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HomeMy WebLinkAboutPW18-452 - Original - Univar USA, Inc. - 2019 Water Treatment Chemical Supply - 11/30/2018 ENT 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- 56-5725. ❑ Blue/Motion Sheet Attached 'Pink Sheet Attached Vendor Name: Univar USA Inc. Vendor Number (JDE): Contract Number (City Clerk): H ,. Category ,Contract Agreement Sub-Category (if applicable): ,Other Project Name: 2019 Water Treatment Chemical Supply Contract Execution Date: 10/26/18 Termination Date: 12/31/19 Contract Manager: Tom Cunningham Department: PW: Operations Contract Amount: $115,768.00 Approval Authority: ❑ Director ® Mayor ❑ City Council Other Details: The Vendor shall supDly the Citv of Kent WaterDeoart_ment_with water treatment chemicals (bid items 9, 10 and 12) sodium h . ____.. _ .....__ .... I KENT GOODS & SERVICES AGREEMENT between the City of Kent and Univar USA Inc. THIS AGREEMENT is made by and between the City of Kent, a Washington municipal corporation (hereinafter the "City"), and Univar USA Inc. organized under the laws of the State of Illinois, located and doing business at 8201 S 21211 St. Kent, WA 98032, Phone: (253) 872-5000, Contact: Jennifer Perras (hereinafter the "Vendor"). AGREEMENT I. DESCRIPTION OF WORK. Vendor shall provide the following goods and materials and/or perform the following services for the City: The Vendor shall supply the City of Kent Water Department with water treatment chemicals (bid items 9, 10 and 12) according to the bid proposal submitted October 12, 2018, which Is attached as Exhibit A and incorporated by this reference. Vendor acknowledges and understands that it Is not the City's exclusive provider of these goods, materials, or services and that the City maintains its unqualified right to obtain these goods, materials, and services through other sources. II. TIME OF COMPLETION. Upon the effective date of this Agreement, Vendor shall complete the work and provide all goods, materials, and services by December 31, 2019, III. COMPENSATION. The City shall pay the Vendor an amount not to exceed One Hundred Fifteen Thousand, Seven Hundred and Sixty-Eight Dollars ($115,768.00), including applicable Washington State Sales Tax, for the goods, materials, and services contemplated in this Agreement. The City shall pay the Vendor the following amounts according to the following schedule: Compensation of up to $115,768.00 is based on an estimated annual need. Actual need may vary as follows: Item 9: zero to 96,000 gals. Item 10: zero to 12,000 gals. Item 12: zero to 8,000 gals. Therefore, actual compensation will be between $0 and $115,768.00 and be based on the exact quantity of chemicals ordered by the City. The Vendor shall be paid after submittal of invoice. If the City objects to all or any portion of an invoice, it shall notify Vendor and reserves the option to only pay that portion of the invoice not in dispute. In that event, the parties will Immediately make every effort to settle the disputed portion. GOODS & SERVICES AGREEMENT- 1 (Over$20,000, including WSST) A. Defective or Unauthor(zed Work. The City reserves Its right to withhold payment from Vendor for any defective or unauthorized goods, materials or services. If Vendor is unable, for any reason, to complete any part of this Agreement, the City may obtain the goods, materials or services from other sources, and Vendor 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 Agreement price specified above. The City further reserves its right to deduct these additional costs incurred to complete this Agreement with other sources, from any and all amounts due or to become due the Vendor. B. Final Payment Waiyer of Claims. VENDOR'S ACCEPTANCE OF FINAL PAYMENT SHALL CONSTITUTE A WAIVER OF CLAIMS, EXCEPT THOSE PREVIOUSLY AND PROPERLY MADE AND IDENTIFIED BY VENDOR AS UNSETTLED AT THE TIME REQUEST FOR FINAL PAYMENT IS MADE. 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 Vendor 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 Vendor maintains and pays for its own place of business from which Vendor's services under this Agreement will be performed. C. The Vendor has an established and independent business that is eligible for a business deduction for federal income tax purposes that existed before the City retained Vendor's services, or the Vendor Is engaged In an Independently established trade, occupation, professlon, or business of the same nature as that Involved under this Agreement. D. The Vendor 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 Vendor has registered its business and established an account with the state Department of Revenue and other state agencies as may be required by Vendor's business, and has obtained a Unified Business Identifier (UBI) number from the State of Washington. F„ The Vendor maintains a set of books dedicated to the expenses and earnings of its business. V. TERMINATION. Either party may terminate this Agreement, with or without cause, upon providing the other party thirty (30) days written notice at its address set forth on the signature block of this Agreement. VI. CHANGES. The City may Issue a written amendment for any change In the goods, materials or services to be provided during the performance of this Agreement. If the Vendor determines, for any reason, that an amendment Is necessary, Vendor must submit a written amendment request to the person listed in the notice provision section of this Agreement, section XIV(D), within fourteen (14) calendar days of the date Vendor 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 Vendor'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 Vendor on all equitable adjustments. However, If the parties are unable to agree, the City will determine the equitable adjustment as it deems appropriate. The Vendor shall proceed with the amended work upon receiving either a written amendment from the City or an oral order from the City before actually receiving the written amendment, If the Vendor fails to require an amendment within the time allowed, the Vendor GOODS & SERVICES AGREEMENT - 2 (Over$20,000, Including WSST) waives its right to make any claim or submit subsequent amendment requests for that portion of the contract work, If the Vendor disagrees with the equitable adjustment, the Vendor must complete the amended work; however, the Vendor may elect to protest the adjustment as provided in subsections A.through E of Section VII, Claims, below. The Vendor accepts all requirements of an amendment by: (1) endorsing It, (2) writing a separate acceptance, or (3) not protesting in the way this section provides. An amendment that is accepted by Vendor 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. VII. CLAIMS. If the Vendor disagrees with anything required by an amendment, another written order, or an oral order from the City, including any direction, instruction, interpretation, or determination by the City, the Vendor may file a claim as provided In this section. The Vendor 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 Vendor 