Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
CAG2019-019 - Amendment - #1 - Transportation Solutions, Inc. - 4th Ave & Willis Roundabout Project - 05/09/2019
I,,:--/004ANT Records Management Document CONTRACT COVER SHEET This is to be completed by the Contract Manager prior to subi-nission to the City Clerk's Office,, All portions are to be completed. If you have questions, please contact the City Clerk's Officiz'! at 25.3-856-5725, Vendor Name: Transportation Solutions, Inc. Vendor Number (JDE): 153209 Contract Number (City Clerk): Category: -Contract Agreement Sub-Category (if applicable): Amendment Project Name: 4th Ave. and Willis St. Roundabout Contract Execution Date: 5/9/19 Termination Date: 12/31/20 Contract Manager: Thomas Leyrer Department: PW: Engineering Contract Amount: $593020 Budgeted: Grant?Part of NEW Budget: Local: State: Federal: Related to a New Position: Basis for Selection of Contractor? Other Approval Authority: Fy-(] Director F-1 Mayor F-1 City Council Other Details: Provide additional services to include Roundabout Emergency Operation Signal System and Value Engineering. • KENT 'N n 5 H I N G T O N AMENDMENT NO. 1 NAME OF CONSULTANT OR VENDOR: Transportation Solutions, Inc. CONTRACT NAME & PROJECT NUMBER: 4th Avenue and Willis Street Roundabout ORIGINAL AGREEMENT DATE: January 18, 2019 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: Provide additional services to include Roundabout Emergency Operation Signal System and Value Engineering. For a description, see the Consultant's Scope of Work which is attached as Exhibit A-1 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, $79,570 including applicable WSST Net Change by Previous Amendments $0 including applicable WSST Current Contract Amount $79,570 including all previous amendments Current Amendment Sum $59,020 Applicable WSST Tax on this $0 Amendment Revised Contract Sum $138,590 AMENDMENT - 1 OF 2 f Original 'Time for Completion 12/31/19 (insert date) Revised Time for Completion under n/a prior Amendments (insert date) Add'I Days Required (f) for this 366 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 waves 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/VENIDOR: CITY KENT: By:� `� B r Y' 1( igr/at re h Timothy J. L Print Name: Print Name: Timothy J. LaPorte, P.E. Its Its PublLc Works Director title) (title DATE: I DATE: ✓� �I D ATTEST: APPROVED AS TO FORM: (applicable if Mayor's signature required) VYV\ Kent City Clerk Kent Law Department TSI•4'&Willis Roundabout Amd 1/Leyrar AMENDMENT - 2 OF 2 TS1 8250.165th Avenue NE Suite 100 Redmond,WA 98052.6628 Transportation Solutions.,Inc. T 425.883.4134 F 425-867.0898 www.1sinw.com Supplement No. 1 CITY of Kent—Will!is St(SR S16) and 4`h Avenue S Roundabout 04/30/2019 Exhibit A-1 Supplement No. 1 Scope of Services City of Kent Roundabout Design Consultant Services-4th Avenue &Willis Street Roundabout Transportation Solutions, Inc. TASK DESCRIPTION A. Supplement No. 1 - Purpose and Intent SuppNol-Task 1—Roundabout Emergency Operation Signal System The CITY and CONSULTANT project team have coordinated the roundabout layout and operational assumptions with the Puget Sound Regional Fire Authority. The CITY proposes to construct a signal system using Opticom technology to include ramp metering or pedestrian HAWK systems to provide accessible pedestrian crossings and meter the traffic operations of the roundabout during emergency operations. This is a unique application of existing signal detection, ;and communication technology to a achieve a combined emergency vehicle preemption and pedestrian signal system. The CITY intends to have CONSULTANT prepare a concept of operations report and a 30%design layout of the signal and illumination system; prepare 90%signal system design plans, specifications, and estimates submittal package for CITY review and comment; attend a project team meeting with CITY staff to review the submittal package; prepare 100%signal system bid ready design plans, specifications, and estimates submittal package. SuppNol-Task 2—Value Engineering The CITY intends to prepare final design for the roundabout including the grading and drainage. The CITY intends to have CONSULTANT provide a value engineering peer review of the CITY's design for grading and drainage. This value engineering peer review will include a written memorandum of findings and attendance at a project team meeting with CITY staff to review the findings. B. Information, Responsibilities, and Services Provided by the CITY The following information will be provided by the CITY.This is not intended to be an exhaustive list and additional data to be provided by the CITY are included throughout the scope of work: • AutoCAD drawing files of grading, drainage, and street light plans. • Consolidated review comments. V2__S uppleme ntNo 1_Ke ntS=opeofW ork_04302019,doc Page 1 of 8 ' 8250.1651h Avenue NE Suite 100 Redmond,WA 98052.6628 Transportation Solutions,Inc. T 425-883.4134 F 425-867.0898 www.tsinw.com Supplement No. 1 CITY of Kent—Willis St(SR 516) and 41h Avenue S Roundabout 04/30/2019 C. General Project Assumptions This Scope of Services for Supplement No. 1 is based upon certain assumptions and exclusions, identified below and under specific tasks. The following assumptions were used in the developmElnt of this scope of services: • AutoCAD 2019 