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PW18-379 - Original - Green River Natural Resource Area - S. Stormwater Pump Station Project: Construction Support - 12/18/2019
Agreement Routing Form KEN T For Approvals, Signatures and Records Management WA5HINGTON 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: 12/16/19 Date Required. 12/23/19 R 0 Authorized Director or Designee Date of 11/19/19 M to Sign: Council Ca Mayor Approval: Budget D20047 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: R Project E Name: GRNRA South Stormwater Pump Station 0 Project C Details: Provide construction support for the project. c E Agreement 65 500 Basis for y Amount: Selection of cn Contractor: a Start Date: Mayor's signature Termination Date: 12 31/20 Notice required prior to Yes No Contract Number: 0 / disclosure. �/��/� c1 7/ �/ 7 Date R IV Comments: ED c O ET LAW DEP1� a RECEIVED 0 Date Routed to the Mayor's Office: d Date Routed to the City Clerk's Office: �� City of Kent i I t I cc Date Sent to Originator: Offiee ef the Mayor Visit Documents.KentWA.gov to obtain copies of all agreements adccW22373_6_1 9 I K E N T W�F--t;70.: DATE: November 19, 2019 TO: Kent City Council SUBJECT: Consultant Services Agreement with Jacobs Engineering Group, Inc. for GRNRA South Stormwater Pump Station Construction Services - Authorize MOTION: Authorize the Mayor to sign a Consultant Services Agreement with Jacobs Engineering Group, Inc., in an amount not to exceed $65,500 to provide construction support services for construction of the Green River Natural Resources Area South Pump Station, subject to final terms and conditions acceptable to the City Attorney and Public Works Director. SUMMARY: The Green River Natural Resources Area South Stormwater Pump Station has been designed to divert excess surface water flows from areas south of James Street directly to the Green River. Stormwater flows greater than the 6-month rainfall event will be diverted directly to the Green River. This will allow the Green River Natural Resources Area to provide treatment and detention for surface water flows North of James Street and East of 64th Avenue. This project will go to construction in 2020. The engineer for the Project is Jacobs. Jacobs' work includes construction support services for the placement of structural concrete, construction of the shelters and garage, excavation work for vaults and culverts, and electrical/communications. This agreement will allow Jacobs to review, comment, and recommend approval to city staff for any changes or revisions that may arise during construction. BUDGET IMPACT: The cost is included in the project budget. SUPPORTS STRATEGIC PLAN GOAL: Thriving City, Evolving Infrastructure ATTACHMENTS: 1. Jacobs - GRNRA South PS 3 (PDF) 11/12/19 Committee of the Whole RECOMMENDED TO COUNCIL BY CONSENSUS RESULT: RECOMMENDED TO COUNCIL BY CONSENSUS Next: 11/19/2019 7:00 PM KEN T W A S H i N G T O N 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 Avenue 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 construction support 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 Sixty Five Thousand, Five Hundred Dollars ($65,500), 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 (Over$20,000) 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 (Over$20,000) 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 (Over$20,000) 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 (Over$20,000) 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: CITY OF KENT: 0 L By: By: f)a&k3,,Q� (signature) (signature Print Name: SEnsw;1 I Print Name: Dana Ralph Its V2 �nt f Its Ma or 1 DATE: Il DATE: uV 119 NOTICES TO BE SENT TO: NOTICES TO BE SENT TO: CONSULTANT: CITY OF KENT: Erik Brodahl Timothy 1. LaPorte, P.E. Jacobs Engineering Group Inc. City of Kent 1100 112th Avenue 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 (facsimile) APPROVED AS TO FORM: CA&- *i Kent Law Department ATTEST. i Kent City Clerk Jacobs-GRNRA South PS 3JL inco)n