HomeMy WebLinkAboutPK18-311 - Original - All Around Fence Company - Contract - 07/24/2018 T
Records 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.
E] Blue/Motion Sheet Attached
E] Pink Sheet Attached
Vendor Name; ALL AROUND FENCE COMPANY
Vendor Number (]DE): 33539
. ............... ..
Contract Number (City Clerk):
Category: Contract Agreement
Sub-Category (if applicable) Chqq q an iti nn.
Project Name: Neelv/Soames Historic Home Fence Installation
Contract Execution Date: 7124/18 Termination Date: 9/30/18
Contract Manager: Ben Levenhagen Department: Parks
Contract Amount: $10,893.31
Approval Authority: XLJ Director E] Mayor F City Council
Other Details: SUDDIV labor and materials to install new white picket fence at
Neely/Soames Historic Home located at 5311 S. 2371h Place, Kent WA 98032.
...................... ............ ...........
NT
PUBLIC WORKS AGREEMENT
between City of Kent and
All Around Fence Company
THIS AGREEMENT is made by and between the City of Kent, a Washington municipal corporation
(hereinafter the "City"), and All Around Fence Company organized under the laws of the State of Washington,
located and doing business at 14323 1611 Street East, Sumner, WA 98390-9633, Mailing address: P.O. Box
1029, Ravensdale, WA 98051-8101. Contact: Ron Dagley, Phone: 253-863-4895, Fax: 253-863-0704
(hereinafter the "Contractor").
AGREEMENT
The parties agree as follows:
I. DESCRIPTION OF WORK.
Contractor shall perform the following services for the City in accordance with the following described
plans and/or specifications:
Supply labor and materials to install approximately 285 feet of 36 inch white vinyl picket
fencing at the Neely/Soames Historic Home located at 5311 S. 2371h Place, Kent, WA 98032
as described on Estimate #2018-3369, dated 5/08/2018 attached and marked as Exhibit A.
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 such services are performed.
II. TIME OF COMPLETION. The parties agree that work will begin on the tasks described in
Section I above immediately upon execution of this Agreement. Upon the effective date of this Agreement,
Contractor shall complete the work described in Section I by September 30, 2018.
III. COMPENSATION. The City shall pay the Contractor a total amount not to exceed TEN
THOUSAND EIGHT HUNDRED NINETY THREE DOLLARS AND THIRTY ONE CENTS ($10,893.31), including
any applicable Washington State Sales Tax, for the work and services contemplated in this Agreement. The
City shall pay the Contractor ninety percent (90%) of the Contract amount upon completion and acceptance
of the work by the City, or at such earlier time as the City may determine is appropriate. The City will pay
the remaining Contract amount upon fulfillment of the conditions listed below and throughout this
Agreement.
A. No Panerrt_and Performance Band. Because this contract, including applicable sales
tax, is $150,000 or less, and pursuant to Chapter 39.08 RCW, the Contractor, in lieu
of providing the City a payment and performance bond, has elected to have the City
retain the final ten percent (10%) of the Contract amount for a period of thirty (30)
days after the date of final acceptance, or until receipt of all necessary releases from
the State Department of Revenue, the State Department of Labor & Industries, and
PUBLIC WORKS AGREEMENT - 1
($20K or Less and No Performance Bond)
the State Employment Security Department, and until settlement of any liens filed
under Chapter 60.28 RCW, whichever is later.
B. Retains . The City shall also hold back a retainage in the amount of five percent
(5%) of any and all payments made to contractor for a period of sixty (60) days
after the date of final acceptance, or until receipt of all necessary releases from the
State Department of Revenue, the State Department of Labor & Industries, and the
State Employment Security Department, and until settlement of any liens filed under
Chapter 60.28 RCW, whichever is later. The amount retained shall be placed in a
fund by the City pursuant to RCW 60.28.011(4)(a), unless otherwise instructed by
the Contractor within fourteen (14) calendar days of Contractor's signature on the
Agreement.
C. Defective or Una h rizg Work. The City reserves its right to withhold payment
from Contractor for any defective or unauthorized work. Defective or unauthorized
work includes, without limitation: work and materials that do not conform to the
requirements of this Agreement; and extra work and materials furnished without the
City's written approval. If Contractor is unable, for any reason, to satisfactorily
complete any portion of the work, the City may complete the work by contract or
otherwise, and Contractor shall be liable to the City for any additional costs incurred
by the City. "Additional costs" shall mean all reasonable costs, including legal costs
and attorney fees, incurred by the City beyond the maximum Contract price specified
above. The City further reserves its right to deduct the cost to complete the
Contract work, including any Additional Costs, from any and all amounts due or to
become due the Contractor.
D. Find Payment, Waiver of Claims. THE CONTRACTOR'S ACCEPTANCE OF FINAL
PAYMENT (EXCLUDING WITHHELD RETAINAGE) SHALL CONSTITUTE A WAIVER OF
CONTRACTOR'S CLAIMS, EXCEPT THOSE PREVIOUSLY AND PROPERLY MADE AND
IDENTIFIED BY CONTRACTOR AS UNSETTLED AT THE TIME FINAL PAYMENT IS MADE
AND ACCEPTED.
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 and is a service other than that furnished by the City,
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.
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.
PUBLIC WORKS AGREEMENT - 2
($20K or Less and No Performance Bond)
F. The Contractor has a valid contractor registration pursuant to Ch. 18.27 RCW or an
electrical contractor license pursuant to Ch. 19.28 RCW.
G. The Contractor maintains a set of books dedicated to the expenses and earnings of
its business.
V. TERMINATION. The City may terminate this Agreement for good cause. "Good cause"
shall include, without limitation, any one or more of the following events:
A. The Contractor's refusal or failure to supply a sufficient number of properly skilled
workers or proper materials for completion of the Contract work.
B. The Contractor's failure to complete the work within the time specified in this
Agreement.
C. The Contractor's failure to make full and prompt payment to subcontractors or for
material or labor.
D. The Contractor's persistent disregard of federal, state or local laws, rules or
regulations.
E. The Contractor's filing for bankruptcy or becoming adjudged bankrupt.
F. The Contractor's breach of any portion of this Agreement.
If the City terminates this Agreement for good cause, the Contractor shall not receive any further
money due under this Agreement until the Contract work is completed. After termination, the City may
take possession of all records and data within the Contractor's possession pertaining to this project which
may be used by the City without restriction.
VI. PREVAILING WAGES. Contractor shall file a "Statement of Intent to Pay Prevailing
Wages," with the State of Washington Department of Labor & Industries prior to commencing the Contract
work. Contractor shall pay prevailing wages in effect on the date the bid is accepted or executed by
Contractor, and comply with Chapter 39.12 of the Revised Code of Washington, as well as any other
applicable prevailing wage rate provisions. The latest prevailing wage rate revision issued by the
Department of Labor and Industries is attached.
VII. CHANGES. The City may issue a written change order for any change in the Contract work
during the performance of this Agreement. If the Contractor determines, for any reason, that a change
order is necessary, Contractor must submit a written change order request to the person listed in the
notice provision section of this Agreement, section XV(D), within fourteen (14) calendar days of the date
Contractor knew or should have known of the facts and events giving rise to the requested change. If the
City determines that the change increases or decreases the Contractor's costs or time for performance,
the City will make an equitable adjustment. The City will attempt, in good faith, to reach agreement with
the Contractor on all equitable adjustments. However, if the parties are unable to agree, the City will
determine the equitable adjustment as it deems appropriate. The Contractor shall proceed with the
change order work upon receiving either a written change order from the City or an oral order from the
City before actually receiving the written change order. If the Contractor fails to require a change order
within the time specified in this paragraph, the Contractor waives its right to make any claim or submit
subsequent change order requests for that portion of the contract work. If the Contractor disagrees with
the equitable adjustment, the Contractor must complete the change order work; however, the Contractor
may elect to protest the adjustment as provided in subsections A through E of Section VIII, Claims, below,
The Contractor accepts all requirements of a change order by: (1) endorsing it, (2) writing a
separate acceptance, or (3) not protesting in the way this section provides. A change order that is
accepted by Contractor as provided in this section shall constitute full payment and final settlement of all
claims for contract time and for direct, indirect and consequential costs, including costs of delays related
to any work, either covered or affected by the change.
PUBLIC WORKS AGREEMENT - 3
($20K or Less and No Performance Bond)
VIII. CLAIMS. If the Contractor disagrees with anything required by a change order, another
written order, or an oral order from the City, including any direction, instruction, interpretation, or
determination by the City, the Contractor may file a claim as provided in this section. The Contractor shall
give written notice to the City of all claims within fourteen (14) calendar days of the occurrence of the
events giving rise to the claims, or within fourteen (14) calendar days of the date the Contractor knew or
should have known of the facts or events giving rise to the claim, whichever occurs first . Any claim for
damages, additional payment for any reason, or extension of time, whether under this Agreement or
otherwise, shall be conclusively deemed to have been waived by the Contractor unless a timely written
claim is made in strict accordance with the applicable provisions of this Agreement.
At a minimum, a Contractor's written claim shall include the information set forth in subsections A,
items 1 through 5 below.
FAILURE TO PROVIDE A COMPLETE, WRITTEN NOTIFICATION OF CLAIM WITHIN
THE TIME ALLOWED SHALL BE AN ABSOLUTE WAIVER OF ANY CLAIMS ARISING IN
ANY WAY FROM THE FACTS OR EVENTS SURROUNDING THAT CLAIM OR CAUSED
BY THAT DELAY.
A. Notice of Claim. Provide a signed written notice of claim that provides the following
information:
1. The date of the Contractor's claim;
2. The nature and circumstances that caused the claim;
3. The provisions in this Agreement that support the claim;
4. The estimated dollar cost, if any, of the claimed work and how that estimate
was determined; and
5. An analysis of the progress schedule showing the schedule change or
disruption if the Contractor is asserting a schedule change or disruption.
B. Record5. The Contractor shall keep complete records of extra costs and time incurred as a
result of the asserted events giving rise to the claim. The City shall have access to any of
the Contractor's records needed for evaluating the protest.
The City will evaluate all claims, provided the procedures in this section are followed. If the
City determines that a claim is valid, the City will adjust payment for work or time by an
equitable adjustment. No adjustment will be made for an invalid protest.
C. Contractor's Duty to CornDlete Protested bVork. In spite of any claim, the Contractor shall
proceed promptly to provide the goods, materials and services required by the City under
this Agreement.
D. Failure to, Protest Constitutes Waiver. By not protesting as this section provides, the
Contractor also waives any additional entitlement and accepts from the City any written or
oral order (including directions, instructions, interpretations, and determination).
E. Failure to F IL w Prmcedunes CDnstittates Waiver. By failing to follow the procedures of this
section, the Contractor completely waives any claims for protested work and accepts from
the City any written or oral order (including directions, instructions, interpretations, and
determination).
IX. LIMITATION OF ACTIONS. CONTRACTOR MUST, IN ANY EVENT, FILE ANY LAWSUIT
ARISING FROM OR CONNECTED WITH THIS AGREEMENT WITHIN 120 CALENDAR DAYS FROM THE DATE
THE CONTRACT WORK IS COMPLETE OR CONTRACTOR'S ABILITY TO FILE THAT CLAIM OR SUIT SHALL BE
FOREVER BARRED. THIS SECTION FURTHER LIMITS ANY APPLICABLE STATUTORY LIMITATIONS PERIOD.
