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HomeMy WebLinkAboutPW17-263 - Amendment - #1 - Harris & Associates, Inc. - LID 363: S 224th St Improvements - Provide Inspection Services - 05/23/2019��KENT Records Management Document CONTRACT COVER SHEET This is to be completed 6y hl . Cort: A cit t0laoi, ger prior to s�lub issio to the City Clerk's Office. All portions s are to be co sple ,d, If you have questions, ple - e r"ontact the Cite Clerk's Office"' at 253-8,336-5725, Vendor Name: Vendor Number (IDE): Harris & Associates, Inc. 1627195 Contract Number (City Clerk): f W /7- d,(-,3 Category: _Contract Agreement Sub -Category (if applicable): Amendment Project Name: LID 363: S. 224th St. Improvements Contract Execution Date: Contract Manager: 5/23/19 Jason Bryant Contract Amount: $20,000 Budgeted: Part of NEW Budget: Related to a New Position: Basis for Selection of Contractor? Other Termination Date: 12/31/20 Department: PW: Engineering Grant? Local: n State: Federal: El Approval Authority: IZI Director 1:1 Mayor F1 City Council Other Details: Added JECB LLC as a subconsultant to provide construction inspection services for the r)roiect. — • KENT W AS H ING TO N AMENDMENT NO. 1 NAME OF CONSULTANT OR VENDOR: CONTRACT NAME & PROJECT NUMBER: ORIGINAL AGREEMENT DATE: Harris & Associat:es, Inc. LID 363: S. 224th St. Improvements August 22, 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: Add JECB, LLC as a subconsultant to provide construction inspection services for the project. For a description, see the Consultant's 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, $260,157.04 including applicable WSST Net Change by Previous Amendments $0 including applicable WSST Current Contract Amount $260,157.04 including all previous amendments Current Amendment Sum $20,000.00 Applicable WSST Tax on this $0 Amendment Revised Contract Sum $280,157.04 AMENDMENT - 1 OF 2 Original Time for Completion 12/31/20 (insert date) Ll By: , Revised Time for Completion under n/a prior Amendments Print Name: Timothy J. LaPorte P.E. Its P blic Works Director (insert date) (t• e) DATE: �3 O49 Add'I Days Required (±) for this 0 calendar days Amendment APPROVED AS TO FORM: Revised Time for Completion 12131/20 (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: Ll By: , (signature)\ c 3 (si nature) Print Name: ,.S `/y_ ��3t'Ci� Its U1V S lok' Print Name: Timothy J. LaPorte P.E. Its P blic Works Director (title) DATE: %�f1' 2-CJr) (t• e) DATE: �3 O49 ATTEST: APPROVED AS TO FORM: (applicable if Mayor's signature required) � �tM Kent Law Department Kent City Clerk t;arrls & Associates - 224" Amid I/Bryan[ AMENDMENT - 2 OF 2 EXHIBIT A NI Harris & Associates May 15, 2019 Mr. Jason Bryant Project Manager City of Kent 400 W. Gowe Street Kent, WA 98032-6019 jbryant rz kentwa.gov RE: Addition of JECB as a Subconsultant to Harris & Associates Inc, Dear Mr. Bryant: Per your request, Harris & Associates is submitting a proposal to provide additional professional oversight services for nighttime work associated with the S. 224'h Street Improvement Project, pursuant to Consultant Services Agreement between City of Kent and Harris, dated August 22, 2017. We will be adding JECB as a Subconsultant to Harris for this work. The work is anticipated to last 3 weeks, and the rate for the inspector is $115/hr. The proposed fee for this work will not exceed$20,000. If you have any questions, please do not hesitate to contact me at Glen n.Suitor@weareharris .com or at (916) 296-4620. Sincerely, Glenn Suitor Division President 207 % 1st Avenue S, Suite 250, Seattle, WA 98104 0 p: 206.455.8862 0 WeAreliarris.com AC(:>R& CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 05/21/2019 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. 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 0757776 1-800-877-4560 HUB International Insurance Services Inc. P.O. Box 4047 CONTACT NAME: PHONE0. 