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HomeMy WebLinkAboutPW18-379 - Original - Green River Natural Resource Area - S. Stormwater Pump Station Project: Bidding Services - 10/23/2019 40 Agreement Routing Form KEN T For Approvals,Signatures and Records Management WAS,4INGTON This form combines&replaces the Request for Mayor's Signature and Contract Cover Sheet forms. (Print on pink or cherry colored paper) Originator: Nancy for Steve Lincoln Department: Public Works Date Sent: 10/24/19 Date Required. 10/28/19 �v > Authorized Director or Designee Date of a, to Sign: Council N/A Ca. Mayor Approval: 11 Budget D20021 Grant? Yes ❑� No Account Number: Type: N/A Vendor or Name: Jacobs Engineering Group Inc. Cate 9 y. Contract = Vendor 1478604 Sub-Category o Number: EProject GRNRA S Pump Station �. Name: 0 Project 7 Details: Provide bidding services for the project. c Agreement 6 700 Basis for 0 Amount: Selection of >` Contractor: Q Start Date: 10/23/19 Termination Date: 12/31/20 Notice required prior to Yes No Contract Number: CAC0-09019,�crrj disclosure? Date Received by City Attorney: Comments: o~ c 0 0 cc N 01 L 3 it l0 Date Routed to the Mayor's Office: in d Date Routed to the City Clerk's Office: a Date Sent to Originator: Visit Documents.KentWA.gov to obtain copies of all agreements adccW22373_6_19 KENT WAS 1.-T. CONSULTANT SERVICES AGREEMENT between the City of Kent and Jacobs Engineering Group Inc. THIS AGREEMENT is made between the City of Kent, a Washington municipal corporation (hereinafter the "City"), and Jacobs Engineering Group Inc. organized under the laws of the State of Delaware, located and doing business at 1100 112th Ave. NE, Suite 500, Bellevue, WA 98004, Phone: (425) 233-3102, Contact: Erik Brodahl (hereinafter the "Consultant"). I. DESCRIPTION OF WORK. Consultant shall perform the following services for the City in accordance with the following described plans and/or specifications: The Consultant shall provide bidding services for the Green River Natural Resource Area (GRNRA) South Stormwater Pump Station Project. For a description, see the Consultant's Scope of Work which is attached as Exhibit A and incorporated by this reference. Consultant further represents that the services furnished under this Agreement will be performed in accordance with generally accepted professional practices within the Puget Sound region in effect at the time those services are performed. II. TIME OF COMPLETION. The parties agree that work will begin on the tasks described in Section I above immediately upon the effective date of this Agreement. Consultant shall complete the work described in Section I by December 31, 2020. III. COMPENSATION. A. The City shall pay the Consultant, based on time and materials, an amount not to exceed Six Thousand, Seven Hundred Dollars ($6,700), for the services described in this Agreement. This is the maximum amount to be paid under this Agreement for the work described in Section I above, and shall not be exceeded without the prior written authorization of the City in the form of a negotiated and executed amendment to this agreement. The Consultant agrees that the hourly or flat rate charged by it for its services contracted for herein shall remain locked at the negotiated rate(s) for a period of one (1) year from the effective date of this Agreement. The Consultant's billing rates shall be as delineated in Exhibit A. B. The Consultant shall submit monthly payment invoices to the City for work performed, and a final bill upon completion of all services described in this Agreement. The City shall provide payment within forty-five (45) days of receipt of an invoice. If the City objects to all or any portion of an invoice, it shall notify the Consultant and reserves the option to only pay that portion of the invoice not in dispute. In that event, the parties will immediately make every effort to settle the disputed portion. IV. INDEPENDENT CONTRACTOR. The parties intend that an Independent Contractor- Employer Relationship will be created by this Agreement. By their execution of this Agreement, and in accordance with Ch. 51.08 RCW, the parties make the following representations: CONSULTANT SERVICES AGREEMENT - 1 ($20,000 or Less) A. The Consultant has the ability to control and direct the performance and details of its work, the City being interested only in the results obtained under this Agreement. B. The Consultant maintains and pays for its own place of business from which Consultant's services under this Agreement will be performed. C. The Consultant has an established and independent business that is eligible for a business deduction for federal income tax purposes that existed before the City retained Consultant's services, or the Consultant is engaged in an independently established trade, occupation, profession, or business of the same nature as that involved under this Agreement. D. The Consultant is responsible for filing as they become due all necessary tax documents with appropriate federal and state agencies, including the Internal Revenue Service and the state Department of Revenue. E. The Consultant has registered its business and established an account with the state Department of Revenue and other state agencies as may be required by Consultant's business, and has obtained a Unified Business Identifier (UBI) number from the State of Washington. F. The Consultant maintains a set of books dedicated to the expenses and earnings of its business. V. TERMINATION. Either party may terminate this Agreement, with or without cause, upon providing the other party thirty (30) days written notice at its address set forth on the signature block of this Agreement. After termination, the City may take possession of all records and data within the Consultant's possession pertaining to this project, which may be used by the City without restriction. If the City's use of Consultant's records or data is not related to this project, it shall be without liability or legal exposure to the Consultant. VI. DISCRIMINATION. In the hiring of employees for the performance of work under this Agreement or any subcontract, the Consultant, its subcontractors, or any person acting on behalf of the Consultant or subcontractor shall not, by reason of race, religion, color, sex, age, sexual orientation, national origin, or the presence of any sensory, mental, or physical disability, discriminate against any person who is qualified and available to perform the work to which the employment relates. Consultant shall execute the attached City of Kent Equal Employment Opportunity Policy Declaration, Comply with