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Home My WebLink AboutPW17-151 - Amendment - #3 - ICF Jones & Stokes, Inc. - Mill Creek SEPA Environmental Impact Statement - 04/30/2019 KENT Records Management Document CONTRACT COVER SHEET This is to be completed by the Contract Manager prior to submission to the City Clerk's Office. Ali portioms are to be completed. If vou have questions, please contact the City Clerk's Office at 253-856-572.5, Vendor Name: ICIF Jones & Stokes, Inc. Vendor Number (JDE): 137973C _T�Tt=Kt,1Afl0t,)AL)_ Contract Number (City Clerk): IOW -7- /S Category: Contract Agreement Sub-Category (if applicable)- Amendment Project Name: Mill Creek Reestablishment Contract Execution Date: 5/30/19 Termination Date: 12131�e Contract Manager: Melissa Dahl Department: PW: Engineering Contract Amount: $0 Budgeted: 7 Grant? Part of NEW Budget: Local: F State: F] Federal: I Related to a New Position: Basis for Selection of Contractor? Other Approval Authority: 7 Director F-1 Mayor F City Council Other Details: Added subconsultant, Farallon Consulting to perform a Phase 1 Environmental Site Assessment. Work is budgeted in original contract. • KENT 'N n 5 H i N G T O N AMENDMENT NO. 3 NAME OF CONSULTANT OR VENDOR: ICF )ones & Stokes, Inc. CONTRACT NAME & PROJECT NUMBER: Mill Creek Reestablishment ORIGINAL AGREEMENT DATE: March 29, 2017 This Amendment is made between the City and the above-referenced Consultant or Vendor and amends the original Agreement and all prior Amendments. All other provisions of the original Agreement or prior Amendments not inconsistent with this Amendment shall remain in full force and effect. For valuable consideration and by mutual consent of the parties, Consultant or Vendor's work is modified as follows: 1. Section I of the Agreement, entitled "Description of Work," is hereby modified to add additional work or revise existing work as follows: In addition to work required under the original Agreement and any prior Amendments, the Consultant or Vendor shall: Subconsultant, Farallon Consulting shall perform a Phase 1 Environmental Site Assessment at three properties for the project in the amount of $4,345 which is included in the original contract budget. For a description, see the Scope of Work which is attached as Exhibit A and incorporated by this reference. 2. The contract amount and time for performance provisions of Section II "Time of Completion," and Section III, "Compensation," are modified as follows: Original Contract Sum, $348,881.77 including applicable WSST Net Change by Previous Amendments $0 including applicable WSST Current Contract Amount $348,881.77 including all previous amendments Current Amendment Sum $0 Applicable WSST Tax on this $0 Amendment Revised Contract Sum $348,881.77 AMENDMENT - 1 OF 2 Original Time for Completion 12/31/18 (insert date) Revised Time for Completion under 12/31/20 prior Amendments (insert date) Add'I Days Required (t) for this 0 calendar days Amendment Revised Time for Completion 12/31/20 (insert date) The Consultant or Vendor accepts all requirements of this Amendment by signing below, by its signature waives any protest or claim it may have regarding this Amendment, and acknowledges and accepts that this Amendment constitutes full payment and final settlement of all claims of any kind or nature arising from or connected with any work either covered or affected by this Amendment, including, without limitation, claims related to contract time, contract acceleration, onsite or home office overhead, or lost profits. This Amendment, unless otherwise provided, does not relieve the Consultant or Vendor from strict compliance with the guarantee and warranty provisions of the original Agreement. All acts consistent with the authority of the Agreement, previous Amendments (if any), and this Amendment, prior to the effective date of this Amendment, are hereby ratified and affirmed, and the terms of the Agreement, previous Amendments (if any), and this Amendment shall be deemed to have applied. The parties whose names appear below swear under penalty of perjury that they are authorized to enter into this Amendment, which is binding on the parties of this contract. IN WITNESS, the parties below have executed this Amendment, which will become effective on the last date written below. CONSULTANT/VENDOR: CITY OF KENT: By: JLs Ys t t t_i`i.