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HomeMy WebLinkAboutPW18-286 - Original - Integra Washington, Inc. - S 224th St Project Phase II - Thaheld Property - 07/12/2018 ANT O'TTRecords Management Document CONTRACT COVER SHEET This is to be completed by the Contract manager prior to submission to the City Clerk's Office. All portions are to be completed. If you have questions, please contact the City Clerk's Office at 253-856-5725. ❑ Blue/Motion Sheet Attached ❑ Pink Sheet Attached Vendor Name: Integra Washington Inc. Vendor Number (JDE): Contract Number (City Clerk): Category: Contract Agreement Sub-Category (if applicable): Chuw'-w,_, !) Project Name: S. 224 th St. Project, Phase II - Thaheld Property Contract Execution Date: 7/12/18 Termination Date: 7/31/19 Contract Manager: Phil Anderson Department: PW: Engineering Contract Amount: $10,000.00 Approval Authority: Z Director ❑ Mayor ❑ City Council Other Details: Provide valuation services for the project, `+✓ KENT PROFESSIONAL SERVICES AGREEMENT i 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. #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 provide valuation services for the S. 2241h St. Project, Phase II - Thaheld Property. 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 July 31, 2019. III. COMPENSATION. The City shall pay Contractor a total amount not to exceed Ten Thousand Dollars ($10,000.00) 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) F. 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. i 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-2f 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. Reso1utjgLi_QL Dis li es and Gaverning 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; 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. A5aW22MgnJ. 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. ty Business License Recpuired. 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. Countgroarts and Signatures by_ Ex 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 F KFNT _ _ r ; By:. y: (sYgvr�rCaare B Print me: Print Name: Timothy J. LaPorte, P.E. Its: .",krry. Its: ubiic We ! ks Director Gff u DATE: -...-..-- DATE; 2 2 e9le NOTICES TO BE SENT TO: NOTICES TO BE SENT TO: CONTRACTOR: CITY OF KENT: Lori Safer Timothy J. LaPorte, P.E. Interga Washington, Inc. City of Kent 600 University St. #310 220 Fourth Avenue South Seattle, WA 98101 Kent, WA 98032 (206) 436-1177 (telephone) (253) 856-5500 (telephone) (206) 623-5731 (facsimile) (253) 856-65DO (facsimile) _..._.. AT T: imk (L) Kent City Cl 'r PROFESSIONAL SERVICES AGREEMENT - 4 ($20,000 or Less) DECLARATION f 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 V I day of _, 20 By: r.rC n r s For: [_ Title: Y f a Date: EEO COMPLIANCE DOCUMENTS - 1 CITY OF KENT ADMINISTRATIVE POLICY NUMBER: 1.2 EFFECTIVE DATE: January 1, 1998 i 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 'v 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 Integra Realty Resources 600 University Street T 206,903 6700 5 eatt le Suite 310 f 206.623.5731 Seattle,WA 98101 www mr cam I I Llirro July S, 2018 Phil Anderson Property and Acquisition Analyst City of Kent Public Works Engineering 220 Fourth Avenue South Kent, WA 98032 SUBJECT: Proposal for Valuation Services Thaheld Property 9320 South 218th Street Dear Mr.Johnson: Integra Realty Resources—Seattle appreciates the opportunity to provide this proposal for valuation services for the above-captioned project. As discussed, we will review our prior appraisal of the Thaheld property as well as the appraisal prepared by Valbridge. Additionally, we will be available for consultation services for mediation, Our fee for this assignment will be billed on an hourly rate and is anticipated to not exceed $10,000, Our hourly rates are shown in the following table. Hourly Rates Joh Titla "purl Sent or Ma nagi ng Dl rector,lAl l en N.Safer,MAI) $350/hour Managing Director(Lori E Safer,MAO $325/hour Director(other MAlsl $275 to$300/hour Senior Analyst $250 to$275/hour Analyst $175to$225/hour Researcher $150/hour Production Support $90/hour We do not anticipate producing a written report for this assignment.The analysis will be prepared in conformance with and subject to,the Code of Professional Ethics and Standards of Professional Appraisal Practice of the Appraisal Institute and the Uniform Standards of City of Kent July 5, 2018 Page 2 Professional Appraisal Practice (USPAP) developed by the Appraisal Standards Board of the Appraisal Foundation.The Ethics Rule of USPAP requires us to disclose to you any prior services we have performed regarding the subject property within a three year period immediately preceding the acceptance of this assignment, either as an appraiser or in any other capacity.We have previously appraised the property that is the subject of this report for the City of Kent within the three-year period immediately preceding acceptance of this assignment. Please let me know if you have any questions about this response. Sincerely, INTEGRA REALTY RESOURCES—SEATTLE Lori Safer, MAI Managing Director EXHIBIT IS INSURANCE REQUIREMENTS FOR CONSULTANT SERVICES AGREEMENTS I 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. Commerciai 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 operation's, 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 Liabiiitx 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 Liabiiity 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 A.M. Best rating of not less than A:VII. 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. Ate' � CERTIFICATE OF LIABILITY INSURANCE OFT3(07IDO Y) oa/O7r2018 TI IS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS i.TIFICATE 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. I IMPORTART'i If thecertificate holder is an ADDITIONAL INSURED the policy III 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 TINSUE ants Ovrld ' ' Conover Insurance --""-"" (425j455 5000 F 425 454-5550 '., xf. _.___. ,.CHfC,Wuf: ( ......155 108Ih Avenue NE, Suite 725 ss; carrieo@conoverinsurancecom P,0,Box 90007 _--...,.__.."".........IN SIURERpS)AFFCFDI NG COVERAGE NAICN BellevueWA 98004R A: Mutual Of Enumclaw Insurance Company 14761 -.._.__R B:INTEGRA WASHINGTON INC .____,.,,..""R C60C UNIVERSITY ST STE 310 ""'"""""" -- NSURER❑ Slllte 310 NSURER E SEATTLE WA 98101 .,..'"-'..'—._...._...__._,,.,",,.,......""..." INSURER F,= 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. NOWATHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR 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 LIMI rS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS IN ... �ttil: UBR — I. 000 LTR TYPE OF INSURANCE N K,Y� POLICY NUMBER LMMDJYHYY) (MMIpD1YVYH) LIMITS 7,{ COMMERCIAL GENER LLIADILITY 2,OD0, 1F�A Ft FtEmCE g CLAIMS-MADE Exi DLGLIR100,000 Nrl M1j NunagmYA Y BOP0001383 03/14/201R 0 3/1 41201 9KADVIN.IYInW I CAC(RLClIF LIMIT APPLIES PER- �.aG R1'C'ATR x 2000000 4000POLICY C.. _l UDQIECT LOC CCMP/OPAGG 5OTHERUTOMOBILE LIABILItt ������—� """""'"'�`—" '""'-"""'"�__ Y,IMCT S 2 000000A Ade1 4 7 ANY AUTO BOOIL'INJURY IPer ArPNnl 9 + ,G OWZE NED SCHEDULED y BOP0001383 VV AUTOS ONLY r�✓✓'',AUTOS 03l1412018 03/14/2019 'BODILY INJURY(Par accident) $ /'W AUTOS ONLY /\ NON OWNED PefaW OhMAkiF: .�—.."". —_... HIRED N PRGP[ ."_._ Auros ONLY ,_i'ct_n„n,p s .._._..�."" a�{ UMBRELLA LIAe -"-"�_.......__.._ """" ......_ . OCCUR J EACAd OnS:WR'ftENCE $ �000.oao A Excess LlA9 1,,, UMC0000555 03/14l2018 03/1 d/201r —,..._._.m_""-����Y I.AIM"ti M14(,L q GREGAFE lER NSATRE IVTION y $ WORKERS COMPENSATION.._ _..m._... .. �._......___ ,..".... _. ..._,� ._....... P'ER Yr� DITI. AND EMPLOYERS'LIABILITY YIN STATU X OR ANY PROPRIETORIPARTNERIEXECIITIVE '4 OFFICER/MEMSER EXCWDED9 �� NIA BOP0001383-WA STOP GAP 03/14/2C18 03/14/2019 fL YA FIACCIUENT g 2000,000 (Mandatory In NH) 2,000,000 Ili 4Ar,dtletlrlba under EL GIEEASE.EY.EMPLOYEE $ .�v __.....____- _...."-�..__.,_... "..."".,"_�—......._ _........