1-29-18
Special Inspections Proic d: City of Kent-Traffic
J Materials Testing Sitar Replacement 2018
Construction Inspections File P: 17-3002
Job Descriptions
Asplialt j Concrete Inspector
Continuously or periodically monitor and inspect elements for conformance to approved plans
and construction documents. Sample materials for specification conformance and maximum
density analysis. Check: cornpaction and optimum moisture content using a nuclear densometer,.
Additional compliance testing; may include; sand equivalent, organic content, atterburg limits,
hydrometer.
Concrete Z Masonry Inspector
Continuously or periodically monitor and inspect elements for conformance to approved plans
and construction documents. Monitor,/inspect reinforcement for size, type, grade, locution,
embedment, cleanliness, and clearance. Sample material for verification of air content, slump, and
compressive strength per ASTM and 113C codes. Specimens will be cast, transported and cured per
ASTM,
Ccanstrtictic,ra 1 I anal;er/lnspec'tion
Review reports by field inspectors and laboratory analysis prior to distribution to the project team
members. Manage phases of project delivery including initiating, planning, executing, monitoring,
controlling and closing. Coordinate with property owners, utility contractors and city] personnel. .
Track quantities, machinery, mardiours etc, used for verification of pay estimate preparation and
contractor invoices. Review plans for constructability,
A dmin
Process reports from field inspectors. Process reports from lab test data (i.e. soils, asphalt and
concrete). File, organize and distribute reports to the client, Architect, engineer, building official
and those directed by the client for the distribution list. Answer phones and direct clients to
appropriate JIC.l3 personnel.
Professional Erincer
Provide engineering analysis;, design, recommendations, documentation, drawings and
specifications for structural items requiring a stamp by a licensed engineer.
Phone: (253)405 4654 Email:jeclaroffice mail.com
PO Box 832 Aubijrn WA 98071
✓ Gecrteclrnical Engineering Late: 1-29-18
JET Special Inspections p ock;City of east-Traffic
Materials Testing Sign Replacement 2018
Construction Inspections File it:17-3002
Schedule of.Fees & Services, Exhibit B
Fstitn atet Ser+iccs-Materials Testing/Special
Inspection
Price Hours"
I'liC)F SSIt:NAL Sl;RV1Cl,S
r' dmiraistraative;Services $50.00 Per hour 18
C'oTisinic.tioWl'rojett Mgr $115,00 per hour 208 S23,920.00
* Total is an estimate otily tier the project silice
coTitraactor's work dictates schedule
**Tours quoted are for reference ouVy
Phone: (25:3)405-4(154 E:rnail:jecbolficefttrrtrfl,conn
PO Box 832 Auburn WA 98071
Geotechnical Engineering Date� 1-29-18
_AIJECB Special Inspections FIrc$Lct:City of Kent- Fraffic
Materials Testing Sign Replacernont 2018
0
Construction Inspections kilo
4t�17-1002
............ ..........
Key Staff&Associates
Jason E.C. Bell, PE (Geo-Engineer, Construction Manager,'TESC Lead, Field Inspector)
Education/Years` Experience-20+
BS Civil Engineering, 1995 University of Washington
Pavement Surface Condition Analysis WSDOT
Erosion and Sediment Control Lead ECO 3, BMP 160 WSDOF
Registrations and Affiliations
Registered Professional Filgineer, 2001 State of Washington WA 43734:3
Nuclear Denscurieter Campbell Pacific Nuclear
Special Inspector, Reinforced Concrete,SLructurai [CC, WABO
Masonry,Spray Applied Fireproofing, Post' ension
Concrete
Certified Laboratory"Technician,CT 1,#0403 The National Concrete. Masonry Assoc,
Concrete Field Technician, Level I American Concrete Institute
Member American Concrete Institute
Jason has, focused on goo-technical engineering/soils, slope stability-failure analysis, foundation design and
research since 2001. Design work includes; residential and corninercial buildings, pile. design and refusal
verification, mat and coluirin foundations, pre-load techi-dques, various types of retaining walls, paving and
road profiles, subgrade and bearing capacity de terminations, settlerneriL and consolidation calculations,
SWPPP,TESC, surface and groundwater analysis, culverts and stream crossing design,
)anon has extensive experience in plan reading, WSDOT and 113C regulations, testing and inspection of Soils,
concrete, masonry, asphalt, post tension concrete, fireproofing, shotcrete and steel in Washington, Jason
has managed branch offices as well as provided these same services and Project Management in several
field laboratories throughout: the Pacific Northwest. Project management has involved; federally funded
projects, ARRA paperwork, communication for REF, correction and stop work notices, admin per LAG
manual and typical state forms, coordination with public utilities and property owners.