�, By: t� C✓"X (signature) (signature) Print Name: Trina L. Fisher Print Name: Michael Mactutis, P.E. Its Contracts Administrator Its Environmental Engineering Manager (title) (title) DATE: 4124/19 DATE: �/�� /�� ATTEST: APPROVED AS TO FORM: (applicable if Mayor's signature required) Kent CitytCle'rk Kent Law Department ICF]ones&Stokes-Mill C,k Reestab Amd 3/Dahl AMENDMENT - 2 OF 2 EXHIBIT A City of Kent Mill Creek reestablishment Project Phase 1 Environmental Site Assessment: Matelich Properties Scope of Work -- INTRODUCTION As requested by the City of Kent(CITY),this modification will amend the existing contract with ICF Jones& Stokes, Inc. (ICF)to prepare the State Environmental Policy Act(SEPA)Draft and Final Environmental Impact Statement(EIS)for the Mill Creek Reestablishment Project(Project).This modification will reallocate funds from the remaining budget for Farallon Consulting, a subconsultant to ICF,to perform a Phase 1 Environmental Site Assessment(ESA)at three properties; potential mitigation sites for the Project. This Scope of Work(SOW)includes coordination with the CITY but does not include agency coordination, the preparation/revision of other permit documents,or preparation of a conceptual or final mitigation plan for the Matelich properties.These services would be performed under a subsequent amendment to the contract once the mitigation strategy is determined. . i - • - As requested by the CITY, ICF has obtained a SOW and cost estimate for Farallon Consulting to perform a Phase 1 ESA consistent with ASTM International Standard El 527-13 (Attachment 1)for three properties currently owned by Ruth Matelich.They are: King County Parcel 42222049029 King County Parcel #1522049137 King County Parcel# 1522049134 This SOW does not include a Phase 2 ESA as the nature and extent of site contamination cannot be known until the Phase l is completed. A Phase 2 ESA would be performed under a subsequent amendment to the existing contract once site characteristics have been determined. TASK 401 DELIVERABLES Phase I ESA Report(details provided in Attachment 1) Task 401 Assumptions = A subconsultant agreement between ICF and Farallon Consulting will not be initiated until written authorization has been received from the CITY. • Task 401 will be completed within 20 business days following issuance of a subconsultant agreement between ICE and Farallon Consulting. Verbal findings will be available as soon as 5 business days following issuance of a subconsultant agreement between ICF and Farallon Consulting. Mill Creek Reeslablishment Project/Matelich Properties Phase l.assessment,City of Kent 1pril9,2019 scope of Work Page I 1CF will complete the above SOW for an lump sum cost of$4,345.00(including a 10%markup on subconsultants). 1CF project management tasks will continue to be performed under the existing contract agreement and will continue to be invoiced on a time-and-materials basis. 1CF may move resources between tasks within the contract amount. Mill Creek Reestablishment Project Matclich Properties Phase 1 Assessment,City of Kent April 9,2019 scope oJ.Work Page 2 Washington FARALLON r" Issaquah I Bellingham I Seattle C 0 N ti U L -1 l N G Oregon Portland ! Bend Baker City California Oakland I Folsom I Irvine April 9,2019 Ms. Laura Zanetto ICF International, Inc. 615 Southwest Alder Street, Suite 200 Portland, Oregon 97205 RE: PROPOSAL FOR PHASE, I ENVIRONMENTAL SITE ASSESSMENT MATELICH PROPERTY KENT,WASHINGTON FARALLON PN: 1670-002 Dear Ms. Zanetto: Farallon Consulting, L.L.C. (Farallon) has prepared this proposal to perform a Phase I Environmental Site Assessment (ESA) of the Matelich property in Kent, Washington (herein referred to as the Site). Farallon understands that this Phase I ESA is being prepared for ICF International, Inc. on behalf of the City of Kent (the City). This proposal presents a brief description of Farallon's understanding of the Site, a discussion