Loading...
HomeMy WebLinkAboutPW18-399 - Amendment - #1 - Noel Gilbrough - Flood Control Project and Flood Fight - 11/20/2019 Agreement Routing Form KENT For Approvals,Signatures and Records Management W n 5'.I I N G T ON 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 Toby Hallock Department: Public Works Date Sent: 11/21/19 Date Required. 11/27/19 � Authorized � Director or Designee Date of CL to Sign: Council N/A QMayor Approval: Budget D20079, D20085, D20090, Grant? Yes No Account Number: D20092, D20098 Type: N/A Vendor or Name: Noel Gilbrough Cate g y: Contract C Vendor Sub-Category 0 Number: 2J9 88 A iy�'�Vl�ivl L�1 EProject Flood Control and Emergency Flood Fight ,. Name: 0 c Project Extend the time of completion to December 31, 2020. �. Details: c Is E Agreement Basis for Go Amount: $0 Selection of Contractor: d Start Date: 11/20/19 Termination Date: 12/31/2O Notice required prior to Yes No Contract Number: disclosure? Date Received by City Attorney: Comments: M c 44 2 0 IA a 0 M Date Routed to the Mayor's Office: 'vt 1 .40 Date Routed to the City Clerk's Office: d Date Sent to Originator: Visit Documents.KentWA.gov to obtain copies of all agreements adccW22373_6_19 • KENT W A S H I N G T O N AMENDMENT NO. 1 NAME OF CONSULTANT OR VENDOR: Noel Gilbrough CONTRACT NAME & PROJECT NUMBER: Flood Control and Emergency Flood Fight ORIGINAL AGREEMENT DATE: October 18, 2018 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: No change to the scope of work, however an amendment is needed to extend the time of completion to December 31, 2020 to continue to provide support for flood protection and assist with levee projects. 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, $17,600 including applicable WSST Net Change by Previous Amendments $0 including applicable WSST Current Contract Amount $17,600 including all previous amendments Current Amendment Sum $0 Applicable WSST Tax on this $0 Amendment Revised Contract Sum $17,600 AMENDMENT - 1 OF 2 Original Time for Completion 12/31/19 (insert date) Revised Time for Completion under n/a prior Amendments (insert date) Add'I Days Required (t) 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 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: By: TAV � NOEL- (signature) (signature) Prin Name: ::rA.& UL W-- Print Name: Michael Mactutis, P.E. Its Its Environmental Engineering Manager c (title) (title) DATE: O(� I , /9 DATE: ll ve l`) ATTEST: APPROVED AS TO FORM: (applicable if Mayor's signature required) A Kent City Clerk Kent Law Department Noel Gilbrough-Flood Control&Flood Fight Amid 1/Hallock --- AMENDMENT - 2 OF 2 - — __— POLICYHOLDER NOTICE - WASHINGTON Date: 11/20/18 Policy Number: 65 SBM NY4907 THE Renewal Date: 01/04/19 HARTFORD Your Hartford Agent: USAA INSURANCE AGENCY INC/PHS (888) 242-1430 NOEL, INC 7359 23RD AVE NW SEATTLE WA 98117 Dear Valued Hartford Insured, Your current policy provided by The Hartford will expire shortly. The purpose of this notice is to advise you of certain changes to your policy upon renewal. A. Policy Premium The new premium for your policy for the upcoming term is indicated below. This premium amount is based on current information known to us and may be subject to change based on any additional information we may receive from you or your Hartford agent or broker. More information on your premium determination can be obtained from your agent or broker, or from The Hartford. Renewal Premium = $ 529.00 Amount of Increase = $ 12 .00 The reason(s) for the increase in premium is due to one or more of the following: 1. A change in rates or the method of calculating premium. 