CONSULTANT SERVICES AGREEMENT - 5 (Over$20,000) DECLARATION CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY POLICY The City of Kent is committed to conform 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 employment opportunity policies. The following questions specifically identify the requirements the City deems necessary for any contractor, subcontractor or supplier on this specific Agreement to adhere to. An affirmative response is required on all of the following 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 City's sole determination regarding suspension or termination for all or part of the Agreement; The questions are as follows: 1. I have read the attached City of Kent administrative policy number 1.2. 2. During the time of this Agreement I will not discriminate in employment on the basis of sex, race, color, national origin, age, or the presence of all sensory, mental or physical disability. 3. 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 to fulfill the five requirements referenced above. By: ��l�uQ � For: -SN(0�� t,N&(W Lt...,,- C-ay---p Title: Date: EEO COMPLIANCE DOCUMENTS - mF, 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 Construction Support Services ------------------------ Jacobs Engineering Group Inc. October 2019 1. SCOPE OF SERVICES Jacobs Engineering Group Inc. (Consultant) previously contracted with the City of Kent (City) for design engineering and bidding services associated with the GRNRA South Stormwater Pump Station project. The proposed scope of services to be performed by the Consultant for the construction phase of the GRNRA South Stormwater Pump Station project includes the following services: • Project management and administration • Construction support services 2. ASSUMPTIONS This scope of services is based on the following assumptions: • City will lead and administer the construction contract and be the main point of communications for the Contractor. • City will lead contractor submittal review, forwarding City-selected submittals to Consultant for review and comment (assuming these will primarily include submittals relating to the pumping equipment, electrical, architectural, structural, HVAC, and irrigation elements). • City will lead RFI responses to the Contractor, forwarding to Consultant for input and responses as needed. • Consultant will not attend the preconstruction meeting or other construction meetings. • Consultant will provide occasional site visits as requested by the City but will not provide construction observation or documentation services. • City will provide construction redlines from contractor and construction observer for preparation of construction record drawings. Any discrepancies between City and contractor markups will be resolved prior to sending to Consultant. 3. DETAILED SCOPE OF SERVICES Below are the identified tasks for this project. 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 work. October 2019 Page 1 of 3 Jacobs Engineering Group Inc. Task 100 — Project Management The purpose of this task is to provide oversight and management of the construction services support for the construction phase of this project, assumed to be up to 14 months. Activities: Provide project plan for efforts described below. Provide project management, including managing staff and coordinating with the City through the construction phase of the project. Coordinate construction services with multiple disciplines including civil/utility, electrical, instrumentation/controls, architectural, structural, HVAC/plumbing, and landscaping teams. Deliverables: The following Deliverables are included in this Task: • Scope and budget. • Status reporting. Task 1000 — Construction Support Services The purpose of this task is to provide construction support as requested by the City. Activities: • Provide Issued for Construction drawings, incorporating any updates associated with addenda issued during the bidding phase. It is assumed that City will reproduce and