of the scope of work,and the cost estimate to conduct the work. The Site consists of King County Parcel Nos. 152204-9124, 152204-9137, and 222204-9029, which total approximately 11.22 acres of undeveloped and vegetated land. Farallon understands that the City plans to purchase the Site and ICF International, Inc. is planning to perform a wetland delineation. Farallon understands the City suspects contaminated soil may be present on the southern portion of the Site from contaminated fill and that a former landfill was present up- gradient of the Site. The City anticipates the need for a Phase II ESA to investigate and characterize potential contamination present at the Site,and the scope of work will be prepared under a separate proposal pending the initial findings of the Phase I ESA. PURPOSE AND OBJECTIVE The purpose of the Phase I ESA is to identify recognized environmental conditions to the extent feasible, pursuant to the processes outlined in ASTM International Standard E1527-13, Standard Practice for Environmental Site Assessments: Phase I Environmental Site Assessment Process (ASTM El 527-13),and to evaluate other environmental issues in connection with the Site.ASTM E1527-13 is intended to permit a user to satisfy one of the requirements to qualify for protection from potential liability under the Comprehensive Environmental Response, Compensation, and Liability Act as the innocent landowner, contiguous property owner, or bona fide prospective purchaser. ASTM E1527-13 constitutes "all appropriate inquiry" into the previous ownership, uses, and environmental conditions of a property consistent with good commercial or customary practice, as defined in Section 9601(35)(B)of Title 42 of the U.S. Code. P91670 ICF Intemationan1670002 Matelich Property\Ad6n\ContractsM0001 Ph I E.SA\1670-002 Ph I ESA Pm l.tr Lk— Quality Service for Environmental Solutions I f r IIqu9n 11 in ggm ICF International, Inc. April 9, 2019 Page 2 The objective of the Phase I ESA is to perform an appropriate inquiry into past and present ownership and uses of the Site, consistent with good commercial and/or customary practice. The report that Farallon will prepare documenting the Phase I ESA work and results can be used as a risk management tool to fulfill all-appropriate-inquiry requirements and the Comprehensive Environmental Response, Compensation, and Liability Act liability defense. SCOPE OF WORK Farallon will perform the Phase I ESA in accordance with ASTM El527-13. The scope of work for the Phase I ESA will include the following. RECORDS REVIEW Farallon will obtain and review the following standard environmental record source lists: Federal and State Approximate Search Distance (Miles from the Site) • National Priority List(NPL) 1.0 • Resource Conservation and Recovery Act (RCRA)Corrective Action Treatment, Storage, 1.0 and Disposal (TSD) • State-Equivalent NPL/Comprehensive Environmental Response, Compensation, and 0.5 Liability Information System (CERCLIS) • SPILLS Site • Non-RCRA Corrective Action Report 0.5 • National CERCLIS/No Further Remedial 0.5 Action Planned • RCRA-Permitted TSD 0.5 • Leaking Underground Storage Tanks 0.5 • Landfills 0.5 • Institutional Controls/Engineering Controls 0.5 • Tribal Lands 0.5 • Voluntary Cleanup Program 0.5 • Brownfields 0.5 • Registered Underground Storage Tanks Site and adjoining properties • RCRA Generators: Small Quantity Generators and Large Quantity Generators Site and adjoining properties • Federal Emergency Response Notification System Site P.11670 ICF lntemalionaM670002 Matelich Property\AdminTomracis\WO 001 Ph 1 ESA\1670-002 Ph t GSA Pm U,docx Quality Service for Environmental Solutions I f rallonconul in m ICF International, Inc. April 9, 2019 Page 3 Farallon is unable to determine at the time of this proposal whether a regulatory file review is needed for the Site and/or adjacent properties. If the Site and/or adjoining properties are listed on regulatory databases reviewed, regulatory files will be reviewed within the time and cost constraints of this Phase I ESA. Local Information obtained from the above federal and state sources will be enhanced and