2. A change in your exposures, loss experience, or other risk characteristics. B. Coverage Changes (if applicable) Your policy for the upcoming term will include certain reductions or additional restrictions in coverage, as indicated by an (x) below. If your state requires a notice of nonrenewal as a result of the indicated change(s), this is our notice to you in compliance with the applicable law. ( ) Increase in Deductible to: ( ) Reduction in Limits to: (X) Reductions in Coverage: SEE SS 90 03 03 17 - IMPORTANT NOTICE TO POLICYHOLDERS- UNMANNED AIRCRAFT - LIABILITY ENDORSEMENT ( ) Other Changes or Restrictions in Coverage: The coverage change is due to the following indicated reason(s): ( ) Your exposures, loss experience, or other risk characteristics indicate a need for the change. (X) A change in our rules, forms or underwriting guidelines for your type of policy. _ Form IH 70 50 12 10 _ Pagel _ __ Further information regarding the reason for the coverage change(s) is available from the company or your agent or broker. You may receive other notices of coverage changes for the upcoming policy tern under separate cover. Those other changes will apply in addition to the changes described above. This is not a bill. You will receive a separate bill for all or part of the premium due for your renewal policy. If you do not pay the amount shown by the due date as stated in the bill, your insurance coverage will expire or be cancelled for non-payment of premium. If you have any questions about your policy or about your overall insurance needs, please contact your Hartford agent or broker. Form4H-70 50 12 10 Page 2 THE HARTFORD PRODUCER COMPENSATION NOTICE You can review and obtain information on The Hartford's producer compensation practices at www.TheHartford.com or at 1-800-592-5717. Form G-3418-0 POLICY NUMBER: 55 SBM NY4907 THIS ENDORSEMENT IS ATTACHED TO AND MADE PART OF YOUR POLICY IN RESPONSE TO THE DISCLOSURE REQUIREMENTS OF THE TERRORISM RISK INSURANCE ACT. DISCLOSURE PURSUANT TO TERRORISM RISK INSURANCE ACT SCHEDULE Terrorism Premium: $ $10.00 A. Disclosure Of Premium United States or to influence the policy o, In accordance with the federal Terrorism Risk affect the conduct of the United States Insurance Act, as amended (TRIA), we are required Government by coercion to provide you with a notice disclosing the portion of C. Disclosure Of Federal Share Of Terrorism your premium, if any, attributable to coverage for Losses "certified acts of terrorism" under TRIA. The portion The United States Department of the Treasury will of your premium attributable to such coverage is reimburse insurers for a portion of insured losses, shown in the Schedule of this endorsement. as indicated in the table below, attributable to B. The following definition is added with respect to the "certified acts of terrorism" under TRIA that exceeds provisions of this endorsement: the applicable insurer deductible: 1. A"certified act of terrorism" means an act that is Calendar Year Federal Share of certified by the Secretary of the Treasury, in Terrorism Losses accordance with the provisions of TRIA, to be an act of terrorism under TRIA. The criteria 2015 85% contained in TRIA for a "certified act of 2016 84% terrorism" include the following: 2017 83% a. The act results in insured losses in excess 2018 82% of$5 million in the aggregate, attributable to all types of insurance subject to TRIA; and 2019 81% b. The act results in damage within the United 2020 or later 80% States, or outside the United States in the case of certain air carriers or vessels or the However, if aggregate industry insured losses under premises of an United States mission; and TRIA exceed $100 billion in a calendar year, the c. The act is a violent act or an act that is Treasury shall not make any payment for any dangerous to human life, property or portion of the amount of such losses that exceeds infrastructure and is committed by an $100 billion. The United States government has not individual