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HomeMy WebLinkAboutPW18-207 - Original - Integra Washington, Inc. - Mill Creek Reestablishment Johnsen-Sealy Appraisal Report - 05/18/2018 I ENT Records Management Document I CONTRACT COVER SHEET This is to be comlPpeted by the Contract Manager Il::aHow to saubirniission to the City Clerk's Office. AIIII portions are to be completed, If yoga have questions, please contact the City Clleirk's Office at 25.3-856-5725. ❑ Blue/Motion Sheet Attached ❑ Pink Sheet Attached Vendor Name: Integra Washington, Inc. cnirmu„ioir III4uu iimmlllbeir (.3111I:.pllf �, Contract Number (City Clerk): P1�' zU1 Category: Contract Agreement Sub-Category (if applicable): rJ Project Name: Mill Creek Reestablishment Contract Execution Date: 5/18/18 Termination Date: 8/23/18 Contract Manager: Dee Martindale Department: PW: Engineering Contract Amount: $500.00 Approval Authority: ® Director ❑ Mayor ❑ City Council Other Details: Revise the,Johnsen-Sealv,aooraisal report for the Droiect. PROFESSIONAL SERVICES AGREEMENT between the City of Kent and Integra Washington, Inc. THIS AGREEMENT is made between the City of Kent, a Washington municipal corporation (hereinafter the "City"), and Integra Washington, Inc, organized under the laws of the State of Washington, located and doing business at 600 University St., Suite 310, Seattle, WA 98101, Phone: (206) 436-1177, Contact: Lori Safer (hereinafter the "Contractor"). I. DESCRIPTION OF WORK. Contractor shall perform the following services for the City: The Contractor shall revise the Johnsen-Sealy appraisal report for the Mill Creek Reestablishment Project. For a description, see the Contractor's Scope of Work which is attached as Exhibit A and incorporated by this reference. Contractor further represents that the services furnished under this Agreement will be performed in accordance with generally accepted professional practices within the Puget Sound region in effect at the time those services are performed. II. TIME OF COMPLETION. The parties agree that work will begin on the tasks described in Section I above immediately upon the effective date of this Agreement, and Contractor shall complete the work by by August 23, 2018, III. COMPENSATION. The City shall pay Contractor a total amount not to exceed Five hundred Dollars ($500.00) for the services described in this Agreement. The Contractor shall invoice the City monthly based on time and materials incurred during the preceding month. The hourly rates charged for Contractor's services shall be as delineated in the attached and incorporated Exhibit A. All hourly rates charged shall remain locked at the negotiated rates throughout the term of this Agreement. IV. INDEPENDENT CONTRACTOR. The parties intend that an Independent Contractor- Employer Relationship will be created by this Agreement. By their execution of this Agreement, and in accordance with Ch. 51.08 RCW, the parties make the following representations: A. The Contractor has the ability to control and direct the performance and details of its work, the City being interested only in the results obtained under this Agreement. B, The Contractor maintains and pays for its own place of business from which Contractor's services under this Agreement will be performed. C. The Contractor has an established and independent business that is eligible for a business deduction for federal income tax purposes that existed before the City retained Contractor's services, or the Contractor is engaged in an independently established trade, occupation, profession, or business of the same nature as that involved under this Agreement. D. The Contractor is responsible for filing as they become due all necessary tax documents with appropriate federal and state agencies, including the Internal Revenue Service and the state Department of Revenue. PROFESSIONAL SERVICES AGREEMENT - 1 ($20,000 or Less) E, The Contractor has registered its business and established an account with the state Department of Revenue and other state agencies as may be required by Contractor's business, and has obtained a Unified Business Identifier (UBI) number from the State of Washington. F, The