City Administrative Policy 1.2, and upon completion of the contract work, file the attached Compliance Statement. VII. INDEMNIFICATION. Consultant shall defend, indemnify and hold the City, its officers, officials, employees, agents and volunteers harmless from any and all claims, injuries, damages, losses or suits, including all legal costs and attorney fees, arising out of or in connection with the Consultant's performance of this Agreement, except for that portion of the injuries and damages caused by the City's negligence. The City's inspection or acceptance of any of Consultant's work when completed shall not be grounds to avoid any of these covenants of indemnification. Should a court of competent jurisdiction determine that this Agreement is subject to RCW 4.24.115, then, in the event of liability for damages arising out of bodily injury to persons or damages to property caused by or resulting from the concurrent negligence of the Consultant and the City, its officers, officials, employees, agents and volunteers, the Consultant's duty to defend, indemnify, and hold the City harmless, and Consultant's liability accruing from that obligation shall be only to the extent of the Consultant's negligence. CONSULTANT SERVICES AGREEMENT - 2 ($20,000 or Less) IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THE INDEMNIFICATION PROVIDED HEREIN CONSTITUTES THE CONSULTANT'S WAIVER OF IMMUNITY UNDER INDUSTRIAL INSURANCE, TITLE 51 RCW, SOLELY FOR THE PURPOSES OF THIS INDEMNIFICATION. THE PARTIES FURTHER ACKNOWLEDGE THAT THEY HAVE MUTUALLY NEGOTIATED THIS WAIVER. In the event Consultant refuses tender of defense in any suit or any claim, if that tender was made pursuant to this indemnification clause, and if that refusal is subsequently determined by a court having jurisdiction (or other agreed tribunal) to have been a wrongful refusal on the Consultant's part, then Consultant shall pay all the City's costs for defense, including all reasonable expert witness fees and reasonable attorneys' fees, plus the City's legal costs and fees incurred because there was a wrongful refusal on the Consultant's part. The provisions of this section shall survive the expiration or termination of this Agreement. VIII. INSURANCE. The Consultant shall procure and maintain for the duration of the Agreement, insurance of the types and in the amounts described in Exhibit B attached and incorporated by this reference. IX. EXCHANGE OF INFORMATION. The City will provide its best efforts to provide reasonable accuracy of any information supplied by it to Consultant for the purpose of completion of the work under this Agreement. X. OWNERSHIP AND USE OF RECORDS AND DOCUMENTS. Original documents, drawings, designs, reports, or any other records developed or created under this Agreement shall belong to and become the property of the City. All records submitted by the City to the Consultant will be safeguarded by the Consultant. Consultant shall make such data, documents, and files available to the City upon the City's request. The Consultant acknowledges that the City is a public agency subject to the Public Records Act codified in Chapter 42.56 of the Revised Code of Washington. As such, the Consultant agrees to cooperate fully with the City in satisfying the City's duties and obligations under the Public Records Act. The City's use or reuse of any of the documents, data, and files created by Consultant for this project by anyone other than Consultant on any other project shall be without liability or legal exposure to Consultant. XI. CITY'S RIGHT OF INSPECTION. Even though Consultant is an independent contractor with the authority to control and direct the performance and details of the work authorized under this Agreement, the work must meet the approval of the City and shall be subject to the City's general right of inspection to secure satisfactory completion. XII. WORK PERFORMED AT CONSULTANT'S RISK. Consultant shall take all necessary precautions and shall be responsible for the safety of its employees, agents, and subcontractors in the performance of the contract work and shall utilize all protection necessary for that purpose. All work shall be done at Consultant's own risk, and Consultant shall be responsible for any loss of or damage to materials, tools, or other articles used or held for use in connection with the work. XIII. MISCELLANEOUS PROVISIONS. A. Recyclable Materials. Pursuant to Chapter 3.80 of the Kent City Code, the City requires its contractors and consultants to use recycled and recyclable products whenever practicable. A price preference may be available for any designated recycled product. B. Non-Waiver of Breach. The failure of the City to insist upon strict performance of any of the covenants and agreements contained in this Agreement, or to exercise any option conferred by this Agreement in one or more instances shall not be construed to be a waiver or relinquishment of those covenants, agreements or options, and the same shall be and remain in full force and effect. C. Resolution of Disputes and Governing Law. This Agreement shall be governed by and construed in accordance with the laws of the State of Washington. If the parties are unable to settle any dispute, difference or claim arising from the parties' performance of this Agreement, the exclusive means CONSULTANT SERVICES AGREEMENT - 3 ($20,000 or Less) of resolving that dispute, difference or claim, shall only be by filing suit exclusively under the venue, rules and jurisdiction of the King County Superior Court, King County, Washington, unless the parties agree in writing to an alternative dispute resolution process. In any claim or lawsuit for damages arising from the parties' performance of this Agreement, each party shall pay all its legal costs and attorney's fees incurred in defending or bringing such claim or lawsuit, including all appeals, in addition to any other recovery or award provided by law; provided, however, nothing in this paragraph shall be construed to limit the City's right to indemnification under Section VII of this Agreement. D. Written Notice. All communications regarding this Agreement shall be sent to the parties at the addresses listed on the signature page of the Agreement, unless notified to the contrary. Any written notice hereunder shall become effective three (3) business days after the date of mailing by registered or certified mail, and shall be deemed sufficiently given if sent to the addressee at the address stated in this Agreement or such other address as may be hereafter specified in writing. E. Assignment. Any assignment of this Agreement