X. WARRANTY. Contractor warrants that it will faithfully and satisfactorily perform all work
provided under this Agreement in accordance with the provisions of this Agreement. The Contractor shall
PUBLIC WORKS AGREEMENT - 4
($20K or Less and No Performance Bond)
promptly correct all defects in workmanship and materials: (1) when Contractor knows or should have
known of the defect, or (2) upon Contractor's receipt of notification from the City of the existence or
discovery of the defect. In the event any parts are repaired or replaced, only original replacement parts
shall be used—rebuilt or used parts will not be acceptable. When defects are corrected, the warranty for
that portion of the work shall extend for an additional year beyond the original warranty period applicable
to the overall work. The Contractor shall begin to correct any defects within seven (7) calendar days of its
receipt of notice from the City of the defect. If the Contractor does not accomplish the corrections within
a reasonable time as determined by the City, the City may complete the corrections and the Contractor
shall pay all costs incurred by the City in order to accomplish the correction.
XI. DISCRIMINATION. In the hiring of employees for the performance of work under this
Agreement or any sub-contract, the Contractor, its sub-contractors, or any person acting on behalf of the
Contractor or sub-contractor 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.
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.
XII. 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.
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 Contractor and the City, its officers,
officials, employees, agents and volunteers, the Contractor's duty to defend, indemnify, and hold the City
harmless, and Contractor's liability accruing from that obligation shall be only to the extent of the
Contractor's negligence.
IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THE INDEMNIFICATION
PROVIDED HEREIN CONSTITUTES THE CONTRACTOR'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 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.
The provisions of this section shall survive the expiration or termination of this Agreement.
XIII. 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.
XIV. WORK PERFORMED AT CONTRACTOR'S RISK. Contractor 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
PUBLIC WORKS AGREEMENT - 5
($20K or Less and No Performance Bond)
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.
XV. 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
l preference may be available for any designated recycled product.
B. Non-W iv r 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 Gov rrrong_Lafr. 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; pr'ova ed, however, nothing in this paragraph shall be construed to limit the City's
right to indemnification under Section XII of this Agreement.
D. Writ en 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. AssgnFngnt. 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 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. 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 wi h Laws. 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 operations.
1. Public Records . 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.
PUBLIC WORKS AGREEMENT - 6
($20K or Less and No Performance Bond)
J. C_t Bwa t a 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.
K. Counf rparts pod 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.
............_..._m__. _ ... .. _
CONTRACR: CITY OF KENT:
By W Bye
(argriarure.)
Print Name U,g"t, " P i Name: Julie Parascondola, CPRP
Its �r �a Its: Director - Parks, Recreation and
(title) Community Services Dept.
DATE:
DATE: - -
NOTICES TO BE SENT TO: NOTICES TO BE SENT TO:
CONTRACTOR: CITY OF KENT:
Ron Dagley Ben Levenhagen,
All Around Fence Company Support Services Field Supervisor
P.O. Box 1029 City of Kent
Ravensdale, WA 98051-8101 220 Fourth Avenue South
Kent, WA 98032
(253) 863-4895 (telephone)
(253) 863-0704 (facsimile) (253) 856-5133 or (telephone)
(253) 508-9548 (cell)
_._.,...__. .....,.__ (253) 856-6120 (facsimile)
ATTEST:
Kent City Clerk
PUBLIC WORKS AGREEMENT - 7
($20K or Less and No Performance Bond)
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.
By: ,._._...._
P
For , V ; w Q, u ..q
Title: �y,
Date:
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
BIDDER RESPONSIBILITY CRITERIA
Certification of Compliance with Wage Payment Statutes
This certification is required by state law (RCW 39.04.350(2)) to be submitted to the City
before the contract can be awarded.
The bidder hereby certifies that, within the three-year period immediately preceding the bid
solicitation date (May 8, 2018), the bidder is not a "willful" violator, as defined in RCW
49.48.082, of any provision of chapters 49.46, 49.48, or 49.52 RCW, as determined by a final
and binding citation and notice of assessment issued by the Department of Labor and Industries
or through a civil judgment entered by a court of limited or general jurisdiction.
I certify under penalty of perjury under the laws of the State of Washington that the foregoing is
true and correct.
ALL AROUND FENCE COMPANY
BY — .....,..._ � ..__ ..
Signature of Authorized fficial*
Printed Name: F f.`� r'E ce ` � 'i ° •r
a d4 A Title: "" r 4
qq
Date:
City and State: h
*If a corporation, proposal must be executed in the corporate name by the president or vice-
president (or any other corporate officer accompanied by evidence of authority to sign). If a co-
partnership, proposal must be executed by a partner.
BIDDER RESPONSIBILITY CRITERIA - 1
EXHIBIT A
wa, All Around Fence Company Estate
,
PO Box 1029
e�r�ceco '+' Ravensdale WA 98051
Date Estimate
5/8/2018 2018-3369
Name / Address lob Site Address
City of Kent Nealy-Soames Homes
220 4th Ave S 5311 S. 237th PI
Kent WA 98032 Kent WA 98032
-----------Rep
_._.I
RD
Description Total
Supply labor and materials to Install approximately 285 of 36" white m.......m .__ ...._ _ 9,903.00T
vinyl picket fencing.
Please see attached drawings.
I
i
lil
Signature _ Date .
We look forward to working with you,
Subtotal $9,903.00
Phone # Fax # Sales Tax (10.0%) $990.31
253-863-4895 253-863-0704 Total
$10,893.31
E-mail Web Site
allaroundfence@allaroundfencewa.com www.allaroundfencewa.com
Of{g��. All-Arcittnd Fence Co. Estimate Date 05-02 2018 Time.
- Licensed o Bonded • Insured ...,_..__.._ �
r ry Estimator: on
PO Box 1029 • Ravensdale, WA 98051-8101 ._..... ...... .. �_._._ ..-
1 Ph'. (253)863-4895 1 Fax (253)863-07D4 Referred by:
Email:allaroundfence@msn_com
FENCE CO. PROPOSAL CONTRACT
vv-- u/" ww.allaraundfencewa.com
License No.ALLARAF839K5
Customer: City Of Kent—Nealy-Soames Home Park
...........
Contact Name: Ben Levenhagen
— ....._,_.............._._— ---.. ------------ ...........,..
Phone #1: 253-856 5133 Phone#2:
Email: blevt nhaeenLkentwa.gov Email #2:
Site Address: 5311 S. 2371h PL City: Kent Zip: 98032
Billing Address: City: Zip:
Directions:
Chain Vinyl
Wood Link j p Other
v I l
Footage
Height
POSTS ...._ .,.
Terminal
.Line
Gate ,
Material Specs
Top Rail
Middle Rail �.-
I r
Bottom Rail �.. I ....... .. , ', ._ .. � t_
Tension Wire dd r
Y
Standard Estate �� ONE YEAR GUARANTEE on Workmanship & Materials
❑ Full Panel NOTES:__, .._.................. Office Use Only
❑Picture Frame ...._..,... ........... ..—.. _.._......_..._,______. M/D
❑ Kirkland
❑ Lattice Top M/D/U
* Custom ..
_....
GATES: WE DO NOT PAINT OR STAIN. Shop Time MDL
Walk Gate 2.THIS CONTRACT IS SUBJECT TO THE TERMS AND CONDITIONS PRINTED ON THE M/D
-- REVERSE SIDE AND ARE MAD J AART HEREOF BY THIS REFERENCE. ------ - --�-_
Single Drive 3.WE PROPOSE hereby to f ni miter labor-complete in accordance with the price
Double Drive above specifications.
_.. _._ Tax:
Hillside Authorized by. ._____ Till
Roll Gate NOTE:This proposal niay e withdrawn by us if n t accepted within thirty(30)days. Total:
❑ Clearing The prices, specifications and conditions are satisfactory and are hereby accepted. These prices subject to
T Tear-Out ❑ Haul-Away company audit before installation.
Customer Signature: Date:
_. —._........,.._ ---- --......_.. ----------. _... ,....�...m. �..........._.�_....._...
TERMS:Payment due upon receipt of invoice.We accept checks,money orders and,for a fee,credit cards
NOT RESPONSIBLE FOR SPRINKLER LINES•Customer is responsible to mark utility locations.
May. 7. 2018 7:43rAM builders Fu ce No. 4974 P 2/3
Classis Picket "'^ CQW TAN
oo�s���ps
�/\ Pickets
72„
3„ --
`Jic< 5_25' j
u
0
I
I
i
t
}
S " 20
I I
72"
1
l
2ry
Pos[ __
Cap
Rail
Picket
Stiffener
Page 1 of 1
State of Washington
Department of Labor & Industries
Prevailing Wage Section - Telephone 360-902-5335
PO Box 44540, Olympia, WA 98504-4540
Washington State Prevailing Wage
The PREVAILING WAGES listed here include both the hourly wage rate and
the hourly rate of fringe benefits. On public works projects, worker's wage
and benefit rates must add to not less than this total. A brief description of
overtime calculation requirements are provided on the Benefit Code Key.
Journey Level Prevailing Wage Rates for the Effective Date: 7/11/2018
County Trade Job Classification JWAg�HolidayAOvertime Note
King Fence Erectors Fence Erector $15.18 1
https://fortress.wa.gov/Ini/wagelookup/prvWagelookup.a.. . 7/11/2018
EXHIBIT B
INSURANCE REQUIREMENTS FOR
CONSTRUCTION PROJECTS
Insurance
The Contractor 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 Contractor, their agents,
representatives, employees or subcontractors.
A. Minimum Scope of Insurance
Contractor 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.
Commercial General Liabili 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 Commercial General Liability
insurance shall be endorsed to provide the Aggregate Per Project Endorsement ISO
form CG 25 03 11 85. There shall be no endorsement or modification of the
Commercial General Liability insurance for liability arising from explosion, collapse
or underground property damage. The City shall be named as an insured under the
Contractor'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.
2. Workers' Compensation coverage as required by the Industrial Insurance laws of the
State of Washington.
B. Minimum Amounts of Insurance
Contractor 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 $2,000,000 products- completed operations aggregate limit.
EXHIBIT B (Continued)
C. Other Insurance Provisions
The insurance policies are to contain, or be endorsed to contain,the following provisions
for Automobile Liability, Commercial General Liability.and Builders Risk insurance:
1. The Contractor'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 Contractor's insurance and shall not
contribute with it.
2. The Contractor'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.
D. Contractor's Insurance For Other Losses
The Contractor shall assume full responsibility for all loss or damage from any cause
whatsoever to any tools, Contractor's employee owned tools, machinery, equipment, or
motor vehicles owned or rented by the Contractor, or the Contractor's agents, suppliers or
contractors as well as to any temporary structures, scaffolding and protective fences.
E. Acceptability of Insurers
Insurance is to be placed with insurers with a current A.M. Best rating of not less than
AN IL
F. Verification of Coverage
Contractor shall famish the City with original certificates and a copy of the amendatory
endorsements, including but not necessarily limited to the additional insured
endorsement, evidencing the Automobile Liability and Commercial General Liability
insurance of the Contractor before commencement of the work. Before any exposure to
loss may occur, the Contractor shall file with the City a copy of the Builders Risk
insurance policy that includes all applicable conditions, exclusions,definitions,terms and
endorsements related to this project.
G. Subcontractors
Contractor 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 Contractor.
°"'E'MMD
CEP, .IFICATE F LIABILITY I Fa hC "
/2017
THIS CERTIFICATE IS 153UE0 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 carYificab holder is an ADDITIONAL I1,13URE0, the policy{ias) must be endorsed. If SUBROGATION I8 WAIVED',subject to
the bans and condl[ioru of the policy,certain policies may require an andonsement A statement on this certificate does not confer fights to the
certificate holder in lieu of such andorsemnnG{a).