or individuals as part of an effort charged any premium for their participation in to coerce the civilian population of the covering terrorism losses. Form SS 83 76 01 15 Page 1 of 2 ©2015 , The Hartford (Includes copyrighted material-of the Insurance Services Office, Inc., with its permission.) D. Cap On Insurer Liability for Terrorism Losses If aggregate industry insured losses attributable to "certified acts of terrorism" under TRIA exceed $100 billion in a calendar year and we have met, or will meet, our insurer deductible under TRIA, we shall not be liable for the payment of any portion of the amount of such losses that exceed $100 billion. In such case, your coverage for terrorism losses may be reduced on a pro-rata basis in accordance with procedures established by the Treasury, based on its estimates of aggregate industry losses and our estimate that we will exceed our insurer deductible. In accordance with the Treasury's procedures, amounts paid for losses may be subject to further adjustments based on differences between actual losses and estimates. E. Application of Other Exclusions The terms and limitations of any terrorism exclusion, the inapplicability or omission of a terrorism exclusion, or the inclusion of terrorism coverage, do not serve to create coverage for any loss which would otherwise be excluded under this Coverage Form, Coverage Part or Policy. F. All other terms and conditions remain the same. Form SS 83 76 01 15 _ __ Page 2 of 2 - — IMPORTANT NOTICE TO POLICYHOLDERS - UNMANNED AIRCRAFT - LIABILITY ENDORSEMENT Thank you for trusting The Hartford with your Business Insurance needs. You are receiving this Notice because an Unmanned Aircraft - Liability Endorsement (Form SS 42 06) has been added to your policy. This form modifies the Aircraft, Auto or Watercraft exclusion such that any coverage for unmanned aircraft is completely excluded. This is a reduction in the coverage provided by your policy. In addition, the Personal and Advertising Injury exclusion in your Business Liability Coverage (Form SS 00 08) is revised to exclude coverage for Personal and Advertising Injury damages arising out of the ownership, maintenance, use or entrustment to others of any aircraft that is an "unmanned aircraft". This is a reduction in the coverage provided by your policy. The changes described above do not impact your policy premium. However; if the box next to Option 1 on Form SS 42 06 (included in your policy package following your declarations page) is selected, Bodily Injury and Property Damage coverage for "unmanned aircraft" applies to your policy. If the box next to Option 2 is selected, Personal and Advertising Injury coverage for "unmanned aircraft'applies to your policy. If neither option is selected, you may have the option of purchasing Bodily Injury and Property Damage coverage for"unmanned aircraft," Personal and Advertising Injury coverage for"unmanned aircraft" or both for an additional premium. Please contact your agent, broker or representative of The Hartford to understand if your business is eligible to purchase these coverages or for any questions about these changes. Please be aware that no coverage is provided by this Notice nor should it be construed to replace any provision of your policy. You should read your policy and review your Declarations Page for complete information on the coverages you are provided. If there is a conflict between the policy and this Notice, the provisions of the policy shall prevail. Form SS 90 03 03 17 Page 1 of 1 © 2017, The Hartford - — REGIONAL OFFICE INSTRUCTION SHEET POLICY NUMBER: 65 SBM NY4907 DX ROUTING INSTRUCTIONS _SEND TO RECORDS. TRANSFER CORR IF APPLICABLE. TERMINAL ID: UODC2019 OPER INIT: VRA 11/20/18 65 SBM NY4907 DX (01/04/20) PAGE 1 POLICY FACE SHEET 07 49 INSURER: NY SENTINEL