George Hicks (Geologist, Field Inspector)
Education/Years Experience-30+
Bachelors Degree in,Geology
Erosion and Sediment Control Lead F',CO 3, BMP 160 WSDOF?
Registrations and Affiliations
Nuclear Derisorneter Campbell Pacific Nuclear
Concrete Field'Technician, Level I American Concrete Institute
George has worked on numerous state and county projects t1lrOUghOUL Southwest Washington as a WSDOT
employed construction materials inspector. George has managed both in the, field and in the lab,numerous
construction projects, such as the highway 509 cable stay bridge, 1-5 repaving from 'Facoma to King County
line, and highway 101 paving pro
jects, George has also served as an inspector in batch plants, both concrete
and asphalt concrete, throughout Western Washington. He has also served as an independent assurance
tester for WSDOT to ensure that contractors and inspectors were working within the specifications
provided by WSDOT` His most recent, ,vork includes a number of different paving projects,ects, concrete
placcinents,and laboratory materials testing.
Plionc: (253)405-4654 F,mail:jecboffice(e�Pgmail corn
110 Box 832 Auburn WA 98071
F
Geotechnical.Engineering gate: 1-29-18
J CB Special Inspections Ejgjcc:t:City of Kent-Traffic
� Materials Testing Sign Replacement 2018
Construction Inspections I Hlc�� 4:17-3002
Jamie Hicks (Geologist,TESC"lead,Field Inspector)
Education/"Years' Experience-20+
Bachelors Decree in Geology, 1997 University of.Puget SOUnd
Erosion and.Sedinnent Control Lead L.'CO 3, 13MP 160 WSDOE
Registrations and Affiliations
Nuclear Densonieter Campbell Pacific: Nuclear
Concrete Field 'Fechnic:ian, Level I American Concrete Institute
Special Inspector, Reinforced Concrete,Structural ICC,WAI3C3
Masonry
Previously Certified Special Inspector, StructurallCC", WABO
Steel
Jamie is a Geologist au'id an ]CC certified Special Inspector. Jamie has performed nunneronts Geotecl-mical
and Exivironmental investigations thrOUghout Western Washington. He has landslide evaluation and field
investigation experience. I lis Spacial Inspection experience includes reinforced concrete, structural inasorrry,
structural steel and bolting, concrete post-tensioning,, and fire proofing. I lei also has performed numerous
construction duality control / duality assurance inspections on various projects. In recent years he has
served as project manager/construction duality control for Cooks I1ill/Flam I fill Reservoirs, McChord AFB
C" and I I-Ranip Taxi lane, and Ft. Lewis Cell 6 landfill corer, I its most recent Special Inspections include
senior inspector for the 4th Avenue Bridge, tank and shotcrete for the Olympia Meridian Reservoir,
Winlock I Iigh and Middle Schools, and Thurston County evaluation a.nd'l`reatment Center.
Shannon Alexander (Special Inspector/Quality Control)
Education/"Years' Experience --10
Erosion and Sediment Control Dead FC0 3, BMP 160 WSDOF,
Registrations and Affiliations
Nuclear Denson-teter C°arripbell Pacific Nuclear.
Specialty Mertsur•ement C-'ertification Boeing Aerospace Engineering Union
Precision Calibration'Training Boeing Aerospace Enginecrring Union
Construction Tolerance Verification C ertificabon hoeing Aerospace Engincering Union
Shannon spent 8 years with the Boeing Airplane Company as as member of their (duality Control team on
the 737 lino, She is proficient in structural playa reading, using calibrated equipment to make precision
rncasurernents, and Utilizing a quality manager ent system for quality control inspection purposes.