supplemented by a review of pertinent information from local sources,which may include: • The fire department; • The health department; • The regional pollution control agency(ies); and/or • Utility companies(for records relating to polychlorinated biphenyls [PCBs]). PHYSICAL SETTING EVALUATION A current U.S. Geological Survey (USGS) 7.5-minute topographic map will be reviewed in evaluating the physical setting of the Site. The physical setting will be evaluated further through use of the following additional sources: • USGS or state geological survey groundwater maps; • USGS or state geological survey bedrock geology maps; • State geological survey surficial geology maps; and/or • Soil Conservation Service soil maps. HISTORICAL USE INFORMATION Previous occupancy and/or uses of the Site will be evaluated from 1940 to the present (and prior to 1940 if readily available) by reviewing one or more of the following standard historical information sources: • Aerial photographs • Property tax files • Building department records • Recorded land title records • City directories • Zoning land use records • Fire insurance maps The actual records or sources reviewed may vary, depending on whether they are reasonably ascertainable, practically reviewable, useful, and/or within imposed cost and/or time constraints. If information sources do not identify uses back to 1940, uses back to the earliest date of identified development will be evaluated. PA I6701CF Intemati—W 670002 Matetich P1oPeey\Adnin\C-ot'W11AW0 001 Ph t ESA\1670002 Ph t ESA Pm i.tr doe. Quality Service for Environmental Solutions ( fatalE4rtcpnsultinaom ICF International, Inc. April 9, 2019 Page 4 SITE RECONNAISSANCE A site reconnaissance will be conducted at the Site to obtain information pertaining to the likelihood of existing recognized environmental conditions associated with the Site. The site reconnaissance will consist of systematically traversing the Site to provide an overlapping field of view. Conditions such as snow, heavy vegetation, or property size that limit visibility or access will be noted in the Phase I ESA Report that Farallon will prepare. In general,if visibility or access limitations are encountered,the site reconnaissance will be restricted to the perimeters of the Site, and to areas such as paths and roadways that are readily accessible for Site observations. The site reconnaissance will include observation of visible and readily accessible areas. Site improvements such as buildings, sheds, and warehouses will be entered for reconnaissance purposes, unless access is limited or safety concerns preclude entry. The site reconnaissance will not include hidden areas that would require destructive access, such as spaces under floors, above ceilings, or behind walls. Arranging for access to the Site (such as notifying tenants) is the responsibility of the client, and should be completed prior to the commencement of the site reconnaissance. Where appropriate,observations and notes concerning the following areas will be made during the site reconnaissance: • The Site setting and current and past uses; • Improvements (e.g., structures, roads, utilities); • Topographic, geologic, hydrogeologic, and hydrologic conditions; • Odors (e.g., strong, pungent,noxious); • Drains and sumps; • Stains and corrosion; • Storage tanks, vents, fill pipes,and access ways; • Drums and other containers of hazardous substances, petroleum products, and unknown substances; • Hazardous materials and petroleum products; • Hazardous waste; • Potentially PCB-containing equipment; • Pits, ponds, and lagoons; • Stressed vegetation; and • Solid waste, wastewater, water wells, and septic systems. Pk 1670 1CF Intemational"670002 Malelich Property\Admin\Contracta\W000 I Ph 1 ESA\16,70-002 Ph 1 ESA Pro UT docx Quality Service for Environmental Solutions I taralionconsultino,com ICF International, Inc. April 9, 2019 Page 5 Visual observations of current Site uses and environmental conditions will be made where apparent. Where possible, photographs will be taken to document observations. Adjoining properties will be observed from the Site, but will not be