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 Vendor unless a timely written claim is made in strict accordance with the applicable provisions of this Agreement. At a minimum, a Vendor'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. ftice of Clam. Provide a signed written notice of claim that provides the following information: 1. The date of the Vendor'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 Vendor is asserting a schedule change or disruption, B. Records. The Vendor 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 Vendor'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. rZ s duty trnn&ete Protest ) t^lark. In spite of any claim, the Vendor shall proceed promptly to provide the goods, materials and services required by the City under this Agreement. D. Failure Protest Conskitutes Waluer. By not protesting as this section provides, the Vendor also waives any additional entitlement and accepts from the City any written or oral order (including directions, Instructions, interpretations, and determination). E. Failure to Follow Pracedu g5 Consgl>gl,tq, _, diver. By failing to follow the procedures of this section, the Vendor completely waives any claims for protested work and accepts from the GOODS & SERVICES AGREEMENT - 3 (Over$20,000, including WSST) City any written or oral order (including directions, instructions, interpretations, and determination). VIII. LIMITATION OF ACTIONS. VENDOR 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 VENDOR'S ABILITY TO FILE THAT SUIT SHALL BE FOREVER BARRED. THIS SECTION FURTHER LIMITS ANY APPLICABLE STATUTORY LIMITATIONS PERIOD. IX. WARRANTY. Vendor warrants that it will faithfully and satisfactorily perform all work provided under this Agreement in accordance with the provisions of this Agreement. In addition to any other warranty provided for at law or herein, this Agreement is additionally subject to all warranty provisions established under the Uniform Commercial Code, Title 62A, Revised Cade of Washington. Vendor warrants goods are merchantable, are fit for the particular purpose for which they were obtained, and will perform in accordance with their specifications and Vendor's representations to City. The Vendor shall promptly correct all defects in workmanship and materials: (1) when Vendor knows or should have known of the defect, or (2) upon Vendor's receipt of notification from the City of the existence or discovery of the defect. In the event any part of the goods are repaired, 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 Vendor shall begin to correct any defects within seven (7) calendar days of its receipt of notice from the City of the defect. If the Vendor does not accomplish the corrections within a reasonable time as determined by the City, the City may complete the corrections and the Vendor shall pay all costs Incurred by the City In order to accomplish the correction. X. DISCRIMINATION. In the hiring of employees for the performance of work under this Agreement or any sub-contract, the Vendor, Its sub-contractors, or any person acting on behalf of the Vendor 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. Vendor 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. XI. INDEMNIFICATION. Vendor 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 Vendor'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 Vendor's work when completed shall not be grounds to avoid any of these covenants of indemnification. IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THE INDEMNIFICATION PROVIDED HEREIN CONSTITUTES THE VENDOR'S WAIVER OF IMMUNITY UNDER ZNpUSTRIAL INSURANC6, TITLE 51 RCW, SOLELY FOR THE PURPOSES OF THIS INDEMNIFICATION. THE PARTIES FURTHER ACKNOWLEDGE THAT THEY HAVE MUTUALLY NEGOTIATED THIS WAIVER. In the event Vendor 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 Vendor's part, then Vendor 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 Vendor's part. The provisions of this section shall survive the expiration or termination of this Agreement. XII. INSURANCE. The Vendor 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. GOODS & SERVICES AGREEMENT - 4 (Over$20,000, including WSST) XIII. WORK PERFORMED AT VENDOR'S RISK. Vendor shall take all necessary precautions and shall be responsible for the safety of its employees, agents, and subcontractors In the performance of the contract work and shall utilize all protection necessary for that purpose. All work shall be done at Vendor's own risk, and Vendor 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. XIV. MISCELLANEOUS PROVISIONS. A. Recyclable Materials. Pursuant to Chapter 3.80 of the Kent City Code, the City requires its contractors and consultants to use recycled and recyclable products whenever practicable. A price preference may be available for any designated recycled product. B. er 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. Re olution of Disputes and Governing Law, This Agreement shall be governed by and construed in accordance with the laws of the State of Washington. If the parties are unable to settle any dispute, difference or claim arising from the parties' performance of this Agreement, the exclusive means of resolving that dispute, difference or claim, shall only be by filing suit exclusively under the venue, rules and jurisdiction of the King County Superior Court, King County, Washington, unless the parties agree in writing to an alternative dispute resolution process. In any claim or lawsuit for damages arising from the parties' performance of this Agreement, each party shall pay all its legal costs and attorney's fees Incurred in defending or bringing such claim or lawsuit, including all appeals, in addition to any other recovery or award provided by law; provided, however, nothing In this paragraph shall be construed to limit the City's right to indemnification under Section XI of this Agreement. D. _tip, Notice. All communications regarding this Agreement shall be sent to the parties at the addresses listed on the signature page of the Agreement, unless notified to the contrary. Any written notice hereunder shall become effective three (3) business days after the date of mailing by registered or certified mail, and shall be deemed sufficiently given if sent to the addressee at the address stated in this Agreement or such other address as may be hereafter specified in writing. E. AssignMent. Any assignment of this Agreement by either party without the written consent of the non-assigning party shall be void. If the non-assigning party gives its consent to any assignment, the terms of this Agreement shall continue In full force and effect and no further assignment shall be made without additional written consent. F. M9dYLqdLiQn. 