distribute Issued for Construction drawings. • Update any individual specification sections as needed to incorporate updates associated with addenda issued during the bidding phase. It is assumed that the City will assemble and issue conformed specifications, incorporating any updated information provided by Consultant. • Review for submittals as requested and forwarded by City. Consultant will return electronic copies of reviewed submittals to City, for distribution to Contractor. Assumes up to 104 total hours of Consultant effort. • Respond to RFIs and questions from Contractor and City that arise during construction, as requested and forwarded by City. Consultant will provide written responses to questions and RFIs to City, for distribution to Contractor. Assumes up to 104 total hours of Consultant effort. • Site visits (assume up to five visits for combined team, including one visit each for main discipline leads) • Prepare draft and final construction record drawings based on redlines from Contractor and City. Deliverables: • Issued for Construction Drawings (PDF full-size) • Updated specification sections, as needed (PDFs) • Reviewed submittals, as requested by City (PDF) October 2019 Page 2 of 3 Jacobs Engineering Group Inc. • RFI responses as requested by City (PDF or email responses) • Construction Record Drawings, draft and final (electronic full-size) 4. PROPOSED SCHEDULE The schedule for the construction services support is dependent on the construction schedule, to be set by the City. Construction is anticipated to be completed on or before the end of the calendar year 2020, including final construction record drawings. END OF SCOPE OF WORK October 2019 Page 3 of 3 Jacobs Engineering Group Inc. — SZE TSme 2,61 r n w m n w n�vi ry o o X: Aow agoxf-Hsey Aq p,,,Qel ysel A4 vn.H Inal go O h� w aCeas�Wel 4nuvj ueaw't a� � 8 q—W anv0>fxa seOI OVAH IwdsaO al,ery eauaaA IeauUal3 uau8u3 AalaBaea JIQ IeauVai3,auaa I�ae4vy NWS�Very OVO' sa0 Nauu!nO AIPN tem-5 --3 uaAvy ueaS tanlxulS U lajlelaaES auwaa y4ay0 suo teayiaaES g� lft.01"o BueAoer 113 A.i lse(oy auueue�y a„ae3 ,aa,na�e'+r ul�aap I�niO Oolvo —a roar m Q rvd N..�N113 saoxr uu�!A91nolQnS s� LL~O 0� N O Q a Y O 'z of w m L L O w E rc u a^ g 3 E s =E v _ 8 a g m 8 — � i 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 Liability 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. FAE(MM/DD/YYYY) AC40 CERTIFICATE OF LIABILITY INSURANCE /13/2019 Ihk....-- 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.comINC.N Ext: vc No: 1-212-948-1306 E-MAIL 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 INSURER D: 1000 Wilshire Blvd., Suite 2100 INSURER E: Log Angeles, CA 90017 INSURER F: COVERAGES CERTIFICATE NUMBER: 57955061 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 MMIDDNYYY MMIDD/YYYY LIMITS A X COMMERCIALGENERALLIABILITY HDO G71565129 07/01/19 07/01/20 EACH OCCURRENCE $ 3,000,000 CLAIMS-MADE � OCCUR DAMAGE TO RENTED 500,000 PREMISES Eso, currence $ X CONTRACTUAL LIABILITY MED EXP(Any one person) $ 5,000 PERSONAL B ADV INJURY $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 POLICY II PRO-JECT ❑ LOC PRODUCTS-COMPIOPAGG $ 3,000,000 OTHER: $ A AUTOMOBILE LIABILITY ISA H25295511 07/01/19 07/01/20 COMBINED SINGLE LIMIT $ Ea accident 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ PROPERTY DAMAGE HIRED NON-OWNED AUTOS ONLY AUTOS ONLY Per accident) ccident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I RETENTION$ $ A WORKERS COMPENSATION WLR C65892248 STOP-GAP C 97/O1/19 07/01/20 STATUTE X OTRH. AND EMPLOYERS'LIABILITY Y I N ANYPROPRI ETORIPARTNER/EXECUTIV E OF FICER/M EMBER EXCLUDED? � N/A E.L.EACH ACCIDENT $ 1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 A jPROFESSIONAL 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 I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) PROJECT MGR: Erik Brodahl. CONTRACT MGR: Pauline Kellum. RE: Construction phase of the Green River Natural Resources Area Pump Station Project. CONTRACT END DATE: 12/31/2020. 