will be utilized on the project. AutoCAD files will be submitted in .dwg format. • MS Excel will be utilized for spreadsheets. • MS Word will be utilized for word processing. D. Change Management This is a time and materials Supplement with a not to exceed maximum. The level of effort for various tas<s is an estimate and may vary. CONSULTANT will work closely with CITY staff to identify and determine if additional request for work items and/or task requests are out of the scope and fee contained herein. E. Payment CONSULTANT invoice period closes on the 15`h day of each month. CONSULTANT shall prepare monthly progress reports discussing work activity that occurred during the reporting period. The progress report will identify any unforeseen changes in the scope and schedule and will forecast key work activity for the upcoming reporting period. Exhibit A-3 provides the Estimate Fee for Supplement No. 1. The estimated cost for the maximum riot to exceed amount is as follows: Original Contract Labor $ 73,970 Expenses _ $ 5 600 Original Contract $ 79,570 Supplement: No. 1 Supplement No. 1—Labor $ 58,820 Supplement No. 1—Expenses $ 200 Supplement No. 1—Total 59,020 Revised Maximum Not to Exceed Amount $138,590 V 2_Supplemer tNol_Kentscopeofwork_04302019.doc Page 2 or 8 ' 8250.165th Avenue NE Suite 100 Redmond,WA 98052-6628 Transportation Solution:;,Inc. T 425.883-4134 F 425.867.0898 www.tsiow.com Supplement No. 1 CITY of Kent—Willis St (SR 516) and 4th Avenue S Roundabout 04/30/2019 F. Schedule CONSULTANT has provided an approximate schedule shown in Exhibit A-2. The schedule shows approximate durations of work activity by task. The CONSULTANT cannot control review'times by the CIT11 and/or other agencies, if any. The specific date for notice to proceed is subject to the CITY's approval process. SuppNol-Task 1—Roundabout Emergency Operation/Pedestrian Signal System SuppNol-Task 1- 1.0 Project Management Project management will be on-going during the course of the project. CONSULTANT's project manager will maintain regular communication with the CITY's project manager. CONSULTANT will monitor the project's scope, schedule, and budget, will coordinate and communicate status reports, and other similar project management tasks. CONSULTANT may attend up to four (4) additional meetings with CITY staff related to the project. CONSULTANT will provide monthly progress reports and invoices in accordance with the CITY's procedures and consistent with the original agreement. Assumptions: • Progress Report and Invoice packages will be prepared monthly. Deliverables: • Monthly Progress Report and Invoice Packages • Periodic Project Schedule update as agreed to between the CITY and CONSULTANT • Notes from project meeting(s) SuppNol-Task 1-1.1 Concept of Operations and System Requirements The CITY and CONSULTANT project team have coordinated the roundabout layout and discussed operational assumptions with the Puget Sound Regional Fire Authority. The CITY proposes to install a signal system to meter the traffic and pedestrian operations of the roundabout during emergency operations performed by Fire and Police. The system will provide for emergency vehicle operations and day to day pedestrian accommodations. CONSULTANT will attend up to three(3) project team meetings to develop stakeholder input, review and refine technical memorandums, and present recommended systems to the stakeholder group. CONSULTANT will analyze and develop a technical memorandum that defines the following information for a Concept of Operations: • Attend a stakeholder meeting to discuss and define how the system is to be operated. • Jurisdictional areas of responsibility. • Interagency lines of communication for system operations. V2_SupplementNo 1_Kent5copeofwork_04302019.doc Page 3 of 8 TS1 8250.165th Avenue NE Suite 100 Redmond,WA 98052.6628 Transportation Solutions,Inc. T 425-883.4134 F 425.86T0898 www.tsinw.com Supplement No. 1 CITY of Kent—Willis St(SR 516)and 42n Avenue S Roundabout 04/30/2019 • Define a high-level system concept to enable evaluation of components. • Define the environment in which the system will operate. • Define high-level user requirements. • Provide scenarios and criteria to be used to validate the completed system. • Memorandum of the Concept of Operations. CONSULTANT will analyze and develop System Requirements in a technical memorandum that defines the following technical scope of the system to be built: • Functional Requirements—what the system will do. • Performance Requirements—how well it will perform. • Non-Functional Requirements—under what conditions it will perform. • Enabling Requirements—other actions that must be taken in order for the system to become fully operational. • Constraint Requirements—define limitations imposed on the design by the CITY's policies and practices, such as type of software,type of equipment and external standards. • Interface Requirements—define the interfaces between sub-systems or with external systems. • Data Requirements—define the data flows between sub-systems or with external systems. • Memorandum of findings for the System Requirements. Assumptions: CITY will coordinate stakeholder team meetings. CITY will review and make comments, if any, to the materials submitted by CONSULTANT and return comments within 3 weeks of each submittal. CITY will be responsible