925 609-6500 FAX 925 609-6550AIC No E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # POLICY EXP MM/ODIYYYV Concord, CA 94524 INSURERA:valley Forge Insurance Company INSURED Harris & Associates Inc. INSURERB:Navigators Specialty Insurance Company INSURERC:Travelers Property Casualty Co of Amer Attn: Susan Mandilag INSURERD: Continental Casualty Company 1401 Willow Pass Road, Suite 500 INSURER E: Concord, CA 94520 INSURERF: 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. INSR LTR TYPE OF INSURANCEPOLICY ADDL SUBR NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/ODIYYYV LIMITS A X COMMERCIAL GENERAL LIABILITY 6072176739 08/01/18 08/01/19 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE III OCCUR DAMAGE TO HLN I ED PREMISES Ea occurrence $ 1,000,000 X Ded: 0 MED EXP (Any one person) $ 15,000 PERSONAL &ADV INJURY $ 1,000,000 GENIAGGREGATE LIMIT APPLIES PER : X PRO g � GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/DPAGG $ 2,000,000 POLICY JECT LOC OTHER: E AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO Ea accident BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE E Per accident X B UMBRELLALIABOCCUR SFI8EXC712701IC 08/01/18 08/01/19 EACH OCCURRENCE $ 10,000,000 X EXCESS LIAB CLAIMS -MADE AGGREGATE $ 10,000,000 DED X RETENTION$ 0 -- KERS C WOR EMPLOYRS'LIAILIT UB -8K458448 -TIL -18 * 08/01/18 08/01/19 AND EMPLOYERS' LIABILITY X PERANYPROTH- STATUTE ER YIN OFFICER/MEMBER FFICE /ME BERE EXCLUDED? R EXCLUDED? N / A E.L. EACH ACCIDENT $ 1'000'000 (Mandatory in NH) llgdtorybeun I( es, describe under E.L. DISEASE - EA EMPLOYEE $ 1,000,000 DESCRIPTION CFOPERATIONS below D PROFESSIONAL LIABILITY AEH591891588 E.L. DISEASE -POLICY LIMIT $ 1, 000, 000 08/01/18 08/01/19 Per Claim 10,0001000 Claims -Made Aggregate 10,000,000 Ded. Each Claim 150,000 DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space Is required) * Workers Compensation policy excludes monopolistic states NO, OH, WA, WY. General Liability Additional Insured status granted, if required by written contract/agreement, CNA75079XX 1016. per attached form City of Kent is additional insured under General Liabiilty if required by a written contract RE: 224th Street Improvements Project CERTIFICATE HOLD 150-0227 (2021) City of Kent Engineering Administration I Public Works Department Nancy Yoshitake, Contract Specialist 220 Fourth Avenue South Kent, WA 98032 ACORD 25 (2016/03) smandilag 534760584 TION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE USA ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CNA Blanket Additional Insured - Owners, Lessees or Contractors - with Products -Completed Operations Coverage Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART It is understood and agreed as follows: I. WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required by written contract to add as an additional insured on this coverage part, 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: A. in the performance of your ongoing operations subject to such written contract; or B. in the performance of your work subject to such written contract, but only with respect to bodily injury or property damage included in the products -completed operations hazard, and only if: 1. the written contract requires you to provide the additional insured such coverage; and 2. this coverage part provides such coverage. II. But if the written contract requires: A. additional insured coverage under the 11-85 edition, 10-93 edition, or 10-01 edition of CG2010, or under the 10-01 edition of CG2037; or B. additional insured coverage with "arising out of" language; or C. additional insured coverage to the greatest extent permissible by law; then paragraph I. above is deleted in its entirety and replaced by the following: WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required by written contract to add as an additional insured on this coverage part, but only with respect to liability for bodily injury, property damage or personal and advertising injury arising out of your work that is subject to such written contract. III. Subject always to the terms and conditions of this policy, including the limits of insurance, the Insurer will not provide such additional insured with: A. coverage broader than required by the written contract; or B. a higher limit of insurance than required by the written contract. IV. The insurance granted by this endorsement to the additional insured does not apply to bodily injury, property damage, or personal and advertising injury arising out of: A. the rendering of, or the failure to render, any professional architectural, engineering, or surveying services, including: 1. the preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and 2. supervisory, inspection, architectural or engineering activities; or B. any premises or work