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 Vendor. G. Entire Agreament• The written provisions and terms of this Agreement, together with any Exhibits attached hereto, shall supersede all prior verbal statements of any officer or other representative of the City, and such statements shall not be effective or be construed as entering Into or forming a part of or altering in any manner this Agreement. All of the above documents are hereby made a part of this Agreement. However, should any language in any of the Exhibits to this Agreement conflict with any language contained In this Agreement, the terms of this Agreement shall prevail. H. Compliance with LgIws. The Vendor agrees to comply with all federal, state, and municipal laws, rules, and regulations that are now effective or In the future become applicable to Vendor's business, equipment, and personnel engaged in operations covered by this Agreement or accruing out of the performance of those operations. I. Nhic Re m. The Vendor 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 Vendor In its performance of this Agreement may be GOODS & SERVICES AGREEMENT- 5 (Over$20,000, including WSST) subject to public review and disclosure, even if those records are not produced to or possessed by the City of Kent. As such, the Vendor agrees to cooperate fully with the City in satisfying the City's duties and obligations under the Public Records Act, J. 6uSine l ioense 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. f ounteroarts and SionatureG by fax gr 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. VENDOR: CITY OF KENT: y By: AcvL� s ( i ✓ furs)` (signature) Print Name[ ekk-e-ll4", • v-1 Print Name: Dana Ral)h Its l 0^ .wl �y Its, Mavor (hOeJ 1 DATE: f p - a v - e {z DATE: l — NOTICES TO BE SENT TO: NOTICES TO BE SENT TO: VENDOR: CITY OF KENT: Jennifer Perras Timothy J. LaPorte, P.E. Univar USA Inc. City of Kent 8201 S 2121h St. 220 Fourth Avenue South Kent, WA 98032 Kent, WA 98032 (253) 872-5000 (telephone) (253) 856-5500 (telephone) (253) 572-5041 (facsimile) (253) 856-6500 (facsimile) /APPROVED AS TO FORM: Kent Law Department ATTEST: Kent City Clerk - GOODS &SERVICES AGREEMENT - 6 (Over$20,000, including WSST) 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. S. 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. For: Title: / � gry✓ - Date: EEO COMPLIANCE DOCUMENTS - 1 of 3 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 of 3 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 �. 4 dh tUw elk w 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 7 _C:X_b%k;gz _ (date), between the firm I represent and the City of Kent„ CCCAA0U e_ 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. ByF For: _ („ Title: Date: `®�Z�a!` EEO COMPLIANCE DOCUMENTS - 3 of 3 EXHIBIT A WATER TREATMENT CHEMICAL SUPPLY FOR 2p19 PROPOSALFORM The undersigned hereby proposes to provide all equipment, labor, materials and supplies to perform the service as specified in this contract (see Special Provisions 1.4 & 1.6) for the following fees: Bidder's Name: Univar USA Inc. IternmmmEstlmated Description Bld Unit Total Annual Unit Prices Usaoe 9 96,000 25% Sodlum Hydroxide in $ gg8 $ 95,808.00 GALS* 4,ODO Gal, Deliverles BULK GAL. FOB Pump Statlon *5 Total $ 95,808.00 *EsLlmated annual need is 96,000 Gals. Actual need may vary. Univar USA Inc. __.... _a_n—y—S....m.__._..�___-.�_...._._. _ ... _ - Company Submitting Proposal Note: Contractor must submit a firm proposal for the contract term(s), WATER TREATMENT CHEMICAL SUPPLY FOR 2019 PROPOSALFORM The undersigned hereby proposes to provide all equipment, labor, materials and supplies to perform the service as specified in this contract (see Special Provisions 1A & 1.6) for the following fees: Bidder's Name: Univar USA Inc. Item 6A—mated Description Bid 4nit Total nnualUnit Prices Usage 10 12,000 25% Sodium Hydroxide in $.998 $ 11,976.00 GALS" 4,000 Gal. Deliveries BULK GAL. FOB East HIII Well Total $ 11,976.00 *Estimated annual need is 12,000 Gals. Actual need may vary. Univar USA Inc. Company Submitting Proposal Auth rued Note: Contractor must submit a firm proposel for the contact teriti{s). WATER TREATMENT CHEMICAL SUPPLY FOR 2019 PROPOSALFORM The undersigned hereby proposes to provide all equipment, labor, materials and supplies to perform the service as specified in this contract (see Special provisions 1.4 & 1.6) for the following fees: Bidder's Name: Univar USA Inc. 'Item Estimated Description 131d llnit Total Annual Unit Prices 12 8,000 25% Sodium Hydroxide in GALS* 4,000 Gal, Deliveries BULK GAL. $ •898 7,984.00 FOB Gulberson Corrosion Facility Total $ 7.984.00 *Estimated annual need is 8,000 Gals. Actual need may vary. Univar USA Inc�� EXHIBIT B INSURANCE REQUIREMENTS FOR SERVICE CONTRACTS 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. Autonnobilp Liability insurance covering all owned, non-owned, hired and leased vehicles. Coverage shall be written on Insurance Services Office (ISO) form CA 00 01 or a substitute form providing equivalent liability coverage. If necessary, the policy shall be endorsed to provide contractual liability coverage. 2. Commercial General Liability insurance shall be written on ISO occurrence form CG 00 01 and shall cover liability arising from premises, operations, independent contractors, products-completed operations, personal injury and advertising injury, and liability assumed under an insured contract. The Commercial General Liability insurance shall be endorsed to provide the Aggregate Per Project Endorsement ISO form CG 25 03 it 85. 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. 3. 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. EX1IBIT B (continued) C. Other Insurance Provisions The insurance policies are to contain, or be endorsed to contain, the following provisions for Automobile Liability and Commercial General Liability insurance: 1. The 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. 3. The City of Kent shall be named as an additional insured on all policies (except Professional Liability) as respects work performed by or on behalf of the contractor and a copy of the endorsement naming the City as additional insured shall be attached to the Certificate of Insurance. The City reserves the right to receive a certified copy of all required insurance policies. The Contractor's Commercial General Liability insurance shall also contain a clause stating that coverage shall apply separately to each insured against whom claim is made or suit is brought, except with respects to the limits of the insurer's liability. D. Acceptability of Insurers Insurance is to be placed with insurers with a current A.M. Best rating of not less than A:VII. E. Verification of Coverage Contractor shall furnish the City with original certificates and a copy of the emendatory endorsements, including but not necessarily limited to the additional insured endorsement, evidencing the insurance requirements of the Contractor before commencement of the work. F. Subcontractors 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. CERTIFICATE OF LIABILITY INSURANCE DATEIM13112013YYMIDDYY) 05 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMP RAN :If the certificate holder is Be ADDITIONAL NAL NS .RED,Be pO cyC asp must have ADDITIONAL INSURED provisions or be endoread.