INSURANCE COMPANY, LIMITED SBM POLICY NO. 65 SBM NY4907 DX RECORDS RETENTION - PERMANENT DECLARATIONS ITEMS 1. NAMED INSURED AND NOEL, INC MAILING ADDRESS: 7359 23RD AVE NW SEATTLE, KING WA. 98117 2. POLICY PERIOD: 01/04/19 01/04/20 1 INCEPTION EXPIRATION YEAR AGENT'S CODE: 812846 AGENT'S NAME: USAA INSURANCE AGENCY INC/PHS PREVIOUS POLICY NO. 65 SBM NY4907 3 . THE NAMED INSURED IS: CORP POLICY STATUS: ACTIVE LOB LEVEL OF SUPPORT: SP-S MARKET SEGMENTATION: 830 SELECT CUSTOMER AGENT SALES AGREEMENT (COMMISSION STATUS ) DIRECT ACCOUNT BILL NUMBER - 15301996 DEDUCTIBLE RATED RISK ADDITIONAL INSURED(S) AUTOMATICALLY BOOKED ABBREVIATED POLICY ISSUED AUTOMATICALLY RENEWED TRANS TYPE: RENL CNTL#: 001 POLICY FACE SHEET TERMINAL ID: UODC2019 PAGE 2 11/20/18 65 SBM NY4907 DX (01/04/20) NOEL, INC 7359 23RD AVE NW THE SEATTLE WA 98117 HARTFORD Policy Number: 65 SBM NY4907 Renewal Date: 01/04/19 Thank you for being a loyal customer of The Hartford. #1: Your Hartford Policy Enclosed are renewal documents for your policy, which is scheduled to renew on 01/04/19 . Along with a new Declarations Page, which details the coverages provided by your policy, we are enclosing important policy documents. Please be aware that you will receive an invoice separately for this new policy term approximately 30 days prior to the renewal date; no action is required now. To ensure the premium you paid for this past policy term was accurate, we may contact you by letter, phone or email to conduct a premium audit. If contacted, we will advise what information is needed to complete the audit. #2: Your Business Insurance Coverage Checkup Now is a great time to complete a business insurance coverage checkup with a Hartford Insurance Professional. Because you wear so many hats each day, you may not be thinking about how changes to your business can impact the type and amount of insurance coverage needed to protect it. Together we will evaluate how your needs may have changed over the past year. Examples include: - Has your mailing address and/or the physical location of your business changed? - Has there been any increase/decrease in the amount of business property/equipment you own? - Has there been any increase/decrease in your company's payroll or sales? - Have you added or eliminated any vehicles used in your business operations? - Are the bill plan and deductible on your policy right for your business? During the review we may make coverage recommendations, provide peace of mind solutions, and possibly reduce your costs. Here is all you need to do: - Call toll free (888) 242-1430 , and select our renewal review service option any weekday from 7 A.M. to 7 P.M. CST and request your business insurance check-up. - To best serve you, please have your Policy Number or Account Number and a Copy of your current Renewal Policy in hand when you call. #3: Servicing Your Needs To login or register for our Online Business Service Center, go to www.thehartford.com/servicecenter where any time, day or night you can: - Pay your bill, view payment history and enroll in Auto Pay - Request Auto ID Cards and Certificates of Insurance - View electronic copies of billing and policy documents and sign up for paperless delivery #4: If You've Had A Loss or Accident... Report It Immediately We want to help! Contact us as quickly as possible at 1-800-327-3636. - Representatives are available 24-7 to assist in helping you recover from your loss. On behalf of USAA INSURANCE AGENCY INC/PITS and The Hartford, we appreciate the opportunity to have been of service to you this past year and look forward to serving your business insurance needs for the upcoming year. Sincerely, Your Hartford Team 07 This Spectrum Policy consists of the Declarations, Coverage Forms, Common Policy Conditions and any 49 other Forms and