by either party without the written consent of the non-assigning party shall be void. If the non-assigning party gives its consent to any assignment, the terms of this Agreement shall continue in full force and effect and no further assignment shall be made without additional written consent. F. Modification. No waiver, alteration, or modification of any of the provisions of this Agreement shall be binding unless in writing and signed by a duly authorized representative of the City and Consultant. G. Entire Agreement. The written provisions and terms of this Agreement, together with any Exhibits attached hereto, shall supersede all prior verbal statements of any officer or other representative of the City, and such statements shall not be effective or be construed as entering into or forming a part of or altering in any manner this Agreement. All of the above documents are hereby made a part of this Agreement. However, should any language in any of the Exhibits to this Agreement conflict with any language contained in this Agreement, the terms of this Agreement shall prevail. H. Compliance with Laws. The Consultant agrees to comply with all federal, state, and municipal laws, rules, and regulations that are now effective or in the future become applicable to Consultant's business, equipment, and personnel engaged in operations covered by this Agreement or accruing out of the performance of those operations. I. Public Records Act. The Consultant acknowledges that the City is a public agency subject to the Public Records Act codified in Chapter 42.56 of the Revised Code of Washington and documents, notes, emails, and other records prepared or gathered by the Consultant in its performance of this Agreement may be subject to public review and disclosure, even if those records are not produced to or possessed by the City of Kent. As such, the Consultant agrees to cooperate fully with the City in satisfying the City's duties and obligations under the Public Records Act. J. City Business License Required. Prior to commencing the tasks described in Section I, Contractor agrees to provide proof of a current city of Kent business license pursuant to Chapter 5.01 of the Kent City Code. CONSULTANT SERVICES AGREEMENT - 4 ($20,000 or Less) K. Counterparts and Signatures by Fax or Email. This Agreement may be executed in any number of counterparts, each of which shall constitute an original, and all of which will together constitute this one Agreement. Further, upon executing this Agreement, either party may deliver the signature page to the other by fax or email and that signature shall have the same force and effect as if the Agreement bearing the original signature was received in person. IN WITNESS, the parties below execute this Agreement, which shall become effective on the last date entered below. All acts consistent with the authority of this Agreement and prior to its effective date are ratified and affirmed, and the terms of the Agreement shall be deemed to have applied. CONSULTANT: CI�T: By: /pt..V By: V (signature)V V(signbture) Print Name: ID&Vt 0 J. tK EL L`t Print Name: Timothy J. LaPorte, P.E. Its: Manager of Projects Its: Public Works Director (title) DATE: AS 0GT 2-0 DATE: NOTICES TO BE SENT TO: NOTICES TO BE SENT TO: CONSULTANT: CITY OF KENT: Erik Brodahl Timothy J. LaPorte, P.E. Jacobs Engineering Group Inc. City of Kent 1100 112th Ave. NE, Suite 500 220 Fourth Avenue South Bellevue, WA 98004 Kent, WA 98032 (425) 233-3102 (telephone) (253) 856-5500 (telephone) N/A (facsimile) 253 856-6500 f csimile ATTES U"AA Kent Cit C erk Jacobs-GRNRA South PS 2/Lincoln CONSULTANT SERVICES AGREEMENT - 5 ($20,000 or Less) ` DECLARATION CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY POLICY The City of Kent is committed to cOn63rrn to Federal and State laws regarding equal opportunity. AS such all contractors, subcontractors and suppliers who perform work with relation to this Agreement shall comply with the regulations of the City's equal 2rnp|nyrnent opportunity policies. The following questions specifically identify the requirements the City deems necessary for any contractor, subcontractor Or supplier OO this specific Agreement to adhere to. An affirmative response is required on all of the ho||nvving questions for this Agreement to be valid and binding, If any contractor, subcontractor or supplier willfully misrepresents themselves with regard to the directives outlines, it will be considered a breach of contract and it will be at the Clty's sole determination regarding suspension or termination for all or part of the Agreement; The questions are asfollows: 1. l have read the attached City of Kent administrative policy number 1.2. Z. During the time of this Agreement l will not discriminate in employment on the basis of sex, race, CO|0r, national origin, age, or the presence of all sensory, mental Or phyS|C8| disability. 8. During the time of this Agreement the prime contractor will provide a written statement to all new employees and subcontractors indicating commitment as an equal opportunity employer. 4. During the time of the Agreement I, the prime contractor, will actively consider hiring and promotion of women and minorities. 5. Before acceptance of this Agreement, an adherence statement will be signed by me, the Prime Contractor, that the Prime Contractor complied with the requirements as set forth above. By signing below, I agree tofulfill the five requirements referenced 8bOv8. By: For: Jacobs Engineering ' Title: Manager pfProjects Date: CITY OF KENT ADMINISTRATIVE POLICY NUMBER: 1.2 EFFECTIVE DATE: January 1, 1998 SUBJECT: MINORITY AND WOMEN SUPERSEDES: April 1, 1996 CONTRACTORS APPROVED BY Jim White, Mayor POLICY: Equal employment opportunity requirements for the City of Kent will conform to federal and state laws. All contractors, subcontractors, consultants and suppliers of the City must guarantee equal employment opportunity within their organization and, if holding Agreements with the City amounting to $10,000 or more within any given year, must take the following affirmative steps: 1. Provide a written statement to all new employees and subcontractors indicating commitment as an equal opportunity employer. 2. Actively consider for promotion and advancement available minorities and women. Any contractor, subcontractor, consultant or supplier who willfully disregards the City's nondiscrimination and equal opportunity requirements shall be considered in breach of contract and subject to suspension or termination for all or part of the Agreement. Contract Compliance Officers will be appointed by the Directors of Planning, Parks, and Public Works Departments to assume the following duties for their respective departments. 