for which the additional insured is specifically listed as an additional insured on another endorsement attached to this coverage part. V. Under COMMERCIAL GENERAL LIABILITY CONDITIONS, the Condition entitled Other Insurance is amended to add the following, which supersedes any provision to the contrary in this Condition or elsewhere in this coverage part: CNA75079XX (10-16) Page 1 of 2 Insured Name: Harris & Associates Inc. Policy No: 6072176739 Effective Date: 08/01/2018 Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. Blanket Additional Insured - Owners, Lessees or Contractors - with Products -Completed Operations Coverage Endorsement Primary and Noncontributory Insurance With respect to other insurance available to the additional insured under which the additional insured is a named insured, this insurance is primary to and will not seek contribution from such other insurance, provided that a written contract requires the insurance provided by this policy to be: 1. primary and non-contributing with other insurance available to the additional insured; or 2. primary and to not seek contribution from any other insurance available to the additional insured. But except as specified above, this insurance will be excess of all other insurance available to the additional insured. VI. Solely with respect to the insurance granted by this endorsement, the section entitled COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows: The Condition entitled Duties In The Event of Occurrence, Offense, Claim or Suit is amended with the addition of the following: Any additional insured pursuant to this endorsement will as soon as practicable: 1. give the Insurer written notice of any claim, or any occurrence or offense which may result in a claim; 2. send the Insurer copies of all legal papers received, and otherwise cooperate with the Insurer in the investigation, defense, or settlement of the claim; and 3. make available any other insurance, and tender the defense and indemnity of any claim to any other insurer or self -insurer, whose policy or program applies to a loss that the Insurer covers under this coverage part. However, if the written contract requires this insurance to be primary and non-contributory, this paragraph 3. does not apply to insurance on which the additional insured is a named insured. The Insurer has no duty to defend or indemnify an additional insured under this endorsement until the Insurer receives written notice of a claim from the additional insured. VII. Solely with respect to the insurance granted by this endorsement, the section entitled DEFINITIONS is amended to add the following definition: Written contract means a written contract or written agreement that requires you to make a person or organization an additional insured on this coverage part, provided the contract or agreement: A. is currently in effect or becomes effective during the term of this policy; and B. was executed prior to: 1. the bodily injury or property damage; or 2. the offense that caused the personal and advertising injury; for which the additional insured seeks coverage. Any coverage granted by this endorsement shall apply solely to the extent permissible by law. All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policv. (10-16) Page 2 of 2 Policy No: 6072176739 Page 2 of 2 Insured Name: Harris &Associates Inc. Effective Date: 08/01/2018 Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. Architects, Engineers and Surveyors General Liability Extension Endorsement (6) of the Damage to Property Exclusion do not apply to property damage that results from the use of elevators. B. Solely for the purpose of the coverage provided by this PROPERTY DAMAGE — ELEVATORS Provision, the Other Insurance conditions is amended to add the following paragraph: This insurance is excess over any of the other insurance, whether primary, excess, contingent or on any other basis that is Property insurance covering property of others damaged from the use of elevators. 23. RETIRED PARTNERS, MEMBERS, DIRECTORS AND EMPLOYEES WHO IS INSURED is amended to include as Insureds natural persons who are retired partners, members, directors or employees, but only for bodily injury, property damage or personal and advertising injury that results from services performed for the Named Insured under the Named Insured's direct supervision. All limitations that apply to employees and volunteer workers also apply to anyone qualifying as an Insured under this Provision. 