Endorsements issued to be a part of the Policy. This insurance is provided by the stock NY insurance company of The Hartford Insurance Group shown below. SBM INSURER: SENTINEL INSURANCE COMPANY, LIMITED ONE HARTFORD PLAZA, HARTFORD, CT 06155 COMPANY CODE: A Policy Number: 65 SBM NY4907 DX THEHARTFORD SPECTRUM POLICY DECLARATIONS Named Insured and Mailing Address: NOEL, INC (No., Street, Town, State, Zip Code) 7359 23RD AVE NW SEATTLE WA 98117 USAA #: 100873236 Policy Period: From 01/04/19 To 01/04/20 1 YEAR 12:01 a.m., Standard time at your mailing address shown above. Exception: 12 noon in New Hampshire. Name of Agent/Broker: USAA INSURANCE AGENCY INC/PHS Code: 812846 Previous Policy Number: 65 SBM NY4907 Named Insured is: CORPORATION Audit Period: NON-AUDITABLE Type of Property Coverage: NONE Insurance Provided: In return for the payment of the premium and subject to all of the terms of this policy, we agree with you to provide insurance as stated in this policy. TOTAL ANNUAL PREMIUM IS: $529 IN RECOGNITION OF THE MULTIPLE COVERAGES INSURED WITH THE HARTFORD, YOUR POLICY PREMIUM INCLUDES AN ACCOUNT CREDIT. Countersigned by 11/20/18 Authorized Representative Date Form SS 00 02 12 06 Page 001 (CONTINUED ON NEXT PAGE) Process Date: 11/20/18 Policy Expiration Date: 01/04/20 SPECTRUM POLICY DECLARATIONS (Continued) POLICY NUMBER: 65 SBM NY4907 Location(s), Building(s), Business of Named Insured and Schedule of Coverages for Premises as designated by Number below. Location: 001 Building: oo1 7359 23RD AVE NW SEATTLE WA 98117 Description of Business: Engineers & Engineering Services Deductible: NO COVERAGE BUILDING AND BUSINESS PERSONAL PROPERTY LIMITS OF INSURANCE BUILDING NO COVERAGE BUSINESS PERSONAL PROPERTY REPLACEMENT COST NO COVERAGE PERSONAL PROPERTY OF OTHERS REPLACEMENT COST NO COVERAGE MONEY AND SECURITIES INSIDE THE PREMISES NO COVERAGE OUTSIDE THE PREMISES NO COVERAGE Form SS 00 02 12 06 Page 002 (CONTINUED ON NEXT PAGE) Process Date: 11/20/18 _ Policy Expiration Date:_ 01/04/20 SPECTRUM POLICY DECLARATIONS (Continued) POLICY NUMBER: 55 SBM NY4907 Location(s), Building(s), Business of Named Insured and Schedule of Coverages for Premises as designated by Number below. Location: 002 Building: o0i 222 4TH AVE S KENT WA 98032 Description of Business: Engineers & Engineering Services Deductible: No COVERAGE BUILDING AND BUSINESS PERSONAL PROPERTY LIMITS OF INSURANCE BUILDING NO COVERAGE BUSINESS PERSONAL PROPERTY REPLACEMENT COST NO COVERAGE PERSONAL PROPERTY OF OTHERS REPLACEMENT COST NO COVERAGE MONEY AND SECURITIES INSIDE THE PREMISES NO COVERAGE OUTSIDE THE PREMISES NO COVERAGE Form SS 00 02 12 06 Page 003 (CONTINUED ON NEXT PAGE) Process Date: 11/20/18 — — Policy Expiration Date: 01/04/20— -- SPECTRUM POLICY DECLARATIONS (Continued) POLICY NUMBER: 65 SBM NY4907 BUSINESS LIABILITY LIMITS OF INSURANCE LIABILITY AND MEDICAL EXPENSES $1,000, 000 MEDICAL EXPENSES -ANY ONE PERSON $ 10, 000 PERSONAL AND ADVERTISING INJURY $1, 000, 000 DAMAGES TO PREMISES RENTED TO YOU $1,000, 000 ANY ONE PREMISES AGGREGATE LIMITS PRODUCTS-COMPLETED OPERATIONS $2, 000, 000 GENERAL AGGREGATE $2, 000, 000 EMPLOYMENT PRACTICES LIABILITY COVERAGE: FORM SS 09 01 EACH CLAIM LIMIT $ 10, 000 DEDUCTIBLE - EACH CLAIM LIMIT NOT APPLICABLE AGGREGATE LIMIT $ 10, 000 RETROACTIVE DATE: 01042018 This Employment Practices Liability Coverage contains claims made coverage. Except as may be otherwise provided herein, specified coverages of this insurance are limited generally to liability for injuries for which claims are first made against the insured while the insurance is in force. Please read and review the insurance carefully and discuss the coverage with your Hartford Agent or Broker. The Limits of Insurance stated in this Declarations will be reduced, and may be completely exhausted, by