1. Ensuring that contractors, subcontractors, consultants, and suppliers subject to these regulations are familiar with the regulations and the City's equal employment opportunity policy. 2. Monitoring to assure adherence to federal, state and local laws, policies and guidelines. EEO COMPLIANCE DOCUMENTS - 2 CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE STATEMENT This form shall be filled out AFTER COMPLETION of this project by the Contractor awarded the Agreement. I, the undersigned, a duly represented agent of Company, hereby acknowledge and declare that the before-mentioned company was the prime contractor for the Agreement known as that was entered into on the (date) between the firm I represent and the City of Kent. I declare that I complied fully with all of the requirements and obligations as outlined in the City of Kent Administrative Policy 1.2 and the Declaration City of Kent Equal Employment Opportunity Policy that was part of the before-mentioned Agreement. By: For: Title: Date: EEO COMPLIANCE DOCUMENTS - 3 Exhibit A SCOPE OF SERVICES City of Kent GRNRA South Stormwater Pump Station Bidding Services ------------------------ Jacobs Engineering Group Inc. September 2019 1. SCOPE OF SERVICES Jacobs Engineering Group Inc. (Consultant) previously contracted with the City of Kent (City) for design engineering services associated with the GRNRA South Stormwater Pump Station project. The proposed scope of services to be performed by Consultant for bidding services for the GRNRA South Stormwater Pump Station project includes the following services: • Bidding assistance 2. ASSUMPTIONS This scope of services for bidding services is based on the following assumptions: • City will lead and administer bidding services and questions from prospective bidders will be routed directly to City, rather than Consultant. City will prepare formal addenda, incorporating input from Consultant as needed. 3. DETAILED SCOPE OF SERVICES Below are the identified tasks for this scope of work. Before the start of each task, Jacobs will obtain written or verbal notice to proceed from the City's Project Manager prior to initiating the additional work associated with this amendment. Task 100 — Bidding Support Services The purpose of this task is to provide bidding assistance to the City on an as needed basis. Activities: Respond to contractor questions during bidding, as requested by City. Provide and issue updates to drawings or specifications for addenda as needed. Consultant support for up to three addenda assumed. Provide project management associated with the bidding services. Deliverables: September 2019 Page 1 of 2 Jacobs Engineering Group Inc. • Written responses (electronic) to questions from prospective bidders, where input is requested from the City. City will incorporate Consultant responses into formal responses to questions via addenda, where applicable. 4. PROPOSED SCHEDULE FOR BIDDING SERVICES The schedule for bidding services is anticipated to last for two calendar weeks, beginning with the bid advertisement date, which is currently scheduled for September 24, 2019. END OF SCOPE OF WORK September 2019 Page 2 of 2 Jacobs Engineering Group Inc. 8 a 1-1 Rq WBpng leiol " 4_1 Aq tso�.rogej Pa4Nen3 ysel Act vnoH let-1 U � a osY ym —6rs80 ea�o I ry.d—p—, 4aua,j u '7 6wgWnld ..'s V16 set/�VnH taau.6u3 Aaia6pea toe re~!u-al3 mwag ;aapgary d,e4S 5Pee'1 wwBu3 uaRo 1 U"S emc�nttS 'o 7 ejje.p wad 6ue�uer 'o ;,':3 u6mp N^'.�sebtl auuvaxrry .adulB�a o�awou�uenf uG�sap N�� Wd Nepot8 tlP3 $� 8 s a O i p LL R g u r -LL O `o u H Q U N O 0 J E w j 0 F N `o fj - y _ `a Z N � C_ O g E c Y N rn 9 � H m m o a e EXHIBIT B INSURANCE REQUIREMENTS FOR CONSULTANT SERVICES AGREEMENTS Insurance The Consultant shall procure and maintain for the duration of the Agreement, insurance against claims for injuries to persons or damage to property which may arise from or in connection with the performance of the work hereunder by the Consultant, their agents, representatives, employees or subcontractors. A. Minimum Scope of Insurance Consultant shall obtain insurance of the types described below: 1. Automobile Liabilit insurance covering all owned, non-owned, hired and leased vehicles. Coverage shall be written on Insurance Services Office (ISO) form CA 00 01 or a substitute form providing equivalent liability coverage. If necessary, the policy shall be endorsed to provide contractual liability coverage. 2. Commercial General Liability insurance shall be written on ISO occurrence form CG 00 01 and shall cover liability arising from premises, operations, independent contractors, products-completed operations, personal injury and advertising injury, and liability assumed under an insured contract. The Commercial General Liability insurance shall be endorsed to provide the Aggregate Per Project Endorsement ISO form CG 25 03 11 85. The City shall be named as an insured under the Consultant's Commercial General Liability insurance policy with respect to the work performed for the City using ISO additional insured endorsement CG 20 10 11 85 or a substitute endorsement providing equivalent coverage. 3. Workers' Compensation coverage as required by the Industrial Insurance laws of the State of Washington. 4, Professional Liability insurance appropriate to the Consultant's profession. B. Minimum Amounts of Insurance Consultant shall maintain the following insurance limits: 1. Automobile Liability insurance with a minimum combined single limit for bodily injury and property damage of $1,000,000 per accident. 