traversed. USER QUESTIONNAIRE AND INTERVIEWS Farallon understands that ICF International, Inc. is seeking to follow the standards set forth in ASTM El 527-13 to complete an environmental assessment of the Site.To fulfill ASTM El 527-13 requirements, the user has specific responsibilities to help identify the possibility of recognized environmental conditions in connection with the Site. These responsibilities do not require the technical expertise of an environmental professional, and will not be performed by the environmental professional who completes the Phase I ESA at the Site. To facilitate fulfillment of ASTM E1527-13 requirements, Farallon will provide ICF International, Inc. with a Phase 1 Environmental .Site Assessment User Questionnaire to be completed and returned to Farallon before the Phase I ESA commences. In addition, interviews with the following individuals may be conducted by telephone, in writing, or in person to obtain information pertaining to recognized environmental conditions associated with the Site and adjoining properties: * Site manager and/or property owner; * Occupants and/or tenants; and/or • Local government officials. PROFESSIONAL FEES AND SCHEDULE Based on the proposed scope of work described above,the lump-sum cost to complete the work is $3,950. This lump-sum cost is based on the understanding that Farallon's access to the Site and Site documents is not limited, and that Site personnel are able to provide detailed and accurate information regarding Site activities in a timely manner. The cost estimate provided herein is valid for 30 calendar days from the date of this proposal. If deemed necessary, Farallon will request and review regulatory files for the Site and/or adjoining properties within the time and cost constraints of the Phase I ESA. Regulatory file reviews requiring more than 2 hours and/or $50 in fees will be billed as time and material upon receiving authorization from ICF International, Inc. As defined in ASTM E1527-13, if the Environmental Professional determines that review of regulatory files is necessary to satisfy the requirements of ASTM E1527-13 and ICF International, Inc. elects not to have the review conducted, the insufficient regulatory information will be identified in the Phase I ESA Report as a data gap. Farallon will initiate the proposed scope of work immediately upon receiving written authorization to proceed. Farallon will provide an electronic copy of the Phase I ESA Report within approximately 20 business days of receiving written authorization to proceed, barring delays due P•.0 670IC-F IMM-6o 01670002 Mateh.h Property\Admim(:o 11-1MW0 00I Ph I ESA1.1670-002 Ph I ESA No L&dm. Quality Service for Environmental Solutions ( {arailoncaasaltinn ccm ICF International, Inc. April 9,2019 Page 6 to circumstances beyond Farallon's reasonable control. Print copies of the report are available on request for an additional $50 per copy. Please note that Farallon has limitations on providing reliance to others. This proposal assumes that the Phase I ESA Report will be prepared for the sole use of ICF International, Inc. Other reliance requirements should be discussed before the scope of work is initiated. The project fee is based on project conditions and the scope of work described in this proposal. Variations in the Site description, scope of work, and/or project schedule as defined herein may require modification of the fee, project schedule,and/or respective report contents. If any of these conditions are modified during implementation of this project, no change in the scope of work defined herein will be initiated without authorization from ICF International, Inc. RESPONSIBILITIES AND PROJECT COORDINATION ICF International, Inc. is responsible for obtaining access to the Site for Farallon to perform the investigation,and for identifying on-Site utilities,underground storage tanks,and service lines.To facilitate completion of this scope of work, please provide Farallon with Site as-built drawings, Site utility plans, property boundary surveys, and previous environmental studies,as available. CLOSING Attached are Farallon's Environmental