for signal system testing and operations. Deliverables: CONSULTANT will deliver a predesign report that contains the data and plans of the following: • Concept of Operations • System Requirements SuppNol-Task 1- 1.2 30%Design Layout CONSULTANT will prepare a 30% Design Layout of the equipment location,junction boxes, trenches for conduits, signal and illumination system foundation and pole location, signal and illumination pole plan, and related elements consistent with the Concept of Operations and System Requirement plans. The Illumination System analysis include the review of existing street light and pedestrian light fixtures. CONSULTANT will identify items that for potential salvage and/or reuse. CONSULTANT will coordinate with CITY on the locations needed for pedestrian lighting on side streets and pedestrian paths. CONSULTANT will obtain current LED IES files from vendor websites. CONSULTANT will coordinate with the CITY for the location(s) of electrical service cabinet(s). CONSULTANT shall use the AGi32 to analyze the lighting level and photometric predications. CONSULTANT will calculate wattage requirements and v2_SupplementNol_KentScopeofwork 04302019.doc Page 4 of 8 ' 8250.165th Avenue NE Suite 100 Redmond,WA 98052-6628 Transportation Solutions,Inc. T 425.883.4134 F 425.867.0898 www.tsinw.com Supplement No. 1 CITY of Kent—Willis St(SR 516)and 4th Avenue S Roundabout 04/30/2019 pole spacing. CONSULTANT will provide the City with a layout plan sheet information and lighting calculation output files. Assumptions: The plan set will be true scale on 22" x 34" reduced 50%for 11"x 17" plan sheets using the City of Kent plan sheet board. The CITY will review the plan set and make comments, if any, within three (3)weeks of submittal. The CITY will prepare the design for the illumination system beyond this submittal. Deliverables: CONSULTANT will deliver(1) paper set, (1) printed set on 11" x 17" paper, and (1) electronic pdf copy. For 30%submittal, the specifications will include an outline of anticipated City of Kent format specifications. SuppNol-Task 1- :1.3 90%Signal System Design Plans Specifications Estimates CONSULTANT will prepare a 90% level construction plan set and will meet with the CITY to obtain their review and input. PS&E will include the design and preparation of the plan set to construct the emergency operations signal system. • Wiring/conduit diagrams • Vehicle detection systems • Accessible Pedestrian Signals • New street signs meeting current size and reflectivity standards Plans Plan sheets will be 11" x 17" in .pdf format An-iotated Base Drawing with Construction Notes Specifications 8" K 11 %" in .pdf format For 90%submittal, the specifications will include the proposed specifications Estimates 8" x 11 %" in .pdf format Bid Schedules, if any, Specification Number, Bid Item Name, Quantity, Estimated Unit Cost, Estimated Cost Project Team PS&E Review Meeting Deliverables: (1) paper copy and (1) Electronic copy of 90% Bid Package in .pdf format. V2_S upp le me nt N o 1_KentScopeofwork_04302019.doc Pape 5 of 8 ' 8250.165th Avenue NE Suite 100 Redmond,WA 98052.6628 Transportation Solutions,inC. T 425.883.4134 F 425.867.0898 www.tsinw.com Supplement No. 1 CITY of Kent—Willis St(SR 516) and 4`"Avenue S Roundabout 04/30/2019 SuppNol-Task 1- 1.4 100%Signal System Design Plans Specifications Estimates CONSULTANT will respond in writing to comments received from the CITY for the 90% submittal. CONSULTANT will prepare a 100%level bid ready plan set. PS&E will include the design and preparation of the plan set to construct the emergency operations signal system. Plans Plan sheets will be 11" x 17" in .pdf format Arnotated Base Drawing with Construction Notes Specifications 8" x 11 %2" in .pdf format For 100% submittal, the specifications will include the proposed specifications Estimates 8" x 11 %2" in .pdf format Bid Schedules, if any, Specification Number, Bid Item Name, Quantity, Estimated Unit Cost, Estimated Cost Deliverables: (1) paper copy and (1) Electronic copy of 100% Bid ready plan set in .pdf format. SuppNol-Task 2— Value Engineering The CITY intends tc prepare final design for the roundabout including the grading, drainage, and street lighting systems. The CITY intends to have CONSULTANT provide a value engineering peer review of the CITY's design for grading, drainage, and illumination. This peer review will include a written memorandum of findings and attendance of a project team meeting with CITY staff to review the findings. SuppNol-Task 2—2.1 Value Engineering Peer Review Roundabout Grading CONSULTANT will support the CITY's design process by providing a value engineering peer review of the grading for the roundabout. CONSULTANT will review CITY provided plans and attend a project peer review meeting with CITY staff. Assumptions: CITY will provide ALtoCAD drawing files and plan sheets for the roundabout grading, Deliverables: CONSULTANT will provide written value engineering peer review comments and attend one (1) single day peer review project team meeting to go over the comments with the CITY. V2_Su pplementNo 1_Kent5copeofwork_04302019.doc Page 6 of 8 ' 8250.165th Avenue NE Suite 100 Redmond,WA 98052-6628 Transportation solutions,Inc. T 425.883-4134 F 425.867.0898 www.tsinw.com Supplement No. 1. CITY of Kent—Willis St(SR 516) and 4`"Avenue