PRODUCER Carl NAC1o14Ic, AC$R
Hell Anderson Agency, Inc. WvWp - --Fix .......__..,,....,.. _
�Ar Ns.Es7I (425)291 5200 ,(125)291 51°°
600 SW 39th St, Suite 200 IL - """"`-- --- - 6. --
ADoB€£S carim@bell-anderson_Com
___INSLIkER(S)AfiORO1NG CAVERApE .. _... NAYCa ,.Renton WA 98057 .. .....- -...__.
,.._..................._._ IASLuma,A.Contineat,KI We tern Ins. Co, 10804
INS❑RED
iN8LIRER a
All Around Fence Company . . _."_... -.... -— "...__..
PO Box 1029 ..f.^!9URERD
_INSURER D
RsuRER E
Ravensdal• NA 98051 -- ............._. _ ..... ..-,. .... _„
- �RSUkEA F
OOVERAGES CERTIFICATE NUMBERCL1712126259 REVISION NUMBER:
THIS IS 70 CERTIFY THAT THE POLICIES OE 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
DERTI FICATE 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
........AC1C1l'SYPSR __ ._..... ,....
7 TYPED FINSURANCE _ ._POLTL:NEFF'• POLICY LAWS I"
IWSn Won PgOKYRIYaBER IMNJDDfVYY1'] iMM^DOhY'fYX 11Ml TS
X COMMERCIAL pENERAL 4M&U4Y ^-^^
. .....'—" —.A '.I EACH OCCURRENCE `5....� 1,000,000
C.LnrAaF MAOf b UO LIAR TYANAOE'rd"PFN'fLY9" " "'.._ ...,—
"" Y LIED
EX3,^VdCa nceyaaares_.1.. 5 300,000
b Y CPA6029 fi1222 12/1/201v 12/1/'1DiE 1 0
.. ___. ,...." .. . - . MAED EXF IiAuiy orw perar,y. '.t 10,000
_.. ....... "'""'"..._" . ERSONAI S ADVPVIU Iw 'S 1,000,660
- GEN L AGGREGATE LIMIT APPLIES PER ' " - -
I PHyy _--
U, GENERAL AGGREGATE S 2,000,000
{—v P I(,Y ^� if Gi _ O(' .. _...
—' -- " , PRODUCTS-CON.EASE AGO S 2,000,000
61HER, ,. ___... _..___.....
S
"AOTOMO&LF LIA&CITY ,��
1,000,000
E ANY AUTO rv-I — ..,._
. .. .' SCHEDULED NODILV INJl1RY(Pd Pa'�I 6 ALL ORRJED CPA602961222 `S r AUTOS ._, AUTOS : E Y 112/1/201912/1/2016 BODILY INJURY(P amaem S
HIRED AUTOS NON CANNED
�fR(FP<;;N'Tw OFnMA�iF
AUTOS
E UMRRELU LIAR CLAMS-MADE S
_f OCCUR
1 Eo xRET[;.Nh"N YD DOD o� CPA602961222 112/1/201� 12/1/201® rvAGGREGATE
RENCf t 3 " 2A p DO,Lggp,,,
Q U .
I WORKERS COMPENSA TAN
SAND EMPLOYERS'LIABILITY i
ZANY PR AiEMBOWEXCLUDEE%ECUTIVE E_ DISEASEr�EA EM nSYE
IN _
(}FSICER,MEMBER EXCLUDED' NVA� EL EACH ACCIDENT �S
1 G04M . ...
A 1 .. 1 L1W(D�000
(M'yaIMJ In NH) ( CPAE02961222 12/1/201"1 12/1/2D10 " -
O[SGRNP'r1oN 06'DY"FR;0.'r147N5 MIW i01 Sts�p dyP +.._
Fl L}:jPJaSE.POLICY 41M,If,i 1. DDO ODD
f I
I
DESCRIPTION OF OPERATIONSI LOCATIONS I VEHICLES EACORD 101,Atltleiaru R $� attached
maYW M1aUi�tl n mon p�u I�nqulrMl
The certificate holder is additional insured r the endorsement #CL000529 0916„ ACLCG2071 0916
and NCI,CA0149 0215. waiver of subrogation e
r the attached endorsemnt 4CLCGO492 0916 and NCLCA0149
0215.. Primary 6 non-contributory coverage per the attached endorsement 4CLCGO529 0916 and %CLCG2071
0916..
CERTIFICATE HOLDER CANCELLATION
3edavis@kentwa.gov
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City Of Kent THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Parks Maintenance ACCORDANCE WITH THE POLICY PROVISIONS,
Parks, Recreation 6 Community Services
220 Fourth Avenue South AUTroR¢ED REPRESENTATIVE
Kent, WA 98032
Jason Webb/Ce',Ml_r'1QrQ-
®1988-2014 ACORD CORPORATION. All rights reserved,
ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
INSn2I
COMMERCIAL GENERAL LIABILITY
CL CG 04 92 09 16
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
GENERAL LIABILITY ULTRA PLUS ENDORSEMENT
This endorsement modifies insurance provided under the following
COMMERCIAL GENERAL LIABILITY COVERAGE PART
f Provision SUMMARY OF COVERAGE EXTENSIONS
Name Of Coverage Extension
9 Included or Limit of
Insurance
A Miscellaneous Additional Insureds --"
Included
B Expected Or Intended Injury Or Damage
ncluded
C, Knowledge Of Occurrence — i — -
-_ .....
ncluded
D. LegaO Loabdity-Damage To Premises Rented To You (Fire, Lightning, $300,000
Ex IxF osio_n, Srnoke Or Leakage From Automatic Fire Protective Systems)
_._ _ —_.....�._-
E Medial Payments $10,000
F. Mobile Equipment Redefined — "'— " `lu
.�.__._ .... d
Includeed _
N..,... _ ,....�._.— _ .___ __. .
G. Newly Formed Or Acquired Orgardization, Partnership Or Lumited Liability — Included
Company And Extended Period Of Covena .,_,m __Liao
H, WhoIsAnInsured-Amendment "— Inclludud -
ed
t. Non-Owned Watercraft (Increased tc maximum length of less than 51 Included~
J. Supplementary Payments Increased Limits
1. Bail Bonds $3,000
2. Loss Of Earnings $ 1,000
.�.. . _, .--- ...,.......
.... ...,_.,m _ _.U
_ nintentional- - Omission Or Uninten_ tional Error In Disclosure
Included
L. Waiver Of Transfer Of Rights Of Recovery Against Others Included
_.
M. Liberalizationn - — —
N.
The above is a summary only PleasePronsuet the specific provisions that follow for complete informal oudo the
extensions provided.
The provisions of the Commercial General Liability additional insured on your policy, provided
Coverage Part apply except as otherwise provided in that.
this endorsement. This endorsement applies only if
such Coverage Part is included in this policy. a. The written contract or written agreement
A. MISCELLANEOUS ADDITIONAL INSUREDS is
(1) Currently in effect or becoming
1. Section II - Who Is An Insured is amended effective during the term of this
to include as an insured any person or policy, and
organization (referred to as an additional
insured below) described in Paragraphs (2) Fully executed by you and the
AA.c.(1) through AA.c.(6) below when you additional insured prior to the "bodily
and such person or organization have agreed injury", "property damage" or "per-
in writing in a contract or agreement that sonal and advertising injury
such person or organization be added as an
CL CG 04 92 09 16 Includes copyrighted material of Insurance Services Office, Inc Page 1 of 7
with its permission
b. The insurance afforded by this provision performed by or on behalf of
does not apply to any person or such additional insured.
organization included as an additional
insured by a separate endorsement (4) Lessor Of Leased Equipment
issued by us and made a part of this Any person(s) or organization(s)
policy or coverage part from whom you lease
Y equipment but
C. Only the following persons or organi- only with respect to liability for "bodily
zations are additional insureds under this In;ury", �'Property damage" or "per-
provision, with coverage for such sonall and advertasengi Injury' caused,
additional insureds limited as provided in whole or in part, by your
herein maintenance, operation or use of
equipment leased to you by such
(1) Managers Or Lessors Of Premises person(s) or organization(s).
A manager or lessor of premises but A person's or organization's status
only with respect to liability arising as an additional insured under this
out of the ownership, maintenance or endorsement ends when their written
use of that part of the premises contract or written agreement with
leased to you and subject to the you for such leased equipment ends
following additional exclusions.
This insurance does not apply to any
This insurance does not apply to: "occurrence" which takes place after
(a) Any "occurrence" which takes the equipment lease expires
place after you cease to be a (5) State, Municipality, Governmental
tenant in that premises Agency Or Subdivision Or Other
(b) Structural alterations, new con- Political Subdivision — Permits Or
struction or demolition operations Authorizations Relating To
performed by or on behalf of Premises
such additional insured. Any state, municipality, govern-
(2) Mortgagee, Assignee Or Receiver mental agency or subdivision or
other political subdivision subject to
A mortgagee, assignee, or receiver the following additional provisions:
but only wrth respect to their liability
as mortgagee, assignee, or receiver (a) This insurance applies only with
and arising out of the ownership, respect to
maintenance, or use of a covered (i) The following hazards for
premises by you which the state, municipality,
This insurance does not apply to governmental agency or
structural alterations, new con- subdivision or other political
struction or demolition operations subdivision has issued a
performed by or on behalf of such permit or authorization in
additional insured connection with premises
You own, rent or control and
(3) Owners Or Other Interests From to which this insurance
Whom Land Has Been Leased applies
An owner or other interest from (1.1) The existence,
whom land has been leased to you maintenance, repair,
but only with respect to liability construction, erection
arising out of the ownership, mainte• or removal of adver-
nance or use of that part of the land using signs, awnings,
leased to you and subject to the canopies, cellar
following additional exclusions entrances, coal holes,
This insurancedoes not apply to driveways, manholes,
marquees, hoist away
(a) Any "occurrence" which takes openings, sidewalk
place after you cease to lease vaults, street banners
that land. or decorations and
(b) Structural alterations, new con- similar exposures, or
struction or demolition operations
CL CG 04 92 09 16 Includes copyrighted material of Insurance Services Office, Inc , Page 2 of 7
with is permission
(1.2) The construction, erec- The insurance afforded the
tion or removal of vendor does not apply to:
elevators, or
(i) "Bodily injury" or "property
(1.3) The ownership, main- damage" for which the
tenance or use of any vendor is obligated to pay
elevators covered by damages by reason of the
this insurance assumption of liability in a
(II) Operations performed by you written contract or written
or on your behalf for which agreement. This exclusion
the state, municipality, does not apply to liability for
governmental agency or damages that the vendor
subdivision or other political would have in the absence of
subdivision has issued a the written contract or written
permit or authorization agreement
(b) This insurance does not apply to (ii) Any express warranty unau-
"bodily injury", "property dam- thonzed by you,
age" or "personal and advertising (iii) Any physical or chemical
injury" arising out of operations change in the product made
performed for the state, munici- intentionally by the
pality, governmental agency or vendor,
subdivision or other political
subdivision (iv) Repackaging, except when
unpacked solely for the
(6) Controlling Interest purpose of inspection,
Any person(s) or organization(s) with demonstration, testing, or the
a controlling interest in the Named substitution of parts under
Insured but only with respect to their instructions from the manu-
liability arising out of facturer, and then
repackaged in the original
(a) Their financial control of you, or container,
(b) Premises they own, maintain or (v) Any failure to make such
control while you lease or occupy inspections, adjustments,
these premises tests or servicing as the
This insurance does not apply to vendor has agreed to make
structural alterations, new con- or normally undertakes to
struction or demolition operations make in the usual course of
performed by or for such person(s) business, in connection with
or organization(s). the distribution or sale of the
(7) Co-Owner Of Insured Premises products,
(vi) Demonstration, installation,
A co-owner of a premises co-owned servicing or repair opera-
by you and covered under this tions, except such operations
insurance but on'y with respect to the performed at the vendor's
co-owner's liability as co-owner of premises in connection with
such premises the sale of the product,
(8) Vendors (vii) Products which, after distri-
(a) Any person(s) or organization(s) bution or sale by you, have
(referred to as vendor), but only been labeled or relabeled or
with respect to "bodily injury" or used as a container, part or
"property damage" arising out of ingredient of any other thing
"your products" which are or substance by or for the
distributed or sold in the regular vendor, or
course of the vendor's business.