[ m SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not Confer rights to the certificate holder in lieu of such andorssmenl(s), g m PRODUCER CdktlTEACT TO AOn Risk services Central, Inc. MIT m ......- ___ _ Philadelphia PA Office 1Alo,rye„Ee D, 283 7122 1ASS AS1, 800 363-0305 v One Liberty Place EMAIL (866) v 1650 market street ADDRESS, D suite 1000 Philadelphia PA 19103 USA INSURERISI AFFORDING COVERAGE NAICA INSURED INSURERA: ACE American Insurance Company 22667 UNIVAR USA INC L.... -__�_ 1..3075 Hig9hland Parkway INSURER e: Indemnity Insurance Co of North America 20702 'Suite 200 INSURER C: ACE Fire Underwriters Insurance Co, 20702 Downers Grove IL 60515 USA ''.INSURER D. Illinois Union insurance Company 27960 .......... INSURER F. .-_.._-- —............. ... INSURER IF COVERAGES CERTIFICATE NUMBER:570071445799 REVISION NUMBER: T141S IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDINOANY REOUIREMENT'.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT"TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN iS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limps shown are as requested LIPS TYPE OF INSURANCE ru pOLIGY NUMBER '' ID LIMITS X COMMERCWLGENERAL� RY LABIL X LMIN M EACH OCCURRENCE $3,000,000 cLAIMs-saoB OCCUR SIR applies per policy terns 8, conch ions S1,000,000 PREMIBFa lFq ryo,vnnenl -- MED E%P(Apy one FRraem EACIUded ._ PERSONPLdgDVINJURY S3,000,000 m. . AC _ CBH V,PoGGR&IG-A-T-Ey LIMITAPPOES PER GENERALAOOREGATE 53,000,000 < X POLICY []ALL PROA �LOC PRODUCTS-COMPIOPAGG S3,000,000 p OTHER: L ......._. ........ o O A N AUTOMOBILE LIABILITY ISAH25158295 /01/2018'06/01/2019 COMBINED SINGLE LIMIT 55,000,000 commercial Auto IFv v.�in.nn % ANY AUTO BOpILY INJURY(Per penen7 m O OWNED AUTOS ON LYPSCHQUULED AUTOS XI RED AUTOSNON-OWNED PflOPERTY GRMgGE U ...._ ONLY AUTOS ONLY IPer ecaitlenll n A UMBRELLA LIAR % OCCUR XCEG 5 005 0 0 L 0 1 2019 EACH OCCURRENCE $4,0 0,000 U EXCESSLWB M CLAIM&MADE SIR applies per policy teris & condl .Ions AOGREGATE $4,000,006 A RETF.NTIVN . B WORSe KlI OMPENSATIONAND WI.RC 47 7 101M Ub/011ZO19 EMPLOYERS'LIABILITY YIN (ADS) X I SiATNTE O.N A ANY PROPRIETORIPARTNERl EAECUTNE C�N $1,000,000 OFHCEPIMEMBER EXLLVDEDT L.a NIA WLRC64787378 06/01/2018.06/01/2019 E LEACH accIDENT IMantlelary In NH) (AZ, MA) E.L.DIS EASE EA EMPLOYEE $1,000,000 "ESe devaN un' OCRgaOF OPERATIONS bebw. E,L.DISEASE-POLICY LIMIT S1,000,UUU_ DESCRIPTION OF OPERATIONS l LOCATIONS?VEHICLES IACOIRO iDt.Addibunal Remvioi SONrdole,ray be blurred It mom space IS required) RE: Delivery of Water treatment ChEr Cals, Location: All ship to locations in the Bid. City of Kent is included as Additional Insured in accordance with the policy provisions of the General Liability and Automobile Liability polities. The Insured is self-insured for physical damage to their vehicles. A Waiver of subrogattOn is granted in Favor of Certi ft Cate .Holder in accordance with the policy provisions of the General Liability, Automobile Liability and workers' Compensation policies. +,, rlk CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 10 EXPIRATION DATE THEREOF, NOTICE HALL BE DELIVERED IN ACCORDANCE MATH THE POLICY PROVISIONS. City of Kent AUTHORIZED REPRESENTATIVEAttn: Sean Bauer p. Z20 4th Ave. S. ,T1J Kent WA 98032 USA Qgrw ©1986-2016 ACORD CORPORATION.All rights reserved. ACORD 26(20161 The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000014538 LOG#: -- ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMED INSURES Aon Risk services central , Inc, UNIVAR USA INC POLICY NUMBER see certificate Number. 570071445799 CARRIER I NAIC CODE See Certificate Number: S700 7144 5 799 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS ASCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S)AFFORDING COVERAGE NAIC# INSURER INSURER INSURER INSURER ADDITIONAL. POLICIES If a policy below does not include limit information,refer to the corresponding policy on the ACORD certificate form for policy limits. POLICY POLICY INSR. TYPE OFINSIIRANCE AN SUER POLICY EFFECTIVE EXPIRATION LIMITS ITIt INSD '..Wbb DATE DATE ARM1N4$NT VVW riu NirpD,rvyvvt AUTOMOBILE LIABILITY A MMTN251E8283 08J01 2018 06 O1 2019 combined ES,OOD,000.. Truckers Liability Single Lim1 WORKERS COMPENSATION A NIA wcuc154787494 06/01/2018 Ob/01/2019 (CA, ON, OR, WA) 5IR applies per policy to ms 8, conditions C N/A SCFC64787457 0 O' 01 06/0I/2019 '.. (WI) ACORD 101(2008101) ®2008 AFORE)CORPORATION.All rlghle reserved, The ACORN name and logo are regislsred marks of ACORD c 1 ADDITIONAL INSURED— OWNERS, LESSEES OR CONTRACTORS—SCHEDULED PERSON OR ORGANIZATION Named Insured Endorsement Numear Univar Inc, 15 w___ _-- ' Polley Symhol Policy Numher Pallcy Period IwPPecPvw p.Mlm of Endnraamnnl'� XSL G71094637 06101/2018 to 0 610 112 01 9 Issued 6y(Name of Insurance Company) ACE American Insurance Company ennort llav pnRlyyY aumlear,'rrye ranYalrttlev MlO Gra lnldYm0llmin aTO Go momp4allod only Wbon A'nOe en QD3aaMmml tle 9amao time&mquar¢tl 4q ltlm pYapatelbn df lfle pAR'Imy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This Endorsement modifies insurance provided under the following: EXCESS COMMERCIAL GENERAL LIABILITY POLICY SCHEDULE Name Of Additional Insured Person(s) Or Organizatlon(s): Location(s)Of Covered Operations Any Owner, Lessee or Contractor whom you have agreed All locations where you are performing ongoing to Include as an additional insured under a written contract, operations for such additional Insured pursuant to provided such contract was executed prior to the date of any such written contract. loss. Information required to complete this Schedule. if not shown above,will be shown In the Declarations. A. Section II —Who Is An Insured Is amended to Include as an additional insured the person(s) or organiza- tions) shown In the Schedule, but only with respect to liability for "bodily injury', "property damage" or "personal and adverllsing Injury"caused, In whale or In part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insurad(s) at the location(s) designated above. However: 1. The insurance afforded to such additional Insured only applies to the extent permitted by law; and 2. If coverage provided to the additional Insured Is required by a contract or agreement, the Insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional Insured. B. With respect to the insurance afforded to these additional Insureds,the following additional exclusions apply: This insurance does not apply to"bodily injury"or"property damage"occurring after: 1. All work, including materlals, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs)to be performed by or on behalf of the additional Insured(s)at the location of the covered operations has been completed; or XS-21168a(04113) Copyright,Insurance Services Office,Inc., 2012 Page 1 of 2 2. That portion of "your work" out of which the injury or damage arises has been put to Its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional Insureds, the following is added to Section III — Limits Of Insurance And Retained Limit: If coverage provided to the additional insured Is required by a contract or agreement, the most we will pay on behalf of the'additional Insured Is the amount of insurance: 1. Required by the contract or 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. Authorized Representative XS-21168a(04/13) Copydght,Insurance Services Office,Inc., 2012 page 2 of 2 1 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Na+maid Pns+ranr! Endaeenm+sn9.h'imniEwe"�' Univar Inc. 54 t'u@ay symbol P'o34a;y Number prAl�cy p'adud FI1eclMa oaton Erodan8re+nrerd X1 G71094637 06/01/2018 to 06/01/2019 .