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's services to cert holder under contract for captioned work. Coverage is primary and certificat 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 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 nyumdo newgalexy 57955061 CONSTRUCTION PROJECT(S)GENERAL AGGREGATE. LIMIT ray rr l Jacobs Engineering Grote Inc. . Enrlae#a t tisrm r 3 Ptl y y th*l f jr rrr►t H G71566129 __[_ 1 7d01 ig to 07/04=0 I ti By N r'ftut8rw:*G oy l ACE American Insurance Company . ........... THIS ENDORSEMENT CHANGES THE POLICY. PLEASE HEAD IT CAREFULLY. THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDIER THE FOLLOWING; COMMERCIAL GENERAL LIAI1LITY COVERAGE FORM A. Sutitied to artti erod ng the General Aggregate Limit shown in the Declarations, for all sums vrttich that Insured becomes logiaJy obligated to pay as damages caused by 'accurre erns'under COVERAGE A (SECTION 1)., and for all medical expenses caused by accidents under COVERAGE C (SECT MI I), which can be attr€butod only to ongoing operations at your construction projects away horn prem"s marred by or rented to you (such ongokng operations at such construction projects are hereinafw definers s'Your 1. A separate Const tior Projact General Aggregate LimA applies to sit of Ymr Projects, and that limit is equal to the arinoitint requi.,red under written contract, but in no event greate than the General regate Lima shown in Me 0eclarawns. 2. The Construction Project General Aggregate Lommit is the mkt w-- will pay for I*$* sum of all damages usvder, COVERAGE A, except damages because of "bo&y injury' or *pfWerty dart* included in the 'prodvcts. mpItte+d "rations haLzartr, and fix med<al expenses under COVERAGE C, which damages and medical expenses can to attributed only to Your Projects, regardless of the number oi. a. Insureds; b, Clairtxs^nade car"suits" brought,or c. fie-scoons cy o{gantzatV%making claims or bring rng•sum*. 3. Any payments made ;ender COVERAGE A for damages w, Lind-or COVERAGE C for medal expanses that can be attributed to Your Projects shall reduce ttae Construction Project Genenal Aggregale Limit and stash also reduce and ercdo the General Aggregate Limit shown:n the Declarations. 4, The limits shown in the Denlaratians for Each Occurtance, Fire Damage and Medical Expense continue to apply. However, such limits will be subject to ttte Cortstruc:tion Project General Aggregate Limit, as well as t.re General Aggregate Limit shown in 0* Declarat s. S. For aTT sum Mich the insured becomes legally obligated to pay as damages caused b "occurrences' under COVERAGE A (SECTION I), and for aili medical expenses caused by accidents under COVERAGE C (St CTION t whichcannot be attributed only to Your Projects i' I. Any payments made under COVERAGE A for damages or under COVERAGE C for medical expenses shall reduce the s,=n tint available under the General Aggregate Limit ot the Products-ComPleted OperaWns Aggregate Limit,whichever is appti le;and 2 Such payments shall not reduce than Conslructiccn Projecl General aggregate Lir tit. G. Men coverage for liability arising out of the*Products-completed operat.ions hazard' is provided, any payments for damages because of"bodily injury'or'property damage'inc`uded in the"'products-cc�rnplettead operations hazard"aril reduce the Prods-Compteled Operations aggregate Limit, and not reduce the Gerieral Aggregate Limit nor the MS-22367 (07M7) 4C'roW 201 AM t2tyrcy ry tit t Page S of 2 CONSTRUCTION PqOJECT(S)GENERAL AGGREGATE UWT Construction Project Gen"Agigregatia Limit. 0 If any one (w more of 'your Projects has bow abandoned. delayed, or abandoned and then restarted, or if the authorized contracting parties deviate firm plarts, bfuepnintg, designs specifications or timetables, the project.will sim be deemed to be the same constri.