Shannon has experience in coatings applications, structural bolting and riveting inspections, and light
gauge metal welding. Shannon has made the transition from duality control along the airplane assembly
line to duality control for the building industry effortlessly. Shannon has worked on current construction
projects such as USDOT Federal Highways Middle Fork Snocivaltrricr project, O'Reilly Automotive Auburn
Store #2, and Cascade Water Alliance - flume Replacement project and Fish Barrier Spill.Gate Project.
Phone: (253)405-4654 Email jecaaofficc,�PgrnaiLcoru
PO Box 832 A4ubcun WA 98071
EXHIBIT C
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. Automobile Liability insurance covering all owned, non-owned,
hired and leased vehicles. Coverage shall be written on Insurance
Services Office (ISO) form CA 00 01 or a substitute form providing
equivalent liability coverage. If necessary, the policy shall be
endorsed to provide contractual liability coverage.
2. Commercial General Liability insurance shall be written on ISO
occurrence form CG 00 01 and shall cover liability arising from
premises, operations, independent contractors, products-completed
operations, personal injury and advertising injury, and liability
assumed under an insured contract. The City shall be named as an
insured under the Consultant's Commercial General Liability
insurance policy with respect to the work performed for the City
using ISO additional insured endorsement CG 20 10 11 85 or a
substitute endorsement providing equivalent coverage.
3. 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 $2,000,000 each occurrence, $2,000,000 general
aggregate and a $1,000,000 products-completed operations
aggregate limit.
EXHIBIT C (Continued)
3. Professional Liability insurance shall be written with limits no less
than $2,000,000 per claim and $2,000,000 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.
JECBLLC-02 A IN
ACORO- CERTIFICATE 4F LIABILITY INSURANCE DATE 0710 512 01 7 Y)
07I0512017
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(ies)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 C NTACT
Griffin MacLean Inc a"�"N,E.t: 425 822-1368 AX
C.Nc: 425 822-2737
2340 130th Ave NE D150
Bellevue,WA 98005 AbmA1 -info riffinmaclean.com
INSURERS AFFORDING COVERAGE NAIL#
INSURER A:Ohio Security Insurance Co _
INSURED INSURERS;
JECB,LLC INSURER C:
Jamle Hicks
PO BOX 832 INSURER D:
Auburn,WA 98092 INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REOUIREMENT, 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 SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURAMCE ADOLISUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
LTRT A X COMMERCIAL GENERAL LWBtLfTY II EACH OCCURRENCE $ 2,000,000
CLAIMS-MADE FX OCCUR X X BZS56778701 06/26/2017 06/26/2018 DAMAGE ro RENTI D S 1,000,000
MED EXP(Any me erson $ 15,000
PERSONAL&ADVINJURY f S 1,000,000
MX
'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000
POLICY El jpCT LOC PRODUCTS-COMP/OPAGG 21000,000
OTHER:
A AUTOMOBILE LIABILITY COMBINED d.SINGLE LIMIT 1,000,000
JxANY AUTO BZS56778701 06/26/2017 06/2612018 BODILY INJURY Perperson) $
OWNED SCHEDULED
AUTOS ONLY AUTOS BODILY INJURY Per accident
H R D X NON OWNED PROPERTY DAMAGE
A� OS ONLY AUTOS ONLY Per accident
UMBRELLA LIAR OCCUR EACH OCCURRENCE
EXCESS LIAR H CLAIMS-MADE AGGREGATE
DEC) I I RETENTION b
A WORKERS COMPENSATION I I PER 04W
AND EMPLOYERS'LIABILITY BZS56778701 06/26/2017 06/2612018 1,000,000
ANY PROPRIETgOER/PARTNER/EXECUTIVE Y/N X E.L.EACH ACCIDENT
OF datory In NHR EXCLUDED? N/A 1,000,000
M yes,atory'esc be under E.L.DISEASE-EA EMPLOYE
DESCRIPTION OF PERAT ONS WA Stop Gap E.L.DISEASE-POLICY LIMIT 1,000,000
A Business Owners Poll BZS56778701 06/26/2017 06/2612018 Property 10,000
DESCRIPTION OF OPERATIONS/LOCATIONS)VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If 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
City of Kent Public Works Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ty P ACCORDANCE WITH THE POLICY PROVISIONS.