CL CG 04 92 09 16 Includes copyrighted material of Insurance Services Office, Inc Page 3 of 7
wdh its permission
(viii)"Bodily injury" or "property 3. With respect to the insurance afforded to the
damage" arising out of the additional Insureds within this Provision A.
sole negligence of the Miscellaneous Additional Insureds, the
vendor for jSs own acts or following is added to Section III - Limits Of
omissions or those of its Insurance:
employees or anyone else
acting on its behalf How- The most we will pay on behalf of the
ever, this exclusion does not additional insured is the amount of insurance:
apply to a. Required by the written contract or
(1.1) The exceptions written agreement, or
contained in Sub- b. Available under the applicable Limits Of
paragraphs (iv) or (vi), Insurance shown in the Declarations,
or
(1.2) Such inspections, ad-
whichever is less
justments, tests or This endorsement shall not increase the
servicing as the applicable Limits Of Insurance shown in the
vendor has agreed to Declarations.
make or normally B. EXPECTED OR INTENDED INJURY OR
undertakes to make in DAMAGE
the usual course of
business, in con- Exclusion 2.a, Expected Or Intended Injury of
nection with the Section I - Coverage A - Bodily Injury And
distribution or sale of Property Damage Liability is del0ed and
the products replaced by the following
(b) This insurance does not apply to a. Expected Or Intended Injury Or Damage
any insured person or organi- "Bodily Injury"or"property damage"expected
zation, from whom you have or intended from the standpoint of the
acquired products, or any Insured This exclusion does not apply to
ingredient, part or container, "bodily injury'" or "property damage, resulting
entering into, accompanying or from the use of reasonable force to protect
containing such products persons or property.
2. With respect to coverage provided by this. C. KNOWLEDGE OF OCCURRENCE
Provision A. Miscellaneous Additional
Insureds, the following additional provisions Paragraph 2.a. Duties In The Event Of
apply Occurrence, Offense, Claim Or Suit of Section
IV - Commercial General Liability Conditions
a. Any insurance provided to an additional is deleted and replaced by the following
insured designated under Paragraphs
A.t.c.(1) through A.1.c.l above does a. You must see to it that we are notified as
not apply soon as practicable of an "occurrence" or an
(1) To "bodily inju y' or "property offense which may resu't in a claim only
when the "'occurrence" or offense is known
damage" included within the to
"products-completed operations
hazard", or (1) You, if you are an individual,
(2) To "bodily injury", "property damage" (2) A partner, If you are a partnership,
or "personal and advertising injury' (3) A manager, if you are a limited liability
arising out of the sole negligence of company, or
such additional insured.
b. The insurance afforded to such additional (4) An "executive officer" or the "employee"
designated by you to give such notice„ if
insured only applies to the extent you are an organization other than a
permitted by law. partnership or a limited liability company.
c. The insurance afforded to such additional To the extent possible, notice should include
insured will not be broader than that
which you are required to provide by the (1) How, when and where the "occurrence"
written contract or written agreement or offense took place,
CL CG 04 92 09 16 Includes copyrighted material of Insurance Services Office, Inc , Page 4 of 7
with its permission
00 The names and addresses of any injured you, or in the case of damage by fore,
persons and witnesses, and lightning, explosion, "'smoke", or leakage
(iii) The nature and location of any injury or from automatic fire protective systems„
damage arising out of the "occurrence" while rented to you or temporarily
or offense occupied by you with permission of the
D. LEGAL LIABILITY — DAMAGE 70 PREMISES owner
RENTED TO YOU (Fire, Lightning, Explosion, This Iirnit will apply to all damage
Smoke, Or Leakage From Automatic Fire proximately caused by the same event,
Protective Systems) whether such damage results from fire,
lightning, explosion smoke", leakage
If damage to premises rented to you is not from automatic fire protective systems,or
otherwise excluded from this policy or coverage other covered causes of loss or any
part, then the following provisions apply combination thereof
1. Under Section I — Coverage A — Bodily 4. Subparagraph b.(1)(a)(ii) of Paragraph 4.
Injury And Property Damage Liability, the Other Insurance of Section IV
last paragraph (after the exclusions) is Commercial General Liability Conditions
deleted and replaced by the following is deleted and replaced by the following
Exclusions c. through n. do not apply to dam- (ii) That is fire, lightning, explosion, ''smoke"
age by fire, lightning, explosion, ''smoke", or or leakage from automatic fre protective
leakage from automatic fre protective systems insurance for premises rented to
systems to premises while rented to you or you or temporarily occupied by you with
temporarily occupied by you with the permission of the owner,
permission of the owner. A separate limit of
insurance applies to this coverage as 5. Subparagraph a. of Definition 9. "Insured
described in Section III — Limits Of contract' of Section V — Definitions is
Insurance deleted and replaced by the following
2. The paragraph immediately after Sub- a. A contract for a lease of premises
paragraph j.(6) of Paragraph 2. Exclusions However, that portion of the contract for
of Section I — Coverage A — Bodily Injury a lease of premises that indemnifies any
And Property Damage Liability is deleted person or organization for damage by
and replaced by the following_ fire, lightning, explosion, "smoke" or
leakage from automatic fire protective
Paragraphs (1), (3) and (4) of this exclusion systems to premises while rented to you
do not apply to "property damage" (other or temporarily occupied by you with
than damage by fire, lightning, explosion, permission of the owner is not an
"smoke", or leakage from automatic fire "insured contract
Protective systems) to premises, including the c 6. As used in this Provision D. Legal Liability
ontents of such premises, rented to you 9 —
for a period of seven or fewer consecutive Damage To Promises Rented To You,
days. A separate limit of insurance applies to "Smoke" does not include smoke from
Damage To Premises Rented To You as agricultural smudging, industrial operations
described in Section III — Limits Of or"hostile fire
Insurance.
3. Paragraph 6. of Section III — Limits Of E. MEDICAL PAYMENTS
Insurance is deleted and replaced by the If Coverage C — Medical Payments is not
following; otherwise excluded from this policy or coverage
Part, the Medical Expense Limit is changed,
6. Subject to Paragraph 5. above, the subject to the terms of Section III — Limits Of
greater of: Insurance„ to the greater of.
a. $300,000, or a. $10,000, or
b. The Damage To Premises Rented b. The Medical Expense Limit shown in the
To You Limit shown in the Declarations
Declarations, F. MOBILE EQUIPMENT REDEFINED
is the most we will pay under Coverage
A for damages because of "property Subparagraph f.(1) of Definition 12. "Mobile
damage" to premises while rented to etquipment" of Section V— Definitions is deleted
and replaced by the following
CL CG 04 92 09 16 Includes copyrighted material of Insurance Services Office, Inc Page 5 of 7
with its permission
(1) Equipment with a gross vehicle weight of partnership or limited liability company
1,.000 pounds or more and designed primarily are the same or similar to the operations
for: of insureds already covered under this
(a) Snow removal; insurance,
(b) Road maintenance, but not construction (v) Coverage only applies for those limited
or resurfacing, or liability companies who have established
(c) Street cleaning; a date of formation as recorded within
the filed state articles of organization,
G. NEWLY FORMED OR ACQUIRED ORGANIZA- certificates of formation or certificates of
TION, PARTNERSHIP OR LIMITED LIABILITY organization, and
COMPANY AND EXTENDED PERIOD OF (vi) Coverage only applies for those part-
COVERAGE nerships who have established a date of
Paragraph 3. of Section II —Who Is An Insured formation as recorded within a written
is deleted and replaced by the following partnership agreement or partnership
3. Any organization you newly acquire or form certificate.,
other than a joint venture, and over which H. WHO IS AN INSURED— AMENDMENT
you maintain ownership or The last paragraph of Section II — Who Is An
a. Majority interest of more than 50% if you Insured is deleted and replaced by the following
are a corporation, No ❑erson or organization is an insured with
I Majority interest of more than 50% as a respect to the conduct of any.
general partner of a newly acquired or a. Current partnership or limited liability
formed partnership, and/or company, unless otherwise provided for
c. Majority interest of more than 50% as an under Paragraph 3. of Section II — Who Is
owner of a newly acquired or formed An Insured,
limited liability company, b. Current joint venture, or
will qualify as a Named Insured if there is no c. Past partnership, joint venture or limited
other similar insurance available to that liability company,
organization However, for these organize-tlon5: that is not shown as a Named Insured in the
Declarations
n
(i) Coverage undernext
provision is afforded L NON-OWNED WATERCRAFT
only until the next anniversary date of
this policy's effective date after you Subparagraph (2) of Exclusion 2.g. Aircraft,
acquire or form the organization, Auto Or Watercraft of Section I — Coverage A
partnership or limited liability company, — Bodily Injury, And property Damage Liability
or the end of the policy period, whichever is deleted and replaced by the following
is earlier,
Section I — Coverage A — Bodily Injury (2) A watercraft you do not own that is.
(ii)
And Property Damage Liability does (a) Less than 51 feet long, and
not apply to "bodily injury" or ''property (b) Not being used to carry persons or
damage" that occurred before you property for a charge
acquired or formed the organization,
partnership or limited liability company, J. SUPPLEMENTARY PAYMENTS — INCREASED
(iii) Section I — Coverage B — Personal LIMITS
And Advertising Injury Liability does Section I — Supplementary Payments —
not apply to "personal and advertising Coverages A And B is changed as follows
injury" arising out of an offense 1. The limit shown in Paragraph 1.b. for the
committed before you acquired or formed cost of bail bonds is changed from $250 to
the organization, partnership or limited $3,000. and
liability company,
2. The limit shown in Paragraph t.d. for loss of
(iv) Coverage applies only when operations earnings because of time off from work is
of the newly acquired organization, changed from $250 a day to $1,000 a day
CL CG 04 92 09 16 Includes copyrighted material of Insurance Services Office, Inc Page 6 of T
with its permission
K. UNINTENTIONAL OMISSION OR UNINTEN- M. LIBERALIZATION CLAUSE
TIONAL ERROR IN DISCLOSURE
The following is added to Section IV —
The following provision is added to Paragraph 6. Commercial General Liability Conditions:
Representations of Section IV - Commercial
General Liability Conditions. If we adopt a mandatory attachment form change
which broadens coverage under this edition of
However. the unintentional omission of, or the Commercial General Liability CGO001 for no
uniinten6onai error in, any information given or additional charge, and those changes are
provided by you shale not prejudice your rights intended to apply to all insureds under this edition
Linder this insurance of CG0001, that change will automatically apply
This provision does not affect our right to collect to your insurance as of the date we implement
additional premium or to exercise our right of the change in your state This liberalization
cancellation Or non-renewal clause does not apply to changes implemented
through introduction of a subsequent edition of
L. WAIVER OF TRANSFER OF RIGHTS OF the Commercial General Liability form GG0001.
RECOVERY AGAINST OTHERS
The following, is added to Paragraph 6. Transfer N. INCIDENTAL MEDICAL MALPRACTICE
Of Rights Of Recovery Against Others To Us 1. Paragraph 2.a.(1)(d) of Section II - Who Is
of Section IV - Commercial General Liability An Insured does not apply to a physician,
Conditions nurse practitioner, physician assistant, nurse,
emergency medical technician or paramedic
We waive any right of recovery we may have employed by you if you are not in the
against any person or organization because of business or occupation of providing medical,
payments we make for injury or damage arising parameddatl surgical, dental, x-ray or
out of your ongoing operations or"your work" and nursing services.
included in the "products-completed operations
hazard" when you have agreed in a written 2. This provision is excess over any olher valid
contract or written agreement that any right of and collectible insurance whether such
recovery is waived for such person or insurance is primary, excess, contingent or
organization, This waiver applies only to the on any other basis Any payments by us will
persons) or organization(s) agreed to in the follow Paragraph 4.b. of Section IV -
written contract or written agreement and is. Commercial General Liability Conditions
subject to those provisions.