&Wn projc-ct, E The provisions of LimAs Of Insurance (SECTION 111) mt oilhenwise modified i)y this endorsement shall cWtous to app4y as stiputatm. MS-22357(07117) cchA"tb 701s Ajr0w'F4wv(4 Page 2 of 2 ADDITIONAL INSURED-AUTOMATIC STATUS ,Iscobs Fngireenng Group Inc: E st Wvbrr C}+ PA7GC �l polcy, 6,,�lwlr Date of fibre.. _. F t7►O IC715651a 107MI2019 TO 071011 i I"uW By 1Nemc of Cw ACE Amwican Insurarw Compmy THIS EMIR (IAIENT CNAWwES THE POLICY., PLEASE TREAD IT CAIREPULLY. 'MIS IINW tSIEMENT MODIFIES INSURANCE PROVIDED WDE t THE FOLLOW NG: COMMERCIAL GENERAL LIABILITY COVERAGE FORM CH D111i• Name of Person or Organizadon Any person or orpnizatiort for whom arty Named Insured is required by written contract or agreement to pruvide irourance,entered into prior to the loss,where such written contract or agreement does not expressty identify a particular Insurance Servicp t' nization Form to be applied to their additional iztsured status. Who 1s An Insured (Section 1:1) includes as an additional insured the person or arganazation shown in the Schedule,but the insurance shall not exceed the scope of coverage and/or limits of this policy.Notveithstandirkg the foreping sentence, in no ev!nt shall the Insurance provided such additional insured exceed the scope of the r`merage and/or limits required by said contract or agreement; and,if such additional insured's scope of gage is rtot expressly stated in such costtract or agrevinent,then such coverage is limited to the additional nsured's vicarious liability to the extent directly caused by the Ala Insured's negbgewe during the Named Ins°u 's ongoing operation,%, "Phis insurance shall be primary insurance to the extent required by said contract or agreemnt,and any other insurance or self-insurance maintained by such person or nrganiaat€an shall be noncontributory with the insurance provided hereunder to the extent specified in said contract agreement, %ere the contrast or agreement provides that the additional insu `s smpe of coverage is for the Nan d Insured's indemnity,obligations under such contract or Agteftnent,their such coverage shall be limited to the extent such iTtdenynity obligations are enforceable under applicable la, , Notwithstanding the foregoing sentence, in no event shall the insurance; pro%ided such additional insured esc d tb scope of coverage requ a ed be said contract or agreement Notwithstanding anything to the contrary, the zwerage provided an additional insured under this endorsement shall be limited to the minimum coverage limits required to be providued by the Named Insured under the written contract or trerme°nt. MS-15M f 07118� MWA 20% AN r %*4nW P"e 1 of 1 ADDITIONAL INSURED,DESIGNATED PERSONS CAR ORGANIZATIONS ImO Jacobs Engineering Groups Inc. � E rnent N~,..r .. 165 P ii y Ns r P rr r') ( tive # e-m—A 1 ,4 r MZ r2�3 5t 1 0a"f01t2019 7o 07�01,Q02 Issued By(Marne of IA&Lr io Cca aay¢ ACE American Ir►suranre Company THIS ENDORSEMENT CHANGES ES THE POLICY, PLEASE READ rr CAREPULLY. THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING; BUSINESS AUTO COVERAGE FORM Ad,lidionall Insur s). Any person or btganrzatii n whom You have agreed to include:as an additionail insured under a written contract, provided such contract was executed i4kir to the data of loss-Project anchor Contrad: All projects awnftr contracts where you perform work for such additional insured pursuant to any such written contract. A. For a covered 'auto," Who Is Insured is amended to include as an 'insured,'the p&sons of orgiarkizatons named in tf'gs endorsement However, ,h se persons or organitah0n$ are an *inured only for 'bockly Irqury' or 'piropefty damage resulting from ac's or omissions of 1. yota. 2. Any of your"employees" or agents. 