220 Fourth Avenue South
Kent,WA 98032
AUTHORIZED REPRESENTATIVE
ACORD 25(2016103) ®1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
POLICY NUMBER : BZS5677'870L
BUSINESSOWNERS
SP 79 96 07 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BUSINESSOWNERS LIABILITY EXTENSION ENDORSEMENT
This endorsement modlfles Insurance provided under the fallowing:
BUSINESSOWNERS COVERAGE FORM
SUBJECT PAGE !
AGGREGATE LIMITS OF INSURANCE 3
AMENDMENT OFINSUREO CONTRACT DEFINITION q
BLANKET ADDITIONAL INSURED (OWNERS, CONTRACTORS OR LESSORS) 2
BODILY INJURY 4
BROADENED COVERAGE FOR DAMAGE TO PREMISES RENTED TO YOU 2
DUTIES 1N THE EVENT OF OCCURRENCE,OFFENSE,CLAIM OR SUIT 4
INCIDENTAL MEDICAL MALPRACTICE 2
MOBILE EQUIPMENT 2
NEWLY FORMED OR ACQUIRED ORGAN17ATIONS 3
PERSONAL AND ADVERTISING INJURY
4
SUPPLEMENTARY PAYMENTS 2
Ball Bonds
6 Loss Of Earnings
s
SP 79 96 07 13 fncludes copyright d material of I insurance.nsurrance Services Office,Inc,, its permission. Page 1 at d
I
i
I
Section 11-Liability is amended as follows:
I. SUPPLEMENTARY PAYMENTS
Paragraph f.(1)(b) of A Coverages Is replaced by the following;
(b) Up to $3000 for cost of ball bond required because of accidents or traffic law violations arlsing out of
the use of any vehicle to which Business Liability Coverage for "bodily injury" applies. We do not have +
to furnish the bonds.
Paragraph 1.f.(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 earnings up to $600 a day because of time off
from work.
iI. BROADENED COVERAGE FOR DAMAGE TO PREMISES RENTED TO YOU
With respect to the coverage provided under this endorsement,' Section it•Liability Is amended as follows:
1. The final paragraph of B.I. Exclusions - Applicable To Business Liability Coverage Is deleted and
replaced by the following:
With respect to the promises which are rented to you or temporarily occupied by you with the permis-
»
slop of the owner, Exclusions c.,d., a., g., h.,k.. L,m.,n.and o. do not apply to "property damage",
2. Paragraph D.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 damages because of all "property
rty
damage" to premises while rented to you or temporarily occupied by you with the permission of the f
owner Is the Limit of Insurance shown In the Declaration.
3. Paragraph D.3. Liability And Medical Expenses Limits Of Insurance is deleted.
Ill. 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 arWng 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 furnishing of food or bev-
erages In connection therewith; or
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 Condition Is amended accordingly;
2. any insured engaged In the business or occupation of providing any of the services described
under a.and b. above;
a 3. Injury caused by any Indemnitee If such Indemnitee Is engaged in the business or occupation of
providing 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 "mobile 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 additional 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
b. executed prior to the "bodily injury", "property damage", "personal and advertising injury",
j
i
® 20131ltrerty Mutual Insurance.All rights reserved.
BP 79 96 07 i3 Includes copyrighted material of Insurance Services Office,Inc.,with Its permission. Page 2 of 4
2. The Insurance provided the additional Insured is limited as follows:
a. The person or organization is only an additional insured with,respect to liability arising out of
(i) Real property, as described in a written contract or written agreement, you own, rent, lease,
maintain or occupy;
(2) Caused In whole or in part by your ongoing operations performed for that Insured.
b. The limits of insurance applicable to the additlonal Insured are those specified In the written
contract or written agreement or the limits available under this policy, as stated In the Declare-
tfons, 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) Liabnity arising out of the sole negligence of the additional insured;
(2) "Bodily Injury", "property damage", "personal and advertising injury"; or defense coverage
under the Supplementary Payments section of the policy arising out of an archltect's, en- i
gineer's or surveyor's rendering of or failure to render any professional services Including: i
(a) The preparing, approving maps, shop drawings, opinions, reports, surveys, field orders,
change orders, or drawings and specifications; 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 demolftlon operations performed by or for the
person or organization designated in the Declarations.