Contractor maintains a set of books dedicated to the expenses and earnings of its business. V. TERMINATION. Either party may terminate this Agreement, with or without cause, upon providing the other party seven (7) calendar days written notice at its address set forth on the signature block of this Agreement. VI. DISCRIMINATION. In the hiring of employees for the performance of work under this Agreement or any subcontract, the Contractor, its subcontractors, or any person acting on behalf of the Contractor or subcontractor shall not discriminate against any person who is qualified and available to perform the work to which the employment relates as provided for by the City of Kent's Equal Employment Opportunity Policy. Contractor shall execute the attached City of Kent Equal Employment Opportunity Policy Declaration, Comply with City Administrative Policy 1.2, and upon completion of the contract work, file the attached Compliance Statement. VII. INDEMNIFICATION. Contractor shall defend, indemnify and hold the City, its officers, officials, employees, agents and volunteers harmless from any and all claims, injuries, damages, losses or suits, including all legal costs and attorney fees, arising out of or in connection with the Contractor's performance of this Agreement, except for that portion of the injuries and damages caused by the City's negligence. The City's inspection or acceptance of any of Contractor's work when completed shall not be grounds to avoid any of these covenants of indemnification. The provisions of this section shall survive the expiration or termination of this Agreement. In the event Contractor refuses tender of defense in any suit or any claim, if that tender was made pursuant to this indemnification clause, and if that refusal is subsequently determined by a court having jurisdiction (or other agreed tribunal) to have been a wrongful refusal on the Contractor's part, then Contractor shall pay all the City's costs for defense, including all reasonable expert witness fees and reasonable attorneys' fees, plus the City's legal costs and fees incurred because there was a wrongful refusal on the Contractor's part. VIII. INSURANCE. The Contractor shall procure and maintain for the duration of the Agreement, insurance of the types and in the amounts described in Exhibit B attached and incorporated by this reference. IX. CONTRACTOR'S WORK AND RISK. The Contractor agrees to comply with all federal, state, and municipal laws, rules, and regulations that are now effective or in the future become applicable to Contractor's business, equipment, and personnel engaged in operations covered by this Agreement or accruing out of the performance of those services. All work shall be done at Contractor's own risk, and Contractor shall be responsible for any loss of or damage to materials, tools, or other articles used or held for use in connection with the work. X. MISCELLANEOUS PROVISIONS. A. Recyclable Materials. Pursuant to Chapter 3.80 of the Kent City Code, the City requires its contractors and consultants to use recycled and recyclable products whenever practicable. A price preference may be available for any designated recycled product. B. Non-Waiver of Breach. The failure of the City to insist upon strict performance of any of the covenants and agreements contained in this Agreement, or to exercise any option conferred by this Agreement in one or more instances shall not be construed to be a waiver or relinquishment of those covenants, agreements or options, and the same shall be and remain in full force and effect. PROFESSIONAL SERVICES AGREEMENT - 2 ($20,000 or Less) C. Resolution of DISDUtes and Governing Law. This Agreement shall be governed by and construed in accordance with the laws of the State of Washington. If the parties are unable to settle any dispute, difference or claim arising from the parties' performance of this Agreement, the exclusive means of resolving that dispute, difference or claim, shall only be by filing suit exclusively under the venue, rules and jurisdiction of the King County Superior Court, King County, Washington, unless the parties agree in writing to an alternative