3. Any parson opera�ing a towered auto"with pre scion from you any of your*employees' or agents. B The persons or organizations named in this endorsement are noiliabile for payment of your premium C With reApect to the inscrrance afforded to these additional insureds,the following applies: if 1;0yGr6ga PTOV l4pU to the adaittwtat Insured Is fliquif-ed by a Qofttracl or a reenlenr.,the trKm we wol pay on behalf of the addii(ional insuraed is the amount of inswaoce 1 Required by the contract or agtctcmerai; or 2. Available under the applicable Limits of Insurance shown in the Declarrations, whichevef is less if uch additional insu 's scope of overage is not expressly stated in a contract or agreement, ther such coverage is limited to theadditioral insWedl's vicarious Ila itity to the extent directly caused by the Named Ir reed's negf ence during the Flamed insweds ongoing operations, This insurance shall be Wimary Insurance to the extent required by sek contract or agreement.and any alher insurance or self-insurance mainWned by suuch pp,ersen or organization shah be noncontributory'with the insurance provided hereunder to the extent specified in said contract agreement.. Whoer the contract or agreement provdes that the a&itrar l insulod's scope of coverage is for the named sured's indemnity of hgations under su--h contract or agreernent, then such coverage shall be rrnited to the extent such indemnity otlligetiors are enforceatie under apples lane. DES-460621 (07118) at.' ubo ;:016 Page 1 of 1 NOTICE TO OTHERS ENDORSEMENT - SCHEDULE - EMAIL ONLY NwYW iffy ww Jacobs Logineenng Croup trio: _. ndcris+ far+i Nur _ _ ....__ 13 �Y' fit+ Ft}tecti"Dolsfworserrienen t t 7 HD1M61 9 07 1 1 TO J7a'011202 E �__.. .. .. .._ __...,,..».... -.r, . ,.. .. . .w ACE American Insurance Comiparvy t"ocfty n the Tem1wsf a ktm�torrmlfm it to he VWP*aet Cfl1 f wh "ty v it"ad ubAeqLwrd m tb*prWaratlen of ii THIS ENDORSEMENT CHANGES THE POLICY. P RFEAD rT CAREFULLY. i A. If we cancel thA Policy prier to its expiration date by notice to you or tote first Narned Insured lot any mason outer than nonpayment of premium,we will endeavor, as set out below,to stand written mice of cancellation, via such electronic nolification as we caternune, to the persons or organizaVons 'fisted in the schedule that you or your representative provide or have provided to us (the"Sc ule")• You of your reprfsenta0y)e must provide us with the a-tread address of such poisons or organ zatiorisw and we will ulAize such e-retail address that you or your representative provided to us urt uuuh 30ite rule. B. The Schedule must be initially provided,to us w4hift 15 days after. I. The beginning of the Pol cy taetiod, if this endorsement is,affective asof such date; or li. This endlorsernent has been added to the Policy, if this endorsement is effective after the Poky period C. The Schedule must be in an ctiecircini+c formal that is acceptable to us; ar d must be accurate. M Our delivery of the notification as descritied in P'aragfaph A. of teas endorsement will be based on the most Fewt Schedule in our records as of the date the notice of cancellation is mat ell or delivered to the f rst'"famed Insured.. E9 We will endeavor to such n7ob to the e-irnail address corresponding to each person or(xganizaticin indicated i the Schiedule at least 30 days ptkw to the cancellation date applicable to the policy. F. The notice referenced in this endomerrient is intended only to be a courtesy notificatici'tt to the person(s) of w9aniration(s) named in the Schedule in the event of a pending cancellations of coverage, We have nio legal obligatvirt of any kind to any such pe sy or osganization(s3). Our failure to provide* advance notiftalion of Cance4latmr, to the person(s) or organizaticc(s) sl-4wn in the Schedule shall impose no ebligatior or liability of any kind upon us„ our aWts or representatives, mil not extend any Policy cisnCellallion date and wdl not negate any cancellafian of the Policy. . M are not responsible for verifying any information provided to us in any Schedule, nor are we responsible for any it wrest information that you or yourrepresentaAnre provide to us If yw or your reptr ntative does not provide us with a Schedule. we have no respons ity for taking any action under this endorsement- Ir addition. if roe her ycK near your representative provides us . I address infor nlion, With tospw to a particular person or organization, than