Consulting Services Agreement 1670 (Agreement) and Work Order 1670-002-WO 001 for performing the scope of work presented in this proposal. To authorize the above scope of work and cost estimate, please sign and return both documents, and fully executed copies will be returned to you for your records. Additional work conducted at the Site will be authorized by preparation of specific work orders. Farallon appreciates the opportunity to provide ICF International, Inc. with this proposal. Please contact Ms. Whaler at(503)280-4632 if you have questions or comments regarding this proposal. Sincerely, Farallon Consulting, L.L.C. Jennifer Whaler Craig Ware, L.G., R.G. Associate Environmental Scientist Principal Hydrogeologist Attachments: Environmental Consulting Services Agreement 1670 Work Order 1670-002-WO 001 SH/J W/CW:cm P:t16701CF Int—ationalN670002 Matelich Properry\Adnun\ContractslWO 001 Ph 1 ESA\1670-M2 Ph I ESA Pm Ur doex Quality Service for Environmental Solutions I faralton n ul in -�` CERTIFICATE OF LIABILITY INSURANCE DATEO(MM/2018 ) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS I CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this m certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT =y AOn Risk Services Northeast, Inc. NAME: a New York NY Office (A/C.Nc.Ext): (866) 283-7122 (800) 363-0105 m 199 water street p New York NY 10038-3551 USA ADDRESS: O INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: Great Northern Insurance Co. 20303 ICF Jones & stokes, Inc.Attn: Mi Shd Frei mane INSURERS: Federal Insurance Company 20281 9300 Lee Highway INSURERC: Continental Casualty Company 20443 Fairfax, vA 22031 USA INSURER D: INSURER E: INSl1RER F: COVERAGES CERTIFICATE NUMBER: 570072278782 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested VGEN'LAGGREGnATE E OF ISURANCE WVD POLICY NUMBER M LIMRS AL GENERAL UABILrfY 4 Package - Domestic EACH OCCURRENCE $1,000.,000 CLAIMS--MADE ^ I occuR S1,000,000 PREMISES a occurrence LiaUtlity MED EXP(Any one person) $10,000 PERSONAL&AD'V INJURY 51,OOO,OOO TE LIMIT APPLIES PER GENERALAGGREGATE S2,OOO,OOO PR0. ❑JECT LOCPRODUCTS-COMP/OPAGGS2000,OOO 0 AUTOMOBILE LIABILITY 73522955 07/01/2018 07/01/2019 COMBINED SINGLE LIMIT Automobile - All States Ea cadent S1,000,00C X ANY AUTO •. OWNED SCHEDULED BODILY INJURY(Per person) O Z AUTOS ONLY AUTOS BODILY INJURY(Par accident) to )( HIRED AUTOS x NON-OWNED PROPERTY DAMAGE <a 01�Y AUTOS ONLY eraccident O iw UMBRELLA LIAR kJ OCCUR m EACH OCCURRENCE U EXCESS LIAB CLAIMS-MADE AGGREGATE DIED RETENTION e WORKERSCoMpENsaTwNgrro 71754337 07/01/201 07/01 2019 PER _ EI�L OPRIE ORI PARTILITY YIN workers Compensation X STATUTE DR" ANY FROPPoETOR/PARTNER/EXECLrTNE OFFICER/MEMSER EXCLUDED' N N/A E.L.EACH ACCIDENT S1,000,000 ( deb E.L.DISEASE-EA EMPLOYEE Si, X yyees,describe under DESCRIPTK)N OF OPERATIONS bebw C E&O-MPL-Primary 6 52011911 E.L.DISEASE-POLICY LIMIT 51,000,000 0710 2018 07/01/2019 Each Claim 53,000 000 Errors & Omissions Overall policy aggrm 53,000,000 DESCRIPTION OF OPERATONS I LOCATK)N9!VEHICLES(ACORO 101,Additional Remarks Schedule,may be attached if more space is required)' 1 - Professional Liability is a Claims Made policy. There is no Additional Insured status on the Professional Liability coverage. 2 - The City of Kent is included as Additional Insureds as its interest may appear as respects work being done by or on behalf of the Named Insured. 3 - The indicated coverage is primary but only as respects work being done by ICF Jones & Stokes, Inc. for the City of Kent. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICES Be CANCELLED ED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE 1MTH THE The City POLICY PROVISIONS, y of Kent Public works Department AUTHORIZED REPRESENTATIVE - y 400 west Gowe Kent, WA 98032 USA P/j `-� eJ f ACORD 25 2016/03 @1988-2015 ACORD CORPORATION.All rights reserved. ( ) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000024256 A��® LOC#: ADDITIONAL REMARKS SCHEDULE Page _ of _ `AGENCY NAMEDINSURED 'Aon Risk services Northeast, Inc. ICF Tones & stokes, Inc. POLICY NUMBER see certificate Number: 570072278782 CARRIER NAIC CODE see certificate