S Roundabout 04/30j2019 SuppNol-Task 2—2.2 Value Engineering Peer Review Roundabout Drainage CONSULTANT will support the CITY's design process by providing a value engineering peer review of the drainage system as it relates the driveablity of the roundabout. CONSULTANT will review CITY provided plans and attend a project peer review meeting with CITY staff. Assumptions: CITY will provide AutoCAD drawing files and plan sheets for the roundabout drainage system. Deliverables: CONSULTANT will provide written value engineering peer review comments and attend one (1)single day peer review project team meeting to go over the comments with the CITY. EXHIBIT A-2 SCHEDULE AND MILESTONES TASK APRROXIMATE DATE Begin End SuppNol-Task 1—Roundabout Emergency Operation Signal System 1.1 Concept of Operations and System Requirements May 13 May 31 1.2 30% Design Layout Jun 24 Jun S 1.3 90% Design, Plans, Specifications, Estimates Jul 29 Aug 23 1.4 100% Design, Plans, Specifications, Estimates Sep 16 Oct 11 SuppNol-Task 2—Value Engineering 2.1 Peer Review Roundabout Grading Finish 2 weeks from City provided plans 2.2 Peer Review Roundabout Drainage Finish 2 weeks from City provided plans V2_5upplement-No 1_Ken6copeofwor k_04302019.doc Page 7 of 8 I 8250.165th Avenue NE Suite 100 Redmond,WA 98052.6628 Transportation Solutions,tnC. T 425.883.4134 F 425-867-0898 www.tsinw.com Supplement No. 1. CITY of Kent—Willis St(SR 516)and 4th Avenue S Roundabout 04/30/2019 EXHIBIT A-3 Exhibit A-3 Suppiment No.1 -Fee Estimate 4/30/2019 City of Kent-4th Avenue S&Willis Street Roundabout-Design Consultant Services Transportation Solutions Inc-Fee Schedule PIC PM Sr Engr Sr Engr Transp.Engi Planner 1 Main VS JE ALB MM MAO JS JB Victor Jeff Andrew Michelle Mary Ann Jennifer Jill Salemann E'ekes Bratlien Mach Olson Salemann Berberich Bill Rate-----> $ 226.56 $ 204.83 $ 161.38 $ 173 80 $ 145.86 $ 98.00 $ 124.14 Anticipate Work Elements Task(s) Task Hrs Task Cost SuppNol-Task 1-RAB Emergency Operation/Ped.Signal Sys, 56 38 0 4 192 0 8 2 88 $50,164.97 Task 1.0 Project Management 24 20 4 4 8 Task 1.1 Concept of Operations and System Requirements 16 2 36 T-ask 1.2 30%Design Layout 12 8 72 Task 1.3 90%Design,Plans,Specifications,Estimates 2 4 56 Task 1.4 100%Design,Plans,Specifications,Estimates 2 4 24 SuppNol-Task 2-Value Engineering 10 4 0 32 0 0 0 46 $ 8,646.35 Task 2 1 Peer Revew Roundabout Grading 8 4 16 Task 2.2 Peer Reew Rounabout Drainage 2 16 Labor Estimate 66 42 0 36 192 0 8 344 $58,811.33 rd $ 8.67 558,820.0( Expense Estimate 6 trips @ 60 miles/trip Travel 360 miles 0.545 $/mile $ 196.20 rd $ 3.80 $ 200.00 Grand Total $59,020.00 V2__SupplementNol_KentScopeofWork__04302019.doc Page 8 of 8 TRANSOL-02 R1 KJOHNSON ACORN DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 03/08/2019 S CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS RTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES 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 certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER C NTACT Kassi Johnson AssuredPartners of Washington,LL.0 PH�orEe - - -- ---- _.._ Box 847 (A/c,No,Ext) Fax Redmond,WA 98073 E ADDREMAILSS - -- ---- - i_ . kassi.johnson(cD-assuredpartners.com_ _ .INSURERS AFFORDING COVERAGE NAIC p �NsuReRA:Travelers Indemnity Company 06183 --- INSURED — - --- -_- 1 INSURER B Travelers Casualty Insurance Company of America Transportation Solutions,Inc. INSURER C Travelers Casualty&Surety_of America 31194 8250 165th Ave NE#100 I - - -- - ----- Redmond,WA 98052 LTNSURER4-- I INS URER E: -------------I INSURER F COVERAGES _CERTIFICATE NUMBER: 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN ISSUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES_.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR 1ADDL SUER --_E _-- LTR '� POLICY EFF POLICY E%P j�--- - ------------ ---" ---'------- TYPE OF INSURANCE POLICY NUMBER M YY M D/YYYY LIMITS A X _ COMMERCIAL GENERAL LIABILITY �---EACH 1,000,000 CLAIMS-MADE X;OCCUR X 1 �68O94C1501842 12/31/2018 j 12/31/2019 I p M�CURRENCE E — - gOO,000 X WA Stop Gap DAMAGE TO RENTED f E -----_--" --- ---i I MEDEXP(An one rson E 5,000 - --- 1,000,000 --! PERSONAL&ADV INJURY E G_7 LIMIT APPLIES PER: AGGREGATE ,GENERAL AGGREGATE E 2,000,000 X , POLICY L_I JECT `�LOC ! 2,000,000 PRODUCTS-COMP/OPAGG E _ OTHER. I AUTOMOBILE LIABILITY S COMBINED—SINGLE LIMIT 1 .(Ea ac6dentl E ,000,000 ANY Auro BA9K958883 --- ----- X 03/23/2019 03/23/2020 OWNED SCHEDULED ! ,BODILY INJURY(Perpers0n)�E_____ AUTOS ONLY 11�AUTOS WNEp BODILY INJURY Per accident I E X AUTOS ONLY X�AUTO 6NJL i �RefOPE�R tpAMAGE — --- ------ F ) $ __. A i X j UMBRELLA LIAB I X OCCUR - i E I' EACH OCCURRENCE E _ 1,000,000 ' EXCESS LIAB DIMS-MADEI CUP5C51 0571 1 842 �— �- --------------_ _ I 12/31/2018' 12/31/2019 1,000,000 j DED ; X RETENTIONS 5,000 AGGREGATE E A I WORKERS COMPENSATION LITY ( X OTH- , 12/31/2018' 12/31/2019 PER 'ANDPROPR�IEEOR/PARTINER//EXECUTIVE ry � -J 6808894C1501842 --1_ TAT T� FICator n N R EXCLUDED? I N I A I�.L_EACH ACCIDENT g 1,000,000 andato m N j If yes,describe under _E.L_DISEASE-EA EMPLOYE$ 1,000 000 DESCRIPTION OF OPERATIONS Wow 1,000,000 C Professional Lldb. 105932134 i E.L.DISEASE-POLICY LIMIT a O5/13/2018 05/13/2019 IPer Claim 3,000,000 C ProfessioIL iab. 10593213405/13/201805/13/2019 iA re ate 99 9 4,000,000 DESCRIPTION OF RATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached it more space is required) RE:4th Avenue and Willis Street Roundabout It is agreed that the City of Kent is included as Additional Insured as required by written contract.Coverage is primary and non-contributory. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Kent THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 220 Fourth Avenue South ACCORDANCE WITH THE POLICY PROVISIONS. Kent,WA 98032 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) � r ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD P0hCy#:6808894C1501842 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. OTHER INSURANCE - ADDITIONAL INSUREDS This endorsement modifies insurance provided under the following. COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS b. The"personal injury"or"advertising injury"for COMMERCIAL GENERAL LIABILITY CONDITIONS which coverage is sought arises out of an of- (Section IV), Paragraph 4. (Other Insurance), is fense committed amended as follows: subsequent to the signing and execution of that 1. The following is added to Paragraph a. Primary contract or agreement by you. Insurance: 2. The first Subparagraph (2) of Paragraph b. Ex- However, if you specifically agree in a written con- cess Insurance regarding any other primary in- tract or written agreement that the insurance pro- surance available to you is deleted. vided to an additional insured under this 3. The following is added to Paragraph b. Excess Coverage Part must apply on a primary basis, or Insurance, as an additional subparagraph under a primary and non-contributory basis, this insur- Subparagraph(1): ance is primary to other insurance that is avail- That is available to the insured when the insured able to such additional insured which covers such is added as an additional insured under any other additional insured as a named insured, and we policy, will not share with that other insurance, provided p Y, including any umbrella or excess policy. that: a. The "bodily injury" or "property damage" for which coverage is sought occurs; and CG DO 37 04 05 Copyright 2005 The St. Paul Travelers Companies, Inc. All rights reserved. Page 1 of 1 Policy#:6808894C1501842 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS This endorsement mcdifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS: 1. WHO IS AN INSURED (SECTION II) is amended in a written contract for this insurance to to include as an insured any person or organiza- apply on a primary or contributory basis. tion (called hereafter "additional insured") whom 3. This insurance does not apply: you have agreed in a written contract, executed prior to loss, to name as additional insured, but a. on any basis to any person or organization only with respect to liability arising out of "your for whom you have purchased an Owners work" or your ongoing operations for that addi- and Contractors Protective policy. tional insured performed by you or for you. b, to "bodily injury," "property damage," "per- 2. With respect to the insurance afforded to Addi- sonal injury," or "advertising injury" arising tional Insureds the following conditions apply: out of the rendering of or the failure to render a. Limits of Insurance — The following limits of any professional services by or for you, in- liability apply'.a I cluding: 1. The limits which you agreed to provide, 1• The preparing, approving or failing to or prepare or approve maps, drawings, 2. The limits:shown on the declarations, opinions, reports, surveys, change or- ders, designs or specifications; and whichever is less. 2. Supervisory, inspection or engineering b. This insurance is excess over any valid and services. collectible insurance unless you have agreed CG D1 05 04 94 Copyright, The Travelers Indemnity Company, 1994. Page 1 of 1 Includes Copyrighted Material from Insurance Services Office, Inc. Policy#:6808894C1501842 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. XTEND ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART GENERAL DESCRIPTION OF COVERAGE — This endorsement broadens coverage. The following listing is a general coverage description only. Limitations and exclusions may apply to these coverages. Read all the PRO- VISIONS of this endorsement carefully to determine rights, duties, and what is and is not covered. A. Broadened Named Insured I. Injury to Co-Employees and Co-Volunteer B. Damage To Premises Rented To You Extension Workers • Perils of fire, explosion, lightning, smoke, water J. Aircraft Chartered with Crew • Limit increased to$300,000 K. Non-Owned Watercraft— Increased C. Blanket Waiver of Subrogation from 25 feet to 50 feet D. Blanket Additional Insured—Managers or L. Increased Supplementary Payments Lessors of Premises • Cost for bail bonds increased to$2,500 E. Blanket Additional Insured— Lessor of • Loss of earnings increased to$500 per day leased Equipment M. Knowledge and Notice of Occurrence F. Incidental Medical Malpractice or Offense G. Personal Injury—Assumed by Contract N. Unintentional Omission H. Extension of Coverage—Bodily Injury O. Reasonable Force—Bodily Injury or Property Damage PROVISIONS B. DAMAGE TO PREMISES RENTED TO YOU A. BROADENED NAMED INSURED EXTENSION 1. The Named Insured in Item 1. of the Declara- 1. The last paragraph of COVERAGE A. BOD- tions is as follows: ILY INJURY AND PROPERTY DAMAGE LI- The person or