®.� _ .. �iatbustl C3y QNurma uP Yrwaur q;m Gampaayd ACE American Insurance Company Insp I+�jiuldcry re+drmGmr,'�nrnmmimdor aP aha lmMcna�aCsort�s 4a tree evmp pXroplrotV o`n�p wt�on 9lnln ontla.eanaannp Aaar+oa9 a++bsa<luanl lro lha 6rmgraru(dran afi�n µnlicry, THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: EXCESS COMMERCIAL GENERAL LIABILITY POLICY SCHEDULE Name of Person or Organization: Any person or organization against whom you have agreed to waive your right of recovery in a written contract, provided such contract was executed prior to the date of loss. We waive any right of recovery we may have against the person or organization shown In the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and Included in the 'products-completed operations hazard". This waiver applies only to the person or organization shown In the Schedule above. Authorized Agent XS-6W34(09/95)Ptd.in U.S.A. Page 1 of 1 SIGNATURES Named Insured Unlvar Inc. Endmsemord Number 3 Policy Symbol Policy Number Policy Pedatl EffeClve Date of Endorsement XSL G71094637 06/01/2018 TO 0610112019 Issued BY(Name of Insurance Company) ACE American Insurance Company ...--- _. ............................ .m.__ ..m___.._._..._.._._.e.__._.._�.. Insert the policy number.The remainder of the Inlormallon Is to be completed only when lhls endorsement Is Issued subsequent to the preparetlon of the policy. THE ONLY SIGNATURES APPLICABLE TO THIS POLICY ARE THOSE REPRESENTING THE COMPANY NAMED ON THE FIRST PAGE OF THE DECLARATIONS. By signing and delivering the policy to you,we state that it is a valid contract. INDEMNITY INSURANCE COMPANY OF NORTH AMERICA(A stock company) BANKERS STANDARD FIRE AND MARINE COMPANY(A stock company) BANKERS STANDARD INSURANCE COMPANY(A stack company) ACE AMERICAN INSURANCE COMPANY(A stock company) ACE PROPERTY AND CASUALTY INSURANCE COMPANY(A stock company) INSURANCE COMPANY OF NORTH AMERICA(A stock company) PACIFIC EMPLOYERS INSURANCE COMPANY(A stock company) ACE FIRE UNDERWRITERS INSURANCE COMPANY(A stock company) WESTCHESTER FIRE INSURANCE COMPANY(A stock company) 436 Walnut Street, P.O. Box 1000, Philadelphia, Pennsylvania 19106-3703 R LCOLLINS,Secretary 9XJ00N J. LUPiCA Preside® Authorized Representative Chubb. Insured" CC-11(11h(Ol14) Page 1 of 1 1 NON-CONTRIBUTORY ENDORSEMENT FOR ADDITIONAL INSUREDS Nemetl lnsure0 CntlorsemeallWmber ... Univar Inc. 36 Palley Symbol Palley Number Polley Peaod I(ectNe[rate or Eneomement XSL G71094637 06/01/2018 to 06/01/2019 159usa By IName of Insurance company ACE American Insurance Company IaugarR Ilse pa4lcy nunohnr.TnTeee rbmalndmr of ino IeiYo[mewaun�§to dye enmpdntea any when th19 andarsamsnti ra IasuarN sudaequanl to me preparation of the Poky. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: EXCESS COMMERCIAL GENERAL LIABILITY POLICY -schg QL%2nizatlon Additional Insured Endorsement Any additional insured with whom you have agreed to provide such non- contributory insurance, pursuant to and as required under a written contract executed prior to the date of loss. (If no information is filled in, the schedule shall read:'Ali persons or entities added as additional Insureds through an endorsement with the term Additional Insured"in the title) For organizations that are listed in the Schedule above that are also an Additional Insured under an endorsement attached to this policy, the following Is added to Section IVA: If other Insurance is available to an insured we cover under any of the endorsements listed or described above (the "Additional Insured") for a loss we cover under this policy, this Insurance will apply to such loss and is primary (subject to satisfaction of the"retained limit'), meaning that we will not seek contribution from the other Insurance available to the Additional insured. Your"retained limit"still applies to such loss, and we will only pay the Additional Insured for the"ultimate net loss"in excess of the"retained limit"shown In the Declaratlons of this policy. Authorized Representative XS-20288a(06/14) ©Chubb.2016.All rights reserved. Page 1 of 1 NOTICE TO OTHERS ENDORSEMENT— SCHEDULE Named laaurred— ❑IVar nC. Entlorsament N umber 39 Policy Symbol Policy Num e_r poilu:y Pedud .�.. v Effective Date of EndprSftnlentl XSL G71094637 06/0112018 To 06/01/2019 Issued By(Name of Insurance Company) .ACE American Insurance Company lnearttrio no mmamlaear.Tho rat@wTorof Ilia lnfarmml I&to uo coioplal'gd orriyw'bonlnlagmdorsgmp[""ii 18 faspq7d'wiibe.quontlothaprapera,tiona(die Policy �M THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, A. If we cancel the Policy prior to its expiration date by notice to you or the first Named insured for any reason other than nonpayment of premium, we will endeavor, as set out below,to send written notice of cancellation,via such electronic or other form of notification as we determine, to the persons or organizations listed In the schedule that you or your representative provide or have provided to us (the "Schedule"). You OF your representative must provide us with the physical nand/or e-mail address of catch persons or organizations, and we will utilize such e-mail address or physical address that,you or your representative provided to us on such Schedule. B. The Schedule must be initially provided to us within 15 days after: I. The beginning of the Policy period, If this endorsement is effective as of such date;or II. This endorsement has been added to the Policy, if this endorsement Is effective after the Policy period commences. C. The Schedule must be In an electronic format that Is acceptable to us;and must be accurate. D. Our delivery of the notification as described In Paragraph A. of this endorsement will be based on the most recent Schedule In our records as of the date the notice of cancellation is mailed or delivered to the first Named Insured. E. We will endeavor to send or deliver such notice to the e-mail address or physical address corresponding to each person or organization Indicated in the Schedule at least 30 days prior to the cancellation date applicable to the Policy. F. The notice referenced In this endorsement is intended only to be a courtesy notification to the persons) or organization(s) named in the Schedule in the event of a pending cancellation of coverage. We have no legal obligation of any hind to any such person(s) or organizafion(s). Our failure to provide advance notification of cancellation to the persons) or organkzatlon(s) shown In the Schedule shall Impose no obligation or Ifablllty of any kind upon Lrs„ our agents all representatives, will not extend. any Policy