24. SUPPLEMENTARY PAYMENTS The section entitled SUPPLEMENTARY PAYMENTS — COVERAGES A AND B is amended as follows: A. Paragraph 1.b. is amended to delete the $250 limit shown for the cost of bail bonds and replace it with a $5,000. limit; and B. Paragraph 1.d. is amended to delete the limit of $250 shown for daily loss of earnings and replace it with a $1,000. limit. 25. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS If the Named Insured unintentionally fails to disclose all existing hazards at the inception date of the Named Insured's Coverage Part, the Insurer will not deny coverage under this Coverage Part because of such failure. 26. WAIVER OF SUBROGATION - BLANKET Under CONDITIONS, the condition entitled Transfer Of Rights Of Recovery Against Others To Us is amended to add the following: The Insurer waives any right of recovery the Insurer may have against any person or organization because of payments the Insurer makes for injury or damage arising out of: 1. the Named Insured's ongoing operations; or 2. your work included in the products -completed operations hazard. However, this waiver applies only when the Named Insured has agreed in writing to waive such rights of recovery in a written contract or written agreement, and only if such contract or agreement: 1. is in effector becomes effective during the term of this Coverage Part; and 2. was executed prior to the bodily injury, property damage or personal and advertising injury giving rise to the claim. 27. WRAP-UP EXTENSION: OCIP, CCIP, OR CONSOLIDATED (WRAP-UP) INSURANCE PROGRAMS Note: The following provision does not apply to any public construction project in the state of Oklahoma, nor to any construction project in the state of Alaska, that is not permitted to be insured under a consolidated (wrap- up) insurance program by applicable state statute or regulation. CNA74858XX (1 - 15) Policy No: 6072176739 Page 16 of 17 Effective Date: 08/01/2018 Insured Name: Harris & Associates Inc. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. TRAVELERS/ J WORKERS COMPENSATION AND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY HARTFORD, CT 06183 ENDORSEMENT WC 99 03 76 ( A) — 001 POLICY NUMBER: (1 -113 -81<458448 -TIL -18) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA (BLANKET WAIVER) 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. The additional premium for this endorsement shall be 02.000 % of the California workers' compensation pre- mium. Schedule Person or Organization Job Description ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise; stated. (The information below is required only when this endorsement Is issued subsequent to preparation of the policy.) Endorsement Effective Policy No. Insured Endorsement No. Premium Insurance Company Countersigned by DATE OF ISSUE: 08-02-18 ST ASSIGN: Page 1 of 1 ,4coRn> CERTIFICATE OF LIABILITY INSURANCE " °ATE (MIATM YYY) �..►-- 05121/2019 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. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WANED, 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 andorsement s . PRODUCER COCONTACT marsh Sponsored Programs Marsh Sponsored Programs PHONE FAX (A1C. No. Esti: 1-877320.9393 t, 515.365-0895 a division of Marsh USA Inc. PO Box 14404 ,Nal; E-MAIL AooREss: rfsktttana gement@marsh . m.com Vendor 213. 31459 Des Moines, lA 50306.9686 ItNSLMERLS AFFOPD"COVEPAGE NAM 9 GEWL AGGREGATE LIMIT APPLIES PER { INSURER A Old Republic Insurance Company 24147 INSURED HARRIS 8 ASSOCIATES, INC INSURER B - - 1401 Willow Pass Road, Ste 500 INSURERC' CONCORD, CA 94520 INSURER c X ANY AUTO OWNED SCHEDULED j INSURER E _ AUTOS ONLY INSURER F v{.J ♦ CIC I-rll.NIn mumn] ft. DGYftCftl�e ♦rr teas Win. 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. iiiLTR TYPE OF INSURANCE ADOL R POLICY NUMBER PCNJCY EFF POLICY EXP MM .---Y LIMITS CGENERAL LIABILITY — EACH OCCURRENCE $ CLAIMS -MADE OCCUR DXgjQ'1EToRENTED -- ? EtAISES,(Eaommonce, $ .—. ... MED EXP KLy ane person S ........... . _.........__ PERSONAL S ADV INJURY S GEWL AGGREGATE LIMIT APPLIES PER { GENERAL AGGREGATE $ POLICY :.CT LOC OTHER: PRODUCTS -COMP/OP AGG $ T I $ A AUTOMOBILE LIABILITY X X L100554-18 '0810112018 COMBINED SINGLE LINT ' 08101/2019 iFeao-*n S 1,000,000 X ANY AUTO OWNED SCHEDULED j BODILY INJURY (Per person) S -. . _ AUTOS ONLY I -: BODILY INJURY (Per sod tierN) . S (AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY - PROPERTY DAMAGE' ..