dispute resolution process. In any claim or lawsuit for damages arising from the parties' performance of this Agreement, each party shall pay all its legal costs and attorney's fees incurred in defending or bringing such claim or lawsuit, including all appeals, in addition to any other recovery or award provided by law; r vi ed, however, nothing in this paragraph shall be construed to limit the City's right to indemnification under Section VII of this Agreement. D. Written Notice. All communications regarding this Agreement shall be sent to the parties at the addresses listed on the signature page of the Agreement, unless notified to the contrary. Any written notice hereunder shall become effective three (3) business days after the date of mailing by registered or certified mail, and shall be deemed sufficiently given if sent to the addressee at the address stated in this Agreement or such other address as may be hereafter specified in writing. E. Assignment. Any assignment of this Agreement by either party without the written consent of the non-assigning party shall be void. F. Modification. No waiver, alteration, or modification of any of the provisions of this Agreement shall be binding unless in writing and signed by a duly authorized representative of the City and Contractor. G. Entire 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. Should any language in any of the exhibits to this Agreement conflict with any language contained in this Agreement, the terms of this Agreement shall prevail. H. Public Records Act. The Contractor acknowledges that the City is a public agency subject to the Public Records Act codified in Chapter 42.56 of the Revised Code of Washington and documents, notes, emails, and other records prepared or gathered by the Contractor in its performance of this Agreement may be subject to public review and disclosure, even if those records are not produced to or possessed by the City of Kent. As such, the Contractor agrees to cooperate fully with the City in satisfying the City's duties and obligations under the Public Records Act. I. Cijt�y 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. PROFESSIONAL SERVICES AGREEMENT - 3 ($20,000 or Less) J. un Cparts and Si9natuges 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. CONTRACT CITY OF r By; By: L-T- (st Ydatee0) (signature) Print N me -�7 G Print Name: Michael Mactutis, P.E, Its: v C' T y'61- Its: Environmental Engineering Manager DATE: DATE: 5Ztg NOTICES TO BE SENT TO: NOTICES TO BE SENT TO: CONTRACTOR: CITY OF KENT: Lori Safer Timothy J. LaPorte, P.E. Integra Washington, Inc. City of Kent 600 University St., Suite 310 220 Fourth Avenue South Seattle, WA 98101 Kent, WA 98032 (206) 436-1177 (telephone) (253) 856-5500 (telephone) (206) 623-5731 (facsimile) (253) 856-6500 (facsimile) -- TATTT*, Kent City e k PROFESSIONAL SERVICES AGREEMENT_ - 4 ($20,000 or Less) DECLARATION CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY POLICY The City of Kent is committed to conform to Federal and State laws regarding equal opportunity. As such all contractors, subcontractors and suppliers who perform work with relation to this Agreement shall comply with the regulations of the City's equal employment opportunity policies. The following questions specifically identify the requirements the City deems necessary for any contractor, subcontractor or supplier on this specific Agreement to adhere to. An affirmative response is required on all of the following questions for this Agreement to be valid and binding. If any contractor, subcontractor or supplier willfully misrepresents themselves with regard to the directives outlines, it will be considered a breach of contract and it will be at the City's sole determination regarding suspension or termination for all or part of the Agreement; The questions are as follows: 1. I have read the attached City of Kent administrative policy number 1.2. 2, During the time of this Agreement I will not discriminate in employment on the basis of sex, race, color, national origin, age, or the presence of all sensory, mental or physical disability. 