cancellation date and will not negate any cancellation of the Policy. G. We are not responsible for verifying. any Wormallon provided to us in any Schedule, nor are we responsible for any Incorrect information that you or your representative provide to us. If you or your representative does not provide us with a Schedule,we have no responsibility For taking any action under this endorsement. In addition, if neither you nor your representative provides us with a-mall and physical address information with respect to a particular person or organization, then we shall have no responsibility for taking aci with regard to such person or entity under this endorsement. H. We may arrange with your representative to send such notice in the event of any such cancellation. I. You will cooperate with us In providing the Schedule, or In causing your representative to provide the Schedule. J. This endorsement does not apply in the event that you cancel the Policy, ALL-32667(05/11) Page 1 of All other terms and conditions of the Policy remain unchanged. Authorized Representative ALL-32667(05111) Page 2 of 2 1 ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION Named Insured Endorsemanl Number Univar Inc. 5 Palley Symbol Pdlcy Number Palley Pedo E RauLLve 11",;$irt pr XSL G710g4637 06/01/2018 to 06/01/2019 Issued By(Name of Insurance Company) ACE American Insurance Company �rucard lies µuGicy number,The ra�melndam o Idtp pnrafrmallafu Is td b¢uampvnlad aao8y wYian IXrIN adddrsea,oml fn Isauad au�xmduunl tld lino praUara4Wn ni dria pcllry. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: EXCESS COMMERCIAL GENERAL LIABILITY POLICY SCHEDULE Name of Person or Organization: Any person or organization whom you have agreed to include as an additional insured under a written contract, provided such contract was executed prior to the data of loss. A. Section II — Who Is An Insured is amended to Include as an additional insured the person(s) or organization(s) shown in the Schedule„ but only with respect to liability for "bodily injury", "property damage"or"personal and advertising Injury"caused, In whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations;or 2. In connection with your premises owned by or rented to you. However: 1. The insurance afforded to such additional Insured only applies to the extent permitted by law; and 2. If coverage provided to the additional Insured Is required by a contract or agreement, the insurance afforded to such additional Insured will not be broader than that which you are required by the contract or agreement to provide for such additional Insured. B. With respect to the Insurance afforded to these additional insureds,the following is added to Section III— Llmlts Of Insurance And Retained Limit; If coverage provided to the additional Insured is required by a contract or agreement, the most we will pay on behalf of the additional Insured Is the amount of Insurance: 1. Required by the contract or 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. Authorized Representative XS-0W25b(04/13) Includes copyrighted material of Insurance Services Office, Inc.,with Its permission. Page 1 of 1 CONTRACTUAL LIABILITY COVERAGE Named InsurednlvarInc. Endw menl Number U 5 Policy Symbol Pollcy Number � Pollcy Period 'Effective Date of E��—ndorsement ISA H25158295 �06/01/201a To 0 6/0112 01 9 Issued By(Name of Insurance Company) ACE American Insurance Company Insan pia iwllcy number.the reanalna#er or Vie Rntarmellan Is to be oanrpbblaW nnCy wYaun 16eis erudwaenaenl In Issueii ueubsev]uenl.k1 prat grepamilon oP IY+a pui9Gp. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This Endorsement modifies Insurance provided under the following: Business Auto Coverage Form It Is agreed, Section II—Liability Coverage, Exclusion B. 2., Contractual, Is deleted in Its entirety, All other terms and conditions remain unchanged. Authorized Agent DA-21916(03107)Ptd. In U.S.A. Page 1 of 1 1 ADDITIONAL INSURED— DESIGNATED PERSONS OR ORGANIZATIONS Named Insured Unlvar Inc. Endorsement Number 4 s A By(Name fil5158 ceeCompeny) Policy Period � - Effective Dale of Endorsement ISA H25158295 06/01/2018 TO 06/01/2019 ACE American Insurance Company Insert the PMlcy number.The mmalndor of kho irdnnnailon da b bo q"plolod only when Ihls ondorsomoni 4 baued subaequaM W thn rreaparatlan ad 9hn paYicy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM AUTO DEALERS COVERAGE FORM MOTOR CARRIER COVERAGE FORM EXCESS BUSINESS AUTO COVERAGE FORM Additional Insured(s): An arson or organization whom you ha. e a ra d to Include e as an ad Itl pri i Iragred under a written contract provided such contract was exBoute rdar to the data of loss. A. For a covered "auto,"Who Is Insured Is amended to include as an"insured,"the persons or organizations named In this endorsement. However,these persons or organizations are an"Insured"only for"bodily injury"or"property damage"resulting from acts or omissions of: 1. You. 2. Any of your"employees"or agents. 3. Any person operating a covered"auto"with permission from you,any of your"employees"or agents. B. The persons or organizations named In this endorsement are not liable for payment of your premium. Authorized Representative DA-91J74c(03/16) Page 1 of 1 i 1 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS Named Insured Unlvar Inc. Endorsement Number 23 Policy Symbol Policy Number _ Policy Period Effective Date of Endorsement ISA IH25156295 06/0V2018 To 06/01/2019 Issued by(Name at Insurance Company ACE American Insurance Company Inaau4 EhYt Ihy numLvr.'tt,n ramninder rot4htn CniannaAnm a{b p rvamptn4e+donfy vu:� endorseroeat do issued aub®squsnf to the prepafation of the Wucy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This Endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIERS COVERAGE FORM AUTO DEALERS COVERAGE FORM We waive any right of recovery we may have against the person or organization shown In the Schedule below because of payments we make for Injury or damage arising out of the use of a covered auto. The waiver applies only to the person or organization shown In the SCHEDULE. SCHEDULE Any person or organization against whom you have agreed to waive your right of recovery In a written contract, provided such contract was executed prior to the date of loss. Authorized Representative DA-13115a(06/14) page 1 of 1 f I SIGNATURES Named Insured UmVar Inc. Endorsement Number 3 Policy Symbol Policy Number Policy Period Effective Data of Endorsement SA 'H25158295 06/01/2018 To 06/01/2019 Issued By(Name of Insurance ACE American American Insurance Company Insert the policy number.The remainder ufthe Informellon[Ito be completed only when this endorsement Is Issued subsequent to the preperellon of the Polley. THE ONLY SIGNATURES APPLICABLE TO THIS POLICY ARE THOSE REPRESENTING THE COMPANY NAMED ON THE FIRST PAGE OF THE DECLARATIONS. By signing and dellvering the policy to you,we state that It is a valid contract. INDEMNITY INSURANCE COMPANY OF NORTH AMERICA(A stock company) BANKERS STANDARD FIRE AND MARINE COMPANY(A stock company) BANKERS STANDARD INSURANCE COMPANY(A stock company) ACE AMERICAN INSURANCE COMPANY(A stock company) ACE PROPERTY AND CASUALTY INSURANCE COMPANY(A stock company) INSURANCE COMPANY OF NORTH AMERICA(A stock company) PACIFIC EMPLOYERS INSURANCE COMPANY(A stock company) ACE FIRE UNDERWRITERS INSURANCE COMPANY(A stock company) WESTCHESTER FIRE INSURANCE COMPANY(A stock company) 436 Walnut Street, P.O, Box 1000, Philadelphia, Pennsylvania 19106-3703 R COLLINS,5ecrettar 53JOHN J. LUPICR Prealden Authorized Representative Chubb. Insured" CC-1 K11 h(03114) Page 1 of 1 1 NON-CONTRIBUTORY ENDORSEMENT FOR ADDITIONAL INSUREDS Named lnsured univar Inc. Endorsement Number 13 Policy Symbol Policy Numbsr W......YW Policy Period .m Effective Date of Endorsement ISA 1-125156295 06/01/2016 ro 0610112019 Issued by(Name of Insurance Company) .