This waiver does not apply unless the written
contract or written agreement has been executed
prior to the "bodily injury" or"property damage
However, if any person or organization is
separately scheduled on a separate waiver of
transfer of rights of recovery which is attached to
this policy, then this waiver does not apply
CL CG D4 92 09 16 Includes copyrighted material of Insurance Services Office, Inc Page 7 of 7
with its permission
COMMERCIAL GENERAL LIABILITY
CL CG 05 29 10 17
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
GENERAL LIABILITY ULTRA PLATINUM
ENHANCEMENT COVERAGES
This endorsement modifies insurance provided under the following..
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
A. The following coverage is added: paragraph 2.a. above,the words caused in
ADDITIONAL INSURED - OWNERS, LESSEES whole Or in pelf by are replaced by the
OR CONTRACTORS - AUTOMATIC STATUS words ansing out of
INCLUDING PRIMARY NON-CONTRIBUTORY C. The insurance afforded to such additional
1, Section It-Who is An Insured is amended to Insured only applies to the extent
include as an additional insured any persons) permitked by Maw, and
or organization(s) for whom you are required d. If coverage provided to the additional
by virtue of a written contract or agreement insured is required by a contract or
that such person{sJ or organzatiOn(s) be agreement" the Insurance afforded to such
added as an additional insured on your policy additional insured will not be broader than
2. The insurance provided to the additional that which you are required by the contract
insured is limited as follows. or agreement to provide for such
a Such person Or organization is an additional insured,
additional insured only wrth respect to e. This insurance ends at the earliest of the
liability for "bodily injury" "property following times:
damage" or "personal'' and advertising (1) When any Named Insurable) work
Injuryy'Caused in whole or in part by:. called for in the written contract has
(1) Acts or omissions of the Named been Completed
Insured, or (2) When all of any Named Insured(s)
(2) The acts Or omissions of those acting work done at a job sre has been
on behalf of the Named Insured, completed if the written contract calls
in the performance of the Named Insureds for"work at more than one job site
work for the additional insureds) specified (3) When tnat part of any Named
in the written contract provided the Insured's work done at a job site has
contract or agreement requires you to been put to its intended use by any
provide the additional insured such person 01 Organization other than the
coverage and Is Named Insured or those acting on the
I. Currently in effect or becomes Named Inssured($)behalf.
effective during the term of this Work that may need service, maintenance,
policy, and correction, repair or replacement, but is
otherwise complete, will be treated as
ii. Was executed prior to the "bodily Completed.
Injury" "property damage" or
"personal and advertising injury"', I. This insurance does not apply to any
try. It the written contract s eOifrdali requires additional insured scheduled on your
p Y q policy by separate endorsement.
you to provide additional insured coverage
via the 10101 edition of CG2010 (aka CG 9 For purposes of paragraph A of this
20 10 10 01) or via the 11195 edition of endorsement the terms "you" and ,your,
CG2010 (aka CG 20 10 11 85,), then in refer to the Named Insured shown in the
Declarations.
CL CG 05 29 10 17 Includes copyrighted material of insurance Services Office, Inc., Page 1 of 3
with its permission.
3. Exclusions a. Required by the contract or agreement; or
With respect to the insurance afforded to these. b. Available under the applicable Limits of
additional insureds, the following additional Insurance shown in the Declarations,
exclusions apply to "bodily injury" "property
damage" or "'personal and advertising injury" whichever is less.
arising out of:.
This endorsement shall not increase the
A. The rendering of or failure to render any applicable Limits of Insurance shown in the
professional services by you or on your Declarations.
behalf, but only with respect to either or 5. Other Insurance
both of the following operations.
(1) Providing engineering, others
For purposes of this endorsement, the
architect Ural or following is added to the Section IV -
surveying services to others in your Commercial General Liability Conditions, 4.
capacrty as an engineer, architect or Other
surveyor, and
Insurance condition and supersedes any
(2) Providing, or hiring 'independent provision to the contrary:
professionals to provide, engineering,
architectural or surveying services in This insurance is excess of all other
connection with construction work you insurance available to an additional
performn. insured whether on a primary, excess,
b. Subject to Paragraph C. below, contingent or any other basis. But,. if
Professional services include required by a written contract or written
agreement to be primary and
(1) Preparing, approving, or failing to noncontributory, this insurance will be
prepare or approve, maps, shop primary Co and will not seek contribution
drawings, opinions, reports, surveys from any insurance on which the additional
Yield orders, change orders, or insured is.a Named Insureed.
drawings and specifications, and No other coverage or limit in the policy
(2) Supervisory or inspection activities applies to loss or damage insured by this
performed as part of any related coverage.
architectural or engineering activities. B. The following coverage is added.
c. Professional services do not include CONTRACTUAL LIABILITY - RAILROADS
services within construction means,
methods, techniques, sequences and 1 With respect to operations performed For a
procedures employed by you or performed Railroad whiniin 50 feel of Railroad property, the
by or for the construction manager, its definition of "insured contract"" in Section V -
employees or its subcontractors in Definitions is replaced by the following,
connection with your ongoing operations. 9 "Insured Contract"means:
This exclusion applies even if the claims
against any insured allege negligence or other a. A contraact for a daasa of premises
wrongdoing in the supervision, hiring, However, that portion of the contract.
employment, training or monitoring of others for a lease of premises Iraq
by that Insured, if the "Occurrence" which indemnifies any person or
Caused the "bodily in)ury" or "property organization for damage by fire to
damage"' of the offense which caused the premises wtrule rented to you or
11 Personal and advertising injury" involved the temporarily occupied owner
you wan
rendering of, or the failure to render, any permission of the owner is not an
professional architectural, engineering or ''insured contras
surveying services. b. A sidetrack agreement,
4. Limits of Insurance c. Any easement or license agreement,
With respect to the insurance afforded to these d. An obligation, as required by
additiional Insureds, the following is added to ordinance, to indemnify a municipality,
Section Ill -Limits Of Insurance except in connection with work for a
If coverage provided to the additional insured municipality.
is required by a contract or agreement, the e. An elevator maintenance agreement,
most we will pay on behalf of the additional
insured is the amount of insurance; If That part of any other contract or
agreement pertaining to your business
Page 2 of 3 Includes copyrighted material of Insurance Services Office, Inc CL CG 05 29 10 17
with its permission
(including an indemnification of a C. AGGREGATE LIMITS OF INSURANCE
municipality in connection with work
perforated for a municipality) under The General Aggregate Limit under SECTION III -
whlch you assume the tort liability of LIMITS OF INSURANCE applies separately to
another party to pay for "bodily injury" each of your
or propertiy damage" to a third person or organization. Tort liability means a 1. projects away from premises owned by or
liability that would be imposed by law rented to you.
in the absence of any Contract or 2. "Locations" owned by or rented to you.
agreement.
"Location" means premises involving the same
Paragraph f.does,not include that part or connecting lots, or premises whose
of any contract or agreement', connection is interrupted only by a street,
(1) That indemnifies an architect, roadway, waterway or right-of-way of a
engineer or surveyor for injury or railroad
damage arising out of: When paragraph B. Construction Project
(a) Preparing, approving or failing General Aggregate Limit on form CL CG 00 20 is
to prepare or approve maps, a part of this policy, then this endorsement
shop drawings, opinions, CL CG 05 29 paragraph. D. Aggregate Limits Of
reports, surveys, field orders, Insurance does not apply.
change orders or drawings
and specifications, or
(h) Giving directions or
instructions, or failing to give
them, if that is the primary
cause of the injury or damage,
(2) Under which the insured, if an
architect, engineer or surveyor,
assumes liability for an injury or
damage arising out of the
insured's rendering or failure to
render professional services,
including those listed in Paragraph
(1) above and supervisory,
inspection, architectural or
engineering activiL'es.
2. Otherinsurance
For purposes of this endorsement, the
following is added to the Section IV-
Commercial General Liability
Conditions, 4. Other Insurance condition
and supersedes any provision to the
contrary.
This insurance is excess of all other
insurance that is Railroad Protective
Liability or similar coverage for"your work"
performed for a Railroad. But, if required
by a written contract or written agreement
to be pnmary and noncontributory, this
insurance will be primary to and wilt not
seek contribution from any insurance on
which the Railroad is a Named Insured.
No other coverage or limit in the policy
applies to loss or damage insured by this
coverage.
CL CG 05 29 10 17 Includes copyrighted material of Insurance Services Office, Inc-, Page 3 of 3
with its permission.
COMMERCIAL AUTO
CL CA 01 49 02 15
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
i
COMMERCIAL AUTOMOBILE EXPANSION ENDORSEMENT
- PLATINUM
This endorsement modifies insurance provided under the following
BUSINESS AUTO COVERAGE FORM
With respect to the coverages provided by this endorsement, the provisions of the Business Auto Coverage Form
apply unless modified by this endorsement-
A. NEWLY ACQUIRED OR FORMED ORGANIZA- Property damage because of the conduct
TIONS of an "insured" under Paragraphs a. or b.
The following is added to Paragraph A.I. Who Is under Paragraph A.I. Who Is An Insured of
An Insured of Section II - Covered Autos Liability Section II - Covered Autos Liability Cover-
Coverage age, caused by an "accident" and resulting
Any organization you newly acquire or farm, oth- from the ownership, maintenance or use of a
covered "auto";
er than a partnership, Point venture or limited lia-
bility company or any organization excluded ei- 2. The written contract or agreement described
ther by this Coverage fart or by endorsement, above must have been executed prior to the
and over which you maintain ownership or ma- "accident" that caused the "bodily injury" or
jority interest of more than 50 percent will qualify "property damage" and be in effect at the
as a Named Insured, However time of such "accident';
1, This insurance does not apply to any newly 3. The insurance afforded to any such addition-
acquired or formed organization that is an al "insured" does not apply to any "accident"
"'Insured" under any other automobile policy beyond the period of time required by the
or would be an `"insured" under such policy written contract or agreement described
but for its termination or the exhaustion of its above,
Limit of Insurance- 4. The most we will pay on behalf of such addi-
2. Coverage does not apply to "'bodily iin;ury'" or tional "insured(s)" is the lesser of.
Property damage" that occurred before you a. The Limits of Insurance specified in the
acquired or formed the organization written contract or agreement described
3. Coverage under this provision is afforded on- above; or
ly until the 180th day after you acquire or b. The Limits of Insurance shown in the
form the organization or the end of the policy Declarations
period,whichever Is earlier.
