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HomeMy WebLinkAboutCAG2019-313 - Amendment - #1 - TranTech Engineering, LLC - S 212th St Bridge Deck Resurface - 12/30/2019 ,0!! :�. Agreement Routing Form 00 KEN T For Approvals, Signatures and Records Management WA511NGTON 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 Paul Kuehne Department. Public Works Date Sent. 12/30/19 Date Required: 1/3/20 R c Authorized a Director or Designee Date of N/A a, to Sign: Council QMayor Approval: Budget R20075 Grant? ❑ Yes ❑✓ No Account Number: Type: N/A Vendor Name: TranTech Engineering, LLC Category: Contract C Vendor 1819122 Sub-Category Amendment O Number: a Project E Name: S. 212th Street Bridge Deck Resurface 0 Project C Details: Extend the time of completion. c E Agreement 0 Basis for y Amount: Selection of Contractor. Q Start Date: 12/30/19 Termination Date: 6/30/20 Notice required prior to ❑ yes1:1 No Contract Number: C i1%(so2r�/9 • ,3 3 disclosure? Date Received by City Attorney: Comments: M c O cc N GI L i.� t0 pM Date Routed to the Mayor's Office: in d Date Routed to the City Clerk's Office: �9 d IW Date Sent to Originator: Visit Documents.KentWA.gov to obtain copies of all agreements adccW22373_6_19 • KENT WASHINGTON AMENDMENT NO. 1 NAME OF CONSULTANT OR VENDOR: TranTech Engineering, LLC CONTRACT NAME & PROJECT NUMBER: S. 2121h Street Bridge Deck Resurface ORIGINAL AGREEMENT DATE: May 17, 2019 This Amendment is made between the City and the above-referenced Consultant or Vendor and amends the original Agreement and all prior Amendments. All other provisions of the original Agreement or prior Amendments not inconsistent with this Amendment shall remain in full force and effect. For valuable consideration and by mutual consent of the parties, Consultant or Vendor's work is modified as follows: 1. Section I of the Agreement, entitled "Description of Work," is hereby modified to add additional work or revise existing work as follows: In addition to work required under the original Agreement and any prior Amendments, the Consultant or Vendor shall: No change to the scope of work, however an amendment is needed to extend the time of completion to June 30, 2020 to evaluate claims submitted by the Contractor. 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, $28,701 including applicable WSST Net Change by Previous Amendments $0 including applicable WSST Current Contract Amount $28,701 including all previous amendments Current Amendment Sum $0 Applicable WSST Tax on this $0 Amendment Revised Contract Sum $28,701 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 (f) for this 182 calendar days Amendment Revised Time for Completion 6/30/20 (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: r By: By. - 'h� l ( rgnature) Print Name: A, Print Name: Timothy J. LaPorte, P.E. Its i 6 y Its Public Works Director itle) J ! ( le) DATE: �� Z DATE: 2 372- 0 ATTEST: APPROVED AS TO FORM: (applicable if Mayor's signature required) K Kent City Clerk Kent Law Department 7ra.TY h-212`BAdge 2 Amd 1 Kuehne AMENDMENT- 2 OF 2 '`��Rom® CERTIFICATE OF LIABILITY INSUR DATE(MMIDD/YYYY) ANCE 8/1/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS RTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Hall&Company NAME: Heather Harris 19660 10th Ave NE PHONE 360-598-5026 ac No,360-598-3703 Poulsbo WA 98370 ADDAIL RESS: hharrisa hall and company.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Travelers Casual and Sure Co of America 31194 INSURED 7547 TranTech Engineering LLC INSURER B:The Travelers Indemnity Company of America 25666 365 118th Avenue SE Suite 100 INSURER C:Travelers Property Casualty Company of America 25674 Bellevue WA 98005 INSURER D: INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER:745717142 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 ADDL SUBR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY EXP MM Y) (MM/DD/YYYY1 LIMITS B X COMMERCIAL GENERAL LIABILITY 6803,1385690 7/22/2019 7/22/2020 EACH OCCURRENCE $2,000,000 CLAIMS-MADE a OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $1,000,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 OTHER: POLICY JECT LOC PRODUCTS-COMP/OP AGG $4,000,000 $ AUTOMOBILE LIABILITY 7/22/2019 7/22/2020 $1,000,000 \...o BA5532L225 COMBINED SINGLE LIMIT Ea accident X ANY AUTO OWNED SCHEDULED BODILY INJURY(Per person) $ AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ X HIRED X NON-OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE accident $ C X UMBRELLA LIAR X OCCUR CUP8N373636 7/22/2019 7/22/2020 EACH OCCURRENCE $1,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $1,000,000 DED X RETENTION$lnnnn B AND EMPLOYERS' YERS'LIABILITY IONILIT 6803J385690 7/22/2019 7/22/2020 $ AND EMPLOYERS'LIABILITY Y/N STATUTE X ER WA St0 Ga OFFICER/MEMBER FFICEANYPR /MEMB R/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 (Mandatory In NEREXCLUDED? ❑ N/A (Mandatory In NH) If yes,describe under E.L.DISEASE-EA EMPLOYEE $1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 A Professional Liab;Claima Made 105315328 7/15/2019 7/15/2020 Per Claim $2,000,000 Aggregate $2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The certificate holder is an additional insured per the attached. Project:S 212 Street Bridge Deck Rehabilitation CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Kent ACCORDANCE WITH THE POLICY PROVISIONS. Risk Management Division/Human Resources Dept. 220 Fourth Avenue South AUTHORIZED REPRESENTATIVE Kent WA 98032 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD 8803J385890 TranTech Engineering COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. The following is added to SECTION II —WHO IS h. This insurance does not apply to "bodily AN INSURED: injury" or "property damage" caused by "your Any person or organization that you agree in a work" and included in the "products- "written contract requiring insurance"to include as completed operations hazard" unless the an additional insured on this Coverage Part, but: "written contract requiring insurance" a. Only with respect to liability for "bodily injury specifically requires you to provide such ", coverage for that additional insured, and then "property damage"or"personal injury"; and the insurance provided to the additional b. If, and only to the extent that, the injury or insured applies only to such "bodily injury" or damage is caused by acts or omissions of "property damage" that occurs before the end you or your subcontractor in the performance of the period of time for which the "written of "your work" to which the "written contract contract requiring insurance" requires you to requiring insurance" applies, or in connection provide such coverage or the end of the with premises owned by or rented to you. policy period, whichever is earlier. The person or organization does not qualify as an 2. The following is added to Paragraph 4.a. of additional insured: SECTION IV — COMMERCIAL GENERAL c. With respect to the independent acts or LIABILITY CONDITIONS: omissions of such person or organization; or The insurance provided to the additional insured d. For "bodily injury", "property damage" or is excess over any valid and collectible other "personal injury" for which such person or insurance, whether primary, excess, contingent or organization has assumed liability in a on any other basis, that is available to the additional insured for a loss we cover. However, if contract or agreement. you specifically agree in the "written contract The insurance provided to such additional insured requiring insurance" that this insurance provided is limited as follows: to the additional insured under this Coverage Part must apply on a primary basis or a primary and e. This insurance does not apply on any basis to non-contributory basis, this insurance is primary any person or organization for which to other insurance available to the additional coverage as an additional insured specifically insured which covers that person or organizations is