_._.._ ILnISEAB[,f_VpUICV LI_._ --,...._ .'DESCRIPTION OF OPERgTION�'dairy 2,000,000 DESCRIPTION OF OPERATIONS!LOCATIONSIVEHICLES IACORD 101,Additional RemeMsSchedule,maybe attachatl'(more space isrequired) " City of Kent is an addLional Insured. Policy form included. Businessowners Enhancement w/Blanket Additiona Insured and Primary 8 Noncontributory.EB990'I 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 O 1988-2015 ACORO CORPORATION. All rights reserved. 5(2016l03) The ACORD name and logo are registered marks of ACORD .AG R" CERTIFICATE OF LIABILITY INSURANCE DA E(MM ODIYYVVI �--"'- 2/2312 0 1 8 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 POUGI`9 I _LOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHOR 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 Donfa3r rl hfis to th6 Dsrtifdo�ats holder in Ileu of such oBd�grsament s- PRODBCER y1hTAUT LAReajEstateCens@ajg ccm Arthur J. Gallagher&Co, °.PHONE 818 539 1 11 247 FAX 818-539-1804.........._ Insurance Brokers of CA. Inc LIC#0726293 EA"MaaN'Ece1 .. .. .. - .. l tnic.naJ; ...,. ----.._.-- 505 N. Brand Boulevard, Suite 600 A110B.Ss LARealEstateCerts@ajg.com {3'IendaIBCA91203 msUREaxts),r1FF,roRualvGCrovERAGE NAuoa ---- ".. ... . ..._„ ..,,.,-. „GNSURERa LLOYD'S OF LONDGN SYNDICATE 3624 15792 INSURED INTEREA-03 INSURER B:APPRAISAL GUARDIAN SERIES OF FORTRE Integra Washington, Inc, INsuRER c. 600 LINlversity Street#310 — Seattle„WA 98101 NSURER U ... IN54RERF 1. _... INSURER F. COVERAGE.. CERTIFICATE NUMBER:753411840 REVISFON N'.UMBER:. 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 INS R TYPE OF INSURANCE .....-AnDLRT)BR POLCY EFF� YOLYCH EXP t.'Hi IWVD POLICY NUMBER MMIowyyY M �DP/MYY LIMITS CCyy MERCIAL GENERAL LIABILITY EACH OCCURRENCE f _ ?uAMMCiE Td5 Rf NTUR7 -{` "CLAIMS-MADE I CI CNk CRL"MI$I",F9EA nr�,I lvawl,yJl S i MEU EXP)A ey ' PERSONAL&ARV INJURY b -LIE. F RODUC I GEN LAGGRLOA fE LIMIrAPPLIES I'flt � rENERAL AGGRLGAfE S POLICY fftO - II:Cr IOC S LOMPIOf AGG S p rHER 1 $ ... ..___... .... m UTDMOBILE LIABILITY 8 '' IN L k Y ......—I 9f-9 ACC fiMll A NY AUTO !l BODILY INJURY(For person)" S vvNED SCHEDULED — - m. UTOSONLY AU f05 a001LY MJUF:11Pzraw denl)l8 IRED I "'IJON OWNEDIyROPA.Rry,y,-OAMIItOLUTOS ONLY AU rO50NLV MBRELLA LIAR ....O HP rLN1OC4UREgGHOCCUf RE NGFCESS LIAB GLAIrrB"MAIA( AGCRECATE c RS COMPENSATION "NPLOYERS LIABILITYYINrA.na PRIECGiRA ARTAIPRlEXLCJIIIIMEMBEN EXCLODEPI ro. yyhI NHIRLpYEEJPT, N OF LIT 2DISEASE edoc161e RReimborsemenit 'P LI531199 P200306922018TC I3114/2018 3/14l2019 EaglajroteLimit fgp YLIMIT$10000"b.underOmed 00 $2 000 OD00 0 _-14/2018 � _ _ _ ... DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ACORD 101,Addidonal Remarks Schedule,may be affii❑mare space Is required) Location 600 University Street, Ste 310, Seattle, WA 98101 Evidence only. "Policy is subject'.to $25,000 Self Insured Rententian/Deductdble payable by local office. This certificate of insurance is not a policy 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 1 d1�1111as'Ye✓�dJb'auWrr+N,_, ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(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 Person(s) Or Or zatiori 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 3. An Limits Of Insurance: y pale is a) or n additional in shown in the If coverage rovided to the additional insured is Schedule is also an additional insured, but onlyP with respect to liability for "bodVly 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. However: whichever is less. a. The insurance afforded to such additional This endorsement shall not increase the insured only applies to the extent permitted applicable Limits Of Insurance shown in the by law; and Declarations. 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 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 I, the undersigned, a duly represented agent of 11 AU 4,Ck Company, hereby acknowledge and declare that the before-mentioned company as the prime contractor for the Agreementknown as 'A�Fm;' a.0 that was entered Into on the L7 1 p /V ` _ (date), between the,_ rfi m 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 t�w�. � , ,. , �'" 20 �. By: For: ��(." [I Cti ('"06.,�CV Title: hi • s I . . Date:— t'�4✓ �C 7 f I `6 _ EEO COMPLIANCE DOCUMENTS - 3 YW IS 2-Sb