B. ADDITIONAL INSURED BY CONTRACT OR This provision shag not increase the Limit of
AGREEMENT Insurance shown in the Declarations in this
Policy or coverage part, and
The fallowing is added to Paragraph A.1., Who Is 5. The following changes are made to Para-
An Insured of Section II - Covered Autos Liability graph 5. Other Insurance of B. General Con-
Coverage,
ditions under Section IV - Business Auto
When you have agreed in a written contract or Conditions.
agreement to include a person or organization as a. The fellowing,is added to Paragraph 5.a..
an additional "insured", such person or organiza-
tion is included as an "insured" subject to the fol- If required by the written contract or
lowing agreement described above, the insur-
1. Such person or organization is an additional ance afforded to the additional insured
"insured" only to the extent such person or under this provision will primary e
organization is liable for "bodily injury" or and will not seek contributtion from, the
additional insureds own insurance
CL CA 01 49 02 15 Includes copyrighted material of Insurance Services
Office, Inc_, with its permission Page 1 of 5
b. Paragraph 5.c. is deleted in its entirety 1. The Limits of Insurance are increased to $75
6. Paragraph AA.c. under Section II - Covered per day to a maximum of$2,500
Autos Liability Coverage is deleted in its en- 2. We will also pay reasonable and necessary
tirety expenses to facilitate the return of the stolen
7. The definition of "insured contract" under "auto"to you.
Section V- Definitions is amended to add the 3. It is agreed and understood and it is our stat-
following: ed intent that expenses incurred by You un-
An "insured contract" does not include that der the Transportation Expenses Coverage
Part of any contract or agreement Extension will not also be covered or paid
under the Rental Reimbursement Coverage
That pertains to the ownership, maintenance provided by this endorsement or any rental
or use of an "auto" and which indemnifies a reimbursement coverage added by separate
person or organization for other than the vi- endorsement to this policy
carious liability of such person or organiza-
tion for "bodily injury" or "property damage" H. EXTENDED COVERAGE -AIRBAGS
ca',used by your operation or use of a covered The following is added to Exclusion B.3.a. of
"auto" Section III - Physical Damage Coverage
However, a person or organization is an ad- However, this exclusion does not apply to the un-
ditional "insured" sunder this provision only to intended discharge of an airbag
the extent such person or organization Is not
named as an "insured" by separate en- This coverage is excess over any other collecti-
dorsement to this policy ble insurance or warranty providing such airbag
C. EMPLOYEES AS INSUREDS coverage
The following is added to Paragraph A.1. Who Is I. AUTO LOAN/LEASE GAP COVERAGE
An Insured Section II - Covered Autos Liability The following is added to Section III - Physical
Coverage. Damage Coverage, Paragraph C. Lim is of Insur-
ance
Any "employee" of yours is an "insured" while
using a covered "auto" you don't own, hire or bor- 4. In the event of a total "loss" to a covered "au-
row in your business or your personal affairs to", we will pay any unpaid amount due on
D. INCREASED COVERAGE - BAIL BONDS the lease or loan for a covered "auto", less
a. The amount under the Physical Damage
The Supplementary Payments Coverage Exten- Coverage section of the policy, and
sion of Section II - Covered Autos Liability Cov-
erage is amended as follows b. Any
The Limit of Insurance in paragraph A.2.a.(2) is (1) Overdue lease/loan payments at the
increased to $5,000 time of the"loss"
E. INCREASED COVERAGE - LOSS OF EARN- (2) Financial penalties imposed under a
INGS lease for excessive use, abnormal
They Supplement" Payments Coverage Exten-
wear and tear or high mileage,
sion Of Section 11 - Covered Autos Liability Cov- (3) Security deposits not returned by the
erage is amended as follows, lessor;
The Limit of Insurance in paragraph A.2.a.(4) is (4) Costs for extended warranties, Credit
increased to $1,000 Life Insurance, Health, Accident or
F. FELLOW EMPLOYEE COVERAGE Disability Insurance purchased with
the loan or lease, and
The Fellow Employee Exclusion contained in (5) Carry-over balances from previous
Section II - Covered Autos Liability Coverage loans or leases,
does not apply This coverage is excess over
any other collectable insurance_ J. GLASS REPAIR -NO DEDUCTIBLE
G. COVERAGE EXTENSION - TRANSPORTA- The following is added to Paragraph D. Deducti-
TION EXPENSES ble of Section III - Physical Damage Coverage'
Paragraph A.4.a. Transportation Expenses of Any Comprehensive Coverage deductible shown
Section III - Physical Damage Coverage is in the Oeclarations does not apply to "loss° to
amended as follows glass when you elect to patch or repair rather
than replace the glass.
Page 2 of 5 Includes copyrighted material of Insurance Services CL CA 01 49 02 15
Office, Inc with Its permission
K. INCREASED C.OVERAGNe - ELECTRONIC O. HIRED AUTO PHYSICAL DAMAGE COVER-
EQUIPMENT AGE
The $1,000 limit indicated in Paragraph C.1.1b. The fallowing is added to Paragraph A.A. Cover-
under Section III - Physical Damage Coverage is age Extensions of Section III - Physical Damage
increased to$2,500 Coverage
L. EXTENDED COVERAGE - PERSONAL PROP- If hired "autos" are covered "autos" for Covered
ERTY Autos Liability Coverage and it Physical Damage
The following is added to Paragraph A.4. Cover- Coverage is provided for any "auto' you own,
age Extensions of Section III - Physical Damage then the Physical Damage coverages provided
Coverage are extended to "autos" you lease, rent, hire or
borrow from someone other than your "employ-
Physical Damage Coverage on a covered "auto" ees", partners or members of their households
may be extended to "loss" to your personal prop- subject to the following
erty or, d you are an individual, the personal
property of a family member, that is in the cov- 1. The most we will pay in any one "loss" is the
ered""auto"at the time of"loss"and caused by an lesser of.
"accident" and resulting from the ownership, a. The actual cash value of the "auto",
maintenance or use of a covered "auto".
Id. The cost to repair or replace the "auto";
The insurance provided by this coverage exten- or
sion is excess over any other collectible insur-
ance The most we will pay for any one "loss'' c. $100,000
under this coverage extension is $500 However, 2. Paragraph 1. above is subject to a deductk
our payment for "loss" to personal property will ble The deductible shall be equal to the
only be for the account of the owner of the prop- amount of the highest deductible shown for
erty any owned "auto" of the same classification
Under this provision, personal property does not for that coverage In the event there is no
include .and we will not pay for"'Joss" of currency, owned "auto" of the same classification, the
coins, securities or contraband highest deductible for any owned 'auto" will
No deductible applies to this coverage extension
apply for that coverage.
No deductible will apply to "loss" caused by
M. TOWING fire or lightning.
Paragraph A.2. Towing of Section III - Physical 3. Hired Auto Physical Damage Coverage is
Damage Coverage, is replaced by the following subject to the following.
if a private passenger type "auto" or light truck a. If symbol B is shown in the Covered Auto
auto" (0-10,000 Lbs. GVW) is provided both section of the Declarations page for any
Comprehensive and Collision Coverage, we will of the Physical Damage coverages, then
pay up to $150 for towing and labor costs in- the Hired Auto Physical, Damage cover_
curred each time such "auto' is disabled if a age described in this endorsement does
medium heavy or extra-heavy truck or extra. not apply.
heavy Truck tractor "auto" (greater than 10,000
Lbs. GVW) is provided both Comprehensive and b- Other than indicated in Paragraphs a. di-
Collision Coverage, we will pay up to $250 for rectly above, coverage provided under
towing and Tabor costs incurred each time such this provision wjI! be excess over any
auto" is disabled. However, the labor must be other collectible insurance or coverage
performed at the place of disablement. 4. In addition to the limit set forth in Paragraph
N. FIRE EXTINGUISHER RECHARGE 1. above we will pay up to $500 per day, to a
The 'following is added to Paragraph A.4. Cover-
maximum of$3,500 per"loss"for:
age Extensions of Section IV - Physical Damage a. Any costs or fees associated with the
Coverage: "loss" to a hired "auto"; and
When fire extinguishers are kept in your covered b. Loss of use of the hired "auto", provided
'"auto" and any are discharged in an attempt to it is the Consequence of an "accident" for
extinguish a fire, we will pay the lesser of the ac- which you are legally liable, and as a re-
tual cost of recharging or replacing such fire ex- suit of which a monetary loss is sus-
tinguisher(s) tained by the leasing or rental concern.
No deductible applies to this coverage However, Paragraph AA& Loss of Use Expens.
es under Section III - Physical Damage Coverage
CL CA 01 49 02 15 Includes copyrighted material of Insurance Services Page 3 of 5
Office, Inc , with its permission
of the Business Auto Coverage Form does not
apply. (2) Your partners or members, if you are
designated in the Declarations as a
P. RENTAL REIMBURSEMENT COVERAGE partnership or joint venture,
We will pay for rental reimbursement expenses (3) Your members or managers, if you
incurred by you for the rental of an ''auto" be- are designated in the Declarations as
cause of"loss"to a covered "auto a limited liability company,
1. Payment applies in addition to the otherwise (4) Your executive officers if you are
j applicable amount of each coverage you designated in the Declarations as an
have on the covered ''auto organization other than an individual,
2. No deductible applies to this coverage., partnership, joint venture or limited
iability company, and
3. We will pay only for those expenses incurred (5) The spouse of any person named in
during the policy period beginning 24 hows, Paragraphs 1.a.(1). through 1.a.(4)
after the "loss" and ending, regardless of the while a resident of the same house-
expiration date of the policy, with the lesser hold,
of the following number of days.
a. The number of days when the covered Except
"auto'' has been repaired or replaced, or (a) Any "auto" owned by that indi-
b. 45 days
vidual or by any member of
his or her household.
4. Our payment is limited to the lesser of the fol-
lowing amounts (b) Any " divid
auto" used by that in
al or his or her spouse while
a. Necessary and actual experses incurred, working in a business of selling,
or servicing, repairing or parking
b. Not more than $75 for any one day, "autos"
S. We will pay up to an additional $300 for the 2. Changes In Auto Medical Payments And
Uninsured And Underinsured Motorists
reasonable and necessary expenses you in. Coverages
cur to remove your materials and equipment
from the covered "auto"' and replace such The following is added to Who Is An In-
materials and equipment on the rental "auto" sured_
6. This coverage does not apply while there are Any individual named in 1.a above and his or
our operations hoccupy n or while pedestrian
when
while
s autos' available to you for "family
Y P 9 p ion when being
7. If "loss" resu@s from the total theft of a cov-
struck by any 'auto' you don't own except.
ered "auto" of the "private passenger type"" Any "auto" owned by that individual or by any
we will pay under this coverage only that 'family member'
amount of your rental reimbursement ex- 3. Changes In Physical Damage Coverage
Penises which Is not already provided for un-
der the Physical Damage Coverage Exten- Any private passenger type "auto" you don't
Sion of the Business Auto Coverage Form or own, hire or borrow is a covered "auto" while
any endorsements thereto in the care, custody or control of any individ-
ual this provision does not apply ual named in Q 1.a. above or his or her
P pp Y Co the spouse while a resident of the same house-
extent that rental reimbursement is provided hold except
by separate endorsement to this policy
a. Any "auto" owned by that individual or by
Q. DRIVE OTHER CAR COVERAGE any member of his or her household, or
1. The following is added to Section 11 - Cov- b. Any "auto" used by that individual or his
ered Autos Liability Coverage. or her spouse while working in a busi-
a. Any "auto" you don't own, hire or borrow ness of selling, servicing, repairing or
is a covered "auto" for Liability Coverage parking "autos"
while being used by: 4. The most we will pay for the total of all dam-
(1) You, if you are designated in the ages under Covered Autos Liability Unin-
Declarations as an individual, sured Motorists Coverage and Underinsured
Motorists Coverage is the Limit Of Insurance
Page 4 of 5 Includes copyrighted material of Insurance Services CL CA 0149 02 15
Office, Inc., with its permission
shown in the Declar—ions as applicable to 1 At our requtst you must provide us with a copy of
owned "autos'' the aforementioned written contract or agree..