-.... ACE American Insurance Company lnssdlhn pniky fN,oim6mrt,IfMa xemolnder ul thing 1n1�mBllorr pg W bo-compleoed only wIW INS and[fa'Senwel4t Is Jssupd geb3equun9 @)the preporatlon ol the lautk,,y. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM AUTO DEALERS COVERAGE FORM Schedule Oroanlzation Ad�ditlonal Insured Endorsement Any additional Insured with whom you have agreed to provide such non-contributory insurance,pursuant to and as required under a written contract executed prior to the date of loss. (If no information is Riled in, the schedule shall read:All persons or entitles added as additional insureds through an endorsement with the term Addiftrral Insured"In the title) For organizations that are listed In the Schedule above that are also an Additional Insured under an endorsement attached to this policy, the following is added to the Other Insurance Condition under General Conditions: If other insurance is avallable to an insured we cover under any of the endorsements listed or described above (the "Additional Insured")for a loss we cover under this policy, this insurance will apply to such loss on a primary basis and we will not seek contribution from the other insurance available to the Additional Insured. Authorized Representative DA-21666b(06/14) Page 1 of 1 Workers'Compensation and Employers'Liability Policy UNIVAR INC. 3075 HIGHLAND PARKWAY SUITE#200 DOWNERS GROVE IL 60515 _2y_Tbot WIA Number.C64787330 F6 Flod—__ Effective Onto of iffn—do—raornani 06-01-2018 TO 06-01-2019 06-01-2018 Issued By(Name of_Imron"Corrp.cy)_____--- INDEMNITY INS, CO,OF NORTH AmErzOA WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us. This agreement shall not operate directly or indirectly to benefit any one not named in the Schedule. Schedule ANY PERSON OR ORGANIZATION AGAINST WHOM YOU HAVE AGREED TO WAIVE YOUR RIGHT OF RECOVERY IN A WRITTEN CONTRACT, PROVIDED SUCH CONTRACT WAS EXECUTED PRIOR TO THE DATE OF LOSS , For the states of CA, UT, TX, refer to state specif c endorsements. This endorsement IS not applicable in KY, Ni and NJ. The endorsement does not apply to policies in Missouri where the employer is in the construction group of code classifications. According to Section 287.150(6)of the Missouri statutes, a contractual provision purporting to waive subrogation rights against public policy and void where one party to the contract is an employer In the construction group of code classifications. For Kansas, use of this endorsement Is limited by the Kansas Fairness In Private Construction Contract Act(K,S.A.. 16-1801 through 16-1807 and any amendments thereto) and the Kansas Fairness in Public Construction Contract Act(K.S.A 16-1901 through 16-1908 and any amendments thereto). According to the Acts a provision in a contract for private or public construction purporting to waive subrogation rights for losses or claims covered or paid by liability or workers compensation Insurance shall be against public policy and shall be void and unenforceable except that, subject to the Acts, a contract may require waiver of subrogation for losses or claims paid by a consolidated or wrap-up Insurance program. 5� Authorized Reii WC 00 03_13 (111d_5)PCd U.S.A.—dopyrIght 1�_8263,_Netlonal Council on—Compensation Workers'Compensation and Employors'Liabllfty Policy Named Insured Endorsemenl Number UNIVAR INC. 3075 HIGHLAND PARKWAY SUITE#200 Policy Number DOWNERS GROVE IL 60515 Symbol: WLR Number:064787330 P011ry Paned Effective Dale of Endorsement 06-01-201a TO 06-01-2019 06-01-2018 Issued ay(Name of Insurance Company) INDEMNITY INS.CO.OF NORTH AMERICA larseit lhethe policy number The remainder of the Informallon Is to be comoleled VnNv When Ihis endorsement Is Issued subseouent to the oreoarellon of the oolicv. NOTICE TO OTHERS ENDORSEMENT—SCHEDULE A. If we cancel this Policy prior to Its expiration date by notice to you or the first Named insured for any reason other than nonpayment of premium, we will endeavor, as set out below, to send written notice of cancellation, via such electronic or other form of notification as we determine, to the persons or organizations listed in the schedule that you or your representative provide or have provided to us (the "Schedule"). You or your representative must provide us with the physical and/or e-mail address of such persons or organizations, and we will utilize such e-mail address or physical address that you or your representative provided to us on such Schedule. B. The Schedule must be initially provided to us within 15 days after: I. The beginning of the Policy period, if this endorsement is effective as of such date;or I. This endorsement has been added to the Policy, if this endorsement is effective after the Policy period commences. C. This endorsement must be in an electronic format that is acceptable to us;and must be accurate. D. Our delivery of the notification as described In Paragraph A. of this endorsement will be based on the most recent Schedule in our records as of the date the notice of cancellation is mailed or delivered to the first Named Insured. E. We will endeavor to send or deliver such notice to the e-mail address or physical address corresponding to each person or organization indicated in the Schedule at least 30 days prior to the cancellation date applicable to the Policy. F. The notice referenced in this endorsement is Intended only to be a courtesy notification to the person(s) or organization(s) named in the Schedule in the event of a pending cancellation of coverage. We have no legal obligation of any kind to any such person(s) or organization(s), Our failure to provide advance notification of cancellation to the person(s) or organization(s) shown in the Schedule shall impose no obligation or liability of any kind upon us, our agents or representatives, wilt not extend any Policy cancellation date and will not negate any cancellation of the Policy. G. We are not responsible for verifying any information provided to us In any Schedule, nor are we responsible for any incorrect information that you or your representative provide to us. If you or your representative does not provide us with a Schedule, we have no responsibility for taking any action under this endorsement. In addition, If neither you nor your representative provides us with e-mail and physical address information with respect to a particular person or organization, then we shall have no responsibility for taking action with regard to such person or entity under this endorsement. H. We may arrange with your representative to send such notice in the event of any such cancellation. I. You will cooperate with us in providing the Schedule, or in causing your representative to provide the Schedule. J. This endorsement does not apply In the event that you cancel the Policy. All other terms and conditions of this Policy remain unchanged. __. Aulhordzmd tfaprasontaaT1 V _. �WC 99 03 70A(08/12) Page 1 of 1 NOTICE TO OTHERS ENDORSEMENT—SCHEDULE Nartied lneuretl Unlvar lnc. ..... End'arsement Number �. 