2. Commercial General Liability insurance shall be written with limits no less than $3,000,000 each occurrence, $3,000,000 general aggregate. EXHIBIT B (Continued) 3. Professional Liability insurance shall be written with limits no less than $3,000,000 per claim and $3,000,000 policy aggregate limit. C. Other Insurance Provisions The insurance policies are to contain, or be endorsed to contain, the following provisions for Automobile Liability and Commercial General Liability insurance: 1. The Consultant's insurance coverage shall be primary insurance as respect the City. Any Insurance, self-insurance, or insurance pool coverage maintained by the City shall be excess of the Consultant's insurance and shall not contribute with it. 2. The Consultant's insurance shall be endorsed to state that coverage shall not be cancelled by either party, except after thirty (30) days prior written notice by certified mail, return receipt requested, has been given to the City. 3. The City of Kent shall be named as an additional insured on all policies (except Professional Liability) as respects work performed by or on behalf of the Consultant and a copy of the endorsement naming the City as additional insured shall be attached to the Certificate of Insurance. The Consultant's Commercial General Liability insurance shall also contain a clause stating that coverage shall apply separately to each insured against whom claim is made or suit is brought, except with respects to the limits of the insurer's liability. D. Acceptability of Insurers Insurance is to be placed with insurers with a current A.M. Best rating of not less than ANII. E. Verification of Coverage Consultant shall furnish the City with original certificates and a copy of the amendatory endorsements, including but not necessarily limited to the additional insured endorsement, evidencing the insurance requirements of the Consultant before commencement of the work. F. Subcontractors Consultant shall include all subcontractors as insureds under its policies or shall furnish separate certificates and endorsements for each subcontractor. All coverages for subcontractors shall be subject to all of the same insurance requirements as stated herein for the Consultant. r ` , DATE(MMIDD/YYYY) ACORD CERTIFICATE OF LIABILITY INSURANCE 06/06/2019 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 LIC #0437153 1-212-948-1306 CONTACT NAME: Marsh Risk & Insurance Services PHONE FAX CIRTS_Support@jacobs.com E-MAIL Ex AIC No: 1-212-948-1306 633 W. Fifth Street ADDRESS: INSURERS AFFORDING COVERAGE NAIC# Los Angeles, CA 90071 INSURERA: ACE AMER INS CO 22667 INSURED INSURER B: Jacobs Engineering Group Inc. INSURER C C/O Global Risk Management INSURERD: 1000 Wilshire Blvd., Suite 2100 1 INSURER E: Los Angeles, CA 90017 INSURERF: COVERAGES CERTIFICATE NUMBER: 56394344 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MM DD/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY HDO G71565129 07/01/19 07/01/20 EACH OCCURRENCE $ 3,000,000 DA AGE To RENTED CLAIMS-MADE FT] OCCUR PREM SES Ea occurrence) $ 500,000 X CONTRACTUAL LIABILITY MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 POLICY ] PRO JECT ❑ LOC PRODUCTS-COMP/OP AGG $ 3,000,000 OTHER: $ A AUTOMOBILE LIABILITY ISA H25295511 07/01/19 07/01/20 COMBINED SINGLE LIMIT $ 1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTYDAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ PER A WORKERS COMPENSATION WLR C65892248 STOP-GAP C 97/01/19 07/01/20 STATUTE X ORH- AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE � N/A E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBEREXCLUC (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A PROFESSIONAL LIABILITY EON G21655065 010 07/01/19 07/01/20 PER CLAIM/PER AGG 3,000,000 "CLAIMS MADE" AGGREGATE DEFENSE INCLUDED DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) PROJECT MGR: Erik Brodahl. CONTRACT MGR: Glenn Young. RE: Green River Natural Resources Area Pump Station Project. CONTRACT END DATE: 12/31/2017. PROJECT NUMBER: W3X76200. SECTOR: Public. City of Kent is added as an additional insured for general liability & auto liability as respects the negligence of the insured in the performance of insured' services to cert holder under contract for captioned work. Coverage is primary and certificate holder's insurance is excess and non-contributory. General Liability coverage includes the severability of interests/Cross Suits Liability provision in favor of the holder. *THE TERMS, CONDITIONS, AND LIMITS PROVIDED UNDER THIS CERTIFICATE OF INSURANCE WILL NOT EXCEED OR BROADEN IN ANY WAY THE TERMS, CONDITIONS, AND LIMITS AGREED TO UNDER THE APPLICABLE CONTRACT.* 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 ACCORDANCE WITH THE POLICY PROVISIONS. 220 Fourth Avenue South AUTHORIZED REPRESENTATIVE Kent, WA 98032 USA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Cert Renewal 56394344 CONSTRUCTION PROJE+vT($)GENERAL AGGREGATE LIMIT wind t�e�i Jacvbe Fnjineertng Group tnc. Pit-cy Sym6al t► ' rrkim . 09"r ,ad EffoctowEndo r tmer4 f HDO GTI565129 07/012019 TO 07101 2020 ltta�ed�iN tr .,ren€�� nyl ACE American Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING: COMMERCIAL GENERAL LIABILITY COVERAGE FORM A_ Subject to and eroding the General Aggregate Umit shown in the Declarations, for all sums which the Insured beds logarly obligated to pay as damages caused by'occurrences' under COVERAGE A (SECTION 1); and fo( all medical expenses caused ,by accidents gander COVERAGE C (SECT I), which can be attributed only to ongoing operations at your construction ptooxft away from promises owned by or rented to yo,3 (such ong n operations at such construction p(c ects afe hereinA defrrreo as'Your Projects').. 1. A separate Construction Projettt General Aggregate Limit applies to all of Your Projects, and that (trait is equal to tie an-mnt required under written contract, boat In no event greater than the General Aggregate Limit shown in tt�rs f9laats. 2. The Construction Project General Aggregate Lamit is the rirroot we will pay for iht— sum cf all darnages un 6--•r COVERAGE A. except damages because of *bodily ir4ury4 or 'p4Werty darrx ' ancluded in they 'products. completed operaWns hazard", and ix modical expenses under COVERAGE C; which dame es arld medical expenses can be attributed drily to Your projects, regardless of the number 011. a. Insureds; b, Ctairns made or"suits" brought,or c. Pewns of orgaruzations making claims or btingiing'suts` 3. Any payments made under COVERAGE A for darriagn oc under COURAGE C for medical expenses that can be attributed to Your projects shall reduce t#te Construction Project General Aggregate Limit and stasp atso reduce ard erode the General Aggregate Li rid shown n the'Declarations 4, The omits shown in the Declarations for t acn Occurrence, Fires Damage and Medical Expense continue to apply. However, such limier will be subject to the Construction Prqect General Aggregate Limit, as well as tyre General Aggregate Limit shown in the Doclaratons. B. For all sums,wbich the insured becomes legally obligated to pay as damages caused by`occurrences' under COVERAGE A(SECTION I), and for all medical expenses caused by accidents under COVERAGE C(SIE CTION I} which cannot be attributed tartly to Ytuur Prctjecls; I. Any peymenis made tinder COVERAGE. A for damages or under COVERAGL C for mod al expenses stall ritduce the amount available under the Gr noial Aggregate Limit or the Products-Completed Operas Aggregate Limit,whichever is apph^,able;and 2. Such payments shall not reduce the Construction Project General Aggregate Limit, C. Wnen coverage for liability aris,ng out of the"products-completed operwuorts hazard' is provided, any payments for damages because of'bodily injury' or rty darnage'included in the"products-completed eVerattrrts hazard' will reduce the Products,-Completed Operations Aggregate Limit, and not reduce the General Aggregate Lir sit ncff the MS-22367(07117) ;C*w 2014 All fV"r Br•W page t 0t 2 CONSTRUCTION PROJECTtlij GENERAL AGQMS(3AT6 UWT Conslructrort Project General Aggregate Limit- It arty one or more of Your Pro}eds has teen abandoned, delayed, or abandmed and ten restarted, or 0 the authonzed contracting parties davlate ftom pWns, Wuevnnts, designs, spec,,-fications or timetables, the project willsili be deemed to be the sari ie constrL<Wn proj6cL E. The ptvviisions of Llmft Of hisuranco (SECTION 111) W otherwise modified by this endorsement shall continue to app4y as stipulated. MS-22357(07117) COV.