organization named in Item 1. ABILITY (Section I — Coverages) is deleted of the Declarations and any organization, and replaced by the following: other than a partnership or joint venture, over Exclusions c. through n. do not apply to dam- which you maintain ownership or majority in- age to premises while rented to you, or tem- terest on the effective date of the policy. porarily occupied by you with permission of However, coverage for any such organization the owner, caused by: will cease as of the date during the policy pe- riod that you no longer maintain ownership of, a. Fire; or majority interest in, such organization. b. Explosion; 2. WHO IS AN INSURED (Section II) Item 4.a. c. Lightning; is deleted and replaced by the following: d. Smoke resulting from such fire,explosion, a. Coverage under this provision is afforded or lightning; or only until the 180th day after you acquire e. Water. or form the organization or the end of the policy period, whichever is earlier, unless A separate limit of insurance applies to this reported in writing to us within 180 days. coverage described in LIMITS OF INSUR- 3. This Provision A. does not apply to any per- ANCE (Secctt ion III). son or organization for which coverage is ex- 2. This insurance does not apply to damage to cluded by endorsement. premises while rented to you, or temporarily CG 01 86 11 03 Copyright, The Travelers Indemnity Company, 2003 Page 1 of 5 COMMERCIAL GENERAL LIABILITY occupied by you with permission of the COVERAGE A. BODILY INJURY AND owner, caused by: PROPERTY DAMAGE LIABILITY(Section I— a. Rupture, bursting, or operation of pres- Coverages) is excluded by endorsement. sure relief devices; C. BLANKET WAIVER OFSUBROGATION b. Rupture or bursting due to expansion or We waive any right of recovery we may have swelling of the contents of any building or against any person or organization because of structure, caused by or resulting from wa- payments we make for injury or damage arising ter; out of premises owned or occupied by or rented c. Explosion of steam boilers, steam pipes, or loaned to you; ongoing operations performed steam engines, or steam turbines. by you or on your behalf, done under a contract 3. Part 6. of LIMITS OF INSURANCE (Section with that person or organization; "your work"; or III) is deleted and replaced by the following: your products". We waive this right where you have agreed to do so as part of a written contract, Subject to 5. above, the Damage To Prem- executed by you prior to loss. ises Rented To You Limit is the most we will D. BLANKET ADDITIONAL INSURED — MANAG- pay under COVERAGE A. for damages be- ERS OR LESSORS OF PREMISES cause of"property damage" to any one prem- ises while rented to you, or temporarily occu- WHO IS AN INSURED (Section 11) is amended to pied by you with permission of the owner, include as an insured any person or organization caused by fire, explosion, lightning, smoke (referred to below as "additional insured") with resulting from such fire, explosion, or light- whom you have agreed in a written contract, exe- ning, or water. The Damage To Premises cuted prior to loss, to name as an additional in- Rented To You Limit will apply to all damage sured, but only with respect to liability arising out proximately caused by the same "occur- of the ownership, maintenance or use of that part rence", whether such damage results from of any premises leased to you, subject to the fol- fire, explosion, lightning, smoke resulting from lowing provisions: such fire, explosion, or lightning, or water, or 1. Limits of Insurance. The limits of insurance any combination of any of these. afforded to the additional insured shall be the The Damage To Premises Rented To You limits which you agreed to provide, or the lim- Limit will be the higher of: its shown on the Declarations, whichever is a. $300,000; or less. b. The amount shown on the Declarations 2. The insurance afforded to the additional in- for Damage To Premises Rented To You sured does not apply to: Limit. a. Any "occurrence" that takes place after 4. Under DEFINITIONS (Section V), Paragraph you cease to be a tenant in that premises; a. of the definition of "insured contract" is b. Any premises for which coverage is ex- amended so that it does not include that por- cluded by endorsement; or tion of the contract for a lease of premises c. Structural alterations, new construction or that indemnifies any person or organization demolition operations performed by or on for damage to premises while rented to you, behalf of such additional insured. or temporarily occupied by you with permis- 3. The insurance afforded to the additional in- sion of the owner, caused by: sured is excess over any valid and collectible a. Fire; insurance available to such additional in- b. Explosion; sured, unless you have agreed in a written c. Lightning; contract for this insurance to apply on a Ari- d. Smoke resulting from such fire, explosion, mary or contributory basis. or lightning; or E. BLANKET ADDITIONAL INSURED — LESSOR e. Water. OF LEASED EQUIPMENT 5. This Provision B. does not a I if WHO IS AN INSURED (Section II) is amended to pp y covers a 9 include as an insured any person or organization for Damage To Premises Rented To You of (referred to below as "additional insured") with Page 2 of 5 Copyright, The Travelers IndemnityCompany, 2003 CG D1 86 11 03 COMMERCIAL GENERAL LIABILITY whom you have agreed in a written contract, exe- for which no remuneration is demanded cuted prior to loss, to name as an additional in- or received. sured, but only with respect to their liability arising 3. Paragraph 2.a.