(Per aaident}. ; $ UMBRELLA tJAB OCCUR S EXCESS Lt" EACH EACH OCCURRENCE. S .-� I I ; .. AGGREGATE ;S DED RETENTION t' WORXERS COMPENSATION s ANO EMPLOYERS' LIABILITY Y / N PE :DTH - STATiJT ER ANYPROPR I ETO W PARTNER IEXE CLM V E ' OFFICERA4EMBER EXCLUDED) a : N / A E.L. EACH ACCIDENT S fMa dstory in NH) - I pas. deavba trader - E:L DISEASE EA EMPLOYEE. S DESCRIPTION OF �ERATKINS heitTv ... E.L. DISEASE -POLICY LIMIT S DESCRWTION OF OPBAATIONS! LOCATION! 1 VEHICLES (ACORD 141, AddtUensl Remark: S--ub, rosy be snechsd it more -Pete tsreq/irW! GPBR I XL I POhcY provides protection for any a art operation%4Obc performed by Ube named insured where required by written contract. Certilkate holder is an Additional Insured Waterer Of Subrogation kxiudW where required by written contract. Insurance is where required by written contract. primary and nori'v I ibubry RE 224th Sueet Improvements Project 150.0227 (2021) City Of Kant SHOULD ANY OF THE ABOVE DESCRMED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL 13E tN E DEERED IN Engineering Administration Public Work WIS. Nancy YDshilake, Contract Specialist ACCORDANCE WrrH THE POLICY PROVISION 220 Fourth Avenue South Kent, WA 98032 AUTHORIMDREPRESENTATNE ACORD 25 201W03 ®1888-2015 ACORD GOR TION. All rights reserved. ( ) The ACORD name and logo are registered marks of ACORD 19261511 OLD REPUBLIC INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM Schedule Any person(s) or organization(s) as required by written contract or agreement. 1. SECTION it — COVERED AUTOS LIABILITY COVERAGE, A. Coverage, 1. Who Is An Insured is amended to include the person(s) or organization(s) designated in the Schedule above but only for damages: a. Which are covered by this insurance; and b. Which you have agreed to provide in a written contract. 2. The limits of insurance afforded to such person(s) or organization(s) will be: a. The minimum limits of insurance which you agreed to provide, or b. The limits of insurance of this policy whichever is less. CA 560 002 1213 Page 1 of 1 L100554.18 08/0112018. 08101/2019 HARRIS & ASSOCIATES, INC POLICY NUMBER: COMMERCIAL AUTO CA 04 44 10'13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) 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 the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. 1--unau lnsurea: HARRIS & ASSOCIATES, INC Endorsement Effective Date: SCHEDULE Name(s) Of Person(s) Or Organization (s): All persons or organizations as required by written contract or agreement. Information required to compiete this Schedule if not shown above will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "toss" under a contract with that person or organization. CA 04 44 10 13 L100554.18 Insurance Services Office, Inc., 2011 HARRIS & ASSOCIATES, INC Page 1 of 1 08101/2018 - 0810112019 COMMERCIAL AUTO CA 04 49 11 16 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION 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 the endorsement. A. The following is added to the Other Insurance Condition in the Business Auto Coverage Form and the Other Insurance — Primary And Excess Insurance Provisions in the Motor Carrier Coverage Form and supersedes any provision to the contrary: This Coverage Form's Covered Autos Liability Coverage is primary to and will not seek contribution from any other insurance available to an "insured" under your policy provided that: 1. Such "insured" is a Named Insured under such other insurance; and 2. You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to such "insured". CA 04 4911 16 L100554.18 B. The following is added to the Other Insurance Condition in the Auto Dealers Coverage Form and supersedes any provision to the contrary: This Coverage Form's Covered Autos Liability Coverage and General Liability Coverages are primary to and will not seek contribution from any other insurance available to an "insured" under your policy provided that: 1. Such "insured" is a Named Insured under such other insurance; and 2. You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to such "insured". Q Insurance Services Office, Inc., 2016 HARRIS & ASSOCIATES, INC Page 1 of 1 08!01/2019 - 08(01!2019