% 2015 Aln?hh orvj4 Paos 2 of 2 ADDrFlONIAL INSURED-AUTOMATIC STATUS Keened tr o t Jaiccnbs Engi", erirng Group Inc. 252 Pats.Sy trs+t ap.a.tvu kky 09no EMecltue Data o't=s . HDO 1G715651219107,01112019 1 07101=20 ht4ued 6y s'Namie mf V.t uar** wt{ YI ACE Arnencan Insurancs Company THIS ENDORSEMENT CHANCES THE POLICY. PLEASE READ IT CAPIflxt7LLY. THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING: COMMERCIAL qENERAL LIABILITY COVERAGE FORM CHED 1r Nanne of Perom or Organizatiotu Any persott or oMnization for whom any Named insured is required by written contract or agreement to prcrvide insurance,entered into prior to the loss,,where such written contract or agreement,does not expressly identify a particular Inauranee Seryke Organization Front to t o apT*ed to their additional insured status. who is 4n Insured (Section 11)includes as an additional insured the person or organlization shown in the Scheclule,but the insurance shalt not exceed the scope of cove and/or lirnits of this pansy,Notwithmanding the Bing sentence, in no event,.hall the Insurance provided such additional insured exceed the scope of the ccwerage and/or limits required by,,said contract or agreement; and,if such additional insured's scope of+a wra e is not expressly stated in such rutntr ct or agreement,ent, then sueh t ov rav is limited to the additional invsred's vicarious liability to the extent directly rausccl by the Named Insured's negligence during the tutted lnstrred's ongoing c,peratior4s. This insurance shalt be primary insurance to the extent required by said contract or agreement,and any other insurance or self-insurance m;4intairne by such person or organization shall be noncontribvtory with the insurance provided thereunder to the extent spo ifinod in strict contract agreement. Where the contract or agmemat provides that the additional irnwred's :scope of coverage is for the Named Insured's 1,ndemnit)t obligations under such contract or A9Pt mcnt,then such coverage,shall be ,united to the extent such indemnity obligations are enforceable under applicable law. Not-Mthstanding the foregoing sentence, in no a nt shall the insurance provided such additional insured- exceed the scope of,Damage required by said contract or agrec ent Notwithstand: sg anything to the contrary, the cDverage provided an additional insured under this endorsement shall be limited to the minimum coverage limits required to be provided by the Named Insured under the written contract or agreement. MS-15m(07118) 0Cft#.rr0 2016 AJ tg r Page 1 of I DCNTIONAL INSURED-DESIGNATED PERSONS OR ORGANIZATIONS I+lkaira*o Irc Gar .lacofos Engineering Group Inc. :...,. . Er#Jw#4ernerd M#i tit r WK; 15 " Ilr,y t tstr P�iiCs cr l Elctiva€8h9 t51 '�J bII9et ISA H2S?g'�b�1 07" 11r2019 7c) 07�1OV20.2 Issued By(Name oftsrs xffirirr" 5' NICE American tnsurarvice Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ rr CAREf ULLY. THIS ENDORSEMENT MODIFIES IN:SORANGE PROVIDED UNDER THE FOLLOWING: SUSINESS AUTO COVERAGE FORM AddrItional Insured(s). Any person or twgarimation whoa you have agreed to w6uule as an additional insured under a written contract, prowl such contrad was executed to the date of loss-Project and/or Co ad.Ali prcf@ds WdIor contracts where you perform work for such additional incurred pursuant to any such wfitten contract. A. For a cowered `auto," Atuti is Insured is amended to include as an 'insured,* the persons of organizations named in this endorsement However. theft persons of o(ganirations are an `ln bared" only for '"bodity, r4ury' or 'property d ge'resulting from acts or or issirns of 1. YOU, 2. Any of your"eirip�oyees` or agents, 3, Any person operating a covered"auto"with pe€rr scion from yr„ any of your'employees` or agents 5 The persons or organizatiors named in this er4orsevnent are not liable for payment of your premium C VVVih re-spect to the insutrance afforded to these additional insureds,the following appkes: If 1;QYCr*gc ptow"ded to ttm Wdullivnorb 1'15urea Is required t1Y a rAnir ct or agreement.the r7ml we wtif ,tar on behalf of the additional insures is the am(,aint of insurance t Ieguued t>y the eantract orsgrrrnn1 or 2 Available under the applicable Limits of Instoance shown in the De-clarations, which w is less if such additional insured's scope of coverage is not expressly stated vn a contract or agreement, then such coverage is Winited to the additional insured's vicious liability to the extent d;rectfy caused by the NatT e In ,r"s n ent*duretg Itm Named hsure s ongoing operations, This insurance shall to primary cis prance to the eAent requOed by said contract or atgr mentor and any other insurance or self-insurance maintained by such person or organization shah be noncontributory wittri the insuranta provided hereunder to the extent specified in said,centrist agr ent_ 4/>,there the contract of agreement prov�des lltail the additional Insur :scope of coverage is for the named insured's indemioity obhgattons under such contracit or agreernent. then such scavenge shalt be Vnited to the extent such indemnity obligations are enforceable under applicabte law. MS-60621 (07118) CChOh :cis All Page 1 of 1 NOTICE TO OTHERS ENUOt SEMENT — SCHEDULE— EMAIL ONLY ,arcatas l=rVineemg Group Inc 13 F"Oh y I t t+cy Wmber Posy Pe Aod F fr ii+ve trail n*ysetnent HDO G715651 g WM1P20 9 T+D 07101,'2©20 ACE Ariericon to .nonce Corrvany �OpN�t lfte "srurtaer the r�rmerder ter tl�e esrartrets�r se is ba�mr�ir+6 ont! tl�s�ti it�+�i e�ectuMSA�Ftrr pt�petatirxt Cry D7 THIS ENDORSEMENT CHANGES THE POLICY. P E,ASE READ IT CAREFULLY. A, If we cancel the Policy prior to its expiration date by notice to you or,the first Nomad lnSLWad tlor any reasor,other than