added by another endorsement to this as a named insured for such loss, and we will not Coverage Part. share with the other insurance, provided that: f. This insurance does not apply to the (1) The "bodily injury" or "property damage" for rendering of or failure to render any"professional services". which coverage is sought occurs; and (2) The "personal injury" for which coverage is g. In the event that the Limits of Insurance of the sought arises out of an offense committed; Coverage Part shown in the Declarations exceed the limits of liability required by the after you have signed that "written contract "written contract requiring insurance", the requiring insurance". But this insurance provided insurance provided to the additional insured to the additional insured still is excess over valid shall be limited to the limits of liability required and collectible other insurance, whether primary, by that "written contract requiring insurance". excess, contingent or on any other basis, that is This endorsement does not increase the available to the additional insured when that limits of insurance described in Section III — person or organization is an additional insured Limits Of Insurance. under any other insurance. CG D3 81 09 15 ©2015 The Travelers Indemnity Company.All rights reserved. Page 1 of 2 Includes the copyrighted material of Insurance Services Office,Inc.,with its permission : COMMERCIAL GENERAL LIABILITY 3. The following is added to Paragraph 8., Transfer 4. The following definition is added to the Of Rights Of Recovery Against Others To Us, DEFINITIONS Section: of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: "Written contract requiring insurance" means that part of any written contract under which you are We waive any right of recovery we may have required to include a person or organization as an against any person or organization because of additional insured on this Coverage Part, payments we make for "bodily injury", "property provided that the "bodily injury" and "property damage" or "personal injury" arising out of "your e dams " occurs and the work" performed by you, or on your behalf, done g "personal injury" is under a "written contract requiring insurance" with caused by an offense committed: that person or organization. We waive this right a. After you have signed that written contract; only where you have agreed to do so as part of b. While that part of the written contract is in the "written contract requiring insurance" with effect; and such person or organization signed by you before, and in effect when, the "bodily injury" or c. Before the end of the policy period. "property damage" occurs, or the "personal injury" offense is committed. Page 2 of 2 m 2015 The Travelers Indemnity Company.All rights reserved. Includes the copyrighted material of Insurance Services Office,Inc.,with its permission CG D3 81 09 15 Policy#: CUP6782Y730 UMBRELLA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT OF WHO IS AN INSURED This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY(UMBRELLA) INSURANCE Paragraph 2.f. of SECTION II — WHO IS AN IN- derlying insurance", and, the limits of insurance SURED is deleted and replaced by the following: afforded to such person or organization will be: f. Any other person or organization insured under (I) The difference between the "underlying in- any policy of the "underlying insurance" listed in surance" limits and the minimum limits of in- the SCHEDULE OF UNDERLYING INSURANCE surance which you agreed to provide;or of the DECLARATIONS of this insurance. This (I!) The limits of insurance of this policy insurance is subject to all the provisions and limi- tations upon coverage under such policy of "un- whichever is less. UM 04 45 05 06 ©2006 The St.Paul Travelers Companies,Inc. Page 1 of 1 Policy#: BA5532L225 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM The following is added to the Paragraph A.1.c., Who occurs and that is in effect during the policy period, to Is An