39 Policy Symbol Policy Number _ Pollcy PerloO Effective Date of Endorsement XSL G71094637 06/01/2018 To 06/01/2019 Issued By(Name of Insurance Company) ACE American Insurance Company InserttnopoWy negn6nr.1h51 mmoEnPlar el'h.1nlnformntlon la to h0oomf,W4 only when No endonomentla ksuedwssagment to rrapreparnuon of Ow pohoy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. A. If we cancel the Policy prior to its expiration date by notice to you or the first Named insured for any reason other than nonpayment of premium, we will endeavor, as set out below, to send written notice of cancellation, via such electronic or other form of notification as we determine, to the persons or organizations listed in the schedule that you or your representative provide or have provided to us (the "Schedule"). You or your representative must provide us with the physical and/or e-mail address of such persons or organizations, and we will utilize such e-mail address or physical address that you or your representative provided to us on such Schedule. B. The Schedule must be initially provided to us within 15 days after: 1. The beginning of the Policy per od, If this endorsement is effective as of such date;or iI. This endorsement has been added to the Policy, if this endorsement is effective after the Policy period commences. C. The Schedule must be In an electronic format that Is acceptable to us; and must be accurate. D. Our delivery of the notification as described in Paragraph A. of this endorsement will be based on the most recent Schedule in our records as of the date the notice of cancellation is mailed or delivered to the first Named Insured. E. We will endeavor to send or deliver such notice to the e-mail address or physical address corresponding to each person or organization Indicated in the Schedule at least 30 days prior to the cancellation date applicable to the Policy. F. The notice referenced In this endorsement is Intended only to be a courtesy notification to the person(s) or organization(s) named in the Schedule in the event of a pending cancellation of coverage. We have no legal obligation of any kind to any such persons) or arganlzatiori Our failure to provide advance notification of cancellation to the person(s) or organization(s) shown In the Schedule shall impose no oblgation or (labl'ilty of any kind capon us, our agents or representatives„ will not extend any Policy cancellation date and will not negate any cancellation of the Policy. G. We are not responsible for verifying any information provided to us In any Schedule, nor are we responsible for any incorrect information that ,you or your representative provide to Lis. If your or your representative does not provide us with a Schedule,we have no responsibility for taking any action ender this endorsemerrL In addition, It neither you nor your representative provides us with e-mail and physical address information with respect to a particular person or organization, then we shall have no responsibility for taking action with regard to such person or entity under this endorsement, H. We may arrange with your representative to send such notice in the event of any such cancellation. I. You will cooperate with us In providing the Schedule, or In causing your representative to provide the Schedule. J. This endorsement does not apply in the event that you cancel the Policy. ALL-32687(05/11) Page 1 of 2 All other terms and conditions of the Pollcy remain unchanged. Authorized Representative ALL-32687(05/11) Page 2 of 2 i NOTICE TO OTHERS ENDORSEMENT-SCHEDULE NOTICE BY INSURED'S REPRESENTATIVE Named Insured Llnivar Inc. _ Endorsement Number 15 Policy Symbol Policy Number Pollcy Pena Effective Date of Endorsement ISA H25158295 06/01/2018 TO 06/01/2019 Issued By(Name of Insurance Company) ACE American Insurance Company Insert the policy number.The remainder of the Information Is to be completed only when this endorsement Is Issued subsequent to the preparation orthe policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. A. If we cancel this Policy prior to its expiration date by notice to you or the first Named Insured for any reason other than nonpayment of premium, we will endeavor, as set out in this endorsement, to send written notice of cancellation, to the persons or organizations listed In the schedule that you or your representative create or maintain (the"Schedule") by allowing your representative to send such notice to such persons or organizations. This notice will be in addition to our notice to you or the first Named Insured, and any other party whom we are required to notify by statute and in accordance with the cancellation provisions of the Policy. B. The notice referenced in this endorsement as provided by your representative Is intended only to be a courtesy notification to the person(s) or organizatlon(s) named in the Schedule In the event of a pending cancellation of coverage, We have no legal obligation of any kind to any such person(s) or organization(s). The failure to provide advance notification of cancellation to the person(s) or organization(s) shown In the Schedule will impose no obligation or liability of any kind upon us, our agents or representatives, will not extend any Policy cancellation date and will not negate any cancellation of the Policy. C. We are not responsible for verifying any information In any Schedule, nor are we responsible for any incorrect Information that you or your representative may use. D. We will only be responsible for sending such notice to your representative, and your representative will in turn send the notice to the persons or organizations listed in the Schedule at least 30 days prior to the cancellation date applicable to the Policy. You will cooperate with us in providing the Schedule, or In causing your representative to provide the Schedule. E. This endorsement does not apply In the event that you cancel the Policy. All other terms and conditions of this Policy remain unchanged. ut orze Representative ALL-32686(01/11) Page 1 of 1 ,I II @Pp w w w WN w W m mt W aN au iw wo" iiw" ��� � VIP &W � '� p i.i I VI •�i I ,.� •, III N I w'�W6 �^00ry �p m rv� m�Wl�m ' w� a �• � n i� �. I �^ �• 4 � I � I' Ip Y I u w� d I I w II�, w ua a w �Wta wa a nq,^ . qqqas a .. mmrvrvm w �Qi a l I :w i IIIW' w M G: pl w n f