the payment of"defense expense" and, in such event, The Company will not be obligated to pay any further"defense expense" or sums which the insured is or may become legally obligated to pay as "damages". BUSINESS LIABILITY OPTIONAL COVERAGES Form SS 00 02 12 06 Page 004 (CONTINUED ON NEXT PAGE) Process Date: 11/20/18 Policy Expiration Date: 01/04/20 SPECTRUM POLICY DECLARATIONS (Continued) POLICY NUMBER: 65 SBM NY4907 BUSINESS LIABILITY OPTIONAL COVERAGES LIMITS OF INSURANCE (Continued) EMPLOYERS LIABILITY AND STOP GAP BODILY INJURY BY ACCIDENT EACH ACCIDENT $1, 000, 000 BODILY INJURY BY DISEASE EACH EMPLOYEE $1, 000,000 BODILY INJURY BY DISEASE POLICY LIMIT $1, 000, 000 APPLICABLE TO LOCATIONS IN THE FOLLOWING STATE(S) : WASHINGTON CYBERFLEX COVERAGE FORM SS 40 26 UNMANNED AIRCRAFT LIABILITY FORM: SS 42 06 Form SS 00 02 12 06 Page 005 (CONTINUED ON NEXT PAGE) Process Date: 1112—OJ18 Policy-Expiration Date: 01/04/20 SPECTRUM POLICY DECLARATIONS (Continued) POLICY NUMBER: 65 SBM NY4907 ADDITIONAL INSUREDS: THE FOLLOWING ARE ADDITIONAL INSUREDS FOR BUSINESS LIABILITY COVERAGE IN THIS POLICY. LOCATION 002 BUILDING 001 TYPE MANAGER LESSOR NAME SEE FORM IH 12 00 Form SS 00 02 12 06 Page 006 (CONTINUED ON NEXT PAGE) Process Date: 11/20/18 _ Policy Expiration Date: 01JQA/20 SPECTRUM POLICY DECLARATIONS (Continued) POLICY NUMBER: 65 SBM NY4907 Form Numbers of Forms and Endorsements that apply: SS 00 01 03 14 SS 00 05 10 08 SS 00 08 04 O5 SS 00 45 12 06 SS 00 60 09 15 SS 00 64 09 16 SS O1 28 05 17 SS 42 06 03 17 SS 40 26 06 11 SS 41 02 04 05 SS 41 63 06 11 SS 05 06 03 14 SS 05 47 09 15 SS 41 75 09 15 SS 50 04 06 04 SS 09 01 12 14 SS 09 25 12 14 SS 09 67 09 14 SS 09 70 12 14 SS 09 71 12 14 SS 10 04 09 98 SS 50 19 01 15 IH 99 40 04 09 IH 99 41 04 09 SS 83 76 01 15 SS 89 93 07 16 IH 12 00 11 85 ADDITIONAL INSURED - MANAGER/LESSOR Form SS 00 02 12 06 Page 007 - — Process Date: 11/20/18 _ __ Policy Expiration Date: 01/04/20 _ —. SPECTRUM POLICY DECLARATIONS (Continued) POLICY NUMBER: 65 SBM NY4907 SUPPLEMENTAL DECLARATIONS: A service fee of $ 6.00 is charged for each installment when your premium is paid in installments. The service fee is $ 6.00 per withdrawal when you select an electronic fund transfer payment plan. The service fee will be added to the premium amount shown on your premium billing statement. Form SS 00 45 12 06 Process Date: 11/20/18 Policy Expiration Date: 01/04/20 POLICY NUMBER: 55 SBM NY4907 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. UNMANNED AIRCRAFT - LIABILITY ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS LIABILITY COVERAGE FORM SCHEDULE Option 1: If an "X" is shown in this box, Bodily Injury and Property Damage coverage for Unmanned Aircraft applies and the Unmanned Aircraft Exclusion in Paragraph A.1.g.(1) of this endorsement does not apply. Option 2: If an "X" is shown in this box, Personal And Advertising Injury coverage for Unmanned Aircraft applies and the Unmanned Aircraft - Personal And Advertising Injury Exclusion in Paragraph A.2. of this endorsement does not apply. Except as otherwise stated in this endorsement or the owned or operated by or rented or schedule above, the terms and conditions of the policy loaned to any insured. Use includes apply to the insurance stated below. operation and "loading or unloading". A. The following changes are made to Section B.1., This Paragraph g.(2) applies even if the EXCLUSIONS: claims against any insured allege 1. Paragraph g., Aircraft, Auto or Watercraft, is negligence or other wrongdoing in the deleted and replaced with the following: supervision, hiring, employment, training g. Aircraft, Auto or Watercraft or monitoring of others by that insured, if the "occurrence" which caused the (1) Unmanned Aircraft "bodily injury" or "property damage" 'Bodily injury' or "property damage" involved the ownership, maintenance, arising out of the ownership, use or entrustment to others of any maintenance, use or entrustment to aircraft (other than "unmanned aircraft), others of any aircraft that is an "auto" or watercraft that is owned or "unmanned aircraft". Use includes operated by or rented or loaned to any operation and"loading or unloading". insured. This Paragraph g.