3. Any coverage provided hereunder shall be excess over any other,valid and collectible Insurance avall-
able to the additional Insured whether primary, excess, contingent or on any other basis unless a f
contract specifloaily requires that this Insurance be primary or you request that It apply on a primary I
basis. I
VI. NEWLY FORMED OR ACQUIRED ORGANIZATIONS
The following Is added to C.Who is An Insured: M 3. Any business entity acquired by you or Incorporated or organized by you under the laws of any
individual state of the United States of America over which you maintain majority ownership interest
exceeding fifty percent. Such acquired or newly formed organization will qualify as a Named Insured If
there Is no similar Insurance available to that entity. However,
a. Coverage,under this provision Is afforded only until the 180th day after the entity was acquired or
incorporated or organized by you or(he end of the policy period, whichever is earner;
b. Coverages A. Paragraph 1, Business Llabifity, does not apply to:
(1) 'Bodily Injury" or "property damage" that occurred before the entity was acquired or Incor-
porated or organized by you; and
(2) "Personal and advertising Injury" arising out of an offense committed before the entity was
acquired or Incorporated or organized by you; and
c. Records and descriptions of operations must be maintained by the first Named Insured.
a No person or organization Is an insured with respect to the conduct of any current br past partnership,
joint venture or limited liability company that Is not shown as a Named Insured In the Declarations.
Vlf. AGGREGATE LIMITS
The following Is added to Aggregate Limits Paragraph 4. of.D. Llablflty and Medical Expenses Limits of (-
Insurance: 1
The Aggregate Limits apply separately to each of"locations" owned by or rented to you,or temporarily
occupied by you with the perrNsslon of the owner.
The Aggregate Limits also apply separately to each of your projects away from premises owned by or
rented to you. i
For the purpose of this endorsement only, "location" means premises Involving the same or connect-
Ing lots, or premises whose connection of-way of a railroad. Is Interrupted only by a street, roadway, waterway or right-
BP 78 96 f)7 13 ® 2013Liberty Mutual Insurance.Alf rights reserved,
Includes copyrighted material of Insurance Services Office,Inc.,wM Its permission. Page 3 of 4 i
Vill.DUTIES IN THE EVENT OF OCCURRENCE, OFFENSE, CLAIM OR SUIT
1. The requirement In E. Liablllty And Medical Expenses General Conditions paragraph 2.a.that you must I
see to It that we are notified of an "occurrence" or offense which may result in a claim applies only
when the "occurrence" 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 claim.
2. The requirements In E. Liability And Medical Expenses General Conditions paragraph 2.b. that you
must see to It that we receive notice of a claim or"suit" will not be considered breached unless the
breach occurs after such claim or"suit" Is known to any Insured listed under Paragraph CA.Who Is An
Insured or any "employee". authorized by you to give or receive notice of an"occurrence" or claim.
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,
r; and includes mental anguish resulting from any of these; and including death resulting from any f
of these at any time.
MMI X. AMENDMENT OF INSURED CONTRACT DEFINITION
Paragraph 9, of F.Liability And Medical Expenses Definitions is replaced by the following:
9. "insured contract" means:
a. A contract for a lease of premises. However, that portion of the contract for a lease of premises
that Indemnities any person or organization for damage by fire to premises while rented to you or
temporarily occupied 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-
ations 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 municipality;
e. Ah elevator maintenance agreement;
f. That part of any other contract or agreement pertaining to your business (including an indem-
niffeetfon 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 fnjury" 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 the tort liability is
permitted by law. Tort liability means a liability that would be Imposed by law In the absence of
any contract or agreement.