nonpayment of premium, we will endeavor, as set out below,to send written rMice of cancellation, via such electronic notification as we detaimano, to the porno ns or organizations listed in the st to iule that you or your representative provide or have provided to us (the`Sclhedrle"). You or your representative rnust provide us with the e4nail address of such persons or orgatnxations„ and we will maize such it address that you or your representative provided to us Ora such B(O ule. S. The Schedule must be initially provided to us Withift 15 days afar: 1. The beginn ng of the Pol,ty period, if this endorsement is affWive as of such date; or li. This rehclotserrieni 'ias b n added to the Policy, if this endorsement is effective after the Policy period conimences C. The Schedule Must be in an eledronic format that is acceptable to us;and must be a murate. t . Our delivery of the notification as described in Paragraph A. of iNs endorsement wiM be based on the rrost recent Schedule in our records as of the die the notice of cancellation is mailed or dakvered to the first Named Insured. E. We wig endeavor to send such notice to the e-mail address corresponding to each person cor oiganizatiop indicated in the Schedule at bast 30 days ptiot to the cancWation date applicable to the Policy. F. The rirrtice referenced in this endorse wnt is intended onlly� to be a courtesy noytdicatktrn to the person(s) cr organizations) named in the Schedule in the event, of a pending cancellation of coveine. We have no legal obligation of any kind to arvy such person(s) or orgatwatiwi(s). Our failure to pr ode advarras notftstion of cancellation to the person(s) or organization(s) shown in the Schedule shalt impose no cb4a or or hability of any kind upon pus, our a is or representaliyes, + >ii not extend any Paler Canceflallion date and will root negate any cancellation of the Policy. + . We are not responsible for verify ng any information provided to us in any Sc edube, nor are we rewonsible for my ineorfoa information that your at your irepresentative provide to us, If you or your representative does not pe ovrde us with a Schedule, we have no responstAity for tak.ng any action under this andorsament_ in addition. if neither yoo nor your representative provides us with e-mail address informilon w4h respw to a particular person or organization, than we shall have no responsibil ty for taking action with regard to such person or entity Lmde f tfiis endorsement H. 4W may arrange with your representative to seal such rice in the event of any such cancellation. t. You mll cooperate with us In providing the Schedule, of in causing your representative to provide the Scneduli�: J. This endo mernent dores not apply rn the event that you cancel the Poky. ALL-32685(Dili 1) Paige 1 of 2 All other terms and conditions of the Policy remain undharigod. AiAhocfred Aepresentat. ALL-32685(01 i11) Page 2 of 2 NOTICE TO OTHERS ENDORSEMENT— SCHEDULE -- EMAIL ONLY 1 i Jacobs EiVineanng, f ' YYtb hAytr '€, $A H252 511 E tgclrre Geer `i r. r »er t m ems__. D7�'it+'2Q11� r 07tp1t2tD70 _ I rum � .M I ACE Aftio6can Insurance Company v3 w�rV ry Sr£+Pi �►NiM)AAii Sib Ei�3iH.�� GOn d iiY11 THIS ENDORSEMENT CHANGES THE POLICY,PLEASE READ IT CAREFULLY. A, It we cancel the Policy prior to its expir'aVOn date by n0bce to you or the first amec,' Insured for"reason other than nonpayment of premourn,we w�endeavor as set Out below,,tta send wrtten notice of can;elfaAiitxt, via such electronic rit tic n as'arswe dctsirrra to the persons or orgartmarbons iistai<ct 11) the s&edube that you or your rep active provide or have provided to us (the`�&e dule`) You or your represenWive must provide us with the ea-wait addm is of such persons or organizations, and we wit utilize such e-mait address that you or your fopreseeiladiive provided to us on such Schedule R, The Schedule nXIM be Initially provided to us within 15 days,after 1_ The boymidtfU of the Policy per ,it this endors�erner't is etrechvei as of such deta; o, l€, This endorsement has been addend to tho Policy„ tf this endorserne3ni is effective after the Policy Period cornmefices C. The Schedule must be in an electronic at that is tepla le to us;and rr as,t be aocurate, C, Ove delivery of hat€ficatitart as described in Pat raph A- of this Ondofse(nient will be based on the most recent Schedule in Our r as of elute the notice of cancellation rs mailed or delivered Ks the first Narre,d Insured E. Ale will endeavor to send such notice to the rail address corresponding to each person or"aniz;ation indicated in the Schedules at least 30 days prior to the cancellation date a allcabte to Policy F. The notice referenced is this endorsement is it r4ed only to be a courtesy nctdicat*n Io the person(s) or ciroarilzabon(s) named in tine Schedule in the event of a pending canceiWice, of coverage We have I aI obligation of any bind to any suclt Pers ($) or arrganizatior s) Our ure to Provide advance no nc�trfrcatiort csnCell0lico to the Peat(s) or organization(s) shown in tiles Schedule $hall impose no Obilgatbirk or liability of any kited upon eros. the agents c3 r8pre�s tRitiv�eS, wJI not extend any PPoucy i bon date and wit not negate any c tlatlKir4 of the Policy, G. We are not responsible for v'erifyirvg any, 40MISIAon provided to US in any Schedule, nor are we rbsports, le f any Occirrect information Chet you or your representative;provide to us. if you or your representative doers roo t pro€a+nn r us with a Eat Jule, we haves no responsibility for taking any action under this rsement, In addition, if neither you nor your repr+esEntsGv,r provid" us w4h a-malt ad in�rrnation �Nith respect ts� a organization €ton we shag "ve no rasp `ity for takingaction w+lh regard to person eaticulaf arson or endorsement. p or enfity under this H. We may arrange visa`s yo.e repro tawe to servo such notice in the event of any such canceeliatioin. I. You will operate with ors in Providing the Schedule.Of 10 caiysirsg Your rapresentative to provide the SchodLde, J, This endorsernant does not apply in the event that you cancel tine Policy. A'LL-32W Pope 104 2 All opwr J"s and con "ions of the Poky to-nain Mancha ed dURWr�a�q�r�ser'�hao- A l-3MS(:ot 111) Page 2ot2 Worilters'Compensation arnd!�m Io rya'Li fity Policy JACOBS ENGINEERING GROUP INC, t000 WILSHIRE BOULEVARD SUITE 1 DOO ��icy i�it�t r LOS ANGELES CA 9001 symbai AWL.