5. Our obligation to pay for, repair, return or re- moent.
place damaged or stc9on property under T. UNINTENTIONAL OMISSIONS
Physical Damage Coverage, wail be reduced
by a deductible equal to the amount of the The following is added Paragraph El of Section
highest deductible shown for any owned pri- IV- Business Auto Conditions.
vate passenger type "auto'' applicable to that If you fail to disclose any hazards existing at the
coverage If there are no owned private pas- inception date of this policy, such failure will not
senger type "autos',, the deductible shaft be prejudice the coverage provided to you Howev.
$250 for Comprehensive Coverage and $500 er, this provision does not affect our right to col.
for Co4mon Coverage No deductible will fect addahonal premium or exercise our right of
apply to "loss" caused by fire or lightning cancellation or nonrenewal
6. Additional Definition U. LIBERALIZATION
As used in this DRIVE OTHER CAR Provi-
sion If we revise this endorsement to ,provide greater
coverage without additional premium charge, we
Family member' means a person related to wail automatically provide the additional coverage
the individual named in t a by blood, mar- to all endorsement holders as of the day the nevi.
nage or adoption who is a resident of the in- sion is effective in your state
dividual's household, including a ward or fos-
ter child
R. KNOWLEDGE OF AN ACCIDENT, CLAIM,
SUIT OR LOSS
The following is added to Paragraph A.2. of Sec-
tion IV - Business Auto Conditions.
Your obligation to provide prompt notice of an
"accident", claim, "suit" or "'loss" is satisfied if you
or a person designated by you to be responsible
for insurance matters is notified of, or in any
manner made aware of an "accident", claim,
"suit" or "loss" and provides us such notice as
soon as practicable
S. WAIVER OF SUBROGATION 13Y CONTRACT
OR AGREEMENT
The following is added to Paragraph A.5 of Sec-
tion IV - Business Auto Conditions'
We waive any right of recovery we may have
against a person or organization because of
payments we make for "bodily i,nj,ui or "properly
damage" when you and' such person or Organize-
tion have agreed in writing in a contract or
agreement to waive such right of recovery, pro-
vided
1. Such written contract or agreement was
a. Made prior to the "accident" or "foss resulting in
the covered "bodily injury" or "property damage
and
b. Was in effect at the time of the covered "bodily
injury" or "Property damage
2. The covered "bodily injury" or ''property damage"
must arise out of the operations Specified in such
written contract or agreement,
CL CA 01 49 02 15 Includes copyrighted material of Insurance Services Page 5 of 5
Office, Inc , with its permission
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CONTRACTOR GENERAL LIABILITY PLATINUM ENDORSEMENT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
A. PROPERTY DAMAGE TO BORROWED EQUIPMENT
1. Paragraph 2.j. of SECTION I • COVERAGES, COVERAGE A BODILY INJURY AND
PROPERTY DAMAGE LIABILITY is amended as follows
Paragraphs (3) and (4) of this exclusion do not apply to tools or equipment loaned to you,
provided they are not being used to perform Operations at the time of less.
2. SECTION III—LIMITS OF INSURANCE is deleted and replaced by the following:
The most we will pay in any one 'occurrence' for'Property damage' to borrowed equipment is
$15,000, This limit of insurance is the most we will pay regardless of the number of
a. Insureds,
Id. Claims made cr`suits" brought; or
c. Persons or organizations making claims or bringing "suits
3. Deductible
a. Our obligation to pay damages on behalf of the insured applies only to the amount of
damages in excess of $250 as applicable to 'property damage" as the result of any one
"occurrence' regardless of the number of persons or Organizations who sustain damages
because of that'occurrence"
b. The terms of this Insurance, Including those with respect to our right and duty to defend the
insured against any 'suits' seekmng those damages, and your duties in the event of an
"occumenr„e%claim, or'suit"apply irrespective of the appfucation of the deductible amount.
c. We may pay any part or all of the deductible amount to effect settlement of any claim or suit
arid, upon noL+fication of the action taken; you shall promptly reimburse us for such part of the
deductible amount as we have paid.
B. CONSTRUCTION PROJECT GENERAL AGGREGATE LIMIT
1. For ali mums which the 'Insured becomes legally obligated to pay as damages caused by
°occurrences" under COVERAGE A (SECTION 1), and for all medical expenses caused by
accidents under COVERAGE IC (SECTION I). which can be alrobuted Only to ongoing Operations
at a single construction pe jacC away from premises owned by or rented to the insured:
a. A Single Construction Project General Aggregate Lirrtit applies to each construction project
away from premises owned by or rented to the insured„ and that limit is equal to the amount
of the Gene4 Aggregate Limit shown in the Deciaratlons-
b. The Single Construction Project General Aggregate Llrnit is the most we will pay for the surn
of all damages under COVERAGE A, except damages because of'bodily injury"or 'property
damage" included In the 'products-completed OperWrons hazard", and for medical expenses
under COVERAGE C regardless of the number of
(1) Insureds,
(2) Claims made or'suits" brought, or
(3) Persons or organizations making claims or bringing "suits'.
c. Any payments made under COVERAGE A for damages or under COVERAGE C for medical
expenses shall reduce the Single Construction Project General Aggregate Limit for that
Construction project away from premises owned by or rented to the insured, Such paytvterr
shall not reduce the General Aggregate Limit shown in the Ueclaratiens nor shall they reduce
any other Single Construction Project General Aggregate Limit for any other separate
construcnon prefect away from premises awned by or rented to the insured
CL CG 00 20 01 12 Includes copyhghted material of Insurance Services Page 1 of 4
Office,Inc with its permission
d. The limits shown in the Declarations for Each Occurrence, Fire Damage and Medical
Expense continue to apply. However instead Of being subject to the Gonerall Agg
regate
gregale
Limit shown in the Declarations, such limits will be subject to the I
Construction Project General Aggregate Limit applicable Single
2. For all sums which the insured becomes legally Obligated to pay as
damages caused by
Occurrences' Linder COVERAGE A (SECTION 1), and for all maclicap expenses caused by
accidents under COVERAGE C (SECTION 1), which Cannot be attributed only to ongoing
operations at a single designated construction project away from premises owned by or rented to
the insured:
a. Any payments made under COVERAGE A for damages or Under COVERAGE C for medical
expenses shall reduce the amount available under the General Aggregate Limit or the
PrOducts-COUntfleted Operations Aggregate Limit, whichever is applicable, and
I Such Payments shall not reduce any Single Construction Project General Aggregate Limit
1 When coverage for liability ansIng out of the "products-completed operations hazard' is provided,
any payments for damages because of "bodily injury' or 'Property damage" included in the
products-completed Operations hazard" will reduce the Products-Completed Operations
Aggregate Limit, and not reduce the General Aggregate Limit or the Single Construction Project
General Aggregate Limit.
4. If the applicable oonstructior project away from prornisas owned by or rented to the insured has
been abandoned, delayed, or abandoned and then restarted, or if the authorized coniti parties deviate from plans, blueprint designs, stiecrificallons Or timetables, the Project will slit be
deerred to,be the same construction project
5. The provisions of Limits Of Insurance (SECTION 111) not otherwise modified by this
endorsement shell continue to apply as stipulated.
C. LIMITED JOB SITE POLLUTION
1. Exclusion f. under Section I—Coverage A is replaced by the following
2. Exclusions
This insurance does not apply to:
f. Pollution
(1) *Bodily ini or "property damage" arising out of the actual, alleged or threatened
discharge, dispersal, seepage, migration, release or escape of"pollutants,,
(a) At or from any premises, site or location on which any insured Or any contractors
or subdontractors working direcVy or indrerity on any Insured's behalf are
performing operations I the operations are to test for, monitor,clean Lip, remove,
contain, treat, detoxify or neutrafize, or irt any Way respond to, or assess the
effects of, "Pollutants";or
(b) At or fromi a storage tank or Other Container, ducts or piping Which is below or
Piansinfly Wow the surface of the ground or water or which, at any time, has been
buried under the surface of the ground or water and then subsequently exposed
by erosion, excavation of any other means rf the actual, allard or threatened discharge, dispersal', seepage, migration, release or escape of pollutants' arises
at or from any premises, site or location which any insured or any contractors or
subcontractors workingdirectly or lodirephy on any insureds behalf are
Performing operations the "Pollutants" are Drought on or to the premises, site or
jociatior in correction with such operal by such insured,
contractor or subcontractor.
Subparagraph (b) does not apply to "bodily injury' or "property damage' arising
out of heat, smoke or fumes from a "hostile fire".
(2) Any loss, cost or expense arising out of any
(a) Request, demand, Omer or statutory or regulatory requirement Issued or made
pursuant to any environmental prolechon or environmental liability statutes or
regulations that any insured test for, monitor, clean UP, remove, contain, treat,
detoxify Of neutralize, or in any way respond to, or assess the effects of,
pollutants';or
CIL CG 00 20 01 12 includes copyrighted material of h-*Ui Services Page 2 of 4
Office, Inc With its Permission
(b) Claim or suit by or on behalf of a gcvernrran l aumonty for damages because of
testing for, rTmorrenng, cleaning tap, removing, containing, treara'ng detomlyrng,or
neutraluxing or in any way responding to or assessing the effects of, "'pollutants"-
However, this ,paragraph does not apply to liability for CPm7se sums the Insured
becomes legally obligated to pay as dainages because of"property damage"that the
Insured would have In the absence of such request, demand, order or statutory or
regulatory requirement, or such claim or "suit" by or on behalf of a govemmeMal
authority.
2. With respect to `bodiiPy Injury' or "property damage" arising out of the actual, alleged or
threatened discharge, dispersal, seepage, migration, release or escape of"pollutants
a. The "Each Occurrence Limit"shown in the Declarations does not apply,
b. Paragraph 7. of Limits Of Insurance(Section III)does not apply.
c. Paragraph 1. of Section III-Limits Of Insurance is replaced by the following
The Limits Of Insurance shown in this endorsernoa7t, or in the Declarations and the rules
below fix the most we will pay regardless of the number of
(1) Insureds,
(2) Claims made or"suits"brought, or
(3) Persons or organizations making claims or bringing "suits"_
d. The following are added to Section III- Limits Of Insurance:
8. Subject to 2. or 3. above,whichever applies, the most we will pay for the sum of:
a. Damages under Coverage A; and
b. Medical expenses under Coverage C
because of "bodily injury' or "property damage" arising out of the actual, alleged or
threatened discharge, dispersal, seepage, migration, release or escape of "pollutants' is
$100,000 aggregate.
9. Subject to B. above,the Medical Expense Limit is the most we will pay under Coverage C
for all medical expenses because of 'bcdly Irjurp" ,sustained by any one ,person ansdng
out of the actual, alleged or threatened discharge, dispersal, seepage, migration, release
or escape of'pollutants'
D. VOLUNTARY PROPERTY DAMAGE
1. The following is added to Section 1 - COVERAGES:
We will pay, at your request for 'property damage" to that part of any property:
a. Which you or any subcontractors working directly or indirectly on your behalf are performing
operations, or
b. That must be restored, repaired or replaced because "your work" was incorrectly performed
on it
This insurance applies only to "property darrage" to Property of others while in your rare,
custody, or control, and arising out of operations away from your insured premises and
incidental to your business
Exclusions j.(3),(4),(5) and (6)do not apply to this coverage.