Paragraph f, does not Include that part of any contract or agreement:
(1) That Indemnifies a railroad for "bodily injury" or "property damage" arising out of construc-
tion or demolltion operations, within 50 feet of any railroad property and affecting any railroad
bridge or trestle, tracks, road-beds, tunnel, underpass or crossing;
(2) That Indemnifies an architect, engineer or surveyor for injury or damage arising out of:
g (a) PrepGring, approving, or failing to prepare or apprdvo, maps, shop drawings, opinions,
reports, surveys, field orders, change orders or drawings and speclficatlons; or
(b) Giving directions or Instructions, or failing 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,
Incfuding those fisted In (2) above and supervisory, inspection, architectural or engineering
activltles.
XI. PERSONAL AND ADVERTISING INJURY !
Paragraph 14.b.of F.Liability And Medical Expenses Definitions is replaced by the following:
b. Malicious prosecution or abuse of process.
® 2013 Liberty Mutual Insurance,All rights reserved.
SP 79 96 07 13 Includes copyrighted material of Insurance Services Office,Inc.,with Its permisslon. Page 4 of 4
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.4C R[7° CERTIFICATE OF LIABILITYDA7EiMM100lVYYY)
INSURANCE
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIh°:ATE HOLDER.
HIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDEb BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURFR(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT` If the Certificate holder is an ADDITIONAL INSURED,the policy(Jos)must 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 1:,Qs not confer rights to the
certificate holder In Ileu of such andorsement(s).
PRODUCER
NAME:
Stanford Insurance Inc PHON
AX
909 S 336th St Ste 102 'rvc No
ADDRESS:
ENSURERS AFFORDING COVERAGE )IAA d
Federal We WA 96003 INSURER A: Continental Casualty 20
INSURED
INSURER B
443
JECB-Jason Engineering&Consulting Business INSURERC:
PO Box 832 INSURER D:
INSURER E
Auburn WA 96071 INSURER COVERAGES CERTIFICATE NUMBER: REVISION NUMBER;
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE 14SURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDINGANY 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,
EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
LTR TYPE OF INSURANCE POLICY NUMBER M ID MIDOKYYY LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
CLAIMS4AADE OCCUR LWAPIUL TO
PREMISE f e oe
MFOEXP An one arson
SODV�'�JJRY j
[ OEINIPER NAL6AAGGREGATE LIMIT APPLIES PER GENERAL AGGR V-,11X
ATE
POLICY❑.PECT 1:1 LOC -i
OTHER. PRODUCTS• OWiOPAGG
AUTOMOBILE LIABILM S
a NE SINGLE LIMIT =
ALL OM Boo ILY INJJRY(Pi•r person) S,4LLOWNED SCHEWLED
AUTOS AUTOS BODILY INJURY(PAr acadent) $
HREDAUTOS NON$ ED PROPEII
AUTOS P r dZr.,
UMBRELLA LIAB =
OCCUR
EXCESS LIAB EACH OCCURPfn CE
HCLAJMq.MADF
AGGREGATE
DEC, R ENTION ..
WORKERS COMPENSATION
FR
AND EMPLOYERS'LLABILITY STATUTE OTH-
OFFICERIMEMBEREXCLUDED ANYPROPRETORIPARTNER ECUTNE YN N N/A
(Menddstory In NH) E.L.EACH ACCIDENT
If s,desab'untler E.L.DISEASE-EAEMFLOYE
DESCRIPTION OF OPERATIONS below
E L DISEASE•NOLX:YlYNR
A Errors&Omissions Liability
MCH591886631 12/37R017 12131 R018 $2,000.000/$2,000.000-E&O Liability
DESCRIPTION OF OPERATIONS I LOCATIONS r VEHICLES(ACORD 101,AddlOonal Rameka Schedule,may be attached If more apaee Is requLred)
Evidence of Insurance
.a.
CERTIFICATE HOLDER CANCELL
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL B_DELIVERED IN
City of Kent Public Works ACCORDANCE:WITH THE:POLICY PROVISIONS. _
2200 4th Ave 50
AUTHORIZED REPRESENTATIVE 7T.,�
Kent WA 08032
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