Insured, of SECTION II — COVERED AUTOS be named as an additional insured is an "insured" for LIABILITY COVERAGE: Covered Autos Liability Coverage, but only for dam- Any person or organization who is required under a ages to which this insurance applies and only to the written contract or agreement between you and that extent that person or organization qualifies as an "in- person or organization, that is signed and executed sured" under the Who Is An Insured provision con- by you before the "bodily injury" or"property damage" tained in SECTION II. CA T4 37 02 15 ©2015 The Travelers Indemnity Compa ny.All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office,Inc.with its permission. Policy#: BA5532L225 - COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET WAIVER OF SUBROGATION This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM The following replaces Paragraph A.5., Transfer of required of you by a written contract executed Rights Of Recovery Against Others To Us, of the prior to any "accident' or 'loss", provided that the CONDITIONS Section: "accident' or 'loss" arises out of the operations 5. Transfer Of Rights Of Recovery Against Oth- contemplated by such contract. The waiver ap- ers To Us plies only to the person or organization desig- We waive any right of recovery we may have nated in such contract. against any person or organization to the extent CA T3 40 02 15 ©2015 The Travelers Indemnity Compa ny.All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office,Inc.with its permission. Policy#: CUP6782Y730 —� UMBRELLA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY (UMBRELLA) INSURANCE The following is added to Paragraph 11., OUR RIGHT a. "Bodily injury" or"property damage"caused by an TO RECOVER FROM OTHERS., of SECTION IV — "occurrence"that takes place; or CONDITIONS.: b. "Personal injury" or "advertising injury" caused by If the insured has agreed in a contract or agreement an "offense"that is committed; to waive that insured's right of recovery against any person or organization, we waive our right of recovery subsequent to the execution of the contract or agree- against such person or organization, but only for ment. payments we make because of: `— UM 04 88 07 08 ©2008 The Travelers Companies,Inc. Includes the copyrighted material of Insurance services Office,Inc.with its permission. Page 1 Of 1 TRAVELERSJ� One Tower Square, Hartford, Connecticut 06183 CHANGE ENDORSEMENT INSURING COMPANY: THE TRAVELERS INDEMNITY COMPANY Named Insured: TRANTECH ENGINEERING, LLC Policy Number: CUP-6782Y730-17-47 Policy Effective Date: 07/22/2017 Policy Expiration Date: 07/22/2018 Issue Date: 07/19/2018 NIL Premium $ 0.00 Effective from 07/06/2018 at the time of day the policy becomes effective. THIS INSURANCE IS AMENDED AS FOLLOWS: On the Commercial Excess Liability (Umbrella) Declarations, the following changes have been made: The following forms and/or endorsements is/are included with this change. These forms are added to the policy or replace forms already existing on the policy: UM 06 39 02 14 IL TO 07 09 87 Rates and/or premiums have been changed to reflect a change in the exposure and/or rating procedure NAME AND ADDRESS OF AGENT OR BROKER Countersigned by HALL & COMPANY 19660 LOTH AVE NE Authorized Representative ^� POULSBO WA 98370 DATE: 07/19/2018 IL TO 07 09 87 (Page 1 of 1 ) Office: SPECIALIST A&E ~ POLICY NUMBER: CUP-6782Y730-17-47 EFFECTIVE DATE: 07/22/2017 ISSUE DATE: 07/19/2018 LISTING OF FORMS, ENDORSEMENTS AND SCHEDULE NUMBERS THIS LISTING SHOWS THE NUMBER OF FORMS, SCHEDULES AND ENDORSEMENTS BY LINE OF BUSINESS * IL TO 07 09 87 CHANGE ENDORSEMENT CG TO 14 04 96 POLICY DECLARATIONS COMMERCIAL EXCESS LIABILITY UMBRELLA * IL T8 01 01 01 FORMS ENDORSEMENTS AND SCHEDULE NUMBERS UMBRELLA / EXCESS CG DO 23 04 96 SCHEDULE OF UNDERLYING INSURANCE UM 00 01 11 03 COMMERCIAL EXCESS LIABILITY UMBRELLA INSURANCE UM 02 59 02 98 KNOWLEDGE AND NOTICE OF OCCURRENCE OR OFFENSE UNINTENTIONAL OMISSION UM 03 92 11 03 EMPLOYERS