€ Number_C6589248 okyPeriod ttw D*W of Endo t 07-01-20 t g TO 07-01-202 y �07-01,201 9 7intn4; r trra"61 Rnst nce cnfhp&Ty, ACE AMERICAN tNSUPA ;E COMPANY 'Sbrt ary tarrxNer crr ih• mta crlp O&W INS NOTICE TO OTHERS ENDORSEMENT SCHEDULE — EMAiL ONLY A_ If we cancel this Potrcy pitor to its expiration date by not e to you or the first Named insurea for any reason other than nonpayrne nt of premium, we w4l endeavor, as set out below, to send written notice of cancellation, via such ekxAronic notification as we determine, to the persons or organizations fisted in the schedule that you or your represeentative provide or have provided to us (the 'Schedule)- You or your representative must provide us wnh the e-mail address of such persons or organizations, and we will utilize such 0-mad address that you or your representakfve provided to us on such Schedule. S. The Schedule must tie initially prtivded to us wilNn 15 days after: i. "he beginning 0the Policy period, if this endorsement is effect" as of such date; or tl This ondorsernant has been added to the Policy, if this endorsement is effective after the Polity period commences, G. The Schedule must be in an electronic forrrtat that is acceptable to us,and must tia acc: rate. 0. Out dellivery of the nodfiGatinn as described in Paragraph A. of this endorsement will be based on the Most r nit Schedule in our records as of the date the notice of cance,11aition is Mated or delivered to the first Narned Insured, , We MI endeavor to send such notice to the e-mail address corresWorAklg to each person or organization it led in the Schedule at(east 30 days prior to the can%eFateon dale applicable to time Poilicy. P. The notice referenced in this endorsement is intended only to be a cOurtesy notification to the person(s) or organization(s) narntd in the Schedule in Me event of a pending carw-e4latbon of coverage. We have no dal obligation of any kind to any such person(s) of organization(s). Our fails re to prov ie advar notification of cancellation to the person(s) or organization(s) shown in the Schedule shatt impose no obligation or liability of any kind upon us, our agents or representatives, will not extern any Policy cancellation data and will not negate any cancellation of the Policy G. We are not respormible for verifying any infoinalion provided to us in any Schedule, not are we responsible, fiat any it re t information than you or your reprejamOve provide to us. It you or your representative does rnol provift us with a3 Schedule, we have no re5,pon5io slty for taking any action under this erndorsement. In add6orn, if neither you not your representative provides us with a rem information „ Ah respect to a particular person or organization, there we shark have no r onsibilily for taking action with regard to such person or eint-ft urider this encliorsement, H. tittle may arrange with your representaitim to send such notice in event of any such carce tion- I. You will cooperate with us in providing the Schedule,Orin causing your representative to provide the S dt le., J. This endorsement does not apply in the event that you cancel the Policy. All other terms and conditions of this Policy remain unchanged This Endorsement is not applicable in the skates of AZ, FL, ID, ME,NC, f), NM,TX and Wt. dAWo--nzeai Kepi ntove WC 99 03 68(01 i 11) _ Page t THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured Endorsement Number Jacobs Engineering Group Inc. 7 Policy Symbol Policy Number �07=01/20119 Effective Date of Endorsement EON G21655065 010 to 07/01/2020 07/01/2019 Issued By(Name of Insurance Company) ACE American Insurance Company NOTICE TO OTHERS ENDORSEMENT—SCHEDULE F. If We cancel or non-renew the Policy prior to its expiration date by notice to You for any reason other than nonpayment of premium, We will endeavor, as set out below, to send written notice of cancellation or non-renewal via such electronic or other form of notification as We determine, to the persons or organizations listed in the schedule that You or Your representative provide or have provided to Us (the Schedule). You or Your representative must provide Us with both the physical and e-mail address of such persons or organizations, and We will utilize such e-mail address and/or physical address that You or Your representative provided to Us on such Schedule. G. The Schedule must be initially provided to Us within 30 days after: i. The beginning of the Policy Period, if this endorsement is effective as of such date; or ii. This endorsement has been added to the Policy, if this endorsement is effective after the Policy Period commences. H. The Schedule must be in a format that is acceptable to Us and must be accurate. I. Our delivery of the notification as described in Paragraph A of this endorsement will be based on the most recent Schedule in Our records as of the date the notice of cancellation or non-renewal is mailed or delivered to You. J. We will endeavor to send or deliver such notice to the e-mail address or physical address corresponding to each person or organization indicated in the Schedule at least 30 days prior to the cancellation or non-renewal date applicable to the Policy. K. The notice referenced in this endorsement is intended only to be a courtesy notification to the person(s) or organization(s) named in the Schedule in the event of a pending cancellation or non- renewal of coverage. We have no legal obligation of any kind to any such person(s) or organization(s). Our failure to provide advance notification of cancellation or non-renewal to the person(s) or organization(s) shown in the Schedule shall impose no obligation or liability of any kind upon Us, Our agents or representatives, will not extend any Policy cancellation or non-renewal date and will not negate any cancellation or non-renewal of the Policy. L. We are not responsible for verifying any information provided to Us in any Schedule, nor are We responsible for any incorrect information that You or Your representative provide to Us. If You or Your representative does not provide Us with a Schedule, We have no responsibility for taking any action under this endorsement. In addition, if neither You nor Your representative provides Us with e-mail address and/or physical address information with respect to a particular person or organization, then We shall have no responsibility for taking action with regard to such person or entity under this endorsement. M. With respect to this endorsement Our, Us or We means the stock insurance company listed in the Declarations, and You or Your means the insured person or entity listed in Item 1 of the Declarations page. All other terms and conditions of this Policy remain unchanged. �-- MS-36362 (04/19) Authorized Representative SUPPLEMENT TO CERTIFICATE OF INSURANCE DATE 06/06/2019 NAME OF INSURED: Jacobs Engineering Group Inc. SUPP(10/00)