Number: 570072278782 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Additional Description of Operations/Locations/Vehicles: 4 - Except with respect to the limits of Insurance, and any rights or duties specifically assigned to the ['i rgt Named insured, insurance applies separated to each d t whom. claim mad c it" s ..,.,, e separately insured against n cm aim � e "suit" brought. i 1 ACORD 101(2008/01) ®2008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD C H U B B• Liability Insurance Endorsement Policy Period JULY 1, 2018 TO JULY 1,2019 Effective Date JULY 1,2018 Policy Number 3581-24-09 DTO Insured fCF INERNATIONAL, INC. ICE JONES&STOKES, INC. Name of Company GKEAT NORTHE.,RN INSURANCE COMPANY Date Issued JUKE 30, 2018 This Endorsement applies to the following forms; GENERAL LIABILITY Under Who Is An Insured,the following provision is added, Who Is An Insured Additional Insured- Persons or organizations shown in the Schedule are Insureds;but they are insureds only if you aze Scheduled Person obligated pursuant to a contractor agreement to provide them with such insurance as is afforded Or Organization this policy. by However,the person or organization is an insured only: • if and then only to the extent the person or organization is described in the Schedule; • to the extent such contract or agreement requires the person or organization to be for status as an Insured; for activities that did not occur,in whole or in part,before the execution of the contract or agreement;and • with respect to damages,loss,cost or expense for injury or damage to which this insurance applies. No person or organization is an insured under this provision: that is more specifically identified under any other provision of the Who Is An Insur section(regardless of any limitation applicable thereto), ed with respect to any assumption of liability(of another person or organization)by them in a contract or agreement.This limitation does not apply to the liability for damages,loss,cost or expense for injury or damage,to which this insurance applies,that the person or organization would have in the absence of such contractor agreement. Liabltlty Insurance Additional Insured- Form 80-02-2367(Rev.5-07 Sc parson Or Organ etlon J Endorsement conhaued Page 1 CHUBB' Llabillty Endorsement (continued) Under Conditions,the following provision is added to the condition titled Other Insurance. Conditions Other Insurance— If you are obligated,pursuant to a contractor agreement,to provide the person or organization Primary, Noncontributory shown in the Schedule with primary insurance such as is afforded by this policy,then in such case insurance-Scheduled this insurance is primary and we will not seek contribution from insurance available to such person Person Or Organization or organization, Schedule Persons or organizations that you are obligated,pursuant to a contract or agreement,to provide with such insurance as is afforded by this policy. City of Kent All other terms and conditions remain unchanged. Authorized Representative Uabifity l;,aurarce Addtfionai Insured-3cneduied Person Or Organize tion last page Form 80-02-2387(Rev 5-07) Endorsement Page 2 POLICY NUMBER: (18) 7352-29-55 COMMERCIAL AUTO CA20481013 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR C OVERED AUTOS LIABILITY C OVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement, This endorsement identifies person(s) or organization(s) who are"insureds"for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not after coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: ICF fNTERNA i'IONAI.,INC' ICFJONES�&.STOKES, INC. Endorsement Effective Date: 7/Ir18 SCHEDULE [Information erson(s) Or Organization(s): RSON OR ORGANIZATION AS REQUIRF,D BY INSURED CONTRACT" . ent rpm aired to corn fete this SchFxiule if not shown above will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured"for Covered Autos Liability Coverage, but only to the extent that person or organization quairfies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II — Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 48 10 13 ®Insurance Services Office, Inc., 2o11 Page 1 of 1