LIABILITY - FOLLOWING FORM UM 04 45 05 06 AMENDMENT OF WHO IS AN INSURED UM 04 66 04 08 AMENDMENT OF BODILY INJURY DEFINITION UM 04 78 07 08 AMENDMENT OF PROPERTY DAMAGE DEFINITION UM 04 88 07 08 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS UM 05 11 01 15 AMEND OF COV B - PERSONAL INJURY AND ADVERTISING INJURY LIABILITY UM 06 03 11 10 CRISIS MANAGEMENT SERVICES EXPENSES * UM 06 39 02 14 AMEND OTHER INS - DESIGNATED PERSONS OR ORGANIZATIONS - WRITTEN CONTRACT OF INS UM 06 88 03 15 AMEND-FIN INT IN FOREIGN INS ORG - UM UM 00 94 08 86 AMENDMENT OF COVERAGE - NAMED INSURED UM 01 52 01 16 EXCESS EMPLOYEE BENEFITS LIABILITY COVERAGE UM 03 37 01 99 REASONABLE FORCE - BODILY INJURY OR PROPERTY DAMAGE UM 00 76 01 86 NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENTBROAD FORM UM 01 66 08 91 EXCLUSION - LEAD INCLUDING PRODUCTS - COMPLETED OPERATIONS HAZARD UM 01 96 07 96 EXCLUSION - ASBESTOS UM 02 13 11 03 EXCLUSION - LIQUOR LEGAL LIABILITY - EXCEPTION FOR SCHEDULED ACTIVITIES UM 03 76 07 02 EXCLUSION - WAR WA UM 04 15 10 11 EXCLUSION - UNSOLICITED COMMUNICATIONS UM 04 49 09 07 EXCLUSION - ARCHITECTS ENGINEERS OR SURVEYORS PROFESSIONAL LIABILITY UM 04 90 07 08 AUTO LIABILITY EXCLUSION - LIMITED FOLLOWING FORM UM 05 30 03 09 EXCLUSION - DISCRIMINATION UM 06 09 10 11 EXCLUSION - VIOLATION OF CONSUMER FINANCIAL PROTECTION LAWS UM 06 46 08 13 WA CHGS-EXCL-LIQ-EX SCHED PREM OR ACTIV UM 06 50 01 15 EXCLUSION - ACCESS OR DISCLOSURE OF CONFIDENTIAL OR PERSONAL INFORMATION * TEXT IN THIS FORM HAS CHANGED, OR THE FORM WAS NOT ON POLICY BEFORE. IL T8 01 01 01 PAGE: 1 OF 2 POLICY NUMBER: CUP-6782Y730-17-47 EFFECTIVE DATE: 07/22/2017 ISSUE DATE: 07/19/2018 UMBRELLA / EXCESS (CONTINUED) UM 00 98 12 13 WASHINGTON MANDATORY ENDORSEMENT UM 03 98 11 11 AMENDMENT OF COVERAGE - PROPERTY DAMAGE INTERLINE ENDORSEMENTS IL T3 68 01 15 FEDERAL TERRORISM RISK INSURANCE ACT DISCLOSURE IL T4 14 01 15 CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM POLICY HOLDER NOTICES PN U2 44 01 16 NOTICE OF CHANGE IN POLICY TERMS-A & E * TEXT IN THIS FORM HAS CHANGED, OR THE FORM WAS NOT ON POLICY BEFORE. IL T8 01 01 01 PAGE: 2 OF 2 UMBRELLA POLICY NUMBER: CUP-6782Y730-17-47 ISSUE DATE: 07/19/2018 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT - OTHER INSURANCE - DESIGNATED PERSONS OR ORGANIZATIONS FOR WHOM YOU HAVE AGREED IN A WRITTEN CONTRACT TO PROVIDE INSURANCE This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY (UMBRELLA) INSURANCE SCHEDULE OF DESIGNATED PERSONS OR ORGANIZATIONS Person or Organization: CITY OF KENT RISK MANAGEMENT DIVISION/HUMAN RESOURCES DEPT 220 FOURTH AVENUE SOUTH KENT, WA 98032 Project or Location: S. 212TH ST. BRIDGE DECK RESURFACE PROVISIONS or location shown in that schedule, if the written con- The following is added to Paragraph 10., OTHER IN- tract in which you have agreed to provide insurance SURANCE., of SECTION IV—CONDITIONS.: for that person or organization specifically requires However, for any person or organization shown in the that this insurance apply on a primary basis or a pri- Schedule Of Designated Persons Or Organizations mary and non-contributory basis, this insurance will that qualifies as an insured under Paragraph 2.f. of apply as if other insurance available to that person or SECTION II — WHO IS AN INSURED for the project organization under which that person or organization qualifies as a named insured does not exist, and we UM 06 39 02 14 ©2013 The Travelers Indemnity Company.All rights reserved. Page 1 of 2 UMBRELLA will not share with that other insurance. But this insur- which covers that person or organization as an addi- ance still is excess over any valid and collectible other tional insured or as any other insured that does not insurance, whether such insurance is stated to be qualify as a named insured, primary, contributing, excess, contingent or otherwise, Page 2 of 2 ©2013 The Travelers Indemnity Company.All rights reserved. UM 06 39 02 14 INTERLINE ENDORSEMENTS INTERLINE ENDORSEMENTS