3. During the time of this Agreement the prime contractor will provide a written statement to all new employees and subcontractors indicating commitment as an equal opportunity employer. 4. During the time of the Agreement I, the prime contractor, will actively consider hiring and promotion of women and minorities. 5„ Before acceptance of this Agreement, an adherence statement will be signed by me, the Prime Contractor, that the Prime Contractor complied with the requirements as set forth above. By signing below, I agree to fulfill the five requirements referenced above. Dated this day of 20 k0 , By:_ .__ _ For: Title: Date: b pl 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. Dated this day of 20 By: For: Title: Date: EEO COMPLIANCE DOCUMENTS - 3 EXHIBIT A Martindale, Delores From: Lori Safer <lesafer@irr.com> Sent: Wednesday, May 16, 2018 11:32 AM To: Martindale, Delores; Anderson, Philip Subject: Johnsen-Sealy Property EXTERNAL E AIL Hi Dee and Phil, My fee for the revision to the Johnsen-Sealy appraisal report,with an effective date of value of October 13,2017 is $500. This fee covers an estimated 1.5 hours to revise the appraisal report to adjust for the larger building area based on a larger second floor as shown on the plans (that you will be sending to me). The work proposed is to adjust the comparable sales based on the revised building area.The effective date of value will not change. Please let me know if you need anything else to go forward with the contract for this work. Lori E.Safer, MAI Managing Director Integra Realty Resources—Seattle 600 University Street,#310 Seattle,WA 98101 Direct: 206-436-1177 Fax: 206-623-5731 Email: safer irr.co n Website: www.irr.com Get your free V'Few�oTnt 2tP18 0Rg Trends and Forecast Re@ort u, Building Sketch . - I rnp ..... ..... .. ...... f1v Mfl,ii n4 0 G!',;,R,11,Nil WW (hill i SUI WA hi:Glift ij AI EIp if W.. ------------ 11.1h,apes I A,a I...... la. JI 3 1 Tom'Who Arha(Roundic); LpuS 5A,11 Vlnp arm Porch VO 14 I Ie111I,I jllj, DA 1 1,1 !1 1 'Wl YI Il SU0 fur SKI JU I fIl M j i,I emmul iollao 61 [Miff III f ("(W ALN"001f EXHIBIT g 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 Liabilitv 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 $1,000,000 each occurrence, $2,000,000 general aggregate and a $1,000,000 products-completed operations aggregate limit. EXHIBIT B (Continued) 3. Professional Li-ability insurance shall be written with limits no less than $1,000,000 per claim and $1,000,000 policy aggregate limit. C. Other Insurance Provisions The insurance policies are to contain, or be endorsed to contain, the following provisions for Automobile Liability and Commercial General Liability insurance: 1. The Consultant's insurance coverage shall be primary insurance as respect the City. Any Insurance, self-insurance, or insurance pool coverage maintained by the City shall be excess of the Consultant's insurance and shall not contribute with it. 2. The Consultant's insurance shall be endorsed to state that coverage shall not be cancelled by either party, except after thirty (30) days prior written notice by certified mail, return receipt requested, has been given to the City. 3. The City of Kent shall be named as an additional insured on all policies (except Professional Liability) as respects work performed by or on behalf of the Consultant and a copy of the endorsement naming the City as additional insured shall be attached to the Certificate of Insurance. The City reserves the right to receive a certified copy of all required insurance policies. The Consultant's Commercial General Liability insurance shall also contain a clause stating that coverage shall apply separately to each insured against whom claim is made or suit is brought, except with respects to the limits of the insurer's liability. D. Acceptability of Insurers Insurance is to be placed with insurers with a current AN, 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. AC(�PR& CERTIFICATE OF LIABILITY INSURANCE °aTE'MMDDrY YY) 03/07/2016 THIS CERTIFICATE.IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS 4TIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND'.OR ALTER THE COVERAGE AFFORDED BY THE POLICIES _LOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(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 endorsement(s). PRODUCER Carrie Carp NAME .._..