we shall have no respons&jity for taking action with regard to such aersoo or enlity Mier this endorsement H. Vife may arrange with your representative to send such niotioe in the event of any such cancellation t, You will cooperate wth us In providing the Schedule,or in causing your representative to provide the S teduile-. J. This endorsement sloes not apply in the event that you cancel trie Policy,. ALL-3,W4 5(01;11) tsge 1 of 2 All ottier tenrns and conditions of the Policy remain,urichwgad, AiXhtxszed Representafi e ALL-32a8r;C 1r91 Pam 2 of 2 TICE TO OTHERS ENDORSEMENT— SCHEDULE —EMAIL ONLY 1at5y neenn g rouip IrK• �ruip ni Nuner�x n. yw�n"I r=4AG ISA 1-125295511 07f1{2019 To 07t01r2020 _m. Iai s�enas�x ny+l ACE Amwican Insurance Company Kx4�rE Y»peg p rscmx«. TR ,e sue xrw .I d N srrrx asry R#b bw-rsa+ n s."dmumm •a4 >���t�s�tlyd anfwotion or ter pc+!iF THIS ENDORSEMENT CHANGES THE POLICY,PLEASE READ IT CAREFULLY. A, It we cancel the policy prior to Its OxPiiratmirl date by notice to you or the first Maned insured for any reason other than nonpayrrnent of Pfemwm,we wA endeavor,as yet Out below,to ser wrNen notice of car son, via such erWrortic n0hilcaflor as we detarmae, to the persons or orgaftuaikanss listed iq the schedule than you or your represemaiive provide or have provided to us (the ",ct-,eduje") You of your relwesentative must provide us with the e-mail address of such parsons of organizations, and wowf utilize such a-atoll address that you of your fePresental a provided to us on such edule S. The Schedule arvisil be initially Provided to us within 15 days after 1. TfI`Q b rgi trting Of the Poky period, it this endctye ut is afFectl ; IIScri,Such date tss Il. This et0rsentertt has been added to the Policy, if this endorsement ,s , ctiv, alter the policy pad commences C The Schedule must be in an electronic foirnaq that is c-Watyle to us and m%4 be accifale. C, I'Ota delivery of Vv nntifr:a 10a asdoKribed in Paragraph A- of this endorsement will be bayed on the most tecont Schedule in Our records,as of t1le data the notice of cancellation is maifed or delivered to the first Narned Insured E. We Will erideavvr to send such notice to the a-mail address corresponding to each person or orgamzatorr wodicabed in the Schedute at least 30 d prior to the % llation date ap llcab to the ftlicy. V The notice raterersCod 1n this endorsement is inter4ed only tra a courter3y nddicatwon ic7 the parr inls sir Cst'garitzatiore(s) named in the schedule in the event of a pend g cancelLvion of ccsverage o We have ill obligation of at�j+ kind to any such Ise Ct organizatiar:�st Our dire to provide adv-ice notification of canCollati -► to the pees tsy or argarialtion(s) shown in the Schedule shall impure not c tigation or , b 4ity of any kind tart ut, the Pc�icy o our agents rapresentlo ca ellatiotn t}lr ttves, will not extend any policy cvncckat date and wilt not negate any We are not responsible for verifyiN, any +fwmWiDn provided' to us in any ule, nor are we tespons ble fly any et; erect inforrilation that you of your representativeProvide to us. It you Of your repfe ntat ve d not prowl us with a Sctut3dulr=. h e no responsibileyr ;or taking Bray action under this endorsement. In adlfllrrt, if neither you nor yopr rapfv6entatoot prorvidea sus 11" a-mail: address informaliOn *h respect to a ParlIcUlar person or organizaticnt. then we shea have no relsf,I0As4 litV IlOr taking adicin w h r and to such petrgon or emity under this endorsement. H. V4+t•,may arrange with ywx repiesentativeto send such nwic+e in itwo event Of any such caincellation, I. you will cooperate with vs in PrOVidiN the Schedule,or It►causing your repro entative its provide the Scftedu . J. This endorsement des not a In the event fiat you cancel it Policy. At 1- oi.r11) Page 104 2 All other 1"s and candmiorrs of the P06cy remain unche ed', Au"Wriza dif q. i ALW2'585(01?11) Page 2 c( tl orlierst Compensationand 1^ l rs'Liabiw Policy a'r�cr se���d LJAACOBS ENGGINEEI�I GROUP iNC. E1~rJ irent N ii+.