(1) applies even if the Paragraph g. (2) does not apply to: claims against any insured allege (a) A watercraft while ashore on negligence or other wrongdoing in the premises you own or rent; supervision, hiring, employment, training (b) A watercraft you do not own that is: or monitoring of others by that insured, if the 'occurrence" which caused the (i) Less than 51 feet long; and "bodily injury" or "property damage" (ii) Not being used to carry persons involved the ownership, maintenance, for a charge; use or entrustment to others of any (c) Parking an "auto" on, or on the aircraft that is an"unmanned aircraft". ways next to, premises you own or (2) Aircraft (Other Than Unmanned rent, provided the "auto" is not Aircraft), Auto Or Watercraft owned by or rented or loaned to you "Bodily injury" or "property damage" or the insured; arising out of the ownership, (d) Liability assumed under any maintenance, use or entrustment to "insured contract"for the ownership, others of any aircraft (other than maintenance or use of aircraft or "unmanned aircraft), "auto" or watercraft watercraft; Form SS 42 06 03 17 Page 1 of 2 Process Date: 11/20-/18- Policy-Expiration Date: 01/04/20 (e) "Bodily injury" or "property damage" B. The following changes apply to Section G. arising out of the operation of any of LIABILITY AND MEDICAL EXPENSES the equipment listed in Section G DEFINITIONS: Liability and Medical Expenses 1. The following definition is added: Definitions, Paragraph 15 f. (2) or f. (3) of the definition of "mobile "Unmanned aircraft" means an aircraft that is equipment"; or not: (f) An aircraft (other than unmanned a. Designed; aircraft) that is not owned by any b. Manufactured; or insured and is hired, chartered or c. Modified after manufacture loaned with a paid crew. However, this exception does not apply if the to be controlled directly by a person from within insured has any other insurance for or on the aircraft. such "bodily injury" or "property damage", whether the other insurance is primary, excess, contingent or on any other basis. 2. The following is added to Section B. EXCLUSIONS Paragraph p., Personal and Advertising Injury: Unmanned Aircraft - Personal and Advertising Injury Arising out of the ownership, maintenance, use or entrustment to others of any aircraft that is an "unmanned aircraft". Use includes operation and "loading or unloading". This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the offense which caused the "personal and advertising injury" involved the ownership, maintenance, use or entrustment to others of any aircraft that is an "unmanned aircraft". However, this exclusion does not apply if the only allegation in the claim or"suit" involves an intellectual property right which is limited to: (a) Infringement, in your "advertisement", of: (i) Copyright; (ii) Slogan; or (iii) Title of any literary or artistic work; or (b) Copying, in your "advertisement", a person's or organization's "advertising idea" or style of "advertisement". Page 2of2 - — Form SS 42 M03 17 POLICY NUMBER: 65 SBM NY4907 AV,, THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - MANAGER/LESSOR LOCATION 002 BUILDING 001 THE CITY OF KENT PUBLIC WORKS ENGINEERING 222 FOURTH AVE S KENT WA 98032 Form IH 12 00 11 85 T SEQ. NO. 001 Printed in U.S.A. Page 001 Process Date: 11/20/18 Expiration Date: 01/04/20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY WAGE AND HOUR CLAIMS