�.m.____.............. Conover Insurance PHONE (425)455-5000 F (425)454-5550 �.Mp�L. .. .......... .. 155 108th Avenue NE Suite 725 ADDRESS; carrieo@conoverinsurance.com P O,BOX 90007 INSUREES)AFFORDING COVERAGE NAICN Bellevue WA 96004 INSURERA: Mutual of Enumclaw Insurance Company 14761 ..... ................... INSURED ,..._.........____.... INSURER , .........._.._.__....._. INER B INTEGRA WASHINGTON INC INSURER C 600 UNIVERSITY ST STE 310 � — INSURER D Suite 310 INSURER E .__....._...- ...... ._...........Y.,.. SEATTLE WA 95101 INSURERF: COVERAGES CERTIFICATE NUMBER: 18-19 REVISION NUMBER: THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. .l ............... ®_ ITR TYPE OF INSURANCE IN¢n vevn POLICY NUMBER rMM/DDIYYYYI IMMIDDNYYYI LIMITS ........ ................. ,r....... ..........�...._ ......___—COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIM$-MADE OCCUR PREMISES fEa occ'uriancel $ 100'DD_D NED ENE(Any one pereaN $ 10,000 A Y BOPD001383 03114/2018 0311412019 PERSONAL a ADV INJURY s CELL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 4000000 POLICY ❑"So. ❑ PRODUCTS'-COMP/CPAGG $JECT LOC 2000,000 OTHER'. $ .., ._._..... .._.__ ............. ..... �_v_ ._7_....w..` __ U fOMDHILE LIABILITY E-n7mlBINEO SINGLE I.INfIT ....dam+ s 2,000,000 ANYAUTO BOO I LV I NJURY(Per parson) $ m... OWNED SCHEDULED A V BOP0001383 03/14/2018 03114l2019 BODILY INJURY(For accident) $ AUTOS ONLY AUTOS I + HIRED X ANIINUTOS LIEU F s,.6' D�AMA vI' $ AUTOS ONLY AUTOS ONLY pqr acpldonr X UMBRELLA LIAB OCCUR _.... 'EACH OCCURRENCE $ 1,000,000 .._................. A EXCESS LIAB CLAIMS IJMC0000555 03/14l2018 03l14/2019 1,000,000 MSMAUE AGGREGATE $___.........._ ............. .mm. �...... _._..... OFD RETENTION E WORKERS COMPENSATION PSTAIlITF ER 17H- ANDEMPLOVERS'LIABILITY X Fa YIN - .._...... .__._ A ANY PROPRIETORIPARTNER/EXECUTIVE NIA BOP0001383-W STOP GAP 03l14/2016 03l4/2019EL EACHACCIDENr _$._2,D00,00 OFFICERIMEMBER EXCLUDED? .........(Mandator,In NH) EL,DISEASE EAEMPLOYEE $ 2000,000 If yes,describe under ----- ........... DESC R I PTION O F OPERATION S below E L DISEASE POLICY LIMIT $ 2,000,000 ...._ — i_..__- ......._..m... __.._..._ - ................. .... _...._... ..mmD... n ..._ .._ ........_ — ............__. ......._....� DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES COR101,Additioal Remarks Schetlule,may De attached if more space is respired)IA City of Kent is an additional insured.Policy form included Businessowners Enhancement w/Blanket Additional Insured and Primary& Noncontributory-EB9901 0317. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Kent ACCORDANCE WITH THE POLICY PROVISIONS. 220 Fourth Avenue South AUTHORIZED REPRESENTATIVE Kent WA 98032 ©1938-2015 ACORD CORPORATION. All rights reserved. 5(2016103) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: BOP 0001383 06 BUSINESSOWNERS BP 04 48 07 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM SCHEDULE __. ..........-._._ ......,. ---- Name Of Additional Insured Persons) Or Organization(s): CITY OF KENT _ .................... .. _.. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II — Liability Is amended as follows: B. With respect to the insurance afforded to these A. The following is added to Paragraph C.Who Is An additional insureds, the following is added to Insured: Paragraph D. Liability And Medical Expenses Limits Of Insurance: 3. Any person(s) or organization(s) shown in the Schedule is also an additional insured, but only f coverage provided to the additional insured is with respect to liability for ''bodily injury', required by a contract or agreement, the most we ''property damage" or "personal and advertising will pay on behalf of the additional insured is the injury" caused, in whole or in part, by your acts amount of insurance: or omissions or the acts or omissions of those 1. Required by the contract or agreement, or acting on your behalf in the performance of 2. Available under the applicable Limits Of your ongoing operations or in connection with Insurance shown in the Declarations; your premises owned by or rented to you. whichever is less. However: This endorsement shall not increase the a. The insurance afforded to such additional applicable Limits Of Insurance shown in the insured only applies to the extent permitted Declarations, by law; and b. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. BP 04 48 07 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 e� Qtl DATEIMMIDDfPIYY) '+ NCE CERTIFICATE OF LIABILITY INSURANCE��.,. 2I2312018 THIS CERTIFICATE IS ISSUED AS A. MATTER OF INFORMATION ONLY AND CONFERS, NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS ' 'RTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES _LOW.. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING IN�SURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(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 endorsement(s). PRODUCER CONTACT LAReaIEStateCBfts aJg.CDm Arthur J. Gallagher&Co. PHONE ..B1 B 539 1247 Fa c Nor 818 539 1804 Insurance Brokers of CA. Inc LIC#0726293 I— - -- t° I "' 11 ETMAIL LARealEstateCertaiGOLD 505 N. Brand Boulevard, Suite 600 ADDRESS;-, Glendale GA 91203 INSURERISI AFFORDING COVERAG E NAIC# vV;mRFRA LLOYD'S OF LONDON SYNDICATE 3624 15792 INSURED INTEREA-03 INSURER B:APPRAI SAL GUARDIAN SERIES OF FORTRE Integra Washington, Inc. INSURER C .. 600 University Street#310 INsuRERo. C Seattle,WA 98101 - ` INSURER E; INSURER F'. COVERAGES CERTIFICATE NUMBER: 753411840 "" -... REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR' IDO-T -ALISUBRI""""' -- """ """"" V DO EFP PdI.ICY E%F LIMITS I m TYPE OF INSURANCE lucn wvn POLICY NUMBER IMWMIOOMIVYI MA/fDDM`rTV I ICOMMERCIAL GENERAL LIABILITY EACH OCCURRENCE is { YSAMAGEYt7AENrEb '— ,, GRAINS MADEI OCCUR I PREMISES(As occunelce) $ ME EXP(Any one person) $ PERSONAL&ADV INJURY y$ GEN LAGGRECArE LIMI rAPPLIES PER GENEELACGREGATE $ POLICY[ $E4, F LOG PRODUCTS..COMNOP AGO $ OTHER f s I p� UTOMOBILE LIABILITY ± 1 .I s { flea Af�,IlIMli17 ANY AUTO BODILY INJURY(Per p arsmp $ OVVNED JSCHEDULED BODILY INJURY(Peraccdent)�$ _ AUTOS ONLY F AUTOS ' PAO AUTOS ONLY FERTYAMFCE..... .. $ AU FOS ONLY . HIRED '' NON -OWNED HeraE.ldenl)2Y UMBRELLA LIAB OCCUR jj EACH OCCURRENCE $ EXCESS LIAB CLAIMS MADE I AGGRECArE s 7 ..ILIN NCR I ...._ WORKERS COMPENSATION YIN PLFI IOTrI AND EMPLOYERS'LIABILITY _C rI C FR OF ICE PROP EMBERI EXCLUEEXECUTIVE MIA IEL DISEASE CEAEMPLOVEE�$ OFFICERIM 1.NH)EXCLUDED' IlMentlalary in NH) ... fy s descnbe under DESCRIPTION OF OPERA-IONS below IEL DISEASE POLICY LIMIr� $ A Eumm&Omissions MPL1531199 18 3/14/2018 3114/2019 Each Claim $2,000,000 A Errors&Omissions MPL1531199.18 3/14/2018 3/14/2019 lAggregate Limit $10 000,000 B 'E&O Deductible Reimbursement -PRFDR46APP200306922015TC 3Y14/2018 3114/2019 Ea Cla m/Aggregate' $150,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ACORD 101,Additional Remarks Sntedele,may bs eltached if more space ie requlredl Location. 600 University Street, Ste 31 Q Seattle, WA 98101 Evidence only- 'Policy is subject to$25,000 Self Insured Rentention/Deductible payable by local office. This certificate of insurance is not a po iry of Insurance and does not affirmatively or negatively amend,. extend or alter the coverage afforded by the policy to which the certificate of Insurance makes reference CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Kent THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 220 Fourth Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Kent WA 98032 USA AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. RD 25(2016/03) The ACORD name and logo are registered marks of ACORD CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE STATEMENT i This form shall be filled out AFTER COMPLETION of this project by the Contractor awarded the Agreement. I, the undersigned, a duly represented agent of Int9gra WaNhington, Inc. Company, hereby acknowledge and declare that the before-mentioned company was the prime contractor for the Agreement known as Riverview Park LERRO Crediting that was entered into on the February S, 2018 (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. /J. B x s Forty"G^ Title: I A � .! Date: EEO COMPLIANCE DOCUMENTS - 1 VW116-7-0_1