�*WILSHI E BOULEVARD SUFTE 1C+ ELE5 CA 901 Symbd WLR Numbers C65092248 Poky NOW t,aw Daits of Endorsement 07-01-2019 TO 07-01-2020 07-01,201 7 _#w16011 y tffw of sur +:e imp. , lb ACE AMERICAN INSURANCE COMPANY $w5 ^t rt. V'Off T;;w fi ainder iiij ?*lkjn is j6 " c,r rrc:.ad rdy Abm Ots an 'p'e_ 4 I���s3 subsegAn;:ro ilia r ,ce one NOTICE TO OTHERS ENDORSEMENT— SCHEDULE — EMAIL ONLY A. If we cancel this Rahcy prior to its expi,> Lion date by notes to you or the first f aimed r red for any reakiin der than nonpayment of Premium,we wWl endeavor, as W out below, to seind written notice of cancelliMian, via such electronic not il-'ation as we determine, to the persons or organizations 'listed in the schedule that you or your representative provide or have provided to us (the 'S l le'), You or your representative must provide us witty the e-mail address of such persons or organizations, and we will utilize such a-mail addre that you or your representative provided to us on such Schedule. B. The Schedule roust be initially provided to us WI n 15 days after.. . Tbe beginning of the Policy period, if this endorsement is effech" of such date-. or it. This endorsement has been added to the Policy, if this err went is effective after the Policy pwipd commences. G. The Schedule~roust be in an electrmic format that is acceptable to us„and must be accurate. D. Our cetnvery of the notification as described in Paragraph A. of this enclorsemenif VAII be based on thO most recent SrcNerule In our records as of the sate the 1clrce o(cancellairior,is a sled cr delivered to the first Narned insured, We will endeavor to send such notice to the e-mail address corres rAing to each person or organization indlic._tech in the Schedule at least 30 days prior to the ca.�cef,4Wn dale':applicawa to the Policy. F. The note referenced in this endorsement is inteoded only to b,6 a courtesy notification to thie personfs) or organization(s) named in the Schedule in the Ovant of a pending camellabon of coverage, We have no ► al obligation of any kind to any such persons) of organ ation(s). Our failure to pr'ovde advarw*e notification of can oellatiun to the person(s) or c anization(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 date and will not negate any cancellation the Policy. G. We are not responsible for verifying any inforrra# n Prcyvideo to us in any Schedule, no., are we responsible for:any im-wre,;.t information that you or your reprejantat ve pravir a to us. tf you or your representative doves not provide us will :,a S<',hedule, we have no It,,vonsiDi4ity for takiryg ary action under this endorsement, In addition, if neither you nor your representative provides us w &, a-Merl address iinfonna ry with reSpect to a parlicular persort or organization, atom we shall have, no responsibilily for taking action with regard to such person or eo1iity under this endorsement, H. We may arrange with your representative to send such notice in the event of any such cancellation. t< You will co-owate with us in providing the Schedule,or in causing r representairve to provide the Schedule, J. This endorsement does not apply io the event that you cancel the Policy. ,All other terms,and c,,onditions of this Policy remain unchanged. Ths Endorsement is not applicable in the states of AZ, pIL,tD, ME,NC, N), NMj'X and wt. Authorized ntrfilve '&C 99 tE (01 11 --- ----�---- Pap t THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured Endorsement Number Jacobs Engineering Group Inc. 7 Policy Symbol Policy Number Policy Period Effective Date of Endorsement EON G21655065 010 07/01/2019 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: The beginning of the Policy Period, if this endorsement is effective as of such date; or i. 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) -1 L U@''ZA. Presr i. Authorized Representative SUPPLEMENT TO CERTIFICATE OF INSURANCE DATE 12/13/2019 NAME OF INSURED: Jacobs Engineering Group Inc. THE APPLICABLE CONTRACT.* SUPP(10/00)