EXPENSES - EMPLOYMENT PRACTICES LIABILITY This endorsement modifies insurance provided under the following: EMPLOYMENT PRACTICES LIABILITY COVERAGE FORM Exclusion B. in SECTION III - EXCLUSIONS is 1. SECTION VIII.1.2. of this Coverage deleted and replaced by the following: Part notwithstanding, 100% of the B. We shall not pay "loss" in connection with any "insured's" "claims expenses" "claim" based upon, arising from, or in any way covered pursuant to this sub- related to: paragraph b. shall be allocated to 1. an claims for unpaid wages covered "loss" until the Wage and Y p g (including Hour Defense Costs Sub-Limit is overtime pay), workers' compensation exhausted. Once the Wage and benefits, unemployment compensation, Hour Defense Costs Sub-Limit is disability benefits, or social security benefits; exhausted, allocation shall continue 2. any actual or alleged violation of the Worker in accordance with SECTION Adjustment and Retraining Notification Act, the VIII.1.2.; National Labor Relations Act, the 2. the Wage and Hour Defense Costs Occupational Safety and Health Act, the Sub-Limit is available notwithstanding Consolidated Omnibus Budget Reconciliation the fact that a "wage and hour Act of 1985, "ERISA", or any similar law; or violation" is not an "employment 3. any"wage and hour violation". practices wrongful act"; and Provided, however, that this Exclusion B. shall 3. the Wage and Hour Defense Costs not apply to that portion of"loss"that represents: Sub-Limit is only available for "claim a. a specific amount the "insureds" expenses" incurred to defend a"wage become legally obligated to pay solely and hour violation"that occurred on or for a "wrongful act" of"retaliation"; or after the "retroactive date" and before b. "Claims expenses" incurred to defend a the end of the "policy period", "wage and hour violation" referenced in regardless of whether any such sub-paragraph 3. above subject to a "claim"fora 'Wage and hour violation" Sub-Limit of Liability of$ 0010000 that is made during the "policy period" or is part of, and not in addition to, the the Extended Reporting Period, if Limits of Liability applicable to this applicable. Coverage Part (the Wage and Hour All other terms and conditions of this Coverage Defense Costs Sub-Limit). Moreover: Part remain unchanged. Form SS 09 67 09 14 _ ©2014, The Hartford Page 1 of 1 THE HARTFORD Named Insured: NOEL, INC Policy Number: 65 SBM NY4907 Effective Date: 01/04/19 Expiration Date: 01/04/2 0 Company Name: SENTINEL INSURANCE COMPANY, LIMITED THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. TRADE OR ECONOMIC SANCTIONS ENDORSEMENT This insurance does not apply to the extent that trade or economic sanctions or other laws or regulations prohibit us from providing insurance, including, but not limited to, the payment of claims. All other terms and conditions remain unchanged. Form IH 99 41 04 09 Page 1 of 1 COMMERCIAL LINES AUTOMATION - SPECTRUM SUMMARY PAGE 3 POLICY INFORMATION NAMED INSURED: NOEL, INC USAA #: 100873236 AGENT CODE AND NAME: 812846 USAA INSURANCE AGENCY INC/PHS COMPANY CODE AND NAME: A SENTINEL INSURANCE COMPANY, LIMITED EFFECTIVE DATE: 01/04/19 EXPIRATION DATE: 01/04/20 AUDIT PERIOD: NON-AUDITABLE POLICY AUTOMATICALLY BOOKED COVERAGES LIMITS OF LIABILITY PREMIUMS POLICY BASE PREMIUM $168.00 BUSINESS LIABILITY PREMISES/OPERATIONS $1,000,000 $20.00 PRODUCTS/COMPLETED OPERATIONS $1,000,000 $7.00 DAMAGES TO PREMISES RENTED TO YOU ANY ONE PREMISES $1, 000,000 INCLUDED EMPLOYERS LIABILITY STOP GAP $1, 000, 000 $324.00 $1,000,000 $1,000,000 EMPLOYMENT PRACTICES LIABILITY $10, 000/ $10, 000 INCLUDED TERRORISM COVERAGE $10.00 TOTAL $529.00 DIRECT ACCOUNT BILL NUMBER - IS301996 POLICY # 65SBMNY4907 DX CONTROL # 001 TERM ID UODC2019 PROCESS DATE 11/20/18 OPER INITIALS VRA AAR PREV POL 4 65SBMNY4907