(1)(d) of WHO IS AN IN- out of the maintenance; operation or use by you SURED (Section II) does not apply to any of equipment leased to you by such additional in- registered nurse, licensed practical nurse, sured, subject to the following provisions: emergency medical technician or paramedic 1. Limits of Insurance. The limits of insurance employed by you, but only while performing afforded to the additional insured shall be the the services described in paragraph 2. above limits which you agreed to provide, or the lim- and while acting within the scope of their em- its shown on the Declarations, whichever is ployment by you. Any "employees" rendering less. "Good Samaritan services" will be deemed to 2. The insurance afforded to the additional in- be acting within the scope of their employ- sured does not apply to: ment by you. a. Any 'occurrence" that takes place after 4. The following exclusion is added to paragraph the equipment lease expires; or 2. Exclusions of COVERAGE A. — BODILY INJURY AND PROPERTY DAMAGE LIABIL- b. "Bodily injury" or "property damage" aris- ITY(Section I—Coverages): ing out of the sole negligence of such ad- (This insurance does not apply to:) Liability ditional insured. arising out of the willful violation of a penal 3. The insurance afforded to the additional in- statute or ordinance relating to the sale of sured is excess over any valid and collectible pharmaceuticals by or with the knowledge or insurance available to such additional in- consent of the insured. sured, unless you have agreed in a written 5. For the purposes of determining the applica- contract for this insurance to apply on a pri- ble limits of insurance, any act or omission, mary or contributory basis. together with all related acts or omissions in F. INCIDENTAL MEDICAL MALPRACTICE the furnishing of the services described in 1. The definition of "bodily injury" in DEFINI- paragraph 2. above to any one person, will be TIONS (Section V) is amended to include "In_ considered one"occurrence". cidental Medical Malpractice Injury". 6. This Provision F. does not apply if you are in 2. The following definition is added to DEFINI- the business or occupation of providing any of TIONS (Section V): the services described in paragraph 2. above. "Incidental medical malpractice injury" means 7• The insurance provided by this Provision F. bodily injury, mental anguish, sickness or dis- shall be excess over any other valid and col- ease sustained by a person, including death lectible insurance available to the insured, resulting from any of these at any time, aris- whether primary, excess, contingent or on ing out of the rendering of, or failure to ren- any other basis, except for insurance pur- der, the following services: chased specifically by you to be excess of a. Medical, surgical, dental, laboratory, x-ray this policy. or nursing service or treatment, advice or G. PERSONAL INJURY — ASSUMED BY CON- instruction, or the related furnishing of TRACT food or beverages; 1. The Contractual Liability Exclusion in Part b. The furnishing or dispensing of drugs or 2•, Exclusions of COVERAGE B. PER- medical, dental, or surgical supplies or SONAL AND ADVERTISING INJURY LIABIL- appliances; or ITY (Section I — Coverages) is deleted and c. First aid. replaced by the following. d. "Good Samaritan services". As used in (This insurance does not apply to:) this Provision F., "Good Samaritan ser- Contractual Liability vices" are those medical services ren- "Advertising injury" for which the insured has dered or provided in an emergency and assumed liability in a contract or agreement. This exclusion does not apply to liability for CG D1 86 11 03 Copyright, The Travelers Indemnity Company, 2003 Page 3 of 5 ' s COMMERCIAL GENERAL LIABILITY damages that the insured would have in the 3. Subparagraphs 2.a.(1)(a), (b) and (c) and absence of the contract of agreement. 3.a. of WHO IS AN INSURED (Section 11) do 2. Subparagraph f. of the definition of "insured not apply to"bodily injury"for which insurance contract" (DEFINITIONS — Section V) is de- is provided by paragraph 1. or 2.above. leted and replaced by the following: J. AIRCRAFT CHARTERED WITH CREW f. That pat of any other contract or agree- 1. The following is added to the exceptions con- ment pertaining to your business (includ- tained in the Aircraft, Auto Or Watercraft ing an indemnification of a municipality in Exclusion in Part 2., Exclusions of COVER- connection with work performed for a AGE A. BODILY INJURY AND PROPERTY municipality) under which you assume the DAMAGE LIABILITY(Section I—Coverages): tort liability of another party to pay for (This exclusion does not apply to:) Aircraft "bodily injury," "property damage"or"per- sonal injury" to a third party or organiza- tion. Tort liability means a liability that 2• This Provision J. does not apply if the char- would be: imposed by law in the absence tered aircraft is owned by any insured. of any contract or agreement. 