This insurance does not apply to 'property damage" included within the "explosion hazard",
the "collapse hazard"or the "underground property damage hazard".
2. For the purposes of the coverage provided by D. VOLUNTARY PROPERTY DAMAGE,
SECTION III- LIMITS OF INSURANCE is replaced by the following:
k Limits of Insurance
1. Unless a higher limit Is shown in the Declarations, the most we will pay in any one
"occurrence"for 'property darnage"t nder this endorsement is$15,001
2. Unless a higher limit is shown in the Declarations, the most we will pay for all covered
"oc>ca.urrences" during any one policy period is $75,000 Aggregate Limit of Insurance.
CL CG 00 20 01 12 Includes copyrighted material of Insurance Services Page 3 of 4
Office, Inc with its permission
The Limits of insurance of this endorsement apply separately to each Consecotivp annual
PenOd and to any remaining Period Of less than 12 months, starting with the bogirnfng of the
Policy Period Shown In the Declarations, unless the policy period is extended after issuance
for an additional period Of J088 than 12 months In that case, the additional period vAl be
deemed part'.of the Bast Preceding Period for Purposes of determining the Limits of Insurance
3. Deductible
a. Our obligation to pay damages an behalf of the insured applies Only to the amount OF
damages in excess of $250 as the result of any one 'DoCurrance' regardless of the
number of persons or organizations who Sustain damages because of that.-occurrence'
b. 'the terms of this insurance, Inducing those Win respect to our right and duty to defend
the Insured against any'suits'seeking those barrages, and Your duties in the event ct an
"occurrence", claim, or 'suit" apply irrespective of the aPPhicatran of the deductible
amount
c. We may pay any pal or all of the deductible amount to effect settlement of any claim or
suit and, upon notification of the action taken; you shall Promptly reimburse us for such
part of the deductible amount as we have paid.
4. For the purposes of the coverage provided by D. VOLUNTARY PROPERTY DAMAGE,
SECTION IV—COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows'
a. The following is added to paragraph 2. Duties In The Event Of Occurrence, Offense,
Claim or Suit
lrr the event Of loss covered by this endorsement, the insured shall, if requested by us,
replace the Property or furnish the labor and materials necessary for repairs at actual cost
to the insured, excluding PfrasInOctive Profit or overhead charges of any nature Any
property so Owd for or replaced shall, at our option become our property Any payment
made by us shall not constitute an admission of fiabi�lty by an insured or by us
b. Paragraph 4. Other Insurance is amended as follows
(1) Paragraph 4.a. Primary Insurance is deleted
(2) Subparagraphs (1) and (2) of paragraph 4.b. Excess Insurance are deleted and
replaced with the following:
This insurance is excess over any of the other insurance, whether primary, excess,
contingent or on any other basis,
All other provisions that apply to paragraph 4. Other Insurance contained in the Commercial
General Liability Coverage Form are applicable.
5. For the purposes of the coverage Provided by D. VOLUNTARY PROPERTY DAMAGE, the
following definitions are added to SECTION V— DEFINITIONS:
a. "Collapse hazard' includes 'structural property damage" and any resulting 'property
damage" to any other Property at any time,
b. "Explosion hazard' Includes "Property damage" anSirg out Of biasung or explosion- The
explosion: hazard" does not include 'property damage" arising out of the explosion of air
or steam vessels, piping under Pressure, prime movers, machinery or Power transmitting
equipment.
c. 'Structural property damage" means the collapse of or structural injury to any building or
structure due to,
(1) Grading of land, excavating, borrowing, filling, back-filling, tunneling, pile driving,
cofferdam work or caisson work, or
(2) Moving, shaning, underpinning, raising or demolition of any puriding or structure or
removal or rebuilding of any structural Support of that building or structure.
d. "Underground property damage hazard" includes 'underground property damage" and
any resulting 'property damage'to any other property at any time.
a. *Underground property damage' Mears *property damage" to Winds, conduits, pipes,
mains, sewers, tanks, tunnels, any similar property, and any apparatus used with them
beneath the surface of the ground Of Water, caused by and occurring during the use of
mechanical equipment for the purpose Of grading land, paving, excavating„ drilling,
borrowing, filling, back-filling or pile driving
CIL CG 00 20 01 12 includes copyrighted material of insurance Services Page 4 of 4
Office, Inc with its permission
COMMERCIAL GENERAL LIABILITY
CLCG20710916
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
i
ADDITIONAL INSURED - OWNERS, LESSEES,
CONTRACTORS OR OTHERS - COMPLETED OPERATIONS
- AUTOMATIC STATUS, INCLUDING PRIMARY
NONCONTRIBUTORY
This endorsement modifies insurance provided under the following
COMMERCIAL GENERAL LIABILITY COVERAGE PART
A. SECTION II -WHO IS AN INSURED is amended
to include as an additional insured an the poses of eras endorsement, throughout
Y Person(s) the Policy, the terms "you" and "your' refer to
or organization(s) when you are obligated by the Named Insured shown in the Declarations.
virtue of a written contract or agreement that
such person or organization(s) be added as an B. Exclusions
additional insured to your policy With respect to the insurance afforded to these
Such person(s) or organuaatlon(s) is an additional additional insureds, the following additional
insured only with respect to Iiabilrty for "bodily exclusions apply to "bodily Injury" and "property
injury" or "properly damage" or "personal and damage"arising out of:
advertising injury"caused, in whole or in part by 1. The rendering of or failure to render any
(1) Acts or omissions of the Named Insured, professionalserwcesby you oron your behalf,
or but only with respect to either or both of the
(2) The acts or omissions of those acting on following operations.
behalf of the Named Insured, a. Providing engineering, architectural or
and included in the surveying services to others in your products completed operations hazard" capacity as an engineer, architect or
surveyor, and
This insurance applies only when you are required b. Providing, or hiring independent
to add the additional insured by virtue of a written
contract or agreement, professionals to provide, engineering,
9 provided the contract or architectural or surveying services in
agreement is: y g
connection with construction work you
1. Currently in effect or becomes effective during perform
the term of this policy, and This exclusion applies even if the claims against
2. Was executed prior to the "bodily injury" or any insured allege negligence or other
Property damage" or "personal and wrongdoing in the supervision, hiring,
advertising injury"'- employment, training or monitoring of others by
However that insured, if the "occurrence'"which caused the
"bodily injury°or"property damage", or the offense
a. The insurance afforded to such additional which caused the "personal and advertising
insured only applies to the extent permitted by injury', involved the rendering of, or the failure to
law, and render, any professional architectural, engineering
b. If coverage provided to the additional insured or surveying services
is required by a contract or agreement, the 2. Subject to Paragraph 3" below, professional
insurance afforded to such add'Rional insured services include:
will not be broader than that which you are a. Pre arin a
required by the contract or agreement to p 9 approving, or failingto prepare
or
provide for such additional insured approve, maps, shop drawings,
opinions, reports, surveys, field orders,
change orders, or drawings and
Specifications, and
CL CG 20 71 09 16 Includes copyrighted material of Insurance Services
Office, Inc., with its permission Page 1 of 2
b. Supervisory or „rospection activities 0. Other Insurance
Performed as part of any *aired
architectural or engineering activities For purposes of this endorsement, the Following is
3. Professional services do not include services addedkt thie Se lion IV -Comtiherci l Gener lI Liawithin construction paeans, methods„ condition and supersedes any provision to the
techniques, sequences and procedures contrary
employed by you or performed by or for the
construction manager, its employees or its This insurance is excess of all other insurance
subcontractors in connection with your available to an additional insured whether on a
Ongoing operations primary, excess, contingent or any other basis
But, if required by a written contract or written
C. Limits of Insurance agreement to be primary and noncontributory,this
With respect to the insurance afforded to these insurance will be primary to and will not seek
additional insureds, the following is added to contribution from any insurance on which the
Section Ill -Limits,Of insurances additional insured is a Named insured
If coverage provided to the additional insured is No other coverage or limit in the policy applies to
required by a contract or agreement, the most we loss or damage insured by this coverage.
will pay on behalf Of the additional insured is the
amount of insurance
1. Required by the contract er agreement, or
2. Available under the applicable Limits of
Insurance shown in the Declarations,
whichever is less.
This endorsement shall not increase the
applicable Limits of Insurance shown in the
Declarations
Page 2 of 2 Includes copyrighted material of Insurance Services CL CG 20 71 09 16
Office, Inc , with Is permission
> »w f .
/ m @ )4
� f
I � r
)
\ (
- ) \
) \
~ \ /
{ � }
} / �
0
} ( \
® )
C)F KfiH'usin.. 'Li,ensi qq '.
.401 l'C Box8,i6bo BL—iNESSLICE_NSE NOTICE
„w4. Seattle. WA 98124-5965
1253)M56 5210 For Licensing Period
CustometService@KentWA gov January 1, 2018 - December 3 1, 2018
Late Due January 01, 2018 Amount Due $101.00 Business License No, BLOC-2171028
Check each box as appropriate: New Owner -"-�
) Kent Relocation J Out of Business
BUSINESS NAME - MAILING ,ADDRESS pevise below as needed) LOCATION ADDRESS RF DIFFERENT)
ALL AROUND FENCE COkfpeLNY
PO BOX I l7?9 .4LL AROUND FENCE CO1vtPA,�1'Y
RAVFNSDALF, WA 9R051 14323 16'FH STE
SUATNER, WA 98390
I. Business Phone: 253 863-4895
.._
2. Business Owners: t rLnQwnff.please.heCA the V2v Owus bnr-bOvt'Ih mJthn..Addn -
E' LL etrr letter tt r uh imntioo 1
Name: RONALD & ROCHELLE DAGLEY
Hm Address: 29032 SE 226TH ST _ --
City: MAPLE VALLEY State: WA lip Code: 98038 _
ilm Phone; 253-863-4895 — ---
3. Business and Occupation Tax Is your business registered and filing City of Kent B&O tax? YES. _j NO
Please enter your Estimated Annual Gross Receipts?
BSO tax registration is completed online at"Taxfile.KentWA,GOV".
L More information can be found at"KentWA.00,VIdoltag-bu3inessdcity4axesIB-O-tax
4. Emergency Contacts for Business located in Kent:
253-863-4895
Permit (Iteme24) 11110ARE IN NINO11111 mIIpl Jolla V g MIIB�1'
Tech Fee (Item 1473) Permit#: 2171028
customer(ltem 754) �� ��� '�� Permit ll) 195589
5. Description of Business: FENCE CONTRACTOR
__., ..
6. Employees at Kent Location as of 10/31/2017 Full Time, --
._.. Part Time
7. TRN#: 8. UBI#: 604 100 765
9. SIC Code: 10 NAICS Code: IL Floor Space Used
., Ft
12. Mark if any Of the following are on the premises: F,I Amasement Devices l Gambiin • ❑
._
g ❑ Aa aake�Caharel
I hartby ctrtih that the statements and information htm d 6y me on th 'Pub Tabs,Punch Boards,Card Rwms
1sM�e' xpl,ilieanon arc eruct and;airs le¢to the atst{nlent5 and information furnished b me on this a - P Y1cst of my knowledge l aim p,c`knowledge ihai the
42 V7 2s0 Y ppkiepfron am public records and are evadVable for public inspecdOu putsui nt to Silva!of Waxhingmn RCW
Signature L ?—. .._ Date 2� `��"") Mai] in the enclosed envelope with Check!'
rint Name �,.� Money Order Payable to: CITY OF KENT
,_... Ph .__..
,fob Title - one
Email jl� _ Please make oe ecd {jrm,�a fit" f f r'your records