3. The insurance provided by this Provision J. 3. This Provision G. does not apply if COVER- shall be excess over any other valid and col- AGE B. PERSONAL AND ADVERTISING IN- lectible insurance available to the insured, JURY LIABILITY is excluded by endorse- whether primary, excess, contingent or on ment, any other basis, except for insurance pur- H. EXTENSION OF COVERAGE — BODILY IN- chased specifically by you to be excess of JURY this policy. The definition of "bodily injury" (DEFINITIONS — K. NON-OWNED WATERCRAFT Section V) is deleted and replaced by the follow- 1• The exception contained in Subparagraph (2) ing: of the Aircraft, Auto Or Watercraft Exclu- "Bodil injury" means bodily sion in Part 2., Exclusions of COVERAGE A. Y J rY" y injury, mental an- guish, mental injury, shock, fright, disability, hu- BODILY INJURY AND PROPERTY DAMAGE miliation, sickness or disease sustained by a per- LIABILITY (Section I — Coverages) is deleted son, including death resulting from any of these at and replaced by the following: any time. (2) A watercraft you do not own that is: I. INJURY TO CO-EMPLOYEES AND CO- (a) Fifty feet long or less; and VOLUNTEER WORKERS (b) Not being used to carry persons or 1. Your "employees" are insureds with respect property for a charge; to "bodily injury" to a co-"employee" in the 2. This Provision K. applies to any person who, course of the co-"employee's" employment by with your expressed or implied consent, either you, or to your"volunteer workers" while per- uses or is responsible for the use of a water- forming duties related to the conduct of your craft. business, provided that this coverage for your"employees" does not apply to acts outside 3. The insurance provided by this Provision K. the scope of their employment by you or while shall be excess over any other valid and col- performing duties unrelated to the conduct of lectible insurance available to the insured, your business. whether primary, excess, contingent or on any other basis, except for insurance pur- 2. Your "volunteer workers" are insureds with chased specifically by you to be excess of respect to "bodily injury" to a co-"volunteer this policy. worker"while oerforming duties related to the L. INCREASED SUPPLEMENTARY PAYMENTS conduct of your business, or to your"employ- ees" in the course of the "employee's" em- Parts b. and d. of SUPPLEMENTARY PAY- ployment by you, provided that this coverage MENTS — COVERAGES A AND B (Section I — for your "volunteer workers" does not apply Coverages)are amended as follows: while performing duties unrelated to the con- 1. In Part b. the amount we will pay for the cost duct of your business. of bail bonds is increased to$2500. Page 4 of 5 Copyright, The Travelers Indemnity Company, 2003 CG D1 86 11 03 COMMERCIAL GENERAL LIABILITY 2. In Part d. the amount we will pay for loss of which you are required to notify us in writing earnings is increased to$500 a day. of the abrupt commencement of a discharge, M. KNOWLEDGE AND NOTICE OF OCCUR- release or escape of "pollutants" which RENCE OR OFFENSE causes "bodily injury" or "property damage" 1. The following is added to COMMERCIAL which may otherwise be covered under this policy. GENERAL LIABILITY CONDITIONS (Section N. UNINTENTIONAL OMISSION IV), paragraph 2. (Duties In The Event of Oc- currence, Offense, Claim or Suit): The following is added to COMMERCIAL GEN- Notice of an "occurrence" or of an offense ERAL LIABILITY CONDITIONS (Section IV), which may result in a claim under this insur- paragraph 6.(Representations): ance shall be given as soon as practicable af- The unintentional omission of, or unintentional ter knowledge of the "occurrence" or offense error in, any information provided by you shall not has been reported to any insured listed under prejudice your rights under this insurance. How- Paragraph 1. of Section II — Who Is An In- ever, this Provision N. does not affect our right to sured or an "employee" (such as an insur- collect additional premium or to exercise our right ance, loss control or risk manager or adminis- of cancellation or nonrenewal in accordance with trator) designated by you to give such notice. applicable state insurance laws, codes or regula- Knowledge by other "employee(s)" of an "oc- tions. currence"or of an offense does not imply that O. REASONABLE FORCE — BODILY INJURY OR you also have such knowledge. PROPERTY DAMAGE 2. Notice shall be deemed prompt if given in The Expected Or Intended Injury Exclusion in good faith as soon as practicable to your Part 2., Exclusions of COVERAGE A. BODILY workers' compensation insurer. This applies INJURY AND PROPERTY DAMAGE LIABILITY only if you subsequently give notice to us as (Section I — Coverages) is deleted and replaced soon as practicable after any insured listed by the following: under Paragraph 1. of Section II —Who Is An (This insurance does not apply to:) Insured or an "employee" (such as an insur- ance, loss control or risk manager or adminis- trator) designated by you to give such notice "Bodily injury" or "property damage" expected or discovers that the "occurrence", offense or intended from the standpoint of the insured. This claim may involve this policy. exclusion does not apply to "bodily injury" or 3. However, this Provision M. does not apply as "property damage" resulting from the use of rea- respects the specific number of days within sonable force to protect persons or property. CG D1 86 1103 Copyright, The Travelers Indemnity Company, 2003 Page 5 of 5